CDE Detailed Report
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 |
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C00007 | Birth date | BirthDate | Date (and time, if applicable and known) the participant was born | Date (and time, if applicable and known) the participant 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 | 3.1 | 10/16/2024 8:51:14 AM | Demographics | Demographics | Participant Characteristics |
Free-Form Entry |
793 | |||||||||
C00020 | Ethnicity USA category | EthnUSACat | Category of ethnicity the participant most closely identifies with | Category of ethnicity the participant 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 | 3.1 | 10/16/2024 8:51:17 AM | 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 |
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C00035 | Gender type | GenderTyp | Self-reported gender of the participant/subject | Self-reported gender of the participant/subjec | 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 origin maternal name | CntryOriginMaternalName | 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 | 3.10 | 2023-03-15 16:59:46.0 | Demographics | Demographics | Participant Characteristics | 255 |
Free-Form Entry |
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C11136 | Country origin paternal name | CntryOriginPaternalName | 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 | 3.10 | 2023-03-15 17:00:22.0 | Demographics | Demographics | Participant Characteristics | 255 |
Free-Form Entry |
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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 origi | 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 |
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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 origi | 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 |