Sub-Domain: Additional Proposed Instruments
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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C17397 | Visit number | VisitNum | The numeric value associated with a particular assessment/examination of a participant/subject on a study | The numeric value associated with a particular assessment/examination of a participant/subject on a study | Numeric Values | Adult;Pediatric | Supplemental | 1.00 | 2012-12-20 00:00:00.0 | Miscellaneous Sickle Cell-related CDEs | Additional Proposed Instruments | cookie-policy |
Free-Form Entry |
DeBaun Forms | |||||||||||||||||||||||||||||||||
C21485 | Wechsler Adult Intelligence Scale IV (WAIS IV) - Digit span forward subtest item number | WAISIVDSFItemNum | Item number, as part of Wechsler Adult Intelligence Scale IV (WAIS IV) Digit Span Forward subtest | Item number, as part of Wechsler Adult Intelligence Scale IV (WAIS IV) Digit Span Forward subtest | 1;2;3;4;5;6;7;8 | Item 1;Item 2;Item 3;Item 4;Item 5;Item 6;Item 7;Item 8 | Numeric Values | Adult;Pediatric | Supplemental | 1.00 | 2015-07-22 11:32:44.0 | Miscellaneous Sickle Cell-related CDEs | Additional Proposed Instruments | cookie-policy |
Single Pre-Defined Value Selected |
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C13880 | Digital Subtraction Angiography (DSA) site of access anatomic site | DSASiteAccessAntmicSite | The site of access for digital subtraction angiography (DSA), a type of fluoroscopy technique used in interventional radiology to clearly visualize blood vessels in a bony or dense soft tissue environment. | The site of access for digital subtraction angiography (DSA), a type of fluoroscopy technique used in interventional radiology to clearly visualize blood vessels in a bony or dense soft tissue environment. | Brachial;Radial;Femoral;Other;Brachial;Radial;Femoral;Other | Brachial;Radial;Femoral;Other;Brachial;Radial;Femoral;Other | Alphanumeric | Adult;Pediatric | Supplemental | 3.00 | 2013-06-21 00:00:00.0 | Miscellaneous Sickle Cell-related CDEs | Additional Proposed Instruments | cookie-policy |
Single Pre-Defined Value Selected |
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C56430 | Wechsler Abbreviated Scale of Intelligence - Second Edition (WASI-II) - Perceptual Reasoning percentile rank value | WASIIIPercRsngPrcntRankVal | The percentile rank the subject placed into with respect to the Perceptual Reasoning subtests, as part of the Wechsler Abbreviated Scale of Intelligence - Second Edition (WASI-II). | The percentile rank the subject placed into with respect to the Perceptual Reasoning subtests, as part of the Wechsler Abbreviated Scale of Intelligence - Second Edition (WASI-II). | Numeric Values | Adult;Pediatric | Supplemental | 1.00 | 2017-06-12 12:05:57.0 | Miscellaneous Sickle Cell-related CDEs | Additional Proposed Instruments | cookie-policy |
Free-Form Entry |
0 | 100 | percent | |||||||||||||||||||||||||||||||
C14004 | Imaging brain death vessel anatomic site | ImgBrainDeathVesseIAntmicSite | Indicates brain death vessel(s) | Indicates brain death vessel(s) | ICA;Basilar;MCA;Other, specify;ACA;VA;PCA;Ophthalmic artery | Internal carotid artery;Basilar;Middle cerebral artery;Other, specify;Anterior carotid artery;Vertebral artery;Posterior carotid artery;Ophthalmic artery | Alphanumeric | Adult;Pediatric | Supplemental | 3.00 | 2013-06-21 00:00:00.0 | Miscellaneous Sickle Cell-related CDEs | Additional Proposed Instruments | cookie-policy |
Multiple Pre-Defined Values Selected |
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C12484 | Imaging cortex-polymicrogyria site type | ImgCortexPolymicrogyriaSiteTyp | The type of anatomical site(s) of the cortex-polymicrogyria | The type of anatomical site(s) of the cortex-polymicrogyria | Temporal;Frontoparietal;Occipital | Temporal;Frontoparietal;Occipital | Alphanumeric | Adult;Pediatric | Supplemental | 3.00 | 2013-07-24 11:38:01.2 | Miscellaneous Sickle Cell-related CDEs | Additional Proposed Instruments | cookie-policy |
Multiple Pre-Defined Values Selected |
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C54608 | Brief Test of Executive Function Second Edition (BRIEF 2) - Shift total raw scale score | BRIEF2ShftTtlRwSclScore | Total score of the raw scale for the shift function, as part of the Brief Test of Executive Function Second Edition (BRIEF 2) | Total score of the raw scale for the shift function, as part of the Brief Test of Executive Function Second Edition (BRIEF 2) | Numeric Values | Adult;Pediatric | Supplemental | 1.00 | 2017-03-22 09:57:02.0 | Miscellaneous Sickle Cell-related CDEs | Additional Proposed Instruments | cookie-policy |
Free-Form Entry |
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C13902 | Imaging acute stroke study type | ImgAcutStokStudTyp | Indicates imaging acute stroke study type | Indicates imaging acute stroke study type | Initial;Follow-up 1;Follow-up 2 | Initial;Follow-up 1;Follow-up 2 | Alphanumeric | Adult;Pediatric | Supplemental | 3.00 | 2013-06-21 00:00:00.0 | Miscellaneous Sickle Cell-related CDEs | Additional Proposed Instruments | cookie-policy |
Single Pre-Defined Value Selected |
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C02008 | Medication prior or concomitant end date and time | MedctnPriorConcomEndDateTime | The date (and time, if applicable and known) the administration of the prior/concomitant medication ended. | The date (and time, if applicable and known) the administration of the prior/concomitant medication ended. | Date or Date & Time | Adult;Pediatric | Supplemental | 3.00 | 2013-08-28 16:08:00.453 | Miscellaneous Sickle Cell-related CDEs | Additional Proposed Instruments | cookie-policy |
Free-Form Entry |
3162753 | DeBaun Forms | ||||||||||||||||||||||||||||||||
C14037 | Imaging power M mode left middle cerebral artery result | ImgPowerMModeLeftMCARes | Indicates power M mode for left middle cerebral artery (MCA) result | Indicates power M mode for left middle cerebral artery (MCA) result | Absent;High Resistance;Low Resistance;Absent;High Resistance;Low Resistance | Absent;High Resistance;Low Resistance;Absent;High Resistance;Low Resistance | Alphanumeric | Adult;Pediatric | Supplemental | 3.00 | 2013-06-21 00:00:00.0 | Miscellaneous Sickle Cell-related CDEs | Additional Proposed Instruments | cookie-policy |
Single Pre-Defined Value Selected |
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C18860 | Imaging gray matter hyperintensity T2 fluid attenuated inversion recovery other text | ImgGryMtrHyperT2FLAIRSiteOTH | The free-text field related to 'Imaging gray matter hyperintensity T2 fluid attenuated inversion recovery site' specifying other text. The type of anatomical site of the grey matter hyperintensity on T2/FLAIR (fluid attenuated inversion recovery) images | The free-text field related to 'Imaging gray matter hyperintensity T2 fluid attenuated inversion recovery site' specifying other text. The type of anatomical site of the grey matter hyperintensity on T2/FLAIR (fluid attenuated inversion recovery) images | Alphanumeric | Adult;Pediatric | Supplemental | 3.00 | 2013-07-24 11:38:01.2 | Miscellaneous Sickle Cell-related CDEs | Additional Proposed Instruments | cookie-policy | 4000 |
Free-Form Entry |
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C14559 | EEG recording start date and time | EEGRecordingStrtDateTime | Date (and time, if applicable and known) the electroencephalogram (EEG) recording began | Date the electroencephalogram (EEG) recording began | Date or Date & Time | Adult;Pediatric | Supplemental | 3.00 | 2013-08-28 16:08:00.453 | Miscellaneous Sickle Cell-related CDEs | Additional Proposed Instruments | cookie-policy |
Free-Form Entry |
DeBaun Forms | |||||||||||||||||||||||||||||||||
C19059 | Informant participant relationship other text | InformantPartcpntRelateOTH | The free-text field related to 'Informant participant relationship type' specifying other text. The relationship of the informant to participant/subject | The free-text field related to 'Informant participant relationship type' specifying other text. The relationship of the informant to participant/subject | Alphanumeric | Adult;Pediatric | Supplemental | 3.00 | 2013-08-30 17:06:52.8 | Miscellaneous Sickle Cell-related CDEs | Additional Proposed Instruments | cookie-policy | 4000 |
Free-Form Entry |
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C13243 | National Institutes of Health Stroke Scale (NIHSS) - Dysarthria score | NIHSSDysarthriaScore | Dysarthria assessed using the NIH Stroke Scale (NIHSS) | Dysarthria assessed using the NIH Stroke Scale (NIHSS) | 0;1;2;UN;0;1;2;UN | Normal;Mild to moderate: patient slurs at least some words and, at worst, can be understood with some difficulty.;Severe: patient's speech is so slurred as to be unintelligible in the absence of or out of proportion to any dysphasia, or is mute/anarthric.;Intubated or other physical barrier, explain;Normal;Mild to moderate: patient slurs at least some words and, at worst, can be understood with some difficulty.;Severe: patient's speech is so slurred as to be unintelligible in the absence of or out of proportion to any dysphasia, or is mute/anarthric.;Intubated or other physical barrier, explain | Alphanumeric | Adult;Pediatric | Supplemental | 3.00 | 2013-06-21 00:00:00.0 | Miscellaneous Sickle Cell-related CDEs | Additional Proposed Instruments | cookie-policy |
Single Pre-Defined Value Selected |
DeBaun Forms | |||||||||||||||||||||||||||||||
C56408 | Wechsler Abbreviated Scale of Intelligence - Second Edition (WASI-II) - Matrix Reasoning raw score | WASIIIMRRawScore | The raw score that the subject received on the Matrix Reasoning subtest of the Wechsler Abbreviated Scale of Intelligence - Second Edition (WASI-II) . | The raw score that the subject received on the Matrix Reasoning subtest of the Wechsler Abbreviated Scale of Intelligence - Second Edition (WASI-II). | Numeric Values | Adult;Pediatric | Supplemental | 1.00 | 2017-06-12 11:23:35.0 | Miscellaneous Sickle Cell-related CDEs | Additional Proposed Instruments | cookie-policy |
Free-Form Entry |
0 | 30 | ||||||||||||||||||||||||||||||||
C13945 | Imaging spectrum depth measurement | ImgSpectrumDepthMeasr | Indicates spectrum depth measurement (mm) | Indicates spectrum depth measurement (mm) | Numeric Values | Adult;Pediatric | Supplemental | 3.00 | 2013-06-21 00:00:00.0 | Miscellaneous Sickle Cell-related CDEs | Additional Proposed Instruments | cookie-policy |
Free-Form Entry |
0 | 999 | millimeter | |||||||||||||||||||||||||||||||
C10837 | Imaging gap between slices measurement | ImgGapBetwnSlicesMeasr | Measurement of the gap between slices used in imaging acquisition | Measurement of the gap between slices used in imaging acquisition | Numeric Values | Adult;Pediatric | Supplemental | 3.00 | 2013-07-25 08:54:08.2 | Miscellaneous Sickle Cell-related CDEs | Additional Proposed Instruments | cookie-policy |
Free-Form Entry |
millimeter | |||||||||||||||||||||||||||||||||
C17526 | Friedreich's Ataxia Rating Scale (FARS) - neurological exam peripheral deep tendon reflex biceps jerk right score | FARSPNSNeuExDTenRefBicJRtScore | Score for right-side biceps jerk in the peripheral nervous system section of the neurological exam, as part of the Friedreich's Ataxia Rating Scale (FARS). | Score for right-side biceps jerk in the peripheral nervous system section of the neurological exam, as part of the Friedreich's Ataxia Rating Scale (FARS). | 0;1;2;3;4;0;1;2;3;4;0;1;2;3;4 | 0 - absent;1 - hyporeflexia;2 - normal;3 - hyperreflexia;4 - pathologic hyperreflexia;0 - absent;1 - hyporeflexia;2 - normal;3 - hyperreflexia;4 - pathologic hyperreflexia;0 - absent;1 - hyporeflexia;2 - normal;3 - hyperreflexia;4 - pathologic hyperreflexia | Numeric Values | Adult;Pediatric | Supplemental | 3.00 | 2013-07-15 16:08:48.687 | Miscellaneous Sickle Cell-related CDEs | Additional Proposed Instruments | cookie-policy |
Single Pre-Defined Value Selected |
DeBaun Forms | |||||||||||||||||||||||||||||||
C21496 | Wechsler Adult Intelligence Scale IV (WAIS IV) - Digit span backward subtest item score | WAISIVDSBItemScore | Item score, as part of Wechsler Adult Intelligence Scale IV (WAIS IV) Digit Span Backward subtest | Item score, as part of Wechsler Adult Intelligence Scale IV (WAIS IV) Digit Span Backward subtest | 0;1;2 | 0;1;2 | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2015-07-22 11:32:44.0 | Miscellaneous Sickle Cell-related CDEs | Additional Proposed Instruments | cookie-policy |
Single Pre-Defined Value Selected |
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C00721 | Family history medical condition indicator | FamHistMedclCondInd | Indicator of whether a family member or first and second degree blood relatives of the participant/subject has had a history of the particular medical condition or health related event | Indicator of whether a family member or first and second degree blood relatives of the participant/subject has had a history of the particular medical condition or health related event | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric | Adult;Pediatric | Supplemental | 3.00 | 2013-07-24 11:38:01.2 | Miscellaneous Sickle Cell-related CDEs | Additional Proposed Instruments | cookie-policy |
Single Pre-Defined Value Selected |
3165788 | DeBaun Forms | ||||||||||||||||||||||||||||||
C14015 | Microembolic signal count | MicroembolSignalCt | Numeric value counting the number of microembolic signals. | Indicates microembolic signal number | Numeric Values | Adult;Pediatric | Supplemental | 3.00 | 2013-06-21 00:00:00.0 | Miscellaneous Sickle Cell-related CDEs | Additional Proposed Instruments | cookie-policy |
Free-Form Entry |
0 | 999 | ||||||||||||||||||||||||||||||||
C18493 | Screening visit eligibility status | ScreenVisitEligibilityStatus | The status determined from screening criteria that indicates whether a participant/subject may be eligible for a study. | Screening visit eligibility status | Eligible;Eligible but declined;Not eligible;Other, specify;Eligible;Eligible but declined;Not eligible;Other, specify | Eligible;Eligible but declined;Not eligible;Other, specify;Eligible;Eligible but declined;Not eligible;Other, specify | Alphanumeric | Adult;Pediatric | Supplemental | 3.00 | 2013-07-18 16:35:19.49 | Miscellaneous Sickle Cell-related CDEs | Additional Proposed Instruments | cookie-policy |
Single Pre-Defined Value Selected |
DeBaun Forms | |||||||||||||||||||||||||||||||
C56441 | Wechsler Abbreviated Scale of Intelligence - Second Edition (WASI-II) - Full Scale IQ 2 confidence interval upper bound value | WASIIIFullSclIQ2ConfIntUppVal | The upper bound of the subject's Full Scale IQ-2 confidence interval, as part of the Wechsler Abbreviated Scale of Intelligence - Second Edition (WASI-II). | The upper bound of the subject's Full Scale IQ-2 confidence interval, as part of the Wechsler Abbreviated Scale of Intelligence - Second Edition (WASI-II). | Numeric Values | Adult;Pediatric | Supplemental | 1.00 | 2017-06-12 13:06:29.0 | Miscellaneous Sickle Cell-related CDEs | Additional Proposed Instruments | cookie-policy |
Free-Form Entry |
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C12495 | Imaging pons abnormality type | ImgPonsAbnrmlyTyp | The type of abnormality in the pons on the image | The type of abnormality in the pons on the image | Hypoplasia;Other, specify;Cleft | Hypoplasia;Other, specify;Cleft | Alphanumeric | Adult;Pediatric | Supplemental | 3.00 | 2013-07-24 11:38:01.2 | Miscellaneous Sickle Cell-related CDEs | Additional Proposed Instruments | cookie-policy |
Multiple Pre-Defined Values Selected |
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C54691 | PROMIS - Global Health social satisfaction rate scale | PROMISGlbHlthSocSatisRtScl | Scale related to an individual's rating of his/her satisfaction with his/her social activities, as part of the PROMIS Global Health | Scale related to an individual's rating of his/her satisfaction with his/her social activities, as part of the PROMIS Global Health | 1;2;3;4;5;1;2;3;4;5 | Excellent;Very good;Good;Fair;Poor;Excellent;Very good;Good;Fair;Poor | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2017-04-07 15:34:25.0 | Miscellaneous Sickle Cell-related CDEs | Additional Proposed Instruments | cookie-policy |
Single Pre-Defined Value Selected |
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C13913 | Imaging plaque motion result | ImgPlaqMotionReslt | Indicates plaque motion | Indicates plaque motion | Alphanumeric | Adult;Pediatric | Supplemental | 3.00 | 2013-06-21 00:00:00.0 | Miscellaneous Sickle Cell-related CDEs | Additional Proposed Instruments | cookie-policy | 255 |
Free-Form Entry |
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C02309 | Serious adverse event indicator | SeriousAdvrsEvntInd | The indicator of whether the adverse event is serious. | The indicator of whether the adverse event is serious. | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric | Adult;Pediatric | Supplemental | 3.00 | 2013-08-28 16:08:00.453 | Miscellaneous Sickle Cell-related CDEs | Additional Proposed Instruments | cookie-policy |
Single Pre-Defined Value Selected |
2199908 | DeBaun Forms | ||||||||||||||||||||||||||||||
C08023 | Imaging abnormal finding text | ImgAbnrmlFindTxt | Text description of the abnormal findings on the imaging study | Text description of the abnormal findings on the imaging study | Alphanumeric | Adult;Pediatric | Supplemental | 3.00 | 2013-07-24 11:38:01.2 | Miscellaneous Sickle Cell-related CDEs | Additional Proposed Instruments | cookie-policy | 255 |
Free-Form Entry |
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C15555 | Imaging visual analysis performed indicator | ImgVisAnlysisPerfrmInd | Whether visual analysis was performed while blind to clinical data | Whether visual analysis was performed while blind to clinical data | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric | Adult;Pediatric | Supplemental | 3.00 | 2013-07-16 14:01:43.01 | Miscellaneous Sickle Cell-related CDEs | Additional Proposed Instruments | cookie-policy |
Single Pre-Defined Value Selected |
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C19840 | Medical history medication change since last visit indicator | MedHistMedctnChngeSLVInd | Indicator of medication changes since last study visit | Indicator of medication changes since last study visit | No;Yes | No;Yes | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2015-02-06 00:00:00.0 | Miscellaneous Sickle Cell-related CDEs | Additional Proposed Instruments | cookie-policy |
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). | Alphanumeric | Adult;Pediatric | Supplemental | 3.00 | 2013-06-21 00:00:00.0 | Miscellaneous Sickle Cell-related CDEs | Additional Proposed Instruments | cookie-policy | 255 |
Free-Form Entry |
DeBaun Forms | ||||||||||||||||||||||||||||||||
C56420 | Wechsler Abbreviated Scale of Intelligence - Second Edition (WASI-II) - Examinee visual hearing aid glasses used indicator | WASIIIExVisHearAidGlassUsedInd | The indicator relating to whether the examine used his/her glasses during testing, as part of the Wechsler Abbreviated Scale of Intelligence - Second Edition (WASI-II). | The indicator relating to whether the examine used his/her glasses during testing, as part of the Wechsler Abbreviated Scale of Intelligence - Second Edition (WASI-II). | Used;Not used | Used;Not used | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2017-06-12 11:53:18.0 | Miscellaneous Sickle Cell-related CDEs | Additional Proposed Instruments | cookie-policy |
Single Pre-Defined Value Selected |
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C13956 | Microembolic signal duration | MicroembolSignalDur | Indicates microembolic signal duration time (msec) | Indicates microembolic signal duration time (msec) | Numeric Values | Adult;Pediatric | Supplemental | 3.00 | 2013-06-21 00:00:00.0 | Miscellaneous Sickle Cell-related CDEs | Additional Proposed Instruments | cookie-policy |
Free-Form Entry |
0 | 999 | millisecond | |||||||||||||||||||||||||||||||
C12474 | Imaging field of view measurement description text | ImgFOVMeasrDescTxt | The general description of field of view (FOV) or anatomical positioning | The general description of field of view (FOV) or anatomical positioning | Alphanumeric | Adult;Pediatric | Supplemental | 3.00 | 2013-07-24 11:38:01.2 | Miscellaneous Sickle Cell-related CDEs | Additional Proposed Instruments | cookie-policy | 4000 |
Free-Form Entry |
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C21507 | Wechsler Adult Intelligence Scale IV (WAIS IV) - Digit span subtest total raw score | WAISIVDSTtlScore | Total score, as part of Wechsler Adult Intelligence Scale IV (WAIS IV) Digit Span subtest | Total score, as part of Wechsler Adult Intelligence Scale IV (WAIS IV) Digit Span subtest | Numeric Values | Adult;Pediatric | Supplemental | 1.00 | 2015-07-22 11:32:44.0 | Miscellaneous Sickle Cell-related CDEs | Additional Proposed Instruments | cookie-policy |
Free-Form Entry |
0 | 48 | ||||||||||||||||||||||||||||||||
C13892 | Arterial occlusive lesion (AOL) recanalization score | AOLRecanalScore | The score as related to recanalization of the primary arterial occlusive lesion (AOL). | The score as related to recanalization of the primary arterial occlusive lesion (AOL). | 0;1;2;3;0;1;2;3;0;1;2;3 | No recanalization of the primary occlusive lesion;Incomplete or partial recanalization of the primary occlusive lesion with no distal flow;Incomplete or partial recanalization of the primary occlusive lesion with any distal flow;Complete recanalization of the primary occlusion with any distal flow;No recanalization of the primary occlusive lesion;Incomplete or partial recanalization of the primary occlusive lesion with no distal flow;Incomplete or partial recanalization of the primary occlusive lesion with any distal flow;Complete recanalization of the primary occlusion with any distal flow;No recanalization of the primary occlusive lesion;Incomplete or partial recanalization of the primary occlusive lesion with no distal flow;Incomplete or partial recanalization of the primary occlusive lesion with any distal flow;Complete recanalization of the primary occlusion with any distal flow | Numeric values | Adult;Pediatric | Supplemental | 3.00 | 2013-06-21 00:00:00.0 | Miscellaneous Sickle Cell-related CDEs | Additional Proposed Instruments | cookie-policy |
Single Pre-Defined Value Selected |
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C01541 | Weight measurement | WgtMeasr | Measurement of participant's/subject's weight | Measurement of participant's/subject's weight | Numeric Values | Adult;Pediatric | Supplemental | 3.00 | 2013-07-25 08:54:08.2 | Miscellaneous Sickle Cell-related CDEs | Additional Proposed Instruments | cookie-policy |
Free-Form Entry |
0 | 500 | kilogram | 2179689 | DeBaun Forms | |||||||||||||||||||||||||||||
C14027 | Intracranial pressure (ICP) other measurement text | ICPOtherMeasrTxt | Indicates other method of measuring intracranial pressure (ICP) | Indicates other method of measuring intracranial pressure (ICP) | Alphanumeric | Adult;Pediatric | Supplemental | 3.00 | 2013-06-21 00:00:00.0 | Miscellaneous Sickle Cell-related CDEs | Additional Proposed Instruments | cookie-policy | 255 |
Free-Form Entry |
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C18719 | Imaging slice orientation other text | ImgSliceOrientOTH | The free-text field related to 'Imaging slice orientation type' specifying other text. The slice orientation used in imaging acquisition | The free-text field related to 'Imaging slice orientation type' specifying other text. The slice orientation used in imaging acquisition | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2014-05-27 13:34:46.0 | Miscellaneous Sickle Cell-related CDEs | Additional Proposed Instruments | cookie-policy | 4000 |
Free-Form Entry |
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C12506 | Imaging eye abnormality type | ImgEyeAbnrmlyTyp | The type of eye abnormalities | The type of eye abnormalities | Optic nerve abnormalities;Microphthalmia;Cataract | Optic nerve abnormalities;Microphthalmia;Cataract | Alphanumeric | Adult;Pediatric | Supplemental | 3.00 | 2013-07-24 11:38:01.2 | Miscellaneous Sickle Cell-related CDEs | Additional Proposed Instruments | cookie-policy |
Single Pre-Defined Value Selected |
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C55779 | Imaging automated evaluation vascular MRI data indicator | ImagAutoEvalVasMRIDataInd | The indicator relating to whether or not an automated evaluation of vascular magnetic resonance imaging (MRI) data has been given. | The indicator relating to whether or not an automated evaluation of vascular magnetic resonance imaging (MRI) data has been given. | No;Yes | No;Yes | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2017-05-31 12:26:23.0 | Miscellaneous Sickle Cell-related CDEs | Additional Proposed Instruments | cookie-policy |
Single Pre-Defined Value Selected |
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C13924 | Imaging vertebral origin result | ImgVertebralOriginReslt | Indicates vertebral origin | Indicates vertebral origin | Normal;Stenosis;Occluded | Normal;Stenosis;Occluded | Alphanumeric | Adult;Pediatric | Supplemental | 3.00 | 2013-06-21 00:00:00.0 | Miscellaneous Sickle Cell-related CDEs | Additional Proposed Instruments | cookie-policy |
Single Pre-Defined Value Selected |
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C13233 | National Institutes of Health Stroke Scale (NIHSS) - Level of consciousness secondary question score | NIHSSLvlConscSecdryQScore | Level of consciousness (LOC) questions assessed using the NIH Stroke Scale (NIHSS) | Level of consciousness (LOC) questions assessed using the NIH Stroke Scale (NIHSS) | 0;1;2;0;1;2;0;1;2 | Answers both questions correctly;Answers one question correctly;Answers neither question correctly;Answers both questions correctly;Answers one question correctly;Answers neither question correctly;Answers both questions correctly;Answers one question correctly;Answers neither question correctly | Numeric values | Adult;Pediatric | Supplemental | 3.00 | 2013-06-21 00:00:00.0 | Miscellaneous Sickle Cell-related CDEs | Additional Proposed Instruments | cookie-policy |
Single Pre-Defined Value Selected |
DeBaun Forms | |||||||||||||||||||||||||||||||
C56388 | Conners Continuous Performance Test 3rd Edition (CPT3) - Impulsivity commission count | ConnersCPT3ImpCommCt | The number of incorrect responses to non-targets, as part of the Conners Continuous Performance Test 3rd Edition (CPT3). | The number of incorrect responses to non-targets, as part of the Conners Continuous Performance Test 3rd Edition (CPT3). | Numeric Values | Adult;Pediatric | Supplemental | 1.00 | 2017-06-09 15:38:27.0 | Miscellaneous Sickle Cell-related CDEs | Additional Proposed Instruments | cookie-policy |
Free-Form Entry |
0 | |||||||||||||||||||||||||||||||||
C13935 | Intima media thickness (IMT) max far-wall measurement | IMTMaxFarWallMeasr | Indicates max intima media thickness (IMT) far-wall measurement (mm) | Indicates max intima media thickness (IMT) far-wall measurement (mm) | Numeric Values | Adult;Pediatric | Supplemental | 3.00 | 2013-06-21 00:00:00.0 | Miscellaneous Sickle Cell-related CDEs | Additional Proposed Instruments | cookie-policy |
Free-Form Entry |
millimeter | |||||||||||||||||||||||||||||||||
C08245 | Imaging slice count | ImgSliceCt | Count representing the total number of single image planes captured during imaging acquisition | Count representing the total number of single image planes captured during imaging acquisition | Numeric Values | Adult;Pediatric | Supplemental | 3.00 | 2013-07-25 08:54:08.2 | Miscellaneous Sickle Cell-related CDEs | Additional Proposed Instruments | cookie-policy |
Free-Form Entry |
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C17402 | Site name | SiteName | The name of the site for the study | The name of the site for the study | Alphanumeric | Adult;Pediatric | Supplemental | 3.00 | 2013-06-21 00:00:00.0 | Miscellaneous Sickle Cell-related CDEs | Additional Proposed Instruments | cookie-policy | 255 |
Free-Form Entry |
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C21486 | Wechsler Adult Intelligence Scale IV (WAIS IV) - Digit span forward subtest trial number | WAISIVDSFTrialNum | Trial number, as part of Wechsler Adult Intelligence Scale IV (WAIS IV) Digit Span Forward subtest | Trial number, as part of Wechsler Adult Intelligence Scale IV (WAIS IV) Digit Span Forward subtest | 1;2 | Trial 1;Trial 2 | Numeric Values | Adult;Pediatric | Supplemental | 1.00 | 2015-07-22 11:32:44.0 | Miscellaneous Sickle Cell-related CDEs | Additional Proposed Instruments | cookie-policy |
Single Pre-Defined Value Selected |
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C13881 | Digital Subtraction Angiography (DSA) injection site anatomic site | DSAInjectionSiteAntmicSite | The site of injection for digital subtraction angiography (DSA), a type of fluoroscopy technique used in interventional radiology to clearly visualize blood vessels in a bony or dense soft tissue environment. | The site of injection for digital subtraction angiography (DSA), a type of fluoroscopy technique used in interventional radiology to clearly visualize blood vessels in a bony or dense soft tissue environment. | Arch;Common carotid;Internal carotid;Vertebral;subclavian;Arch;Common carotid;Internal carotid;Vertebral;subclavian | Arch;Common carotid;Internal carotid;Vertebral;subclavian;Arch;Common carotid;Internal carotid;Vertebral;subclavian | Alphanumeric | Adult;Pediatric | Supplemental | 3.00 | 2013-06-21 00:00:00.0 | Miscellaneous Sickle Cell-related CDEs | Additional Proposed Instruments | cookie-policy |
Single Pre-Defined Value Selected |
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C00007 | Birth date | BirthDate | Date (and time, if applicable and known) the participant/subject was born | Date (and time, if applicable and known) the participant/subject was born | Date or Date & Time | Adult;Pediatric | Supplemental | 3.00 | 2013-07-25 08:54:08.2 | Miscellaneous Sickle Cell-related CDEs | Additional Proposed Instruments | cookie-policy |
Free-Form Entry |
793 | DeBaun Forms |