CDE Detailed Report

Disease: Parkinson's Disease
Sub-Domain: Epidemiology/Environmental History
CRF: Risk Factor Questionnaire (RFQ-U) - Height and Weight

Displaying 1 - 19 of 19
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
C08827 Risk Factor Questionnaire (RFQ) - height age 60 value RFQHgtAge60Val Patient's height at age 60 as part of the Risk Factor Questionnaire (RFQ) - Height and Weight. Patient's height at age 60 as part of the Risk Factor Questionnaire (RFQ) - Height and Weight. Patient's height at age 60? Numeric Values

If your current age is less than 60, check box, and End Questionnaire. Enter Height in units of inches OR centimeters

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) - Height and Weight Epidemiology/Environmental History Participant History and Family History

Free-Form Entry

C08828 Risk Factor Questionnaire (RFQ) - weight age 60 value RFQWgtAge60Val Patient's weight at age 60 as part of the Risk Factor Questionnaire (RFQ) - Height and Weight. Patient's weight at age 60 as part of the Risk Factor Questionnaire (RFQ) - Height and Weight. Patient's weight at age 60? Numeric Values

If your current age is less than 60, check box, and End Questionnaire. Enter Weight in units of pounds OR kilograms

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) - Height and Weight Epidemiology/Environmental History Participant History and Family History

Free-Form Entry

C08839 Risk Factor Questionnaire (RFQ) - additional body measurements triceps skinfold thickness value RFQAddnlBdyMeasrTrcpSknThckVal Triceps skinfold thickness in centimeters (cm) as part of the Risk Factor Questionnaire (RFQ) - Height and Weight. Triceps skinfold thickness in centimeters (cm) as part of the Risk Factor Questionnaire (RFQ) - Height and Weight. Triceps skinfold thickness Numeric Values

Answer in centimeters

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) - Height and Weight Epidemiology/Environmental History Participant History and Family History

Free-Form Entry

centimeter
C08819 Risk Factor Questionnaire (RFQ) - height and weight childhood body type RFQHgtWgtChildhoodBodyTyp Patient's body type during childhood according to the pictogram as defined by the Risk Factor Questionnaire (RFQ) - Height and Weight. Patient's body type during childhood according to the pictogram as defined by the Risk Factor Questionnaire (RFQ) - Height and Weight. Patient's body type during childhood? 1;2;3;4;5;6;7 1;2;3;4;5;6;7 Numeric Values

Refer to pictographs for different body builds

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) - Height and Weight Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

C08840 Risk Factor Questionnaire (RFQ) - additional body measurements subscapular skinfold thickness value RFQAdnlBdyMeasrSbcplrSknThkVal Subscapular skinfold thickness in centimeters (cm) as part of the Risk Factor Questionnaire (RFQ) - Height and Weight. Subscapular skinfold thickness in centimeters (cm) as part of the Risk Factor Questionnaire (RFQ) - Height and Weight. Subscapular skinfold thickness Numeric Values

Answer in centimeters

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) - Height and Weight Epidemiology/Environmental History Participant History and Family History

Free-Form Entry

centimeter
C08820 Risk Factor Questionnaire (RFQ) - height and weight age 25 body type RFQHgtWgtAge25BodyTyp Patient's body type at age 25 according to the pictogram as defined by the Risk Factor Questionnaire (RFQ) - Height and Weight. Patient's body type at age 25 according to the pictogram as defined by the Risk Factor Questionnaire (RFQ) - Height and Weight. Patient's body type at age 25? 1;2;3;4;5;6;7 1;2;3;4;5;6;7 Numeric Values

If your current age is less than 25, check box, and End Questionnaire. Refer to pictographs for different body builds

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) - Height and Weight Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

C08841 Risk Factor Questionnaire (RFQ) - additional body measurements head circumference value RFQAddnlBdyMeasrHeadCircumfVal Head circumference in centimeters (cm) as part of the Risk Factor Questionnaire (RFQ) - Height and Weight. Head circumference in centimeters (cm) as part of the Risk Factor Questionnaire (RFQ) - Height and Weight. Head circumference Numeric Values

Answer in centimeters. Refer to the General Demographics form for head circumference. If this element is necessary to capture on this form, it can remain.

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) - Height and Weight Epidemiology/Environmental History Participant History and Family History

Free-Form Entry

centimeter
C08821 Risk Factor Questionnaire (RFQ) - height age 25 value RFQHgtAge25Val Patient's height at age 25 as part of the Risk Factor Questionnaire (RFQ) - Height and Weight. Patient's height at age 25 as part of the Risk Factor Questionnaire (RFQ) - Height and Weight. Patient's height at age 25? Numeric Values

If your current age is less than 25, check box, and End Questionnaire. Enter Height in units of inches OR centimeters

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) - Height and Weight Epidemiology/Environmental History Participant History and Family History

Free-Form Entry

C17697 Risk Factor Questionnaire (RFQ) - height age 25 unit of measure RFQHgtAge25Unit Unit of measure used to record height at age 25 as part of the Risk Factor Questionnaire (RFQ) - Height and Weight. Unit of measure used to record height at age 25 as part of the Risk Factor Questionnaire (RFQ) - Height and Weight. Patient's height at age 25? Inches;Centimeters Inches;Centimeters Alphanumeric

If your current age is less than 25, check box, and End Questionnaire.

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-U) - Height and Weight Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

C08822 Risk Factor Questionnaire (RFQ) - weight age 25 value RFQWgtAge25Val Patient's weight at age 25 as part of the Risk Factor Questionnaire (RFQ) - Height and Weight. Patient's weight at age 25 as part of the Risk Factor Questionnaire (RFQ) - Height and Weight. Patient's weight at age 25? Numeric Values

If your current age is less than 25, check box, and End Questionnaire. Enter Weight in units of pounds OR kilograms

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) - Height and Weight Epidemiology/Environmental History Participant History and Family History

Free-Form Entry

C17698 Risk Factor Questionnaire (RFQ) - weight age 25 unit of measure RFQWgtAge25Unit Unit of measure used to record weight at age 25 as part of the Risk Factor Questionnaire (RFQ) - Height and Weight. Unit of measure used to record weight at age 25 as part of the Risk Factor Questionnaire (RFQ) - Height and Weight. Patient's weight at age 25? Pounds;Kilograms Pounds;Kilograms Alphanumeric

If your current age is less than 25, check box, and End Questionnaire.

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-U) - Height and Weight Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

C08823 Risk Factor Questionnaire (RFQ) - height and weight age 40 body type RFQHgtWgtAge40BodyTyp Patient's body type at age 40 according to the pictogram as defined by the Risk Factor Questionnaire (RFQ) - Height and Weight. Patient's body type at age 40 according to the pictogram as defined by the Risk Factor Questionnaire (RFQ) - Height and Weight. Patient's body type at age 40? 1;2;3;4;5;6;7 1;2;3;4;5;6;7 Numeric Values

If your current age is less than 40, check box, and End Questionnaire. Refer to pictographs for different body builds

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) - Height and Weight Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

C17699 Risk Factor Questionnaire (RFQ) - height age 40 unit of measure RFQHgtAge40UOM Unit of measure used to record height at age 40 as part of the Risk Factor Questionnaire (RFQ) - Height and Weight. Unit of measure used to record height at age 40 as part of the Risk Factor Questionnaire (RFQ) - Height and Weight. Patient's height at age 40? Inches;Centimeters Inches;Centimeters Alphanumeric

If your current age is less than 40, check box, and End Questionnaire.

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-U) - Height and Weight Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

C08824 Risk Factor Questionnaire (RFQ) - height age 40 value RFQHgtAge40Val Patient's height at age 40 as part of the Risk Factor Questionnaire (RFQ) - Height and Weight. Patient's height at age 40 as part of the Risk Factor Questionnaire (RFQ) - Height and Weight. Patient's height at age 40? Numeric Values

If your current age is less than 40, check box, and End Questionnaire. Enter Height in units of inches OR centimeters

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) - Height and Weight Epidemiology/Environmental History Participant History and Family History

Free-Form Entry

C17700 Risk Factor Questionnaire (RFQ) - weight age 40 unit of measure RFQWgtAge40UOM Unit of measure used to record weight at age 40 as part of the Risk Factor Questionnaire (RFQ) - Height and Weight. Unit of measure used to record weight at age 40 as part of the Risk Factor Questionnaire (RFQ) - Height and Weight. Patient's weight at age 40? Pounds;Kilograms Pounds;Kilograms Alphanumeric

If your current age is less than 40, check box, and End Questionnaire.

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-U) - Height and Weight Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

C08825 Risk Factor Questionnaire (RFQ) - weight age 40 value RFQWgtAge40Val Patient's weight at age 40 as part of the Risk Factor Questionnaire (RFQ) - Height and Weight. Patient's weight at age 40 as part of the Risk Factor Questionnaire (RFQ) - Height and Weight. Patient's weight at age 40? Numeric Values

If your current age is less than 40, check box, and End Questionnaire. Enter Weight in units of pounds OR kilograms

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) - Height and Weight Epidemiology/Environmental History Participant History and Family History

Free-Form Entry

C17701 Risk Factor Questionnaire (RFQ) - height age 60 unit of measure RFQHgtAge60UOM Unit of measure used to record height at age 60 as part of the Risk Factor Questionnaire (RFQ) - Height and Weight. Unit of measure used to record height at age 60 as part of the Risk Factor Questionnaire (RFQ) - Height and Weight. Patient's height at age 60? Inches;Centimeters Inches;Centimeters Alphanumeric

If your current age is less than 60, check box, and End Questionnaire.

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-U) - Height and Weight Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

C08826 Risk Factor Questionnaire (RFQ) - height and weight age 60 body type code RFQHgtWgtAge60BodyTypCode Code for the patient's body type at age 60 according to the pictogram as defined by the Risk Factor Questionnaire (RFQ) - Height and Weight. Code for the patient's body type at age 60 according to the pictogram as defined by the Risk Factor Questionnaire (RFQ) - Height and Weight. Patient's body type at age 60? 1;2;3;4;5;6;7 1;2;3;4;5;6;7 Numeric Values

If your current age is less than 60, check box, and End Questionnaire. Refer to pictographs for different body builds

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 4.00 2018-07-27 00:00:00.0 Risk Factor Questionnaire (RFQ-U) - Height and Weight Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

C17702 Risk Factor Questionnaire (RFQ) - weight age 60 unit of measure RFQWgtAge60UOM Unit of measure used to record weight at age 60 as part of the Risk Factor Questionnaire (RFQ) - Height and Weight. Unit of measure used to record weight at age 60 as part of the Risk Factor Questionnaire (RFQ) - Height and Weight. Patient's weight at age 60? Pounds;Kilograms Pounds;Kilograms Alphanumeric

If your current age is less than 60, check box, and End Questionnaire.

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-U) - Height and Weight Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

CSV