CDE Detailed Report

Disease: Traumatic Brain Injury
Subdomain Name: Social Status
CRF: Socioeconomic Status

Displaying 1 - 26 of 26
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
C00202 Education school participation status EduSchoolParticipStatus Status of participant/subject's current attendance at school Status of participant/subject's current attendance at school School status Going to school;On vacation from school (between grades);Neither;Unknown Going to school;On vacation from school (between grades);Neither;Unknown Alphanumeric

Choose one. Recommend collection at least on date of TBI.

National Health and Nutrition Examination Survey (http://www.cdc.gov/nchs/nhanes.htm) Adult;Pediatric Basic 3.00 2013-07-25 08:54:08.2 Socioeconomic Status 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 Job classification category Not applicable;Official/Manager;Professional;Technicians and associate professionals;Service or sales worker;Clerk;Craft and related trades workers;Armed forces occupation;Laborer/Helper;Unknown Not applicable;Official/Manager;Professional;Technicians and associate professionals (typically requiring a Bachelor degree or equivilent);Service or sales worker;Clerk;Craft and related trades workers (e.g. motor mechanic, printer, tool and die makers, electrician);Armed forces occupation (officers, service personnel);Laborer/Helper;Unknown Alphanumeric

Choose one. Add date stamp for when assessed. Recommend collection at least on date of TBI.

U.S. Equal Employment Opportunity Commission, EEO-1 Job Classification Guide. http://www.eeoc.gov/employers/eeo1survey/jobclassguide.cfm Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Socioeconomic Status Social Status Participant Characteristics

Single Pre-Defined Value Selected

C00205 Family income range FmlyIncRng Range, in U.S. dollars, of the annual pre-tax, pre-deduction total income, of the household of which the participant/subject is a member Range, in U.S. dollars, of the annual pre-tax, pre-deduction total income, of the household of which the participant/subject is a member Family income range $15,000 to $24,999;$25,000 to $34,999;$35,000 to $49,999;$50,000 to $74,999;$75,000 to $99,999;$100,000 and over;Refused;Unknown;Under $15,000 $15,000 to $24,999;$25,000 to $34,999;$35,000 to $49,999;$50,000 to $74,999;$75,000 to $99,999;$100,000 and over;Refused;Unknown;Under $15,000 Alphanumeric

Choose one. This includes pre-tax cash income earned by persons, money wages and salaries, self-employment income, property income (dividends, interest and rents), money transfer payments from a variety of government and private welfare and social insurance schemes (such as social security, unemployment and workers' compensation, and public assistance), private and government retirement income, interpersonal transfers (such as alimony and child support) and other periodic income. This excludes certain lump sum payments and capital gains. Add date stamp for when assessed. Recommend collection at least on date of TBI and perhaps after all initial medical treatment.

American Community Survey questionnaire. U.S. Department of Commerce, U.S. Census Bureau. http://www.census.gov/acs/www/Downloads/questionnaires/2012/Quest12.pdf Adult;Pediatric Supplemental 3.00 2013-07-25 08:54:08.2 Socioeconomic Status Social Status Participant Characteristics

Single Pre-Defined Value Selected

C00223 Military deployment recency range MilDplyRcncyRng Range that captures the time elapsed since the most recent deployment Range that captures the time elapsed since the most recent deployment Military deployment recency range (adult only) Less than 3 months;Between 3 and 6 months;Between 6 and 12 months;Greater than 1 year Less than 3 months;Between 3 and 6 months;Between 6 and 12 months;Greater than 1 year Alphanumeric

Choose one. Response is obtained from report by participant/subject (interview, self report) or relatives. This element is intended for use in adult military populations.

No references available Adult Supplemental 3.00 2013-07-20 10:21:25.65 Socioeconomic Status Social Status Participant Characteristics

Single Pre-Defined Value Selected

C00206 Family income supported persons count FamilyIncmeSupprtPersCt Count of all people, including the participant/subject, who are supported by the household gross annual income reported Count of all people, including the participant/subject, who are supported by the household gross annual income reported Family income supported persons number Numeric Values

Add date stamp for when assessed. Recommend collection at least on date of TBI and perhaps after all initial medical treatment.

American Community Survey questionnaire. U.S. Department of Commerce, U.S. Census Bureau. http://www.census.gov/acs/www/Downloads/questionnaires/2012/Quest12.pdf Adult;Pediatric Supplemental 3.00 2013-07-25 08:54:08.2 Socioeconomic Status Social Status Participant Characteristics

Free-Form Entry

1 99
C00224 Military combat operation name MilCmbtOprtNam Name of specific combat operations in which the participant/subject officially participated Name of specific combat operations in which the participant/subject officially participated Military combat operations name (adult only) Desert storm;Desert shield;OEF;OIF;Other, specify;Unknown;None Desert storm;Desert shield;OEF (Operation Enduring Freedom);OIF (Operation Iraqi Freedom);Other, specify;Unknown;None Alphanumeric

Choose all that apply.

No references available Adult Supplemental 3.00 2013-07-20 10:21:25.65 Socioeconomic Status Social Status Participant Characteristics

Multiple Pre-Defined Values Selected

C00207 Marital or partner status MartlPartnerStatus Status of participant/subject's current domestic relationship, whether marital or partnered Status of participant/subject's current domestic relationship, whether marital or partnered Marital partner status Never married;Married;Domestic partnership;Divorced;Separated;Widowed Never married;Married;Domestic partnership;Divorced;Separated;Widowed Alphanumeric

Choose one

Johnson NJ, Backlund E, Sorlie PD, Loveless CA. Marital status and mortality: the national longitudinal mortality study. Ann Epidemiol. 2000;10:224-238. Adult;Pediatric Basic 3.00 2013-07-25 08:54:08.2 Socioeconomic Status Social Status Participant Characteristics

Single Pre-Defined Value Selected

2188083
C00225 Social voluntary activity type SocVolActvtyTyp Type of social or voluntary activity or activities the participant/subject has participated in or done in the last month Type of social or voluntary activity or activities the participant/subject has participated in or done in the last month Social or voluntary activity type (adult only) Done voluntary or charity work;Cared for a sick or disabled adult;Provided help to family, friends or neighbors;Attended an educational or training course;Gone to a sport, social or other kind of club;Taken part in a religious organization;Taken part in a political or community-related organization;None of these Done voluntary or charity work;Cared for a sick or disabled adult;Provided help to family, friends or neighbors;Attended an educational or training course;Gone to a sport, social or other kind of club;Taken part in a religious organization (church, synagogue, mosque etc.);Taken part in a political or community-related organization;None of these Alphanumeric

Choose all that apply.

Share 2004 Questionnaire version 10 - http://share-dev.mpisoc.mpg.de/ Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Socioeconomic Status Social Status Participant Characteristics

Multiple Pre-Defined Values Selected

C00208 Military USA service branch type MilUSAServBrnchTyp Branch of service in the U.S. military, not including the Commissioned Corps Branch of service in the U.S. military, not including the Commissioned Corps Military USA service branch type Alphanumeric

Choose one. Response is obtained by report of the participant/subject or relatives.

No references available Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Socioeconomic Status Social Status Participant Characteristics

Single Pre-Defined Value Selected

C00226 Health insurance type HlthInsTyp Type of insurance that the participant/subject currently has providing coverage for medical, surgical or hospital care Type of insurance that the participant/subject currently has providing coverage for medical, surgical or hospital care Type of health insurace Medicaid;Medicare;Employer-sponsored disability insurance;Private or group health insurance;National Health Insurance;Veterans Affairs/Military;No Insurance/Self-pay;Unknown;Other, specify Medicaid;Medicare;Employer-sponsored disability insurance;Private or group health insurance;National Health Insurance;Veterans Affairs/Military;No Insurance/Self-pay;Unknown;Other, specify Alphanumeric

Choose one. Document the date the history was obtained so it can be determined whether this information was obtained prior to study enrollment or later. Recommend collection at least on date of TBI and perhaps after all initial medical treatment.

NHLBI CDE from https://cdebrowser.nci.nih.gov/CDEBrowser/ Adult;Pediatric Supplemental 3.00 2013-07-25 08:54:08.2 Socioeconomic Status Social Status Participant Characteristics

Single Pre-Defined Value Selected

2953262
C00209 Military combat zone deployment number MilCombtZnDplymntNum Number of military deployments to combat zones (including current) Number of military deployments to combat zones (including current) Military combat zone deployment number (adult only) Numeric Values

Permissible values should be between 0 - 50, inclusive. Response is obtained by report of the participant/subject or relatives. Severity of psychological problems has been shown to correlate with the number of combat deployments

Schell TL, Marshall GN. (2008). Survey of individuals previously deployed for OEF/OIF. In T. Tanielian and L. H. Jaycox (Eds.), Invisible wounds of war: Psychological and cognitive injuries, their consequences, and services to assist recovery, (pp 87-115) Santa Monica, Ca: RAND Center for Military Health Policy Research. Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Socioeconomic Status Social Status Participant Characteristics

Free-Form Entry

0 50
C18614 Education primary caregiver year count EduPrimCaregiverYrCt Number of years of education of the primary caregiver (age 5 and beyond) Number of years of education of the primary caregiver (age 5 and beyond Primary caregiver's level of education (years) Numeric Values Adult;Pediatric Core 3.00 2013-10-07 00:00:00.0 Socioeconomic Status Social Status Participant Characteristics

Free-Form Entry

0 30 year
C00210 Military combat status MilCombtStatus Status of military service as combat or non-combat Status of military service as combat or non-combat Military combat status (adult only) Non-combat;Combat Non-combat;Combat Alphanumeric

Choose one. Response is obtained by report of the participant/subject or relatives. Risk of injury, and type/cause of injury are likely to vary by MOS (military occupation) with the greatest risks incurred by those with a combat MOS.

No references available Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Socioeconomic Status Social Status Participant Characteristics

Single Pre-Defined Value Selected

C18658 Employment expanded status EmplmtExpndStatus Status of participant/subject's current employment (expanded list) Status of participant/subject's current employment (expanded list) Employment status Working full time;Working 20-34 hrs/week, at least minimum wage;Working less than 20 hrs/week, at least minimum wage;Temporary/odd jobs/less than minimum wage jobs;Special employment;Sick leave or maternity leave;Unemployed;Other, specify;Not in paid workforce;Unable to obtain information;Unknown Working full time (35 hrs or more/week, at least minimum wage);Working 20-34 hrs/week, at least minimum wage;Working less than 20 hrs/week, at least minimum wage;Temporary/odd jobs/less than minimum wage jobs;Special employment (sheltered workshop, supportive employment, job coach);Sick leave or maternity leave;Unemployed;Other, specify;Not in paid workforce (including child, retired, student, homemaker, disabled pre-injury);Unable to obtain information;Unknown Alphanumeric

Choose one.

National Health and Nutrition Examination Survey (http://www.cdc.gov/nchs/nhanes.htm) Adult;Pediatric Core 1.00 2013-07-16 14:01:43.01 Socioeconomic Status Social Status Participant Characteristics

Single Pre-Defined Value Selected

C00012 Education level USA type EduLvlUSATyp Highest grade or level of school participant/subject has completed or the highest degree received Highest grade or level of school participant/subject has completed or the highest degree received Level of Education Never attended/Kindergarten only;1st Grade;2nd Grade;3rd Grade;4th Grade;5th Grade;6th Grade;7th Grade;8th Grade;9th Grade;10th Grade;11th Grade;12th Grade, no diploma;High school graduate;GED or equivalent;Some college, no degree;Associate degree: occupational/technical/vocational program;Associate degree: academic program;Bachelor's degree (e.g., BA, AB, BS, BBA);Master's degree (e.g., MA, MS, MEng, MEd, MBA);Professional school degree (e.g., MD, DDS, DVM, JD);Doctoral degree (e.g., PhD, EdD);Unknown Never attended/Kindergarten only;1st Grade;2nd Grade;3rd Grade;4th Grade;5th Grade;6th Grade;7th Grade;8th Grade;9th Grade;10th Grade;11th Grade;12th Grade, no diploma;High school graduate;GED or equivalent;Some college, no degree;Associate degree: occupational/technical/vocational program;Associate degree: academic program;Bachelor's degree (e.g., BA, AB, BS, BBA);Master's degree (e.g., MA, MS, MEng, MEd, MBA);Professional school degree (e.g., MD, DDS, DVM, JD);Doctoral degree (e.g., PhD, EdD);Unknown Alphanumeric

Choose highest level attained.

National Health and Nutrition Examination Survey (NHANES); National Health Interview Survey (NHIS); PhenX Toolkit Current Educational Attainment #011001 (https://www.phenxtoolkit.org) Adult;Pediatric Basic 3.00 2013-07-25 08:54:08.2 Socioeconomic Status Social Status Participant Characteristics

Single Pre-Defined Value Selected

3134878
C00214 Living with persons count PrsnCohabitCt Count of other people with whom the participant/subject currently lives, cohabits, or stays Count of other people with whom the participant/subject currently lives, cohabits, or stays Living with persons number Numeric Values

Include everyone who is living or staying here for more than 2 months. Include participant/subject if they are living here for more than 2 months. Include anyone else staying here who does not have another place to stay even if they are here for 2 months or less. Do not include anyone who is living somewhere else for more than 2 months, such as college student living away or someone in the Armed Forces on deployment.

American Community Survey questionnaire. U.S. Department of Commerce, U.S. Census Bureau. http://www.census.gov/acs/www/Downloads/questionnaires/2012/Quest12.pdf Adult;Pediatric Supplemental 3.00 2013-07-25 08:54:08.2 Socioeconomic Status Social Status Participant Characteristics

Free-Form Entry

0 99
C18676 Employment expanded other text EmplmtExpndOTH The free-text field related to 'Employment expanded status' specifying other text. Status of participant/subject's current employment The free-text field related to 'Employment expanded status' specifying other text. Status of participant/subject's current employment Other, specify Alphanumeric

Choose one.

National Health and Nutrition Examination Survey (http://www.cdc.gov/nchs/nhanes.htm) Adult;Pediatric Core 1.00 2014-05-27 13:34:46.0 Socioeconomic Status Social Status Participant Characteristics 4000

Free-Form Entry

C00013 Education level primary caregiver USA type EduLvlPrimCaregiverUSATyp Highest grade or level of school the participant's/subject's primary caregiver has completed or the highest degree he/she has received Highest grade or level of school the participant's/subject's primary caregiver has completed or the highest degree he/she has received Primary caregiver's level of education Never attended/Kindergarten only;1st Grade;2nd Grade;3rd Grade;4th Grade;5th Grade;6th Grade;7th Grade;8th Grade;9th Grade;10th Grade;11th Grade;12th Grade, no diploma;High school graduate;GED or equivalent;Some college, no degree;Associate degree: occupational, technical, or vocational program;Associate degree: academic program;Bachelor's degree (e.g., BA, AB, BS, BBA);Master's degree (e.g., MA, MS, MEng, MEd, MBA);Professional school degree (e.g., MD, DDS, DVM, JD);Doctoral degree (e.g., PhD, EdD);Unknown Never attended/Kindergarten only;1st Grade;2nd Grade;3rd Grade;4th Grade;5th Grade;6th Grade;7th Grade;8th Grade;9th Grade;10th Grade;11th Grade;12th Grade, no diploma;High school graduate;GED or equivalent;Some college, no degree;Associate degree: occupational, technical, or vocational program;Associate degree: academic program;Bachelor's degree (e.g., BA, AB, BS, BBA);Master's degree (e.g., MA, MS, MEng, MEd, MBA);Professional school degree (e.g., MD, DDS, DVM, JD);Doctoral degree (e.g., PhD, EdD);Unknown Alphanumeric

Choose the highest level attained by the participant/subject's primary caregiver.

National Health and Nutrition Examination Survey (NHANES); National Health Interview Survey (NHIS); PhenX Toolkit (https://www.phenxtoolkit.org) Current Educational Attainment #011001 Adult;Pediatric Basic 3.00 2013-07-20 10:21:25.65 Socioeconomic Status Social Status Participant Characteristics

Single Pre-Defined Value Selected

C00215 Living with person relationship type LivPrsnRltnshpTyp Type(s) of relationship(s) between the participant/subject and all people with whom she or he currently lives, cohabits, or stays Type(s) of relationship(s) that obtain between the participant/subject and all people with whom she or he currently lives, cohabits, or stays Living with persons relationsip type Husband or wife;Biological son or daughter;Adopted son or daughter;Stepson or stepdaughter;Brother or sister;Father or mother;Stepfather or stepmother;Grandchild;Grandparent;Parent-in-law;Son-in-law or daughter-in-law;Other relative;Roomer or boarder;Housemate or roommate;Unmarried partner;Foster child;Other nonrelative;Military unit member;N/A - Homeless;N/A - Alone;Personal care attendant;Other patient/ resident in care facility;Unknown Husband or wife;Biological son or daughter;Adopted son or daughter;Stepson or stepdaughter;Brother or sister;Father or mother;Stepfather or stepmother;Grandchild;Grandparent;Parent-in-law;Son-in-law or daughter-in-law;Other relative;Roomer or boarder;Housemate or roommate;Unmarried partner;Foster child;Other nonrelative;Military unit member;N/A - Homeless;N/A - Alone;Personal care attendant;Other patient/ resident in care facility;Unknown Alphanumeric

Choose all that apply. Add date stamp for when assessed. Recommend collection at least on date of TBI and perhaps after all initial medical treatment.

American Community Survey questionnaire. U.S. Department of Commerce, U.S. Census Bureau. http://www.census.gov/acs/www/Downloads/questionnaires/2012/Quest12.pdf Adult;Pediatric Supplemental 3.00 2013-07-25 08:54:08.2 Socioeconomic Status Social Status Participant Characteristics

Multiple Pre-Defined Values Selected

C18684 Health insurance other text HlthInsOTH The free-text field related to 'Health insurance type' specifying other text. Type of insurance that the participant/subject currently has providing coverage for medical, surgical or hospital care The free-text field related to 'Health insurance type' specifying other text. Type of insurance that the participant/subject currently has providing coverage for medical, surgical or hospital care Other, specify Alphanumeric

Choose one. Document the date the history was obtained so it can be determined whether this information was obtained prior to study enrollment or later. Recommend collection at least on date of TBI and perhaps after all initial medical treatment.

NHLBI CDE from https://cdebrowser.nci.nih.gov/CDEBrowser/ Adult;Pediatric Supplemental 1.00 2014-05-27 13:34:46.0 Socioeconomic Status Social Status Participant Characteristics 4000

Free-Form Entry

2953262
C00015 Education year count EduYrCt Number of years of education completed (age 5 and beyond) Number of years of education completed (age 5 and beyond) Years of education Numeric Values

For years completed, after the age of 5, code the number of years attained (0-30 years), normed to someone moving full time at the usual pace, i.e. a year that was repeated counts as only 1 year and the usual single-year full-time load completed over several years counts as 1 year. Certificate and technical programs do NOT count no matter how specialized. The number of years of typical completion of the relevant program is counted. If the subject obtained their education outside the United States, ask about their educational system to estimate the correct coding - Internship, Residency, and Fellowship years are experiential training and do not count. Recommend collection at least on date of TBI.

No references available Adult;Pediatric Core 3.00 2013-07-22 16:57:17.79 Socioeconomic Status Social Status Participant Characteristics

Free-Form Entry

0 30 year 3134878
C00220 Military USA rank category MilUSARnkCat Category that describes the participant's/subject's rank in the military Category that describes the participant's/subject's rank in the military Military USA rank category (adult only) Company grade officer;Warrant officer;Non-commissioned officer;Other enlisted rank;Field grade officer or above Company grade officer;Warrant officer;Non-commissioned officer (e.g., sergeant/corporal);Other enlisted rank;Field grade officer or above Alphanumeric

Choose one. Response is obtained by report of the participant/subject or relatives. NATO rank specifications could be used instead, but military personnel are typically unfamiliar with these ranks (i.e., they do not know their own NATO rank specification). Ranks generally reflect level of responsibility and type of activities engaged in while in theatre - information that may correlate with risk/severity/type of injury.

No references available Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Socioeconomic Status Social Status Participant Characteristics

Single Pre-Defined Value Selected

C18738 Military combat operation other text MilCmbtOprtOTH The free-text field related to 'Military combat operation name' specifying other text. Name of specific combat operations in which the participant/subject officially participated The free-text field related to 'Military combat operation name' specifying other text. Name of specific combat operations in which the participant/subject officially participated Other, specify Alphanumeric

Choose all that apply.

No references available Adult Supplemental 1.00 2014-05-27 13:34:46.0 Socioeconomic Status Social Status Participant Characteristics 4000

Free-Form Entry

C00018 Education service type EduSrvcTyp Type of educational services received Type of educational services received Education services type (pediatric only) Special Education;Regular Education;None;Unknown;Early Intervention Special Education;Regular Education;None;Unknown;Early Intervention Alphanumeric

Choose one.

No references available Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Socioeconomic Status Social Status Participant Characteristics

Single Pre-Defined Value Selected

C00221 Military service status MilServStatus Status of participant's/subject's military service, not including the Commissioned Corps Status of participant's/subject's military service, not including the Commissioned Corps Military service status (adult only) Active duty military;Active reserve (or national guard);Inactive reserve;Retired from military;No military service previous or current Active duty military;Active reserve (or national guard);Inactive reserve;Retired from military;No military service previous or current Alphanumeric

Choose one.

No references available Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Socioeconomic Status Social Status Participant Characteristics

Single Pre-Defined Value Selected

C18739 Military USA service branch other text MilUSAServBrnchOTH The free-text field related to 'Military USA service branch type' specifying other text. Branch of service in the U.S. military, not including the Commissioned Corps The free-text field related to 'Military USA service branch type' specifying other text. Branch of service in the U.S. military, not including the Commissioned Corps Other, specify Alphanumeric

Choose one. Response is obtained by report of the participant/subject or relatives.

No references available Adult;Pediatric Supplemental 1.00 2014-05-27 13:34:46.0 Socioeconomic Status Social Status Participant Characteristics 4000

Free-Form Entry

CSV