CDE Detailed Report

Disease: Unruptured Cerebral Aneurysms and Subarachnoid Hemorrhage
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CRF: Return to Work

Displaying 1 - 9 of 9
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
C19259 Occupation primary other status text OccupationPrimaryOthrStatusTxt The free-text field to capture other status indicating the participant's/subject's current primary occupational status The free-text field to capture other status indicating the participant's/subject's current primary occupational statu Question 2a: Other, specify—Question 6a: Other, specify Alphanumeric Adult;Pediatric Supplemental 1.00 2014-06-06 09:12:40.0 Return to Work [php] [php_1] 4000

Free-Form Entry
C19260 Occupation secondary status OccupationSecStatus The status indicating the participant's/subject's current secondary occupational status The status indicating the participant's/subject's current secondary occupational statu Question 3: Secondary occupation prior to SAH—Question 7: Secondary occupation after SAH N/A;Other, specify;Homemaker;Paid work;Retired;Retired;Student;Unemployed;Unknown;Unpaid work N/A;Other, specify;Homemaker;Paid work (employed/self-employed, including military);Retired (disability pension);Retired (non-disability);Student (including on the job training);Unemployed (none of the above);Unknown;Unpaid work (volunteer) Alphanumeric

Choose all that apply

 Adult;Pediatric Supplemental 1.00 2014-06-06 09:18:12.0 Return to Work [php] [php_1]

Multiple Pre-Defined Values Selected
C19262 Occupation secondary other status text OccupationSecOtherStatusTxt The free-text field to capture other status indicating the participant's/subject's current secondary occupational status The free-text field to capture other status indicating the participant's/subject's current secondary occupational statu Question 3a: Other, specify—Question 7a: Other, specify Alphanumeric Adult;Pediatric Supplemental 1.00 2014-06-06 09:54:40.0 Return to Work [php] [php_1] 4000

Free-Form Entry
C52560 Occupation paid type OccupatPaidTyp Type of paid occupation as defined by the International Labor Organization/International Standard Classification of Ocupations (ILO/ISCO) Type of paid occupation as defined by the International Labor Organization/International Standard Classification of Ocupations (ILO/ISCO) Question 1: Type of occupation prior to subarachnoid hemorrhage (SAH)—Question 5: Type of paid occupation after SAH Numeric Values

Four-digit code as defined by the ILO/ISCO

 Adult;Pediatric Supplemental 1.00 2017-01-23 15:32:59.0 Return to Work [php] [php_1]

Free-Form Entry
C19258 Occupation primary status OccupationPrimaryStatus The status indicating the participant's/subject's current primary occupational status The status indicating the participant's/subject's current primary occupational statu Question 2: Primary occuption prior to SAH—Question 6: Primary occupation after SAH Homemaker;Other, specify;Paid work;Retired;Retired;Student;Unemployed;Unknown;Unpaid work Homemaker;Other, specify;Paid work (employed/self-employed, including military);Retired (disability pension);Retired (non-disability);Student (including on the job training);Unemployed (none of the above);Unknown;Unpaid work (volunteer) Alphanumeric

Choose one

 Adult;Pediatric Supplemental 1.00 2014-06-06 08:50:45.0 Return to Work [php] [php_1]

Single Pre-Defined Value Selected
C54923 Workload before event rate WorkloadBeforeEvntRt Rate in hours per week of the subject/participant's workload prior to the event Rate in hours per week of the subject/participant's workload prior to the even Workload prior to SAH Numeric Values

Hours/week

 Adult;Pediatric Supplemental 1.00 2017-04-13 12:13:31.0 Return to Work [php] [php_1]

Free-Form Entry

 0 168 Hours per week
C54924 Work responsibility level previous resume indicator WrkRspnsbltyLvlPrvsRsmInd Indicator of whether the subject/participant has resumed their previous level of responsibility at work Indicator of whether the subject/participant has resumed their previous level of responsibility at work Returned to prior level of responsibilities at work Yes;No;Unknown Yes;No;Unknown Alphanumeric Adult;Pediatric Supplemental 1.00 2017-04-13 12:16:49.0 Return to Work [php] [php_1]

Single Pre-Defined Value Selected
C54925 Work responsibility level previous not resume reason WrkRspnsbltyLvlPrvsNoRsmRsn Reason that the subject/participant has not resumed their previous level of responsibility at work Reason that the subject/participant has not resumed their previous level of responsibility at work If no, explain why Unemployed;Unknown;Reduced level of responsibilities Unemployed;Unknown;Reduced level of responsibilities Alphanumeric Adult;Pediatric Supplemental 1.00 2017-04-13 12:16:49.0 Return to Work [php] [php_1]

Single Pre-Defined Value Selected
C54926 Workload after event rate WorkloadAfterEvntRt Rate in hours per week of the subject/participant's workload subsequent to the event Rate in hours per week of the subject/participant's workload subsequent to the even Workload after to SAH Numeric Values

Hours/week

 Adult;Pediatric Supplemental 1.00 2017-04-13 12:13:31.0 Return to Work [php] [php_1]

Free-Form Entry

 0 168 Hours per week
CSV