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CDE Detailed Report
This report contains detailed information about the selected CDEs.
Note: If at least one CDE was selected from a copyright- or trademark-protected instrument/scale then all of the CDEs from that instrument/scale are included in this report.
Disease: Headache
Sub-Domain: General Health History
CRF: Pregnancy Outcome
Item count: 38 (38 distinct CDEs)
CDE ID
CDE Name
Variable Name
Definition / Description
Question Text
Permissible Value
Description
Data Type
Instructions
References
Population
Classification (e.g., Core)
Version #
Version Date
Aliases for Variable Name
CRF Module / Guideline
© or TM
Sub-Domain
Domain
Previous Title
Size
Input Restrictions
Min Value
Max Value
Measurement Type
LOINC ID
SNOMED
caDSR ID
CDISC ID
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 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
3.0
7/24/2013
Aliases for variable name not defined
Pregnancy Outcome
General Health History
Participant History and Family History
Data collected date and time
 
Free-Form Entry
       
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?
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
3.0
7/16/2013
Aliases for variable name not defined
Pregnancy Outcome
General Health History
Participant History and Family History
Pregnancy most recent live born infant indicator
 
Single Pre-Defined Value Selected
       
C16169
Pregnancy outcome type
PregOutcmeTyp
Type of outcome of the pregnancy experienced by the participant/subject
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
3.0
7/16/2013
Aliases for variable name not defined
Pregnancy Outcome
General Health History
Participant History and Family History
Pregnancy outcome type
 
Single Pre-Defined Value Selected
       
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)
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
3.0
7/16/2013
Aliases for variable name not defined
Pregnancy Outcome
General Health History
Participant History and Family History
Delivery or pregnancy termination last date and time
 
Free-Form Entry
       
C16040
Pregnancy fetus normal indicator
PregFtusNormInd
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
3.0
7/16/2013
Aliases for variable name not defined
Pregnancy Outcome
General Health History
Participant History and Family History
Pregnancy fetus normal indicator
 
Single Pre-Defined Value Selected
       
C17997
Pregnancy fetus not normal description text
PregFetusNotNormDescriptTxt
Description of the abnormal pregnancy fetus
No, describe
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Exploratory
3.0
7/16/2013
Aliases for variable name not defined
Pregnancy Outcome
General Health History
Participant History and Family History
 
255
Free-Form Entry
       
C11078
Delivery mode type
DeliveryModeTyp
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
3.0
7/25/2013
Aliases for variable name not defined
Pregnancy Outcome
General Health History
Participant History and Family History
Delivery mode type
 
Single Pre-Defined Value Selected
       
C16042
Delivery mode induced reason
DeliveryModeInduceRsn
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
3.0
7/16/2013
DeliveryInduceRsn
Pregnancy Outcome
General Health History
Participant History and Family History
Delivery induced reason
 
Multiple Pre-Defined Values Selected
       
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.
Other, specify:
  
Alphanumeric
Choose only one
No references available
Adult;Pediatric
Exploratory
3.0
7/25/2013
Aliases for variable name not defined
Pregnancy Outcome
General Health History
Participant History and Family History
 
4000
Free-Form Entry
       
C11079
Neonate delivery route type
NeonateDelivRteTyp
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
3.0
7/25/2013
Aliases for variable name not defined
Pregnancy Outcome
General Health History
Participant History and Family History
Delivery route
 
Single Pre-Defined Value Selected
       
C16044
Delivery cesarean section reason
DelCesSctnRsn
Reason for the Cesarean section
Specify reason
  
Alphanumeric
Answer only if Cesarean was the delivery route.
No references available
Adult;Pediatric
Exploratory
3.0
7/16/2013
Aliases for variable name not defined
Pregnancy Outcome
General Health History
Participant History and Family History
Delivery by Cesarean section reason
255
Free-Form Entry
       
C11081
Delivery caesarean timing status
DeliveryCaesareanTimingStatus
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
3.0
7/16/2013
Aliases for variable name not defined
Pregnancy Outcome
General Health History
Participant History and Family History
Delivery caesarean timing status
 
Single Pre-Defined Value Selected
       
C11080
Delivery modality type
DeliveryModltyTyp
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
3.0
7/25/2013
Aliases for variable name not defined
Pregnancy Outcome
General Health History
Participant History and Family History
Delivery modality type
 
Single Pre-Defined Value Selected
       
C16046
Pregnancy labor delivery complication indicator
PregLabDelCompInd
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
3.0
7/16/2013
Aliases for variable name not defined
Pregnancy Outcome
General Health History
Participant History and Family History
Pregnancy labor or delivery complication indicator
 
Single Pre-Defined Value Selected
       
C17998
Pregnancy labor delivery complication specification text
PregLabDelCompSpecTxt
Text about the participant/subject's experience with any complications during labor/delivery
If Yes, specify:
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Exploratory
3.0
7/16/2013
Aliases for variable name not defined
Pregnancy Outcome
General Health History
Participant History and Family History
 
255
Free-Form Entry
       
C16048
Tocolytic agents required during preterm labor indicator
ToclytcAgntReqDrnPretermLabInd
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
3.0
7/16/2013
Aliases for variable name not defined
Pregnancy Outcome
General Health History
Participant History and Family History
Tocolytic agents required during preterm labor indicator
 
Single Pre-Defined Value Selected
       
C17999
Tocolytic agents required during preterm specification text
ToclytcAgntReqDrnPretermLabTxt
Text specifying the tocolytic agents the participant/subject required during preterm labor
If Yes, specify:
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Exploratory
3.0
7/16/2013
Aliases for variable name not defined
Pregnancy Outcome
General Health History
Participant History and Family History
 
255
Free-Form Entry
       
C16049
Birth child date and time
BrthChildDateTime
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
3.0
7/16/2013
Aliases for variable name not defined
Pregnancy Outcome
General Health History
Participant History and Family History
Birth child date and time
 
Free-Form Entry
       
C16050
Phenotypic sex child type
PhenotypSexChildTyp
Sex of the participant/subject's child based on physical examination
Birth sex:
Male;Female;Unknown;
Male;Female;Unknown;
Alphanumeric
Choose one
No references available
Adult;Pediatric
Exploratory
3.0
7/16/2013
Aliases for variable name not defined
Pregnancy Outcome
General Health History
Participant History and Family History
Phenotypic sex child type
 
Single Pre-Defined Value Selected
       
C16051
Birth weight child value
WgtChildVal
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
3.0
7/16/2013
Aliases for variable name not defined
Pregnancy Outcome
General Health History
Participant History and Family History
Birth weight child value
 
Free-Form Entry
       
C55935
Weight birth child unit of measure
WgtChildBirthUoM
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
3.0
7/16/2013
Aliases for variable name not defined
Pregnancy Outcome
General Health History
Participant History and Family History
  
Single Pre-Defined Value Selected
       
C16053
Birth length child value
LngthChildVal
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
3.0
7/16/2013
Aliases for variable name not defined
Pregnancy Outcome
General Health History
Participant History and Family History
Birth length child value
 
Free-Form Entry
       
C55936
Length birth child unit of measure
LngthChildBirthUoM
Measure of the length of the participant/subject's child at birth
Birth length:
  
Alphanumeric
Record in inches or centimeters
No references available
Adult;Pediatric
Exploratory
3.0
7/16/2013
Aliases for variable name not defined
Pregnancy Outcome
General Health History
Participant History and Family History
  
Single Pre-Defined Value Selected
       
C16055
Full term delivery child indicator
FullTrmDelChldInd
Indicates whether the participant/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
3.0
7/16/2013
Aliases for variable name not defined
Pregnancy Outcome
General Health History
Participant History and Family History
Full-term delivery child indicator
 
Single Pre-Defined Value Selected
       
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
Indicate gestational age GA (weeks):
  
Numeric Values
Record the gestational age of the child in weeks
No references available
Adult;Pediatric
Exploratory
3.0
7/16/2013
Aliases for variable name not defined
Pregnancy Outcome
General Health History
Participant History and Family History
Gestational age child value
 
Free-Form Entry
  
week
    
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)
5-minute APGAR score:
  
Numeric Values
Record the score (0 - 10 points, inclusive)
No references available
Adult;Pediatric
Exploratory
3.0
7/16/2013
Aliases for variable name not defined
Pregnancy Outcome
General Health History
Participant History and Family History
APGAR five minute child score
 
Free-Form Entry
       
06-16-2019
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