CDE Detailed Report
Disease: Myalgic Encephalomyelitis/Chronic Fatigue Syndrome
Subdomain Name: General Health History
CRF: Past and Current Illnesses
Displaying 1 - 50 of 55
Subdomain Name: General Health History
CRF: Past and Current Illnesses
Displaying 1 - 50 of 55
| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| C58238 | Past current blood disorders illness type | PastCurrBloodDisordIllnessTyp | Any type of past and current blood disorder(s) illnesses that the subject/participant has ever been diagnosed with | Any type of past and current blood disorder(s) illnesses that the subject/participant has ever been diagnosed wit | Blood disorders | Anemia requiring treatment or blood transfusions;Blood clot disorder (clots in legs, lungs);Malaria;Mononucleosis;Other bleeding disorder;Other blood disorders;Sickle cell disease;Thrombocytopenia (low platelets);Sickle cell trait | Anemia requiring treatment or blood transfusions;Blood clot disorder (clots in legs, lungs);Malaria;Mononucleosis;Other bleeding disorder;Other blood disorders;Sickle cell disease;Thrombocytopenia (low platelets);Sickle cell trait | Alphanumeric | Adult;Pediatric | Core | 1.00 | 2018-02-06 21:34:24.0 | Past and Current Illnesses | General Health History | Participant History and Family History |
Multiple Pre-Defined Values Selected |
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| C58352 | Other psychosis type text | OthrPsychosisTypTxt | Text of type of other psychosis that the subject/participant has ever been diagnosed with | Text of type of other psychosis that the subject/participant has ever been diagnosed wit | Specify: | Alphanumeric | Adult;Pediatric | Core | 1.00 | 2018-02-08 10:03:58.0 | Past and Current Illnesses | General Health History | Participant History and Family History | 255 |
Free-Form Entry |
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| C58302 | Other chronic lung condition text | OthrChronicLungConditnTxt | Specifies other chronic lung condition not listed in the table | Specifies other chronic lung condition not listed in the tabl | Specify: | Alphanumeric | Adult;Pediatric | Core | 1.00 | 2018-02-07 10:47:11.0 | Past and Current Illnesses | General Health History | Participant History and Family History | 255 |
Free-Form Entry |
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| C58370 | Past surgery type indicator | PastSurgeryTypInd | Indicator of whether a past surgery(ies)was performed on subject/participant | Indicator of whether a past surgery(ies)was performed on subject/participan | Yes No | No;Yes | No;Yes | Alphanumeric |
Indicate whether or not the type of surgery was performed on subject/participant. |
Adult;Pediatric | Core | 1.00 | 2018-02-08 11:55:54.0 | Past and Current Illnesses | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C58330 | Muscle disease text | MuscleDiseaseTxt | Text specifying muscle disease that the subject/participant has ever been diagnosed with | Text specifying muscle disease that the subject/participant has ever been diagnosed wit | Specify: | Alphanumeric | Adult;Pediatric | Core | 1.00 | 2018-02-07 15:11:30.0 | Past and Current Illnesses | General Health History | Participant History and Family History | 255 |
Free-Form Entry |
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| C58239 | Past current cardiovascular illness type | PastCurrCardiovasclrIllnessTyp | Any type of past and current cardiovascular illnesses that the subject/participant has ever been diagnosed with | Any type of past and current cardiovascular illnesses that the subject/participant has ever been diagnosed wit | Cardiovascular | Cardiomyopathy, myocarditis;Heart attack, coronary artery disease, angina, bypass surgery, stent placement, other;Heart failure;Heart murmur;Heart rhythm problem: atrial fibrillation, pacemaker;High blood pressure (hypertension);High total or LDL (''bad'') cholesterol, or triglycerides;Irregular heart beat or palpitations;Malfunctioning heart valves;Orthostatic intolerance or POTS;Other cardiovascular conditions;Peripheral arterial disease;Very low blood pressure | Cardiomyopathy, myocarditis;Heart attack, coronary artery disease, angina, bypass surgery, stent placement, other;Heart failure;Heart murmur;Heart rhythm problem: atrial fibrillation, pacemaker;High blood pressure (hypertension);High total or LDL (''bad'') cholesterol, or triglycerides;Irregular heart beat or palpitations;Malfunctioning heart valves;Orthostatic intolerance or POTS;Other cardiovascular conditions;Peripheral arterial disease;Very low blood pressure | Alphanumeric | Adult;Pediatric | Core | 1.00 | 2018-02-06 22:00:54.0 | Past and Current Illnesses | General Health History | Participant History and Family History |
Multiple Pre-Defined Values Selected |
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| C58353 | Other skin problems type text | OthrSkinProblemsTypTxt | Text of type of other skin problems that the subject/participant has ever been diagnosed with | Text of type of other skin problems that the subject/participant has ever been diagnosed wit | Specify: | Alphanumeric | Adult;Pediatric | Core | 1.00 | 2018-02-08 10:03:58.0 | Past and Current Illnesses | General Health History | Participant History and Family History | 255 |
Free-Form Entry |
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| C58314 | Past current ear nose throat condition type | PastCurrEarNoseThroatCondtnTyp | Any type of past and current ear, nose, and throat conditions that the subject/participant has ever been diagnosed with | Any type of past and current ear, nose, and throat conditions that the subject/participant has ever been diagnosed wit | Ear/Nose/Throat conditions | Bleeding gums (gingivitis);Frequent ear infections;Frequent sinus infections;Frequent throat infection (pharyngitis);Hearing Loss;Nasal allergies/rhinitis;Nasal polyps;Recurrent infections of tonsils;Tinnitus (ringing or sounds in the ears) | Bleeding gums (gingivitis);Frequent ear infections;Frequent sinus infections;Frequent throat infection (pharyngitis);Hearing Loss;Nasal allergies/rhinitis;Nasal polyps;Recurrent infections of tonsils;Tinnitus (ringing or sounds in the ears) | Alphanumeric | Adult;Pediatric | Core | 1.00 | 2018-02-07 11:59:12.0 | Past and Current Illnesses | General Health History | Participant History and Family History |
Multiple Pre-Defined Values Selected |
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| C58372 | Past surgery performed institution name | PastSurgyPerformdInstitutnName | Name of institution in which the subject/participant had surgery performed | Name of institution in which the subject/participant had surgery performe | Institution/City Surgery Performed | Alphanumeric |
Provide name of institution where surgery was performed. |
Adult;Pediatric | Core | 1.00 | 2018-02-08 12:00:39.0 | Past and Current Illnesses | General Health History | Participant History and Family History | 255 |
Free-Form Entry |
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| C58331 | Other autoimmune disease text | OthrAutoimmuneDiseaseTxt | Specifies other autoimmune disease not listed in the table | Specifies other autoimmune disease not listed in the tabl | Specify: | Alphanumeric | Adult;Pediatric | Core | 1.00 | 2018-02-07 15:16:00.0 | Past and Current Illnesses | General Health History | Participant History and Family History | 255 |
Free-Form Entry |
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| C58271 | Past current cardiovascular heart disease type text | PastCurrCardiovascHrtDisTypTxt | Text of past and current cardiovascular heart disease type that the subject/participant has ever been diagnosed with | Text of past and current cardiovascular heart disease type that the subject/participant has ever been diagnosed wit | Specify: | Alphanumeric | Adult;Pediatric | Core | 1.00 | 2018-01-26 09:47:06.0 | Past and Current Illnesses | General Health History | Participant History and Family History | 255 |
Free-Form Entry |
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| C58354 | Other cancer type text | OthrCancerTypTxt | Text of type of other cancer(s) that the subject/participant has ever been diagnosed with | Text of type of other cancer(s) that the subject/participant has ever been diagnosed wit | Specify: | Alphanumeric | Adult;Pediatric | Core | 1.00 | 2018-02-08 10:03:58.0 | Past and Current Illnesses | General Health History | Participant History and Family History | 255 |
Free-Form Entry |
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| C58316 | Past current eye condition type | PastCurrEyeConditnTyp | Any type of past and current eye conditions that the subject/participant has ever been diagnosed with | Any type of past and current eye conditions that the subject/participant has ever been diagnosed wit | Eye conditions | Cataracts;Glaucoma;Optic neuritis;Other eye condition | Cataracts;Glaucoma;Optic neuritis;Other eye condition | Alphanumeric | Adult;Pediatric | Core | 1.00 | 2018-02-07 12:07:02.0 | Past and Current Illnesses | General Health History | Participant History and Family History |
Multiple Pre-Defined Values Selected |
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| C58373 | Past surgery performed city name | PastSurgyPerformedCityName | Name of city where the subject/participant had surgery performed | Name of city where the subject/participant had surgery performe | Institution/City Surgery Performed | Alphanumeric |
Provide name of city where surgery was performed. |
Adult;Pediatric | Core | 1.00 | 2018-02-08 12:00:39.0 | Past and Current Illnesses | General Health History | Participant History and Family History | 255 |
Free-Form Entry |
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| C58341 | Past current psychological illness type | PastCurrPsychologiclIllnessTyp | Any type of past and current psychological illnesses that the subject/participant has ever been diagnosed with | Any type of past and current psychological illnesses that the subject/participant has ever been diagnosed wit | Psychological | Alcohol abuse/dependency;Anorexia or bulimia;Anxiety;Attention deficit disorder (ADD or ADHD);Depression;Drug Abuse;Manic depressive or bipolar disorder;Obsessive-compulsive disorder (OCD);Other type of psychosis;PTSD | Alcohol abuse/dependency;Anorexia or bulimia;Anxiety;Attention deficit disorder (ADD or ADHD);Depression;Drug Abuse;Manic depressive or bipolar disorder;Obsessive-compulsive disorder (OCD);Other type of psychosis;PTSD | Alphanumeric | Adult;Pediatric | Core | 1.00 | 2018-02-08 09:27:00.0 | Past and Current Illnesses | General Health History | Participant History and Family History |
Multiple Pre-Defined Values Selected |
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| C10559 | Spontaneous miscarriage count | SpontaneousMiscarriageCt | Value representing the number of times the participant/subject has had miscarriages or spontaneous abortions, including all trimesters | Value representing the number of times the participant/subject has had miscarriages or spontaneous abortions, including all trimesters | Specify how many: | Numeric Values | Adult;Pediatric | Core | 3.00 | 2013-07-11 15:03:49.2 | Past and Current Illnesses | General Health History | Participant History and Family History |
Free-Form Entry |
0 | 99 | ||||||||||
| C58275 | Past current cardiovascular cholesterol type text | PastCurrCardiovasCholestTypTxt | Text of past current cardiovascular cholesterol type that the subject/participant has ever been diagnosed with | Text of past current cardiovascular cholesterol type that the subject/participant has ever been diagnosed wit | Specify: | Alphanumeric | Adult;Pediatric | Core | 1.00 | 2018-02-07 10:41:31.0 | Past and Current Illnesses | General Health History | Participant History and Family History | 255 |
Free-Form Entry |
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| C58355 | Other sexually transmitted diseases type text | OthrSexTransmitDiseasesTypTxt | Any other type of past and current sexually transmitted diseases that the subject/participant has ever been diagnosed with | Any other type of past and current sexually transmitted diseases that the subject/participant has ever been diagnosed wit | Specify: | Alphanumeric | Adult;Pediatric | Core | 1.00 | 2018-02-08 10:15:53.0 | Past and Current Illnesses | General Health History | Participant History and Family History | 500 |
Free-Form Entry |
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| C58317 | Past current endocrine metabolic illness type | PastCurrEndocrMetabIllnessTyp | Any type of endocrine and metabolic illnesses that the subject/participant has ever been diagnosed with | Any type of endocrine and metabolic illnesses that the subject/participant has ever been diagnosed wit | Endocrine and metabolic | Diabetes (indicate if type I, type II);Hypoglycemia (low blood sugar);Metabolic syndrome or pre-diabetes;Overactive adrenal (Cushing disease);Overactive thyroid (hyperthyroidism);Overweight/obesity;Pituitary gland disorder;Thyroid nodules or cancer;Underactive adrenal (Addison disease);Underactive thyroid (hypothyroidism) | Diabetes (indicate if type I, type II);Hypoglycemia (low blood sugar);Metabolic syndrome or pre-diabetes;Overactive adrenal (Cushing disease);Overactive thyroid (hyperthyroidism);Overweight/obesity;Pituitary gland disorder;Thyroid nodules or cancer;Underactive adrenal (Addison disease);Underactive thyroid (hypothyroidism) | Alphanumeric | Adult;Pediatric | Core | 1.00 | 2018-02-07 12:12:23.0 | Past and Current Illnesses | General Health History | Participant History and Family History |
Multiple Pre-Defined Values Selected |
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| C58374 | Other surgery performed text | OthrSurgeryPerformedTxt | Free-text field to specify other surgery(ies) performed on participant | Free text field to specify other surgery(ies) performed on participant | List Other Surgeries: | Alphanumeric | Adult;Pediatric | Core | 1.10 | 2024-02-29 15:42:41.0 | Past and Current Illnesses | General Health History | Participant History and Family History | 255 |
Free-Form Entry |
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| C58343 | Past current skin problems type | PastCurrSkinProblemsTyp | Any type of past and current skin problems that the subject/participant has ever been diagnosed with | Any type of past and current skin problems that the subject/participant has ever been diagnosed wit | Skin problems | Contact dermatitis;Eczema;Hives;Mastocytosis;Other skin problems;Psoriasis | Contact dermatitis;Eczema;Hives;Mastocytosis;Other skin problems;Psoriasis | Alphanumeric | Adult;Pediatric | Core | 1.00 | 2018-02-08 09:34:15.0 | Past and Current Illnesses | General Health History | Participant History and Family History |
Multiple Pre-Defined Values Selected |
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| C11063 | Parity maternal value | ParityMaternalVal | Number of live born children the participant's/subject's mother has delivered | Number of live born children the participant's/subject's mother has delivered | Specify how many: | Numeric Values | Adult;Pediatric | Core | 3.00 | 2013-07-10 11:37:29.993 | Past and Current Illnesses | General Health History | Participant History and Family History |
Free-Form Entry |
0 | 99 | ||||||||||
| C58278 | Other bleeding disorder text | OthrBleedingDisordTxt | Specifies other bleeding disorder not listed in the table | Specifies other bleeding disorder not listed in the tabl | Specify: | Alphanumeric | Adult;Pediatric | Core | 1.00 | 2018-02-07 10:47:11.0 | Past and Current Illnesses | General Health History | Participant History and Family History | 500 |
Free-Form Entry |
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| C58356 | Other kidney problem type text | OthrKidneyProblmTypTxt | Text of type of other kidney problems that the subject/participant has ever been diagnosed with | Text of type of other kidney problems that the subject/participant has ever been diagnosed wit | Specify: | Alphanumeric | Adult;Pediatric | Core | 1.00 | 2018-02-08 10:21:38.0 | Past and Current Illnesses | General Health History | Participant History and Family History | 255 |
Free-Form Entry |
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| C58318 | Other eye condition text | OthrEyeuConditionTxt | Specifies other eye condition not listed in the table | Specifies other eye condition not listed in the tabl | Specify: | Alphanumeric | Adult;Pediatric | Core | 1.00 | 2018-02-07 12:13:41.0 | Past and Current Illnesses | General Health History | Participant History and Family History | 255 |
Free-Form Entry |
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| C58344 | Past current tumors cancer illness type | PastCurrTumorsCancIllnessTyp | Any type of past and current tumors or cancer illnesses that the subject/participant has ever been diagnosed with | Any type of past and current tumors or cancer illnesses that the subject/participant has ever been diagnosed wit | Tumors/Cancer | Bladder cancer;Breast cancer;Colorectal cancer;Kidney cancer;Leukemia;Lung cancer;Lymphoma;Melanoma;Non-melanoma skin cancer;Other cancer(s);Prostate cancer | Bladder cancer;Breast cancer;Colorectal cancer;Kidney cancer;Leukemia;Lung cancer;Lymphoma;Melanoma;Non-melanoma skin cancer;Other cancer(s);Prostate cancer | Alphanumeric | Adult;Pediatric | Core | 1.00 | 2018-02-08 09:36:18.0 | Past and Current Illnesses | General Health History | Participant History and Family History |
Multiple Pre-Defined Values Selected |
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| C11065 | Gravida maternal value | GravidaMaternalVal | Total number of times the participant's/subject's mother has been pregnant, regardless of whether these pregnancies were carried to term | Total number of times the participant's/subject's mother has been pregnant, regardless of whether these pregnancies were carried to term | Specify how many: | Numeric Values | Adult;Pediatric | Core | 3.00 | 2013-07-25 08:54:08.2 | Past and Current Illnesses | General Health History | Participant History and Family History |
Free-Form Entry |
1 | 99 | ||||||||||
| C58282 | Blood clot disorder text | BloodClotDisorderTxt | Specifies blood clot disorder that subject/participant has ever been diagnosed with | Specifies blood clot disorder that subject/participant has ever been diagnosed wit | Specify: | Alphanumeric | Adult;Pediatric | Core | 1.00 | 2018-02-07 10:59:34.0 | Past and Current Illnesses | General Health History | Participant History and Family History | 255 |
Free-Form Entry |
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| C58357 | Other genital infections type text | OthrGenitalInfectionsTypTxt | Text of type of other genital infections that the subject/participant has ever been diagnosed with | Text of type of other genital infections that the subject/participant has ever been diagnosed wit | Specify: | Alphanumeric | Adult;Pediatric | Core | 1.00 | 2018-02-08 10:21:38.0 | Past and Current Illnesses | General Health History | Participant History and Family History | 255 |
Free-Form Entry |
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| C58319 | Past current gastrointestinal illness type | PastCurrGIIllnessTyp | Any type of past and current gastrointestinal illnesses that the subject/participant has ever been diagnosed with | Any type of past and current gastrointestinal illnesses that the subject/participant has ever been diagnosed wit | Gastrintestinal | Colitis;Celiac disease (celiac sprue);Constipation;Crohn's disease;Enteritis;Gallstones or gallbladder infection;Gastritis;Heartburn or reflux (GERD);Hepatitis (A, B or C);Irritable bowel syndrome (IBS);Liver cirrhosis;Malabsorption;Other liver disease;Pancreatitis;Stomach or duodenal ulcer;Ulcerative colitis | Colitis;Celiac disease (celiac sprue);Constipation;Crohn's disease;Enteritis;Gallstones or gallbladder infection;Gastritis;Heartburn or reflux (GERD);Hepatitis (A, B or C);Irritable bowel syndrome (IBS);Liver cirrhosis;Malabsorption;Other liver disease;Pancreatitis;Stomach or duodenal ulcer;Ulcerative colitis | Alphanumeric | Adult;Pediatric | Core | 1.00 | 2018-02-07 13:44:57.0 | Past and Current Illnesses | General Health History | Participant History and Family History |
Multiple Pre-Defined Values Selected |
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| C58346 | Past current urological condition type | PastCurrUrologicalConditnTyp | Any type of past and current urological conditions that the subject/participant has ever been diagnosed with | Any type of past and current urological conditions that the subject/participant has ever been diagnosed wit | Urogenital conditions | Genital herpes;Interstitial Cystitis;Kidney failure;Kidney or bladder stones;Other kidney problem;Other sexually transmitted diseases;Urinary tract infection | Genital herpes;Interstitial Cystitis;Kidney failure;Kidney or bladder stones;Other kidney problem;Other sexually transmitted diseases;Urinary tract infection (UTI) | Alphanumeric | Adult;Pediatric | Core | 1.00 | 2018-02-08 09:41:06.0 | Past and Current Illnesses | General Health History | Participant History and Family History |
Multiple Pre-Defined Values Selected |
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| C14151 | Pregnancy medical terminations count | PregMedTerminationCt | Number of medical terminations (abortions) | Number of medical terminations (abortions) | Specify how many: | Numeric Values | Adult;Pediatric | Core | 3.00 | 2013-06-21 00:00:00.0 | Past and Current Illnesses | General Health History | Participant History and Family History |
Free-Form Entry |
0 | 99 | ||||||||||
| C58284 | Other blood disorder text | OtherBloodDisorderTxt | Specifies other blood disorder not listed in the table | Specifies other blood disorder not listed in the tabl | Specify: | Alphanumeric | Adult;Pediatric | Core | 1.00 | 2018-02-07 10:47:11.0 | Past and Current Illnesses | General Health History | Participant History and Family History | 255 |
Free-Form Entry |
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| C58359 | Other gynecological condition type text | OthrGynecolConditionTypTxt | Text of type of other gynecological conditions that the subject/participant has ever been diagnosed with | Text of type of other gynecological conditions that the subject/participant has ever been diagnosed wit | Specify: | Alphanumeric | Adult;Pediatric | Core | 1.00 | 2018-02-08 10:21:38.0 | Past and Current Illnesses | General Health History | Participant History and Family History | 255 |
Free-Form Entry |
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| C58320 | Other liver disease text | OthrLiverDiseaseTxt | Specifies other liver disease not listed in the table | Specifies other liver disease not listed in the tabl | Specify: | Alphanumeric | Adult;Pediatric | Core | 1.00 | 2018-02-07 13:46:34.0 | Past and Current Illnesses | General Health History | Participant History and Family History | 255 |
Free-Form Entry |
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| C58347 | Past current female only condition type | PastCurrFemaleOnlyConditnTyp | Any type of past and current female only conditions that the subject/participant has ever been diagnosed with | Any type of past and current female only conditions that the subject/participant has ever been diagnosed wit | Female conditions only | Bleeding between periods;Endometriosis;Heavy or excessive menstrual bleeding;Infertility;Irregular periods;Missing periods (other than pregnancy);Number of abortions;Number of live births;Number of miscarriages;Number of pregnancies;Other genital infections;Other gynecological conditions;Pelvic inflammatory disease;Polycystic ovary syndrome (PCOS);Premenstrual syndrome;Vaginal yeast infections | Bleeding between periods;Endometriosis;Heavy or excessive menstrual bleeding;Infertility;Irregular periods;Missing periods (other than pregnancy);Number of abortions;Number of live births;Number of miscarriages;Number of pregnancies;Other genital infections;Other gynecological conditions;Pelvic inflammatory disease;Polycystic ovary syndrome (PCOS);Premenstrual syndrome;Vaginal yeast infections | Alphanumeric | Adult;Pediatric | Core | 1.00 | 2018-02-08 09:43:14.0 | Past and Current Illnesses | General Health History | Participant History and Family History |
Multiple Pre-Defined Values Selected |
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| C19096 | Surgery performed date | SurgPerformedDate | Date of last surgical intervention | Date of last surgical intervention | Year(s) of Surgery | Date or Date & Time |
Provide year(s) when surgery was performed. |
Adult;Pediatric | Core | 1.00 | 2014-05-27 15:38:10.0 | Past and Current Illnesses | General Health History | Participant History and Family History |
Free-Form Entry |
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| C58287 | Heart rhythm problem text | HeartRhythmProblemTxt | Specifies the heart rythym problem that the subject/participant has ever been diagnosed with | Specifies the heart rythym problem that the subject/participant has ever been diagnosed wit | Specify: | Alphanumeric | Adult;Pediatric | Core | 1.00 | 2018-02-07 11:04:22.0 | Past and Current Illnesses | General Health History | Participant History and Family History | 255 |
Free-Form Entry |
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| C58361 | Other male problems type text | OthrMaleProblemsTypTxt | Any other type of past and current male problems that the subject/participant has ever been diagnosed with | Any other type of past and current male problems that the subject/participant has ever been diagnosed with | Specify: | Alphanumeric | Adult;Pediatric | Core | 1.00 | 2018-02-08 10:15:53.0 | Past and Current Illnesses | General Health History | Participant History and Family History | 500 |
Free-Form Entry |
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| C58321 | Past current neurological illness type | PastCurrNeurologicalIllnessTyp | Any type of past and current neurological illnesses that the subject/participant has ever been diagnosed with | Any type of past and current neurological illnesses that the subject/participant has ever been diagnosed wit | Neurological | Alzheimer's disease or other dementia(s);Fainting;Guillain-Barre syndrome;Loss of consciousness (not fainting);Meningitis or encephalitis;Migraine headaches;Muscle disease;Multiple sclerosis;Narcolepsy;Neuromuscular disorders: (e.g., Huntington's, amyotrophic lateral sclerosis, muscular dystrophy, myasthenia gravis);Other sleep disorder;Parkinson's disease;Peripheral neuropathy;Restless leg syndrome (RLS);Seizures, convulsions, epilepsy, pseudoseizures;Sleep apnea;Stroke or TIA (mini-stroke);Traumatic brain injury/concussion | Alzheimer's disease or other dementia(s);Fainting;Guillain-Barre syndrome;Loss of consciousness (not fainting);Meningitis or encephalitis;Migraine headaches;Muscle disease;Multiple sclerosis;Narcolepsy;Neuromuscular disorders: (e.g., Huntington's, amyotrophic lateral sclerosis, muscular dystrophy, myasthenia gravis);Other sleep disorder;Parkinson's disease;Peripheral neuropathy;Restless leg syndrome (RLS);Seizures, convulsions, epilepsy, pseudoseizures;Sleep apnea;Stroke or TIA (mini-stroke);Traumatic brain injury/concussion | Alphanumeric | Adult;Pediatric | Core | 1.00 | 2018-02-07 13:56:46.0 | Past and Current Illnesses | General Health History | Participant History and Family History |
Multiple Pre-Defined Values Selected |
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| C58348 | Past current male only condition type | PastCurrMaleOnlyConditnTyp | Any type of past and current male only conditions that the subject/participant has ever been diagnosed with | Any type of past and current male only conditions that the subject/participant has ever been diagnosed wit | Male condition only | Epididymitis;Impotence;Other male problems;Prostate enlargement or prostatitis;Sexually transmitted diseases;Varicocele | Epididymitis;Impotence;Other male problems;Prostate enlargement or prostatitis;Sexually transmitted diseases;Varicocele | Alphanumeric | Adult;Pediatric | Core | 1.00 | 2018-02-08 09:45:32.0 | Past and Current Illnesses | General Health History | Participant History and Family History |
Multiple Pre-Defined Values Selected |
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| C58171 | Condition illness indicator | ConditionIllnessInd | The indicator of whether the condition or illness is present as part of the past and current illness assessment | The indicator of whether the condition or illness is present as part of the past and current illness assessment | Condition/Illness | Yes;No;Don't know;Age at Onset;Still Present? | Yes;No;Don't know;Age at Onset;Still Present? | Alphanumeric | Adult;Pediatric | Core | 1.00 | 2018-02-05 13:09:31.0 | Past and Current Illnesses | General Health History | Participant History and Family History |
Multiple Pre-Defined Values Selected |
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| C58288 | Other cardiovascular condition text | OthrcariovascCondtnTxt | Specifies other cardiovascular conditions not listed in the table | Specifies other cardiovascular conditions not listed in the tabl | Specify: | Alphanumeric | Adult;Pediatric | Core | 1.00 | 2018-02-07 10:47:11.0 | Past and Current Illnesses | General Health History | Participant History and Family History | 255 |
Free-Form Entry |
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| C58363 | Immune deficiency type text | ImmuneDeficiencyTypTxt | Any other type of past and current immune deficiency other than HIV that the subject/participant has ever been diagnosed with | Any other type of past and current immune deficiency other than HIV that the subject/participant has ever been diagnosed wit | Specify: | Alphanumeric | Adult;Pediatric | Core | 1.00 | 2018-02-08 10:15:53.0 | Past and Current Illnesses | General Health History | Participant History and Family History | 255 |
Free-Form Entry |
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| C58325 | Past current rheumatological illness type | PastCurrRheumatolIllnessTyp | Any type of past and current rheumatological illnesses that the subject/participant has ever been diagnosed with | Any type of past and current rheumatological illnesses that the subject/participant has ever been diagnosed wit | Rheumatological | Ehlers Danlos Syndrome;Fibromyalgia or myofascial pain syndrome;Gout;Lyme disease;Multiple broken bones in the past;Neck arthritis/disc disease;Osteoarthritis;Other autoimmune disease;Polymyalgia rheumatica/temporal arteritis;Rheumatic fever;Rheumatoid arthritis;Sarcoidosis;Sjogren's syndrome;Spine arthritis/disc disease;Systemic lupus erythematosis;Temporo-mandibular joint disorder (TMJ) | Ehlers Danlos Syndrome;Fibromyalgia or myofascial pain syndrome;Gout;Lyme disease;Multiple broken bones in the past;Neck arthritis/disc disease;Osteoarthritis;Other autoimmune disease;Polymyalgia rheumatica/temporal arteritis;Rheumatic fever;Rheumatoid arthritis;Sarcoidosis;Sjogren's syndrome;Spine arthritis/disc disease;Systemic lupus erythematosis;Temporo-mandibular joint disorder (TMJ) | Alphanumeric | Adult;Pediatric | Core | 1.00 | 2018-02-07 14:31:05.0 | Past and Current Illnesses | General Health History | Participant History and Family History |
Multiple Pre-Defined Values Selected |
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| C58350 | Past current miscellaneous illness type | PastCurrMiscConditionsTyp | Any type of past and current miscellaneous illnesses that the subject/participant has ever been diagnosed with | Any type of past and current miscellaneous illnesses that the subject/participant has ever been diagnosed wit | Miscellaneous | Anaphylaxis;Environmental hypersensitivity;HIV infection;Immune deficiency (other than HIV);Multiple chemical sensitivities (MCS);Oral herpes (cold sores);Organ transplant | Anaphylaxis;Environmental hypersensitivity;HIV infection;Immune deficiency (other than HIV);Multiple chemical sensitivities (MCS);Oral herpes (cold sores);Organ transplant | Alphanumeric | Adult;Pediatric | Core | 1.00 | 2018-02-08 09:59:30.0 | Past and Current Illnesses | General Health History | Participant History and Family History |
Multiple Pre-Defined Values Selected |
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| C58172 | Condition illness indicator age onset value | ConditionIllnessIndAgeOnseVal | The value of the age of onset of indicated condition or illness as part of the past and current illness assessment | The value of the age of onset of indicated condition or illness as part of the past and current illness assessment | Age of Onset | Numeric Values |
Enter age of onset of subject/participant illness or condition. |
Adult;Pediatric | Core | 1.00 | 2018-02-05 13:09:31.0 | Past and Current Illnesses | General Health History | Participant History and Family History |
Free-Form Entry |
year | ||||||||||
| C58297 | Past current chest illness type | PastCurrChestIllnessTyp | Any type of past and current chest illnesses that the subject/participant has ever been diagnosed with | Any type of past and current chest illnesses that the subject/participant has ever been diagnosed wit | Chest | Asthma;Chronic bronchitis, emphysema (COPD);Other chronic lung condition;Pneumonia (bacteria, virus);Tuberculosis | Asthma;Chronic bronchitis, emphysema (COPD);Other chronic lung condition;Pneumonia (bacteria, virus);Tuberculosis | Alphanumeric | Adult;Pediatric | Core | 1.00 | 2018-02-07 11:28:54.0 | Past and Current Illnesses | General Health History | Participant History and Family History |
Multiple Pre-Defined Values Selected |
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| C58365 | Organ type text | OrganTypTxt | Specifies type of organ transplanted in subject/participant | Specifies type of organ transplanted in subject/participan | Specify organ: | Alphanumeric | Adult;Pediatric | Core | 1.00 | 2018-02-08 10:15:53.0 | Past and Current Illnesses | General Health History | Participant History and Family History | 255 |
Free-Form Entry |
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| C58328 | Alzheimer dementia type text | AlzheimerDementiaTypTxt | Text of type of Alzheimer's or other dementia(s) that the subject/participant has ever been diagnosed with | Text of type of Alzheimer's or other dementia(s) that the subject/participant has ever been diagnosed wit | Specify: | Alphanumeric | Adult;Pediatric | Core | 1.00 | 2018-02-07 15:00:13.0 | Past and Current Illnesses | General Health History | Participant History and Family History | 255 |
Free-Form Entry |
