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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: Sport Related Concussion
SubDisease: Comprehensive
Sub-Domain: Imaging Diagnostics
CRF: Imaging
Item count: 46 (46 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
C17402
Site name
SiteName
The name of the site for the study
Site name
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
3.0
6/21/2013
Aliases for variable name not defined
Imaging
Imaging Diagnostics
Assessments and Examinations
Site name
255
Free-Form Entry
       
C19247
Subject ID
SubIDNam
Subject identification ID
Subject ID
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
6/5/2014
Aliases for variable name not defined
Imaging
Imaging Diagnostics
Assessments and Examinations
 
255
Free-Form Entry
       
C02494
Imaging study date and time
ImgStdyDateTime
Date (and time, if applicable and known) the radiologic study was obtained.
Imaging study date and time // (24 hour clock) yyy mm dd hh mm ss
  
Date or Date & Time
No instructions available
No references available
Adult;Pediatric
Supplemental
3.0
8/28/2013
Refer to SCI CDE Annotated Form
Imaging
Imaging Diagnostics
Assessments and Examinations
Imaging study date and time
 
Free-Form Entry
       
C02437
Imaging modality type
ImgModltyTyp
Type of radiologic study performed on the participant/subject
Imaging modality
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
3.0
7/24/2013
Aliases for variable name not defined
Imaging
Imaging Diagnostics
Assessments and Examinations
Imaging modality type
 
Single Pre-Defined Value Selected
       
C02495
Imaging scanner strength value
ImgScannerStrgthVal
Value, in Tesla (T), of the scanner's magnetic field strength used for the scan being reported
Imaging scanner strength
1.5T;3.0T;4.0T;7.0T;Other, specify;
1.5T;3.0T;4.0T;7.0T;Other, specify;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
3.0
8/28/2013
Aliases for variable name not defined
Imaging
Imaging Diagnostics
Assessments and Examinations
Imaging scanner strength value
 
Single Pre-Defined Value Selected
  
Tesla
    
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
Imaging scanner strength Other: specify
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
5/27/2014
Aliases for variable name not defined
Imaging
Imaging Diagnostics
Assessments and Examinations
 
4000
Free-Form Entry
  
Tesla
    
C02496
Imaging scanner manufacturer name
ImgScannerManufName
Name of manufacturer of imaging scanner
Imaging scanner manufacturer name
Agfa;Hitachi;Philips;Other, specify;Carestream;Toshiba;Hologic;Siemens;GE;Konica Minolta;
Agfa;Hitachi;Philips;Other, specify;Carestream;Toshiba;Hologic;Siemens;GE;Konica Minolta;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
3.0
7/25/2013
Aliases for variable name not defined
Imaging
Imaging Diagnostics
Assessments and Examinations
Imaging scanner manufacturer name
 
Single Pre-Defined Value Selected
       
C18716
Imaging scanner manufacturer other text
ImgScannerManufOTH
The free-text field related to 'Imaging scanner manufacturer name' specifying other text. Name of manufacturer of imaging scanner
Other, specify
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
5/27/2014
Aliases for variable name not defined
Imaging
Imaging Diagnostics
Assessments and Examinations
 
4000
Free-Form Entry
       
C02497
Imaging scanner model name
ImgScannerModelName
Name of model of imaging scanner
Imaging scanner model name
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Imaging
Imaging Diagnostics
Assessments and Examinations
Imaging scanner model name
 
Single Pre-Defined Value Selected
       
C02498
Imaging scanner software version number
ImgScannerSftwrVrsnNum
Version number of the imaging scanner software
Imaging scanner software version number
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
3.0
7/25/2013
Aliases for variable name not defined
Imaging
Imaging Diagnostics
Assessments and Examinations
Imaging scanner software version number
4000
Free-Form Entry
       
C10566
Imaging radio frequency coil name
ImgRFCoilName
Name of the radio frequency (RF) coil(s) used for the body part scanned
Head coil name
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
3.0
7/24/2013
Aliases for variable name not defined
Imaging
Imaging Diagnostics
Assessments and Examinations
Imaging RF receiver coil name
4000
Free-Form Entry
       
C10567
Imaging radio frequency coil type
ImgRFCoilTyp
Type of radio frequency (RF) coil(s) used for the body part scanned
Head coil type
Head coil;Neck coil;Spine array;Body coil (transmit);Double-cone;Circular;Figure 8;Other, specify;
Head coil;Neck coil;Spine array;Body coil (transmit);Double-cone;Circular;Figure 8;Other, specify;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
3.0
7/24/2013
Aliases for variable name not defined
Imaging
Imaging Diagnostics
Assessments and Examinations
Imaging RF receiver coil type
4000
Multiple Pre-Defined Values Selected
       
C18715
Imaging radio frequency coil other text
ImgRFCoilOTH
The free-text field related to 'Imaging radio frequency coil type' specifying other text. Type of radio frequency (RF) coil(s) used for the body part scanned
Other, specify
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
5/27/2014
Aliases for variable name not defined
Imaging
Imaging Diagnostics
Assessments and Examinations
 
4000
Free-Form Entry
       
C10568
Imaging radio frequency coil channel count
ImgRFCoilChannelCt
Number of the coil channels in the radio frequency (RF) coil used for the imaging scan
Head coil channel count
1;8;12;16;24;32;Other, specify;
Single coil;8 channels;12 channels;16 channels;24 channels;32 channels;Other, specify;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
3.0
7/24/2013
Aliases for variable name not defined
Imaging
Imaging Diagnostics
Assessments and Examinations
Imaging coil channel number
 
Single Pre-Defined Value Selected
       
C18714
Imaging radio frequency coil channel other text
ImgRFCoilChannelOTH
The free-text field related to 'Imaging radio frequency coil channel count' specifying other text. Number of the coil channels in the radio frequency (RF) coil used for the imaging scan
Other, specify
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
5/27/2014
Aliases for variable name not defined
Imaging
Imaging Diagnostics
Assessments and Examinations
 
4000
Free-Form Entry
       
C02499
Imaging pulse sequence type
ImgPulseSeqTyp
Type of imaging pulse sequence used
Imaging sequence (choose all that apply)
MPRAGE;GRE;SWI;DTI;FLAIR;Other, specify;T1;T2;DWI;PWI;MRSI;fMRI;
MPRAGE;GRE;SWI;DTI;FLAIR;Other, specify;T1;T2;DWI;PWI;MRSI;fMRI;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
3.0
8/28/2013
Aliases for variable name not defined
Imaging
Imaging Diagnostics
Assessments and Examinations
Imaging sequence type
 
Multiple Pre-Defined Values Selected
       
C18708
Imaging pulse sequence other text
ImgPulseSeqOTH
The free-text field related to 'Imaging pulse sequence type' specifying other text. Type of imaging pulse sequence used
Other, specify
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
5/27/2014
Aliases for variable name not defined
Imaging
Imaging Diagnostics
Assessments and Examinations
 
4000
Free-Form Entry
       
C02500
Imaging brain assessment result
ImgBrainAssessmtReslt
Result of the global assessment of brain imaging
Brain imaging result
Normal;Abnormal;Not assessed;Unknown;
Normal;Abnormal;Not assessed;Unknown;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
3.0
7/20/2013
Aliases for variable name not defined
Imaging
Imaging Diagnostics
Assessments and Examinations
Brain imaging result
 
Single Pre-Defined Value Selected
       
C02463
Skull fracture status
SkullFractStat
Status of a break in the normal integrity of the skull, which may be partial or full thickness, caused by presumed mechanical force.
Skull fracture
Present;Absent;
Present;Absent;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
3.0
7/20/2013
Aliases for variable name not defined
Imaging
Imaging Diagnostics
Assessments and Examinations
Skull fracture indicator
 
Single Pre-Defined Value Selected
       
C02427
Epidural hematoma status
EpdurlHematomaStatus
Status of a collection of blood between the skull and dura. On CT, the EDH typically (though not always) has a biconvex shape, an adjacent skull fracture/scalp injury, and classically does not cross sutural margins. (In patients with skull fractures, especially those in children involving the sutures, this rule may not always apply.) The acute EDH is hyperdense, but may contain hypodense areas representing unclotted blood. As the EDH evolves, it gradually loses its hyperdensity and may appear iso/hypodense. On MRI, the acute EDH is hypo/isointense on T1 and very hypointense on T2, GRE, and SW-imaging. The inwardly displaced dura should be directly visualized on MR as a thin dark line on all pulse sequences.
Epidural hematoma
Present;Absent;
Present;Absent;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
3.0
7/20/2013
Aliases for variable name not defined
Imaging
Imaging Diagnostics
Assessments and Examinations
Epidural hematoma indicator
 
Single Pre-Defined Value Selected
       
C02472
Subdural hematoma acute status
SubDurHematmAcutStat
Status of a collection of acute blood between the arachnoid and the dura, typically (though not always) hyperdense with a crescent shape on CT. Mixed density may be seen if the collection contains unclotted blood, CSF admixture, and/or active extravasation. On MRI, the acute SDH is iso/hypointense on T1 and very hypointense on T2, GRE, and SW-imaging. Note: Please see additional categories below for subacute, chronic, and mixed collections if these better describe the lesion, or if the chronicity/timing is uncertain.
Acute subdural hematoma
Present;Absent;
Present;Absent;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
3.0
7/20/2013
Aliases for variable name not defined
Imaging
Imaging Diagnostics
Assessments and Examinations
Subdural hematoma acute indicator
 
Single Pre-Defined Value Selected
       
C02480
Subdural hematoma mixed density CSF-like collection indicator
SDHMxDensCSFCollctInd
Indicator of a collection of inhomogeneous blood products between the arachnoid and the dura, typically (though not always) with a crescent shape, in which timing (e.g., acute vs. chronic or subacute) is indeterminate.
Subdural hematoma-mixed density or CSF-like collection
Present;Absent;
Present;Absent;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
3.0
7/20/2013
Aliases for variable name not defined
Imaging
Imaging Diagnostics
Assessments and Examinations
Subdural hematoma mixed density or CSF-like collection indicator
 
Single Pre-Defined Value Selected
       
C02469
Subarachnoid hemorrhage indicator
SAHStatus
Indicator of macroscopic blood located between the brain surface and the arachnoid membrane. On CT and MR, the blood in this location will follow the contour of the sulci and cisterns. Acute SAH is hyperdense on CT and hyperintense on FLAIR MR imaging.
Subarachnoid hemorrhage
Present;Absent;Indeterminate;
Present;Absent;Indeterminate;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
3.0
7/20/2013
Aliases for variable name not defined
Imaging
Imaging Diagnostics
Assessments and Examinations
Subarachnoid hemorrhage indicator
 
Single Pre-Defined Value Selected
       
C02455
Midline shift supratentorial indicator
MidlneShftSuprtentorialInd
Displacement of the supratentorial midline structures, particularly the septum pellucidum, 2 mm or more due to mass effect of a focal traumatic lesion or brain swelling.
Midline shift supratentorial
Present;Absent;
Present;Absent;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
3.0
7/20/2013
Aliases for variable name not defined
Imaging
Imaging Diagnostics
Assessments and Examinations
Midline shift supratentorial indicator
 
Single Pre-Defined Value Selected
       
C02410
Cisternal compression status
CstrnlCompressStat
Status of asymmetry or obliteration of the normal configuration of the perimesencephalic, suprasellar, prepontine, or superior cerebellar cistern, and/or cisterna magna due to mass effect and/or brain swelling in the setting of trauma.
Cisternal compression
Present;Absent;
Cisternal compression is present in at least one location;Cisterns normal;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
3.0
7/20/2013
Aliases for variable name not defined
Imaging
Imaging Diagnostics
Assessments and Examinations
Cisternal compression indicator
 
Single Pre-Defined Value Selected
       
12-15-2018
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