CDE Detailed Report

Disease: content
Subdomain Name: Electrodiagnostics
CRF: welcome

Displaying 1 - 32 of 32
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
C58648 Quantitative sensory testing increase stimulation rate unit of measure QSTIncrStimRtUOM The unit of measure for the rate of increase of stimulation in quantitative sensory testing. Related to "Quantitative sensory testing increase stimulation rate value" The unit of measure for the rate of increase of stimulation in quantitative sensory testing. Related to "Quantitative sensory testing increase stimulation rate value Rate of increase of stimulation (e.g., degrees Celsius per second) Alphanumeric Magerl W, Krumova EK, Baron R, TÖlle T, Treede RD, Maier C. Reference data for quantitative sensory testing (QST): refined stratification for age and a novel method for statistical comparison of group data. Pain. 2010;151(3):598–605. ••••• Rolke R, Magerl W, Campbell KA, Schalber C, Caspari S, Birklein F, Treede RD. Quantitative sensory testing: a comprehensive protocol for clinical trials. Eur J Pain. 2006a;10(1):77–88. ••••• Rolke R, Baron R, Maier C, TÖlle TR, Treede RD, Beyer A, Binder A, Birbaumer N, Birklein F, BÖtefür IC, Braune S, Flor H, Huge V, Klug R, Landwehrmeyer GB, Magerl W, MaihÖfner C, Rolko C, Schaub C, Scherens A, Sprenger T, Valet M, Wasserka B. Quantitative sensory testing in the German Research Network on Neuropathic Pain (DFNS): standardized protocol and reference values. Pain. 2006b;123(3):231–243. ••••• Pediatric-Specific References: Savic, G., Bergstrom, E. M., Davey, N. J., Ellaway, P. H., Frankel, H. L., Jamous, A., & Nicotra, A. (2007). Quantitative sensory tests (perceptual thresholds) in patients with spinal cord injury. J Rehabil Res Dev, 44(1), 77-82 Adult;Pediatric Supplemental 1.00 2019-11-20 11:12:31.0 Quantitative Sensory Testing Electrodiagnostics Outcomes and End Points 100

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C58649 Quantitative sensory testing decrease stimulation rate unit of measure QSTDecrStimRtUOM The unit of measure for the rate of decrease of stimulation in quantitative sensory testing. Related to "Quantitative sensory testing decrease stimulation rate value" The unit of measure for the rate of decrease of stimulation in quantitative sensory testing. Related to "Quantitative sensory testing decrease stimulation rate value Rate of decrease of stimulation (e.g., degrees Celsius per second) Alphanumeric Magerl W, Krumova EK, Baron R, TÖlle T, Treede RD, Maier C. Reference data for quantitative sensory testing (QST): refined stratification for age and a novel method for statistical comparison of group data. Pain. 2010;151(3):598–605. ••••• Rolke R, Magerl W, Campbell KA, Schalber C, Caspari S, Birklein F, Treede RD. Quantitative sensory testing: a comprehensive protocol for clinical trials. Eur J Pain. 2006a;10(1):77–88. ••••• Rolke R, Baron R, Maier C, TÖlle TR, Treede RD, Beyer A, Binder A, Birbaumer N, Birklein F, BÖtefür IC, Braune S, Flor H, Huge V, Klug R, Landwehrmeyer GB, Magerl W, MaihÖfner C, Rolko C, Schaub C, Scherens A, Sprenger T, Valet M, Wasserka B. Quantitative sensory testing in the German Research Network on Neuropathic Pain (DFNS): standardized protocol and reference values. Pain. 2006b;123(3):231–243. ••••• Pediatric-Specific References: Savic, G., Bergstrom, E. M., Davey, N. J., Ellaway, P. H., Frankel, H. L., Jamous, A., & Nicotra, A. (2007). Quantitative sensory tests (perceptual thresholds) in patients with spinal cord injury. J Rehabil Res Dev, 44(1), 77-82 Adult;Pediatric Supplemental 1.00 2019-11-20 11:12:31.0 Quantitative Sensory Testing Electrodiagnostics Outcomes and End Points 100

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C18027 Comment text CmmntTxt Provide any additional information that pertains to the question Provide any additional information that pertains to the question Comments: Alphanumeric

QST is previously not tested in children younger than 6 years old and is recommended for children 8 years and older.

Adult;Pediatric Supplemental 3.00 2013-07-16 14:01:43.01 Quantitative Sensory Testing Electrodiagnostics Outcomes and End Points 4000

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C19342 Measurement not reported reason MeasrmntNotReptdRsn The reason that a value was not reported for a measurement The reason that a value was not reported for a measuremen Not applicable;Unknown Not applicable;Unknown Alphanumeric

QST is previously not tested in children younger than 6 years old and is recommended for children 8 years and older.

Adult;Pediatric Supplemental 1.00 2014-06-11 13:48:56.0 Quantitative Sensory Testing Electrodiagnostics Outcomes and End Points

Single Pre-Defined Value Selected

C15920 Quantitative sensory testing test equipment text QntSnsryTstTstEquipTxt Description of equipment used for testing Description of equipment used for testing Equipment used for testing: type of stimulator Alphanumeric

QST is previously not tested in children younger than 6 years old and is recommended for children 8 years and older.

Adult;Pediatric Supplemental 3.00 2013-07-16 14:01:43.01 Quantitative Sensory Testing Electrodiagnostics Outcomes and End Points 255

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C19030 Quantitative sensory testing test methodology other text QSTTstMethdOTH The free-text field related to 'Quantitative sensory testing test methodology type' specifying other text. Type of methodology used for QST imaging The free-text field related to 'Quantitative sensory testing test methodology type' specifying other text. Type of methodology used for QST imaging Other methodology used, specify Alphanumeric

QST is previously not tested in children younger than 6 years old and is recommended for children 8 years and older.

Adult;Pediatric Supplemental 3.00 2013-07-16 14:01:43.01 Quantitative Sensory Testing Electrodiagnostics Outcomes and End Points 4000

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C19374 Test sequence order number TestSeqOrderNum The position of the selected test in the testing sequence being recorded The position of the selected test in the testing sequence being recorded Specify sequence of testing (ie which type of stimulation applied first , second, third) 1;2;3 1;2;3 Numeric Values

QST is previously not tested in children younger than 6 years old and is recommended for children 8 years and older.

Adult;Pediatric Supplemental 1.00 2014-06-13 14:43:16.0 Quantitative Sensory Testing Electrodiagnostics Outcomes and End Points

Single Pre-Defined Value Selected

C15921 Quantitative sensory testing maximum stimulation intensity value QntSnsryTstMaxStmIntstyVal Measure of the maximum level of stimulation used during the testing Measure of the maximum level of stimulation used during the testing Specify maximum safe stimulation used (if no response then "NR" will be recorded) Alphanumeric

QST is previously not tested in children younger than 6 years old and is recommended for children 8 years and older.

Adult;Pediatric Supplemental 3.00 2013-07-16 14:01:43.01 Quantitative Sensory Testing Electrodiagnostics Outcomes and End Points 255

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C19222 ISNCSCI right neurological injury level anatomic site ISNCSCIRghtNeuroInjLvlAnatSite The most caudal segment of the cord with intact sensation and antigravity (3 or more) muscle function strength on the right side, provided that there is normal (intact) sensory and motor function rostrally respectively. The NLI is the most cephalad of the sensory and motor levels The most caudal segment of the cord with intact sensation and antigravity (3 or more) muscle function strength on the right side, provided that there is normal (intact) sensory and motor function rostrally respectively. The NLI is the most cephalad of the sensory and motor level Neurological level of injury from the ISNCSCI (Right) C0;C1;C2;C3;C4;C5;C6;C7;L1;L2;L3;L4;L5;S1;S2;S3;S4-5;T1;T2;T3;T4;T5;T6;T7;T8;T9;T10;T11;T12 C0;C1;C2;C3;C4;C5;C6;C7;L1;L2;L3;L4;L5;S1;S2;S3;S4-5;T1;T2;T3;T4;T5;T6;T7;T8;T9;T10;T11;T12 Alphanumeric

QST is previously not tested in children younger than 6 years old and is recommended for children 8 years and older.

Adult;Pediatric Supplemental 2.00 2018-07-30 00:00:00.0 Quantitative Sensory Testing Electrodiagnostics Outcomes and End Points

Single Pre-Defined Value Selected

C19378 Quantitative Sensory Testing sensation test type QSTSensatnTstTyp The type of sensation evaluated in Quantitative Sensory Testing The type of sensation evaluated in Quantitative Sensory Testing Equipment used for testing: type of stimulator Thermal;Vibration Thermal;Vibration Alphanumeric

QST is previously not tested in children younger than 6 years old and is recommended for children 8 years and older.

Adult;Pediatric Supplemental 1.00 2014-06-13 15:20:43.0 Quantitative Sensory Testing Electrodiagnostics Outcomes and End Points

Single Pre-Defined Value Selected

C15927 Quantitative sensory testing increase stimulation rate value QntSnsryTstIncrStimRateVal Rate of increase of stimulation used during testing Rate of increase of stimulation used during testing Rate of increase of stimulation Numeric Values

QST is previously not tested in children younger than 6 years old and is recommended for children 8 years and older.

Adult;Pediatric Supplemental 3.00 2013-07-16 14:01:43.01 Quantitative Sensory Testing Electrodiagnostics Outcomes and End Points

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C19223 ISNCSCI left neurological injury level anatomic site ISNCSCILeftNeruoInjLvlAnatSite The most caudal segment of the cord with intact sensation and antigravity (3 or more) muscle function strength on the left side, provided that there is normal (intact) sensory and motor function rostrally respectively. The NLI is the most cephalad of the sensory and motor levels The most caudal segment of the cord with intact sensation and antigravity (3 or more) muscle function strength on the left side, provided that there is normal (intact) sensory and motor function rostrally respectively. The NLI is the most cephalad of the sensory and motor level Neurological level of injury from the ISNCSCI (Left) C0;C1;C2;C3;C4;C5;C6;C7;L1;L2;L3;L4;L5;S1;S2;S3;S4-5;T1;T2;T3;T4;T5;T6;T7;T8;T9;T10;T11;T12 C0;C1;C2;C3;C4;C5;C6;C7;L1;L2;L3;L4;L5;S1;S2;S3;S4-5;T1;T2;T3;T4;T5;T6;T7;T8;T9;T10;T11;T12 Alphanumeric

QST is previously not tested in children younger than 6 years old and is recommended for children 8 years and older.

Adult;Pediatric Supplemental 1.00 2014-06-04 11:18:37.0 Quantitative Sensory Testing Electrodiagnostics Outcomes and End Points

Single Pre-Defined Value Selected

C15928 Quantitative sensory testing decrease stimulation rate value QntSnsryTstDecrStimRateVal Rate of decrease of stimulation used during testing Rate of decrease of stimulation used during testing Rate of decrease of stimulation (e.g. °Celsius/second) Numeric Values

QST is previously not tested in children younger than 6 years old and is recommended for children 8 years and older.

Adult;Pediatric Supplemental 3.00 2013-07-16 14:01:43.01 Quantitative Sensory Testing Electrodiagnostics Outcomes and End Points

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C19224 Outcome type OutcomeTyp Type of outcome Type of outcome Outcome (choose all that apply) Cold pain threshold;Cold perceptual threshold;Heat pain threshold;Heat perceptual threshold;Vibration perceptual threshold Cold pain threshold;Cold perceptual threshold;Heat pain threshold;Heat perceptual threshold;Vibration perceptual threshold Alphanumeric

QST is previously not tested in children younger than 6 years old and is recommended for children 8 years and older.

Adult;Pediatric Supplemental 1.00 2014-06-04 11:20:37.0 Quantitative Sensory Testing Electrodiagnostics Outcomes and End Points

Multiple Pre-Defined Values Selected

C15931 Quantitative sensory testing vibration electrical stimuli frequency value QntSnsryTstVibElecStmFreqVal Frequency of vibration or electrical stimuli used during testing Frequency of vibration or electrical stimuli used during testing Frequency of vibration or electrical stimuli used Numeric values

Include the units

QST is previously not tested in children younger than 6 years old and is recommended for children 8 years and older.

No references available Adult;Pediatric Supplemental 3.00 2013-07-16 14:01:43.01 Quantitative Sensory Testing Electrodiagnostics Outcomes and End Points

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C19225 Quantitative sensory testing outcome sense type QSTOutcmSensTyp The type of outcome sensation being evaluated during Quantitative Sensory Testing The type of outcome sensation being evaluated during Quantitative Sensory Testing Cold;Heat;Vibration Cold;Heat;Vibration Alphanumeric

QST is previously not tested in children younger than 6 years old and is recommended for children 8 years and older.

Adult;Pediatric Supplemental 1.00 2014-06-04 11:28:55.0 Quantitative Sensory Testing Electrodiagnostics Outcomes and End Points

Single Pre-Defined Value Selected

C01580 Temperature unit of measure TempUOM Unit of measure for the temperature numerical value Unit of measure for the temperature numerical value Temperature F;C degrees Fahrenheit;degrees Celsius Alphanumeric

Choose either F (degrees Fahrenheit) or C (degrees Celsius).

QST is previously not tested in children younger than 6 years old and is recommended for children 8 years and older.

Unified Code for Units of Measure - http://unitsofmeasure.org/ Adult;Pediatric Supplemental 3.00 2013-07-24 11:38:01.2 Quantitative Sensory Testing Electrodiagnostics Outcomes and End Points

Single Pre-Defined Value Selected

2956267
C15932 Quantitative sensory testing stimulus rest period duration QntSnsryTstStmRestPdDur Duration between stimulus rest periods/intertrial intervals Duration between stimulus rest periods/intertrial intervals Duration between stimuli/intertrial intervals Numeric Values

QST is previously not tested in children younger than 6 years old and is recommended for children 8 years and older.

Adult;Pediatric Supplemental 3.00 2013-07-16 14:01:43.01 Quantitative Sensory Testing Electrodiagnostics Outcomes and End Points

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C19312 Quantitative sensory testing threshold type QSTThreshldTyp The type of threshold evaluated in Quantitative Sensory Testing The type of threshold evaluated in Quantitative Sensory Testing Pain;Perceptual Pain;Perceptual Alphanumeric

QST is previously not tested in children younger than 6 years old and is recommended for children 8 years and older.

Adult;Pediatric Supplemental 1.00 2014-06-09 09:45:57.0 Quantitative Sensory Testing Electrodiagnostics Outcomes and End Points

Single Pre-Defined Value Selected

C02411 Laterality type LatTyp Laterality type relative to the anatomic site of the body examined or affected Laterality type relative to the anatomic site of the body examined or affected Laterality type Left;Right;Midline Left;Right;Midline Alphanumeric

Choose one.

QST is previously not tested in children younger than 6 years old and is recommended for children 8 years and older.

Duhaime AC, Gean AD, Haacke EM, Hicks R, Wintermark M, Mukherjee P, Brody D, Latour L, Riedy G; Common Data Elements Neuroimaging Working Group Members, Pediatric Working Group Members. Common data elements in radiologic imaging of traumatic brain injury. Arch Phys Med Rehabil. 2010 Nov;91(11):1661-6. [DOI: 10.1016/j.apmr.2010.07.238] Haacke, E.M., Duhaime, A.C., Gean, A.D., Riedy, G., Wintermark, M., Mukherjee, P., Brody, D.L., DeGraba, T., Duncan, T.D., and Elovic, E. (2010). Common data elements in radiologic imaging of traumatic brain injury. Journal of Magnetic Resonance Imaging 32, 516-543, DOI:10.1002/jmri.22259 Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Quantitative Sensory Testing Electrodiagnostics Outcomes and End Points

Single Pre-Defined Value Selected

C15933 Quantitative sensory testing stimulus rest period duration unit of measure QntSnsryTstStmRstPdDurMeasrUnt The units used to measure duration between stimulus rest periods The units used to measure duration between stimulus rest periods seconds;minutes seconds;minutes Alphanumeric

QST is previously not tested in children younger than 6 years old and is recommended for children 8 years and older.

Adult;Pediatric Supplemental 3.00 2013-07-16 14:01:43.01 Quantitative Sensory Testing Electrodiagnostics Outcomes and End Points

Single Pre-Defined Value Selected

C19313 Quantitative sensory testing average threshold value QSTAvgThreshldVal The average threshold value over all trials for the sensation and threshold types selected in Quantitative Sensory Testing The average threshold value over all trials for the sensation and threshold types selected in Quantitative Sensory Testing Average Numeric Values

QST is previously not tested in children younger than 6 years old and is recommended for children 8 years and older.

Adult;Pediatric Supplemental 1.00 2014-06-09 09:52:12.0 Quantitative Sensory Testing Electrodiagnostics Outcomes and End Points

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C10171 Trial number TrialNum The number representing the sequence for any repeated measure test or assessment when it is performed multiple times The number representing the sequence for any repeated measure test or assessment when it is performed multiple times (3 trials) Trial 1;Trial 2;Trial 3 Trial 1;Trial 2;Trial 3 Alphanumeric

QST is previously not tested in children younger than 6 years old and is recommended for children 8 years and older.

Adult;Pediatric Supplemental 3.00 2013-07-25 08:54:08.2 Quantitative Sensory Testing Electrodiagnostics Outcomes and End Points

Single Pre-Defined Value Selected

C15934 Temperature skin measurement TempSkinMeasr The participant/subject's baseline skin temperature The participant/subject's baseline skin temperature Participant/subject's baseline skin temperature Numeric Values

Indicate numeric value of baseline skin temperature recorded in degrees Fahrenheit or Celsius

QST is previously not tested in children younger than 6 years old and is recommended for children 8 years and older.

No references available Adult;Pediatric Supplemental 3.00 2013-07-16 14:01:43.01 Quantitative Sensory Testing Electrodiagnostics Outcomes and End Points

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C19314 Quantitative sensory testing threshold value QSTThreshldVal The threshold value for the indicated trial number for the sensation and threshold types selected in Quantitative Sensory Testing The threshold value of the indicated trial number for the sensation and threshold types selected in Quantitative Sensory Testing Threshold Numeric Values

QST is previously not tested in children younger than 6 years old and is recommended for children 8 years and older.

Adult;Pediatric Supplemental 1.00 2014-06-09 09:55:24.0 Quantitative Sensory Testing Electrodiagnostics Outcomes and End Points

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C15910 Assessment date and time AssessDateTime The date of participant's injury The date of participant's injury Date of test 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.).
QST is previously not tested in children younger than 6 years old and is recommended for children 8 years and older.

No references available Adult;Pediatric Supplemental 3.00 2013-07-16 14:01:43.01 Quantitative Sensory Testing Electrodiagnostics Outcomes and End Points

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C15935 Exam room temperature measurement ExamRoomTempMeasr The exam room temperature at the time of testing The exam room temperature at the time of testing Exam room temperature at the time of testing Numeric Values

Indicate numeric value of baseline skin temperature recorded in degrees Fahrenheit or Celsius

QST is previously not tested in children younger than 6 years old and is recommended for children 8 years and older.

No references available Adult;Pediatric Supplemental 3.00 2013-07-16 14:01:43.01 Quantitative Sensory Testing Electrodiagnostics Outcomes and End Points

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C19316 Dermatome area name DermatomeAreaName Name of dermatome area Name of dermatome area Dermatome Alphanumeric

QST is previously not tested in children younger than 6 years old and is recommended for children 8 years and older.

Adult;Pediatric Supplemental 1.00 2014-06-09 10:08:38.0 Quantitative Sensory Testing Electrodiagnostics Outcomes and End Points 4000

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C15913 Quantitative sensory testing stimulation type QntSnsryTstStmTyp Type of QST stimulation Type of QST stimulation Type of stimulation Heat;Cold;Vibration Heat;Cold;Vibration Alphanumeric

QST is previously not tested in children younger than 6 years old and is recommended for children 8 years and older.

Adult;Pediatric Supplemental 3.00 2013-07-16 14:01:43.01 Quantitative Sensory Testing Electrodiagnostics Outcomes and End Points

Multiple Pre-Defined Values Selected

C18024 Temperature skin unit of measure TempSkinUOM The units of measure for participant/subject's baseline skin temperature The units of measure for participant/subject's baseline skin temperature Participant/subject's baseline skin temperature F;C degrees Fahrenheit;degrees Celsius Alphanumeric

QST is previously not tested in children younger than 6 years old and is recommended for children 8 years and older.

No references available Adult;Pediatric Supplemental 3.00 2013-07-16 14:01:43.01 Quantitative Sensory Testing Electrodiagnostics Outcomes and End Points

Single Pre-Defined Value Selected

C19321 Quantitative sensory testing vibration stimulus frequency unit of measure QSTVibElecStmFreqUoM Unit of measure of the frequency of vibration or electrical stimuli used during quantitative sensory testing Unit of measure of the frequency of vibration or electrical stimuli used during quantitative sensory testing Alphanumeric

QST is previously not tested in children younger than 6 years old and is recommended for children 8 years and older.

Adult;Pediatric Supplemental 1.00 2014-06-09 10:28:51.0 Quantitative Sensory Testing Electrodiagnostics Outcomes and End Points 255

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C15918 Quantitative sensory testing test methodology type QntSnsryTstTstMethdTyp Type of methodology used for QST imaging Type of methodology used for QST imaging Testing methodology (choose all that apply) Method of limits;Method of levels;Other, specify Method of limits;Method of levels;Other, specify Alphanumeric

QST is previously not tested in children younger than 6 years old and is recommended for children 8 years and older.

Adult;Pediatric Supplemental 3.00 2013-07-16 14:01:43.01 Quantitative Sensory Testing Electrodiagnostics Outcomes and End Points

Multiple Pre-Defined Values Selected

CSV