CDE Detailed Report
Subdomain Name: History of Disease/Injury Event
CRF: welcome
Displaying 1 - 16 of 16
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 |
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C12629 | Neonatal intensive care unit stay duration | NICUStayDur | Duration of the participant/subject's stay in the neonatal intensive care unit (NICU) | Duration of the participant/subject's stay in the neonatal intensive care unit (NICU) | If yes, length of NICU stay | <=48 hours;>48 hours and <1 week;>=1 week | <=48 hours;>48 hours and <1 week;>=1 week | Alphanumeric |
Only answered if "Yes" is answered for "Any NICU stay?" |
Pediatric | Supplemental-Highly Recommended | 3.00 | 2013-07-25 08:54:08.2 | Birth Injuries | History of Disease/Injury Event | Disease/Injury Related Events |
Single Pre-Defined Value Selected |
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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 | 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 responsivenes | 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 |
Only collected if needed. Record the APGAR score (0 - 10 points, inclusive) assessed at 10 minutes. This is a pediatric-specific element. |
Pediatric | Supplemental-Highly Recommended | 3.00 | 2013-07-25 08:54:08.2 | Birth Injuries | History of Disease/Injury Event | Disease/Injury Related Events |
Single Pre-Defined Value Selected |
3181701 | ||||||||
C12631 | Deliver condition hypotonia grade | DelivrConditnHypotoniaGrade | Grade of any hypotonia (floppiness) that was present at or soon after the participant/subject's delivery | Grade of any hypotonia (floppiness) that was present at or soon after the participant/subject's delivery | If Yes, hypotonia is | Mild;Moderate;Severe;Unknown | Mild;Moderate;Severe;Unknown | Alphanumeric |
Choose one |
Pediatric | Supplemental-Highly Recommended | 3.00 | 2013-07-25 08:54:08.2 | Birth Injuries | History of Disease/Injury Event | Disease/Injury Related Events |
Single Pre-Defined Value Selected |
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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 | 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 responsivenes | 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. This is a pediatric-specific element. |
Pediatric | Supplemental-Highly Recommended | 3.00 | 2013-07-25 08:54:08.2 | Birth Injuries | History of Disease/Injury Event | Disease/Injury Related Events |
Single Pre-Defined Value Selected |
2738533 | ||||||||
C15985 | Multiple birth indicator | MultipleBirthInd | Indicates whether the participant/subject was a part of a multiple live birth | Indicates whether the participant/subject was a part of a multiple live birth | Multiple births? | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric | Pediatric | Supplemental-Highly Recommended | 3.00 | 2013-07-16 14:01:43.01 | Birth Injuries | History of Disease/Injury Event | Disease/Injury Related Events |
Single Pre-Defined Value Selected |
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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 | 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 | Was there a history of any of the following during the prenatal period (i.e., during time mother pregnant), at the time of delivery, or soon after delivery? | Preeclampsia;Other hypertensive disorder;Oligohydramnios;Gestational diabetes;Prolonged rupture of membranes during delivery;Chorioamnionitis;Other illness(es) | Preeclampsia;Other hypertensive disorder;Oligohydramnios;Gestational diabetes;Prolonged rupture of membranes during delivery;Chorioamnionitis;Other illness(es) | Alphanumeric |
For each pregnancy condition record whether the mother experienced it using the element "Pregnancy condition maternal indicator". |
Pediatric | Supplemental-Highly Recommended | 3.00 | 2013-07-25 08:54:08.2 | Birth Injuries | History of Disease/Injury Event | Disease/Injury Related Events |
Multiple Pre-Defined Values Selected |
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C17983 | Caesarean delivery timing type | CaesarDelivTimingTyp | Type of timing conditions under which Caesarean delivery was decided upon | Type of timing conditions under which Caesarean delivery was decided upon | If Caesarean, timing of the Caesarean | Emergency;Elective | Emergency;Elective | Alphanumeric |
Choose one |
Pediatric | Supplemental-Highly Recommended | 3.00 | 2013-07-25 08:54:08.2 | Birth Injuries | History of Disease/Injury Event | Disease/Injury Related Events |
Single Pre-Defined Value Selected |
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C11078 | Delivery mode type | DeliveryModeTyp | Type of delivery mode of the neonate | Type of delivery mode of the neonate | Mode of delivery of the neonate | Spontaneous;Induced;Unknown | Spontaneous;Induced;Unknown | Alphanumeric |
Choose one |
Adult;Pediatric | Supplemental-Highly Recommended | 3.00 | 2013-07-25 08:54:08.2 | Birth Injuries | History of Disease/Injury Event | Disease/Injury Related Events |
Single Pre-Defined Value Selected |
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C21620 | Gestational age value range | GestatnlAgeValRange | Range of time elapsed in weeks between the first day of the last normal menstrual period and the day of delivery of the participant/subject | Range of time elapsed in weeks between the first day of the last normal menstrual period and the day of delivery of the participant/subjec | Gestational age (GA) | <35 weeks;35-37 weeks;38-41 weeks;>41 weeks | <35 weeks;35-37 weeks;38-41 weeks;>41 weeks | Alphanumeric |
Record the gestation age in weeks and days. |
Pediatric | Supplemental-Highly Recommended | 3.00 | 2013-07-25 08:54:08.2 | Birth Injuries | History of Disease/Injury Event | Disease/Injury Related Events |
Single Pre-Defined Value Selected |
3192017 | ||||||||
C11079 | Neonate delivery route type | NeonateDelivRteTyp | Route of delivery of the neonate | Route of delivery of the neonate | Route of delivery of the neonate | Vaginal;Caesarean | Vaginal;Caesarean | Alphanumeric |
Choose one |
Adult;Pediatric | Supplemental-Highly Recommended | 3.00 | 2013-07-25 08:54:08.2 | Birth Injuries | History of Disease/Injury Event | Disease/Injury Related Events |
Single Pre-Defined Value Selected |
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C21621 | Twin sibling vital status | TwinSiblingVitStat | The vital status of twin of the participant/subject | The vital status of twin of the participant/subject | If yes to multiple births, status of twin(s) | Alive;Deceased;Unknown | Alive;Deceased;Unknown | Alphanumeric | Pediatric | Supplemental-Highly Recommended | 3.00 | 2013-07-22 09:34:41.527 | Birth Injuries | History of Disease/Injury Event | Disease/Injury Related Events |
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 of the neonate | Breech;Cephalic;Unknown | Breech;Cephalic;Unknown | Alphanumeric |
Choose one |
Adult;Pediatric | Supplemental-Highly Recommended | 3.00 | 2013-07-25 08:54:08.2 | Birth Injuries | History of Disease/Injury Event | Disease/Injury Related Events |
Single Pre-Defined Value Selected |
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C11083 | Delivery extraction type | DeliveryExtractionTyp | Type of extraction used to assist with the delivery of the participant/subject | 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 |
Pediatric | Supplemental-Highly Recommended | 3.00 | 2013-07-25 08:54:08.2 | Birth Injuries | History of Disease/Injury Event | Disease/Injury Related Events |
Single Pre-Defined Value Selected |
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C12604 | APGAR one minute score | APGAR1MinScore | Score of a newborn recorded at one minute 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 | Score of a newborn recorded at one minute 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 responsivenes | APGAR 1 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 1 minute. This is a pediatric-specific element. |
Pediatric | Supplemental-Highly Recommended | 3.00 | 2013-07-24 11:38:01.2 | Birth Injuries | History of Disease/Injury Event | Disease/Injury Related Events |
Single Pre-Defined Value Selected |
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C12625 | Respiratory intervention neonatal problem type | RespIntervntnNeonatlProbTyp | Type of intervention for breathing problems at or soon after the participant/subject's delivery | Type of intervention for breathing problems at or soon after the participant/subject's delivery | If yes, type | Oxygen by nose or mask;Nasal CPAP;Intubation/Ventilation (tube down to lungs/on ventilator);Bag/mask ventilation | Oxygen by nose or mask;Nasal CPAP;Intubation/Ventilation (tube down to lungs/on ventilator);Bag/mask ventilation | Alphanumeric |
Choose all that apply |
Pediatric | Supplemental-Highly Recommended | 3.00 | 2013-07-25 08:54:08.2 | Birth Injuries | History of Disease/Injury Event | Disease/Injury Related Events |
Multiple Pre-Defined Values Selected |
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C12628 | Neonatal intensive care unit stay indicator | NICUStayInd | Indicator whether the participant/subject had to stay in the neonatal intensive care unit (NICU) | Indicator whether the participant/subject had to stay in the neonatal intensive care unit (NICU) | Any NICU stay | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric |
Choose one |
Pediatric | Supplemental-Highly Recommended | 3.00 | 2013-07-25 08:54:08.2 | Birth Injuries | History of Disease/Injury Event | Disease/Injury Related Events |
Single Pre-Defined Value Selected |