CDE Detailed Report
Disease: cookie-policy
Sub-Domain: Participant Characteristics
CRF:

12 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
C59525 Maternal grandmother birthplace location MatGmothrBrthplcLoc Location (inside or outside of the US) of the subject/participant's maternal grandmother Location (inside or outside of the US) of the subject/participant's maternal grandmother Where was your mother's mother born? In the United States;Outside the United States;Don't know In the United States;Outside the United States;Don't know Alphanumeric PhenX Protocol: Birthplace of Grandparents (#010401) Adult;Pediatric Proposed 1.00 2019-04-10 13:19:47.0 PhenX Toolkit: Birthplace of Grandparents Participant Characteristics Demographics

Single Pre-Defined Value Selected

PhenX Core Tier 2 Birthplace of Grandparents 1
C59536 Paternal grandfather birthplace territory country name PatGfathrBrthplcTerrCtryName Name of the US territory or foreign country where the subject/participant's paternal grandfather was born Name of the US territory or foreign country where the subject/participant's paternal grandfather 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 of Grandparents (#010401) Adult;Pediatric Proposed 1.00 2019-04-10 13:24:45.0 PhenX Toolkit: Birthplace of Grandparents Participant Characteristics Demographics 50

Free-Form Entry

PhenX Core Tier 2 Birthplace of Grandparents 4.Outside the US
C59526 Maternal grandmother birthplace US state name MatGmothrBrthplcUSStateName Name of the US state where the subject/participant's maternal grandmother was born. Name of the US state where the subject/participant's maternal grandmother was born. In the United States- Print name of state Alphanumeric PhenX Protocol: Birthplace of Grandparents (#010401) Adult;Pediatric Proposed 1.00 2019-04-10 13:23:02.0 PhenX Toolkit: Birthplace of Grandparents Participant Characteristics Demographics 25

Free-Form Entry

PhenX Core Tier 2 Birthplace of Grandparents 1.In the US
C59527 Maternal grandmother birthplace territory country name MatGmothrBrthplcTerrCtryName Name of the US territory or foreign country where the subject/participant's maternal grandmother was born Name of the US territory or foreign country where the subject/participant's maternal grandmother 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 of Grandparents (#010401) Adult;Pediatric Proposed 1.00 2019-04-10 13:24:45.0 PhenX Toolkit: Birthplace of Grandparents Participant Characteristics Demographics 50

Free-Form Entry

PhenX Core Tier 2 Birthplace of Grandparents 1.Outside the US
C59528 Maternal grandfather birthplace location MatGfathrBrthplcLoc Location (inside or outside of the US) of the subject/participant's maternal grandfather Location (inside or outside of the US) of the subject/participant's maternal grandfather Where was your mother's father born? In the United States;Outside the United States;Don't know In the United States;Outside the United States;Don't know Alphanumeric PhenX Protocol: Birthplace of Grandparents (#010401) Adult;Pediatric Proposed 1.00 2019-04-10 13:19:47.0 PhenX Toolkit: Birthplace of Grandparents Participant Characteristics Demographics

Single Pre-Defined Value Selected

PhenX Core Tier 2 Birthplace of Grandparents 2
C59529 Maternal grandfather birthplace US state name MatGfathrBrthplcUSStateName Name of the US state where the subject/participant's maternal grandfather was born. Name of the US state where the subject/participant's maternal grandfather was born. In the United States- Print name of state Alphanumeric PhenX Protocol: Birthplace of Grandparents (#010401) Adult;Pediatric Proposed 1.00 2019-04-10 13:23:02.0 PhenX Toolkit: Birthplace of Grandparents Participant Characteristics Demographics 25

Free-Form Entry

PhenX Core Tier 2 Birthplace of Grandparents 2.In the US
C59530 Maternal grandfather birthplace territory country name MatGfathrBrthplcTerrCtryName Name of the US territory or foreign country where the subject/participant's maternal grandfather was born Name of the US territory or foreign country where the subject/participant's maternal grandfather 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 of Grandparents (#010401) Adult;Pediatric Proposed 1.00 2019-04-10 13:24:45.0 PhenX Toolkit: Birthplace of Grandparents Participant Characteristics Demographics 50

Free-Form Entry

PhenX Core Tier 2 Birthplace of Grandparents 2.Outside the US
C59531 Paternal grandmother birthplace location PatGmothrBrthplcLoc Location (inside or outside of the US) of the subject/participant's paternal grandmother Location (inside or outside of the US) of the subject/participant's paternal grandmother Where was your father's mother born? In the United States;Outside the United States;Don't know In the United States;Outside the United States;Don't know Alphanumeric PhenX Protocol: Birthplace of Grandparents (#010401) Adult;Pediatric Proposed 1.00 2019-04-10 13:19:47.0 PhenX Toolkit: Birthplace of Grandparents Participant Characteristics Demographics

Single Pre-Defined Value Selected

PhenX Core Tier 2 Birthplace of Grandparents 3
C59532 Paternal grandmother birthplace US state name PatGmothrBrthplcUSStateName Name of the US state where the subject/participant's paternal grandmother was born. Name of the US state where the subject/participant's paternal grandmother was born. In the United States- Print name of state Alphanumeric PhenX Protocol: Birthplace of Grandparents (#010401) Adult;Pediatric Proposed 1.00 2019-04-10 13:23:02.0 PhenX Toolkit: Birthplace of Grandparents Participant Characteristics Demographics 25

Free-Form Entry

PhenX Core Tier 2 Birthplace of Grandparents 3.In the US
C59533 Paternal grandmother birthplace territory country name PatGmothrBrthplcTerrCtryName Name of the US territory or foreign country where the subject/participant's paternal grandmother was born Name of the US territory or foreign country where the subject/participant's paternal grandmother 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 of Grandparents (#010401) Adult;Pediatric Proposed 1.00 2019-04-10 13:24:45.0 PhenX Toolkit: Birthplace of Grandparents Participant Characteristics Demographics 50

Free-Form Entry

PhenX Core Tier 2 Birthplace of Grandparents 3.Outside the US
C59534 Paternal grandfather birthplace location PatGfathrBrthplcLoc Location (inside or outside of the US) of the subject/participant's paternal grandfather Location (inside or outside of the US) of the subject/participant's paternal grandfather Where was your father's father born? In the United States;Outside the United States;Don't know In the United States;Outside the United States;Don't know Alphanumeric PhenX Protocol: Birthplace of Grandparents (#010401) Adult;Pediatric Proposed 1.00 2019-04-10 13:19:47.0 PhenX Toolkit: Birthplace of Grandparents Participant Characteristics Demographics

Single Pre-Defined Value Selected

PhenX Core Tier 2 Birthplace of Grandparents 4
C59535 Paternal grandfather birthplace US state name PatGfathrBrthplcUSStateName Name of the US state where the subject/participant's paternal grandfather was born. Name of the US state where the subject/participant's paternal grandfather was born. In the United States- Print name of state Alphanumeric PhenX Protocol: Birthplace of Grandparents (#010401) Adult;Pediatric Proposed 1.00 2019-04-10 13:23:02.0 PhenX Toolkit: Birthplace of Grandparents Participant Characteristics Demographics 25

Free-Form Entry

PhenX Core Tier 2 Birthplace of Grandparents 4.In the US
12 results.
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