CDE Detailed Report

Disease: Myasthenia Gravis
Sub-Domain: General Health History
CRF: Prenatal and Perinatal History

Displaying 1 - 13 of 13
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
C01582 Height unit of measure HgtUOM Unit of measure for the height numerical value for subject/participant Unit of measure for the height numerical value for subject/participant Birth length Inches;Centimeters;meters;feet Inches;Centimeters;meters;feet Alphanumeric

Choose either inches (in), feet (ft), centimeters (cm) or meters (m).

No references available Adult;Pediatric Supplemental 3.00 2013-07-24 11:38:01.2 Prenatal and Perinatal History General Health History Participant History and Family History

Single Pre-Defined Value Selected

2538920
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 birth of participant/subject Numeric Values

Record in years. This is a pediatric-specific element.

No references available Pediatric Supplemental 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
C12603 Birth length value BrthLnthVal Measurement of the participant's/subject's length at birth Measurement of the participant's/subject's length at birth Birth length Numeric Values

Choose either inches (in), feet (ft), centimeters (cm) or meters (m).

No references available Adult;Pediatric Supplemental 3.00 2013-07-24 11:36:20.083 Prenatal and Perinatal History General Health History Participant History and Family History

Free-Form Entry

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/subject. Gestational age value Numeric Values

Record the gestational age in weeks (defined as time elapsed between the first day of the last normal menstrual period and the day of delivery) of the participant/subject. Capture days (if applicable) as a decimal value of weeks

No references available Pediatric Supplemental 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
C12604 APGAR one minute score APGAR1MinScore Score of a newborn recorded at one minute 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 one minute 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 1 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 1 minute APGAR score of the participant/subject

No references available Pediatric Supplemental 3.00 2013-07-24 11:38:01.2 Prenatal and Perinatal History General Health History Participant History and Family History

Single Pre-Defined Value Selected

C00002 Post conceptional age value PostConceptnAgeVal Gestational age plus postnatal age of the participant/subject Gestational age plus postnatal age of the participant/subject Post conceptional age value (PCA) Numeric Values

This is a derived field, pre-calculated based on gestational age and postnatal age

No references available Pediatric Supplemental 3.00 2013-07-24 21:00:23.88 Prenatal and Perinatal History General Health History Participant History and Family History

Free-Form Entry

day 3182713
C12940 Birth head circumference value BrthHeadCircumfVal Circumferential measurement of the head at the widest point taken at birth - the distance from above the eyebrows and ears and around the back of the head Circumferential measurement of the head at the widest point taken at birth - the distance from above the eyebrows and ears and around the back of the head Birth head circumference Numeric Values

Record the head circumference of the participant/subject in centimeters. If another unit of measure is preferred, it can be used, however the final data should be converted to centimeters. This is a pediatric-specific element.

Pryor H and Thelander H. (1968). Abnormally small head size and intellect in children J Pediatr. 73:593-598. Pediatric Supplemental 3.00 2013-07-24 11:36:20.083 Prenatal and Perinatal History General Health History Participant History and Family History

Free-Form Entry

C00003 Postnatal age value PostnatalAgeVal Time elapsed after birth of the participant/subject Time elapsed after birth of the participant/subject Postnatal age value (PNA) Numeric Values

Record the post natal age in weeks and days. This is a pediatric-specific element.

No references available Pediatric Supplemental 3.00 2013-07-24 11:36:20.083 Prenatal and Perinatal History General Health History Participant History and Family History

Free-Form Entry

day 3182608
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 according to the participant's/subject's medical report or reported by the parent or legal guardian Birth weight Numeric Values

Record the weight of the participant/subject at birth. This is a pediatric-specific element.

No references available Pediatric Supplemental 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 9000 gram 3201400;2179689
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 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

Only collected if needed. Record the APGAR score (0 - 10 points, inclusive) assessed at 10 minutes. This is a pediatric-specific element.

No references available Pediatric Supplemental 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
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 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 5 minute APGAR score of the participant/subject; if necessary, a 10 minute APGAR may be performed

No references available Pediatric Supplemental 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
C01523 Head circumference unit of measure HdCircumfUoM Unit of measure for the head circumference numerical value Unit of measure for the head circumference numerical value Birth head circumference Inches;Centimeters Inches;Centimeters Alphanumeric

Choose only one unit

Unified Code for Units of Measure - http://unitsofmeasure.org/ Adult;Pediatric Supplemental 3.00 2013-07-24 21:00:23.88 Prenatal and Perinatal History General Health History Participant History and Family History

Single Pre-Defined Value Selected

3181626
C01581 Weight unit of measure WgtUoM Unit of measure for the weight numerical value Unit of measure for the weight numerical value Weight measurement Pounds;Kilograms Pounds;Kilograms Alphanumeric

Choose either pounds (lb), ounces (oz) or grams (g).

No references available Adult;Pediatric Supplemental 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

2630200
CSV