CDE Detailed Report
Disease: Sickle Cell Disease
Sub-Domain: Participant Characteristics
CRF: PhenX Toolkit: Birthplace

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
C59516 Birthplace location BirthplaceLoc Location (inside or outside of the US) of the subject/participant's place of birth Location (inside or outside of the US) of the subject/participant's place of birth Where were you born? In the United States;Outside the United States In the United States;Outside the United States Alphanumeric PhenX Protocol: Birthplace (#010201) Adult;Pediatric Proposed 1.00 2019-04-10 12:42:10.0 PhenX Toolkit: Birthplace Participant Characteristics Demographics

Single Pre-Defined Value Selected

PhenX Core Tier 2 Birthplace 1
C59517 Birthplace US state name BirthplaceUSStateName Name of the US state where the subject/participant was born Name of the US state where the subject/participant was born In the United States- Print name of state Alphanumeric PhenX Protocol: Birthplace (#010201) Adult;Pediatric Proposed 1.00 2019-04-10 12:45:34.0 PhenX Toolkit: Birthplace Participant Characteristics Demographics 25

Free-Form Entry

PhenX Core Tier 2 Birthplace 1.In the US
C59518 Birthplace territory country name BirthplaceTerrCntryName Name of the US territory or foreign country where the subject/participant was born Name of the US territory or foreign country where the subject/participant was born Outside the United States - Print U.S. Territory (e.g., Puerto Rico, U.S. Virgin Islands, Guam) or name of foreign country etc. Alphanumeric PhenX Protocol: Birthplace (#010201) Adult;Pediatric Proposed 1.00 2019-04-10 12:47:22.0 PhenX Toolkit: Birthplace Participant Characteristics Demographics 50

Free-Form Entry

PhenX Core Tier 2 Birthplace 1.Outside the US
3 results.
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