CDE Detailed Report
Subdomain Name: History of Disease/Injury Event
CRF: welcome
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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
Choose one |
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 |
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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 |