CDE Detailed Report

Disease: Friedreich's Ataxia
Sub-Domain: General Health History
CRF: Pregnancy History

Displaying 1 - 4 of 4
CDE ID CDE Name Variable Name Definition Short Description Additional Notes (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 / Guideline) Sub Domain Name Domain Name Size Input Restrictions Min Value Max Value Measurement Type External Id Loinc External Id Snomed External Id caDSR External Id CDISC
C10556 Pregnant ever indicator PregEverInd Indicator as to whether or not the participant/subject has every been pregnant, both term and not to term Indicator as to whether or not the participant/subject has every been pregnant, both term and not to term Does participant/ subject have a history of prior pregnancy Yes;No;Unknown Yes;No;Unknown Alphanumeric

Both term and not to term.

No references available Adult;Pediatric Supplemental 3.00 2013-07-16 14:01:43.01 Pregnancy History General Health History Participant History and Family History

Single Pre-Defined Value Selected

C10557 Gravida value GravidaVal Value representing the number of times the participant/subject has been pregnant, regardless of whether these pregnancies were carried to term Value representing the number of times the participant/subject has been pregnant, regardless of whether these pregnancies were carried to term Number of prior pregnancies Numeric Values

Regardless of whether pregnancies were carried to term

No references available Adult;Pediatric Supplemental 3.00 2013-07-11 15:03:49.2 Pregnancy History General Health History Participant History and Family History

Free-Form Entry

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) Date (and time if applicable and known) the female participant/subject last delivered a pregnancy or the pregnancy terminated (e.g., miscarriage, abortion) Date of last deliery or miscarraige 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 3.00 2013-07-16 14:01:43.01 Pregnancy History General Health History Participant History and Family History

Free-Form Entry

C10559 Spontaneous miscarriage count SpontaneousMiscarriageCt Value representing the number of times the participant/subject has had miscarriages or spontaneous abortions, including all trimesters Value representing the number of times the participant/subject has had miscarriages or spontaneous abortions, including all trimesters Number of spontaneous abortions (miscarriages), including all trimesters Numeric Values

Record an integer value

No references available Adult;Pediatric Supplemental 3.00 2013-07-11 15:03:49.2 Pregnancy History General Health History Participant History and Family History

Free-Form Entry

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