CDE Detailed Report

Disease: system
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CRF: files

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
C52618 Medical history neck trauma recency rate MedHistNeckTraumaRecenRt The element related to the recency of neck trauma The element related to the recency of neck trauma If YES, indicate recency: < 8 days before current stroke/TIA;8 days - 4 weeks ago;> 4 weeks ago;Unknown < 8 days before current stroke/TIA;8 days - 4 weeks ago;> 4 weeks ago;Unknown Alphanumeric Adult;Pediatric Supplemental 1.00 2017-01-26 13:49:14.0 Medical History [php] [php_1]

Single Pre-Defined Value Selected

C00312 Body system category BodySysCat Category or grouping used in the comprehensive assessment of a participant/subject, which includes a subjective history taking component as well as an objective based structured interview and physical examination of all the body systems Category or grouping used in the comprehensive assessment of a participant/subject, which includes a subjective history taking component as well as an objective based structured interview and physical examination of all the body system Body System Allergic/Immunologic;Cardiovascular;Constitutional symptoms (e.g., fever, weight loss);Dermatological;Ears, Nose, Mouth, Throat;Endocrine;Eyes;Gastrointestinal;Gastrointestinal/Abdominal;Genitourinary;Gynecologic/Urologic/ Renal;Hematologic/Lymphatic;Hepatobiliary;Integumentary (skin and/or breast);Musculoskeletal;Musculoskeletal (separate from ALS exam);Neurological;Neurologic/CNS;Neurological (separate from ALS exam);Oncologic;Psychiatric;Pulmonary;Respiratory;Other, specify: Allergic/Immunologic;Cardiovascular;Constitutional symptoms (e.g., fever, weight loss);Dermatological;Ears, Nose, Mouth, Throat;Endocrine;Eyes;Gastrointestinal;Gastrointestinal/Abdominal;Genitourinary;Gynecologic/Urologic/ Renal;Hematologic/Lymphatic;Hepatobiliary;Integumentary (skin and/or breast);Musculoskeletal;Musculoskeletal (separate from ALS exam);Neurological;Neurologic/CNS;Neurological (separate from ALS exam);Oncologic;Psychiatric;Pulmonary;Respiratory;Other, specify: Alphanumeric

Record the appropriate body system for each line of medical history.

Review of Symptoms from Centers for Medicare and Medicaid Services https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/downloads/eval_mgmt_serv_guide-ICN006764.pdf Adult;Pediatric Core 3.00 2013-07-25 08:54:08.2 Medical History [php] [php_1]

Single Pre-Defined Value Selected

2002895
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 Treatment for diabetes Diet;Oral medication;Insulin;None Diet;Oral medication;Insulin;None Alphanumeric

Choose all that apply

Adult;Pediatric Supplemental 3.00 2013-07-11 15:03:49.2 Medical History [php] [php_1]

Multiple Pre-Defined Values Selected

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

CSV