CDE Detailed Report

Disease: Parkinson's Disease
Sub-Domain: Epidemiology/Environmental History
CRF: Risk Factor Questionnaire (RFQ) - Toxicants

Displaying 101 - 106 of 106
CDE ID CDE Name Variable Name Definition Short Description Additional Notes (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
C17719 Risk Factor Questionnaire (RFQ) - age started regularly using solvents or degreasers period 1 value RFQAgStrtRgUseSlvntDgrsrPr1Val Age when the participant started regularly using solvents or degreasers period 1 as part of the Risk Factor Questionnaire for Toxicants Age when the participant started regularly using solvents or degreasers period 1 as part of the Risk Factor Questionnaire for Toxicants If Yes, what ages were you when you did NOT use solvents or degreasers? Numeric Values

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 2013-08-30 17:06:52.8 Risk Factor Questionnaire (RFQ) - Toxicants Epidemiology/Environmental History Participant History and Family History

Free-Form Entry

year
C08761 Risk Factor Questionnaire (RFQ) - use freon indicator RFQUseFreonInd Ever use avgas or jet fuel as part of the Risk Factor Questionnaire for Toxicants Ever use avgas or jet fuel as part of the Risk Factor Questionnaire for Toxicants Did or do you use Freon? No;Yes No;Yes Alphanumeric

If 'No' skip to Q19

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) - Toxicants Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

C08772 Risk Factor Questionnaire (RFQ) - ever welded indicator RFQEvrWeldedInd Has the participant ever welded as part of the Risk Factor Questionnaire for Toxicants Has the participant ever welded as part of the Risk Factor Questionnaire for Toxicants Have you welded? No;Yes No;Yes 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) - Toxicants Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

C08804 Risk Factor Questionnaire (RFQ) -other metal or alloy text RFQEvrWldFlmCtBrzOthrMtlTxt Text description of which other metal or alloy was used as part of the Risk Factor Questionnaire for Toxicants Text description of which other metal or alloy was used as part of the Risk Factor Questionnaire for Toxicants If Yes, specify other metal or alloy used 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) - Toxicants Epidemiology/Environmental History Participant History and Family History 255

Free-Form Entry

C08740 Risk Factor Questionnaire (RFQ) - use water-based adhesives indicator RFQUseWaterBasedAdhesivesInd Ever use water-based adhesives as part of the Risk Factor Questionnaire for Toxicants Ever use water-based adhesives as part of the Risk Factor Questionnaire for Toxicants Did or do you use water-based adhesives (vinyl acrylic)? No;Yes No;Yes Alphanumeric

If 'No' skip to Q4

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) - Toxicants Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

C17730 Risk Factor Questionnaire (RFQ) - age started regularly working around metal dust or metal fumes period 2 value RFQAgStrtRgWrkArdMtlDtFmPr2Val Age when the participant started regularly working around metal dust or metal fumes period 2 as part of the Risk Factor Questionnaire for Toxicants Age when the participant started regularly working around metal dust or metal fumes period 2 as part of the Risk Factor Questionnaire for Toxicants If Yes, what ages were you when you did NOT solder? Numeric Values

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 2013-08-30 17:06:52.8 Risk Factor Questionnaire (RFQ) - Toxicants Epidemiology/Environmental History Participant History and Family History

Free-Form Entry

year
CSV