CDE Detailed Report

Disease: system
Subdomain Name: Other Clinical Data
CRF: files

Displaying 151 - 175 of 175
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
C08154 Brain tissue paraffin-embedded indicator BrainTissParaffinEmbeddedInd Indicator of whether paraffin-embedded blocks of brain tissue are accessible Indicator of whether paraffin-embedded blocks of brain tissue are accessible Are paraffin-embedded blocks of brain tissue available? Yes;No Yes;No Alphanumeric

No additional instructions

No references available Adult;Pediatric Supplemental 3.00 2013-07-22 09:34:41.527 Neuropathology Data Form Other Clinical Data Assessments and Examinations

Single Pre-Defined Value Selected

C15072 Brain atrophy medulla oblongata inferior olivary nucleus severity result BrAtMedObInfOlivaryNucSevReslt Quantitative result of the severity of neuronal loss in the inferior olivary nucleus Quantitative result of the severity of neuronal loss in the inferior olivary nucleus Yes, neuronal loss Mild 1+;Moderate 2+;Severe 3+;Very severe 4+ Mild 1+;Moderate 2+;Severe 3+;Very severe 4+ Alphanumeric

Medulla oblongata

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C14980 Brain atrophy coronal sections cerebral white matter severity result BrainAtCorSecCerWMSevReslt Quantitative result of the severity of cerebral white matter atrophy in the coronal sections of the brain Quantitative result of the severity of cerebral white matter atrophy in the coronal sections of the brain Present 0;1+/4+;2+/4+;3+/4+;4+/4+ 0=None;1+/4+=Mild;2+/4+=Moderate;3+/4+=Severe;4+/4+=Very severe Alphanumeric

Coronal slices: On gross examination of the coronal sections

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C15104 Amyloid angiopathy stain type AmyloidAngiopathyStainTyp Type of stain used to identify cerebral amyloid angiopathy Type of stain used to identify cerebral amyloid angiopathy If, yes Congo red;Beta-amyloid Congo red;Beta-amyloid Alphanumeric

This question is answered only if "Yes" is answered for "Is cerebral amyloid angiopathy present?"

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C17753 Macroscopic examination brain text MacroExamBrainTxt Note regarding macroscopic examination of fresh or fixed brain parts Note regarding macroscopical examination of fresh or fixed brain parts Macroscopical examination Note Alphanumeric No references available Adult Supplemental 3.00 2013-08-30 17:06:52.8 Neuropathology Data Form Other Clinical Data Assessments and Examinations 255

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C15051 Brain atrophy cerebral white matter myelin loss indicator BrAtCereWMMyelinLossInd Indicator of myelin loss in the cerebral white matter Indicator of myelin loss in the cerebral white matter Cerebral white matter Myelin loss No myelin loss;Yes myelin loss No myelin loss;Yes myelin loss Alphanumeric

No additional instructions

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C08169 Antibody stain method name AntibdyStainMethdName Name of staining method used for antibodies Name of staining method used for antibodies Antibodies Alphanumeric

Answer for each type of microscopic brain abnormality

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C15083 Brain atrophy cerebellum dentate nucleus neuronal loss severity result BrAtCerebDenNucNeurLosSevReslt Quantitative result of the severity of neuronal loss in the dentate nucleus of the cerebellum Quantitative result of the severity of neuronal loss in the dentate nucleus of the cerebellu Yes, neuronal loss Mild 1+;Moderate 2+;Severe 3+;Very severe 4+ Mild 1+;Moderate 2+;Severe 3+;Very severe 4+ Alphanumeric

Cerebellum; Dentate nucleus: Neuronal loss

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C14991 Brain atrophy striatum status cribrosus lacunaris status BrAtStrStatusCribLacStat Status of atrophy in the status cribrosus or lacunaris Status of atrophy in the status cribrosus or lacunari Status cribrosus or lucanaris, or both Absent;Present Absent;Present Alphanumeric

Striatum atrophy

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C15030 Brain atrophy cortical neuronal nuclear inclusions severity result BrAtCorticalNeurNucIncSevReslt Quantitative result of the severity of cortical neuronal nuclear inclusions Quantitative result of the severity of cortical neuronal nuclear inclusion Present 0;1+/4+;2+/4+;3+/4+;4+/4+ 0=None;1+/4+=Mild;2+/4+=Moderate;3+/4+=Severe;4+/4+=Very severe Alphanumeric

This question is answered for each of the brain anatomic sites.

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C00035 Gender type GenderTyp Self-reported gender of the participant/subject Self-reported gender of the participant/subjec Gender Alphanumeric

Choose one

The NIH Guidelines on Inclusion of Women and Minorities as Subjects in Clinical Research: The Office of Management and Budget Directive No. 15 (http://grants.nih.gov/grants/funding/women_min/guidelines_update.htm) Adult;Pediatric Core 3.00 2013-08-28 16:08:00.453 Neuropathology Data Form Other Clinical Data Assessments and Examinations

Single Pre-Defined Value Selected

2200604
C15062 Brain atrophy nucleus coeruleus Lewy body containing neurons and Lewy neurites severity result BrAtNucCoerLeBodLeNeuSevReslt Quantitative result of the severity of lewy-body containing neurons (LBCN) and lewy neurites (LN) in the nucleus coeruleus Quantitative result of the severity of lewy-body containing neurons (LBCN) and lewy neurites (LN) in the nucleus coeruleu Present Mild 1+;Moderate 2+;Severe 3+;Very severe 4+ Mild 1+;Moderate 2+;Severe 3+;Very severe 4+ Alphanumeric

Nucleus coeruleus

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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 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 additional instructions

No references available Adult;Pediatric Supplemental 1.00 2014-05-27 13:34:46.0 Neuropathology Data Form Other Clinical Data Assessments and Examinations 4000

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C14970 Brain harvesting date and time BrainHarvestingDateTime Date and time, if known the brain was harvested Date and time, if known the brain was harvested Date of Harvesting; Time of Harvesting 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.).

ISO 8601 - http://www.iso.org/iso/iso_catalogue.htm Adult Supplemental 3.00 2013-07-14 19:48:50.273 Neuropathology Data Form Other Clinical Data Assessments and Examinations

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C15094 Lacunes single or multiple description text LacunesSingMultiDescriptTxt The text description of the lacunes The text description of the lacunes Describe Alphanumeric

Answer for each vascular territory and event category

No references available Adult Supplemental 3.00 2013-07-14 19:48:50.273 Neuropathology Data Form Other Clinical Data Assessments and Examinations 255

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C15041 Brain atrophy neuronal loss severity result BrAtNeurLossSevReslt Quantitative result of the severity of neuronal loss in each location of the caudate nucleus Quantitative result of the severity of neuronal loss in each location of the caudate nucleus Yes, neuronal loss 0;1+/4+;2+/4+;3+/4+;4+/4+;NA 0=None;1+/4+=Mild;2+/4+=Moderate;3+/4+=Severe;4+/4+=Very severe;NA=Not available Alphanumeric

Answer for caudate nucleus, pontes griseum or gray matter caudo-lenticular bridges, putamen, and globus pallidus anatomic sites.

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C08155 CSF postmortem indicator CSFPstmortemInd Indicator of whether banked postmortem cerebrospinal fluid (CSF) is accessible Indicator of whether banked postmortem cerebrospinal fluid (CSF) is accessible Is banked postmortem CSF available? Yes;No Yes;No Alphanumeric

No additional instructions

No references available Adult;Pediatric Supplemental 3.00 2013-07-22 09:34:41.527 Neuropathology Data Form Other Clinical Data Assessments and Examinations

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C15073 Brain atrophy cerebellum cortical neuronal loss in associative layer indicator BrAtCerebCortNeurLossAssocInd Indicator of cortical neuronal loss in the associative layer (molecular) of the cerebellum Indicator of cortical neuronal loss in the associative layer (molecular) of the cerebellum Associative layer (molecular) No, neuronal loss;Yes, neuronal loss No, neuronal loss;Yes, neuronal loss Alphanumeric

Cerebellum; Cortical neuronal loss

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C14981 Brain atrophy coronal sections hippocampal formation status BrainAtrophyCorSecHipcamFrStat Status of hippocampal formation atrophy of the coronal sections upon gross examination Status of hippocampal formation atrophy of the coronal sections upon gross examinatio Hippocampal formation atrophy Absent;Present Absent;Present Alphanumeric

Coronal slices: On gross examination of the coronal sections

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C15105 Diagnosis concomitant main indicator DiagnosConcomitantMainInd Indicator of whether the participant/ subject been diagnosed with a concomitant disease Indicator of whether the participant/ subject been diagnosed with a concomitant disease CONCOMITANT MAIN DIAGNOSIS Yes;No;Unknown;Not assessed Yes;No;Unknown;Not assessed Alphanumeric

No additional instructions

No references available Adult Supplemental 3.00 2013-07-14 19:48:50.273 Neuropathology Data Form Other Clinical Data Assessments and Examinations

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C17754 Microscopic examination brain text MicroExamBrainTxt Note regarding microscopic examination of blockage source Note regarding microscopical examination of blockage source Microscopical examination Note Alphanumeric No references available Adult Supplemental 3.00 2013-08-30 17:06:52.8 Neuropathology Data Form Other Clinical Data Assessments and Examinations 255

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C15052 Brain atrophy cerebral white matter myelin loss severity result BrAtCereWMMyelinLosSevReslt Quantitative result of the cerebral white matter myelin loss Quantitative result of the cerebral white matter myelin loss Yes, myelin loss 0;1+/4+;2+/4+;3+/4+;4+/4+ 0=None;1+/4+=Mild;2+/4+=Moderate;3+/4+=Severe;4+/4+=Very severe Alphanumeric

This question is answered if "Yes, myelin loss" is answered for 'Cerebral white matter: myelin loss". This question is answered for each brain anatomic site.

No references available Adult Supplemental 3.00 2013-07-14 19:48:50.273 Neuropathology Data Form Other Clinical Data Assessments and Examinations

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C08170 Neuritic plaque density category NeuriticPlaqDenstyCat Density of neuritic plaques (plaques with argyrophilic dystrophic neurites with or without dense amyloid cores) Density of neuritic plaques (plaques with argyrophilic dystrophic neurites with or without dense amyloid cores Neuritic plaques (plaques with amyloid core surrounded by a halo with dystrophic neurites) No plaques;Sparse plaques (Up to 2 per 100X field);Moderate plaques (Up to 6 per 100X field);Frequent plaques (>7 per 100X field);Not assessed;Unknown No plaques;Sparse plaques (Up to 2 per 100X field);Moderate plaques (Up to 6 per 100X field);Frequent plaques (>7 per 100X field);Not assessed;Unknown Alphanumeric

Amyloid plaques

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C15084 Brain atrophy Braak and Braak neurofibrillary stage indicator BrAtBraakBraakNeurofibStageInd Indicator of whether neuronal tangles are present Indicator of whether neuronal tangles are present Braak & Braak Neurofibrillary Tangle Stage Absent;Present;Not assessed;Not available Absent;Present;Not assessed;Not available Alphanumeric

No additional instructions

No references available Adult Supplemental 3.00 2013-07-14 19:48:50.273 Neuropathology Data Form Other Clinical Data Assessments and Examinations

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C14992 Brain atrophy striatum status cribrosus or lacunaris severity result BrAtStrStatusCribLacunSevReslt Quantitative result of the severity of atrophy located in the status cribrosus or lacunaris, or both Quantitative result of the severity of atrophy located in the status cribrosus or lacunaris, or bot Present Mild 1+;Moderate 2+;Severe3+;Very severe 4+ Mild 1+;Moderate 2+;Severe3+;Very severe 4+ Alphanumeric

Striatum atrophy

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CSV