CDE Detailed Report

Disease: Myalgic Encephalomyelitis/Chronic Fatigue Syndrome
Subdomain Name: Laboratory Tests and Biospecimens/Biomarkers
CRF: Biomarker-Related Sample and Collection Questions

Displaying 51 - 69 of 69
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
C56120 CSF Specimen collection tube type CSFSpecimenCollectionTubTyp The type related to tube for CSF specimen collection The type related to tube for CSF specimen collectio Specify collection tube: Polypropylene tubes;Polystyrene tubes;Other, specify Polypropylene tubes;Polystyrene tubes;Other, specify Alphanumeric

Choose one

Adult;Pediatric Supplemental 1.00 2017-04-11 12:19:20.0 Biomarker-Related Sample and Collection Questions Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations

Single Pre-Defined Value Selected

C58420 Blood collection peripheral blood mononuclear cell isolation temperature storage value BldCollectPBMCIsolTempStorVal Storage temperature used between blood collectioon and isolation of periphral blood mononuclear cells Storage temperature used between blood collectioon and isolation of periphral blood mononuclear cells Indicate storage temperature between blood collection and isolation of PBMCs: Numeric Values Adult;Pediatric Supplemental 1.00 2017-04-17 15:19:20.0 Biomarker-Related Sample and Collection Questions Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations

Free-Form Entry

degrees celsius
C57927 Saliva collection volume value SalivaCollectnVolVal Value of saliva collected volume Value of saliva collected volum Indicate collected volume (ml): Numeric Values Adult;Pediatric Supplemental 1.00 2018-01-16 10:59:38.0 Biomarker-Related Sample and Collection Questions Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations

Free-Form Entry

milliliters
C58462 Medication initial frequency MedctnInitialFreq Initial frequency of medication taken per administration prior to adjustments Initial frequency of medicaiton taken per administration prior to adjustments Initial frequency: Numeric Values Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Biomarker-Related Sample and Collection Questions Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations

Free-Form Entry

3162729
C58410 Blood collection tube sterile indicator BloodCollectTubeSterileInd Indicator related to whether blood collection tube is sterile Indicator related to whether blood collection tube is sterile Indicate if tubes are sterile: No;Yes No;Yes Alphanumeric Adult;Pediatric Supplemental 3.00 2013-07-24 11:38:01.2 Biomarker-Related Sample and Collection Questions Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations

Single Pre-Defined Value Selected

C56102 Biomarker specimen type BiomarkSpecTyp The type of specimen or specimens collected from the participant/subject for biomarkers The type of specimen or specimens collected from the participant/subject for biomarker What type of specimen was collected from the subject/participant? Blood, specify type;CSF, complete the following;Urine;Saliva;Other, specify Blood, specify type;CSF, complete the following;Urine;Saliva;Other, specify Alphanumeric Adult;Pediatric Supplemental 1.00 2017-06-06 11:44:03.0 Biomarker-Related Sample and Collection Questions Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations

Multiple Pre-Defined Values Selected

C56121 CSF specimen collection tube other text CSFSpecimenCollectionTubOTH The free-text field related to other tube for CSF specimen collection The free-text field related to other tube for CSF specimen collectio Other, specify: Alphanumeric Adult;Pediatric Supplemental 1.00 2017-04-11 12:19:20.0 Biomarker-Related Sample and Collection Questions Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations 255

Free-Form Entry

C58421 White blood cell count unit of measure WBCCountUOM Unit of measure for reporting white blood cell count Unit of measure for reporting white blood cell coun WBC units Alphanumeric Adult;Pediatric Supplemental 1.00 2017-04-13 13:15:56.0 Biomarker-Related Sample and Collection Questions Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations 50

Free-Form Entry

C57928 Saliva collection stimulation use indicator SalivaCollStimUseInd Indicate whether stimulation was used for saliva collection Indicate whether stimulation was used for saliva collectio Indicate if stimulation was used: No (STOP);Yes, please describe No (STOP);Yes, please describe Alphanumeric Adult;Pediatric Supplemental 1.00 2018-01-16 11:01:33.0 Biomarker-Related Sample and Collection Questions Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations

Single Pre-Defined Value Selected

C58463 Medication adjusted frequency MedctnAdjFreq Adjusted frequency of medication taken per administration prior to adjustments Adjusted frequency of medicaiton taken per administration prior to adjustments Adjusted frequency: Numeric Values Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Biomarker-Related Sample and Collection Questions Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations

Free-Form Entry

3162729
C56106 Specimen blood collection type SpecBldCollTyp The type of blood component that was collected The type of blood component that was collecte Blood, specify type: Platelet-free plasma;Platelet-rich plasma;Serum;Whole blood;PBMC Platelet-free plasma;Platelet-rich plasma;Serum;Whole blood;PBMC (Peripheral blood mononuclear cell) Alphanumeric

Choose one

Adult;Pediatric Supplemental 1.00 2017-06-06 12:00:52.0 Biomarker-Related Sample and Collection Questions Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations

Single Pre-Defined Value Selected

C58411 Blood collection tube endotoxin free indicator BloodCollectTubeEndoFreeInd Indicator related to whether blood collection tube is endotoxin-free Indicator related to whether blood collection tube is endotoxin-free Indicate if tubes are endotoxin-free: No;Yes No;Yes Alphanumeric Adult;Pediatric Supplemental 3.00 2013-07-24 11:38:01.2 Biomarker-Related Sample and Collection Questions Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations

Single Pre-Defined Value Selected

C57374 Changed medication name text ChangedMedicationNameTxt Name of changed medication(s) taken by subject/participant Name of changed medication(s) taken by subject/participan If yes, name of the medication or class of medication Alphanumeric Adult;Pediatric Supplemental 1.00 2018-01-05 16:40:51.0 Biomarker-Related Sample and Collection Questions Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations 255

Free-Form Entry

C58422 Red blood cell count unit of measure RBCCountUOM Unit of measure for reporting red blood cell count Unit of measure for reporting red blood cell coun RBC unit of measure Alphanumeric Adult;Pediatric Supplemental 1.00 2017-04-13 13:15:56.0 Biomarker-Related Sample and Collection Questions Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations 50

Free-Form Entry

C57929 Saliva collection oral hygiene use indicator SalivaCollOralHygieneUseInd Indicate whether oral hygiene used in saliva collection Indicate whether oral hygiene used in saliva collectio Indicate if oral hygiene was used before collection: No (STOP);Yes, please describe No (STOP);Yes, please describe Alphanumeric Adult;Pediatric Supplemental 1.00 2018-01-16 11:14:10.0 Biomarker-Related Sample and Collection Questions Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations

Single Pre-Defined Value Selected

C58464 Blood collection tube lysing stabilizing media text BloodCollectTubeLysStbMedTxt Free-text field to specify lysing/stabilizing media used in blood collection tube Free-text field to specify lysing/stabilizing media used in blood collection tube Lysing/stabilizing media, indicate additive Alphanumeric Adult;Pediatric Supplemental 1.00 2018-01-15 15:45:04.0 Biomarker-Related Sample and Collection Questions Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations 255

Free-Form Entry

C01701 Lab specimen collection date and time LabSpecmnCollDateTime Date (and time if applicable and known) when the specimen was collected Date (and time if applicable and known) when the specimen was collected Date and time of specimen collection Date or Date & Time Adult;Pediatric Supplemental-Highly Recommended 3.00 2013-07-25 08:54:08.2 Biomarker-Related Sample and Collection Questions Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations

Free-Form Entry

2004004
C56107 Biomarker specimen other text BiomarkSpecOthrTxt The free-text field describing another type of specimen that was collected from the participant/subject The free-text field describing another type of specimen that was collected from the participant/subjec Other, specify: Alphanumeric Adult;Pediatric Supplemental 1.00 2017-06-06 12:06:04.0 Biomarker-Related Sample and Collection Questions Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations 500

Free-Form Entry

C58412 Serum plasma sample collection processing elapse time interval SerPlsmSmpCollProcTimeIntrvl Elapsed time between sample collection and processing for serum and plasma samples Elapsed time between sample collection and processing for serum and plasma samples For serum/plasma, indicate timeframe between collection of blood and separation: Numeric Values Adult;Pediatric Supplemental-Highly Recommended 3.00 2013-07-16 14:01:43.01 Biomarker-Related Sample and Collection Questions Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations

Free-Form Entry

CSV