C58816 |
Adverse event grade 3 5 unexpected date |
Date on which the subject/participant experienced an unexpected Grade 3–5 Adverse Event
|
Proposed |
1.00 |
2018-12-12 13:03:22.0 |
Follow Up Status Form - 1507 |
False |
Sickle Cell Disease |
Sickle Cell Disease |
|
C59754 |
Turn faucet on off difficulty scale |
Scale of the difficulty the subject/participant has in turning a faucet on and off
|
Proposed |
1.00 |
2019-06-20 11:56:53.0 |
PROMIS Item Bank v2.0 - Physical Function |
True |
Sickle Cell Disease |
Sickle Cell Disease |
|
C58968 |
Etiology liver abnormality GVHD indicate code |
Code indicating whether the etiology of the liver abnormality was determined to be GVHD (graft-versus-host disease).
|
Proposed |
1.00 |
2019-01-04 13:57:59.0 |
Toxicity Form |
False |
Sickle Cell Disease |
Sickle Cell Disease |
|
C59126 |
Match score calculated recipient to donor HLA locus B text |
Text field for recording the recipient-to-donor calculated match score for HLA (Human Leukocyte Antigen) locus B.
|
Proposed |
1.00 |
2019-01-22 11:42:41.0 |
HLA Form - 1507 |
False |
Sickle Cell Disease |
Sickle Cell Disease |
|
C20777 |
Patient-Reported Outcome Measurement Information System (PROMIS) - Concentration trouble assessment past week scale |
The scale which represents how often the participant had trouble paying attention in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS).
|
Proposed |
1.00 |
2015-05-20 17:42:14.0 |
PROMIS Item Bank v1.0 - Emotional Distress - Anxiety |
False |
Sickle Cell Disease |
Sickle Cell Disease |
|
C59238 |
Walk 15 minute difficulty grade |
Grade of difficulty the subject/participant has walking for 15 minutes
|
Proposed |
1.00 |
2019-03-28 09:53:12.0 |
PhenX Toolkit: Quality of Life - Adult |
False |
Sickle Cell Disease |
Sickle Cell Disease |
|
C59579 |
Cigarette smoking days past month status code |
Code for the status of the subject/participant's response to being asked how many days out of the past 30 days he or she smoked cigarettes
|
Proposed |
1.00 |
2019-04-12 11:20:10.0 |
PhenX Toolkit: Cigarette Smoking Status - Adolescent |
False |
Sickle Cell Disease |
Sickle Cell Disease |
|
C59754 |
Turn faucet on off difficulty scale |
Scale of the difficulty the subject/participant has in turning a faucet on and off
|
Proposed |
1.00 |
2019-06-20 11:56:53.0 |
PROMIS Item Bank v2.0 - Physical Function |
True |
Sickle Cell Disease |
Sickle Cell Disease |
|
C59106 |
Bronchospasm grade |
Grade of bronchospasm exhibited by the patient
|
Proposed |
1.00 |
2019-01-16 10:23:09.0 |
Toxicity Form |
False |
Sickle Cell Disease |
Sickle Cell Disease |
|
C20811 |
Patient-Reported Outcome Measurement Information System (PROMIS) - Sleep satisfaction assessment past week scale |
The scale which represents how often the participant was satisfied with his/her sleep in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS).
|
Proposed |
1.00 |
2015-05-21 08:50:35.0 |
PROMIS Item Bank v1.0 - Sleep Disturbance |
False |
Sickle Cell Disease |
Sickle Cell Disease |
|
C59879 |
Feel less alert due fatigue past 7 day frequency scale |
Scale of the frequency over the past 7 days that the subject/participant felt less alert due to his or her fatigue
|
Proposed |
1.00 |
2019-06-25 09:37:49.0 |
PROMIS Item Bank v1.0 - Fatigue Calibrated Items |
True |
Sickle Cell Disease |
Sickle Cell Disease |
|
C59173 |
Seven day worst pain intensity status |
Status indicating how intense pain was at its worse during the past seven days
|
Proposed |
1.00 |
2019-01-31 16:21:32.0 |
PROMIS Item Bank v1.0 (PRO) |
False |
Sickle Cell Disease |
Sickle Cell Disease |
|
C56501 |
PROMIS - Pain Interference pain interfere with ability to remember things scale |
Scale related to how much pain interfered with an individual's ability to remember things in the past 7 days, as part of the PROMIS Pain Interference
|
Proposed |
1.00 |
2017-06-14 09:47:29.0 |
PROMIS Item Bank v1.1 - Pain Interference |
False |
Sickle Cell Disease |
Sickle Cell Disease |
|
C58861 |
Skin involvement GVHD extent code |
Code denoting the extent of skin involvement in GVHD (Graft Versus Host Disease)
|
Proposed |
1.00 |
2018-12-14 12:38:54.0 |
Follow Up/Chronic GVHD Form |
False |
Sickle Cell Disease |
Sickle Cell Disease |
|
C59448 |
Difficult say name person in front past week scale |
Scale for the difficulty over the past week that the subject/participant has had saying the name of someone in front of him or her
|
Proposed |
1.00 |
2019-04-04 14:50:26.0 |
PhenX Toolkit: Functionality After Stroke |
False |
Sickle Cell Disease |
Sickle Cell Disease |
|
C59633 |
Pain feel sore past 7 day scale |
Scale of the degree to which the subject/participant's pain presented with a sore quality over the past 7 days.
|
Proposed |
1.00 |
2019-06-18 14:00:15.0 |
PROMIS Scale v2.0 - Nociceptive Pain Quality 5a |
True |
Sickle Cell Disease |
Sickle Cell Disease |
|
C58643 |
Adult Sickle Cell Quality of Life Measurement Information System (ASCQ-Me) - Joint stiffness daytime scale |
Scale for the subject/participant's joint stiffness during the day, as part of the Adult Sickle Cell Quality of Life Measurement Information System (ASCQ-Me).
|
Proposed |
1.00 |
2018-10-24 15:27:18.0 |
Adult Sickle Cell Quality of Life Measurement Information System (ASCQ-Me) v2.0 Stiffness Impact - Item Bank |
True |
Sickle Cell Disease |
Sickle Cell Disease |
|
C58770 |
Infection uncontrolled bacterial viral fungal 6 week prior enrollment indicate code |
Code indicating whether the subject/participant had an uncontrolled bacterial, viral, or fungal infection in the 6 weeks prior to his or her enrollment in the study.
|
Proposed |
1.00 |
2018-12-10 16:05:10.0 |
Haplo Sickle Cell Enrollment Form: Segment A |
False |
Sickle Cell Disease |
Sickle Cell Disease |
|
C59714 |
Don shirt blouse difficulty scale |
Scale of the difficulty the subject/participant has in donning a shirt or a blouse
|
Proposed |
1.00 |
2019-06-20 10:11:06.0 |
PROMIS Item Bank v2.0 - Physical Function |
True |
Sickle Cell Disease |
Sickle Cell Disease |
|
C59075 |
Alkaline phosphatase toxicity grade |
Grade of alkaline phosphatase toxicity exhibited by the patient.
|
Proposed |
1.00 |
2019-01-11 13:51:29.0 |
Toxicity Form |
False |
Sickle Cell Disease |
Sickle Cell Disease |
|
C59107 |
Hypotension grade |
Grade of hypotension exhibited by the patient.
|
Proposed |
1.00 |
2019-01-16 10:28:43.0 |
Toxicity Form |
False |
Sickle Cell Disease |
Sickle Cell Disease |
|
C20740 |
Patient-Reported Outcome Measurement Information System (PROMIS) - Fear assessment past week scale |
The scale which represents how often the participant felt fearful in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS).
|
Proposed |
1.00 |
2015-05-20 16:25:53.0 |
PROMIS Item Bank v1.0 - Emotional Distress - Anxiety |
False |
Sickle Cell Disease |
Sickle Cell Disease |
|
C59546 |
Military insurance coverage code |
Code indicating whether the subject/participant is covered by insurance provided through the military
|
Proposed |
1.00 |
2019-04-11 10:16:19.0 |
PhenX Toolkit: Health Insurance Coverage |
False |
Sickle Cell Disease |
Sickle Cell Disease |
|
C19813 |
Medical history genito-urinary urinary tract infections indicator |
Indicator of history of urinary tract infections
|
Proposed |
1.00 |
2015-02-05 00:00:00.0 |
Intake Medical History |
False |
Sickle Cell Disease |
Sickle Cell Disease |
|
C59358 |
Primary health care provider courteous respectful last 12 month frequency status |
Status of the frequency that the subject/participant's primary health care provider showed courtesy and respect in the last 12 months
|
Proposed |
1.00 |
2019-04-01 15:17:52.0 |
PhenX Toolkit: Quality of Care - Adults |
False |
Sickle Cell Disease |
Sickle Cell Disease |
|