CDE Detailed Report
Subdomain Name: General Health History
CRF: Interval Medical History
Displaying 1 - 47 of 47
CDE ID | CDE Name | Variable Name | Definition | Short Description | Question Text | Permissible Values | Description | Data Type | Disease Specific Instructions | Disease Specific Reference | Population | Classification (e.g., Core) | Version Number | Version Date | CRF Name (CRF Module / Guidance) | Subdomain Name | Domain Name | Size | Input Restrictions | Min Value | Max Value | Measurement Type | External Id Loinc | External Id Snomed | External Id caDSR | External Id CDISC |
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C19862 | Medical history stumble since last visit indicator | MedHistStmblInd | Indicator of stumbling since last study visit | Indicator of stumbling since last study visit | If walking, have you been falling or stumbling (tripping) more often since your last visit? | No;Yes | No;Yes | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2015-02-06 00:00:00.0 | Interval Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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C19841 | Medical history illness since last visit indicator | MedHistIllnessSLVInd | Indicator of illness since last study visit | Indicator of illness since last study visit | Have you had any illnesses since your last study visit(s)? | No;Yes | No;Yes | Alphanumeric |
Any new illnesses since the last visit should be recorded on the Surgical and Hospital History. |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2015-02-06 00:00:00.0 | Interval Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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C19873 | Medical history urinary tract infection since last visit frequency | MedHistUTISLVFreq | Frequency of UTI since last visit | Frequency of UTI since last visit | If Yes, how frequent? | 0;1-2;3-4;>5 | 0;1-2;3-4;>5 | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2015-02-06 00:00:00.0 | Interval Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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C19852 | Medical history aspiration choking since last visit indicator | MedHistAspirChokeSLVInd | Indicator of aspiration or choking since last study visit | Indicator of aspiration or choking since last study visit | Have you had any aspiration or choking episodes since your last visit? | No;Yes | No;Yes | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2015-02-06 00:00:00.0 | Interval Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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C19884 | Motor function history maintain indicator | MotorFuncHistMaintnInd | Indicator of motor function history maintained | Indicator of motor function history maintained | Still maintained? | No;Yes | No;Yes | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2015-02-06 00:00:00.0 | Interval Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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C19863 | Medical history self feed increase difficulty indicator | MedHistSelfFeedIncDifInd | Indicator of self-feed difficulty | Indicator of self-feed difficulty | Has it become more difficult to feed yourself? | No;Yes | No;Yes | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2015-02-06 00:00:00.0 | Interval Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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C19842 | Medical history hospitalizations since last visit indicator | MedHistHosptlSLVInd | Indicator of hospitilizations since last study visit | Indicator of hospitilizations since last study visit | Have you had any hospitalizations since your last study visit(s)? | No;Yes | No;Yes | Alphanumeric |
Any new hospitalizations since the last visit should be recorded on the Surgical and Hospital History. |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2015-02-06 00:00:00.0 | Interval Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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C19874 | Medical history scoliosis development since last visit indicator | MedHistScolDvlpmntSLVInd | Indicator of scoliosis development since last visit | Indicator of scoliosis development since last visit | Have you developed scoliosis since your last study visit? | No;Yes | No;Yes | Alphanumeric |
If the participant/subject developed scoliosis since the last visit, it should be recorded on the AE CRF. |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2015-02-06 00:00:00.0 | Interval Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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C19853 | Medical history cough assist since last visit indicator | MedHistCghAstSLVInd | Indicator of cough assist since last visit | Indicator of cough assist since last visit | Have you started using mechanical in/ex-sufflation (cough assist) since your last visit? | No;Yes | No;Yes | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2015-02-06 00:00:00.0 | Interval Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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C19885 | Motor function history age lost function value | MotorFuncHistAgeLostFuncVal | Age lost number | Age lost number | Age lost (years) | Numeric Values |
Age should be recorded in years |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2015-02-06 00:00:00.0 | Interval Medical History | General Health History | Participant History and Family History |
Free-Form Entry |
0 | 100 | Years old | |||||||
C19864 | Medical history physical therapy change since last visit indicator | MedHistPTChngSLVInd | Indicaor of change in physical therapy since last visit | Indicaor of change in physical therapy since last visit | Have you had a change in how much physical therapy you receive since your last visit? | No;Yes | No;Yes | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2015-02-06 00:00:00.0 | Interval Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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C19843 | Medical history emergency room visits since last visit indicator | MedHistEmrgyRmSLVInd | Indicator of emergency room visits since last study visit | Indicator of emergency room visits since last study visit | Have you had any ER visits since your last study visit(s)? | No;Yes | No;Yes | Alphanumeric |
Any new ER visits since the last visit should be recorded on the Surgical and Hospital History. |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2015-02-06 00:00:00.0 | Interval Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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C19875 | Medical history seizures since last visit indicator | MedHistSeizSLVInd | Indicator of seizures since last visit | Indicator of seizures since last visit | Have you had any seizures since your last study visit? | No;Yes | No;Yes | Alphanumeric |
Any seizures since the last visit should be recorded on the AE CRF. |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2015-02-06 00:00:00.0 | Interval Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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C19854 | Medical history scoliosis surgery since last visit indicator | MedHistScolSurgSLVInd | Indicator of scoliosis surgery since last study visit | Indicator of scoliosis surgery since last study visit | Have you had any scoliosis surgeries since your last study visit? | No;Yes | No;Yes | Alphanumeric |
Any new scoliosis surgery since the last visit should be recorded on the Surgical and Hospital History. |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2015-02-06 00:00:00.0 | Interval Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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C19886 | Motor function history lost function date | MotorFuncHistLostFuncDt | Date of motor function lost | Date of motor function lost | Date Lost (YYYY/MM) | Date or Date & Time |
Date should be recorded in the format MM/YYYY. |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2015-02-06 00:00:00.0 | Interval Medical History | General Health History | Participant History and Family History |
Free-Form Entry |
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C19865 | Medical history physical therapy change since last visit frequency | MedHistPTChngSLVFreq | Frequency of change in physical therapy since last visit | Frequency of change in physical therapy since last visit | If Yes, how much change in physical therapy since your last visit? | Increased;Decreased;Don't go to physical therapy | Increased;Decreased;Don't go to physical therapy | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2015-02-06 00:00:00.0 | Interval Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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C19844 | Medical history wheezing since last visit indicator | MedHistWheezeSLVInd | Indicator of wheezing since last visit | Indicator of wheezing since last visit | Have you had any wheezing since your last visit? | No;Yes | No;Yes | Alphanumeric |
Any new incidents of wheezing since the last visit should be recorded on the Surgical and Hospital History. |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2015-02-06 00:00:00.0 | Interval Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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C19876 | Medical history behavior issue since last visit indicator | MedHistBehvrIssueSLVInd | Indicator of behavioral issues since last visit | Indicator of behavioral issues since last visit | Have you had behavioral issues since your last study visit? | No;Yes | No;Yes | Alphanumeric |
Any behavioral issues since the last visit should be recorded on the AE CRF. |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2015-02-06 00:00:00.0 | Interval Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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C19855 | Medical history other surgery since last visit indicator | MedHistOthSurgSLVInd | Indicator of other surgery performed since last study visit | Indicator of other surgery performed since last study visit | Have you had any other surgery since your last study visit? | No;Yes | No;Yes | Alphanumeric |
Any new surgery since the last visit should be recorded on the Surgical and Hospital History. |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2015-02-06 00:00:00.0 | Interval Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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C19866 | Medical history speech therapy since last visit indicator | MedHistSpchThrpySLVInd | Indicator of change in speech therapy since last visit | Indicator of change in speech therapy since last visit | Have you had a change in how much speech therapy you receive since your last visit? | No;Yes | No;Yes | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2015-02-06 00:00:00.0 | Interval Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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C19845 | Medical history intubated since last visit indicator | MedHistIntubatedSLVInd | Indicator of intubation since last study visit | Indicator of intubation since last study visit | Have you been intubated since your last visit? | No;Yes | No;Yes | Alphanumeric |
Any new incidents of intubation since the last visit should be recorded on the Surgical and Hospital History. |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2015-02-06 00:00:00.0 | Interval Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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C19877 | Medical history depression since last visit indicator | MedHistDepressSLVInd | Indicator of depression since last study visit | Indicator of depression since last study visit | Have you developed depression since your last study visit? | No;Yes | No;Yes | Alphanumeric |
Development of depression since the last visit should be recorded on the AE CRF. |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2015-02-06 00:00:00.0 | Interval Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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C19856 | Medical history gastrostomy tube since last visit indicator | MedHistGtubeSLVInd | Indicator of Gtube placed since last study visit | Indicator of Gtube placed since last study visit | Have you had a G-Tube placed since your last study visit? | No;Yes | No;Yes | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2015-02-06 00:00:00.0 | Interval Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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C19867 | Medical history speech therapy since last visit frequency | MedHistSpchThrpySLVFreq | Frequency of change in speech therapy since last visit | Frequency of change in speech therapy since last visit | If Yes, how much change in speech therapy since your last visit? | Increased;Decreased;Don't go to speech therapy | Increased;Decreased;Don't go to speech therapy | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2015-02-06 00:00:00.0 | Interval Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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C19846 | Medical history tracheostomy since last visit indicator | MedHistTracheostomySLVInd | Indicator of tracheostomy since last visit indicator | Indicator of tracheostomy since last visit indicator | Have you had a tracheostomy since your last visit? | No;Yes | No;Yes | Alphanumeric |
Any new tracheostomy since the last visit should be recorded on the Surgical and Hospital History. |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2015-02-06 00:00:00.0 | Interval Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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C19878 | Meical history anxiety development since last visit indicator | MedHistAnxDvlpmntSLVInd | Indicator of anxiety since last study visit | Indicator of anxiety since last study visit | Have you developed anxiety since your last study visit? | No;Yes | No;Yes | Alphanumeric |
Development of anxiety since the last visit should be recorded on the AE CRF. |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2015-02-06 00:00:00.0 | Interval Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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C19857 | Medical history new contracture since last visit indicator | MelHistCntrcturesSLVInd | Indicator of new contractures since last study visit | Indicator of new contractures since last study visit | Have you had any new contractures since your last study visit? | No;Yes | No;Yes | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2015-02-06 00:00:00.0 | Interval Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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C19868 | Medical history congenital muscular dystrophy Limb-Girdle muscular dystrophy genetic confirmation spectrum disorder since last visit indicator | MedHistCMDLGMDGntCnSLVInd | Indicator of genetic confirmation of CMD to LGMD spectrum since last visit | Indicator of genetic confirmation of CMD to LGMD spectrum since last visit | Have you had a genetic confirmation of CMD to LGMD spectrum disorder since your last visit? | No;Yes | No;Yes | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2015-02-06 00:00:00.0 | Interval Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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C19847 | Medical history bilevel positive airway pressure ventilator since last visit indicator | MedHistBiPAPVentltrSLVInd | Indicator of bilevel positive airway pressure or ventilator adjusted since last visit | Indicator of bilevel positive airway pressure or ventilator adjusted since last visit | Have your BiPAP/Ventilator settings been adjusted since your last visit? | No;Yes | No;Yes | Alphanumeric |
Review NIV (BiPAP/Ventilator settings on Intake Medical History with Family |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2015-02-06 00:00:00.0 | Interval Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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C19879 | Medical history upper respiratory infection since last visit indicator | MedHistURISLVInd | Indicator of upper respiratory infections since last study visit | Indicator of upper respiratory infections since last study visit | Have you had frequent upper respiratory infections (URI) since your last study visit? | No;Yes | No;Yes | Alphanumeric |
Any upper respiratory infections since the last visit should be recorded on the AE CR. |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2015-02-06 00:00:00.0 | Interval Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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C19858 | Medical history broken bones since last visit indicator | MedHistBrknBonesSLVInd | Indicator of broken bones since last study visit | Indicator of broken bones since last study visit | Have you broken a bone since your last study visit? | No;Yes | No;Yes | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2015-02-06 00:00:00.0 | Interval Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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C19869 | Medical history gene mutation text | MedHistGeneMutatTxt | Text specifying which gene has been mutated to confirm CMD to LGMD spectrum | Text specifying which gene has been mutated to confirm CMD to LGMD spectrum | If Yes, which gene has been identified as mutated? | Alphanumeric |
Only answered if Interval Disease Progression or Accidents question #10 is Yes |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2015-02-06 00:00:00.0 | Interval Medical History | General Health History | Participant History and Family History | 4000 |
Free-Form Entry |
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C19848 | Medical History non-invasive ventilation setting type | MedHistNIVSettingTyp | Type of NIV settings made | Type of NIV settings made | If Yes, NIV settings: | IPAP;EPAP | IPAP;EPAP (Expiratory positive airway pressure) | Alphanumeric |
Only answered if BiPAP settings have been adjusted since the last visit. |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2015-02-06 00:00:00.0 | Interval Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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C19880 | Medical history upper respiratory infection frequency | MedHistURIFreq | Frequency of upper respiratory infection | Frequency of upper respiratory infection | If Yes, how frequent? | None;1-2;3-4;>5 | None;1-2;3-4;>5 | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2015-02-06 00:00:00.0 | Interval Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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C19859 | Medical history joint dislocation since last visit indicator | MedHistJointDislocSLVInd | Indicator of joint dislocations since last study visit | Indicator of joint dislocations since last study visit | Have you dislocated a joint since your last study visit? | No;Yes | No;Yes | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2015-02-06 00:00:00.0 | Interval Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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C19870 | Medical history arrhythmias since last visit indicator | MedHistArrhymSLVInd | Indicator of arrhythmias since last study visit | Indicator of arrhythmias since last study visit | Have you had any arrhythmias (heart rhythm problem) since your last study visit? | No;Yes | No;Yes | Alphanumeric |
Any arrhythmias since the last visit should be recorded on the AE CRF. |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2015-02-06 00:00:00.0 | Interval Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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C19849 | Medical history ventilator setting type | MedHistVentltSettingTyp | Type of Ventilator settings | Type of Ventilator settings | If Yes, ventilator settings: | Tidal Volume;PEEP;Backup rate | Tidal Volume;PEEP;Backup rate | Alphanumeric |
Only answered if Ventilator settings have been adjusted since the last visit. |
No references available | Adult;Pediatric | Supplemental | 2.00 | 2017-01-26 00:00:00.0 | Interval Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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C19881 | Medical history pain since last visit indicator | MedHistPainSLVInd | Indicator of pain in a new location since last study visit | Indicator of pain in a new location since last study visit | Have you had pain in a new location since your last study visit? | No;Yes | No;Yes | Alphanumeric |
Any pain in a new location since the last visit should be recorded on the AE CRF. |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2015-02-06 00:00:00.0 | Interval Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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C19860 | Medical history strength change since last visit status | MedHistStrngthChngSLVStat | Indicator of change in strength since last study visit | Indicator of change in strength since last study visit | Have you noticed any change in strength since your last study visit? | No change;Yes, I feel stronger;Yes, I feel weaker | No change;Yes, I feel stronger;Yes, I feel weaker | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2015-02-06 00:00:00.0 | Interval Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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C19871 | Medical history cardiomyopathy since last visit indicator | MedHistCardiomyopathyInd | Indicator of cardiomyopathy since last visit | Indicator of cardiomyopathy since last visit | Have you had cardiomyopathy (enlarged heart) since your last study visit? | No;Yes | No;Yes | Alphanumeric |
Any cardiomyopathy since the last visit should be recorded on the AE CRF. |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2015-02-06 00:00:00.0 | Interval Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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C19850 | Medical history non-invasive ventilation adjusted setting text | MedHistNIVAdjTxt | Text specifying any adjustments made to non-invasive ventilation settings | Text specifying any adjustments made to non-invasive ventilation settings | If Yes, NIV settings: | Alphanumeric |
Only answered if BiPAP settings have been adjusted since the last visit. Record any adjustments made to BiPAP settings. |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2015-02-06 00:00:00.0 | Interval Medical History | General Health History | Participant History and Family History | 4000 |
Free-Form Entry |
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C19882 | Medical history pain location anatomic site | MedclHistPainLocAnatSite | Anatomic site of pain | Anatomic site of pain | If Yes, which joints had pain? | Neck;Shoulder;Elbows;Wrists;Fingers;Hips;Knees;Ankles | Neck;Shoulder;Elbows;Wrists;Fingers;Hips;Knees;Ankles | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2015-02-06 00:00:00.0 | Interval Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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C19861 | Medical history roll in bed unassisted since last visit status | MedHistRollBedAssiSLVStatus | Status of assistance needed to roll over in bed since last study visit | Status of assistance needed to roll over in bed since last study visit | Are you able to roll over in bed unassisted? | Yes, I can roll over completely from back to front;Yes, I can roll to my side;No, I cannot roll over on my own | Yes, I can roll over completely from back to front;Yes, I can roll to my side;No, I cannot roll over on my own | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2015-02-06 00:00:00.0 | Interval Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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C19840 | Medical history medication change since last visit indicator | MedHistMedctnChngeSLVInd | Indicator of medication changes since last study visit | Indicator of medication changes since last study visit | Have you had any medication changes since your last visit? | No;Yes | No;Yes | Alphanumeric |
Any new medications since the last visit should be recorded on the Prior and Concomitant Medications CRF. |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2015-02-06 00:00:00.0 | Interval Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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C19872 | Medical history urinary tract infection since last visit indicator | MedHistUTISLVInd | Indicator of UTI since last study visit | Indicator of UTI since last study visit | Have you had frequent urinary tract infections (UTI) since your last study visit? | No;Yes | No;Yes | Alphanumeric |
Any urinary tract infections since the last visit should be recorded on the AE CRF. |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2015-02-06 00:00:00.0 | Interval Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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C19851 | Medical history ventilator adjusted setting text | MedHistVentltAdjTxt | Text specifying any adjustments made to ventilator settings | Text specifying any adjustments made to ventilator settings | If Yes, ventilator settings: | Alphanumeric |
Only answered if Ventilator settings have been adjusted since the last visit. Record any adjustments made to Ventilator settings. Tidal volume should be reported in "ml" units |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2015-02-06 00:00:00.0 | Interval Medical History | General Health History | Participant History and Family History | 4000 |
Free-Form Entry |
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C19883 | Motor function history type | MotorFuncHistTyp | Type of motor function | Type of motor function | Motor Function | Able to run;Able to climb stairs using a handrail;Able to walk indoors without assistnace > 10 steps;Able to walk outdoors without assistance > 10 steps;Able to walk with assistance (including walker, calipers, of KAFOs);Able to sit when placed;Able to hold head up | Able to run;Able to climb stairs using a handrail;Able to walk indoors without assistnace > 10 steps;Able to walk outdoors without assistance > 10 steps;Able to walk with assistance (including walker, calipers, of KAFOs);Able to sit when placed;Able to hold head up | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2015-02-06 00:00:00.0 | Interval Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |