CDE Detailed Report
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 / Guideline) | 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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C17478 | Cardiovascular history heart failure indicator | CardioHistHeartFailureInd | Indicator as to whether the participant/subject has ever experienced heart failure | Indicator as to whether the participant/subject has ever experienced heart failure | Heart failure | 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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C22655 | Medical history respiratory distress syndrome indicator | MedHistRespDstSyndInd | Indicator of whether the participant/subject has been diagnosed with respiratory distress syndrome | Indicator of whether the participant/subject has been diagnosed with respiratory distress syndrome | Respiratory distress syndrome | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2016-07-27 11:28:37.0 | Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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C10522 | Speech affected by disease indicator | SpchAffectDisInd | The indicator of whether the disease/disorder has affected the participant's/subject's speech | The indicator of whether the disease/disorder has affected the participant's/subject's speech | Is speech affected? | Yes;No;Unknown | History reported and/or confirmed in medical record;History NOT reported and NOT confirmed in medical record;History reported as unknown or could not be collected | 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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C14536 | Seizure diagnosis method type | SeizDiagnosMethdTyp | Describes how the diagnosis of seizure was established | Describes how the diagnosis of seizure was establishe | Seizure diagnosis method type | Clinical manifestations;EEG;Unknown | Clinical manifestations;EEG;Not documented or Cannot be determined | Alphanumeric | Adult;Pediatric | Supplemental | 3.00 | 2013-06-21 00:00:00.0 | Medical History | General Health History | Participant History and Family History |
Multiple Pre-Defined Values Selected |
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C18862 | Death location other text | DeathLoctnOTH | The free-text field related to 'Death location type' specifying other text. Type of location where the participant/subject died | The free-text field related to 'Death location type' specifying other text. Type of location where the participant/subject died | Other, specify | Alphanumeric | Adult;Pediatric | Supplemental | 3.00 | 2013-07-24 11:38:01.2 | Medical History | General Health History | Participant History and Family History | 4000 |
Free-Form Entry |
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C00315 | Medical history global assessment indicator | MedclHistGlobalAssmtInd | Indicator of whether the participant/subject has a history of any medical problems/conditions | Indicator of whether the participant/subject has a history of any medical problems/conditions | 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. If this question is answered NO then the rest of the form is blank. If the question is answered YES then the medical history for at least one body system should be recorded. |
Adult;Pediatric | Core | 3.00 | 2013-07-25 08:54:08.2 | Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
3145578 | ||||||||
C22666 | Medical history oropharyngeal dysphagia indicator | MedHistOrphDysInd | Indicator of whether the participant/subject has/had oropharyngeal dysphagia | Indicator of whether the participant/subject has/had oropharyngeal dysphagia | Oropharyngeal dysphagia | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2016-07-27 11:34:45.0 | Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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C17468 | Cardiovascular history arrhythmia bradycardia indicator | CardioHistArrhythBradycardInd | Indicator as to whether the participant/subject has or had a cardiac arrhythmia in the form of bradycardia | Indicator as to whether the participant/subject has or had a cardiac arrhythmia in the form of bradycardia | Bradycardia | 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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C22469 | Medical history tuberculosis condition indicator | MedHisTBCondInd | The indicator related to medical history of the condition tuberculosis (TB) | The indicator related to medical history of the condition tuberculosis (TB | Cerebral visual impairment | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2016-06-10 15:58:46.0 | Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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C06316 | Menstruation scale | MenstruationScale | Scale for how the female participant's menstruation is affected by the spinal cord injury | Scale for how the female participant's menstruation is affected by the spinal cord injur | Sexual dysfunction indicator | Normal;Reduced/altered;Unknown;Not applicable (For female);Not applicable (Patient male) | Refers to no change in duration, frequency or quantity of menstrual flow and no change in subjective experience or symptoms of menstruation after the spinal cord lesion;i.e. Menstruation has been initiated, though partially impaired or changed. This refers to a change in the duration, frequency or amount of menstrual blood flow after spinal cord lesion. It can also refer to a change in the quality of sensations or other autonomic phenomena associated with menses;Means the impact of the spinal cord lesion on menstruation is unknown;Means the woman was not menstruating at the time of spinal cord lesion, thus there is not an impact on menstruation; | Alphanumeric | Adult;Pediatric | Supplemental | 3.00 | 2013-07-17 09:26:36.973 | Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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C22677 | Medical history self injurious behavior disorder | MedHistSlfInjBehDisInd | Indicator of whether participant/subject has self-injurious behavior disorder | Indicator of whether participant/subject has self-injurious behavior disorder | Self-injurious behavior disorder | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2016-07-27 11:42:28.0 | Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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C17479 | Cardiovascular history ischemia heart disease indicator | CardioHistIschHeartDiseaseInd | Indicator as to whether the participant/subject has or had ischemia heart disease | Indicator as to whether the participant/subject has or had ischemia heart disease | Ischemia heart disease | 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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C22656 | Medical history bronchopulmonary dysplasia indicator | MedHistBrncplmDyspInd | Indicator of whether the participant/subject has been diagnosed with bronchopulmonary dysplasia | Indicator of whether the participant/subject has been diagnosed with bronchopulmonary dysplasia | Bronchopulmonary dysplasia | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2016-07-27 11:29:03.0 | Medical History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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C10539 | Diabetes first diagnosis age value | DiabetFrstDiagnosisAgeVal | Value representing the age, in years, at which the participant/subject was first diagnosed with diabetes mellitus | Value representing the age, in years, at which the participant/subject was first diagnosed with diabetes mellitus | Indicate age when diabetes was first diagnosed (years) | Numeric Values | Adult;Pediatric | Supplemental | 3.00 | 2013-07-11 15:03:49.2 | Medical History | General Health History | Participant History and Family History |
Free-Form Entry |
year | |||||||||||
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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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/subject's medical history | Date (and time, if applicable and known) for the end of an event in the participant's/subject'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 | 3.00 | 2013-07-25 08:54:08.2 | 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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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 | 3.00 | 2013-07-24 21:00:23.88 | 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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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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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/subject's medical history | Date (and time, if applicable and known) for the start of an event in the participant's/subject'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 | 3.00 | 2013-07-25 08:54:08.2 | 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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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/subject is ongoing | Indicator of whether a medical condition/disease experienced by the participant/subject 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 | 3.00 | 2013-07-24 11:38:01.2 | 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 |