CDE Detailed Report
Disease: content
Subdomain Name: General Health History
CRF: welcome
Displaying 1 - 18 of 18
Subdomain Name: General Health History
CRF: welcome
Displaying 1 - 18 of 18
| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| C59019 | Birth weight measurement | BirthWeightMeasr | Measurement in kilograms of the weight of a neonate at birth | Measurement in kilograms of the weight of a neonate at birth | Birth weight | Numeric Values |
Recorded value of participant's/subject's measured weight at birth. This element is intended for pediatric clinical studies. Record the birth weight of the participant/ subject in kilograms (Kg).? |
No references available | Adult;Pediatric | Exploratory | 1.10 | 2022-08-01 10:17:22.0 | Prenatal and Perinatal History | General Health History | Participant History and Family History |
Free-Form Entry |
0 | 9000 | kilograms | 3201400;2179689 | ||||||
| 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 | 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 | 3.00 | 2013-07-25 08:54:08.2 | Prenatal and Perinatal History | General Health History | Participant History and Family History |
Multiple Pre-Defined Values 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 | 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 | 3.00 | 2013-07-25 08:54:08.2 | Prenatal and Perinatal History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
||||||||
| C11078 | Delivery mode type | DeliveryModeTyp | Type of delivery mode of the neonate | 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 | 3.00 | 2013-07-25 08:54:08.2 | Prenatal and Perinatal History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
||||||||
| C11079 | Neonate delivery route type | NeonateDelivRteTyp | Route of delivery of the neonate | 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 | 3.00 | 2013-07-25 08:54:08.2 | Prenatal and Perinatal History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
||||||||
| C11080 | Delivery modality type | DeliveryModltyTyp | Type of modality of the participant/subject's intrauterine orientation at delivery | 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 | 3.00 | 2013-07-25 08:54:08.2 | Prenatal and Perinatal History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
||||||||
| 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 | Time elapsed in weeks between the first day of the last normal menstrual period and the day of delivery of the participant/subjec | Gestational age at birth | Numeric Values |
Answer should be recorded in weeks |
No references available | Adult;Pediatric | Exploratory | 3.00 | 2013-07-25 08:54:08.2 | Prenatal and Perinatal History | General Health History | Participant History and Family History |
Free-Form Entry |
0 | 52 | week | 3192017 | ||||||
| C11081 | Delivery caesarean timing status | DeliveryCaesareanTimingStatus | Status of the caesarean delivery | 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 | 3.00 | 2013-07-16 14:01:43.01 | Prenatal and Perinatal History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
||||||||
| 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 | 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 responsivenes | 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 | 3.00 | 2013-07-25 08:54:08.2 | Prenatal and Perinatal History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
3181701 | |||||||
| C11082 | Delivery extraction indicator | BirthDeliveryExtractionInd | Indicator as to whether or not the participant's/subject's birth was assisted with an extraction method | 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 | 3.00 | 2013-07-11 15:03:49.2 | Prenatal and Perinatal History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
||||||||
| 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 | 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 responsivenes | 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 | 3.00 | 2013-07-25 08:54:08.2 | Prenatal and Perinatal History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
2738533 | |||||||
| C11083 | Delivery extraction type | DeliveryExtractionTyp | Type of extraction used to assist with the delivery of the participant/subject | 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 | 3.00 | 2013-07-25 08:54:08.2 | Prenatal and Perinatal History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
||||||||
| 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 | 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 | 3.00 | 2013-07-24 21:00:23.88 | Prenatal and Perinatal History | General Health History | Participant History and Family History |
Free-Form Entry |
0 | 99 | year | |||||||
| C17490 | Birth delivery history indicator | BirthDeliveryHistInd | Indicator of pregnancy/delivery risk factors | Indicator of pregnancy/delivery risk factors | Is there a history of the following? | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric | No references available | Adult;Pediatric | Exploratory | 3.00 | 2013-07-15 16:08:48.687 | Prenatal and Perinatal History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
|||||||||
| 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 | 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 | 3.00 | 2013-07-10 11:37:29.993 | Prenatal and Perinatal History | General Health History | Participant History and Family History |
Free-Form Entry |
0 | 99 | ||||||||
| C17491 | Birth delivery history type | BirthDeliveryHistoryTyp | Type of pregnancy complication the participant's/subject's mother may have experienced in her lifetime | 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 references available | Adult;Pediatric | Exploratory | 3.00 | 2013-07-15 16:08:48.687 | Prenatal and Perinatal History | General Health History | Participant History and Family History |
Multiple Pre-Defined Values Selected |
|||||||||
| 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's/subject's mother has been pregnant, regardless of whether these pregnancies were carried to term | Total number of times the participant/subject?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 | 3.00 | 2013-07-25 08:54:08.2 | Prenatal and Perinatal History | General Health History | Participant History and Family History |
Free-Form Entry |
1 | 99 | ||||||||
| C22800 | Pregnancy or delivery risk factor other indicator | PregDelvRskFactrOthInd | Indicate whether there are other pregnancy/delivery risk factors | Indicate whether there are other pregnancy/delivery risk factor | Other pregnancy/delivery risk factors? | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric | Adult;Pediatric | Exploratory | 1.00 | 2016-11-04 15:33:57.0 | Prenatal and Perinatal History | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
