of0
Export
 
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: Other Non-Motor
CRF: Survey Screen for Sleep Apnea (SSSA)
Item count: 13 (13 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
C09552
Survey Screen for Sleep Apnea (SSSA) - loud snore frequency
SSSALoudSnreFreq
The frequency for how often the participant has snored loudly in the last month as part of the Survey Screen for Sleep Apnea (SSSA).
Loud snoring
0;1;2;3;4;Unknown;
Never;Rarely (less than once a week);Sometimes (1-2 times per week);Frequently (3-4 times per week);Always (5-7 times per week);Do not know;
Alphanumeric
During the last month, on how many nights or days per week have you had or been told you had the following (please check only one box per question)
Maislin G, Pack AI, Kribbs NB, et al. A survey screen for prediction of apnea. Sleep 1995;18:158-166. The Multivariable Apnea Prediction (MAP) Index and computing tools were developed by the Human Assessment and Biostatistics Core of the Center for Sleep and Respiratory Biology, University of Pennsylvania Medical Center. Research was supported the SCOR in Cardiopulmonary Disorders in Sleep (HL42236-08) and then by the SCOR for the Neurobiology of Sleep and Sleep Apnea (P50 HL-60287)
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Survey Screen for Sleep Apnea (SSSA)
Other Non-Motor
Outcomes and End Points
SSSA Q1
 
Single Pre-Defined Value Selected
       
C09553
Survey Screen for Sleep Apnea (SSSA) - morning headache frequency
SSSAMornHeadachFreq
The frequency for how often the participant has experienced morning headaches in the last month as part of the Survey Screen for Sleep Apnea (SSSA).
Morning headaches
0;1;2;3;4;Unknown;
Never;Rarely (less than once a week);Sometimes (1-2 times per week);Frequently (3-4 times per week);Always (5-7 times per week);Do not know;
Alphanumeric
During the last month, on how many nights or days per week have you had or been told you had the following (please check only one box per question)
Maislin G, Pack AI, Kribbs NB, et al. A survey screen for prediction of apnea. Sleep 1995;18:158-166. The Multivariable Apnea Prediction (MAP) Index and computing tools were developed by the Human Assessment and Biostatistics Core of the Center for Sleep and Respiratory Biology, University of Pennsylvania Medical Center. Research was supported the SCOR in Cardiopulmonary Disorders in Sleep (HL42236-08) and then by the SCOR for the Neurobiology of Sleep and Sleep Apnea (P50 HL-60287)
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Survey Screen for Sleep Apnea (SSSA)
Other Non-Motor
Outcomes and End Points
SSSA Q10
 
Single Pre-Defined Value Selected
       
C09554
Survey Screen for Sleep Apnea (SSSA) - fall asleep while drive frequency
SSSAFallAslpWhleDrvFreq
The frequencies for how often the participant has fallen asleep while driving in the last month as part of the Survey Screen for Sleep Apnea (SSSA).
Falling asleep while driving
0;1;2;3;4;Unknown;
Never;Rarely (less than once a week);Sometimes (1-2 times per week);Frequently (3-4 times per week);Always (5-7 times per week);Do not know;
Alphanumeric
During the last month, on how many nights or days per week have you had or been told you had the following (please check only one box per question)
Maislin G, Pack AI, Kribbs NB, et al. A survey screen for prediction of apnea. Sleep 1995;18:158-166. The Multivariable Apnea Prediction (MAP) Index and computing tools were developed by the Human Assessment and Biostatistics Core of the Center for Sleep and Respiratory Biology, University of Pennsylvania Medical Center. Research was supported the SCOR in Cardiopulmonary Disorders in Sleep (HL42236-08) and then by the SCOR for the Neurobiology of Sleep and Sleep Apnea (P50 HL-60287)
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Survey Screen for Sleep Apnea (SSSA)
Other Non-Motor
Outcomes and End Points
SSSA Q11
 
Single Pre-Defined Value Selected
       
C09555
Survey Screen for Sleep Apnea (SSSA) - paralyze short period fall asleep awake frequency
SSSAPrylzShrtPdFallAslpAwkFreq
The frequency for how often the participant has felt paralyzed (unable to move for short periods) when falling asleep or awakening in the last month as part of the Survey Screen for Sleep Apnea (SSSA).
Feeling paralyzed unable to move for short periods when falling asleep or awakening
0;1;2;3;4;Unknown;
Never;Rarely (less than once a week);Sometimes (1-2 times per week);Frequently (3-4 times per week);Always (5-7 times per week);Do not know;
Alphanumeric
During the last month, on how many nights or days per week have you had or been told you had the following (please check only one box per question)
Maislin G, Pack AI, Kribbs NB, et al. A survey screen for prediction of apnea. Sleep 1995;18:158-166. The Multivariable Apnea Prediction (MAP) Index and computing tools were developed by the Human Assessment and Biostatistics Core of the Center for Sleep and Respiratory Biology, University of Pennsylvania Medical Center. Research was supported the SCOR in Cardiopulmonary Disorders in Sleep (HL42236-08) and then by the SCOR for the Neurobiology of Sleep and Sleep Apnea (P50 HL-60287)
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Survey Screen for Sleep Apnea (SSSA)
Other Non-Motor
Outcomes and End Points
SSSA Q12
 
Single Pre-Defined Value Selected
       
C09556
Survey Screen for Sleep Apnea (SSSA) - vivid dream state awake frequency
SSSAVivdDrmStateAwkeFreq
The frequency for how often the participant has found his or herself in a vivid dreamlike state when falling asleep or awakening even though he or she knows he or she is awake in the last month as part of the Survey Screen for Sleep Apnea (SSSA).
Find yourself in a vivid dreamlike state when falling asleep or awakening even though you know you are awake
0;1;2;3;4;Unknown;
Never;Rarely (less than once a week);Sometimes (1-2 times per week);Frequently (3-4 times per week);Always (5-7 times per week);Do not know;
Alphanumeric
During the last month, on how many nights or days per week have you had or been told you had the following (please check only one box per question)
Maislin G, Pack AI, Kribbs NB, et al. A survey screen for prediction of apnea. Sleep 1995;18:158-166. The Multivariable Apnea Prediction (MAP) Index and computing tools were developed by the Human Assessment and Biostatistics Core of the Center for Sleep and Respiratory Biology, University of Pennsylvania Medical Center. Research was supported the SCOR in Cardiopulmonary Disorders in Sleep (HL42236-08) and then by the SCOR for the Neurobiology of Sleep and Sleep Apnea (P50 HL-60287)
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Survey Screen for Sleep Apnea (SSSA)
Other Non-Motor
Outcomes and End Points
SSSA Q13
 
Single Pre-Defined Value Selected
       
C09557
Survey Screen for Sleep Apnea (SSSA) - jumpy jerk leg frequency
SSSAJumpyJrkLegFreq
The frequency for how often the participant's legs felt jumpy or jerked in the last month as part of the Survey Screen for Sleep Apnea (SSSA).
Your legs feel jumpy or jerk
0;1;2;3;4;Unknown;
Never;Rarely (less than once a week);Sometimes (1-2 times per week);Frequently (3-4 times per week);Always (5-7 times per week);Do not know;
Alphanumeric
During the last month, on how many nights or days per week have you had or been told you had the following (please check only one box per question)
Maislin G, Pack AI, Kribbs NB, et al. A survey screen for prediction of apnea. Sleep 1995;18:158-166. The Multivariable Apnea Prediction (MAP) Index and computing tools were developed by the Human Assessment and Biostatistics Core of the Center for Sleep and Respiratory Biology, University of Pennsylvania Medical Center. Research was supported the SCOR in Cardiopulmonary Disorders in Sleep (HL42236-08) and then by the SCOR for the Neurobiology of Sleep and Sleep Apnea (P50 HL-60287)
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Survey Screen for Sleep Apnea (SSSA)
Other Non-Motor
Outcomes and End Points
SSSA Q2
 
Single Pre-Defined Value Selected
       
C09558
Survey Screen for Sleep Apnea (SSSA) - difficulty fall asleep frequency
SSSADffcltFallAslpFreq
The frequency for how often the participant has had difficulty falling asleep in the last month as part of the Survey Screen for Sleep Apnea (SSSA).
Difficulty falling asleep
0;1;2;3;4;Unknown;
Never;Rarely (less than once a week);Sometimes (1-2 times per week);Frequently (3-4 times per week);Always (5-7 times per week);Do not know;
Alphanumeric
During the last month, on how many nights or days per week have you had or been told you had the following (please check only one box per question)
Maislin G, Pack AI, Kribbs NB, et al. A survey screen for prediction of apnea. Sleep 1995;18:158-166. The Multivariable Apnea Prediction (MAP) Index and computing tools were developed by the Human Assessment and Biostatistics Core of the Center for Sleep and Respiratory Biology, University of Pennsylvania Medical Center. Research was supported the SCOR in Cardiopulmonary Disorders in Sleep (HL42236-08) and then by the SCOR for the Neurobiology of Sleep and Sleep Apnea (P50 HL-60287)
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Survey Screen for Sleep Apnea (SSSA)
Other Non-Motor
Outcomes and End Points
SSSA Q3
 
Single Pre-Defined Value Selected
       
C09559
Survey Screen for Sleep Apnea (SSSA) - frequent wake frequency
SSSAFreqWakeFreq
The frequency for how often the participant has more frequent awakenings at night in the last month as part of the Survey Screen for Sleep Apnea (SSSA).
Frequent awakenings
0;1;2;3;4;Unknown;
Never;Rarely (less than once a week);Sometimes (1-2 times per week);Frequently (3-4 times per week);Always (5-7 times per week);Do not know;
Alphanumeric
During the last month, on how many nights or days per week have you had or been told you had the following (please check only one box per question)
Maislin G, Pack AI, Kribbs NB, et al. A survey screen for prediction of apnea. Sleep 1995;18:158-166. The Multivariable Apnea Prediction (MAP) Index and computing tools were developed by the Human Assessment and Biostatistics Core of the Center for Sleep and Respiratory Biology, University of Pennsylvania Medical Center. Research was supported the SCOR in Cardiopulmonary Disorders in Sleep (HL42236-08) and then by the SCOR for the Neurobiology of Sleep and Sleep Apnea (P50 HL-60287)
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Survey Screen for Sleep Apnea (SSSA)
Other Non-Motor
Outcomes and End Points
SSSA Q4
 
Single Pre-Defined Value Selected
       
C09560
Survey Screen for Sleep Apnea (SSSA) - snort gasp frequency
SSSASnrtGspFreq
The frequency for how often the participant has experienced snorting or gasping in his or her sleep in the last month as part of the Survey Screen for Sleep Apnea (SSSA).
Snorting or gasping
0;1;2;3;4;Unknown;
Never;Rarely (less than once a week);Sometimes (1-2 times per week);Frequently (3-4 times per week);Always (5-7 times per week);Do not know;
Alphanumeric
During the last month, on how many nights or days per week have you had or been told you had the following (please check only one box per question)
Maislin G, Pack AI, Kribbs NB, et al. A survey screen for prediction of apnea. Sleep 1995;18:158-166. The Multivariable Apnea Prediction (MAP) Index and computing tools were developed by the Human Assessment and Biostatistics Core of the Center for Sleep and Respiratory Biology, University of Pennsylvania Medical Center. Research was supported the SCOR in Cardiopulmonary Disorders in Sleep (HL42236-08) and then by the SCOR for the Neurobiology of Sleep and Sleep Apnea (P50 HL-60287)
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Survey Screen for Sleep Apnea (SSSA)
Other Non-Motor
Outcomes and End Points
SSSA Q5
 
Single Pre-Defined Value Selected
       
C09561
Survey Screen for Sleep Apnea (SSSA) - fall asleep work frequency
SSSAFallAslpWrkFreq
The frequency for how often the participant has fallen asleep at work in the last month as part of the Survey Screen for Sleep Apnea (SSSA).
Falling asleep when at work
0;1;2;3;4;Unknown;
Never;Rarely (less than once a week);Sometimes (1-2 times per week);Frequently (3-4 times per week);Always (5-7 times per week);Do not know;
Alphanumeric
During the last month, on how many nights or days per week have you had or been told you had the following (please check only one box per question)
Maislin G, Pack AI, Kribbs NB, et al. A survey screen for prediction of apnea. Sleep 1995;18:158-166. The Multivariable Apnea Prediction (MAP) Index and computing tools were developed by the Human Assessment and Biostatistics Core of the Center for Sleep and Respiratory Biology, University of Pennsylvania Medical Center. Research was supported the SCOR in Cardiopulmonary Disorders in Sleep (HL42236-08) and then by the SCOR for the Neurobiology of Sleep and Sleep Apnea (P50 HL-60287)
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Survey Screen for Sleep Apnea (SSSA)
Other Non-Motor
Outcomes and End Points
SSSA Q6
 
Single Pre-Defined Value Selected
       
C09562
Survey Screen for Sleep Apnea (SSSA) - frequent toss turn thrash frequency
SSSAFreqTssTrnThrshFreq
The frequency for how often the participant has tossed, turned, or thrashed in their sleep more frequently in the past month as part of the Survey Screen for Sleep Apnea (SSSA).
Frequent tossing turning or thrashing
0;1;2;3;4;Unknown;
Never;Rarely (less than once a week);Sometimes (1-2 times per week);Frequently (3-4 times per week);Always (5-7 times per week);Do not know;
Alphanumeric
During the last month, on how many nights or days per week have you had or been told you had the following (please check only one box per question)
Maislin G, Pack AI, Kribbs NB, et al. A survey screen for prediction of apnea. Sleep 1995;18:158-166. The Multivariable Apnea Prediction (MAP) Index and computing tools were developed by the Human Assessment and Biostatistics Core of the Center for Sleep and Respiratory Biology, University of Pennsylvania Medical Center. Research was supported the SCOR in Cardiopulmonary Disorders in Sleep (HL42236-08) and then by the SCOR for the Neurobiology of Sleep and Sleep Apnea (P50 HL-60287)
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Survey Screen for Sleep Apnea (SSSA)
Other Non-Motor
Outcomes and End Points
SSSA Q7
 
Single Pre-Defined Value Selected
       
C09563
Survey Screen for Sleep Apnea (SSSA) - breathe stop choke struggle frequency
SSSABreathStpChkeStrugFreq
The frequency for how often the participant has stopped breathing or choked or struggle to catch his or breath during sleep in the last month as part of the Survey Screen for Sleep Apnea (SSSA).
Your breathing stops or you choke or struggle for breath
0;1;2;3;4;Unknown;
Never;Rarely (less than once a week);Sometimes (1-2 times per week);Frequently (3-4 times per week);Always (5-7 times per week);Do not know;
Alphanumeric
During the last month, on how many nights or days per week have you had or been told you had the following (please check only one box per question)
Maislin G, Pack AI, Kribbs NB, et al. A survey screen for prediction of apnea. Sleep 1995;18:158-166. The Multivariable Apnea Prediction (MAP) Index and computing tools were developed by the Human Assessment and Biostatistics Core of the Center for Sleep and Respiratory Biology, University of Pennsylvania Medical Center. Research was supported the SCOR in Cardiopulmonary Disorders in Sleep (HL42236-08) and then by the SCOR for the Neurobiology of Sleep and Sleep Apnea (P50 HL-60287)
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Survey Screen for Sleep Apnea (SSSA)
Other Non-Motor
Outcomes and End Points
SSSA Q8
 
Single Pre-Defined Value Selected
       
C09564
Survey Screen for Sleep Apnea (SSSA) - excessive sleep frequency
SSSAExcssveSlpFreq
The frequency for how often the participant has felt excessive sleepiness throughout the day during the last month as part of the Survey Screen for Sleep Apnea (SSSA).
Excessive sleepiness
0;1;2;3;4;Unknown;
Never;Rarely (less than once a week);Sometimes (1-2 times per week);Frequently (3-4 times per week);Always (5-7 times per week);Do not know;
Alphanumeric
During the last month, on how many nights or days per week have you had or been told you had the following (please check only one box per question)
Maislin G, Pack AI, Kribbs NB, et al. A survey screen for prediction of apnea. Sleep 1995;18:158-166. The Multivariable Apnea Prediction (MAP) Index and computing tools were developed by the Human Assessment and Biostatistics Core of the Center for Sleep and Respiratory Biology, University of Pennsylvania Medical Center. Research was supported the SCOR in Cardiopulmonary Disorders in Sleep (HL42236-08) and then by the SCOR for the Neurobiology of Sleep and Sleep Apnea (P50 HL-60287)
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Survey Screen for Sleep Apnea (SSSA)
Other Non-Motor
Outcomes and End Points
SSSA Q9
 
Single Pre-Defined Value Selected
       
07-20-2019
Page 1 of 1