CDE Detailed Report
Disease: Facioscapulohumeral Muscular Dystrophy
Subdomain Name: General Health History
CRF: Pregnancy
Displaying 1 - 50 of 61
Subdomain Name: General Health History
CRF: Pregnancy
Displaying 1 - 50 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 (and time, if applicable and known) the data were collected. This may be the date/time a particular examination or procedure was performe | Date pregnancy information/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 | Supplemental | 3.00 | 2013-07-24 21:00:23.88 | Pregnancy | General Health History | Participant History and Family History |
Free-Form Entry |
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| C16058 | Activity pulse grimace appearance respiration ten minute child score | APGARTenMinChldScore | Assessment of a newborn which is 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. This score describes the participant's/subject's child. Activity pulse grimace appearance respiration (APGAR) | Assessment of a newborn which is 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. This score describes the participant's/subject's child. Activity pulse grimace appearance respiration (APGAR | 10-minute APGAR score | Numeric Values |
Record the score (0 - 10 points, inclusive) |
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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| C17994 | Pregnancy complication text | PregComplicationTxt | Text specifying any complications the participant/subject experienced during this pregnancy | Text specifying any complications the participant/subject experienced during this pregnancy | If Yes, specify: | Alphanumeric | 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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| C16018 | Pregnancy complication indicator | PregComplicationInd | Indicator of whether the participant/subject had complications during the pregnancy | Indicator of whether the participant/subject had complications during the pregnancy | Did/Has the participant/subject experienced any complications during this pregnancy? | Yes, specify;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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| C19577 | Length infant unit of measure | LengthInfantUOM | Unit of measure for the length numerical value for participant | Unit of measure for the length numerical value for participant | Inches;Centimeters | Inches;Centimeters | Alphanumeric | Adult;Pediatric | Supplemental | 2.00 | 2024-02-29 15:59:01.0 | Pregnancy | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
2538920 | ||||||||||
| C16044 | Delivery cesarean section reason | DelCesSctnRsn | Reason for the Cesarean section | Reason for the Cesarean section | Specify reason | Alphanumeric |
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 | 255 |
Free-Form Entry |
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| C10556 | Pregnant ever indicator | PregEverInd | Indicator as to whether or not the participant/subject has every been pregnant, both term and not to term | Indicator as to whether or not the participant/subject has every been pregnant, both term and not to term | Has the participant/subject ever been pregnant? | 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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| C16059 | Weight delivery mother measurement | WgtDelMotherMeasr | Measurement of participant's/subject's weight at the time she gave birth | Measurement of participant's/subject's weight at the time she gave birth | Mother's weight at the time of birth | Numeric Values |
Record in kg or lb |
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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| C17995 | Pregnancy infection illness text | PregInfectnIllnessTxt | Text specifying any infections or illnesses the participant/subject experienced during this pregnancy | Text specifying any infections or illnesses the participant/subject experienced during this pregnancy | If Yes, specify: | Alphanumeric | 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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| C16020 | Pregnancy infection illness indicator | PregInfectnIllnessInd | Indicator of whether there were any infections/illnesses that occurred during this pregnancy | Indicator of whether there were any infections/illnesses that occurred during this pregnancy | Did/Has the participant/subject experienced any infections or illnesses during this pregnancy? | Yes, specify;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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| C19626 | FSHD prenatal testing indicator | FSHDPrenatTestInd | Indicator of whether prenatal testing for FSHD was performed | Indicator of whether prenatal testing for FSHD was performed | Was prenatal testing for FSHD performed? | No;Yes;Unknown | No;Yes (specify below);Unknown | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2015-01-05 13:31:29.0 | Pregnancy | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C16046 | Pregnancy labor delivery complication indicator | PregLabDelCompInd | Indicator of whether there were complications during labor/delivery | 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 | 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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| 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) | 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 | 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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| C16060 | Weight delivery mother unit of measure | WgtDelMotherUoM | Units for the measurement of the participant's/subject's weight at the time she gave birth | Units for the measurement of the participant's/subject's weight at the time she gave birth | Mother's weight at the time of birth | lb;kg | Pounds;Kilograms | Alphanumeric |
Choose one unit |
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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| C17996 | Pregnancy prior history birth defect text | PregPriorHistBirthDefectTxt | Text of any comments about any birth defects that occurred during the participant/subject's previous pregnancies | Text of any comments about any birth defects that occurred during the participant/subject's previous pregnancies | If Yes, specify birth defect | Alphanumeric | 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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| C16022 | Pregnancy prior history births full-term count | PregPriorHistBirthFulltermCt | Count of the total number of pregnancies the participant/subject has carried for a full term (>= 37 weeks) | Count of the total number of pregnancies the participant/subject has carried to a full term (>= 37 weeks) | Prior full-term (>= 37 weeks) births | 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 |
0 | 30 | ||||||||||
| C19627 | FSHD prenatal testing text | FSHDPrenatTestTxt | Text specifying results from FSHD prenatal testing that was performed on the participant/subject | Text specifying results from FSHD prenatal testing that was performed on the participant/subject | If Yes, specify the result: | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2015-01-05 14:01:43.0 | Pregnancy | General Health History | Participant History and Family History | 255 |
Free-Form Entry |
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| C16048 | Tocolytic agents required during preterm labor indicator | ToclytcAgntReqDrnPretermLabInd | Indicator of whether medications used to suppress premature labor were required during preterm labor | 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 | 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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| C16062 | Pregnancy fetal diagnostic test performed indicator | PregFetDignstcTestPerfmInd | Indicates whether there were any abnormal fetal diagnostic tests performed during the pregnancy | Indicates whether there were any abnormal fetal diagnostic tests performed during the pregnancy | Any abnormal fetal diagnostic tests performed during pregnacy? | 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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| 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's/subject's mother has been pregnant, regardless of whether these pregnancies were carried to term | Number of prior pregnancies: | Numeric Values |
Both to term and not to term |
Adult;Pediatric | Supplemental | 3.00 | 2013-07-25 08:54:08.2 | Pregnancy | General Health History | Participant History and Family History |
Free-Form Entry |
1 | 99 | |||||||||
| C17997 | Pregnancy fetus not normal description text | PregFetusNotNormDescriptTxt | Description of the abnormal pregnancy fetus | Description of the abnormal pregnancy fetus | No, describe | 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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| C16023 | Pregnancy prior history births pre-term count | PregPriorHistBirthPretermCt | Count of the total number of pregnancies the participant/subject carried for less than a full term (< 37 weeks) | Count of the total number of pregnancies the participant/subject carried for less than a full term (< 37 weeks) | Prior pre-term (< 37 weeks) births | 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 |
0 | 30 | ||||||||||
| C19628 | Breastfeeding indicator | BreastFeedInd | Indicator of whether the mother breastfed the newborn | Indicator of whether the mother breastfed the newborn | Breastfeeding? | No;Yes | No;Yes | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2015-01-06 15:48:48.0 | Pregnancy | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C16049 | Birth child date and time | BrthChildDateTime | Date of birth of participant/subject's most recent live birth | 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 | 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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| C16063 | Pregnancy fetal diagnostic test date | PregFetDignstcTestDate | Date the fetal diagnostic testing was performed during the pregnancy | Date the fetal diagnostic testing was performed during the 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.). |
ISO 8601, the International Standard for the representation of dates and times (http://www.iso.org/iso/home.html) | 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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| C11078 | Delivery mode type | DeliveryModeTyp | Type of delivery mode of the neonate | Type of delivery mode of the neonate | Delivery type? | Spontaneous;Induced, specify reason | Spontaneous;Induced, specify reason | 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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| C17998 | Pregnancy labor delivery complication specification text | PregLabDelCompSpecTxt | Text about the participant/subject's experience with any complications during labor/delivery | Text about the participant/subject's experience with any complications during labor/delivery | 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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| C16024 | Pregnancy prior history birth defect indicator | PregPriorHistBirthDefectInd | Indicator of whether a birth defect occurred in any of the participant/subject's previous pregnancies | Indicator of whether a birth defect occurred in any of the participant/subject's previous pregnancies | Did a birth defect occur in any previous pregnancy? | Yes, specify;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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| 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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| C16050 | Phenotypic sex child type | PhenotypSexChildTyp | Sex of the participant/subject's child based on physical examination | Sex of the participant/subject's child based on physical examination | Birth sex | Female;Male;Unknown | Female;Male;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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| 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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| 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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| 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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| 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 | |||||||||
| 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 | ||||||||||
| 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 |
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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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| 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 |
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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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| 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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| 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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| 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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| 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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| 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 |
