CDE Detailed Report
Disease: content
Subdomain Name: General Health History
CRF: welcome
Displaying 51 - 100 of 113
Subdomain Name: General Health History
CRF: welcome
Displaying 51 - 100 of 113
| 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 |
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| C57267 | Medical history Immunodeficiency syndrome name text | MedHistImmunodefSyndNameTxt | The name of the immunodeficiency syndrome(s) the subject has as medical history of | The name of the immunodeficiency syndrome(s) the subject has as medical history of | Name of syndrome: | Alphanumeric | Adult | Exploratory | 1.00 | 2018-01-05 10:04:11.0 | Medical History - Immune Module | General Health History | Participant History and Family History | 255 |
Free-Form Entry |
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| C57281 | Infection condition diagnosis year value | InfectCondDiagYrVal | The year of diagnosis of infections | The year of diagnosis of infections | Year(s) of diagnosis | Numeric Values | Adult | Exploratory | 1.00 | 2018-01-05 10:20:57.0 | Medical History - Immune Module | General Health History | Participant History and Family History |
Free-Form Entry |
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| C57414 | Eye condition inactive resolved type | EyeCondInactResolvTyp | Element related to eye conditions that are considered no longer active or resolved | Element related to eye conditions that are considered no longer active or resolved | Condition no longer active/resolved | Optic neuritis;Uveitis or scleritis;Dry eye;Eye infections;Sjogren's syndrome;Other, specify | Optic neuritis;Uveitis or scleritis;Dry eye;Eye infections;Sjogren's syndrome;Other, specify | Alphanumeric | Adult | Exploratory | 1.00 | 2018-01-08 09:14:39.0 | Medical History - Immune Module | General Health History | Participant History and Family History |
Multiple Pre-Defined Values Selected |
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| C57766 | Skin condition inactive resolved type | SkinCondInactResolvTyp | Any type of the aforementioned skin conditions that are no longer active in the subject or are considered resolved or cured | Any type of the aforementioned skin conditions that are no longer active in the subject or are considered resolved or cure | Condition no longer active/resolved | Psoriasis;Eczema;Dermatomyositis;Contact dermatitis;Vasculitis;Zoster;Other allergic skin reactions;Other, specify;Hives | Psoriasis;Eczema;Dermatomyositis;Contact dermatitis;Vasculitis;Zoster;Other allergic skin reactions;Other, specify;Hives | Alphanumeric | Adult | Exploratory | 1.00 | 2018-01-10 12:36:57.0 | Medical History - Immune Module | General Health History | Participant History and Family History |
Multiple Pre-Defined Values Selected |
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| C57325 | Atopic allergic disorder condition medication name | AtopicAllergDsrdrCondMedName | The name(s) of the medication(s) being taken for the participant/subject's atopy/allergic disorder condition | The name(s) of the medication(s) being taken for the participant/subject's atopy/allergic disorder condition | Medication(s) name(s) | Alphanumeric | Adult | Exploratory | 1.00 | 2018-01-05 10:57:24.0 | Medical History - Immune Module | General Health History | Participant History and Family History | 255 |
Free-Form Entry |
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| C57494 | Lung condition active indicator | LungCondActInd | The indicator relating to lung condition(s) that are active | The indicator relating to lung condition(s) that are active | Condition(s) active | No;Yes | No;Yes | Alphanumeric | Adult | Exploratory | 1.00 | 2018-01-08 13:54:58.0 | Medical History - Immune Module | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C00314 | Medical history taken date and time | MedclHistTakenDateTime | Date (and time, if applicable and known) the participant's medical history was taken | Date (and time, if applicable and known) the participant 's medical history was taken | Date history taken: | Date or Date & Time | Adult | Exploratory | 3.20 | 2024-02-29 15:42:39.0 | Medical History - Immune Module | General Health History | Participant History and Family History |
Free-Form Entry |
2179659 | |||||||||||
| C57806 | Infection diagnosis type | InfecDiagnosTyp | Any type of the infections listed that the subject has ever been diagnosed with | Any type of the infections listed that the subject has ever been diagnosed wit | Condition diagnosed | Mononucleosis;Lyme disease, Specify type;HIV/AIDS;Fungal disease (not including skin infection);Chronic parasitic infection;Tuberculosis;Syphilis;Subacute bacterial endocarditis;Sepsis, ever;Sepsis in the past 12 weeks;Osteomyelitis;Other, specify | Mononucleosis;Lyme disease, Specify type;HIV/AIDS;Fungal disease (not including skin infection);Chronic parasitic infection;Tuberculosis;Syphilis;Subacute bacterial endocarditis;Sepsis, ever;Sepsis in the past 12 weeks;Osteomyelitis;Other, specify | Alphanumeric | Adult | Exploratory | 1.00 | 2018-01-11 08:32:59.0 | Medical History - Immune Module | General Health History | Participant History and Family History |
Multiple Pre-Defined Values Selected |
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| C57957 | Immune symptom onset current type | ImmSymptmOnsetCurrTyp | Whether the types of general immune/infectious symptom(s) that the subject experienced at onset (within first month of illness) are being currently experienced | Whether the types of general immune/infectious symptom(s) that the subject experienced at onset (within first month of illness) are being currently experience | If yes, are any of those symptoms current? | Fever;Chills;Night sweats;Sore throats;Swollen/tender glands;Rashes;N/V/D;Arthalgia/arthritis;Mouth ulcers;History of autoimmune disease;Family history of autoimmune disease (biological relatives only, if applicable) | Fever;Chills;Night sweats;Sore throats;Swollen/tender glands;Rashes;N/V/D;Arthalgia/arthritis;Mouth ulcers;History of autoimmune disease;Family history of autoimmune disease (biological relatives only, if applicable) | Alphanumeric |
Check all that apply |
Adult | Core | 1.00 | 2018-01-05 09:23:33.0 | Medical History - Immune Module | General Health History | Participant History and Family History |
Multiple Pre-Defined Values Selected |
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| C57365 | ROME III criteria type | ROMEIIICritTyp | The type of ROME II Diagnostic Criteria for Irritable Bowel Syndrome that needs to be met | The type of ROME II Diagnostic Criteria for Irritable Bowel Syndrome that needs to be me | Recurrent abdominal pain for discomfort at least three days per month and two or more of the following symptoms: | Improvement with defecation;An onset associated with change in the form (appearance) of stool;Onset associated with change in the frequency of stool | Improvement with defecation;An onset associated with change in the form (appearance) of stool;Onset associated with change in the frequency of stool | Alphanumeric | Adult | Supplemental-Highly Recommended | 1.00 | 2018-01-05 12:55:19.0 | Medical History - Immune Module | General Health History | Participant History and Family History |
Multiple Pre-Defined Values Selected |
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| C57605 | Gut condition medication current indicator | GutCondMedCurrentInd | The indicator relating to whether the subject currently takes medication for gut conditions | The indicator relating to whether the subject currently takes medication for gut conditions | Currently take medications | No;Yes | No;Yes | Alphanumeric | Adult | Exploratory | 1.00 | 2018-01-09 11:28:54.0 | Medical History - Immune Module | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C57268 | Medical history immune symptom onset text | MedHistImmSymptmOnsetTxt | Text describing symptoms at onset the participant/subject experienced for immune conditions as part of medical history | Text describing symptoms at onset the participant/subject experienced for immune conditions as part of medical history | Symptoms at onset | Alphanumeric | Adult | Exploratory | 1.00 | 2018-01-05 10:05:04.0 | Medical History - Immune Module | General Health History | Participant History and Family History | 255 |
Free-Form Entry |
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| C57282 | Adverse reaction drug type text | AdvRxnDrugTypTxt | Free-text field to describe the type of adverse reaction the participant/subject has from a drug | Free-text field to describe the type of adverse reaction the participant/subject has from a drug | Reaction | Alphanumeric | Adult | Exploratory | 1.00 | 2018-01-05 10:19:54.0 | Medical History - Immune Module | General Health History | Participant History and Family History | 255 |
Free-Form Entry |
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| C57416 | Eye condition diagnosis year number | EyeCondDiagnosYrNum | The year that the subject was diagnosed with an eye condition | The year that the subject was diagnosed with an eye conditio | Year(s) of diagnosis | Numeric Values | Adult | Exploratory | 1.00 | 2018-01-08 09:19:30.0 | Medical History - Immune Module | General Health History | Participant History and Family History |
Free-Form Entry |
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| C57767 | Skin condition inactive resolved other text | SkinCondInactResolvOthrTxt | Text specifying another skin condition that is no longer active in the subject or is considered resolved or cured | Text specifying another skin condition that is no longer active in the subject or is considered resolved or cure | Other, specify: | Alphanumeric | Adult | Exploratory | 1.00 | 2018-01-10 12:38:48.0 | Medical History - Immune Module | General Health History | Participant History and Family History | 255 |
Free-Form Entry |
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| C57335 | Skin condition medication name | SkinCondMedName | The name of the medication(s) being used for the subject's skin condition(s) | The name of the medication(s) being used for the subject's skin condition(s) | Medication name(s) | Alphanumeric | Adult | Exploratory | 1.00 | 2018-01-05 11:14:19.0 | Medical History - Immune Module | General Health History | Participant History and Family History | 255 |
Free-Form Entry |
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| C57495 | Lung condition medication past year indicator | LungCondMedPastYrInd | The indicator relating to whether the subject has taken medication for lung condition(s) in the past year | The indicator relating to whether the subject has taken medication for lung condition(s) in the past year | Take medications | No;Yes | No;Yes | Alphanumeric |
In the past year |
Adult | Exploratory | 1.00 | 2018-01-08 13:59:10.0 | Medical History - Immune Module | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C17402 | Site name | SiteName | The name of the site for the study | The name of the site for the study | Site name: | Alphanumeric | Adult | Exploratory | 3.00 | 2013-06-21 00:00:00.0 | Medical History - Immune Module | General Health History | Participant History and Family History | 255 |
Free-Form Entry |
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| C57807 | Infection diagnosis Lyme disease type text | InfecDiagnosLymeDisTypTxt | Text specifying the type of Lyme disease the subject has/had ever been diagnoses with | Text specifying the type of Lyme disease the subject has/had ever been diagnoses wit | Specify type: | Alphanumeric | Adult | Exploratory | 1.00 | 2018-01-11 08:38:19.0 | Medical History - Immune Module | General Health History | Participant History and Family History | 255 |
Free-Form Entry |
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| C57958 | Antibiotic long term repeated history indicator | AntibLongTermRepeatHistInd | Indicator related to whether the participant/subject has a history of repeated or long-term antibiotic use | Indicator related to whether the participant/subject has a history of repeated or long-term antibiotic use | Does the participant/subject have a history of repeated or long-term antibiotic use? | No;Yes | No;Yes | Alphanumeric | Adult | Exploratory | 1.00 | 2018-01-05 09:42:20.0 | Medical History - Immune Module | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C57366 | ROME III criteria indicator | ROMEIIICritInd | The indicator relating to whether the ROME III Diagnostic Criteria for Irritable Bowel Syndrome has been met | The indicator relating to whether the ROME III Diagnostic Criteria for Irritable Bowel Syndrome has been me | Meets Rome III diagnostic criteria for irritable bowel syndrome | No;Yes | No;Yes | Alphanumeric | Adult | Supplemental-Highly Recommended | 1.00 | 2018-01-05 12:57:52.0 | Medical History - Immune Module | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C57606 | Gut condition medication name | GutCondMedName | The name of the medication(s) the subject is taking for gut condition(s) | The name of the medication(s) the subject is taking for gut condition(s) | Medication name(s) | Alphanumeric | Adult | Exploratory | 1.00 | 2018-01-09 11:31:17.0 | Medical History - Immune Module | General Health History | Participant History and Family History | 255 |
Free-Form Entry |
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| C57269 | Lunc condition diagnosis year value | LungCondDiagnosYrVal | The year that the subject was diagnosed with a lung condition(s) | The year that the subject was diagnosed with a lung condition(s) | Year(s) of diagnosis | Numeric Values | Adult | Exploratory | 1.00 | 2018-01-05 10:06:10.0 | Medical History - Immune Module | General Health History | Participant History and Family History |
Free-Form Entry |
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| C57285 | Skin condition diagnosis year value | SkinCondDiagYrVal | The year skin condition(s) was diagnosed | The year skin condition(s) was diagnosed | Year(s) of diagnosis | Numeric Values | Adult | Exploratory | 1.00 | 2018-01-05 10:24:44.0 | Medical History - Immune Module | General Health History | Participant History and Family History |
Free-Form Entry |
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| C57417 | Ear nose throat condition diagnosed type | EarNoseThroatCondDiagnosTyp | Any ear, nose, and/or throat condition that the subject has ever been diagnosed with | Any ear, nose, and/or throat condition that the subject has ever been diagnosed wit | Condition Diagnosed | Chronic rhinitis (runny nose);Chronic sinusitis;Chronic/repeated otitis media (ear infections);Hay fever;Impaired hearing;Easy nasal bleeding;Nasal allergies;Tonsillectomy;Other, specify;Chronically infected tonsils | Chronic rhinitis (runny nose);Chronic sinusitis;Chronic/repeated otitis media (ear infections);Hay fever;Impaired hearing;Easy nasal bleeding;Nasal allergies;Tonsillectomy;Other, specify;Chronically infected tonsils | Alphanumeric | Adult | Exploratory | 1.00 | 2018-01-08 09:20:35.0 | Medical History - Immune Module | General Health History | Participant History and Family History |
Multiple Pre-Defined Values Selected |
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| C57768 | Blood immune system condition diagnosis type | BldImmCondDiagnosTyp | Any type of blood and/or immune system condition(s) that the subject has ever been diagnosed with | Any type of blood and/or immune system condition(s) that the subject has ever been diagnosed wit | Condition diagnosed | Anemia;Sickle cell disease;Thalassemia;Hemochromatosis;Myeloproliferative disorders (myelodysplasia);Other, specify | Anemia;Sickle cell disease;Thalassemia;Hemochromatosis;Myeloproliferative disorders (myelodysplasia);Other, specify | Alphanumeric | Adult | Exploratory | 1.00 | 2018-01-10 12:54:37.0 | Medical History - Immune Module | General Health History | Participant History and Family History |
Multiple Pre-Defined Values Selected |
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| C57344 | Vaccine unusual history indicator | VaccUnusualHistInd | The indicator relating to whether the participant/subject has a history of unusual vaccines | The indicator relating to whether the participant/subject has a history of unusual vaccine | History of unusual vaccines | No;Yes | No;Yes | Alphanumeric |
(e.g., related to international travel) |
Adult | Exploratory | 1.00 | 2018-01-05 11:19:35.0 | Medical History - Immune Module | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C57497 | Lung condition medication currently indicator | LungCondMedCurrentInd | The indicator relating to whether the subject currently takes medication for lung condiiton(s) | The indicator relating to whether the subject currently takes medication for lung condiiton(s) | Currently take medication(s) | No;Yes | No;Yes | Alphanumeric | Adult | Exploratory | 1.00 | 2018-01-08 13:59:10.0 | Medical History - Immune Module | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C19247 | Subject ID | SubIDNam | Subject identification ID | Subject identification ID | Subject ID: | Alphanumeric | Adult | Exploratory | 1.00 | 2014-06-05 13:10:49.0 | Medical History - Immune Module | General Health History | Participant History and Family History | 255 |
Free-Form Entry |
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| C57808 | Infection diagnosis other text | InfecDiagnosOthrTxt | Text specifying an infection other than the ones previously mentioned that the subject has ever been diagnosed with | Text specifying an infection other than the ones previously mentioned that the subject has ever been diagnosed wit | Other, specify: | Alphanumeric | Adult | Exploratory | 1.00 | 2018-01-11 08:39:29.0 | Medical History - Immune Module | General Health History | Participant History and Family History | 255 |
Free-Form Entry |
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| C58430 | Atopy allergic disorder condition diagnosis other text | AtopyAllDisordrCondDiagOthTxt | The free-text field to describe other type of condition(s) that the participant/subject was diagnosed with in relation to his/her history of atopy/allergic disorders | The free-text field to describe other type of condition(s) that the participant/subject was diagnosed with in relation to his/her history of atopy/allergic disorder | Other, specify: | Alphanumeric | Adult | Exploratory | 1.00 | 2018-01-05 10:51:03.0 | Medical History - Immune Module | General Health History | Participant History and Family History | 500 |
Free-Form Entry |
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| C57367 | Irritable Bowel Syndrome predominant stool pattern subtype type | IBSPredStoolPatSubTyp | The subtype of Irritable Bowel Syndrome (IBS) observed by a predominant stool pattern in the subject | The subtype of Irritable Bowel Syndrome (IBS) observed by a predominant stool pattern in the subjec | Irritable bowel syndrome subtypes by predominant stool pattern | IBS with Constipation (IBS-C);IBS with Diarrhea (IBS-D);Mixed IBS (IBS-M);Unsubtyped IBS | Hard or lumpy stool (Type 1 or 2) with more than 25% of bowel movements, and loose or watery stools (Type 6 or 7) with less than 25% of bowel movements;Loose or watery stools (Type 6 or 7) with more than 25% of bowel movements, and hard lumpy stools (Type 1 or 2) with less than 25% of bowel movements;Hard or lumpy stool (Type 1 or 2) with more than 25% of bowel movement, plus loose or watery stool (Type 6 or 7) with more than 25% of bowel movements;Insufficient abnormality of stool consistency to meet criteria for IBS-C, IBS-D, or IBS-M | Alphanumeric |
You must not be taking laxatives or antidiarrheal medicines that will change your bowel habits. |
Adult | Exploratory | 1.00 | 2018-01-05 13:00:05.0 | Medical History - Immune Module | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C57607 | Gut condition medication work well indicator | GutCondMedWorkWellInd | The indicator relating to whether the medication(s) for gut condition the subject is taking is(are) working well | The indicator relating to whether the medication(s) for gut condition the subject is taking is(are) working well | Medications work well | Yes;No;Not applicable | Yes;No;Not applicable | Alphanumeric | Adult | Exploratory | 1.00 | 2018-01-09 11:33:16.0 | Medical History - Immune Module | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C57270 | Medical history immune malignancy name text | MedHistImmMalignancyNameTxt | The name of any malignancy or malignancies affecting the subject's immune system as part of the medical history | The name of any malignancy or malignancies affecting the subject's immune system as part of the medical history | Name of syndrome: | Alphanumeric | Adult | Exploratory | 1.00 | 2018-01-05 10:07:25.0 | Medical History - Immune Module | General Health History | Participant History and Family History | 255 |
Free-Form Entry |
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| C57308 | Food hypersensitivity component other text | FoodHyperCompOthrTxt | Text describing another food component to which the subject has hypersensitivity | Text describing another food component to which the subject has hypersensitivity | Other, specify: | Alphanumeric | Adult | Exploratory | 1.00 | 2018-01-05 10:38:04.0 | Medical History - Immune Module | General Health History | Participant History and Family History | 255 |
Free-Form Entry |
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| C57418 | Lung condition diagnosed other text | LungCondDiagOthrTxt | Text specifying other lung condition(s) the subject has ever been diagnosed with | Text specifying other lung condition(s) the subject has ever been diagnosed with | Other, specify: | Alphanumeric | Adult | Exploratory | 1.00 | 2018-01-08 09:27:04.0 | Medical History - Immune Module | General Health History | Participant History and Family History | 255 |
Free-Form Entry |
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| C57769 | Blood immune condition diagnosis other text | BldImmuneCondDiagnosOthrTxt | Text specifying a blood and/or immune system condition other than the ones previously mentioned that the subject has ever been diagnosed with | Text specifying a blood and/or immune system condition other than the ones previously mentioned that the subject has ever been diagnosed wit | Other, specify: | Alphanumeric | Adult | Exploratory | 1.00 | 2018-01-10 12:58:27.0 | Medical History - Immune Module | General Health History | Participant History and Family History | 255 |
Free-Form Entry |
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| C57345 | Vaccine unusual history name | VaccUnusualHistName | The name of unusual vaccine(s) that the participant/subject has taken | The name of unusual vaccine(s) that the participant/subject has taken | Vaccine Name | Alphanumeric | Adult | Exploratory | 1.00 | 2018-01-05 11:20:50.0 | Medical History - Immune Module | General Health History | Participant History and Family History | 255 |
Free-Form Entry |
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| C57498 | Lung condition medication name | LungCondMedName | The name of any medication(s) the subject is taking for lung condition(s) | The name of any medication(s) the subject is taking for lung condition(s) | Medication name(s) | Alphanumeric | Adult | Exploratory | 1.00 | 2018-01-08 14:05:21.0 | Medical History - Immune Module | General Health History | Participant History and Family History | 255 |
Free-Form Entry |
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| C19256 | Study protocol name | StudyProtocolName | Name of study protocol | Name of study protocol | Study name/ID | Alphanumeric | Adult | Exploratory | 1.00 | 2014-06-05 16:38:14.0 | Medical History - Immune Module | General Health History | Participant History and Family History | 4000 |
Free-Form Entry |
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| C57809 | Infection condition active indicator | InfectCondActInd | The indicator relating to whether the subject currently has an infection | The indicator relating to whether the subject currently has an infection | Condition active | No;Yes | No;Yes | Alphanumeric | Adult | Exploratory | 1.00 | 2018-01-11 08:43:34.0 | Medical History - Immune Module | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C58435 | Eye condition inactive resolved other text | EyeCondInactResolvOthTxt | Free-text field to describe other eye conditions that are considered no longer active or resolved | Free-text field to describe other eye conditions that are considered no longer active or resolved | Other, specify: | Alphanumeric | Adult | Exploratory | 1.00 | 2018-01-08 09:14:39.0 | Medical History - Immune Module | General Health History | Participant History and Family History | 255 |
Free-Form Entry |
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| C57372 | Medical history eye condition type | MedHistEyeCondTyp | The type of any eye conditions that the subject has ever had | The type of any eye conditions that the subject has ever ha | Condition diagnosed: | Optic neuritis;Uveitis or scleritis;Dry eye;Eye infections;Sjogren's syndrome;Other, specify | Optic neuritis;Uveitis or scleritis;Dry eye;Eye infections;Sjogren's syndrome;Other, specify | Alphanumeric |
Check any eye condtiions if you were ever diagnosed |
Adult | Exploratory | 1.00 | 2018-01-05 14:17:55.0 | Medical History - Immune Module | General Health History | Participant History and Family History |
Multiple Pre-Defined Values Selected |
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| C57709 | Gut condition inactive resolved type | GutCondInactResolvTyp | Any type of gut condition that is no longer active in the subject or is considered resolved or cured | Any type of gut condition that is no longer active in the subject or is considered resolved or cure | Condition(s) no longer active/resolved | Peptic ulcer;Hiatus hernia;Hepatitis A;Hepatitis B;Hepatitis C;Hepatitis, type unspecified;Gall bladder disease;Liver disease;Cirrhosis;Chronic pancreatitis;Pancreatitis;Celiac disease;Irritable bowel syndrome;Crohn's disease;Colorectal cancer;Ulcerative colitis;Other, specify | Peptic ulcer;Hiatus hernia;Hepatitis A;Hepatitis B;Hepatitis C;Hepatitis, type unspecified;Gall bladder disease;Liver disease;Cirrhosis;Chronic pancreatitis;Pancreatitis;Celiac disease;Irritable bowel syndrome;Crohn's disease;Colorectal cancer;Ulcerative colitis;Other, specify | Alphanumeric | Adult | Exploratory | 1.00 | 2018-01-10 10:03:15.0 | Medical History - Immune Module | General Health History | Participant History and Family History |
Multiple Pre-Defined Values Selected |
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| C57271 | Medical history immune diagnosis year text | MedHistImmDiagYrTxt | Year of diagnosis for immune condition(s) the participant/subject has as part of medical history | Year of diagnosis for immune condition(s) the participant/subject has as part of medical history | Year of diagnosis | Alphanumeric | Adult | Exploratory | 1.00 | 2018-01-05 10:08:32.0 | Medical History - Immune Module | General Health History | Participant History and Family History | 255 |
Free-Form Entry |
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| C57312 | Adverse drug reaction indicator | AdvDrugRxnInd | The indicator relating to whether the subject experiences reactions to adverse drugs | The indicator relating to whether the subject experiences reactions to adverse drug | Adverse drug reactions | No;Yes | No;Yes | Alphanumeric |
If yes, specify |
Adult | Exploratory | 1.00 | 2018-01-05 10:41:26.0 | Medical History - Immune Module | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C57419 | Ear nose throat condition active indicator | EarNoseThroatCondActInd | The indicator relating to whether the subject currently has an active ear, nose, throat condition | The indicator relating to whether the subject currently has an active ear, nose, throat condition | Condition active | No;Yes | No;Yes | Alphanumeric | Adult | Exploratory | 1.00 | 2018-01-08 09:28:44.0 | Medical History - Immune Module | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C57770 | Blood immune condition medication past year indicator | BldImmuneMedPastYrInd | The indicator relating to whether the subject has taken medication for blood or immune conditions in the past year | The indicator relating to whether the subject has taken medication for blood or immune conditions in the past year | Take medication | No;Yes | No;Yes | Alphanumeric |
In the past year |
Adult | Exploratory | 1.00 | 2018-01-10 13:00:12.0 | Medical History - Immune Module | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C57346 | Vaccine unusual received year text | VaccUnusualRecYrTxt | The year(s) the participant/subject received unusual vaccine(s) | The year(s) the participant/subject received unusual vaccine(s) | Year(s) Received | Alphanumeric | Adult | Exploratory | 1.00 | 2018-01-05 11:21:44.0 | Medical History - Immune Module | General Health History | Participant History and Family History | 255 |
Free-Form Entry |
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| C57499 | Lung condition medication work well indicator | LungCondMedWorkWellInd | The indicator relating to whether the medication(s) the subject is taking for lung condition(s) is(are) working | The indicator relating to whether the medication(s) the subject is taking for lung condition(s) is(are) working | Medications work well | Yes;No;Not applicable | Yes;No;Not applicable | Alphanumeric | Adult | Exploratory | 1.00 | 2018-01-08 14:06:42.0 | Medical History - Immune Module | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
