CDE Detailed Report

Disease: system
Subdomain Name: Epidemiology/Environmental History
CRF: files

Displaying 51 - 62 of 62
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
C10467 Risk Factor Questionnaire (RFQ) - military service current active status RFQMilSrvcCurrActStatus The status whether the participant/subject is currently active in the military as part of the Risk Factor Questionnaire (RFQ) - Occupation The status whether the participant/subject is currently active in the military as part of the Risk Factor Questionnaire (RFQ) - Occupatio Currently Serve Yes;No;Unknown Yes;No;Unknown Alphanumeric

No instructions available

No references available Adult Supplemental-Highly Recommended 3.00 2013-07-18 09:11:50.26 Risk Factor Questionnaire (RFQ) - Occupation and Employment Status Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

C08608 Risk Factor Questionnaire (RFQ) - retired indicator RFQRetiredInd The indicator as to whether the subject/participant is currently retired as part of the Risk Factor Questionnaire (RFQ) - Occupation The indicator as to whether the subject/participant is currently retired as part of the Risk Factor Questionnaire (RFQ) - Occupatio Are you retired No;Yes No;Yes Alphanumeric

No (Skip to Occupation from age 0-25 years Question 1)

No references available Adult Supplemental-Highly Recommended 3.00 2013-07-18 09:11:50.26 Risk Factor Questionnaire (RFQ) - Occupation and Employment Status Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

C08619 Risk Factor Questionnaire (RFQ) - longest occupation 26 35 year fourth duty text RFQLngstOcuptn2635YrFrthDtyTxt Text describing the participant's/subject's fourth of four major tasks or duties at the longest held occupation from the age of 26-35 years of age as part of the Risk Factor Questionnaire (RFQ) - Occupation Text describing the participant's/subject's fourth of four major tasks or duties at the longest held occupation from the age of 26-35 years of age as part of the Risk Factor Questionnaire (RFQ) - Occupatio What are the major duties or tasks at your longest held occupation in adulthood? Alphanumeric

Major Duty/Task 4:

No references available Adult Supplemental-Highly Recommended 3.00 2013-07-18 09:11:50.26 Risk Factor Questionnaire (RFQ) - Occupation and Employment Status Epidemiology/Environmental History Participant History and Family History 255

Free-Form Entry

C08587 Risk Factor Questionnaire (RFQ) - military service age stop value RFQMilSrvcAgeStpVal The value indicating the participant's/subject's age they ceased to be active in the military as part of the Risk Factor Questionnaire (RFQ) - Occupation The value indicating the participant's/subject's age they ceased to be active in the military as part of the Risk Factor Questionnaire (RFQ) - Occupatio If Yes, at what age did you stop serving in the military Numeric Values

Enter 'Age' OR 'Years, not both. Age value should be recorded between 0 and 150 years. Year value should be recorded between 1850 and 2025.

No references available Adult Supplemental-Highly Recommended 3.00 2013-07-18 09:11:50.26 Risk Factor Questionnaire (RFQ) - Occupation and Employment Status Epidemiology/Environmental History Participant History and Family History

Free-Form Entry

C08630 Risk Factor Questionnaire (RFQ) - longest occupation 56 65 year text RFQLngstOcuptn5665YrTxt Text describing the participant's/subject's longest held occupation from the age of 56-65 years of age as part of the Risk Factor Questionnaire (RFQ) - Occupation Text describing the participant's/subject's longest held occupation from the age of 56-65 years of age as part of the Risk Factor Questionnaire (RFQ) - Occupatio What was your longest held occupation? Alphanumeric

Occupation from age 56-65 years

No references available Adult Supplemental-Highly Recommended 3.00 2013-07-18 09:11:50.26 Risk Factor Questionnaire (RFQ) - Occupation and Employment Status Epidemiology/Environmental History Participant History and Family History 255

Free-Form Entry

C08598 Risk Factor Questionnaire (RFQ) - military service prisoner of war city text RFQMilSrvcPOWCtyTxt The text describing the city the participant/subject was a prisoner of war as part of the Risk Factor Questionnaire (RFQ) - Occupation The text describing the city the participant/subject was a prisoner of war as part of the Risk Factor Questionnaire (RFQ) - Occupatio In what city were you a prisoner of war Alphanumeric

No instructions available

No references available Adult Supplemental-Highly Recommended 3.00 2013-07-18 09:11:50.26 Risk Factor Questionnaire (RFQ) - Occupation and Employment Status Epidemiology/Environmental History Participant History and Family History 255

Free-Form Entry

C17692 Risk Factor Questionnaire (RFQ) - military service year start date RFQMilSrvcYrStrtDate The date the participant's/subject's became active in the military as part of the Risk Factor Questionnaire (RFQ) - Occupation The date the participant's/subject's became active in the military as part of the Risk Factor Questionnaire (RFQ) - Occupatio If Yes, at what year did you start serving in the military Date or Date & Time

Record the date/time according to the ISO 8601, the International Standard for the representation of dates and times (http://www.iso.org/iso/home.html). The date/time should be recorded to the level of granularity known (e.g., year, year and month, complete date plus hours and minutes, etc.).

No references available Adult Supplemental-Highly Recommended 3.00 2013-08-30 17:06:52.8 Risk Factor Questionnaire (RFQ) - Occupation and Employment Status Epidemiology/Environmental History Participant History and Family History

Free-Form Entry

C08609 Risk Factor Questionnaire (RFQ) - retired age value RFQRetiredAgeVal Value of the participant's/subject's age of retirement as part of the Risk Factor Questionnaire (RFQ) - Occupation Value of the participant's/subject's age of retirement as part of the Risk Factor Questionnaire (RFQ) - Occupatio At what age or in what year did you retire? Numeric Values

Age

No references available Adult Supplemental-Highly Recommended 3.00 2013-07-18 09:11:50.26 Risk Factor Questionnaire (RFQ) - Occupation and Employment Status Epidemiology/Environmental History Participant History and Family History

Free-Form Entry

C08620 Risk Factor Questionnaire (RFQ) - longest occupation 36 45 year text RFQLngstOcuptn3645YrTxt Text describing the participant's/subject's longest held occupation from the age of 36-45 years of age as part of the Risk Factor Questionnaire (RFQ) - Occupation Text describing the participant's/subject's longest held occupation from the age of 36-45 years of age as part of the Risk Factor Questionnaire (RFQ) - Occupatio What was your longest held occupation Alphanumeric

Occupation from age 36-45 years

No references available Adult Supplemental-Highly Recommended 3.00 2013-07-18 09:11:50.26 Risk Factor Questionnaire (RFQ) - Occupation and Employment Status Epidemiology/Environmental History Participant History and Family History 255

Free-Form Entry

C08588 Risk Factor Questionnaire (RFQ) - military service longest job text RFQMilSrvcLngstJobTxt Text describing the participant's/subject's longest held job while active in the military as part of the Risk Factor Questionnaire (RFQ) - Occupation Text describing the participant's/subject's longest held job while active in the military as part of the Risk Factor Questionnaire (RFQ) - Occupatio What was your longest held job when you served in the military Alphanumeric

No instructions available

No references available Adult Supplemental-Highly Recommended 3.00 2013-07-18 09:11:50.26 Risk Factor Questionnaire (RFQ) - Occupation and Employment Status Epidemiology/Environmental History Participant History and Family History 255

Free-Form Entry

C08631 Risk Factor Questionnaire (RFQ) - longest occupation 56 65 year first duty text RFQLngstOcuptn5665YrFrstDtyTxt Text describing the participant's/subject's first of four major tasks or duties at the longest held occupation from the age of 56-65 years of age as part of the Risk Factor Questionnaire (RFQ) - Occupation Text describing the participant's/subject's first of four major tasks or duties at the longest held occupation from the age of 56-65 years of age as part of the Risk Factor Questionnaire (RFQ) - Occupatio What are the major duties or tasks at your longest held occupation in adulthood? Alphanumeric

Major Duty/Task 1:

No references available Adult Supplemental-Highly Recommended 3.00 2013-07-18 09:11:50.26 Risk Factor Questionnaire (RFQ) - Occupation and Employment Status Epidemiology/Environmental History Participant History and Family History 255

Free-Form Entry

C08599 Risk Factor Questionnaire (RFQ) - military service prisoner of war state text RFQMilSrvcPOWStateTxt The text describing the state the participant/subject was a prisoner of war as part of the Risk Factor Questionnaire (RFQ) - Occupation The text describing the state the participant/subject was a prisoner of war as part of the Risk Factor Questionnaire (RFQ) - Occupatio In what state were you a prisoner of war Alphanumeric

No instructions available

No references available Adult Supplemental-Highly Recommended 3.00 2013-07-18 09:11:50.26 Risk Factor Questionnaire (RFQ) - Occupation and Employment Status Epidemiology/Environmental History Participant History and Family History 255

Free-Form Entry

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