CDE Detailed Report
Disease:
Sub-Domain: Disease or Treatment Related Events
CRF:

30 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
C60577 Avascular necrosis before cure indicator AvascularNecrosisBeforeCureInd Indicator of whether participant/subject presented with avascular necrosis prior to being cured. Indicator of whether participant/subject presented with avascular necrosis prior to being cured. Avascular necrosis at/before cure No;Yes No;Yes Alphanumeric Adult;Pediatric Core 1.00 2021-04-28 14:25:43.0 Endocrine, Infertility and Bone Health Disease or Treatment Related Events cookie-policy

Single Pre-Defined Value Selected

C60588 Hydroxyurea take time fertility preservation indicator HydrxyurTkTmFertPresInd Indicator of whether the subject/participant was taking hydroxyurea at the time of his or her fertility preservation. Indicator of whether the subject/participant was taking hydroxyurea at the time of his or her fertility preservation. If Yes, taking hydroxyurea at fertility preservation? No;Yes No;Yes Alphanumeric Adult;Pediatric Core 1.00 2021-04-28 15:04:03.0 Endocrine, Infertility and Bone Health Disease or Treatment Related Events cookie-policy

Single Pre-Defined Value Selected

C60599 Fertility preservation semen analysis sperm concentration text FrtPrsSmnAnlysSprmConcnTxt Text field for recording the value and units of sperm concentration from semen analysis performed as part of fertility preservation. Text field for recording the value and units of sperm concentration from semen analysis performed as part of fertility preservation. Sperm concentration Alphanumeric Adult;Pediatric Core 1.00 2021-04-28 16:23:29.0 Endocrine, Infertility and Bone Health Disease or Treatment Related Events cookie-policy 25

Free-Form Entry

C60578 Avascular necrosis anatomic site AvascularNecrosisAnatSite Anatomic site(s) of subject/participant's avascular necrosis. Anatomic site(s) of subject/participant's avascular necrosis. If yes, where Alphanumeric Adult;Pediatric Core 1.00 2021-04-28 14:29:34.0 Endocrine, Infertility and Bone Health Disease or Treatment Related Events cookie-policy 100

Free-Form Entry

C60589 Hydroxyurea stop duration HydroxyureaStopDur Duration of time in months for which the subject/participant's hydroxyurea treatment has been stopped. Duration of time in months for which the subject/participant's hydroxyurea treatment has been stopped. If HU has been stopped, please indicate for how long? Numeric Values Adult;Pediatric Core 1.00 2021-04-28 15:06:07.0 Endocrine, Infertility and Bone Health Disease or Treatment Related Events cookie-policy

Free-Form Entry

0 months
C60600 Fertility preservation semen analysis sperm motility text FrtPrsSmnAnlysSprmMotiltyTxt Text field for recording the value and units of sperm motility from semen analysis performed as part of fertility preservation. Text field for recording the value and units of sperm motility from semen analysis performed as part of fertility preservation. Sperm motility: Alphanumeric Adult;Pediatric Core 1.00 2021-04-28 16:23:29.0 Endocrine, Infertility and Bone Health Disease or Treatment Related Events cookie-policy 25

Free-Form Entry

C60579 Avascular necrosis Lesion 1 stage number AvascularNecrosisLesn1StgNum Number denoting the stage of avascular necrosis at the site of Lesion 1. Number denoting the stage of avascular necrosis at the site of Lesion 1. If yes, stage (1-4) of Lesion 1 1;2;3;4 1;2;3;4 Numeric Values Adult;Pediatric Core 1.00 2021-04-28 14:31:15.0 Endocrine, Infertility and Bone Health Disease or Treatment Related Events cookie-policy

Single Pre-Defined Value Selected

C60590 Fertility preservation bank material category FertPresBankMatCat Category of material that has been banked as part of the subject/participant's fertility preservation. Category of material that has been banked as part of the subject/participant's fertility preservation. If yes, what is banked Embryos;Ovarian tissue;Oocytes Embryos;Ovarian tissue;Oocytes Alphanumeric Adult;Pediatric Core 1.00 2021-04-28 15:09:14.0 Endocrine, Infertility and Bone Health Disease or Treatment Related Events cookie-policy

Multiple Pre-Defined Values Selected

C60601 Fertility preservation semen analysis sperm morphology text FrtPrsSmnAnlysSprmMorphTxt Text field for recording the value and units of sperm morphology from semen analysis performed as part of fertility preservation. Text field for recording the value and units of sperm morphology from semen analysis performed as part of fertility preservation. Sperm morphology Alphanumeric Adult;Pediatric Core 1.00 2021-04-28 16:23:29.0 Endocrine, Infertility and Bone Health Disease or Treatment Related Events cookie-policy 25

Free-Form Entry

C60580 Avascular necrosis Lesion 2 stage number AvascularNecrosisLesn2StgNum Number denoting the stage of avascular necrosis at the site of Lesion 2. Number denoting the stage of avascular necrosis at the site of Lesion 2. If yes, stage (1-4) of Lesion 2 1;2;3;4 1;2;3;4 Numeric Values Adult;Pediatric Core 1.00 2021-04-28 14:31:15.0 Endocrine, Infertility and Bone Health Disease or Treatment Related Events cookie-policy

Single Pre-Defined Value Selected

C60591 Fertility preservation tissue gamete cryopreserve cost year value FrtPrsTsGamCryprsvCstYrVal Value in U.S. dollars of the cost per year of cryopreservation of tissue and/or gametes as part of the subject/participant's fertility preservation. Value in U.S. dollars of the cost per year of cryopreservation of tissue and/or gametes as part of the subject/participant's fertility preservation. If yes, storage cost for cryopreserved tissue/gametes (per year): Numeric Values Adult;Pediatric Core 1.00 2021-04-28 15:13:27.0 Endocrine, Infertility and Bone Health Disease or Treatment Related Events cookie-policy

Free-Form Entry

0 U.S. dollars
C60602 Fertility preservation sperm indicator FertPresSpermInd Indicator of whether sperm has been preserved for fertility preservation. Indicator of whether sperm has been preserved for fertility preservation. Sperm preserved No;Yes No;Yes Alphanumeric Adult;Pediatric Core 1.00 2021-04-28 16:12:45.0 Endocrine, Infertility and Bone Health Disease or Treatment Related Events cookie-policy

Single Pre-Defined Value Selected

C60581 Avascular necrosis lesion stage number not record reason AvascNecrsLesnStgNumNoRecRsn Reason why the stage number for the avascular necrosis legion has not been recorded. Reason why the stage number for the avascular necrosis legion has not been recorded. If yes, stage Unknown/Unavailable Unknown;Unavailable Unknown;Unavailable Alphanumeric Adult;Pediatric Core 1.00 2021-04-28 14:37:09.0 Endocrine, Infertility and Bone Health Disease or Treatment Related Events cookie-policy

Single Pre-Defined Value Selected

C60592 Fertility preservation tissue gamete cryopreserve cost payment source type FrtPrsTsGamCryprsCstPaySrcTyp Type(s) of source(s) for the payment of the cost of cryopreservation of tissue and/or gametes as part of the subject/participant's fertility preservation. Type(s) of source(s) for the payment of the cost of cryopreservation of tissue and/or gametes as part of the subject/participant's fertility preservation. Storage cost paid by Insurance;Research study;Foundation/grant;Patient/family Insurance;Research study;Foundation/grant;Patient/family Alphanumeric Adult;Pediatric Core 1.00 2021-04-28 15:16:08.0 Endocrine, Infertility and Bone Health Disease or Treatment Related Events cookie-policy

Multiple Pre-Defined Values Selected

C60603 Fertility preservation oocyte ovarian tissue embryo continue preserve indicator FrtPrsOocytOvrTissEmbCntPrsInd Indicator of whether the subject/participant is continuing to preserve oocytes, ovarian tissue, and/or embryos for fertility preservation. Indicator of whether the subject/participant is continuing to preserve oocytes, ovarian tissue, and/or embryos for fertility preservation. Are you continuing to preserve your oocytes/ ovarian tissue /embryos? No;Yes No;Yes Alphanumeric Adult;Pediatric Core 1.00 2021-04-29 13:12:49.0 Endocrine, Infertility and Bone Health Disease or Treatment Related Events cookie-policy

Single Pre-Defined Value Selected

C60582 Growth hormone receive response deficiency ever indicator GrowHormRecvRespDeficEvrInd Indicator of whether the subject/participant ever received growth hormone in response to a deficiency thereof. Indicator of whether the subject/participant ever received growth hormone in response to a deficiency thereof. If Yes, did you receive growth hormone? No;Yes;Unknown No;Yes;Unknown Alphanumeric Adult;Pediatric Core 1.00 2021-04-28 14:41:44.0 Endocrine, Infertility and Bone Health Disease or Treatment Related Events cookie-policy

Single Pre-Defined Value Selected

C60593 Fertility preservation ovarian tissue indicator FertPresOvarianTissueInd Indicator of whether ovarian tissue has been preserved for fertility preservation. Indicator of whether ovarian tissue has been preserved for fertility preservation. Ovarian tissue preserved No;Yes No;Yes Alphanumeric Adult;Pediatric Core 1.00 2021-04-28 16:12:45.0 Endocrine, Infertility and Bone Health Disease or Treatment Related Events cookie-policy

Single Pre-Defined Value Selected

C60604 Fertility preservation oocyte ovarian tissue embryo continue preserve current cost text FrtPrsOcytOvTsEmbCntPsCrCstTxt Text for reporting the U.S. dollar value and payment frequency of the current cost of the continued preservation of oocytes, ovarian tissue, and/or embryos as part of the subject/participant's fertility preservation. Text for reporting the U.S. dollar value and payment frequency of the current cost of the continued preservation of oocytes, ovarian tissue, and/or embryos as part of the subject/participant's fertility preservation. If yes, what is current cost of preservation Alphanumeric Adult;Pediatric Core 1.00 2021-04-29 13:15:58.0 Endocrine, Infertility and Bone Health Disease or Treatment Related Events cookie-policy 25

Free-Form Entry

C60583 Hypogonadotropic hypogonadism diagnosis age integer HypogndtropHypogndsmDxAgeIntg Integer for the age in years of the subject/participant at the time of his or her diagnosis of hypogonadotropic hypogonadism. Integer for the age in years of the subject/participant at the time of his or her diagnosis of hypogonadotropic hypogonadism. Hypogonadotropic hypogonadism: Age at diagnosis Numeric Values Adult;Pediatric Core 1.00 2021-04-28 14:45:24.0 Endocrine, Infertility and Bone Health Disease or Treatment Related Events cookie-policy

Free-Form Entry

0 100 year
C60594 Fertility preservation oocyte indicator FertPresOocyteInd Indicator of whether oocytes have been preserved for fertility preservation. Indicator of whether oocytes have been preserved for fertility preservation. If oocytes preserved No;Yes No;Yes Alphanumeric Adult;Pediatric Core 1.00 2021-04-28 16:12:45.0 Endocrine, Infertility and Bone Health Disease or Treatment Related Events cookie-policy

Single Pre-Defined Value Selected

C60605 Fertility preservation oocyte ovarian tissue embryo not preserve reason FrtPrsOocytOvaTisEmbNoPrsRsn Reason why the subject/participant is no longer continuing to preserve oocytes, ovarian tissue, and/or embryos as part of fertility preservation. Reason why the subject/participant is no longer continuing to preserve oocytes, ovarian tissue, and/or embryos as part of fertility preservation. If no, why Lab accident;Family complete;Cost Lab accident;Family complete;Cost Alphanumeric Adult;Pediatric Core 1.00 2021-04-29 13:20:26.0 Endocrine, Infertility and Bone Health Disease or Treatment Related Events cookie-policy

Single Pre-Defined Value Selected

C60584 Fertility preservation indicator FertilityPreservationInd Indicator of whether the subject/participant took steps to preserve his or her fertility. Indicator of whether the subject/participant took steps to preserve his or her fertility. Fertility Preservation Yes;No;Decline Yes;No;Decline to answer Alphanumeric Adult;Pediatric Core 1.00 2021-04-28 14:49:47.0 Endocrine, Infertility and Bone Health Disease or Treatment Related Events cookie-policy

Single Pre-Defined Value Selected

C60595 Fertility preservation oocyte count FertPresOocyteCt Count of oocytes preserved as part of fertility preservation. Count of oocytes preserved as part of fertility preservation. If yes, how many? Numeric Values Adult;Pediatric Core 1.00 2021-04-28 16:16:48.0 Endocrine, Infertility and Bone Health Disease or Treatment Related Events cookie-policy

Free-Form Entry

0 oocytes
C60606 Pregnancy since last study visit indicator PregSincLastStdyVistInd Indicator of whether the subject/participant has been pregnant since her last study visit. Indicator of whether the subject/participant has been pregnant since her last study visit. Have you been pregnant since your last study visit? No;Yes No;Yes Alphanumeric Adult;Pediatric Core 1.00 2021-04-29 13:23:57.0 Endocrine, Infertility and Bone Health Disease or Treatment Related Events cookie-policy

Single Pre-Defined Value Selected

C60585 Fertility preservation no reason FertilityPreservationNoRsn Reason given by the subject/participant for why he or she did not take steps to preserve his or her fertility. Reason given by the subject/participant for why he or she did not take steps to preserve his or her fertility. If no, why (pt may decline to answer) Alphanumeric Adult;Pediatric Core 1.00 2021-04-28 14:52:44.0 Endocrine, Infertility and Bone Health Disease or Treatment Related Events cookie-policy 100

Free-Form Entry

C60596 Fertility preservation embryo indicator FertPresEmbryoInd Indicator of whether embryos have been preserved for fertility preservation. Indicator of whether embryos have been preserved for fertility preservation. If embryos preserved No;Yes No;Yes Alphanumeric Adult;Pediatric Core 1.00 2021-04-28 16:12:45.0 Endocrine, Infertility and Bone Health Disease or Treatment Related Events cookie-policy

Single Pre-Defined Value Selected

C60586 Fertility preservation payment source type FertilityPreservationPaySrcTyp Type of payment source for the subject/participant's fertility preservation Type of payment source for the subject/participant's fertility preservation If Yes, how paid for (check all that apply) Paid for by gene therapy study;Insurance;Self-pay;Grant/foundation support;Research study about fertility preservation Paid for by gene therapy study;Insurance;Self-pay;Grant/foundation support;Research study about fertility preservation Alphanumeric Adult;Pediatric Core 1.00 2021-04-28 14:54:40.0 Endocrine, Infertility and Bone Health Disease or Treatment Related Events cookie-policy

Multiple Pre-Defined Values Selected

C60597 Fertility preservation embryo count FertPresEmbryoCt Count of embryos preserved as part of fertility preservation. Count of embryos preserved as part of fertility preservation. If yes, how many? Numeric Values Adult;Pediatric Core 1.00 2021-04-28 16:16:48.0 Endocrine, Infertility and Bone Health Disease or Treatment Related Events cookie-policy

Free-Form Entry

0 embryos
C60587 Fertility preservation payment insurance copay value FerttyPrsrvtnPymntInsCopayVal Value in U.S. dollars of the insurance copay paid by the subject/participant for his or her fertility preservation. Value in U.S. dollars of the insurance copay paid by the subject/participant for his or her fertility preservation. If insurance, copay Numeric Values Adult;Pediatric Core 1.00 2021-04-28 15:01:15.0 Endocrine, Infertility and Bone Health Disease or Treatment Related Events cookie-policy

Free-Form Entry

0 US dollars
C60598 Fertility preservation semen analysis result text FertPresSemenAnalysResltTxt Text field for documenting the results of semen analysis performed as part of fertility preservation. Text field for documenting the results of semen analysis performed as part of fertility preservation. If semen analysis performed, results: Alphanumeric Adult;Pediatric Core 1.00 2021-04-28 16:21:45.0 Endocrine, Infertility and Bone Health Disease or Treatment Related Events cookie-policy 255

Free-Form Entry

30 results.
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