CDE Detailed Report
Disease: content
Subdomain Name: General Health History
CRF: welcome
Displaying 51 - 63 of 63
Subdomain Name: General Health History
CRF: welcome
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| C58274 | Insect borne pathogen endemic area ever live within 300 meter year range | InsBrnPthEndArEvLvWin300MYrRng | Range of years during which the subject/participant lived within 300 meters of an area with an endemic insect-borne pathogen (e.g., Lyme disease, Zika virus) | Range of years during which the subject/participant lived within 300 meters of an area with an endemic insect-borne pathogen (e.g., Lyme disease, Zika virus) | Area where Lyme Disease, Zika virus or other insect borne pathogens are endemic | Alphanumeric |
If you ever lived nearby, please write the years. |
Adult;Pediatric | Exploratory | 1.00 | 2018-02-07 10:39:32.0 | Exposure History | General Health History | Participant History and Family History | 25 |
Free-Form Entry |
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| C58248 | Pesticide spray area live within 300 meter indicator | PstcdSpryAreaLvWin300MInd | Indicator of whether the subject/participant currently lives within 300 meters of a pesticide spray area (e.g., farm, orchard, golf course) | Indicator of whether the subject/participant currently lives within 300 meters of a pesticide spray area (e.g., farm, orchard, golf course) | Areas sprayed with pesticides, e.g., farms, orchards, golf course: | 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 10:12:31.0 | Exposure History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C58291 | Residence test radon indicator | ResidenceTestRadonInd | Indicator of whether the subject/participant's residence has been tested for radon | Indicator of whether the subject/participant's residence has been tested for radon | Has your home or apartment building been tested for radon? | No;Yes | No;Yes | Alphanumeric | Adult;Pediatric | Exploratory | 1.00 | 2018-02-07 11:13:19.0 | Exposure History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C58261 | Electrical tower live within 300 meter indicator | ElectrcTwrLvWin300MInd | Indicator of whether the subject/participant currently lives within 300 meters of an electrical tower | Indicator of whether the subject/participant currently lives within 300 meters of an electrical tower | Electricity 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 10:25:24.0 | Exposure History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C58305 | Pesticide residence type | PesticideResidenceTyp | Type(s) of pesticide(s) used in the subject/participant's residence | Type(s) of pesticide(s) used in the subject/participant's residence | Please specify type: | Alphanumeric | Adult;Pediatric | Exploratory | 1.00 | 2018-02-07 11:36:46.0 | Exposure History | General Health History | Participant History and Family History | 128 |
Free-Form Entry |
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| C58276 | Sun exposure excess protect self frequency category | SunExpExcssPrtctSlfFrqCat | Category for the frequency with which the subject/participant protects him/herself from excess sun exposure | Category for the frequency with which the subject/participant protects him/herself from excess sun exposure | Do you protect yourself from excess sun exposure? | Rarely;Occasionally;Often;Always | Rarely;Occasionally;Often;Always | Alphanumeric | Adult;Pediatric | Exploratory | 1.00 | 2018-02-07 10:42:07.0 | Exposure History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C04814 | Residence type | ResdncTyp | Type of residence where the participant/subject is currently living | Type of residence where the participant/subject is currently living | Is your residence: | Apartment;House, detached;House, semi-detached;Mobile home | Apartment;House, detached;House, semi-detached;Mobile home | Alphanumeric | Adult;Pediatric | Exploratory | 3.00 | 2013-07-20 10:21:25.65 | Exposure History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C58249 | Pesticide spray area ever live within 300 meter year range | PstcdSpryAreaEvrLvWin300MYrRng | Range of years during which the subject/participant lived within 300 meters of a pesticide spray area (e.g., farm, orchard, golf course) | Range of years during which the subject/participant lived within 300 meters of a pesticide spray area (e.g., farm, orchard, golf course) | Areas sprayed with pesticides, e.g., farms, orchards, golf course: | Alphanumeric |
If you ever lived nearby, please write the years. |
Adult;Pediatric | Exploratory | 1.00 | 2018-02-07 10:14:55.0 | Exposure History | General Health History | Participant History and Family History | 25 |
Free-Form Entry |
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| C58292 | Residence renovation indicator | ResidenceRenovationInd | Indicator of whether any renovation has been done to the subject/participant's residence | Indicator of whether any renovation has been done to the subject/participant's residence | Have any renovations been done? | No;Yes | No;Yes | Alphanumeric | Adult;Pediatric | Exploratory | 1.00 | 2018-02-07 11:14:20.0 | Exposure History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C58263 | Electrical tower ever live within 300 meter year range | ElectrcTwrEvrLvWin300MYrRng | Range of years during which the subject/participant lived within 300 meters of an electrical tower | Range of years during which the subject/participant lived within 300 meters of an electrical tower | Electricity towers: | Alphanumeric |
If you ever lived nearby, please write the years. |
Adult;Pediatric | Exploratory | 1.00 | 2018-02-07 10:26:45.0 | Exposure History | General Health History | Participant History and Family History | 25 |
Free-Form Entry |
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| C58306 | Pesticide residence use frequency text | PestcidRsdncUsFrqTxt | Text specifying the frequency with which pesticide is used in the subject/participant's residence | Text specifying the frequency with which pesticide is used in the subject/participant's residence | Please specify how often: | Alphanumeric | Adult;Pediatric | Exploratory | 1.00 | 2018-02-07 11:37:54.0 | Exposure History | General Health History | Participant History and Family History | 32 |
Free-Form Entry |
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| 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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| C58219 | Heavy traffic live within 300 meter indicator | HvyTrfcLvWin300MInd | Indicator of whether the subject/participant currently lives within 300 meters of heavy traffic | Indicator of whether the subject/participant currently lives within 300 meters of heavy traffic | Heavy traffic: | No;Yes | No;Yes | Alphanumeric |
Do you presently live nearby? (within 300 m—about 3 midsized city blocks) |
Adult;Pediatric | Exploratory | 1.00 | 2018-02-06 16:07:48.0 | Exposure History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
