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CDE Detailed Report
This report contains detailed information about the selected CDEs.
Note: If at least one CDE was selected from a copyright- or trademark-protected instrument/scale then all of the CDEs from that instrument/scale are included in this report.
Disease: Cerebral Palsy
Sub-Domain: Epidemiology/Environmental History
CRF: Risk Factor Questionnaire (RFQ) - Physical Activity and Sleep
Item count: 11 (11 distinct CDEs)
CDE ID
CDE Name
Variable Name
Definition / Description
Question Text
Permissible Value
Description
Data Type
Instructions
References
Population
Classification (e.g., Core)
Version #
Version Date
Aliases for Variable Name
CRF Module / Guideline
© or TM
Sub-Domain
Domain
Previous Title
Size
Input Restrictions
Min Value
Max Value
Measurement Type
LOINC ID
SNOMED
caDSR ID
CDISC ID
C17402
Site name
SiteName
The name of the site for the study
Site Name
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Core
3.0
6/21/2013
Aliases for variable name not defined
Risk Factor Questionnaire (RFQ) - Physical Activity and Sleep
Epidemiology/Environmental History
Participant History and Family History
Site name
255
Free-Form Entry
       
C19247
Subject ID
SubIDNam
Subject identification ID
Subject ID
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Core
1.0
6/5/2014
Aliases for variable name not defined
Risk Factor Questionnaire (RFQ) - Physical Activity and Sleep
Epidemiology/Environmental History
Participant History and Family History
 
255
Free-Form Entry
       
C22781
Risk Factor Questionnaire (RFQ) – ages 2-5 vigorous physical activity indicator
RFQAge25VigrsPhysActInd
Hours spent doing vigorous physical activities by the subject in an average week between the ages of 2 and 5, as part of the Risk Factor Questionnaire (RFQ) – Physical Activity and Sleep.
In a typical week, how many hours of vigorous physical activity did you engage in?
Less than 1 hour;1-4 hours;5-10 hours;More than 10 hours per week;Not applicable;
Less than 1 hour;1-4 hours;5-10 hours;More than 10 hours per week;Not applicable;
Alphanumeric
Choose one.
No references available
Pediatric
Supplemental
1.0
10/27/2016
Aliases for variable name not defined
Risk Factor Questionnaire (RFQ) - Physical Activity and Sleep
Epidemiology/Environmental History
Participant History and Family History
  
Single Pre-Defined Value Selected
       
C22782
Risk Factor Questionnaire (RFQ) – age 2-5 moderate physical activity indicator
RFQAge25ModrtPhysActInd
Hours spent doing moderate physical activities by the subject in an average week between the ages of 2 and 5, as part of the Risk Factor Questionnaire (RFQ)– Physical Activity and Sleep.
In a typical week, how many hours of moderate physical activity did you engage in?
Less than 1 hour;1-4 hours;5-10 hours;More than 10 hours per week;Not applicable;
Less than 1 hour;1-4 hours;5-10 hours;More than 10 hours per week;Not applicable;
Alphanumeric
Choose one.
No references available
Pediatric
Supplemental
1.0
10/27/2016
Aliases for variable name not defined
Risk Factor Questionnaire (RFQ) - Physical Activity and Sleep
Epidemiology/Environmental History
Participant History and Family History
  
Single Pre-Defined Value Selected
       
C22783
Risk Factor Questionnaire (RFQ) – age 2-5 sleep duration indicator
RFQAge25SlpDurInd
Hours of sleep the subject got in a week between the ages of 2 and 5, as part of the Risk Factor Questionnaire (RFQ)– Physical Activity and Sleep.
In a typical week, how many hours of sleep did you get on an average night?
Less than 5 hours;5-6 hours;6-7 hours;7-8 hours;More than 8 hours per week;Not applicable;
Less than 5 hours;5-6 hours;6-7 hours;7-8 hours;More than 8 hours per week;Not applicable;
Alphanumeric
Choose one.
No references available
Pediatric
Supplemental
1.0
10/27/2016
Aliases for variable name not defined
Risk Factor Questionnaire (RFQ) - Physical Activity and Sleep
Epidemiology/Environmental History
Participant History and Family History
  
Single Pre-Defined Value Selected
       
C22784
Risk Factor Questionnaire (RFQ) – age 6-11 vigorous physical activity indicator
RFQAge611VigrsPhysActInd
Hours spent doing vigorous physical activities by the subject in an average week between the ages of 6 and 11, as part of the Risk Factor Questionnaire (RFQ)– Physical Activity and Sleep.
In a typical week, how many hours of vigorous physical activity did you engage in?
Less than 1 hour;1-4 hours;5-10 hours;More than 10 hours per week;Not applicable;
Less than 1 hour;1-4 hours;5-10 hours;More than 10 hours per week;Not applicable;
Alphanumeric
Choose one.
No references available
Pediatric
Supplemental
1.0
10/27/2016
Aliases for variable name not defined
Risk Factor Questionnaire (RFQ) - Physical Activity and Sleep
Epidemiology/Environmental History
Participant History and Family History
  
Single Pre-Defined Value Selected
       
C22785
Risk Factor Questionnaire (RFQ) – age 6-11 moderate physical activity indicator
RFQAge611ModrtPhysActInd
Hours spent doing moderate physical activities by the subject in an average week between the ages of 6 and 11, as part of the Risk Factor Questionnaire (RFQ)– Physical Activity and Sleep.
In a typical week, how many hours of moderate physical activity did you engage in?
Less than 1 hour;1-4 hours;5-10 hours;More than 10 hours per week;Not applicable;
Less than 1 hour;1-4 hours;5-10 hours;More than 10 hours per week;Not applicable;
Alphanumeric
Choose one.
No references available
Pediatric
Supplemental
1.0
10/28/2016
Aliases for variable name not defined
Risk Factor Questionnaire (RFQ) - Physical Activity and Sleep
Epidemiology/Environmental History
Participant History and Family History
  
Single Pre-Defined Value Selected
       
C22786
Risk Factor Questionnaire (RFQ) – age 6-11 sleep duration indicator
RFQAge611SlpDurInd
Hours of sleep the subject got in a week between the ages of 6 and 11, as part of the Risk Factor Questionnaire (RFQ)– Physical Activity and Sleep.
In a typical week, how many hours of sleep did you get on an average night?
Less than 5 hours;5-6 hours;6-7 hours;7-8 hours;More than 8 hours per week;Not applicable;
Less than 5 hours;5-6 hours;6-7 hours;7-8 hours;More than 8 hours per week;Not applicable;
Alphanumeric
Choose one.
No references available
Pediatric
Supplemental
1.0
10/28/2016
Aliases for variable name not defined
Risk Factor Questionnaire (RFQ) - Physical Activity and Sleep
Epidemiology/Environmental History
Participant History and Family History
  
Single Pre-Defined Value Selected
       
C22787
Risk Factor Questionnaire (RFQ) – age 12-17 vigorous physical activity indicator
RFQAge1217VigrsPhysActInd
Hours spent doing vigorous physical activities by the subject in an average week between the ages of 12 and 17, as part of the Risk Factor Questionnaire (RFQ)– Physical Activity and Sleep.
In a typical week, how many hours of vigorous physical activity did you engage in?
Less than 1 hour;1-4 hours;5-10 hours;More than 10 hours per week;Not applicable;
Less than 1 hour;1-4 hours;5-10 hours;More than 10 hours per week;Not applicable;
Alphanumeric
Choose one.
No references available
Pediatric
Supplemental
1.0
10/28/2016
Aliases for variable name not defined
Risk Factor Questionnaire (RFQ) - Physical Activity and Sleep
Epidemiology/Environmental History
Participant History and Family History
  
Single Pre-Defined Value Selected
       
C22788
Risk Factor Questionnaire (RFQ) – age 12-17 moderate physical activity indicator
RFQAge1217ModrtPhysActInd
Hours spent doing moderate physical activities by the subject in an average week between the ages of 12 and 17, as part of the Risk Factor Questionnaire (RFQ)– Physical Activity and Sleep.
In a typical week, how many hours of moderate physical activity did you engage in?
Less than 1 hour;1-4 hours;5-10 hours;More than 10 hours per week;Not applicable;
Less than 1 hour;1-4 hours;5-10 hours;More than 10 hours per week;Not applicable;
Alphanumeric
Choose one.
No references available
Pediatric
Supplemental
1.0
10/28/2016
Aliases for variable name not defined
Risk Factor Questionnaire (RFQ) - Physical Activity and Sleep
Epidemiology/Environmental History
Participant History and Family History
  
Single Pre-Defined Value Selected
       
C22789
Risk Factor Questionnaire (RFQ) – age 12-17 sleep duration indicator
RFQAge1217SlpDurInd
Hours of sleep the subject got in a week between the ages of 12 and 17, as part of the Risk Factor Questionnaire (RFQ)– Physical Activity and Sleep.
In a typical week, how many hours of sleep did you get on an average night?
Less than 5 hours;5-6 hours;6-7 hours;7-8 hours;More than 8 hours per week;Not applicable;
Less than 5 hours;5-6 hours;6-7 hours;7-8 hours;More than 8 hours per week;Not applicable;
Alphanumeric
Choose one.
No references available
Pediatric
Supplemental
1.0
10/28/2016
Aliases for variable name not defined
Risk Factor Questionnaire (RFQ) - Physical Activity and Sleep
Epidemiology/Environmental History
Participant History and Family History
  
Single Pre-Defined Value Selected
       
07-21-2019
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