CDE Detailed Report

Disease: Unruptured Cerebral Aneurysms and Subarachnoid Hemorrhage
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CRF: Baseline Assessment

Displaying 1 - 11 of 11
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
C14438 Motor exam global abnormality present indicator MotorExamGloblAbnrmlyPresInd Global assessment whether an abnormality was present following the motor exam Global assessment whether an abnormality was present following the motor exa Motor exam - abnormality present? Yes;No;Cannot Assess Yes;No;Cannot Assess Alphanumeric Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Baseline Assessment [php] [php_1]

Single Pre-Defined Value Selected
C14466 Sensory system global assessment result SensySytGlobAssmtReslt The condition and ability of sensory system The condition and ability of sensory system Sensory system - global assessment: Abnormal;Normal;Cannot Assess;Other, specify Abnormal;Normal;Cannot Assess;Other, specify Alphanumeric Adult;Pediatric Supplemental 1.00 2012-10-05 00:00:00.0 Baseline Assessment [php] [php_1]

Single Pre-Defined Value Selected
C18947 Sensory system global assessment other text SensySysGlobAssmtOTH The free-text field related to 'Sensory system global assessment result' specifying other text. The condition and ability of sensory system The free-text field related to 'Sensory system global assessment result' specifying other text. The condition and ability of sensory system Other, specify: Alphanumeric Adult;Pediatric Supplemental 1.00 2012-10-05 00:00:00.0 Baseline Assessment [php] [php_1] 4000

Free-Form Entry
C53720 Speech disturbance global assessment other text SpeechDistGlobAssmtOTH The free-text field related to other result of assessment of condition and ability of speech disturbance The free-text field related to other result of assessment of condition and ability of speech disturbance Other, specify: Alphanumeric Adult;Pediatric Supplemental 1.00 2012-10-05 00:00:00.0 Baseline Assessment [php] [php_1] 255

Free-Form Entry
C53722 Mass effect aneurysm without subarachnoid hemorrhage sign type MassEffAneurWithoutSAHSignTyp The element related to signs of mass effect due to aneurysm without subarachnoid hemorrhage The element related to signs of mass effect due to aneurysm without subarachnoid hemorrhage Signs of mass effect due to aneurysm without subarachnoid hemorrhage: Nausea;Vomiting;Other;Progressive headache;Focal neurological findings, specify: Nausea;Vomiting;Other;Progressive headache;Focal neurological findings, specify: Alphanumeric Adult;Pediatric Supplemental 1.00 2017-02-10 11:23:16.0 Baseline Assessment [php] [php_1]

Single Pre-Defined Value Selected
C53723 Focal neurological findings specify text FocalNeuroFindSpTxt The free-text field related to focal neurological findings The free-text field related to focal neurological findings Focal neurological findings, specify: Alphanumeric Adult;Pediatric Supplemental 1.00 2017-02-10 11:23:16.0 Baseline Assessment [php] [php_1] 500

Free-Form Entry
C53724 Sentinel headache thunderclap history indicator SentinelHeadThndrclpHistInd The indicator related to history of sentinel headache or thunderclap The indicator related to history of sentinel headache or thunderclap Is therre a history of sentinel headache/thunderclap? No;Yes No;Yes Alphanumeric Adult;Pediatric Supplemental 1.00 2017-02-10 11:23:16.0 Baseline Assessment [php] [php_1]

Single Pre-Defined Value Selected
C54677 Subarachnoid hemorrhage speech disturbance global assessment result SAHSpeechDistrbGlobAssmtReslt The condition and ability of speech disturbance for subarachnoid hemorrhage studies The condition and ability of speech disturbance for subarachnoid hemorrhage studies Speech disturbance - global assessment: Normal;Other, specify;Aphasia;Dysarthria;Amnesic dysphasia Normal;Other, specify;Aphasia;Dysarthria;Amnesic dysphasia Alphanumeric Adult;Pediatric Supplemental 1.00 2012-10-05 00:00:00.0 Baseline Assessment [php] [php_1]

Single Pre-Defined Value Selected
C05460 Seizure indicator SeizInd Indicator of seizure activity Indicator of seizure activity History of seizures: Yes;No Yes;No Alphanumeric Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Baseline Assessment [php] [php_1]

Single Pre-Defined Value Selected
C13230 Modified Rankin Scale (mRS) Score MRSScore The overall modified Rankin Scale (mRS) score assigned to the participant/ subject The overall modified Rankin Scale (mRS) score assigned to the participant/ subject Modified Rankin Scale (mRS) score: 0;1;2;3;4;5 No symptoms at all;No significant disability despite symptoms, able to carry out all usual duties and activities;Slight disability, unable to carry out all previous activities, but able to look after own affairs without assistance;Moderate disability, requiring some help, but able to walk without assistance;Moderately severe disability, unable to walk without assistance and unable to attend to own bodily needs without assistance;Severe disability, bedridden, incontinent and requiring constant nursing care and attention Numeric values Adult;Pediatric Supplemental 3.00 2013-06-21 00:00:00.0 Baseline Assessment [php] [php_1]

Single Pre-Defined Value Selected

 C111520
C14434 Cranial nerve abnormal identifier type CranlNerveAbnrmlIdTyp The identified cranial nerve that assessed as abnormal The identified cranial nerve that assessed as abnorma Abnormal cranial nerve findings: CN II;CN III;CN IV;CN V;CN VI;CN VII;CN VIII;CN IX;CN X;CN XI;CN XII Cranial nerve II;Cranial nerve III;Cranial nerve IV;Cranial nerve V;Cranial nerve VI;Cranial nerve VII;Cranial nerve VIII;Cranial nerve IX;Cranial nerve X;Cranial nerve XI;Cranial nerve XII Alphanumeric

The identified cranial nerve that assessed as abnormal due to unruptured intracranial aneurysm

 Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Baseline Assessment [php] [php_1]

Multiple Pre-Defined Values Selected
CSV