CDE Detailed Report

Disease: Unruptured Cerebral Aneurysms and Subarachnoid Hemorrhage
Subdomain Name: [php]
CRF: Clinical Presentation

Displaying 1 - 14 of 14
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
C05408 Hospital admission date and time HospitlAdmissDateTime Date (and time, if applicable and known) the participant/subject was admitted to the hospital Date (and time, if applicable and known) the participant/subject was admitted to the hospital Date of hospital admission Date or Date & Time Adult;Pediatric Supplemental 3.00 2013-07-25 08:54:08.2 Clinical Presentation [php] [php_1]

Free-Form Entry

C14256 World Federation of Neurological Surgeons (WFNS) - grading system subarachnoid hemorrhage scale WFNSGraSySubHemScale World Federation of Neurological Surgeons (WFNS) Grading System for Subarachnoid Hemorrhage Scale World Federation of Neurological Surgeons (WFNS) Grading System for Subarachnoid Hemorrhage Scale World Federatio of Neurological Surgeons (WFNS) Grading System for subarachnoid hemorrhage scale 1;2;3;4;5 Glasgow Coma Scale of 15 AND a major focal deficit is absent;Glasgow Coma Scale of 13 - 14 AND a major focal deficit is absent;Glasgow Coma Scale of 13 - 14 AND a major focal deficit is present;Glasgow Coma Scale of 7 - 12 AND a major focal deficit is present/absent;Glasgow Coma Scale of 3 - 6 AND a major focal deficit is present/absent Numeric values

WFNS Scale score:
Grade 1: GCS score 15; no motor deficit
Grade 2: GCS score 13-14; no motor deficit
Grade 3: GCS score 13-14; motor deficit
Grade 4: GCS score 7-12; with or without motor defict
Grade 5: GCS score 3-6; with or without motor deficit

Adult;Pediatric Core 3.00 2013-06-21 00:00:00.0 Clinical Presentation [php] [php_1]

Single Pre-Defined Value Selected

C52536 Hospital other transfer indicator HospAnthTrnsfInd Whether the partici[ant/subject was transferred from another hospital Whether the partici[ant/subject was transferred from another hospital Was subject/participant transferred from another hospital? Yes;No Yes;No Alphanumeric Adult;Pediatric Supplemental 3.00 2013-06-21 00:00:00.0 Clinical Presentation [php] [php_1]

Single Pre-Defined Value Selected

C52537 Hospital admission past month type HospAdmPastMoTyp Whether the hospital readmission was the first or second in the past month Whether the hospital readmission was the first or second in the past month Which hospital admission is this within the past month? First readmission;Second readmission First readmission;Second readmission Alphanumeric Adult;Pediatric Supplemental 3.00 2013-06-21 00:00:00.0 Clinical Presentation [php] [php_1]

Single Pre-Defined Value Selected

C52550 Hospital readmission reason HospitalReadmitRsn Reason the subject/participant was readmitted to hospital Reason the subject/participant was readmitted to hospital Reason for hospital readmission New brain hemorrhage;Other complication New brain hemorrhage;Other complication Alphanumeric Adult;Pediatric Supplemental 1.00 2017-01-23 12:44:32.0 Clinical Presentation [php] [php_1]

Multiple Pre-Defined Values Selected

C52552 Aneurysm prior history indicator AneurysmPriorHistoryInd Indicator of whether the subject/participant has a history of prior aneurysms Indicator of whether the subject/participant has a history of prior aneurysm Has the subject/participant had an aneurysm previously? No;Yes No;Yes Alphanumeric Adult;Pediatric Supplemental 1.00 2017-01-23 12:52:59.0 Clinical Presentation [php] [php_1]

Single Pre-Defined Value Selected

C52553 Subarachnoid hemorrhage first symptom date time SAHFirstSymptomDateTime Date or date & time of the participant/subject's first symptom of subarachnoid hemorrhage Date or date & time of the participant/subject's first symptom of subarachnoid hemorrhag Date and time of the first subarachnoid hemorrhage (SAH) symptom Date or Date & Time Adult;Pediatric Supplemental 1.00 2017-01-23 13:12:34.0 Clinical Presentation [php] [php_1]

Free-Form Entry

C52554 Subarachnoid hemorrhage hospital admission first symptom type SAHHospitlAdmitFirstSymptomTyp Type of symptom first experienced by the participant/subject leading to hospital admission resulting in subarachnoid hemorrhage (SAH) diagnosis Type of symptom first experienced by the participant/subject leading to hospital admission resulting in subarachnoid hemorrhage (SAH) diagnosis Type of first SAH admission symptom Headache;Seizure;Vomiting;Nausea;Other, specify;Focal neurological deficit;Change in level of consciousness;Stiffness in neck;All of the above Headache;Seizure;Vomiting;Nausea;Other, specify;Focal neurological deficit;Change in level of consciousness;Stiffness in neck;All of the above Alphanumeric Adult;Pediatric Supplemental 1.00 2017-01-23 13:15:40.0 Clinical Presentation [php] [php_1]

Multiple Pre-Defined Values Selected

C01000 Glasgow Coma Scale (GCS) - eye response scale GCSEyeRespnsScale Glasgow Coma Scale (GCS) - Best eye response (E). The GCS is a standardized instrument for assessing the level of consciousness. It evaluates three aspects of responsiveness: eye opening, motor response, verbal response Glasgow Coma Scale (GCS) - Best eye response (E). The GCS is a standardized instrument for assessing the level of consciousness. It evaluates three aspects of responsiveness: eye opening, motor response, verbal respons GCS Eye Opening 1;2;3;4 No eye opening;Eye opening to pain;Eye opening to speech/verbal command;Eyes open spontaneously Numeric Values

Glasgow Coma Scale (GCS) - Intubation and severe facial/eye swelling or damage make it impossible to test the verbal and eye responses. In these circumstances, the score is given as 1 with a modifier attached e.g. 'E1c' where 'c' = closed, or 'V1t' where t = tube. A composit might be 'GCS 5tc'. This would mean, for example, eyes closed because of swelling = 1, intubated = 1, leaving a motor score of 3 for 'abnormal flexion'. Often the 1 is left out, so the scale reads Ec or Vt.

Adult;Pediatric Supplemental-Highly Recommended 3.00 2013-07-20 10:21:25.65 Clinical Presentation [php] [php_1]

Single Pre-Defined Value Selected

C124724
C52555 Aneurysm definitive treatment received date/time AnrysmDefntvTrtmntRcvdDateTime Date and time that participant/subject received treatment for definitive aneurysm Date and time that participant/subject received treatment for definitive aneurysm Date (and time) definitive aneurysm treatment was received Date or Date & Time Adult;Pediatric Supplemental 1.00 2017-01-23 13:42:16.0 Clinical Presentation [php] [php_1]

Free-Form Entry

C01001 Glasgow Coma Scale (GCS) - motor response scale GCSMotorRespnsScale Glasgow Coma Scale (GCS) - Best motor response (M). The GCS is a standardized instrument for assessing the level of consciousness. It evaluates three aspects of responsiveness: eye opening, motor response, verbal response Glasgow Coma Scale (GCS) - Best motor response (M). The GCS is a standardized instrument for assessing the level of consciousness. It evaluates three aspects of responsiveness: eye opening, motor response, verbal respons GCS Motor Response 1;2;3;4;5;6 No motor response;Abnormal extension/Extensor response;Abnormal flexion;Flexion withdrawal/withdraws from pain;Localizes pain;Obeys command Numeric Values

Glasgow Coma Scale (GCS) - Intubation and severe facial/eye swelling or damage make it impossible to test the verbal and eye responses. In these circumstances, the score is given as 1 with a modifier attached e.g. 'E1c' where 'c' = closed, or 'V1t' where t = tube. A composit might be 'GCS 5tc'. This would mean, for example, eyes closed because of swelling = 1, intubated = 1, leaving a motor score of 3 for 'abnormal flexion'. Often the 1 is left out, so the scale reads Ec or Vt.

Adult;Pediatric Supplemental-Highly Recommended 3.00 2013-07-20 10:21:25.65 Clinical Presentation [php] [php_1]

Single Pre-Defined Value Selected

C124725
C52556 Subarachnoid hemorrhage rebleed count SAHRebleedCt Count of subarachnoid hemorrhage (SAH) rebleeds Count of subarachnoid hemorrhage (SAH) rebleeds Number of SAH rebleeds Numeric Values Adult;Pediatric Supplemental 1.00 2017-01-23 13:45:30.0 Clinical Presentation [php] [php_1]

Free-Form Entry

C01002 Glasgow Coma Scale (GCS) - verbal response scale GCSVerbalRspnsScale Score that describes the participant's verbal response according to the Glasgow Coma Scale (GCS) Score that describes the participant's verbal response according to the Glasgow Coma Scale (GCS) GCS Verbal Response 1;2;3;4;5 No verbal response/sounds;Incomprehensible sound;Inappropriate words;Confused;Oriented Numeric Values

Glasgow Coma Scale (GCS) - Intubation and severe facial/eye swelling or damage make it impossible to test the verbal and eye responses. In these circumstances, the score is given as 1 with a modifier attached e.g. 'E1c' where 'c' = closed, or 'V1t' where t = tube. A composit might be 'GCS 5tc'. This would mean, for example, eyes closed because of swelling = 1, intubated = 1, leaving a motor score of 3 for 'abnormal flexion'. Often the 1 is left out, so the scale reads Ec or Vt.

Adult;Pediatric Supplemental-Highly Recommended 3.00 2013-07-20 10:21:25.65 Clinical Presentation [php] [php_1]

Single Pre-Defined Value Selected

C124726
C52558 Subarachnoid hemorrhage hospital admission first symptom type other text SAHHospitlAdmitFirstSympTypOth The free-text field related to 'SAHHospitlAdmitFirstSymptomTyp' specifying other text The free-text field related to 'SAHHospitlAdmitFirstSymptomTyp' specifying other text Type of first SAH admission symptom: other, specify Alphanumeric Adult;Pediatric Supplemental 1.00 2017-01-23 13:15:40.0 Clinical Presentation [php] [php_1] 255

Free-Form Entry

CSV