CDE Detailed Report

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

Displaying 51 - 54 of 54
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
C08882 Risk Factor Questionnaire (RFQ-U) - home pesticide concentration wash indicator RFQHmPestcdConcenWashInd The indicator of whether participant/subject stopped work and washed affected skin after contact with concentrated pesticides as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Home). The indicator of whether participant/subject stopped work and washed affected skin after contact with concentrated pesticides as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Home). If you got concentrated pesticide on your skin, did you usually stop what you were doing and wash it off? Yes;No;Never got concentrated pesticide on my skin Yes;No;Never got concentrated pesticide on my skin Alphanumeric

Additional Pesticide Information section

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 (Home) Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

C08850 Risk Factor Questionnaire (RFQ-U) - insecticide exposure 26 35 age frequency RFQInsectcdExpos2635AgeFreq The frequency of exposure to insecticides from ages 26 to 35 in a participant's/subject's life as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Home). The frequency of exposure to insecticides from ages 26 to 35 in a participant's/subject's life as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Home). If Yes, how often were insecticides used? Rarely;Occasionally;Often;Don't know Rarely (1-2 times/year);Occasionally (3-6 times/year);Often (more than 6 times/year);Don't know Alphanumeric

Pesticide Home – 26-35 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 (Home) Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

C08893 Risk Factor Questionnaire (RFQ-U) - other equipment use description text RFQHmOthrEquipUseDescTxt The description of other types of protective equipment the participant/subject wore more than half the time when personally mixing or applying pesticides as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Home). The description of other types of protective equipment the participant/subject wore more than half the time when personally mixing or applying pesticides as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Home). If yes, what other types of protective equipment(s) did you use more than half the time? Alphanumeric

Additional Pesticide Information section

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 (Home) Epidemiology/Environmental History Participant History and Family History 255

Free-Form Entry

C08861 Risk Factor Questionnaire (RFQ-U) - insecticide exposure 46 55 age indicator RFQInsectcdExpos4655AgeInd The indicator whether there was exposure to insecticides from ages 46 to 55 in a participant's/subject's life as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Home). The indicator whether there was exposure to insecticides from ages 46 to 55 in a participant's/subject's life as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Home). During this period of life, in or around your home, lawn, or garden, were insecticides used to kill bugs such as ants, roaches, mites or other pests? Include any used on pets? No;Yes No;Yes Alphanumeric

Pesticide Home – 46-55 years old. If 'No' skip to Q2.

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 (Home) Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

CSV