CDE Detailed Report
Disease: cookie-policy
Sub-Domain: Participant Characteristics
CRF:
Sub-Domain: Participant Characteristics
CRF:
5 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 |
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| C19500 | Assessment performed date | AssessmentPerformedDate | The date of assessment of the examination being performed. | The date of assessment of the examination being performed. | Date of Interview/Examination/Bioassay (MM/DD/YYYY): | Date or Date & Time | Adult;Pediatric | Proposed | 1.00 | 2014-06-18 08:10:12.0 | PhenX Toolkit: Race Data Collection Worksheet | Participant Characteristics | Demographics |
Free-Form Entry |
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| C59300 | Race code | RaceCode | Code indicating subject/participant's race or races. | Code indicating subject/participant's race or races. | What race or races do you consider yourself to be? Please select one or more. | 1;2;3;4;5;6;99;77 | American Indian or Alaska Native;Asian;Black or African American;Native Hawaiian or Pacific Islander;White;Other;Don't know;Refused | Alphanumeric | Adult;Pediatric | Proposed | 1.00 | 2019-03-29 12:39:12.0 | PhenX Toolkit: Race Data Collection Worksheet | Participant Characteristics | Demographics |
Multiple Pre-Defined Values Selected |
PhenX | Core Tier 1 | 04 Race | 1 | |||||||||||||||||||||||||||
| C59301 | Asian ancestry code | AsianAncestryCode | Code indicating subject/participant's Asian ancestry. | Code indicating subject/participant's Asian ancestry. | Please give the number of the group that represents your Asian origin or ancestry. Please select one or more of these categories. | 10;77;99;44;43;42;41;40;39;38;37;36;35;34;33;32;31;30;29;28;27;26;25;24;23;22;21;20;19;18;17;16;15;14;13;12;11 | Asian Indian;Refused;Don't know;Vietnamese;Thai;Taiwanese;Sri Lankan;Singaporean;Siamese;Pakistani;Okinawan;Nipponese;Nepalese;Mong;Maldivian;Malaysian;Madagascar/Malagasy;Laotian;Laohmong;Korean;Japanese;Iwo Jiman;Indonesian;Indochinese;Hmong;Goanese;Filipino;East Indian;Dravidian;Chinese;Cantonese;Cambodian;Burmese;Bhutanese;Bharat;Bengalese;Bangladeshi | Alphanumeric | Adult;Pediatric | Proposed | 1.00 | 2019-03-29 12:56:00.0 | PhenX Toolkit: Race Data Collection Worksheet | Participant Characteristics | Demographics |
Multiple Pre-Defined Values Selected |
PhenX | Core tier 1 | 04 Race | 2 | |||||||||||||||||||||||||||
| C59302 | Native Hawaiian or pacific islander code | NtvHwnOrPcfIsldCode | Code indicating subject/participant's Native Hawaiian or Pacific Island race. | Code indicating subject/participant's Native Hawaiian or Pacific Island race. | Please give the number of the group that represents your Native Hawaiian or Pacific Islander origin or ancestry. Please select one or more of these categories. | 1;2;3;4;7;9 | Native Hawaiian;Guamanian or Chamorro;Samoan;Other Pacific Islander;Refused;Don't know | Alphanumeric | Adult;Pediatric | Proposed | 1.00 | 2019-03-29 13:41:14.0 | PhenX Toolkit: Race Data Collection Worksheet | Participant Characteristics | Demographics |
Multiple Pre-Defined Values Selected |
PhenX | Core tier 1 | 04 Race | 3 | |||||||||||||||||||||||||||
| C59303 | Other race code | OtherRaceCode | Code indicating subject/participant's race, if "other" selected | Code indicating subject/participant's race, if "other" selected | Code answer to 'other race': | 10;11;12;13;14;15;16;17;18;19;20;21;22;23;24;25;26;27;28;29;30;31;32;33;34;35;36;40;41;77;99 | Mexican;Puerto Rican;Cuban;Dominican Republic;Costa Rican;Guatemalan;Honduran;Nicaraguan;Panamanian;Salvadoran;Other Central American;Argentinean;Bolivian;Chilean;Colombian;Ecuadorian;Paraguayan;Peruvian;Uruguayan;Venezuelan;Other South American;Filipino;Spaniard;Spanish;Spanish American;Hispano/Hispana;Hispanic/Latino;Other Hispanic/Latino (specificy);Chicano;Refused;Don't know | Alphanumeric | Adult;Pediatric | Proposed | 1.00 | 2019-03-29 13:47:07.0 | PhenX Toolkit: Race Data Collection Worksheet | Participant Characteristics | Demographics |
Multiple Pre-Defined Values Selected |
PhenX | Core tier 1 | 04 Race | 4 |
5 results.