CDE Detailed Report
Disease: Unruptured Cerebral Aneurysms and Subarachnoid Hemorrhage
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CRF: Risk Factors
Displaying 1 - 26 of 26
Subdomain Name: [php]
CRF: Risk Factors
Displaying 1 - 26 of 26
| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| C52532 | Family history subarachnoid hemorrhage family member other type | FamHisSAHFamMemberOthTyp | Specify whether the family member with a history of subarachnoid hemorrhage is male or female | Specify whether the family member with a history of subarachnoid hemorrhage is male or femal | Other | Male;Female | Male;Female | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2017-01-20 10:47:32.0 | Risk Factors | [php] | [php_1] |
Multiple Pre-Defined Values Selected |
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| C00701 | Tobacco use stopped age value | TobcoUseStopAgeVal | Age in years when participant/subject stopped using tobacco products (e.g., cigarettes, cigars, chewing tobacco or pipe) | Age in years when participant/subject stopped using tobacco products (e.g., cigarettes, cigars, chewing tobacco or pipe) | Age stopped tobacco use | Numeric Values |
History can be obtained from participant/ subject, family member, friend, or chart/ medical record. The age in years should be collected or N/A (Not applicable if subject never smoked) should be selected. |
No references available | Adult;Pediatric | Core | 3.00 | 2013-07-18 14:26:06.9 | Risk Factors | [php] | [php_1] |
Free-Form Entry |
0 | 120 | year | 2524471 | ||||||
| C00719 | Tobacco product used type | TobcoProdctUsedTyp | Type of tobacco product (e.g., cigarettes, cigars, chewing tobacco or pipe) used by the participant/subject | Type of tobacco product (e.g., cigarettes, cigars, chewing tobacco or pipe) used by the participant/subject | Type(s) of tobacco used | Filtered cigarettes;Non-filtered cigarettes;Low tar cigarettes;Cigars;Pipes;Chewing tobacco;Other, specify | Filtered cigarettes;Non-filtered cigarettes;Low tar cigarettes;Cigars;Pipes;Chewing tobacco;Other, specify | Alphanumeric |
Choose all that apply. History can be obtained from participant/ subject, family member, friend, or chart/ medical record. |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-07-20 10:21:25.65 | Risk Factors | [php] | [php_1] |
Multiple Pre-Defined Values Selected |
3179449v1 | |||||||
| C52533 | History previous subarachnoid hemorrhage unruptured intracranial aneurysm indicator | HisPrevSAHUIAInd | Indicator for whether the participant/subject has a history of subarachnoid hemorrhage due to unruptured intracranial aneurysm | Indicator for whether the participant/subject has a history of subarachnoid hemorrhage due to unruptured intracranial aneurys | Do you have a history of a previous SAH due to UIA | No;Yes | No;Yes | Alphanumeric | Adult;Pediatric | Supplemental-Highly Recommended | 1.00 | 2015-02-18 00:00:00.0 | Risk Factors | [php] | [php_1] |
Single Pre-Defined Value Selected |
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| C00702 | Alcohol use started age value | AlcUseStrtAgeVal | Age in years when participant/subject started ingesting alcoholic beverages, including social drinking | Age in years when participant/subject started ingesting alcoholic beverages, including social drinking | Age started drinking | Numeric Values |
History can be obtained from participant/ subject, family member, friend, or chart/ medical record. The age in years should be collected or N/A (Not applicable if subject never smoked) should be selected. |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-07-18 14:26:06.9 | Risk Factors | [php] | [php_1] |
Free-Form Entry |
0 | 120 | year | 2008447 | ||||||
| C00730 | Alcohol use frequency | AlcUseFreq | The frequency of consumption of alcohol by the participant | The frequency of consumption of alcohol by the participan | How often do you have a drink containing alcohol? | Monthly or less;2 to 4 times a month;2 to 3 times a week;4 or more times a week;Unknown;Never | Monthly or less;2 to 4 times a month;2 to 3 times a week;4 or more times a week;Unknown;Never | Alphanumeric |
Choose one. History can be obtained from participant/ subject, family member, friend, or chart/ medical record. |
Question is from the Alcohol Use Disorders Identification Test (AUDIT) - http://www.who.int/substance_abuse/activities/sbi/en/ | Adult;Pediatric | Supplemental | 3.00 | 2013-07-18 16:35:19.49 | Risk Factors | [php] | [php_1] |
Single Pre-Defined Value Selected |
3171627 | |||||||
| C52534 | Autosomal dominant polycystic kidney disease indicator | ADPKDInd | Whether or not the participant/subject has autosomal-dominant polycystic kidney disease | Whether or not the participant/subject has autosomal-dominant polycystic kidney diseas | Do you have a history of autosomal-dominant polycystic idney diease | No;Yes | No;Yes | Alphanumeric | Adult;Pediatric | Supplemental-Highly Recommended | 3.00 | 2013-07-22 09:34:41.527 | Risk Factors | [php] | [php_1] |
Single Pre-Defined Value Selected |
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| C00703 | Tobacco use started age value | TobcoUseStrtAgeVal | Age in years when participant/subject started using tobacco products (e.g., cigarettes, cigars, chewing tobacco or pipe) | Age in years when participant/subject started using tobacco products (e.g., cigarettes, cigars, chewing tobacco or pipe) | Age started tobacco use | Numeric Values |
History can be obtained from participant/ subject, family member, friend, or chart/ medical record. The age in years should be collected or N/A (Not applicable if subject never smoked) should be selected. |
No references available | Adult;Pediatric | Core | 3.00 | 2013-07-18 14:26:06.9 | Risk Factors | [php] | [php_1] |
Free-Form Entry |
0 | 120 | year | 2178045 | ||||||
| C01507 | Blood pressure diastolic measurement | BldPressrDiastlMeasr | Measurement of pressure of the participant's blood against the artery walls during diastole (the relaxation phase) in millimeters of mercury (mmHg) | Measurement of pressure of the participant's blood against the artery walls during diastole (the relaxation phase) in millimeters of mercury (mmHg) | Blood pressure | Numeric Values |
Systolic/diastolic (mmHg) |
Adult;Pediatric | Supplemental-Highly Recommended | 3.10 | 2024-03-11 10:40:54.0 | Risk Factors | [php] | [php_1] |
Free-Form Entry |
0 | 300 | millimeter of mercury | 2004291 | |||||||
| C52535 | Ethnicity pertinent intracranial aneurysm type | EthnPertinentUIAtype | Ethnicity type pertinent to unruptured intracranial aneurysms the participant/subject most closely identifies with | Ethnicity type pertinent to unruptured intracranial aneurysms the participant/subject most closely identifies with | Ethnicity pertinent to intracranial aneurysm: | Japanese;Finnish;Eastern Asian;European;Persian;Arabic;Southeast Asian;South Asian;Pacific Islander;American Indian | Japanese;Finnish;Eastern Asian;European;Persian;Arabic (ara);Southeast Asian;South Asian (Indian subcontinent) (for OMB purposes, this value is considered to be part of Asian);Pacific Islander (for OMB purposes, this value is considered to be part of Native Hawaiian or Other Pacific Islander);American Indian | Alphanumeric | Adult;Pediatric | Supplemental-Highly Recommended | 3.00 | 2013-08-28 16:08:00.453 | Risk Factors | [php] | [php_1] |
Single Pre-Defined Value Selected |
2192217 | |||||||||
| C00704 | Alcohol drinking day average drinks consumed range | AlcDrinkingDayAvgDrinksCnsmRng | The counted number of drinks containing alcohol consumed by the participant/subject on a typical day when he/she is drinking. It is noted that the meaning of "drinks consumed" differs from one nation and culture to another, so the most common alcoholic beverages likely to be consumed will be defined as well as quantity of each that constitutes a drink (approximately 10 grams of pure ethanol). For example, one bottle of beer (330 ml at 5% ethanol), a glass of wine (140 ml at 12% ethanol), and a shot of spirits (40 ml at 40% ethanol) represent a standard drink of about 13 g of ethanol | The counted number of drinks containing alcohol consumed by the participant/subject on a typical day when he/she is drinking. It is noted that the meaning of "drinks consumed" differs from one nation and culture to another | How many alcoholic drinks do you have on a typical day when you are drinking | 1 or 2;3 or 4;5 or 6;7, 8, or 9;10 or more;Unknown | 1 or 2;3 or 4;5 or 6;7, 8, or 9;10 or more;Unknown | Alphanumeric |
History can be obtained from participant/ subject, family member, friend, or chart/ medical record. |
Question is from the Alcohol Use Disorders Identification Test (AUDIT) - http://www.who.int/substance_abuse/activities/sbi/en/ | Adult;Pediatric | Supplemental-Highly Recommended | 3.00 | 2013-07-18 16:35:19.49 | Risk Factors | [php] | [php_1] |
Single Pre-Defined Value Selected |
3171647 | |||||||
| C01565 | Blood pressure systolic measurement | BldPressrSystMeasr | Measurement of pressure of the participant's blood against the artery walls during systole (the contraction phase) in millimeters of mercury (mmHg) | Measurement of pressure of the participant's blood against the artery walls during systole (the contraction phase) in millimeters of mercury (mmHg) | Blood pressure | Numeric Values |
Systolic/diastolic (mmHg) |
Adult;Pediatric | Supplemental-Highly Recommended | 3.10 | 2024-03-11 10:40:09.0 | Risk Factors | [php] | [php_1] |
Free-Form Entry |
0 | 300 | millimeter of mercury | 2004289 | C25298 | ||||||
| C00705 | Alcohol current use indicator | AlcCurntUseInd | Indicator of whether the participant/subject consumed at least one alcoholic drink within the past 12 months | Indicator of whether the participant/subject consumed at least one alcoholic drink within the past 12 months | Current drinker? | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric |
History can be obtained from participant/ subject, family member, friend, or chart/ medical record. In the U.S., a single drink serving contains about 14 grams of ethanol or "pure" alcohol. Although the drinks below are different sizes, each one contains the same amount of pure alcohol and counts as a single drink: 12 oz. of beer (about %% alcohol) = 8-9 oz. of malt liquor (about 7% alcohol) = 5 oz. of wine (about 12% alcohol) = 1.5 oz. of hard liquor (about 40% alcohol) |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-07-18 14:26:06.9 | Risk Factors | [php] | [php_1] |
Single Pre-Defined Value Selected |
3171540 | |||||||
| C05454 | Hypertension indicator | HypertensInd | Indicator of hypertension. In adults, hypertension is defined as a systolic pressure >= 140 and a diastolic >= 90. In children, it is defined as systolic blood pressure >95th percentile for age | Indicator of hypertension. In adults, hypertension is defined as a systolic pressure >= 140 and a diastolic >= 90. In children, it is defined as systolic blood pressure >95th percentile for ag | Do you have a history of hypertension? | Yes;No;Unknown;Suspected | Yes;No;Unknown;Suspected | Alphanumeric |
In adults, hypertension is defined as a systolic pressure = 140 and a diastolic pressure = 90. In children, it is defined as systolic blood pressure > 95th percentile for age. |
Adult;Pediatric | Core | 3.00 | 2013-07-20 10:21:25.65 | Risk Factors | [php] | [php_1] |
Single Pre-Defined Value Selected |
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| C00706 | Alcohol prior use indicator | AlcPriorUseInd | Indicator of the participant's/subject's alcohol consumption prior to the past 12 months | Indicator of the participant's/subject's alcohol consumption prior to the past 12 months | Past drinker | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric |
Consumed at least one drink prior to the past year. History can be obtained from participant/ subject, family member, friend, or chart/ medical record. |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-07-20 10:21:25.65 | Risk Factors | [php] | [php_1] |
Single Pre-Defined Value Selected |
3171578 | |||||||
| C06108 | Tobacco smoke pack-year value | TobccoSmkePckYrVal | If participant is a former or current cigarette smoker, documents the number of pack-years of smoking [(average number smoked daily)/20] x (number of years smoked) = pack-years] | If participant is a former or current cigarette smoker, documents the number of pack-years of smoking [(average number smoked daily)/20] x (number of years smoked) = pack-years] | For former or current cigarette smokers only, the number of pack-years of smoking | Numeric Values |
[(average number of cigarettes smokes daily)/20] x (number of years smoked) |
Adult;Pediatric | Supplemental-Highly Recommended | 3.00 | 2013-07-17 09:26:36.973 | Risk Factors | [php] | [php_1] |
Free-Form Entry |
pack-years | ||||||||||
| C00707 | Alcohol consume six or more drinks frequency | AlcConsume6MoreDrinkFreq | The rate of occurrence for when the participant/subject consumes six or more drinks containing alcohol on one occasion. It is noted that the meaning of "drinks consumed" differs from one nation and culture to another, so the most common alcoholic beverages likely to be consumed will be defined as well as quantity of each that constitutes a drink (approximately 10 grams of pure ethanol). For example, one bottle of beer (330 ml at 5% ethanol), a glass of wine (140 ml at 12% ethanol), and a shot of spirits (40 ml at 40% ethanol) represent a standard drink of about 13 g of ethanol | The rate of occurrence for when the participant/subject consumes six or more drinks containing alcohol on one occasion. It is noted that the meaning of "drinks consumed" differs from one nation and culture to another | How often do you have six or more drinks on one occasion? | Never;Less than monthly;Monthly;Weekly;Daily or almost daily;Unknown | Never;Less than monthly;Monthly;Weekly;Daily or almost daily;Unknown | Alphanumeric |
History can be obtained from participant/ subject, family member, friend, or chart/ medical record. |
Question is from the Alcohol Use Disorders Identification Test (AUDIT) - http://www.who.int/substance_abuse/activities/sbi/en/ | Adult;Pediatric | Supplemental-Highly Recommended | 3.00 | 2013-07-18 16:35:19.49 | Risk Factors | [php] | [php_1] |
Single Pre-Defined Value Selected |
3171659 | |||||||
| C11131 | Body mass index value | BMIVal | Value of the participant's body mass index, calculated from height and weight | Value of the participant's body mass index, calculated from height and weight | BMI | Numeric Values |
Body mass index (kg/m2) |
Adult;Pediatric | Exploratory | 3.10 | 2024-02-29 15:58:55.0 | Risk Factors | [php] | [php_1] |
Free-Form Entry |
0 | 99 | |||||||||
| C00708 | Alcohol use related to hospitalization indicator | AlcUseRelatedHospInd | Indicator of whether the participant/subject has been hospitalized for an alcohol-related problem (i.e., esophageal varices, delirium tremens (DTs), cirrhosis and others) | Indicator of whether the participant/subject has been hospitalized for an alcohol-related problem (i.e., esophageal varices, delirium tremens (DTs), cirrhosis and others) | Have you ever been hospitalized for an alcohol-related problem | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric |
Choose one. History can be obtained from participant/ subject, family member, friend, or chart/ medical record. |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-07-18 14:26:06.9 | Risk Factors | [php] | [php_1] |
Single Pre-Defined Value Selected |
3171677 | |||||||
| C18770 | Tobacco product used other text | TobcoProdctUsedOTH | The free-text field related to 'Tobacco product used type' specifying other text. Type of tobacco product (e.g. cigarettes, cigars, chewing tobacco or pipe) used by the participant/subject | The free-text field related to 'Tobacco product used type' specifying other text. Type of tobacco product (e.g. cigarettes, cigars, chewing tobacco or pipe) used by the participant/subject | Other, specify | Alphanumeric |
History can be obtained from participant/ subject, family member, friend, or chart/ medical record. |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2014-05-27 13:34:46.0 | Risk Factors | [php] | [php_1] | 4000 |
Free-Form Entry |
3170860 | ||||||||
| C00709 | Tobacco cigarettes smoked daily average number | TobcoCigaretSmokedDlyAvgNum | Average number of cigarettes the participant/subject smokes daily (On the days you smoked cigarettes during the past 30 days, how many cigarettes did you smoke per day, on average?) | Average number of cigarettes the participant/subject smokes daily (On the days you smoked cigarettes during the past 30 days, how many cigarettes did you smoke per day, on average?) | Average number of cigarettes smoked per day | Less than one cigarette per day;1 cigarette per day;2 to 5 cigarettes per day;6 to 15 cigarettes per day (about 1/2 pack);16 to 25 cigarettes per day (about 1 pack);26 to 35 cigarettes per day (about 1 1/2 packs);More than 35 cigarettes per day (about 2 packs or more);Unknown | Less than one cigarette per day;1 cigarette per day;2 to 5 cigarettes per day;6 to 15 cigarettes per day (about ½ pack);16 to 25 cigarettes per day (about 1 pack);26 to 35 cigarettes per day (about 1 ½ packs);More than 35 cigarettes per day (about 2 packs or more);Unknown | Alphanumeric |
Choose Skip if cigarettes an answer in previous question. History can be obtained from participant/ subject, family member, friend, or chart/ medical record. |
PhenX Toolkit: https://www.phenxtoolkit.org/index.php - Protocol 1: Tobacco - 30-Day Quantity and Frequency (Adolescent Protocol) #030801 | Adult;Pediatric | Supplemental-Highly Recommended | 3.00 | 2013-07-18 14:26:06.9 | Risk Factors | [php] | [php_1] |
Single Pre-Defined Value Selected |
3170853 | |||||||
| C52529 | Family history unruptured intracranial aneurysm subarachnoid hemorrhage indicator | FamHisUIASAHInd | Indicator for whether the participant/subject has a family history of unruptured intracranial aneurysm or subarachnoid hemorrhage | Indicator for whether the participant/subject has a family history of unruptured intracranial aneurysm or subarachnoid hemorrhag | Is there a family history of unruptured intracranial aneurysm (UIA) or subarachnoid hemorrhage (SAH)? | No;Yes | No;Yes | Alphanumeric |
Familial history of 2 or more first degree relatives with unruptured intracranial aneurysms or with history of subarachnoid hemorrhage due to an intracranial aneurysm |
Adult;Pediatric | Supplemental-Highly Recommended | 1.00 | 2015-02-18 00:00:00.0 | Risk Factors | [php] | [php_1] |
Single Pre-Defined Value Selected |
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| C00710 | Tobacco current use indicator | TobcoUseCurntInd | Indicator for whether the participant/subject regularly uses tobacco products (e.g., cigarettes, cigars, chewing tobacco or pipe) at the present time | Indicator for whether the participant/subject regularly uses tobacco products (e.g., cigarettes, cigars, chewing tobacco or pipe) at the present tim | Current tobacco use? | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric |
History can be obtained from participant/ subject, family member, friend, or chart/ medical record. |
No references available | Adult;Pediatric | Core | 3.00 | 2013-07-20 10:21:25.65 | Risk Factors | [php] | [php_1] |
Single Pre-Defined Value Selected |
3170060 | |||||||
| C52531 | Family history subarachnoid hemorrhage family member type | FamHisSAHFamMemberTyp | Specify which family member has a history of subarachnoid hemorrhage | Specify which family member has a history of subarachnoid hemorrhag | Specify family member with history of SAH | Brother;Daughter;Father;Mother;Other;Sister;Son | Brother;Daughter;Father;Mother;Other;Sister;Son | Alphanumeric | Adult;Pediatric | Supplemental-Highly Recommended | 1.00 | 2017-01-20 10:47:32.0 | Risk Factors | [php] | [php_1] |
Multiple Pre-Defined Values Selected |
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| C00700 | Alcohol use stopped age value | AlcUseStopAgeVal | Age in years when participant/subject stopped ingesting alcoholic beverages, including social drinking | Age in years when participant/subject stopped ingesting alcoholic beverages, including social drinking | Age quit drinking | Numeric Values |
History can be obtained from participant/ subject, family member, friend, or chart/ medical record. The age in years should be collected or N/A (Not applicable if subject never smoked) should be selected. |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-07-18 14:26:06.9 | Risk Factors | [php] | [php_1] |
Free-Form Entry |
0 | 120 | year | 2008448 | ||||||
| C00711 | Tobacco prior use indicator | TobcoPriorUseInd | Indicator of the participant's/subject's past regular tobacco (e.g., cigarettes, cigars, chewing tobacco or pipe) use prior to the past 12 months | Indicator of the participant's/subject's past regular tobacco (e.g., cigarettes, cigars, chewing tobacco or pipe) use prior to the past 12 months | Past tobacco use? | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric |
History can be obtained from participant/ subject, family member, friend, or chart/ medical record. |
No references available | Adult;Pediatric | Core | 3.00 | 7/20/2013 10:21:26 AM | Risk Factors | [php] | [php_1] |
Single Pre-Defined Value Selected |
3170080 |
