CDE Detailed Report
Disease: Myalgic Encephalomyelitis/Chronic Fatigue Syndrome
Subdomain Name: General Health History
CRF: Exposure History
Displaying 51 - 63 of 63
Subdomain Name: General Health History
CRF: Exposure History
Displaying 51 - 63 of 63
| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| C58277 | Tanning bed use indicator | TanningBedUseInd | Indicator of whether the subject/participant uses tanning beds | Indicator of whether the subject/participant uses tanning beds | Do you use a tanning bed? | No;Yes | No;Yes | Alphanumeric | Adult;Pediatric | Exploratory | 1.00 | 2018-02-07 10:45:16.0 | Exposure History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C58250 | Pesticide spray area live within 300 meter type | PstcdSpryAreaLvWin300MTyp | Type of pesticide spray area (e.g., farm, orchard, golf course) that the subject/participant within 300 meters of which the subject/participant lives now or has lived | Type of pesticide spray area (e.g., farm, orchard, golf course) that the subject/participant within 300 meters of which the subject/participant lives now or has lived | Areas sprayed with pesticides, e.g., farms, orchards, golf course (please specify type): | Alphanumeric | Adult;Pediatric | Exploratory | 1.00 | 2018-02-07 10:16:27.0 | Exposure History | General Health History | Participant History and Family History | 32 |
Free-Form Entry |
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| C58293 | Residence renovation year number | ResidenceRenovationYearNum | Number of the year in which renovations were done to the subject/participant's residence | Number of the year in which renovations were done to the subject/participant's residence | If yes, specify when: | Numeric Values | Adult;Pediatric | Exploratory | 1.00 | 2018-02-07 11:21:36.0 | Exposure History | General Health History | Participant History and Family History |
Free-Form Entry |
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| C58264 | Cell tower live within 300 meter indicator | CellTwrLvWin300MInd | Indicator of whether the subject/participant currently lives within 300 meters of a cell tower | Indicator of whether the subject/participant currently lives within 300 meters of a cell tower | Cellphone towers: | No;Yes | No;Yes | Alphanumeric |
Do you presently live nearby? (within 300 m—about 3 midsized city blocks) |
Adult;Pediatric | Exploratory | 1.00 | 2018-02-07 10:27:35.0 | Exposure History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C58307 | Pesticide use pet indicator | PesticideUsePetIndicator | Indicator of whether pesticides are used on the subject/participant's pets (as sprays, collars, powders, etc.) | Indicator of whether pesticides are used on the subject/participant's pets (as sprays, collars, powders, etc.) | Is there use of pesticides to kill bugs (e.g. bedbugs, spiders, cockroaches, ants, fleas, ticks) as sprays, collars, powders, pellets on your pets? | No;Yes | No;Yes | Alphanumeric | Adult;Pediatric | Exploratory | 1.00 | 2018-02-07 11:39:27.0 | Exposure History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C58220 | Heavy traffic ever live within 300 meter year range | HvyTrfcEvrLvWin300MYrRng | Range of years during which the subject/participant lived within 300 meters of heavy traffic | Range of years during which the subject/participant lived within 300 meters of heavy traffic | Heavy traffic: | Alphanumeric |
If you ever lived nearby, please write the years. |
Adult;Pediatric | Exploratory | 1.00 | 2018-02-06 16:10:03.0 | Exposure History | General Health History | Participant History and Family History | 25 |
Free-Form Entry |
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| C58279 | Residence current occupy duration text | RsdncCrrntOccpyDuratnTxt | Text field for indicating the duration for which the subject/participant has occupied his/her current residence | Text field for indicating the duration for which the subject/participant has occupied his/her current residence | How long have you lived in your present residence? | Alphanumeric | Adult;Pediatric | Exploratory | 1.00 | 2018-02-07 10:49:00.0 | Exposure History | General Health History | Participant History and Family History | 255 |
Free-Form Entry |
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| C58252 | Industrial plant live within 300 meter indicator | IndustPlntLivWin300MInd | Indicator of whether the subject/participant currently lives within 300 meters of an industrial plant | Indicator of whether the subject/participant currently lives within 300 meters of an industrial plant | Industrial plant(s): | No;Yes | No;Yes | Alphanumeric |
Do you presently live nearby? (within 300 m—about 3 midsized city blocks) |
Adult;Pediatric | Exploratory | 1.00 | 2018-02-07 10:17:46.0 | Exposure History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C58294 | Residence renovation text | ResidenceRenovationTxt | The free-text field for describing the renovations done to the subject/participant's residence | The free-text field for describing the renovations done to the subject/participant's residence | What was renovated: | Alphanumeric | Adult;Pediatric | Exploratory | 1.00 | 2018-02-07 11:22:57.0 | Exposure History | General Health History | Participant History and Family History | 255 |
Free-Form Entry |
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| C58266 | Cell tower ever live within 300 meter year range | CellTwrEvrLvWin300MYrRng | Range of years during which the subject/participant lived within 300 meters of a cell tower | Range of years during which the subject/participant lived within 300 meters of a cell tower | Cellphone towers: | Alphanumeric |
If you ever lived nearby, please write the years. |
Adult;Pediatric | Exploratory | 1.00 | 2018-02-07 10:32:10.0 | Exposure History | General Health History | Participant History and Family History | 25 |
Free-Form Entry |
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| C58308 | Pesticide pet type | PesticidePetTyp | The type of pesticide used on the subject/participant's pets (as sprays, collars, powders, etc.) | The type of pesticide used on the subject/participant's pets (as sprays, collars, powders, etc.) | Please specify type: | Alphanumeric | Adult;Pediatric | Exploratory | 1.00 | 2018-02-07 11:41:02.0 | Exposure History | General Health History | Participant History and Family History | 128 |
Free-Form Entry |
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| C58221 | Heavy traffic live within 300 meter type | HvyTrfcLvWin300MTyp | Type of heavy traffic that the subject/participant within 300 meters of which the subject/participant lives now or has lived | Type of heavy traffic that the subject/participant within 300 meters of which the subject/participant lives now or has lived | Heavy traffic (please specify) | Busy street;Highway | Busy street;Highway | Alphanumeric | Adult;Pediatric | Exploratory | 1.00 | 2018-02-06 16:13:02.0 | Exposure History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C58280 | Residence current age value | RsdncCrrntAgeVal | Value for the age of the subject/participant's current residence | Value for the age of the subject/participant's current residence | How old is it? | Numeric Values | Adult;Pediatric | Exploratory | 1.00 | 2018-02-07 10:51:04.0 | Exposure History | General Health History | Participant History and Family History |
Free-Form Entry |
Years |
