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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: Unruptured Cerebral Aneurysms and Subarachnoid Hemorrhage
Sub-Domain: History of Disease/Injury Event
CRF: Pre-Hospital/Emergency Status
Item count: 39 (39 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
C15910
Assessment date and time
AssessDateTime
The date of participant's injury
Date and time assessment performed
  
Date or Date & Time
Record the date to the level of precision known (e.g., month/day/year, year, month/year, etc). The preferred format for recording date is MM/DD/YYYY.
No references available
Adult;Pediatric
Supplemental
3.0
7/16/2013
Aliases for variable name not defined
Pre-Hospital/Emergency Status
History of Disease/Injury Event
Disease/Injury Related Events
Assessment date and time
 
Free-Form Entry
       
C10677
ZIP partial code
ZIPPartialCode
First three digits of the zip code where the participant/subject currently lives.
First 3 digits of zip code
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
3.0
7/16/2013
Aliases for variable name not defined
Pre-Hospital/Emergency Status
History of Disease/Injury Event
Disease/Injury Related Events
Zip code
255
Free-Form Entry
       
C00008
Age value
AgeVal
Value for participant/subject's age, calculated as elapsed time since the birth of the participant/subject.
Age
  
Numeric Values
years
No references available
Adult;Pediatric
Supplemental
3.0
8/28/2013
Aliases for variable name not defined
Pre-Hospital/Emergency Status
History of Disease/Injury Event
Disease/Injury Related Events
Age value
 
Free-Form Entry
0
1800
month
    
C08147
Data source
DataSource
Source of the data provided on the case report form
From whom/what were the medical history data obtained?
Participant/subject;Mother;Father;Sister;Brother;Son;Daughter;Family, specify relation;Friend;Physician;Chart/Medical record;Unknown;Spouse;Other, specify;
Participant/subject;Mother;Father;Sister;Brother;Son;Daughter;Family, specify relation;Friend;Physician;Chart/Medical record;Unknown;Spouse;Other, specify;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
3.0
7/20/2013
Aliases for variable name not defined
Pre-Hospital/Emergency Status
History of Disease/Injury Event
Disease/Injury Related Events
Data source
 
Multiple Pre-Defined Values Selected
       
C52564
Data source family relation specify text
DataSourceFamRelST
Specify the relationship of the family member from which data on the participant/subject was obtained
Family, specify relation
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
1/24/2017
Aliases for variable name not defined
Pre-Hospital/Emergency Status
History of Disease/Injury Event
Disease/Injury Related Events
  
Free-Form Entry
       
C18667
Data source other text
DataSourcOTH
The free-text field related to 'Data source' specifying other text. Source of the data provided on the case report form
Other, specify:
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
5/27/2014
Aliases for variable name not defined
Pre-Hospital/Emergency Status
History of Disease/Injury Event
Disease/Injury Related Events
 
4000
Free-Form Entry
       
C05418
Hospital transport type
HospTrnsprtTyp
Type of transportation from injury scene to hospital
Type of transport to hospital
Ground ambulance with physician;Ground ambulance no physician;Private transportation/taxi/other from home/scene;By foot;Helicopter;Other, specify;
Ground ambulance with physician;Ground ambulance no physician;Private transportation/taxi/other from home/scene;By foot;Helicopter;Other, specify;
Alphanumeric
This refers to the method of transport to your hospital, not to the method of initial transport to another facility if the patient was subsequently transferred to your hospital.
No references available
Adult;Pediatric
Supplemental
3.0
7/20/2013
Aliases for variable name not defined
Pre-Hospital/Emergency Status
History of Disease/Injury Event
Disease/Injury Related Events
Hospital transport type
 
Single Pre-Defined Value Selected
       
C18686
Hospital transport other text
HospTrnsprtOTH
The free-text field related to 'Hospital transport type' specifying other text. Type of transportation from injury scene to hospital
Other, specify:
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
5/27/2014
Aliases for variable name not defined
Pre-Hospital/Emergency Status
History of Disease/Injury Event
Disease/Injury Related Events
 
4000
Free-Form Entry
       
C14208
Pre-hospital neurological impairment scale indicator
PrehospNeuroImpairScaleInd
Whether a pre-hospital neurologic impairment scale screen was documented by EMS personnel. Pre-hospital neurologic impairment scales are defined as published validated scales or those required by state EMS agencies (e.g., GCS for suspected hemorrhagic stroke or any stroke with impaired consciousness, Los Angeles Motor Scale, etc.).
Was a pre-hospital neurologic impairment screen documented by EMS personnel
Yes;No;Unknown;
Yes;No;Unknown;
Alphanumeric
Choose one
No references available
Adult;Pediatric
Supplemental
3.0
6/21/2013
Aliases for variable name not defined
Pre-Hospital/Emergency Status
History of Disease/Injury Event
Disease/Injury Related Events
Pre-hospital neurological impairment scale indicator
 
Single Pre-Defined Value Selected
       
C14205
Emergency Medical Services (EMS) scene arrival date and time
EMSSceneArrvlDateTime
This refers to the date/time when the Emergency Medical Services (EMS) vehicle arrives on the scene to transport the patient to the hospital.
Date and Time of EMS arrival at scene
  
Date or Date & Time
This data element refers to the original scene and is not applicable to inter-facility transport or to patients arriving by means other than EMS. Note that EMS includes response by volunteer and professional paramedics, EMTs, fire, police and other municipal service officers responding to 911 calls.
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
6/21/2013
Aliases for variable name not defined
Pre-Hospital/Emergency Status
History of Disease/Injury Event
Disease/Injury Related Events
EMS scene arrival date and time
 
Free-Form Entry
       
C14206
Emergency Medical Services (EMS) scene departure date and time
EMSSceneDepartureDateTime
Date and time the EMS vehicle departs with the patient from the scene to take the patient to the hospital.
Date and Time of EMS departure from scene
  
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
6/21/2013
Aliases for variable name not defined
Pre-Hospital/Emergency Status
History of Disease/Injury Event
Disease/Injury Related Events
EMS scene departure date and time
 
Free-Form Entry
       
C14204
Emergency Medical Services (EMS) vehicle type
EMSVehicleTyp
This refers to the Emergency Medical Services (EMS) vehicle that is used to transport the patient to the hospital. Choose one response.
Type of EMS vehicle
Ground;Air;Other;Unknown;Mobile Stroke Unit;
Ground;Air;Other;Unknown;Mobile Stroke Unit;
Alphanumeric
Choose one.
No references available
Adult;Pediatric
Supplemental
3.0
6/21/2013
Aliases for variable name not defined
Pre-Hospital/Emergency Status
History of Disease/Injury Event
Disease/Injury Related Events
EMS vehicle type
 
Single Pre-Defined Value Selected
       
C14223
Emergency Medical Services (EMS) service highest level type
EMSServiceHighestLevelTyp
Highest level of emergency medical service (EMS) provided
Highest level of EMS service
ALS;BLS;Flight nurse;MD;Paramedic;Unknown;
Advanced life support or equivalent;Basic life support or equivalent;;MD;Paramedic or equivalent;Unknown;
Alphanumeric
Choose one. BLS = Basic Life Support. ALS = Advanced Life Support. MD = physician
No references available
Adult;Pediatric
Supplemental
3.0
6/21/2013
Aliases for variable name not defined
Pre-Hospital/Emergency Status
History of Disease/Injury Event
Disease/Injury Related Events
EMS service highest level type
 
Single Pre-Defined Value Selected
       
C14207
Pre-hospital stroke identification screen indicator
PrehospStrokeIdScreenInd
Whether a pre-hospital identification stroke screen was documented by EMS personnel. Pre-hospital stroke identification screens are defined as published validated screening algorithms or those required by state EMS agencies (e.g., LAPSS, CPSS, MASS, etc.).
Was a pre-hospital identification stroke screen documented by EMS personnel
Yes;No;Unknown;
Yes;No;Unknown;
Alphanumeric
Choose one. 'Unknown' means not documented or cannot be determined.
No references available
Adult;Pediatric
Supplemental
3.0
6/21/2013
Aliases for variable name not defined
Pre-Hospital/Emergency Status
History of Disease/Injury Event
Disease/Injury Related Events
Pre-hospital stroke identification screen indicator
 
Single Pre-Defined Value Selected
       
C52740
Patient well last date and time
PatientWellLastDateTime
The date (and time, if known) the patient was last known to be well
Date and time patient last known to be well
  
Date or Date & Time
The purpose of this data element is to identify the earliest possible time that stroke symptoms began. This is sometimes known as "Onset Time" although the use of this term has been confusing to many in the past. If a patient experiences the onset of their symptoms in the company of another individual who can verify that the patient was functioning normally up until the time of start of symptoms, then in this patient the time "last known well" is also the time of symptom discovery. In many cases, however, no one is present at the exact start of symptoms. In this situation, we need to document the time when symptoms were first discovered (time of symptom discovery) as well as the time that the patient was last known to be well or at their baseline (time last known well), and record both of these. The time last known well should be the time closest to the time of discovery for which we have clear evidence that the patient was at their previous baseline. Depending on the type of symptoms, this might be established by a telephone or in person conversation. Family members, EMS personnel, and others, often mistakenly record the time of symptom discovery as the time the patient was last known well. It is imperative to distinguish these two times to avoid inappropriate use of IV t-PA (Intravenous Tissue Plasminogen Activator) in patients who are recently discovered to have symptoms but are many hours (>3 hrs) from their time of last being well.
No references available
Adult;Pediatric
Supplemental
3.0
7/24/2013
Aliases for variable name not defined
Pre-Hospital/Emergency Status
History of Disease/Injury Event
Disease/Injury Related Events
  
Free-Form Entry
       
C05404
Symptom onset date and time
SymptmOnsetDateTime
Date (and time, if applicable and known) reported for onset of participant's/subject's symptoms
Date and time of discovery of first subarachnoid hemorrhage (SAH) symptom
  
Date or Date & Time
This date and time should generally not vary between observers unless a witness noticed the onset of symptoms but did not alert anyone else, and a different individual is the one who contacted EMS or sought medical attention. If the event was witnessed, then the last known well date and time and the discovery date and time will be identical. Record both, even if identical. (To within 15 minutes of exact time of discovery is acceptable.)
No references available
Adult;Pediatric
Supplemental
3.0
7/25/2013
Aliases for variable name not defined
Pre-Hospital/Emergency Status
History of Disease/Injury Event
Disease/Injury Related Events
Symptom onset date and time
 
Free-Form Entry
       
C01565
Blood pressure systolic measurement
BldPressrSystMeasr
Measurement of pressure of the participant's/subject's blood against the artery walls during systole (the contraction phase) in millimeters of mercury (mmHg)
Blood pressure
  
Numeric Values
BP in mmHg
No references available
Adult;Pediatric
Supplemental
3.0
7/25/2013
SCI CDEs: BPSYS
Pre-Hospital/Emergency Status
History of Disease/Injury Event
Disease/Injury Related Events
Blood pressure systolic measurement
 
Free-Form Entry
0
300
millimeter of mercury
  
2004289
 
C01507
Blood pressure diastolic measurement
BldPressrDiastlMeasr
Measurement of pressure of the participant's/subject's blood against the artery walls during diastole (the relaxation phase) in millimeters of mercury (mmHg)
Blood pressure
  
Numeric Values
BP in mmHg
No references available
Adult;Pediatric
Supplemental
3.0
7/25/2013
SCI CDEs: BPDIAS
Pre-Hospital/Emergency Status
History of Disease/Injury Event
Disease/Injury Related Events
Blood pressure diastolic measurement
 
Free-Form Entry
0
300
millimeter of mercury
  
2004291
 
C01539
Temperature measurement
TempMeasr
Measurement of the participant's/subject's body temperature.
Temperature
  
Numeric Values
It is important to record whether the temperature is measured in degrees Celsius (°C) or degrees Fahrenheit (°F).It may also be important to record the location where the temperature measurement was made.
No references available
Adult;Pediatric
Supplemental
3.0
8/28/2013
SCI CDEs: TEMPMEAS
Pre-Hospital/Emergency Status
History of Disease/Injury Event
Disease/Injury Related Events
Temperature measurement
 
Free-Form Entry
0
50
degree Celsius
  
2644401
 
C01580
Temperature unit of measure
TempUOM
Unit of measure for the temperature numerical value
Temperature
F;C;
degrees Fahrenheit;degrees Celsius;
Alphanumeric
Choose one. It is important to record whether the temperature is measured in degrees Celsius (°C) or degrees Fahrenheit (°F).It may also be important to record the location where the temperature measurement was made.
No references available
Adult;Pediatric
Supplemental
3.0
7/24/2013
Aliases for variable name not defined
Pre-Hospital/Emergency Status
History of Disease/Injury Event
Disease/Injury Related Events
Temperature unit of measure
 
Single Pre-Defined Value Selected
     
2956267
 
C01550
Temperature measurement anatomic site
TempMeasrAntmicSite
Anatomic site on or within the body where the temperature was measured.
Temperature method
Oral;Rectal;Axillary;Tympanic;Bladder;Esophageal;Brain;Other, specify;
Oral;Rectal;Axillary;Tympanic;Bladder;Esophageal;Brain;Other, specify;
Alphanumeric
Choose one
No references available
Adult;Pediatric
Supplemental
3.0
8/28/2013
SCI CDEs: TEMPMETH
Pre-Hospital/Emergency Status
History of Disease/Injury Event
Disease/Injury Related Events
Temperature measurement anatomic site
 
Single Pre-Defined Value Selected
     
3151195
 
C18767
Temperature measurement other text
TempMeasrOTH
The free-text field related to 'Temperature measurement anatomic site' specifying other text. Anatomic site on or within the body where the temperature was measured.
Other, specify:
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
5/27/2014
Aliases for variable name not defined
Pre-Hospital/Emergency Status
History of Disease/Injury Event
Disease/Injury Related Events
 
4000
Free-Form Entry
     
3151195
 
C01535
Respiratory rate
RespRate
Rate of the participant/subject's breathing (inhalation and exhalation).
Respiratory rate:
  
Numeric Values
Breaths per minute
No references available
Adult;Pediatric
Supplemental
3.0
8/28/2013
Aliases for variable name not defined
Pre-Hospital/Emergency Status
History of Disease/Injury Event
Disease/Injury Related Events
Respiratory rate
 
Free-Form Entry
0
120
breaths per minute
  
2644399
 
C01557
Respiratory support type
RespSuppTyp
Type of respiratory support participant/subject received
Respiratory support type
Bag mask ventilation (BMV);Intubation;CPAP;BiPAP;No support needed;Oral airway;
Bag mask ventilation (BMV);Intubation;CPAP (Continuous positive airway pressure);BiPAP (bilevel positive airway pressure);No support needed;Oral airway;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
3.0
7/20/2013
Aliases for variable name not defined
Pre-Hospital/Emergency Status
History of Disease/Injury Event
Disease/Injury Related Events
Respiratory support type
 
Multiple Pre-Defined Values Selected
       
C01551
Respiration type
RespTyp
Type of respiration.
Respiration type
Spontaneous;Ventilated;Apneic;Unknown;Mechanical ventilation;
Spontaneous;Ventilated;Apneic;Unknown;Mechanical ventilation;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
3.0
7/20/2013
Aliases for variable name not defined
Pre-Hospital/Emergency Status
History of Disease/Injury Event
Disease/Injury Related Events
Respiration type
 
Single Pre-Defined Value Selected
       
C01500
Airway treatment type
AirwyTrtmtTyp
Type of treatment or procedures the participant/subject received to support airway/ breathing
Airway treatment type
Supplemental oxygen;Adjunctive airway;Temporary support with bag, valve, mask;Intubation;Mechanical ventilation;Unknown;No specific treatment;
providing oxygen via nasal canula, oxygen mask or any other external oxygen source.;Examples are the mayo device, combitube or LME.;;;;;;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
3.0
7/20/2013
Aliases for variable name not defined
Pre-Hospital/Emergency Status
History of Disease/Injury Event
Disease/Injury Related Events
Airway treatment type
 
Multiple Pre-Defined Values Selected
       
07-21-2019
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