CDE Detailed Report

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

Displaying 101 - 106 of 106
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
C08817 Risk Factor Questionnaire (RFQ) - chemical or fume 2 worked around text RFQChemFume2WrkArndTxt Text description of second chemical or fume was worked around as part of the Risk Factor Questionnaire for Toxicants Text description of second chemical or fume was worked around as part of the Risk Factor Questionnaire for Toxicants If Yes, specify other solvent-based adhesives used. Alphanumeric

No instructions available

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) - Toxicants Epidemiology/Environmental History Participant History and Family History 255

Free-Form Entry

C08751 Risk Factor Questionnaire (RFQ) - age stopped regularly using solvents or degreasers period 1 value RFQAgStpRgUseSlvntDgrsrPer1Val Age when the participant stopped regularly using solvents or degreasers period 1 as part of the Risk Factor Questionnaire for Toxicants Age when the participant stopped regularly using solvents or degreasers period 1 as part of the Risk Factor Questionnaire for Toxicants If Yes, what ages were you when you did NOT use solvents or degreasers? Numeric Values

Age should be answered in years Year should be answered in the 4-digit format

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) - Toxicants Epidemiology/Environmental History Participant History and Family History

Free-Form Entry

year
C08783 Risk Factor Questionnaire (RFQ) - ever weld cut braze galvanized or zinc-plated iron or steel indicator RFQWldCtBrzGlvzdZnpltIrnStlInd Has the participant ever weld, cut, braze galvanized or zinc-plated iron or steel as part of the Risk Factor Questionnaire for Toxicants Has the participant ever weld, cut, braze galvanized or zinc-plated iron or steel as part of the Risk Factor Questionnaire for Toxicants Did or do you weld, cut, or braze galvanized or zinc-plated iron or steel? No;Yes No;Yes Alphanumeric

If 'No' skip to Q32

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) - Toxicants Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

C08794 Risk Factor Questionnaire (RFQ) - soldered 100 days indicator RFQSoldered100DaysInd Has the participant ever soldered at least 100 days at work or home as part of the Risk Factor Questionnaire for Toxicants Has the participant ever soldered at least 100 days at work or home as part of the Risk Factor Questionnaire for Toxicants In your lifetime, have you soldered 100 or more days at work or at home? No;Yes No;Yes Alphanumeric

If 'No' skip to Q42

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) - Toxicants Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

C17720 Risk Factor Questionnaire (RFQ) - age started regularly using solvents or degreasers period 2 value RFQAgStrtRgUseSlvntDgrsrPr2Val Age when the participant started regularly using solvents or degreasers period 2 as part of the Risk Factor Questionnaire for Toxicants Age when the participant started regularly using solvents or degreasers period 2 as part of the Risk Factor Questionnaire for Toxicants If Yes, what ages were you when you did NOT use solvents or degreasers? Numeric Values

Age should be answered in years Year should be answered in the 4-digit format

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) - Toxicants Epidemiology/Environmental History Participant History and Family History

Free-Form Entry

year
C08762 Risk Factor Questionnaire (RFQ) - use methylethyl ketone indicator RFQUseMEKInd Ever use methylethyl ketone (MEK) as part of the Risk Factor Questionnaire for Toxicants Ever use methylethyl ketone (MEK) as part of the Risk Factor Questionnaire for Toxicants Did or do you use methylethyl ketone (MEK)? No;Yes No;Yes Alphanumeric

If 'No' skip to Q20

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) - Toxicants Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

CSV