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CDE Detailed Report
This report contains detailed information about the selected CDEs.
Note: If at least one CDE was selected from a copyright- or trademark-protected instrument/scale then all of the CDEs from that instrument/scale are included in this report.
Disease: Facioscapulohumeral Muscular Dystrophy
Sub-Domain: General Health History
CRF: Pregnancy
Item count: 61 (61 distinct CDEs)
CDE ID
CDE Name
Variable Name
Definition / Description
Question Text
Permissible Value
Description
Data Type
Instructions
References
Population
Classification (e.g., Core)
Version #
Version Date
Aliases for Variable Name
CRF Module / Guideline
© or TM
Sub-Domain
Domain
Previous Title
Size
Input Restrictions
Min Value
Max Value
Measurement Type
LOINC ID
SNOMED
caDSR ID
CDISC ID
C06005
Data collected date and time
DataCollDateTime
Date (and time, if applicable and known) the data were collected. This may be the date/time a particular examination or procedure was performed.
Date pregnancy information/outcome obtained?
  
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.).
ISO 8601 - http://www.iso.org/iso/iso_catalogue.htm
Adult;Pediatric
Supplemental
3.0
7/24/2013
Aliases for variable name not defined
Pregnancy
General Health History
Participant History and Family History
Data collected date and time
 
Free-Form Entry
       
C16015
Prenatal testing type
PrenatalTestTyp
The type of prenatal testing that was performed for the current pregnancy
Prenatal Test
Ultrasound;Amniocentesis;Screening for neural tube defects;Screening for gestational diabetes before or at 28 weeks;Screening for asymptomatic bacteriuria before or at 16 weeks gestation;Hepatitis B specific antigen screening at first visit;HIV screening at first visit;Group B streptococcus screening (GBS) at 35 to 37 weeks;Maternal serum alpha fetoprotein;Other, specify;
Ultrasound;Amniocentesis;Screening for neural tube defects;Screening for gestational diabetes before or at 28 weeks;Screening for asymptomatic bacteriuria before or at 16 weeks gestation;Hepatitis B specific antigen screening at first visit;HIV screening at first visit;Group B streptococcus screening (GBS) at 35 to 37 weeks;Maternal serum alpha fetoprotein;Other, specify;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
3.0
7/16/2013
Aliases for variable name not defined
Pregnancy
General Health History
Participant History and Family History
Prenatal testing type
 
Single Pre-Defined Value Selected
       
C16016
Prenatal testing date and time
PrenatalTestDateTime
Date the selected prenatal testing type was performed for the current pregnancy
Date(s) of Testing
  
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.). Recording date of birth will give the most detailed information required for calculation of age and is recommended as first choice. However, in some studies recording date of birth may elicit discussions on a potential violation of privacy legislation and specifically HIPAA regulations. In these cases, the calculated age should be recorded.
ISO 8601 - http://www.iso.org/iso/iso_catalogue.htm
Adult;Pediatric
Supplemental
3.0
7/16/2013
Aliases for variable name not defined
Pregnancy
General Health History
Participant History and Family History
Prenatal testing date and time
 
Free-Form Entry
       
C16017
Prenatal testing result
PrenatalTestReslt
Results of the selected prenatal testing type
Results of Test
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
3.0
7/16/2013
Aliases for variable name not defined
Pregnancy
General Health History
Participant History and Family History
Prenatal testing result
255
Free-Form Entry
       
C17993
Prenatal test text
PrenatalTestTxt
Text notes of any comments regarding the selected prenatal testing type
Comments
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
3.0
7/16/2013
Aliases for variable name not defined
Pregnancy
General Health History
Participant History and Family History
 
255
Free-Form Entry
       
C16018
Pregnancy complication indicator
PregComplicationInd
Indicator of whether the participant/subject had complications during the pregnancy
Did/Has the participant/subject experienced any complications during this pregnancy?
Yes, specify;No;Unknown;
Yes;No;Unknown;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
3.0
7/16/2013
Aliases for variable name not defined
Pregnancy
General Health History
Participant History and Family History
Pregnancy complication indicator
 
Single Pre-Defined Value Selected
       
C17994
Pregnancy complication text
PregComplicationTxt
Text specifying any complications the participant/subject experienced during this pregnancy
If Yes, specify:
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
3.0
7/16/2013
Aliases for variable name not defined
Pregnancy
General Health History
Participant History and Family History
 
255
Free-Form Entry
       
C16020
Pregnancy infection illness indicator
PregInfectnIllnessInd
Indicator of whether there were any infections/illnesses that occurred during this pregnancy
Did/Has the participant/subject experienced any infections or illnesses during this pregnancy?
Yes, specify;No;Unknown;
Yes;No;Unknown;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
3.0
7/16/2013
Aliases for variable name not defined
Pregnancy
General Health History
Participant History and Family History
Pregnancy infection or illness during indicator
 
Single Pre-Defined Value Selected
       
C17995
Pregnancy infection illness text
PregInfectnIllnessTxt
Text specifying any infections or illnesses the participant/subject experienced during this pregnancy
If Yes, specify:
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
3.0
7/16/2013
Aliases for variable name not defined
Pregnancy
General Health History
Participant History and Family History
 
255
Free-Form Entry
       
C19626
FSHD prenatal testing indicator
FSHDPrenatTestInd
Indicator of whether prenatal testing for FSHD was performed
Was prenatal testing for FSHD performed?
Yes;No;Unknown;
Yes (specify below);No;Unknown;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
1/5/2015
Aliases for variable name not defined
Pregnancy
General Health History
Participant History and Family History
  
Single Pre-Defined Value Selected
       
C19627
FSHD prenatal testing text
FSHDPrenatTestTxt
Text specifying results from FSHD prenatal testing that was performed on the participant/subject
If Yes, specify the result:
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
1/5/2015
Aliases for variable name not defined
Pregnancy
General Health History
Participant History and Family History
 
255
Free-Form Entry
       
C16037
Pregnancy most recent live born infant indicator
PregMostRecntLveBornInfantInd
Indicates whether the outcome of the participant/subject's most recent pregnancy was a live born infant?
Was the outcome of the participant/subject's most recent pregnancy a live born infant?
Yes;No;Unknown;
Yes;No;Unknown;
Alphanumeric
If 'Yes' is answered, skip to question 3. If 'No' is answered, then complete questions 2a-2c only. If 'Unknown' answered, then Stop.
No references available
Adult;Pediatric
Supplemental
3.0
7/16/2013
Aliases for variable name not defined
Pregnancy
General Health History
Participant History and Family History
Pregnancy most recent live born infant indicator
 
Single Pre-Defined Value Selected
       
C16169
Pregnancy outcome type
PregOutcmeTyp
Type of outcome of the pregnancy experienced by the participant/subject
Pregnancy outcome
Elective termination;Fetal death/stillbirth;Spontaneous abortion;Unknown;
Elective termination;Fetal death/stillbirth (> 20 weeks);Spontaneous abortion (< 20 weeks);Unknown;
Alphanumeric
Choose one. Answer for the female participant/subject only (not the partner). Only answered if No was answered for "Was the outcome of the participant's/subject's most recent pregnancy a live born infant?". Complete this question, outcome date, and was the fetus normal and then stop completing the form.
No references available
Adult;Pediatric
Supplemental
3.0
7/16/2013
Aliases for variable name not defined
Pregnancy
General Health History
Participant History and Family History
Pregnancy outcome type
 
Single Pre-Defined Value Selected
       
C10558
Delivery or pregnancy termination last date and time
DeliveryPregTerminLstDateTime
Date (and time if applicable and known) the female participant/subject last delivered a pregnancy or the pregnancy terminated (e.g., miscarriage, abortion)
Outcome date
  
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.).
ISO 8601, the International Standard for the representation of dates and times (http://www.iso.org/iso/home.html)
Adult;Pediatric
Supplemental
3.0
7/16/2013
Aliases for variable name not defined
Pregnancy
General Health History
Participant History and Family History
Delivery or pregnancy termination last date and time
 
Free-Form Entry
       
C16040
Pregnancy fetus normal indicator
PregFtusNormInd
Indicates whether the fetus was normal
Was the fetus normal?
Yes;No, describe;Unknown;
Yes;No, describe;Unknown;
Alphanumeric
Only answered if No was answered for "Was the outcome of the participant's/subject's most recent pregnancy a live born infant?", and only complete this question, outcome date, and pregnancy outcome, the end form.
No references available
Adult;Pediatric
Supplemental
3.0
7/16/2013
Aliases for variable name not defined
Pregnancy
General Health History
Participant History and Family History
Pregnancy fetus normal indicator
 
Single Pre-Defined Value Selected
       
C17997
Pregnancy fetus not normal description text
PregFetusNotNormDescriptTxt
Description of the abnormal pregnancy fetus
No, describe
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
3.0
7/16/2013
Aliases for variable name not defined
Pregnancy
General Health History
Participant History and Family History
 
255
Free-Form Entry
       
C11078
Delivery mode type
DeliveryModeTyp
Type of delivery mode of the neonate
Delivery type?
Spontaneous;Induced, specify reason;
Spontaneous;Induced, specify reason;
Alphanumeric
Choose only one
No references available
Adult;Pediatric
Supplemental
3.0
7/25/2013
Aliases for variable name not defined
Pregnancy
General Health History
Participant History and Family History
Delivery mode type
 
Single Pre-Defined Value Selected
       
C16042
Delivery mode induced reason
DeliveryModeInduceRsn
Type of induced delivery that occurred during the live infant birth
Induced; specify reason
Hemorrhage and placental complications;Hypertension, preeclampsia or eclampsia;Rupture of membranes-premature, prolonged;Maternal conditions complicating pregnancy/delivery;Fetal conditions complicating pregnancy/delivery;Malposition and malpresentation of fetus;Late pregnancy;Prior uterine surgery;Other, specify;Unknown;
Hemorrhage and placental complications;Hypertension, preeclampsia or eclampsia;Rupture of membranes-premature, prolonged;Maternal conditions complicating pregnancy/delivery;Fetal conditions complicating pregnancy/delivery;Malposition and malpresentation of fetus;Late pregnancy;Prior uterine surgery;Other, specify;Unknown;
Alphanumeric
Choose all that apply
No references available
Adult;Pediatric
Supplemental
3.0
7/16/2013
DeliveryInduceRsn
Pregnancy
General Health History
Participant History and Family History
Delivery induced reason
 
Multiple Pre-Defined Values Selected
       
C18829
Delivery mode induced other text
DeliveryModeOTH
The free-text field related to 'Delivery mode type' for induced delivery mode. Type of delivery mode of the neonate.
Other, specify:
  
Alphanumeric
Choose only one
No references available
Adult;Pediatric
Supplemental
3.0
7/25/2013
Aliases for variable name not defined
Pregnancy
General Health History
Participant History and Family History
 
4000
Free-Form Entry
       
C11079
Neonate delivery route type
NeonateDelivRteTyp
Route of delivery of the neonate
Delivery route?
Vaginal;Caesarean;Unknown;
Vaginal;Caesarean;Unknown;
Alphanumeric
Choose only one
No references available
Adult;Pediatric
Supplemental
3.0
7/25/2013
Aliases for variable name not defined
Pregnancy
General Health History
Participant History and Family History
Delivery route
 
Single Pre-Defined Value Selected
       
C16044
Delivery cesarean section reason
DelCesSctnRsn
Reason for the Cesarean section
Specify reason
  
Alphanumeric
Answer only if Cesarean was the delivery route.
No references available
Adult;Pediatric
Supplemental
3.0
7/16/2013
Aliases for variable name not defined
Pregnancy
General Health History
Participant History and Family History
Delivery by Cesarean section reason
255
Free-Form Entry
       
C11081
Delivery caesarean timing status
DeliveryCaesareanTimingStatus
Status of the caesarean delivery
Timing of cesarean
Emergency;Elective;
Emergency;Elective;
Alphanumeric
Choose one. Answer only if Cesarean was the delivery route.
No references available
Adult;Pediatric
Supplemental
3.0
7/16/2013
Aliases for variable name not defined
Pregnancy
General Health History
Participant History and Family History
Delivery caesarean timing status
 
Single Pre-Defined Value Selected
       
C11080
Delivery modality type
DeliveryModltyTyp
Type of modality of the participant/subject's intrauterine orientation at delivery
Delivery modality type
Breech;Cephalic;Unknown;
Breech;Cephalic;Unknown;
Alphanumeric
Choose one
No references available
Adult;Pediatric
Supplemental
3.0
7/25/2013
Aliases for variable name not defined
Pregnancy
General Health History
Participant History and Family History
Delivery modality type
 
Single Pre-Defined Value Selected
       
C16046
Pregnancy labor delivery complication indicator
PregLabDelCompInd
Indicator of whether there were complications during labor/delivery
Did the participant/subject experience any complications during labor/delivery?
Yes;No;Unknown;
Yes;No;Unknown;
Alphanumeric
Choose one. If yes, explain the labor/delivery complication.
No references available
Adult;Pediatric
Supplemental
3.0
7/16/2013
Aliases for variable name not defined
Pregnancy
General Health History
Participant History and Family History
Pregnancy labor or delivery complication indicator
 
Single Pre-Defined Value Selected
       
C17998
Pregnancy labor delivery complication specification text
PregLabDelCompSpecTxt
Text about the participant/subject's experience with any complications during labor/delivery
If Yes, specify
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
3.0
7/16/2013
Aliases for variable name not defined
Pregnancy
General Health History
Participant History and Family History
 
255
Free-Form Entry
       
C16048
Tocolytic agents required during preterm labor indicator
ToclytcAgntReqDrnPretermLabInd
Indicator of whether medications used to suppress premature labor were required during preterm labor
Did the participant/subject require tocolytic agents during preterm labor?
Yes;No;Unknown;
Yes;No;Unknown;
Alphanumeric
Choose one. If yes, explain the agent(s) administered.
No references available
Adult;Pediatric
Supplemental
3.0
7/16/2013
Aliases for variable name not defined
Pregnancy
General Health History
Participant History and Family History
Tocolytic agents required during preterm labor indicator
 
Single Pre-Defined Value Selected
       
07-21-2019
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