CDE Detailed Report

Disease: Myasthenia Gravis
Sub-Domain: General Health History
CRF: Surgical History

Displaying 1 - 9 of 9
CDE ID CDE Name Variable Name Definition Short Description Additional Notes (Question Text) Permissible Values Description Data Type Disease Specific Instructions Disease Specific Reference Population Classification (e.g., Core) Version Number Version Date CRF Name (CRF Module / Guideline) Sub Domain Name Domain Name Size Input Restrictions Min Value Max Value Measurement Type External Id Loinc External Id Snomed External Id caDSR External Id CDISC
C21669 Surgical or therapeutic procedure ICD-10-CM other text SurgTherapuProcICD10CMOTH The free-text field related to 'Surgical or therapeutic procedure ICD-10-CM code' specifying other text. Code from the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) for the selected surgical procedure The free-text field related to 'Surgical or therapeutic procedure ICD-10-CM code' specifying other text. Code from the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) for the selected surgical procedure Other, specify Alphanumeric

Record a reason for each surgery. If the data will be shared, code each surgical procedure using ICD-10-CM.

International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM): http://www.cdc.gov/nchs/icd/icd10cm.htm#icd2016 Adult;Pediatric Supplemental 1.00 2014-05-27 13:34:46.0 Surgical History General Health History Participant History and Family History 4000

Free-Form Entry

C05105 Surgical or therapeutic procedure end date and time SurgTherapuProcEndDateTime Date on which the surgical or therapeutic procedure ended Date on which the surgical or therapeutic procedure ended Discharge Date (MM/YYYY) or Age (approximate) 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 3.00 2013-07-24 21:00:23.88 Surgical History General Health History Participant History and Family History

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 Date (and time, if applicable and known) on which the surgical or therapeutic procedure started Admission Date (MM/YYYY) or Age (approximate) 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 3.00 2013-07-25 08:54:08.2 Surgical History General Health History Participant History and Family History

Free-Form Entry

C08018 Surgery age value SurgAgeVal Age of the participant/subject at the time of the selected surgical procedure Age of the participant/subject at the time of the selected surgical procedure Admission Date (MM/YYYY) or Age (approximate) Discharge Date (MM/YYYY) or Age (approximate) Numeric Values

This value can be captured in years or months.

No references available Adult;Pediatric Supplemental 3.00 2013-07-24 11:38:01.2 Surgical History General Health History Participant History and Family History

Free-Form Entry

0 99
C08020 Surgery reason indication type SurgRsnIndTyp Reason participant/subject is in need of surgery Reason participant/subject is in need of surgery Reason Trauma;Cardiomyopathy/Arrhythmia/Cardiac Device Implantation;Tracheostomy;Other, specify Trauma;Cardiomyopathy/Arrhythmia/Cardiac Device Implantation;Tracheostomy;Other, specify Alphanumeric

Record a reason for each surgery. If the data will be shared, code each surgical procedure using ICD-9-CM.

No references available Adult;Pediatric Supplemental 3.00 2013-07-24 21:00:23.88 Surgical History General Health History Participant History and Family History

Single Pre-Defined Value Selected

C12671 Surgery lifetime total count SurgLftmeTotCt Total number of surgeries the participant/subject has undergone in his/her lifetime Total number of surgeries the participant/subject has undergone in his/her lifetime Total Number of surgeries in lifetime Numeric Values

No additional instructions

No references available Adult;Pediatric Supplemental 3.00 2013-07-24 11:36:20.083 Surgical History General Health History Participant History and Family History

Free-Form Entry

C12672 Surgical or therapeutic procedure ventilated indicator SurgTherapProcedVntltdInd Whether the participant/subject was ventilated during the surgical or therapeutic procedure Whether the participant/subject was ventilated during the surgical or therapeutic procedure Ventilated During Surgery? Yes;No Yes;No Alphanumeric

Choose one. Answer for each surgical procedure in the medical history.

No references available Adult;Pediatric Supplemental 3.00 2013-07-24 11:36:20.083 Surgical History General Health History Participant History and Family History

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 The free-text field related to 'Surgery reason indication type' specifying other text. Reason participant/subject is in need of surgery Other, specify Alphanumeric

Record a reason for each surgery. If the data will be shared, code each surgical procedure using ICD-9-CM.

No references available Adult;Pediatric Supplemental 1.00 2014-05-27 13:34:46.0 Surgical History General Health History Participant History and Family History 4000

Free-Form Entry

C21668 ICD-10-CM code SurgTherapuProcICD10CMCode Code from the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-10-CM) for the selected surgical procedure Code from the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-10-CM) for the selected surgical procedure Reason Alphanumeric

Record a reason for each surgery. If the data will be shared, code each surgical procedure using ICD-10-CM.

International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM): http://www.cdc.gov/nchs/icd/icd10cm.htm#icd2016 Adult;Pediatric Supplemental 1.00 2013-08-28 16:08:00.453 Surgical History General Health History Participant History and Family History

Multiple Pre-Defined Values Selected

CSV