CDE Detailed Report

Disease: content
Subdomain Name: General Health History
CRF: welcome

Displaying 101 - 117 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
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
C00315 Medical history global assessment indicator MedclHistGlobalAssmtInd Indicator of whether the participant has a history of any medical problems/conditions Indicator of whether the participant 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 3.10 2024-02-29 15:42:39.0 Medical History General Health History Participant History and Family History

Single Pre-Defined Value Selected

 3145578
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
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
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
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
C10539 Diabetes first diagnosis age value DiabetFrstDiagnosisAgeVal Value representing the age, in years, at which the participant was first diagnosed with diabetes mellitus Value representing the age, in years, at which the participant was first diagnosed with diabetes mellitus Indicate age when diabetes was first diagnosed (years) Numeric Values Adult;Pediatric Supplemental 3.10 2024-02-29 15:41:16.0 Medical History General Health History Participant History and Family History

Free-Form Entry

 year
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
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
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
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
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
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
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
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
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
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
CSV