CDE Detailed Report

Disease: Huntington's Disease
Sub-Domain: Epidemiology/Environmental History
CRF: Risk Factor Questionnaire (RFQ-U) - Pesticides (Work)

Displaying 351 - 360 of 360
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
C08922 Risk Factor Questionnaire (RFQ-U) - work other herbicide use birth 25 age indicator RFQWrkOthrHrbcdUseBrth25AgeInd The indicator whether participant/subject used other herbicides at work from birth to age 25 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). The indicator whether participant/subject used other herbicides at work from birth to age 25 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). During these years, did you use other herbicide(s)? No;Yes No;Yes Alphanumeric

Pesticide Work – Birth-25 years old.

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-U) - Pesticides (Work) Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

C08901 Risk Factor Questionnaire (RFQ-U) - farm ranch work birth 25 age indicator RFQFarmRanchWrkBrth25AgeInd The indicator whether participant/subject worked in farming or ranching from birth to age 25 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). The indicator whether participant/subject worked in farming or ranching from birth to age 25 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). During this period of life, did you work in farming or ranching? No;Yes No;Yes Alphanumeric

Pesticide Work – Birth-25 years old. If 'No', skip to Question 3.

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-U) - Pesticides (Work) Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

C08933 Risk Factor Questionnaire (RFQ-U) - work insecticide use birth 25 age indicator RFQWrkInscticdUseBrth25AgeInd The indicator whether participant/subject used insecticides at work from birth to age 25 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). The indicator whether participant/subject used insecticides at work from birth to age 25 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). During these years, did you use insecticides (pesticides used to kill insects)? No;Yes No;Yes Alphanumeric

Pesticide Work – Birth-25 years old.

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-U) - Pesticides (Work) Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

C08944 Risk Factor Questionnaire (RFQ-U) - work other insecticide use birth 25 age text RFQWrkOthrInsctcdUsBr25AgTxt The description of any other insecticides used at work from birth to age 25 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticide (Work). The description of any other insecticides used at work from birth to age 25 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticide (Work). If yes, please specify other insecticide(s) Alphanumeric

Pesticide Work – Birth-25 years old. Answer only if previous question was answered 'Yes'.

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-U) - Pesticides (Work) Epidemiology/Environmental History Participant History and Family History 255

Free-Form Entry

C08912 Risk Factor Questionnaire (RFQ-U) - other pesticide exposure work birth 25 age indicator RFQOthrWrkPstcdExpsBrth25AgInd The indicator whether participant/subject worked some other field with pesticide exposure from birth to age 25 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). The indicator whether participant/subject worked some other field with pesticide exposure from birth to age 25 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). During this period of life, did you work in some other field with exposure to pesticides? No;Yes No;Yes Alphanumeric

Pesticide Work – Birth-25 years old.

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-U) - Pesticides (Work) Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

C08923 Risk Factor Questionnaire (RFQ-U) - work other herbicide use birth 25 age text RFQWrkOthrHrbicdUseBr25AgeTxt The description of any other herbicides used at work from birth to age 25 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). The description of any other herbicides used at work from birth to age 25 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). If yes, please specify other herbicide(s) Alphanumeric

Pesticide Work – Birth-25 years old. Answer only if previous question was answered 'Yes'.

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-U) - Pesticides (Work) Epidemiology/Environmental History Participant History and Family History 255

Free-Form Entry

C08902 Risk Factor Questionnaire (RFQ-U) - farm ranch pesticide exposure crops birth 25 age indicator RFQFarmRnchExposCropBr25AgeInd The indicator whether participant/subject exposed to pesticides on crops while working in farming or ranching from birth to age 25 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). The indicator whether participant/subject exposed to pesticides on crops while working in farming or ranching from birth to age 25 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). If Yes, when farming or ranching during this period of life, were you exposed to or did you use pesticides on crops? No;Yes No;Yes Alphanumeric

Pesticide Work – Birth-25 years old. Answer only if previous question was answered 'Yes'.

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-U) - Pesticides (Work) Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

C08934 Risk Factor Questionnaire (RFQ-U) - work aldrin product use birth 25 age indicator RFQWrkAldrinProdUseBr25IAgend The indicator whether participant/subject used aldrin products at work from birth to age 25 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). The indicator whether participant/subject used aldrin products at work from birth to age 25 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). During these years, did you use aldrin products? No;Yes No;Yes Alphanumeric

Pesticide Work – Birth-25 years old.

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-U) - Pesticides (Work) Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

C08945 Risk Factor Questionnaire (RFQ-U) - work rodenticide use birth 25 age indicator RFQWrkRodnticdUseBr25AgeInd The indicator whether participant/subject used rodenticides at work from birth to age 25 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticide (Work). The indicator whether participant/subject used rodenticides at work from birth to age 25 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticide (Work). During these years, did you use rodenticides (pesticides used to kill rat or mice)? No;Yes No;Yes Alphanumeric

Pesticide Work – Birth-25 years old.

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-U) - Pesticides (Work) Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

C08913 Risk Factor Questionnaire (RFQ-U) - other pesticide exposure work birth 25 age text RFQOthrWrkPstExpsWrkBr25AgTxt The description of work in some other field with pesticide exposure from birth to age 25 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). The description of work in some other field with pesticide exposure from birth to age 25 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). If Yes, please specify the other kind of work where you were exposed to pesticides Alphanumeric

Pesticide Work – Birth-25 years old. Answer only if previous question was answered 'Yes'.

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-U) - Pesticides (Work) Epidemiology/Environmental History Participant History and Family History 255

Free-Form Entry

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