CDE Detailed Report

Disease: Facioscapulohumeral Muscular Dystrophy
Subdomain Name: General Health History
CRF: Pregnancy

Displaying 51 - 61 of 61
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
C16065 Congenital anomaly child indicator CongAnmlChldInd Indicates whether there were congenital anomalies in the participant's/subject's child Indicates whether there were congenital anomalies in the participant's/subject's child Were there any congenital anomalies? Yes, specify;No;Unknown Yes;No;Unknown Alphanumeric

Choose one. If YES, explain the anomalies

 No references available Adult;Pediatric Supplemental 3.00 2013-07-16 14:01:43.01 Pregnancy 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 Breech;Cephalic;Unknown Breech;Cephalic;Unknown Alphanumeric

Choose one

 No references available Adult;Pediatric Supplemental 3.00 2013-07-25 08:54:08.2 Pregnancy General Health History Participant History and Family History

Single Pre-Defined Value Selected
C18000 Congenital anomalies child specification text CongAnmlChildSpecTxt Text specifying any congenital anomalies of the participant/subject Text specifying any congenital anomalies of the participant/subject If Yes, specify Alphanumeric No references available Adult Supplemental 3.00 2013-07-16 14:01:43.01 Pregnancy General Health History Participant History and Family History 255

Free-Form Entry
C16027 Pregnancy prior history loss week count PregPriorHistLossWeekCt Number of the week of pregnancy during which the stillbirth or miscarriage occurred Number of the week of pregnancy during which the stillbirth or miscarriage occurred If Yes, in what week of pregnancy did the miscarriage or stillbirth occur? Numeric Values Adult;Pediatric Supplemental 3.00 2013-07-16 14:01:43.01 Pregnancy General Health History Participant History and Family History

Free-Form Entry

 1 45 week
C16053 Birth length child value LngthChildVal Value of the length of the participant's/subject's child at birth Value of the length of the participant's/subject's child at birth Birth length Numeric Values

Record in inches or centimeters

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

Free-Form Entry
C19632 Weight pediatric unit of measure WgtPedUoM Unit of measure for the pediatric weight numerical value Unit of measure for the pediatric weight numerical value g;oz gram;ounce Alphanumeric Adult;Pediatric Supplemental 1.00 2015-02-18 00:00:00.0 Pregnancy General Health History Participant History and Family History

Single Pre-Defined Value Selected

 2630200
C16067 Newborn complication child indicator NewbrnCompChldInd Indicates whether there were other newborn complications experienced by the participant's/subject's child Indicates whether there were other newborn complications experienced by the participant's/subject's child Were there other newborn complications? Yes;No;Unknown Yes;No;Unknown Alphanumeric

Choose one. If YES, explain the complications

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

Single Pre-Defined Value Selected
C11081 Delivery caesarean timing status DeliveryCaesareanTimingStatus Status of the caesarean delivery Status of the caesarean delivery Timing of cesarean Emergency;Elective Emergency;Elective Alphanumeric

Choose one. Answer only if Cesarean was the delivery route.

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

Single Pre-Defined Value Selected
C18001 Newborn complication child specification text NewbrnCompChldSpecTxt Text specifying other newborn complications Text specifying other newborn complications If Yes, specify Alphanumeric No references available Adult Supplemental 3.00 2013-07-16 14:01:43.01 Pregnancy General Health History Participant History and Family History 255

Free-Form Entry
C16028 Pregnancy prior history toxic exposure type PregPriorHistToxExposTyp Type of any substances or radiation potentially harmful to the embryo or fetus to which the participant/subject has ever been exposed during pregnancy Type of any substances or radiation potentially harmful to the embryo or fetus to which the participant/subject has ever been exposed during pregnancy Has the participant/subject ever had exposure to any of the following during pregnancy? Concurrent medications;Teratogens;Smoking;Exposure to X-ray;Alcohol;Other, specify Concurrent medications;Teratogens;Smoking;Exposure to X-ray;Alcohol;Other, specify Alphanumeric Adult;Pediatric Supplemental 3.00 2013-07-16 14:01:43.01 Pregnancy General Health History Participant History and Family History

Multiple Pre-Defined Values Selected
C16055 Full term delivery child indicator FullTrmDelChldInd Indicates whether the participant's/subject's child was delivered full-term Indicates whether the participant's/subject's child was delivered full-term What the child delivered full-term? Yes;No;Unknown Yes;No;Unknown Alphanumeric

Choose one

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

Single Pre-Defined Value Selected
CSV