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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: 8 (8 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
C18363
Past surgical history identification number
PastSurgHistIdNum
The number on a list to identify past surgical history.
Surgery #
  
Numeric Values
No instructions available
No references available
Adult;Pediatric
Supplemental
3.0
7/21/2013
Aliases for variable name not defined
Surgical History
General Health History
Participant History and Family History
  
Free-Form Entry
       
C18765
Surgical or therapeutic procedure other text
SurgTherapProcedurOTH
The free-text field related to 'Surgical or therapeutic procedure type' specifying other text. Type of surgical or therapeutic procedure received by the participant/subject
Other, specify
  
Alphanumeric
No instructions available
International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM): http://www.cdc.gov/nchs/icd/icd9cm.htm
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
       
C05108
Surgical or therapeutic procedure type
SurgTherapProcedurTyp
Type of surgical or therapeutic procedure received by the participant/subject
Procedure
Appendicectomy;Cholecystectomy;Colostomy;Ileostomy;Feeding tube placement;Fundoplication;Scoliosis surgery;Tendon release;Tympanostomy tubes;Tracheostomy;Airway surgery;Other surgery, specify;Unknown;Diagnostic;Anterior temporal lobectomy (ATL);Anterior temporal lobectomy plus (ATL+);Amygdalohippocampectomy;Lesionectomy;Lesionectomy plus (Lesionectomy +);Extratemporal resection (Topectomy);Multi-lobar resection;Hemispherectomy;Vagus nerve stimulation (VNS) surgery;Corpus callosotomy;Multiple subpial transaction;Radiosurgery;Therapeutic brain stimulation;Other, specify;Appendicostomy;Appendectomy;Neurological surgery;Bony orthopedic surgery;
Appendicectomy;Cholecystectomy;Colostomy;Ileostomy;Feeding tube placement;Fundoplication;Scoliosis surgery;Tendon release;Tympanostomy tubes;Tracheostomy;Airway surgery;Other surgery, specify;Unknown;Diagnostic surgery;Anterior temporal lobectomy (ATL);Anterior temporal lobectomy plus (ATL+);Amygdalohippocampectomy;Lesionectomy;Lesionectomy plus (Lesionectomy +);Extratemporal resection (Topectomy);Multi-lobar resection;Hemispherectomy;Vagus nerve stimulation (VNS) surgery;Corpus callosotomy;Multiple subpial transaction;Radiosurgery;Therapeutic brain stimulation;Other, specify;Appendicostomy (antegrade colonic anema);Appendectomy;Neurological surgery;Bony orthopedic surgery;
Alphanumeric
No instructions available
International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM): http://www.cdc.gov/nchs/icd/icd9cm.htm
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 type
 
Multiple Pre-Defined Values 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
Procedure
MB;C;T;S;G;Other, specify;
Muscle biopsy;Contracture Release;Tracheostomy;Scoliosis;Gastrostomy;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
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-9-CM.
International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM): http://www.cdc.gov/nchs/icd/icd9cm.htm
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
Date of Procedure
  
Date or Date & Time
Record the start date or admission date for the surgical procedure. If the start date is not known the approximate age of the participant/subject at the time of the surgery can be recorded. 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.). If age at admission is used instead of date, age can be captured in years or months.
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
       
C08018
Surgery age value
SurgAgeVal
Age of the participant/subject at the time of the selected surgical procedure
Age (approximate)
  
Numeric Values
No instructions available
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
     
C05105
Surgical or therapeutic procedure end date and time
SurgTherapuProcEndDateTime
Date on which the surgical or therapeutic procedure ended
Discharge Date
  
Date or Date & Time
Record the start date or admission date for the surgical procedure. If the start date is not known the approximate age of the participant/subject at the time of the surgery can be recorded. 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.). If age at admission is used instead of date, age 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
Surgical or therapeutic procedure end date and time
 
Free-Form Entry
       
07-20-2019
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