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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: Epilepsy
Sub-Domain: Imaging Diagnostics
CRF: Functional Magnetic Resonance Imaging (fMRI)
Item count: 20 (20 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
C02494
Imaging study date and time
ImgStdyDateTime
Date (and time, if applicable and known) the radiologic study was obtained.
Date of Study
  
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
8/28/2013
Refer to SCI CDE Annotated Form
Functional Magnetic Resonance Imaging (fMRI)
Imaging Diagnostics
Assessments and Examinations
Imaging study date and time
 
Free-Form Entry
       
C13962
Seizure last occurrence date and time
SeizLastOccurDateTime
The date and time the last seizure occurred
Last seizure occurrence in relation to study
  
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
8/28/2013
Aliases for variable name not defined
Functional Magnetic Resonance Imaging (fMRI)
Imaging Diagnostics
Assessments and Examinations
Last Seizure Occurrence Date/Time
 
Free-Form Entry
       
C18718
Imaging scanner strength other text
ImgScannerStrgthOTH
The free-text field related to 'Imaging scanner strength value' specifying other text. Value, in Tesla (T), of the scanner's magnetic field strength used for the scan being reported
Other, specify
  
Alphanumeric
Check only one. If other, specify.
No references available
Adult;Pediatric
Supplemental
1.0
5/27/2014
Aliases for variable name not defined
Functional Magnetic Resonance Imaging (fMRI)
Imaging Diagnostics
Assessments and Examinations
 
4000
Free-Form Entry
  
Tesla
    
C02495
Imaging scanner strength value
ImgScannerStrgthVal
Value, in Tesla (T), of the scanner's magnetic field strength used for the scan being reported
Scanner
1.5T;3.0T;Other, specify;
1.5T;3.0T;Other, specify;
Alphanumeric
Check only one. If other, specify.
No references available
Adult;Pediatric
Supplemental
3.0
8/28/2013
Aliases for variable name not defined
Functional Magnetic Resonance Imaging (fMRI)
Imaging Diagnostics
Assessments and Examinations
Imaging scanner strength value
 
Single Pre-Defined Value Selected
  
Tesla
    
C18893
Imaging perfusion technique other text
ImgPerfusionTechniqueOTH
The free-text field related to 'Imaging perfusion technique type' specifying other text. Method of perfusion for imaging
Other, specify
  
Alphanumeric
Check only one. If other, specify.
No references available
Adult;Pediatric
Supplemental
1.0
10/5/2012
Aliases for variable name not defined
Functional Magnetic Resonance Imaging (fMRI)
Imaging Diagnostics
Assessments and Examinations
 
4000
Free-Form Entry
       
C13963
Imaging perfusion technique type
ImgPerfusionTechniqueTyp
Method of perfusion for imaging
Technique
BOLD;ASL;Other, specify;
Blood oxygen level dependent (BOLD);Arterial spin labeling (ASL);Other, specify;
Alphanumeric
Check only one. If other, specify.
No references available
Adult;Pediatric
Supplemental
1.0
10/5/2012
Aliases for variable name not defined
Functional Magnetic Resonance Imaging (fMRI)
Imaging Diagnostics
Assessments and Examinations
Imaging perfusion technique indicator
 
Single Pre-Defined Value Selected
       
C13964
Imaging complicating factor type
ImgComplicatingFactorTyp
Factors that may hinder proper data acquisition and interpretation
Complicating Factors
Postictal;Mass;Vascular malformation;Carotid stenosis;
Postictal;Mass;Vascular malformation;Carotid stenosis;
Alphanumeric
Check all that apply
No references available
Adult;Pediatric
Supplemental
3.0
8/28/2013
Aliases for variable name not defined
Functional Magnetic Resonance Imaging (fMRI)
Imaging Diagnostics
Assessments and Examinations
Imaging complicating factor indicator
 
Multiple Pre-Defined Values Selected
       
C13965
Imaging paradigm task design type
ImgParadigmTaskDesignTyp
Nature of stimuli presented
Paradigm Task Design
Block Design;Event related;
Block Design;Event related;
Alphanumeric
Check all that apply
No references available
Adult;Pediatric
Supplemental
1.0
10/5/2012
Aliases for variable name not defined
Functional Magnetic Resonance Imaging (fMRI)
Imaging Diagnostics
Assessments and Examinations
Imaging paradigm task design indicator
 
Multiple Pre-Defined Values Selected
       
C13966
Imaging behavioral monitoring indicator
ImgBehavioralMonitoringInd
Responses to paradigm items recorded or not
Behavioral Monitoring
Yes;No;
Yes;No;
Alphanumeric
Check only one
No references available
Adult;Pediatric
Supplemental
1.0
10/5/2012
Aliases for variable name not defined
Functional Magnetic Resonance Imaging (fMRI)
Imaging Diagnostics
Assessments and Examinations
Imaging behavioral monitoring indicator
 
Single Pre-Defined Value Selected
       
C13967
Imaging domain tested type
ImgDomainTestedTyp
Cognitive Area or brain function tested during scan
DomainTested
Motor;Somatosensory;Visual;Language;Expressive;Receptive;Both;Memory;Explicit;Implicit;Encoding;Recall;Verbal;Visual spatial;Both (memory);
Motor;Somatosensory;Visual;Language;Language-Expressive;Language-Receptive;Language-Both;Memory;Memory-Explicit;Memory-Implicit;Memory-Encoding;Memory-Recall;Memory-Verbal;Memory-Visual spatial;Memory-Both;
Alphanumeric
Check all that apply
No references available
Adult;Pediatric
Supplemental
1.0
10/5/2012
Aliases for variable name not defined
Functional Magnetic Resonance Imaging (fMRI)
Imaging Diagnostics
Assessments and Examinations
Imaging domain tested type
 
Multiple Pre-Defined Values Selected
       
C13968
Imaging functional magnetic resonance imaging analysis type
ImgfMRIAnlysisTyp
Types of functional magnetic resonance imaging (fMRI) analytic methods
Analysis
Native space;Standard space;SPM;AFNI;FSL;MEDX;Visual blinded;Visual unblinded;ROI;Mask;VBM;Other, specify;
Native space;Standard space (Talairach, MNI, other);Statistical parametric mapping;Analysis of functional neuroimages;fMRI software library;software program,no def found,poss proprietary name;Visual blinded;Visual unblinded;Region of interest;Mask;Voxel-based morphometry;Other, specify;
Alphanumeric
Check all that apply
No references available
Adult;Pediatric
Supplemental
3.0
8/28/2013
Aliases for variable name not defined
Functional Magnetic Resonance Imaging (fMRI)
Imaging Diagnostics
Assessments and Examinations
Imaging fMRI analysis type
 
Multiple Pre-Defined Values Selected
       
C18894
Imaging functional magnetic resonance imaging analysis other text
ImgFMRIAnlysisOTH
The free-text field related to 'Imaging functional magnetic resonance imaging analysis type' specifying other text. Types of functional magnetic resonance imaging (fMRI) analytic methods
Other, specify
  
Alphanumeric
Check all that apply
No references available
Adult;Pediatric
Supplemental
3.0
8/28/2013
Aliases for variable name not defined
Functional Magnetic Resonance Imaging (fMRI)
Imaging Diagnostics
Assessments and Examinations
 
4000
Free-Form Entry
       
C18895
Brain region of interest other text
BrainROIOTH
The free-text field related to 'Brain region of interest type' specifying other text. Region of interest in the brain
Other, specify
  
Alphanumeric
Specify region if ROI
No references available
Adult;Pediatric
Supplemental
3.0
8/28/2013
Aliases for variable name not defined
Functional Magnetic Resonance Imaging (fMRI)
Imaging Diagnostics
Assessments and Examinations
 
4000
Free-Form Entry
       
C13970
Brain region of interest type
BrainROITyp
Region of interest in the brain
If ROI, specify region
Frontal;Parietal;Temporal;Occipital;White matter;Basal ganglia;Pons;Brain stem;Unknown;Other, specify;
Frontal;Parietal;Temporal;Occipital;White matter;Basal ganglia;Pons;Brain stem;Unknown;Other, specify;
Alphanumeric
Specify region if ROI
No references available
Adult;Pediatric
Supplemental
3.0
8/28/2013
Aliases for variable name not defined
Functional Magnetic Resonance Imaging (fMRI)
Imaging Diagnostics
Assessments and Examinations
Imaging ROI region indicator
 
Multiple Pre-Defined Values Selected
       
C13971
Imaging region of interest activation mean value
ImgROIActivationMeanVal
The average amount of activation observed/measured in the region of interest (ROI)
If ROI,specify activation mean
  
Numeric Values
Specify activation mean if ROI
No references available
Adult;Pediatric
Supplemental
3.0
8/28/2013
Aliases for variable name not defined
Functional Magnetic Resonance Imaging (fMRI)
Imaging Diagnostics
Assessments and Examinations
Imaging ROI activation mean measurement
 
Free-Form Entry
       
C13972
Imaging area language anatomic site
ImgAreaLanguageAntmicSite
Imaging location on brain area for language
Language
Frontal;Temporal;Hemisphere;
Frontal;Temporal;Hemisphere;
Alphanumeric
Check only one
No references available
Adult;Pediatric
Supplemental
1.0
10/5/2012
Aliases for variable name not defined
Functional Magnetic Resonance Imaging (fMRI)
Imaging Diagnostics
Assessments and Examinations
Imaging area language type
 
Single Pre-Defined Value Selected
       
C18519
Imaging temporal brain area language type
ImgTemporalBrainAreaLangTyp
Imaging location on temporal brain area for language
Language Laterality
Right;Left;Bilateral;Unknown;
Right;Left;Bilateral;Unknown;
Alphanumeric
(Check only one)
No references available
Adult;Pediatric
Supplemental
3.0
7/30/2013
Aliases for variable name not defined
Functional Magnetic Resonance Imaging (fMRI)
Imaging Diagnostics
Assessments and Examinations
  
Single Pre-Defined Value Selected
       
C18518
Brain laterality type
BrainLateralityTyp
Brain laterality of interest
Analysis: Hemisphere
Right;Left;Bilateral;Unknown;
Right;Left;Bilateral;Unknown;
Alphanumeric
(Check only one)
No references available
Adult;Pediatric
Supplemental
3.0
7/30/2013
Aliases for variable name not defined
Functional Magnetic Resonance Imaging (fMRI)
Imaging Diagnostics
Assessments and Examinations
  
Single Pre-Defined Value Selected
       
C02411
Laterality type
LatTyp
Laterality type relative to the anatomic site of the body examined or affected
Memory: Hemisphere Laterality
  
Alphanumeric
Indicate which of the following cranial nerves are abnormal
No references available
Adult;Pediatric
Supplemental
3.0
8/28/2013
Aliases for variable name not defined
Functional Magnetic Resonance Imaging (fMRI)
Imaging Diagnostics
Assessments and Examinations
Laterality type
 
Single Pre-Defined Value Selected
       
C18520
Language memory paradigms description text
LangMemoryParadigmDescTxt
A description of the language or memory paradigm that was used.
Description of Language and Memory Paradigms
  
Alphanumeric
(TBD-list if Visual or Auditory)
No references available
Adult;Pediatric
Supplemental
3.0
7/30/2013
Aliases for variable name not defined
Functional Magnetic Resonance Imaging (fMRI)
Imaging Diagnostics
Assessments and Examinations
 
255
Free-Form Entry
       
03-22-2017
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