CDE Detailed Report
Disease: Spinal Cord Injury
Subdomain Name: Electrodiagnostics
CRF: Sensory Evoked Potentials
Displaying 1 - 24 of 24
Subdomain Name: Electrodiagnostics
CRF: Sensory Evoked Potentials
Displaying 1 - 24 of 24
| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| C19327 | Sensory evoked potential side nerve dermatome description text | SEPSideNrveDrmtmeDcrptnTxt | Text of description of sensory evoked potential side nerve dermatome | Text of description of sensory evoked potential side nerve dermatome | Side/Nerve/Dermatome | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2014-06-09 16:05:17.0 | Sensory Evoked Potentials | Electrodiagnostics | Outcomes and End Points | 4000 |
Free-Form Entry |
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| C19351 | Quantitative sensory testing pinprick assessment result | QSTPinprickAssessmentRes | Result for the assessment of pinprick sensation in thermal quantitative sensory testing | Result for the assessment of pinprick sensation in thermal quantitative sensory testing | Pinprick | Absent;Impaired;Normal | Absent;Impaired;Normal | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2014-06-12 10:54:44.0 | Sensory Evoked Potentials | Electrodiagnostics | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C19328 | Scalp recording-reference electrode configuration type | SclpRcrdngRfrncEltrdCnfgurnTyp | Type of electrode configuration scalp recording-reference | Type of electrode configuration scalp recording-reference | Scalp recording-reference electrode configuration | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2014-06-09 16:12:59.0 | Sensory Evoked Potentials | Electrodiagnostics | Outcomes and End Points | 4000 |
Free-Form Entry |
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| C19352 | Quantitative sensory testing light touch assessment result | QSTLghtTchAssmntRes | Result for assessment of light touch sensation in quantitative sensory testing | Result for assessment of light touch sensation in quantitative sensory testing | Light touch | Absent;Impaired;Normal | Absent;Impaired;Normal | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2014-06-12 11:02:37.0 | Sensory Evoked Potentials | Electrodiagnostics | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C19329 | Spine recording-reference electrode configuration type | SpnRcrdngRfrncElctrdCnfgrtnTyp | Type of electrode configuration of spine recording-reference | Type of electrode configuration of spine recording-reference | Spine recording-reference electrode configuration | Alphanumeric |
If applicable |
Adult;Pediatric | Supplemental | 1.00 | 2014-06-09 16:18:06.0 | Sensory Evoked Potentials | Electrodiagnostics | Outcomes and End Points | 4000 |
Free-Form Entry |
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| C19353 | Sensory evoked potential stimulation threshold assessment type | SEPStimulatnThrshldAssTyp | Type of stimulation threshold assessed in sensory evoked potential testing | Type of stimulation threshold assessed in sensory evoked potential testing | Threshold | Cold detection;Cold pain;Hot pain;Warm detection | Cold detection;Cold pain;Hot pain;Warm detection | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2014-06-12 11:06:43.0 | Sensory Evoked Potentials | Electrodiagnostics | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C01539 | Temperature measurement | TempMeasr | Measurement of the participant's/subject's body temperature | Measurement of the participant's/subject's body temperatur | Baseline temperature | Numeric Values |
CHEPs only. Record the temperature of the participant/ subject. Also indicate the scale used to capture temperature. |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-08-28 16:08:00.453 | Sensory Evoked Potentials | Electrodiagnostics | Outcomes and End Points |
Free-Form Entry |
0 | 50 | degree Celsius | 2644401 | ||||||
| C19330 | Sensory evoked potential stimulation count | SEPStimulationCt | The number of stimulations in sensory evoked potential | The number of stimulations in sensory evoked potentia | Number of stimulations | Numeric Values | Adult;Pediatric | Supplemental | 1.00 | 2014-06-09 16:27:34.0 | Sensory Evoked Potentials | Electrodiagnostics | Outcomes and End Points |
Free-Form Entry |
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| C19354 | Thermal quantitative sensory testing increase rate value | TQSTIncreaseRateVal | Rate of increase in stimulation intensity for thermal quantitative sensory testing | Rate of increase in stimulation intensity for thermal quantitative sensory testing | Rate of increase | Numeric Values | Adult;Pediatric | Supplemental | 1.00 | 2014-06-12 11:34:21.0 | Sensory Evoked Potentials | Electrodiagnostics | Outcomes and End Points |
Free-Form Entry |
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| C01711 | Lab test result unit of measure | LabTestResltUoM | Unit of measure for the laboratory test result | Unit of measure for the laboratory test result | Unit of measure | Alphanumeric | Adult;Pediatric | Supplemental | 3.00 | 2013-07-25 08:54:08.2 | Sensory Evoked Potentials | Electrodiagnostics | Outcomes and End Points | 255 |
Free-Form Entry |
2787947 | ||||||||||
| C19343 | Sensory evoked potential stimulation spine anatomic site | SEPStimulatnAntmicSite | The anatomic site in the spine related to assessing somatosensory system functioning | The anatomic site in the spine related to assessing somatosensory system functioning | Stimulation site | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2014-06-11 17:08:26.0 | Sensory Evoked Potentials | Electrodiagnostics | Outcomes and End Points | 4000 |
Free-Form Entry |
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| C19355 | Thermal quantitative sensory testing decrease rate value | TQSTDecreaseRateVal | Rate of decrease in stimulation intensity for thermal quantitative sensory testing | Rate of decrease in stimulation intensity for thermal quantitative sensory testing | Rate of decrease | Numeric Values | Adult;Pediatric | Supplemental | 1.00 | 2014-06-12 11:39:34.0 | Sensory Evoked Potentials | Electrodiagnostics | Outcomes and End Points |
Free-Form Entry |
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| C02494 | Imaging study date and time | ImgStdyDateTime | Date (and time, if applicable and known) the radiologic study was obtained | Date (and time, if applicable and known) the radiologic study was obtained | 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.). |
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 | 3.10 | 2024-02-29 15:51:00.0 | Sensory Evoked Potentials | Electrodiagnostics | Outcomes and End Points |
Free-Form Entry |
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| C19344 | Sensory evoked potential sensory spine component used text | SEPSensrySpneCompontUsdTxt | Free text field for the component related to assessing somatosensory system functioning | Free text field for the component related to assessing somatosensory system functioning | Component | Alphanumeric |
e.g., N1, P40, N20 |
Adult;Pediatric | Supplemental | 1.00 | 2014-06-11 17:18:11.0 | Sensory Evoked Potentials | Electrodiagnostics | Outcomes and End Points | 4000 |
Free-Form Entry |
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| C15531 | Imaging evoked potential stimulation frequency value | ImgEVStimulationFreqVal | The stimulation frequency used on the participant/subject as part of the Blink Reflex and Evoked Potential Imaging test | The stimulation frequency used on the participant/subject as part of the Blink Reflex and Evoked Potential Imaging test | Stimulation frequency | Numeric Values |
Suggested one stimulus every 20 seconds. Include units |
Rossi S, Hallett M, Rossini PM, et. Al. and The Safety of TMS Consensus Group. Safety, ethical considerations, and application guidelines for the use of transcranial magnetic stimulation in clinical practice and research. Clinical Neurophysiology 2009;120:2008-2039. Wasserman EM. Risk and safety of repetitive transcranial magnetic stimulation: report and suggested guidelines from the International Workshop on the Safety of Repetitive Transcranial Magnetic Stimulation, June 5-7, 1996. Electroencephalography and Clinical Neurophysiology 1998;108:1-16. | Adult;Pediatric | Supplemental | 3.00 | 2013-07-16 14:01:43.01 | Sensory Evoked Potentials | Electrodiagnostics | Outcomes and End Points |
Free-Form Entry |
Hertz | |||||||||
| C19345 | Temperature peak measurement value | TempPeakMeasrmntVal | Measurement of the participant's/subject's body peak temperature | Measurement of the participant's/subject's body peak temperatur | Peak temperature/Energy | Numeric Values | Adult;Pediatric | Supplemental | 3.00 | 2013-08-28 16:08:00.453 | Sensory Evoked Potentials | Electrodiagnostics | Outcomes and End Points |
Free-Form Entry |
0 | 50 | degree Celsius | |||||||||
| C15544 | Imaging stimulation intensity value | ImgStimlIntenVal | Stimulation intensity used on imaging | Stimulation intensity used on imagin | Stimulation intensity | Numeric Values |
Not more than 2.0mA; Include units |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-07-16 14:01:43.01 | Sensory Evoked Potentials | Electrodiagnostics | Outcomes and End Points |
Free-Form Entry |
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| C19346 | Sensory evoked potential heat average scale | SEPHeatAvgScl | The average numeric value related to assessing somatosensory system functioning with heat | The average numeric value related to assessing somatosensory system functioning with heat | Average numeric rating | 0;1;10;2;3;4;5;6;7;8;9 | 0;1;10;2;3;4;5;6;7;8;9 | Numeric Values | Adult;Pediatric | Supplemental | 1.00 | 2014-06-11 17:26:16.0 | Sensory Evoked Potentials | Electrodiagnostics | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C19242 | Sympathetic skin response peak-to-peak amplitude value | SymSkinResPeakToPeakAmplituVal | The value of peak-to-peak amplitude as related to sympathetic skin response | The value of peak-to-peak amplitude as related to sympathetic skin respons | Amplitude | Numeric Values | Adult;Pediatric | Supplemental | 1.00 | 2014-06-05 10:13:29.0 | Sensory Evoked Potentials | Electrodiagnostics | Outcomes and End Points |
Free-Form Entry |
Millivolt | |||||||||||
| C19347 | Temperature average measurement value | TempAvgMeasrmntVal | Measurement of the participant's/subject's body average temperature | Measurement of the participant's/subject's body average temperatur | Average temperature | Numeric Values | Adult;Pediatric | Supplemental | 3.00 | 2013-08-28 16:08:00.453 | Sensory Evoked Potentials | Electrodiagnostics | Outcomes and End Points |
Free-Form Entry |
0 | 50 | degree Celsius | |||||||||
| C19243 | Sensory latency value | SensoryLatencyVal | The value of latency in sensory response | The value of latency in sensory respons | Latency | Numeric Values | Adult;Pediatric | Supplemental | 1.00 | 2014-06-05 10:17:27.0 | Sensory Evoked Potentials | Electrodiagnostics | Outcomes and End Points |
Free-Form Entry |
second | |||||||||||
| C19349 | Thermal quantitative sensory testing standardized instruction text | TQSTTstngInstcnTxt | Standardized instructions for thermal quantitative sensory testing | Standardized instructions for thermal quantitative sensory testing | Standardized instructions | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2014-06-12 09:58:34.0 | Sensory Evoked Potentials | Electrodiagnostics | Outcomes and End Points | 4000 |
Free-Form Entry |
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| C19316 | Dermatome area name | DermatomeAreaName | Name of dermatome area | Name of dermatome area | Side/Dermatome | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2014-06-09 10:08:38.0 | Sensory Evoked Potentials | Electrodiagnostics | Outcomes and End Points | 4000 |
Free-Form Entry |
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| C19350 | Pulse count | PulseCt | Number of pulses | Number of pulses | Number of pulses | Numeric Values | Adult;Pediatric | Supplemental | 1.00 | 2014-06-12 10:03:38.0 | Sensory Evoked Potentials | Electrodiagnostics | Outcomes and End Points |
Free-Form Entry |
