CDE Detailed Report
Disease: system
Subdomain Name: General Health History
CRF: files
Displaying 51 - 63 of 63
Subdomain Name: General Health History
CRF: files
Displaying 51 - 63 of 63
| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| C58221 | Heavy traffic live within 300 meter type | HvyTrfcLvWin300MTyp | Type of heavy traffic that the subject/participant within 300 meters of which the subject/participant lives now or has lived | Type of heavy traffic that the subject/participant within 300 meters of which the subject/participant lives now or has lived | Heavy traffic (please specify) | Busy street;Highway | Busy street;Highway | Alphanumeric | Adult;Pediatric | Exploratory | 1.00 | 2018-02-06 16:13:02.0 | Exposure History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C58253 | Industrial plant ever live within 300 meter year range | IndustPlntEvrLvWin300MYrRng | Range of years during which the subject/participant lived within 300 meters of an industrial plant | Range of years during which the subject/participant lived within 300 meters of an industrial plant | Industrial plant(s) | Alphanumeric |
If you ever lived nearby, please write the years. |
Adult;Pediatric | Exploratory | 1.00 | 2018-02-07 10:18:56.0 | Exposure History | General Health History | Participant History and Family History | 25 |
Free-Form Entry |
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| C58295 | Residential vacuum equipment type | ResidentialVacuumEquipTyp | Type of vacuum equipment (if any) used in the subject/participant's residence | Type of vacuum equipment (if any) used in the subject/participant's residence | Do you use: | Central vacuum;HEPA filter vacuum;Other, specify | Central vacuum;HEPA filter vacuum;Other, specify | Alphanumeric | Adult;Pediatric | Exploratory | 1.00 | 2018-02-07 11:24:17.0 | Exposure History | General Health History | Participant History and Family History |
Multiple Pre-Defined Values Selected |
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| C58267 | Windmill live within 300 meter indicator | WndmllLvWin300MInd | Indicator of whether the subject/participant currently lives within 300 meters of a windmill | Indicator of whether the subject/participant currently lives within 300 meters of a windmill | Windmills | No;Yes | No;Yes | Alphanumeric |
Do you presently live nearby? (within 300 m—about 3 midsized city blocks) |
Adult;Pediatric | Exploratory | 1.00 | 2018-02-07 10:33:05.0 | Exposure History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C58309 | Pesticide pet use frequency text | PestcidUsPetFrqTxt | Text field for specifying the frequency with which pesticides are used on the subject/participant's pets (as sprays, collars, powders, etc.) | Text field for specifying the frequency with which pesticides are used on the subject/participant's pets (as sprays, collars, powders, etc.) | Please specify how often: | Alphanumeric | Adult;Pediatric | Exploratory | 1.00 | 2018-02-07 11:42:06.0 | Exposure History | General Health History | Participant History and Family History | 32 |
Free-Form Entry |
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| C58281 | Apartment residence location | ApartmentResidenceLoc | Location of apartment residence in the building | Location of apartment residence in the building | If apartment: | Above store;Basement | Above store;Basement | Alphanumeric | Adult;Pediatric | Exploratory | 1.00 | 2018-02-07 10:58:10.0 | Exposure History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C58242 | Vehicle idle area live within 300 meter indicator | VehIdlAreaLvWin300MInd | Indicator of whether the subject/participant currently lives within 300 meters of a vehicle idling area | Indicator of whether the subject/participant currently lives within 300 meters of a vehicle idling area | Vehicle idling area: | No;Yes | No;Yes | Alphanumeric |
Do you presently live nearby? (within 300 m—about 3 midsized city blocks) |
Adult;Pediatric | Exploratory | 1.00 | 2018-02-07 09:51:36.0 | Exposure History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C58254 | Industrial plant live within 300 meter type | IndustPlntLivWin300MTyp | Type of industrial plant that the subject/participant within 300 meters of which the subject/participant lives now or has lived | Type of industrial plant that the subject/participant within 300 meters of which the subject/participant lives now or has lived | Industrial plant(s) (please specify type): | Alphanumeric | Adult;Pediatric | Exploratory | 1.00 | 2018-02-07 10:19:49.0 | Exposure History | General Health History | Participant History and Family History | 32 |
Free-Form Entry |
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| C58296 | Residential vacuum equipment other text | RsdntlVcuumEquipOthTxt | The free-text field related to 'Residential vacuum equipment type' specifying other text | The free-text field related to 'Residential vacuum equipment type' specifying other text | Other, specify: | Alphanumeric | Adult;Pediatric | Exploratory | 1.00 | 2018-02-07 11:27:12.0 | Exposure History | General Health History | Participant History and Family History | 64 |
Free-Form Entry |
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| C58268 | Windmill ever live within 300 meter year range | WndmllEvrLvWin300MYrRng | Range of years during which the subject/participant lived within 300 meters of a windmill | Range of years during which the subject/participant lived within 300 meters of a windmill | Windmills: | Alphanumeric |
If you ever lived nearby, please write the years. |
Adult;Pediatric | Exploratory | 1.00 | 2018-02-07 10:34:04.0 | Exposure History | General Health History | Participant History and Family History | 25 |
Free-Form Entry |
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| C58310 | Pesticide use lawn garden indicator | PestcidUsLawnGardnInd | Indicator of whether pesticide is used on the subject/particpant's lawn or garden | Indicator of whether pesticide is used on the subject/particpant's lawn or garden | Is there use of pesticides to kill bugs (e.g. bedbugs, spiders, cockroaches, ants, fleas, ticks) as sprays, collars, powders, pellets on your lawn or garden? | No;Yes | No;Yes | Alphanumeric | Adult;Pediatric | Exploratory | 1.00 | 2018-02-07 11:43:37.0 | Exposure History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C58283 | Apartment building floor count | ApartmentBldgFloorCt | Count of floors in the building containing the apartment residence | Count of floors in the building containing the apartment residence | # of floors | Numeric Values | Adult;Pediatric | Exploratory | 1.00 | 2018-02-07 11:00:59.0 | Exposure History | General Health History | Participant History and Family History |
Free-Form Entry |
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| C58243 | Vehicle idle area ever live within 300 meter year range | VehIdlAreaEvrLvWin300MYrRng | Range of years during which the subject/participant lived within 300 meters of a vehicle idling area | Range of years during which the subject/participant lived within 300 meters of a vehicle idling area | Vehicle idling area | Alphanumeric |
If you ever lived nearby, please write the years. |
Adult;Pediatric | Exploratory | 1.00 | 2018-02-07 09:53:45.0 | Exposure History | General Health History | Participant History and Family History | 25 |
Free-Form Entry |
