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
C16017 Prenatal testing result PrenatalTestReslt Results of the selected prenatal testing type Results of the selected prenatal testing type Results of Test Alphanumeric Adult;Pediatric Supplemental 3.00 2013-07-16 14:01:43.01 Pregnancy General Health History Participant History and Family History 255

Free-Form Entry

C16042 Delivery mode induced reason DeliveryModeInduceRsn Type of induced delivery that occurred during the live infant birth Type of induced delivery that occurred during the live infant birth Induced; specify reason Hemorrhage and placental complications;Hypertension, preeclampsia or eclampsia;Rupture of membranes-premature, prolonged;Maternal conditions complicating pregnancy/delivery;Fetal conditions complicating pregnancy/delivery;Malposition and malpresentation of fetus;Late pregnancy;Prior uterine surgery;Other, specify;Unknown Hemorrhage and placental complications;Hypertension, preeclampsia or eclampsia;Rupture of membranes-premature, prolonged;Maternal conditions complicating pregnancy/delivery;Fetal conditions complicating pregnancy/delivery;Malposition and malpresentation of fetus;Late pregnancy;Prior uterine surgery;Other, specify;Unknown Alphanumeric

Choose all that apply

No references available 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

C19044 Pregnancy prior history toxic exposure other text PregPriorHistToxExposOTH The free-text field related to 'Pregnancy prior history toxic exposure type' specifying other text. Type of any substances or radiation potentially harmful to the embryo or fetus to which the participant/subject has ever been exposed during pregnancy The free-text field related to 'Pregnancy prior history toxic exposure type' specifying other text. Type of any substances or radiation potentially harmful to the embryo or fetus to which the participant/subject has ever been exposed during pregnancy Other, specify Alphanumeric Adult;Pediatric Supplemental 3.00 2013-07-16 14:01:43.01 Pregnancy General Health History Participant History and Family History 4000

Free-Form Entry

C16058 Activity pulse grimace appearance respiration ten minute child score APGARTenMinChldScore Assessment of a newborn which is 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. This score describes the participant's/subject's child. Activity pulse grimace appearance respiration (APGAR) Assessment of a newborn which is 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. This score describes the participant's/subject's child. Activity pulse grimace appearance respiration (APGAR 10-minute APGAR score Numeric Values

Record the score (0 - 10 points, inclusive)

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

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 (and time, if applicable and known) the data were collected. This may be the date/time a particular examination or procedure was performe Date pregnancy information/outcome 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 3.00 2013-07-24 21:00:23.88 Pregnancy General Health History Participant History and Family History

Free-Form Entry

C17994 Pregnancy complication text PregComplicationTxt Text specifying any complications the participant/subject experienced during this pregnancy Text specifying any complications the participant/subject experienced during this pregnancy If Yes, specify: Alphanumeric Adult;Pediatric Supplemental 3.00 2013-07-16 14:01:43.01 Pregnancy 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 Indicator of whether the participant/subject had complications during the pregnancy Did/Has the participant/subject experienced any complications during this pregnancy? Yes, specify;No;Unknown Yes;No;Unknown Alphanumeric 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

C16044 Delivery cesarean section reason DelCesSctnRsn Reason for the Cesarean section Reason for the Cesarean section Specify reason Alphanumeric

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 255

Free-Form Entry

C19577 Length infant unit of measure LengthInfantUOM Unit of measure for the length numerical value for participant Unit of measure for the length numerical value for participant Inches;Centimeters Inches;Centimeters Alphanumeric Adult;Pediatric Supplemental 2.00 2024-02-29 15:59:01.0 Pregnancy General Health History Participant History and Family History

Single Pre-Defined Value Selected

2538920
C16059 Weight delivery mother measurement WgtDelMotherMeasr Measurement of participant's/subject's weight at the time she gave birth Measurement of participant's/subject's weight at the time she gave birth Mother's weight at the time of birth Numeric Values

Record in kg or lb

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

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 Has the participant/subject ever been pregnant? Yes;No;Unknown Yes;No;Unknown Alphanumeric 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