CDE Detailed Report

Disease: Huntington's Disease
Sub-Domain: Demographics
CRF: Demographics

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 / 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
C00007 Birth date BirthDate Date (and time, if applicable and known) the participant/subject was born Date (and time, if applicable and known) the participant/subject was born Date of Birth Date or Date & Time

Record the date of birth to the level of precision known (e.g., month/day/year, year, month/year, etc). The preferred format for recording date is mm/dd/yyyy. 99/99/9999 can be used to indicate an unknown date.

No references available Adult;Pediatric Core 3.00 2013-07-25 08:54:08.2 Demographics Demographics Participant Characteristics

Free-Form Entry

793
C00020 Ethnicity USA category EthnUSACat Category of ethnicity the participant/subject most closely identifies with Category of ethnicity the participant/subject most closely identifies with Ethnicity Hispanic or Latino;Not Hispanic or Latino;Unknown;Not reported;Other, specify A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race. The term "Spanish origin" can also be used in addition to "Hispanic or Latino.";A person not meeting the definition for Hispanic or Latino.;Could not be determined or unsure;Not reported;Other, specify Alphanumeric

Choose only one with which the participant/ subject most closely identifies.

The NIH Guidelines on Inclusion of Women and Minorities as Subjects in Clinical Research: The Office of Management and Budget Directive No. 15 defines the minimum standard of basic racial and ethnic categories. (http://grants.nih.gov/grants/funding/women_min/guidelines_update.htm) Adult;Pediatric Core 3.00 2013-08-28 16:08:00.453 Demographics Demographics Participant Characteristics

Single Pre-Defined Value Selected

2192217
C00031 Race expanded category RaceCat Category of race(s) or region(s) the participant/subject most closely identifies with Category of race(s) or region(s) the participant/subject most closely identifies with Race American Indian or Alaska Native;Black African;African-North;Black African American;Asian-East;Asian-West;Caucasian;Hawaiian;Other;Unknown A person having origins in any of the original peoples of North and South America (including Central America) , and who maintains tribal affiliation or community attachment.;Black African (for OMB purposes, this value is considered to be part of Black or African-American);African-North;Black African American (for OMB purposes, this value is considered to be part of Black or African-American);Asian-East;Asian-West;Caucasian;Hawaiian (for OMB purposes, this value is considered to be part of Native Hawaiian or Other Pacific Islander);Other;Unknown Alphanumeric

Choose all those with which the participant/ subject identifies

No references available Adult;Pediatric Supplemental-Highly Recommended 3.00 2013-07-22 16:57:17.79 Demographics Demographics Participant Characteristics

Multiple Pre-Defined Values Selected

C00035 Gender type GenderTyp Self-reported gender of the participant/subject. Self-reported gender of the participant/subject.. Gender Alphanumeric

Choose one

The NIH Guidelines on Inclusion of Women and Minorities as Subjects in Clinical Research: The Office of Management and Budget Directive No. 15 (http://grants.nih.gov/grants/funding/women_min/guidelines_update.htm) Adult;Pediatric Core 3.00 2013-08-28 16:08:00.453 Demographics Demographics Participant Characteristics

Single Pre-Defined Value Selected

2200604
C10675 Country of origin maternal name CntryofOriginMaternalName Mother's country or countries of origin Mother's country or countries of origin Mother's country of birth Alphanumeric

List one or more countries based on the mother's self-report. Country data should be coded using the ISO 3166-1 alpha-2 codes prior to aggregation or sharing.

No references available Adult;Pediatric Supplemental 3.00 2013-07-25 08:54:08.2 Demographics Demographics Participant Characteristics 255

Free-Form Entry

C11136 Country of origin paternal name CntryOfOriginPaternalName Father's country or countries of origin Father's country or countries of origin Father's country of birth Alphanumeric

List one or more countries based on the father's self-report. Country data should be coded using the ISO 3166-1 alpha-2 codes prior to aggregation or sharing.

No references available Adult;Pediatric Supplemental 3.00 2013-07-25 08:54:08.2 Demographics Demographics Participant Characteristics 255

Free-Form Entry

C11138 Country of origin paternal ISO code CntryOfOriginPaternalISOCode The ISO 3166-1 alpha-2 code for the participant's father's country of origin. The ISO 3166-1 alpha-2 code for the participant's father's country of origin. Father's country of birth Alphanumeric

See ISO 3166-1 alpha-2 codes (http://www.iso.org/iso/iso_3166_code_lists)

See ISO 3166-1 alpha-2 codes (http://www.iso.org/iso/iso_3166_code_lists) Adult;Pediatric Supplemental 3.00 2013-07-25 08:54:08.2 Demographics Demographics Participant Characteristics 255

Free-Form Entry

C11139 Country of origin maternal ISO code CntryOfOriginMaternalISOCode The ISO 3166-1 alpha-2 code for the participant's mother's country of origin. The ISO 3166-1 alpha-2 code for the participant's mother's country of origin. Mother's country of birth Alphanumeric

See ISO 3166-1 alpha-2 codes (http://www.iso.org/iso/iso_3166_code_lists)

See ISO 3166-1 alpha-2 codes (http://www.iso.org/iso/iso_3166_code_lists) Adult;Pediatric Supplemental 3.00 2013-07-25 08:54:08.2 Demographics Demographics Participant Characteristics 255

Free-Form Entry

CSV