CDE Detailed Report
Disease: Parkinson's Disease
Sub-Domain: Epidemiology/Environmental History
CRF: History of Early Exposure
Displaying 1 - 23 of 23
Sub-Domain: Epidemiology/Environmental History
CRF: History of Early Exposure
Displaying 1 - 23 of 23
| CDE ID | CDE Name | Variable Name | Definition | Short Description | Question Text | Permissible Values | Description | Data Type | Disease Specific Instructions | Disease Specific Reference | Population | Classification (e.g., Core) | Version Number | Version Date | CRF Name (CRF Module / Guideline) | Sub Domain Name | Domain Name | Size | Input Restrictions | Min Value | Max Value | Measurement Type | External Id Loinc | External Id Snomed | External Id caDSR | External Id CDISC |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| C08086 | Sibling current age value | SiblingCurntAgeVal | Current age of the living sibling | Current age of the living sibling | If Yes please identify how old this brother sister is now? | Numeric Values | No references available | Adult | Supplemental | 3.00 | 2013-07-22 09:34:41.527 | History of Early Exposure | Epidemiology/Environmental History | Participant History and Family History |
Free-Form Entry |
year | ||||||||||
| C08112 | Birth weight category | BirthWgtCat | Categorization of the participant's/subject's birth weight | Categorization of the participant's/subject's birth weight | What best describes your weight at birth? | Underweight;Average weight;Overweight;Unknown | Underweight;Average weight;Overweight;Unknown | Alphanumeric | No references available | Adult | Supplemental | 3.00 | 2013-07-22 09:34:41.527 | History of Early Exposure | Epidemiology/Environmental History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C08076 | Breastfed indicator | BreastfedInd | Indicator of whether the participant/subject was breastfed by his/her mother | Indicator of whether the participant/subject was breastfed by his/her mother | Did your mother breastfeed you? | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric | No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-07-22 09:34:41.527 | History of Early Exposure | Epidemiology/Environmental History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C08087 | Sibling death age value | SiblingDeathAgeVal | Age of sibling when he/she died | Age of sibling when he/she died | If No please identify how old this brother sister was when s he died? | Numeric Values |
Specify units below |
No references available | Adult | Supplemental | 3.00 | 2013-07-22 09:34:41.527 | History of Early Exposure | Epidemiology/Environmental History | Participant History and Family History |
Free-Form Entry |
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| C08113 | Born prematurely indicator | BornPrematurInd | Indicator of whether the participant/subject was informed by a physician or parent/guardian that he/she was born prematurely | Indicator of whether the participant/subject was informed by a physician or parent/guardian that he/she was born prematurely | Were you told by a doctor or one of your parents that you were born premature? | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric | No references available | Adult | Supplemental | 3.00 | 2013-07-22 09:34:41.527 | History of Early Exposure | Epidemiology/Environmental History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C08077 | Full biological sibling indicator | FullBioSiblingInd | Indicator of whether the participant/subject has any full biological brothers and/or sisters. Full brothers and/or sisters are defined as those with whom a birth mother and father is shared. | Indicator of whether the participant/subject has any full biological brothers and/or sisters. Full brothers and/or sisters are defined as those with whom a birth mother and father is shared. | Do you have any full brother and/or sisters, that is, those with whom you share both birth mother and father? | Yes;No;Unknown | Yes;No (Skip to Preschool Attendance);Unknown | Alphanumeric |
If unknown, skip to Preschool Attendance. Please include brothers and sisters who are living or deceased, but do not include adopted, foster, half, or step brothers or sisters. |
No references available | Adult | Supplemental | 3.00 | 2013-07-22 09:34:41.527 | History of Early Exposure | Epidemiology/Environmental History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C08088 | Age value unit of measure | AgeValUoM | Unit of measure used to initially record the age value | Unit of measure used to initially record the age value | specify units below | Days;Weeks;Months;years | Days;Weeks;Months;years | Alphanumeric | No references available | Adult | Supplemental | 3.00 | 2013-07-22 09:34:41.527 | History of Early Exposure | Epidemiology/Environmental History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C08078 | Full biological sisters number | FullBioSistersNum | Number of full biological sisters the participant/subject has | Number of full biological sisters the participant/subject has | How many full sisters do you have? | Numeric Values |
Please include brothers and sisters who are living or deceased, but do not include adopted, foster, half, or step brothers or sisters. |
No references available | Adult | Supplemental | 3.00 | 2013-07-22 09:34:41.527 | History of Early Exposure | Epidemiology/Environmental History | Participant History and Family History |
Free-Form Entry |
2192217 | |||||||||
| C08104 | Day care attendance indicator | DayCareAttendanceInd | Indicator of whether the participant/subject attended day care outside of the home as a child. | Indicator of whether the participant/subject attended day care outside of the home as a child. | As a child did you attend day care outside of your home? | Yes;No;Unknown | Yes;No (Skip to Question 2);Unknown | Alphanumeric |
If no, skip to Question 2 |
No references available | Adult | Supplemental | 3.00 | 2013-07-22 09:34:41.527 | History of Early Exposure | Epidemiology/Environmental History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C08079 | Full biological brothers number | FullBioBrothersNum | Number of full biological brothers the participant/subject has | Number of full biological brothers the participant/subject has | How many full brothers do you have? | Numeric Values |
Please include brothers and sisters who are living or deceased, but do not include adopted, foster, half, or step brothers or sisters. |
No references available | Adult | Supplemental | 3.00 | 2013-07-22 09:34:41.527 | History of Early Exposure | Epidemiology/Environmental History | Participant History and Family History |
Free-Form Entry |
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| C08105 | Day care start date | DayCareStrtDate | Date participant/subject first started day care outside of home | Date (and time if applicable and known) participant/subject first started day care outside of home | If Yes in what month and year did the child begin and end the first next attendance? | Date or Date & Time | ISO 8601 - http://www.iso.org/iso/iso_catalogue.htm | Adult | Supplemental | 3.00 | 2013-07-22 09:34:41.527 | History of Early Exposure | Epidemiology/Environmental History | Participant History and Family History |
Free-Form Entry |
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| C08080 | Twin sibling indicator | TwinSiblingInd | Indicator of whether the participant/subject has a twin brother or sister | Indicator of whether the participant/subject has a twin brother or sister | Do you have a twin brother or sister? | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric |
If no, skip to Question 3 |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-07-22 09:34:41.527 | History of Early Exposure | Epidemiology/Environmental History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C08106 | Day care end date | DayCareEndDate | Date participant/subject ended day care outside of home | Date (and time if applicable and known) participant/subject ended day care outside of home | If Yes in what month and year did the child begin and end the first next attendance? | Date or Date & Time | ISO 8601 - http://www.iso.org/iso/iso_catalogue.htm | Adult | Supplemental | 3.00 | 2013-07-22 09:34:41.527 | History of Early Exposure | Epidemiology/Environmental History | Participant History and Family History |
Free-Form Entry |
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| C08081 | Twin sibling type | TwinSiblingTyp | Type of twin the participant/subject has | Type of twin the participant/subject has | Are you and your twin identical or not identical? | Identical;Not identical (fraternal);Unknown | Identical;Not identical (fraternal);Unknown | Alphanumeric | No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-07-22 09:34:41.527 | History of Early Exposure | Epidemiology/Environmental History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C08107 | Day care hours per week value | DayCareHoursPerWkVal | Approximate hours per week the participant/subject attended day care as a child | Approximate hours per week the participant/subject attended day care as a child | About how many hours per week does child attend? | Numeric Values | No references available | Adult | Supplemental | 3.00 | 2013-07-22 09:34:41.527 | History of Early Exposure | Epidemiology/Environmental History | Participant History and Family History |
Free-Form Entry |
hour | ||||||||||
| C08082 | Sibling rank type | SiblingRankTyp | Sibling rank order to identify who is the eldest sibling and the second eldest sibling | Sibling rank order to identify who is the eldest sibling and the second eldest sibling | Including yourself, please identify who is the oldest of your siblings? | Eldest;Second Eldest | Eldest;Second Eldest | Alphanumeric | No references available | Adult | Supplemental | 3.00 | 2013-07-22 09:34:41.527 | History of Early Exposure | Epidemiology/Environmental History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C08108 | Preschool attendance indicator | PreschoolAttendanceInd | Indicator of whether the participant/subject attended preschool as a child | Indicator of whether the participant/subject attended preschool as a child | As a child, did you attend preschool? | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric |
If no, end questionnaire |
No references available | Adult | Supplemental | 3.00 | 2013-07-22 09:34:41.527 | History of Early Exposure | Epidemiology/Environmental History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C08083 | Sibling name | SiblingName | Name of the sibling | Name of the sibling | Eldest Name | Alphanumeric | No references available | Adult | Supplemental | 3.00 | 2013-07-22 09:34:41.527 | History of Early Exposure | Epidemiology/Environmental History | Participant History and Family History | 255 |
Free-Form Entry |
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| C08109 | Preschool start date | PreschlStrtDate | Date participant/subject first started preschool | Date (and time if applicable and known) participant/subject first started preschool | If Yes in what month and year did the child begin and end the first next attendance? | Date or Date & Time | ISO 8601 - http://www.iso.org/iso/iso_catalogue.htm | Adult | Supplemental | 3.00 | 2013-07-22 09:34:41.527 | History of Early Exposure | Epidemiology/Environmental History | Participant History and Family History |
Free-Form Entry |
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| C08084 | Sibling gender type | SiblingGenderTyp | Reported gender of the sibling. Gender is the socially constructed identity of sex | Reported gender of the sibling. Gender is the socially constructed identity of sex | Gender | Female;Male;Unknown;Unspecified;Not reported | Female;Male;Unknown;Undifferentiated/Indeterminant/Intersex;Not reported | Alphanumeric |
Choose one. Response is obtained by report of the participant/subject or caretaker. Answer for both eldest and 2nd eldest sibling. |
The NIH Guidelines on Inclusion of Women and Minorities as Subjects in Clinical Research: The Office of Management and Budget (OMB) Directive No. 15 - http://grants.nih.gov/grants/funding/women_min/women_min.htm Prognostic value of demographic characteristics in traumatic brain injury: results from the IMPACT study. Mushkudiani et al J Neurotrauma 2007;24:329-37. Do women fare worse: a meta-analysis of gender differences in traumatic brain injury outcome. Farace et al, J Neurosurg 2000;93:539-545. | Adult | Supplemental | 3.00 | 2013-07-22 09:34:41.527 | History of Early Exposure | Epidemiology/Environmental History | Participant History and Family History |
Single Pre-Defined Value Selected |
2200604 | |||||||
| C08110 | Preschool end date | PreschlEndDate | Date participant/subject ended preschool | Date (and time if applicable and known) participant/subject ended preschool | If Yes in what month and year did the child begin and end the first next attendance? | Date or Date & Time | ISO 8601 - http://www.iso.org/iso/iso_catalogue.htm | Adult | Supplemental | 3.00 | 2013-07-22 09:34:41.527 | History of Early Exposure | Epidemiology/Environmental History | Participant History and Family History |
Free-Form Entry |
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| C08085 | Sibling alive indicator | SiblingAliveInd | Indicator of whether the participant's/subject's sibling is still living | Indicator of whether the participant's/subject's sibling is still living | Is this brother/sister still living? | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric | No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-07-22 09:34:41.527 | History of Early Exposure | Epidemiology/Environmental History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C08111 | Preschool hours per week value | PreschoolHoursPerWkVal | Approximate hours per week the participant/subject attended preschool as a child | Approximate hours per week the participant/subject attended preschool as a child | About how many hours per week does child attend? | Numeric Values | No references available | Adult | Supplemental | 3.00 | 2013-07-22 09:34:41.527 | History of Early Exposure | Epidemiology/Environmental History | Participant History and Family History |
Free-Form Entry |
hour |
