CDE Detailed Report

Disease: Parkinson'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
C08544 Risk Factor Questionnaire (RFQ) - age year started aspirin value RFQAgeYrStrtAsprnVal Age/year the participant started regularly taking aspirin 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 aspirin 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 aspirin? Numeric Values

Age or Year

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

C10465 Risk Factor Questionnaire (RFQ) - currently taking CCB medication indicator RFQCurntTakCCBMedctnInd Indicator whther the participant currently takes CCB medication as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) Indicator whther the participant currently takes CCB medication as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) Currently Take Currently Take Alphanumeric

No instructions available

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

C08555 Risk Factor Questionnaire (RFQ) - treatment hypertension cardiovascular headache Raynauds issue indicator RFQTreatmtHtnCVHdachRIssInd Treatment for high BP, heart problems, angina, chest pain, irregular heartbeat, palpitations, recurrent headache, migraine or Raynaud's as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) Treatment for high BP, heart problems, angina, chest pain, irregular heartbeat, palpitations, recurrent headache, migraine or Raynaud's as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and CCBs Have you ever been treated for high BP, heart problems, angina, chest pain, irregular heartbeat, palpitations, recurrent headache, migraine or Raynaud's? No;Yes No;Yes Alphanumeric

If No, Skip to End Questionnaire

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

C08566 Risk Factor Questionnaire (RFQ) - taken Nisoldipine Sular indicator RFQTknNisoldipineSularInd Taken Nisoldipine or Sular as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) Taken Nisoldipine or Sular as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) Have you ever taken Nisoldipine or Sular? No;Yes No;Yes Alphanumeric

If No, Skip to Question 2

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

C08577 Risk Factor Questionnaire (RFQ) - taken Diltiazem Cardizem Cartia Dilacor Tiazac Dilt-CD Diltia XT reason RFQTkDlzmCdmCtaDcrTzcDCDDXTRsn Reason took Diltiazem or Cardizem, Cartia, Dilacor, Tiazac, Dilt-CD, Diltia XT as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) Reason took Diltiazem or Cardizem, Cartia, Dilacor, Tiazac, Dilt-CD, Diltia XT as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) Why did you take Diltiazem or Cardizem, Cartia, Dilacor, Tiazac, Dilt-CD, Diltia XT? Alphanumeric

No instructions available

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

C08545 Risk Factor Questionnaire (RFQ) - age year stop taking aspirin value RFQAgeYrStpAsprnVal Age/year the participant stopped regularly taking aspirin as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) Age/year the participant stopped regularly taking aspirin 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 stop regularly taking aspirin? 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

C10466 Risk Factor Questionnaire (RFQ) - currently taking other CCB medication indicator RFQCurntTakOthrCCBMdcnInd Indicator whether participant currently takes other CCB medication as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) Indicator whether participant currently takes other CCB medication as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) Currently Take Currently Take Alphanumeric

No instructions available

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

C08556 Risk Factor Questionnaire (RFQ) - taken Amlodipine Norvasc indicator RFQTknAmlodipineNorvascInd Taken Amlodipine or Norvasc as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) Taken Amlodipine or Norvasc as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) Have you ever taken Amlodipine or Norvasc? No;Yes No;Yes Alphanumeric

If No, Skip to Question 1c

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

CSV