C08664
Risk Factor Questionnaire (RFQ) - residential history age 0 17 first residence zip code number
Number specifying the participant's/subject's first zip code of residence
Supplemental
Risk Factor Questionnaire (RFQ) - Residential History
False
Cerebral Palsy
Cerebral Palsy
C08665
Risk Factor Questionnaire (RFQ) - birth age 17 residential history first residence country text
Text specifying the participant's/subject's first country of residence
Supplemental
Risk Factor Questionnaire (RFQ) - Residential History
False
Cerebral Palsy
Cerebral Palsy
C08666
Risk Factor Questionnaire (RFQ) - birth age 17 residential history first residence location type
Type describing the participant's/subject's first location of residence
Supplemental
Risk Factor Questionnaire (RFQ) - Residential History
False
Cerebral Palsy
Cerebral Palsy
C00702
Alcohol use started age value
Age in years when participant/subject started ingesting alcoholic beverages, including social drinking
Supplemental
Behavioral History
False
Cerebral Palsy
Cerebral Palsy
C00703
Tobacco use started age value
Age in years when participant/subject started using tobacco products (e.g., cigarettes, cigars, chewing tobacco or pipe)
Supplemental
Behavioral History
False
Cerebral Palsy
Cerebral Palsy
C00705
Alcohol current use indicator
Indicator of whether the participant/subject consumed at least one alcoholic drink within the past 12 months
Supplemental
Behavioral History
False
Cerebral Palsy
Cerebral Palsy
C00714
Behavioral history assessment date and time
Date (and time, if applicable and known) the participant/subject behavioral history was taken
Supplemental
Behavioral History
False
Cerebral Palsy
Cerebral Palsy
C00700
Alcohol use stopped age value
Age in years when participant/subject stopped ingesting alcoholic beverages, including social drinking
Supplemental
Behavioral History
False
Cerebral Palsy
Cerebral Palsy
C00708
Alcohol use related to hospitalization indicator
Indicator of whether the participant/subject has been hospitalized for an alcohol-related problem (i.e., esophageal varices, delirium tremens (DTs), cirrhosis and others)
Supplemental
Behavioral History
False
Cerebral Palsy
Cerebral Palsy
C00701
Tobacco use stopped age value
Age in years when participant/subject stopped using tobacco products (e.g., cigarettes, cigars, chewing tobacco or pipe)
Supplemental
Behavioral History
False
Cerebral Palsy
Cerebral Palsy
C00709
Tobacco cigarettes smoked daily average number
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?)
Supplemental
Behavioral History
False
Cerebral Palsy
Cerebral Palsy
C00704
Alcohol drinking day average drinks consumed range
The counted number of drinks containing alcohol consumed by the participant/subject on a typical day when he/she is drinking. 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
Supplemental
Behavioral History
False
Cerebral Palsy
Cerebral Palsy
C00707
Alcohol consume six or more drinks frequency
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
Supplemental
Behavioral History
False
Cerebral Palsy
Cerebral Palsy
C00730
Alcohol use frequency
The frequency of consumption of alcohol by the participant
Supplemental-Highly Recommended
Behavioral History
False
Cerebral Palsy
Cerebral Palsy
C00327
Prior traumatic injury indicator
Indicator of prior traumatic injury found either historically, previous emergency department visits, radiographic findings, or signs or symptoms at time of presentation
Supplemental
Medical History
False
Cerebral Palsy
Cerebral Palsy
C00328
Prior traumatic injury type
General location of traumatic injury, if evidence of prior traumatic injury
Supplemental
Medical History
False
Cerebral Palsy
Cerebral Palsy
C00028
Language spoken fluent ISO code
Code (ISO 639-2)for each language that the participant/subject speaks fluently
Supplemental
Demographics
False
Cerebral Palsy
Cerebral Palsy
C05135
Therapy rehabilitation end date time
Date (and time, if applicable and known) on which the therapy or rehabilitation ended
Supplemental
Rehabilitation Therapies - Episodes of care
False
Cerebral Palsy
Cerebral Palsy
C00710
Tobacco current use indicator
Indicator for whether the participant/subject regularly uses tobacco products (e.g., cigarettes, cigars, chewing tobacco or pipe) at the present time
Supplemental-Highly Recommended
Behavioral History
False
Cerebral Palsy
Cerebral Palsy
C00711
Tobacco prior use indicator
Indicator of the participant's/subject's past regular tobacco (e.g., cigarettes, cigars, chewing tobacco or pipe) use prior to the past 12 months
Supplemental-Highly Recommended
Behavioral History
False
Cerebral Palsy
Cerebral Palsy
C00713
Drug or substance current illicit use indicator
Indicator of participant's/subject's use of illegal drugs, prescription or over-the-counter drugs in the past year for purposes other than those for which they are meant to be used, or in large amounts
Supplemental-Highly Recommended
Behavioral History
False
Cerebral Palsy
Cerebral Palsy
C05460
Seizure indicator
Indicator of seizure activity
Supplemental
Medical History
False
Cerebral Palsy
Cerebral Palsy
C00706
Alcohol prior use indicator
Indicator of the participant's/subject's alcohol consumption prior to the past 12 months
Supplemental
Behavioral History
False
Cerebral Palsy
Cerebral Palsy
C05130
Therapy or rehabilitation type
Type of therapy or rehabilitation services received by the participant/subject
Supplemental
Rehabilitation Therapies - Episodes of care
False
Cerebral Palsy
Cerebral Palsy
C00719
Tobacco product used type
Type of tobacco product (e.g., cigarettes, cigars, chewing tobacco or pipe) used by the participant/subject
Supplemental
Behavioral History
False
Cerebral Palsy
Cerebral Palsy