CDE Detailed Report | NINDS Common Data Elements

Disease: Stroke
Subdomain Name: General Health History
CRF: Prior Functional Status

Displaying 1 - 9 of 9

CDE ID	CDE Name	Variable Name	Definition	Short Description	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 / Guidance)	Subdomain Name	Domain Name	Size	Input Restrictions
C05130	Therapy or rehabilitation type	TherpyRehabTyp	Type of therapy or rehabilitation services received by the participant/subject	Type of therapy or rehabilitation services received by the participant/subjec	Specialized therapies and services	Speech therapy;Occupational therapy;Physical therapy;Sensory integration therapy;Social skills training;Adaptive physical education;Behavior support plan;Crisis management plan;Other, specify	Speech therapy;Occupational therapy;Physical therapy;Sensory integration therapy;Social skills training;Adaptive physical education;Behavior support plan;Crisis management plan;Other, specify	Alphanumeric	Choose all that apply. This element can be collected to describe the participant/ subject prior to the stroke event and also to assess the participant/ subject at subsequent time points after the stroke event.	International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM): https://www.cdc.gov/nchs/icd/icd10cm.htm	Adult;Pediatric	Supplemental	3.00	2013-07-20 10:21:25.65	Prior Functional Status	General Health History	Participant History and Family History		Multiple Pre-Defined Values Selected
C06005	Data collected date and time	DataCollDateTime	Date (and time, if applicable and known) the data were collected. This may be the date/time a particular examination or procedure was performed	Date (and time, if applicable and known) the data were collected. This may be the date/time a particular examination or procedure was performe	Date information collected			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	Prior Functional Status	General Health History	Participant History and Family History		Free-Form Entry
C11084	Developmental and academic history type	DevelopmentalAcademicHistTyp	Specific aspects of the participant's/subject's pre-morbid developmental status and academic function	Specific aspects of the participant's/subject's pre-morbid developmental status and academic function	Does/did the participant/ subject have any of the following	Attention Deficit Hyperactivity Disorder (ADHD);Attention Deficit Disorder (ADD);Delayed acquisition of motor milestones, diagnosed by a pediatrician or neurologist;Social delay;Hand preference before twelve months of age;Abnormality of gait noted by parent or physician at the time the child began walking;Received or receives special education;Other, specify;Delayed acquisition of language milestones, diagnosed by a health care provider or educator;Delayed acquisition of cognitive milestones, diagnosed by a health care provider or educator	Attention Deficit Hyperactivity Disorder (ADHD);Attention Deficit Disorder (ADD);Delayed acquisition of motor milestones, diagnosed by a pediatrician or neurologist;Social delay;Hand preference before twelve months of age;Abnormality of gait noted by parent or physician at the time the child began walking;Received or receives special education;Other, specify;Delayed acquisition of language milestones, diagnosed by a health care provider or educator;Delayed acquisition of cognitive milestones, diagnosed by a health care provider or educator	Alphanumeric	For each history type indicate whether or not the participant/subject has a history	International Pediatric Stroke Study (IPSS)	Pediatric	Supplemental	3.00	2013-07-10 11:37:29.993	Prior Functional Status	General Health History	Participant History and Family History		Multiple Pre-Defined Values Selected
C11085	Developmental and academic history indicator	DevelopmentalAcacdemicHistInd	Whether the participant/subject has a history of the specific aspect of the pre-morbid developmental status or academic function	Whether the participant/subject has a history of the specific aspect of the pre-morbid developmental status or academic function	Does/did the participant/ subject have any of the following	Yes;No;Unknown	History reported and/or confirmed in medical record;History NOT reported and NOT confirmed in medical record;History reported as unknown or could not be collected	Alphanumeric	For each history type indicate whether or not the participant/subject has a history. Choose one for each history type.	International Pediatric Stroke Study (IPSS)	Pediatric	Supplemental	3.00	2013-07-10 11:37:29.993	Prior Functional Status	General Health History	Participant History and Family History		Single Pre-Defined Value Selected
C11086	School placement type	SchoolPlacementTyp	The description of the type of education the participant/subject receives with details of being with or without assistance	The description of the type of education the participant/subject receives with details of being with or without assistanc	School placement	Full-time regular education without aide;Full-time regular education with one to one aide;Regular education with pull-out for certain areas;Special education w/minimal inclusion (e.g., lunch);Full time special education with no inclusion;Special (MR/DD) school;Home-schooled;Not in school;Other, specify	Full-time regular education without aide;Full-time regular education with one to one aide;Regular education with pull-out for certain areas;Special education w/minimal inclusion (e.g., lunch);Full time special education with no inclusion;Special (MR/DD) school;Home-schooled;Not in school;Other, specify	Alphanumeric	This element can be collected to describe the participant/ subject prior to the stroke event and also to assess the participant/ subject at subsequent time points after the stroke event.	No references available	Pediatric	Supplemental	3.00	2013-07-11 15:03:49.2	Prior Functional Status	General Health History	Participant History and Family History		Single Pre-Defined Value Selected
C14639	Ambulatory status	AmbulatStatus	Status that reflects the participant's ability to walk	Status that reflects the participant's ability to walk	Ambulatory status	Able to ambulate independently (no help from another person) w/ or w/o device;With assistance (from person);Unable to ambulate;Unknown	Patient ambulating without assistance (no help from another person) with or without a device. This means Patient is able to ambulate without help from another person. The use of a device, such as a cane, still meets this definition.;Patient ambulating with assistance of another person.;Patient is on bed rest. Patient is only getting out of bed to the bedside commode (or up in chair) and is primarily in the bed (or immobile).;Unknown or not documented. It is unable to determine from documentation.	Alphanumeric	Choose one that describes the participant's/subject's ability prior to the qualifying stroke event.	Get With The Guidelines (GWTG) Stroke Patient Management Tool Coding Instructions (Updated on 11/4/2009); Paul Coverdell National Acute Stroke Registry SPS3	Adult;Pediatric	Core	3.10	2024-02-29 15:49:22.0	Prior Functional Status	General Health History	Participant History and Family History		Single Pre-Defined Value Selected
C18768	Therapy or rehabilitation other text	TherpyRehabOTH	The free-text field related to 'Therapy or rehabilitation type' specifying other text. Type of therapy or rehabilitation services received by the participant/subject	The free-text field related to 'Therapy or rehabilitation type' specifying other text. Type of therapy or rehabilitation services received by the participant/subject	Other, specify			Alphanumeric	Choose all that apply. This element can be collected to describe the participant/ subject prior to the stroke event and also to assess the participant/ subject at subsequent time points after the stroke event.	International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM): https://www.cdc.gov/nchs/icd/icd10cm.htm	Adult;Pediatric	Supplemental	1.00	2014-05-27 13:34:46.0	Prior Functional Status	General Health History	Participant History and Family History	4000	Free-Form Entry
C18820	Developmental and academic history other text	DevelopmentalAcademicHistOTH	The free-text field related to 'Developmental and academic history type' specifying other text. Specific aspects of the participant's/subject's pre-morbid developmental status and academic function	The free-text field related to 'Developmental and academic history type' specifying other text. Specific aspects of the participant's/subject's pre-morbid developmental status and academic function	Other, specify			Alphanumeric	For each history type indicate whether or not the participant/subject has a history	International Pediatric Stroke Study (IPSS)	Pediatric	Supplemental	3.00	2013-07-10 11:37:29.993	Prior Functional Status	General Health History	Participant History and Family History	4000	Free-Form Entry
C18821	School placement other text	SchoolPlacementOTH	The free-text field related to 'School placement type' specifying other text. The description of the type of education the participant/subject receives with details of being with or without assistance	The free-text field related to 'School placement type' specifying other text. The description of the type of education the participant/subject receives with details of being with or without assistanc	Other, specify			Alphanumeric	This element can be collected to describe the participant/ subject prior to the stroke event and also to assess the participant/ subject at subsequent time points after the stroke event.	No references available	Pediatric	Supplemental	3.00	2013-07-11 15:03:49.2	Prior Functional Status	General Health History	Participant History and Family History	4000	Free-Form Entry