CDE Detailed Report
Disease:
Sub-Domain: Additional Proposed Instruments
CRF:
Sub-Domain: Additional Proposed Instruments
CRF:
8 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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C59489 | Past 6 months severe pain episodes daily activity interruption no doctor range | Ps6MthSvPnEpDlyActIntNoDrRng | Range indicating the number of painful severe episodes subject/participant experienced in the past 6 months related to sickle cell which kept them from completing usual daily activities but did not see a doctor. | Range indicating the number of painful severe episodes subject/participant experienced in the past 6 months related to sickle cell which kept them from completing usual daily activities but did not see a doctor. | How many episodes? | <4;>=4 | <4;>=4 | Alphanumeric | Adult;Pediatric | Proposed | 1.00 | 2019-04-05 14:20:47.0 | PhenX Toolkit: Annual Pain Frequency of Sickle Cell Pain Episodes Per Year | Additional Proposed Instruments | general-data-protection-regulation-gdpr |
Single Pre-Defined Value Selected |
PhenX | Core tier 1 | Annual Pain Frequency | 3a | |||||||||||||||||||||||||||
C59490 | Past 6 months severe painful episode interrupting daily activities no doctor days missed range | Ps6MtSvPnEpInDlActNoDrDyMsRng | Range indicating the amount of days missed in the past 6 months due to a severe painful episode interrupting daily activities without seeing a doctor. | Range indicating the amount of days missed in the past 6 months due to a severe painful episode interrupting daily activities without seeing a doctor. | How many days were missed? | <= a week;> a week | <= a week;> a week | Alphanumeric | Adult;Pediatric | Proposed | 1.00 | 2019-04-05 15:26:46.0 | PhenX Toolkit: Annual Pain Frequency of Sickle Cell Pain Episodes Per Year | Additional Proposed Instruments | general-data-protection-regulation-gdpr |
Single Pre-Defined Value Selected |
PhenX | Core tier 1 | Annual Pain Frequency | 3b | |||||||||||||||||||||||||||
C59491 | Sickle cell hospitalization date | SickleCellHospitalDate | Date indicating when the patient visited an emergency room due to painful sickle cell event. | Date indicating when the patient visited an emergency room due to painful sickle cell event. | Date of visit: | Date or Date & Time | Adult;Pediatric | Proposed | 1.00 | 2019-04-05 16:36:17.0 | PhenX Toolkit: Annual Pain Frequency of Sickle Cell Pain Episodes Per Year | Additional Proposed Instruments | general-data-protection-regulation-gdpr |
Free-Form Entry |
PhenX | Core tier 1 | Annual Pain Frequency | n/a | |||||||||||||||||||||||||||||
C59492 | Sickle cell hospitalization location | SickleCellHospitalLoc | Free text field indicating the hospital location information of the emergency room in which patient visited due to a painful sickle cell event. | Free text field indicating the hospital location information of the emergency room in which patient visited due to a painful sickle cell event. | Name of hospital, city, state: | Alphanumeric | Adult;Pediatric | Proposed | 1.00 | 2019-04-05 16:39:29.0 | PhenX Toolkit: Annual Pain Frequency of Sickle Cell Pain Episodes Per Year | Additional Proposed Instruments | general-data-protection-regulation-gdpr | 255 |
Free-Form Entry |
Phenx | Core tier 1 | Annual Pain Frequency | n/a | ||||||||||||||||||||||||||||
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 (MM/DD/YYYY): | Date or Date & Time | Adult;Pediatric | Proposed | 1.00 | 2014-06-18 08:10:12.0 | PhenX Toolkit: Annual Pain Frequency of Sickle Cell Pain Episodes Per Year | Additional Proposed Instruments | general-data-protection-regulation-gdpr |
Free-Form Entry |
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C59439 | Emergency room visit due to sickle cell pain past 6 months frequency | EmRmVstDu2SCPnPst6MoFreq | Frequency subject/participant visited the emergency room due to Sickle Cell pain in the last 6 months. | Frequency of times subject/participant visited the emergency room due to Sickle Cell pain in the last 6 months. | In the last 6 months, how many times did you visit an emergency room because of a sickle cell painful event? Indicate the number of times: | Numeric Values | Adult;Pediatric | Proposed | 1.00 | 2019-04-04 13:52:01.0 | PhenX Toolkit: Annual Pain Frequency of Sickle Cell Pain Episodes Per Year | Additional Proposed Instruments | general-data-protection-regulation-gdpr |
Free-Form Entry |
0 | 100 | PhenX | Core tier 1 | Annual Pain Frequency | 1 | |||||||||||||||||||||||||||
C59440 | Hospital admittance due to sickle cell past 12 months frequency | HospAdmtDu2SCPnPst12MoFreq | Frequency subject/participant was admitted to a hospital due to Sickle Cell pain in the last 12 months. | Frequency subject/participant was admitted to a hospital due to Sickle Cell pain in the last 12 months. | In the last 12 months, how many times were you admitted to a hospital because of a sickle cell painful event? Indicate the number of times: | Numeric Values | Adult;Pediatric | Proposed | 1.00 | 2019-04-04 13:52:01.0 | PhenX Toolkit: Annual Pain Frequency of Sickle Cell Pain Episodes Per Year | Additional Proposed Instruments | general-data-protection-regulation-gdpr |
Free-Form Entry |
0 | 300 | PhenX | Core tier 1 | Annual Pain Frequency | 2 | |||||||||||||||||||||||||||
C59465 | Severe episode activity impact 6 month no doctor indicator | SvrEpActImpt6MoNDrInd | Indicator of whether the subject/participant had a painful episode severe enough to keep them from doing the usual daily activities, but without being seen by a doctor. | Indicator of whether the subject/participant had a painful episode severe enough to keep them from doing the usual daily activities, but without being seen by a doctor. | In the last 6 months, have you had a painful episode severe enough to keep you from doing the usual daily activities, but without being seen by a doctor? | No;Yes | No;Yes | Alphanumeric | Adult;Pediatric | Proposed | 1.00 | 2019-04-04 16:52:17.0 | PhenX Toolkit: Annual Pain Frequency of Sickle Cell Pain Episodes Per Year | Additional Proposed Instruments | general-data-protection-regulation-gdpr |
Single Pre-Defined Value Selected |
PhenX | Core tier 1 | Annual Pain Frequency | 3 |
8 results.