CDE Detailed Report

Disease: Huntington's Disease
Sub-Domain: Epidemiology/Environmental History
CRF: Risk Factor Questionnaire (RFQ) - NSAIDS and Calcium Channel Blockers (CCB)

Displaying 51 - 58 of 58
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
C08559 Risk Factor Questionnaire (RFQ) - taken Felodipine Plendil reason RFQTknFelodipinePlendilRsn Reason took Felodipine or Plendil as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) Reason took Felodipine or Plendil as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) Why did you take Felodipine or Plendil? Alphanumeric

Only answer if yes for 'CCB Q1', otherwise leave rest of form blank.

Epi Info: http://wwwn.cdc.gov/epiinfo/index.htm RFQ-U CRFs, Version 1.0 developed by the Epidemiology Working Group of the collaborative centers for PD. Adult Supplemental 3.00 2013-07-18 09:11:50.26 Risk Factor Questionnaire (RFQ) - NSAIDS and Calcium Channel Blockers (CCB) Epidemiology/Environmental History Participant History and Family History 255

Free-Form Entry

C17712 Risk Factor Questionnaire (RFQ) - age started regularly taking CCB medication period 3 value RFQAgeStrtRegTkCCBMedcnPer3Val Age when the participant started regularly taking CCB medication period 3 as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) Age when the participant started regularly taking CCB medication period 3 as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) If Yes, what ages were you when you did NOT take any of the medicines listed in question1? Numeric Values Epi Info: http://wwwn.cdc.gov/epiinfo/index.htm RFQ-U CRFs, Version 1.0 developed by the Epidemiology Working Group of the collaborative centers for PD. Adult Supplemental 3.00 2013-08-30 17:06:52.8 Risk Factor Questionnaire (RFQ) - NSAIDS and Calcium Channel Blockers (CCB) Epidemiology/Environmental History Participant History and Family History

Free-Form Entry

year
C08538 Risk Factor Questionnaire (RFQ) - age year started ibuprofen based medication value RFQAgeYrStrtTakIbuBasedMedVal Age/year the participant started regularly taking an ibuprofen-based medication as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) Age/year the participant started regularly taking an ibuprofen-based medication as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) If Yes, at what age (or in what year) did you start regularly taking an ibuprofen-based medication? Numeric Values

Only answer for Age or Year; not both. Age should be answered in years Year should be answered in the 4-digit format

Epi Info: http://wwwn.cdc.gov/epiinfo/index.htm RFQ-U CRFs, Version 1.0 developed by the Epidemiology Working Group of the collaborative centers for PD. Adult Supplemental 3.00 2013-07-18 09:11:50.26 Risk Factor Questionnaire (RFQ) - NSAIDS and Calcium Channel Blockers (CCB) Epidemiology/Environmental History Participant History and Family History

Free-Form Entry

C08570 Risk Factor Questionnaire (RFQ) - year not regularly taking CCB medication indicator RFQYrNtRegTkCCBMedctnInd Periods of a year or more when the participant did NOT regularly take CCB medication as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) Periods of a year or more when the participant did NOT regularly take CCB medication as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) Were there periods of a year or more when you did NOT regularly take any of the medicines listed in question 1? No;Yes No;Yes Alphanumeric

If No, Skip to Question 5a

Epi Info: http://wwwn.cdc.gov/epiinfo/index.htm RFQ-U CRFs, Version 1.0 developed by the Epidemiology Working Group of the collaborative centers for PD. Adult Supplemental 3.00 2013-07-18 09:11:50.26 Risk Factor Questionnaire (RFQ) - NSAIDS and Calcium Channel Blockers (CCB) Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

C08549 Risk Factor Questionnaire (RFQ) - regularly taken anti-inflammatory medication indicator RFQRegTknAntinflamMedInd Has the participant regularly taken anti-inflammatory medications as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) Has the participant regularly taken anti-inflammatory medications as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) Have you ever regularly taken other anti-inflammatory medications? No;Yes No;Yes Alphanumeric

If No, skip to Question 8

Epi Info: http://wwwn.cdc.gov/epiinfo/index.htm RFQ-U CRFs, Version 1.0 developed by the Epidemiology Working Group of the collaborative centers for PD. Adult Supplemental 3.00 2013-07-18 09:11:50.26 Risk Factor Questionnaire (RFQ) - NSAIDS and Calcium Channel Blockers (CCB) Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

C08581 Risk Factor Questionnaire (RFQ) - age stopped regularly taking other CCB medication period 1 value RFQPr1AgeStpRgTkOthrCCBMdcnVal Age when the participant stopped regularly taking other CCB medication period 1 as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) Age when the participant stopped regularly taking other CCB medication period 1 as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) If Yes, what ages were you when you did NOT take any of the medicines listed in question 5? Numeric Values

Enter the 'Start Age' and 'Stop Age' for each period Age should be answered in years Year should be answered in the 4-digit format

Epi Info: http://wwwn.cdc.gov/epiinfo/index.htm RFQ-U CRFs, Version 1.0 developed by the Epidemiology Working Group of the collaborative centers for PD. Adult Supplemental 3.00 2013-07-18 09:11:50.26 Risk Factor Questionnaire (RFQ) - NSAIDS and Calcium Channel Blockers (CCB) Epidemiology/Environmental History Participant History and Family History

Free-Form Entry

year
C08560 Risk Factor Questionnaire (RFQ) - taken Nifedipine Procardia Adalat Afeditab Nifediac Nifedical indicator RFQTknNfpnPcdaAdtAtbNfcNfclInd Taken Nifedipine or Procardia, Adalat, Afeditab, Nifediac, or Nifedical as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) Taken Nifedipine or Procardia, Adalat, Afeditab, Nifediac, or Nifedical as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) Have you ever taken Nifedipine or Procardia, Adalat, Afeditab, Nifediac, Nifedical? No;Yes No;Yes Alphanumeric

If No, Skip to Question 1g

Epi Info: http://wwwn.cdc.gov/epiinfo/index.htm RFQ-U CRFs, Version 1.0 developed by the Epidemiology Working Group of the collaborative centers for PD. Adult Supplemental 3.00 2013-07-18 09:11:50.26 Risk Factor Questionnaire (RFQ) - NSAIDS and Calcium Channel Blockers (CCB) Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

C17713 Risk Factor Questionnaire (RFQ) - age started regularly taking other CCB medication period 1 value RFQAgeStrtRgTkOtrCCBMdcPer1Val Age when the participant started regularly taking other CCB medication period 1 as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) Age when the participant started regularly taking other CCB medication period 1 as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) If Yes, what ages were you when you did NOT take any of the medicines listed in question1? Numeric Values Epi Info: http://wwwn.cdc.gov/epiinfo/index.htm RFQ-U CRFs, Version 1.0 developed by the Epidemiology Working Group of the collaborative centers for PD. Adult Supplemental 3.00 2013-08-30 17:06:52.8 Risk Factor Questionnaire (RFQ) - NSAIDS and Calcium Channel Blockers (CCB) Epidemiology/Environmental History Participant History and Family History

Free-Form Entry

year
CSV