ID

15821

Beschrijving

NINDS Common Data Elements (Pregnancy Information; Headache) Used from the National Institute of Neurological Disorders and Stroke Common Data Elements (https://www.commondataelements.ninds.nih.gov/) References: Grinnon ST, Miller K, Marler JR, Lu Y, Stout A, Odenkirchen J, Kunitz S. National Institute of Neurological Disorders and Stroke Common Data Element Project - approach and methods. Clin Trials. 2012;9(3):322-9.

Link

https://www.commondataelements.ninds.nih.gov/

Trefwoorden

Versies (1)
  1. 15-06-16 15-06-16 -
Geüploaded op

15 juni 2016

DOI

Voor een aanvraag inloggen.

Licentie

Creative Commons BY-NC 3.0
Model Commentaren :

Hier kunt u commentaar leveren op het model. U kunt de tekstballonnen bij de itemgroepen en items gebruiken om er specifiek commentaar op te geven.

Terug naar het model Commentaren
Itemgroep Commentaren voor :

Item Commentaren voor :

U moet ingelogd zijn om formulieren te downloaden. AUB inloggen of schrijf u gratis in.

NINDS CDE Pregnancy Information Headache

Engels

Pregnancy Information

1 Formulieren  
  1. StudyEvent: ODM
    1. Pregnancy Information
Demographics
Beschrijving

Demographics

Study ID
Beschrijving

Study ID

Datatype

text

Alias
UMLS CUI [1]
C2826693
Study site name
Beschrijving

Study site

Datatype

text

Alias
UMLS CUI [1]
C2825164
Subject ID
Beschrijving

Subject ID

Datatype

text

Alias
UMLS CUI [1]
C2348585
Pregnancy Information
Beschrijving

Pregnancy Information

Date pregnancy information obtained (m m/dd/yyyy):
Beschrijving

Date pregnancy information

Datatype

date

Alias
UMLS CUI [1,1]
C0032961
UMLS CUI [1,2]
C1533716
UMLS CUI [1,3]
C0011008
Is the participant/subject pregnant?
Beschrijving

Currently pregnant

Datatype

integer

Alias
UMLS CUI [1]
C0549206
Current Pregnancy
Beschrijving

Current Pregnancy

Was birth control being used?
Beschrijving

Contraception

Datatype

integer

Alias
UMLS CUI [1]
C0700589
Was birth control being used? If Yes, indicate all forms of contraception used (choose all that apply):
Beschrijving

Contraception

Datatype

integer

Alias
UMLS CUI [1]
C0700589
Last date birth control used (m m/dd/yyyy):
Beschrijving

Contraception

Datatype

date

Alias
UMLS CUI [1,1]
C0700589
UMLS CUI [1,2]
C0011008
Date of last menstrual period
Beschrijving

Date of last menstrual period

Datatype

date

Alias
UMLS CUI [1]
C0425932
Date pregnancy confirmed
Beschrijving

Date pregnancy confirmed

Datatype

date

Alias
UMLS CUI [1]
C2584394
Estimated delivery date (EDD) (m m/dd/yyyy):
Beschrijving

Estimated delivery date

Datatype

date

Alias
UMLS CUI [1]
C1287845
Was the EDD based on an ultrasound?
Beschrijving

Estimated delivery date based on an ultrasound

Datatype

integer

Alias
UMLS CUI [1]
C1287845
UMLS CUI [2]
C0041618
Was prenatal testing performed?
Beschrijving

Prenatal testing

Datatype

integer

Alias
UMLS CUI [1]
C1456692
Was prenatal testing performed?If Yes, please complete the following questions regarding prenatal testing
Beschrijving

Select all that apply

Datatype

integer

Alias
UMLS CUI [1]
C1456692
Was prenatal testing performed?If Other, specify
Beschrijving

Prenatal testing

Datatype

text

Alias
UMLS CUI [1]
C1456692
Was prenatal testing performed?If Yes, please specify the date of testing
Beschrijving

Prenatal testing

Datatype

date

Alias
UMLS CUI [1,1]
C1456692
UMLS CUI [1,2]
C0011008
Was prenatal testing performed?If Yes, please specify the result of testing
Beschrijving

Prenatal testing

Datatype

text

Alias
UMLS CUI [1,1]
C1456692
UMLS CUI [1,2]
C0456984
Was prenatal testing performed? Comments
Beschrijving

Prenatal testing comments

Datatype

text

Alias
UMLS CUI [1]
C1456692
UMLS CUI [2]
C0947611
Did/Has the participant/subject experienced any complications during this pregnancy?
Beschrijving

Complications during this pregnancy

Datatype

integer

Alias
UMLS CUI [1,1]
C0009566
UMLS CUI [1,2]
C0032961
Did/Has the participant/subject experienced any complications during this pregnancy? If Yes, specify
Beschrijving

Complications during this pregnancy

Datatype

text

Alias
UMLS CUI [1,1]
C0009566
UMLS CUI [1,2]
C0032961
Did/Has the participant/subject experienced any infections or illnesses during this pregnancy?
Beschrijving

Infections or illnesses during this pregnancy

Datatype

integer

Alias
UMLS CUI [1,1]
C0009450
UMLS CUI [1,2]
C0221423
UMLS CUI [2]
C0032961
Did/Has the participant/subject experienced any infections or illnesses during this pregnancy? If yes, specify
Beschrijving

Infections or illnesses during this pregnancy

Datatype

text

Alias
UMLS CUI [1,1]
C0009450
UMLS CUI [1,2]
C0221423
UMLS CUI [2]
C0032961
Pregnancy History
Beschrijving

Pregnancy History

Has the participant/subject ever been pregnant?
Beschrijving

Prior pregnancy

Datatype

integer

Alias
UMLS CUI [1]
C0032967
Number of prior pregnancies (both to term and not to term)
Beschrijving

Prior pregnancy

Datatype

integer

Alias
UMLS CUI [1]
C0032967
Full-term (≥ 37 weeks) births
Beschrijving

Prior pregnancy

Datatype

integer

Alias
UMLS CUI [1]
C0032967
Pre-term (≥ 37 weeks) births
Beschrijving

Prior pregnancy

Datatype

integer

Alias
UMLS CUI [1]
C0032967
Did a birth defect occur in any previous pregnancy?
Beschrijving

Birth defect in prior pregnancy

Datatype

integer

Alias
UMLS CUI [1,1]
C0000768
UMLS CUI [1,2]
C0032967
Did a birth defect occur in any previous pregnancy? If Yes, specify birth defect
Beschrijving

Birth defect in prior pregnancy

Datatype

text

Alias
UMLS CUI [1,1]
C0000768
UMLS CUI [1,2]
C0032967
Did a miscarriage (≤ 20 weeks) or stillbirth (> 20 weeks) occur in any previous pregnancy?
Beschrijving

Miscarriage or stillbirth

Datatype

integer

Alias
UMLS CUI [1]
C0438080
UMLS CUI [2]
C0595939
If Yes, in what week of pregnancy did the miscarriage or stillbirth occur? week(s):
Beschrijving

Miscarriage or stillbirth

Datatype

integer

Alias
UMLS CUI [1]
C0438080
UMLS CUI [2]
C0595939
Has the participant/subject ever had exposure to any of the following during pregnancy?
Beschrijving

Exposure

Datatype

integer

Alias
UMLS CUI [1]
C0332157
Has the participant/subject ever had exposure to any substance during pregnancy?If Other,specify
Beschrijving

Exposure

Datatype

text

Alias
UMLS CUI [1]
C0332157
Terug naar het begin van de pagina

Similar models

Pregnancy Information

1 Formulieren
  1. StudyEvent: ODM
    1. Pregnancy Information
Name
Type
Description | Question | Decode (Coded Value)
Datatype
Alias
Item Group
Demographics
Study ID
Item
Study ID
text
C2826693 (UMLS CUI [1])
Study site
Item
Study site name
text
C2825164 (UMLS CUI [1])
Subject ID
Item
Subject ID
text
C2348585 (UMLS CUI [1])
Item Group
Pregnancy Information
Date pregnancy information
Item
Date pregnancy information obtained (m m/dd/yyyy):
date
C0032961 (UMLS CUI [1,1])
C1533716 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
Item
Is the participant/subject pregnant?
integer
C0549206 (UMLS CUI [1])
Currently pregnant
Code List
Is the participant/subject pregnant?
CL Item
Yes  (1)
CL Item
No (Skip to Q8)  (2)
CL Item
Unknown (Skip to Q8) (3)
Item Group
Current Pregnancy
Item
Was birth control being used?
integer
C0700589 (UMLS CUI [1])
Contraception
Code List
Was birth control being used?
CL Item
Yes  (1)
CL Item
No  (2)
CL Item
Unknown (3)
Item
Was birth control being used? If Yes, indicate all forms of contraception used (choose all that apply):
integer
C0700589 (UMLS CUI [1])
Contraception
Code List
Was birth control being used? If Yes, indicate all forms of contraception used (choose all that apply):
CL Item
Oral contraceptives–combined pill (“the pill”) (1)
CL Item
Oral contraceptives–progestin-only pill (“mini-pill”) (2)
CL Item
Transdermal patch (i.e., Ortho Evra) (3)
CL Item
Shot/injection (i.e., Depo-Provera) (4)
CL Item
Vaginal ring (i.e., NuvaRing) (5)
CL Item
Implantable devices with hormone (i.e., ParaGuard, Mirena) (6)
CL Item
Abstinence (7)
CL Item
None of these (8)
Contraception
Item
Last date birth control used (m m/dd/yyyy):
date
C0700589 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Date of last menstrual period
Item
Date of last menstrual period
date
C0425932 (UMLS CUI [1])
Date pregnancy confirmed
Item
Date pregnancy confirmed
date
C2584394 (UMLS CUI [1])
Estimated delivery date
Item
Estimated delivery date (EDD) (m m/dd/yyyy):
date
C1287845 (UMLS CUI [1])
Item
Was the EDD based on an ultrasound?
integer
C1287845 (UMLS CUI [1])
C0041618 (UMLS CUI [2])
Contraception
Code List
Was the EDD based on an ultrasound?
CL Item
Yes  (1)
CL Item
No  (2)
CL Item
Unknown (3)
Item
Was prenatal testing performed?
integer
C1456692 (UMLS CUI [1])
Contraception
Code List
Was prenatal testing performed?
CL Item
Yes  (1)
CL Item
No  (2)
CL Item
Unknown (3)
Item
Was prenatal testing performed?If Yes, please complete the following questions regarding prenatal testing
integer
C1456692 (UMLS CUI [1])
Contraception
Code List
Was prenatal testing performed?If Yes, please complete the following questions regarding prenatal testing
CL Item
Ultrasound (1)
CL Item
Amniocentesis (2)
CL Item
Screening for neural tube defects (3)
CL Item
Screening for gestational diabetes before or at 28 weeks (4)
CL Item
Screening for asymptomatic bacteriuria before or at 16 weeks gestation (5)
CL Item
Hepatitis B specific antigen screening at first visit (6)
CL Item
HIV screening at first visit (7)
CL Item
Group B streptococcus screening (GBS) at 35 to 37 weeks (8)
CL Item
Maternal serum alpha fetoprotein (9)
CL Item
Other, specify (10)
Item
Was prenatal testing performed?If Other, specify
text
C1456692 (UMLS CUI [1])
Contraception
Code List
Was prenatal testing performed?If Other, specify
Prenatal testing
Item
Was prenatal testing performed?If Yes, please specify the date of testing
date
C1456692 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Prenatal testing
Item
Was prenatal testing performed?If Yes, please specify the result of testing
text
C1456692 (UMLS CUI [1,1])
C0456984 (UMLS CUI [1,2])
Prenatal testing comments
Item
Was prenatal testing performed? Comments
text
C1456692 (UMLS CUI [1])
C0947611 (UMLS CUI [2])
Item
Did/Has the participant/subject experienced any complications during this pregnancy?
integer
C0009566 (UMLS CUI [1,1])
C0032961 (UMLS CUI [1,2])
Contraception
Code List
Did/Has the participant/subject experienced any complications during this pregnancy?
CL Item
Yes  (1)
CL Item
No  (2)
CL Item
Unknown (3)
Item
Did/Has the participant/subject experienced any complications during this pregnancy? If Yes, specify
text
C0009566 (UMLS CUI [1,1])
C0032961 (UMLS CUI [1,2])
Contraception
Code List
Did/Has the participant/subject experienced any complications during this pregnancy? If Yes, specify
Item
Did/Has the participant/subject experienced any infections or illnesses during this pregnancy?
integer
C0009450 (UMLS CUI [1,1])
C0221423 (UMLS CUI [1,2])
C0032961 (UMLS CUI [2])
Contraception
Code List
Did/Has the participant/subject experienced any infections or illnesses during this pregnancy?
CL Item
Yes  (1)
CL Item
No  (2)
CL Item
Unknown (3)
Infections or illnesses during this pregnancy
Item
Did/Has the participant/subject experienced any infections or illnesses during this pregnancy? If yes, specify
text
C0009450 (UMLS CUI [1,1])
C0221423 (UMLS CUI [1,2])
C0032961 (UMLS CUI [2])
Item Group
Pregnancy History
Item
Has the participant/subject ever been pregnant?
integer
C0032967 (UMLS CUI [1])
Prior pregnancy
Code List
Has the participant/subject ever been pregnant?
CL Item
Yes  (1)
CL Item
No (STOP)  (2)
CL Item
Unknown (STOP) (3)
Prior pregnancy
Item
Number of prior pregnancies (both to term and not to term)
integer
C0032967 (UMLS CUI [1])
Prior pregnancy
Item
Full-term (≥ 37 weeks) births
integer
C0032967 (UMLS CUI [1])
Prior pregnancy
Item
Pre-term (≥ 37 weeks) births
integer
C0032967 (UMLS CUI [1])
Item
Did a birth defect occur in any previous pregnancy?
integer
C0000768 (UMLS CUI [1,1])
C0032967 (UMLS CUI [1,2])
Contraception
Code List
Did a birth defect occur in any previous pregnancy?
CL Item
Yes  (1)
CL Item
No  (2)
CL Item
Unknown (3)
Birth defect in prior pregnancy
Item
Did a birth defect occur in any previous pregnancy? If Yes, specify birth defect
text
C0000768 (UMLS CUI [1,1])
C0032967 (UMLS CUI [1,2])
Item
Did a miscarriage (≤ 20 weeks) or stillbirth (> 20 weeks) occur in any previous pregnancy?
integer
C0438080 (UMLS CUI [1])
C0595939 (UMLS CUI [2])
Contraception
Code List
Did a miscarriage (≤ 20 weeks) or stillbirth (> 20 weeks) occur in any previous pregnancy?
CL Item
Yes  (1)
CL Item
No  (2)
CL Item
Unknown (3)
Miscarriage or stillbirth
Item
If Yes, in what week of pregnancy did the miscarriage or stillbirth occur? week(s):
integer
C0438080 (UMLS CUI [1])
C0595939 (UMLS CUI [2])
Item
Has the participant/subject ever had exposure to any of the following during pregnancy?
integer
C0332157 (UMLS CUI [1])
Exposure
Code List
Has the participant/subject ever had exposure to any of the following during pregnancy?
CL Item
Concurrent medication (1)
CL Item
Exposure to X-ray (2)
CL Item
Teratogens (3)
CL Item
Alcohol (4)
CL Item
Smoking (5)
CL Item
Other specify (6)
Exposure
Item
Has the participant/subject ever had exposure to any substance during pregnancy?If Other,specify
text
C0332157 (UMLS CUI [1])
Terug naar het begin van de pagina 

Contact

Gebruik dit formulier voor feedback, vragen en verbeteringsvoorstellen.

Velden gemarkeerd met een * zijn verplicht.

Help

Do you need help on how to use the search function? Please watch the corresponding tutorial video for more details and learn how to use the search function most efficiently.

Watch Tutorial