CDE Detailed Report
Disease: Headache
Subdomain Name: General Health History
CRF: Pregnancy Outcome
Displaying 1 - 38 of 38
Subdomain Name: General Health History
CRF: Pregnancy Outcome
Displaying 1 - 38 of 38
| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | Exploratory | 3.00 | 2013-07-16 14:01:43.01 | Pregnancy Outcome | General Health History | Participant History and Family History |
Free-Form Entry |
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| C10558 | Delivery or pregnancy termination last date and time | DeliveryPregTerminLstDateTime | Date (and time if applicable and known) the female participant/subject last delivered a pregnancy or the pregnancy terminated (e.g., miscarriage, abortion) | Date (and time if applicable and known) the female participant/subject last delivered a pregnancy or the pregnancy terminated (e.g., miscarriage, abortion) | Outcome 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 | Exploratory | 3.00 | 2013-07-16 14:01:43.01 | Pregnancy Outcome | General Health History | Participant History and Family History |
Free-Form Entry |
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| C18002 | Placenta umbilical cord abnormality specification text | PlcntaUmblclCrdAbnrmlySpecTxt | Text describing placenta or umbilical cord abnormalities | Text describing placenta or umbilical cord abnormalities | If Yes, specify: | Alphanumeric | No references available | Adult;Pediatric | Exploratory | 3.00 | 2013-07-16 14:01:43.01 | Pregnancy Outcome | General Health History | Participant History and Family History | 255 |
Free-Form Entry |
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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 | Exploratory | 3.00 | 2013-07-16 14:01:43.01 | Pregnancy Outcome | General Health History | Participant History and Family History |
Free-Form Entry |
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| 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 | Exploratory | 3.00 | 2013-07-16 14:01:43.01 | Pregnancy Outcome | General Health History | Participant History and Family History | 255 |
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? (Choose only one) | Spontaneous;Induced, specify reason | Spontaneous;Induced, specify reason | Alphanumeric |
Choose only one |
No references available | Adult;Pediatric | Exploratory | 3.00 | 2013-07-25 08:54:08.2 | Pregnancy Outcome | 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 | Exploratory | 3.00 | 2013-07-25 08:54:08.2 | Pregnancy Outcome | General Health History | Participant History and Family History | 4000 |
Free-Form Entry |
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| 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 | Exploratory | 3.00 | 2013-07-16 14:01:43.01 | Pregnancy Outcome | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C16065 | Congenital anomaly child indicator | CongAnmlChldInd | Indicates whether there were congenital anomalies in the participant's/subject's child | Indicates whether there were congenital anomalies in the participant's/subject's child | Were there any congenital anomalies? | Yes, specify;No;Unknown | Yes;No;Unknown | Alphanumeric |
Choose one. If YES, explain the anomalies |
No references available | Adult;Pediatric | Exploratory | 3.00 | 2013-07-16 14:01:43.01 | Pregnancy Outcome | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C11079 | Neonate delivery route type | NeonateDelivRteTyp | Route of delivery of the neonate | Route of delivery of the neonate | Delivery route? (Choose only one) | Vaginal;Caesarean;Unknown | Vaginal;Caesarean;Unknown | Alphanumeric |
Choose only one |
No references available | Adult;Pediatric | Exploratory | 3.00 | 2013-07-25 08:54:08.2 | Pregnancy Outcome | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C55935 | Weight birth child unit of measure | WgtChildBirthUoM | Measure of the weight of the participant/subject's child at birth | Measure of the weight of the participant/subject's child at birth | Birth weight: | ounces;grams | ounces;grams | Alphanumeric |
Record in g or oz |
No references available | Adult;Pediatric | Exploratory | 3.00 | 2013-07-16 14:01:43.01 | Pregnancy Outcome | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C16051 | Birth weight child value | WgtChildVal | Value of the weight of the participant/subject's child at birth | Value of the weight of the participant/subject's child at birth | Birth weight: | Numeric Values |
Record in g or oz |
No references available | Adult;Pediatric | Exploratory | 3.00 | 2013-07-16 14:01:43.01 | Pregnancy Outcome | General Health History | Participant History and Family History |
Free-Form Entry |
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| C16067 | Newborn complication child indicator | NewbrnCompChldInd | Indicates whether there were other newborn complications experienced by the participant's/subject's child | Indicates whether there were other newborn complications experienced by the participant's/subject's child | Were there other newborn complications? | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric |
Choose one. If YES, explain the complications |
No references available | Adult;Pediatric | Exploratory | 3.00 | 2013-07-16 14:01:43.01 | Pregnancy Outcome | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| 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 type | Breech;Cephalic;Unknown | Breech;Cephalic;Unknown | Alphanumeric |
Choose one |
No references available | Adult;Pediatric | Exploratory | 3.00 | 2013-07-25 08:54:08.2 | Pregnancy Outcome | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C55936 | Length birth child unit of measure | LngthChildBirthUoM | Measure of the length of the participant/subject's child at birth | Measure of the length of the participant/subject's child at birth | Birth length: | in;cm | Inches;Centimeters | Alphanumeric |
Record in inches or centimeters |
No references available | Adult;Pediatric | Exploratory | 3.00 | 2013-07-16 14:01:43.01 | Pregnancy Outcome | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C16053 | Birth length child value | LngthChildVal | Value of the length of the participant's/subject's child at birth | Value of the length of the participant's/subject's child at birth | Birth length: | Numeric Values |
Record in inches or centimeters |
No references available | Adult;Pediatric | Exploratory | 3.00 | 2013-07-16 14:01:43.01 | Pregnancy Outcome | General Health History | Participant History and Family History |
Free-Form Entry |
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| C16069 | Placenta umbilical cord abnormality indicator | PlcntaUmblclCrdAbnrmlyInd | Indicates whether the participant/subject experienced any abnormalities of placenta or umbilical cord | Indicates whether the participant/subject experienced any abnormalities of placenta or umbilical cord | Did the newborn experience any abnormalities of placenta or umbilical cord? | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric |
Choose one. If YES, explain the abnormalities |
No references available | Adult;Pediatric | Exploratory | 3.00 | 2013-07-16 14:01:43.01 | Pregnancy Outcome | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C11081 | Delivery caesarean timing status | DeliveryCaesareanTimingStatus | Status of the caesarean delivery | Status of the caesarean delivery | Timing of cesarean | Emergency;Elective | Emergency;Elective | Alphanumeric |
Choose one. Answer only if Cesarean was the delivery route. |
No references available | Adult;Pediatric | Exploratory | 3.00 | 2013-07-16 14:01:43.01 | Pregnancy Outcome | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C55937 | Birth weight mother value | WgtBrthMthrVal | Value of the weight of the participant/subject at birth | Value of the weight of the participant/subject at birth | Mother's weight at the time of birth: | Numeric Values |
Choose one unit |
No references available | Adult;Pediatric | Exploratory | 3.00 | 2013-07-16 14:01:43.01 | Pregnancy Outcome | General Health History | Participant History and Family History |
Free-Form Entry |
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| C16055 | Full term delivery child indicator | FullTrmDelChldInd | Indicates whether the participant's/subject's child was delivered full-term | Indicates whether the participant's/subject's child was delivered full-term | What the child delivered full-term? | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric |
Choose one |
No references available | Adult;Pediatric | Exploratory | 3.00 | 2013-07-16 14:01:43.01 | Pregnancy Outcome | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| 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;Therapeutic abortion or elective termination;Miscarriage;Still birth;Currently pregnant;Live birth | Elective termination;Spontaneous abortion (< 20 weeks);Fetal death/stillbirth (> 20 weeks);Unknown;Therapeutic abortion or elective termination;Spontaneous abortion (<20 weeks);Fetal death/stillbirth (>20 weeks);Currently pregnant;Live birth | 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 | Exploratory | 4.00 | 2024-03-18 15:21:17.0 | Pregnancy Outcome | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| 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-1c only. If 'Unknown' answered, then Stop. |
No references available | Adult;Pediatric | Exploratory | 3.00 | 2013-07-16 14:01:43.01 | Pregnancy Outcome | 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 (weeks): | Numeric Values |
Record the gestational age of the child in weeks |
No references available | Adult;Pediatric | Exploratory | 3.00 | 2013-07-16 14:01:43.01 | Pregnancy Outcome | General Health History | Participant History and Family History |
Free-Form Entry |
week | |||||||||
| 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 | Exploratory | 3.00 | 2013-07-16 14:01:43.01 | Pregnancy Outcome | General Health History | Participant History and Family History | 255 |
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 | Exploratory | 3.00 | 2013-07-16 14:01:43.01 | Pregnancy Outcome | 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 | Exploratory | 3.00 | 2013-07-16 14:01:43.01 | Pregnancy Outcome | General Health History | Participant History and Family History |
Free-Form Entry |
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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 | Exploratory | 3.00 | 2013-07-16 14:01:43.01 | Pregnancy Outcome | 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: (Choose all that apply) | 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 | Exploratory | 3.00 | 2013-07-16 14:01:43.01 | Pregnancy Outcome | General Health History | Participant History and Family History |
Multiple Pre-Defined Values Selected |
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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 | Exploratory | 3.00 | 2013-07-16 14:01:43.01 | Pregnancy Outcome | General Health History | Participant History and Family History |
Free-Form Entry |
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| C17999 | Tocolytic agents required during preterm specification text | ToclytcAgntReqDrnPretermLabTxt | Text specifying the tocolytic agents the participant/subject required during preterm labor | Text specifying the tocolytic agents the participant/subject required during preterm labor | If Yes, specify: | Alphanumeric | No references available | Adult;Pediatric | Exploratory | 3.00 | 2013-07-16 14:01:43.01 | Pregnancy Outcome | General Health History | Participant History and Family History | 255 |
Free-Form Entry |
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| C16044 | Delivery cesarean section reason | DelCesSctnRsn | Reason for the Cesarean section | Reason for the Cesarean section | Specify reason | Alphanumeric |
Answer only if Cesarean was the delivery route. |
No references available | Adult;Pediatric | Exploratory | 3.00 | 2013-07-16 14:01:43.01 | Pregnancy Outcome | General Health History | Participant History and Family History | 255 |
Free-Form Entry |
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| C16060 | Weight delivery mother unit of measure | WgtDelMotherUoM | Units for the measurement of the participant's/subject's weight at the time she gave birth | Units for the measurement of the participant's/subject's weight at the time she gave birth | Mother's weight at the time of birth: | lb;kg | Pounds;Kilograms | Alphanumeric |
Choose one unit |
No references available | Adult;Pediatric | Exploratory | 3.00 | 2013-07-16 14:01:43.01 | Pregnancy Outcome | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C18000 | Congenital anomalies child specification text | CongAnmlChildSpecTxt | Text specifying any congenital anomalies of the participant/subject | Text specifying any congenital anomalies of the participant/subject | If Yes, specify: | Alphanumeric | No references available | Adult;Pediatric | Exploratory | 3.00 | 2013-07-16 14:01:43.01 | Pregnancy Outcome | General Health History | Participant History and Family History | 255 |
Free-Form Entry |
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| C16046 | Pregnancy labor delivery complication indicator | PregLabDelCompInd | Indicator of whether there were complications during labor/delivery | Indicator of whether there were complications during labor/delivery | Did the participant/subject experience any complications during labor/delivery? | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric |
Choose one. If yes, explain the labor/delivery complication. |
No references available | Adult;Pediatric | Exploratory | 3.00 | 2013-07-16 14:01:43.01 | Pregnancy Outcome | 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 | Exploratory | 3.00 | 2013-07-16 14:01:43.01 | Pregnancy Outcome | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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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 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 | Exploratory | 3.00 | 2013-07-24 21:00:23.88 | Pregnancy Outcome | General Health History | Participant History and Family History |
Free-Form Entry |
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| C18001 | Newborn complication child specification text | NewbrnCompChldSpecTxt | Text specifying other newborn complications | Text specifying other newborn complications | If Yes, specify: | Alphanumeric | No references available | Adult;Pediatric | Exploratory | 3.00 | 2013-07-16 14:01:43.01 | Pregnancy Outcome | General Health History | Participant History and Family History | 255 |
Free-Form Entry |
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| 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 | Exploratory | 3.00 | 2013-07-16 14:01:43.01 | Pregnancy Outcome | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
