62512-9
PhenX domain - Environmental exposures
Trial
Status Information
- Status
- TRIAL
Panel Hierarchy
Details for each LOINC in Panel LHC-Forms
LOINC | Name | R/O/C | Cardinality | Example UCUM Units |
---|---|---|---|---|
62512-9 | PhenX domain - Environmental exposures | |||
Indent62514-5 | PhenX - environmental exposures - characteristics of current residence protocol 060101 | |||
Indent Indent63692-8 | What is the type of dwelling? | |||
Indent Indent63693-6 | What is the type of dwelling? | |||
Indent Indent63694-4 | Is this property actively used as a farm or ranch? | |||
Indent Indent63695-1 | What is the approximate age of your building? Age of building __ | a | ||
Indent Indent63696-9 | What is the approximate age of your building? Year built? | {yyyy} | ||
Indent Indent63697-7 | When did you start living there? MO and YR | |||
Indent Indent63698-5 | When did you start living there? MO and YR | {yyyy} | ||
Indent Indent63699-3 | When did you start living there? AGE ____ | a | ||
Indent Indent63700-9 | When did you move from there? MO and YR | |||
Indent Indent63701-7 | When did you move from there? MO and YR | {yyyy} | ||
Indent Indent63702-5 | When did you move from there? AGE | a | ||
Indent Indent63703-3 | How many years (have/did) you live(d) there? | a | ||
Indent Indent63704-1 | Is there an enclosed garage attached to this (house/apartment)? | |||
Indent Indent63705-8 | Are automobiles, vans, trucks or other motor vehicles parked in this attached garage? | |||
Indent Indent63706-6 | Are any gas powered devices stored in any room, basement, or attached garage in this (house/apartment)? | |||
Indent Indent63707-4 | During the past 12 months, has there been water or dampness in your home from broken pipes, leaks, heavy rain, or floods? | |||
Indent Indent63708-2 | Does your home frequently have a mildew odor or musty smell? | |||
Indent Indent63709-0 | Is air conditioning (refrigeration) used to cool this (house/apartment)? | |||
Indent Indent63710-8 | Which types of air conditioning units do you use? | |||
Indent Indent63711-6 | During which month (do you usually/would you) start using air conditioning to cool this (house/apartment)? | |||
Indent Indent63712-4 | During which month (do you usually/would you) stop using air conditioning? | |||
Indent Indent63713-2 | Which fuels are used for heating this (house/apartment)? | |||
Indent Indent63714-0 | Does this (house/apartment) have a central heating system with ducts that blow air into most rooms? | |||
Indent Indent63715-7 | During which month (do you usually/would you) start using heating devices? | |||
Indent Indent63716-5 | During which month (do you usually/would you) stop using heating devices? | |||
Indent Indent63717-3 | In the last 12 months, did any dogs, cats or other small furry animals, such as a rabbit, guinea pig or hamster, live or spend time inside your home? | |||
Indent Indent63718-1 | What kind of pet was it? | |||
Indent62516-0 | PhenX - environmental exposures - water source protocol 060201 | |||
Indent Indent63719-9 | What Was the primary source of drinking water at your home? | |||
Indent Indent63720-7 | What Was the primary source of drinking water at your home? | |||
Indent Indent63721-5 | What Was the depth of the private well? | |||
Indent Indent63722-3 | Was the private well cased? | |||
Indent Indent63723-1 | Are any of the water treatment devices listed on this card used in your home? | |||
Indent Indent63724-9 | Which of these water treatment devices are now used in your home? | |||
Indent62518-6 | PhenX - environmental exposures - residential history protocol 060301 | |||
Indent Indent63725-6 | Residence [PEG] | |||
Indent Indent63726-4 | From what date did you live in the residence? | |||
Indent Indent63727-2 | To what date did you live in the residence? | |||
Indent Indent63728-0 | What is the residence address? Street/Crosstreets City, State or Landmark | |||
Indent Indent63729-8 | Was this on a farm? | |||
Indent Indent63730-6 | What was your water supply? | |||
Indent Indent63731-4 | What was your water supply? | |||
Indent Indent63732-2 | Near fields or orchards? | |||
Indent Indent63733-0 | Did you live close to the center or margin of town? | |||
Indent Indent64010-2 | After the interview has been completed, enter the geocoordinates for the residence. Latitude - | deg | ||
Indent Indent64011-0 | After the interview has been completed, enter the geocoordinates for the residence. Longitude - | deg | ||
Indent Indent63734-8 | Were the geocoordinates verified? | |||
Indent Indent63735-5 | How were the geocoordinates verified? | |||
Indent62520-2 | PhenX - environmental exposures - exposure at work and daily life protocol 060401 | |||
Indent Indent63736-3 | Materials to which you were exposed in your work or daily life [ACSCP-II] | 1..12 | ||
Indent Indent63737-1 | In your work or daily life, were you regularly exposed to this material [ACSCP-II] | |||
Indent Indent63738-9 | How many years were you regularly exposed to this material [ACSCP-II] | a | ||
Indent62522-8 | PhenX - environmental exposures - occupation - occupation history protocol 060501 | |||
Indent Indent63739-7 | How many hours did {you/SP} work last week at all jobs or businesses? | h | ||
Indent Indent63740-5 | Do you usually work 35 hours or more per week in total at all jobs or businesses? | |||
Indent Indent63741-3 | For whom did {you/SP} work at {your/his/her} main job or business? (what is the name of the company, business, organization or employer?) | |||
Indent Indent63742-1 | What kind of business or industry is this? | |||
Indent Indent63743-9 | What kind of work {were you/was SP} doing? | |||
Indent Indent63744-7 | What were {your/SP's} most important activities on this job? | |||
Indent Indent63745-4 | Which of the following best describes the hours {you/SP} usually work at {your/his/her} main job or business? | |||
Indent Indent63746-2 | About how long {have you/has SP} worked for {EMPLOYER} as a(n) {OCCUPATION}? | d;wk;mo;a | ||
Indent Indent63748-8 | Thinking of all the paid jobs {you/SP} ever had, what kind of work {were you/was s/he} doing the longest? | |||
Indent Indent63749-6 | What kind of business or industry {did you/did SP} work in for the longest period of time as a (DISPLAY LONGEST OCCUPATION)? | |||
Indent Indent63750-4 | What were {your/SP's} most important activities on this job or business? | |||
Indent Indent63751-2 | About how long did you work at that job or business | d;wk;mo;a | ||
Indent Indent63752-0 | Since the age 16, did (you/your _______) ever work for six months or more? we are interested in every job, part-time or full-time, paid or unpaid, that (you/he/she) held for 6 months or longer. | |||
Indent Indent63753-8 | Job number [NHANES] | |||
Indent Indent63754-6 | What was the name of the company where (you/he/she) (first/next) worked for 6 months or longer? | |||
Indent Indent63755-3 | What was the job title of the (first/next) job (you/your___) held at this company? | |||
Indent Indent63756-1 | In what year did (you/he/she) start working at this job? | {yyyy} | ||
Indent Indent63757-9 | In what year did (you/he/she) stop working at this job? | {yyyy} | ||
Indent Indent63758-7 | What was the location of this company? Address, City/State | |||
Indent Indent63759-5 | Was this a full-time or part-time job? | |||
Indent Indent63760-3 | What did they make, or what service did they provide? What type of business was it? | |||
Indent Indent64036-7 | What did they make, or what service did they provide? What type of business was it? | |||
Indent Indent63761-1 | What were (your/your _____'s) main activities or duties for this job? | |||
Indent Indent63762-9 | What kinds of chemicals or materials did (you/he/she) handle in that job? | |||
Indent Indent63763-7 | What kinds of tools and equipment did (you/he/she) use? | |||
Indent Indent63818-9 | Who provided most of the responses in this section? | |||
Indent62524-4 | PhenX - environmental exposures - exposures from hobbies protocol 060601 | |||
Indent Indent63764-5 | Hobby [LIBCSP] | 1..8 | ||
Indent Indent63765-2 | Have you ever participated for 6 months or longer in Hobbies using glues? | |||
Indent Indent63770-2 | Specify other activities involving use of chemicals | |||
Indent Indent63766-0 | In what year were you first involved in this hobby [LIBCSP] | {yyyy} | ||
Indent Indent63767-8 | In what year were you last involved in in this hobby [LIBCSP] | {yyyy} | ||
Indent Indent63768-6 | Overall, for how many years were you involved in this hobby [LIBCSP] | a | ||
Indent Indent63769-4 | On average, about how many hours per week, month, or year have you participated in this hobby [LIBCSP] | h/wk | ||
Indent62526-9 | PhenX - environmental exposures - current environmental tobacco smoke exposure protocol 060701 | |||
Indent Indent63771-0 | Does anyone who lives here smoke cigarettes, cigars, or pipes anywhere inside this home? | |||
Indent Indent63772-8 | Who smokes? PROBE: Anyone else? | |||
Indent Indent63773-6 | How many cigarettes per day {do you/does PERSON} usually smoke anywhere inside the home? | /d | ||
Indent Indent63774-4 | At this job or business, that is at {EMPLOYER} as a(n) {OCCUPATION}, how many hours per day can {you/SP} smell the smoke from other people's cigarettes, cigars, and/or pipes? | h/d | ||
Indent62528-5 | PhenX - environmental exposures - sibship - birth order protocol 060801 | |||
Indent Indent63775-1 | How many full brothers do you have? | {#} | ||
Indent Indent63776-9 | How many full sisters do you have? | {#} | ||
Indent Indent63777-7 | Do you have a twin brother or sister? | |||
Indent Indent63778-5 | Do you have a twin brother or sister? | |||
Indent Indent63779-3 | Sibling [CBCS] | |||
Indent Indent63780-1 | "Who is the oldest?/What is the first name of your next brother or sister? " | |||
Indent Indent63781-9 | What is [NAME'S] sex? | |||
Indent Indent63782-7 | Is [NAME] still living? | |||
Indent Indent63783-5 | How old is [NAME] now?/How old was [NAME] when he/she died? | a | ||
Indent62530-1 | PhenX - environmental exposures - day care - pre-school attendance protocol 060901 | |||
Indent Indent63843-7 | Has (CHILD) attended day care outside the home? | |||
Indent Indent63844-5 | Has (CHILD) attended preschool? | |||
Indent Indent63784-3 | Day care or preschool category [PhenX] | |||
Indent Indent63785-0 | In what month and year did (CHILD) begin the first (next) attendance? | {mm/yyyy} | ||
Indent Indent63786-8 | In what month and year did (CHILD) end the first (next) attendance? | {mm/yyyy} | ||
Indent Indent63787-6 | About how many hours per week (did/does) (CHILD) attend? | h/wk | ||
Indent Indent63788-4 | Child's age at reference date | a | ||
Indent62532-7 | PhenX - environmental exposures - history of being breast fed protocol 061001 | |||
Indent Indent63789-2 | Did your mother breastfeed you? | |||
Indent62534-3 | PhenX - environmental exposures - air contaminants in the home environment protocol 061101 | |||
Indent Indent63790-0 | In the past year has there been a major renovation to this house or apartment, such as adding a room, putting up or taking down a wall, replacing wiindows, or refinishing floors? | |||
Indent Indent63791-8 | What type of renovation? | |||
Indent Indent63792-6 | When was the last renovation? | |||
Indent Indent63793-4 | Within the last six months were rugs, drapes or furniture professionally cleaned? | |||
Indent Indent63794-2 | Were they cleaned inside the house? | |||
Indent Indent63795-9 | When were they cleaned? | |||
Indent Indent63796-7 | What items were cleaned? | |||
Indent Indent63797-5 | In the past year, was the inside of this house or apartment painted? | |||
Indent Indent63798-3 | When was the last time? | |||
Indent Indent63799-1 | On how many rooms? | {#} | ||
Indent Indent63845-2 | In the past year were new carpets or rugs installed? | |||
Indent Indent63846-0 | When was the installation? | |||
Indent Indent63847-8 | On how many rooms? | {#} | ||
Indent Indent63800-7 | Did you go to the dry cleaners during the past week? | |||
Indent Indent63801-5 | Did you bring home any items from the cleaners that were dry-cleaned during the past week? | |||
Indent Indent63802-3 | Specify air contaminant in the home [RIOPA] | 1..15 | ||
Indent Indent63808-0 | Which cleaning solutions [RIOPA] | |||
Indent Indent63803-1 | Have you used Paints or solvents (paint thinners and removers, typewriter corrective fluids) or has someone used near you in the last 48 hours? | |||
Indent Indent63804-9 | Did you handle Paints or solvents (paint thinners and removers, typewriter corrective fluids) yourself? If Yes, for how long? | |||
Indent Indent63805-6 | How long did you handle Paints or solvents (paint thinners and removers, typewriter corrective fluids) yourself? | mo | ||
Indent Indent63806-4 | Were you near somebody else who handled Paints or solvents (paint thinners and removers, typewriter corrective fluids)? If Yes, for how long? | |||
Indent Indent63807-2 | How long were you near somebody else who handled Paints or solvents (paint thinners and removers, typewriter corrective fluids)? | d;wk;mo;a | ||
Indent Indent63809-8 | During the last 48 hours , the study period, did you or anyone else park a car or other motor vehicle in | |||
Indent Indent63810-6 | During the last 48 hours , the study period, did you or anyone else start a car or other motor vehicle in | |||
Indent Indent63811-4 | During the last 48 hours , the study period, was there any diesel vehicles parked around the house? | |||
Indent Indent63812-2 | During the last 48 hours , the study period, have you operated or been near diesel engines, (e.g. bus terminal, truck stop)? | |||
Indent62536-8 | PhenX - environmental exposures - dust collection - vacuum bag protocol 061201 | |||
Indent Indent63813-0 | Time vacuum bag was emptied | {clock_time} | ||
Indent Indent63849-4 | Number of days vacuum has been used since changing out the bag or emptying the collection chamber | {#} | ||
Indent Indent63850-2 | Weight of dust collected | g | ||
Indent Indent74781-6 | Vacuum dust collection contaminant panel PhenX | 0..15 | ||
Indent Indent Indent63814-8 | Vacuum dust collection contaminant [PhenX] | |||
Indent Indent Indent63815-5 | (Name of first organic compound measured) Name of vacuum dust collection contaminant | |||
Indent Indent Indent63816-3 | (Concentration of first organic compound measured)Concentration of vacuum dust collection contaminant. Specify units | |||
Indent62538-4 | PhenX - environmental exposures - ultraviolet light exposure protocol 061301 | |||
Indent Indent63817-1 | If you spent an hour in the mid-day sun for the first time without sunscreen, which of these reactions best describes what would happen to your skin: | |||
Indent Indent63823-9 | Did you ever get a blistering sunburn? | |||
Indent Indent63824-7 | Did you ever get a skin rash from sun exposure? | |||
Indent Indent63825-4 | Have you ever used a sunlamp? | |||
Indent Indent63826-2 | Have you ever used a tanning booth? | |||
Indent Indent63827-0 | Ultraviolet light exposure [NHL] | 1..4 | ||
Indent Indent63853-6 | How old were you the last time you got a blistering sunburn? | a | ||
Indent Indent63852-8 | About how old were you? | a | ||
Indent Indent63851-0 | How old were you the first time you got a blistering sunburn? | a | ||
Indent Indent63854-4 | About how old were you? | a | ||
Indent Indent63855-1 | How many blistering sunburns have you gotten in your life? | {#} | ||
Indent Indent63856-9 | About how many? | |||
Indent Indent63828-8 | Age group for ultraviolet light exposure [NHL] | |||
Indent Indent63857-7 | When you were In your teens, for how many months a year did you usually have a tan? | mo/a | ||
Indent Indent63829-6 | On a typical weekday in the summer, about how many hours did you generally spend in the mid-day sun (when you were) In your teens? | h/d | ||
Indent Indent63830-4 | On a typical weekend day in the summer, about how many hours did you generally spend in the mid-day sun (when you were) In your teens? | h/d | ||
Indent62540-0 | PhenX - environmental exposures - plastic exposures at work and home protocol 061401 | |||
Indent Indent63831-2 | Has there been renovation or repairs in your workspace because of moisture damage? | |||
Indent Indent63832-0 | What is the floor material in your workspace? | |||
Indent Indent63833-8 | What is the floor material in your workspace? | |||
Indent Indent63834-6 | Is the wall material of your work space textile (cloth, jute, etc.) | |||
Indent Indent63835-3 | Is the wall material of your work space plastic? | |||
Indent Indent63836-1 | Has there been renovation or repairs in your home due to moisture damage? | |||
Indent Indent63837-9 | Has there been renovation in your home during the past 12 months? | |||
Indent Indent63838-7 | Which of the following repairs was done in your home during the past 12 months? | |||
Indent Indent64035-9 | Which of the following repairs was done in your home during the past 12 months? (You may circle more than one alternative): | |||
Indent Indent63839-5 | Do you have wall-to-wall carpeting in your home? | |||
Indent Indent63840-3 | Is the floor material in your home plastic/vinyl? | |||
Indent Indent63841-1 | Is the wall material in your home textile (cloth, jute, etc.)? | |||
Indent Indent63842-9 | Is the wall material in your home plastic? |
Fully-Specified Name
- Component
- PhenX domain - Environmental exposures
- Property
- -
- Time
- Pt
- System
- ^Patient
- Scale
- -
- Method
- PhenX
Additional Names
- Short Name
- Domain - Environmental exposures
Survey Question
- Source
- PX060000
Basic Attributes
- Class
- PANEL.PHENX
- Type
- Clinical
- First Released
- Version 2.36
- Last Updated
- Version 2.65
- Change Reason
- Updated the PhenX ID from "PhenX.<ID>" to "PX<ID>" in Survey Question Source field to align with the variable identifier used in the PhenX Toolkit.
- Panel Type
- Panel
Language Variants Get Info
Tag | Language | Translation |
---|---|---|
es-MX | Spanish (Mexico) | Dominio PhenX - Exposiciones ambientales: |
it-IT | Italian (Italy) | PhenX, dominio - Esposizioni ambientali: Synonyms: Panel PhenX paziente PhenX Punto nel tempo (episodio) |
ru-RU | Russian (Russian Federation) | PhenX домен - Окружающей среды воздействия: Synonyms: Точка во времени; |
zh-CN | Chinese (China) | PhenX 领域 - 环境暴露: Synonyms: Consensus measures for Phenotypes and eXposures; |
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