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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: Spinal Cord Injury
SubDisease: Spinal Cord Injury
Sub-Domain: Sleep
CRF: Berlin Questionnaire
Item count: 10 (10 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
C09565
Berlin Questionnaire (BQ) - snore indicator
BQSnoreInd
Whether patient/subject snores as part of BQ form
Do you snore?
Yes;No;Never exposed;
Yes;No;Never exposed;
Alphanumeric
No instructions available
http://www.sleepapnea.org/assets/files/pdf/Berlin%20Questionnaire.pdf
Netzer NC, Stoohs RA, Netzer CM, Clark K, Strohl KP. Using the Berlin Questionnaire to identify patients at risk for the sleep apnea syndrome. Ann Intern Med. 1999 Oct 5;131(7):485-91 Chung F, Yegneswaran B, Liao P, et al. Validation of the Berlin questionnaire and American Society of Anesthesiologists checklist as screening tools for obstructive sleep apnea in surgical patients. Anesthesiology 2008;108:822-830.
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Berlin Questionnaire
Sleep
Outcomes and End Points
Berlin Questionnaire Q1
 
Single Pre-Defined Value Selected
       
C09566
Berlin Questionnaire (BQ) - snore volume type
BQSnoreVolTyp
Description of participant/subject snoring volume level as part of BQ form
Your snoring is:
Slightly louder than breathing;As loud as talking;Louder than talking;Very loud - can be heard in adjacent rooms;
Slightly louder than breathing;As loud as talking;Louder than talking;Very loud - can be heard in adjacent rooms;
Alphanumeric
Answer only if Question #1 was answered Yes
http://www.sleepapnea.org/assets/files/pdf/Berlin%20Questionnaire.pdf
Netzer NC, Stoohs RA, Netzer CM, Clark K, Strohl KP. Using the Berlin Questionnaire to identify patients at risk for the sleep apnea syndrome. Ann Intern Med. 1999 Oct 5;131(7):485-91 Chung F, Yegneswaran B, Liao P, et al. Validation of the Berlin questionnaire and American Society of Anesthesiologists checklist as screening tools for obstructive sleep apnea in surgical patients. Anesthesiology 2008;108:822-830.
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Berlin Questionnaire
Sleep
Outcomes and End Points
Berlin Questionnaire Q2
 
Single Pre-Defined Value Selected
       
C09567
Berlin Questionnaire (BQ) - snore frequency
BQSnoreFreq
Frequency of participant/subject snoring as part of BQ form
How often do you snore?
Nearly every day;3-4 times a week;1-2 times a week;1-2 times a month;Never or nearly never;
Nearly every day;3-4 times a week;1-2 times a week;1-2 times a month;Never or nearly never;
Alphanumeric
Answer only if Question #1 was answered Yes
http://www.sleepapnea.org/assets/files/pdf/Berlin%20Questionnaire.pdf
Netzer NC, Stoohs RA, Netzer CM, Clark K, Strohl KP. Using the Berlin Questionnaire to identify patients at risk for the sleep apnea syndrome. Ann Intern Med. 1999 Oct 5;131(7):485-91 Chung F, Yegneswaran B, Liao P, et al. Validation of the Berlin questionnaire and American Society of Anesthesiologists checklist as screening tools for obstructive sleep apnea in surgical patients. Anesthesiology 2008;108:822-830.
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Berlin Questionnaire
Sleep
Outcomes and End Points
Berlin Questionnaire Q3
 
Single Pre-Defined Value Selected
       
C09568
Berlin Questionnaire (BQ) - snore bother other indicator
BQSnoreBthrOthrInd
Whether participant/subject snoring has ever bothered other people as part of BQ form
Has your snoring ever bothered other people?
Yes;No;Never exposed;
Yes;No;Never exposed;
Alphanumeric
Answer only if Question #1 was answered Yes
http://www.sleepapnea.org/assets/files/pdf/Berlin%20Questionnaire.pdf
Netzer NC, Stoohs RA, Netzer CM, Clark K, Strohl KP. Using the Berlin Questionnaire to identify patients at risk for the sleep apnea syndrome. Ann Intern Med. 1999 Oct 5;131(7):485-91 Chung F, Yegneswaran B, Liao P, et al. Validation of the Berlin questionnaire and American Society of Anesthesiologists checklist as screening tools for obstructive sleep apnea in surgical patients. Anesthesiology 2008;108:822-830.
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Berlin Questionnaire
Sleep
Outcomes and End Points
Berlin Questionnaire Q4
 
Single Pre-Defined Value Selected
       
C09569
Berlin Questionnaire (BQ) - stop breathe sleep status
BQStopBreathSleepStatus
Whether anyone has noticed that participant/subject stops breathing during sleep as part of BQ form
Has anyone noticed that you quit breathing during your sleep?
Nearly every day;3-4 times a week;1-2 times a week;1-2 times a month;Never or nearly never;
Nearly every day;3-4 times a week;1-2 times a week;1-2 times a month;Never or nearly never;
Alphanumeric
Answer only if Question #1 was answered Yes
http://www.sleepapnea.org/assets/files/pdf/Berlin%20Questionnaire.pdf
Netzer NC, Stoohs RA, Netzer CM, Clark K, Strohl KP. Using the Berlin Questionnaire to identify patients at risk for the sleep apnea syndrome. Ann Intern Med. 1999 Oct 5;131(7):485-91 Chung F, Yegneswaran B, Liao P, et al. Validation of the Berlin questionnaire and American Society of Anesthesiologists checklist as screening tools for obstructive sleep apnea in surgical patients. Anesthesiology 2008;108:822-830.
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Berlin Questionnaire
Sleep
Outcomes and End Points
Berlin Questionnaire Q5
 
Single Pre-Defined Value Selected
       
C09570
Berlin Questionnaire (BQ) - feel tired often after sleep status
BQFeelTrdOftAftrSleepStatus
How often patient/subject feels tired or fatigued after sleeping as part of BQ form
How often do you feel tired or fatigued after your sleep?
Nearly every day;3-4 times a week;1-2 times a week;1-2 times a month;Never or nearly never;
Nearly every day;3-4 times a week;1-2 times a week;1-2 times a month;Never or nearly never;
Alphanumeric
No instructions available
http://www.sleepapnea.org/assets/files/pdf/Berlin%20Questionnaire.pdf
Netzer NC, Stoohs RA, Netzer CM, Clark K, Strohl KP. Using the Berlin Questionnaire to identify patients at risk for the sleep apnea syndrome. Ann Intern Med. 1999 Oct 5;131(7):485-91 Chung F, Yegneswaran B, Liao P, et al. Validation of the Berlin questionnaire and American Society of Anesthesiologists checklist as screening tools for obstructive sleep apnea in surgical patients. Anesthesiology 2008;108:822-830.
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Berlin Questionnaire
Sleep
Outcomes and End Points
Berlin Questionnaire Q6
 
Single Pre-Defined Value Selected
       
C09571
Berlin Questionnaire (BQ) - feel tired waking time status
BQFeelTrdWakeTImeStatus
How often does patient/subject feel tired, fatigued or not up to par during waking time as part of BQ form
During your waking time, do you feel tired, fatigued or not up to par?
Nearly every day;3-4 times a week;1-2 times a week;1-2 times a month;Never or nearly never;
Nearly every day;3-4 times a week;1-2 times a week;1-2 times a month;Never or nearly never;
Alphanumeric
No instructions available
http://www.sleepapnea.org/assets/files/pdf/Berlin%20Questionnaire.pdf
Netzer NC, Stoohs RA, Netzer CM, Clark K, Strohl KP. Using the Berlin Questionnaire to identify patients at risk for the sleep apnea syndrome. Ann Intern Med. 1999 Oct 5;131(7):485-91 Chung F, Yegneswaran B, Liao P, et al. Validation of the Berlin questionnaire and American Society of Anesthesiologists checklist as screening tools for obstructive sleep apnea in surgical patients. Anesthesiology 2008;108:822-830.
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Berlin Questionnaire
Sleep
Outcomes and End Points
Berlin Questionnaire Q7
 
Single Pre-Defined Value Selected
       
C09572
Berlin Questionnaire (BQ) - sleep drive indicator
BQSleepDriveInd
Whether patient/subject has ever nodded off or fallen asleep while driving a vehicle as part of BQ form
Have you ever nodded off or fallen asleep while driving a vehicle?
Yes;No;
Yes;No;
Alphanumeric
No instructions available
http://www.sleepapnea.org/assets/files/pdf/Berlin%20Questionnaire.pdf
Netzer NC, Stoohs RA, Netzer CM, Clark K, Strohl KP. Using the Berlin Questionnaire to identify patients at risk for the sleep apnea syndrome. Ann Intern Med. 1999 Oct 5;131(7):485-91 Chung F, Yegneswaran B, Liao P, et al. Validation of the Berlin questionnaire and American Society of Anesthesiologists checklist as screening tools for obstructive sleep apnea in surgical patients. Anesthesiology 2008;108:822-830.
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Berlin Questionnaire
Sleep
Outcomes and End Points
Berlin Questionnaire Q8
 
Single Pre-Defined Value Selected
       
C09573
Berlin Questionnaire (BQ) - sleep drive frequency
BQSleepDriveFreq
How often has patient/subject nodded off or fallen asleep while driving a vehicle as part of BQ form
How often does this occur?
Nearly every day;3-4 times a week;1-2 times a week;1-2 times a month;Never or nearly never;
Nearly every day;3-4 times a week;1-2 times a week;1-2 times a month;Never or nearly never;
Alphanumeric
Answered only if Question #8 was answered Yes
http://www.sleepapnea.org/assets/files/pdf/Berlin%20Questionnaire.pdf
Netzer NC, Stoohs RA, Netzer CM, Clark K, Strohl KP. Using the Berlin Questionnaire to identify patients at risk for the sleep apnea syndrome. Ann Intern Med. 1999 Oct 5;131(7):485-91 Chung F, Yegneswaran B, Liao P, et al. Validation of the Berlin questionnaire and American Society of Anesthesiologists checklist as screening tools for obstructive sleep apnea in surgical patients. Anesthesiology 2008;108:822-830.
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Berlin Questionnaire
Sleep
Outcomes and End Points
Berlin Questionnaire Q9
 
Single Pre-Defined Value Selected
       
C09574
Berlin Questionnaire (BQ) - high blood pressure indicator
BQHiBldPrssrInd
Whether patient/subject has high blood pressure as part of BQ form
Do you have high blood pressure?
Yes;No;Never exposed;
Yes;No;Never exposed;
Alphanumeric
No instructions available
http://www.sleepapnea.org/assets/files/pdf/Berlin%20Questionnaire.pdf
Netzer NC, Stoohs RA, Netzer CM, Clark K, Strohl KP. Using the Berlin Questionnaire to identify patients at risk for the sleep apnea syndrome. Ann Intern Med. 1999 Oct 5;131(7):485-91 Chung F, Yegneswaran B, Liao P, et al. Validation of the Berlin questionnaire and American Society of Anesthesiologists checklist as screening tools for obstructive sleep apnea in surgical patients. Anesthesiology 2008;108:822-830.
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Berlin Questionnaire
Sleep
Outcomes and End Points
Berlin Questionnaire Q10
 
Single Pre-Defined Value Selected
       
12-16-2018
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