CDE Detailed Report
Disease: Sickle Cell Disease
Sub-Domain: Additional Proposed Instruments
CRF: PhenX Toolkit: Pediatric School Performance
Sub-Domain: Additional Proposed Instruments
CRF: PhenX Toolkit: Pediatric School Performance
8 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| C59558 | Child held back repeat grade ever indicate code | ChldHldBckRptGrdEvrIndCode | Code indicating whether the pediatric subject/participant has ever been held back in school or repeated a grade | Code indicating whether the pediatric subject/participant has ever been held back in school or repeated a grade | Has your child ever been held back or repeated a grade? | 1;2;1;2 | Yes;No;Yes;No | Numeric Values | PhenX Protocol: Pediatric School Performance (#840201) | Pediatric | Proposed | 1.00 | 2019-04-11 13:50:55.0 | PhenX Toolkit: Pediatric School Performance | Additional Proposed Instruments | Phen-X |
Single Pre-Defined Value Selected |
PhenX | Core Tier 2 | Pediatric School Performance | 3 | ||||||||||||||||||||||||||
| C59559 | Child grade held back repeat count range | ChldGrdHldBckRptCtRng | Range of the count of grades that the pediatric subject/participant has ever been held back for or repeated | Range of the count of grades that the pediatric subject/participant has ever been held back for or repeated | How many grades? | 1;2;3 or more | 1;2;3 or more | Alphanumeric | PhenX Protocol: Pediatric School Performance (#840201) | Pediatric | Proposed | 1.00 | 2019-04-11 13:55:17.0 | PhenX Toolkit: Pediatric School Performance | Additional Proposed Instruments | Phen-X |
Single Pre-Defined Value Selected |
PhenX | Core Tier 2 | Pediatric School Performance | 3A | ||||||||||||||||||||||||||
| C59560 | Child grade held back repeat 3 most recent text | ChldGrdHldBckRpt3MstRcntTxt | Text specifying the three most recent grades for which the pediatric subject/participant was held back or which he or she repeated | Text specifying the three most recent grades for which the pediatric subject/participant was held back or which he or she repeated | Which grade(s)? (List up to 3 most recent grades) | Alphanumeric | PhenX Protocol: Pediatric School Performance (#840201) | Pediatric | Proposed | 1.00 | 2019-04-11 13:58:47.0 | PhenX Toolkit: Pediatric School Performance | Additional Proposed Instruments | Phen-X | 25 |
Free-Form Entry |
PhenX | Core Tier 2 | Pediatric School Performance | 3B | |||||||||||||||||||||||||||
| C59561 | Child educational accommodation learn difference code | ChldEdAccomLrnDiffCode | Code denoting the educational accommodations made, if any, for the pediatric subject/participant for learning differences | Code denoting the educational accommodations made, if any, for the pediatric subject/participant for learning differences | Does your child have any accommodations because of learning differences? | A;B;C;D;E;F | Special Education Services;504 plan;IEP - individualized education plan;Special tutoring or classes not available to regular students;Other, describe;My child does not receive any accommodation for learning differences | Alphanumeric | PhenX Protocol: Pediatric School Performance (#840201) | Pediatric | Proposed | 1.00 | 2019-04-11 14:01:16.0 | PhenX Toolkit: Pediatric School Performance | Additional Proposed Instruments | Phen-X |
Multiple Pre-Defined Values Selected |
PhenX | Core Tier 2 | Pediatric School Performance | 4 | ||||||||||||||||||||||||||
| C59562 | Child educational accommodation learn difference other text | ChldEdAccomLrnDiffOTH | The free-text field related to 'Child educational accommodation learn difference code' for describing other accommodations | The free-text field related to 'Child educational accommodation learn difference code' for describing other accommodations | Describe: | Alphanumeric | PhenX Protocol: Pediatric School Performance (#840201) | Pediatric | Proposed | 1.00 | 2019-04-11 14:06:58.0 | PhenX Toolkit: Pediatric School Performance | Additional Proposed Instruments | Phen-X | 100 |
Free-Form Entry |
PhenX | Core Tier 2 | Pediatric School Performance | 4.1 | |||||||||||||||||||||||||||
| C51671 | Grade status | GradeStatus | The status of the subject's grade level in school, if applicable. | The status of the subject's grade level in school, if applicable. | What is your child's current grade? | Alphanumeric | PhenX Protocol: Pediatric School Performance (#840201) | Pediatric | Proposed | 1.00 | 2016-12-12 00:00:00.0 | PhenX Toolkit: Pediatric School Performance | Additional Proposed Instruments | Phen-X | 25 |
Free-Form Entry |
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| C59556 | Age pediatric year part value | AgePedYrPartVal | Value of the year part of the pediatric subject/participant's age | Value of the year part of the pediatric subject/participant's age | What is your child's current age? Years | Numeric Values | PhenX Protocol: Pediatric School Performance (#840201) | Pediatric | Proposed | 1.00 | 2019-04-11 13:47:49.0 | PhenX Toolkit: Pediatric School Performance | Additional Proposed Instruments | Phen-X |
Free-Form Entry |
0 | 17 | year | PhenX | Core Tier 2 | Pediatric School Performance | 2 | |||||||||||||||||||||||||
| C59557 | Age pediatric month part value | AgePedMoPartVal | Value of the month part of the pediatric subject/participant's age | Value of the month part of the pediatric subject/participant's age | What is your child's current age? Months | Numeric Values | PhenX Protocol: Pediatric School Performance (#840201) | Pediatric | Proposed | 1.00 | 2019-04-11 13:47:49.0 | PhenX Toolkit: Pediatric School Performance | Additional Proposed Instruments | Phen-X |
Free-Form Entry |
0 | 11 | month | PhenX | Core Tier 2 | Pediatric School Performance | 2 |
8 results.