CDE Detailed Report

Disease: Myalgic Encephalomyelitis/Chronic Fatigue Syndrome
Subdomain Name: Social Status
CRF: Adult Employment and Education History

Displaying 1 - 19 of 19
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
C58393 Highest grade degree completed type HighstGrdDegreeCompTyp Indicates the highest grade or degree the subject/participant has completed Indicates the highest grade or degree the subject/participant has completed What is the highest grade or degree you have completed in school Less than high school;Some high school;High school degree or GED;Partial college (at least one year) or specialized training;Standard college degree;Graduate professional degree (Masters or Doctorate) Less than high school;Some high school;High school degree or GED;Partial college (at least one year) or specialized training;Standard college degree;Graduate professional degree (Masters or Doctorate) Alphanumeric Adult Supplemental-Highly Recommended 1.00 2018-02-08 15:23:37.0 Adult Employment and Education History Social Status Participant Characteristics

Single Pre-Defined Value Selected

C58380 Disability benefits receiving indicator DisabBenefReceivInd Indicator of the type of disability benefits the participant/subject is receiving Indicator of the type of disability benefits the participant/subject is receivin If you are receiving disability benefits, are you on: SSDI (Social Security Disability Insurance);SSI (Supplemental Security Income from Social Security);Private disability insurance;Other specify SSDI (Social Security Disability Insurance);SSI (Supplemental Security Income from Social Security);Private disability insurance;Other specify Alphanumeric Adult Supplemental-Highly Recommended 1.00 2018-02-08 12:51:38.0 Adult Employment and Education History Social Status Participant Characteristics

Single Pre-Defined Value Selected

C58381 Applying for disability benefits indicator ApplyDisabBenefInd Indicator of whether the participant/subject is applying for disability benefits Indicator of whether the participant/subject is applying for disability benefits Are you applying for disability benefits? Not eligible;No;Yes Not eligible;No;Yes Alphanumeric Adult Supplemental-Highly Recommended 1.00 2018-02-08 13:06:46.0 Adult Employment and Education History Social Status Participant Characteristics

Single Pre-Defined Value Selected

C58382 Receiving disability for ME/CFS another condition both indicator ReceivDisabMECFSAnthCondBthInd Indicator if the participant/subject is receiving disability for ME/CFS or for another condition Indicator if the participant/subject is receiving disability for ME/CFS or for another conditio If you are receiving disability, is it for ME/CFS or for another condition, or both For another condition;For ME/CFS For another condition;For ME/CFS Alphanumeric Adult Supplemental-Highly Recommended 1.00 2018-02-08 13:17:17.0 Adult Employment and Education History Social Status Participant Characteristics

Single Pre-Defined Value Selected

C00222 Job classification category JobclassCat Category that classifies work performed by participant/subject Category that classifies work performed by participant/subjec Best description of your current or last job (check any that apply): Agricultural or fishery worker;Armed forces occupation;Clerk;Craft and related trades workers;Elementary occupations;Legislator, or senior official, or manager;Plant and machine operators and assemblers;Professional;Professional referral;Service or sales worker;Technicians and associate professionals;Not applicable;Unknown;Other, specify Agricultural or fishery worker;Armed forces occupation (officers, service personnel);Clerk;Craft and related trades workers (e.g. motor mechanic, printer, tool and die makers, electrician);Elementary occupations (laborer, porter, unskilled workers);Legislator, or senior official, or manager;Plant and machine operators and assemblers;Professional;Professional referral;Service or sales worker;Technicians and associate professionals (typically requiring a Bachelor degree or equivilent);Not applicable;Unknown;Other, specify Alphanumeric Adult Supplemental-Highly Recommended 3.00 2013-07-20 10:21:25.65 Adult Employment and Education History Social Status Participant Characteristics

Single Pre-Defined Value Selected

C58384 Past apply disability benefits turned down indicator PastAplyDisabBenefTurnDwnInd Indicator of whether the participant/subject has been turned down in the past for disability benefits Indicator of whether the participant/subject has been turned down in the past for disability benefits In the past, have you applied for disability benefits and been turned down Not eligible;No;Yes Not eligible;No;Yes Alphanumeric Adult Supplemental-Highly Recommended 1.00 2018-02-08 13:34:38.0 Adult Employment and Education History Social Status Participant Characteristics

Single Pre-Defined Value Selected

C58339 Current employment status CurrentEmplyStatus Status of participant/subjects current employment status Status of participant/subjects current employment status Please mark the box that best describes your current situation Part-time student (including on the job training);Part-time paid work (employed/self-employed, including military);Full-time paid work (employed/self-employed, including military);Full-time student (including on the job training);Homemaker;Retired;Retired (did not seek/not eligible for disability);Unpaid work;Unemployed;Other specify Part-time student (including on the job training);Part-time paid work (employed/self-employed, including military);Full-time paid work (employed/self-employed, including military);Full-time student (including on the job training);Homemaker;Retired (disability pension);Retired (did not seek/not eligible for disability);Unpaid work (volunteer);Unemployed (none of the above);Other specify Alphanumeric Adult Supplemental-Highly Recommended 1.00 2018-02-08 09:14:30.0 Adult Employment and Education History Social Status Participant Characteristics

Multiple Pre-Defined Values Selected

C58385 Other current situation type text OthrCurrSituationTypTxt Specifies other current situation Specifies other current situation Other, Specify Alphanumeric Adult Supplemental-Highly Recommended 1.00 2018-02-08 14:15:05.0 Adult Employment and Education History Social Status Participant Characteristics 255

Free-Form Entry

C58340 Title description of current or last job text TitleDescCurntLastJobTxt Free text field to identify participants current or last job title and description Free text field to identify participants current or last job title and description Title and description of your current or last job Alphanumeric Adult Supplemental-Highly Recommended 1.00 2018-02-08 09:17:24.0 Adult Employment and Education History Social Status Participant Characteristics 255

Free-Form Entry

C58386 Other disability benefits type text OthrDisabBenefTypTxt Specifies other disability benefits Specifies other disability benefits Other Please specify Alphanumeric Adult Supplemental-Highly Recommended 1.00 2018-02-08 14:35:46.0 Adult Employment and Education History Social Status Participant Characteristics 255

Free-Form Entry

C58342 Never employed indicator NeverEmployInd Indicator of whether the participant has never been employed Indicator of whether the participant has never been employed Never Employed Never employed Never employed Alphanumeric Adult Supplemental-Highly Recommended 1.00 2018-02-08 09:21:18.0 Adult Employment and Education History Social Status Participant Characteristics

Single Pre-Defined Value Selected

C58387 Other description of highest level job type text OthrDescHghtLvlJobTpyTxt Specifies other highest level job Specifies other highest level job Other, Specify Alphanumeric Adult Supplemental-Highly Recommended 1.00 2018-02-08 14:41:46.0 Adult Employment and Education History Social Status Participant Characteristics 255

Free-Form Entry

C58349 Job highest level category JobHighestLevelCat Category that classifies participant/subjects work highest level Category that classifies participant/subjects work highest level Best description of your highest level job (check any that apply) Agricultural or fishery worker;Armed forces occupation;Clerk;Craft and related trades workers;Elementary occupations;Legislator, or senior official, or manager;Plant and machine operators and assemblers;Professional;Professional referral;Service or sales worker;Technicians and associate professionals;Not applicable;Unknown;Other, specify Agricultural or fishery worker;Armed forces occupation (officers, service personnel);Clerk;Craft and related trades workers (e.g. motor mechanic, printer, tool and die makers, electrician);Elementary occupations (laborer, porter, unskilled workers);Legislator, or senior official, or manager;Plant and machine operators and assemblers;Professional;Professional referral;Service or sales worker;Technicians and associate professionals (typically requiring a Bachelor degree or equivilent);Not applicable;Unknown;Other, specify Alphanumeric Adult Supplemental-Highly Recommended 1.00 2018-02-08 09:45:35.0 Adult Employment and Education History Social Status Participant Characteristics

Single Pre-Defined Value Selected

C58388 Other current or last job type text OthrCurrLastJobTypTxt Specifies other current or last job Specifies other current or last job Other, specify Alphanumeric Adult Supplemental-Highly Recommended 1.00 2018-02-08 14:48:14.0 Adult Employment and Education History Social Status Participant Characteristics 255

Free-Form Entry

C58362 Work study hour count WrkStdyHourCt Indicator of how many hours per week the participant/subject works or studies Indicator of how many hours per week the participant/subject works or studies If you work or are a student, paid or unpaid, job or student, how many hours/week do you work or study Numeric Values Adult Supplemental-Highly Recommended 1.00 2018-02-08 10:16:19.0 Adult Employment and Education History Social Status Participant Characteristics

Free-Form Entry

hours per wek
C58391 Other condition disability type text OthrDisabConditTypTxt Specifies other condition Specifies other condition For another condition Alphanumeric Adult Supplemental-Highly Recommended 1.00 2018-02-08 15:15:15.0 Adult Employment and Education History Social Status Participant Characteristics 255

Free-Form Entry

C58377 Able work full time last date AbleWrkFullTimeLastDate Date when participant/subjects was last able to work full time Date when participant/subjects was last able to work full time If you are not working due to illness, when was the last date that you were able to work full time Date or Date & Time Adult Supplemental-Highly Recommended 1.00 2018-02-08 12:08:41.0 Adult Employment and Education History Social Status Participant Characteristics

Free-Form Entry

C58392 Other times turned down count OthrTimeTurnDwnCt Specifies number of other times turned down for disability benefits Specifies number of other times turned down for disability benefits If yes, how many times turned down Numeric Values Adult Supplemental-Highly Recommended 1.00 2018-02-08 15:21:09.0 Adult Employment and Education History Social Status Participant Characteristics

Free-Form Entry

C58378 Disability situation description indicator DisabSituaDescripInd Description of participant/subjects disability situation Description of participant/subjects disability situation If you are disabled from work, which of these best describes your situation Cannot perform well in any job, but able to care for myself;Largely home bound or shut in, but able to care for myself at home;Largely home bound or shut in, occasional attendant care needed for self-care;Largely bed bound, require attendant care Cannot perform well in any job, but able to care for myself;Largely home bound or shut in, but able to care for myself at home;Largely home bound or shut in, occasional attendant care needed for self-care;Largely bed bound, require attendant care Alphanumeric Adult Supplemental-Highly Recommended 1.00 2018-02-08 12:13:34.0 Adult Employment and Education History Social Status Participant Characteristics

Single Pre-Defined Value Selected

CSV