CDE Detailed Report
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 |
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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 | 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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C16028 | Pregnancy prior history toxic exposure type | PregPriorHistToxExposTyp | Type of any substances or radiation potentially harmful to the embryo or fetus to which the participant/subject has ever been exposed during pregnancy | Type of any substances or radiation potentially harmful to the embryo or fetus to which the participant/subject has ever been exposed during pregnancy | Has the participant/subject ever had exposure to any of the following during pregnancy? | Concurrent medications;Teratogens;Smoking;Exposure to X-ray;Alcohol;Other, specify | Concurrent medications;Teratogens;Smoking;Exposure to X-ray;Alcohol;Other, specify | Alphanumeric | 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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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 | 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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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 | 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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C16015 | Prenatal testing type | PrenatalTestTyp | The type of prenatal testing that was performed for the current pregnancy | The type of prenatal testing that was performed for the current pregnancy | Prenatal Test | Ultrasound;Amniocentesis;Screening for neural tube defects;Screening for gestational diabetes before or at 28 weeks;Screening for asymptomatic bacteriuria before or at 16 weeks gestation;Hepatitis B specific antigen screening at first visit;HIV screening at first visit;Group B streptococcus screening (GBS) at 35 to 37 weeks;Maternal serum alpha fetoprotein;Other, specify | Ultrasound;Amniocentesis;Screening for neural tube defects;Screening for gestational diabetes before or at 28 weeks;Screening for asymptomatic bacteriuria before or at 16 weeks gestation;Hepatitis B specific antigen screening at first visit;HIV screening at first visit;Group B streptococcus screening (GBS) at 35 to 37 weeks;Maternal serum alpha fetoprotein;Other, specify | 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 |
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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 | 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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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-2c only. If 'Unknown' answered, then Stop. |
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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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 | 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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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) | Numeric Values |
Record the gestational age of the child in weeks |
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 |
week | |||||||||
C16016 | Prenatal testing date and time | PrenatalTestDateTime | Date the selected prenatal testing type was performed for the current pregnancy | Date the selected pregnancy prenatal testing type was performed for the current 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.). Recording date of birth will give the most detailed information required for calculation of age and is recommended as first choice. However, in some studies recording date of birth may elicit discussions on a potential violation of privacy legislation and specifically HIPAA regulations. In these cases, the calculated age should be recorded. |
ISO 8601 - http://www.iso.org/iso/iso_catalogue.htm | 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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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 | Elective termination;Spontaneous abortion (< 20 weeks);Fetal death/stillbirth (> 20 weeks);Unknown | 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 | Supplemental | 4.00 | 2024-03-18 15:21:17.0 | Pregnancy | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |