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Common Data Element:  Medical history condition text

Listed below are the details for the data element.

1.13
Element Type
Common Data Element
Medical history condition text
MedclHistCondTxt
Short Description
Verbatim text for the medical condition/disease reported by the participant/subject or documented in the medical record as part of medical history
Definition
Verbatim text for the medical condition/disease reported by the participant/subject or documented in the medical record as part of medical history
 

Biomedical Terminologies and Standards

Notes
FITBIR|NIA|PDBP
Creation Date
Historical Notes
Medical history condition text. C00322.
References
ALS/DMD/GENERAL/MG/NMD/SCI/SMA/STROKE/TBI: SNOMED CT Codes (https://www.nlm.nih.gov/healthit/snomedct/)

Data Type
Alphanumeric
Input Restrictions
Free-Form Entry
Maximum Character Quantity
4000
External Schema Permissible Value Mapping
Population
Adult and Pediatric
Guidelines/Instructions
ALS/GENERAL/MG/NMD/SMA: Record one Medical History term per line. See the data dictionary for additional information on coding the condition using SNOMED CT TBI: Recommend collection at least during initial medical treatment. This element is recommended for pediatric studies. SCI: Document the specific diagnosis for each pre-existing neuro-musculoskeletal condition and document the location/anatomic site if not obvious. Previous surgeries due to any of the conditions should also be documented with this element. Record each condition or surgery on separate lines. FA: Enter all significant medical history items, including surgeries, EXCEPT the problem/condition that is the focus of this study. Use only one line per description. STROKE: Record one Medical History term per line. Make sure to record if the following events are in the medical history which are Core items: Any stroke; Ischemic stroke; Hemorrhagic stroke; Hemorrhagic stroke type; 4) Transient ischemic attack (TIA); Carotid stenosis; Epilepsy/ Seizure disorder; Central nervous system infection; Dementia; Head trauma; Head trauma type; Atrial fibrillation (AF)/ flutter; Rheumatic heart disease MS: Record one Medical History term per line. Document the specific diagnosis for each pre-existing neuro-musculoskeletal condition and document the location/anatomic site if not obvious. Previous surgeries due to any of the conditions should also be documented with this element. Record each condition or surgery on separate lines. Make sure to record if the following events are in the medical history which are Core items: Any stroke; Ischemic stroke; Hemorrhagic stroke; Hemorrhagic stroke type; 4) Transient ischemic attack (TIA); Carotid stenosis; Epilepsy/ Seizure disorder; Central nervous system infection; Dementia; Head trauma; Head trauma type; Atrial fibrillation (AF)/ flutter; Rheumatic heart disease SCI: Record one Medical History term per line. Make sure to record if the following events are in the medical history which are Core items: Any stroke; Ischemic stroke; Hemorrhagic stroke; Hemorrhagic stroke type; 4) Transient ischemic attack (TIA); Carotid stenosis; Epilepsy/ Seizure disorder; Central nervous system infection; Dementia; Head trauma; Head trauma type; Atrial fibrillation (AF)/ flutter; Rheumatic heart disease
Preferred Question Text
Medical history condition text
Category Groups and Classifications
DiseaseDomainSub-Domain
Duchenne Muscular Dystrophy/Becker Muscular Dystrophy Participant/Subject History and Family History General Health History
Friedreich's Ataxia Participant/Subject History and Family History General Health History
Multiple Sclerosis Participant/Subject History and Family History General Health History
Myasthenia Gravis Participant/Subject History and Family History General Health History
Spinal Cord Injury N/A N/A
Spinal Muscular Atrophy Participant/Subject History and Family History General Health History
Amyotrophic Lateral Sclerosis Participant/Subject History and Family History General Health History
Traumatic Brain Injury Participant/Subject History and Family History General Health History
General (For all diseases) Participant/Subject History and Family History General Health History
Neuromuscular Diseases Participant/Subject History and Family History General Health History
Stroke Participant/Subject History and Family History General Health History

Classification

Acute Hospitalized :
Core
Friedreich's Ataxia :
Core
Moderate/Severe TBI: Rehabilitation :
Core
Epidemiology :
Core
Myasthenia Gravis :
Core
Spinal Muscular Atrophy :
Supplemental
General (For all diseases) :
Core
Neuromuscular Diseases :
Core
Spinal Cord Injury :
Supplemental
Stroke :
Supplemental
Duchenne Muscular Dystrophy/Becker Muscular Dystrophy :
Supplemental
Concussion/Mild TBI :
Core
Multiple Sclerosis :
Supplemental
Amyotrophic Lateral Sclerosis :
Core
Keywords
Medical_History
Labels
NINDS_CDE
Effective Date
Until Date
Last Change Date
Fri Apr 26 17:23:50 EDT 2024
See Also
Submitting Organization Name
NIH/NINDS
Submitting Contact Name
NINDSCDE
Submitting Contact Information
NINDSCDE@emmes.com
Steward Organization Name
NIH/NINDS
Steward Contact Name
NINDSCDE
Steward Contact Information
NINDSCDE@emmes.com
NINDS ID

Change History