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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| C58286 | Residence ownership type | ResidenceOwnershipTyp | Type of ownership of the subject/participant's residence | Type of ownership of the subject/participant's residence | Ownership: | Public housing;Co-op;Rental;Owner occupied | Public housing;Co-op;Rental;Owner occupied | Alphanumeric | Adult;Pediatric | Exploratory | 1.00 | 2018-02-07 11:03:18.0 | Exposure History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C58257 | Polluted waterway live within 300 meter type | PlltdWtrwyLvWin300MTyp | Type of polluted waterway that the subject/participant within 300 meters of which the subject/participant lives now or has lived | Type of polluted waterway that the subject/participant within 300 meters of which the subject/participant lives now or has lived | Polluted lake/stream (please specify type) | Alphanumeric | Adult;Pediatric | Exploratory | 1.00 | 2018-02-07 10:22:33.0 | Exposure History | General Health History | Participant History and Family History | 32 |
Free-Form Entry |
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| C58300 | Bath water source | BathWaterSource | Source of the water used by the subject/participant for bathing | Source of the water used by the subject/participant for bathing | What is your water source for bathing? | Well;City;Other, specify | Well;City;Other, specify | Alphanumeric | Adult;Pediatric | Exploratory | 1.00 | 2018-02-07 11:32:27.0 | Exposure History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C58313 | Chemical biological exposure substance type | ChemBioExposurSubstncTyp | Type of chemical or biological substance to which the subject/participant has ever been exposed | Type of chemical or biological substance to which the subject/participant has ever been exposed | Exposure | Mold;Diesel or gas engine exhaust;Tobacco smoke;Pesticides/Herbicides;Gasoline;Paint or paint thinner;Cleaning products;Certain perfumes, air fresheners, or other fragrances;Fresh tar or asphalt;Nail polish, nail polish remover, or hairspray;New furnishings such as new carpeting, a new soft plastic shower curtain or the interior of a new car | Mold;Diesel or gas engine exhaust;Tobacco smoke;Pesticides/Herbicides;Gasoline, for example at a service station while filling the gas tank;Paint or paint thinner;Cleaning products, such as disinfectants, bleach, bathroom cleansers or floor cleaners;Certain perfumes, air fresheners, or other fragrances;Fresh tar or asphalt;Nail polish, nail polish remover, or hairspray;New furnishings such as new carpeting, a new soft plastic shower curtain or the interior of a new car | Alphanumeric | Adult;Pediatric | Exploratory | 1.00 | 2018-02-07 11:57:34.0 | Exposure History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C58272 | Moldy building ever live within 300 meter year range | MldyBldgEvrLvWin300MYrRng | Range of years during which the subject/participant lived within 300 meters of a moldy building | Range of years during which the subject/participant lived within 300 meters of a moldy building | Moldy buildings: | Alphanumeric |
If you ever lived nearby, please write the years. |
Adult;Pediatric | Exploratory | 1.00 | 2018-02-07 10:36:45.0 | Exposure History | General Health History | Participant History and Family History | 25 |
Free-Form Entry |
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| C58246 | Dump site ever live within 300 meter year range | DmpSitEvrLvWin300MYrRng | Range of years during which the subject/participant lived within 300 meters of a dump site | Range of years during which the subject/participant lived within 300 meters of a dump site | Dump site | Alphanumeric |
If you ever lived nearby, please write the years. |
Adult;Pediatric | Exploratory | 1.00 | 2018-02-07 10:08:47.0 | Exposure History | General Health History | Participant History and Family History | 25 |
Free-Form Entry |
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| C58289 | Residence heat method type | ResidenceHeatMethodTyp | Type of method use to heat the subject/participant's residence | Type of method use to heat the subject/participant's residence | How is your home heated? | Baseboard heater;Space heater;Hot water radiator;Forced air heating | Baseboard heater;Space heater;Hot water radiator;Forced air heating | Alphanumeric | Adult;Pediatric | Exploratory | 1.00 | 2018-02-07 11:06:07.0 | Exposure History | General Health History | Participant History and Family History |
Multiple Pre-Defined Values Selected |
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| C58258 | Nuclear power plant live within 300 meter indicator | NucPwrPlntLvWin300MInd | Indicator of whether the subject/participant currently lives within 300 meters of a nuclear power plant | Indicator of whether the subject/participant currently lives within 300 meters of a nuclear power plant | Nuclear power plant: | 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 10:23:34.0 | Exposure History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C58303 | Bath water source other text | BathWaterSourceOthTxt | The free-text field related to 'Bath water source' specifying other text | The free-text field related to 'Bath water source' specifying other text | Other, specify: | Alphanumeric | Adult;Pediatric | Exploratory | 1.00 | 2018-02-07 11:34:05.0 | Exposure History | General Health History | Participant History and Family History | 16 |
Free-Form Entry |
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| C58315 | Chemical biological exposure reaction grade | ChemBioExposurReactnGrade | Grade of subject/participant's reaction to the chemical or biological substance selected in 'Chemical biological exposure substance type' | Grade of subject/participant's reaction to the chemical or biological substance selected in 'Chemical biological exposure substance type' | Reaction to exposure | None, Unknown;Mild;Moderate;Severe | None, Unknown;Mild;Moderate;Severe | Alphanumeric |
Please choose 'None, Unknown' if the participant does not know if there has been an exposure |
Adult;Pediatric | Exploratory | 1.00 | 2018-02-07 12:06:23.0 | Exposure History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C58273 | Insect borne pathogen endemic area live within 300 meter indicator | InsBrnPthEndArLvWin300MInd | Indicator of whether the subject/participant currently lives within 300 meters of an area with an endemic insect-borne pathogen (e.g., Lyme disease, Zika virus) | Indicator of whether the subject/participant currently lives 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: | 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 10:37:27.0 | Exposure History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C58247 | Dump site live within 300 meter type | DmpSitLivWin300MTyp | Type of dump site that the subject/participant within 300 meters of which the subject/participant lives now or has lived | Type of dump site that the subject/participant within 300 meters of which the subject/participant lives now or has lived | Dump site (please specify type) | Alphanumeric | Adult;Pediatric | Exploratory | 1.00 | 2018-02-07 10:09:57.0 | Exposure History | General Health History | Participant History and Family History | 128 |
Free-Form Entry |
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| C58290 | Residence heat fuel type | ResidenceHeatFuelTyp | Type of fuel used to heat the subject/participant's residence | Type of fuel used to heat the subject/participant's residence | What type of fuel is used for heating? | Propane;Electricity;Wood;Oil;Natural gas | Propane;Electricity;Wood;Oil;Natural gas | Alphanumeric | Adult;Pediatric | Exploratory | 1.00 | 2018-02-07 11:10:08.0 | Exposure History | General Health History | Participant History and Family History |
Multiple Pre-Defined Values Selected |
