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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: Friedreich's Ataxia
Sub-Domain: General Health History
CRF: Prenatal and Perinatal History
Item count: 18 (18 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
C11062
Maternal delivery age value
MatrnlDelvryAgeVal
Mother's age at the time she gave birth to the participant/subject
Mother's age at the time she gave birth to the participant/subject
  
Numeric Values
Answer should be recorded in years
No references available
Adult;Pediatric
Exploratory
3.0
7/24/2013
Aliases for variable name not defined
Prenatal and Perinatal History
General Health History
Participant History and Family History
Age maternal at delivery value
 
Free-Form Entry
0
99
year
    
C11063
Parity maternal value
ParityMaternalVal
Number of live born children the participant's/subject's mother has delivered
Number of live born children the participant's/subject's mother has delivered
  
Numeric Values
Answer should be recorded as a whole integer
No references available
Adult;Pediatric
Exploratory
3.0
7/10/2013
Aliases for variable name not defined
Prenatal and Perinatal History
General Health History
Participant History and Family History
Parity maternal value
 
Free-Form Entry
0
99
year
    
C11065
Gravida maternal value
GravidaMaternalVal
Total number of times the participant's/subject's mother has been pregnant, regardless of whether these pregnancies were carried to term
Total number of times the participant/subjectÂ’s mother has been pregnant, regardless of whether these pregnancies were carried to term
  
Numeric Values
Answer should be recorded as a whole integer. A current pregnancy, if any, is included in this count
No references available
Adult;Pediatric
Exploratory
3.0
7/25/2013
Aliases for variable name not defined
Prenatal and Perinatal History
General Health History
Participant History and Family History
Gravida maternal value
 
Free-Form Entry
1
99
     
C11066
Pregnancy or delivery risk factor type
PregnDeliveryRiskFactTyp
Type of risk factor to the participant's/subject's health that may have been experienced during the prenatal period (i.e., during time mother pregnant), at the time of delivery, or soon after delivery
Does the participant/subject's mother have a history of
Previous pregnancy loss;Preeclampsia during pregnancy of the participant/subject; Another hypertensive disorder during pregnancy of the participant/subject;Oligohydramnios;Gestational onset diabetes during pregnancy of the participant/subject; Fever during delivery of participant/subject;Prolonged rupture of membranes (i.e., > 24 hours) during delivery of participant/subject;Second stage of labor more than two hours;Meconium staining of the amniotic fluid;
Previous pregnancy loss;Preeclampsia during pregnancy of the participant/subject; Another hypertensive disorder during pregnancy of the participant/subject;Oligohydramnios;Gestational onset diabetes during pregnancy of the participant/subject; Fever during delivery of participant/subject;Prolonged rupture of membranes (i.e., > 24 hours) during delivery of participant/subject;Second stage of labor more than two hours;Meconium staining of the amniotic fluid;
Alphanumeric
For each pregnancy condition record whether the mother experienced it using the element "Pregnancy condition maternal indicator".
No references available
Adult;Pediatric
Exploratory
3.0
7/25/2013
Aliases for variable name not defined
Prenatal and Perinatal History
General Health History
Participant History and Family History
Pregnancy or delivery risk factor type
 
Single Pre-Defined Value Selected
       
C11067
Pregnancy or delivery risk factor indicator
PregDeliveryRiskFactInd
Whether the specific risk factor to the participant's/subject's health was experienced during the prenatal period (i.e., during time mother pregnant), at the time of delivery, or soon after delivery
Does the participant's/subject's mother have a history of
Yes;No;Unknown;
Yes;No;Unknown;
Alphanumeric
Choose one for each condition (see "Pregnancy condition maternal type" CDE)
No references available
Adult;Pediatric
Exploratory
3.0
7/25/2013
Aliases for variable name not defined
Prenatal and Perinatal History
General Health History
Participant History and Family History
Pregnancy or delivery risk factor indicator
 
Single Pre-Defined Value Selected
       
C00311
Birth weight value
BirthWgtVal
Birth weight according to the participant's/subject's medical report or reported by the parent or legal guardian
Birth weight
  
Numeric Values
Pounds and ounces or grams
No references available
Adult;Pediatric
Exploratory
3.0
7/24/2013
PERS_MEAS_BIR_WT_VAL
Prenatal and Perinatal History
General Health History
Participant History and Family History
Birth weight value
 
Free-Form Entry
0
9000
gram
  
3201400;2179689
 
C00001
Gestational age value
GestatnlAgeVal
Time elapsed in weeks between the first day of the last normal menstrual period and the day of delivery of the participant/subject.
Gestational age at birth
  
Numeric Values
Answer should be recorded in weeks
No references available
Adult;Pediatric
Exploratory
3.0
7/25/2013
GESTA_NAT_AGE
Prenatal and Perinatal History
General Health History
Participant History and Family History
Gestational age value
 
Free-Form Entry
0
52
week
  
3192017
 
C00724
APGAR five minute score
APGARFiveMinuteScore
Score of a newborn recorded at five minutes from the time of birth and expressed as a number quantifying the overall physical condition, which includes heart rate, muscle tone, respiratory effort, color, and reflex responsiveness.
APGAR 5 minute score
0;1;2;3;4;5;6;7;8;9;10;
0;1;2;3;4;5;6;7;8;9;10;
Numeric Values
Record the APGAR score (0 - 10 points, inclusive) assessed at 5 minutes
No references available
Adult;Pediatric
Exploratory
3.0
7/25/2013
APGAR_SC_FV_MIN_NUM
Prenatal and Perinatal History
General Health History
Participant History and Family History
APGAR five minute score
 
Single Pre-Defined Value Selected
     
2738533
 
C00723
APGAR ten minute score
APGARTenMinuteScore
Score of a newborn recorded at ten minutes from the time of birth and expressed as a number quantifying the overall physical condition, which includes heart rate, muscle tone, respiratory effort, color, and reflex responsiveness.
APGAR 10 minute score
0;1;2;3;4;5;6;7;8;9;10;
0;1;2;3;4;5;6;7;8;9;10;
Numeric Values
Record the APGAR score (0 - 10 points, inclusive) assessed at 10 minutes
No references available
Adult;Pediatric
Exploratory
3.0
7/25/2013
APGAR_SC_TN_MIN_NUM
Prenatal and Perinatal History
General Health History
Participant History and Family History
APGAR ten minute score
 
Single Pre-Defined Value Selected
     
3181701
 
C11078
Delivery mode type
DeliveryModeTyp
Type of delivery mode of the neonate
Mode of delivery of the neonate
Spontaneous;Induced;Unknown;
Spontaneous;Induced;Unknown;
Alphanumeric
Choose one
No references available
Adult;Pediatric
Exploratory
3.0
7/25/2013
Aliases for variable name not defined
Prenatal and Perinatal History
General Health History
Participant History and Family History
Delivery mode type
 
Single Pre-Defined Value Selected
       
C11079
Neonate delivery route type
NeonateDelivRteTyp
Route of delivery of the neonate
Route of delivery of the neonate
Vaginal;Caesarean;
Vaginal;Caesarean;
Alphanumeric
Choose one
No references available
Adult;Pediatric
Exploratory
3.0
7/25/2013
Aliases for variable name not defined
Prenatal and Perinatal History
General Health History
Participant History and Family History
Delivery route
 
Single Pre-Defined Value Selected
       
C11081
Delivery caesarean timing status
DeliveryCaesareanTimingStatus
Status of the caesarean delivery
If Caesarean, timing of the procedure?
Emergency;Elective;Unknown;
Emergency;Elective;Unknown;
Alphanumeric
Choose one. Element is only applicable if "Delivery route" is answered as "Caesarean".
No references available
Adult;Pediatric
Exploratory
3.0
7/16/2013
Aliases for variable name not defined
Prenatal and Perinatal History
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 of the neonate
Breech;Cephalic;Unknown;
Breech;Cephalic;Unknown;
Alphanumeric
Choose one
No references available
Adult;Pediatric
Exploratory
3.0
7/25/2013
Aliases for variable name not defined
Prenatal and Perinatal History
General Health History
Participant History and Family History
Delivery modality type
 
Single Pre-Defined Value Selected
       
C11082
Delivery extraction indicator
BirthDeliveryExtractionInd
Indicator as to whether or not the participant's/subject's birth was assisted with an extraction method
Instruments used to assist with the delivery of the participant/subject
Yes;No;Unknown;
History reported and/or confirmed in medical record;History NOT reported and NOT confirmed in medical record;History reported as unknown or could not be collected;
Alphanumeric
If "No," skip "Birth delivery extraction type."
No references available
Adult;Pediatric
Exploratory
3.0
7/11/2013
Aliases for variable name not defined
Prenatal and Perinatal History
General Health History
Participant History and Family History
Delivery extraction indicator
 
Single Pre-Defined Value Selected
       
C11083
Delivery extraction type
DeliveryExtractionTyp
Type of extraction used to assist with the delivery of the participant/subject
Instruments used to assist with the delivery of the participant/subject
None;Vacuum;Forceps;Vacuum and Forceps;Unknown;
None;Vacuum;Forceps;Vacuum and Forceps;Unknown;
Alphanumeric
Choose one. Only answered if "History of instruments being used to assist with the delivery of the participant/subject?" is answered Yes.
No references available
Adult;Pediatric
Exploratory
3.0
7/25/2013
Aliases for variable name not defined
Prenatal and Perinatal History
General Health History
Participant History and Family History
Delivery extraction type
 
Single Pre-Defined Value Selected
       
C17491
Birth delivery history type
BirthDeliveryHistoryTyp
Type of pregnancy complication the participant's/subject's mother may have experienced in her lifetime
Is there a history of the following?
Resuscitation of the participant/subject at delivery;Intravascular catheter placed in newborn period;Placenta sent for pathology;Placental abnormalities;Cord abnormalities;Fetal heart rate abnormality;Decreased fetal movement;Chorioamnionitis;Other pregnancy/delivery risk factors;
Resuscitation of the participant/subject at delivery;Intravascular catheter placed in newborn period;Placenta sent for pathology;Placental abnormalities;Cord abnormalities;Fetal heart rate abnormality;Decreased fetal movement;Chorioamnionitis;Other pregnancy/delivery risk factors;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Exploratory
3.0
7/15/2013
Aliases for variable name not defined
Prenatal and Perinatal History
General Health History
Participant History and Family History
  
Multiple Pre-Defined Values Selected
       
C17490
Birth delivery history indicator
BirthDeliveryHistInd
Indicator of pregnancy/delivery risk factors
Is there a history of the following?
Yes;No;Unknown;
Yes;No;Unknown;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Exploratory
3.0
7/15/2013
Aliases for variable name not defined
Prenatal and Perinatal History
General Health History
Participant History and Family History
  
Single Pre-Defined Value Selected
       
C22800
Pregnancy or delivery risk factor other indicator
PregDelvRskFactrOthInd
Indicate whether there are other pregnancy/delivery risk factors.
Other pregnancy/delivery risk factors?
Yes;No;Unknown;
Yes;No;Unknown;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Exploratory
1.0
11/4/2016
Aliases for variable name not defined
Prenatal and Perinatal History
General Health History
Participant History and Family History
  
Single Pre-Defined Value Selected
       
07-20-2019
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