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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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 | Supplemental | 3.00 | 2013-06-21 00:00:00.0 | Vessel Imaging Transcranial Doppler (TCD) | Assessments and Examinations | Imaging Diagnostics | 4000 |
Free-Form Entry |
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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). |
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 | Supplemental | 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 | Supplemental | 3.00 | 2013-06-21 00:00:00.0 | Vessel Imaging Transcranial Doppler (TCD) | Assessments and Examinations | Imaging Diagnostics | 255 |
Free-Form Entry |
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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 | Supplemental | 3.00 | 2013-06-21 00:00:00.0 | Vessel Imaging Transcranial Doppler (TCD) | Assessments and Examinations | Imaging Diagnostics |
Free-Form Entry |
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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 |
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 | ||||||||||||||||||||||||||||
C14035 | VMR response result | VMRResponseReslt | Indicates vasomotor response (VMR) response result | Indicates vasomotor response (VMR) response result | VMR | Abnormal;Normal;Abnormal;Normal | Abnormal;Normal;Abnormal;Normal | 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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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 | 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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C18900 | Intracranial stenosis collateral vessel anatomic other text | IntracrnStnoColltVsslAntmicOTH | The free-text field related to 'Intracranial stenosis collateral vessel anatomic site' specifying other text. Indicates intracranial stenosis collateral vessel(s) | The free-text field related to 'Intracranial stenosis collateral vessel anatomic site' specifying other text. Indicates intracranial stenosis collateral vessel(s) | Other, specify | 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 | 4000 |
Free-Form Entry |
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C13750 | Imaging study ID number | ImgStudyIDNum | Unique identification number assigned to the study or assessment session. | Unique identification number assigned to the study. | Study ID number | Alphanumeric |
Highly recommended for Stroke imaging studies |
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 |
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C14013 | Intracranial stenosis mean velocity criterion value | IntracranStenoMnVlctyCriterVal | Indicates intracranial stenosis mean velocity criterion | Indicates intracranial stenosis mean velocity criterion | Mean velocity criterion | 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 |
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C14025 | Vasospasm Lindegaard ratio value | VasoLinegaardRatioVal | Indicates vasospasm Lindegaard ratio result | Indicates vasospasm Lindegaard ratio result | Lindegaard ratio | 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 | Supplemental | 3.00 | 2013-06-21 00:00:00.0 | Vessel Imaging Transcranial Doppler (TCD) | Assessments and Examinations | Imaging Diagnostics |
Free-Form Entry |
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C13948 | Imaging mean blood velocity measurement | ImgMeanBloodVelocityMeasr | Indicates mean velocity measurement (cm/sec) of blood | Indicates mean velocity measurement (cm/sec) of blood | Mean velocity | Numeric Values |
Indicate mean velocity in units of cm/sec |
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 | ||||||||||||||||||||||||||||
C14036 | Breath-holding index result | BreathHoldingIndexReslt | Indicates breath-holding index (BHI) result | Indicates breath-holding index (BHI) result | Breath-holding index (BHI) | 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 |
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C14003 | Imaging brain death present indicator | ImgBrainDeathPresInd | Indicates presence of brain death | Indicates presence of brain death | Brain Death | 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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C18901 | Sickle cell disease vessel anatomic other text | SickleCellDisVesselAntmicOTH | The free-text field related to 'Sickle cell disease vessel anatomic site' specifying other text. Indicates sickle cell vessel | The free-text field related to 'Sickle cell disease vessel anatomic site' specifying other text. Indicates sickle cell vessel | 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 | 4000 |
Free-Form Entry |
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C13751 | Imaging acquisition reason | ImgAcquisitionRsn | Describes why the imaging study was performed | Describes why the imaging study was performed | Scan purpose | Diagnostic;Post-treatment;Monitoring;Other, specify;Diagnostic;Post-treatment;Monitoring;Other, specify | Diagnostic;Post-treatment;Monitoring;Other, specify;Diagnostic;Post-treatment;Monitoring;Other, specify | Alphanumeric |
Select all that apply |
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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C14014 | Intracranial stenosis other criteria result | IntracranStenoOthCriteriaReslt | Other criteria for intracranial stenosis | Other criteria for intracranial stenosis | Other | 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 | 255 |
Free-Form Entry |
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C14026 | Intracranial pressure imaging result | ICPReslt | Indicates intracranial pressure (ICP) imaging result | Indicates vasospasm intracranial pressure (ICP) imaging result | Intracranial pressure | 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 | 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 of mercury | ||||||||||||||||||||||||||||
C13949 | Imaging flow/probe direction type | ImgFlowProbDireTyp | Indicates flow/probe direction | Indicates flow/probe direction | Direction of Probe | Towards;Away from | Towards;Away from | 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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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 | Left MCA | Absent;High Resistance;Low Resistance;Absent;High Resistance;Low Resistance | Absent;High Resistance;Low Resistance;Absent;High Resistance;Low Resistance | 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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C14004 | Imaging brain death vessel anatomic site | ImgBrainDeathVesseIAntmicSite | Indicates brain death vessel(s) | Indicates brain death vessel(s) | 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 |
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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C18902 | Vasospasm vessel anatomic other text | VasospasmVesselAntmicOTH | The free-text field related to 'Vasospasm vessel anatomic site' specifying other text. Indicates vasospasm vessel(s) | The free-text field related to 'Vasospasm vessel anatomic site' specifying other text. Indicates vasospasm vessel(s) | Other, specify | 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 | 4000 |
Free-Form Entry |
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C13899 | Imaging probe type text | ImgProbeTypTxt | The text describing the type of imaging probe | Describes imaging probe type | Type | 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 |
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C14015 | Microembolic signal count | MicroembolSignalCt | Numeric value counting the number of microembolic signals. | Indicates microembolic signal number | Number | 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 | |||||||||||||||||||||||||||||
C14027 | Intracranial pressure (ICP) other measurement text | ICPOtherMeasrTxt | Indicates other method of measuring intracranial pressure (ICP) | Indicates other method of measuring intracranial pressure (ICP) | Other | 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 |
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C13956 | Microembolic signal duration | MicroembolSignalDur | Indicates microembolic signal duration time (msec) | Indicates microembolic signal duration time (msec) | Duration time | Numeric Values |
Indicate duration time in units of msec |
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 | millisecond |