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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: Parkinson's Disease
Sub-Domain: Epidemiology/Environmental History
CRF: Non-prescribed Drug Use Questionnaire
Item count: 7 (7 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
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
Sedatives (e.g., sleeping pills, barbiturates, Seconal, Quaaludes, or Chloral Hydrate);Tranquilizers or anti-anxiety drugs (e.g., Valium, Librium, muscle relaxants, or Zanax);Painkillers (e.g., Codeine, Darvon, Percodan, Dilaudid, or Demerol);Stimulants (e.g., Preludin, Benzedrine, Methadrine, uppers, or speed);Marijuana, hash, THC, or grass;Cocaine or crack;Hallucinogens (e.g., Ecstasy, LSD, mescaline, psilocybin, PCP, angel dust, or peyote);Inhalants or Solvents (e.g., amyl nitrate, nitrous oxide, glue, toluene, or gasoline;Heroin;Other, specify (e.g., Methadone, Elavil, steroids, Thorazine, or Haldol);
Sedatives (e.g., sleeping pills, barbiturates, Seconal, Quaaludes, or Chloral Hydrate);Tranquilizers or anti-anxiety drugs (e.g., Valium, Librium, muscle relaxants, or Zanax);Painkillers (e.g., Codeine, Darvon, Percodan, Dilaudid, or Demerol);Stimulants (e.g., Preludin, Benzedrine, Methadrine, uppers, or speed);Marijuana, hash, THC, or grass;Cocaine or crack;Hallucinogens (e.g., Ecstasy, LSD, mescaline, psilocybin, PCP, angel dust, or peyote);Inhalants or Solvents (e.g., amyl nitrate, nitrous oxide, glue, toluene, or gasoline;Heroin;Other, specify (e.g., Methadone, Elavil, steroids, Thorazine, or Haldol);
Alphanumeric
No instructions available
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
 
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
No instructions available
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
 
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
No instructions available
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
Year First Used
  
Date or Date & Time
No instructions available
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.
Year Last Used
  
Date or Date & Time
No instructions available
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
No instructions available
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
No instructions available
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
       
07-20-2019
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