CDE Detailed Report
Disease: content
Subdomain Name: General Health History
CRF: welcome
Displaying 51 - 61 of 61
Subdomain Name: General Health History
CRF: welcome
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| C16048 | Tocolytic agents required during preterm labor indicator | ToclytcAgntReqDrnPretermLabInd | Indicator of whether medications used to suppress premature labor were required during preterm labor | Indicator of whether medications used to suppress premature labor were required during preterm labor | Did the participant/subject require tocolytic agents during preterm labor? | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric |
Choose one. If yes, explain the agent(s) administered. |
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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| C16062 | Pregnancy fetal diagnostic test performed indicator | PregFetDignstcTestPerfmInd | Indicates whether there were any abnormal fetal diagnostic tests performed during the pregnancy | Indicates whether there were any abnormal fetal diagnostic tests performed during the pregnancy | Any abnormal fetal diagnostic tests performed during pregnacy? | 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 |
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| C11065 | Gravida maternal value | GravidaMaternalVal | Total number of times the participant's/subject's mother has been pregnant, regardless of whether these pregnancies were carried to term | Total number of times the participant's/subject's mother has been pregnant, regardless of whether these pregnancies were carried to term | Number of prior pregnancies: | Numeric Values |
Both to term and not to term |
Adult;Pediatric | Supplemental | 3.00 | 2013-07-25 08:54:08.2 | Pregnancy | General Health History | Participant History and Family History |
Free-Form Entry |
1 | 99 | |||||||||
| 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 |
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| C16023 | Pregnancy prior history births pre-term count | PregPriorHistBirthPretermCt | Count of the total number of pregnancies the participant/subject carried for less than a full term (< 37 weeks) | Count of the total number of pregnancies the participant/subject carried for less than a full term (< 37 weeks) | Prior pre-term (< 37 weeks) births | 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 |
0 | 30 | ||||||||||
| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
