CDE Detailed Report
Disease: Cerebral Palsy
Subdomain Name: Epidemiology/Environmental History
CRF: Risk Factor Questionnaire (RFQ) - Physical Activity and Sleep
Displaying 1 - 11 of 11
Subdomain Name: Epidemiology/Environmental History
CRF: Risk Factor Questionnaire (RFQ) - Physical Activity and Sleep
Displaying 1 - 11 of 11
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 |
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C22781 | Risk Factor Questionnaire (RFQ) - ages 2-5 vigorous physical activity indicator | RFQAge25VigrsPhysActInd | Hours spent doing vigorous physical activities by the subject in an average week between the ages of 2 and 5, as part of the Risk Factor Questionnaire (RFQ) - Physical Activity and Sleep | Hours spent doing vigorous physical activities by the subject in an average week between the ages of 2 and 5, as part of the Risk Factor Questionnaire (RFQ) - Physical Activity and Slee | In a typical week, how many hours of vigorous physical activity did you engage in? | Less than 1 hour;1-4 hours;5-10 hours;More than 10 hours per week;Not applicable | Less than 1 hour;1-4 hours;5-10 hours;More than 10 hours per week;Not applicable | Alphanumeric |
Choose one. |
Pediatric | Supplemental | 1.00 | 2016-10-27 15:22:07.0 | Risk Factor Questionnaire (RFQ) - Physical Activity and Sleep | Epidemiology/Environmental History | Participant History and Family History |
Single Pre-Defined Value Selected |
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C22782 | Risk Factor Questionnaire (RFQ) - age 2-5 moderate physical activity indicator | RFQAge25ModrtPhysActInd | Hours spent doing moderate physical activities by the subject in an average week between the ages of 2 and 5, as part of the Risk Factor Questionnaire (RFQ)- Physical Activity and Sleep | Hours spent doing moderate physical activities by the subject in an average week between the ages of 2 and 5, as part of the Risk Factor Questionnaire (RFQ)- Physical Activity and Slee | In a typical week, how many hours of moderate physical activity did you engage in? | Less than 1 hour;1-4 hours;5-10 hours;More than 10 hours per week;Not applicable | Less than 1 hour;1-4 hours;5-10 hours;More than 10 hours per week;Not applicable | Alphanumeric |
Choose one. |
Pediatric | Supplemental | 1.00 | 2016-10-27 15:34:22.0 | Risk Factor Questionnaire (RFQ) - Physical Activity and Sleep | Epidemiology/Environmental History | Participant History and Family History |
Single Pre-Defined Value Selected |
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C22783 | Risk Factor Questionnaire (RFQ) - age 2-5 sleep duration indicator | RFQAge25SlpDurInd | Hours of sleep the subject got in a week between the ages of 2 and 5, as part of the Risk Factor Questionnaire (RFQ)- Physical Activity and Sleep | Hours of sleep the subject got in a week between the ages of 2 and 5, as part of the Risk Factor Questionnaire (RFQ)- Physical Activity and Slee | In a typical week, how many hours of sleep did you get on an average night? | Less than 5 hours;5-6 hours;6-7 hours;7-8 hours;More than 8 hours per week;Not applicable | Less than 5 hours;5-6 hours;6-7 hours;7-8 hours;More than 8 hours per week;Not applicable | Alphanumeric |
Choose one. |
Pediatric | Supplemental | 1.00 | 2016-10-27 15:40:12.0 | Risk Factor Questionnaire (RFQ) - Physical Activity and Sleep | Epidemiology/Environmental History | Participant History and Family History |
Single Pre-Defined Value Selected |
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C22784 | Risk Factor Questionnaire (RFQ) - age 6-11 vigorous physical activity indicator | RFQAge611VigrsPhysActInd | Hours spent doing vigorous physical activities by the subject in an average week between the ages of 6 and 11, as part of the Risk Factor Questionnaire (RFQ)- Physical Activity and Sleep | Hours spent doing vigorous physical activities by the subject in an average week between the ages of 6 and 11, as part of the Risk Factor Questionnaire (RFQ)- Physical Activity and Slee | In a typical week, how many hours of vigorous physical activity did you engage in? | Less than 1 hour;1-4 hours;5-10 hours;More than 10 hours per week;Not applicable | Less than 1 hour;1-4 hours;5-10 hours;More than 10 hours per week;Not applicable | Alphanumeric |
Choose one. |
Pediatric | Supplemental | 1.00 | 2016-10-27 15:48:27.0 | Risk Factor Questionnaire (RFQ) - Physical Activity and Sleep | Epidemiology/Environmental History | Participant History and Family History |
Single Pre-Defined Value Selected |
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C22785 | Risk Factor Questionnaire (RFQ) - age 6-11 moderate physical activity indicator | RFQAge611ModrtPhysActInd | Hours spent doing moderate physical activities by the subject in an average week between the ages of 6 and 11, as part of the Risk Factor Questionnaire (RFQ)- Physical Activity and Sleep | Hours spent doing moderate physical activities by the subject in an average week between the ages of 6 and 11, as part of the Risk Factor Questionnaire (RFQ)- Physical Activity and Slee | In a typical week, how many hours of moderate physical activity did you engage in? | Less than 1 hour;1-4 hours;5-10 hours;More than 10 hours per week;Not applicable | Less than 1 hour;1-4 hours;5-10 hours;More than 10 hours per week;Not applicable | Alphanumeric |
Choose one. |
Pediatric | Supplemental | 1.00 | 2016-10-28 10:39:49.0 | Risk Factor Questionnaire (RFQ) - Physical Activity and Sleep | Epidemiology/Environmental History | Participant History and Family History |
Single Pre-Defined Value Selected |
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C22786 | Risk Factor Questionnaire (RFQ) - age 6-11 sleep duration indicator | RFQAge611SlpDurInd | Hours of sleep the subject got in a week between the ages of 6 and 11, as part of the Risk Factor Questionnaire (RFQ)- Physical Activity and Sleep | Hours of sleep the subject got in a week between the ages of 6 and 11, as part of the Risk Factor Questionnaire (RFQ)- Physical Activity and Slee | In a typical week, how many hours of sleep did you get on an average night? | Less than 5 hours;5-6 hours;6-7 hours;7-8 hours;More than 8 hours per week;Not applicable | Less than 5 hours;5-6 hours;6-7 hours;7-8 hours;More than 8 hours per week;Not applicable | Alphanumeric |
Choose one. |
Pediatric | Supplemental | 1.00 | 2016-10-28 10:46:35.0 | Risk Factor Questionnaire (RFQ) - Physical Activity and Sleep | Epidemiology/Environmental History | Participant History and Family History |
Single Pre-Defined Value Selected |
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C22787 | Risk Factor Questionnaire (RFQ) - age 12-17 vigorous physical activity indicator | RFQAge1217VigrsPhysActInd | Hours spent doing vigorous physical activities by the subject in an average week between the ages of 12 and 17, as part of the Risk Factor Questionnaire (RFQ)- Physical Activity and Sleep | Hours spent doing vigorous physical activities by the subject in an average week between the ages of 12 and 17, as part of the Risk Factor Questionnaire (RFQ)- Physical Activity and Slee | In a typical week, how many hours of vigorous physical activity did you engage in? | Less than 1 hour;1-4 hours;5-10 hours;More than 10 hours per week;Not applicable | Less than 1 hour;1-4 hours;5-10 hours;More than 10 hours per week;Not applicable | Alphanumeric |
Choose one. |
Pediatric | Supplemental | 1.00 | 2016-10-28 10:51:25.0 | Risk Factor Questionnaire (RFQ) - Physical Activity and Sleep | Epidemiology/Environmental History | Participant History and Family History |
Single Pre-Defined Value Selected |
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C22788 | Risk Factor Questionnaire (RFQ) - age 12-17 moderate physical activity indicator | RFQAge1217ModrtPhysActInd | Hours spent doing moderate physical activities by the subject in an average week between the ages of 12 and 17, as part of the Risk Factor Questionnaire (RFQ)- Physical Activity and Sleep | Hours spent doing moderate physical activities by the subject in an average week between the ages of 12 and 17, as part of the Risk Factor Questionnaire (RFQ)- Physical Activity and Slee | In a typical week, how many hours of moderate physical activity did you engage in? | Less than 1 hour;1-4 hours;5-10 hours;More than 10 hours per week;Not applicable | Less than 1 hour;1-4 hours;5-10 hours;More than 10 hours per week;Not applicable | Alphanumeric |
Choose one. |
Pediatric | Supplemental | 1.00 | 2016-10-28 10:55:06.0 | Risk Factor Questionnaire (RFQ) - Physical Activity and Sleep | Epidemiology/Environmental History | Participant History and Family History |
Single Pre-Defined Value Selected |
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C22789 | Risk Factor Questionnaire (RFQ) - age 12-17 sleep duration indicator | RFQAge1217SlpDurInd | Hours of sleep the subject got in a week between the ages of 12 and 17, as part of the Risk Factor Questionnaire (RFQ)- Physical Activity and Sleep | Hours of sleep the subject got in a week between the ages of 12 and 17, as part of the Risk Factor Questionnaire (RFQ)- Physical Activity and Slee | In a typical week, how many hours of sleep did you get on an average night? | Less than 5 hours;5-6 hours;6-7 hours;7-8 hours;More than 8 hours per week;Not applicable | Less than 5 hours;5-6 hours;6-7 hours;7-8 hours;More than 8 hours per week;Not applicable | Alphanumeric |
Choose one. |
Pediatric | Supplemental | 1.00 | 2016-10-28 10:59:14.0 | Risk Factor Questionnaire (RFQ) - Physical Activity and Sleep | Epidemiology/Environmental History | Participant History and Family History |
Single Pre-Defined Value Selected |
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C17402 | Site name | SiteName | The name of the site for the study | The name of the site for the study | Site Name | Alphanumeric | Adult;Pediatric | Core | 3.00 | 2013-06-21 00:00:00.0 | Risk Factor Questionnaire (RFQ) - Physical Activity and Sleep | Epidemiology/Environmental History | Participant History and Family History | 255 |
Free-Form Entry |
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C19247 | Subject ID | SubIDNam | Subject identification ID | Subject identification ID | Subject ID | Alphanumeric | Adult;Pediatric | Core | 1.00 | 2014-06-05 13:10:49.0 | Risk Factor Questionnaire (RFQ) - Physical Activity and Sleep | Epidemiology/Environmental History | Participant History and Family History | 255 |
Free-Form Entry |