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
C17997 Pregnancy fetus not normal description text PregFetusNotNormDescriptTxt Description of the abnormal pregnancy fetus Description of the abnormal pregnancy fetus No, describe Alphanumeric 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
C16049 Birth child date and time BrthChildDateTime Date of birth of participant/subject's most recent live birth Date of birth of participant/subject's most recent live birth Birth date 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 General Health History Participant History and Family History

Free-Form Entry
C19628 Breastfeeding indicator BreastFeedInd Indicator of whether the mother breastfed the newborn Indicator of whether the mother breastfed the newborn Breastfeeding? No;Yes No;Yes Alphanumeric Adult;Pediatric Supplemental 1.00 2015-01-06 15:48:48.0 Pregnancy General Health History Participant History and Family History

Single Pre-Defined Value Selected
C11078 Delivery mode type DeliveryModeTyp Type of delivery mode of the neonate Type of delivery mode of the neonate Delivery type? Spontaneous;Induced, specify reason Spontaneous;Induced, specify reason 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

Single Pre-Defined Value Selected
C16063 Pregnancy fetal diagnostic test date PregFetDignstcTestDate Date the fetal diagnostic testing was performed during the pregnancy Date the fetal diagnostic testing was performed during the 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.).

 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 General Health History Participant History and Family History

Free-Form Entry
C16024 Pregnancy prior history birth defect indicator PregPriorHistBirthDefectInd Indicator of whether a birth defect occurred in any of the participant/subject's previous pregnancies Indicator of whether a birth defect occurred in any of the participant/subject's previous pregnancies Did a birth defect occur in any previous 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
C17998 Pregnancy labor delivery complication specification text PregLabDelCompSpecTxt Text about the participant/subject's experience with any complications during labor/delivery Text about the participant/subject's experience with any complications during labor/delivery If Yes, specify Alphanumeric 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
C16050 Phenotypic sex child type PhenotypSexChildTyp Sex of the participant/subject's child based on physical examination Sex of the participant/subject's child based on physical examination Birth sex Female;Male;Unknown Female;Male;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
C19629 Breastfeeding Absent text BreastFeedAbsentTxt Text describing the reason why the mother did not breastfeed Text describing the reason why the mother did not breastfeed No (specify the reason) Alphanumeric Adult;Pediatric Supplemental 1.00 2015-01-06 15:55:21.0 Pregnancy General Health History Participant History and Family History 4000

Free-Form Entry
C11079 Neonate delivery route type NeonateDelivRteTyp Route of delivery of the neonate Route of delivery of the neonate Delivery route? Vaginal;Caesarean;Unknown Vaginal;Caesarean;Unknown 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

Single Pre-Defined Value Selected
C16064 Pregnancy fetal diagnostic test result PregFetDignstcTestReslt Results of the fetal diagnostic testing performed during the pregnancy Results of the fetal diagnostic testing performed during the pregnancy Results of Fetal Diagnositc Testing Alphanumeric

Answer this question if abnormal fetal diagnostic tests performed

 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
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