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
C05460 Seizure indicator SeizInd Indicator of seizure activity Indicator of seizure activity Seizures/Epilepsy Yes;No;Suspected;Unknown Yes;No;Suspected;Unknown Alphanumeric McHugh GS, Engel DC, Butcher I, et al. Prognostic value of secondary insults in traumatic brain injury: results from the IMPACT study. J Neurotrauma. 2007;24(2):287–293. Signorini DF, Andrews PJ, Jones PA, et al. Adding insult to injury: the prognostic value of early secondary insults for survival after traumatic brain injury. J Neurol Neurosurg Psychiatry. 1999;66(1):26–31. Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Medical History General Health History Participant History and Family History

Single Pre-Defined Value Selected
C22674 Medical history obsessive compulsive disorder indicator MedHistOCDInd Indicator of whether participant/subject has Obsessive Compulsive Disorder (OCD) Indicator of whether participant/subject has Obsessive Compulsive Disorder (OCD) Obsessive Compulsive Disorder (OCD) Yes;No;Unknown Yes;No;Unknown Alphanumeric Adult;Pediatric Supplemental 1.00 2016-07-27 11:40:50.0 Medical History General Health History Participant History and Family History

Single Pre-Defined Value Selected
C17465 Cardiovascular history abnormal echocardiogram other text CardioHistAbnrmlECGOtherTxt Text description of any abnormal characteristics other than left ventricular hypertrophy (LVH), or decreased left ventricular (LV) function that the participant/subject has ever exhibited on an echocardiogram (ECG) Text description of any abnormal characteristics other than left ventricular hypertrophy (LVH), or decreased left ventricular (LV) function that the participant/subject has ever exhibited on an echocardiogram (EKG) 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
C22653 Medical history respiratory support indicator MedHistRespSuppInd Indicator of whether the participant/subject utilizes respiratory support/ventilation assist Indicator of whether the participant/subject utilizes respiratory support/ventilation assist Respiratory support/ventilation assist Yes;No;Unknown Yes;No;Unknown Alphanumeric Adult;Pediatric Supplemental 1.00 2016-07-27 11:26:36.0 Medical History General Health History Participant History and Family History

Single Pre-Defined Value Selected
C10520 Vision affected by disease indicator VisAffectDisInd The indicator of whether the disease/disorder has affected the participant's/subject's vision The indicator of whether the disease/disorder has affected the participant's/subject's vision Is vision 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
C17476 Cardiovascular history condition indicator CardioHistCondInd Indicator as to whether the participant/subject has or had a cardiac condition or complication Indicator as to whether the participant/subject has or had a cardiac condition or complication Cardiac condition 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
C17489 Psychotic disorder indicator PsychoDisorderInd Indicator as to whether the participant/subject has had a psychotic disorder diagnosis Indicator as to whether the participant/subject has had a psychotic disorder diagnosi Psychotic 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
C00313 Medical history condition SNOMED CT code MedclHistCondSNOMEDCTCode Systematized Nomenclature Of Medicine Clinical Terms (SNOMED CT) code for medical condition/disease reported by the participant/subject Systematized Nomenclature Of Medicine Clinical Terms (SNOMED CT) code for medical condition/disease reported by the participant/subject Medical History Term Alphanumeric

Code each of the medical history conditions using SNOMED CT

 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 255

Free-Form Entry
C22664 Medical history delayed gastric empty indicator MedHistDlyGasEmpInd Indicator of whether the participant/subject has/had delayed gastric emptying Indicator of whether the participant/subject has/had delayed gastric emptying Delayed gastric emptying Yes;No;Unknown Yes;No;Unknown Alphanumeric Adult;Pediatric Supplemental 1.00 2016-07-27 11:33:37.0 Medical History General Health History Participant History and Family History

Single Pre-Defined Value Selected
C14127 Seizure generalized classification type SeizGenClassTyp The type of generalized epileptic seizures, considered to originate at some point within, and rapidly engage, bilaterally distributed networks and may include such bilateral networks as ortical and subcortical structures, but do not necessarily include the entire cortex, experienced by the participant/subject The type of generalized epileptic seizures, considered to originate at some point within, and rapidly engage, bilaterally distributed networks and may include such bilateral networks as ortical and subcortical structures, but do not necessarily include the entire cortex, experienced by the participant/subjec Seizure generalized classification type Tonic clonic;Absence;Typical;Atypical;Myoclonic absence;Eyelid myoclonia;Myoclonic;Myoclonic atonic;Myoclonic tonic;Clonic;Tonic;Atonic;Epileptic spasms, focal or generalized Tonic clonic (in any combination);Absence;Absence-Typical;Absence-Atypical;Absence-Myoclonic absence;Absence-Eyelid myoclonia;Myoclonic (not otherwise specified);Myoclonic-Myoclonic atonic;Myoclonic-Myoclonic tonic;Clonic;Tonic;Atonic;Epileptic spasms, focal or generalized Alphanumeric Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Medical History General Health History Participant History and Family History

Single Pre-Defined Value Selected
C19836 Pain anatomic site text PainAntmicSiteTxt Anatomic Site of body pain Anatomic Site of body pain If yes, where Alphanumeric Adult;Pediatric Supplemental 1.00 2015-02-05 00:00:00.0 Medical History General Health History Participant History and Family History 255

Free-Form Entry
C06020 Urinary incontinence past three months indicator UrinIncntPstThreeMoInd Indicator of involuntary urine leakage (incontinence) within the last three months. Urinary incontinence is defined by International Continence Society (Abrams et al. 2002) as the complaint of any involuntary leakage of urine Indicator of involuntary urine leakage (incontinence) within the last three months. Urinary incontinence is defined by International Continence Society (Abrams et al. 2002) as the complaint of any involuntary leakage of urin Urinary incontinence past three months frequency No;Yes;Not applicable;Unknown No;Yes;Not applicable;Unknown 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
C22675 Medical history oppositional defiance indicator MedHIstOppDefInd Indicator of whether participant/subject displays oppositional defiance Indicator of whether participant/subject displays oppositional defiance Oppositional defiance Yes;No;Unknown Yes;No;Unknown Alphanumeric Adult;Pediatric Supplemental 1.00 2016-07-27 11:41:22.0 Medical History General Health History Participant History and Family History

Single Pre-Defined Value Selected
C17466 Cardiovascular history arrhythmia atrial fibrillation indicator CardioHistArrhythAtrialFibInd Indicator as to whether the participant/subject has or had a cardiac arrhythmia in the form of atrial fibrillation Indicator as to whether the participant/subject has or had a cardiac arrhythmia in the form of atrial fibrillation Atrial Fibrillation 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
C22654 Medical history respiratory support type MedHistRespSuppTyp Type of respiratory support utilized by a participant/subject Type of respiratory support utilized by a participant/subject If yes, indicate type Alphanumeric Adult;Pediatric Supplemental 1.00 2016-07-27 11:27:42.0 Medical History General Health History Participant History and Family History 500

Free-Form Entry
C10521 Hearing affected by disease indicator HearAffectDisInd The indicator of whether the disease/disorder has affected the participant's/subject's hearing The indicator of whether the disease/disorder has affected the participant's/subject's hearing Is hearing 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
C17477 Cardiovascular history congenital heart disease indicator CardioHistCongHeartDiseaseInd Indicator as to whether the participant/subject has or had a congenital heart disease Indicator as to whether the participant/subject has or had a congenital heart disease Congenital 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
CSV