CDE Detailed Report
Disease: Facioscapulohumeral Muscular Dystrophy
Subdomain Name: General Health History
CRF: Pregnancy
Displaying 51 - 61 of 61
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| C19629 | Breastfeeding Absent text | BreastFeedAbsentTxt | Text describing the reason why the mother did not breastfeed | Text describing the reason why the mother did not breastfeed | No (specify the reason) | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2015-01-06 15:55:21.0 | Pregnancy | General Health History | Participant History and Family History | 4000 |
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 | 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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| C11079 | Neonate delivery route type | NeonateDelivRteTyp | Route of delivery of the neonate | Route of delivery of the neonate | Delivery route? | Vaginal;Caesarean;Unknown | Vaginal;Caesarean;Unknown | Alphanumeric |
Choose only one |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-07-25 08:54:08.2 | Pregnancy | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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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 | 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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| C16026 | Pregnancy prior history loss indicator | PregPriorHistLossInd | Indicator of whether a miscarriage (<= 20 weeks) or stillbirth (> 20 weeks) occurred in any previous pregnancy | Indicator of whether a miscarriage (<= 20 weeks) or stillbirth (> 20 weeks) occurred in any previous pregnancy | Did a miscarriage (<= 20 weeks) or stillbirth (> 20 weeks) occur in any previous pregnancy? | Yes;No;Unknown | Yes;No;Unknown | 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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| 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 | 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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| C19630 | Breastfeeding Month Count | BreastFeedMoCount | The value of the number of months the mother breastfed | The value of the number of months the mother breastfed | Yes, for __ months | Numeric Values | Adult;Pediatric | Supplemental | 1.00 | 2015-01-06 16:06:46.0 | Pregnancy | General Health History | Participant History and Family History |
Free-Form Entry |
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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 | 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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| 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 | Supplemental | 3.00 | 2013-07-25 08:54:08.2 | Pregnancy | 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 | 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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| C16027 | Pregnancy prior history loss week count | PregPriorHistLossWeekCt | Number of the week of pregnancy during which the stillbirth or miscarriage occurred | Number of the week of pregnancy during which the stillbirth or miscarriage occurred | If Yes, in what week of pregnancy did the miscarriage or stillbirth occur? | Numeric Values | Adult;Pediatric | Supplemental | 3.00 | 2013-07-16 14:01:43.01 | Pregnancy | General Health History | Participant History and Family History |
Free-Form Entry |
1 | 45 | week |
