CDE Detailed Report

Disease: Myasthenia Gravis
Sub-Domain: End Points
CRF: Death Report

Displaying 1 - 5 of 5
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 External Id Loinc External Id Snomed External Id caDSR External Id CDISC
C04800 Death cause text DeathCauseTxt Text describing the primary reason or cause of the participant/subject's death. If possible, this should be the explanation of the cessation of life according to the Death Certificate. Text describing the primary reason or cause of the participant/subject's death. If possible, this should be the explanation of the cessation of life according to the Death Certificate. Cause of Death (List primary cause first) Alphanumeric

Record what the death certificate lists as the official cause of death

No references available Adult;Pediatric Supplemental 3.00 2013-07-25 08:54:08.2 Death Report End Points Outcomes and End Points 255

Free-Form Entry

3142852
C04802 Death date and time DeathDateTime Date (and time, if known) of participant's/subject's death Date (and time, if known) of participant's/subject's death Date and Time of Death Date or Date & Time

Record the date/time according to the ISO 8601, the International Standard for the representation of dates and times (http://www.iso.org/iso/home.html). The date/time should be recorded to the level of granularity known (e.g., year, year and month, complete date plus hours and minutes, etc.).

No references available Adult;Pediatric Supplemental 3.00 2013-07-24 11:38:01.2 Death Report End Points Outcomes and End Points

Free-Form Entry

2004152
C12610 Death location type DeathLoctnTyp Type of location where the participant/subject died Type of location where the participant/subject died Death Location Home;Home with hospice;Inpatient hospice care;Nursing home;Hospital - inpatient stay;Hospital - emergency room;Other, specify Home;Home with hospice;Inpatient hospice care;Nursing home;Hospital - inpatient stay;Hospital - emergency room;Other, specify Alphanumeric

Choose one

No references available Adult;Pediatric Supplemental 3.00 2013-07-24 11:38:01.2 Death Report End Points Outcomes and End Points

Single Pre-Defined Value Selected

C18862 Death location other text DeathLoctnOTH The free-text field related to 'Death location type' specifying other text. Type of location where the participant/subject died The free-text field related to 'Death location type' specifying other text. Type of location where the participant/subject died Other, specify Alphanumeric

Choose one

No references available Adult;Pediatric Supplemental 3.00 2013-07-24 11:38:01.2 Death Report End Points Outcomes and End Points 4000

Free-Form Entry

C21665 Death cause ICD-10-CM code DeathCauseICD10CMCode ICD-10-CM code that describes the cause of participant/subject's death ICD-10-CM code that describes the cause of participant/subject's death ICD-10-CM Code Alphanumeric Adult;Pediatric Supplemental 3.00 2013-07-25 08:54:08.2 Death Report End Points Outcomes and End Points 255

Free-Form Entry

CSV