CDE Detailed Report
Disease: Sickle Cell Disease
Sub-Domain: Additional Proposed Instruments
CRF: PhenX Toolkit: Marital Status of Primary Caregiver
Sub-Domain: Additional Proposed Instruments
CRF: PhenX Toolkit: Marital Status of Primary Caregiver
3 results.
| CDE ID | CDE Name | Variable Name | Definition | Short Description | Additional Notes (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 / Guideline) | Sub Domain Name | Domain Name | Size | Input Restrictions | Min Value | Max Value | Measurement Type | Source | Form Set | Form | Field | Domain | CDASH Variable | CDASH Definition | CDASH Label | Controlled Terminology | Prompt | Essentiality | Question Text | CDASH imp guidance | SDTM IG target | csDSR | PhenX | Data Type | CRF Completion Inst | SDTMIG Target Var | SDTMIG Target Map | Codelist Name | PVs | Pre Pop Value | Query Display | List Style |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| C59551 | Primary caregiver marital status | PrmryCrgvrMaritalStat | Marital status of the subject/participant's primary caregiver | Marital status of the subject/participant's primary caregiver | Marital status of primary caregiver | Married;Widowed;Separated;Divorced;Never married;Refused to answer;Unknown;Living with partner | Married;Widowed;Separated;Divorced;Never married;Refused to answer;Unknown;Living with partner | Alphanumeric | PhenX Protocol: Marital Status of Primary Caregiver (#840101) | Adult;Pediatric | Proposed | 1.00 | 2019-04-11 11:31:48.0 | PhenX Toolkit: Marital Status of Primary Caregiver | Additional Proposed Instruments | Phen-X |
Single Pre-Defined Value Selected |
PhenX | Core Tier 2 | Marital Status of Primary Caregiver | 1 | ||||||||||||||||||||||||||
| C59552 | Primary caregiver relation patient type | PrmryCrgvrRltnPtTyp | Type of relationship of the subject/participant's primary caregiver to the subject/participant | Type of relationship of the subject/participant's primary caregiver to the subject/participant | Relationship of primary caregiver to patient | Mother;Father;First cousin;Grandparent;Foster parent;Second cousin;Unknown cousin;Niece or nephew;Aunt or uncle;Great grandparent;Great great grandparent;Great aunt or uncle;Great great aunt or great great uncle;Other, specify | Mother;Father;First cousin;Grandparent;Foster parent;Second cousin;Unknown cousin;Niece or nephew;Aunt or uncle;Great grandparent;Great great grandparent;Great aunt or uncle;Great great aunt or great great uncle;Other, specify | Alphanumeric | PhenX Protocol: Marital Status of Primary Caregiver (#840101) | Adult;Pediatric | Proposed | 1.00 | 2019-04-11 11:33:53.0 | PhenX Toolkit: Marital Status of Primary Caregiver | Additional Proposed Instruments | Phen-X |
Single Pre-Defined Value Selected |
PhenX | Core Tier 2 | Marital Status of Primary Caregiver | 2 | ||||||||||||||||||||||||||
| C59553 | Primary caregiver relation patient type other text | PrmryCrgvrRltnPtTypOTH | The free-text field related to 'Primary caregiver relation patient type' specifying other text | The free-text field related to 'Primary caregiver relation patient type' specifying other text | Other, Specify | Alphanumeric | PhenX Protocol: Marital Status of Primary Caregiver (#840101) | Adult;Pediatric | Proposed | 1.00 | 2019-04-11 11:36:02.0 | PhenX Toolkit: Marital Status of Primary Caregiver | Additional Proposed Instruments | Phen-X | 30 |
Free-Form Entry |
PhenX | Core Tier 2 | Marital Status of Primary Caregiver | 2.other specify |
3 results.