ID

15821

Beskrivning

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.

Länk

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

Nyckelord

Versioner (1)
  1. 2016-06-15 2016-06-15 -
Uppladdad den

15 juni 2016

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NINDS CDE Pregnancy Information Headache

Engelsk

Pregnancy Information

1 Formulär  
  1. StudyEvent: ODM
    1. Pregnancy Information
Demographics
Beskrivning

Demographics

Study ID
Beskrivning

Study ID

Datatyp

text

Alias
UMLS CUI [1]
C2826693
Study site name
Beskrivning

Study site

Datatyp

text

Alias
UMLS CUI [1]
C2825164
Subject ID
Beskrivning

Subject ID

Datatyp

text

Alias
UMLS CUI [1]
C2348585
Pregnancy Information
Beskrivning

Pregnancy Information

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

Date pregnancy information

Datatyp

date

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

Currently pregnant

Datatyp

integer

Alias
UMLS CUI [1]
C0549206
Current Pregnancy
Beskrivning

Current Pregnancy

Was birth control being used?
Beskrivning

Contraception

Datatyp

integer

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

Contraception

Datatyp

integer

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

Contraception

Datatyp

date

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

Date of last menstrual period

Datatyp

date

Alias
UMLS CUI [1]
C0425932
Date pregnancy confirmed
Beskrivning

Date pregnancy confirmed

Datatyp

date

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

Estimated delivery date

Datatyp

date

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

Estimated delivery date based on an ultrasound

Datatyp

integer

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

Prenatal testing

Datatyp

integer

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

Select all that apply

Datatyp

integer

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

Prenatal testing

Datatyp

text

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

Prenatal testing

Datatyp

date

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

Prenatal testing

Datatyp

text

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

Prenatal testing comments

Datatyp

text

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

Complications during this pregnancy

Datatyp

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
Beskrivning

Complications during this pregnancy

Datatyp

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?
Beskrivning

Infections or illnesses during this pregnancy

Datatyp

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
Beskrivning

Infections or illnesses during this pregnancy

Datatyp

text

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

Pregnancy History

Has the participant/subject ever been pregnant?
Beskrivning

Prior pregnancy

Datatyp

integer

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

Prior pregnancy

Datatyp

integer

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

Prior pregnancy

Datatyp

integer

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

Prior pregnancy

Datatyp

integer

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

Birth defect in prior pregnancy

Datatyp

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
Beskrivning

Birth defect in prior pregnancy

Datatyp

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?
Beskrivning

Miscarriage or stillbirth

Datatyp

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):
Beskrivning

Miscarriage or stillbirth

Datatyp

integer

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

Exposure

Datatyp

integer

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

Exposure

Datatyp

text

Alias
UMLS CUI [1]
C0332157
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Similar models

Pregnancy Information

1 Formulär
  1. StudyEvent: ODM
    1. Pregnancy Information
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
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])
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