CDE Detailed Report

Disease: content
Subdomain Name: Demographics
CRF: welcome

Displaying 1 - 8 of 8
CDE ID CDE Name Variable Name Definition Short Description 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 / Guidance) Subdomain Name Domain Name Size Input Restrictions Min Value Max Value Measurement Type External Id Loinc External Id Snomed External Id caDSR External Id CDISC
C01581 Weight unit of measure WgtUoM Unit of measure for the weight numerical value Unit of measure for the weight numerical value Birth Weight (pounds / ounces):
OR grams:
g;oz;Pounds gram;ounce;Pounds Alphanumeric

Choose either pounds, ounces (oz) or grams (g).

Pediatric NeuroRehab Core 3.00 2013-07-25 08:54:08.2 Infant Pediatrics Demographics Demographics Participant Characteristics

Single Pre-Defined Value Selected

2630200
C13485 Household member total count HouseMembTotCt The total number of members in the participant's household The total number of members in the participant's househol How many members are there in your household (including yourself)? Numeric Values

Write in number.

Pediatric NeuroRehab Core 3.00 2013-08-28 16:08:00.453 Infant Pediatrics Demographics Demographics Participant Characteristics

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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 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 Pediatric NeuroRehab Core 1.00 2014-05-27 13:34:46.0 Infant Pediatrics Demographics Demographics Participant Characteristics 4000

Free-Form Entry

2953262
C21620 Gestational age value range GestatnlAgeValRange Range of time elapsed in weeks between the first day of the last normal menstrual period and the day of delivery of the participant/subject Range of time elapsed in weeks between the first day of the last normal menstrual period and the day of delivery of the participant/subjec Gestational age (GA) <35 weeks;35-37 weeks;38-41 weeks;>41 weeks <35 weeks;35-37 weeks;38-41 weeks;>41 weeks Alphanumeric

This element should be collected for participants/subjects 0-2 years of age.

Pediatric NeuroRehab Core 3.00 2013-07-25 08:54:08.2 Infant Pediatrics Demographics Demographics Participant Characteristics

Single Pre-Defined Value Selected

3192017
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 Highest grade or level of school the participant's/subject's primary caregiver has completed or the highest degree he/she has received Primary caregiver's level of education 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.

National Health and Nutrition Examination Survey (NHANES); National Health Interview Survey (NHIS); PhenX Toolkit (https://www.phenxtoolkit.org) Current Educational Attainment #011001 Pediatric NeuroRehab Core 3.00 2013-07-20 10:21:25.65 Infant Pediatrics Demographics Demographics Participant Characteristics

Single Pre-Defined Value Selected

C00205 Family income range FmlyIncRng 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 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 $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;Under $15,000 Alphanumeric

Choose one.

Women's Health Initiative American Community Survey questionnaire. U.S. Department of Commerce, U.S. Census Bureau. https://www2.census.gov/programs-surveys/acs/methodology/questionnaires/2020/quest20.pdf<br /><br />American Community Survey questionnaire. U.S. Department of Commerce, U.S. Census Bureau. https://www2.census.gov/programs-surveys/acs/methodology/questionnaires/2019/quest19.pdf?<br />All of Us Health Basic Information Survey<br />https://allofus.nih.gov/sites/default/files/aou_ppi_basics_version.pdf Pediatric NeuroRehab Core 3.00 2013-07-25 08:54:08.2 Infant Pediatrics Demographics Demographics Participant Characteristics

Single Pre-Defined Value Selected

C00226 Health insurance type HlthInsTyp Type of insurance that the participant/subject currently has providing coverage for medical, surgical or hospital care 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 one. Permissible values: Medicare; Employer-sponsored disability insurance; National Health Insurance; Veterans Affairs/Military are not applicable to the pediatric population.

NHLBI CDE from https://cdebrowser.nci.nih.gov/CDEBrowser/ Pediatric NeuroRehab Core 3.00 2013-07-25 08:54:08.2 Infant Pediatrics Demographics Demographics Participant Characteristics

Single Pre-Defined Value Selected

2953262
C00311 Birth weight report value BirthWgtRprtVal Birth weight according to the participant's medical report or reported by the parent or legal guardian Birth weight according to the participant's medical report or reported by the parent or legal guardian Birth Weight (pounds / ounces):
OR grams:
Numeric Values

Record the birth weight of the participant/ subject. Weight measured in pounds (lb) and ounces (oz) or grams (g) can be used to categorize birth weight. This element should be collected for participants/ subjects 0-2 years of age (up to 24 months of age). The following ranges are considered normal; low; and very low. Normal 5Ib, 8 oz or 2500 grams or greater; low birth weight

Pediatric NeuroRehab Core 4.20 2024-02-29 15:41:27.0 Infant Pediatrics Demographics Demographics Participant Characteristics

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