CDE Detailed Report

Disease: system
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
C57485 Ear nose throat condition inactive resolved type EarNoseThroatCondInactResTyp Element related to ear, nose, throat conditions that are considered no longer active or resolved Element related to ear, nose, throat conditions that are considered no longer active or resolved Condition(s) no longer active/resolved Chronic rhinitis (runny nose);Chronic sinusitis;Chronic/repeated otitis media (ear infections);Hay fever;Impaired hearing;Easy nasal bleeding;Nasal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 11:20:01.0 Medical History - Immune Module General Health History Participant History and Family History

Multiple Pre-Defined Values Selected
C57804 Blood immune condition inactive resolved type BldImmuneCondInactResolvTyp Any type of blood and/or immune system conditions that are no longer active in the subject or are considered resolved or cured Any type of blood and/or immune system conditions that are no longer active in the subject or are considered resolved or cure Condition no longer active/resolved Anemia;Sickle cell disease;Thalassemia;Hemochromatosis;Myeloproliferative disorders (myelodysplasia);Other, specify Anemia;Sickle cell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 16:57:15.0 Medical History - Immune Module General Health History Participant History and Family History

Multiple Pre-Defined Values Selected
C57321 Atopy allergic disorder condition diagnosis type AtopyAllDisordrCondDiagnosTyp The type of condition(s) that the participant/subject was diagnosed with in relation to his/her history of atopy/allergic disorders The type of condition(s) that the participant/subject was diagnosed with in relation to his/her history of atopy/allergic disorder Condition diagnosis Allergic rhinitis/hay fever;Asthma;Atopic dermatitis;Hives;Mast cell activation syndrome;Other, specify Allergic rhinitis/hay fever;Asthma;Atopic dermatitis;Hives;Mast cell activation syndrome;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

Multiple Pre-Defined Values Selected
C57363 ROME II criteria type ROMEIICritTyp The type of condition that is required for the ROME II criteria for Irritable Bowel Syndrome to be met The type of condition that is required for the ROME II criteria for Irritable Bowel Syndrome to be me Abdominal distention or pain Relieved with defecation;An onset associated with change in the form (appearance) of stool;Onset associated with change in the frequency of stool Relieved with defecation;An onset associated with change in the form (appearance) of stool;Onset associated with change in the frequency of stool Alphanumeric

Of at least 12 weeks duration (not necessarily consecutive weeks) in the preceding 12 months accompanied by two of the following three features of altered bowel habits.

 Adult Supplemental-Highly Recommended 1.00 2018-01-05 12:51:04.0 Medical History - Immune Module General Health History Participant History and Family History

Multiple Pre-Defined Values Selected
C57602 Gut condition active indicator GutCondActInd The indicator relating to whether the subject currently has an active gut condition The indicator relating to whether the subject currently has an active gut condition Condition active No;Yes No;Yes Alphanumeric Adult Exploratory 1.00 2018-01-09 11:27:55.0 Medical History - Immune Module General Health History Participant History and Family History

Single Pre-Defined Value Selected
C57266 Ear nose throat condition diagnosis year value EarNoseThroatCondDiagnosYrVal The year the subject was diagnosed with an ear, nose, throat condition The year the subject was diagnosed with an ear, nose, throat condition Year(s) of diagnosis Numeric Values Adult Exploratory 1.00 2018-01-05 10:02:54.0 Medical History - Immune Module General Health History Participant History and Family History

Free-Form Entry
C57881 Infection condition inactive resolved other text InfectCondInactResolvOthrTxt Text specifying an infection other than the ones already mentioned that is no longer active in the subject or is considered resolved or cured Text specifying an infection other than the ones already mentioned that is no longer active in the subject or is considered resolved or cure Other, specify: Alphanumeric Adult Exploratory 1.00 2018-01-11 13:09:26.0 Medical History - Immune Module General Health History Participant History and Family History 255

Free-Form Entry
C57383 Eye condition medication work well indicator EyeCondMedctnWorkWellInd The indicator relating to whether the subject's medication(s) for eye conditons is(are) working well The indicator relating to whether the subject's medication(s) for eye conditons is(are) working wel Medications work well Yes;No;Not applicable Yes;No;Not applicable Alphanumeric Adult Exploratory 1.00 2018-01-08 08:43:57.0 Medical History - Immune Module General Health History Participant History and Family History

Single Pre-Defined Value Selected
C57717 Skin condition medication work well indicator SkinCondMedWorkWellInd The indicator relating to whether the medication(s) the subject is taking for skin condition(s) is(are) working well The indicator relating to whether the medication(s) the subject is taking for skin condition(s) is(are) working wel Medication(s) work well Yes;No;Not applicable Yes;No;Not applicable Alphanumeric Adult Exploratory 1.00 2018-01-10 11:04:35.0 Medical History - Immune Module General Health History Participant History and Family History

Single Pre-Defined Value Selected
C57280 Food hypersensitivity reaction onset date FoodHypersensRxnOnsetDate The date of onset for reaction(s) as a result of food hypersensitivity The date of onset for reaction(s) as a result of food hypersensitivity Date of onset Date or Date & Time Adult Exploratory 1.00 2018-01-05 10:19:54.0 Medical History - Immune Module General Health History Participant History and Family History

Free-Form Entry
C57489 Lung condition diagnosed indicator LungCondDiagInd Indicator related to lung condition(s) the participant/subject has been diagnosed with Indicator related to lung condition(s) the participant/subject has been diagnosed with Condition diagnosed No;Yes No;Yes Alphanumeric Adult Exploratory 1.00 2018-01-08 12:33:33.0 Medical History - Immune Module General Health History Participant History and Family History

Single Pre-Defined Value Selected
C57805 Blood immune condition inactive resolved other text BldImmunCondInactResolvOthrTxt Text specifying a blood and/or immune system condition other than the ones previously mentioned that is no longer active in the subject or is considered resolved or cured Text specifying a blood and/or immune system condition other than the ones previously mentioned that is no longer active in the subject or is considered resolved or cure Other, specify: Alphanumeric Adult Exploratory 1.00 2018-01-10 17:00:23.0 Medical History - Immune Module General Health History Participant History and Family History 255

Free-Form Entry
C57323 Atopic allergy disorder condition diagnosed information status AllRhiHayFeverCondInfoStat Status for atopy/allergic disorder(s) with which the participant/subject has been diagnosed Status for atopy/allergic disorder(s) with which the participant/subject has been diagnosed If diagnosed: Condition active past one year;Condition currently active;Medications are taken for this condition;Medications taken daily for this condition Condition active past one year;Condition currently active;Medications are taken for this condition;Medications taken daily for this condition Alphanumeric Adult Exploratory 1.00 2018-01-05 10:54:30.0 Medical History - Immune Module General Health History Participant History and Family History

Multiple Pre-Defined Values Selected
CSV