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
C10464 Risk Factor Questionnaire (RFQ) - currently taking anti-inflammatory medication indicator RFQCurntTakgAntinflamMedInd Indicator of whether the participant is currently taking another anti-inflammatory medication as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) Indicator of whether the participant is currently taking another anti-inflammatory 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

C08554 Risk Factor Questionnaire (RFQ) - anti-inflammatory medication pills per week value RFQAntinflamMedPillsWeekVal Pills per week that the participant took during the time they were regularly taking anti-inflammatory medications as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) Pills per week that the participant took during the time they were regularly taking anti-inflammatory medications as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) Pills per Week Numeric Values

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

Free-Form Entry

C08565 Risk Factor Questionnaire (RFQ) - taken Isradipine Dynacirc reason RFQTknIsradipineDynacircRsn Reason took Isradipine or Dynacirc as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) Reason tookIsradipine or Dynacirc as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) Why did you take Isradipine or Dynacirc? 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

C08576 Risk Factor Questionnaire (RFQ) - taken Diltiazem Cardizem Cartia Dilacor Tiazac Dilt-CD Diltia XT indicator RFQTkDlzmCdmCtaDcrTzcDCDDXTInd Taken 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) Taken 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) Have you ever taken Diltiazem or Cardizem, Cartia, Dilacor, Tiazac, Dilt-CD, Diltia XT? No;Yes No;Yes Alphanumeric

If No, Skip to Question 6

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

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

CSV