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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: Chiari I Malformation
Sub-Domain: Other Non-Motor
CRF: Assessment of Shunt Function
Item count: 23 (23 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
C06005
Data collected date and time
DataCollDateTime
Date (and time, if applicable and known) the data were collected. This may be the date/time a particular examination or procedure was performed.
Date of shunt function assessment
  
Date or Date & Time
Date of assessment
No references available
Adult;Pediatric
Supplemental
3.0
7/24/2013
Aliases for variable name not defined
Assessment of Shunt Function
Other Non-Motor
Outcomes and End Points
Data collected date and time
 
Free-Form Entry
       
C22509
Shunt type
ShuntType
Shunt type
Shunt type
Ventriculo-peritoneal;Ventriculo-pleural;Ventriculo-atrial;Syringo-pleural;Syringo-subarachnoid;Syringo-subarachnoid-peritoneal;Syringo-subarachnoid-pleural;Subarachnoid-subarachnoid;
Ventriculo-peritoneal;Ventriculo-pleural;Ventriculo-atrial;Syringo-pleural;Syringo-subarachnoid;Syringo-subarachnoid-peritoneal;Syringo-subarachnoid-pleural;Subarachnoid-subarachnoid;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
6/13/2016
Aliases for variable name not defined
Assessment of Shunt Function
Other Non-Motor
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
C22510
Shunt valve present indicator
ShuntValvePresentInd
Valve present
Valve present?
Yes;No;
Yes;No;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
6/13/2016
Aliases for variable name not defined
Assessment of Shunt Function
Other Non-Motor
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
C22511
Shunt valve manufacturer type
ShuntValveManufTyp
Manufacturer of valve
Valve manufacturer
Medtronic;Codman;Certus;Integra;Other, specify;N/A;
Medtronic;Codman;Certus;Integra;Other;N/A;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Exploratory
1.0
6/13/2016
Aliases for variable name not defined
Assessment of Shunt Function
Other Non-Motor
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
C22523
Shunt valve manufacturer other text
ShuntValveManufOth
The free-text related to shunt valve manufacturer; specifying other text
Shunt valve manufacturer other text
  
Alphanumeric
The free-text related to shunt valve manufacturer; specifying other text
No references available
Adult;Pediatric
Exploratory
1.0
6/13/2016
Aliases for variable name not defined
Assessment of Shunt Function
Other Non-Motor
Outcomes and End Points
 
255
Free-Form Entry
       
C22526
Shunt valve type
ShuntValveTyp
Type of Shunt Valve
Valve type
Strata;Hakim;Non-programmable;Other, specify;N/A;
Strata;Hakim;Non-programmable;Other;N/A;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
6/13/2016
Aliases for variable name not defined
Assessment of Shunt Function
Other Non-Motor
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
C22527
Shunt valve other text
ShuntValveOth
The free-text related to shunt valve; specifying other text
Valve type other text
  
Alphanumeric
The free-text related to shunt valve type; specifying other text
No references available
Adult;Pediatric
Supplemental
1.0
6/13/2016
Aliases for variable name not defined
Assessment of Shunt Function
Other Non-Motor
Outcomes and End Points
 
255
Free-Form Entry
       
C22512
Shunt function valve anatomic site type
ShuntFunctionValveAntmcSiteTyp
Site/location
Valve Location
Frontal;Parietal;Occipital;Lumbar;N/A;
Frontal;Parietal;Occipital;Lumbar;N/A;
Date or Date & Time
Site/location
No references available
Adult;Pediatric
Supplemental
1.0
6/13/2016
Aliases for variable name not defined
Assessment of Shunt Function
Other Non-Motor
Outcomes and End Points
  
Free-Form Entry
       
C02411
Laterality type
LatTyp
Laterality type relative to the anatomic site of the body examined or affected
R or L
  
Alphanumeric
Choose one.
No references available
Adult;Pediatric
Supplemental
3.0
8/28/2013
Aliases for variable name not defined
Assessment of Shunt Function
Other Non-Motor
Outcomes and End Points
Laterality type
 
Single Pre-Defined Value Selected
       
C22529
Shunt valve surgical implantation date
ShuntValveSurgImplantDt
Date of surgical implantation
Date placed
  
Date or Date & Time
Indicate date of surgical implantation
No references available
Adult;Pediatric
Supplemental
1.0
6/13/2016
Aliases for variable name not defined
Assessment of Shunt Function
Other Non-Motor
Outcomes and End Points
  
Free-Form Entry
       
C22531
Shunt valve surgical site status
ShuntValveSurgSiteStat
Shunt valve surgical site status
Surgical site status
Normal;Tenderness;Redness;Swelling;
Normal;Tenderness;Redness;Swelling;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
6/13/2016
Aliases for variable name not defined
Assessment of Shunt Function
Other Non-Motor
Outcomes and End Points
  
Multiple Pre-Defined Values Selected
       
C22532
Shunt valve removal date
ShuntValveRemovalDt
Date shunt valve was removed
Date Removed
  
Date or Date & Time
Indicate date of removal or N/A.
No references available
Adult;Pediatric
Supplemental
1.0
6/13/2016
Aliases for variable name not defined
Assessment of Shunt Function
Other Non-Motor
Outcomes and End Points
  
Free-Form Entry
       
C22535
Shunt valve in place indicator
ShuntValvePlaceInd
Shunt valve currenting in place
Currenting in place?
Yes;No;
Yes;No;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
6/13/2016
Aliases for variable name not defined
Assessment of Shunt Function
Other Non-Motor
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
C22536
Shunt valve set type
ShuntValveSettingTyp
setting type (confirmation, mechanical, electronic)
Current setting?
  
Alphanumeric
Provide the shunt valve setting ( for example; confirmation, mechanical, electronic)
No references available
Adult;Pediatric
Supplemental
1.0
6/13/2016
Aliases for variable name not defined
Assessment of Shunt Function
Other Non-Motor
Outcomes and End Points
 
255
Free-Form Entry
       
C22537
Shunt valve reservoir refill sit not collect reason
ShntVlvRsrvrReflSitNotCllctRsn
Reason the time to refill after compression with the subject/participant sitting down was not collected
Reservoir refill (sitting)
N/A;n/t;
N/A;Not tested;
Alphanumeric
Time to refill after compression
No references available
Adult;Pediatric
Supplemental
1.0
6/13/2016
Aliases for variable name not defined
Assessment of Shunt Function
Other Non-Motor
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
C22538
Shunt valve reservoir refill sit time
ShuntValveReservRefillSitTime
Shunt valve reservoir refill sitting time
Reservoir refill time (sitting)
  
Numeric Values
The free-text related to reservoir refill time (sitting); specifying other text
No references available
Adult;Pediatric
Supplemental
1.0
6/13/2016
Aliases for variable name not defined
Assessment of Shunt Function
Other Non-Motor
Outcomes and End Points
  
Free-Form Entry
  
Minutes/seconds
    
C22539
Shunt valve reservoir refill lying not collect reason
ShntVlvRsrvrRefilLyNoCllctRsn
Reason the time to refill after compression with the subject/participant lying down was not collected
Reservoir refill (lying down)
N/A;n/t;
N/A;Not tested;
Alphanumeric
Time to refill after compression
No references available
Adult;Pediatric
Supplemental
1.0
6/13/2016
Aliases for variable name not defined
Assessment of Shunt Function
Other Non-Motor
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
C22541
Shunt valve reservoir refill lying duration
ShuntValveReservRefillLyDur
Time to refill after compression, with the subject/participant lying down
Reservoir refill time (lying down)
  
Numeric Values
Time to refill after compression
No references available
Adult;Pediatric
Supplemental
1.0
6/13/2016
Aliases for variable name not defined
Assessment of Shunt Function
Other Non-Motor
Outcomes and End Points
  
Free-Form Entry
  
Minutes/seconds
    
C22540
Shunt valve reservoir resistance type
ShuntValveReservResistTyp
Resistance to reservoir compression
Resistance to reservoir compression
N/A;Proximal (Normal);Proximal (resistant);Distal (normal);Distal (resistant);
N/A;Proximal (Normal);Proximal (resistant);Distal (normal);Distal (resistant);
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
6/13/2016
Aliases for variable name not defined
Assessment of Shunt Function
Other Non-Motor
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
C22542
Shunt valve manometric pressure type
ShuntValveManometPressrTyp
Provide the shunt value for the manometric pressure
Manometric pressure on needle access (supine)
N/A;n/t;mm H2O;Free flow on ventricular aspiration;Free flow on pressure to distal cath;
N/A;Not tested;mm H2O;Free flow on ventricular aspiration;Free flow on pressure to distal catheter;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Exploratory
1.0
6/13/2016
Aliases for variable name not defined
Assessment of Shunt Function
Other Non-Motor
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
C22543
Shunt valve functional assessment type
ShuntValveFuncAssmtTyp
Shunt valve functional assessment type
Functional assessment
Functioning;Proximal obstruction;Distal obstruction;Unable to reset;Non-functioning;Tied off surgically;Unknown;
Functioning;Proximal obstruction;Distal obstruction;Unable to reset;Non-functioning;Tied off surgically;Unknown;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
6/13/2016
Aliases for variable name not defined
Assessment of Shunt Function
Other Non-Motor
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
C22544
Shunt valve scan type
ShuntValveScanTyp
Shunt valve scan type
Shunt scan imaging
Intact path;Discontinuity;Malposition proximal;Malposition distal;Other;
Intact path;Discontinuity;Malposition proximal;Malposition distal;Other;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
6/13/2016
Aliases for variable name not defined
Assessment of Shunt Function
Other Non-Motor
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
C22545
Shunt valve scan date
ShuntValveScanDt
Date of shunt valve scan
Date of shunt valve scan
  
Date or Date & Time
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
6/13/2016
Aliases for variable name not defined
Assessment of Shunt Function
Other Non-Motor
Outcomes and End Points
  
Free-Form Entry
       
07-20-2019
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