CDE Detailed Report
Disease: Sickle Cell Disease
Sub-Domain: Outcomes and End Points
CRF: PhenX Toolkit: Annual Family Income

6 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
C59510 Income annual family code IncmAnnlFmlyCode Code for total annual pre-tax income from all sources of all family members living in the same household. Code for total annual pre-tax income from all sources of all family members living in the same household. What is your best estimate of the total income of all family members from all sources, before taxes, in [last calendar year in 4 digit format]? Alphanumeric

Codes: 000000-999994 for $0-$999,994; 999995 for $999,995+; 999997 for Refused; 999999 for Don't know

PhenX Protocol: Annual Family Income (#011101) Adult;Pediatric Proposed 1.00 2019-04-10 11:20:49.0 PhenX Toolkit: Annual Family Income Outcomes and End Points Family and Environment 6

Free-Form Entry

PhenX Core Tier 2 Annual Family Income 1
C59511 Income annual family greater less than 50000 status IncmAnnlFmlyGrtrLssThn50KStat Status of whether total annual pre-tax income from all sources of all family members living in the same household is equal to/greater than or less than 50,000 USD. Status of whether total annual pre-tax income from all sources of all family members living in the same household is equal to/greater than or less than 50,000 USD. Was your total family income from all sources less than $50,000 or $50,000 or more? $50,000 or more;Less than $50,000;Refused;Don't know $50,000 or more;Less than $50,000;Refused;Don't know Alphanumeric PhenX Protocol: Annual Family Income (#011101) Adult;Pediatric Proposed 1.00 2019-04-10 11:28:55.0 PhenX Toolkit: Annual Family Income Outcomes and End Points Family and Environment

Single Pre-Defined Value Selected

PhenX Core Tier 2 Annual Family Income 2
C59512 Income annual family greater less than 35000 status IncmAnnlFmlyGrtrLssThn35KStat Status of whether total annual pre-tax income from all sources of all family members living in the same household is equal to/greater than or less than 35,000 USD. Status of whether total annual pre-tax income from all sources of all family members living in the same household is equal to/greater than or less than 35,000 USD. Was your total family income from all sources less than $35,000 or $35,000 or more? Refused;Don't know;$35,000 or more;Less than $35,000 Refused;Don't know;$35,000 or more;Less than $35,000 Alphanumeric PhenX Protocol: Annual Family Income (#011101) Adult;Pediatric Proposed 1.00 2019-04-10 11:28:55.0 PhenX Toolkit: Annual Family Income Outcomes and End Points Family and Environment

Single Pre-Defined Value Selected

PhenX Core Tier 2 Annual Family Income 3
C59513 Income annual family greater less than poverty level status IncmAnnlFmlyGrtrLssThnPvLvStat Status of whether total annual pre-tax income from all sources of all family members living in the same household is equal to/greater than or less than the poverty level appropriate for the family size Status of whether total annual pre-tax income from all sources of all family members living in the same household is equal to/greater than or less than the poverty level appropriate for the family size Was your total family income from all sources less than [fill based on poverty threshold] or [fill based on poverty threshold] or more? Refused;Don't know;Less than poverty level;Poverty level or more Refused;Don't know;Less than poverty level;Poverty level or more Alphanumeric

This question determines whether the family is above or below the poverty level that is appropriate for their family size. Consequently, the threshold selected for this question is based on the family size and the corresponding poverty level from the Census Bureau.

PhenX Protocol: Annual Family Income (#011101) Adult;Pediatric Proposed 1.00 2019-04-10 11:28:55.0 PhenX Toolkit: Annual Family Income Outcomes and End Points Family and Environment

Single Pre-Defined Value Selected

PhenX Core Tier 2 Annual Family Income 4
C59514 Income annual family greater less than 100000 status IncmAnnlFmlyGrtrLssThn100KStat Status of whether total annual pre-tax income from all sources of all family members living in the same household is equal to/greater than or less than 100,000 USD. Status of whether total annual pre-tax income from all sources of all family members living in the same household is equal to/greater than or less than 100,000 USD. Was your total family income from all sources less than $100,000 or $100,000 or more? Refused;Don't know;$100,000 or more;Less than $100,000 Refused;Don't know;$100,000 or more;Less than $100,000 Alphanumeric PhenX Protocol: Annual Family Income (#011101) Adult;Pediatric Proposed 1.00 2019-04-10 11:28:55.0 PhenX Toolkit: Annual Family Income Outcomes and End Points Family and Environment

Single Pre-Defined Value Selected

PhenX Core Tier 2 Annual Family Income 5
C59515 Income annual family greater less than 75000 status IncmAnnlFmlyGrtrLssThn75KStat Status of whether total annual pre-tax income from all sources of all family members living in the same household is equal to/greater than or less than 75,000 USD. Status of whether total annual pre-tax income from all sources of all family members living in the same household is equal to/greater than or less than 75,000 USD. Was your total family income from all sources less than $75,000 or $75,000 or more? Refused;Don't know;$75,000 or more;Less than $75,000 Refused;Don't know;$75,000 or more;Less than $75,000 Alphanumeric PhenX Protocol: Annual Family Income (#011101) Adult;Pediatric Proposed 1.00 2019-04-10 11:28:55.0 PhenX Toolkit: Annual Family Income Outcomes and End Points Family and Environment

Single Pre-Defined Value Selected

PhenX Core Tier 2 Annual Family Income 6
6 results.
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