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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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 | Supplemental | 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 | |||||||||||||||||||||||||||||
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 | Supplemental | 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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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 | Supplemental | 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 | Supplemental | 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 | Supplemental | 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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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 | Supplemental | 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 | Supplemental | 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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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 | Supplemental | 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 | ||||||||||||||||||||||||||||
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 | Supplemental | 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 | Supplemental | 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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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 | Supplemental | 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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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 | Supplemental | 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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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 | Supplemental | 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 | Supplemental | 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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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 | Supplemental | 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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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 | Supplemental | 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 | Supplemental | 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 | Supplemental | 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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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 | Supplemental | 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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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 | Supplemental | 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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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 | Supplemental | 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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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 | Supplemental | 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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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 | Supplemental | 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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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 | Supplemental | 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 | Supplemental | 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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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 | Supplemental | 3.00 | 2013-06-21 00:00:00.0 | Vessel Imaging Transcranial Doppler (TCD) | Assessments and Examinations | Imaging Diagnostics |
Multiple Pre-Defined Values Selected |