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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: Sport Related Concussion
SubDisease: Comprehensive
Sub-Domain: General Health History
CRF: Substance Use
Item count: 12 (12 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
C00730
Alcohol use frequency
AlcUseFreq
The frequency of consumption of alcohol by the participant.
How often do you have a drink containing alcohol?
Never;Monthly or less;2 to 4 times a month;2 to 3 times a week;4 or more times a week;
Never;Monthly or less;2 to 4 times a month;2 to 3 times a week;4 or more times a week;
Alphanumeric
No instructions available
No references available
Adult
Supplemental
3.0
7/18/2013
ALCHL_USE_FRQ
Substance Use
General Health History
Participant History and Family History
Alcohol use frequency
 
Single Pre-Defined Value Selected
     
3171627
 
C00707
Alcohol consume six or more drinks frequency
AlcConsume6MoreDrinkFreq
The rate of occurrence for when the participant/subject consumes six or more drinks containing alcohol on one occasion. It is noted that the meaning of "drinks consumed" differs from one nation and culture to another, so the most common alcoholic beverages likely to be consumed will be defined as well as quantity of each that constitutes a drink (approximately 10 grams of pure ethanol). For example, one bottle of beer (330 ml at 5% ethanol), a glass of wine (140 ml at 12% ethanol), and a shot of spirits (40 ml at 40% ethanol) represent a standard drink of about 13 g of ethanol.
How often do you have six or more drinks on one occasion?
Never;Less than monthly;Monthly;Weekly;Daily or almost daily;
Never;Less than monthly;Monthly;Weekly;Daily or almost daily;
Alphanumeric
No instructions available
No references available
Adult
Supplemental
3.0
7/18/2013
ALCHL_FIVE_MOR_FRQ
Substance Use
General Health History
Participant History and Family History
Alcohol consume six or more drinks frequency
 
Single Pre-Defined Value Selected
     
3171659
 
C16162
Tobacco days smoked in past 30 days count
TobcoDaysSmokedPast30DaysCt
Number of days during PAST 30 DAYS that participant/subject smoked a cigarette.
Have you used tobacco in the past month?
Yes;No;
Yes;No;
Numeric Values
Indicate if participant has used tobacco in the past month.
No references available
Adult
Supplemental
3.0
6/11/2013
Aliases for variable name not defined
Substance Use
General Health History
Participant History and Family History
Tobacco days smoked in past 30 days count
 
Free-Form Entry
  
day
    
C06102
Tobacco smoke history status
TobccoSmkeHistStatus
Qualitative categorization of the participant's/subject's smoking history
Tobacco history:
Never smoked;Former smoker;Current smoker;Unknown;
Never smoked;Former smoker;Current smoker;Unknown;
Alphanumeric
No instructions available
No references available
Adult
Supplemental
3.0
7/17/2013
SMOKNGHX
Substance Use
General Health History
Participant History and Family History
Tobacco smoking history status
 
Single Pre-Defined Value Selected
       
C06103
Tobacco smoke quit date
TobccoSmkeQuitDate
Date (and time, if applicable and known) the participant/subject quit smoking
If a former smoker, which year did you quit smoking?
  
Date or Date & Time
No instructions available
No references available
Adult
Supplemental
3.0
7/17/2013
SMKQITYR
Substance Use
General Health History
Participant History and Family History
Tobacco smoking quit date and time
 
Free-Form Entry
       
C00718
Tobacco use duration
TobcoUseDur
Duration in years participant/subject has used tobacco products (e.g. cigarettes, cigars, chewing tobacco or pipe)
If a former or current smoker, for how many years did (have) you smoked?
  
Numeric Values
No instructions available
No references available
Adult
Supplemental
3.0
7/20/2013
SCI CDEs: SMKNOYRS
Substance Use
General Health History
Participant History and Family History
Tobacco use duration
 
Free-Form Entry
0
99
year
    
C00709
Tobacco cigarettes smoked daily average number
TobcoCigaretSmokedDlyAvgNum
Average number of cigarettes the participant/subject smokes daily (On the days you smoked cigarettes during the past 30 days, how many cigarettes did you smoke per day, on average?)
If a former or current smoker, on average how many cigarettes do (did) you smoke on a daily basis:
  
Alphanumeric
No instructions available
No references available
Adult
Supplemental
3.0
7/18/2013
SCI CDEs: NOCIGRTS
Substance Use
General Health History
Participant History and Family History
Tobacco cigarettes smoked daily average count
 
Single Pre-Defined Value Selected
     
3170853
 
C06106
Tobacco cigar smoke daily average value
TobccoCigrSmkeDailyAvgVal
If participant is a former or current smoker, documents the average number of cigars he/she smokes or did smoke on a daily basis
If a former or current smoker, on average how many cigars do (did) you smoke on a daily basis
  
Numeric Values
No instructions available
No references available
Adult
Supplemental
3.0
7/17/2013
NOCIGARS
Substance Use
General Health History
Participant History and Family History
Tobacco cigars smoked daily average number
 
Free-Form Entry
       
C06107
Tobacco pipe bowl smoke daily average value
TobccoPipeBwlSmkeDailyAvgVal
If participant is a former or current smoker, documents the average number of pipe bowls he/she smokes or did smoke on a daily basis
If a former or current smoker, on average how many pipe bowls do (did) you smoke on a daily basis
  
Numeric Values
No instructions available
No references available
Adult
Supplemental
3.0
7/17/2013
NOPIPES
Substance Use
General Health History
Participant History and Family History
Tobacco pipe bowls smoked daily average number
 
Free-Form Entry
       
C06108
Tobacco smoke pack-year value
TobccoSmkePckYrVal
If participant is a former or current cigarette smoker, documents the number of pack-years of smoking [(average number smoked daily)/20] x (number of years smoked) = pack-years]
For former or current cigarette smokers only, the number of pack-years of smoking: [ (average number of cigarettes smoked daily)/20] x (number of year smoked):
  
Numeric Values
No instructions available
No references available
Adult
Supplemental
3.0
7/17/2013
SMKPCKYR
Substance Use
General Health History
Participant History and Family History
Tobacco smoking pack-years number
 
Free-Form Entry
  
pack-years
    
C22777
Illicit drug indicator
IllctDrgInd
Indicator of subject's use of illicit or non-prescription drugs
During the last 12 months (or during the time since your injury, if year 1 follow-up) did you use any illicit or non-prescription drugs?
No;Yes;Unknown;Refused;
No;Yes;Unknown;Refused;
Numeric Values
No instructions available
No references available
Adult
Supplemental
3.0
7/20/2013
Aliases for variable name not defined
Substance Use
General Health History
Participant History and Family History
  
Single Pre-Defined Value Selected
       
C22778
Illicit drugs used type
IllcitDrgUseTyp
Illicit or non-prescription drugs used by the subject.
If yes for above, please indicate the drugs used:
Crack/Cocaine;Pot/Marijuana;LSD/Hallucinogens;Heroin/Opiates;Speed/Stimulants;Unknown;List other drugs;
Crack/Cocaine;Pot/Marijuana;LSD/Hallucinogens;Heroin/Opiates;Speed/Stimulants;Unknown;List other drugs;
Alphanumeric
No instructions available
No references available
Adult
Supplemental
3.0
7/20/2013
Aliases for variable name not defined
Substance Use
General Health History
Participant History and Family History
  
Multiple Pre-Defined Values Selected
       
12-15-2018
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