CDE Detailed Report

Disease: Multiple Sclerosis
Subdomain Name: Social Status
CRF: Social Status

Displaying 1 - 5 of 5
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
C00015 Education year count EduYrCt Number of years of education completed (age 5 and beyond) Number of years of education completed (age 5 and beyond) Years of education Numeric Values

For years completed, after the age of 5, code the number of years attained (0-30 years), normed to someone moving full time at the usual pace, i.e., a year that was repeated counts as only 1 year and the usual single-year full-time load completed over several years counts as 1 year. Certificate and technical programs do NOT count no matter how specialized. The number of years of typical completion of the relevant program is counted. If the subject obtained their education outside the United States, ask about their educational system to estimate the correct coding - Internship, Residency, and Fellowship years are experiential training and do not count.

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

Free-Form Entry

0 30 year 3134878
C00204 Employment current status EmplmtStatu Status of participant/subject's current employment Status of participant/subject's current employment Employment Status Working Now;Only temporarily laid off;Sick leave or maternity leave;Looking for work, unemployed;Retired;Disabled, permanently or temporarily;Keeping house;Student;Other, specify;Unknown Working Now;Only temporarily laid off;Sick leave or maternity leave;Looking for work, unemployed;Retired;Disabled, permanently or temporarily;Keeping house;Student;Other, specify;Unknown Alphanumeric

Choose one.

No references available Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Social Status Social Status Participant Characteristics

Single Pre-Defined Value Selected

C00207 Marital or partner status MartlPartnerStatus Status of participant/subject's current domestic relationship, whether marital or partnered Status of participant/subject's current domestic relationship, whether marital or partnered Marital/Partner Status Never married;Married;Domestic partnership;Divorced;Separated;Widowed Never married;Married;Domestic partnership;Divorced;Separated;Widowed Alphanumeric

Choose one. Response is obtained by report of the participant/subject or a reliable proxy and the best response is used.

Johnson NJ, Backlund E, Sorlie PD, Loveless CA. Marital status and mortality: the national longitudinal mortality study. Ann Epidemiol. 2000;10:224-238. Adult;Pediatric Supplemental 3.00 2013-07-25 08:54:08.2 Social Status Social Status Participant Characteristics

Single Pre-Defined Value Selected

2188083
C00222 Job classification category JobclassCat Category that classifies work performed by participant/subject Category that classifies work performed by participant/subjec Which of the following best describes your occupation? (If unemployed, retired, or disabled, please answer this question for your most recently held occupation) Official/Manager;Technicians and associate professionals;Clerk;Social Worker;Professional;Service or sales worker;Craft and related trades workers;Laborer/Helper;Unknown;Armed forces occupation Official/Manager;Technicians and associate professionals (typically requiring a Bachelor degree or equivilent);Clerk;Social Worker;Professional;Service or sales worker;Craft and related trades workers (e.g. motor mechanic, printer, tool and die makers, electrician);Laborer/Helper;Unknown;Armed forces occupation (officers, service personnel) Alphanumeric

Choose one.

U.S. Equal Employment Opportunity Commission, EEO-1 Job Classification Guide. http://www.eeoc.gov/employers/eeo1survey/jobclassguide.cfm Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Social Status Social Status Participant Characteristics

Single Pre-Defined Value Selected

C18677 Employment other text EmplmtOTH The free-text field related to 'Employment status' specifying other text. Status of participant/subject's current employment The free-text field related to 'Employment status' specifying other text. Status of participant/subject's current employment Other, specify Alphanumeric

Choose one.

No references available Adult;Pediatric Supplemental 1.00 2014-05-27 13:34:46.0 Social Status Social Status Participant Characteristics 4000

Free-Form Entry

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