of0
 
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) - NSAIDS and Calcium Channel Blockers (CCB)
Item count: 58 (58 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
C08537
Risk Factor Questionnaire (RFQ) - regularly taken ibuprofen based non-aspirin 6 months indicator
RFQRegTknIbuBsdNnasprn6MonInd
Has the participant regularly taken ibuprofen-based non-aspirin medications, at least two pills per week for 6 months or longer as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB)
Have you ever regularly taken ibuprofen-based non-aspirin medications, that is, at least two pills per week for 6 months or longer?
Yes;No;
Yes;No;
Alphanumeric
If No, skip to Question 2
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
NS1
Risk Factor Questionnaire (RFQ) - NSAIDS and Calcium Channel Blockers (CCB)
Epidemiology/Environmental History
Participant History and Family History
RFQ NSAIDS and Calciulm Channel Blockers (CCB) - NSAIDS Q1
 
Single Pre-Defined Value Selected
       
C08538
Risk Factor Questionnaire (RFQ) - age year started ibuprofen based medication value
RFQAgeYrStrtTakIbuBasedMedVal
Age/year the participant started regularly taking an ibuprofen-based medication as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB)
If Yes, at what age (or in what year) did you start regularly taking an ibuprofen-based medication?
  
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
NS1aAge
NS1aYr
Risk Factor Questionnaire (RFQ) - NSAIDS and Calcium Channel Blockers (CCB)
Epidemiology/Environmental History
Participant History and Family History
RFQ NSAIDS and Calciulm Channel Blockers (CCB) - NSAIDSQ1a
 
Free-Form Entry
       
C08539
Risk Factor Questionnaire (RFQ) - age year stop taking ibuprofen based medication value
RFQAgeYrStopTakIbuBasedMedVal
Age/year the participant stopped regularly taking an ibuprofen-based medication as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB)
If Yes, at what age (or in what year) did you stop regularly taking an ibuprofen-based medication?
  
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
NS1bAge
NS1bYr
Risk Factor Questionnaire (RFQ) - NSAIDS and Calcium Channel Blockers (CCB)
Epidemiology/Environmental History
Participant History and Family History
RFQ NSAIDS and Calciulm Channel Blockers (CCB) - NSAIDS Q1b
 
Free-Form Entry
       
C10462
Risk Factor Questionnaire (RFQ) - currently taking ibuprofen based medication indicator
RFQCurntTakIbuBasedMedInd
Indicator of whether the participant is currently taking an ibuprofen-based medication as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB)
 
Currently Take;
Currently Take;
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
Aliases for variable name not defined
Risk Factor Questionnaire (RFQ) - NSAIDS and Calcium Channel Blockers (CCB)
Epidemiology/Environmental History
Participant History and Family History
RFQ NSAIDS and Calciulm Channel Blockers (CCB) - NSAIDS Q1b currently use indicator
 
Single Pre-Defined Value Selected
       
C08540
Risk Factor Questionnaire (RFQ) - year not regularly taking ibuprofen based medication indicator
RFQYrNtRegTakgIbuBasedMedInd
Periods of a year or more when the participant did NOT regularly take an ibuprofen-based medication as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB)
Were there periods of a year or more when you did NOT regularly take an ibuprofen-based medication
Yes;No;
Yes;No;
Alphanumeric
If No, 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
NS1c
Risk Factor Questionnaire (RFQ) - NSAIDS and Calcium Channel Blockers (CCB)
Epidemiology/Environmental History
Participant History and Family History
RFQ NSAIDS and Calciulm Channel Blockers (CCB) - NSAIDS Q2
 
Single Pre-Defined Value Selected
       
C08541
Risk Factor Questionnaire (RFQ) - years not regularly taking ibuprofen based medication value
RFQYrNtRegTakgIbuBasedMedVal
Years in total that the participant did NOT regularly take ibuprofen-based medications as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB)
During this time, approximately how many years total did you NOT regularly take ibuprofen-based medication?
  
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
NS1c1
Risk Factor Questionnaire (RFQ) - NSAIDS and Calcium Channel Blockers (CCB)
Epidemiology/Environmental History
Participant History and Family History
RFQ NSAIDS and Calciulm Channel Blockers (CCB) - NSAIDS Q2a
 
Free-Form Entry
  
year
    
C08542
Risk Factor Questionnaire (RFQ) - ibuprofen based medication pills per week value
RFQIbuBasedMedPillsWeekVal
Pills per week that the participant took during the time they were regularly taking ibuprofen-based medications as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB)
During the time you were regularly taking an ibuprofen-based medication, on average, about how many pills per week did you take?
  
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
NS1d
Risk Factor Questionnaire (RFQ) - NSAIDS and Calcium Channel Blockers (CCB)
Epidemiology/Environmental History
Participant History and Family History
RFQ NSAIDS and Calciulm Channel Blockers (CCB) - NSAIDS Q3
 
Free-Form Entry
       
C08543
Risk Factor Questionnaire (RFQ) - regularly taken aspirin 6 months indicator
RFQRegTknAsprn6MonInd
Has the participant regularly taken aspirin medications, at least two pills per week for 6 months or longer? as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB)
Have you ever regularly taken aspirin, that is, at least two pills per week for 6 months or longer?
Yes;No;
Yes;No;
Alphanumeric
If No, 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
NS2
Risk Factor Questionnaire (RFQ) - NSAIDS and Calcium Channel Blockers (CCB)
Epidemiology/Environmental History
Participant History and Family History
RFQ NSAIDS and Calciulm Channel Blockers (CCB) - NSAIDS Q4
 
Single Pre-Defined Value Selected
       
C08544
Risk Factor Questionnaire (RFQ) - age year started aspirin value
RFQAgeYrStrtAsprnVal
Age/year the participant started regularly taking aspirin as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB)
If Yes, at what age (or in what year) did you start regularly taking aspirin?
  
Numeric Values
Age or Year
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
NS2aAge
NS2aYr
Risk Factor Questionnaire (RFQ) - NSAIDS and Calcium Channel Blockers (CCB)
Epidemiology/Environmental History
Participant History and Family History
RFQ NSAIDS and Calciulm Channel Blockers (CCB) - NSAIDS Q4a
 
Free-Form Entry
       
C08545
Risk Factor Questionnaire (RFQ) - age year stop taking aspirin value
RFQAgeYrStpAsprnVal
Age/year the participant stopped regularly taking aspirin as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB)
If Yes, at what age (or in what year) did you stop regularly taking aspirin?
  
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
NS2bAge
NS2bYr
Risk Factor Questionnaire (RFQ) - NSAIDS and Calcium Channel Blockers (CCB)
Epidemiology/Environmental History
Participant History and Family History
RFQ NSAIDS and Calciulm Channel Blockers (CCB) - NSAIDS Q4b
 
Free-Form Entry
       
C10463
Risk Factor Questionnaire (RFQ) - currently taking aspirin indicator
RFQCurntTakAsprnInd
Indicator whther the participant currently takes aspirin as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB)
 
Currently Take;
Currently Take;
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
CurrentlyTakeLabel1;
CurrentlyTakeLabel2;
CurrentlyTakeLabel3
Risk Factor Questionnaire (RFQ) - NSAIDS and Calcium Channel Blockers (CCB)
Epidemiology/Environmental History
Participant History and Family History
RFQ NSAIDS and Calciulm Channel Blockers (CCB) - NSAIDS Q4b currently take indicator
 
Single Pre-Defined Value Selected
       
C08546
Risk Factor Questionnaire (RFQ) - years not regularly taking aspirin indicator
RFQYrNtRegTkAsprnInd
Periods of a year or more when the participant did NOT regularly take aspirin as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB)
Were there periods of a year or more when you did NOT regularly take aspirin?
Yes;No;
Yes;No;
Alphanumeric
If No, skip to Question 7
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
NS2c
Risk Factor Questionnaire (RFQ) - NSAIDS and Calcium Channel Blockers (CCB)
Epidemiology/Environmental History
Participant History and Family History
RFQ NSAIDS and Calciulm Channel Blockers (CCB)- NSAIDS Q5
 
Single Pre-Defined Value Selected
       
C08547
Risk Factor Questionnaire (RFQ) - years not regularly taking aspirin value
RFQYrNtRegTkAsprnVal
Years in total that the participant did NOT regularly take aspirin as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB)
During this time, approximately how many years total did you NOT regularly take aspirin?
  
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
NS2c1
Risk Factor Questionnaire (RFQ) - NSAIDS and Calcium Channel Blockers (CCB)
Epidemiology/Environmental History
Participant History and Family History
RFQ NSAIDS and Calciulm Channel Blockers (CCB)- NSAIDS Q5a
 
Free-Form Entry
  
year
    
C08548
Risk Factor Questionnaire (RFQ) - aspirin pills per week value
RFQAsprnPillsWeekVal
Pills per week that the participant took during the time they were regularly taking aspirin as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB)
During the time you were regularly taking aspirin, on average, about how many pills per week did you take?
  
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
NS2d
Risk Factor Questionnaire (RFQ) - NSAIDS and Calcium Channel Blockers (CCB)
Epidemiology/Environmental History
Participant History and Family History
RFQ NSAIDS and Calciulm Channel Blockers (CCB)- NSAIDS Q6
 
Free-Form Entry
       
C08549
Risk Factor Questionnaire (RFQ) - regularly taken anti-inflammatory medication indicator
RFQRegTknAntinflamMedInd
Has the participant regularly taken anti-inflammatory medications as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB)
Have you ever regularly taken other anti-inflammatory medications?
Yes;No;
Yes;No;
Alphanumeric
If No, skip to Question 8
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
NS3
Risk Factor Questionnaire (RFQ) - NSAIDS and Calcium Channel Blockers (CCB)
Epidemiology/Environmental History
Participant History and Family History
RFQ NSAIDS and Calciulm Channel Blockers (CCB)- NSAIDS Q7
 
Single Pre-Defined Value Selected
       
C08550
Risk Factor Questionnaire (RFQ) - age year started taking anti-inflammatory medications value
RFQAgeYrStrtTakAntinflamMedVal
Age/year the participant started regularly taking anti-inflammatory medications as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB)
If Yes, at what age (or in what year) did you start regularly taking other anti-inflammatory medications?
  
Numeric Values
Age or Year
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
NS3aAge
NS3aYr
Risk Factor Questionnaire (RFQ) - NSAIDS and Calcium Channel Blockers (CCB)
Epidemiology/Environmental History
Participant History and Family History
RFQ NSAIDS and Calciulm Channel Blockers (CCB)- NSAIDS Q7a
 
Free-Form Entry
       
C08551
Risk Factor Questionnaire (RFQ) - age year stop taking other anti-inflammatory medications value
RFQAgeYrStpTkOthrAntinflMedVal
Age/year the participant stopped regularly taking other anti-inflammatory medications as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB)
If Yes, at what age (or in what year) did you stop regularly taking other anti-inflammatory medications?
  
Numeric Values
Age or Year
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
NS3bAge
NS3bYr
Risk Factor Questionnaire (RFQ) - NSAIDS and Calcium Channel Blockers (CCB)
Epidemiology/Environmental History
Participant History and Family History
RFQ NSAIDS and Calciulm Channel Blockers (CCB)- NSAIDS Q7b
 
Free-Form Entry
       
C10464
Risk Factor Questionnaire (RFQ) - currently taking anti-inflammatory medication indicator
RFQCurntTakgAntinflamMedInd
Indicator of whether the participant is currently taking another anti-inflammatory medication as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB)
 
Currently Take;
Currently Take;
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
CurrentlyTakeLabel1;
CurrentlyTakeLabel2;
CurrentlyTakeLabel3
Risk Factor Questionnaire (RFQ) - NSAIDS and Calcium Channel Blockers (CCB)
Epidemiology/Environmental History
Participant History and Family History
RFQ NSAIDS and Calciulm Channel Blockers (CCB)- NSAIDS Q7b currently take indicator
 
Single Pre-Defined Value Selected
       
C08552
Risk Factor Questionnaire (RFQ) - year not regularly taking anti-inflammatory medications indicator
RFQYrNtRegTkgAntinflamMedInd
Periods of a year or more when the participant did NOT regularly take anti-inflammatory medications as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB)
Were there periods of a year or more when you did NOT regularly take other anti-inflammatory medications?
Yes;No;
Yes;No;
Alphanumeric
If No, skip to Calcium Channel Blockers section.
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
NS3c
Risk Factor Questionnaire (RFQ) - NSAIDS and Calcium Channel Blockers (CCB)
Epidemiology/Environmental History
Participant History and Family History
RFQ NSAIDS and Calciulm Channel Blockers (CCB)- NSAIDS Q8
 
Single Pre-Defined Value Selected
       
C08553
Risk Factor Questionnaire (RFQ) - year not regularly taking anti-inflammatory medications value
RFQYrNtRegTkgAntinflamMedVal
Years in total that the participant did NOT regularly take anti-inflammatory medications as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB)
During this time, approximately how many years total did you NOT regularly take other anti-inflammatory medications?
  
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
NS3c1
Risk Factor Questionnaire (RFQ) - NSAIDS and Calcium Channel Blockers (CCB)
Epidemiology/Environmental History
Participant History and Family History
RFQ NSAIDS and Calciulm Channel Blockers (CCB)- NSAIDS Q8a
 
Free-Form Entry
       
C08554
Risk Factor Questionnaire (RFQ) - anti-inflammatory medication pills per week value
RFQAntinflamMedPillsWeekVal
Pills per week that the participant took during the time they were regularly taking anti-inflammatory medications as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB)
Pills per Week
  
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
NS3d
Risk Factor Questionnaire (RFQ) - NSAIDS and Calcium Channel Blockers (CCB)
Epidemiology/Environmental History
Participant History and Family History
RFQ NSAIDS and Calciulm Channel Blockers (CCB)- NSAIDS Q9
 
Free-Form Entry
       
C08555
Risk Factor Questionnaire (RFQ) - treatment hypertension cardiovascular headache Raynauds issue indicator
RFQTreatmtHtnCVHdachRIssInd
Treatment for high BP, heart problems, angina, chest pain, irregular heartbeat, palpitations, recurrent headache, migraine or Raynaud’s as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB)
Have you ever been treated for high BP, heart problems, angina, chest pain, irregular heartbeat, palpitations, recurrent headache, migraine or Raynaud’s?
Yes;No;
Yes;No;
Alphanumeric
If No, Skip to End 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
CALabel2
Risk Factor Questionnaire (RFQ) - NSAIDS and Calcium Channel Blockers (CCB)
Epidemiology/Environmental History
Participant History and Family History
RFQ NSAIDS and Calciulm Channel Blockers (CCB)- CCB Q1
 
Single Pre-Defined Value Selected
       
C08556
Risk Factor Questionnaire (RFQ) - taken Amlodipine Norvasc indicator
RFQTknAmlodipineNorvascInd
Taken Amlodipine or Norvasc as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB)
Have you ever taken Amlodipine or Norvasc?
Yes;No;
Yes;No;
Alphanumeric
If No, Skip to Question 1c
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
CA1a
Risk Factor Questionnaire (RFQ) - NSAIDS and Calcium Channel Blockers (CCB)
Epidemiology/Environmental History
Participant History and Family History
RFQ NSAIDS and Calciulm Channel Blockers (CCB)- CCB Q1a
 
Single Pre-Defined Value Selected
       
C08557
Risk Factor Questionnaire (RFQ) - taken Amlodipine Norvasc reason
RFQTknAmlodipineNorvascRsn
Reason took Amlodipine or Norvasc as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB)
Why did you take Amlodipine or Norvasc?
  
Alphanumeric
Only answer if yes for 'CCB Q1', otherwise leave rest of form blank.
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
CA1a1
Risk Factor Questionnaire (RFQ) - NSAIDS and Calcium Channel Blockers (CCB)
Epidemiology/Environmental History
Participant History and Family History
RFQ NSAIDS and Calciulm Channel Blockers (CCB)- CCB Q1b
255
Free-Form Entry
       
C08558
Risk Factor Questionnaire (RFQ) - taken Felodipine Plendil indicator
RFQTknFelodipinePlendilInd
Taken Felodipine or Plendil as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB)
Have you ever taken Felodipine or Plendil?
Yes;No;
Yes;No;
Alphanumeric
If No, Skip to Question 1e
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
CA1b
Risk Factor Questionnaire (RFQ) - NSAIDS and Calcium Channel Blockers (CCB)
Epidemiology/Environmental History
Participant History and Family History
RFQ NSAIDS and Calciulm Channel Blockers (CCB)- CCB Q1c
 
Single Pre-Defined Value Selected
       
C08559
Risk Factor Questionnaire (RFQ) - taken Felodipine Plendil reason
RFQTknFelodipinePlendilRsn
Reason took Felodipine or Plendil as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB)
Why did you take Felodipine or Plendil?
  
Alphanumeric
Only answer if yes for 'CCB Q1', otherwise leave rest of form blank.
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
CA1b1
Risk Factor Questionnaire (RFQ) - NSAIDS and Calcium Channel Blockers (CCB)
Epidemiology/Environmental History
Participant History and Family History
RFQ NSAIDS and Calciulm Channel Blockers (CCB)- CCB Q1d
255
Free-Form Entry
       
11-23-2017
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