CDE Detailed Report

Disease: Chiari I Malformation
Sub-Domain: Therapies
CRF: Chiari I Malformation Treatment

Displaying 1 - 36 of 36
CDE ID CDE Name Variable Name Definition Short Description Additional Notes (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 / Guideline) Sub Domain Name Domain Name Size Input Restrictions Min Value Max Value Measurement Type External Id Loinc External Id Snomed External Id caDSR External Id CDISC
C22468 Surgical procedure arachnoid manuever type SurgProcArManTyp The type of surgical procedure performed on arachnoid. The type of surgical procedure performed on arachnoid. Chiari Decompression- Operative Arachnoid Maneuver Arachnoid sparing (left intact);Arachnoid opening;Arachnoid opening plus lysis of adhesions;Arachnoid resection or retraction Arachnoid sparing (left intact);Arachnoid opening;Arachnoid opening plus lysis of adhesions;Arachnoid resection or retraction Alphanumeric Adult;Pediatric Supplemental 1.00 2016-06-10 15:59:21.0 Chiari I Malformation Treatment Therapies Treatment/Intervention Data

Single Pre-Defined Value Selected

C22492 Blood estimate loss measurement BldEstLssMeas The measurement related to the estimated amount of blood loss. The measurement related to the estimated amount of blood loss. Chiari Decompression- Estimated Blood Loss Numeric Values Adult;Pediatric Supplemental 1.00 2016-06-13 11:32:45.0 Chiari I Malformation Treatment Therapies Treatment/Intervention Data

Free-Form Entry

0 cubic centimeter
C22503 Craniocervical fusion indicator CraniocerficalFusionInd The indicator related to craniocervical fusion. The indicator related to craniocervical fusion. Craniocervical Fusion No;Yes, occiput to C2;Yes, occiput to C3;Yes, occiput to C4;Yes, occiput to C5;Yes, occiput to below C5 No;Yes, occiput to C2;Yes, occiput to C3;Yes, occiput to C4;Yes, occiput to C5;Yes, occiput to below C5 Alphanumeric Adult;Pediatric Supplemental 1.00 2016-06-13 12:11:32.0 Chiari I Malformation Treatment Therapies Treatment/Intervention Data

Single Pre-Defined Value Selected

C22482 Surgical procedure tonsillar reduction type SurgProcTonsRedType The type of tonsillar reduction utilized. The type of tonsillar reduction utilized. Chiari Decompression- Tonsillar Reduction None;Tonsillar cauterization;Tonsillar resection None;Tonsillar cauterization;Tonsillar resection Alphanumeric Adult;Pediatric Supplemental 1.00 2016-06-13 10:39:12.0 Chiari I Malformation Treatment Therapies Treatment/Intervention Data

Single Pre-Defined Value Selected

C22493 Chiari decompression hospital stay post surgical procedure duration ChiariDcpHsStPstSurgProcDur The duration of the individual's hospital stay post operation. The duration of the individual's hospital stay post operation. Chiari Decompression- Length of Hospital Stay Post-Operatively Numeric Values Adult;Pediatric Supplemental 1.00 2016-06-13 11:35:02.0 Chiari I Malformation Treatment Therapies Treatment/Intervention Data

Free-Form Entry

0 days
C22504 Cervical fusion indicator CervFusInd The indicator related to cervical fusion. The indicator related to cervical fusion. Cervical Fusion No;Yes, occiput to C2;Yes, occiput to C3;Yes, occiput to C4;Yes, occiput to C5;Yes, occiput to below C5 No;Yes, occiput to C2;Yes, occiput to C3;Yes, occiput to C4;Yes, occiput to C5;Yes, occiput to below C5 Alphanumeric Adult;Pediatric Supplemental 1.00 2016-06-13 12:26:53.0 Chiari I Malformation Treatment Therapies Treatment/Intervention Data

Single Pre-Defined Value Selected

C22483 Chiari decompression verification decompression obex choroid plexus fourth ventricle indicator ChiariDecmpVrDcmpOCdPlFhVenInd The indicator related to the verification of decompression within the obex or the choroid plexus of the 4th ventricle. The indicator related to the verification of decompression within the obex or the choroid plexus of the 4th ventricle. Chiari Decompression- Parameters for Verification of Decompression (Visualizing Obex/Choroid plesus of 4th ventricle) Yes;No Yes;No Alphanumeric Adult;Pediatric Supplemental 1.00 2016-06-13 10:43:05.0 Chiari I Malformation Treatment Therapies Treatment/Intervention Data

Single Pre-Defined Value Selected

C22494 Ventral decompression type VentDecmpTyp The type of ventral decompression utilitized (if any). The type of ventral decompression utilitized (if any). Ventral Decompression Not performed;Open Transoral approach;Endoscopic transnasal approach Not performed;Open Transoral approach;Endoscopic transnasal approach Alphanumeric Adult;Pediatric Supplemental 1.00 2016-06-13 11:38:01.0 Chiari I Malformation Treatment Therapies Treatment/Intervention Data

Single Pre-Defined Value Selected

C22432 Chiari malformation conservative management indicator CMConsrvtvMgmtInd The indicator related to conservative management with no surgical treatment offered. The indicator related to conservative management with no surgical treatment offered. Conservative Management Only Yes;No Yes;No Alphanumeric Adult;Pediatric Supplemental 1.00 2016-06-10 12:50:40.0 Chiari I Malformation Treatment Therapies Treatment/Intervention Data

Single Pre-Defined Value Selected

C22505 Thoracolumbar brace indicator ThorBraceInd The indicator related to the implementation of a thoracolumbar brace. The indicator related to the implementation of a thoracolumbar brace. Spinal Deformity- Thoracolumbar brace Yes;No Yes;No Alphanumeric Adult;Pediatric Supplemental 1.00 2016-06-13 12:29:32.0 Chiari I Malformation Treatment Therapies Treatment/Intervention Data

Single Pre-Defined Value Selected

C22484 Chiari decompression verification decompression lateral cervicomedullary junction cranial spinal nerve rootlet indicator ChiariDpVrDpLtCvJnCrSpNvRtInd The indicator related to the verification of decompression within the lateral cervicomedullary junction/cranial or spinal nerve rootlets . The indicator related to the verification of decompression within the lateral cervicomedullary junction/cranial or spinal nerve rootlets . Chiari Decompression- Parameters for Verification of Decompression (Visualize lateral aspect of cervicomedullary junction/cranial or spinal nerve) Yes;No Yes;No Alphanumeric Adult;Pediatric Supplemental 1.00 2016-06-13 10:46:34.0 Chiari I Malformation Treatment Therapies Treatment/Intervention Data

Single Pre-Defined Value Selected

C22495 Surgical procedure syrinx performed type SurgProcSyrnxPerformTyp The type of direct surgical treatment of syrinx (if any). The type of direct surgical treatment of syrinx (if any). Operative Syrinx Treatment Not performed;Syrinx drainage (e.g. needle aspiration);Syrinx fenestration;Syrinx shunt- syringosubarachnoid shunt;Syrinx shunt- syringopleural shunt;Syrinx shunt- syringoperitoneal shunt Not performed;Syrinx drainage (e.g. needle aspiration);Syrinx fenestration;Syrinx shunt- syringosubarachnoid shunt;Syrinx shunt- syringopleural shunt;Syrinx shunt- syringoperitoneal shunt Alphanumeric Adult;Pediatric Supplemental 1.00 2016-06-13 11:41:47.0 Chiari I Malformation Treatment Therapies Treatment/Intervention Data

Single Pre-Defined Value Selected

C22434 Chiari malformation conservative management duration ChiariMlfConsManagDur Duration of conservative management from time of initial imaging diagnosis. Duration of conservative management from time of initial imaging diagnosis. Conservative Management- Duration Numeric Values Adult;Pediatric Supplemental 1.00 2016-06-10 12:54:30.0 Chiari I Malformation Treatment Therapies Treatment/Intervention Data

Free-Form Entry

0 months
C22506 Thoracolumbar brace text ThorBraceTxt The free-text field related to how long the brace was utilized. The free-text field related to how long the brace was utilized. If yes, indicate the number of months Numeric Values Adult;Pediatric Supplemental 1.00 2016-06-13 12:33:09.0 Chiari I Malformation Treatment Therapies Treatment/Intervention Data

Free-Form Entry

0 days
C22485 Chiari decompression intradural adjunct fourth ventricle stent indicator ChiariDcmpIntAdjtFthVentStInd The indicator related to the addition of a fourth ventricle stent. The indicator related to the addition of a fourth ventricle stent. Chiari Decompression-Adding a 4th ventricular stent Yes;No Yes;No Alphanumeric Adult;Pediatric Supplemental 1.00 2016-06-13 10:51:07.0 Chiari I Malformation Treatment Therapies Treatment/Intervention Data

Single Pre-Defined Value Selected

C22496 Surgical procedure wound revision requirement indicator SurgProcWndRvReqInd The indicator related to whether surgical wound revision was required. The indicator related to whether surgical wound revision was required. Complication, Early- Requirement for Surgical Wound Revision Yes;No Yes;No Alphanumeric Adult;Pediatric Supplemental 1.00 2016-06-13 11:46:28.0 Chiari I Malformation Treatment Therapies Treatment/Intervention Data

Single Pre-Defined Value Selected

C22437 Suboccipital craniectomy size superior inferior measurement SubocCranSzeSupInfMeas The measurement related to the size of the suboccipital craniectomy superiorly or inferiorly. The measurement related to the size of the suboccipital craniectomy superiorly or inferiorly. Chiari Decompression- Suboccipital Craniectomy: Superior-inferior >5.1 cm;<2 cm;2.1-3 cm;3.1-5 cm >5.1 cm;<2 cm;2.1-3 cm;3.1-5 cm Alphanumeric Adult;Pediatric Supplemental 1.00 2016-06-10 12:58:45.0 Chiari I Malformation Treatment Therapies Treatment/Intervention Data

Single Pre-Defined Value Selected

C22507 Spinal deformity stabilization indicator SpnDeformStabInd The indicator related to the surgical stabilization of spinal deformity. The indicator related to the surgical stabilization of spinal deformity. Spinal Deformity- Deformity Correction Not performed;Yes, posterior stabilization only;Yes, anterior stabilization only;Yes, anterior and posterior stabilization Not performed;Yes, posterior stabilization only;Yes, anterior stabilization only;Yes, anterior and posterior stabilization Alphanumeric Adult;Pediatric Supplemental 1.00 2016-06-13 12:35:43.0 Chiari I Malformation Treatment Therapies Treatment/Intervention Data

Single Pre-Defined Value Selected

C22486 Surgical procedure arachnoid veil finding type SrgProcArchVlFindTyp The type of finding in context of the arachnoid veil. The type of finding in context of the arachnoid veil. Chiari Decompression- Intra-operative finding of arachnoid veil Found, left closed;Found, dissected open;Not found Found, left closed;Found, dissected open;Not found Alphanumeric Adult;Pediatric Supplemental 1.00 2016-06-13 10:54:38.0 Chiari I Malformation Treatment Therapies Treatment/Intervention Data

Single Pre-Defined Value Selected

C22497 Suboptimal response revision requirement indicator SubRspnsRevReqInd The indicator related to whether a suboptimal response to decompression required revision. The indicator related to whether a suboptimal response to decompression required revision. Complication, Early- Requirement for Revision Chiari Decompression Yes;No Yes;No Alphanumeric Adult;Pediatric Supplemental 1.00 2016-06-13 11:48:29.0 Chiari I Malformation Treatment Therapies Treatment/Intervention Data

Single Pre-Defined Value Selected

C22460 Suboccipital craniectomy size left right measurement range SuboccptlCrnectmySzLftRtMsrRng The range of measurement related to the size of the suboccipital craniectomy left or right. The range of measurement related to the size of the suboccipital craniectomy left or right. Chiari Decompression- Suboccipital Craniectomy: Left-Right >5.1 cm;<2 cm;2.1-3 cm;3.1-5 cm >5.1 cm;<2 cm;2.1-3 cm;3.1-5 cm Alphanumeric Adult;Pediatric Supplemental 1.00 2016-06-10 15:13:46.0 Chiari I Malformation Treatment Therapies Treatment/Intervention Data

Single Pre-Defined Value Selected

C22508 Spinal deformity stabilization text SpnDeformStabTxt The free-text field related to the highest/lowest level of surgical stabilization of the spinal deformity. The free-text field related to the highest/lowest level of surgical stabilization of the spinal deformity. If yes, indicate the highest/lowest level of the surgical stabilization Numeric Values Adult;Pediatric Supplemental 1.00 2016-06-13 12:41:19.0 Chiari I Malformation Treatment Therapies Treatment/Intervention Data

Free-Form Entry

0
C22487 Obex plug indicator ObxPlgInd The indicator related to the plugging of the obex. The indicator related to the plugging of the obex. Chiari Decompression- Plugging of obex Yes;No Yes;No Alphanumeric Adult;Pediatric Supplemental 1.00 2016-06-13 11:02:13.0 Chiari I Malformation Treatment Therapies Treatment/Intervention Data

Single Pre-Defined Value Selected

C22498 Cranioplasty cerebelloplasty performed six month type CranCerePerformSixMoTyp The type of cranioplasty/ cerebelloplasty performed post Chiari decompression at the 6 month point. The type of cranioplasty/ cerebelloplasty performed post Chiari decompression at the 6 month point. Complication, Early- Requirement for Cranioplasty/Cerebelloplasty None;Autologous material;Mesh (e.g. titanium);Bone cement (e.g. methylmethacrylate) None;Autologous material;Mesh (e.g. titanium);Bone cement (e.g. methylmethacrylate) Alphanumeric Adult;Pediatric Supplemental 1.00 2016-06-13 11:50:57.0 Chiari I Malformation Treatment Therapies Treatment/Intervention Data

Single Pre-Defined Value Selected

C22461 Cervical laminectomy anatomic site CervLamAnatomSite The anatomic site or location related to the cervical laminectomy. The anatomic site or location related to the cervical laminectomy. Chiari Decompression- Cervical Laminectomy C1;C2;C3;C4;C5 C1;C2;C3;C4;C5 Alphanumeric Adult;Pediatric Supplemental 1.00 2016-06-10 15:19:01.0 Chiari I Malformation Treatment Therapies Treatment/Intervention Data

Multiple Pre-Defined Values Selected

C22488 Dural closure technique type DrlClsreTechTyp The type of dural closure technique utilized (if any). The type of dural closure technique utilized (if any). Chiari Decompression- Dural Closure No Closure (dura left open);Primary closure, without Duraplasty (aka Durarraphy);Dural augmentation with autologous graft (fascia or pericranium);Dural augmentation with allograft (cadaveric graft);Dural augmentation with biological membrane (e.g. bovine, porcine, Alloderm);Dural augmentation with combined graft (e.g. pericranium-GoreTex);Dural augmentation with synthetic graft (e.g. GoreTex) No Closure (dura left open);Primary closure, without Duraplasty (aka Durarraphy);Dural augmentation with autologous graft (fascia or pericranium);Dural augmentation with allograft (cadaveric graft);Dural augmentation with biological membrane (e.g. bovine, porcine, Alloderm);Dural augmentation with combined graft (e.g. pericranium-GoreTex);Dural augmentation with synthetic graft (e.g. GoreTex) Alphanumeric Adult;Pediatric Supplemental 1.00 2016-06-13 11:04:47.0 Chiari I Malformation Treatment Therapies Treatment/Intervention Data

Single Pre-Defined Value Selected

C22499 Hydrocephalus diagnosis required intervention six month indicator HydrDiagReqIntSixMoInd The indicator related to required intervention on a Hydrocephalus diagnosed six months post Chiari decompression. The indicator related to required intervention on a Hydrocephalus diagnosed six months post Chiari decompression. Complication, Early- Hydrocephalus and Pseudotumor-like syndrome Complication not encountered;External ventricular drain placed temporarily, but no permanent CSF diversionary procedure was required;CSF shunt placed (ventricular);CSF shunt placed (lumbar);Endoscopic third ventriculostomy performed Complication not encountered;External ventricular drain placed temporarily, but no permanent CSF diversionary procedure was required;CSF shunt placed (ventricular);CSF shunt placed (lumbar);Endoscopic third ventriculostomy performed Alphanumeric Adult;Pediatric Supplemental 1.00 2016-06-13 11:53:37.0 Chiari I Malformation Treatment Therapies Treatment/Intervention Data

Single Pre-Defined Value Selected

C22462 Cervical laminotomy indicator CervLamInd The indicator related to cervical laminotomy performed. The indicator related to cervical laminotomy performed. Chiari Decompression- C1 Laminotomy Yes;No Yes;No Alphanumeric Adult;Pediatric Supplemental 1.00 2016-06-10 15:29:13.0 Chiari I Malformation Treatment Therapies Treatment/Intervention Data

Single Pre-Defined Value Selected

C22489 Dural additional closure agent type DurlAddClsreAgntTyp The type of dural closure supplements used (if any). The type of dural closure supplements used (if any). Chiari Decompression- Dural Closure Supplements None (no supplement);Fibrin Glue (e.g. Tisseal);Hydrogel (e.g. Duraseal);Gel foam None (no supplement);Fibrin Glue (e.g. Tisseal);Hydrogel (e.g. Duraseal);Gel foam Alphanumeric Adult;Pediatric Supplemental 1.00 2016-06-13 11:19:27.0 Chiari I Malformation Treatment Therapies Treatment/Intervention Data

Single Pre-Defined Value Selected

C22500 Surgical procedure wound revision requirement six month indicator SurgProcWndRevReqSixMoInd The indicator related to a surgical wound revision required at 6 months post Chiari decompression. The indicator related to a surgical wound revision required at 6 months post Chiari decompression. Complication, Late-Requirement for Revision Decompression Yes;No Yes;No Alphanumeric Adult;Pediatric Supplemental 1.00 2016-06-13 11:59:33.0 Chiari I Malformation Treatment Therapies Treatment/Intervention Data

Single Pre-Defined Value Selected

C22463 Imaging intra-operative type ImgIntraOpTyp The type of intra-operative imaging utilized (if any). The type of intra-operative imaging utilized (if any). Chiari Decompression- Intra-Operative Imaging None;Ultrasound-standard (B-scan real time);Ultrasound-color Doppler;Intraoperative MRI None;Ultrasound-standard (B-scan real time);Ultrasound-color Doppler;Intraoperative MRI Alphanumeric Adult;Pediatric Supplemental 1.00 2016-06-10 15:33:29.0 Chiari I Malformation Treatment Therapies Treatment/Intervention Data

Single Pre-Defined Value Selected

C22490 Valsalva challenge perform indicator VlsChllPerfomInd The indicator related to whether a valsalva challenge was performed in order to assess the integrity of the closure. The indicator related to whether a valsalva challenge was performed in order to assess the integrity of the closure. Chiari Decompression-Valsalva challenge Yes;No Yes;No Alphanumeric Adult;Pediatric Supplemental 1.00 2016-06-13 11:24:23.0 Chiari I Malformation Treatment Therapies Treatment/Intervention Data

Single Pre-Defined Value Selected

C22501 Cranioplasty cerebelloplasty performed six month plus type CranCerePerformSixMoPlusTyp The type of cranioplasty/cerebelloplasty perfomed at 6 months plus post Chiari decompression. The type of cranioplasty/cerebelloplasty perfomed at 6 months plus post Chiari decompression. Complication, Late- Requirement for Cranioplasty/Cerebelloplasty None;Autologous material;Mesh (e.g. titanium);Bone cement (e.g. methylmethacrylate) None;Autologous material;Mesh (e.g. titanium);Bone cement (e.g. methylmethacrylate) Alphanumeric Adult;Pediatric Supplemental 1.00 2016-06-13 12:03:17.0 Chiari I Malformation Treatment Therapies Treatment/Intervention Data

Single Pre-Defined Value Selected

C22464 Surgical procedure dural technique type SurgProcDuralTechniqueTyp The type of dural technique (surgical approach to the dura) used. The type of dural technique (surgical approach to the dura) used. Chiari Decompression- Dural technique Extradural only (no dural opening, may include resection of atlanto-occipital membrane);Dural splitting/scoring (=incision of outer layer of dura);Dural opening only (dura stays open at end of surgery);Dural augmentation with duraplasty;Primary durrarraphy without duraplasty Extradural only (no dural opening, may include resection of atlanto-occipital membrane);Dural splitting/scoring (=incision of outer layer of dura);Dural opening only (dura stays open at end of surgery);Dural augmentation with duraplasty;Primary durrarraphy without duraplasty Alphanumeric Adult;Pediatric Supplemental 1.00 2016-06-10 15:41:45.0 Chiari I Malformation Treatment Therapies Treatment/Intervention Data

Single Pre-Defined Value Selected

C22491 Cranioplasty cerebelloplasty performed type CrnCerPerformTyp The type of cranioplasty/cerebelloplasty (if any) performed. The type of cranioplasty/cerebelloplasty (if any) performed. Chiari Decompression- Cranioplasty/Cerebelloplasty None;Autologous material;Mesh (e.g. titanium);Bone cement (e.g. methylmethacrylate) None;Autologous material;Mesh (e.g. titanium);Bone cement (e.g. methylmethacrylate) Alphanumeric Adult;Pediatric Supplemental 1.00 2016-06-13 11:26:56.0 Chiari I Malformation Treatment Therapies Treatment/Intervention Data

Single Pre-Defined Value Selected

C22502 Spinal deformity indicator SpnlDeformInd The indicator related to a new spinal deformity or progression of an existing deformity. The indicator related to a new spinal deformity or progression of an existing deformity. Complication, Late- Spinal Deformity Yes;No Yes;No Alphanumeric Adult;Pediatric Supplemental 1.00 2016-06-13 12:09:25.0 Chiari I Malformation Treatment Therapies Treatment/Intervention Data

Single Pre-Defined Value Selected

CSV