CDE Detailed Report
Disease: general-data-protection-regulation-gdpr
Sub-Domain: Assessments and Examinations
CRF:

Displaying 1 - 50 of 76
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
C13957 Microembolic signal intensity value MicroembolSignalIntensVal Indicates microembolic signal intensity value (dB) Indicates microembolic signal intensity value (dB) Intensity 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

decibel
C14028 Vasospasm present indicator VasoPresInd Indicates presence of vasospasm Indicates presence of vasospasm Vasospasm 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

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

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
Highly recommended for Stroke imaging studies

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

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
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

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

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

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
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

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.).
Highly recommended for Stroke imaging studies

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

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
Highly recommended for Stroke imaging studies

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
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

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
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
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

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)
Highly recommended for Stroke imaging studies

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

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

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

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

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

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

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

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

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

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

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
C13961 Microembolic signals present indicator MicroembolSignalPresentInd Indicates presence of microembolic signals Indicates presence of microembolic signals Microembolic signals 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

C14032 Vasospasm severity grade VasospasmSeverGrade Indicates severity of vasospasm Indicates severity of vasospasm Severity Mild;Moderate;Severe Mild;Moderate;Severe 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

C18720 Imaging visual analysis location performed other text ImgVisAnlysisLocPerfOTH The free-text field related to 'Imaging visual analysis location performed type' specifying other text. Location where visual analysis of the imaging data are performed The free-text field related to 'Imaging visual analysis location performed type' specifying other text. Location where visual analysis of the imaging data are performed Other, specify Alphanumeric

Select all that apply

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

C10570 Imaging contrast agent used indicator ImgContrastAgentUsedInd Indicator as to whether or not an imaging contrast agent was used for the scan as part of Diffusion Tensor Imaging (DTI). Indicator as to whether or not an imaging contrast agent was used for the scan. Contrast Agent Yes;No;Unknown;Not applicable Yes;No;Unknown;Not applicable 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 2013-08-28 16:08:00.453 Vessel Imaging Transcranial Doppler (TCD) Assessments and Examinations Imaging Diagnostics

Single Pre-Defined Value Selected

C14010 Intracranial stenosis collateral vessel anatomic site IntracrnStnoColltVsslAntmicSit Indicates intracranial stenosis collateral vessel(s) Indicates intracranial stenosis collateral vessel(s) Vessel(s) ICA;Basilar;MCA;Other, specify;ACA;VA;PCA Internal carotid artery;Basilar;Middle cerebral artery;Other, specify;Anterior carotid artery;Vertebral artery;Posterior carotid artery 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

Multiple Pre-Defined Values Selected

C13905 Imaging contrast agent method type ImgContrastAgentMethodTyp Indicates imaging contrast agent method of administration Type of imaging contrast agent used for the scan. Type Bolus;Infusion;Other, specify;Bolus;Infusion;Other, specify Bolus;Infusion;Other, specify;Bolus;Infusion;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

Single Pre-Defined Value Selected

C14022 Sickle cell disease criterion result text SickleCellCriterResltTxt Indicates sickle cell criterion result Indicates sickle cell criterion result Criterion 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 255

Free-Form Entry

DeBaun Forms
C14000 Extracranial stenosis present indicator ExtracranStenPresInd Indicates presence of extracranial stenosis Indicates presence of extracranial stenosis Extracranial stenosis Yes;No;Unknown Yes;No;Unknown 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

C14033 Vasospasm vessel anatomic site VasospasmVesselAntmicSite Indicates vasospasm vessel(s) Indicates vasospasm vessel(s) Vessel(s) ICA;Basilar;MCA;Other, specify;ACA;VA Internal carotid artery;Basilar;Middle cerebral artery;Other, specify;Anterior cerebral artery;Vertebral artery 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

Multiple Pre-Defined Values Selected

C18888 Imaging acquisition reason other text ImgAcquisitionRsnOTH The free-text field related to 'Imaging acquisition reason' specifying other text. Describes why the imaging study was performed The free-text field related to 'Imaging acquisition reason' specifying other text. Describes why the imaging study was performed Other, specify 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 4000

Free-Form Entry

C10931 Imaging quality of images technically satisfactory indicator ImgQualImgTechnSatisInd Indicator of whether the quality of the images were technically satisfactory. Indicator of whether the quality of the images were technically satisfactory. Study technically satisfactory Yes;No;Unknown;Not applicable Yes;No;Unknown;Not applicable 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 2013-07-25 08:54:08.2 Vessel Imaging Transcranial Doppler (TCD) Assessments and Examinations Imaging Diagnostics

Single Pre-Defined Value Selected

C14011 Intracranial stenosis present indicator IntracranStenosisPresentInd Indicates presence of intracranial stenosis Indicates presence of intracranial stenosis Intracranial stenosis Yes;No;Unknown Yes;No;Unknown 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

C13942 Imaging vessel category ImgVesselCat Indicates vessel category Indicates vessel category Vessels M1;Insular M2;A1;ICA;P1;P2;EC ICA;Siphon;Vert;Basilar;Ophthalmic M1;Insular M2;A1;Internal Carotid Artery (ICA);P1;P2;EC Internal Carotid Artery (ICA);Siphon;Vert;Basilar;Ophthalmic Artery Alphanumeric

Use the specific codelist that corresponds to the type of imaging done
Highly recommended for Stroke imaging studies

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

C14023 Sickle cell disease diagnosis result SickleCellDiagnosReslt Indicates sickle cell diagnosis result Indicates sickle cell diagnosis result Diagnosis Abnormal;Normal;Conditional;Abnormal;Normal;Conditional Abnormal;Normal;Conditional;Abnormal;Normal;Conditional 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

DeBaun Forms
C14001 Extracranial stenosis type ExtracranStenosisTyp Indicates extracranial stenosis type Indicates extracranial stenosis type Extracranial stenosis Collateral;Reduced upstroke;Reduced pulsatility index (Pi);VMR;Reduced velocity;Collateral;Reduced upstroke;Reduced pulsatility index (Pi);VMR;Reduced velocity Collateral;Reduced upstroke;Reduced pulsatility index (Pi);VMR;Reduced velocity;Collateral;Reduced upstroke;Reduced pulsatility index (Pi);VMR;Reduced velocity 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

C14034 Vasomotor response (VMR) vessel anatomic site VMRVesselAntmicSite Indicates vasomotor response (VMR) vessel type Indicates vasomotor response (VMR) vessel type Vessel M1;A1;P1;Siphon;Ophthalmic;Vert;Basilar;MCA;Other, specify M1;A1;P1;Siphon;Ophthalmic;Vert;Basilar;Middle cerebral artery;Other, specify 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

Multiple Pre-Defined Values Selected

C18899 Imaging brain death vessel anatomic other text ImgBrainDeathVesseIAntmicOTH The free-text field related to 'Imaging brain death vessel anatomic site' specifying other text. Indicates brain death vessel(s) The free-text field related to 'Imaging brain death vessel anatomic site' specifying other text. Indicates brain death vessel(s) Other, specify 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 4000

Free-Form Entry

C13245 National Institutes of Health Stroke Scale (NIHSS) - Severity total score NIHSSSevTotalScore The level of stroke severity as measured by the NIH Stroke Scale (NIHSS) scoring system (i.e., total of the subscale item scores). The level of stroke severity as measured by the NIH Stroke Scale (NIHSS) scoring system (i.e., total of the subscale item scores). NIH Stroke Scale (NIHSS) at time of study: Numeric Values

A maximal score of 42 represents the most severe and devastating stroke.

This element should be collected with the other elements of the NIH Stroke Scale (NIHSS).
NIHSS is also included on other Stroke CDE CRF Modules. This item should be pre-populated if initially collected elsewhere so as to avoid redundant data points.

Brott, T., H.P. Adams Jr., C.P. Olinger, J.R. Marler, W.G. Barsan, J. Biller, J. Spilker, R. Holleran, R. Eberle, V. Hertzberg, M. Rorick, C.J. Moomaw, and M. Walker (1989) Measurements of acute cerebral infarction: a clinical examination scale. Stroke, 20, 964-970. http://stroke.ahajournals.org/content/20/7/864.full.pdf 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 42
C14012 Intracranial stenosis peak systolic velocity (PSV) criterion result IntracranStenoPSVCriterReslt Indicates intracranial stenosis peak systolic velocity (PSV) criterion Indicates intracranial stenosis peak systolic velocity (PSV) criterion PSV criterion 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 255

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C13947 Imaging peak velocity measurement ImgPeakVelocityMeasr Indicates peak velocity measurement (cm/sec) Indicates peak velocity measurement (cm/sec) Peak velocity Numeric Values

Indicate peak velocity in units of cm/sec
Highly recommended for Stroke imaging studies

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
C14024 Vasospasm criterion value VasoCriterionVal Indicates vasospasm criterion value Indicates vasospasm criterion value Criterion Numeric Values

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

Free-Form Entry

C14002 Extracranial stenosis collateral artery anatomic site ExtracranStenCollArtAntmicSite The site of parallel arteries having extracranial stenosis. The site of parallel arteries having extracranial stenosis. Collateral OA;ACA;VA Ophthalmic artery;Anterior cerebral artery;Vertebral artery 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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CSV