CDE Detailed Report
Disease: content
Subdomain Name: Epidemiology%2FEnvironmental History
CRF: welcome
Displaying 1 - 10 of 10
Subdomain Name: Epidemiology%2FEnvironmental History
CRF: welcome
Displaying 1 - 10 of 10
| 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 / Guidance) | Subdomain Name | Domain Name | Size | Input Restrictions | Min Value | Max Value | Measurement Type | External Id Loinc | External Id Snomed | External Id caDSR | External Id CDISC |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| C06103 | Tobacco smoke quit date | TobccoSmkeQuitDate | Date (and time, if applicable and known) the participant/subject quit smoking | Date (and time, if applicable and known) the participant/subject quit smoking | Which year did you quit smoking? | Date or Date & Time |
If a former smoker, |
Biering-SØrensen F, Krassioukov A, Alexander MS, Donovan W, Karlsson AK, Mueller G, Perkash I, William Sheel A, Wecht J, Schilero GJ.International Spinal Cord Injury Pulmonary Function Basic Data Set. Spinal Cord. 2012 Jun; 50(6):418-21. | Adult;Pediatric | Supplemental | 3.00 | 2013-07-17 09:26:36.973 | Alcohol and Tobacco Use | Epidemiology%2FEnvironmental History | Participant History and Family History |
Free-Form Entry |
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| C06106 | Tobacco cigar smoke daily average value | TobccoCigrSmkeDailyAvgVal | If participant is a former or current smoker, documents the average number of cigars he/she smokes or did smoke on a daily basis | If participant is a former or current smoker, documents the average number of cigars he/she smokes or did smoke on a daily basis | On average, how many cigars do (did) you smoke on a daily basis | Numeric Values | Biering-SØrensen F, Krassioukov A, Alexander MS, Donovan W, Karlsson AK, Mueller G, Perkash I, William Sheel A, Wecht J, Schilero GJ.International Spinal Cord Injury Pulmonary Function Basic Data Set. Spinal Cord. 2012 Jun; 50(6):418-21. | Adult;Pediatric | Supplemental | 3.00 | 2013-07-17 09:26:36.973 | Alcohol and Tobacco Use | Epidemiology%2FEnvironmental History | Participant History and Family History |
Free-Form Entry |
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| C06107 | Tobacco pipe bowl smoke daily average value | TobccoPipeBwlSmkeDailyAvgVal | If participant is a former or current smoker, documents the average number of pipe bowls he/she smokes or did smoke on a daily basis | If participant is a former or current smoker, documents the average number of pipe bowls he/she smokes or did smoke on a daily basis | On average, how many pipe bowls do (did) you smoke on a daily basis | Numeric Values | Biering-SØrensen F, Krassioukov A, Alexander MS, Donovan W, Karlsson AK, Mueller G, Perkash I, William Sheel A, Wecht J, Schilero GJ.International Spinal Cord Injury Pulmonary Function Basic Data Set. Spinal Cord. 2012 Jun; 50(6):418-21. | Adult;Pediatric | Supplemental | 3.00 | 2013-07-17 09:26:36.973 | Alcohol and Tobacco Use | Epidemiology%2FEnvironmental History | Participant History and Family History |
Free-Form Entry |
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| C06108 | Tobacco smoke pack-year value | TobccoSmkePckYrVal | If participant is a former or current cigarette smoker, documents the number of pack-years of smoking [(average number smoked daily)/20] x (number of years smoked) = pack-years] | If participant is a former or current cigarette smoker, documents the number of pack-years of smoking [(average number smoked daily)/20] x (number of years smoked) = pack-years] | Number of pack-years of smoking | Numeric Values | Biering-SØrensen F, Krassioukov A, Alexander MS, Donovan W, Karlsson AK, Mueller G, Perkash I, William Sheel A, Wecht J, Schilero GJ.International Spinal Cord Injury Pulmonary Function Basic Data Set. Spinal Cord. 2012 Jun; 50(6):418-21. | Adult;Pediatric | Supplemental | 3.00 | 2013-07-17 09:26:36.973 | Alcohol and Tobacco Use | Epidemiology%2FEnvironmental History | Participant History and Family History |
Free-Form Entry |
pack-years | ||||||||||
| C18153 | Data unknown text | DataUnknwnTxt | The free-text field to Mark an "X" in to record if data are unknown or not available | The free-text field to Mark an "X" in to record if data are unknown or not availabl | Unknown | Alphanumeric | Adult;Pediatric | Supplemental | 3.00 | 2013-07-17 09:26:36.973 | Alcohol and Tobacco Use | Epidemiology%2FEnvironmental History | Participant History and Family History | 20 |
Free-Form Entry |
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| C19502 | Tobacco cigarettes smoke daily average value | TobccoCigrtSmkeDailyAvgVal | Tobacco cigarettes smoked daily average number | If participant is a former or current smoker, documents the average number of cigarettes he/she smokes or did smoke on a daily basis | On average, how many cigarettes do (did) you smoke on a daily basis? | Numeric Values |
If a former or current smoker, on average how many cigarettes do (did) you smoke on a daily basis? |
Biering-SØrensen F, Krassioukov A, Alexander MS, Donovan W, Karlsson AK, Mueller G, Perkash I, William Sheel A, Wecht J, Schilero GJ.International Spinal Cord Injury Pulmonary Function Basic Data Set. Spinal Cord. 2012 Jun; 50(6):418-21. | Adult;Pediatric | Supplemental | 3.00 | 2013-07-17 09:26:36.973 | Alcohol and Tobacco Use | Epidemiology%2FEnvironmental History | Participant History and Family History |
Free-Form Entry |
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| C00707 | Alcohol consume six or more drinks frequency | AlcConsume6MoreDrinkFreq | The rate of occurrence for when the participant/subject consumes six or more drinks containing alcohol on one occasion. It is noted that the meaning of "drinks consumed" differs from one nation and culture to another, so the most common alcoholic beverages likely to be consumed will be defined as well as quantity of each that constitutes a drink (approximately 10 grams of pure ethanol). For example, one bottle of beer (330 ml at 5% ethanol), a glass of wine (140 ml at 12% ethanol), and a shot of spirits (40 ml at 40% ethanol) represent a standard drink of about 13 g of ethanol | The rate of occurrence for when the participant/subject consumes six or more drinks containing alcohol on one occasion. It is noted that the meaning of "drinks consumed" differs from one nation and culture to another | How often do you have six or more drinks on one occasion? | Never;Less than monthly;Monthly;Weekly;Daily or almost daily;Unknown | Never;Less than monthly;Monthly;Weekly;Daily or almost daily;Unknown | Alphanumeric | Babor TF, Higgins-Biddle JC, Saunders JB, Monteiro MG. AUDIT. The Alcohol Use Disorders. Identification Test. Guidelines for Use in Primary Care. 2nd edition, 2001. Department of Mental Health and Substance Dependence, World Health Organization, Geneva, Switzerland. | Adult;Pediatric | Supplemental | 3.00 | 2013-07-18 16:35:19.49 | Alcohol and Tobacco Use | Epidemiology%2FEnvironmental History | Participant History and Family History |
Single Pre-Defined Value Selected |
3171659 | ||||||||
| C00718 | Tobacco use duration | TobcoUseDur | Duration in years participant/subject has used tobacco products (e.g. cigarettes, cigars, chewing tobacco or pipe) | Duration in years participant/subject has used tobacco products (e.g. cigarettes, cigars, chewing tobacco or pipe) | For how many years did (have) you smoked | Numeric Values |
For former or current cigarette smokers only, the number of pack-years of smoking [(average number smoked daily)/20] x (number of years smoked) = pack-years |
Biering-SØrensen F, Krassioukov A, Alexander MS, Donovan W, Karlsson AK, Mueller G, Perkash I, William Sheel A, Wecht J, Schilero GJ.International Spinal Cord Injury Pulmonary Function Basic Data Set. Spinal Cord. 2012 Jun; 50(6):418-21. | Adult;Pediatric | Supplemental | 3.00 | 2013-07-20 10:21:25.65 | Alcohol and Tobacco Use | Epidemiology%2FEnvironmental History | Participant History and Family History |
Free-Form Entry |
0 | 99 | year | |||||||
| C00730 | Alcohol use frequency | AlcUseFreq | The frequency of consumption of alcohol by the participant | The frequency of consumption of alcohol by the participan | How often do you have a drink containing alcohol? | Monthly or less;2 to 4 times a month;2 to 3 times a week;4 or more times a week;Unknown;Never | Monthly or less;2 to 4 times a month;2 to 3 times a week;4 or more times a week;Unknown;Never | Alphanumeric |
The number of occurrences of alcohol use within a given time period. |
Babor TF, Higgins-Biddle JC, Saunders JB, Monteiro MG. AUDIT. The Alcohol Use Disorders. Identification Test. Guidelines for Use in Primary Care. 2nd edition, 2001. Department of Mental Health and Substance Dependence, World Health Organization, Geneva, Switzerland. | Adult;Pediatric | Supplemental | 3.00 | 2013-07-18 16:35:19.49 | Alcohol and Tobacco Use | Epidemiology%2FEnvironmental History | Participant History and Family History |
Single Pre-Defined Value Selected |
3171627 | |||||||
| C06102 | Tobacco smoke history status | TobccoSmkeHistStatus | Qualitative categorization of the participant's/subject's smoking history | Qualitative categorization of the participant's/subject's smoking history | Smoking history | Never smoked;Former smoker;Current smoker;Unknown | Never smoked;Former smoker;Current smoker;Unknown | Alphanumeric |
When judging bronchopulmonary issues in individuals with spinal cord lesions, the influence of smoking is an important factor (Linn et al. 2003; Jain et al. 2006; Stolzmann et al. 2008). |
Biering-SØrensen F, Krassioukov A, Alexander MS, Donovan W, Karlsson AK, Mueller G, Perkash I, William Sheel A, Wecht J, Schilero GJ.International Spinal Cord Injury Pulmonary Function Basic Data Set. Spinal Cord. 2012 Jun; 50(6):418-21. | Adult;Pediatric | Supplemental | 3.00 | 2013-07-17 09:26:36.973 | Alcohol and Tobacco Use | Epidemiology%2FEnvironmental History | Participant History and Family History |
Single Pre-Defined Value Selected |
