CDE Detailed Report
Disease: Headache
Subdomain Name: Social Status
CRF: Social Status
Displaying 1 - 37 of 37
Subdomain Name: Social Status
CRF: Social Status
Displaying 1 - 37 of 37
| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | Indicate the Person(s) living with | 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 |
Skip this data element if the participant/ subject lives alone. If he/she lives with one or more people, choose all that apply. Household and Income. |
American Community Survey questionnaire. U.S. Department of Commerce, U.S. Census Bureau, http://www.census.gov/acs/www/Downloads/questionnaires/2012/Quest12.pdf Four additional permissible values were added on for FA. | Adult;Pediatric | Supplemental | 3.00 | 2013-07-25 08:54:08.2 | Social Status | Social Status | Participant Characteristics |
Multiple Pre-Defined Values Selected |
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| C15989 | Unemployed reason | UnemplymntRsn | Participant's/subject's reason for unemployment | Participant's/subject's reason for unemployment | Employment status, If unemployed, indicate the main reason for no job | Alphanumeric |
Employment Status. |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-07-16 14:01:43.01 | Social Status | Social Status | Participant Characteristics | 255 |
Free-Form Entry |
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| 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 |
If Active, Active reserves, Inactive or Civilian military contractor, specify. Military service status. |
No references available | Adult | Supplemental | 1.00 | 2014-05-27 13:34:46.0 | Social Status | Social Status | Participant Characteristics | 4000 |
Free-Form Entry |
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| 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 | What is the highest grade or level of school the completed or the highest degree obtained? | 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. Education Level. |
National Health and Nutrition Examination Survey (NHANES); National Health Interview Survey (NHIS); PhenX Toolkit Current Educational Attainment #011001 (https://www.phenxtoolkit.org) | Adult;Pediatric | Core | 3.00 | 2013-07-25 08:54:08.2 | Social Status | Social Status | Participant Characteristics |
Single Pre-Defined Value Selected |
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 rank | 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 |
If Active, Active reserves Inactive or Civilian Military Contractor, specify. Military service status. |
No references available | Adult | Supplemental | 3.00 | 2013-07-20 10:21:25.65 | Social Status | Social Status | Participant Characteristics |
Single Pre-Defined Value Selected |
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| C15990 | Military non-combat zone deployment number | MilNonCombtZnDplymntNum | Number of deployment in a non-combat role | Number of deployment in a non-combat role | Number of deployments in a non combat role | Numeric Values |
Military service status. |
No references available | Adult | Supplemental | 3.00 | 2013-07-16 14:01:43.01 | Social Status | Social Status | Participant Characteristics |
Free-Form Entry |
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| C19038 | Caretaker of child other text | CaretkrChildOTH | The free-text field related to 'Caretaker of child type' specifying other text. Indicates who takes care of the child or adolescent | The free-text field related to 'Caretaker of child type' specifying other text. Indicates who takes care of the child or adolescent | Other, specify | Alphanumeric |
Choose all that apply and indicate the education level for care giver. This element is recommended for pediatric headache studies ONLY. Who takes care of the child or adolescent? |
No references available | Pediatric | Supplemental | 3.00 | 2013-07-16 14:01:43.01 | Social Status | Social Status | Participant Characteristics | 4000 |
Free-Form Entry |
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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) | 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. |
No references available | Adult;Pediatric | Core | 3.00 | 2013-07-22 16:57:17.79 | Social Status | Social Status | Participant Characteristics |
Free-Form Entry |
0 | 30 | year | 3134878 | ||||||
| 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 | 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 |
Skip this data element if military service status is 'None' or 'Unknown'. If known, choose all that apply. Military service status. |
No references available | Adult | Supplemental | 3.00 | 2013-07-20 10:21:25.65 | Social Status | Social Status | Participant Characteristics |
Single Pre-Defined Value Selected |
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| C15991 | Deployment most recent start date and time | DplymntMstRcntStrtDateTime | Start date of most recent deployment | Start date of most recent deployment | Start | Date or Date & Time |
Indicate the start and end dates of most recent deployment in MM/YYYY format. Military service status. |
No references available | Adult | Supplemental | 3.00 | 2013-07-16 14:01:43.01 | Social Status | Social Status | Participant Characteristics |
Free-Form Entry |
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| C55905 | Estimated net worth value | EstNetWorthVal | The value of the subject's estimated family net worth | The value of the subject's estimated family net wort | Estimated net worth | Numeric Values | Adult;Pediatric | Supplemental | 1.00 | 2017-06-02 14:30:10.0 | Social Status | Social Status | Participant Characteristics |
Free-Form Entry |
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| C00204 | Employment current status | EmplmtStatu | Status of participant/subject's current employment | Status of participant/subject's current employment | Employment status | Working Now;Only temporarily laid off;Sick leave or maternity leave;Looking for work, unemployed;Retired;Disabled, permanently or temporarily;Keeping house;Student;Other, specify;Unknown | Working Now;Only temporarily laid off;Sick leave or maternity leave;Looking for work, unemployed;Retired;Disabled, permanently or temporarily;Keeping house;Student;Other, specify;Unknown | Alphanumeric |
Choose one. |
National Health and Nutrition Examination Survey (http://www.cdc.gov/nchs/nhanes.htm) | Adult;Pediatric | Core | 3.00 | 2013-08-28 16:08:00.453 | Social Status | Social Status | Participant Characteristics |
Single Pre-Defined Value Selected |
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| C00222 | Job classification category | JobclassCat | Category that classifies work performed by participant/subject | Category that classifies work performed by participant/subjec | Which of the following best describes your occupation? (If unemployed, retired, or disabled, please answer this question for your most recently held occupation) | Official/Manager;Technicians and associate professionals;Clerk;Social Worker;Professional;Service or sales worker;Craft and related trades workers;Laborer/Helper;Unknown;Armed forces occupation | Official/Manager;Technicians and associate professionals (typically requiring a Bachelor degree or equivilent);Clerk;Social Worker;Professional;Service or sales worker;Craft and related trades workers (e.g. motor mechanic, printer, tool and die makers, electrician);Laborer/Helper;Unknown;Armed forces occupation (officers, service personnel) | Alphanumeric |
Choose the best possible answer. If unemployed, retired, or disabled, please answer this question for your most recent occupation. |
Categories came from the Canadian National Occupational Classification system | Adult;Pediatric | Supplemental | 3.00 | 2013-07-20 10:21:25.65 | Social Status | Social Status | Participant Characteristics |
Single Pre-Defined Value Selected |
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| C15992 | Deployment most recent end date and time | DplymntMstrRcntEndDateTime | End date of most recent deployment | End date of most recent deployment | End | Date or Date & Time |
Indicate the start and end dates of most recent deployment in MM/YYYY format. Military service status. |
No references available | Adult | Supplemental | 3.00 | 2013-07-16 14:01:43.01 | Social Status | Social Status | Participant Characteristics |
Free-Form Entry |
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| C55906 | Military service status text | MilServStatTxt | Text specifying the subject's position in the military | Text specifying the subject's position in the militar | If active, Active reserves, Inactive or Civilian military contract, specify | Alphanumeric | Adult | Supplemental | 1.00 | 2017-06-02 14:33:51.0 | Social Status | Social Status | Participant Characteristics | 255 |
Free-Form Entry |
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| 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 | Household income | $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 |
Household and Income. |
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 | Social Status | Social Status | Participant Characteristics |
Single Pre-Defined Value Selected |
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| 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 insurance | 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 | Social Status | Social Status | Participant Characteristics |
Single Pre-Defined Value Selected |
2953262 | |||||||
| C15993 | Dependent children number | DpndntChildNum | Number of dependent children | Number of dependent children | Number of dependent children | Numeric Values |
Household and Income. |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-07-16 14:01:43.01 | Social Status | Social Status | Participant Characteristics |
Free-Form Entry |
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| C56786 | Education level other caretaker USA type | EduLvlOtherCarelUSATyp | Indicator of the highest level of education completed by the participant/subject's other caregiver | Indicator of the highest level of education completed by the participant/subject's other caregive | Other | 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;Master's degree;Professional school degree;Doctoral degree;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 | Pediatric | Supplemental | 3.00 | 2013-07-25 08:54:08.2 | Social Status | Social Status | Participant Characteristics |
Single Pre-Defined Value Selected |
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| 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 | Number of people supported by this income | Numeric Values |
Household and Income. |
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 | Social Status | Social Status | Participant Characteristics |
Free-Form Entry |
1 | 99 | ||||||||
| C12607 | Education level maternal USA type | EduLvlMaternalUSATyp | Indicator of the highest level of education completed by the participant/subject's mother | Indicator of the highest level of education completed by the participant/subject's mother | Mother, indicate education level | 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;Master's degree;Professional school degree;Doctoral degree;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 |
Who takes care of the child or adolescent?* |
National Health and Nutrition Examination Survey (NHANES); National Health Interview Survey (NHIS); PhenX Toolkit (https://www.phenxtoolkit.org) Current Educational Attainment #011001 | Pediatric | Supplemental | 3.00 | 2013-08-28 16:08:00.453 | Social Status | Social Status | Participant Characteristics |
Single Pre-Defined Value Selected |
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| C15994 | Dependent children living in household number | DpndntChildLvngHshldNum | Number of dependent children living in household | Number of dependent children living in household | Number of dependent children living in the household | Numeric Values |
Household and Income. |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-07-16 14:01:43.01 | Social Status | Social Status | Participant Characteristics |
Free-Form Entry |
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| 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 only 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 | Core | 3.00 | 2013-07-25 08:54:08.2 | Social Status | Social Status | Participant Characteristics |
Single Pre-Defined Value Selected |
2188083 | |||||||
| C12609 | Education level paternal USA type | EduLvlPaternalUSATyp | Indicator of the highest level of education completed by the participant/subject's father | Indicator of the highest level of education completed by the participant/subject's father | Father, indicate education level | 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;Master's degree;Professional school degree;Doctoral degree;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 |
Who takes care of the child or adolescent? |
National Health and Nutrition Examination Survey (NHANES); National Health Interview Survey (NHIS); PhenX Toolkit (https://www.phenxtoolkit.org) Current Educational Attainment #011001 | Pediatric | Supplemental | 3.00 | 2013-07-25 08:54:08.2 | Social Status | Social Status | Participant Characteristics |
Single Pre-Defined Value Selected |
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| C15995 | Household wage earners number | HshldWgeEarnNum | Number of wage earners in household | Number of wage earners in household | Number of wage earners in household | Numeric Values |
Household and Income. |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-07-16 14:01:43.01 | Social Status | Social Status | Participant Characteristics |
Free-Form Entry |
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| 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 branch of service | Air force;Army;Coast Guard;Marine Corps;Other, specify;Navy | Air force;Army;Coast Guard;Marine Corps;Other, specify;Navy | Alphanumeric |
If Active, Active reserves, Inactive or Civilian military contractor, specify. Military service status. |
No references available | Adult | Supplemental | 3.00 | 2013-07-20 10:21:25.65 | Social Status | Social Status | Participant Characteristics |
Single Pre-Defined Value Selected |
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| C14117 | School repeat grade indicator | SchoolRepeatGradeInd | Whether the participant/subject ever repeated a grade in school | Whether the participant/subject ever repeated a grade in school | Were grades repeated? | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric |
Education Level. |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-08-28 16:08:00.453 | Social Status | Social Status | Participant Characteristics |
Single Pre-Defined Value Selected |
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| C15996 | Caretaker of child type | CaretkrChildTyp | Indicates who takes care of the child or adolescent | Indicates who takes care of the child or adolescent | Who takes care of the child or adolescent (choose all that apply)? | Mother;Father;Other, specify | Mother;Father;Other, specify | Alphanumeric |
Choose all that apply and indicate the education level for care giver. This element is recommended as Core for pediatric headache studies ONLY. Who takes care of the child or adolescent? |
No references available | Pediatric | Supplemental | 3.00 | 2013-07-16 14:01:43.01 | Social Status | Social Status | Participant Characteristics |
Multiple Pre-Defined Values Selected |
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| 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) | Number of deployments in a combat role | Numeric Values |
Military service status. |
No references available | Adult | Supplemental | 3.00 | 2013-07-20 10:21:25.65 | Social Status | Social Status | Participant Characteristics |
Free-Form Entry |
0 | 50 | ||||||||
| C15986 | Student course load status | StdntCrsLdStatus | Status of the participant/subject's school course load | Status of the participant/subject's school course load | If student, what is the course load? | Full-time;Part-time;Unknown | Full-time;Part-time;Unknown | Alphanumeric |
Employment Status. |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-07-16 14:01:43.01 | Social Status | Social Status | Participant Characteristics |
Single Pre-Defined Value Selected |
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| C17985 | Military rank enlisted rank other text | MilitaryRankEnlistRankOtherTxt | Text specifying enlisted ranks other than field grade officer or above, company grade officer, warrant officer, or non-commissioned officer | Text specifying enlisted ranks other than field grade officer or above, company grade officer, warrant officer, or non-commissioned office | Other, enlisted rank | Alphanumeric |
If Active, Active reserves Inactive or Civilian Military Contractor, specify. Military service status. |
No references available | Adult | Supplemental | 3.00 | 2013-07-16 14:01:43.01 | Social Status | Social Status | Participant Characteristics | 255 |
Free-Form Entry |
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| C00210 | Military combat status | MilCombtStatus | Status of military service as combat or non-combat | Status of military service as combat or non-combat | Current or most recent miliary occupation | Non-combat;Combat | Non-combat;Combat | Alphanumeric |
Military service status. |
No references available | Adult | Supplemental | 3.00 | 2013-07-20 10:21:25.65 | Social Status | Social Status | Participant Characteristics |
Single Pre-Defined Value Selected |
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| C15987 | Employment weekly hour count | EmplymntWkHrCt | The number of employment hours the participant/subject works per week | The number of employment hours the participant/subject works per week | If employed, how many hours per week? | Numeric Values |
Indicate how many hours participant/subject is paid for work. Employment Status. |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-07-16 14:01:43.01 | Social Status | Social Status | Participant Characteristics |
Free-Form Entry |
hour | |||||||||
| C18677 | Employment other text | EmplmtOTH | The free-text field related to 'Employment status' specifying other text. Status of participant/subject's current employment | The free-text field related to 'Employment status' specifying other text. Status of participant/subject's current employment | Other, specify | Alphanumeric |
Choose all that apply. |
National Health and Nutrition Examination Survey (http://www.cdc.gov/nchs/nhanes.htm) | Adult;Pediatric | Supplemental | 1.00 | 2014-05-27 13:34:46.0 | Social Status | Social Status | Participant Characteristics | 4000 |
Free-Form Entry |
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| 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 | Number of people the participant/subject lives or stays with | Numeric Values |
Household and Income. |
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 | Social Status | Social Status | Participant Characteristics |
Free-Form Entry |
0 | 99 | ||||||||
| C15988 | Employment paid job count | EmplymntPdJbCt | The number of paid jobs the participant/subject has | The number of paid jobs the participant/subject has | If employed, indicate the number of paid jobs | Numeric Values |
Indicate the number of paid jobs the participant/subject has. Employment Status. |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-07-16 14:01:43.01 | Social Status | Social Status | Participant Characteristics |
Free-Form Entry |
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| 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 | Social Status | Social Status | Participant Characteristics | 4000 |
Free-Form Entry |
2953262 |
