CDE Detailed Report
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 |
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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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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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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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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 |
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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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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 |
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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 |
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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 |
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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 |