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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: Sport Related Concussion
SubDisease: Comprehensive
Sub-Domain: Social Status
CRF: Socioeconomic Status
Item count: 28 (28 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
C17402
Site name
SiteName
The name of the site for the study
Site Name:
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
3.0
6/21/2013
Aliases for variable name not defined
Socioeconomic Status
Social Status
Participant Characteristics
Site name
255
Free-Form Entry
       
C19247
Subject ID
SubIDNam
Subject identification ID
Subject ID:
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
6/5/2014
Aliases for variable name not defined
Socioeconomic Status
Social Status
Participant Characteristics
 
255
Free-Form Entry
       
C00012
Education level USA type
EduLvlUSATyp
Highest grade or level of school participant/subject has completed or the highest degree received
Education level: (select the highest level attained)
Never attended/Kindergarten only;1st Grade;2nd Grade;3rd Grade;4th Grade;5th Grade;6th Grade;7th Grade;8th Grade;9th Grade;10th Grade;11th Grade;12th Grade, no diploma;High school graduate;GED or equivalent;Some college, no degree;Associate degree: occupational/technical/vocational program;Associate degree: academic program;Bachelor's degree (e.g., BA, AB, BS, BBA);Master's degree (e.g., MA, MS, MEng, MEd, MBA);Professional school degree (e.g., MD, DDS, DVM, JD);Doctoral degree (e.g., PhD, EdD);Unknown;
Never attended/Kindergarten only;1st Grade;2nd Grade;3rd Grade;4th Grade;5th Grade;6th Grade;7th Grade;8th Grade;9th Grade;10th Grade;11th Grade;12th Grade, no diploma;High school graduate;GED or equivalent;Some college, no degree;Associate degree: occupational/technical/vocational program;Associate degree: academic program;Bachelor's degree (e.g., BA, AB, BS, BBA);Master's degree (e.g., MA, MS, MEng, MEd, MBA);Professional school degree (e.g., MD, DDS, DVM, JD);Doctoral degree (e.g., PhD, EdD);Unknown;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
3.0
7/25/2013
HIGHEST_EDU_LVL_CAT
Socioeconomic Status
Social Status
Participant Characteristics
Education level USA type
 
Single Pre-Defined Value Selected
     
3134878
 
C00202
Education school participation status
EduSchoolParticipStatus
Status of participant/subject's current attendance at school
School status
Going to school;On vacation from school (between grades);Neither;Unknown;
Going to school;On vacation from school (between grades);Neither;Unknown;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
3.0
7/25/2013
Aliases for variable name not defined
Socioeconomic Status
Social Status
Participant Characteristics
Education school participation status
 
Single Pre-Defined Value Selected
       
C55459
Repeated grade indicator
RepeatedGradeInd
Indicator that the child has repeated any grades.
Has participant repeated a grade in the past (choose one)?
Yes;No;Unknown;
Yes;No;Unknown;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
5/5/2017
Aliases for variable name not defined
Socioeconomic Status
Social Status
Participant Characteristics
  
Single Pre-Defined Value Selected
       
C17499
Special education indicator
SpecialEduInd
Indicator as to whether the participant/subject has or had special education
Has participant had special education services?
Yes;No;Unknown;
Yes;No;Unknown;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
3.0
7/15/2013
Aliases for variable name not defined
Socioeconomic Status
Social Status
Participant Characteristics
  
Single Pre-Defined Value Selected
       
C55460
Education level parent 1 type
EduLvlPrnt1USATyp
Highest grade or level of school the participant's/subject's parent has completed or the highest degree he/she has received
Parent 1 education level: (select the highest level attained)
Never attended/Kindergarten only;1st Grade;2nd Grade;3rd Grade;4th Grade;5th Grade;6th Grade;7th Grade;8th Grade;9th Grade;10th Grade;11th Grade;12th Grade, no diploma;High school graduate;GED or equivalent;Some college, no degree;Associate degree: occupational, technical, or vocational program;Associate degree: academic program;Bachelor's degree (e.g., BA, AB, BS, BBA);Master's degree (e.g., MA, MS, MEng, MEd, MBA);Professional school degree (e.g., MD, DDS, DVM, JD);Doctoral degree (e.g., PhD, EdD);Unknown;
Never attended/Kindergarten only;1st Grade;2nd Grade;3rd Grade;4th Grade;5th Grade;6th Grade;7th Grade;8th Grade;9th Grade;10th Grade;11th Grade;12th Grade, no diploma;High school graduate;GED or equivalent;Some college, no degree;Associate degree: occupational, technical, or vocational program;Associate degree: academic program;Bachelor's degree (e.g., BA, AB, BS, BBA);Master's degree (e.g., MA, MS, MEng, MEd, MBA);Professional school degree (e.g., MD, DDS, DVM, JD);Doctoral degree (e.g., PhD, EdD);Unknown;
Alphanumeric
No instructions available
(NHANES); National Health Interview Survey (NHIS); PhenX Toolkit (https://www.phenxtoolkit.org) Current Educational Attainment #011001
Adult;Pediatric
Supplemental
3.0
7/20/2013
Aliases for variable name not defined
Socioeconomic Status
Social Status
Participant Characteristics
  
Single Pre-Defined Value Selected
       
C55461
Education Level parent 2 type
EduLvlPrnt2USATyp
Highest grade or level of school the participant's/subject's parent has completed or the highest degree he/she has received
Parent 2 education level: (select the highest level attained)
Never attended/Kindergarten only;1st Grade;2nd Grade;3rd Grade;4th Grade;5th Grade;6th Grade;7th Grade;8th Grade;9th Grade;10th Grade;11th Grade;12th Grade, no diploma;High school graduate;GED or equivalent;Some college, no degree;Associate degree: occupational, technical, or vocational program;Associate degree: academic program;Bachelor's degree (e.g., BA, AB, BS, BBA);Master's degree (e.g., MA, MS, MEng, MEd, MBA);Professional school degree (e.g., MD, DDS, DVM, JD);Doctoral degree (e.g., PhD, EdD);Unknown;
Never attended/Kindergarten only;1st Grade;2nd Grade;3rd Grade;4th Grade;5th Grade;6th Grade;7th Grade;8th Grade;9th Grade;10th Grade;11th Grade;12th Grade, no diploma;High school graduate;GED or equivalent;Some college, no degree;Associate degree: occupational, technical, or vocational program;Associate degree: academic program;Bachelor's degree (e.g., BA, AB, BS, BBA);Master's degree (e.g., MA, MS, MEng, MEd, MBA);Professional school degree (e.g., MD, DDS, DVM, JD);Doctoral degree (e.g., PhD, EdD);Unknown;
Alphanumeric
No instructions available
(NHANES); National Health Interview Survey (NHIS); PhenX Toolkit (https://www.phenxtoolkit.org) Current Educational Attainment #011001
Adult;Pediatric
Supplemental
3.0
7/20/2013
Aliases for variable name not defined
Socioeconomic Status
Social Status
Participant Characteristics
  
Single Pre-Defined Value Selected
       
C12819
Disability benefit indicator
DisabltyBenefitInd
Indicator of whether participant/subject receives disability benefit payments
Disability benefits:
Yes;No;Unknown;Not applicable;
Yes;No;Unknown;Not applicable;
Alphanumeric
Choose one
No references available
Adult;Pediatric
Supplemental
3.0
7/24/2013
Aliases for variable name not defined
Socioeconomic Status
Social Status
Participant Characteristics
Disability benefits indicator
 
Single Pre-Defined Value Selected
       
C00207
Marital or partner status
MartlPartnerStatus
Status of participant/subject's current domestic relationship, whether marital or partnered
Marital/partner status (choose one):
Never married;Married;Domestic partnership;Divorced;Separated;Widowed;
Never married;Married;Domestic partnership;Divorced;Separated;Widowed;
Alphanumeric
Choose the current marital status of the participant/subject
Johnson NJ, Backlund E, Sorlie PD, Loveless CA. Marital status and mortality: the national longitudinal mortality study. Ann Epidemiol. 2000;10: 224-238.
Adult;Pediatric
Supplemental
3.0
7/25/2013
PRSN_MARST_CAT
Socioeconomic Status
Social Status
Participant Characteristics
Marital or partner status
 
Single Pre-Defined Value Selected
     
2188083
 
C19279
Citizen country indicator
CitizenCountryInd
The indicator for whether participant is a citizen of country.
Are you a citizen of (country)?
Yes;No;Unknown;
Yes;No;Unknown;
Alphanumeric
(country)
No references available
Adult;Pediatric
Supplemental
1.0
6/6/2014
Aliases for variable name not defined
Socioeconomic Status
Social Status
Participant Characteristics
  
Single Pre-Defined Value Selected
       
C00004
Birth country ISO code
BirthCntryISOCode
Code (ISO 3166-1 alpha-2 code) for country where the participant/subject was born
Birth country name through corresponding ISO 3166 1 alpha 2 code
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
3.0
7/24/2013
Aliases for variable name not defined
Socioeconomic Status
Social Status
Participant Characteristics
Birth country ISO 3166-1 alpha-2 code
 
Single Pre-Defined Value Selected
       
C00005
Birth country name
BirthCntryName
Name for country where the participant/subject was born
Birth country name
  
Alphanumeric
Choose one. It may be easier to record the full name of the country and code the data later using the ISO 3166-1 alpha-2 codes.
ISO 3166-1 alpha-2 codes (http://www.iso.org/iso/iso_3166_code_lists)
Adult;Pediatric
Supplemental
3.0
7/24/2013
Aliases for variable name not defined
Socioeconomic Status
Social Status
Participant Characteristics
Birth country name
255
Free-Form Entry
       
C00226
Health insurance type
HlthInsTyp
Type of insurance that the participant/subject currently has providing coverage for medical, surgical or hospital care
Type of health insurance:
Medicaid;Medicare;Employer-sponsored disability insurance;Private or group health insurance;National Health Insurance;Veterans Affairs/Military;No Insurance/Self-pay;Unknown;Other, specify;
Medicaid;Medicare;Employer-sponsored disability insurance;Private or group health insurance;National Health Insurance;Veterans Affairs/Military;No Insurance/Self-pay;Unknown;Other, specify;
Alphanumeric
Choose all that apply
NHLBI CDE from https://cdebrowser.nci.nih.gov/CDEBrowser/
Adult;Pediatric
Supplemental
3.0
7/25/2013
Aliases for variable name not defined
Socioeconomic Status
Social Status
Participant Characteristics
Health insurance type
 
Single Pre-Defined Value Selected
     
2953262
 
C18684
Health insurance other text
HlthInsOTH
The free-text field related to 'Health insurance type' specifying other text. Type of insurance that the participant/subject currently has providing coverage for medical, surgical or hospital care
Other, specify
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
5/27/2014
Aliases for variable name not defined
Socioeconomic Status
Social Status
Participant Characteristics
 
4000
Free-Form Entry
     
2953262
 
C12606
Health insurance private group type
HlthInsPrivatGrpTyp
Type of private or group health insurance, if any, in which the participant/subject is currently enrolled
Health insurance private or group type (U.S. Specific):
Traditional indemnity plan, often called fee-for-service plan;Health Maintenance Organization;Individual Practice Association;Preferred Provider Organization;Point-of-Service;Other, specify;
Traditional indemnity plan, often called fee-for-service plan;Health Maintenance Organization (HMO);Individual Practice Association (IPA);Preferred Provider Organization (PPO);Point-of-Service (POS);Other, specify;
Alphanumeric
Choose all that apply
No references available
Adult;Pediatric
Supplemental
3.0
7/24/2013
Aliases for variable name not defined
Socioeconomic Status
Social Status
Participant Characteristics
Health insurance private or group type
 
Single Pre-Defined Value Selected
       
C18861
Health insurance private group other text
HlthInsPrivatGrpOTH
The free-text field related to 'Health insurance private group type' specifying other text. Type of private or group health insurance, if any, in which the participant/subject is currently enrolled
Other, specify:
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
3.0
7/24/2013
Aliases for variable name not defined
Socioeconomic Status
Social Status
Participant Characteristics
 
4000
Free-Form Entry
       
C12605
Caregiver primary type
CaregvrPrimryType
Type of relationship that the person who serves as the participant/subject's primary caregiver has with the participant/subject
Primary caregiver for the participant/ subject:
Self;Sibling;Spouse or partner;Home aide;Parent or legal guardian;Long-term care/nursing facility staff;Child;Other, specify;
Self;Sibling;Spouse or partner;Home aide;Parent or legal guardian;Long-term care/nursing facility staff;Child;Other, specify;
Alphanumeric
Choose all that apply
No references available
Adult;Pediatric
Supplemental
3.0
7/24/2013
Aliases for variable name not defined
Socioeconomic Status
Social Status
Participant Characteristics
Primary caregiver type
 
Multiple Pre-Defined Values Selected
       
C55466
Housing type
HousingTyp
Type of housing where the participant/subject is currently living
Type of housing (choose one):
Apartment;Single family house;Multifamily house;Shelter;Dormitory;Homeless;
Apartment;Single family house;Multifamily house;Shelter;Dormitory;Homeless;
Alphanumeric
Choose one
No references available
Adult;Pediatric
Supplemental
1.0
5/11/2017
Aliases for variable name not defined
Socioeconomic Status
Social Status
Participant Characteristics
  
Single Pre-Defined Value Selected
       
C00215
Living with person relationship type
LivPrsnRltnshpTyp
Type(s) of relationship(s) that obtain between the participant/subject and all people with whom she or he currently lives, cohabits, or stays
Persons living with
Husband or wife;Biological son or daughter;Adopted son or daughter;Stepson or stepdaughter;Brother or sister;Father or mother;Stepfather or stepmother;Grandchild;Grandparent;Parent-in-law;Son-in-law or daughter-in-law;Other relative;Roomer or boarder;Housemate or roommate;Unmarried partner;Foster child;Other nonrelative;Military unit member;N/A - Homeless;N/A - Alone;Personal care attendant;Other patient/ resident in care facility;Unknown;
Husband or wife;Biological son or daughter;Adopted son or daughter;Stepson or stepdaughter;Brother or sister;Father or mother;Stepfather or stepmother;Grandchild;Grandparent;Parent-in-law;Son-in-law or daughter-in-law;Other relative;Roomer or boarder;Housemate or roommate;Unmarried partner;Foster child;Other nonrelative;Military unit member;N/A - Homeless;N/A - Alone;Personal care attendant;Other patient/ resident in care facility;Unknown;
Alphanumeric
Choose all that apply
American Community Survey questionnaire. U.S. Department of Commerce, U.S. Census Bureau. http://www.census.gov/acs/www/Downloads/questionnaires/2012/Quest12.pdf
Adult;Pediatric
Supplemental
3.0
7/25/2013
Aliases for variable name not defined
Socioeconomic Status
Social Status
Participant Characteristics
Living with person relationship type
 
Multiple Pre-Defined Values Selected
       
C00013
Education level primary caregiver USA type
EduLvlPrimCaregiverUSATyp
Highest grade or level of school the participant's/subject's primary caregiver has completed or the highest degree he/she has received
What is the highest grade or level of school the participant’s/subject’s primary caregiver has completed or the highest degree obtained? (Choose one):
Never attended/Kindergarten only;1st Grade;2nd Grade;3rd Grade;4th Grade;5th Grade;6th Grade;7th Grade;8th Grade;9th Grade;10th Grade;11th Grade;12th Grade, no diploma;High school graduate;GED or equivalent;Some college, no degree;Associate degree: occupational, technical, or vocational program;Associate degree: academic program;Bachelor's degree (e.g., BA, AB, BS, BBA);Master's degree (e.g., MA, MS, MEng, MEd, MBA);Professional school degree (e.g., MD, DDS, DVM, JD);Doctoral degree (e.g., PhD, EdD);Unknown;
Never attended/Kindergarten only;1st Grade;2nd Grade;3rd Grade;4th Grade;5th Grade;6th Grade;7th Grade;8th Grade;9th Grade;10th Grade;11th Grade;12th Grade, no diploma;High school graduate;GED or equivalent;Some college, no degree;Associate degree: occupational, technical, or vocational program;Associate degree: academic program;Bachelor's degree (e.g., BA, AB, BS, BBA);Master's degree (e.g., MA, MS, MEng, MEd, MBA);Professional school degree (e.g., MD, DDS, DVM, JD);Doctoral degree (e.g., PhD, EdD);Unknown;
Alphanumeric
Choose the highest level attained by the participant/subject's primary caregiver. This element is recommended for Pediatric stroke studies. Choose highest level attained.
National Health and Nutrition Examination Survey (NHANES); National Health Interview Survey (NHIS); PhenX Toolkit (https://www.phenxtoolkit.org) Current Educational Attainment #011001
Adult;Pediatric
Core
3.0
7/20/2013
Aliases for variable name not defined
Socioeconomic Status
Social Status
Participant Characteristics
Education level primary caregiver USA type
 
Single Pre-Defined Value Selected
       
C00206
Family income supported persons count
FamilyIncmeSupprtPersCt
Count of all people, including the participant/subject, who are supported by the household gross annual income reported
Number of people supported by this income, including you:
  
Numeric Values
No instructions available
American Community Survey questionnaire. U.S. Department of Commerce, U.S. Census Bureau. http://www.census.gov/acs/www/Downloads/questionnaires/2012/Quest12.pdf
Adult;Pediatric
Supplemental
3.0
7/25/2013
Aliases for variable name not defined
Socioeconomic Status
Social Status
Participant Characteristics
Family income supported persons number
 
Free-Form Entry
1
99
     
C21660
Caregiver marital or partner status
CargvrMartlPartnerStatus
Status of participant/subject's caregiver's current domestic relationship, whether marital or partnered
Caregiver marital/partner status
Never married;Married;Domestic partnership;Divorced;Separated;Widowed;
Never married;Married;Domestic partnership;Divorced;Separated;Widowed;
Alphanumeric
Choose one
No references available
Adult;Pediatric
Supplemental
3.0
7/25/2013
Aliases for variable name not defined
Socioeconomic Status
Social Status
Participant Characteristics
  
Single Pre-Defined Value Selected
       
C00205
Family income range
FmlyIncRange
Range, in U.S. dollars, of the annual pre-tax, pre-deduction total income, of the household of which the participant/subject is a member
Total annual gross income of a household including the participant/ subject.
Under $15,000;$15,000 to $24,999;$25,000 to $34,999;$35,000 to $49,999;$50,000 to $74,999;$75,000 to $99,999;$100,000 and over;Refused;Unknown;
Under $15,000;$15,000 to $24,999;$25,000 to $34,999;$35,000 to $49,999;$50,000 to $74,999;$75,000 to $99,999;$100,000 and over;Refused;Unknown;
Alphanumeric
Choose one. This includes pre-tax cash income earned by persons, money wages and salaries, self-employment income, property income (dividends, interest and rents), money transfer payments from a variety of government and private welfare and social insurance schemes (such as social security, unemployment and workers' compensation, and public assistance), private and government retirement income, interpersonal transfers (such as alimony and child support) and other periodic income. This excludes certain lump sum payments and capital gains. Add date stamp for when assessed. Recommend collection at least on date of TBI and perhaps after all initial medical treatment.
Women's Health Initiative American Community Survey questionnaire. U.S. Department of Commerce, U.S. Census Bureau. http://www.census.gov/acs/www/Downloads/questionnaires/2012/Quest12.pdf
Adult;Pediatric
Exploratory
3.0
7/25/2013
Aliases for variable name not defined
Socioeconomic Status
Social Status
Participant Characteristics
Family income range
 
Single Pre-Defined Value Selected
       
C19287
Income basic needs status
IncomeBasicNeedsStatus
The status of how the household currently manages to meet basic needs as defined by food, shelter and clothing.
How well do you manage with your current household income?
Very well;Rather well;Adequately (neither well nor poorly);Rather poorly;Very poorly;Refused to answer;Unknown;Not applicable;
Very well;Rather well;Adequately (neither well nor poorly);Rather poorly;Very poorly;Refused to answer;Unknown;Not applicable;
Alphanumeric
Choose one. The status of how the household currently manages to meet basic needs as defined by food, shelter and clothing.
No references available
Adult;Pediatric
Exploratory
1.0
6/6/2014
Aliases for variable name not defined
Socioeconomic Status
Social Status
Participant Characteristics
  
Single Pre-Defined Value Selected
       
12-19-2018
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