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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: Stroke
Sub-Domain: General Health History
CRF: Pregnancy and Perinatal History
Item count: 21 (21 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 family history taken
  
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.).
No references available
Adult;Pediatric
Supplemental
3.0
7/24/2013
Aliases for variable name not defined
Pregnancy and Perinatal History
General Health History
Participant History and Family History
Data collected date and time
 
Free-Form Entry
       
C10556
Pregnant ever indicator
PregEverInd
Indicator as to whether or not the participant/subject has every been pregnant, both term and not to term
Prior pregnancy
Yes;No;Unknown;
Yes;No;Unknown;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
3.0
7/16/2013
Aliases for variable name not defined
Pregnancy and Perinatal History
General Health History
Participant History and Family History
Pregnant ever indicator
 
Single Pre-Defined Value Selected
       
C11065
Gravida maternal value
GravidaMaternalVal
Total number of times the participant's/subject's mother has been pregnant, regardless of whether these pregnancies were carried to term
Total number of times the participant/subject’s mother has been pregnant, regardless of whether these pregnancies were carried to term
  
Numeric Values
Enter integer number of times woman has been pregnant.
No references available
Adult;Pediatric
Supplemental
3.0
7/25/2013
Aliases for variable name not defined
Pregnancy and Perinatal History
General Health History
Participant History and Family History
Gravida maternal value
 
Free-Form Entry
1
99
     
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)
Year of last delivery / miscarriage/ medical termination
  
Date or Date & Time
Enter 4-digit year (YYYY) at a minimum.
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.).
No references available
Adult;Pediatric
Supplemental
3.0
7/16/2013
Aliases for variable name not defined
Pregnancy and Perinatal History
General Health History
Participant History and Family History
Delivery or pregnancy termination last date and time
 
Free-Form Entry
       
C10559
Spontaneous miscarriage count
SpontaneousMiscarriageCt
Value representing the number of times the participant/subject has had miscarriages or spontaneous abortions, including all trimesters
Number of miscarriages
  
Numeric Values
Enter integer number of spontaneous abortions/ miscarriages.
No references available
Adult;Pediatric
Supplemental
3.0
7/11/2013
Aliases for variable name not defined
Pregnancy and Perinatal History
General Health History
Participant History and Family History
Spontaneous abortion number
 
Free-Form Entry
0
99
     
C14151
Pregnancy medical terminations count
PregMedTerminationCt
Number of medical terminations (abortions)
Number of medical terminations
  
Numeric Values
Enter integer number of medical terminations/ abortions.
No references available
Adult;Pediatric
Supplemental
3.0
6/21/2013
Aliases for variable name not defined
Pregnancy and Perinatal History
General Health History
Participant History and Family History
Pregnancy medical terminations number
 
Free-Form Entry
0
99
     
C11062
Maternal delivery age value
MatrnlDelvryAgeVal
Mother's age at the time she gave birth to the participant/subject
Mother’s age at the time she gave birth to the participant/subject
  
Numeric Values
Enter the mother's age in years. Record the value as an integer.
No references available
Pediatric
Supplemental
3.0
7/24/2013
Aliases for variable name not defined
Pregnancy and Perinatal History
General Health History
Participant History and Family History
Age maternal at delivery value
 
Free-Form Entry
0
99
year
    
C11063
Parity maternal value
ParityMaternalVal
Number of live born children the participant's/subject's mother has delivered
Number of live born children the participant/subject’s mother has delivered
  
Numeric Values
Enter integer number of live births.
No references available
Pediatric
Supplemental
3.0
7/10/2013
Aliases for variable name not defined
Pregnancy and Perinatal History
General Health History
Participant History and Family History
Parity maternal value
 
Free-Form Entry
0
99
year
    
C18819
Pregnancy or delivery risk factor other text
PregnDeliveryRiskFactOTH
The free-text field related to 'Pregnancy or delivery risk factor type' specifying other text. 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
Other, specify
  
Alphanumeric
For each pregnancy condition record whether the mother experienced it using the element "Pregnancy condition maternal indicator".
No references available
Pediatric
Supplemental
3.0
7/25/2013
Aliases for variable name not defined
Pregnancy and Perinatal History
General Health History
Participant History and Family History
 
4000
Free-Form Entry
       
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
Did the mother experience any of the following during the prenatal period, at the time of delivery, or soon after delivery with the participant/subject
Preeclampsia;Other hypertensive disorder; Oligohydramnios;Gestational diabetes;Prolonged rupture of membranes during delivery;Chorioamnionitis;Other illness(es);Decreased fetal movement; Fever during delivery of participant/subject;Meconium staining of the amniotic fluid;Intravascular catheter placed in newborn period;Placenta sent for pathology;Placental abnormalities;Fetal heart rate abnormality;Other, specify;
Preeclampsia;Other hypertensive disorder; Oligohydramnios;Gestational diabetes;Prolonged rupture of membranes during delivery;Chorioamnionitis;Other illness(es);Decreased fetal movement; Fever during delivery of participant/subject;Meconium staining of the amniotic fluid;Intravascular catheter placed in newborn period;Placenta sent for pathology;Placental abnormalities;Fetal heart rate abnormality;Other, specify;
Alphanumeric
For each pregnancy condition record whether the mother experienced it using the element "Pregnancy condition maternal indicator".
No references available
Pediatric
Supplemental
3.0
7/25/2013
Aliases for variable name not defined
Pregnancy and Perinatal History
General Health History
Participant History and Family History
Pregnancy or delivery risk factor type
 
Single Pre-Defined Value Selected
       
C11067
Pregnancy or delivery risk factor indicator
PregDeliveryRiskFactInd
Whether the specific risk factor to the participant's/subject's health was experienced during the prenatal period (i.e., during time mother pregnant), at the time of delivery, or soon after delivery
Did the mother experience any of the following during the prenatal period, at the time of delivery, or soon after delivery with the participant/subject
Yes;No;Unknown;
Yes;No;Unknown;
Alphanumeric
Choose one for each condition (see "Pregnancy condition maternal type" CDE)
No references available
Pediatric
Supplemental
3.0
7/25/2013
Aliases for variable name not defined
Pregnancy and Perinatal History
General Health History
Participant History and Family History
Pregnancy or delivery risk factor indicator
 
Single Pre-Defined Value Selected
       
C00311
Birth weight value
BirthWgtVal
Birth weight according to the participant's/subject's medical report or reported by the parent or legal guardian
Birth weight
  
Numeric Values
Enter the numeric weight in Pounds and Ounces (lb & oz) OR Grams (g).
No references available
Pediatric
Supplemental
3.0
7/24/2013
PERS_MEAS_BIR_WT_VAL
Pregnancy and Perinatal History
General Health History
Participant History and Family History
Birth weight value
 
Free-Form Entry
0
9000
gram
  
3201400;2179689
 
C00001
Gestational age value
GestatnlAgeVal
Time elapsed in weeks between the first day of the last normal menstrual period and the day of delivery of the participant/subject.
Gestational age at birth
  
Numeric Values
Gestational age at birth should be recorded in weeks and can be obtained from family or medical record/ chart.
This element should be collected along with the other elements of the Sophia Classification.
Recommended for Neonates ONLY (i.e., not appropriate for Children).
Govaert P, Ramenghi L, Taal R, de Vries L, Deveber G. Diagnosis of perinatal stroke I: definitions, differential diagnosis and registration. Acta Paediatr. 2009 Oct;98(10):1556-67.
Pediatric
Supplemental
3.0
7/25/2013
GESTA_NAT_AGE
Pregnancy and Perinatal History
General Health History
Participant History and Family History
Gestational age value
 
Free-Form Entry
0
52
week
  
3192017
 
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.
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
No references available
Pediatric
Supplemental
3.0
7/25/2013
APGAR_SC_FV_MIN_NUM
Pregnancy and Perinatal History
General Health History
Participant History and Family History
APGAR five minute score
 
Single Pre-Defined Value Selected
     
2738533
 
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.
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
Record the APGAR score (0 - 10 points, inclusive) assessed at 10 minutes
No references available
Pediatric
Supplemental
3.0
7/25/2013
APGAR_SC_TN_MIN_NUM
Pregnancy and Perinatal History
General Health History
Participant History and Family History
APGAR ten minute score
 
Single Pre-Defined Value Selected
     
3181701
 
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.
Induced, specify reason
  
Alphanumeric
Choose one
No references available
Adult;Pediatric
Supplemental
3.0
7/25/2013
Aliases for variable name not defined
Pregnancy and Perinatal History
General Health History
Participant History and Family History
 
4000
Free-Form Entry
       
C11078
Delivery mode type
DeliveryModeTyp
Type of delivery mode of the neonate
Mode of delivery of the neonate
Spontaneous;Induced;Induced, specify reason;Unknown;
Spontaneous;Induced;Induced, specify reason;Unknown;
Alphanumeric
Choose one
No references available
Adult;Pediatric
Supplemental
3.0
7/25/2013
Aliases for variable name not defined
Pregnancy and Perinatal History
General Health History
Participant History and Family History
Delivery mode type
 
Single Pre-Defined Value Selected
       
C11079
Neonate delivery route type
NeonateDelivRteTyp
Route of delivery of the neonate
Route of delivery of the neonate
Vaginal;Caesarean;Unknown;
Vaginal;Caesarean;Unknown;
Alphanumeric
Choose one
No references available
Adult;Pediatric
Supplemental
3.0
7/25/2013
Aliases for variable name not defined
Pregnancy and Perinatal History
General Health History
Participant History and Family History
Delivery route
 
Single Pre-Defined Value Selected
       
C11081
Delivery caesarean timing status
DeliveryCaesareanTimingStatus
Status of the caesarean delivery
Timing of the caesaren
Emergency;Elective;Unknown;
Emergency;Elective;Unknown;
Alphanumeric
Choose one. Element is only applicable if "Delivery route" is answered as "Caesarean".
No references available
Adult;Pediatric
Supplemental
3.0
7/16/2013
Aliases for variable name not defined
Pregnancy and Perinatal History
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 of the neonate
Breech;Cephalic;Unknown;
Breech;Cephalic;Unknown;
Alphanumeric
Choose one
No references available
Adult;Pediatric
Supplemental
3.0
7/25/2013
Aliases for variable name not defined
Pregnancy and Perinatal History
General Health History
Participant History and Family History
Delivery modality type
 
Single Pre-Defined Value Selected
       
C11083
Delivery extraction type
DeliveryExtractionTyp
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
Choose one. Only answered if "History of instruments being used to assist with the delivery of the participant/subject?" is answered Yes.
No references available
Pediatric
Supplemental
3.0
7/25/2013
Aliases for variable name not defined
Pregnancy and Perinatal History
General Health History
Participant History and Family History
Delivery extraction type
 
Single Pre-Defined Value Selected
       
03-25-2019
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