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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: Huntington's Disease
Sub-Domain: Epidemiology/Environmental History
CRF: Non-prescribed Drug Use Questionnaire
Item count: 16 (16 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
C18670
Subscribed drug or substance illicitly used other text
SbscrbdDrgSubIllctUseOTH
The free-text field related to 'Drug or substance illicitly used category' specifying other text. Category of illegal drugs, prescription, or over-the-counter drugs the participant/subject used for purposes other than those for which they are meant to be used, or in large amounts
Other, specify
  
Alphanumeric
For each drug class, list specific drug(s) used. Include drugs used at any time in life, but do not include drugs prescribed by doctor.
No references available
Adult;Pediatric
Supplemental
1.0
5/27/2014
Aliases for variable name not defined
Non-prescribed Drug Use Questionnaire
Epidemiology/Environmental History
Participant History and Family History
 
4000
Free-Form Entry
     
3171797
 
C00712
Subscribed drug or substance illicitly used category
SbscrbdDrgSubIllctUseCat
Category of illegal drugs, prescription, or over-the-counter drugs subscribed by the participant/subject, and used for purposes other than those for which they are meant to be used, or in large amounts
If YES, specify illicit drug type(s) used
Marijuana, hash, THC, or grass;Stimulants: cocaine/crack;Stimulants: amphetamine, Benzedrine, Methedrine, Dexadrine, Preludin, Ritalin, uppers, speed;Tranquilizers or anti-anxiety drugs (e.g., Valium, Librium, muscle relaxants, or Zanax);Sedatives (e.g., sleeping pills, barbiturates, Seconal, Quaaludes, or Chloral Hydrate);Narcotics: heroin, opium, morphine, methadone, codeine, Darvon, Percodan, Oxycontin, Dilaudid, Demerol/meperidine;Inhalants or Solvents (e.g., amyl nitrate, nitrous oxide, glue, toluene, or gasoline;Hallucinogens (e.g., Ecstasy, LSD, mescaline, psilocybin, PCP, angel dust, or peyote);Other, specify (e.g., Methadone, Elavil, steroids, Thorazine, or Haldol);
Marijuana, hash, THC, or grass;Stimulants: cocaine/crack;Stimulants: amphetamine, Benzedrine, Methedrine, Dexadrine, Preludin, Ritalin, uppers, speed;Tranquilizers or anti-anxiety drugs (e.g., Valium, Librium, muscle relaxants, or Zanax);Sedatives (e.g., sleeping pills, barbiturates, Seconal, Quaaludes, or Chloral Hydrate);Narcotics: heroin, opium, morphine, methadone, codeine, Darvon, Percodan, Oxycontin, Dilaudid, Demerol/meperidine;Inhalants or Solvents (e.g., amyl nitrate, nitrous oxide, glue, toluene, or gasoline;Hallucinogens (e.g., Ecstasy, LSD, mescaline, psilocybin, PCP, angel dust, or peyote);Other, specify (e.g., Methadone, Elavil, steroids, Thorazine, or Haldol);
Alphanumeric
For each drug class, list specific drug(s) used. Include drugs used at any time in life, but do not include drugs prescribed by doctor.
No references available
Adult;Pediatric
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Non-prescribed Drug Use Questionnaire
Epidemiology/Environmental History
Participant History and Family History
Drug or substance illicitly used category
 
Multiple Pre-Defined Values Selected
     
3171797
 
C17683
Non-prescribed controlled psychoactive drug substance marijuana text
NprscrbContrPschacDrgSbMrjTxt
The text specifying the drugs within the Marijuana: hash, THC category as an unprescribed, controlled psychoactive drugs or substances used by the participant/subject.
List
  
Alphanumeric
For each class of drug, list specific drug(s) used
No references available
Adult
Supplemental
3.0
8/30/2013
Aliases for variable name not defined
Non-prescribed Drug Use Questionnaire
Epidemiology/Environmental History
Participant History and Family History
 
255
Free-Form Entry
       
C17684
Non-prescribed controlled psychoactive drug substance stimulant cocaine text
NprscrCntrPschacDrgSbStmCocTxt
The text specifying the drugs within the Stimulants: cocaine/crack category as an unprescribed, controlled psychoactive drugs or substances used by the participant/subject.
List
  
Alphanumeric
For each class of drug, list specific drug(s) used
No references available
Adult
Supplemental
3.0
8/30/2013
Aliases for variable name not defined
Non-prescribed Drug Use Questionnaire
Epidemiology/Environmental History
Participant History and Family History
 
255
Free-Form Entry
       
C17685
Non-prescribed controlled psychoactive drug substance stimulant amphetamine text
NprscrCntrPschacDrgSbStmAmpTxt
The text specifying the drugs within the 'Stimulants: ampletamine, Benzedrine, Methedrine, Dexadrine, Preludin, Ritalin, uppers, speed,' category as an unprescribed, controlled psychoactive drugs or substances used by the participant/subject.
List
  
Alphanumeric
For each class of drug, list specific drug(s) used
No references available
Adult
Supplemental
3.0
8/30/2013
Aliases for variable name not defined
Non-prescribed Drug Use Questionnaire
Epidemiology/Environmental History
Participant History and Family History
 
255
Free-Form Entry
       
C17686
Non-prescribed controlled psychoactive drug substance sedative tranquilizer text
NprscrCntrPschacDrgSbSedTrnTxt
The text specifying the drugs within the 'Sedatives/minor tranquilizers/muscle relaxants-benzodiazepines and others: Valium/diazepam, Librium, Halcion, Xanax, Dalmane, Flexeril,' category as an unprescribed, controlled psychoactive drugs or substances used by the participant/subject.
List
  
Alphanumeric
For each class of drug, list specific drug(s) used
No references available
Adult
Supplemental
3.0
8/30/2013
Aliases for variable name not defined
Non-prescribed Drug Use Questionnaire
Epidemiology/Environmental History
Participant History and Family History
 
255
Free-Form Entry
       
C17687
Non-prescribed controlled psychoactive drug substance sedative barbiturate text
NprscrCntrPschacDrgSbSedBrbTxt
The text specifying the drugs within the 'Sedatives-barbiturates and others: phenobarbital, Seconol, Nembutol, Dorieden, Quaalude, Amytal, Fiorinal, downers,' category as an unprescribed, controlled psychoactive drugs or substances used by the participant/subject.
List
  
Alphanumeric
For each class of drug, list specific drug(s) used
No references available
Adult
Supplemental
3.0
8/30/2013
Aliases for variable name not defined
Non-prescribed Drug Use Questionnaire
Epidemiology/Environmental History
Participant History and Family History
 
255
Free-Form Entry
       
C17688
Non-prescribed controlled psychoactive drug substance narcotic text
NprscrCntrPschacDrgSbNarcTxt
The text specifying the drugs within the 'Narcotics: heroin, opium, morphine, methadone, codeine, Darvon, Percodan, Oxycontin, Dilaudid, Demerol/meperidine,' category as an unprescribed, controlled psychoactive drugs or substances used by the participant/subject.
List
  
Alphanumeric
For each class of drug, list specific drug(s) used
No references available
Adult
Supplemental
3.0
8/30/2013
Aliases for variable name not defined
Non-prescribed Drug Use Questionnaire
Epidemiology/Environmental History
Participant History and Family History
 
255
Free-Form Entry
       
C17689
Non-prescribed controlled psychoactive drug substance inhalant text
NprscrCntrPschacDrgSbInhlntTxt
The text specifying the drugs within the 'Inhalants: glue, toluene, gasoline, aerosols, paint thinner, nitrous oxide, amyl nitrite,' category as an unprescribed, controlled psychoactive drugs or substances used by the participant/subject.
List
  
Alphanumeric
For each class of drug, list specific drug(s) used
No references available
Adult
Supplemental
3.0
8/30/2013
Aliases for variable name not defined
Non-prescribed Drug Use Questionnaire
Epidemiology/Environmental History
Participant History and Family History
 
255
Free-Form Entry
       
C17690
Non-prescribed controlled psychoactive drug substance hallucinogen text
NprscrCntrPschacDrgSbHalcnTxt
The text specifying the drugs within the 'Hallucinogens: ecstasy/MDMA, LSD, mescaline/peyote, psilocybin/mushrooms, PCP/phencylidine/angel dust, MDA/STP/DOM,' category as an unprescribed, controlled psychoactive drugs or substances used by the participant/subject.
List
  
Alphanumeric
For each class of drug, list specific drug(s) used
No references available
Adult
Supplemental
3.0
8/30/2013
Aliases for variable name not defined
Non-prescribed Drug Use Questionnaire
Epidemiology/Environmental History
Participant History and Family History
 
255
Free-Form Entry
       
C17691
Non-prescribed controlled psychoactive drug substance other text
NprscrCntrPschacDrgSubOthTxt
The text specifying the drugs within the 'Others: (non-perscribed, non-over-the-counter)' categoryas an unprescribed, controlled psychoactive drugs or substances used by the participant/subject.
List
  
Alphanumeric
For each class of drug, list specific drug(s) used. Non-perscribed and non-over-the-counter.
No references available
Adult
Supplemental
3.0
8/30/2013
Aliases for variable name not defined
Non-prescribed Drug Use Questionnaire
Epidemiology/Environmental History
Participant History and Family History
 
255
Free-Form Entry
       
C08232
Drug or substance illicit use ever indicator
DrgSubIllicitEverUseInd
Indicator of participant's/subject's use of illegal drugs, prescription or over-the-counter drugs at any point in his/her lifetime for purposes other than those for which they are meant to be used, or in large amounts
Ever used
Yes;No;Unknown;
Yes;No;Unknown;
Alphanumeric
Do not include substances prescribed by doctor or available over-the-counter
No references available
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Non-prescribed Drug Use Questionnaire
Epidemiology/Environmental History
Participant History and Family History
Drug or substance illicit use ever indicator
 
Single Pre-Defined Value Selected
       
C08233
Drug or substance first illicit use date and time
DrgSubFirstIllicitUseDateTime
Date (and time if applicable and known) the participant/subject first used the category of illegal drugs, prescription or over-the-counter drugs
First Used
  
Date or Date & Time
Record the date/time according to the ISO 8601, the International Standard for the representation of dates and times (http://www.iso.org/iso/home.html). The date/time should be recorded to the level of granularity known (e.g., year, year and month, complete date plus hours and minutes, etc.).
No references available
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Non-prescribed Drug Use Questionnaire
Epidemiology/Environmental History
Participant History and Family History
Drug or substance first illicit use date and time
 
Free-Form Entry
       
C08234
Drug or substance last illicit use date and time
DrgSubLastIllicitUseDateTime
Date (and time if applicable and known) of the participant's/subject's last use of an unprescribed, controlled psychoactive drugs or substances used by the participant/subject.
Last Used
  
Date or Date & Time
Record the date/time according to the ISO 8601, the International Standard for the representation of dates and times (http://www.iso.org/iso/home.html). The date/time should be recorded to the level of granularity known (e.g., year, year and month, complete date plus hours and minutes, etc.).
No references available
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Non-prescribed Drug Use Questionnaire
Epidemiology/Environmental History
Participant History and Family History
Drug or substance last illicit use date and time
 
Free-Form Entry
       
C00716
Drug or substance illicit use duration
DrgSubsIllctUseDur
Duration, in years, the participant/subject has used unprescribed, controlled psychoactive drugs or substances.
Total Years Used
  
Numeric Values
If a class of drug was never used (except if prescribed), then leave years and frequency of use blank and go to the next line in the table Count all years in which some use occurred.
No references available
Adult;Pediatric
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Non-prescribed Drug Use Questionnaire
Epidemiology/Environmental History
Participant History and Family History
Drug or substance illicit use duration
 
Free-Form Entry
0
99
Year
  
2004152
 
C08235
Drug or substance illicit use frequency
DrgSubIllicitUseFreq
The subject's/participant's average or typical use frequency during the year of greatest use of an unprescribed, controlled psychoactive drugs or substances used by the participant/subject.
Frequency of Use
  
Alphanumeric
If a class of drug was never used (except if prescribed), then leave years and frequency of use blank and go to the next line in the table Average or typical frequency during the year of greatest use. List number of uses per day (_/d), week (_/w), month (_/m), or year (_/y), as applicable.
No references available
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Non-prescribed Drug Use Questionnaire
Epidemiology/Environmental History
Participant History and Family History
Drug or substance illicit use frequency
255
Free-Form Entry
       
09-25-2017
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