CDE Detailed Report

Disease: content
Subdomain Name: General Health History
CRF: welcome

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
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

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

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

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

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

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
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

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 Supplemental 3.00 2013-07-16 14:01:43.01 Pregnancy General Health History Participant History and Family History

Free-Form Entry

C19632 Weight pediatric unit of measure WgtPedUoM Unit of measure for the pediatric weight numerical value Unit of measure for the pediatric weight numerical value g;oz gram;ounce Alphanumeric Adult;Pediatric Supplemental 1.00 2015-02-18 00:00:00.0 Pregnancy General Health History Participant History and Family History

Single Pre-Defined Value Selected

2630200
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 Supplemental 3.00 2013-07-16 14:01:43.01 Pregnancy General Health History Participant History and Family History

Single Pre-Defined Value Selected

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

CSV