CDE Detailed Report

Disease: Chiari I Malformation
Subdomain Name: Surgeries and Other Procedures
CRF: Surgical Site Assessment

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
C22254 Surgical procedure trigger point anatomic site SurgProcTrgPtAnatomSite The anatomic site as related to trigger points in surgical procedure The anatomic site as related to trigger points in surgical procedur Trigger points None;Suboccipital;Paracervical;Trapezius;Rhomboid;Paraspinal None;Suboccipital;Paracervical;Trapezius;Rhomboid;Paraspinal Alphanumeric Adult;Pediatric Supplemental 1.00 2016-06-08 17:10:50.0 Surgical Site Assessment Surgeries and Other Procedures Treatment%2FIntervention Data

Single Pre-Defined Value Selected

C22274 Surgical procedure type SurgProcType The type of surgical procedure The type of surgical procedur Surgical Procedure Posterior Fossa Decompression (PFD);Posterior Fossa Revision (PFR);Cranio-cervical Fusion (CCF);Cranio-cervical Fusion Revision (CCFR);Shunt Placement Posterior Fossa Decompression (PFD);Posterior Fossa Revision (PFR);Cranio-cervical Fusion (CCF);Cranio-cervical Fusion Revision (CCFR);Shunt Placement Alphanumeric Adult;Pediatric Supplemental 1.00 2016-06-09 09:34:43.0 Surgical Site Assessment Surgeries and Other Procedures Treatment%2FIntervention Data

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 Location Left;Right;Bilateral Left;Right;Bilateral Alphanumeric

Choose one.

Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Surgical Site Assessment Surgeries and Other Procedures Treatment%2FIntervention Data

Single Pre-Defined Value Selected

C22278 Surgical procedure complications type SurgProcComplType The type of complication(s) that have occurred as related to the surgical procedure The type of complication(s) that have occurred as related to the surgical procedur Complications None;CSF Leak;Pseudomeningocele;Infection;Dehiscence;Hematoma;Other None;CSF Leak;Pseudomeningocele;Infection;Dehiscence;Hematoma;Other Alphanumeric Adult;Pediatric Supplemental 1.00 2016-06-09 10:18:14.0 Surgical Site Assessment Surgeries and Other Procedures Treatment%2FIntervention Data

Single Pre-Defined Value Selected

C05106 Surgical therapeutic procedure start date and time SurgTherapuProcStartDateTime Date (and time, if applicable and known) on which the surgical or therapeutic procedure started Date (and time, if applicable and known) on which the surgical or therapeutic procedure started Surgical Date Date or Date & Time Adult;Pediatric Supplemental 3.20 2022-08-18 17:27:56.0 Surgical Site Assessment Surgeries and Other Procedures Treatment%2FIntervention Data

Free-Form Entry

C22232 Surgical procedure anatomic site SurgProcAnatomSite The anatomic site related to surgical procedure The anatomic site related to surgical procedur Location Occiput;Spine Occiput;Spine Alphanumeric Adult;Pediatric Supplemental 1.00 2016-06-08 15:04:08.0 Surgical Site Assessment Surgeries and Other Procedures Treatment%2FIntervention Data

Single Pre-Defined Value Selected

C22237 Surgical procedure anatomic site other text SurgProcAnatomOthTxt The free text field related to other anatomic site of surgical procedure The free text field related to other anatomic site of surgical procedur Other Alphanumeric Adult;Pediatric Supplemental 1.00 2016-06-08 15:10:21.0 Surgical Site Assessment Surgeries and Other Procedures Treatment%2FIntervention Data 4000

Free-Form Entry

C22239 Surgical procedure wound healing status SurgProcWndHealStatus The status related to wound healing after surgical procedure The status related to wound healing after surgical procedur Wound Healing Normal;Tenderness;Redness;Swelling;CSF leakage;Dehiscence;Infection Normal;Tenderness;Redness;Swelling;CSF leakage;Dehiscence;Infection Alphanumeric Adult;Pediatric Supplemental 1.00 2016-06-08 15:14:19.0 Surgical Site Assessment Surgeries and Other Procedures Treatment%2FIntervention Data

Multiple Pre-Defined Values Selected

C22241 Surgical procedure wound healing assessment other text SurgProcWndHealAssmntOthTxt The free-text field related to other wound healing assessment from surgical procedure The free-text field related to other wound healing assessment from surgical procedur Other Alphanumeric Adult;Pediatric Supplemental 1.00 2016-06-08 15:28:10.0 Surgical Site Assessment Surgeries and Other Procedures Treatment%2FIntervention Data 4000

Free-Form Entry

C22243 Surgical procedure hardware anatomic site SurgProcHrdwreAnatomSite The anatomic site related to hardware of surgical procedure The anatomic site related to hardware of surgical procedur Hardware Occiput;Spine Occiput;Spine Alphanumeric Adult;Pediatric Supplemental 1.00 2016-06-08 15:33:12.0 Surgical Site Assessment Surgeries and Other Procedures Treatment%2FIntervention Data

Single Pre-Defined Value Selected

C22245 Surgical procedure hardware anatomic site other text SurgProcHrdwreAnatomSiteOthTxt The free-text field related to other anatomic site of hardware in surgical procedure The free-text field related to other anatomic site of hardware in surgical procedur Other Alphanumeric Adult;Pediatric Supplemental 1.00 2016-06-08 15:36:13.0 Surgical Site Assessment Surgeries and Other Procedures Treatment%2FIntervention Data 4000

Free-Form Entry

C22253 Surgical procedure muscle spasm status SurgProcMuscSpsmStatus The status related to muscle spasms in surgical procedure The status related to muscle spasms in surgical procedur Muscle Spasm None;Tenderness;Induration;Other None;Tenderness;Induration;Other Alphanumeric Adult;Pediatric Supplemental 1.00 2016-06-08 16:24:04.0 Surgical Site Assessment Surgeries and Other Procedures Treatment%2FIntervention Data

Single Pre-Defined Value Selected

CSV