CDE Detailed Report
Disease: Sickle Cell Disease
Sub-Domain: Outcomes and End Points
CRF: Pediatric Stroke Outcome Measure Short Neuro Exam (PSOM-SNE) - Child Version (Children Aged 2 Year and Older)

10 results.
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
C13458 Pediatric Stroke Outcomes Measure-Neuro Exam (PSOM-SNEVOct2003) - language deficit-production scale PSOMSNELangDefProdScale The scale for language deficit - production (including dysarthria) based on Pediatric Stroke Outcomes Measure-Neuro Exam (PSOM-SNEVOct2003). The scale for language deficit - production (including dysarthria) based on Pediatric Stroke Outcomes Measure-Neuro Exam (PSOM-SNEVOct2003). Language Deficit - Production 0;0.5;1;2;0;0.5;1;2;0;0.5;1;2 None;Mild but no impact on function;Moderate with some impact on function;Severe or profound with missing function;None;Mild but no impact on function;Moderate with some impact on function;Severe or profound with missing function;None;Mild but no impact on function;Moderate with some impact on function;Severe or profound with missing function Numeric values

The Pediatric Stroke Outcome Measure Short Neuro Exam (PSOM-SNE) – Child Version (Children Aged 2 Years and Older) is a composite of clinical and radiographic information and a detailed neurologic examination for children 2 years and older.

Supplemental - Highly Recommended based on study type, disease stage and disease type

Pediatric Stroke Outcome Measure-Neuro Exam. Children's Stroke Program, Hospital for Sick Children, Toronto, Canada. G. deVeber, D. MacGregor, R. Curtis, T. Soman, R. Ichord et al. Version October 2003, format revised November 2005 Pediatric Proposed 3.00 2013-06-21 00:00:00.0 Pediatric Stroke Outcome Measure Short Neuro Exam (PSOM-SNE) - Child Version (Children Aged 2 Year and Older) Outcomes and End Points Physical Function

Single Pre-Defined Value Selected

DeBaun Forms
C13459 Pediatric Stroke Outcomes Measure-Neuro Exam (PSOM-SNEVOct2003) - language deficit-production description text PSOMSNELangDefProdDescTxt Description of the language production deficits observed in the participant/subject based on Pediatric Stroke Outcomes Measure-Neuro Exam (PSOM-SNEVOct2003). Description of the language production deficits observed in the participant/subject based on Pediatric Stroke Outcomes Measure-Neuro Exam (PSOM-SNEVOct2003). Describe the Language Production Deficits You Observed Here Alphanumeric

The Pediatric Stroke Outcome Measure Short Neuro Exam (PSOM-SNE) – Child Version (Children Aged 2 Years and Older) is a composite of clinical and radiographic information and a detailed neurologic examination for children 2 years and older.

Supplemental - Highly Recommended based on study type, disease stage and disease type

Pediatric Stroke Outcome Measure-Neuro Exam. Children's Stroke Program, Hospital for Sick Children, Toronto, Canada. G. deVeber, D. MacGregor, R. Curtis, T. Soman, R. Ichord et al. Version October 2003, format revised November 2005 Pediatric Proposed 3.00 2013-06-21 00:00:00.0 Pediatric Stroke Outcome Measure Short Neuro Exam (PSOM-SNE) - Child Version (Children Aged 2 Year and Older) Outcomes and End Points Physical Function 255

Free-Form Entry

DeBaun Forms
C13460 Pediatric Stroke Outcomes Measure-Neuro Exam (PSOM-SNEVOct2003) - language deficit-comprehension scale PSOMSNELangDefCompScale The scale for language deficit - comprehension based on Pediatric Stroke Outcomes Measure-Neuro Exam (PSOM-SNEVOct2003). The scale for language deficit - comprehension based on Pediatric Stroke Outcomes Measure-Neuro Exam (PSOM-SNEVOct2003). Language Deficit - Comprehension 0;0.5;1;2;0;0.5;1;2;0;0.5;1;2 None;Mild but no impact on function;Moderate with some impact on function;Severe or profound with missing function;None;Mild but no impact on function;Moderate with some impact on function;Severe or profound with missing function;None;Mild but no impact on function;Moderate with some impact on function;Severe or profound with missing function Numeric values

The Pediatric Stroke Outcome Measure Short Neuro Exam (PSOM-SNE) – Infant Version (Infants Term Birth to Two Years) is a composite of clinical and radiographic information and a detailed neurologic examination for infants term birth to 2 years

Supplemental - Highly Recommended based on study type, disease stage and disease type

Pediatric Stroke Outcome Measure-Neuro Exam. Children's Stroke Program, Hospital for Sick Children, Toronto, Canada. G. deVeber, D. MacGregor, R. Curtis, T. Soman, R. Ichord et al. Version October 2003, format revised November 2005 Pediatric Proposed 3.00 2013-06-21 00:00:00.0 Pediatric Stroke Outcome Measure Short Neuro Exam (PSOM-SNE) - Child Version (Children Aged 2 Year and Older) Outcomes and End Points Physical Function

Single Pre-Defined Value Selected

DeBaun Forms
C13461 Pediatric Stroke Outcomes Measure-Neuro Exam (PSOM-SNEVOct2003) - language deficit-comprehension description text PSOMSNELangDefCompDescTxt Description of the language comprehension deficits observed in the participant/subject based on Pediatric Stroke Outcomes Measure-Neuro Exam (PSOM-SNEVOct2003). Description of the language comprehension deficits observed in the participant/subject based on Pediatric Stroke Outcomes Measure-Neuro Exam (PSOM-SNEVOct2003). Describe the Language Comprehension Deficits You Observed Here Alphanumeric

The Pediatric Stroke Outcome Measure Short Neuro Exam (PSOM-SNE) – Infant Version (Infants Term Birth to Two Years) is a composite of clinical and radiographic information and a detailed neurologic examination for infants term birth to 2 years

Supplemental - Highly Recommended based on study type, disease stage and disease type

Pediatric Stroke Outcome Measure-Neuro Exam. Children's Stroke Program, Hospital for Sick Children, Toronto, Canada. G. deVeber, D. MacGregor, R. Curtis, T. Soman, R. Ichord et al. Version October 2003, format revised November 2005. Pediatric Proposed 3.00 2013-06-21 00:00:00.0 Pediatric Stroke Outcome Measure Short Neuro Exam (PSOM-SNE) - Child Version (Children Aged 2 Year and Older) Outcomes and End Points Physical Function 255

Free-Form Entry

DeBaun Forms
C13462 Pediatric Stroke Outcomes Measure-Neuro Exam (PSOM-SNEVOct2003) - cognitive or behavioral deficit scale PSOMSNECogBehavDefScale The scale for cognitive or behavioral deficit based on Pediatric Stroke Outcomes Measure-Neuro Exam (PSOM-SNEVOct2003). The scale for cognitive or behavioral deficit based on Pediatric Stroke Outcomes Measure-Neuro Exam (PSOM-SNEVOct2003). Cognitive or Behavioral Deficit 0;0.5;1;2;0;0.5;1;2;0;0.5;1;2 None;Mild but no impact on function;Moderate with some impact on function;Severe or profound with missing function;None;Mild but no impact on function;Moderate with some impact on function;Severe or profound with missing function;None;Mild but no impact on function;Moderate with some impact on function;Severe or profound with missing function Numeric values

Specify whether the deficit is cognitive or behavioral.

Supplemental - Highly Recommended based on study type, disease stage and disease type

Pediatric Stroke Outcome Measure-Neuro Exam. Children's Stroke Program, Hospital for Sick Children, Toronto, Canada. G. deVeber, D. MacGregor, R. Curtis, T. Soman, R. Ichord et al. Version October 2003, format revised November 2005 Pediatric Proposed 3.00 2013-06-21 00:00:00.0 Pediatric Stroke Outcome Measure Short Neuro Exam (PSOM-SNE) - Child Version (Children Aged 2 Year and Older) Outcomes and End Points Physical Function

Single Pre-Defined Value Selected

DeBaun Forms
C13463 Pediatric Stroke Outcomes Measure-Neuro Exam (PSOM-SNEVOct2003) - cognitive or behavioral deficit description text PSOMSNECogBehavDeficitDescTxt Description of the cognitive or behavioral deficits observed in the participant/subject based on Pediatric Stroke Outcomes Measure-Neuro Exam (PSOM-SNEVOct2003). Description of the cognitive or behavioral deficits observed in the participant/subject based on Pediatric Stroke Outcomes Measure-Neuro Exam (PSOM-SNEVOct2003). Describe the Cognitive or Behavioral Deficits You Observed Here Alphanumeric

The Pediatric Stroke Outcome Measure Short Neuro Exam (PSOM-SNE) – Infant Version (Infants Term Birth to Two Years) is a composite of clinical and radiographic information and a detailed neurologic examination for infants term birth to 2 years

Supplemental - Highly Recommended based on study type, disease stage and disease type

Pediatric Stroke Outcome Measure-Neuro Exam. Children's Stroke Program, Hospital for Sick Children, Toronto, Canada. G. deVeber, D. MacGregor, R. Curtis, T. Soman, R. Ichord et al. Version October 2003, format revised November 2005 Pediatric Proposed 3.00 2013-06-21 00:00:00.0 Pediatric Stroke Outcome Measure Short Neuro Exam (PSOM-SNE) - Child Version (Children Aged 2 Year and Older) Outcomes and End Points Physical Function 255

Free-Form Entry

DeBaun Forms
C13464 Pediatric Stroke Outcomes Measure-Neuro Exam (PSOM-SNEVOct2003) - total score PSOMSNETotalScore The total score on the Pediatric Stroke Outcomes Measure-Neuro Exam (PSOM-SNEVOct2003). The total score on the Pediatric Stroke Outcomes Measure-Neuro Exam (PSOM-SNEVOct2003). Total Scoring Numeric Values

The total score is out of 10 possible points.
Normal: Score = 0 in all 5 subscales;
Mild deficit: Score = 0.5 in one subscale only;
Moderate deficit: Score = 0.5 in two, three, or four subscales; score = 1 in one subscale plus 0.5 in one subscale; score = 1 in one subscale only;
Severe deficit: Score = 0.5 in all five subscales; score = 1 in one subscale plus 0.5 in two subscales; score = 1 in at least two subscales; score = 2 in at least one subscale

Supplemental - Highly Recommended based on study type, disease stage and disease type

Pediatric Stroke Outcome Measure-Neuro Exam. Children's Stroke Program, Hospital for Sick Children, Toronto, Canada. G. deVeber, D. MacGregor, R. Curtis, T. Soman, R. Ichord et al. Version October 2003, format revised November 2005 Pediatric Proposed 3.00 2013-06-21 00:00:00.0 Pediatric Stroke Outcome Measure Short Neuro Exam (PSOM-SNE) - Child Version (Children Aged 2 Year and Older) Outcomes and End Points Physical Function

Free-Form Entry

0 10 DeBaun Forms
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

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)

Supplemental - Highly Recommended based on study type, disease stage and disease type

Pediatric Stroke Outcome Measure-Neuro Exam. Children's Stroke Program, Hospital for Sick Children, Toronto, Canada. G. deVeber, D. MacGregor, R. Curtis, T. Soman, R. Ichord et al. Version October 2003, format revised November 2005 Adult;Pediatric Proposed 3.00 2013-08-28 16:08:00.453 Pediatric Stroke Outcome Measure Short Neuro Exam (PSOM-SNE) - Child Version (Children Aged 2 Year and Older) Outcomes and End Points Physical Function

Single Pre-Defined Value Selected

C13456 Pediatric Stroke Outcomes Measure-Neuro Exam (PSOM-SNEVOct2003) - sensorimotor deficit scale PSOMSNESensDefScale The scale for sensorimotor deficit (any motor or sensory abnormality including cranial nerve deficits, visual, and hearing deficits) based on Pediatric Stroke Outcomes Measure-Neuro Exam (PSOM-SNEVOct2003). The scale for sensorimotor deficit (any motor or sensory abnormality including cranial nerve deficits, visual, and hearing deficits) based on Pediatric Stroke Outcomes Measure-Neuro Exam (PSOM-SNEVOct2003). Sensorimotor Deficit 0;0.5;1;2;0;0.5;1;2;0;0.5;1;2 None;Mild but no impact on function;Moderate with some impact on function;Severe or profound with missing function;None;Mild but no impact on function;Moderate with some impact on function;Severe or profound with missing function;None;Mild but no impact on function;Moderate with some impact on function;Severe or profound with missing function Numeric values

Answer for both right and left sides

Supplemental - Highly Recommended based on study type, disease stage and disease type

Pediatric Stroke Outcome Measure-Neuro Exam. Children's Stroke Program, Hospital for Sick Children, Toronto, Canada. G. deVeber, D. MacGregor, R. Curtis, T. Soman, R. Ichord et al. Version October 2003, format revised November 2005 Pediatric Proposed 3.00 2013-06-21 00:00:00.0 Pediatric Stroke Outcome Measure Short Neuro Exam (PSOM-SNE) - Child Version (Children Aged 2 Year and Older) Outcomes and End Points Physical Function

Single Pre-Defined Value Selected

DeBaun Forms
C13457 Pediatric Stroke Outcomes Measure-Neuro Exam (PSOM-SNEVOct2003) - sensorimotor deficit type PSOMSNESensDefTyp The type of sensorimotor deficits observed in the participant/subject based on Pediatric Stroke Outcomes Measure-Neuro Exam (PSOM-SNEVOct2003). The type of sensorimotor deficits observed in the participant/subject based on Pediatric Stroke Outcomes Measure-Neuro Exam (PSOM-SNEVOct2003). Select the Sensorimotor Deficit You Observed Global developmental delay;Global hypotonia or hypertonia;Hemiparesis;Hemifacial weakness;Dysarthria;Hemitaxia;Other motor deficit;Hemisensory deficit;Other sensory deficit;Difficulty with vision;Difficulty with drinking, chewing, or swallowing;Other describe Global developmental delay;Global hypotonia or hypertonia;Hemiparesis;Hemifacial weakness;Dysarthria;Hemitaxia;Other motor deficit;Hemisensory deficit;Other sensory deficit;Difficulty with vision;Difficulty with drinking, chewing, or swallowing;Other describe Alphanumeric

Choose all that apply

Supplemental - Highly Recommended based on study type, disease stage and disease type

Pediatric Stroke Outcome Measure-Neuro Exam. Children's Stroke Program, Hospital for Sick Children, Toronto, Canada. G. deVeber, D. MacGregor, R. Curtis, T. Soman, R. Ichord et al. Version October 2003, format revised November 2005 Pediatric Proposed 3.00 2013-06-21 00:00:00.0 Pediatric Stroke Outcome Measure Short Neuro Exam (PSOM-SNE) - Child Version (Children Aged 2 Year and Older) Outcomes and End Points Physical Function

Multiple Pre-Defined Values Selected

DeBaun Forms
10 results.
CSV