CDE Detailed Report

Disease: Stroke
Subdomain Name: History of Disease/Injury Event
CRF: Assessment of Transient Neurologic Deficits Resolved Prior to Presentation

Displaying 1 - 12 of 12
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 Min Value Max Value Measurement Type External Id Loinc External Id Snomed External Id caDSR External Id CDISC
C22780 Date time clock type DateTimeClockTyp Type of clock used to record date and time Type of clock used to record date and time Date and Time of resolution am;PM;24-hour clock am;PM;24-hour clock Alphanumeric

Choose one

No references available Pediatric Supplemental 1.1 10/16/2024 8:50:25 AM Assessment of Transient Neurologic Deficits Resolved Prior to Presentation History of Disease/Injury Event Disease/Injury Related Events

Single Pre-Defined Value Selected

C59006 Date time unknown status DateTimeUnkStat Status indicating that the date/time of an event is unknown Status indicating that the date/time of an event is unknown Date and Time of resolution Unknown date/time Unknown date/time Alphanumeric

Check if the date/time are unknown.

No references available Pediatric Supplemental 1.00 2021-06-11 11:22:05.0 Assessment of Transient Neurologic Deficits Resolved Prior to Presentation History of Disease/Injury Event Disease/Injury Related Events

Single Pre-Defined Value Selected

C18905 Stroke symptom other text StrokSymOTH The free-text field related to 'Stroke symptom type' specifying other text. The symptom experienced around the time of the stroke event The free-text field related to 'Stroke symptom type' specifying other text. The symptom experienced around the time of the stroke even Other, specify Alphanumeric

Form associated with this CDE is about symptoms that the participant/ subject experienced around the time of the stroke event.

The first five symptoms listed are from the American Heart Association's Stroke Warning Signs. Adult Supplemental 4.00 2021-06-21 00:00:00.0 Assessment of Transient Neurologic Deficits Resolved Prior to Presentation History of Disease/Injury Event Disease/Injury Related Events 4000

Free-Form Entry

C18906 Stroke symptom pediatric-specific other text StrokSymPedSpeOTH The free-text field related to 'Stroke symptom pediatric-specific type' specifying other text The free-text field related to 'Stroke symptom pediatric-specific type' specifying other tex Other, specify Alphanumeric

Form associated with this CDE is about symptoms that the participant/ subject experienced around the time of the stroke event.

International Pediatric Stroke Study (IPSS) Pediatric Supplemental 4.00 2021-06-21 00:00:00.0 Assessment of Transient Neurologic Deficits Resolved Prior to Presentation History of Disease/Injury Event Disease/Injury Related Events 4000

Free-Form Entry

C14178 Stroke symptom type StrokSymTyp The symptom experienced around the time of the stroke event The symptom experienced around the time of the stroke event Stroke symptom Sudden sensory symptoms of the face, arm or leg;Sudden confusion, trouble speaking or understanding;Sudden trouble seeing in one or both eyes;Sudden trouble walking, dizziness, loss of balance or coordination;Other, specify;Sudden weakness of the face, arm or leg Sudden sensory symptoms of the face, arm or leg;Sudden confusion, trouble speaking or understanding;Sudden trouble seeing in one or both eyes;Sudden trouble walking, dizziness, loss of balance or coordination;Other, specify;Sudden weakness of the face, arm or leg Alphanumeric

Form associated with this CDE is about symptoms that the participant/ subject experienced around the time of the stroke event.

The first five symptoms listed are from the American Heart Association's Stroke Warning Signs. Adult Supplemental 4.00 2021-06-21 00:00:00.0 Assessment of Transient Neurologic Deficits Resolved Prior to Presentation History of Disease/Injury Event Disease/Injury Related Events

Multiple Pre-Defined Values Selected

C14179 Stroke symptom experienced indicator StrokSymExInd Indicates whether or not the symptom was experienced around the time of the stroke event Indicates whether or not the symptom was experienced around the time of the stroke event Experienced No;Yes;Unknown No;Yes;Unknown Alphanumeric

Choose one. If answered NO or UNKNOWN then 'Duration', and 'Timing in relation to stroke onset' should be left blank for the Stroke symptom.

No references available Adult;Pediatric Supplemental 4.00 2021-06-21 00:00:00.0 Assessment of Transient Neurologic Deficits Resolved Prior to Presentation History of Disease/Injury Event Disease/Injury Related Events

Single Pre-Defined Value Selected

C14181 Stroke symptom resolution date and time StrokSymReDateTime Date (and time, if applicable and known) the Stroke symptom resolved Date (and time, if applicable and known) the Stroke symptom resolved Date and Time of resolution 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 Pediatric Supplemental 4.00 2021-06-21 00:00:00.0 Assessment of Transient Neurologic Deficits Resolved Prior to Presentation History of Disease/Injury Event Disease/Injury Related Events

Free-Form Entry

C14182 Stroke symptom duration range StrokSymDurRng The range of approximate stroke symptom duration. This is especially important if the diagnosis is Transient Ischemic Attack (TIA) The range of approximate stroke symptom duration. This is especially important if the diagnosis is Transient Ischemic Attack (TIA Duration <10 minutes;10 – 59 minutes;>= 60 minutes;Unknown <10 minutes;10 – 59 minutes;>= 60 minutes;Unknown Alphanumeric

Estimate the time of symptom duration for patients with transient neurological symptoms that are felt to be due to cerebral ischemia. When a range of time duration is provided in the record, choose the upper most limit. For example, if it states, "symptoms lasted between 5-20 minutes", then select "10-59 minutes" since 20 minutes would fall into the "10-59 minutes" range.

Get With The Guidelines (GWTG) Stroke Patient Management Tool Coding Instructions (Updated in January 2021) Adult;Pediatric Supplemental 4.00 2021-06-21 00:00:00.0 Assessment of Transient Neurologic Deficits Resolved Prior to Presentation History of Disease/Injury Event Disease/Injury Related Events

Single Pre-Defined Value Selected

C14183 Stroke symptom timing in relation to stroke onset category StrokSymTimRelStrkOnsCat This element captures the time course of a symptom associated with the index stroke. The element is intended to be recorded for each symptom separately This element captures the time course of a symptom associated with the index stroke. The element is intended to be recorded for each symptom separatel Timing in relation to stroke onset Preceded stroke onset by < 6 hrs;Preceded stroke onset by > 7 days;Preceded stroke onset by >= 24 hrs to 7 days;Preceded stroke onset by >= 6 but < 24 hrs;Unknown Preceded stroke onset by < 6 hrs;Preceded stroke onset by > 7 days;Preceded stroke onset by >= 24 hrs to 7 days;Preceded stroke onset by >= 6 but < 24 hrs;Unknown Alphanumeric

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No references available Adult;Pediatric Supplemental 4.00 2021-06-21 00:00:00.0 Assessment of Transient Neurologic Deficits Resolved Prior to Presentation History of Disease/Injury Event Disease/Injury Related Events

Single Pre-Defined Value Selected

C14187 Stroke symptom pediatric-specific type StrokSymPedSpeTyp The pediatric-specific symptom experienced around the time of the stroke event The pediatric-specific symptom experienced around the time of the stroke event Stroke symptom Neonatal respiratory abnormalities;Neonatal poor feeding;Neonatal hypotonia;Neonatal abnormal level of consciousness;Neonatal encephalopathy;Other, specify;Neonatal seizure (clinical or subclinical) Neonate exhibits difficulty maintaining respiration of presumed central origin. It includes apnea if not thought to be epileptic in etiology, otherwise code as seizures.;Neonate exhibits difficulty feeding of presumed central origin (either encephalopathy or true dysphagia), includes poor suck, regurgitation.;Neonate exhibits decreased muscle tone axial or appendicular.;Neonatal abnormal level of consciousness;Clinical suspicion of neonatal encephalopathy should be considered in any infant exhibiting an abnormal level of consciousness, seizures, tone and reflex abnormalities, apnea, aspiration, feeding difficulties, and an abnormal hearing screen.;Other, specify;Neonate exhibits seizures with clinical manifestations (including apnea, if thought to be epileptic in etiology) or electrographic seizures without clinical manifestations (includes absence of clinical manifestations in the setting of pharmacologic paralysis). Alphanumeric

Form associated with this CDE is about symptoms that the participant/ subject experienced around the time of the stroke event.

International Pediatric Stroke Study (IPSS) Pediatric Supplemental 4.00 2021-06-21 00:00:00.0 Assessment of Transient Neurologic Deficits Resolved Prior to Presentation History of Disease/Injury Event Disease/Injury Related Events

Multiple Pre-Defined Values Selected

C14188 Neonatal level of consciousness type NeonatalLvlConsciousnTyp Type of abnormal level of consciousness of the neonate Type of abnormal level of consciousness of the neonate Describe level of consciousness Hyperalert;Lethargic;Stuporous/ Comatose Hyperalert;Lethargic;Stuporous/ Comatose Alphanumeric

Answer only if neonatal abnormal level of consciousness was reported as a stroke symptom for the neonate.

International Pediatric Stroke Study (IPSS) Pediatric Supplemental 4.00 2021-06-21 00:00:00.0 Assessment of Transient Neurologic Deficits Resolved Prior to Presentation History of Disease/Injury Event Disease/Injury Related Events

Single Pre-Defined Value Selected

C14189 Neonatal encephalopathy level type NeonatalEncephalopLvlTyp Level of neonatal encephalopathy according to the Sarnat Staging Level of neonatal encephalopathy according to the Sarnat Staging Describe level of encephalopathy Mild Encephalopathy (Stage 1);Moderate Encephalopathy (Stage 2);Severe Encephalopathy (Stage 3) Hyperalertness, hyper-reflexia, dilated pupils, tachycardia, absence of seizures;Lethargy, hyper-reflexia, miosis, bradycardia, seizures, hypotonia with weak suck and Moro;Stupor, flaccidity, small to midposition pupils which react poorly to light, decreased stretch reflexes, hypothermia and absent Moro. Alphanumeric

Answer only if neonatal encephalopathy was reported as a stroke symptom for the neonate.

Shankaran S, Laptook, AR, Ehrenkranz RA, et al. Whole-body hypothermia for neonates with hypotic-ischemic encephalopathy. The New England Journal of Medicine 2005; 353 (15): 1574-84. Sarnat HB, Sarnat MS. Neonatal encephalopathy following fetal distress: A clinical and electroencephalographic study. Archives of Neur. 1976;33:696-705. Finer N, Robertson C, Richards R, Pinnell L, Peters K. Hypoxic ischemic encephalopathy in term neonates: perinatal factors and outcome. Journal of Pediatrics 1981;98:112-7. Pediatric Supplemental 4.00 2021-06-21 00:00:00.0 Assessment of Transient Neurologic Deficits Resolved Prior to Presentation History of Disease/Injury Event Disease/Injury Related Events

Single Pre-Defined Value Selected

CSV