CDE Detailed Report

Disease: Parkinson's Disease
Sub-Domain: Other Non-Motor
CRF: Survey Screen for Sleep Apnea (SSSA)

Displaying 1 - 13 of 13
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
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). 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 3.00 2013-07-22 09:34:41.527 Survey Screen for Sleep Apnea (SSSA) Other Non-Motor Outcomes and End Points

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). 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 3.00 2013-07-22 09:34:41.527 Survey Screen for Sleep Apnea (SSSA) Other Non-Motor Outcomes and End Points

Single Pre-Defined Value Selected
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). 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 3.00 2013-07-22 09:34:41.527 Survey Screen for Sleep Apnea (SSSA) Other Non-Motor Outcomes and End Points

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). 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 3.00 2013-07-22 09:34:41.527 Survey Screen for Sleep Apnea (SSSA) Other Non-Motor Outcomes and End Points

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). 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 3.00 2013-07-22 09:34:41.527 Survey Screen for Sleep Apnea (SSSA) Other Non-Motor Outcomes and End Points

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). 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 3.00 2013-07-22 09:34:41.527 Survey Screen for Sleep Apnea (SSSA) Other Non-Motor Outcomes and End Points

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). 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 3.00 2013-07-22 09:34:41.527 Survey Screen for Sleep Apnea (SSSA) Other Non-Motor Outcomes and End Points

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). 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 3.00 2013-07-22 09:34:41.527 Survey Screen for Sleep Apnea (SSSA) Other Non-Motor Outcomes and End Points

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). 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 3.00 2013-07-22 09:34:41.527 Survey Screen for Sleep Apnea (SSSA) Other Non-Motor Outcomes and End Points

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). 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 3.00 2013-07-22 09:34:41.527 Survey Screen for Sleep Apnea (SSSA) Other Non-Motor Outcomes and End Points

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). 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 3.00 2013-07-22 09:34:41.527 Survey Screen for Sleep Apnea (SSSA) Other Non-Motor Outcomes and End Points

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). 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 3.00 2013-07-22 09:34:41.527 Survey Screen for Sleep Apnea (SSSA) Other Non-Motor Outcomes and End Points

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). 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 3.00 2013-07-22 09:34:41.527 Survey Screen for Sleep Apnea (SSSA) Other Non-Motor Outcomes and End Points

Single Pre-Defined Value Selected
CSV