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ID
14710
Description
This screening protocol includes 10 self-administered questions from the Centers for Disease Control and Prevention (CDC) Screening Questionnaire for Adult Immunization. Respondents are asked to respond to yes-or-no questions. ODM derived from: https://cde.nlm.nih.gov Primary source: https://www.phenxtoolkit.org/ Recent publication: Hendershot, T., Pan, H., Haines, J., Harlan, W.R., Marazita, M.L., McCarty, C.A., Ramos, E.M., and Hamilton, C.M. (2015) Using the PhenX toolkit to add standard measures to a study. Curr. Protoc. Hum. Genet. 86:1.21.1-1.21.17. doi: 10.1002/0471142905.hg0121s86 Permission to publish granted by Carol M. Hamilton.
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Versions (1)
- 4/26/16 4/26/16 -
Uploaded on
April 26, 2016
DOI
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License
Creative Commons BY-NC 3.0
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Conditions Relevant to Immune Response - Screener, Adult PhenX Toolkit
Conditions Relevant to Immune Response - Screener, Adult PhenX Toolkit
Similar models
Conditions Relevant to Immune Response - Screener, Adult PhenX Toolkit
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
PhenX - conditions relevant to immune response - screener - adult protocol
C3171885 (UMLS CUI-1)
CL Item
No (1)
C1298908 (UMLS CUI-1)
CL Item
Yes (2)
C1705108 (UMLS CUI-1)
CL Item
Don't know (3)
C3843613 (UMLS CUI-1)
Item
Do you have allergies to medications, food, or any vaccine?
integer
C0020517 (UMLS CUI [1])
CL Item
No (1)
C1298908 (UMLS CUI-1)
CL Item
Yes (2)
C1705108 (UMLS CUI-1)
CL Item
Don't know (3)
C3843613 (UMLS CUI-1)
Item
Have you ever had a serious reaction after receiving a vaccination?
integer
C0413534 (UMLS CUI [1])
CL Item
No (1)
C1298908 (UMLS CUI-1)
CL Item
Yes (2)
C1705108 (UMLS CUI-1)
CL Item
Don't know (3)
C3843613 (UMLS CUI-1)
Item
Do you have a long-term health problem with heart disease, lung disease, asthma, kidney disease, metabolic disease (e.g., diabetes), anemia, or other blood disorder?
integer
C0018799 (UMLS CUI [1])
C0024115 (UMLS CUI [2])
C0004096 (UMLS CUI [3])
C0022658 (UMLS CUI [4])
C0025517 (UMLS CUI [5])
C0002871 (UMLS CUI [6])
C0018939 (UMLS CUI [7])
C0024115 (UMLS CUI [2])
C0004096 (UMLS CUI [3])
C0022658 (UMLS CUI [4])
C0025517 (UMLS CUI [5])
C0002871 (UMLS CUI [6])
C0018939 (UMLS CUI [7])
Code List
Do you have a long-term health problem with heart disease, lung disease, asthma, kidney disease, metabolic disease (e.g., diabetes), anemia, or other blood disorder?
CL Item
No (1)
C1298908 (UMLS CUI-1)
CL Item
Yes (2)
C1705108 (UMLS CUI-1)
CL Item
Don't know (3)
C3843613 (UMLS CUI-1)
Item
Do you have cancer, leukemia, AIDS, or any other immune system problem?
integer
C0006826 (UMLS CUI [1])
C0023418 (UMLS CUI [2])
C0001175 (UMLS CUI [3])
C0021053 (UMLS CUI [4])
C0023418 (UMLS CUI [2])
C0001175 (UMLS CUI [3])
C0021053 (UMLS CUI [4])
CL Item
No (1)
C1298908 (UMLS CUI-1)
CL Item
Yes (2)
C1705108 (UMLS CUI-1)
CL Item
Don't know (3)
C3843613 (UMLS CUI-1)
Item
Do you take cortisone, prednisone, other steroids, or anticancer drugs, or have you had radiation treatments?
integer
C0010137 (UMLS CUI [1])
C0032952 (UMLS CUI [2])
C0038317 (UMLS CUI [3])
C1548818 (UMLS CUI [4])
C1522449 (UMLS CUI [5])
C0032952 (UMLS CUI [2])
C0038317 (UMLS CUI [3])
C1548818 (UMLS CUI [4])
C1522449 (UMLS CUI [5])
Code List
Do you take cortisone, prednisone, other steroids, or anticancer drugs, or have you had radiation treatments?
CL Item
No (1)
C1298908 (UMLS CUI-1)
CL Item
Yes (2)
C1705108 (UMLS CUI-1)
CL Item
Don't know (3)
C3843613 (UMLS CUI-1)
Item
Have you had a seizure, brain, or other nervous system problem?
integer
C0036572 (UMLS CUI [1])
C0006111 (UMLS CUI [2])
C0221571 (UMLS CUI [3])
C0006111 (UMLS CUI [2])
C0221571 (UMLS CUI [3])
CL Item
No (1)
C1298908 (UMLS CUI-1)
CL Item
Yes (2)
C1705108 (UMLS CUI-1)
CL Item
Don't know (3)
C3843613 (UMLS CUI-1)
Item
During the past year, have you received a transfusion of blood or blood products, or have you been given immune (gamma) globulin or an antiviral drug?
integer
C0005841 (UMLS CUI [1])
C0020852 (UMLS CUI [2])
C0003451 (UMLS CUI [3])
C0020852 (UMLS CUI [2])
C0003451 (UMLS CUI [3])
Code List
During the past year, have you received a transfusion of blood or blood products, or have you been given immune (gamma) globulin or an antiviral drug?
CL Item
No (1)
C1298908 (UMLS CUI-1)
CL Item
Yes (2)
C1705108 (UMLS CUI-1)
CL Item
Don't know (3)
C3843613 (UMLS CUI-1)
Item
For women: Are you pregnant, or is there a chance you could become pregnant during the next month?
integer
C0549206 (UMLS CUI [1])
C1960468 (UMLS CUI [2])
C1960468 (UMLS CUI [2])
Code List
For women: Are you pregnant, or is there a chance you could become pregnant during the next month?
CL Item
No (1)
C1298908 (UMLS CUI-1)
CL Item
Yes (2)
C1705108 (UMLS CUI-1)
CL Item
Don't know (3)
C3843613 (UMLS CUI-1)
Item
Have you received any vaccinations in the past 4 weeks?
integer
C3259224 (UMLS CUI [1])
CL Item
No (1)
C1298908 (UMLS CUI-1)
CL Item
Yes (2)
C1705108 (UMLS CUI-1)
CL Item
Don't know (3)
C3843613 (UMLS CUI-1)