CDE Detailed Report | NINDS Common Data Elements

Disease: system
Subdomain Name: General Health History
CRF: files

Displaying 101 - 113 of 113

CDE ID	CDE Name	Variable Name	Definition	Short Description	Question Text	Permissible Values	Description	Data Type	Disease Specific Instructions	Population	Classification (e.g., Core)	Version Number	Version Date	CRF Name (CRF Module / Guidance)	Subdomain Name	Domain Name	Size	Input Restrictions
C57709	Gut condition inactive resolved type	GutCondInactResolvTyp	Any type of gut condition that is no longer active in the subject or is considered resolved or cured	Any type of gut condition that is no longer active in the subject or is considered resolved or cure	Condition(s) no longer active/resolved	Peptic ulcer;Hiatus hernia;Hepatitis A;Hepatitis B;Hepatitis C;Hepatitis, type unspecified;Gall bladder disease;Liver disease;Cirrhosis;Chronic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
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
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
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
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
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
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
C57261	Immune symptom onset type	ImmSymptmOnsetTyp	The type of general immune/infectious symptom(s) that the subject experienced at onset (within first month of illness)	The type of general immune/infectious symptom(s) that the subject experienced at onset (within first month of illness	At onset (within first month of illness), did participant/subject experience of the following?	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
C57810	Infection condition medication past year indicator	InfectCondMedPastYrInd	The indicator relating to whether the subject has taken medication for infections in the past year	The indicator relating to whether the subject has taken medication for infections in the past year	Take medications	No;Yes	No;Yes	Alphanumeric	In the past year	Adult	Exploratory	1.00	2018-01-11 08:46:57.0	Medical History - Immune Module	General Health History	Participant History and Family History		Single Pre-Defined Value Selected
C58436	Lung condition inactive resolved other text	LundCondInactResolvOthTxt	Free-text field to specify any other lung conditions the subject has had that are no longer active or are considered resolved or cured	Free-text field to specify any other lung conditions the subject has had that are no longer active or are considered resolved or cured	Other, specify:			Alphanumeric		Adult	Exploratory	1.00	2018-01-09 09:29:41.0	Medical History - Immune Module	General Health History	Participant History and Family History	255	Free-Form Entry
C57373	Medical history eye condition other text	MedHistEyeCondOthrTxt	Text describing another eye condition the subject has a medical history of	Text describing another eye condition the subject has a medical history o	Other, specify:			Alphanumeric		Adult	Exploratory	1.00	2018-01-05 14:20:56.0	Medical History - Immune Module	General Health History	Participant History and Family History	255	Free-Form Entry
C57711	Skin condition diagnosis type	SkinCondDiagnosTyp	Any type of the skin conditions listed that the subject has ever been diagnosed with	Any type of the skin conditions listed that the subject has ever been diagnosed wit	Condition diagnosed	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 10:09:26.0	Medical History - Immune Module	General Health History	Participant History and Family History		Multiple Pre-Defined Values Selected
C57273	Gut condition diagnosis year value	GutCondDiagnosYrVal	The year that the subject was diagnosed with gut condition(s)	The year that the subject was diagnosed with gut condition(s)	Year(s) of diagnosis			Numeric Values		Adult	Exploratory	1.00	2018-01-05 10:09:40.0	Medical History - Immune Module	General Health History	Participant History and Family History		Free-Form Entry