CDE Detailed Report
Disease: general-data-protection-regulation-gdpr
Sub-Domain: Disease Related Events
CRF:

9 results.
CDE ID CDE Name Variable Name Definition Short Description Additional Notes (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 / Guideline) Sub Domain Name Domain Name Size Input Restrictions Min Value Max Value Measurement Type Source Form Set Form Field
C58658 Adult Sickle Cell Quality of Life Measurement Information System (ASCQ-Me) - Hip shoulder damage due sickle cell medical professional ever tell indicate code ASCQMeHpShlDgDuSCMdPrEvTlInCd Code indicating whether the subject/participant has ever been told by a medical professional that he or she has hip or shoulder damage due to sickle cell disease, as part of the Adult Sickle Cell Quality of Life Measurement Information System (ASCQ-Me). Code indicating whether the subject/participant has ever been told by a medical professional that he or she has hip or shoulder damage due to sickle cell disease, as part of the Adult Sickle Cell Quality of Life Measurement Information System (ASCQ-Me). Has a doctor or nurse ever told you that you have damage to your hip or shoulder due to sickle cell disease? 0;1;0;1;0;1 No;Yes;No;Yes;No;Yes Numeric Values Adult Proposed 1.00 2018-10-25 12:37:10.0 Adult Sickle Cell Quality of Life Measurement Information System (ASCQ-Me) v2.0 Sickle Cell Disease Medical History Checklist Disease Related Events History of Disease Event

Single Pre-Defined Value Selected

ASCQ-Me 2.0 Sickle Cell Disease Medical History Checklist SCDMHCQ5
C58659 Adult Sickle Cell Quality of Life Measurement Information System (ASCQ-Me) - Stroke medical professional ever tell indicate code ASCQMeStrokeMdPrEvTlInCode Code indicating whether the subject/participant has ever been told by a medical professional that he or she has had a stroke, as part of the Adult Sickle Cell Quality of Life Measurement Information System (ASCQ-Me). Code indicating whether the subject/participant has ever been told by a medical professional that he or she has had a stroke, as part of the Adult Sickle Cell Quality of Life Measurement Information System (ASCQ-Me). Has a doctor or nurse ever told you that you have had a stroke? 0;1;0;1;0;1 No;Yes;No;Yes;No;Yes Numeric Values Adult Proposed 1.00 2018-10-25 12:37:10.0 Adult Sickle Cell Quality of Life Measurement Information System (ASCQ-Me) v2.0 Sickle Cell Disease Medical History Checklist Disease Related Events History of Disease Event

Single Pre-Defined Value Selected

ASCQ-Me 2.0 Sickle Cell Disease Medical History Checklist SCDMHCQ6
C58660 Adult Sickle Cell Quality of Life Measurement Information System (ASCQ-Me) - Spleen remove damage due sickle cell indicate code ASCQMeSplnRemvDmgIndCode Code indicating whether the subject/participant's spleen has been removed or severely damaged due to sickle cell disease, as part of the Adult Sickle Cell Quality of Life Measurement Information System (ASCQ-Me). Code indicating whether the subject/participant's spleen has been removed or severely damaged due to sickle cell disease, as part of the Adult Sickle Cell Quality of Life Measurement Information System (ASCQ-Me). Has your spleen either been removed or seriously damaged due to sickle cell disease? 0;1;0;1;0;1 No;Yes;No;Yes;No;Yes Numeric Values Adult Proposed 1.00 2018-10-25 12:37:10.0 Adult Sickle Cell Quality of Life Measurement Information System (ASCQ-Me) v2.0 Sickle Cell Disease Medical History Checklist Disease Related Events History of Disease Event

Single Pre-Defined Value Selected

ASCQ-Me 2.0 Sickle Cell Disease Medical History Checklist SCDMHCQ7
C58661 Adult Sickle Cell Quality of Life Measurement Information System (ASCQ-Me) - Blood transfusion regular due sickle cell indicate code ASCQMeBldTrnfsRegDuSCIndCode Code indicating whether the subject/participant's receives regular blood transfusions due to sickle cell disease, as part of the Adult Sickle Cell Quality of Life Measurement Information System (ASCQ-Me). Code indicating whether the subject/participant's receives regular blood transfusions due to sickle cell disease, as part of the Adult Sickle Cell Quality of Life Measurement Information System (ASCQ-Me). Do you get regular blood transfusions for your sickle cell disease? 0;1;0;1;0;1 No;Yes;No;Yes;No;Yes Numeric Values Adult Proposed 1.00 2018-10-25 12:37:10.0 Adult Sickle Cell Quality of Life Measurement Information System (ASCQ-Me) v2.0 Sickle Cell Disease Medical History Checklist Disease Related Events History of Disease Event

Single Pre-Defined Value Selected

ASCQ-Me 2.0 Sickle Cell Disease Medical History Checklist SCDMHCQ8
C58662 Adult Sickle Cell Quality of Life Measurement Information System (ASCQ-Me) - Pain medication daily due sickle cell indicate code ASCQMePnMedDlyDuSCIndCode Code indicating whether the subject/participant's takes pain medication daily due to sickle cell disease, as part of the Adult Sickle Cell Quality of Life Measurement Information System (ASCQ-Me). Code indicating whether the subject/participant's takes pain medication daily due to sickle cell disease, as part of the Adult Sickle Cell Quality of Life Measurement Information System (ASCQ-Me). Do you take pain medicine every day for your sickle cell
disease?
0;1;0;1;0;1 No;Yes;No;Yes;No;Yes Numeric Values Adult Proposed 1.00 2018-10-25 12:37:10.0 Adult Sickle Cell Quality of Life Measurement Information System (ASCQ-Me) v2.0 Sickle Cell Disease Medical History Checklist Disease Related Events History of Disease Event

Single Pre-Defined Value Selected

ASCQ-Me 2.0 Sickle Cell Disease Medical History Checklist SCDMHCQ9
C58654 Adult Sickle Cell Quality of Life Measurement Information System (ASCQ-Me) - Leg ulceration ever indicate code ASCQMeLegUlcerEverIndCode Code indicating whether the subject/participant has ever had ulcerations on his or her leg or foot, as part of the Adult Sickle Cell Quality of Life Measurement Information System (ASCQ-Me). Code indicating whether the subject/participant has ever had ulcerations on his or her leg or foot, as part of the Adult Sickle Cell Quality of Life Measurement Information System (ASCQ-Me). Have you ever had open sores on your legs or feet (leg ulcers)? 0;1;0;1;0;1 No;Yes;No;Yes;No;Yes Numeric Values Adult Proposed 1.00 2018-10-25 12:37:10.0 Adult Sickle Cell Quality of Life Measurement Information System (ASCQ-Me) v2.0 Sickle Cell Disease Medical History Checklist Disease Related Events History of Disease Event

Single Pre-Defined Value Selected

ASCQ-Me 2.0 Sickle Cell Disease Medical History Checklist SCDMHCQ1
C58655 Adult Sickle Cell Quality of Life Measurement Information System (ASCQ-Me) - Lung damage medical professional ever tell indicate code ASCQMeLngDmgMedProEvrTlIndCode Code indicating whether the subject/participant has ever been told by a medical professional that he or she has lung damage, as part of the Adult Sickle Cell Quality of Life Measurement Information System (ASCQ-Me). Code indicating whether the subject/participant has ever been told by a medical professional that he or she has lung damage, as part of the Adult Sickle Cell Quality of Life Measurement Information System (ASCQ-Me). Has a doctor or nurse ever told you that you have lung damage? 0;1;0;1;0;1 No;Yes;No;Yes;No;Yes Numeric Values Adult Proposed 1.00 2018-10-25 12:37:10.0 Adult Sickle Cell Quality of Life Measurement Information System (ASCQ-Me) v2.0 Sickle Cell Disease Medical History Checklist Disease Related Events History of Disease Event

Single Pre-Defined Value Selected

ASCQ-Me 2.0 Sickle Cell Disease Medical History Checklist SCDMHCQ2
C58656 Adult Sickle Cell Quality of Life Measurement Information System (ASCQ-Me) - Kidney damage medical professional ever tell indicate code ASCQMeKdyDmgMedProEvrTlIndCode Code indicating whether the subject/participant has ever been told by a medical professional that he or she has kidney damage, as part of the Adult Sickle Cell Quality of Life Measurement Information System (ASCQ-Me). Code indicating whether the subject/participant has ever been told by a medical professional that he or she has kidney damage, as part of the Adult Sickle Cell Quality of Life Measurement Information System (ASCQ-Me). Has a doctor or nurse ever told you that you have kidney damage? 0;1;0;1;0;1 No;Yes;No;Yes;No;Yes Numeric Values Adult Proposed 1.00 2018-10-25 12:37:10.0 Adult Sickle Cell Quality of Life Measurement Information System (ASCQ-Me) v2.0 Sickle Cell Disease Medical History Checklist Disease Related Events History of Disease Event

Single Pre-Defined Value Selected

ASCQ-Me 2.0 Sickle Cell Disease Medical History Checklist SCDMHCQ3
C58657 Adult Sickle Cell Quality of Life Measurement Information System (ASCQ-Me) - Retinopathy medical professional ever tell indicate code ASCQMeRtnpthMedProEvrTlIndCode Code indicating whether the subject/participant has ever been told by a medical professional that he or she has retinopathy, as part of the Adult Sickle Cell Quality of Life Measurement Information System (ASCQ-Me). Code indicating whether the subject/participant has ever been told by a medical professional that he or she has retinopathy, as part of the Adult Sickle Cell Quality of Life Measurement Information System (ASCQ-Me). Has a doctor or nurse ever told you that you have eye damage called retinopathy? 0;1;0;1;0;1 No;Yes;No;Yes;No;Yes Numeric Values Adult Proposed 1.00 2018-10-25 12:37:10.0 Adult Sickle Cell Quality of Life Measurement Information System (ASCQ-Me) v2.0 Sickle Cell Disease Medical History Checklist Disease Related Events History of Disease Event

Single Pre-Defined Value Selected

ASCQ-Me 2.0 Sickle Cell Disease Medical History Checklist SCDMHCQ4
9 results.
CSV