CDE Detailed Report
Disease: system
Subdomain Name: General Health History
CRF: system
Displaying 101 - 113 of 113
Subdomain Name: General Health History
CRF: system
Displaying 101 - 113 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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condition inactive resolved other text | SkinCondInactResolvOthrTxt | Text specifying another skin condition that is no longer active in the subject or is considered resolved or cured | Text specifying another skin condition that is no longer active in the subject or is considered resolved or cure | Other, specify: | Alphanumeric | Adult | Exploratory | 1.00 | 2018-01-10 12:38:48.0 | Medical History -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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| 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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| 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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| 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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| 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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| 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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| 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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