CDE Detailed Report
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| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| C54882 | Aneurysm multiple indicator | AneurysmMultipleInd | Indicator of whether the subject/participant presents multiple aneurysms | Indicator of whether the subject/participant presents multiple aneurysms | Multiple aneurysms | No;Yes | No;Yes | Alphanumeric |
For patient with multiple aneurysms, include documentation of treatment of additional aneurysm, whether ruptured or unruptured, at any time during the episode of SAH car |
Adult;Pediatric | Supplemental | 1.00 | 2017-04-12 17:25:31.0 | Surgical/Procedural Interventions | [php] | [php_1] |
Single Pre-Defined Value Selected |
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| C54893 | Aneurysm intervention surgical result status | AnrysmIntrvntnSrgclRsltStatus | Status or result of surgical intervention to treat aneurysm | Status or result of surgical intervention to treat aneurysm | Surgical intervention result | Complete occlusion;Partial occlusion - neck remnant;Partial occlusion - residual fundus;Unsecured | Complete occlusion;Partial occlusion - neck remnant;Partial occlusion - residual fundus;Unsecured | Alphanumeric |
Success of surgical intervention describes degree of aneurysm occlusion, as measured by postoperative imaging with diagnostic radiology as gold standard; any residual aneurysm filling is graded as partial occlusion. |
Adult;Pediatric | Supplemental | 1.00 | 2017-04-13 09:20:22.0 | Surgical/Procedural Interventions | [php] | [php_1] |
Single Pre-Defined Value Selected |
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| C54904 | Vessel occlude temporary surgery procedure count | VeslOccldTmpSrgryPrcdrCt | Count of blood vessels that were temporarily occluded during surgery or other procedure | Count of blood vessels that were temporarily occluded during surgery or other procedure | Number of temporary occlusions | Numeric Values |
Total number of temporary clip applications during the microsurgical clipping procedure; each time a clip is placed and then removed, on any vessel either in sequence or simultaneously, counts as a "temporary clip occlusion." |
Adult;Pediatric | Exploratory | 1.00 | 2017-04-13 10:21:24.0 | Surgical/Procedural Interventions | [php] | [php_1] |
Free-Form Entry |
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| C54883 | Aneurysm treated count | AneurysmTreatedCt | Count of aneurysms treated | Count of aneurysms treated | Number of aneurysms treated | Numeric Values |
For patient with multiple aneurysms, include documentation of treatment of additional aneurysm, whether ruptured or unruptured, at any time during the episode of SAH care |
Adult;Pediatric | Supplemental | 1.00 | 2017-04-12 17:27:43.0 | Surgical/Procedural Interventions | [php] | [php_1] |
Free-Form Entry |
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| C54894 | Monitoring intraprocedural physiological indicator | MntringIntraprcdrlPhyslgclInd | Indicator of whether any type of physiological monitoring was maintained during the surgery or procedure | Indicator of whether any type of physiological monitoring was maintained during the surgery or procedure | Intraprocedural physiological monitoring | No;Yes | No;Yes | Alphanumeric |
Includes, SSEPs, MEP, BAERs, CN monitoring |
Adult;Pediatric | Supplemental | 1.00 | 2017-04-13 09:28:56.0 | Surgical/Procedural Interventions | [php] | [php_1] |
Single Pre-Defined Value Selected |
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| C54905 | Vessel occlude temporary surgery procedure maximum duration | VeslOccldTmpSrgryPrcdrMaxDur | Maximum duration of temporary vessel occlusion during surgery or other procedure | Maximum duration of temporary vessel occlusion during surgery or other procedure | Maximum duration of termporary occlusion (minutes) | Numeric Values |
The maximum duration of any one temporary clip application from the time of placement until removal, in minutes. |
Adult;Pediatric | Supplemental | 1.00 | 2017-04-13 10:21:24.0 | Surgical/Procedural Interventions | [php] | [php_1] |
Free-Form Entry |
Minutes | ||||||||||
| C54884 | Vessel repair anatomic site | VesselRepairAnatSite | Anatomic site of the vessel that was repaired | Anatomic site of the vessel that was repaired | Type of vessel repaired | Ophthalmic/paraclinoid;Pcomm;AChoA;ICA terminus;Dorsal ICA;ACA - A1;ACA - Acomm;ACA - Pericallosal/callosomarginal;MCA - M1;MCA - bifurcation/trifurcation/anterior temporal;MCA - distal MCA;PCA - P1;PCA - P2;PCA - distal;SCA;AICA;PICA - distal;PICA - proximal;basilar bifurcation;Basilar trunk;Vertebral - basilar junction;Vertebral | Ophthalmic/paraclinoid;Pcomm;AChoA;ICA terminus;Dorsal ICA;ACA - A1;ACA - Acomm;ACA - Pericallosal/callosomarginal;MCA - M1;MCA - bifurcation/trifurcation/anterior temporal;MCA - distal MCA (distal MCA is beyond the MCA bifurcation or trifurcation);PCA - P1;PCA - P2;PCA - distal;SCA;AICA;PICA - distal;PICA - proximal;basilar bifurcation;Basilar trunk;Vertebral - basilar junction;Vertebral | Alphanumeric |
Location of vessel harboring the target ruptured aneurysm |
Adult;Pediatric | Supplemental-Highly Recommended | 1.00 | 2017-04-12 17:29:02.0 | Surgical/Procedural Interventions | [php] | [php_1] |
Single Pre-Defined Value Selected |
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| C54895 | Aneurysm rupture occur surgery procedure grade | AnrysmRptrOcrSrgyPrcdrGrade | Grade of rupture of aneurysm occurring during surgery or procedure | Grade of rupture of aneurysm occurring during surgery or procedure | Intraoperative rupture | Yes - major;Yes - minor;No | Yes - major;Yes - minor;No | Alphanumeric |
Any episode of intraoperative rupture of the ruptured aneurysm during the open aneurysm treatment procedure, at any time between incision and closure, whether spontaneous or as a result of microsurgical manipulation. Major - requiring blood transfusion, leading to increased intracranial pressure necessitating additional surgery (e.g. craniectomy, additional bone removal, brain resection), resulting in hypotension. Minor - any other rupture from any treated aneurysm. |
Adult;Pediatric | Supplemental | 1.00 | 2017-04-13 09:33:18.0 | Surgical/Procedural Interventions | [php] | [php_1] |
Single Pre-Defined Value Selected |
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| C54906 | Vessel occlude temporary surgery procedure total duration | VeslOccldTmpSrgryPrcdrTtlDur | Total duration of all temporary vessel occlusions during surgery or other procedure | Total duration of all temporary vessel occlusions during surgery or other procedure | Total duration of temporary occlusions | Numeric Values |
The sum of all temporary clip occlusion durations during the microsurgical clipping procedure. If clips are placed on more than one vessel simultaneously, the time of clip occlusion is considered overlapping and not summed. |
Adult;Pediatric | Supplemental | 1.00 | 2017-04-13 10:21:24.0 | Surgical/Procedural Interventions | [php] | [php_1] |
Free-Form Entry |
Minutes | ||||||||||
| C54885 | Subarachnoid hemorrhage ictus elapsed day count | SAHIctusElapseDayCt | Count of 24-hour intervals elapsed between onset of subarachnoid hemorrhage (SAH) ictus and intervention | Count of 24-hour intervals elapsed between onset of subarachnoid hemorrhage (SAH) ictus and intervention | Day of intervention from the moment of subarachnoid hemorrhage (SAH) ictus | Numeric Values |
The day of intervention will be timed from the moment of SAH ictus; day of rupture is day 0. |
Adult;Pediatric | Supplemental-Highly Recommended | 1.00 | 2017-04-12 17:44:54.0 | Surgical/Procedural Interventions | [php] | [php_1] |
Free-Form Entry |
Days | ||||||||||
| C54896 | Assessment surgery procedure vessel patency aneurysm occlusion method type | AstSgyPcdVslPtcAnymOclnMthdTyp | Type of method used to for assessment of vessel patency or aneurysm occlusion during surgery or procedure | Type of method used to for assessment of vessel patency or aneurysm occlusion during surgery or procedure | Intraoperative assessment of vessel patency and/or aneurysm occlusion | Microvascular doppler;Ultrasonic transit-time flowmetry;Fluorescence video angiography;Intraoperative catheter angiography | Microvascular doppler;Ultrasonic transit-time flowmetry;Fluorescence video angiography;Intraoperative catheter angiography | Alphanumeric |
Any imaging or objective method for assessing vessel patency performed at any time during the aneurysm clipping procedure, within the operating room while the patient is anesthetized, prior to completion of surgery. |
Adult;Pediatric | Supplemental | 1.00 | 2017-04-13 09:39:48.0 | Surgical/Procedural Interventions | [php] | [php_1] |
Single Pre-Defined Value Selected |
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| C54907 | Aneurysm treatment endovascular type | AneurysmTreatEndovasTyp | Type of endovascular aneurysm treatment | Type of endovascular aneurysm treatment | Type of endovascular repair | Coil;Coil with balloon remodeling;Stent only;Stent/coil;Vessel occlusion;Flow diverter;Other;None/attempted | Coil;Coil with balloon remodeling;Stent only;Stent/coil;Vessel occlusion;Flow diverter;Other;None/attempted | Alphanumeric |
Type of endovascular repair described in detail including all endovascular devices utilized, alone or in combination. Flow diverters include all stent technology intended to alter flow into the aneurysm sac. Stent in this context means a non-flow diverting stent. |
Adult;Pediatric | Supplemental | 1.00 | 2017-03-08 13:14:08.0 | Surgical/Procedural Interventions | [php] | [php_1] |
Multiple Pre-Defined Values Selected |
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| C54886 | Subarachnoid hemorrhage ictus elapsed hour count | SAHIctusElapseHourCt | Count of 60-minute intervals elapsed between onset of subarachnoid hemorrhage (SAH) ictus and intervention | Count of 60-minute intervals elapsed between onset of subarachnoid hemorrhage (SAH) ictus and intervention | Intervention time (hours) | Numeric Values |
The start of intervention will be timed from the moment of SAH ictus in hours; start = 0. |
Adult;Pediatric | Supplemental | 1.00 | 2017-04-12 17:44:54.0 | Surgical/Procedural Interventions | [php] | [php_1] |
Free-Form Entry |
Hours | ||||||||||
| C54897 | Complication surgery procedure aneurysm treatment type | CmplctnSrgyPcdrAnrysmTrtmntTyp | Type of complication which occurred during surgery or other procedure to treat aneurysm | Type of complication which occurred during surgery or other procedure to treat aneurysm | Type of intraoperative complication | Other;Known perforator occlusion at time of surgery;Unintended neural injury at the time of surgery;Vessel thrombosis;Unintended vessel occlusion;Brain swelling caused by surgical trauma;Aneurysm hemorrhage resulting in need for transfusion | Other;Known perforator occlusion at time of surgery;Unintended neural injury at the time of surgery;Vessel thrombosis;Unintended vessel occlusion;Brain swelling caused by surgical trauma;Aneurysm hemorrhage resulting in need for transfusion | Alphanumeric |
Procedure-related complication, directly attributable to the microsurgical procedure. |
Adult;Pediatric | Supplemental | 1.00 | 2017-04-13 09:50:03.0 | Surgical/Procedural Interventions | [php] | [php_1] |
Single Pre-Defined Value Selected |
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| C54908 | Blood vessel rupture surgery procedure evidence indicator | BldVslRptrSrgryPrcdrEvdncInd | Indicator of whether there is evidence of blood vessel rupture during surgery or other procedure | Indicator of whether there is evidence of blood vessel rupture during surgery or other procedure | Evidence of intraoperative rupture? | No;Yes | No;Yes | Alphanumeric |
Any evidence of intraoperative rupture, defined as contrast extravasation on angiographic imaging. |
Adult;Pediatric | Supplemental | 1.00 | 2017-04-13 10:51:52.0 | Surgical/Procedural Interventions | [php] | [php_1] |
Single Pre-Defined Value Selected |
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| C54887 | Ventriculostomy placement indicator | VentrclostmyPlacemntInd | Indicator of whether ventriculostomy placement was performed | Indicator of whether ventriculostomy placement was performed | Ventriculostomy placement for hydrocephalus | No;Yes | No;Yes | Alphanumeric |
External ventriculostomy placement for treatment of hydrocephalus at any time during the episode of care for aneurysmal SAH, placed either at bedside or in the operating room, alone or in combination with other procedures. |
Adult;Pediatric | Supplemental | 1.00 | 2017-04-12 17:52:37.0 | Surgical/Procedural Interventions | [php] | [php_1] |
Single Pre-Defined Value Selected |
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| C54898 | Surgery procedure minute duration | SurgeryProcedureMinuteDur | Duration in minutes of surgery or procedure | Duration in minutes of surgery or procedure | Surgery duration (minutes) | Numeric Values |
Total microsurgical clipping time in minutes, from skin incision to closure. |
Adult;Pediatric | Supplemental | 1.10 | 2022-08-18 17:01:53.0 | Surgical/Procedural Interventions | [php] | [php_1] |
Free-Form Entry |
minute | ||||||||||
| C54909 | Endovascular complication intra surgery procedure type | EnvsclrCmplcnIntraSgryPrcdrTyp | Type of endovascular complication(s) which occurred during surgery or other procedure | Type of endovascular complication(s) which occurred during surgery or other procedure | Endovascular intraprocedural complication type | Perforation;Vessel dissection;Vessel occlusion;Thromboembolism;Coil migration;Femoral access complication;Other | Perforation;Vessel dissection;Vessel occlusion;Thromboembolism;Coil migration;Femoral access complication;Other | Alphanumeric |
Procedure-related complication, directly attributable to the endovascular procedure and identified during the procedure. |
Adult;Pediatric | Supplemental | 1.00 | 2017-04-13 10:56:52.0 | Surgical/Procedural Interventions | [php] | [php_1] |
Multiple Pre-Defined Values Selected |
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| C54888 | Lumbar drain indicator | LumbarDrainInd | Indicator of whether a lumbar drain was placed | Indicator of whether a lumbar drain was placed | Lumbar drain placement | No;Yes | No;Yes | Alphanumeric |
Lumbar drain placement for treatment of communicating hydrocephalus, at any time during the episode of care for aneurysmal SAH. Placed either at bedside or in the operating room, alone or in combination with other procedures. |
Adult;Pediatric | Supplemental | 1.00 | 2017-04-12 17:55:10.0 | Surgical/Procedural Interventions | [php] | [php_1] |
Single Pre-Defined Value Selected |
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| C54899 | Blood transfusion surgery procedure indicator | BloodTransfSrgryPrcdrInd | Indicator of whether blood transfusion was performed during surgery or procedure | Indicator of whether blood transfusion was performed during surgery or procedure | Blood transfusion during surgery? | No;Yes | No;Yes | Alphanumeric |
Any administration of blood products during the microsurgical clipping procedure. |
Adult;Pediatric | Supplemental | 1.00 | 2017-01-23 15:46:25.0 | Surgical/Procedural Interventions | [php] | [php_1] |
Single Pre-Defined Value Selected |
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| C54910 | Endovascular complication post surgery procedure type | EnvsclrCmplcnPostSgryPrcdrTyp | Type of endovascular complication(s) which occurred following surgery or other procedure | Type of endovascular complication(s) which occurred following surgery or other procedure | Endovascular postprocedureal complication type | Vessel dissection;Vessel occlusion;Femoral access complication;Other | Vessel dissection;Vessel occlusion;Femoral access complication;Other | Alphanumeric |
Procedure-related complication, directly attributable to the endovascular procedure and identified after the procedure. |
Adult;Pediatric | Supplemental | 1.00 | 2017-04-13 10:56:52.0 | Surgical/Procedural Interventions | [php] | [php_1] |
Multiple Pre-Defined Values Selected |
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| C54889 | Intervention surgical status | InterventionSurgicalStatus | Status of surgical intervention | Status of surgical intervention | Intervention - surgery | No;Yes;Attempt failed | No;Yes;Attempt failed | Alphanumeric |
Surgery involves craniotomy and microsurgery, including one or more of the following: clipping, trapping, Hunterian ligation, bypass, or wrapping; attempted/failed includes all aneurysms which did not receive definitive treatment via one of the aforementioned modalities; "definitive" means that at the conclusion of the procedure the prevention of immediate re-rupture has been achieved. |
Adult;Pediatric | Core | 1.00 | 2017-04-12 17:57:44.0 | Surgical/Procedural Interventions | [php] | [php_1] |
Single Pre-Defined Value Selected |
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| C54900 | Craniotomy category | CraniotomyCat | Category of craniotomy performed during surgery | Category of craniotomy performed during surgery | Type of craniotomy | Standard;Minimally invasive | Standard;Minimally invasive | Alphanumeric |
Standard includes: pterional, orbitozygomatic, posterior fossa, subtemporal, modified orbitozygomatic. Minimally invasive includes supraorbital/eyebrow, LSO, mini-pterional. |
Adult;Pediatric | Supplemental | 1.00 | 2017-04-13 10:12:48.0 | Surgical/Procedural Interventions | [php] | [php_1] |
Single Pre-Defined Value Selected |
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| C54911 | Endovascular fluoroscopy dose | EndovascularFluoroscopyDose | Dose in milligrays of endovascular fluoroscopy | Dose in milligrays of endovascular fluoroscopy | Endovascular fluoroscopy dose (mGy) | Numeric Values | Adult;Pediatric | Supplemental | 1.00 | 2017-04-13 11:06:33.0 | Surgical/Procedural Interventions | [php] | [php_1] |
Free-Form Entry |
Milligrays | |||||||||||
| C54890 | Intervention endovascular status | InterventionEndovascularStatus | Status of endovascular intervention | Status of endovascular intervention | Intervention - endovascular | No;Yes;Attempt failed | No;Yes;Attempt failed | Alphanumeric |
Endovascular treatment will include use of coils, stents, and/or other endovascular devices alone or in combination to occlude the aneurysm; attempted/failed includes all aneurysms which did not receive definitive treatment via one of the aforementioned modalities; "definitive" means that at the conclusion of the procedure the prevention of immediate re-rupture has been achieved. |
Adult;Pediatric | Core | 1.00 | 2017-04-12 17:57:44.0 | Surgical/Procedural Interventions | [php] | [php_1] |
Single Pre-Defined Value Selected |
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| C54901 | Craniectomy perform indicator | CraniectomyPerformInd | Indicator of whether craniectomy was performed | Indicator of whether craniectomy was performed | Craniectomy performed? | No;Yes | No;Yes | Alphanumeric |
If the bone flap is not replaced, then the procedure is listed as a craniectomy, whether or not the bone is replaced at a later time during the episode of care for SAH. |
Adult;Pediatric | Supplemental | 1.00 | 2017-04-13 10:15:48.0 | Surgical/Procedural Interventions | [php] | [php_1] |
Single Pre-Defined Value Selected |
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| C14379 | Surgery post-operative medical complication type | SurgPostopMedicComplicTyp | The type of event or complication(s) affecting the general medical health or functionality that occurred after surgery | The type of event or complication(s) affecting the general medical health or functionality that occurred after surgery | Postoperative complication | Brain swelling caused by surgical trauma;Other;Hemorrhage | Brain swelling caused by surgical trauma;Other;Hemorrhage | Alphanumeric |
Procedure-related complication, directly attributable to the microsurgical procedure and identified after the procedure. |
Adult;Pediatric | Supplemental | 3.00 | 2013-08-28 16:08:00.453 | Surgical/Procedural Interventions | [php] | [php_1] |
Multiple Pre-Defined Values Selected |
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| C54912 | Endovascular surgery procedure duration | EndovasclrSrgryPrcdrDur | Duration in minutes of the endovascular surgery or procedure | Duration in minutes of the endovascular surgery or procedure | Endovascular procedure duration (minutes) | Numeric Values |
From initiation of vascular access to access closure or equivalent during the procedure for treatment of the aneurysm. |
Adult;Pediatric | Supplemental | 1.00 | 2017-04-13 11:10:36.0 | Surgical/Procedural Interventions | [php] | [php_1] |
Free-Form Entry |
Minutes | ||||||||||
| C54891 | Medication antithrombotic used procedure type | MdctnAntithrmbtcUsdPrcdrTyp | Type of antithrombotic medication used during surgical or other procedure | Type of antithrombotic medication used during surgical or other procedure | Antithrombotic type used during procedure | Aspirin;None;Other;Heparin;tPA;Clopidogrel | Aspirin;None;Other;Heparin;tPA;Clopidogrel | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2017-04-13 09:07:02.0 | Surgical/Procedural Interventions | [php] | [php_1] |
Single Pre-Defined Value Selected |
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| C54902 | Hematoma evacuate surgery procedure indicator | HemtmaEvcuatSrgryPrcdrInd | Indicator of whether surgery or other procedure was performed to evacuate a hematoma | Indicator of whether surgery or other procedure was performed to evacuate a hematoma | Hematoma evacuation | No;Yes | No;Yes | Alphanumeric |
Craniotomy for removal of an acute intraparenchymal, subdural, or epidural hematoma caused by the index aneurysm, for the purpose of reducing mass effect on the brain, with or without definitive open aneurysm treatment at the same episode of care. |
Adult;Pediatric | Supplemental | 1.00 | 2017-04-13 10:18:13.0 | Surgical/Procedural Interventions | [php] | [php_1] |
Single Pre-Defined Value Selected |
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| 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 los | Amount of blood lost during surgery (cc) | Numeric Values | Adult;Pediatric | Supplemental | 1.00 | 2016-06-13 11:32:45.0 | Surgical/Procedural Interventions | [php] | [php_1] |
Free-Form Entry |
0 | cubic centimeter | ||||||||||
| C54913 | Endovascular intervention result Raymond Roy grade | EndvsclrIntrvnRsltRymndRyGrade | Grade on the Raymond-Roy occlusion classification scale of the result of endovascular intervention for aneurysm | Grade on the Raymond-Roy occlusion classification scale of the result of endovascular intervention for aneurysm | Endovascular intervention result | Raymond-Roy grade 1;Raymond-Roy grade 2;Raymond-Roy grade 3 | Raymond-Roy grade 1;Raymond-Roy grade 2;Raymond-Roy grade 3 | Alphanumeric |
Degree of occlusion of aneurysm following endovascular repair, as confirmed with post-procedure angiography using Raymond-Roy grading. |
Adult;Pediatric | Supplemental | 1.00 | 2017-04-13 11:12:13.0 | Surgical/Procedural Interventions | [php] | [php_1] |
Single Pre-Defined Value Selected |
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| C54892 | Aneurysm treatment surgical type | AneurysmTreatSurgTyp | Type of surgery performed to treat aneurysm | Type of surgery performed to treat aneurysm | SAH surgery type | Bypass;Clipping;Trapping alone;Wrapping;Hunterian ligation alone;Other;None/attempted | Bypass;Clipping;Trapping alone;Wrapping;Hunterian ligation alone;Other;None/attempted | Alphanumeric |
A craniotomy was performed and one or more of the listed techniques was performed. Bypass includes some other treatment for the aneurysm, e.g. trapping. |
Adult;Pediatric | Supplemental | 1.00 | 2017-03-08 13:14:08.0 | Surgical/Procedural Interventions | [php] | [php_1] |
Single Pre-Defined Value Selected |
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| C54903 | Vessel occlude temporary surgery procedure indicator | VeslOccldTmpSrgryPrcdrInd | Indicator of whether any blood vessels were temporarily occluded during surgery or other procedure | Indicator of whether any blood vessels were temporarily occluded during surgery or other procedure | Temporary vessel occlusion | No;Yes | No;Yes | Alphanumeric |
Placement of a temporary clip at any time during microsurgical aneurysm clipping; the temporary clip must be removed at some point during the microsurgical clipping. |
Adult;Pediatric | Supplemental | 1.00 | 2017-04-13 10:21:24.0 | Surgical/Procedural Interventions | [php] | [php_1] |
Single Pre-Defined Value Selected |
