CDE Detailed Report
Disease: system
Subdomain Name: Demographics
CRF: files
Displaying 101 - 123 of 123
Subdomain Name: Demographics
CRF: files
Displaying 101 - 123 of 123
| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| C21800 | Living situation before injury other text | LivingSituationPreInjTypOTH | Living situation of the participant/subject before injury other text | Living situation of the participant/subject before injury other tex | Other, specify | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2016-06-03 10:38:50.0 | FITBIR Demographics Form | Demographics | Participant Characteristics | 4000 |
Free-Form Entry |
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| C21983 | Sport college other participation total year count | SportCollegeOtherYrsCt | Total combined years the participant/subject played other college sport(s) (should be used in combination with Other sport(s) the participant played in college) | Total combined years the participant/subject played other college sport(s) (should be used in combination with Other sport(s) the participant played in college | How many total combined years did the subject play other sports in college? | Numeric Values |
Use in combination with Other sport(s) the participant played in college UDE |
Adult | Supplemental | 1.00 | 2016-06-06 18:29:02.0 | FITBIR Demographics Form | Demographics | Participant Characteristics |
Free-Form Entry |
1 | 50 | |||||||||
| C08147 | Data source | DataSource | Source of the data provided on the case report form | Source of the data provided on the case report form | Who is the source of this information in relation to the subject? | Participant/subject;Mother;Father;Sister;Brother;Son;Daughter;Family, specify relation;Friend;Physician;Chart/Medical record;Other, specify;Unknown;Spouse | Participant/subject;Mother;Father;Sister;Brother;Son;Daughter;Family, specify relation;Friend;Physician;Chart/Medical record;Other, specify;Unknown;Spouse | Alphanumeric |
Choose all that apply |
Adult;Pediatric | Supplemental | 3.00 | 2013-07-20 10:46:24.96 | FITBIR Demographics Form | Demographics | Participant Characteristics |
Multiple Pre-Defined Values Selected |
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| C22708 | Parent ethnicity USA category other text | ParentEthnUSACatOTH | The free-text field describing the category of ethnicity the participant's/subject's parent/guardian most closely identifies with | The free-text field describing the category of ethnicity the participant's/subject's parent/guardian most closely identifies wit | Other, specify | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2016-08-22 11:45:27.0 | FITBIR Demographics Form | Demographics | Participant Characteristics | 255 |
Free-Form Entry |
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| C21812 | Sport head neck injury indicator | TBISportInd | The indicator related to having a injury of head or neck in sports | The indicator related to having a injury of head or neck in sport | Was the subject's traumatic brain injury sports related? | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric |
The indicator related to having a injury of head or neck in sports. |
Adult;Pediatric | Supplemental | 1.00 | 2016-06-03 11:54:50.0 | FITBIR Demographics Form | Demographics | Participant Characteristics |
Single Pre-Defined Value Selected |
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| 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 | What is the parent's, guardian's, or caregiver's highest grade or level of school completed? | 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. This element is recommended for Pediatric stroke studies. Choose highest level attained. |
Adult;Pediatric | Supplemental | 3.00 | 2013-07-20 10:21:25.65 | FITBIR Demographics Form | Demographics | Participant Characteristics |
Single Pre-Defined Value Selected |
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| C21994 | Sport professional participation other total year count | SportProfessionPartOthTtlYrsCt | Total combined years the participant/subject played other professional sport(s) (should be used in combination with Other professional sports played by the participant/subject | Total combined years the participant/subject played other professional sport(s) (should be used in combination with Other professional sports played by the participant/subjec | What is the total number of years the subject played other professional sports? | Numeric Values |
Use in combination with Other professional sports played by the participant UDE |
Adult | Supplemental | 1.00 | 2016-06-06 18:40:17.0 | FITBIR Demographics Form | Demographics | Participant Characteristics |
Free-Form Entry |
1 | 50 | |||||||||
| C17396 | Sex genotype type | SexGenotypTyp | The difference between male and female, based upon the interactions between genes and between the genotype and the environment. Genotype is identified based on the individual's reproductive organs and functions assigned by chromosomal complement | Sex chromosomes of the participant/subject based upon genotyping | What is the subject's sex or genotype? | XX;XY;XXX;XYY;XXY;Other, specify;Unknown;Unspecified | XX;XY;XXX;XYY;XXY;Other, specify;Unknown;Undifferentiated/Indeterminant/Intersex | Alphanumeric |
Choose only one Added to TBI per meeting with FITBIR on 12/18/13. |
Adult;Pediatric | Core | 3.10 | 2018-07-26 00:00:00.0 | FITBIR Demographics Form | Demographics | Participant Characteristics |
Single Pre-Defined Value Selected |
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| C21973 | Sport high school participation indicator | SportHighSchoolInd | Whether participant/subject played sports in high school | Whether participant/subject played sports in high school | Did the subject participate in sports in high school? | No;Yes | No;Yes | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2016-06-06 18:07:34.0 | FITBIR Demographics Form | Demographics | Participant Characteristics |
Single Pre-Defined Value Selected |
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| C00035 | Gender type | GenderTyp | Self-reported gender of the participant/subject | Self-reported gender of the participant/subjec | What is the subject's gender? | Alphanumeric |
Choose one. Response is obtained by report of the participant/subject or caretaker. The NIH Guidelines on Inclusion of Women and Minorities as Subjects in Clinical Research: The Office of Management and Budget Directive No. 15 (http://grants.nih.gov/grants/funding/women_min/guidelines_update.htm) |
The NIH Guidelines on Inclusion of Women and Minorities as Subjects in Clinical Research: The Office of Management and Budget Directive No. 15 (http: //grants.nih.gov/grants/funding/women_min/guidelines_update.htm) | Adult;Pediatric | Core | 3.00 | 2013-08-28 16:08:00.453 | FITBIR Demographics Form | Demographics | Participant Characteristics |
Single Pre-Defined Value Selected |
2200604 | |||||||||
| C22694 | Parent dependent children liviing in household number | ParentDpndntChildLvngHshldNum | Number of dependent children living in parent's, guardian's or caregiver's household | Number of dependent children living in parent's, guardian's or caregiver's household | What is the number of dependent children living in the parent, guardian, or caregiver's household? | Numeric Values |
Refer to Household and Income. |
Adult;Pediatric | Supplemental | 3.00 | 2013-07-16 14:01:43.01 | FITBIR Demographics Form | Demographics | Participant Characteristics |
Free-Form Entry |
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| C19247 | Subject ID | SubIDNam | Subject identification ID | Subject identification ID | Subject ID Number | Alphanumeric |
The participant or subject identifiers or IDs should be assigned by the study. SCI Variable: SUBJECT |
Alexander MS, Biering-Saarensen F, Elliott S, Kreuter M, Saanksen J. International Spinal Cord Injury Female Sexual and Reproductive Function Basic Data Set. Spinal Cord. 2011 Jul;49(7):787-90. Alexander MS, Biering-SØrensen F, Elliott S, Kreuter M, SØnksen J. International spinal cord injury male sexual function basic data set. Spinal Cord. 2011 Jul;49(7):795-8.<br />Bauman WA, Biering-Saarensen F, Krassioukov A. International spinal cord injury endocrine and metabolic function basic data set. Spinal Cord. 2011 Oct;49(10):1068-72.<br />Biering-Saarensen F, Craggs M, Kennelly M, Schick E, Wyndaele JJ. International Lower Urinary Tract Function Basic Spinal Cord Injury Data Set. Spinal Cord 2008 May;46(5):325-30.<br />Krogh K, Perkash I, Stiens SA, Biering-Saarensen F. International bowel function extended spinal cord injury data set. Spinal Cord. 2009 Mar;47(3):235-41.<br />Widerstraam-Noga E, Biering-Saarensen F, Bryce T, Cardenas DD, Finnerup NB, Jensen MP, Richards JS, Siddall PJ. The international spinal cord injury pain basic data set. Spinal Cord. 2008 Dec;46(12):818-23. | Adult;Pediatric | Supplemental | 1.00 | 2014-06-05 13:10:49.0 | FITBIR Demographics Form | Demographics | Participant Characteristics | 255 |
Free-Form Entry |
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| C21801 | Education highest level before injury type | HighestLvlEduPreInj | Highest level education pre-injury | Highest level education pre-injury | What is the highest level of education the subject received pre-injury? | None/basic primary = 0 - 4 years;Primary/Intermediate Primary = 5 - 8 years;Secondary = 12 years;Tertiary = 13 - 15 years (e.g., Teachers, Technicians);University = 16 - 17 years;Post Graduate = 18-19 years (e.g., Masters, Doctoral);Unknown | None/basic primary = 0 - 4 years;Primary/Intermediate Primary = 5 - 8 years;Secondary = 12 years;Tertiary = 13 - 15 years (e.g., Teachers, Technicians);University = 16 - 17 years;Post Graduate = 18-19 years (e.g., Masters, Doctoral);Unknown | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2016-06-03 10:54:09.0 | FITBIR Demographics Form | Demographics | Participant Characteristics |
Single Pre-Defined Value Selected |
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| C21984 | Sport recreational participation indicator | SportRecreationlPartInd | Whether the participant/subject played recreational sports | Whether the participant/subject played recreational sports | Did the subject participate in recreational sports? | No;Yes | No;Yes | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2016-06-06 18:30:14.0 | FITBIR Demographics Form | Demographics | Participant Characteristics |
Single Pre-Defined Value Selected |
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| C10467 | Risk Factor Questionnaire (RFQ) - military service current active status | RFQMilSrvcCurrActStatus | The status whether the participant/subject is currently active in the military as part of the Risk Factor Questionnaire (RFQ) - Occupation | The status whether the participant/subject is currently active in the military as part of the Risk Factor Questionnaire (RFQ) - Occupatio | Is the subject active military? | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric |
Whether participant currently has active military status |
Adult;Pediatric | Supplemental | 3.00 | 2013-07-18 09:11:50.26 | FITBIR Demographics Form | Demographics | Participant Characteristics |
Single Pre-Defined Value Selected |
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| C21813 | Sport elementary school participation indicator | ElementarySchoolSprtInd | The indicator related to whether participant/subject participated in sport(s) in elementary school | The indicator related to whether participant/subject participated in sport(s) in elementary school | Did the subject participate in sports in elementary school? | No;Yes | No;Yes | Alphanumeric |
The indicator related to whether subject participated in sport(s) in elementary school |
Adult;Pediatric | Supplemental | 1.00 | 2016-06-03 11:56:15.0 | FITBIR Demographics Form | Demographics | Participant Characteristics |
Single Pre-Defined Value Selected |
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| 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) | How many years of education does the subject have? | Numeric Values |
Choose the highest level attained by the participant/subject caBIG CDE Public ID = 3134878 For years completed, 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. |
Adult;Pediatric | Supplemental | 3.00 | 2013-07-22 16:57:17.79 | FITBIR Demographics Form | Demographics | Participant Characteristics |
Free-Form Entry |
0 | 30 | year | 3134878 | |||||||
| C22682 | Case Control Indicator | CaseContrlInd | The response related to whether subject is in the case or control arm of the study | Indicator of whether subject is in the case or control arm of the study | Is the subject in the case or control arm of the study? | Case;Control;Unknown | Case;Control;Unknown | Alphanumeric |
Indicate whether subject is (was) in the case or control arm of the study |
Adult;Pediatric | Supplemental | 1.00 | 2016-07-27 13:36:42.0 | FITBIR Demographics Form | Demographics | Participant Characteristics |
Multiple Pre-Defined Values Selected |
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| C17399 | Global unique identifier number | GlobalUniqueIdNum | Number representing the Global Unique ID (GUID) which uniquely identifies a participant | Number representing the Global Unique ID (GUID) which uniquely identifies a participant | GUID | Alphanumeric | Johnson SB, Whitney G, McAuliffe M, Wang H, McCreedy E, Rozenblit L, Evans CC. Using global unique identifiers to link autism collections. J Am Med Inform Assoc. 2010;17(6):689-95. doi: 10.1136/jamia.2009.002063. | Adult;Pediatric | Supplemental | 3.10 | 2024-02-29 15:54:17.0 | FITBIR Demographics Form | Demographics | Participant Characteristics | 255 |
Free-Form Entry |
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| C21974 | Sport high school primary participation indicator | SportHighSchoolPrimryPartInd | The primary sport the participant/subject played in high school | The primary sport the participant/subject played in high school | What was the primary sport the subject played in high school? | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2016-06-06 18:09:32.0 | FITBIR Demographics Form | Demographics | Participant Characteristics | 4000 |
Free-Form Entry |
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| C00202 | Education school participation status | EduSchoolParticipStatus | Status of participant/subject's current attendance at school | Status of participant/subject's current attendance at school | What is the subject's current attendance in school? | Going to school;On vacation from school (between grades);Neither;Unknown | Going to school;On vacation from school (between grades);Neither;Unknown | Alphanumeric | National Health and Nutrition Examination Survey (http: //www.cdc.gov/nchs/nhanes.htm) | Adult;Pediatric | Core | 3.00 | 2013-07-25 08:54:08.2 | FITBIR Demographics Form | Demographics | Participant Characteristics |
Single Pre-Defined Value Selected |
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| C22695 | Parent dependent children number | ParentDpndntChildNum | Number of dependent children the participant's/subject's parent, guardian, or caregiver has | Number of dependent children the participant's/subject's parent, guardian, or caregiver has | What is the total number of dependent children the parent, guardian, or caregiver's has? Include both living in the household and living elsewhere. | Numeric Values | Adult;Pediatric | Supplemental | 3.00 | 2013-07-16 14:01:43.01 | FITBIR Demographics Form | Demographics | Participant Characteristics |
Free-Form Entry |
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| C19257 | Residence area type | ResidenceAreaTyp | Type describing the participant's/subject's current location of residence | Type describing the participant's/subject's current location of residence | How would you describe the subject's current location of residence? | A big city (population >= 250,000) including suburbs/outskirts;A small town/ small city (population 500-10,000);Rural area (population =< 500);Unknown | A big city (population >= 250,000) including suburbs/outskirts;A small town/ small city (population 500-10,000);Rural area (population =< 500);Unknown | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2014-06-05 17:27:45.0 | FITBIR Demographics Form | Demographics | Participant Characteristics |
Single Pre-Defined Value Selected |
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