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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: Headache
Sub-Domain: General Health History
CRF: Pregnancy Information
Item count: 29 (29 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 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 Information
General Health History
Participant History and Family History
Data collected date and time
 
Free-Form Entry
       
C15624
Pregnancy indicator
PregInd
Indicates if the participant/subject is currently pregnant
Is the participant/subject pregnant?
Yes;No;Unknown;
Yes;No;Unknown;
Alphanumeric
If No or Unknown skip to Pregnant ever indicator
No references available
Adult;Pediatric
Supplemental
3.0
7/16/2013
Aliases for variable name not defined
Pregnancy Information
General Health History
Participant History and Family History
Pregnancy indicator
 
Single Pre-Defined Value Selected
       
C16008
Birth control indicator
BirthControlInd
Indicates if participant/subject uses birth control
Was birth control being used?
Yes;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 Information
General Health History
Participant History and Family History
Birth control indicator
 
Single Pre-Defined Value Selected
       
C10981
Birth control method type
BirthCntrlMethdTyp
The female participant's/subject's method of birth control
If Yes, indicate all forms of contraception used (choose all that apply)
Oral contraceptives – combined pill;Oral contraceptives – progestin-only pill;Transdermal patch;Shot/injection;Vaginal ring;Implantable devices with hormone;Abstinence;None of these;
Oral contraceptives – combined pill;Oral contraceptives – progestin-only pill;Transdermal patch;Shot/injection;Vaginal ring;Implantable devices with hormone;Abstinence;None of these;
Alphanumeric
Choose all that apply
No references available
Adult;Pediatric
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Pregnancy Information
General Health History
Participant History and Family History
Birth control method type
 
Multiple Pre-Defined Values Selected
       
C16009
Birth control last used date and time
BirthControlLastUsedDateTime
Date (and time, if applicable and known) birth control was last used
Last date birth control used
  
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
7/16/2013
Aliases for variable name not defined
Pregnancy Information
General Health History
Participant History and Family History
Birth control last used date and time
 
Free-Form Entry
       
C16175
Menstrual period last date
MenstrualPeriodLastDate
Date of the participant's/subject's last menstrual period
Date of last menstrual period
  
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
7/16/2013
Aliases for variable name not defined
Pregnancy Information
General Health History
Participant History and Family History
Menstruation last occurrence date
 
Free-Form Entry
       
C16011
Pregnancy confirmed date and time
PregConfirmDateTime
Date the participant/subject's current pregnancy was confirmed
Date pregnancy confirmed
  
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
7/16/2013
Aliases for variable name not defined
Pregnancy Information
General Health History
Participant History and Family History
Pregnancy confirmed date and time
 
Free-Form Entry
       
C16173
Pregnancy estimated delivery date and time
PregEstDeliveryDateTime
The date and time (if applicable) the participant/subject is estimated to deliver the pregnancy
Estimated delivery date EDD
  
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
7/16/2013
Aliases for variable name not defined
Pregnancy Information
General Health History
Participant History and Family History
Pregnancy estimated delivery date
 
Free-Form Entry
       
C16013
Pregnancy estimated delivery date ultrasound based indicator
PregDelEstDateUltrasndInd
Indicator of whether the estimated delivery date is based on an ultrasound examination
Was the EDD based on an ultrasound?
Yes;No;Unknown;
Yes;No;Unknown;
Alphanumeric
Choose one
No references available
Adult;Pediatric
Supplemental
3.0
7/16/2013
Aliases for variable name not defined
Pregnancy Information
General Health History
Participant History and Family History
Pregnancy estimated delivery date ultrasound based indicator
 
Single Pre-Defined Value Selected
       
C16014
Pregnancy prenatal testing performed indicator
PregPrenatalTestPerfInd
Indicator of whether prenatal testing was performed for the current pregnancy
Was prenatal testing performed?
Yes;No;Unknown;
Yes;No;Unknown;
Alphanumeric
If yes, please complete the following questions regarding prenatal testing
No references available
Adult;Pediatric
Supplemental
3.0
7/16/2013
Aliases for variable name not defined
Pregnancy Information
General Health History
Participant History and Family History
Pregnancy prenatal testing performed indicator
 
Single Pre-Defined Value Selected
       
C16015
Prenatal testing type
PrenatalTestTyp
The type of prenatal testing that was performed for the current pregnancy
If Yes, please complete the following questions regarding prenatal testing:
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
Record the date for each prenatal test performed and the results
No references available
Adult;Pediatric
Supplemental
3.0
7/16/2013
Aliases for variable name not defined
Pregnancy Information
General Health History
Participant History and Family History
Prenatal testing type
 
Single Pre-Defined Value Selected
       
C19040
Prenatal testing other text
PrenatalTestOTH
The free-text field related to 'Prenatal testing type' specifying other text. The type of prenatal testing that was performed for the current pregnancy
Other, specify
  
Alphanumeric
Record the date for each prenatal test performed and the results
No references available
Adult;Pediatric
Supplemental
3.0
7/16/2013
Aliases for variable name not defined
Pregnancy Information
General Health History
Participant History and Family History
 
4000
Free-Form Entry
       
C16016
Prenatal testing date and time
PrenatalTestDateTime
Date the selected prenatal testing type was performed for the current pregnancy
Dates 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.).
No references available
Adult;Pediatric
Supplemental
3.0
7/16/2013
Aliases for variable name not defined
Pregnancy Information
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
To be answered for each prenatal test performed.
No references available
Adult;Pediatric
Supplemental
3.0
7/16/2013
Aliases for variable name not defined
Pregnancy Information
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 Information
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 the pregnancy?
Yes, specify;No;Unknown;
Yes;No;Unknown;
Alphanumeric
Choose one. If yes, specify the complication(s).
No references available
Adult;Pediatric
Supplemental
3.0
7/16/2013
Aliases for variable name not defined
Pregnancy Information
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 Information
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 the pregnancy?
Yes, specify;No;Unknown;
Yes;No;Unknown;
Alphanumeric
Choose one. If yes, specify the infection or illness.
No references available
Adult;Pediatric
Supplemental
3.0
7/16/2013
Aliases for variable name not defined
Pregnancy Information
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 Information
General Health History
Participant History and Family History
 
255
Free-Form Entry
       
C10556
Pregnant ever indicator
PregEverInd
Indicator as to whether or not the participant/subject has every been pregnant, both term and not to term
Has the participant/subject ever been pregnant?
Yes;No;Unknown;
Yes;No;Unknown;
Alphanumeric
If No or Unknown, stop
No references available
Adult;Pediatric
Supplemental
3.0
7/16/2013
Aliases for variable name not defined
Pregnancy Information
General Health History
Participant History and Family History
Pregnant ever indicator
 
Single Pre-Defined Value Selected
       
C55934
Pregnancy prior history births count
PrgnncyPrrHstryBrthCt
Count of the total number of pregnancies, either full-term or pre-term, that the patient/subject has been through.
Number of prior pregnancies:
  
Numeric Values
No additional instructions
No references available
Adult;Pediatric
Supplemental
1.0
6/2/2017
Aliases for variable name not defined
Pregnancy Information
General Health History
Participant History and Family History
  
Free-Form Entry
0
30
weeks
    
C16022
Pregnancy prior history births full-term count
PregPriorHistBirthFulltermCt
Count of the total number of pregnancies the participant/subject has carried for a full term (>= 37 weeks)
Full term (>= 37 weeks) births
  
Numeric Values
No additional Instructions
No references available
Adult;Pediatric
Supplemental
3.0
7/16/2013
Aliases for variable name not defined
Pregnancy Information
General Health History
Participant History and Family History
Births full-term number
 
Free-Form Entry
0
30
     
C16023
Pregnancy prior history births pre-term count
PregPriorHistBirthPretermCt
Count of the total number of pregnancies the participant/subject carried for less than a full term (< 37 weeks)
Pre-term (< 37 weeks) births
  
Numeric Values
No additional Instructions
No references available
Adult;Pediatric
Supplemental
3.0
7/16/2013
Aliases for variable name not defined
Pregnancy Information
General Health History
Participant History and Family History
Births pre-term number
 
Free-Form Entry
0
30
     
C16024
Pregnancy prior history birth defect indicator
PregPriorHistBirthDefectInd
Indicator of whether a birth defect occurred in any of the participant/subject's previous pregnancies
Did a birth defect occur in any previous pregnancy?
Yes, specify;No;Unknown;
Yes;No;Unknown;
Alphanumeric
Choose one
No references available
Adult;Pediatric
Supplemental
3.0
7/16/2013
Aliases for variable name not defined
Pregnancy Information
General Health History
Participant History and Family History
Pregnancy birth defect history indicator
 
Single Pre-Defined Value Selected
       
C17996
Pregnancy prior history birth defect text
PregPriorHistBirthDefectTxt
Text of any comments about any birth defects that occurred during the participant/subject's previous pregnancies
If Yes specify birth defect
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
3.0
7/16/2013
Aliases for variable name not defined
Pregnancy Information
General Health History
Participant History and Family History
 
255
Free-Form Entry
       
C16026
Pregnancy prior history loss indicator
PregPriorHistLossInd
Indicator of whether a miscarriage (<= 20 weeks) or stillbirth (> 20 weeks) occurred in any previous pregnancy
Did a miscarriage (<= 20 weeks) or stillbirth (> 20 weeks) occur in any previous pregnancy?
Yes;No;Unknown;
Yes;No;Unknown;
Alphanumeric
Choose one
No references available
Adult;Pediatric
Supplemental
3.0
7/16/2013
Aliases for variable name not defined
Pregnancy Information
General Health History
Participant History and Family History
Pregnancy previous loss indicator
 
Single Pre-Defined Value Selected
       
07-21-2019
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