CDE Detailed Report

Disease: system
Subdomain Name: General Health History
CRF: files

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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
CSV