CDE Detailed Report

Disease: Sport Related Concussion
Sub-Domain: Imaging Diagnostics
CRF: Imaging

Displaying 1 - 47 of 47
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 / 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
C10682 Imaging anatomic site ImgAntmicSite Type of body part or anatomy scanned in the imaging study Type of body part or anatomy scanned in the imaging study Imaging modality Head;Cervical spine;Brain Head;Cervical spine;Brain Alphanumeric Adult;Pediatric Supplemental 3.00 2013-07-24 11:38:01.2 Imaging Imaging Diagnostics Assessments and Examinations

Multiple Pre-Defined Values Selected

C20247 Imaging scanner model name text ImgScannerModelNameTxt The free-text field related to name of model of imaging scanner. The free-text field related to name of model of imaging scanner. Imaging scanner model name Alphanumeric Adult;Pediatric Supplemental 1.00 2015-02-12 09:34:42.0 Imaging Imaging Diagnostics Assessments and Examinations 4000

Free-Form Entry

C02413 Contusion findings type ContusnFindTyp Type of contusion findings in the image of the participant's brain. Further describes the contusion. Contusion findings (choose all that apply) Cortical;Subcortical;Deep brain structures Cortical;Subcortical;Deep brain structures Alphanumeric Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Imaging Imaging Diagnostics Assessments and Examinations

Multiple Pre-Defined Values Selected

C17402 Site name SiteName The name of the site for the study The name of the site for the study Site name Alphanumeric Adult;Pediatric Supplemental 3.00 2013-06-21 00:00:00.0 Imaging Imaging Diagnostics Assessments and Examinations 255

Free-Form Entry

C02452 Ischemia infarction hypoxic-ischemic injury anatomic site IschInfrctHypoIschInjryAnatSit Anatomic site of the ischemia/infarction/hypoxic-ischemic injury. Anatomic site of the ischemia/infarction/hypoxic-ischemic injury. Ischemia or infarction or hypoxic-ischemic injury anatomic site (Choose all that apply) Frontal - R;Frontal - L;Parietal - R;Parietal - L;Temporal - R;Temporal - L;Occipital - R;Occipital - L;Deep gray matter - R;Deep gray matter - L;Cerebellum - R;Cerebellum - L;Brainstem Frontal - R;Frontal - L;Parietal - R;Parietal - L;Temporal - R;Temporal - L;Occipital - R;Occipital - L;Deep gray matter - R;Deep gray matter - L;Cerebellum - R;Cerebellum - L;Brainstem Alphanumeric Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Imaging Imaging Diagnostics Assessments and Examinations

Multiple Pre-Defined Values Selected

C02495 Imaging scanner strength value ImgScannerStrgthVal Value, in Tesla (T), of the scanner's magnetic field strength used for the scan being reported Value, in Tesla (T), of the scanner's magnetic field strength used for the scan being reported Imaging scanner strength 1.5T;3.0T;4.0T;7.0T;Other, specify 1.5T;3.0T;4.0T;7.0T;Other, specify Alphanumeric Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Imaging Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

Tesla
C02414 Contusion status ContusnStat Status of a focal area of brain parenchymal disruption due to acute mechanical deformation. Status of a focal area of brain parenchymal disruption due to acute mechanical deformation. Contusion Absent;Present Absent;Present Alphanumeric Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Imaging Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C18708 Imaging pulse sequence other text ImgPulseSeqOTH The free-text field related to 'Imaging pulse sequence type' specifying other text. Type of imaging pulse sequence used The free-text field related to 'Imaging pulse sequence type' specifying other text. Type of imaging pulse sequence used Other, specify Alphanumeric Adult;Pediatric Supplemental 1.00 2014-05-27 13:34:46.0 Imaging Imaging Diagnostics Assessments and Examinations 4000

Free-Form Entry

C02455 Midline shift supratentorial indicator MidlneShftSuprtentorialInd Displacement of the supratentorial midline structures, particularly the septum pellucidum, 2 mm or more due to mass effect of a focal traumatic lesion or brain swelling. Displacement of the supratentorial midline structures, particularly the septum pellucidum, 2 mm or more due to mass effect of a focal traumatic lesion or brain swelling. Midline shift supratentorial Absent;Present Absent;Present Alphanumeric Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Imaging Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C02496 Imaging scanner manufacturer name ImgScannerManufName Name of manufacturer of imaging scanner Imaging scanner manufacturer name Imaging scanner manufacturer name Agfa;Carestream;GE;Hitachi;Hologic;Konica Minolta;Philips;Siemens;Toshiba;Other, specify Agfa;Carestream;GE;Hitachi;Hologic;Konica Minolta;Philips;Siemens;Toshiba;Other, specify Alphanumeric Adult;Pediatric Supplemental 3.00 2013-07-25 08:54:08.2 Imaging Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C02419 Diffuse axonal injury traumatic axonal injury anatomic site DAITAIAntmicSite Anatomic site of the diffuse axonal injury (DAI) and/or traumatic axonal injury (TAI) Anatomic site of the diffuse axonal injury (DAI) and/or traumatic axonal injury (TAI) Diffuse axonal injury and traumatic axonal injury anatomic site (Choose all that apply) Frontal - L;Parietal - R;Parietal - L;Temporal - R;Temporal - L;Occipital - R;Occipital - L;Thalamus/Basal ganglia - R;Thalamus/Basal ganglia - L;Midbrain - R;Midbrain - L;Pons - R;Pons - L;Medulla - R;Medulla -L;Cerebellum - R;Cerebellum - L;Corpus Callosum: Genu - R;Corpus Callosum: Genu - L;Corpus Callosum: Body - R;Corpus Callosum: Body - L;Corpus Callosum: Splenium - R;Corpus Callosum: Splenium - L;Subcortical White matter: Frontal - R;Subcortical White matter: Frontal - L;Subcortical White matter: Parietal - R;Subcortical White matter: Parietal - L;Subcortical White matter: Temporal - R;Subcortical White matter: Temporal - L;Subcortical White matter: Occipital - R;Subcortical White matter: Occipital - L;Internal Capsule: Anterior limb - R;Internal Capsule: Anterior limb - L;Internal Capsule: Posterior limb -R;Internal Capsule: Posterior limb -L;Brainstem: Dorsolateral rostral - R;Brainstem: Dorsolateral rostral - L;Brainstem: other - R;Brainstem: other - L;Cerebellar Peduncles - R;Cerebellar Peduncles - L;Frontal - R Frontal - L;Parietal - R;Parietal - L;Temporal - R;Temporal - L;Occipital - R;Occipital - L;Thalamus/Basal ganglia - R;Thalamus/Basal ganglia - L;Midbrain - R;Midbrain - L;Pons - R;Pons - L;Medulla - R;Medulla -L;Cerebellum - R;Cerebellum - L;Corpus Callosum: Genu - R;Corpus Callosum: Genu - L;Corpus Callosum: Body - R;Corpus Callosum: Body - L;Corpus Callosum: Splenium - R;Corpus Callosum: Splenium - L;Subcortical White matter: Frontal - R;Subcortical White matter: Frontal - L;Subcortical White matter: Parietal - R;Subcortical White matter: Parietal - L;Subcortical White matter: Temporal - R;Subcortical White matter: Temporal - L;Subcortical White matter: Occipital - R;Subcortical White matter: Occipital - L;Internal Capsule: Anterior limb - R;Internal Capsule: Anterior limb - L;Internal Capsule: Posterior limb -R;Internal Capsule: Posterior limb -L;Brainstem: Dorsolateral rostral - R;Brainstem: Dorsolateral rostral - L;Brainstem: other - R;Brainstem: other - L;Cerebellar Peduncles - R;Cerebellar Peduncles - L;Frontal - R Alphanumeric Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Imaging Imaging Diagnostics Assessments and Examinations

Multiple Pre-Defined Values Selected

C18714 Imaging radio frequency coil channel other text ImgRFCoilChannelOTH The free-text field related to 'Imaging radio frequency coil channel count' specifying other text. Number of the coil channels in the radio frequency (RF) coil used for the imaging scan The free-text field related to 'Imaging radio frequency coil channel count' specifying other text. Number of the coil channels in the radio frequency (RF) coil used for the imaging scan Other, specify Alphanumeric Adult;Pediatric Supplemental 1.00 2014-05-27 13:34:46.0 Imaging Imaging Diagnostics Assessments and Examinations 4000

Free-Form Entry

C02463 Skull fracture status SkullFractStat Status of a break in the normal integrity of the skull, which may be partial or full thickness, caused by presumed mechanical force. Status of a break in the normal integrity of the skull, which may be partial or full thickness, caused by presumed mechanical force. Skull fracture Absent;Present Absent;Present Alphanumeric Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Imaging Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C02498 Imaging scanner software version number ImgScannerSftwrVrsnNum Version number of the imaging scanner software Version number of the imaging scanner software Imaging scanner software version number Alphanumeric Adult;Pediatric Supplemental 3.00 2013-07-25 08:54:08.2 Imaging Imaging Diagnostics Assessments and Examinations 4000

Free-Form Entry

C02421 Diffuse axonal injury status DiffseAxonlInjStat Status of a widespread distribution of lesions, including the subcortical white matter in more than one lobe or hemisphere, along with lesions in the corpus callosum, and may include the dorsomedial midbrain and other brainstem and cerebellar regions Status of a widespread distribution of lesions, including the subcortical white matter in more than one lobe or hemisphere, along with lesions in the corpus callosum, and may include the dorsomedial midbrain and other brainstem and cerebellar regions Diffuse axonal injruy Absent;Indeterminate;Present Absent;Indeterminate;Present Alphanumeric Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Imaging Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C18715 Imaging radio frequency coil other text ImgRFCoilOTH The free-text field related to 'Imaging radio frequency coil type' specifying other text. Type of radio frequency (RF) coil(s) used for the body part scanned The free-text field related to 'Imaging radio frequency coil type' specifying other text. Type of radio frequency (RF) coil(s) used for the body part scanned Other, specify Alphanumeric Adult;Pediatric Supplemental 1.00 2014-05-27 13:34:46.0 Imaging Imaging Diagnostics Assessments and Examinations 4000

Free-Form Entry

C02464 Skull fracture anatomic site SkullFractAntmicSite Anatomic site of the skull fracture. Anatomic site of the skull fracture. Skull fracture anatomic site (choose all that apply) Frontal - R;Frontal - L;Parietal - R;Parietal -L;Temporal - R;Temporal - L;Occipital - R;Occipital - L;Skull base - R;Skull base - L;Anterior fossa;Middle fossa;Posterior fossa Frontal - R;Frontal - L;Parietal - R;Parietal -L;Temporal - R;Temporal - L;Occipital - R;Occipital - L;Skull base - R;Skull base - L;Anterior fossa;Middle fossa;Posterior fossa Alphanumeric Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Imaging Imaging Diagnostics Assessments and Examinations

Multiple Pre-Defined Values Selected

C02499 Imaging pulse sequence type ImgPulseSeqTyp Type of imaging pulse sequence used Type of imaging pulse sequence used Imaging sequence (choose all that apply) MPRAGE;GRE;SWI;DTI;FLAIR;Other, specify;T1;T2;DWI;PWI;MRSI;fMRI MPRAGE;GRE;SWI;DTI;FLAIR;Other, specify;T1;T2;DWI;PWI;MRSI;fMRI Alphanumeric Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Imaging Imaging Diagnostics Assessments and Examinations

Multiple Pre-Defined Values Selected

C02424 Brain edema status EdemaStat Status of an abnormal accumulation of water in the intracellular and/or extracellular spaces of the brain. Status of an abnormal accumulation of water in the intracellular and/or extracellular spaces of the brain. Brain Edema Absent;Present Absent;Present Alphanumeric Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Imaging Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C18716 Imaging scanner manufacturer other text ImgScannerManufOTH The free-text field related to 'Imaging scanner manufacturer name' specifying other text. Name of manufacturer of imaging scanner The free-text field related to 'Imaging scanner manufacturer name' specifying other text. Name of manufacturer of imaging scanner Other, specify Alphanumeric Adult;Pediatric Supplemental 1.00 2014-05-27 13:34:46.0 Imaging Imaging Diagnostics Assessments and Examinations 4000

Free-Form Entry

C02465 Skull fracture morphology findings type SkullFractMorphFindTyp Findings related to morphology of the skull fracture. Findings related to morphology of the skull fracture. Skull fracture morphology findings type (Choose all that apply) Depressed;Ping pong fracture;Diastatic;Compound;Penetrating;Probable fracture;Pneumocephalus;Other craniofacial fractures;Linear;Comminuted >1 cm or full thickness of skull;smooth depression typically seen in infants and toddlers, without a complete bony cortical disruption;Separated more than 3 mm, or separation of a suture;Communication with the skin, mastoid air cells, or paranasal sinuses;Resulting from an indriven foreign body, such as knife or missile;One in which fracture itself cannot be seen definitively, but is suspected to be present based on other findings such as adjacent subgaleal and extra-axial hemorrhage, intracranial air, or other findings;Pneumocephalus - Present;For children <3 years, of interest for relevance for inflicted injuries;Includes simple and branched;Involving at least one separate non-contiguous bone segment Alphanumeric Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Imaging Imaging Diagnostics Assessments and Examinations

Multiple Pre-Defined Values Selected

C02400 Brain volumetric analysis measurement BrainVolumetrcAnlysMeasr Measured brain volume in cubic centimeters Measured brain volume in cubic centimeters Brain volumetric analysis measurement:
……..cm3
Numeric Values Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Imaging Imaging Diagnostics Assessments and Examinations

Free-Form Entry

cubic centimeter
C02500 Imaging brain assessment result ImgBrainAssessmtReslt Result of the global assessment of brain imaging Result of the global assessment of brain imaging Brain imaging result Abnormal;Normal;Not assessed;Unknown Abnormal;Normal;Not assessed;Unknown Alphanumeric Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Imaging Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C02425 Brain edema anatomic site EdemaAntmicSite Anatomic site of the brain edema. Anatomic site of the brain dema. edema anatomic site (Choose all that apply) Frontal - R;Frontal - L;Parietal - R;Parietal - L;Temporal - R;Temporal - L;Occipital - R;Occipital - L;Cerebellum - R;Cerebellum - L;Brainstem;Bihemispheric;Hemispheric;Global Frontal - R;Frontal - L;Parietal - R;Parietal - L;Temporal - R;Temporal - L;Occipital - R;Occipital - L;Cerebellum - R;Cerebellum - L;Brainstem;Bihemispheric;Hemispheric;Global Alphanumeric Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Imaging Imaging Diagnostics Assessments and Examinations

Multiple Pre-Defined Values Selected

C18718 Imaging scanner strength other text ImgScannerStrgthOTH The free-text field related to 'Imaging scanner strength value' specifying other text. Value, in Tesla (T), of the scanner's magnetic field strength used for the scan being reported The free-text field related to 'Imaging scanner strength value' specifying other text. Value, in Tesla (T), of the scanner's magnetic field strength used for the scan being reported Imaging scanner strength Other: specify Alphanumeric Adult;Pediatric Supplemental 1.00 2014-05-27 13:34:46.0 Imaging Imaging Diagnostics Assessments and Examinations 4000

Free-Form Entry

Tesla
C02468 Subarachnoid hemorrhage extent type SAHExtentTyp Type of distribution of the subarachnoid hemorrhage (SAH). Type of distribution of the subarachnoid hemorrhage (SAH). Subarachnoid hemorrhage extent type (Fisher classification) Diffuse or vertical layers < 1 mm;Focal cloth and/or vertical layer >= 1 mm;Intraventricular cloth with diffuse or no SAH Diffuse or vertical layers < 1 mm (Fisher 2);Focal cloth and/or vertical layer >= 1 mm (Fisher 3);Intraventricular cloth with diffuse or no SAH (Fisher 4) Alphanumeric Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Imaging Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C02401 Brain atrophy encephalomalacia result BrainAtrphEncphlmlReslt Result of assessment of brain atrophy or encephalomalacia, defined as loss of tissue volume over time due to cell death or shrinkage. Result of assessment of brain atrophy or encephalomalacia, defined as loss of tissue volume over time due to cell death or shrinkage. Brain atrophy or encephalomalacia Present;Likely;Indeterminate;Absent Tissue loss seen over serial images;Tissue loss in typical pattern, not seen on serial images;Nonspecific tissue loss or prominence of CSF spaces, duration or cause unknown; Alphanumeric Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Imaging Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C02503 Diffuse axonal injury traumatic axonal injury lesion count DAITAILesnNum Number of diffuse axonal injuries (DAI) or traumatic axonal injuries (TAI). Number of diffuse axonal injuries (DAI) or traumatic axonal injuries (TAI). Diffuse axonal injury and traumatic axonal injury: number of lesions: Numeric Values Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Imaging Imaging Diagnostics Assessments and Examinations

Free-Form Entry

C02427 Epidural hematoma status EpdurlHematomaStatus Status of a collection of blood between the skull and dura. On CT, the EDH typically (though not always) has a biconvex shape, an adjacent skull fracture/scalp injury, and classically does not cross sutural margins. (In patients with skull fractures, especially those in children involving the sutures, this rule may not always apply.) The acute EDH is hyperdense, but may contain hypodense areas representing unclotted blood. As the EDH evolves, it gradually loses its hyperdensity and may appear iso/hypodense. On MRI, the acute EDH is hypo/isointense on T1 and very hypointense on T2, GRE, and SW-imaging. The inwardly displaced dura should be directly visualized on MR as a thin dark line on all pulse sequences. Status of a collection of blood between the skull and dura. Epidural hematoma Present;Absent Present;Absent Alphanumeric Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Imaging Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C19247 Subject ID SubIDNam Subject identification ID Subject identification ID Subject ID Alphanumeric Adult;Pediatric Supplemental 1.00 2014-06-05 13:10:49.0 Imaging Imaging Diagnostics Assessments and Examinations 255

Free-Form Entry

C02469 Subarachnoid hemorrhage indicator SAHStatus Indicator of macroscopic blood located between the brain surface and the arachnoid membrane. On CT and MR, the blood in this location will follow the contour of the sulci and cisterns. Acute SAH is hyperdense on CT and hyperintense on FLAIR MR imaging. Indicator of macroscopic blood located between the brain surface and the arachnoid membrane. On CT and MR, the blood in this location will follow the contour of the sulci and cisterns. Acute SAH is hyperdense on CT and hyperintense on FLAIR MR imaging. Subarachnoid hemorrhage Present;Absent;Indeterminate Present;Absent;Indeterminate Alphanumeric Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Imaging Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C02402 Brain atrophy encephalomalacia anatomic site BrainAtrphEncphlmlAntmicSite Anatomic site of the brain atrophy/encephalomalacia. Anatomic site of the brain atrophy/encephalomalacia. Brain atrophy or encephalomalacia anatomic site (Choose all that apply) Frontal - L;Parietal - R;Parietal - L;Temporal - R;Temporal - L;Hippocampus - R;Hippocampus - L;Occipital - R;Occipital - L;Deep gray matter - R;Deep gray matter - L;Supratentorial white matter (corpus callosum, periventricular white matter) - R;Supratentorial white matter (corpus callosum, periventricular white matter) - L;Cerebellum - R;Cerebellum - L;Frontal - R Frontal - L;Parietal - R;Parietal - L;Temporal - R;Temporal - L;Hippocampus - R;Hippocampus - L;Occipital - R;Occipital - L;Deep gray matter - R;Deep gray matter - L;Supratentorial white matter (corpus callosum, periventricular white matter) - R;Supratentorial white matter (corpus callosum, periventricular white matter) - L;Cerebellum - R;Cerebellum - L;Frontal - R Alphanumeric Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Imaging Imaging Diagnostics Assessments and Examinations

Multiple Pre-Defined Values Selected

C02505 Marshall CT classification code MrshlCTClassCode Code for Marshall CT classification Code for Marshall CT classification Marshall CT classification code 2;4;5;1;3 Diffuse injury: Cisterns present with shift 0-5 mm, lesions present, but no high or mixed density lesion >25 cc. May include bone fragments and foreign bodies;Diffuse injury with shift: Shift >5 mm, no high or mixed density lesion >25 cc.;Mass lesions: High or mixed density lesion > 25cc.;Diffuse injury, NVP: Intracranial pathology not visible on CT scan;Diffuse injury with swelling: Cisterns compressed or absent, shift 0-5 mm, no high or mixed density lesion >25 cc Numeric Values Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Imaging Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C02437 Imaging modality type ImgModltyTyp Type of radiologic study performed on the participant/subject Type of radiologic study performed on the participant/subject Imaging modality X-ray;CT;MRI X-ray;CT;MRI Alphanumeric Adult;Pediatric Supplemental 3.00 2013-07-24 21:00:23.88 Imaging Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C02470 Subarachnoid hemorrhage anatomic site SubarachndHemorrhgAntmicSite Anatomic site of the subarachnoid hemorrhage (SAH). Anatomic site of the subarachnoid hemorrhage (SAH). Subarachnoid hemorrhage anatomic site (Choose all that apply) Frontal - R;Frontal - L;Parietal - R;Parietal - L;Temporal - R;Temporal - L;Occipital - R;Occipital - L;Interhemispheric - Anterior (frontoparietal);Interhemispheric - Posterior (occip);Suprasellar Tentorial - R;Tentorial - L;Posterior fossa - R;Posterior fossa - L;Perimesencephalic Frontal - R;Frontal - L;Parietal - R;Parietal - L;Temporal - R;Temporal - L;Occipital - R;Occipital - L;Interhemispheric - Anterior (frontoparietal);Interhemispheric - Posterior (occip);Suprasellar Tentorial - R;Tentorial - L;Posterior fossa - R;Posterior fossa - L;Perimesencephalic Alphanumeric Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Imaging Imaging Diagnostics Assessments and Examinations

Multiple Pre-Defined Values Selected

C02403 Brain swelling extent type BrainSwellngExtntTyp Extent of the brain swelling. Extent of the brain swelling. Brain swelling extent Hemispheric;Bihemispheric Involves an entire supratentorial hemisphere;Involves both hemispheres Alphanumeric Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Imaging Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C10566 Imaging radio frequency coil name ImgRFCoilName Name of the radio frequency (RF) coil(s) used for the body part scanned Name of the RF coil(s) used for the body part scanned Head coil name Alphanumeric Adult;Pediatric Supplemental 3.00 2013-07-24 11:38:01.2 Imaging Imaging Diagnostics Assessments and Examinations 4000

Free-Form Entry

C02446 Intraventricular hemorrhage status IVHStatus Indicator of acute-appearing blood within the ventricles. Indicator of acute-appearing blood within the ventricles. Intraventricular hemorrhage Present;Absent Present;Absent Alphanumeric Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Imaging Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C02472 Subdural hematoma acute status SubDurHematmAcutStat Status of a collection of acute blood between the arachnoid and the dura, typically (though not always) hyperdense with a crescent shape on CT. Mixed density may be seen if the collection contains unclotted blood, CSF admixture, and/or active extravasation. On MRI, the acute SDH is iso/hypointense on T1 and very hypointense on T2, GRE, and SW-imaging. Note: Please see additional categories below for subacute, chronic, and mixed collections if these better describe the lesion, or if the chronicity/timing is uncertain. Status of a collection of acute blood between the arachnoid and the dura, typically hyperdense with a crescent shape on CT. Mixed density may be seen if the collection contains unclotted blood, CSF admixture, and/or active extravasation. Acute subdural hematoma Absent;Present Absent;Present Alphanumeric Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Imaging Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C02409 Cisternal compression type CistCompressTyp Type of cisternal compression. Type of cisternal compression. Cisternal compression type Visible but compressed - Asymmetric;Visible but compressed - Symmetric;Mixed;Obliterated Visible but compressed - Symmetric;Mixed (some cisterns open, others compressed/obliterated);Obliterated (all cisterns);Visible but compressed - Asymmetric Alphanumeric Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Imaging Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C10567 Imaging radio frequency coil type ImgRFCoilTyp Type of radio frequency (RF) coil(s) used for the body part scanned Type of RF coil(s) used for the body part scanned Head coil type Head coil;Neck coil;Spine array;Body coil (transmit);Double-cone;Circular;Figure 8;Other, specify Head coil;Neck coil;Spine array;Body coil (transmit);Double-cone;Circular;Figure 8;Other, specify Alphanumeric Adult;Pediatric Supplemental 3.00 2013-07-24 11:38:01.2 Imaging Imaging Diagnostics Assessments and Examinations 4000

Multiple Pre-Defined Values Selected

C02448 Ischemia infarction hypoxic-ischemic injury acute subacute finding type IschInfrctHypoIschInjASaFndTyp Acute or subacute ischemia/infarction/hypoxic-ischemic injury present on scan Acute or subacute ischemia/infarction/hypoxic-ischemic injury present on scan Ischemia or infarction or hypoxic-ischemic injury, acute or subacute findings type (Choose all that apply) Isodense (for CT);Hyperdense (for CT);Hypointense (for MRI);Isointense (for MRI);Hyperintense (for MRI);Bright (for MRI);Normal (for MRI);Mixed (for CT or MRI);Hypodense (for CT) Isodense (for CT);Hyperdense (for CT);Hypointense (for MRI);Isointense (for MRI);Hyperintense (for MRI);Bright (for MRI);Normal (for MRI);Mixed (for CT or MRI);Hypodense (for CT) Alphanumeric Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Imaging Imaging Diagnostics Assessments and Examinations

Multiple Pre-Defined Values Selected

C02480 Subdural hematoma mixed density CSF-like collection indicator SDHMxDensCSFCollctInd Indicator of a collection of inhomogeneous blood products between the arachnoid and the dura, typically (though not always) with a crescent shape, in which timing (e.g., acute vs. chronic or subacute) is indeterminate. Indicator of a collection of inhomogeneous blood products between the arachnoid and the dura, typically (though not always) with a crescent shape, in which timing (e.g., acute vs. chronic or subacute) is indeterminate. Subdural hematoma-mixed density or CSF-like collection Absent;Present Absent;Present Alphanumeric Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Imaging Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C02410 Cisternal compression status CstrnlCompressStat Status of asymmetry or obliteration of the normal configuration of the perimesencephalic, suprasellar, prepontine, or superior cerebellar cistern, and/or cisterna magna due to mass effect and/or brain swelling in the setting of trauma. Status of asymmetry or obliteration of the normal configuration of the perimesencephalic, suprasellar, prepontine, or superior cerebellar cistern, and/or cisterna magna due to mass effect and/or brain swelling in the setting of trauma. Cisternal compression Present;Absent Cisternal compression is present in at least one location;Cisterns normal Alphanumeric Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Imaging Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C10568 Imaging radio frequency coil channel count ImgRFCoilChannelCt Number of the coil channels in the radio frequency (RF) coil used for the imaging scan Number of the coil channels in the radio frequency (RF) coil used for the imaging scan Head coil channel count 1;8;12;16;24;32;Other, specify Single coil;8 channels;12 channels;16 channels;24 channels;32 channels;Other, specify Alphanumeric Adult;Pediatric Supplemental 3.00 2013-07-24 11:38:01.2 Imaging Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C02451 Ischemia infarction hypoxic-ischemic injury status IschmInfrctHypxcIschmcInjrySta Status of findings in tissue which sustains, for a variety of reasons, a deficit between substrate demand and delivery. Status of findings in tissue which sustains, for a variety of reasons, a deficit between substrate demand and delivery. Ischemia or infarction or hypoxic-ischemic injury Absent;Present Absent;Present Alphanumeric Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Imaging Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

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. Imaging study date and time // (24 hour clock) yyy mm dd hh mm ss Date or Date & Time Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Imaging Imaging Diagnostics Assessments and Examinations

Free-Form Entry

CSV