CDE Detailed Report
Subdomain Name: [php]
CRF: welcome
Displaying 1 - 12 of 12
| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| C58610 | Chemical therapy intra-arterial indicator | ChmThrpyIntraartInd | Indicates if intra-arterial chemical therapy was performed | Indicates if intra-arterial chemical therapy was performed | Intra-arterial chemical therapy performed: | Yes;No | Yes;No | Alphanumeric |
Received intra-arterial chemical agent for treatment of intracranial vasospasm |
Adult;Pediatric | Supplemental | 1.00 | 2018-10-30 09:35:37.0 | Rescue Therapy | [php] | [php_1] |
Single Pre-Defined Value Selected |
|||||||||
| C58611 | Chemical therapy intra-arterial vasodilator type | ChmThrpyIntraartVasodilTyp | Type of vasodilator utilized for intra-arterial chemical therapy | Type of vasodilator utilized for intra-arterial chemical therapy | Type of vasodilator used for intra-arterial chemical therapy: | Verapamil;Nicardipine;Papaverine;Milrinone;Other, specify | Verapamil;Nicardipine;Papaverine;Milrinone;Other, specify | Alphanumeric |
Type of vasodilator delivered for catheter-based intra-arterial chemical therapy of vasospasm |
Adult;Pediatric | Supplemental | 1.00 | 2018-10-30 10:29:17.0 | Rescue Therapy | [php] | [php_1] |
Single Pre-Defined Value Selected |
|||||||||
| C58612 | Chemical therapy intra-arterial adverse clinical exam change type | ChmThrpyIntraarAdClnExChngTyp | The element related to adverse clinical exam changes directly related to the intra-arterial therapy | The element related to adverse clinical exam changes directly related to the intra-arterial therapy | Adverse clinical exam changes directly related to intra-arterial chemical therapy: | Transient (less than 24 hours);Prolonged/permanent;None | Transient (less than 24 hours);Prolonged/permanent;None | Alphanumeric |
Transient (less than 24 hour) or prolonged/permanent neurological deterioration defined as the occurrence of focal neurological impairment (such as hemiparesis, aphasia, apraxia, hemianopia, or neglect), or a decrease of at least 2 points on the Glasgow Coma Scale (either on the total score or on one of its individual components [eye, motor on either side, verbal]) directly due to catheter based intra-arterial chemical therapy for intracranial vasospasm |
Adult;Pediatric | Supplemental | 1.00 | 2018-10-30 11:43:44.0 | Rescue Therapy | [php] | [php_1] |
Single Pre-Defined Value Selected |
|||||||||
| C58613 | Chemical therapy intra-arterial procedural adverse event type | ChmThrpyIntraartProcAETyp | Type of procedural adverse events related to intra-arterial chemical therapy that occurred | Type of procedural adverse events related to intra-arterial chemical therapy that occurred | Procedural adverse events related to intra-arterial chemical therapy: | Hypotension;Hyperfusion;Perforation;Vessel dissection;Embolic event;Other, specify | Hypotension;Hyperfusion;Perforation;Vessel dissection;Embolic event;Other, specify | Alphanumeric |
Adverse event directly resulting from catheter-based administration of chemical agent for intracranial vasospasm treatment. Hypotension indicates hypotension requiring cessation of therapy |
Adult;Pediatric | Supplemental | 1.00 | 2018-10-30 12:20:42.0 | Rescue Therapy | [php] | [php_1] |
Multiple Pre-Defined Values Selected |
|||||||||
| C58614 | Mechanical balloon angioplasty intra-arterial indicator | MchBlAngIntraartInd | Indicates if intra-arterial mechanical balloon angioplasty was performed | Indicates if intra-arterial mechanical balloon angioplasty was performed | Intra-arterial mechanical balloon angioplasty perfomed: | Yes;No | Yes;No | Alphanumeric |
Received intra-arterial mechanical balloon angioplasty for treatment of intracranial vasospasm |
Adult;Pediatric | Supplemental | 1.00 | 2018-10-30 12:59:50.0 | Rescue Therapy | [php] | [php_1] |
Single Pre-Defined Value Selected |
|||||||||
| C58615 | Mechanical balloon angioplasty adverse clinical exam change indicator | MchBlAngAdClinExamChngInd | Indicates if adverse clinical exam changes directly related to the mechanical treatment were seen | Indicates if adverse clinical exam changes directly related to the mechanical treatment were seen | Adverse clinical exam changes directly related to mechanical treatment: | Transient (less than 24 hours);Prolonged/permanent;None | Transient (less than 24 hours);Prolonged/permanent;None | Alphanumeric |
Transient (less than 24 hour) or prolonged/permanent neurological deterioration defined as the occurrence of focal neurological impairment (such as hemiparesis, aphasia, apraxia, hemianopia, or neglect), or a decrease of at least 2 points on the Glasgow Coma Scale (either on the total score or on one of its individual components [eye, motor on either side, verbal]) directly due to catheter based intra-arterial mechanical therapy for intracranial vasospasm |
Adult;Pediatric | Supplemental | 1.00 | 2018-10-30 13:41:11.0 | Rescue Therapy | [php] | [php_1] |
Single Pre-Defined Value Selected |
|||||||||
| C58616 | Mechanical balloon angioplasty procedural adverse event type | MchBlAngProcAETyp | Type of procedural adverse events related to mechanical angioplasty that occurred | Type of procedural adverse events related to mechanical angioplasty that occurred | Procedural adverse events related to mechanical angioplasty: | Perforation;Embolic event;Other, specify;Dissection | Perforation;Embolic event;Other, specify;Dissection | Alphanumeric |
Adverse event directly resulting from catheter-based mechanical angioplasty for intracranial vasospasm treatment. |
Adult;Pediatric | Supplemental | 1.00 | 2018-10-30 13:46:42.0 | Rescue Therapy | [php] | [php_1] |
Multiple Pre-Defined Values Selected |
|||||||||
| C58627 | Chemical therapy intra-arterial vasodilator other text | ChmThrpyIntraartVasodilOTH | Free-text field related to other type of vasodilator utilized for intra-arterial chemical therapy | Free-text field related to other type of vasodilator utilized for intra-arterial chemical therapy | Other, specify: | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2018-11-05 10:40:54.0 | Rescue Therapy | [php] | [php_1] | 255 |
Free-Form Entry |
|||||||||||
| C58628 | Chemical therapy intra-arterial procedural adverse event other text | ChmThrpyIntraartProcAEOTH | Free-text field related to other type of procedural adverse events related to intra-arterial chemical therapy | Free-text field related to other type of procedural adverse events related to intra-arterial chemical therapy | Other, specify: | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2018-11-05 11:16:50.0 | Rescue Therapy | [php] | [php_1] | 255 |
Free-Form Entry |
|||||||||||
| C58608 | Chemical mechanical intra-arterial balloon angioplasty indicator | ChmMchIntraartBlAngInd | Indicates if intra-arterial chemical or mechanical balloon angioplasty was performed | Indicates if intra-arterial chemical or mechanical balloon angioplasty was performed | Intra-arterial chemical or mechanical balloon angioplasty performed: | Yes;No | Yes;No | Alphanumeric |
Received intra-arterial chemical agent or mechanical balloon angioplasty for treatment of intracranial vasospasm |
Adult;Pediatric | Supplemental | 1.00 | 2018-10-25 13:28:01.0 | Rescue Therapy | [php] | [php_1] |
Single Pre-Defined Value Selected |
|||||||||
| C58629 | Mechanical balloon angioplasty procedural adverse event other text | MchBlAngProcAEOTH | Free-text field related to type of procedural adverse events related to mechanical angioplasty that occurred | Free-text field related to type of procedural adverse events related to mechanical angioplasty that occurred | Other, specify: | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2018-11-05 11:21:00.0 | Rescue Therapy | [php] | [php_1] | 255 |
Free-Form Entry |
|||||||||||
| C58609 | Chemical mechanical therapy subarachnoid hemorrhage day count | ChemMechThrpySAHDyCt | Number of days elapsed since the subarachnoid hemorrhage event that chemical or mechanical therapy is being performed | Number of days elapsed since the subarachnoid hemorrhage event that chemical or mechanical therapy is being performed | Subarachnoid hemorrhage (SAH) day number for chemical or mechanical therapy: | Numeric Values |
Day after SAH on which the chemical or mechanical therapy was performed (day of SAH starts at 0) |
Adult;Pediatric | Supplemental | 1.00 | 2018-10-25 13:28:01.0 | Rescue Therapy | [php] | [php_1] |
Free-Form Entry |
