CDE Detailed Report

Disease: content
Subdomain Name: History of Disease/Injury Event
CRF: welcome

Displaying 1 - 16 of 16
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
C00724 APGAR five minute score APGARFiveMinuteScore Score of a newborn 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 Score of a newborn 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 responsivenes APGAR 5 minute score 0;1;2;3;4;5;6;7;8;9;10 0;1;2;3;4;5;6;7;8;9;10 Numeric Values

Record the APGAR score (0 - 10 points, inclusive) assessed at 5 minutes. This is a pediatric-specific element.

 Pediatric Supplemental-Highly Recommended 3.00 2013-07-25 08:54:08.2 Birth Injuries History of Disease/Injury Event Disease/Injury Related Events

Single Pre-Defined Value Selected

 2738533
C15985 Multiple birth indicator MultipleBirthInd Indicates whether the participant/subject was a part of a multiple live birth Indicates whether the participant/subject was a part of a multiple live birth Multiple births? Yes;No;Unknown Yes;No;Unknown Alphanumeric Pediatric Supplemental-Highly Recommended 3.00 2013-07-16 14:01:43.01 Birth Injuries History of Disease/Injury Event Disease/Injury Related Events

Single Pre-Defined Value Selected
C11066 Pregnancy or delivery risk factor type PregnDeliveryRiskFactTyp Type of risk factor to the participant's/subject's health that may have been experienced during the prenatal period (i.e., during time mother pregnant), at the time of delivery, or soon after delivery Type of risk factor to the participant's/subject's health that may have been experienced during the prenatal period (i.e., during time mother pregnant), at the time of delivery, or soon after delivery Was there a history of any of the following during the prenatal period (i.e., during time mother pregnant), at the time of delivery, or soon after delivery? Preeclampsia;Other hypertensive disorder;Oligohydramnios;Gestational diabetes;Prolonged rupture of membranes during delivery;Chorioamnionitis;Other illness(es) Preeclampsia;Other hypertensive disorder;Oligohydramnios;Gestational diabetes;Prolonged rupture of membranes during delivery;Chorioamnionitis;Other illness(es) Alphanumeric

For each pregnancy condition record whether the mother experienced it using the element "Pregnancy condition maternal indicator".

 Pediatric Supplemental-Highly Recommended 3.00 2013-07-25 08:54:08.2 Birth Injuries History of Disease/Injury Event Disease/Injury Related Events

Multiple Pre-Defined Values Selected
C17983 Caesarean delivery timing type CaesarDelivTimingTyp Type of timing conditions under which Caesarean delivery was decided upon Type of timing conditions under which Caesarean delivery was decided upon If Caesarean, timing of the Caesarean Emergency;Elective Emergency;Elective Alphanumeric

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 Pediatric Supplemental-Highly Recommended 3.00 2013-07-25 08:54:08.2 Birth Injuries History of Disease/Injury Event Disease/Injury Related Events

Single Pre-Defined Value Selected
C11078 Delivery mode type DeliveryModeTyp Type of delivery mode of the neonate Type of delivery mode of the neonate Mode of delivery of the neonate Spontaneous;Induced;Unknown Spontaneous;Induced;Unknown Alphanumeric

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 Adult;Pediatric Supplemental-Highly Recommended 3.00 2013-07-25 08:54:08.2 Birth Injuries History of Disease/Injury Event Disease/Injury Related Events

Single Pre-Defined Value Selected
C21620 Gestational age value range GestatnlAgeValRange Range of time elapsed in weeks between the first day of the last normal menstrual period and the day of delivery of the participant/subject Range of time elapsed in weeks between the first day of the last normal menstrual period and the day of delivery of the participant/subjec Gestational age (GA) <35 weeks;35-37 weeks;38-41 weeks;>41 weeks <35 weeks;35-37 weeks;38-41 weeks;>41 weeks Alphanumeric

Record the gestation age in weeks and days.

 Pediatric Supplemental-Highly Recommended 3.00 2013-07-25 08:54:08.2 Birth Injuries History of Disease/Injury Event Disease/Injury Related Events

Single Pre-Defined Value Selected

 3192017
C11079 Neonate delivery route type NeonateDelivRteTyp Route of delivery of the neonate Route of delivery of the neonate Route of delivery of the neonate Vaginal;Caesarean Vaginal;Caesarean Alphanumeric

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 Adult;Pediatric Supplemental-Highly Recommended 3.00 2013-07-25 08:54:08.2 Birth Injuries History of Disease/Injury Event Disease/Injury Related Events

Single Pre-Defined Value Selected
C21621 Twin sibling vital status TwinSiblingVitStat The vital status of twin of the participant/subject The vital status of twin of the participant/subject If yes to multiple births, status of twin(s) Alive;Deceased;Unknown Alive;Deceased;Unknown Alphanumeric Pediatric Supplemental-Highly Recommended 3.00 2013-07-22 09:34:41.527 Birth Injuries History of Disease/Injury Event Disease/Injury Related Events

Single Pre-Defined Value Selected
C11080 Delivery modality type DeliveryModltyTyp Type of modality of the participant/subject's intrauterine orientation at delivery Type of modality of the participant/subject's intrauterine orientation at delivery Delivery modality of the neonate Breech;Cephalic;Unknown Breech;Cephalic;Unknown Alphanumeric

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 Adult;Pediatric Supplemental-Highly Recommended 3.00 2013-07-25 08:54:08.2 Birth Injuries History of Disease/Injury Event Disease/Injury Related Events

Single Pre-Defined Value Selected
C11083 Delivery extraction type DeliveryExtractionTyp Type of extraction used to assist with the delivery of the participant/subject Type of extraction used to assist with the delivery of the participant/subject Instrument (s) used to assist with the delivery of the participant/subject None;Vacuum;Forceps;Vacuum and Forceps;Unknown None;Vacuum;Forceps;Vacuum and Forceps;Unknown Alphanumeric

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 Pediatric Supplemental-Highly Recommended 3.00 2013-07-25 08:54:08.2 Birth Injuries History of Disease/Injury Event Disease/Injury Related Events

Single Pre-Defined Value Selected
C12604 APGAR one minute score APGAR1MinScore Score of a newborn recorded at one minute 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 Score of a newborn recorded at one minute 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 responsivenes APGAR 1 minute score 0;1;2;3;4;5;6;7;8;9;10 0;1;2;3;4;5;6;7;8;9;10 Numeric Values

Record the APGAR score (0 - 10 points, inclusive) assessed at 1 minute. This is a pediatric-specific element.

 Pediatric Supplemental-Highly Recommended 3.00 2013-07-24 11:38:01.2 Birth Injuries History of Disease/Injury Event Disease/Injury Related Events

Single Pre-Defined Value Selected
C12625 Respiratory intervention neonatal problem type RespIntervntnNeonatlProbTyp Type of intervention for breathing problems at or soon after the participant/subject's delivery Type of intervention for breathing problems at or soon after the participant/subject's delivery If yes, type Oxygen by nose or mask;Nasal CPAP;Intubation/Ventilation (tube down to lungs/on ventilator);Bag/mask ventilation Oxygen by nose or mask;Nasal CPAP;Intubation/Ventilation (tube down to lungs/on ventilator);Bag/mask ventilation Alphanumeric

Choose all that apply

 Pediatric Supplemental-Highly Recommended 3.00 2013-07-25 08:54:08.2 Birth Injuries History of Disease/Injury Event Disease/Injury Related Events

Multiple Pre-Defined Values Selected
C12628 Neonatal intensive care unit stay indicator NICUStayInd Indicator whether the participant/subject had to stay in the neonatal intensive care unit (NICU) Indicator whether the participant/subject had to stay in the neonatal intensive care unit (NICU) Any NICU stay Yes;No;Unknown Yes;No;Unknown Alphanumeric

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 Pediatric Supplemental-Highly Recommended 3.00 2013-07-25 08:54:08.2 Birth Injuries History of Disease/Injury Event Disease/Injury Related Events

Single Pre-Defined Value Selected
C12629 Neonatal intensive care unit stay duration NICUStayDur Duration of the participant/subject's stay in the neonatal intensive care unit (NICU) Duration of the participant/subject's stay in the neonatal intensive care unit (NICU) If yes, length of NICU stay <=48 hours;>48 hours and <1 week;>=1 week <=48 hours;>48 hours and <1 week;>=1 week Alphanumeric

Only answered if "Yes" is answered for "Any NICU stay?"

 Pediatric Supplemental-Highly Recommended 3.00 2013-07-25 08:54:08.2 Birth Injuries History of Disease/Injury Event Disease/Injury Related Events

Single Pre-Defined Value Selected
C00723 APGAR ten minute score APGARTenMinuteScore Score of a newborn 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 Score of a newborn 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 responsivenes APGAR 10 minute score 0;1;2;3;4;5;6;7;8;9;10 0;1;2;3;4;5;6;7;8;9;10 Numeric Values

Only collected if needed. Record the APGAR score (0 - 10 points, inclusive) assessed at 10 minutes. This is a pediatric-specific element.

 Pediatric Supplemental-Highly Recommended 3.00 2013-07-25 08:54:08.2 Birth Injuries History of Disease/Injury Event Disease/Injury Related Events

Single Pre-Defined Value Selected

 3181701
C12631 Deliver condition hypotonia grade DelivrConditnHypotoniaGrade Grade of any hypotonia (floppiness) that was present at or soon after the participant/subject's delivery Grade of any hypotonia (floppiness) that was present at or soon after the participant/subject's delivery If Yes, hypotonia is Mild;Moderate;Severe;Unknown Mild;Moderate;Severe;Unknown Alphanumeric

Choose one

 Pediatric Supplemental-Highly Recommended 3.00 2013-07-25 08:54:08.2 Birth Injuries History of Disease/Injury Event Disease/Injury Related Events

Single Pre-Defined Value Selected
CSV