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CDE Detailed Report
This report contains detailed information about the selected CDEs.
Note: If at least one CDE was selected from a copyright- or trademark-protected instrument/scale then all of the CDEs from that instrument/scale are included in this report.
Disease:
Sub-Domain: General Health History
CRF: Surgical History
Item count: 18 (9 distinct CDEs)
CDE ID
CDE Name
Variable Name
Definition / Description
Question Text
Permissible Value
Description
Data Type
Instructions
References
Population
Classification (e.g., Core)
Version #
Version Date
Aliases for Variable Name
CRF Module / Guideline
© or TM
Sub-Domain
Domain
Previous Title
Size
Input Restrictions
Min Value
Max Value
Measurement Type
LOINC ID
SNOMED
caDSR ID
CDISC ID
C12671
Surgery lifetime total count
SurgLftmeTotCt
Total number of surgeries the participant/subject has undergone in his/her lifetime
Total Number of surgeries in lifetime
  
Numeric Values
No additional instructions
No references available
Adult;Pediatric
Supplemental
3.0
7/24/2013
Aliases for variable name not defined
Surgical History
General Health History
Participant History and Family History
Surgery lifetime total number
 
Free-Form Entry
       
C18759
Surgery reason indication other text
SurgRsnIndOTH
The free-text field related to 'Surgery reason indication type' specifying other text. Reason participant/subject is in need of surgery
Other, specify
  
Alphanumeric
Record a reason for each surgery. If the data will be shared, code each surgical procedure using ICD-9-CM.
No references available
Adult;Pediatric
Supplemental
1.0
5/27/2014
Aliases for variable name not defined
Surgical History
General Health History
Participant History and Family History
 
4000
Free-Form Entry
       
C08020
Surgery reason indication type
SurgRsnIndTyp
Reason participant/subject is in need of surgery
Reason
Trauma;Tracheostomy;Cardiomyopathy/Arrhythmia/Cardiac Device Implantation;Other, specify;
Trauma;Tracheostomy;Cardiomyopathy/Arrhythmia/Cardiac Device Implantation;Other, specify;
Alphanumeric
Record a reason for each surgery. If the data will be shared, code each surgical procedure using ICD-9-CM.
No references available
Adult;Pediatric
Supplemental
3.0
7/24/2013
Aliases for variable name not defined
Surgical History
General Health History
Participant History and Family History
Surgery Parkinsonian indication type
 
Single Pre-Defined Value Selected
       
C21668
ICD-10-CM code
SurgTherapuProcICD10CMCode
Code from the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-10-CM) for the selected surgical procedure
Reason
  
Alphanumeric
Record a reason for each surgery. If the data will be shared, code each surgical procedure using ICD-10-CM.
International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM): http://www.cdc.gov/nchs/icd/icd10cm.htm#icd2016
Adult;Pediatric
Supplemental
1.0
8/28/2013
Aliases for variable name not defined
Surgical History
General Health History
Participant History and Family History
  
Multiple Pre-Defined Values Selected
       
C21669
Surgical or therapeutic procedure ICD-10-CM other text
SurgTherapuProcICD10CMOTH
The free-text field related to 'Surgical or therapeutic procedure ICD-10-CM code' specifying other text. Code from the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) for the selected surgical procedure
Other, specify
  
Alphanumeric
Record a reason for each surgery. If the data will be shared, code each surgical procedure using ICD-10-CM.
International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM): http://www.cdc.gov/nchs/icd/icd10cm.htm#icd2016
Adult;Pediatric
Supplemental
1.0
5/27/2014
Aliases for variable name not defined
Surgical History
General Health History
Participant History and Family History
 
4000
Free-Form Entry
       
C05106
Surgical or therapeutic procedure start date and time
SurgTherapuProcStartDateTime
Date (and time, if applicable and known) on which the surgical or therapeutic procedure started
Admission Date (MM/YYYY) or Age (approximate)
  
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
Supplemental
3.0
7/25/2013
Refer to SCI CDE Annotated Form
Surgical History
General Health History
Participant History and Family History
Surgical or therapeutic procedure start date and time
 
Free-Form Entry
       
C05105
Surgical or therapeutic procedure end date and time
SurgTherapuProcEndDateTime
Date on which the surgical or therapeutic procedure ended
Discharge Date (MM/YYYY) or Age (approximate)
  
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
Supplemental
3.0
7/24/2013
Aliases for variable name not defined
Surgical History
General Health History
Participant History and Family History
Surgical or therapeutic procedure end date and time
 
Free-Form Entry
       
C08018
Surgery age value
SurgAgeVal
Age of the participant/subject at the time of the selected surgical procedure
Admission Date (MM/YYYY) or Age (approximate) Discharge Date (MM/YYYY) or Age (approximate)
  
Numeric Values
This value can be captured in years or months.
No references available
Adult;Pediatric
Supplemental
3.0
7/24/2013
Aliases for variable name not defined
Surgical History
General Health History
Participant History and Family History
Surgery age value
 
Free-Form Entry
0
99
     
C12672
Surgical or therapeutic procedure ventilated indicator
SurgTherapProcedVntltdInd
Whether the participant/subject was ventilated during the surgical or therapeutic procedure
Ventilated During Surgery?
Yes;No;
Yes;No;
Alphanumeric
Choose one. Answer for each surgical procedure in the medical history.
No references available
Adult;Pediatric
Supplemental
3.0
7/24/2013
Aliases for variable name not defined
Surgical History
General Health History
Participant History and Family History
Surgical or therapeutic procedure ventilated indicator
 
Single Pre-Defined Value Selected
       
07-20-2019
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