CDE Detailed Report

Disease: Facioscapulohumeral Muscular Dystrophy
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
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
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

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

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

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

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

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

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

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

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
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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