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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: Parkinson's Disease
Sub-Domain: Surgeries and Other Procedures
CRF: Functional Neurosurgery
Item count: 79 (79 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
C08017
Case report number
CaseRprtNum
Although not a data item, the case report number may be helpful for centers to track and enumerate the number of PD DBS surgeries performed
Case Report
  
Alphanumeric
If known, please give the case report number
No references available
Adult;Pediatric
Exploratory
3.0
7/22/2013
Aliases for variable name not defined
Functional Neurosurgery
Surgeries and Other Procedures
Treatment/Intervention Data
Case report number
255
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
Neurosurgery Date
  
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
Functional Neurosurgery
Surgeries and Other Procedures
Treatment/Intervention Data
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 at Time of Surgery
  
Numeric Values
This element is not considered Core. Please refer to the Date of Birth element on the General Demographics form to derive age. If age is necessary to capture on this form, it may be added.
No references available
Adult;Pediatric
Supplemental
3.0
7/24/2013
Aliases for variable name not defined
Functional Neurosurgery
Surgeries and Other Procedures
Treatment/Intervention Data
Surgery age value
 
Free-Form Entry
0
99
     
C08019
Disease duration
DiseasDurat
Duration of disease at time of surgery
Disease Duration at Time of Surgery
  
Numeric Values
This value should be captured in months and/or years.
No references available
Adult;Pediatric
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Functional Neurosurgery
Surgeries and Other Procedures
Treatment/Intervention Data
Disease duration
 
Free-Form Entry
       
C08020
Surgery reason indication type
SurgRsnIndTyp
Reason participant/subject is in need of surgery
Indication(s) for Surgery
Tremors;Dyskinesias;Motor fluctuations;Drug/medication side effects;Trauma;Tracheostomy;Cardiomyopathy/Arrhythmia/Cardiac Device Implantation;Other, specify;
Tremors;Dyskinesias;Motor fluctuations;Drug/medication side effects;Trauma;Tracheostomy;Cardiomyopathy/Arrhythmia/Cardiac Device Implantation;Other, specify;
Alphanumeric
Select only one.
No references available
Adult;Pediatric
Supplemental
3.0
7/24/2013
Aliases for variable name not defined
Functional Neurosurgery
Surgeries and Other Procedures
Treatment/Intervention Data
Surgery Parkinsonian indication type
 
Single Pre-Defined Value Selected
       
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
Select only one.
No references available
Adult;Pediatric
Supplemental
1.0
5/27/2014
Aliases for variable name not defined
Functional Neurosurgery
Surgeries and Other Procedures
Treatment/Intervention Data
 
4000
Free-Form Entry
       
C08021
Surgery indication drug or medication side effects type
SurgIndicDrgMedSdEffctTyp
Type of drug or medication side effects experienced by the participant/subject
Drug Medication Side Effects
Insomnolence;Behavioral effects;Nausea/vomiting;
Insomnolence;Behavioral effects;Nausea/vomiting;
Alphanumeric
Only answer if "Drug/Medication side effects" is answered for 'Indication(s) for surgery'
No references available
Adult;Pediatric
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Functional Neurosurgery
Surgeries and Other Procedures
Treatment/Intervention Data
Surgery indication drug or medication side effects type
 
Single Pre-Defined Value Selected
       
C08022
Imaging magnetic resonance imaging findings result indicator
ImgMRIFndngResltInd
Results from MRI studies
MRI Findings
Abnormal;Normal;
Abnormal;Normal;
Alphanumeric
Choose only one.
No references available
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Functional Neurosurgery
Surgeries and Other Procedures
Treatment/Intervention Data
MRI findings result
 
Single Pre-Defined Value Selected
       
C08023
Imaging abnormal finding text
ImgAbnrmlFindTxt
Text description of the abnormal findings on the imaging study
If Abnormal, comment
  
Alphanumeric
Only answered if "Abnormal" is answered for the previous question
No references available
Adult;Pediatric
Supplemental
3.0
7/24/2013
Aliases for variable name not defined
Functional Neurosurgery
Surgeries and Other Procedures
Treatment/Intervention Data
MRI abnormal findings text
255
Free-Form Entry
       
C08024
L-Dopa pre-operative stim-on time
LDOPAPreOpStmonTime
The pre-operative stimulation start (or on) time of the L-Dopa challenge response
L-DOPA challenge responses Stim on time
  
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
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Functional Neurosurgery
Surgeries and Other Procedures
Treatment/Intervention Data
L-Dopa pre-operative stim-on time
 
Free-Form Entry
       
C08025
L-Dopa pre-operative stim-off time
LDOPAPreOpStmoffTime
The pre-operative stimulation end (or off) time of the L-Dopa challenge response
L-DOPA challenge responses Stim off time
  
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
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Functional Neurosurgery
Surgeries and Other Procedures
Treatment/Intervention Data
L-Dopa pre-operative stim-off time
 
Free-Form Entry
       
C08026
Functional neurosurgery target anatomic site
FuncNeurosurgTrgtAntmicSte
The anatomic site in the brain nucleus or group of neurons to be intervened for surgery
Intra Operative Information Target
Subthalamic Nucleus (STN);Globus pallidus, pars interna (GPi);PPN Pedunculoponitine nucleus (PPN);Other, specify;
Subthalamic Nucleus (STN);Globus pallidus, pars interna (GPi);PPN Pedunculoponitine nucleus (PPN);Other, specify;
Alphanumeric
Using the options listed, or free text, please specify the anatomic site in the brain nucleus or group of neurons to be intervened for surgery
No references available
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Functional Neurosurgery
Surgeries and Other Procedures
Treatment/Intervention Data
Functional neurosurgery target anatomic site
 
Single Pre-Defined Value Selected
       
C18681
Functional neurosurgery target anatomic other text
FuncNeurosurgTrgtOTH
The free-text field related to 'Functional neurosurgery target anatomic site' specifying other text. The anatomic site in the brain nucleus or group of neurons to be intervened for surgery
Other, specify
  
Alphanumeric
Using the options listed, or free text, please specify the anatomic site in the brain nucleus or group of neurons to be intervened for surgery
No references available
Adult
Supplemental
1.0
5/27/2014
Aliases for variable name not defined
Functional Neurosurgery
Surgeries and Other Procedures
Treatment/Intervention Data
 
4000
Free-Form Entry
       
C18683
Functional neurosurgery other text
FuncNeurosurgOTH
The free-text field related to 'Functional neurosurgery type' specifying other text. Type of functional neurosurgical intervention
Other, specify
  
Alphanumeric
Choose one
No references available
Adult
Supplemental
1.0
5/27/2014
Aliases for variable name not defined
Functional Neurosurgery
Surgeries and Other Procedures
Treatment/Intervention Data
 
4000
Free-Form Entry
       
C08027
Functional neurosurgery type
FuncNeurosurgTyp
Type of functional neurosurgical intervention
Procedure
Unilateral;Bilateral;Other, specify;
Unilateral;Bilateral;Other, specify;
Alphanumeric
Choose one
No references available
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Functional Neurosurgery
Surgeries and Other Procedures
Treatment/Intervention Data
Functional neurosurgery type
 
Single Pre-Defined Value Selected
       
C02411
Laterality type
LatTyp
Laterality type relative to the anatomic site of the body examined or affected
Unilateral Left Right
  
Alphanumeric
Only answer if 'Unilateral' is answered for 'Procedure'
No references available
Adult;Pediatric
Supplemental
3.0
8/28/2013
Aliases for variable name not defined
Functional Neurosurgery
Surgeries and Other Procedures
Treatment/Intervention Data
Laterality type
 
Single Pre-Defined Value Selected
       
C08029
Functional neurosurgery bilateral procedure type
FuncNeurosurgBilatProcTyp
Type of surgical intervention targeting both hemispheres of the brain.
Bilateral Simultaneous Staged
Simultaneous;Staged;
Simultaneous;Staged;
Alphanumeric
Only answer if 'Bilateral' is answered for 'Procedure'
No references available
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Functional Neurosurgery
Surgeries and Other Procedures
Treatment/Intervention Data
Functional neurosurgery bilateral procedure type
 
Single Pre-Defined Value Selected
       
C08030
Anterior commissure posterior commissure target coordinate value
ACPCTrgtCoordVal
Stereotactic coordinates with respect to anterior and posterior commissure (brain nuclei)
AC PC target coordinates
  
Alphanumeric
Specify left and right coordinates if procedure is unilateral
No references available
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Functional Neurosurgery
Surgeries and Other Procedures
Treatment/Intervention Data
AC-PC target coordinate value
255
Free-Form Entry
       
C08031
Functional neurosurgery target planning method type
FuncNeurosurgTrgtPlnngMethdTyp
The type of method used to determine the coordinates of the target (brain nucleus)
Target Planning Method
Direct;Indirect;Atlas;Planning Platform;Imaging;Ventriculography;Other, specify;
Direct;Indirect;Atlas;Planning Platform;Imaging;Ventriculography;Other, specify;
Alphanumeric
Using the options listed, or free text, please specify the type of method used to determine the coordinates of the target (brain nucleus)
No references available
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Functional Neurosurgery
Surgeries and Other Procedures
Treatment/Intervention Data
Functional neurosurgery target planning method type
 
Multiple Pre-Defined Values Selected
       
C18682
Functional neurosurgery target planning method other text
FuncNeurosurgTrgtPlnngMethdOTH
The free-text field related to 'Functional neurosurgery target planning method type' specifying other text. The type of method used to determine the coordinates of the target (brain nucleus)
Other, specify
  
Alphanumeric
Using the options listed, or free text, please specify the type of method used to determine the coordinates of the target (brain nucleus)
No references available
Adult
Supplemental
1.0
5/27/2014
Aliases for variable name not defined
Functional Neurosurgery
Surgeries and Other Procedures
Treatment/Intervention Data
 
4000
Free-Form Entry
       
C18750
Risk Factor Questionnaire (RFQ) - significant injury surgery anesthesia administered other text
RFQSignfcntInjSxAnesthAdmOTH
The free-text field related to 'Risk Factor Questionnaire (RFQ) - significant injury surgery anesthesia administered type' specifying other text. Type of anesthesia given to participant/subject as part of the Risk Factor Questionnaire (RFQ).
Other, specify
  
Alphanumeric
Choose only one
No references available
Adult;Pediatric
Supplemental
1.0
5/27/2014
Aliases for variable name not defined
Functional Neurosurgery
Surgeries and Other Procedures
Treatment/Intervention Data
 
4000
Free-Form Entry
       
C08032
Risk Factor Questionnaire (RFQ) - significant injury surgery anesthesia administered type
RFQSignfcntInjSxAnesthAdmType
Type of anesthesia given to participant/subject as part of the Risk Factor Questionnaire (RFQ).
Type of Anesthesia
General;Local;Spinal block;Other, specify;
General;Local;Spinal block;Other, specify;
Alphanumeric
Choose only one
No references available
Adult;Pediatric
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Functional Neurosurgery
Surgeries and Other Procedures
Treatment/Intervention Data
Anesthesia type
 
Single Pre-Defined Value Selected
       
C08033
Medication anti-Parkinsonian during procedure indicator
MedAntiPrknsnDurngProcInd
Indicator of whether the participant/subject was on anti-Parkinsonian medication(s) during the surgical procedure
Was patient on anti-Parinsonian Medication(s) during Procedure
Yes;No;Unknown;
Yes;No;Unknown;
Alphanumeric
Choose only one
No references available
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Functional Neurosurgery
Surgeries and Other Procedures
Treatment/Intervention Data
Medication anti-Parkinsonian during procedure indicator
 
Single Pre-Defined Value Selected
       
C08034
Surgery head position status
SurgHeadPositStatus
Status of the participant's/subject's head position with respect to the horizontal plane during surgery
Head Position
Elevated;Flat;
Elevated;Flat;
Alphanumeric
Choose only one
No references available
Adult;Pediatric
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Functional Neurosurgery
Surgeries and Other Procedures
Treatment/Intervention Data
Surgery head position status
 
Single Pre-Defined Value Selected
       
C08035
Stereotactic surgery frame type
StereostatSurgFrmTyp
Scaffold or support used for stereotactic surgery
Frame Type
CRW;Leksell;Mini-Frame;Other, specify;
CRW;Leksell;Mini-Frame;Other, specify;
Alphanumeric
CRW (manufactured by Radionics) and Leksell (manufactured by Elekta) are the two most common frame types.
No references available
Adult;Pediatric
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Functional Neurosurgery
Surgeries and Other Procedures
Treatment/Intervention Data
Stereotactic surgery frame type
 
Single Pre-Defined Value Selected
       
C18755
Stereotactic surgery frame other text
StereostatSurgFrmOTH
The free-text field related to 'Stereotactic surgery frame type' specifying other text. Scaffold or support used for stereotactic surgery
Other, specify
  
Alphanumeric
CRW (manufactured by Radionics) and Leksell (manufactured by Elekta) are the two most common frame types.
No references available
Adult;Pediatric
Supplemental
1.0
5/27/2014
Aliases for variable name not defined
Functional Neurosurgery
Surgeries and Other Procedures
Treatment/Intervention Data
 
4000
Free-Form Entry
       
07-20-2019
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