CDE Detailed Report | NINDS Common Data Elements

Disease: Headache
Subdomain Name: General Health History
CRF: Medical and Family History

Displaying 1 - 39 of 39

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	External Id caDSR
C16003	Relative second degree decease count	ReltvScndDegDeceasCt	The number of the participant/subject second-degree deceased relatives	The number of the participant/subject second-degree deceased relatives	Number deceased			Numeric Values	Provide the number of first/second degree relatives. The participant/subject should refer to the Name of Family Member with Condition" code list to provide any information on each of family member that he/she has knowledge of.	No references available	Adult;Pediatric	Supplemental	3.00	2013-07-16 14:01:43.01	Medical and Family History	General Health History	Participant History and Family History		Free-Form Entry
C17989	Relative second degree total count unknown indicator	ReltvSecDegTotlCntUnknownInd	Indicator of the unknown total number of second-degree relatives	Indicator of the unknown total number of second-degree relatives	How many total number of second-degree relatives do you have?	Unknown	Unknown	Alphanumeric		No references available	Adult;Pediatric	Supplemental	3.00	2013-07-16 14:01:43.01	Medical and Family History	General Health History	Participant History and Family History		Single Pre-Defined Value Selected
C00720	Family history medical condition type	FamHistMedclCondTyp	Type of medical condition or health related event for which the family history is taken	Type of medical condition or health related event for which the family history is taken	Condition	Cancer;Heart disease;Acute coronary syndrome;Hypertension;Hypotension;Dyslipidemia;Mitral valve prolapse;Patent-Foramen Ovale (PFO)/Right-left shunt (RLS);Cerebral aneurysm;Intracerebral hemorrhage;Ischemic Stroke;Extracranial aneurysm;Coronary vascular disease;Periphereal vascular disease;Reynaud's Syndrome;Diabetes mellitus;Gastroparesis;Irritable bowel syndrome (IBS);Thyroid condition;Obesity;Painful bladder;Interstitial Cystitis;Endometriosis;Polycystic ovary syndrome;(Pre)eclampsia;Emotional/Verbal abuse;Physical abuse;Sexual abuse;Allerg(ies);Asthma;Eczema;Systemic lupus erythematosus (SLE);Arthritis;Fibromyalgia;Muscle disease;Autism;Alzheimer's disease;Amyotrophic lateral sclerosis (ALS);Ataxia;Chronic ataxia;Dementia;Dystonia;Epilepsy;Memory loss;Developmental delays;Multiple sclerosis;Restless leg syndrome (RLS);Tourette syndrome;Traumatic brain injury;Tremor;Vertigo;Anxiety;Bi-polar disorder;Depression;Obsessive-compulsive disorder (OCD);Post traumatic stress disorder (PTSD);Schizophrenia;Suicide or suicide attempt;Alcohol use disorder;Illicit substance use disorder;Prescription use disorder;Anorexia;Bulimia;Binge eating;Insomnia;Sleep apnea;Narcolepsy;Other Immunological Disorders, specify:;Other neurological disorder, specify;Other Sleep condition, specify;Other, specify	Cancer;Heart disease;Acute coronary syndrome;Hypertension;Hypotension;Dyslipidemia;Mitral valve prolapse;Patent-Foramen Ovale (PFO)/Right-left shunt (RLS);Cerebral aneurysm;Intracerebral hemorrhage;Ischemic Stroke;Extracranial aneurysm;Coronary vascular disease;Periphereal vascular disease;Reynaud's Syndrome;Diabetes mellitus;Gastroparesis;Irritable bowel syndrome (IBS);Thyroid condition;Obesity;Painful bladder;Interstitial Cystitis;Endometriosis;Polycystic ovary syndrome;(Pre)eclampsia;Emotional/Verbal abuse;Physical abuse;Sexual abuse;Allerg(ies);Asthma;Eczema;Systemic lupus erythematosus (SLE);Arthritis;Fibromyalgia;Muscle disease;Autism;Alzheimer's disease;Amyotrophic lateral sclerosis (ALS);Ataxia;Chronic ataxia;Dementia;Dystonia;Epilepsy;Memory loss;Developmental delays;Multiple sclerosis;Restless leg syndrome (RLS);Tourette syndrome;Traumatic brain injury;Tremor;Vertigo;Anxiety;Bi-polar disorder;Depression;Obsessive-compulsive disorder (OCD);Post traumatic stress disorder (PTSD);Schizophrenia;Suicide or suicide attempt;Alcohol use disorder;Illicit substance use disorder;Prescription use disorder;Anorexia;Bulimia;Binge eating;Insomnia;Sleep apnea;Narcolepsy;Other Immunological Disorders, specify:;Other neurological disorder, (specify);Other Sleep condition, specify;Other, specify	Alphanumeric	Comorbid conditions Musculo-Skeletal, Arthritis – if type of arthritis known, specify type in comments section Psychiatric, Depression – if type of depression known, specify type in comments section If a family member has a diagnosis or condition not listed, specify the diagnosis and/or condition under the "Other, specify" fields.	No references available	Adult;Pediatric	Supplemental	4.00	2024-02-29 15:42:34.0	Medical and Family History	General Health History	Participant History and Family History		Multiple Pre-Defined Values Selected	3165585
C56022	Sibling decease count unknown indicator	SiblingDeceaseCtUnkInd	The indicator relating to whether or not the subject knows how many deceased siblings he/she has	The indicator relating to whether or not the subject knows how many deceased siblings he/she ha	Number deceased	Unknown	Unknown	Alphanumeric			Adult;Pediatric	Supplemental	1.00	2017-06-05 13:02:42.0	Medical and Family History	General Health History	Participant History and Family History		Single Pre-Defined Value Selected
C16006	Family history first-degree physician diagnosed count	FamHist1stDegPhyscnDiagnsCt	The number of first-degree relatives with the medical condition confirmed by a physician	The number of first-degree relatives with the medical condition confirmed by a physician	Number of first degree relatives			Numeric Values	If there is a history of this condition in the family, indicate the total number of relatives with a history of the condition, the number of relatives affected (patient reported diagnosis), and if the number of relatives that were diagnosed by a physician.	No references available	Adult;Pediatric	Supplemental	3.00	2013-07-16 14:01:43.01	Medical and Family History	General Health History	Participant History and Family History		Free-Form Entry
C17990	Relative second degree live count unknown indicator	ReltvSecDegLivCntUnknownInd	Indicator of the unknown number of living second-degree relatives	Indicator of the unknown number of living second-degree relatives	Number alive	Unknown	Unknown	Alphanumeric		No references available	Adult;Pediatric	Supplemental	3.00	2013-07-16 14:01:43.01	Medical and Family History	General Health History	Participant History and Family History		Single Pre-Defined Value Selected
C00721	Family history medical condition indicator	FamHistMedclCondInd	Indicator of whether a family member or first and second degree blood relatives of the participant has had a history of the particular medical condition or health related event	Indicator of whether a family member or first and second degree blood relatives of the participant has had a history of the particular medical condition or health related event	Relative affected	Yes;No;Unknown	Yes;No;Unknown	Alphanumeric	First and second-degree relatives ONLY	No references available	Adult;Pediatric	Supplemental	4.00	2024-02-29 15:42:36.0	Medical and Family History	General Health History	Participant History and Family History		Single Pre-Defined Value Selected	3165788
C56023	Sibling decease primary cause text	SiblingDeceasePrimCauseTxt	Text describing the primary cause of the subject's sibling's death	Text describing the primary cause of the subject's sibling's deat	Primary cause of death			Alphanumeric			Adult;Pediatric	Supplemental	1.00	2017-06-05 13:07:18.0	Medical and Family History	General Health History	Participant History and Family History	255	Free-Form Entry
C16012	Medical history condition diagnosis indicator	MedclHistCondDiagnsInd	Indicator of whether the participant has been diagnosed with the medical condition/disease	Indicator of whether the participant has been diagnosed with the medical condition/disease	Participant/subject diagnosed?	Yes;No;Unknown	Yes;No;Unknown	Alphanumeric	If the participant/subject has a history of this condition, indicate yes.	No references available	Adult;Pediatric	Supplemental	3.10	2024-02-29 15:42:42.0	Medical and Family History	General Health History	Participant History and Family History		Single Pre-Defined Value Selected
C17991	Relative second degree decease count unknown indicator	ReltvSecDegDecCntUnknownInd	Indicator of the unknown number of deceased second-degree relatives	Indicator of the unknown number of deceased second-degree relatives	Number deceased	Unknown	Unknown	Alphanumeric		No references available	Adult;Pediatric	Supplemental	3.00	2013-07-16 14:01:43.01	Medical and Family History	General Health History	Participant History and Family History		Single Pre-Defined Value Selected
C08087	Sibling death age value	SiblingDeathAgeVal	Age of sibling when he/she died	Age of sibling when he/she died	Age at death			Numeric Values			Adult;Pediatric	Supplemental	3.00	2013-07-22 09:34:41.527	Medical and Family History	General Health History	Participant History and Family History		Free-Form Entry
C56024	Relative second degree decease death age value	RelSecondDegDecDeathAgeVal	Value representing the age of the subject's second-degree relative at their time of death	Value representing the age of the subject's second-degree relative at their time of deat	Age at death			Numeric Values			Adult;Pediatric	Supplemental	1.00	2017-06-05 12:57:31.0	Medical and Family History	General Health History	Participant History and Family History		Free-Form Entry
C16019	Family history relative first-degree affect count	FamHistReltv1stDegAffctCt	The number of first-degree relatives affected with the medical condition	The number of first-degree relatives affected with the medical conditio	Number of first degree relatives			Numeric Values	If there is a history of this condition in the family, indicate the total number of relatives with a history of the condition, the number of relatives affected (patient reported diagnosis), and if the number of relatives that were diagnosed by a physician.	No references available	Adult;Pediatric	Supplemental	3.00	2013-07-16 14:01:43.01	Medical and Family History	General Health History	Participant History and Family History		Free-Form Entry
C17992	Additional comment text	AddtnalCommntTxt	Text describing any additional information about the participant or the participant's family history	Text describing any additional information about the participant or the participant's family history	Additional Comments			Alphanumeric		No references available	Adult;Pediatric	Supplemental	3.00	2013-07-16 14:01:43.01	Medical and Family History	General Health History	Participant History and Family History	255	Free-Form Entry
C08147	Data source	DataSource	Source of the data provided on the case report form	Source of the data provided on the case report form	Source from which medical and family history obtained?	Participant/subject;Family, specify relation;Unknown	Participant/subject;Family, specify relation;Unknown	Alphanumeric	Choose all that apply	No references available	Adult;Pediatric	Supplemental	3.00	2013-07-20 10:46:24.96	Medical and Family History	General Health History	Participant History and Family History		Multiple Pre-Defined Values Selected
C56025	Relative second degree decease primary cause text	RelSecondDegDecPrimCauseTxt	Text describing the primary cause of the subject's second-degree relative's death	Text describing the primary cause of the subject's second-degree relative's deat	Primary cause of death			Alphanumeric			Adult;Pediatric	Supplemental	1.00	2017-06-05 12:58:52.0	Medical and Family History	General Health History	Participant History and Family History	255	Free-Form Entry
C16021	Family history second-degree relative affected count	FamHistScndDegReltvAffctCt	The number of second-degree relatives affected with the medical condition	The number of second-degree relatives affected with the medical conditio	Number of second-degree relatives			Numeric Values	Affected' is defined as patient reported diagnosis. Answer this question for each medical condition.	No references available	Adult;Pediatric	Supplemental	3.00	2013-07-16 14:01:43.01	Medical and Family History	General Health History	Participant History and Family History		Free-Form Entry
C18666	Body system category other text	BodySysCatOTH	The free-text field related to 'Body system category', specifying other text. 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	The free-text field related to 'Body system category', specifying other text. 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	Other, specify			Alphanumeric	Each body system is pre-populated on the case report form.	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	Supplemental	1.10	2023-11-07 08:40:35.0	Medical and Family History	General Health History	Participant History and Family History	4000	Free-Form Entry	2002895
C10813	Adopted indicator	AdoptedInd	Indicator of whether the participant was adopted	Indicator of whether the participant was adopted	Are you adopted?	Yes;No;Unknown	Yes;No;Unknown	Alphanumeric	Choose one	No references available	Adult;Pediatric	Supplemental	3.10	2024-02-29 15:42:33.0	Medical and Family History	General Health History	Participant History and Family History		Single Pre-Defined Value Selected
C56028	Sibling count	SiblingCt	The total number of siblings the subject has	The total number of siblings the subject has	How many siblings do you have?			Numeric Values			Adult;Pediatric	Supplemental	1.00	2017-06-05 13:18:48.0	Medical and Family History	General Health History	Participant History and Family History		Free-Form Entry
C16025	Family history second-degree physician diagnosis count	FamHistScndDegPhyscnDiagnsCt	The number of second-degree relatives with the medical condition confirmed by a physician	The number of second-degree relatives with the medical condition confirmed by a physician	Number of second-degree relatives			Numeric Values	Answer this question for each medical condition. Choose one.	No references available	Adult;Pediatric	Supplemental	3.00	2013-07-16 14:01:43.01	Medical and Family History	General Health History	Participant History and Family History		Free-Form Entry
C18678	Family history medical condition type other text	FamHistMedclCondTypOTH	The free-text field related to 'Family history medical condition type', specifying other text. Type of medical condition or health related event for which the family history is taken	The free-text field related to 'Family history medical condition type', specifying other text. Type of medical condition or health related event for which the family history is taken	Other, specify			Alphanumeric	Comorbid conditions Musculo-Skeletal, Arthritis – if type of arthritis known, specify type in comments section Psychiatric, Depression – if type of depression known, specify type in comments section If a family member has a diagnosis or condition not listed, specify the diagnosis and/or condition under the "Other, specify" fields.	No references available	Adult;Pediatric	Supplemental	1.10	2024-02-29 15:42:35.0	Medical and Family History	General Health History	Participant History and Family History	4000	Free-Form Entry	3165585
C15997	Relative first degree total count	Reltv1stDegTotlCt	Count of the total number of first-degree relatives the participant/subject has	Count of the total number of first-degree relatives the participant/subject has	How many total number of first-degree relatives do you have?			Numeric Values	This number can be calculated with informant after enumerating relatives of each type provided in the 'Name of Family Member with Condition" code list.	No references available	Adult;Pediatric	Supplemental	3.00	2013-07-16 14:01:43.01	Medical and Family History	General Health History	Participant History and Family History		Free-Form Entry
C16207	Family history medical condition first-degree relative type	FamHistMedclCondFrstDegReltTyp	Relationship of the first-degree family member or ancestor with the medical condition or health related event to the participant/subject	Relationship of the first-degree family member or ancestor with the medical condition or health related event to the participant/subject	Relationship of first-degree realtive(s) to participant/subject	1;2;3;4;5;6;7;8;9;10	Biological Mother;Biological Father;Sibling Male;Sibling Female;Non-identical or dizygotic twin Male;Non-identical or dizygotic twin Female;Identical twin Male;Identical twin Female;Full biologic child Male;Full biologic child Female	Numeric Values	Select the relationship from the options of the family members provided in the "Name of Family Member with Condition" code list. Record more than 1 family member, if applicable. Choose all that apply.	No references available	Adult;Pediatric	Supplemental	3.00	2013-07-16 14:01:43.01	Medical and Family History	General Health History	Participant History and Family History		Multiple Pre-Defined Values Selected
C56017	Relative first degree decease death age value	RelFirstDegDecDeathAgeVal	Value representing the age of the subject's first-degree relative at their time of death	Value representing the age of the subject's first-degree relative at their time of deat	Age at death			Numeric Values			Adult;Pediatric	Supplemental	1.00	2017-06-05 12:57:31.0	Medical and Family History	General Health History	Participant History and Family History		Free-Form Entry
C15998	Relative first degree live count	Reltv1stDegLivCt	The total number of the participant/subject first-degree living relatives	The total number of the participant/subject first-degree living relatives	Number alive			Numeric Values	Provide the number of first/second degree relatives. The participant/subject should refer to the Name of Family Member with Condition" code list to provide any information on each of family member that he/she has knowledge of.	No references available	Adult;Pediatric	Supplemental	3.00	2013-07-16 14:01:43.01	Medical and Family History	General Health History	Participant History and Family History		Free-Form Entry
C16208	Family history medical condition second-degree relative type	FamHistMedclCondScndDegReltTyp	Relationship of the second-degree family member or ancestor with the medical condition or health related event to the participant/subject	Relationship of the second-degree family member or ancestor with the medical condition or health related event to the participant/subject	Relationship of second-degree relative(s) to participant/subject	11;12;13;14;15;16;17;18;19;20;21;22;23;24	Half-Sibling Male;Half-Sibling Female;Maternal Grandmother;Maternal Grandfather;Paternal Grandmother;Paternal Grandfather;Maternal Aunt;Maternal Uncle;Paternal Aunt;Paternal Uncle;Grandchild Male;Grandchild Female;Nephew;Niece	Numeric Values	Select the relationship from the options of the family members provided in the "Name of Family Member with Condition" code list. Record more than 1 family member, if applicable. Choose all that apply.	No references available	Adult;Pediatric	Supplemental	3.00	2013-07-16 14:01:43.01	Medical and Family History	General Health History	Participant History and Family History		Multiple Pre-Defined Values Selected
C56018	Relative first degree decease primary cause text	RelFirstDegDecPrimCauseTxt	Text describing the primary cause of the subject's first-degree relative's death	Text describing the primary cause of the subject's first-degree relative's deat	Primary cause of death			Alphanumeric			Adult;Pediatric	Supplemental	1.00	2017-06-05 12:58:52.0	Medical and Family History	General Health History	Participant History and Family History	255	Free-Form Entry
C15999	Relative first degree decease count	Reltv1stDegDeceasCt	The total number of the participant/subject first-degree deceased relatives	The total number of the participant/subject first-degree deceased relatives	Number deceased			Numeric Values	Provide the number of first/second degree relatives. The participant/subject should refer to the Name of Family Member with Condition" code list to provide any information on each of family member that he/she has knowledge of.	No references available	Adult;Pediatric	Supplemental	3.00	2013-07-16 14:01:43.01	Medical and Family History	General Health History	Participant History and Family History		Free-Form Entry
C17986	Relative first degree total count unknown indicator	Reltv1stDegTotCntUnknownInd	Indicator of the unknown total number of first-degree relatives	Indicator of the unknown total number of first-degree relatives the participant/subject has	How many total number of first-degree relatives do you have?	Unknown	Unknown	Alphanumeric		No references available	Adult;Pediatric	Supplemental	3.00	2013-07-16 14:01:43.01	Medical and Family History	General Health History	Participant History and Family History		Single Pre-Defined Value Selected
C56019	Sibling live count	SiblingLiveCt	The total number of alive siblings that the subject has	The total number of alive siblings that the subject ha	Number alive			Numeric Values			Adult;Pediatric	Supplemental	1.00	2017-06-05 13:01:45.0	Medical and Family History	General Health History	Participant History and Family History		Free-Form Entry
C16001	Relative second degree total count	ReltvScndDegTotlCt	The total number of the participant/subject second-degree relatives	The total number of the participant/subject second-degree relatives	How many total number of second-degree relatives do you have?			Numeric Values	This number can be calculated with informant after enumerating relatives of each type provided in the 'Name of Family Member with Condition" code list.	No references available	Adult;Pediatric	Supplemental	3.00	2013-07-16 14:01:43.01	Medical and Family History	General Health History	Participant History and Family History		Free-Form Entry
C17987	Relative first degree live count unknown indicator	Reltv1stDegLivCtUnknownInd	Indicator of the unknown number of living first-degree relatives	Indicator of the unknown number of living first-degree relatives	Number alive	Unknown	Unknown	Alphanumeric		No references available	Adult;Pediatric	Supplemental	3.00	2013-07-16 14:01:43.01	Medical and Family History	General Health History	Participant History and Family History		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	Condition	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	Each body system is pre-populated on the case report form.	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	Supplemental	3.00	2013-07-25 08:54:08.2	Medical and Family History	General Health History	Participant History and Family History		Single Pre-Defined Value Selected	2002895
C56020	Sibling live count unknown indicator	SiblingLiveCtUnkInd	The indicator relating to whether or not the subject knows how many living siblings he/she has	The indicator relating to whether or not the subject knows how many living siblings he/she ha	Number alive	Unknown	Unknown	Alphanumeric			Adult;Pediatric	Supplemental	1.00	2017-06-05 13:02:42.0	Medical and Family History	General Health History	Participant History and Family History		Single Pre-Defined Value Selected
C16002	Relative second degree live count	ReltvScndDegLivCt	The total number of the participant/subject second-degree living relatives	The total number of the participant/subject second-degree living relatives	Number alive			Numeric Values	Provide the number of first/second degree relatives. The participant/subject should refer to the Name of Family Member with Condition" code list to provide any information on each of family member that he/she has knowledge of.	No references available	Adult;Pediatric	Supplemental	3.00	2013-07-16 14:01:43.01	Medical and Family History	General Health History	Participant History and Family History		Free-Form Entry
C17988	Relative first degree decease count unknown indicator	Reltv1stDegDecCntUnknownInd	Indicator of the unknown number of deceased first-degree relatives	Indicator of the unknown number of deceased first-degree relatives	Number deceased	Unknown	Unknown	Alphanumeric		No references available	Adult;Pediatric	Supplemental	3.00	2013-07-16 14:01:43.01	Medical and Family History	General Health History	Participant History and Family History		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	Condition			Alphanumeric	Code each of the medical/family history conditions using SNOMED CT	SNOMED CT Codes (http://www.nlm.nih.gov/research/umls/Snomed/snomed_main.html)	Adult;Pediatric	Supplemental	3.00	2013-07-25 08:54:08.2	Medical and Family History	General Health History	Participant History and Family History	255	Free-Form Entry
C56021	Sibling decease count	SiblingDeceaseCt	The total number of deceased siblings that the subject has	The total number of deceased siblings that the subject ha	Number deceased			Numeric Values			Adult;Pediatric	Supplemental	1.00	2017-06-05 13:01:45.0	Medical and Family History	General Health History	Participant History and Family History		Free-Form Entry