CDE Detailed Report

Disease: Unruptured Cerebral Aneurysms and Subarachnoid Hemorrhage
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CRF: Medical History

Displaying 51 - 54 of 54
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
C52696 Infection within two weeks type InfectionWthnTwoWksTyp The element related to the type of infection(s) within the last two weeks the participant/subject has had The element related to the type of infection(s) within the last two weeks the participant/subject has had If YES, indicate type(s) Otitis media;Respiratory infection;Urinary tract infection;Cellulitis;Sepsis;Mastoiditis;Viral gastroenteritis;Fever lasting > 48 hours;Other infection, specify: Otitis media;Respiratory infection;Urinary tract infection (UTI);Cellulitis;Sepsis;Mastoiditis;Viral gastroenteritis;Fever lasting > 48 hours;Other infection, specify: Alphanumeric

Choose all that apply

Adult;Pediatric Supplemental 3.00 2013-07-17 09:26:36.973 Medical History [php] [php_1]

Multiple Pre-Defined Values Selected

C52597 Medical history ischemic stroke range MedHistIschemicStrokeRng The element related to the number of ischemic strokes the participant/subject has had The element related to the number of ischemic strokes the participant/subject has had Number of ischemic strokes >= 2;1;None;Unknown >= 2;1;None;Unknown Alphanumeric Adult;Pediatric Supplemental 1.00 2017-01-26 13:49:14.0 Medical History [php] [php_1]

Single Pre-Defined Value Selected

C52619 Medical history atrial fibrillation other cause indicator MedHistAtrlFibOthCauseInd The indicator related to other cause of atrial fibrillation The indicator related to other cause of atrial fibrillation Other cause of AF No;Yes;Unknown No;Yes;Unknown Alphanumeric

AF: atrial fibrillation

Adult;Pediatric Exploratory 1.00 2017-01-27 08:23:58.0 Medical History [php] [php_1]

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 [php] [php_1] 255

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