CDE Detailed Report
Disease: cookie-policy
Sub-Domain: Assessments and Examinations
CRF:

3 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 Domain CDASH Variable CDASH Definition CDASH Label Controlled Terminology Prompt Essentiality Question Text CDASH imp guidance SDTM IG target csDSR PhenX Data Type CRF Completion Inst SDTMIG Target Var SDTMIG Target Map Codelist Name PVs Pre Pop Value Query Display List Style
C59005 Reticulocyte most recent count value ReticulocytMstRcntCtVal Value of the patient's most recent reticulocyte count, in percent Value of the patient's most recent reticulocyte count, in percent Reticulocyte count Numeric Values PhenX Measure: Reticulocyte Count (#810600) Adult;Pediatric Proposed 1.00 2019-01-07 14:49:12.0 PhenX Toolkit: Reticulocyte Count Assessments and Examinations Laboratory Tests and Biospecimens%2FBiomarkers

Free-Form Entry

0 9.9 percent BMTCTN 1507A Release 5.10 Physical Exam Form - 1507 (PAS) PASRETIC
C59176 Hemophilia indicate code HemophiliaIndicateCode Code indicating whether the subject/participant has hemophilia. Code indicating whether the subject/participant has hemophilia. Do you have hemophilia? 1;2;7;9 Yes;No;Refused;Don't know Numeric Values

If the subject/participant answers "Yes", he/she is excluded from the blood draw. If he/she answers "No" or "Don't know," blood is drawn from him/her.

Adult;Pediatric Proposed 1.00 2019-03-26 12:31:08.0 PhenX Toolkit: Reticulocyte Count Assessments and Examinations Laboratory Tests and Biospecimens%2FBiomarkers

Single Pre-Defined Value Selected

PhenX Specialty Collection_Cardio-Pulm-Renal AST level 1
C59177 Cancer chemotherapy past or next four weeks indicate code CncrChemoPstOrNxt4WkIndCode Code indicating whether the subject/participant has had cancer chemotherapy in the past four weeks or anticipates having it in the next four weeks. Code indicating whether the subject/participant has had cancer chemotherapy in the past four weeks or anticipates having it in the next four weeks. Have you received cancer chemotherapy in the past four weeks or do you anticipate such therapy in the next four weeks? 1;2;7;9 Yes;No;Refused;Don't know Numeric Values

If the subject/participant answers "Yes," he/she is excluded from the blood draw. If he/she answers "No" or "Don't know," blood is drawn from him/her.

Adult;Pediatric Proposed 1.00 2019-03-26 12:35:43.0 PhenX Toolkit: Reticulocyte Count Assessments and Examinations Laboratory Tests and Biospecimens%2FBiomarkers

Single Pre-Defined Value Selected

PhenX Specialty Collection_Cardio-Pulm-Renal AST level 2
3 results.
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