CDE Detailed Report
Disease: Sickle Cell Disease
Sub-Domain: Participant Characteristics
CRF: PhenX Toolkit: Marital Status of Primary Caregiver

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
C59551 Primary caregiver marital status PrmryCrgvrMaritalStat Marital status of the subject/participant's primary caregiver Marital status of the subject/participant's primary caregiver Marital status of primary caregiver Married;Widowed;Separated;Divorced;Never married;Refused to answer;Unknown;Living with partner Married;Widowed;Separated;Divorced;Never married;Refused to answer;Unknown;Living with partner Alphanumeric PhenX Protocol: Marital Status of Primary Caregiver (#840101) Adult;Pediatric Proposed 1.00 2019-04-11 11:31:48.0 PhenX Toolkit: Marital Status of Primary Caregiver Participant Characteristics Demographics

Single Pre-Defined Value Selected

PhenX Core Tier 2 Marital Status of Primary Caregiver 1
C59552 Primary caregiver relation patient type PrmryCrgvrRltnPtTyp Type of relationship of the subject/participant's primary caregiver to the subject/participant Type of relationship of the subject/participant's primary caregiver to the subject/participant Relationship of primary caregiver to patient Mother;Father;First cousin;Grandparent;Foster parent;Second cousin;Unknown cousin;Niece or nephew;Aunt or uncle;Great grandparent;Great great grandparent;Great aunt or uncle;Great great aunt or great great uncle;Other, specify Mother;Father;First cousin;Grandparent;Foster parent;Second cousin;Unknown cousin;Niece or nephew;Aunt or uncle;Great grandparent;Great great grandparent;Great aunt or uncle;Great great aunt or great great uncle;Other, specify Alphanumeric PhenX Protocol: Marital Status of Primary Caregiver (#840101) Adult;Pediatric Proposed 1.00 2019-04-11 11:33:53.0 PhenX Toolkit: Marital Status of Primary Caregiver Participant Characteristics Demographics

Single Pre-Defined Value Selected

PhenX Core Tier 2 Marital Status of Primary Caregiver 2
C59553 Primary caregiver relation patient type other text PrmryCrgvrRltnPtTypOTH The free-text field related to 'Primary caregiver relation patient type' specifying other text The free-text field related to 'Primary caregiver relation patient type' specifying other text Other, Specify Alphanumeric PhenX Protocol: Marital Status of Primary Caregiver (#840101) Adult;Pediatric Proposed 1.00 2019-04-11 11:36:02.0 PhenX Toolkit: Marital Status of Primary Caregiver Participant Characteristics Demographics 30

Free-Form Entry

PhenX Core Tier 2 Marital Status of Primary Caregiver 2.other specify
3 results.
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