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 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
C08877 Risk Factor Questionnaire (RFQ-U) - herbicide exposure 66 plus age indicator RFQHerbicdExpos66PlusAgeInd The indicator whether there was exposure to herbicides from age 66 onward 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 herbicides from age 66 onward 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 herbicides used to kill weeds or plants? No;Yes No;Yes Alphanumeric

Pesticide Home – 66 years and above. If 'No' skip to Pesticide Home – 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

C08888 Risk Factor Questionnaire (RFQ-U) - home protective apron use indicator RFQHmProtectApronUseInd The indicator of whether the participant/subject wore a chemical resistant apron more than half the time when personally mixing or applying pesticides as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Home). The indicator of whether the participant/subject wore a chemical resistant apron more than half the time when personally mixing or applying pesticides as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Home). Used chemical resistant apron? No;Yes No;Yes Alphanumeric

Additional Pesticide Information section — If yes, did you use any of the following equipment:

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

C08856 Risk Factor Questionnaire (RFQ-U) - insecticide exposure 36 45 age frequency RFQInsectcdExpos3645AgeFreq The frequency of exposure to insecticides from ages 36 to 45 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 36 to 45 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 – 36-45 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

C08867 Risk Factor Questionnaire (RFQ-U) - insecticide exposure 56 65 age indicator RFQInsectcdExpos5665AgeInd The indicator whether there was exposure to insecticides from ages 56 to 65 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 56 to 65 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 – 56-65 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