CDE Detailed Report

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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
C54115 Arteriovenous malformation history current diagnosis indicator ArteriovMalfHistCurDiagInd The indicator related to a history or current diagnosis of arteriovenous malformation The indicator related to a history or current diagnosis of arteriovenous malformation Arteriovenous malformation No;Yes No;Yes Alphanumeric Adult;Pediatric Exploratory 1.00 2017-02-13 16:54:56.0 Concomitant Diseases [php] [php_1]

Single Pre-Defined Value Selected

C54105 Chronic renal disease history current diagnosis indicator ChronRenalDisHistCurrDiagInd The indicator related to a history or current diagnosis of chronic renal disease The indicator related to a history or current diagnosis of chronic renal disease Chronic renal disease No;Yes No;Yes Alphanumeric Adult;Pediatric Exploratory 1.00 2017-02-13 16:54:56.0 Concomitant Diseases [php] [php_1]

Single Pre-Defined Value Selected

C54116 Dural arteriovenous fistula history current diagnosis indicator DurArteriovFistlHistCurDiagInd The indicator related to a history or current diagnosis of dural arteriovenous fistula The indicator related to a history or current diagnosis of dural arteriovenous fistula Dural arteriovenous fistula No;Yes No;Yes Alphanumeric Adult;Pediatric Exploratory 1.00 2017-02-13 16:54:56.0 Concomitant Diseases [php] [php_1]

Single Pre-Defined Value Selected

C54106 Autosomal dominant polycystic kidney disease history current diagnosis indicator ADPKDHistCurrDiagInd The indicator related to a history or current diagnosis of autosomal-dominant polycystic kidney disease The indicator related to a history or current diagnosis of autosomal-dominant polycystic kidney disease Autosomal-dominant polycystic kidney disease No;Yes No;Yes Alphanumeric Adult;Pediatric Supplemental-Highly Recommended 1.00 2017-02-13 16:54:56.0 Concomitant Diseases [php] [php_1]

Single Pre-Defined Value Selected

C54117 Central nervous system tumor history current diagnosis indicator CNSTumorHistCurDiagInd The indicator related to a history or current diagnosis of a CNS tumor The indicator related to a history or current diagnosis of a CNS tumor CNS tumor No;Yes No;Yes Alphanumeric Adult;Pediatric Exploratory 1.00 2017-02-13 16:54:56.0 Concomitant Diseases [php] [php_1]

Single Pre-Defined Value Selected

C54107 Renal artery stenosis history current diagnosis indicator RenalArtStenHistCurrDiagInd The indicator related to a history or current diagnosis of renal artery stenosis The indicator related to a history or current diagnosis of renal artery stenosis Renal artery stenosis No;Yes No;Yes Alphanumeric Adult;Pediatric Exploratory 1.00 2017-02-13 16:54:56.0 Concomitant Diseases [php] [php_1]

Single Pre-Defined Value Selected

C54118 Stroke transient ischemic attack history current positive imaging diagnosis indicator StrokeTIAHistCurrPosImgDiagInd The indicator related to a history or current positive imaging diagnosis of a stroke/transient ischemic attack (TIA) The indicator related to a history or current positive imaging diagnosis of a stroke/transient ischemic attack (TIA) Positive imaging diagnosis of stroke/transient ischemic attack (TIA) No;Yes;Unknown No;Yes;Unknown Alphanumeric Adult;Pediatric Exploratory 1.00 2017-02-13 16:54:56.0 Concomitant Diseases [php] [php_1]

Single Pre-Defined Value Selected

C54108 Peripheral artery disease history current diagnosis indicator PeriphArtDisHistCurrDiagInd The indicator related to a history or current diagnosis of peripheral artery disease The indicator related to a history or current diagnosis of peripheral artery disease Peripheral artery disease No;Yes No;Yes Alphanumeric Adult;Pediatric Exploratory 1.00 2017-02-13 16:54:56.0 Concomitant Diseases [php] [php_1]

Single Pre-Defined Value Selected

C54119 Sepsis history current diagnosis indicator SepsisHistCurrDiagInd The indicator related to a history or current diagnosis of sepsis The indicator related to a history or current diagnosis of sepsis Sepsis No;Yes No;Yes Alphanumeric Adult;Pediatric Exploratory 1.00 2017-02-13 16:54:56.0 Concomitant Diseases [php] [php_1]

Single Pre-Defined Value Selected

C54109 Carotid artery disease history current diagnosis indicator CarotidArtDisHistCurrDiagInd The indicator related to a history or current diagnosis of carotid artery disease The indicator related to a history or current diagnosis of carotid artery disease Carotid artery disease No;Yes No;Yes Alphanumeric Adult;Pediatric Exploratory 1.00 2017-02-13 16:54:56.0 Concomitant Diseases [php] [php_1]

Single Pre-Defined Value Selected

C54120 Transplant disease history current diagnosis indicator TransplDisHistCurrDiagInd The indicator related to a history or current diagnosis of transplant disease The indicator related to a history or current diagnosis of transplant disease Transplant disease No;Yes No;Yes Alphanumeric Adult;Pediatric Exploratory 1.00 2017-02-13 16:54:56.0 Concomitant Diseases [php] [php_1]

Single Pre-Defined Value Selected

C06358 Diabetes mellitus type DiabetesMellitusTyp Type of diabetes mellitus Type of diabetes mellitus Type of diabetes mellitus: Type 1;Type 2 Type 1;Type 2 Alphanumeric Adult;Pediatric Exploratory 4.00 2024-02-29 15:41:20.0 Concomitant Diseases [php] [php_1]

Single Pre-Defined Value Selected

C54110 Valve disease history current diagnosis indicator ValveDisHistCurrDiagInd The indicator related to a history or current diagnosis of valve disease The indicator related to a history or current diagnosis of valve disease Valve disease No;Yes No;Yes Alphanumeric Adult;Pediatric Exploratory 1.00 2017-02-13 16:54:56.0 Concomitant Diseases [php] [php_1]

Single Pre-Defined Value Selected

C54121 Seizure activity history current diagnosis indicator SeizActivityHistCurrDiagInd The indicator related to a history or current diagnosis of seizure activity The indicator related to a history or current diagnosis of seizure activity Seizure activity No;Yes No;Yes Alphanumeric Adult;Pediatric Supplemental 1.00 2017-02-13 16:54:56.0 Concomitant Diseases [php] [php_1]

Single Pre-Defined Value Selected

C21869 Medical history coronary artery disease indicator MedHistCorArtDisInd The indicator related to personal medical history of coronary artery disease The indicator related to personal medical history of coronary artery diseas Coronary artery disease No;Yes No;Yes Alphanumeric Adult;Pediatric Exploratory 1.00 2016-06-06 10:48:12.0 Concomitant Diseases [php] [php_1]

Single Pre-Defined Value Selected

C54111 Aortic coarctation history current diagnosis indicator AortCoarcHistCurrDiagInd The indicator related to a history or current diagnosis of aortic coarctation The indicator related to a history or current diagnosis of aortic coarctation Aortic coarctation No;Yes No;Yes Alphanumeric Adult;Pediatric Supplemental 1.00 2017-02-13 16:54:56.0 Concomitant Diseases [php] [php_1]

Single Pre-Defined Value Selected

C54122 Hyperlipidemia history current diagnosis indicator HyperlipidmHistCurrDiagInd The indicator related to a history or current diagnosis of hyperlipidemia The indicator related to a history or current diagnosis of hyperlipidemia Hyperlipidemia No;Yes No;Yes Alphanumeric Adult;Pediatric Exploratory 1.00 2017-02-13 16:54:56.0 Concomitant Diseases [php] [php_1]

Single Pre-Defined Value Selected

C54101 Fibromuscular disease history current diagnosis type FibromuscDisHistCurrDiagTyp The element related to a history or current diagnosis type of fibromuscular disease The element related to a history or current diagnosis type of fibromuscular disease History of or current diagnosis of fibromuscular disease: Marfan Syndrome;Ehlers Danlos Syndrome;Other Marfan Syndrome;Ehlers Danlos Syndrome;Other Alphanumeric Adult;Pediatric Supplemental 1.00 2017-02-13 16:54:56.0 Concomitant Diseases [php] [php_1]

Single Pre-Defined Value Selected

C54112 Aortic aneurysm history current diagnosis indicator AortAneurHistCurrDiagInd The indicator related to a history or current diagnosis of aortic aneurysm The indicator related to a history or current diagnosis of aortic aneurysm Aortic aneurysm No;Yes No;Yes Alphanumeric Adult;Pediatric Exploratory 1.00 2017-02-13 16:54:56.0 Concomitant Diseases [php] [php_1]

Single Pre-Defined Value Selected

C54153 Central nervous system tumor diagnosis type CNSTumorDiagTyp The element related to the type of CNS tumor diagnosis The element related to the type of CNS tumor diagnosis If yes: Malignant;Other non-malignant;Meningioma Malignant;Other non-malignant;Meningioma Alphanumeric Adult;Pediatric Exploratory 1.00 2017-02-13 16:54:56.0 Concomitant Diseases [php] [php_1]

Single Pre-Defined Value Selected

C54102 Coagulopathy history current diagnosis type CoagulHistCurrDiagTyp The element related to a history or current diagnosis type of coagulopathy The element related to a history or current diagnosis type of coagulopathy History of or current coagulopathy diagnosis: von Willebrand Disease;Hemophilia;Other von Willebrand Disease;Hemophilia;Other Alphanumeric Adult;Pediatric Supplemental 1.00 2017-02-13 16:54:56.0 Concomitant Diseases [php] [php_1]

Single Pre-Defined Value Selected

C54113 Gingival disease tooth decay history current diagnosis indicator GngvlDisToothDcyHistCurDiagInd The indicator related to a history or current diagnosis of gingival disease or tooth decay The indicator related to a history or current diagnosis of gingival disease or tooth decay Gingival disease, tooth decay No;Yes No;Yes Alphanumeric Adult;Pediatric Exploratory 1.00 2017-02-13 16:54:56.0 Concomitant Diseases [php] [php_1]

Single Pre-Defined Value Selected

C54103 Thrombophilic disease history current diagnosis type ThromboDisHistCurrDiagTyp The element related to a history or current diagnosis type of thrombophilic disease The element related to a history or current diagnosis type of trombophilic disease History of or current thrombophilic disease: Other;Protein c/s deficiency;Factor V Leiden;Antiphospholipid syndrome;Antithrombin III deficiency Other;Protein c/s deficiency;Factor V Leiden;Antiphospholipid syndrome;Antithrombin III deficiency Alphanumeric Adult;Pediatric Supplemental 1.00 2017-02-13 16:54:56.0 Concomitant Diseases [php] [php_1]

Single Pre-Defined Value Selected

C54114 Intracranial atherosclerotic disease history current diagnosis indicator IntrcrnlAtherDisHistCurDiagInd The indicator related to a history or current diagnosis of intracranial atherosclerotic disease The indicator related to a history or current diagnosis of intracranial atherosclerotic disease Intracranial atherosclerotic disease No;Yes No;Yes Alphanumeric Adult;Pediatric Exploratory 1.00 2017-02-13 16:54:56.0 Concomitant Diseases [php] [php_1]

Single Pre-Defined Value Selected

C54104 Cranial surgery prior indicator CranialSurgPriorInd Indicator of whether the participant/subject has had prior cranial surgery Indicator of whether the participant/subject has had prior cranial surgery Previous cranial surgery: No;Yes No;Yes Alphanumeric Adult;Pediatric Exploratory 3.00 2013-07-20 10:21:25.65 Concomitant Diseases [php] [php_1]

Single Pre-Defined Value Selected

CSV