CDE Detailed Report
Disease: Sickle Cell Disease
Sub-Domain: Outcomes and End Points
CRF: PhenX Toolkit: Substances - Lifetime Use

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
C59587 Sedative tranquilizer use type name SedtvTranqlzrUseTypName Name or type of sedative or tranquilizer used by the subject/participant Name or type of sedative or tranquilizer used by the subject/participant Which ones? Alphanumeric PhenX Protocol: Substances - Lifetime Use (#031102) Adult;Pediatric Proposed 1.00 2019-04-12 14:06:32.0 PhenX Toolkit: Substances - Lifetime Use Outcomes and End Points Assessing Comorbidities 100

Free-Form Entry

PhenX Core Tier 2 Substances - Lifetime Use 1a.1
C59588 Painkiller use type name PainkillerUseTypName Name or type of painkiller used by the subject/participant Name or type of painkiller used by the subject/participant Which ones? Alphanumeric PhenX Protocol: Substances - Lifetime Use (#031102) Adult;Pediatric Proposed 1.00 2019-04-12 14:06:32.0 PhenX Toolkit: Substances - Lifetime Use Outcomes and End Points Assessing Comorbidities 100

Free-Form Entry

PhenX Core Tier 2 Substances - Lifetime Use 1a.2
C59589 Marijuana use type name MarijuanaUseTypName Name or type of marijuana used by the subject/participant Name or type of marijuana used by the subject/participant Which ones? Alphanumeric PhenX Protocol: Substances - Lifetime Use (#031102) Adult;Pediatric Proposed 1.00 2019-04-12 14:06:32.0 PhenX Toolkit: Substances - Lifetime Use Outcomes and End Points Assessing Comorbidities 100

Free-Form Entry

PhenX Core Tier 2 Substances - Lifetime Use 1a.3
C59590 Cocaine use type name CocaineUseTypName Name or type of cocaine used by the subject/participant Name or type of cocaine used by the subject/participant Which ones? Alphanumeric PhenX Protocol: Substances - Lifetime Use (#031102) Adult;Pediatric Proposed 1.00 2019-04-12 14:06:32.0 PhenX Toolkit: Substances - Lifetime Use Outcomes and End Points Assessing Comorbidities 100

Free-Form Entry

PhenX Core Tier 2 Substances - Lifetime Use 1a.4
C59591 Stimulant use type name StimulantUseTypName Name or type of stimulant used by the subject/participant Name or type of stimulant used by the subject/participant Which ones? Alphanumeric PhenX Protocol: Substances - Lifetime Use (#031102) Adult;Pediatric Proposed 1.00 2019-04-12 14:06:32.0 PhenX Toolkit: Substances - Lifetime Use Outcomes and End Points Assessing Comorbidities 100

Free-Form Entry

PhenX Core Tier 2 Substances - Lifetime Use 1a.5
C59592 Club drug use type name ClubDrugUseTypName Name or type of club drug(s) used by the subject/participant Name or type of club drug(s) used by the subject/participant Which ones? Alphanumeric PhenX Protocol: Substances - Lifetime Use (#031102) Adult;Pediatric Proposed 1.00 2019-04-12 14:06:32.0 PhenX Toolkit: Substances - Lifetime Use Outcomes and End Points Assessing Comorbidities 100

Free-Form Entry

PhenX Core Tier 2 Substances - Lifetime Use 1a.6
C59593 Hallucinogen use type name HallucinogenUseTypName Name or type of hallucinogen(s) used by the subject/participant Name or type of hallucinogen(s) used by the subject/participant Which ones? Alphanumeric PhenX Protocol: Substances - Lifetime Use (#031102) Adult;Pediatric Proposed 1.00 2019-04-12 14:06:32.0 PhenX Toolkit: Substances - Lifetime Use Outcomes and End Points Assessing Comorbidities 100

Free-Form Entry

PhenX Core Tier 2 Substances - Lifetime Use 1a.7
C59594 Inhalant solvent use type name InhalantSolventUseTypName Name or type of inhalant(s) or solvent(s) used by the subject/participant Name or type of inhalant(s) or solvent(s) used by the subject/participant Which ones? Alphanumeric PhenX Protocol: Substances - Lifetime Use (#031102) Adult;Pediatric Proposed 1.00 2019-04-12 14:06:32.0 PhenX Toolkit: Substances - Lifetime Use Outcomes and End Points Assessing Comorbidities 100

Free-Form Entry

PhenX Core Tier 2 Substances - Lifetime Use 1a.8
C59595 Heroin use type name HeroinUseTypName Name or type of heroin used by the subject/participant Name or type of heroin used by the subject/participant Which ones? Alphanumeric PhenX Protocol: Substances - Lifetime Use (#031102) Adult;Pediatric Proposed 1.00 2019-04-12 14:06:32.0 PhenX Toolkit: Substances - Lifetime Use Outcomes and End Points Assessing Comorbidities 100

Free-Form Entry

PhenX Core Tier 2 Substances - Lifetime Use 1a.9
C59596 Drug other use type name DrugOtherUseTypName Name or type of other drug(s) used by the subject/participant Name or type of other drug(s) used by the subject/participant Specify Alphanumeric PhenX Protocol: Substances - Lifetime Use (#031102) Adult;Pediatric Proposed 1.00 2019-04-12 14:06:32.0 PhenX Toolkit: Substances - Lifetime Use Outcomes and End Points Assessing Comorbidities 100

Free-Form Entry

PhenX Core Tier 2 Substances - Lifetime Use 1a.10
C59586 Substance lifetime ever use type code SubstncLftmEvrUseTypCode Code for the type of substances the subject/participant has ever used in his or her lifetime, except as prescribed by a physician. Code for the type of substances the subject/participant has ever used in his or her lifetime, except as prescribed by a physician. Have you EVER used any of these medicines or drugs? 1;2;3;4;5;6;7;8;9;10 Sedatives or tranquilizers, for example…barbs, downers, Ambien, Lunesta, phenobarbital, pentobarbital, Halcion, Tuinal, Nembutal, Seconal, Librium, Valium, Xanax, benzodiazepines, tranks, Ativan.;Painkillers, for example…methadone, codeine, Demerol, Vicodin, OxyContin, opium, oxy, Percocet, Dilaudid, Percodan, morphine.;Marijuana, including THC, for example…weed, pot, dope, hashish, Mary Jane, joint, blunt.;Cocaine or crack, for example…blow, rock, snow.;Stimulants, for example…Adderall, Concerta, Cylert, Provigil, Ritalin or Dexedrine, speed, amphetamine, methamphetamine, uppers, bennies, pep pills, crystal, crank.;Club drugs, for example…MDMA, ecstasy, GHB, Rohypnol, ketamine, Special K, XTC, roofies.;Hallucinogens, for example…LSD, acid, PCP, mescaline, peyote, psilocybin, mushrooms, angel dust, cactus.;Inhalants or solvents, for example…nitrous oxide, lighter fluid, gasoline, cleaning fluid, glue, poppers, whippets.;Heroin, for example…smack, black tar, poppy.;Any OTHER medicines. Numeric Values

Now I'd like to ask you about your experiences with medicines and other kinds of drugs that you may have used ON YOUR OWN-that is, either WITHOUT a doctor's prescription (PAUSE); in GREATER amounts, MORE OFTEN, or LONGER than prescribed (PAUSE); or for a reason other than a doctor said you should use them. People use these medicines and drugs ON THEIR OWN to feel more alert, to relax or quiet their nerves, to feel better, to enjoy themselves, to get high or just to see how they work.

PhenX Protocol: Substances - Lifetime Use (#031102) Adult;Pediatric Proposed 1.00 2019-04-12 14:00:52.0 PhenX Toolkit: Substances - Lifetime Use Outcomes and End Points Assessing Comorbidities

Multiple Pre-Defined Values Selected

PhenX Core Tier 2 Substances - Lifetime Use 1a
C59597 Substance lifetime ever use indicate code SbstncLftmEvrUseIndCode Code indicating whether any item in 'Substance lifetime ever use type code' was selected as having been used by the subject/participant Code indicating whether any item in 'Substance lifetime ever use type code' was selected as having been used by the subject/participant Is at least one category selected in 'Substance lifetime ever use type code'? 1;2;1;2 Yes;No;Yes;No Numeric Values

1 Yes - Classify as ever (drug) use; 2 No - Classify as non (drug) user

PhenX Protocol: Substances - Lifetime Use (#031102) Adult;Pediatric Proposed 1.00 2019-04-12 14:22:08.0 PhenX Toolkit: Substances - Lifetime Use Outcomes and End Points Assessing Comorbidities

Single Pre-Defined Value Selected

PhenX Core Tier 2 Substances - Lifetime Use Check Item 3.10
12 results.
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