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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) - Toxicants
Item count: 106 (106 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
C08733
Risk Factor Questionnaire (RFQ) - used adhesives 100 days indicator
RFQUsedAdhesives100DaysInd
Has the participant ever used adhesives at least 100 days at work or home as part of the Risk Factor Questionnaire for Toxicants
In your lifetime, have you used glues or adhesives 100 or more days at work or at home?
Yes;No;
Yes;No;
Alphanumeric
If 'No' skip to Question 3
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
TX1
Risk Factor Questionnaire (RFQ) - Toxicants
Epidemiology/Environmental History
Participant History and Family History
RFQ Toxicants Q1
 
Single Pre-Defined Value Selected
       
C08734
Risk Factor Questionnaire (RFQ) - started using adhesives value
RFQStrtUseAdhesivesVal
Age/year the participant started using adhesives as part of the Risk Factor Questionnaire for Toxicants
If Yes, at what age or year did you first use glues or adhesives?
  
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
TX1aAge
TX1aYr
Risk Factor Questionnaire (RFQ) - Toxicants
Epidemiology/Environmental History
Participant History and Family History
RFQ Toxicants Q1a
 
Free-Form Entry
       
C08735
Risk Factor Questionnaire (RFQ) - stopped using adhesives value
RFQStpUseAdhesivesVal
Age/year the participant stopped using adhesives as part of the Risk Factor Questionnaire for Toxicants
If Yes, at what age or year did you stop using glues or adhesives?
  
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
TX1bAge
TX1bYr
Risk Factor Questionnaire (RFQ) - Toxicants
Epidemiology/Environmental History
Participant History and Family History
RFQ Toxicants Q1b
 
Free-Form Entry
       
C10468
Risk Factor Questionnaire (RFQ) - currently using adhesives indicator
RFQCrrntlyUsingAdhesivesInd
Currently using adhesives as part of the Risk Factor Questionnaire for Toxicants
If Yes, at what age or year did you stop using glues or adhesives?
Currently Use selected/checked;"Currently Use" NOT selected/checked;
Currently Use selected/checked;"Currently Use" NOT selected/checked;
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
TXLabelCurr
Risk Factor Questionnaire (RFQ) - Toxicants
Epidemiology/Environmental History
Participant History and Family History
RFQ Toxicants Q1b currently use indicator
 
Single Pre-Defined Value Selected
       
C08736
Risk Factor Questionnaire (RFQ) - year not regularly using adhesives indicator
RFQYrNtRegUseAdhesivesInd
Periods of a year or more when the participant did not regularly use adhesives as part of the Risk Factor Questionnaire for Toxicants
Were there periods of a year or more when you did NOT regularly use glues or adhesives?
Yes;No;
Yes;No;
Alphanumeric
If 'No' skip to Question 3
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
TX1c
Risk Factor Questionnaire (RFQ) - Toxicants
Epidemiology/Environmental History
Participant History and Family History
RFQ Toxicants Q2
 
Single Pre-Defined Value Selected
       
C08737
Risk Factor Questionnaire (RFQ) - age stopped regularly using adhesives period 1 value
RFQPer1AgeStpRegUseAdhesiveVal
Age when the participant stopped regularly using adhesives period 1 as part of the Risk Factor Questionnaire for Toxicants
If Yes, what ages were you when you did NOT use glues or adhesives?
  
Numeric Values
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
TX1c1start1
TX1c1stop1
Risk Factor Questionnaire (RFQ) - Toxicants
Epidemiology/Environmental History
Participant History and Family History
RFQ Toxicants Q2a
 
Free-Form Entry
  
year
    
C08738
Risk Factor Questionnaire (RFQ) - age stopped regularly using adhesives period 2 value
RFQPer2AgeStpRegUseAdhesiveVal
Age when the participant stopped regularly using adhesives period 2 as part of the Risk Factor Questionnaire for Toxicants
If Yes, what ages were you when you did NOT use glues or adhesives?
  
Numeric Values
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
TX1c1start2
TX1c1stop2
Risk Factor Questionnaire (RFQ) - Toxicants
Epidemiology/Environmental History
Participant History and Family History
RFQ Toxicants Q2b
 
Free-Form Entry
  
year
    
C17716
Risk Factor Questionnaire (RFQ) - age started regularly using adhesives period 1 value
RFQAgeStrtRegUseAdhesvePer1Val
Age when the participant started regularly using adhesives period 1 as part of the Risk Factor Questionnaire for Toxicants
If Yes, what ages were you when you did NOT use glues or adhesives?
  
Numeric Values
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
8/30/2013
Aliases for variable name not defined
Risk Factor Questionnaire (RFQ) - Toxicants
Epidemiology/Environmental History
Participant History and Family History
  
Free-Form Entry
  
year
    
C08739
Risk Factor Questionnaire (RFQ) - age stopped regularly using adhesives period 3 value
RFQPer3AgeStpRegUseAdhesiveVal
Age when the participant stopped regularly using adhesives period 3 as part of the Risk Factor Questionnaire for Toxicants
If Yes, what ages were you when you did NOT use glues or adhesives?
  
Numeric Values
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
TX1c1start3
TX1c1stop3
Risk Factor Questionnaire (RFQ) - Toxicants
Epidemiology/Environmental History
Participant History and Family History
RFQ Toxicants Q2c
 
Free-Form Entry
  
year
    
C08740
Risk Factor Questionnaire (RFQ) - use water-based adhesives indicator
RFQUseWaterBasedAdhesivesInd
Ever use water-based adhesives as part of the Risk Factor Questionnaire for Toxicants
Did or do you use water-based adhesives (vinyl acrylic)?
Yes;No;
Yes;No;
Alphanumeric
If 'No' skip to Q4
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
TX1dH2OBase
Risk Factor Questionnaire (RFQ) - Toxicants
Epidemiology/Environmental History
Participant History and Family History
RFQ Toxicants Q3
 
Single Pre-Defined Value Selected
       
C17717
Risk Factor Questionnaire (RFQ) - age started regularly using adhesives period 2 value
RFQAgeStrtRegUseAdhesvePr2Val
Age when the participant started regularly using adhesives period 2 as part of the Risk Factor Questionnaire for Toxicants
If Yes, what ages were you when you did NOT use glues or adhesives?
  
Numeric Values
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
8/30/2013
Aliases for variable name not defined
Risk Factor Questionnaire (RFQ) - Toxicants
Epidemiology/Environmental History
Participant History and Family History
  
Free-Form Entry
  
year
    
C08741
Risk Factor Questionnaire (RFQ) - use holt melt adhesives indicator
RFQUseHoltMeltAdhesivesInd
Ever use holt melt adhesives as part of the Risk Factor Questionnaire for Toxicants
Did or do you use holt melt adhesives?
Yes;No;
Yes;No;
Alphanumeric
If 'No' skip to Q5
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
TX1dHotMelt
Risk Factor Questionnaire (RFQ) - Toxicants
Epidemiology/Environmental History
Participant History and Family History
RFQ Toxicants Q4
 
Single Pre-Defined Value Selected
       
C08742
Risk Factor Questionnaire (RFQ) - use Elmer carpenter or wood glue indicator
RFQUseElmerCarpntrWoodGlueInd
Ever use Elmer’s, carpenter’s, or wood glue as part of the Risk Factor Questionnaire for Toxicants
Did or do you use Elmer’s, carpenter’s, or wood glue?
Yes;No;
Yes;No;
Alphanumeric
If 'No' skip to Q6
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
TX1dWood
Risk Factor Questionnaire (RFQ) - Toxicants
Epidemiology/Environmental History
Participant History and Family History
RFQ Toxicants Q5
 
Single Pre-Defined Value Selected
       
C17718
Risk Factor Questionnaire (RFQ) - age started regularly using adhesives period 3 value
RFQAgeStrtRegUseAdhesvePr3Val
Age when the participant started regularly using adhesives period 3 as part of the Risk Factor Questionnaire for Toxicants
If Yes, what ages were you when you did NOT use glues or adhesives?
  
Numeric Values
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
8/30/2013
Aliases for variable name not defined
Risk Factor Questionnaire (RFQ) - Toxicants
Epidemiology/Environmental History
Participant History and Family History
  
Free-Form Entry
  
year
    
C08743
Risk Factor Questionnaire (RFQ) - use superglue indicator
RFQUseSuperglueInd
Ever use Superglue as part of the Risk Factor Questionnaire for Toxicants
Did or do you use Superglue (cyanoacrylate)?
Yes;No;
Yes;No;
Alphanumeric
If 'No' skip to Q7
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
TX1dSuper
Risk Factor Questionnaire (RFQ) - Toxicants
Epidemiology/Environmental History
Participant History and Family History
RFQ Toxicants Q6
 
Single Pre-Defined Value Selected
       
C08744
Risk Factor Questionnaire (RFQ) - use contact adhesives indicator
RFQUseContactAdhesivesInd
Ever use contact adhesives as part of the Risk Factor Questionnaire for Toxicants
Did or do you use contact adhesives (rubber cement)?
Yes;No;
Yes;No;
Alphanumeric
If 'No' skip to Q8
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
TX1dContact
Risk Factor Questionnaire (RFQ) - Toxicants
Epidemiology/Environmental History
Participant History and Family History
RFQ Toxicants Q7
 
Single Pre-Defined Value Selected
       
C08745
Risk Factor Questionnaire (RFQ) - use other solvent-based adhesives indicator
RFQUseOthrSlvntBsdAdhesivesInd
Ever use other solvent-based adhesives as part of the Risk Factor Questionnaire for Toxicants
Did or do you use other solvent-based adhesives?
Yes;No;
Yes;No;
Alphanumeric
If 'No' skip to Q9
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
TX1dOther
Risk Factor Questionnaire (RFQ) - Toxicants
Epidemiology/Environmental History
Participant History and Family History
RFQ Toxicants Q8
 
Single Pre-Defined Value Selected
       
C08746
Risk Factor Questionnaire (RFQ) - use other solvent-based adhesives text
RFQUseOthrSlvntBsdAdhsvesTxt
Text description of which other solvent-based adhesives used as part of the Risk Factor Questionnaire for Toxicants
If Yes, specify other solvent-based adhesives used
  
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
TX1dSpecify
Risk Factor Questionnaire (RFQ) - Toxicants
Epidemiology/Environmental History
Participant History and Family History
RFQ Toxicants Q8a
255
Free-Form Entry
       
C08747
Risk Factor Questionnaire (RFQ) - used solvents or degreasers 100 days indicator
RFQUsedSlvntsDgrsrs100DaysInd
Has the participant ever used solvents or degreasers for at least 100 days at work or home as part of the Risk Factor Questionnaire for Toxicants
In your lifetime, have you used solvents or degreasers 100 or more days at work or at home?
Yes;No;
Yes;No;
Alphanumeric
If 'No' skip to Question 10
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
TX2
Risk Factor Questionnaire (RFQ) - Toxicants
Epidemiology/Environmental History
Participant History and Family History
RFQ Toxicants Q9
 
Single Pre-Defined Value Selected
       
C08748
Risk Factor Questionnaire (RFQ) - started using solvents or degreasers value
RFQStrtUseSlvntsDgrsrsVal
Age/year the participant started using solvents or degreasers as part of the Risk Factor Questionnaire for Toxicants
If Yes, at what age or year did you first use solvents or degreasers?
  
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
TX2aAge
TX2aYr
Risk Factor Questionnaire (RFQ) - Toxicants
Epidemiology/Environmental History
Participant History and Family History
RFQ Toxicants Q9a
 
Free-Form Entry
       
C08749
Risk Factor Questionnaire (RFQ) - stopped using solvents or degreasers value
RFQStpUseSlvntsDgrsrsVal
Age/year the participant stopped using solvents or degreasers as part of the Risk Factor Questionnaire for Toxicants
If Yes, at what age or year did you stop using solvents or degreasers?
  
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
TX2bAge
TX2bYr
Risk Factor Questionnaire (RFQ) - Toxicants
Epidemiology/Environmental History
Participant History and Family History
RFQ Toxicants Q9b
 
Free-Form Entry
       
C10469
Risk Factor Questionnaire (RFQ) - currently using solvents degreasers indicator
RFQCrrntlyUsingSlvntsDgrsrsInd
Currently using solvents or degreasers as part of the Risk Factor Questionnaire for Toxicants
If Yes, at what age or year did you stop using solvents or degreasers?
Currently Use selected/checked;"Currently Use" NOT selected/checked;
Currently Use selected/checked;"Currently Use" NOT selected/checked;
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
TXLabelCurr1
Risk Factor Questionnaire (RFQ) - Toxicants
Epidemiology/Environmental History
Participant History and Family History
RFQ Toxicants Q9b currently use indicator
 
Single Pre-Defined Value Selected
       
C08750
Risk Factor Questionnaire (RFQ) - year not regularly using solvents or degreasers indicator
RFQYrNtRegUseSlvntsDgrsrsInd
Periods of a year or more when the participant did not regularly use solvents or degreasers as part of the Risk Factor Questionnaire for Toxicants
Were there periods of a year or more when you did NOT regularly use solvents or degreasers?
Yes;No;
Yes;No;
Alphanumeric
If 'No' skip to Question 11
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
TX2c
Risk Factor Questionnaire (RFQ) - Toxicants
Epidemiology/Environmental History
Participant History and Family History
RFQ Toxicants Q10
 
Single Pre-Defined Value Selected
       
C08751
Risk Factor Questionnaire (RFQ) - age stopped regularly using solvents or degreasers period 1 value
RFQAgStpRgUseSlvntDgrsrPer1Val
Age when the participant stopped regularly using solvents or degreasers period 1 as part of the Risk Factor Questionnaire for Toxicants
If Yes, what ages were you when you did NOT use solvents or degreasers?
  
Numeric Values
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
TX2c1start1
TX2c1stop1
Risk Factor Questionnaire (RFQ) - Toxicants
Epidemiology/Environmental History
Participant History and Family History
RFQ Toxicants Q10a
 
Free-Form Entry
  
year
    
C08752
Risk Factor Questionnaire (RFQ) - age stopped regularly using solvents or degreasers period 2 value
RFQAgStpRgUseSlvntDgrsrPer2Val
Age when the participant stopped regularly using solvents or degreasers period 2 as part of the Risk Factor Questionnaire for Toxicants
If Yes, what ages were you when you did NOT use solvents or degreasers?
  
Numeric Values
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
TX2c1start2
TX2c1stop2
Risk Factor Questionnaire (RFQ) - Toxicants
Epidemiology/Environmental History
Participant History and Family History
RFQ Toxicants Q10b
 
Free-Form Entry
  
year
    
C08753
Risk Factor Questionnaire (RFQ) - age stopped regularly using solvents or degreasers period 3 value
RFQAgStpRgUseSlvntDgrsrPer3Val
Age when the participant stopped regularly using solvents or degreasers period 3 as part of the Risk Factor Questionnaire for Toxicants
If Yes, what ages were you when you did NOT use solvents or degreasers?
  
Numeric Values
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
TX2c1start3
TX2c1stop3
Risk Factor Questionnaire (RFQ) - Toxicants
Epidemiology/Environmental History
Participant History and Family History
RFQ Toxicants Q10c
 
Free-Form Entry
  
year
    
11-23-2017
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