CDE Detailed Report
Disease: Cerebral Palsy
Subdomain Name: General Health History
CRF: Medical History
Displaying 1 - 50 of 117
Subdomain Name: General Health History
CRF: Medical History
Displaying 1 - 50 of 117
| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| C18961 | Genetic disorder other text | GeneticDisOTH | The free-text field related to 'Genetic disorder type' specifying other text. Whether the participant/subject has a known single gene disorder | The free-text field related to 'Genetic disorder type' specifying other text. Whether the participant/subject has a known single gene disorder | Other, specify | Alphanumeric | Adult;Pediatric | Supplemental | 3.00 | 2013-06-21 00:00:00.0 | Medical History | General Health History | Participant History and Family History | 4000 |
Free-Form Entry |
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| C00316 | Medical history condition end date and time | MedclHistCondEndDateTime | Date (and time, if applicable and known) for the end of an event in the participant's medical history | Date (and time, if applicable and known) for the end of an event in the participant's medical history | End Date | Date or Date & Time |
"Record the date (and time) the medical condition/disease stopped. For surgeries, start and stop dates will most likely be the same date. Record the date/time according to the ISO 8601, the International Standard for the representation of dates and times (http://www.iso.org/iso/home.html). The date/time should be recorded to the level of granularity known (e.g., year, year and month, complete date plus hours and minutes, etc.)." |
Adult;Pediatric | Core | 3.10 | 2024-02-29 15:42:44.0 | Medical History | General Health History | Participant History and Family History |
Free-Form Entry |
3145557 | ||||||||||
| C22667 | Medical history sialorrhea indicator | MedHistSiaInd | Indicator of whether the participant/subject has/ had sialorrhea | Indicator of whether the participant/subject has/ had sialorrhea | Sialorrhea | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2016-07-27 11:35:18.0 | Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C14543 | Genetic disorder type | GeneticDisTyp | Whether the participant/subject has a known single gene disorder | Whether the participant/subject has a known single gene disorder | Genetic disorder type | No known single gene disorder;Mendelian;Mitochondrial;Other, specify | No known single gene disorder;Mendelian;Mitochondrial;Other, specify | Alphanumeric | Adult;Pediatric | Supplemental | 3.00 | 2013-06-21 00:00:00.0 | Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C17469 | Cardiovascular history arrhythmia indicator | CardioHistArrhythInd | Indicator as to whether the participant/subject has or had a cardiac arrhythmia | Indicator as to whether the participant/subject has or had a cardiac arrhythmia | Arrhythmia | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric | Adult;Pediatric | Supplemental | 3.00 | 2013-07-15 16:08:48.687 | Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C22478 | Attention deficit hyperactivity disorder indicator | AttDefHyperDisInd | The indicator related to the disorders of attention deficit disorder (ADD) and attention deficit hyperactivity disorder (ADHD) | The indicator related to the disorders of attention deficit disorder (ADD) and attention deficit hyperactivity disorder (ADHD | Attention Deficit Hyperactivity Disorder (ADHD) | No;Yes | No;Yes | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2016-06-10 16:30:55.0 | Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C06358 | Diabetes mellitus type | DiabetesMellitusTyp | Type of diabetes mellitus | Type of diabetes mellitus | If Yes, Indicate type | Type 1;Type 2 | Type 1;Type 2 | Alphanumeric | Adult;Pediatric | Supplemental | 4.00 | 2024-02-29 15:41:20.0 | Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C22678 | Medical history aggressive behavior disorder indicator | MedHistAggBehDisInd | Indicator of whether participant/subject has aggressive behavior disorder | Indicator of whether participant/subject has aggressive behavior disorder | Aggressive behavior disorder | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2016-07-27 11:42:52.0 | Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C17480 | Diabetes mellitus complications type | EndocrineHistDiabMellCompliTyp | Type(s) of complications related to diabetes mellitus the participant/subject has experienced or is experiencing | Type(s) of complications related to diabetes mellitus the participant/subject has experienced or is experiencing | Indicate the complications of diabetes (choose all that apply) | Nephropathy;Neuropathy;Retinopathy;Other, specify;None | Nephropathy;Neuropathy;Retinopathy;Other, specify;None | Alphanumeric | Adult;Pediatric | Supplemental | 3.00 | 2013-07-15 16:08:48.687 | Medical History | General Health History | Participant History and Family History |
Multiple Pre-Defined Values Selected |
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| C22657 | Medical history recurrent pneumonia indicator | MedHistReccPneInd | Indicator of whether the participant/subject has been diagnosed with recurrent pneumonia | Indicator of whether the participant/subject has been diagnosed with recurrent pneumonia | Recurrent pneumonia | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2016-07-27 11:29:37.0 | Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C10541 | Diabetes treatment type | DiabetTreatTyp | Type of treatment the participant/subject is receiving or has received for diabetes mellitus | Type of treatment the participant/subject is receiving or has received for diabetes mellitus | Indicate the treatments taken for diabetes (Choose all that apply) | Diet;Oral medication;Insulin;None | Diet;Oral medication;Insulin;None | Alphanumeric | Adult;Pediatric | Supplemental | 3.00 | 2013-07-11 15:03:49.2 | Medical History | General Health History | Participant History and Family History |
Multiple Pre-Defined Values Selected |
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| C19057 | Diabetes mellitus complications other text | EndocrineHistDiabMellCompliOTH | The free-text field related to 'Diabetes mellitus complications type' specifying other text. Type(s) of complications related to diabetes mellitus the participant/subject has experienced or is experiencing | The free-text field related to 'Diabetes mellitus complications type' specifying other text. Type(s) of complications related to diabetes mellitus the participant/subject has experienced or is experiencing | Other, specify | Alphanumeric | Adult;Pediatric | Supplemental | 3.00 | 2013-07-15 16:08:48.687 | Medical History | General Health History | Participant History and Family History | 4000 |
Free-Form Entry |
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| C00317 | Medical history condition start date and time | MedclHistCondStrtDateTime | Date (and time, if applicable and known) for the start of an event in the participant's medical history | Date (and time, if applicable and known) for the start of an event in the participant's medical history | Start Date | Date or Date & Time |
Record the date/time according to the ISO 8601, the International Standard for the representation of dates and times (http://www.iso.org/iso/home.html). The date/time should be recorded to the level of granularity known (e.g., year, year and month, complete date plus hours and minutes, etc.). |
Adult;Pediatric | Core | 3.10 | 2024-02-29 15:42:43.0 | Medical History | General Health History | Participant History and Family History |
Free-Form Entry |
2543596 | ||||||||||
| C22668 | Medical history neurogenic detrusor indicator | MedHistNeurDetrusInd | Indicator of whether participant/subject has a neurogenic detrusor | Indicator of whether participant/subject has a neurogenic detrusor | Neurogenic detrusor, detrusor sphincter dyssernigia | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2016-07-27 11:36:08.0 | Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C17402 | Site name | SiteName | The name of the site for the study | The name of the site for the study | Site Name | Alphanumeric | Adult;Pediatric | Supplemental-Highly Recommended | 3.00 | 2013-06-21 00:00:00.0 | Medical History | General Health History | Participant History and Family History | 255 |
Free-Form Entry |
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| C17470 | Cardiovascular history arrhythmia other text | CardioHistArrhythOtherTxt | Text description of any cardiac arrhythmia the participant/subject has or had in a form other than atrial fibrillation, atrial flutter, supraventricular tachycardia, ventricular tachycardia, or bradycardia | Text description of any cardiac arrhythmia the participant/subject has or had in a form other than atrial fibrillation, atrial flutter, supraventricular tachycardia, ventricular tachycardia, or bradycardia | Other, specify | Alphanumeric | Adult;Pediatric | Supplemental | 3.00 | 2013-07-15 16:08:48.687 | Medical History | General Health History | Participant History and Family History | 255 |
Free-Form Entry |
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| C22646 | Medical history retinopathy of prematurity indicator | MedHistRetinPremInd | Indicator of whether the participant/subject has been affected by Retinopathy of prematurity | Indicator of whether the participant/subject has been affected by Retinopathy of prematurity | Retinopathy of prematurity | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2016-07-27 11:22:09.0 | Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C08177 | Hemorrhage indicator | HemrrhgInd | Indicator of the presence of cerebral hemorrhages, regardless of size in any region of the brain | Indicator of the presence of cerebral hemorrhages, regardless of size in any region of the brain | Presence of cerebral hemorrhages, regardless of size in any region of the brain | Yes;No;Unknown;Not assessed | Yes;No;Unknown;Not assessed | Alphanumeric | Adult;Pediatric | Supplemental | 3.00 | 2013-07-22 09:34:41.527 | Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C22679 | Medical history first depressive episode diagnosis age value | MedHistFrstDepEpDiagAgeVal | Value of a participant's/subject's age when first depressive episode was diagnosed | Value of a participant's/subject's age when first depressive episode was diagnosed | Age at which participant/subject experienced first depressive episode or was first diagnosed with depression, whoever is earlier (years) | Numeric Values | Adult;Pediatric | Supplemental | 1.00 | 2016-07-27 11:43:54.0 | Medical History | General Health History | Participant History and Family History |
Free-Form Entry |
year | |||||||||||
| C17482 | Diabetes mellitus indicator | EndocrineHistDiabetesMellInd | Indicator as to whether the participant/subject has diabetes mellitus (type I or type II) | Indicator as to whether the participant/subject has diabetes mellitus (type I or type II) | Diabetes mellitus (type I or type II) | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric | Adult;Pediatric | Supplemental | 3.00 | 2013-07-15 16:08:48.687 | Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C22658 | Medical history bronchiectasis indicator | MedHistBronInd | Indicator of whether the participant/subject has been diagnosed with brochiectasis | Indicator of whether the participant/subject has been diagnosed with brochiectasis | Bronchiectasis | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2016-07-27 11:30:05.0 | Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C10543 | Cancer head or neck radiation treatment indicator | CancerHeadNeckRadiatTreatInd | Indicator as to whether the participant's/subject's cancer is or was treated with head or neck radiation | Indicator as to whether the participant's/subject's cancer is or was treated with head or neck radiatio | Treated with head or neck radiation | Yes;No/Not documented;Unknown | Yes;No/Not documented;Unknown | Alphanumeric | Adult;Pediatric | Supplemental | 3.00 | 2013-07-11 15:03:49.2 | Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C17460 | Cancer history indicator | CancerHistInd | Indicator as to whether the participant/subject has or had cancer | Indicator as to whether the participant/subject has or had cance | Cancer | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric | Adult;Pediatric | Supplemental | 3.00 | 2013-07-15 16:08:48.687 | Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C19058 | Psychiatric history psychotic diagnosis other text | PsychHistPsychoticDiagnosOTH | The free-text field related to 'Psychiatric history psychotic diagnosis type' specifying other text. Type of psychotic disorder the participant/subject has been diagnosed with, if any | The free-text field related to 'Psychiatric history psychotic diagnosis type' specifying other text. Type of psychotic disorder the participant/subject has been diagnosed with, if any | Other, specify | Alphanumeric | Adult;Pediatric | Supplemental | 3.00 | 2013-07-15 16:08:48.687 | Medical History | General Health History | Participant History and Family History | 4000 |
Free-Form Entry |
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| C00319 | Medical history condition ongoing indicator | MedclHistCondOngoingInd | Indicator of whether a medical condition/disease experienced by the participant is ongoing | Indicator of whether a medical condition/disease experienced by the participant is ongoing | Ongoing? | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric |
Choose Yes or No to indicate if the medical condition/disease is still present. |
Adult;Pediatric | Core | 4.00 | 2024-02-29 15:42:44.0 | Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
2736881 | ||||||||
| C22669 | Medical history recurrent urinary tract infect | MedHistRecUrnTrctInfInd | Indicator of whether participant/subject has/had recurrent urinary tract infections | Indicator of whether participant/subject has/had recurrent urinary tract infections | Recurrent urinary tract infections | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2016-07-27 11:36:34.0 | Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C17471 | Cardiovascular history arrhythmia supraventricular tachycardia indicator | CardioHistArrhythSupraTachInd | Indicator as to whether the participant/subject has or had a cardiac arrhythmia in the form of supraventricular tachycardia | Indicator as to whether the participant/subject has or had a cardiac arrhythmia in the form of supraventricular tachycardia | Supraventricular tachycardia | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric | Adult;Pediatric | Supplemental | 3.00 | 2013-07-15 16:08:48.687 | Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C22647 | Medical history high myopia indicator | MedHistHghMyopInd | Indicator of whether the participant/subject has been affected by high myopia | Indicator of whether the participant/subject has been affected by high myopia | High myopia | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2016-07-27 11:22:55.0 | Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C10506 | Genetic diagnosis established indicator | GeneticDiagnosEstablishedInd | Whether a genetic diagnosis for the disease/disorder was established | Whether a genetic diagnosis for the disease/disorder was established | Genetic diagnoses established | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric | Adult;Pediatric | Supplemental | 3.00 | 2013-07-14 03:55:23.71 | Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C22680 | Medical history checkup recommend interval complete indicator | MedHistChckRecIntInd | Indicator of whether or not checkups were completed at recommended intervals | Indicator of whether or not checkups were completed at recommended intervals | Checkups at recommended intervals | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2016-07-27 11:44:16.0 | Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C17483 | Psychiatric history clinical anxiety diagnosis indicator | PsychHistClinAnxietyDiagnosInd | Indicator as to whether the participant/subject has had an anxiety diagnosis | Indicator as to whether the participant/subject has had an anxiety diagnosi | Anxiety disorder diagnosis | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric | Adult;Pediatric | Supplemental | 3.00 | 2013-07-15 16:08:48.687 | Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C22659 | Medical history restrictive airway disease indicator | MedHistRestAirDsInd | Indicator of whether the participant has been diagnosed with restrictive airway disease | Indicator of whether the participant has been diagnosed with restrictive airway disease | Restrictive airway disease | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2016-07-27 11:30:36.0 | Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C10556 | Pregnant ever indicator | PregEverInd | Indicator as to whether or not the participant/subject has every been pregnant, both term and not to term | Indicator as to whether or not the participant/subject has every been pregnant, both term and not to term | Pregnant ever (female participants) | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric | Adult;Pediatric | Supplemental | 3.00 | 2013-07-16 14:01:43.01 | Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C17461 | Cancer history type text | CancerHistTypTxt | Text description of the type of cancer the participant/subject was or is diagnosed with | Text description of the type of cancer the participant/subject was or is diagnosed wit | Type of cancer diagnosed with | Alphanumeric | Adult;Pediatric | Supplemental | 3.00 | 2013-07-15 16:08:48.687 | Medical History | General Health History | Participant History and Family History | 255 |
Free-Form Entry |
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| C19078 | Cardiovascular history cardiac surgery other text | CardioHistCardSurgOTH | The free-text field related to 'Cardiovascular history cardiac surgery type' specifying other text. Type of cardiac surgery or mechanical intervention the participant/subject underwent | The free-text field related to 'Cardiovascular history cardiac surgery type' specifying other text. Type of cardiac surgery or mechanical intervention the participant/subject underwent | Other, specify | Alphanumeric | Adult;Pediatric | Supplemental | 3.00 | 2013-07-15 16:08:48.687 | Medical History | General Health History | Participant History and Family History | 4000 |
Free-Form Entry |
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| C00321 | Medical history for body system indicator | MedclHistBodySysInd | Indicator of whether the participant/subject has a history of medical problems/conditions for the specific body system | Indicator of whether the participant/subject has a history of medical problems/conditions for the specific body syste | Does the participant/subject have a history of any medical problems/conditions in the following body systems? | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric |
Choose one for each body system. |
Adult;Pediatric | Core | 3.00 | 2013-07-22 16:57:17.79 | Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C22670 | Medical history Perinatal neurological event indicator | MedHistPerNeurEvntInd | Indicator of whether participant had a perinatal neurological event | Indicator of whether participant had a perinatal neurological event | Perinatal neurological event | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2016-07-27 11:37:58.0 | Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C17472 | Cardiovascular history arrhythmia ventricular tachycardia indicator | CardioHistArrhythVentTachInd | Indicator as to whether the participant/subject has or had a cardiac arrhythmia in the form of ventricular tachycardia | Indicator as to whether the participant/subject has or had a cardiac arrhythmia in the form of ventricular tachycardia | Ventricular tachycardia | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric | Adult;Pediatric | Supplemental | 3.00 | 2013-07-15 16:08:48.687 | Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C22648 | Medical history optic neuropathy indicator | MedHistOptNeurInd | Indicator of whether the participant/subject has been affected by optic neuropathy | Indicator of whether the participant/subject has been affected by optic neuropathy | Optic neuropathy | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2016-07-27 11:23:36.0 | Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C10507 | Genetic diagnosis confirmation type | GenDiagnosConfrmTyp | Manner in which genetic diagnosis was confirmed | Manner in which genetic diagnosis was confirmed | Genetic diagnosis confirmation type | Participant/subject report;Medical record;Commercial testing;Research testing | Participant/subject report;Medical record;Commercial testing;Research testing | Alphanumeric | Adult;Pediatric | Supplemental | 3.00 | 2013-07-11 15:03:49.2 | Medical History | General Health History | Participant History and Family History |
Multiple Pre-Defined Values Selected |
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| C22681 | Medical history difficulty schedule attend healthcare appointment indicator | MedHistDiffSchHlthcrApptInd | Indicator of whether or not there was difficulty scheduling/attending healthcare appointments | Indicator of whether or not there was difficulty scheduling/attending healthcare appointments | Difficulty scheduling/attending healthcare appointments | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric | Adult;Pediatric | Exploratory | 1.00 | 2016-07-27 11:45:01.0 | Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C17484 | Psychiatric history clinical anxiety past year indicator | PsychHistClinAnxietyPastYrInd | Indicator as to whether the participant/subject had clinical anxiety within the last year | Indicator as to whether the participant/subject had clinical anxiety within the last year | Clinical anxiety within the past year | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric | Adult;Pediatric | Supplemental | 3.00 | 2013-07-15 16:08:48.687 | Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C22660 | Medical history tracheomalcia indicator | MedHistTrachInd | Indicator of whether the participant has been diagnosed with tracheomalacia | Indicator of whether the participant has been diagnosed with tracheomalacia | Tracheomalacia | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2016-07-27 11:31:00.0 | Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C12207 | Gastrointestinal therapy take nutrition supplement indicator | GITherTakeNutritionSupplInd | Indicator whether the participant/subject is taking nutritional supplements | Indicator whether the participant/subject is taking nutritional supplements | Nutritional supplements | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric | Adult;Pediatric | Supplemental | 3.00 | 2013-07-24 11:38:01.2 | Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C17462 | Cardiovascular history abnormal echocardiogram decreased left ventricular function indicator | CardioHistAbnrmlECGDecLVFnInd | Indicator as to whether the participant/subject has or had an abnormal echocardiogram (ECG) specifically exhibiting decreased left ventricular (LV) function | Indicator as to whether the participant/subject has or had an abnormal echocardiogram (EKG) specifically exhibiting decreased left ventricular (LV) function | Decreased LV function | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric | Adult;Pediatric | Supplemental | 3.00 | 2013-07-15 16:08:48.687 | Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C19247 | Subject ID | SubIDNam | Subject identification ID | Subject identification ID | Subject ID | Alphanumeric | Adult;Pediatric | Supplemental-Highly Recommended | 1.00 | 2014-06-05 13:10:49.0 | Medical History | General Health History | Participant History and Family History | 255 |
Free-Form Entry |
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| C00322 | Medical history condition text | MedclHistCondTxt | Verbatim text for the medical condition/disease reported by the participant/subject or documented in the medical record as part of medical history | Verbatim text for the medical condition/disease reported by the participant/subject or documented in the medical record as part of medical history | Medical history condition | Alphanumeric |
Record one Medical History term per line. Make sure to record if the following events are in the medical history which are Core items: Any stroke; Ischemic stroke; Hemorrhagic stroke; Hemorrhagic stroke type; 4) Transient ischemic attack (TIA); Carotid stenosis; Epilepsy/ Seizure disorder; Central nervous system infection; Dementia; Head trauma; Head trauma type; Atrial fibrillation (AF)/ flutter; Rheumatic heart disease |
SNOMED CT Codes (http://www.nlm.nih.gov/research/umls/Snomed/snomed_main.html) | Adult;Pediatric | Core | 3.00 | 2013-07-25 08:54:08.2 | Medical History | General Health History | Participant History and Family History | 4000 |
Free-Form Entry |
2003874 | ||||||||
| C22671 | Medical history abnormal sleep EEG indicator | MedHistAbnSlpEEGInd | Indicator of whether a participant/subject has/had an abnormal sleep EEG | Indicator of whether a participant/subject has/had an abnormal sleep EEG | Abnormal sleep EEG | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2016-07-27 11:38:48.0 | Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C17473 | Cardiovascular history cardiac surgery date | CardioHistCardSurgDate | Date of most recent cardiac surgery or mechanical intervention performed on the participant/subject | Date of most recent cardiac surgery or mechanical intervention performed on the participant/subject | Date of most recent surgery | Date or Date & Time | Adult;Pediatric | Supplemental | 3.00 | 2013-07-15 16:08:48.687 | Medical History | General Health History | Participant History and Family History |
Free-Form Entry |
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| C22650 | Medical history conductive impairment indicator | MedHistCondImpInd | Indicator of whether the participant/subject has been affected by conductive impairment | Indicator of whether the participant/subject has been affected by conductive impairment | Conductive impairment | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2016-07-27 11:24:49.0 | Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
