CDE Detailed Report
Disease: cookie-policy
Sub-Domain: Assessments and Examinations
CRF:
Sub-Domain: Assessments and Examinations
CRF:
9 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| C59542 | Employer union provided insurance coverage code | EmplUnionProvInsurCovCode | Code indicating whether the subject/participant is covered by insurance through a current or former employer or union. | Code indicating whether the subject/participant is covered by insurance through a current or former employer or union. | Insurance through a current or former employer or union (of yours or another family member's). This would include COBRA coverage. | 1;2;3 | Covered;Not Covered;not sure | Numeric Values | PhenX Protocol: Health Insurance Coverage (#011502) | Adult;Pediatric | Proposed | 1.00 | 2019-04-11 10:16:19.0 | PhenX Toolkit: Health Insurance Coverage | Assessments and Examinations | Hospital%2FCare Management |
Single Pre-Defined Value Selected |
PhenX | Core Tier 2 | Health Insurance Coverage | 1a | ||||||||||||||||||||||||||
| C59543 | Direct purchase insurance coverage code | DirectPurchInsurCovrgCode | Code indicating whether the subject/participant is covered by insurance purchased directly from an insurance company. | Code indicating whether the subject/participant is covered by insurance purchased directly from an insurance company. | Insurance purchased directly from an insurance company (by you or another family member). This would include coverage purchased through an exchange or marketplace, such as HealthCare.gov [IF THE RESPONDENT IS IN A STATE WITH STATE-SPECIFIC NAMES, INSERT [or (INSERT PROGRAM NAME)]]. | 1;2;3 | Covered;Not Covered;not sure | Numeric Values | PhenX Protocol: Health Insurance Coverage (#011502) | Adult;Pediatric | Proposed | 1.00 | 2019-04-11 10:16:19.0 | PhenX Toolkit: Health Insurance Coverage | Assessments and Examinations | Hospital%2FCare Management |
Single Pre-Defined Value Selected |
PhenX | Core Tier 2 | Health Insurance Coverage | 1b | ||||||||||||||||||||||||||
| C59544 | Medicare insurance coverage code | MedicareInsurCovrgCode | Code indicating whether the subject/participant is covered by insurance provided through Medicare | Code indicating whether the subject/participant is covered by insurance provided through Medicare | Medicare, for people 65 and older, or people with certain disabilities. | 1;2;3 | Covered;Not Covered;not sure | Numeric Values | PhenX Protocol: Health Insurance Coverage (#011502) | Adult | Proposed | 1.00 | 2019-04-11 10:16:19.0 | PhenX Toolkit: Health Insurance Coverage | Assessments and Examinations | Hospital%2FCare Management |
Single Pre-Defined Value Selected |
PhenX | Core Tier 2 | Health Insurance Coverage | 1c | ||||||||||||||||||||||||||
| C59545 | Income disability based government assistance insurance coverage code | IncmDsabBsdGovtAsstInsCovCode | Code indicating whether the subject/participant is covered by insurance provided through an income or disability based government assistance program such as Medicaid | Code indicating whether the subject/participant is covered by insurance provided through an income or disability based government assistance program such as Medicaid | Medicaid, Medical Assistance (MA), the Children's Health Insurance Program (CHIP), or any kind of state or government-sponsored assistance. plan based on income or a disability. You may know this type of coverage as [IF THE RESPONDENT IS IN A STATE WITH STATE-SPECIFIC NAMES INSERT PROGRAM NAME]. | 1;2;3 | Covered;Not Covered;not sure | Numeric Values | PhenX Protocol: Health Insurance Coverage (#011502) | Adult;Pediatric | Proposed | 1.00 | 2019-04-11 10:16:19.0 | PhenX Toolkit: Health Insurance Coverage | Assessments and Examinations | Hospital%2FCare Management |
Single Pre-Defined Value Selected |
PhenX | Core Tier 2 | Health Insurance Coverage | 1d | ||||||||||||||||||||||||||
| C59546 | Military insurance coverage code | MilitaryInsurCoverageCode | Code indicating whether the subject/participant is covered by insurance provided through the military | Code indicating whether the subject/participant is covered by insurance provided through the military | TRICARE or other military health care, including VA health care. | 1;2;3 | Covered;Not Covered;not sure | Numeric Values | PhenX Protocol: Health Insurance Coverage (#011502) | Adult;Pediatric | Proposed | 1.00 | 2019-04-11 10:16:19.0 | PhenX Toolkit: Health Insurance Coverage | Assessments and Examinations | Hospital%2FCare Management |
Single Pre-Defined Value Selected |
PhenX | Core Tier 2 | Health Insurance Coverage | 1e | ||||||||||||||||||||||||||
| C59547 | Indian Health Service insurance coverage code | IHSInsurCoverageCode | Code indicating whether the subject/participant is covered by insurance provided through the Indian Health Service (IHS) | Code indicating whether the subject/participant is covered by insurance provided through the Indian Health Service (IHS) | Indian Health Service. | 1;2;3 | Covered;Not Covered;not sure | Numeric Values | PhenX Protocol: Health Insurance Coverage (#011502) | Adult;Pediatric | Proposed | 1.00 | 2019-04-11 10:16:19.0 | PhenX Toolkit: Health Insurance Coverage | Assessments and Examinations | Hospital%2FCare Management |
Single Pre-Defined Value Selected |
PhenX | Core Tier 2 | Health Insurance Coverage | 1f | ||||||||||||||||||||||||||
| C59548 | Other insurance coverage code | OtherInsurCoverageCode | Code indicating whether the subject/participant is covered by insurance through a provider not otherwise specified | Code indicating whether the subject/participant is covered by insurance through a provider not otherwise specified | Any other type of health insurance. coverage or health coverage plan | 1;2;3 | Covered;Not Covered;not sure | Numeric Values | PhenX Protocol: Health Insurance Coverage (#011502) | Adult;Pediatric | Proposed | 1.00 | 2019-04-11 10:16:19.0 | PhenX Toolkit: Health Insurance Coverage | Assessments and Examinations | Hospital%2FCare Management |
Single Pre-Defined Value Selected |
PhenX | Core Tier 2 | Health Insurance Coverage | 1g | ||||||||||||||||||||||||||
| C59549 | Health insurance coverage indicate code | HlthInsurCoverageIndCode | Code indicating whether the subject/participant is covered by any type of health insurance | Code indicating whether the subject/participant is covered by any type of health insurance | Does this mean you currently have no health insurance or health coverage plan? In answering this question, please exclude plans that pay for only one type of service (such as, nursing home care, accidents, family planning, or dental care) and plans that only provide extra cash when hospitalized. | 1;2 | I do NOT have health insurance;I HAVE some kind of health insurance | Numeric Values | PhenX Protocol: Health Insurance Coverage (#011502) | Adult;Pediatric | Proposed | 1.00 | 2019-04-11 11:03:21.0 | PhenX Toolkit: Health Insurance Coverage | Assessments and Examinations | Hospital%2FCare Management |
Single Pre-Defined Value Selected |
PhenX | Core Tier 2 | Health Insurance Coverage | 2 | ||||||||||||||||||||||||||
| C59550 | Health insurance coverage type | HealthInsuranceCoverageTyp | Type of health insurance coverage that the subject/participant has | Type of health insurance coverage that the subject/participant has | What type of health insurance do you have? | Alphanumeric | PhenX Protocol: Health Insurance Coverage (#011502) | Adult;Pediatric | Proposed | 1.00 | 2019-04-11 11:07:07.0 | PhenX Toolkit: Health Insurance Coverage | Assessments and Examinations | Hospital%2FCare Management | 100 |
Free-Form Entry |
PhenX | Core Tier 2 | Health Insurance Coverage | 2b |
9 results.