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CDE Detailed Report
This report contains detailed information about the selected CDEs.
Note: If at least one CDE was selected from a copyright- or trademark-protected instrument/scale then all of the CDEs from that instrument/scale are included in this report.
Disease: General (For all diseases)
Sub-Domain: Study Management
CRF: Participant/Subject Contact Information
Item count: 9 (9 distinct CDEs)
CDE ID
CDE Name
Variable Name
Definition / Description
Question Text
Permissible Value
Description
Data Type
Instructions
References
Population
Classification (e.g., Core)
Version #
Version Date
Aliases for Variable Name
CRF Module / Guideline
© or TM
Sub-Domain
Domain
Previous Title
Size
Input Restrictions
Min Value
Max Value
Measurement Type
LOINC ID
SNOMED
caDSR ID
CDISC ID
C21117
Subject name
SubjectName
Name of subject/participant.
Name
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
6/12/2015
Aliases for variable name not defined
Participant/Subject Contact Information
Study Management
Protocol Experience
 
255
Free-Form Entry
       
C21118
Subject mailing address name
SubjectMailingAddressName
Name of the mailing address of subject/participant.
Mailing Address
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
6/12/2015
Aliases for variable name not defined
Participant/Subject Contact Information
Study Management
Protocol Experience
  
Free-Form Entry
       
C21119
Subject home city name
SubjectHomeCityName
Name of city in which the subject/participant lives.
City
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
6/12/2015
Aliases for variable name not defined
Participant/Subject Contact Information
Study Management
Protocol Experience
  
Free-Form Entry
       
C21120
Subject home state province name
SubjectHomeStateProvinceName
The name of the state or province that the subject/participant inhabits.
Province
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
6/12/2015
Aliases for variable name not defined
Participant/Subject Contact Information
Study Management
Protocol Experience
  
Free-Form Entry
       
C21121
Subject zip postal code number
SubjectZipPostalCodeNumber
The number of the subject/participant's zip/postal code.
Zip/Postal Code
  
Numeric Values
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
6/12/2015
Aliases for variable name not defined
Participant/Subject Contact Information
Study Management
Protocol Experience
  
Free-Form Entry
       
C14123
Country of residence name
CntryResdnceName
Country where the participant/subject currently lives.
Country
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
3.0
6/21/2013
Aliases for variable name not defined
Participant/Subject Contact Information
Study Management
Protocol Experience
Country of residence name
255
Free-Form Entry
       
C21122
Subject home phone number
SubjectHomePhoneNumber
The home phone number of the subject/participant.
Home phone number
  
Numeric Values
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
6/12/2015
Aliases for variable name not defined
Participant/Subject Contact Information
Study Management
Protocol Experience
  
Free-Form Entry
       
C21123
Subject other phone number
SubjectOtherPhoneNumber
The other phone number of the subject/participant.
Other Phone Number
  
Numeric Values
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
6/12/2015
Aliases for variable name not defined
Participant/Subject Contact Information
Study Management
Protocol Experience
  
Free-Form Entry
       
C21124
Subject email address name
SubjectEmailAddressName
The name of the email address of the subject/participant.
Email address
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
6/12/2015
Aliases for variable name not defined
Participant/Subject Contact Information
Study Management
Protocol Experience
  
Free-Form Entry
       
12-17-2018
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