CDE Detailed Report
Disease: Facioscapulohumeral Muscular Dystrophy
Subdomain Name: General Health History
CRF: Pregnancy
Displaying 51 - 61 of 61
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| C16037 | Pregnancy most recent live born infant indicator | PregMostRecntLveBornInfantInd | Indicates whether the outcome of the participant/subject's most recent pregnancy was a live born infant? | Indicates whether the outcome of the participant/subject's most recent pregnancy was a live born infant? | Was the outcome of the participant/subject's most recent pregnancy a live born infant? | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric |
If 'Yes' is answered, skip to question 3. If 'No' is answered, then complete questions 2a-2c only. If 'Unknown' answered, then Stop. |
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 |
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| C16056 | Gestational age child value | GestAgeChldVal | Time elapsed between the first day of the last normal menstrual period and the day the participant/subject delivered the neonate | Time elapsed between the first day of the last normal menstrual period and the day the participant/subject delivered the neonate | Indicate gestational age (GA) | Numeric Values |
Record the gestational age of the child in weeks |
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 |
week | |||||||||
| C16169 | Pregnancy outcome type | PregOutcmeTyp | Type of outcome of the pregnancy experienced by the participant or the pregnant individual (if the participant contributed sperm to the pregnancy) | Type of outcome of the pregnancy experienced by the participant or the pregnant individual (if the participant contributed sperm to the pregnancy) | Pregnancy outcome | Elective termination;Spontaneous abortion;Fetal death/stillbirth;Unknown | Elective termination;Spontaneous abortion (< 20 weeks);Fetal death/stillbirth (> 20 weeks);Unknown | Alphanumeric |
Choose one. Answer for the female participant/subject only (not the partner). Only answered if No was answered for "Was the outcome of the participant's/subject's most recent pregnancy a live born infant?". Complete this question, outcome date, and was the fetus normal and then stop completing the form. |
No references available | Adult;Pediatric | Supplemental | 4.00 | 2024-03-18 15:21:17.0 | Pregnancy | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C16016 | Prenatal testing date and time | PrenatalTestDateTime | Date the selected prenatal testing type was performed for the current pregnancy | Date the selected pregnancy prenatal testing type was performed for the current pregnancy | Date(s) of Testing | 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.). Recording date of birth will give the most detailed information required for calculation of age and is recommended as first choice. However, in some studies recording date of birth may elicit discussions on a potential violation of privacy legislation and specifically HIPAA regulations. In these cases, the calculated age should be recorded. |
ISO 8601 - http://www.iso.org/iso/iso_catalogue.htm | Adult;Pediatric | Supplemental | 3.00 | 2013-07-16 14:01:43.01 | Pregnancy | General Health History | Participant History and Family History |
Free-Form Entry |
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| C18829 | Delivery mode induced other text | DeliveryModeOTH | The free-text field related to 'Delivery mode type' for induced delivery mode. Type of delivery mode of the neonate | The free-text field related to 'Delivery mode type' for induced delivery mode. Type of delivery mode of the neonate | Other, specify: | Alphanumeric |
Choose only 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 | 4000 |
Free-Form Entry |
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| C16040 | Pregnancy fetus normal indicator | PregFtusNormInd | Indicates whether the fetus was normal | Indicates whether the fetus was normal | Was the fetus normal? | Yes;No, describe;Unknown | Yes;No, describe;Unknown | Alphanumeric |
Only answered if No was answered for "Was the outcome of the participant's/subject's most recent pregnancy a live born infant?", and only complete this question, outcome date, and pregnancy outcome, the end form. |
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 |
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| C16057 | Activity pulse grimace appearance respiration five minute child score | APGARFveMinChldScore | Assessment of a newborn which is 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. This score describes the participant's/subject's child. Activity pulse grimace appearance respiration (APGAR) | Assessment of a newborn which is 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. This score describes the participant's/subject's child. Activity pulse grimace appearance respiration (APGAR | 5-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 |
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| C17993 | Prenatal test text | PrenatalTestTxt | Text notes of any comments regarding the selected prenatal testing type | Text notes of any comments regarding the selected prenatal testing type | Comments | 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 |
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| 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 |
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| 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 |
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| 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 |
