Sub-Domain: Assessments and Examinations
CRF:
| CDE ID | CDE Name | Variable Name | Definition | Short Description | Additional Notes (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 / Guideline) | Sub Domain Name | Domain Name | Size | Input Restrictions | Min Value | Max Value | Measurement Type | Source | Form Set | Form | Field | Domain | CDASH Variable | CDASH Definition | CDASH Label | Controlled Terminology | Prompt | Essentiality | Question Text | CDASH imp guidance | SDTM IG target | csDSR | PhenX | Data Type | CRF Completion Inst | SDTMIG Target Var | SDTMIG Target Map | Codelist Name | PVs | Pre Pop Value | Query Display | List Style |
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| C14051 | Microembolic signal end time | MicroembolSignalEndTime | Indicates microembolic signal end time | Indicates microembolic signal end time | End Time | 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.). |
No references available | Adult;Pediatric | Proposed | 3.00 | 2013-06-21 00:00:00.0 | Vessel Imaging Transcranial Doppler (TCD) | Assessments and Examinations | Imaging Diagnostics |
Free-Form Entry |
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| C02411 | Laterality type | LatTyp | Laterality type relative to the anatomic site of the body examined or affected | Laterality type relative to the anatomic site of the body examined or affected | Specify laterality | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Proposed | 3.00 | 2013-08-28 16:08:00.453 | Vessel Imaging Transcranial Doppler (TCD) | Assessments and Examinations | Imaging Diagnostics |
Single Pre-Defined Value Selected |
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| C14006 | Imaging stenosis percentage value | ImgStenosisPercentageVal | Indicates stenosis percentage value | Indicates stenosis percentage value | Percent Stenosis | Numeric Values |
These CDEs are collected when an imaging study is performed using TCD to assess the intra cranial cerebral (brain) circulation; the velocity of blood flow through the brain's blood vessels is captured along with other findings. (Examples of CDEs included: Peak velocity; Flow direction; and Microembolic signal intensity) |
No references available | Adult;Pediatric | Proposed | 3.00 | 2013-06-21 00:00:00.0 | Vessel Imaging Transcranial Doppler (TCD) | Assessments and Examinations | Imaging Diagnostics |
Free-Form Entry |
0 | 99 | percent | ||||||||||||||||||||||||||||
| C14017 | Microembolic signal unidirectional indicator | MicroembolSignalUnidirectInd | Indicates unidirectional microembolic signal | Indicates unidirectional microembolic signal | Unidirectional | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric |
Associated form contains data elements collected when an imaging study is performed using TCCS to examine the brain vessels and evaluate cerebral hemodynamics. (Examples of CDEs included: COGIF score; Number of microembolic signals; and Vasomotor response) |
No references available | Adult;Pediatric | Proposed | 3.00 | 2013-06-21 00:00:00.0 | Vessel Imaging Transcranial Doppler (TCD) | Assessments and Examinations | Imaging Diagnostics |
Single Pre-Defined Value Selected |
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| C13901 | Imaging patient type | ImgPatientTyp | Indicates imaging patient type | Indicates imaging patient type | Patient type | Asymptomatic;Acute Stroke;Chronic Stroke;Brain Edema;Vasopasm;Asymptomatic;Acute Stroke;Chronic Stroke;Brain Edema;Vasopasm | Asymptomatic;Acute Stroke;Chronic Stroke;Brain Edema;Vasopasm;Asymptomatic;Acute Stroke;Chronic Stroke;Brain Edema;Vasopasm | Alphanumeric |
Use the specific codelist that corresponds to the type of imaging done |
No references available | Adult;Pediatric | Proposed | 3.00 | 2013-06-21 00:00:00.0 | Vessel Imaging Transcranial Doppler (TCD) | Assessments and Examinations | Imaging Diagnostics |
Single Pre-Defined Value Selected |
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| C14029 | Vasospasm posterior ratio result | VasoPosterRatioReslt | Indicates vasospasm posterior ratio result | Indicates vasospasm posterior ratio result | Posterior ratio | Numeric Values |
These CDEs are collected when an imaging study is performed using TCD to assess the intra cranial cerebral (brain) circulation; the velocity of blood flow through the brain's blood vessels is captured along with other findings. (Examples of CDEs included: Peak velocity; Flow direction; and Microembolic signal intensity) |
No references available | Adult;Pediatric | Proposed | 3.00 | 2013-06-21 00:00:00.0 | Vessel Imaging Transcranial Doppler (TCD) | Assessments and Examinations | Imaging Diagnostics |
Free-Form Entry |
0 | 10 | |||||||||||||||||||||||||||||
| C13958 | Microembolic signal settings type | MicroembolSignalSettingTyp | Indicates microembolic signal settings category | Indicates microembolic signal settings category | Settings | Leading cols;Trailing cols;Threshold;Rejection | Leading cols;Trailing cols;Threshold;Rejection | Alphanumeric |
Associated form contains data elements collected when an imaging study is performed using TCCS to examine the brain vessels and evaluate cerebral hemodynamics. (Examples of CDEs included: COGIF score; Number of microembolic signals; and Vasomotor response) |
No references available | Adult;Pediatric | Proposed | 3.00 | 2013-06-21 00:00:00.0 | Vessel Imaging Transcranial Doppler (TCD) | Assessments and Examinations | Imaging Diagnostics |
Single Pre-Defined Value Selected |
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| C14052 | Hemoglobin measurement | HemoglobMeasr | The measurement for hemoglobin. | The measurement for hemoglobin. | Hemoglobin | Numeric Values |
These CDEs are collected when an imaging study is performed using TCD to assess the intra cranial cerebral (brain) circulation; the velocity of blood flow through the brain's blood vessels is captured along with other findings. (Examples of CDEs included: Peak velocity; Flow direction; and Microembolic signal intensity) |
No references available | Adult;Pediatric | Proposed | 3.00 | 2013-06-21 00:00:00.0 | Vessel Imaging Transcranial Doppler (TCD) | Assessments and Examinations | Imaging Diagnostics |
Free-Form Entry |
g/dL | DeBaun Forms | |||||||||||||||||||||||||||||
| C02494 | Imaging study date and time | ImgStdyDateTime | Date (and time, if applicable and known) the radiologic study was obtained. | Date (and time, if applicable and known) the radiologic study was obtained. | Date and time of study | 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.). |
Duhaime AC, Gean AD, Haacke EM, Hicks R, Wintermark M, Mukherjee P, Brody D, Latour L, Riedy G; Common Data Elements Neuroimaging Working Group Members, Pediatric Working Group Members. Common data elements in radiologic imaging of traumatic brain injury. Arch Phys Med Rehabil. 2010 Nov;91(11):1661-6. [DOI: 10.1016/j.apmr.2010.07.238] | Adult;Pediatric | Proposed | 3.00 | 2013-08-28 16:08:00.453 | Vessel Imaging Transcranial Doppler (TCD) | Assessments and Examinations | Imaging Diagnostics |
Free-Form Entry |
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| C14007 | Imaging Transcranial Doppler (TCD) findings result type | ImgTCDFindResltTyp | Indicates Transcranial Doppler (TCD) findings | Indicates Transcranial Doppler (TCD) findings | Findings | Reversed Diastolic Flow;Systolic spike;No signals;Reduced upstroke/Pulsatility Index (PI) | Reversed Diastolic Flow;Systolic spike;No signals;Reduced upstroke/Pulsatility Index (PI) | Alphanumeric |
Select all that apply |
No references available | Adult;Pediatric | Proposed | 3.00 | 2013-06-21 00:00:00.0 | Vessel Imaging Transcranial Doppler (TCD) | Assessments and Examinations | Imaging Diagnostics |
Multiple Pre-Defined Values Selected |
DeBaun Forms | ||||||||||||||||||||||||||||
| C14019 | Sickle cell disease present indicator | SickleCellPresInd | Indicates presence of sickle cell | Indicates presence of sickle cell | Sickle Cell | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric |
Associated form contains data elements collected when an imaging study is performed using TCCS to examine the brain vessels and evaluate cerebral hemodynamics. (Examples of CDEs included: COGIF score; Number of microembolic signals; and Vasomotor response) |
No references available | Adult;Pediatric | Proposed | 3.00 | 2013-06-21 00:00:00.0 | Vessel Imaging Transcranial Doppler (TCD) | Assessments and Examinations | Imaging Diagnostics |
Single Pre-Defined Value Selected |
DeBaun Forms | ||||||||||||||||||||||||||||
| C13902 | Imaging acute stroke study type | ImgAcutStokStudTyp | Indicates imaging acute stroke study type | Indicates imaging acute stroke study type | Indicate study type | Initial;Follow-up 1;Follow-up 2 | Initial;Follow-up 1;Follow-up 2 | Alphanumeric |
Contains data elements collected when an imaging study is performed using carotid ultrasound to examine the two large arteries in the neck; there are separate sections to record findings from B-mode and color flow imaging. (Examples of CDEs included: Severity of plaque; Percent stenosis; and Mean lumen diameter) |
No references available | Adult;Pediatric | Proposed | 3.00 | 2013-06-21 00:00:00.0 | Vessel Imaging Transcranial Doppler (TCD) | Assessments and Examinations | Imaging Diagnostics |
Single Pre-Defined Value Selected |
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| C14030 | Vasospasm resistive index indicator | VasospasmRestistIndexInd | Indicates vasospasm resistive Index (RI) | Indicates vasospasm resistive Index (RI) | Resistive index | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric |
Associated form contains data elements collected when an imaging study is performed using TCCS to examine the brain vessels and evaluate cerebral hemodynamics. (Examples of CDEs included: COGIF score; Number of microembolic signals; and Vasomotor response) |
No references available | Adult;Pediatric | Proposed | 3.00 | 2013-06-21 00:00:00.0 | Vessel Imaging Transcranial Doppler (TCD) | Assessments and Examinations | Imaging Diagnostics |
Single Pre-Defined Value Selected |
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| C13959 | Microembolic signal measurement | MicroembolSignalMeasr | Indicates actual settings measurement for all categories (mm) | Indicates actual settings measurement for all categories (mm) | Settings | Numeric Values |
These CDEs are collected when an imaging study is performed using TCD to assess the intra cranial cerebral (brain) circulation; the velocity of blood flow through the brain's blood vessels is captured along with other findings. (Examples of CDEs included: Peak velocity; Flow direction; and Microembolic signal intensity) |
No references available | Adult;Pediatric | Proposed | 3.00 | 2013-06-21 00:00:00.0 | Vessel Imaging Transcranial Doppler (TCD) | Assessments and Examinations | Imaging Diagnostics |
Free-Form Entry |
millimeter | ||||||||||||||||||||||||||||||
| C14056 | Imaging depth measurement | ImgDepthMeasr | The depth measurement (mm) of imaging. | The depth measurement (mm) of imaging. | Depth | Numeric Values |
These CDEs are collected when an imaging study is performed using TCD to assess the intra cranial cerebral (brain) circulation; the velocity of blood flow through the brain's blood vessels is captured along with other findings. (Examples of CDEs included: Peak velocity; Flow direction; and Microembolic signal intensity) |
No references available | Adult;Pediatric | Proposed | 3.00 | 2013-06-21 00:00:00.0 | Vessel Imaging Transcranial Doppler (TCD) | Assessments and Examinations | Imaging Diagnostics |
Free-Form Entry |
0 | 999 | millimeter | ||||||||||||||||||||||||||||
| C08254 | Imaging visual analysis location performed type | ImgVisAnlysisLocPerfTyp | Location where visual analysis of the imaging data are performed | Location where visual analysis of the imaging data are performed | Read type | Central;Central read;Local - Site;Local read;Local report;Other, specify | Central;Central read;Local - Site;Local read;Local report;Other, specify | Alphanumeric |
Select all that apply |
No references available | Adult;Pediatric | Proposed | 3.00 | 2013-07-25 08:54:08.2 | Vessel Imaging Transcranial Doppler (TCD) | Assessments and Examinations | Imaging Diagnostics |
Single Pre-Defined Value Selected |
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| C14008 | Imaging window quality category | ImgWindowQualityCat | Indicates window quality category | Indicates window quality category | Insonation plane: | Temporal;Posterior;Orbital | Temporal;Posterior;Orbital | Alphanumeric |
These CDEs are collected when an imaging study is performed using TCD to assess the intra cranial cerebral (brain) circulation; the velocity of blood flow through the brain's blood vessels is captured along with other findings. (Examples of CDEs included: Peak velocity; Flow direction; and Microembolic signal intensity) |
No references available | Adult;Pediatric | Proposed | 3.00 | 2013-06-21 00:00:00.0 | Vessel Imaging Transcranial Doppler (TCD) | Assessments and Examinations | Imaging Diagnostics |
Single Pre-Defined Value Selected |
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| C14020 | Sickle cell disease vessel anatomic site | SickleCellDisVesselAntmicSite | Indicates sickle cell vessel | Indicates sickle cell vessel | Vessel(s) | ICA;MCA;ACA;Other, specify | Internal carotid artery;Middle cerebral artery;Anterior carotid artery;Other, specify | Alphanumeric |
Associated form contains data elements collected when an imaging study is performed using TCCS to examine the brain vessels and evaluate cerebral hemodynamics. (Examples of CDEs included: COGIF score; Number of microembolic signals; and Vasomotor response) |
No references available | Adult;Pediatric | Proposed | 3.00 | 2013-06-21 00:00:00.0 | Vessel Imaging Transcranial Doppler (TCD) | Assessments and Examinations | Imaging Diagnostics |
Multiple Pre-Defined Values Selected |
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| C13903 | Imaging interpretation site indicator | ImgInterpretSiteInd | Indicates imaging interpretation site | Indicates imaging interpretation site | Interpretation site | Onsite;Offsite | Onsite;Offsite | Alphanumeric |
Associated form contains data elements collected when an imaging study is performed using TCCS to examine the brain vessels and evaluate cerebral hemodynamics. (Examples of CDEs included: COGIF score; Number of microembolic signals; and Vasomotor response) |
No references available | Adult;Pediatric | Proposed | 3.00 | 2013-06-21 00:00:00.0 | Vessel Imaging Transcranial Doppler (TCD) | Assessments and Examinations | Imaging Diagnostics |
Single Pre-Defined Value Selected |
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| C14031 | Vasospasm status | VasospasmStatus | Indicates vasospasm result | Indicates vasospasm result | Vasospasm | Abnormal;Normal;Abnormal;Normal | Abnormal;Normal;Abnormal;Normal | Alphanumeric |
These CDEs are collected when an imaging study is performed using TCD to assess the intra cranial cerebral (brain) circulation; the velocity of blood flow through the brain's blood vessels is captured along with other findings. (Examples of CDEs included: Peak velocity; Flow direction; and Microembolic signal intensity) |
No references available | Adult;Pediatric | Proposed | 3.00 | 2013-06-21 00:00:00.0 | Vessel Imaging Transcranial Doppler (TCD) | Assessments and Examinations | Imaging Diagnostics |
Single Pre-Defined Value Selected |
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| C13960 | Microembolic signal vessel anatomic site | MicroembolSignVesselAntmicSite | Indicates microembolic signal vessel category | Indicates microembolic signal vessel category | Microembolic signals | M1;A1;P1;Siphon;Ophthalmic;Vert;Basilar | M1;A1;P1;Siphon;Ophthalmic;Vert;Basilar | Alphanumeric |
Associated form contains data elements collected when an imaging study is performed using TCCS to examine the brain vessels and evaluate cerebral hemodynamics. (Examples of CDEs included: COGIF score; Number of microembolic signals; and Vasomotor response) |
No references available | Adult;Pediatric | Proposed | 3.00 | 2013-06-21 00:00:00.0 | Vessel Imaging Transcranial Doppler (TCD) | Assessments and Examinations | Imaging Diagnostics |
Multiple Pre-Defined Values Selected |
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| C18693 | Imaging contrast agent method other text | ImgContrastAgentMethodOTH | The free-text field related to 'Imaging contrast agent method type' specifying other text. Indicates imaging contrast agent method of administration | The free-text field related to 'Imaging contrast agent method type' specifying other text. Indicates imaging contrast agent method of administration | Other, specify | Alphanumeric |
Associated form contains data elements collected when an imaging study is performed using TCCS to examine the brain vessels and evaluate cerebral hemodynamics. (Examples of CDEs included: COGIF score; Number of microembolic signals; and Vasomotor response) |
No references available | Adult;Pediatric | Proposed | 1.00 | 2014-05-27 13:34:46.0 | Vessel Imaging Transcranial Doppler (TCD) | Assessments and Examinations | Imaging Diagnostics | 4000 |
Free-Form Entry |
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| C08255 | Imaging visual analysis blinded indicator | ImgVisAnlysisBlindInd | Indicator of whether the visual analysis was performed blinded to clinical data | Indicator of whether the visual analysis was performed blinded to clinical data | Reader blinded to clinical data | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric |
Contains data elements collected when an imaging study is performed using angiography to examine the blood vessels of the body; there are separate sections to record arterial findings and venous findings. (Examples of CDEs included: Findings for each artery; TIMI scale individual vessel score; and Collateral grade) |
No references available | Adult;Pediatric | Proposed | 3.00 | 2013-07-25 08:54:08.2 | Vessel Imaging Transcranial Doppler (TCD) | Assessments and Examinations | Imaging Diagnostics |
Single Pre-Defined Value Selected |
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| C14009 | Imaging window quality result | ImgWindowQualityReslt | Indicates window quality result for all categories | Indicates window quality result for all categories | Window quality | Fair;Excellent;Poor;Fair;Excellent;Poor | Fair;Excellent;Poor;Fair;Excellent;Poor | Alphanumeric |
These CDEs are collected when an imaging study is performed using TCD to assess the intra cranial cerebral (brain) circulation; the velocity of blood flow through the brain's blood vessels is captured along with other findings. (Examples of CDEs included: Peak velocity; Flow direction; and Microembolic signal intensity) |
No references available | Adult;Pediatric | Proposed | 3.00 | 2013-06-21 00:00:00.0 | Vessel Imaging Transcranial Doppler (TCD) | Assessments and Examinations | Imaging Diagnostics |
Single Pre-Defined Value Selected |
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| C14021 | Sickle cell disease velocity measurement | SickleCellVelMeasr | The velocity measurement of sickle cell. | The velocity measurement of sickle cell. | Velocity | Numeric Values |
These CDEs are collected when an imaging study is performed using TCD to assess the intra cranial cerebral (brain) circulation; the velocity of blood flow through the brain's blood vessels is captured along with other findings. (Examples of CDEs included: Peak velocity; Flow direction; and Microembolic signal intensity) |
No references available | Adult;Pediatric | Proposed | 3.00 | 2013-06-21 00:00:00.0 | Vessel Imaging Transcranial Doppler (TCD) | Assessments and Examinations | Imaging Diagnostics |
Free-Form Entry |
0 | 999 | centimeter per second | DeBaun Forms | |||||||||||||||||||||||||||
| C13904 | Imaging interpretation offsite media type | ImgInterpretOffsiteMediaTyp | Indicates imaging offsite media type | Indicates imaging offsite media type | Indicate type | Video;Print;Digital | Video;Print;Digital | Alphanumeric |
Contains data elements collected when an imaging study is performed using carotid ultrasound to examine the two large arteries in the neck; there are separate sections to record findings from B-mode and color flow imaging. (Examples of CDEs included: Severity of plaque; Percent stenosis; and Mean lumen diameter) |
No references available | Adult;Pediatric | Proposed | 3.00 | 2013-06-21 00:00:00.0 | Vessel Imaging Transcranial Doppler (TCD) | Assessments and Examinations | Imaging Diagnostics |
Single Pre-Defined Value Selected |
