CDE Detailed Report
Subdomain Name: Epidemiology/Environmental History
CRF: welcome
Displaying 1 - 10 of 10
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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C08098 | Influenza vaccine received frequency type | InfluenzaVaccineRecvdFreqTyp | Type of frequency with which the participant/subject has received the influenza vaccine since initial vaccination | Type of frequency with which the participant/subject has received the influenza vaccine since initial vaccination | Since your first vaccination, how often do you receive the influenza vaccine? | Every year or almost every year;Every 2 to 3 years;Every 4 to 5 years;Less frequently than every 5 years | Every year or almost every year;Every 2 to 3 years;Every 4 to 5 years;Less frequently than every 5 years | Alphanumeric |
No additional instructions |
No references available | Adult | Supplemental | 4.00 | 2022-08-02 17:34:01.0 | Infection History | Epidemiology/Environmental History | Participant History and Family History |
Single Pre-Defined Value Selected |
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C08099 | Pneumonia history indicator | PneumoniaHistInd | Indicator of whether the participant/subject has ever had pneumonia diagnosed by a physician | Indicator of whether the participant/subject has ever had pneumonia diagnosed by a physician | Have you ever had pneumonia that was diagnosed by a physician? | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric |
If No is answered, skip to question #4 |
No references available | Adult | Supplemental | 3.00 | 2013-07-22 09:34:41.527 | Infection History | Epidemiology/Environmental History | Participant History and Family History |
Single Pre-Defined Value Selected |
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C08100 | Pneumonia episode age value | PneumoniaEpisdAgeVal | Participant's/subject's age at the time of the pneumonia episode | Participant's/subject's age at the time of the pneumonia episode | For each episode of pneumonia, please provide the approximate age at the time of the episode and whether you were hospitalized | Numeric Values |
To be recorded for each episode of pneumonia experienced by the participant/subject. Age can be collected in years but should be converted to months for data sharing purposes. |
No references available | Adult | Supplemental | 3.00 | 2013-07-22 09:34:41.527 | Infection History | Epidemiology/Environmental History | Participant History and Family History |
Free-Form Entry |
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C08101 | Pneumonia episode hospitalization indicator | PneumoniaEpisdHospitalInd | Indicator of whether the participant/subject was hospitalized for the pneumonia episode | Indicator of whether the participant/subject was hospitalized for the pneumonia episode | Hospitalized | Yes;No | Yes;No | Alphanumeric |
Answer for all episodes of pneumonia experienced by the participant/subject. |
No references available | Adult | Supplemental | 3.00 | 2013-07-22 09:34:41.527 | Infection History | Epidemiology/Environmental History | Participant History and Family History |
Single Pre-Defined Value Selected |
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C08114 | Meningitis or encephalitis history indicator | MengtisEncphtisHistInd | Indicator of whether the participant/subject has ever had meningitis or encephalitis (brain infection) diagnosed by a physician | Indicator of whether the participant/subject has ever had meningitis or encephalitis (brain infection) diagnosed by a physician | Have you ever had meningitis or encephalitis? | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric |
If No is answered, End Questionnaire |
No references available | Adult | Supplemental | 3.00 | 2013-07-22 09:34:41.527 | Infection History | Epidemiology/Environmental History | Participant History and Family History |
Single Pre-Defined Value Selected |
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C08115 | Meningitis or encephalitis diagnosed type | MengtisEncphtisDiagnsdTyp | Type of meningitis/encephalitis that participant/subject was diagnosed with | Type of meningitis/encephalitis that participant/subject was diagnosed with | Please note which condition was diagnosed | Meningitis (including spinal meningitis);Encephalitis;Both (including meningoencephalitis);Not sure if diagnosis was meningitis or encephalitis | Meningitis (including spinal meningitis);Encephalitis;Both (including meningoencephalitis);Not sure if diagnosis was meningitis or encephalitis | Alphanumeric |
Answer only if previous question was answered Yes |
No references available | Adult | Supplemental | 3.00 | 2013-07-22 09:34:41.527 | Infection History | Epidemiology/Environmental History | Participant History and Family History |
Single Pre-Defined Value Selected |
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C08116 | Meningitis or encephalitis episode age value | MengtisEncphtisEpAgVal | Participant's/subject's age at the time of the meningitis or encephalitis episode | Participant's/subject's age at the time of the meningitis or encephalitis episode | Age at the time of meningitis/encephalitis? | Numeric Values |
Please provide your approximate age at th time of the episode and whether you were hospitalized. |
No references available | Adult | Supplemental | 3.00 | 2013-07-22 09:34:41.527 | Infection History | Epidemiology/Environmental History | Participant History and Family History |
Free-Form Entry |
year | |||||||||
C08117 | Meningitis or encephalitis episode hospitalization indicator | MengtisEncphtisEpHospInd | Indicator of whether the participant/subject was hospitalized for the meningitis or encephalitis episode | Indicator of whether the participant/subject was hospitalized for the meningitis or encephalitis episode | Hospitalized | Yes;No | Yes;No | Alphanumeric |
Please provide your approximate age at th time of the episode and whether you were hospitalized. |
No references available | Adult | Supplemental | 3.00 | 2013-07-22 09:34:41.527 | Infection History | Epidemiology/Environmental History | Participant History and Family History |
Single Pre-Defined Value Selected |
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C08096 | Influenza vaccine history indicator | InfluenzaVaccineHistInd | Indicator of whether the participant/subject has ever received an influenza vaccination | Indicator of whether the participant/subject has ever received an influenza vaccination | Have you ever received an influenza vaccination? | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric |
If No is answered, skip to question #3 - Have you ever had pneumonia that was diagnosed by a physician? |
No references available | Adult | Supplemental | 3.00 | 2013-07-22 09:34:41.527 | Infection History | Epidemiology/Environmental History | Participant History and Family History |
Single Pre-Defined Value Selected |
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C08097 | Influenza vaccine first receive age value | InfluenzaVaccine1stRecvdAgeVal | Age participant/subject received his/her first influenza vaccination | Age participant/subject received his/her first influenza vaccination | At what age did you receive the first influenza vaccination? | Numeric Values |
Only answer if 'Yes' is answered for 'Have you ever received an influenza vaccination?' Age can be collected in years but should be converted to months for data sharing purposes. |
No references available | Adult | Supplemental | 3.00 | 2013-07-22 09:34:41.527 | Infection History | Epidemiology/Environmental History | Participant History and Family History |
Free-Form Entry |
year |