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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: Risk Factor Questionnaire (RFQ-U) - Smoking and Tobacco
Item count: 15 (15 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
C09256
Risk Factor Questionnaire (RFQ) - lifetime smoked status
RFQLifetimeSmokedStatus
Lifetime smoking status of the participant/subject to determine if they have smoked 100 or more cigarettes as part of the Risk Assessment Questionnaire (RFQ) Smoking and Tobacco.
In your lifetime, have you smoked 100 or more cigarettes (5 packs)?
Yes;No;
Yes;No;
Alphanumeric
Skip to Question 5
Epi Info: http://wwwn.cdc.gov/epiinfo/index.htm RFQ-U CRFs, Version 1.0 developed by the Epidemiology Working Group of the collaborative centers for PD.
Adult
Supplemental
3.0
7/18/2013
Sm1
Risk Factor Questionnaire (RFQ-U) - Smoking and Tobacco
Epidemiology/Environmental History
Participant History and Family History
RFQ-U Smoking and Tobacco Q1
 
Single Pre-Defined Value Selected
       
C09257
Risk Factor Questionnaire (RFQ) - lifetime regularly smoked status
RFQLifetimeRegSmokedStatus
Lifetime smoking status of the participant/subject to determine if they have smoked regularly as part of the Risk Assessment Questionnaire (RFQ) Smoking and Tobacco.
In your lifetime, have you ever regularly smoked cigarettes, that is, at least one cigarette per day for 6 months or longer?
Yes;No;
Yes;No;
Alphanumeric
Skip to Question 5
Epi Info: http://wwwn.cdc.gov/epiinfo/index.htm RFQ-U CRFs, Version 1.0 developed by the Epidemiology Working Group of the collaborative centers for PD.
Adult
Supplemental
3.0
7/18/2013
SM2
Risk Factor Questionnaire (RFQ-U) - Smoking and Tobacco
Epidemiology/Environmental History
Participant History and Family History
RFQ-U Smoking and Tobacco Q2
 
Single Pre-Defined Value Selected
       
C09258
Risk Factor Questionnaire (RFQ) - age year start regularly smoking value
RFQAgeYrStrtRegSmokingVal
Age or year the participant/subject started regularly smoking cigarettes as part of the Risk Assessment Questionnaire (RFQ) Smoking and Tobacco.
If Yes, at what age (or in what year) did you start regularly smoking cigarettes?
  
Numeric Values
Only answer for Age or Year; not both. Age should be answered in years Year should be answered in the 4-digit format
Epi Info: http://wwwn.cdc.gov/epiinfo/index.htm RFQ-U CRFs, Version 1.0 developed by the Epidemiology Working Group of the collaborative centers for PD.
Adult
Supplemental
3.0
7/18/2013
Sm3age
Sm3yr
Risk Factor Questionnaire (RFQ-U) - Smoking and Tobacco
Epidemiology/Environmental History
Participant History and Family History
RFQ-U Smoking and Tobacco Q2a
 
Free-Form Entry
       
C09259
Risk Factor Questionnaire (RFQ) - age year stop regularly smoking value
RFQAgeYrStopRegSmokingVal
Age or year the participant/subject stopped regularly smoking cigarettes as part of the Risk Assessment Questionnaire (RFQ) Smoking and Tobacco.
If Yes, at what age (or in what year) did you stop regularly smoking cigarettes?
  
Numeric Values
Only answer for Age or Year; not both. Age should be answered in years Year should be answered in the 4-digit format
Epi Info: http://wwwn.cdc.gov/epiinfo/index.htm RFQ-U CRFs, Version 1.0 developed by the Epidemiology Working Group of the collaborative centers for PD.
Adult
Supplemental
3.0
7/18/2013
Sm4age
Sm4yr
Risk Factor Questionnaire (RFQ-U) - Smoking and Tobacco
Epidemiology/Environmental History
Participant History and Family History
RFQ-U Smoking and Tobacco Q2b
 
Free-Form Entry
       
C10473
Risk Factor Questionnaire (RFQ) - currently smoking status
RFQCurntlySmokingStatus
Smoking status of the participant/subject to determine if they are currently smoking as part of the Risk Assessment Questionnaire (RFQ) Smoking and Tobacco.
Currently smoke
Currently smoke;
Currently smoke;
Alphanumeric
No instructions available
Epi Info: http://wwwn.cdc.gov/epiinfo/index.htm RFQ-U CRFs, Version 1.0 developed by the Epidemiology Working Group of the collaborative centers for PD.
Adult
Supplemental
3.0
7/18/2013
SmokeLabel1
Risk Factor Questionnaire (RFQ-U) - Smoking and Tobacco
Epidemiology/Environmental History
Participant History and Family History
RFQ-U Smoking and Tobacco Q2b currently smoke indicator
 
Single Pre-Defined Value Selected
       
C09260
Risk Factor Questionnaire (RFQ) - period no regular smoking status
RFQPrdNoRegSmokingStatus
Smoking status of the participant/subject to determine if there were periods of a year or more where they did not regularly smoke as part of the Risk Assessment Questionnaire (RFQ) Smoking and Tobacco.
Were there periods of a year or more when you did NOT regularly smoke cigarettes?
Yes;No;
Yes;No;
Alphanumeric
Skip to Question 4
Epi Info: http://wwwn.cdc.gov/epiinfo/index.htm RFQ-U CRFs, Version 1.0 developed by the Epidemiology Working Group of the collaborative centers for PD.
Adult
Supplemental
3.0
7/18/2013
SM5
Risk Factor Questionnaire (RFQ-U) - Smoking and Tobacco
Epidemiology/Environmental History
Participant History and Family History
RFQ-U Smoking and Tobacco Q3
 
Single Pre-Defined Value Selected
       
C09261
Risk Factor Questionnaire (RFQ) - start age no regular smoking value
RFQStrtAgeNoRegSmokingVal
Age where the participant/subject started to stop smoking as part of the Risk Assessment Questionnaire (RFQ) Smoking and Tobacco.
Start age
  
Numeric Values
Years
Epi Info: http://wwwn.cdc.gov/epiinfo/index.htm RFQ-U CRFs, Version 1.0 developed by the Epidemiology Working Group of the collaborative centers for PD.
Adult
Supplemental
3.0
7/18/2013
Sm5astart1
Sm5astop1
Risk Factor Questionnaire (RFQ-U) - Smoking and Tobacco
Epidemiology/Environmental History
Participant History and Family History
RFQ-U Smoking and Tobacco Q3a
 
Free-Form Entry
       
C09262
Risk Factor Questionnaire (RFQ) - stop age no regular smoking value
RFQStopAgeNoRegSmokingVal
Age where the participant/subject started smoking again as part of the Risk Assessment Questionnaire (RFQ) Smoking and Tobacco.
Stop age
  
Numeric Values
Years
Epi Info: http://wwwn.cdc.gov/epiinfo/index.htm RFQ-U CRFs, Version 1.0 developed by the Epidemiology Working Group of the collaborative centers for PD.
Adult
Supplemental
3.0
7/18/2013
Sm5astart2
Sm5astop2
Risk Factor Questionnaire (RFQ-U) - Smoking and Tobacco
Epidemiology/Environmental History
Participant History and Family History
RFQ-U Smoking and Tobacco Q3b
 
Free-Form Entry
       
C09263
Risk Factor Questionnaire (RFQ-U) - smoking no tobacco use age range
RFQSmkngTobcoUsAgeRange
Period 3: If Yes, what ages were you when you did NOT regularly smoke?
   
Numeric Values
Enter the 'Start Age' and 'Stop Age' for each period

Age should be answered in years
Year should be answered in the 4-digit format
Epi Info: http://wwwn.cdc.gov/epiinfo/index.htm

RFQ-U CRFs, Version 1.0 developed by the Epidemiology Working Group of the collaborative centers for PD.
Adult
Supplemental
3.0
7/18/2013
Sm5astart3
Sm5astop3
Risk Factor Questionnaire (RFQ-U) - Smoking and Tobacco
Epidemiology/Environmental History
Participant History and Family History
RFQ-U Smoking and Tobacco Q3c
 
Free-Form Entry
       
C09264
Risk Factor Questionnaire (RFQ) - average packs smoked per day number
RFQAvgPacksSmokedPerDayNum
Average number of cigarette packs the participant/subject smoked per day when regularly smoking as part of the Risk Assessment Questionnaire (RFQ) Smoking and Tobacco.
During the time that you regularly smoked, on average, how much did you smoke PER DAY?
  
Numeric Values
No instructions available
Epi Info: http://wwwn.cdc.gov/epiinfo/index.htm RFQ-U CRFs, Version 1.0 developed by the Epidemiology Working Group of the collaborative centers for PD.
Adult
Supplemental
3.0
7/18/2013
Sm6packs
Risk Factor Questionnaire (RFQ-U) - Smoking and Tobacco
Epidemiology/Environmental History
Participant History and Family History
RFQ-U Smoking and Tobacco Q4
 
Free-Form Entry
       
C10474
Risk Factor Questionnaire (RFQ) - average cigarettes smoked per day number
RFQAvgCigsSmokedPerDayNum
Average number of cigarettes smoked per day by the participant/subject when regularly smoking as part of the Risk Assessment Questionnaire (RFQ) Smoking and Tobacco.
During the time that you regularly smoked, on average, how much did you smoke PER DAY?
  
Numeric Values
No instructions available
Epi Info: http://wwwn.cdc.gov/epiinfo/index.htm RFQ-U CRFs, Version 1.0 developed by the Epidemiology Working Group of the collaborative centers for PD.
Adult
Supplemental
3.0
7/18/2013
Sm6Cigs
Risk Factor Questionnaire (RFQ-U) - Smoking and Tobacco
Epidemiology/Environmental History
Participant History and Family History
RFQ-U Smoking and Tobacco Q4
 
Free-Form Entry
       
C09265
Risk Factor Questionnaire (RFQ) - used smokeless snuff tobacco status
RFQUsedSmklessSnuffTobcoStatus
Determine if the subject/participant used smokeless tobacco or snuff regularly as part of the Risk Assessment Questionnaire (RFQ) Smoking and Tobacco.
Have you ever used smokeless tobacco such as chewing tobacco or snuff regularly, that is, at least once per day for 6 months or longer?
Yes;No;
Yes;No;
Alphanumeric
End of Questionnaire
Epi Info: http://wwwn.cdc.gov/epiinfo/index.htm RFQ-U CRFs, Version 1.0 developed by the Epidemiology Working Group of the collaborative centers for PD.
Adult
Supplemental
3.0
7/18/2013
Sm7
Risk Factor Questionnaire (RFQ-U) - Smoking and Tobacco
Epidemiology/Environmental History
Participant History and Family History
RFQ-U Smoking and Tobacco Q5
 
Single Pre-Defined Value Selected
       
C09266
Risk Factor Questionnaire (RFQ) - age or year start regularly using smokeless tobacco value
RFQAgeYrStrtRegSmklessTobcoVal
Age or year when the subject/participant started using smokeless tobacco or snuff regularly as part of the Risk Assessment Questionnaire (RFQ) Smoking and Tobacco.
If Yes, at what age (or in what year) did you start regularly using smokeless tobacco?
  
Numeric Values
Only answer for Age or Year; not both. Age should be answered in years Year should be answered in the 4-digit format.
Epi Info: http://wwwn.cdc.gov/epiinfo/index.htm RFQ-U CRFs, Version 1.0 developed by the Epidemiology Working Group of the collaborative centers for PD.
Adult
Supplemental
3.0
7/18/2013
Sm8age
Sm8yr
Risk Factor Questionnaire (RFQ-U) - Smoking and Tobacco
Epidemiology/Environmental History
Participant History and Family History
RFQ-U Smoking and Tobacco Q5a
 
Free-Form Entry
       
C09267
Risk Factor Questionnaire (RFQ) - age year stop regularly using smokeless tobacco value
RFQAgeYrStpRgUsSmklessTobcoVal
Age or year when the subject/participant stopped using smokeless tobacco or snuff regularly as part of the Risk Assessment Questionnaire (RFQ) Smoking and Tobacco.
If Yes, at what age (or in what year) did you stop regularly using smokeless tobacco?
  
Numeric Values
Only answer for Age or Year; not both. Age should be answered in years Year should be answered in the 4-digit format.
Epi Info: http://wwwn.cdc.gov/epiinfo/index.htm RFQ-U CRFs, Version 1.0 developed by the Epidemiology Working Group of the collaborative centers for PD.
Adult
Supplemental
3.0
7/18/2013
Sm9age
Sm9yr
Risk Factor Questionnaire (RFQ-U) - Smoking and Tobacco
Epidemiology/Environmental History
Participant History and Family History
RFQ-U Smoking and Tobacco Q5b
 
Free-Form Entry
       
C10475
Risk Factor Questionnaire (RFQ) - currently use smokeless tobacco status
RFQCurntlyUseSmklessTobcoStat
Smokeless tobacco use status of the participant/subject to determine if they are currently using smokeless tobacco or snuff as part of the Risk Assessment Questionnaire (RFQ) Smoking and Tobacco.
Currently use
Currently Use;
Currently Use;
Alphanumeric
No instructions available
Epi Info: http://wwwn.cdc.gov/epiinfo/index.htm RFQ-U CRFs, Version 1.0 developed by the Epidemiology Working Group of the collaborative centers for PD.
Adult
Supplemental
3.0
7/18/2013
SmokeLabel11
Risk Factor Questionnaire (RFQ-U) - Smoking and Tobacco
Epidemiology/Environmental History
Participant History and Family History
RFQ-U Smoking and Tobacco Q5b currently use indicator
 
Single Pre-Defined Value Selected
       
09-25-2017
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