CDE Detailed Report
Disease: Sickle Cell Disease
Sub-Domain: Additional Proposed Instruments
CRF: PhenX Toolkit: Pediatric School Performance

8 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
C51671 Grade status GradeStatus The status of the subject's grade level in school, if applicable. The status of the subject's grade level in school, if applicable. What is your child's current grade? Alphanumeric PhenX Protocol: Pediatric School Performance (#840201) Pediatric Proposed 1.00 2016-12-12 00:00:00.0 PhenX Toolkit: Pediatric School Performance Additional Proposed Instruments Phen-X 25

Free-Form Entry

C59556 Age pediatric year part value AgePedYrPartVal Value of the year part of the pediatric subject/participant's age Value of the year part of the pediatric subject/participant's age What is your child's current age? Years Numeric Values PhenX Protocol: Pediatric School Performance (#840201) Pediatric Proposed 1.00 2019-04-11 13:47:49.0 PhenX Toolkit: Pediatric School Performance Additional Proposed Instruments Phen-X

Free-Form Entry

0 17 year PhenX Core Tier 2 Pediatric School Performance 2
C59557 Age pediatric month part value AgePedMoPartVal Value of the month part of the pediatric subject/participant's age Value of the month part of the pediatric subject/participant's age What is your child's current age? Months Numeric Values PhenX Protocol: Pediatric School Performance (#840201) Pediatric Proposed 1.00 2019-04-11 13:47:49.0 PhenX Toolkit: Pediatric School Performance Additional Proposed Instruments Phen-X

Free-Form Entry

0 11 month PhenX Core Tier 2 Pediatric School Performance 2
C59558 Child held back repeat grade ever indicate code ChldHldBckRptGrdEvrIndCode Code indicating whether the pediatric subject/participant has ever been held back in school or repeated a grade Code indicating whether the pediatric subject/participant has ever been held back in school or repeated a grade Has your child ever been held back or repeated a grade? 1;2;1;2 Yes;No;Yes;No Numeric Values PhenX Protocol: Pediatric School Performance (#840201) Pediatric Proposed 1.00 2019-04-11 13:50:55.0 PhenX Toolkit: Pediatric School Performance Additional Proposed Instruments Phen-X

Single Pre-Defined Value Selected

PhenX Core Tier 2 Pediatric School Performance 3
C59559 Child grade held back repeat count range ChldGrdHldBckRptCtRng Range of the count of grades that the pediatric subject/participant has ever been held back for or repeated Range of the count of grades that the pediatric subject/participant has ever been held back for or repeated How many grades? 1;2;3 or more 1;2;3 or more Alphanumeric PhenX Protocol: Pediatric School Performance (#840201) Pediatric Proposed 1.00 2019-04-11 13:55:17.0 PhenX Toolkit: Pediatric School Performance Additional Proposed Instruments Phen-X

Single Pre-Defined Value Selected

PhenX Core Tier 2 Pediatric School Performance 3A
C59560 Child grade held back repeat 3 most recent text ChldGrdHldBckRpt3MstRcntTxt Text specifying the three most recent grades for which the pediatric subject/participant was held back or which he or she repeated Text specifying the three most recent grades for which the pediatric subject/participant was held back or which he or she repeated Which grade(s)? (List up to 3 most recent grades) Alphanumeric PhenX Protocol: Pediatric School Performance (#840201) Pediatric Proposed 1.00 2019-04-11 13:58:47.0 PhenX Toolkit: Pediatric School Performance Additional Proposed Instruments Phen-X 25

Free-Form Entry

PhenX Core Tier 2 Pediatric School Performance 3B
C59561 Child educational accommodation learn difference code ChldEdAccomLrnDiffCode Code denoting the educational accommodations made, if any, for the pediatric subject/participant for learning differences Code denoting the educational accommodations made, if any, for the pediatric subject/participant for learning differences Does your child have any accommodations because of learning differences? A;B;C;D;E;F Special Education Services;504 plan;IEP - individualized education plan;Special tutoring or classes not available to regular students;Other, describe;My child does not receive any accommodation for learning differences Alphanumeric PhenX Protocol: Pediatric School Performance (#840201) Pediatric Proposed 1.00 2019-04-11 14:01:16.0 PhenX Toolkit: Pediatric School Performance Additional Proposed Instruments Phen-X

Multiple Pre-Defined Values Selected

PhenX Core Tier 2 Pediatric School Performance 4
C59562 Child educational accommodation learn difference other text ChldEdAccomLrnDiffOTH The free-text field related to 'Child educational accommodation learn difference code' for describing other accommodations The free-text field related to 'Child educational accommodation learn difference code' for describing other accommodations Describe: Alphanumeric PhenX Protocol: Pediatric School Performance (#840201) Pediatric Proposed 1.00 2019-04-11 14:06:58.0 PhenX Toolkit: Pediatric School Performance Additional Proposed Instruments Phen-X 100

Free-Form Entry

PhenX Core Tier 2 Pediatric School Performance 4.1
8 results.
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