CDE Detailed Report
Disease: Traumatic Brain Injury
Subdomain Name: Family and Environment
CRF: Family History Research Diagnostic Criteria Summary Data Sheet for Second Degree Relatives
Displaying 1 - 18 of 18
Subdomain Name: Family and Environment
CRF: Family History Research Diagnostic Criteria Summary Data Sheet for Second Degree Relatives
Displaying 1 - 18 of 18
| 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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| C52631 | Family History Research Diagnostic Criteria (FH-RDC) - Relative description relationship code | FHRDCRelatvDescripRelatCode | Code for the relationship of the relative being described to the subject/participant, as part of the Family History - Research Diagnostic Criteria (FH-RDC) | Code for the relationship of the relative being described to the subject/participant, as part of the Family History - Research Diagnostic Criteria (FH-RDC) | Relationship code of relative being described | 7 | All Second Degree Relatives | Numeric Values | Adult;Pediatric | Supplemental | 1.00 | 2017-01-27 09:22:30.0 | Family History Research Diagnostic Criteria Summary Data Sheet for Second Degree Relatives | Family and Environment | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C52947 | Family History Research Diagnostic Criteria (FH-RDC) - Relationship type psychiatrically ill possible alcoholism count | FHRDCRltTypPsyIlPosAlclsmTtlCt | The count of all individuals having the specified relationship to the subject/participant with possible alcoholism, as part of the Family History - Research Diagnostic Criteria (FH-RDC) Summary Data Sheet | The count of all individuals having the specified relationship to the subject/participant with possible alcoholism, as part of the Family History - Research Diagnostic Criteria (FH-RDC) Summary Data Sheet | No. Psychiatrically Ill Poss AD | Numeric Values | Adult;Pediatric | Supplemental | 1.00 | 2017-01-27 09:22:30.0 | Family History Research Diagnostic Criteria Summary Data Sheet for Second Degree Relatives | Family and Environment | Outcomes and End Points |
Free-Form Entry |
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| C52644 | Family History Research Diagnostic Criteria (FH-RDC) - Informant participant relationship type | FHRDCInfmntPtcpntRelatshpTyp | The relationship of the informant to participant/subject, as part of the Family History - Research Diagnostic Criteria (FH-RDC) | The relationship of the informant to participant/subject, as part of the Family History - Research Diagnostic Criteria (FH-RDC | Relationship of Informant to Index Subject | 1;2;3;4;5;6;7 | Self;Spouse;Mother;Father;Sibling;Child;Other (consensus) | Alphanumeric | Adult;Pediatric | Supplemental | 3.00 | 2013-08-30 17:06:52.8 | Family History Research Diagnostic Criteria Summary Data Sheet for Second Degree Relatives | Family and Environment | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C52886 | Family History Research Diagnostic Criteria (FH-RDC) - Comment narrative text | FHRDCCommentNarratvTxt | The free-text field for recording comments and narrative for the subject/participant's relative being described, as part of the Family History - Research Diagnostic Criteria (FH-RDC) | The free-text field for recording comments and narrative for the subject/participant's relative being described, as part of the Family History - Research Diagnostic Criteria (FH-RDC) | Comments | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2017-01-27 09:22:30.0 | Family History Research Diagnostic Criteria Summary Data Sheet for Second Degree Relatives | Family and Environment | Outcomes and End Points | 4000 |
Free-Form Entry |
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| C52892 | Family History Research Diagnostic Criteria (FH-RDC) - Relationship type | FHRDCRelatnshpTyp | The type of relationship the subject/participant's relative(s) being described has/have with the subject/participant, as part of the Family History - Research Diagnostic Criteria (FH-RDC) Summary Data Sheet | The type of relationship the subject/participant's relative(s) being described has/have with the subject/participant, as part of the Family History - Research Diagnostic Criteria (FH-RDC) Summary Data Sheet | Paternal grandfather;Paternal grandmother;Paternal aunt;Paternal uncle;Paternal cousin;Maternal grandfather;Maternal grandmother;Maternal aunt;Maternal uncle;Maternal cousin;Niece;Granddaughter;Grandson;Nephew | Paternal grandfather;Paternal grandmother;Paternal aunt;Paternal uncle;Paternal cousin;Maternal grandfather;Maternal grandmother;Maternal aunt;Maternal uncle;Maternal cousin;Niece;Granddaughter;Grandson;Nephew | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2017-01-27 09:22:30.0 | Family History Research Diagnostic Criteria Summary Data Sheet for Second Degree Relatives | Family and Environment | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C52928 | Family History Research Diagnostic Criteria (FH-RDC) - Relationship type suitable psychiatric interview count | FHRDCRltnTypStblPsychiIntrvwCt | Count of relatives of the selected type of relationship to the subject/participant who are suitable to participate in a psychiatric interview, as part of the Family History - Research Diagnostic Criteria (FH-RDC) Summary Data Sheets | Count of relatives of selected type of relationship to the subject/participant who are suitable to participate in a psychiatric interview, as part of the Family History - Research Diagnostic Criteria (FH-RDC) Summary Data Sheets | No. Suitable for Psych. Interview | Numeric Values | Adult;Pediatric | Supplemental | 1.00 | 2017-01-27 09:22:30.0 | Family History Research Diagnostic Criteria Summary Data Sheet for Second Degree Relatives | Family and Environment | Outcomes and End Points |
Free-Form Entry |
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| C19247 | Subject ID | SubIDNam | Subject identification ID | Subject identification ID | ID Number of Subject whose relatives are being evaluated | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2014-06-05 13:10:49.0 | Family History Research Diagnostic Criteria Summary Data Sheet for Second Degree Relatives | Family and Environment | Outcomes and End Points | 255 |
Free-Form Entry |
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| C52937 | Family History Research Diagnostic Criteria (FH-RDC) - Relationship type total count | FHRDCRelatnshpTypTotalCt | The count of all individuals having the specified relationship to the subject/participant, as part of the Family History - Research Diagnostic Criteria (FH-RDC) Summary Data Sheet | The count of all individuals having the specified relationship to the subject/participant, as part of the Family History - Research Diagnostic Criteria (FH-RDC) Summary Data Sheet | Total No. | Numeric Values | Adult;Pediatric | Supplemental | 1.00 | 2017-01-27 09:22:30.0 | Family History Research Diagnostic Criteria Summary Data Sheet for Second Degree Relatives | Family and Environment | Outcomes and End Points |
Free-Form Entry |
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| C21117 | Subject name | SubjectName | Name of subject/participant | Name of subject/participan | Name of Subject whose relatives are being evaluated | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2015-06-12 15:16:39.0 | Family History Research Diagnostic Criteria Summary Data Sheet for Second Degree Relatives | Family and Environment | Outcomes and End Points | 255 |
Free-Form Entry |
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| C52939 | Family History Research Diagnostic Criteria (FH-RDC) - Relationship type living total count | FHRDCRelatnshpTypLvngTtlCt | The count of all living individuals having the specified relationship to the subject/participant, as part of the Family History - Research Diagnostic Criteria (FH-RDC) Summary Data Sheet | The count of all living individuals having the specified relationship to the subject/participant, as part of the Family History - Research Diagnostic Criteria (FH-RDC) Summary Data Sheet | No. Living | Numeric Values | Adult;Pediatric | Supplemental | 1.00 | 2017-01-27 09:22:30.0 | Family History Research Diagnostic Criteria Summary Data Sheet for Second Degree Relatives | Family and Environment | Outcomes and End Points |
Free-Form Entry |
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| C52626 | Data sheet reference code | DataSheetRefCode | Reference code for the data sheet being recorded | Reference code for the data sheet being recorded | Card No. | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2017-01-27 09:27:54.0 | Family History Research Diagnostic Criteria Summary Data Sheet for Second Degree Relatives | Family and Environment | Outcomes and End Points | 50 |
Free-Form Entry |
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| C52940 | Family History Research Diagnostic Criteria (FH-RDC) - Relationship type dead total count | FHRDCRelatnshpTypDeadTtlCt | The count of all deceased individuals having the specified relationship to the subject/participant, as part of the Family History - Research Diagnostic Criteria (FH-RDC) Summary Data Sheet | The count of all deceased individuals having the specified relationship to the subject/participant, as part of the Family History - Research Diagnostic Criteria (FH-RDC) Summary Data Sheet | No. Dead | Numeric Values | Adult;Pediatric | Supplemental | 1.00 | 2017-01-27 09:22:30.0 | Family History Research Diagnostic Criteria Summary Data Sheet for Second Degree Relatives | Family and Environment | Outcomes and End Points |
Free-Form Entry |
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| C52627 | Study identification code | StudyIdentificationCode | Code used to identify the study for which data are being collected | Code used to identify the study for which data are being collected | Study No. | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2017-01-27 09:32:38.0 | Family History Research Diagnostic Criteria Summary Data Sheet for Second Degree Relatives | Family and Environment | Outcomes and End Points | 50 |
Free-Form Entry |
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| C52942 | Family History Research Diagnostic Criteria (FH-RDC) - Relationship type suicide total count | FHRDCRelatnshpTypSuicdTtlCt | The count of all deceased individuals having the specified relationship to the subject/participant who died of suicide, as part of the Family History - Research Diagnostic Criteria (FH-RDC) Summary Data Sheet | The count of all deceased individuals having the specified relationship to the subject/participant who died of suicide, as part of the Family History - Research Diagnostic Criteria (FH-RDC) Summary Data Sheet | No. Suicide(s) | Numeric Values | Adult;Pediatric | Supplemental | 1.00 | 2017-01-27 09:22:30.0 | Family History Research Diagnostic Criteria Summary Data Sheet for Second Degree Relatives | Family and Environment | Outcomes and End Points |
Free-Form Entry |
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| C52629 | Interviewer identification code | IntrviewrIdentificatnCode | Code identifying the interviewer who collected the data being recorded | Code identifying the interviewer who collected the data being recorded | Rater No. | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2017-01-27 09:38:30.0 | Family History Research Diagnostic Criteria Summary Data Sheet for Second Degree Relatives | Family and Environment | Outcomes and End Points | 50 |
Free-Form Entry |
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| C52943 | Family History Research Diagnostic Criteria (FH-RDC) - Relationship type psychiatrically ill total count | FHRDCRelatnshpTypPsyciIllTtlCt | The count of all individuals having the specified relationship to the subject/participant with any psychiatric illness, as part of the Family History - Research Diagnostic Criteria (FH-RDC) Summary Data Sheet | The count of all individuals having the specified relationship to the subject/participant with any psychiatric illness, as part of the Family History - Research Diagnostic Criteria (FH-RDC) Summary Data Sheet | No. Psychiatrically Ill Total | Numeric Values | Adult;Pediatric | Supplemental | 1.00 | 2017-01-27 09:22:30.0 | Family History Research Diagnostic Criteria Summary Data Sheet for Second Degree Relatives | Family and Environment | Outcomes and End Points |
Free-Form Entry |
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| C52630 | Interviewee name | IntervieweeName | Name of the person interviewed for data collection | Name of the person interviewed for data collection | Name of Informant | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2017-01-27 09:40:39.0 | Family History Research Diagnostic Criteria Summary Data Sheet for Second Degree Relatives | Family and Environment | Outcomes and End Points | 255 |
Free-Form Entry |
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| C52945 | Family History Research Diagnostic Criteria (FH-RDC) - Relationship type psychiatrically ill possible affective disorder count | FHRDCRltTypPsyIlPosAffDsrTtlCt | The count of all individuals having the specified relationship to the subject/participant with a possible affective disorder, as part of the Family History - Research Diagnostic Criteria (FH-RDC) Summary Data Sheet | The count of all individuals having the specified relationship to the subject/participant with a possible affective disorder, as part of the Family History - Research Diagnostic Criteria (FH-RDC) Summary Data Sheet | No. Psychiatrically Ill Poss Alc. | Numeric Values | Adult;Pediatric | Supplemental | 1.00 | 2017-01-27 09:22:30.0 | Family History Research Diagnostic Criteria Summary Data Sheet for Second Degree Relatives | Family and Environment | Outcomes and End Points |
Free-Form Entry |
