CDE Detailed Report
Disease: Myalgic Encephalomyelitis/Chronic Fatigue Syndrome
Subdomain Name: General Health History
CRF: Family Health History
Displaying 1 - 41 of 41
Subdomain Name: General Health History
CRF: Family Health History
Displaying 1 - 41 of 41
| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| C58117 | Psychological other psychosis type text | PsycholOtherPsychosisTypTxt | Text of psychological other psychosis type that the subject's/participant's family relative has ever been diagnosed with | Text of psychological other psychosis type that the subject's/participant's family relative has ever been diagnosed wit | Other psychosis, Specify: | Alphanumeric | Adult;Pediatric | Supplemental-Highly Recommended | 1.00 | 2018-01-26 09:47:06.0 | Family Health History | General Health History | Participant History and Family History | 255 |
Free-Form Entry |
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| C19247 | Subject ID | SubIDNam | Subject identification ID | Subject identification ID | Subject ID: | Alphanumeric | Adult;Pediatric | Supplemental-Highly Recommended | 1.00 | 2014-06-05 13:10:49.0 | Family Health History | General Health History | Participant History and Family History | 255 |
Free-Form Entry |
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| C58095 | Family health problems gastrointestinal history type | FamHlthPrblmGIHistTyp | Any type of gastrointestinal health problem that the subject's/participant's family relative has ever been diagnosed with | Any type of gastrointestinal health problem that the subject's/participant's family relative has ever been diagnosed wit | Gastrointestinal | Stomach problems (e.g., gastro-esophageal reflux disorder (GERD/heartburn, ulcers, celiac disease, or other);Intestine problems (e.g., colon polyps, colon cancer, ulcerative colitis, Crohns disease, other) | Stomach problems (e.g., gastro-esophageal reflux disorder (GERD/heartburn, ulcers, celiac disease, or other);Intestine problems (e.g., colon polyps, colon cancer, ulcerative colitis, Crohns disease, other) | Alphanumeric | Adult;Pediatric | Supplemental-Highly Recommended | 1.00 | 2018-01-26 09:47:06.0 | Family Health History | General Health History | Participant History and Family History |
Multiple Pre-Defined Values Selected |
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| C58106 | Cardiovascular cholesterol type text | CardiovascCholesterolTypTxt | Text of cardiovascular cholesterol type that the subject's/participant's family relative has ever been diagnosed with | Text of cardiovascular cholesterol type that the subject's/participant's family relative has ever been diagnosed wit | High total or LDL cholesterol or tryglycerides, Specify: | Alphanumeric | Adult;Pediatric | Supplemental-Highly Recommended | 1.00 | 2018-01-26 09:47:06.0 | Family Health History | General Health History | Participant History and Family History | 255 |
Free-Form Entry |
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| C58118 | Other condition kidney problem type text | OthConditnsKidneyPrblmTyptTxt | Text of other conditions kidney problems type that the subject's/participant's family relative has ever been diagnosed with | Text of other conditions kidney problems type that the subject's/participant's family relative has ever been diagnosed wit | Kidney problems, Specify: | Alphanumeric | Adult;Pediatric | Supplemental-Highly Recommended | 1.00 | 2018-01-26 09:47:06.0 | Family Health History | 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 | Alphanumeric | Adult;Pediatric | Supplemental-Highly Recommended | 1.00 | 2014-06-05 16:38:14.0 | Family Health History | General Health History | Participant History and Family History | 4000 |
Free-Form Entry |
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| C58096 | Gastrointestinal stomach problems type text | GIStomachPrlblmTypTxt | Text of type of gastrointestinal stomach problems that the subject's/participant's family relative has ever been diagnosed with | Text of type of gastrointestinal stomach problems that the subject's/participant's family relative has ever been diagnosed wit | Stomach problems type, Specify: | Alphanumeric | Adult;Pediatric | Supplemental-Highly Recommended | 1.00 | 2018-01-26 09:47:06.0 | Family Health History | General Health History | Participant History and Family History | 255 |
Free-Form Entry |
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| C58107 | Cardiovascular heart disease type text | CardiovascHeartDiseaseTypTxt | Text of cardiovascular heart disease type that the subject's/participant's family relative has ever been diagnosed with | Text of cardiovascular heart disease type that the subject's/participant's family relative has ever been diagnosed wit | Heart disease, Specify: | Alphanumeric | Adult;Pediatric | Supplemental-Highly Recommended | 1.00 | 2018-01-26 09:47:06.0 | Family Health History | General Health History | Participant History and Family History | 255 |
Free-Form Entry |
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| C58119 | Other condition cancer type text | OthConditnCancerTyptTxt | Text of other conditions cancer type that the subject's/participant's family relative has ever been diagnosed with | Text of other conditions cancer type that the subject's/participant's family relative has ever been diagnosed wit | Specify type, site, age when diagnosed | Alphanumeric | Adult;Pediatric | Supplemental-Highly Recommended | 1.00 | 2018-01-26 09:47:06.0 | Family Health History | General Health History | Participant History and Family History | 255 |
Free-Form Entry |
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| C58086 | Family health problems history relative type | FamHlthProblmHistRelatvTyp | Field where participant/subject can indicate which family member(s) has a history of the listed health problem conditions | Field where participant/subject can indicate which family member(s) has a history of the listed health problem condition | Blood relative | Mother;Father;Brothers;Sisters;Son;Daughter | Mother;Father;Brothers;Sisters;Son;Daughter | Alphanumeric |
Indicate any of the following health problems have occurred to any blood relatives, including partient's parents, siblings (full and half), and children. Write Y for Yes, N for No, and D.K. for Don't' Know. |
Adult;Pediatric | Supplemental-Highly Recommended | 1.00 | 2018-01-25 16:54:19.0 | Family Health History | General Health History | Participant History and Family History |
Multiple Pre-Defined Values Selected |
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| C58097 | Family health problems neurological history type | FamHlthPrblmNeurologiclHistTyp | Any type of neurological health problems that the subject's/participant's family relative has ever been diagnosed with | Any type of neurological health problems that the subject's/participant's family relative has ever been diagnosed wit | Neurological | Seizures, convulsions, epilepsy, pseudoseizures;Parkinson's disease;Alzheimer's disease or other dementia(s);Multiple sclerosis;Stroke or TIA (mini-stroke);Primary sleep disorders: obstructive or central sleep apnea, narcolepsy, restless legs syndrome, other;Neuromuscular disorders: (e.g., Huntington's, amyotrophic lateral sclerosis, muscular dystrophy, myasthenia gravis) | Seizures, convulsions, epilepsy, pseudoseizures;Parkinson's disease;Alzheimer's disease or other dementia(s);Multiple sclerosis;Stroke or TIA (mini-stroke);Primary sleep disorders: obstructive or central sleep apnea, narcolepsy, restless legs syndrome, other;Neuromuscular disorders: (e.g., Huntington's, amyotrophic lateral sclerosis, muscular dystrophy, myasthenia gravis) | Alphanumeric | Adult;Pediatric | Supplemental-Highly Recommended | 1.00 | 2018-01-26 09:47:06.0 | Family Health History | General Health History | Participant History and Family History |
Multiple Pre-Defined Values Selected |
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| C58108 | Cardiovascular myopathy disease type text | CardiovascMyopthyDiseaseTypTxt | Text of cardiovascular myopathy disease type that the subject's/participant's family relative has ever been diagnosed with | Text of cardiovascular myopathy disease type that the subject's/participant's family relative has ever been diagnosed wit | Cardiomyopathy, Specify: | Alphanumeric | Adult;Pediatric | Supplemental-Highly Recommended | 1.00 | 2018-01-26 09:47:06.0 | Family Health History | General Health History | Participant History and Family History | 255 |
Free-Form Entry |
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| C58121 | Other condition fatigue syndrome type text | OthCondtnFatiqueSyndrmTyptTxt | Text of other conditions fatigue syndromes type that the subject's/participant's family relative has ever been diagnosed with | Text of other conditions fatigue syndromes type that the subject's/participant's family relative has ever been diagnosed wit | Fatigue syndromes, Specify: | Alphanumeric | Adult;Pediatric | Supplemental-Highly Recommended | 1.00 | 2018-01-26 09:47:06.0 | Family Health History | General Health History | Participant History and Family History | 255 |
Free-Form Entry |
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| C58087 | Family health problems blood disorders history type | FamHlthPrblmBloodDisordHistTyp | Any type of blood disorder(s) health problems that the subject's/participant's family relative has ever been diagnosed with | Any type of blood disorder(s) health problems that the subject's/participant's family relative has ever been diagnosed wit | Blood Disorders | Anemia requiring treatment/transfusions (iron deficiency, sickle cell, thalassemia);Bleeding disorder or blood clots in legs or lungs;Leukemia or lymphoma | Anemia requiring treatment/transfusions (iron deficiency, sickle cell, thalassemia);Bleeding disorder or blood clots in legs or lungs;Leukemia or lymphoma | Alphanumeric | Adult;Pediatric | Supplemental-Highly Recommended | 1.00 | 2018-01-26 09:47:06.0 | Family Health History | General Health History | Participant History and Family History |
Multiple Pre-Defined Values Selected |
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| C58098 | Neurological seizure type text | NeurologiclSeizureTypTxt | Text of type of neurological seizures that the subject's/participant's family relative has ever been diagnosed with | Text of type of neurological seizures that the subject's/participant's family relative has ever been diagnosed wit | Seizures, Specify: | Alphanumeric | Adult;Pediatric | Supplemental-Highly Recommended | 1.00 | 2018-01-26 09:47:06.0 | Family Health History | General Health History | Participant History and Family History | 255 |
Free-Form Entry |
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| C58109 | Cardiovascular arrhythmia disease type text | CardiovascArrhythDiseaseTypTxt | Text of cardiovascular arrhythmia disease type that the subject's/participant's family relative has ever been diagnosed with | Text of cardiovascular arrhythmia disease type that the subject's/participant's family relative has ever been diagnosed wit | Heart arrhythmia, atrial fibrillation, fainting, pacemaker, Specify: | Alphanumeric | Adult;Pediatric | Supplemental-Highly Recommended | 1.00 | 2018-01-26 09:47:06.0 | Family Health History | General Health History | Participant History and Family History | 255 |
Free-Form Entry |
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| C58122 | Other condition other gynecological condition type text | OthCondtnOthGyneclCondTyptTxt | Text of other conditions other gynecological condition type that the subject's/participant's family relative has ever been diagnosed with | Text of other conditions other gynecological condition type that the subject's/participant's family relative has ever been diagnosed wit | Other gynecological conditions, Specify: | Alphanumeric | Adult;Pediatric | Supplemental-Highly Recommended | 1.00 | 2018-01-26 09:47:06.0 | Family Health History | General Health History | Participant History and Family History | 255 |
Free-Form Entry |
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| C58088 | Blood disorders anemia type text | BloodDisordAnemiaTypTxt | Text of anemia type blood disorder that the subject's/participant's family relative has ever been diagnosed with | Text of anemia type blood disorder that the subject's/participant's family relative has ever been diagnosed wit | Anemia requiring treatment/transfusions, Specify: | Alphanumeric | Adult;Pediatric | Supplemental-Highly Recommended | 1.00 | 2018-01-26 09:47:06.0 | Family Health History | General Health History | Participant History and Family History | 255 |
Free-Form Entry |
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| C58099 | Family health problems rheumatological history type | FamHlthPrblmRheumatolHistTyp | Type of rheumatological health problems that the subject's/participant's family relative has ever been diagnosed with | Type of rheumatological health problems that the subject's/participant's family relative has ever been diagnosed wit | Rheumatological | Osteoarthritis (specify major joints involved if possible);Rheumatoid arthritis, Systemic Lupus, Sjogren's, Polymyalgia Rheumatica, or other;Fibromyalgia or myofascial pain syndrome | Osteoarthritis (specify major joints involved if possible);Rheumatoid arthritis, Systemic Lupus, Sjogren's, Polymyalgia Rheumatica, or other;Fibromyalgia or myofascial pain syndrome | Alphanumeric | Adult;Pediatric | Supplemental-Highly Recommended | 1.00 | 2018-01-26 09:47:06.0 | Family Health History | General Health History | Participant History and Family History |
Multiple Pre-Defined Values Selected |
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| C58110 | Endocrine metabolic diabetes type text | EnocrnMetabDiabetesTypTxt | Text of endocrine/metabolic diabetes type of that the subject's/participant's family relative has ever been diagnosed with | Text of endocrine/metabolic diabetes type of that the subject's/participant's family relative has ever been diagnosed wit | Diabetes type, Specify: | Alphanumeric | Adult;Pediatric | Supplemental-Highly Recommended | 1.00 | 2018-01-26 09:47:06.0 | Family Health History | General Health History | Participant History and Family History | 255 |
Free-Form Entry |
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| C58123 | Other condition other birth defect type text | OthCondtnBirthDefectTyptTxt | Text of other conditions birth defect type that the subject's/participant's family relative has ever been diagnosed with | Text of other conditions birth defect type that the subject's/participant's family relative has ever been diagnosed wit | Specify defect: | Alphanumeric | Adult;Pediatric | Supplemental-Highly Recommended | 1.00 | 2018-01-26 09:47:06.0 | Family Health History | General Health History | Participant History and Family History | 255 |
Free-Form Entry |
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| C58089 | Family health problems cardiovascular history type | FamHlthPrblmCardiovascHistTyp | Any type of cardiovascular health problems that the subject's/participant's family relative has ever been diagnosed with | Any type of cardiovascular health problems that the subject's/participant's family relative has ever been diagnosed wit | Cardiovascular | High blood pressure (hypertension);Very low blood pressure, orthostatic hypotension;High total or LDL (''bad'') cholesterol, or triglycerides;Heart attack, coronary artery disease, angina, bypass surgery, stent placement, other;Cardiomyopathy, myocarditis, heart value disease, heart failure, other;Heart arrhythmia, atrial fibrillation, fainting, pacemaker;Raynaud's phenomenon/syndrome | High blood pressure (hypertension);Very low blood pressure, orthostatic hypotension;High total or LDL (''bad'') cholesterol, or triglycerides;Heart attack, coronary artery disease, angina, bypass surgery, stent placement, other;Cardiomyopathy, myocarditis, heart value disease, heart failure, other;Heart arrhythmia, atrial fibrillation, fainting, pacemaker;Raynaud's phenomenon/syndrome | Alphanumeric | Adult;Pediatric | Supplemental-Highly Recommended | 1.00 | 2018-01-26 09:47:06.0 | Family Health History | General Health History | Participant History and Family History |
Multiple Pre-Defined Values Selected |
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| C58100 | Rheumatological arthritis type text | RheumatolArthritisTypTxt | Text of rheumatological arthritis type that the subject's/participant's family relative has ever been diagnosed with | Text of rheumatological arthritis type that the subject's/participant's family relative has ever been diagnosed wit | Arthritis type, Specify: | Alphanumeric | Adult;Pediatric | Supplemental-Highly Recommended | 1.00 | 2018-01-26 09:47:06.0 | Family Health History | General Health History | Participant History and Family History | 255 |
Free-Form Entry |
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| C58111 | Endocrine metabolic endocrine disorder type text | EnocrnMetabEndocrnDisordTypTxt | Text of endocrine/metabolic endocrine disorder type of that the subject's/participant's family relative has ever been diagnosed with | Text of endocrine/metabolic endocrine disorder type of that the subject's/participant's family relative has ever been diagnosed wit | Other endocrine disorder, Specify: | Alphanumeric | Adult;Pediatric | Supplemental-Highly Recommended | 1.00 | 2018-01-26 09:47:06.0 | Family Health History | General Health History | Participant History and Family History | 255 |
Free-Form Entry |
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| C58124 | Other condition other important condition type text | OthCondtnOthImprtCondTyptTxt | Text of other conditions other important conditions type that the subject's/participant's family relative has ever been diagnosed with | Text of other conditions other important conditions type that the subject's/participant's family relative has ever been diagnosed wit | Other important conditions, Specify: | Alphanumeric | Adult;Pediatric | Supplemental-Highly Recommended | 1.00 | 2018-01-26 09:47:06.0 | Family Health History | General Health History | Participant History and Family History | 255 |
Free-Form Entry |
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| C58090 | Cardiovascular low blood pressure type text | CardiovascLowBloodPressTypTxt | Text of cardiovascular low blood pressure type that the subject's/participant's family relative has ever been diagnosed with | Text of cardiovascular low blood pressure type that the subject's/participant's family relative has ever been diagnosed wit | Very low blodd pressure, Specify: | Alphanumeric | Adult;Pediatric | Supplemental-Highly Recommended | 1.00 | 2018-01-26 09:47:06.0 | Family Health History | General Health History | Participant History and Family History | 255 |
Free-Form Entry |
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| C58101 | Family health problems psychological history type | FamHlthPrblmPsycholHistTyp | Type of psychological health problems that the subject's/participant's family relative has ever been diagnosed with | Type of psychological health problems that the subject's/participant's family relative has ever been diagnosed wit | Psychological | Anxiety/panic disorder;Depression;Anorexia or bulimia;Substance abuse (alcohol, drugs);Obsessive-compulsive disorder, attention deficit disorder;Bipolar disorder/manic depressive disorder;Other type of psychosis | Anxiety/panic disorder;Depression;Anorexia or bulimia;Substance abuse (alcohol, drugs);Obsessive-compulsive disorder, attention deficit disorder;Bipolar disorder/manic depressive disorder;Other type of psychosis | Alphanumeric | Adult;Pediatric | Supplemental-Highly Recommended | 1.00 | 2018-01-26 09:47:06.0 | Family Health History | General Health History | Participant History and Family History |
Multiple Pre-Defined Values Selected |
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| C58113 | Gastrointestinal intestine problems type text | GIIntestinePrlblmTypTxt | Text of type of gastrointestinal intestine problems that the subject's/participant's family relative has ever been diagnosed with | Text of type of gastrointestinal intestine problems that the subject's/participant's family relative has ever been diagnosed wit | Intestine problems, Specify: | Alphanumeric | Adult;Pediatric | Supplemental-Highly Recommended | 1.00 | 2018-01-26 09:47:06.0 | Family Health History | General Health History | Participant History and Family History | 255 |
Free-Form Entry |
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| C58091 | Family health problems chest history type | FamHlthPrblmChestHistTyp | Any type of chest health problems that the subject's/participant's family relative has ever been diagnosed with | Any type of chest health problems that the subject's/participant's family relative has ever been diagnosed wit | Chest | Lung or breathing problems (asthma, COPD, other) | Lung or breathing problems (asthma, COPD, other) | Alphanumeric | Adult;Pediatric | Supplemental-Highly Recommended | 1.00 | 2018-01-26 09:47:06.0 | Family Health History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C58102 | Obsessive compulsive attention deficit disorder type text | ObsComplsAttnDefctlDsordTypTxt | Text of obsessive compulsive or attention deficit disorder type that the subject's/participant's family relative has ever been diagnosed with | Text of obsessive compulsive or attention deficit disorder type that the subject's/participant's family relative has ever been diagnosed wit | Obsessive-compulsive disorder, attention deficit disorder, Specify: | Alphanumeric | Adult;Pediatric | Supplemental-Highly Recommended | 1.00 | 2018-01-26 09:47:06.0 | Family Health History | General Health History | Participant History and Family History | 255 |
Free-Form Entry |
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| C58114 | Neurological Alzheimer disease type text | NeurologiclAlzheimerDisTypTxt | Text of type of neurological Alzheimer disease that the subject's/participant's family relative has ever been diagnosed with | Text of type of neurological Alzheimer disease that the subject's/participant's family relative has ever been diagnosed wit | Specify type and age of onset: | Alphanumeric | Adult;Pediatric | Supplemental-Highly Recommended | 1.00 | 2018-01-26 09:47:06.0 | Family Health History | General Health History | Participant History and Family History | 255 |
Free-Form Entry |
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| C58092 | Chest lung breathing problem type text | ChestLungBreathPrblmTypTxt | Text of type of lung or breathing problems that the subject's/participant's family relative has ever been diagnosed with | Text of type of lung or breathing problems that the subject's/participant's family relative has ever been diagnosed wit | Lung or breathing problems, Specify: | Alphanumeric | Adult;Pediatric | Supplemental-Highly Recommended | 1.00 | 2018-01-26 09:47:06.0 | Family Health History | General Health History | Participant History and Family History | 255 |
Free-Form Entry |
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| C58103 | Family health problem other condition history type | FamHlthPrblmOthConditnHistTyp | Type of other conditions health problems that the subject's/participant's family relative has ever been diagnosed with | Type of other conditions health problems that the subject's/participant's family relative has ever been diagnosed wit | Other conditions | Allergies: nasal, skin (eczema), asthma, food, hives, anaphylaxis, other;Kidney or bladder stones or infections, or other urine system problems;Cancer;Irritable bowel syndrome (IBS);Multiple chemical sensitivities (MCS);Temporo-mandibular joint disorder (TMJ);Migraine headaches;Gulf War Syndrome;Chronic fatigue syndrome, post-infectious fatigue syndrome, myalgic encephalomyelitis (ME), other;Frequent fatigue of uncertain cause (not ME or CFS);Polycystic ovaries, polycystic ovarian syndrome;Infertility;Endometriosis;Other gynecologic condition;Birth, familial or genetic defects, Marfan Syndrome, Ehlers Danlos Syndrome;Other important conditions (including autoimmune diseases) | Allergies: nasal, skin (eczema), asthma, food, hives, anaphylaxis, other;Kidney or bladder stones or infections, or other urine system problems;Cancer;Irritable bowel syndrome (IBS);Multiple chemical sensitivities (MCS);Temporo-mandibular joint disorder (TMJ);Migraine headaches;Gulf War Syndrome;Chronic fatigue syndrome, post-infectious fatigue syndrome, myalgic encephalomyelitis (ME), other;Frequent fatigue of uncertain cause (not ME or CFS);Polycystic ovaries, polycystic ovarian syndrome;Infertility;Endometriosis;Other gynecologic condition;Birth, familial or genetic defects, Marfan Syndrome, Ehlers Danlos Syndrome;Other important conditions (including autoimmune diseases) | Alphanumeric | Adult;Pediatric | Supplemental-Highly Recommended | 1.00 | 2018-01-26 09:47:06.0 | Family Health History | General Health History | Participant History and Family History |
Multiple Pre-Defined Values Selected |
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| C58115 | Neurological sleep disorder type text | NeurologiclSleepDisTypTxt | Text of type of neurological sleep disorder that the subject's/participant's family relative has ever been diagnosed with | Text of type of neurological sleep disorder that the subject's/participant's family relative has ever been diagnosed wit | Sleep disorders, Specify: | Alphanumeric | Adult;Pediatric | Supplemental-Highly Recommended | 1.00 | 2018-01-26 09:47:06.0 | Family Health History | General Health History | Participant History and Family History | 255 |
Free-Form Entry |
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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;Pediatric | Supplemental-Highly Recommended | 3.00 | 2013-06-21 00:00:00.0 | Family Health History | General Health History | Participant History and Family History | 255 |
Free-Form Entry |
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| C58093 | Family health problems endocrine metabolic history type | FamHlthPrblmEndocrMetabHistTyp | Any type of endocrine/metabolic health problem that the subject's/participant's family relative has ever been diagnosed with | Any type of endocrine/metabolic health problem that the subject's/participant's family relative has ever been diagnosed wit | Endocrine/Metabolic | Diabetes (indicate if type I, type II);Metabolic syndrome or pre-diabetes;Obesity;Pituitary, adrenal, or other endocrine disorder;Thyroid disease: Hypothyroid (underactive thyroid, like Hashimoto's), overactive thyroid, thyroid nodules, thyroid cancer, other | Diabetes (indicate if type I, type II);Metabolic syndrome or pre-diabetes;Obesity;Pituitary, adrenal, or other endocrine disorder;Thyroid disease: Hypothyroid (underactive thyroid, like Hashimoto's), overactive thyroid, thyroid nodules, thyroid cancer, other | Alphanumeric | Adult;Pediatric | Supplemental-Highly Recommended | 1.00 | 2018-01-26 09:47:06.0 | Family Health History | General Health History | Participant History and Family History |
Multiple Pre-Defined Values Selected |
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| C58104 | Other condition allergy type text | OthConditnAllergyTyptTxt | Text of other conditions allergies type that the subject's/participant's family relative has ever been diagnosed with | Text of other conditions allergies type that the subject's/participant's family relative has ever been diagnosed wit | Allergies, Specify: | Alphanumeric | Adult;Pediatric | Supplemental-Highly Recommended | 1.00 | 2018-01-26 09:47:06.0 | Family Health History | General Health History | Participant History and Family History | 255 |
Free-Form Entry |
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| C58116 | Neurological neuromuscular disorder type text | NeurologiclNeuromuscDisTypTxt | Text of type of neurological neuromuscular disorder that the subject's/participant's family relative has ever been diagnosed with | Text of type of neurological neuromuscular disorder that the subject's/participant's family relative has ever been diagnosed wit | Neuromuscular disorders, Specify: | Alphanumeric | Adult;Pediatric | Supplemental-Highly Recommended | 1.00 | 2018-01-26 09:47:06.0 | Family Health History | General Health History | Participant History and Family History | 255 |
Free-Form Entry |
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| C18027 | Comment text | CmmntTxt | Provide any additional information that pertains to the question | Provide any additional information that pertains to the question | Comments | Alphanumeric | Adult;Pediatric | Supplemental-Highly Recommended | 3.00 | 2013-07-16 14:01:43.01 | Family Health History | General Health History | Participant History and Family History | 4000 |
Free-Form Entry |
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| C58094 | Endocrine metabolic thyroid disease type text | EnocrnMetabThyroidDisTypTxt | Text of endocrine/metabolic thyroid disease type of that the subject's/participant's family relative has ever been diagnosed with | Text of endocrine/metabolic thyroid disease type of that the subject's/participant's family relative has ever been diagnosed wit | Thyroid disease, Specify: | Alphanumeric | Adult;Pediatric | Supplemental-Highly Recommended | 1.00 | 2018-01-26 09:47:06.0 | Family Health History | General Health History | Participant History and Family History | 255 |
Free-Form Entry |
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| C58105 | Blood disorders bleeding disorder type text | BloodDisordBleedngDisordTypTxt | Text of bleedintg disorder type blood disorder that the subject's/participant's family relative has ever been diagnosed with | Text of bleedintg disorder type blood disorder that the subject's/participant's family relative has ever been diagnosed wit | Bleeding disorder or blood clots, Specify: | Alphanumeric | Adult;Pediatric | Supplemental-Highly Recommended | 1.00 | 2018-01-26 09:47:06.0 | Family Health History | General Health History | Participant History and Family History | 255 |
Free-Form Entry |
