Sub-Domain: Assessments and Examinations
CRF: Vessel Imaging Transcranial Doppler (TCD)
| CDE ID | CDE Name | Variable Name | Definition | Short Description | Additional Notes (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 | Source | Form Set | Form | Field | Domain | CDASH Variable | CDASH Definition | CDASH Label | Controlled Terminology | Prompt | Essentiality | Question Text | CDASH imp guidance | SDTM IG target | csDSR | PhenX | Data Type | CRF Completion Inst | SDTMIG Target Var | SDTMIG Target Map | Codelist Name | PVs | Pre Pop Value | Query Display | List Style |
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| C08255 | Imaging visual analysis blinded indicator | ImgVisAnlysisBlindInd | Indicator of whether the visual analysis was performed blinded to clinical data | Indicator of whether the visual analysis was performed blinded to clinical data | Reader blinded to clinical data | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric |
Contains data elements collected when an imaging study is performed using angiography to examine the blood vessels of the body; there are separate sections to record arterial findings and venous findings. (Examples of CDEs included: Findings for each artery; TIMI scale individual vessel score; and Collateral grade) |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-07-25 08:54:08.2 | Vessel Imaging Transcranial Doppler (TCD) | Assessments and Examinations | Imaging Diagnostics |
Single Pre-Defined Value Selected |
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| C14021 | Sickle cell disease velocity measurement | SickleCellVelMeasr | The velocity measurement of sickle cell. | The velocity measurement of sickle cell. | Velocity | Numeric Values |
These CDEs are collected when an imaging study is performed using TCD to assess the intra cranial cerebral (brain) circulation; the velocity of blood flow through the brain's blood vessels is captured along with other findings. (Examples of CDEs included: Peak velocity; Flow direction; and Microembolic signal intensity) |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-06-21 00:00:00.0 | Vessel Imaging Transcranial Doppler (TCD) | Assessments and Examinations | Imaging Diagnostics |
Free-Form Entry |
0 | 999 | centimeter per second | DeBaun Forms | |||||||||||||||||||||||||||
| C13904 | Imaging interpretation offsite media type | ImgInterpretOffsiteMediaTyp | Indicates imaging offsite media type | Indicates imaging offsite media type | Indicate type | Video;Print;Digital | Video;Print;Digital | Alphanumeric |
Contains data elements collected when an imaging study is performed using carotid ultrasound to examine the two large arteries in the neck; there are separate sections to record findings from B-mode and color flow imaging. (Examples of CDEs included: Severity of plaque; Percent stenosis; and Mean lumen diameter) |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-06-21 00:00:00.0 | Vessel Imaging Transcranial Doppler (TCD) | Assessments and Examinations | Imaging Diagnostics |
Single Pre-Defined Value Selected |
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| C13961 | Microembolic signals present indicator | MicroembolSignalPresentInd | Indicates presence of microembolic signals | Indicates presence of microembolic signals | Microembolic signals | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric |
Associated form contains data elements collected when an imaging study is performed using TCCS to examine the brain vessels and evaluate cerebral hemodynamics. (Examples of CDEs included: COGIF score; Number of microembolic signals; and Vasomotor response) |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-06-21 00:00:00.0 | Vessel Imaging Transcranial Doppler (TCD) | Assessments and Examinations | Imaging Diagnostics |
Single Pre-Defined Value Selected |
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| C14032 | Vasospasm severity grade | VasospasmSeverGrade | Indicates severity of vasospasm | Indicates severity of vasospasm | Severity | Mild;Moderate;Severe | Mild;Moderate;Severe | Alphanumeric |
These CDEs are collected when an imaging study is performed using TCD to assess the intra cranial cerebral (brain) circulation; the velocity of blood flow through the brain's blood vessels is captured along with other findings. (Examples of CDEs included: Peak velocity; Flow direction; and Microembolic signal intensity) |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-06-21 00:00:00.0 | Vessel Imaging Transcranial Doppler (TCD) | Assessments and Examinations | Imaging Diagnostics |
Single Pre-Defined Value Selected |
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| C14010 | Intracranial stenosis collateral vessel anatomic site | IntracrnStnoColltVsslAntmicSit | Indicates intracranial stenosis collateral vessel(s) | Indicates intracranial stenosis collateral vessel(s) | Vessel(s) | ICA;Basilar;MCA;Other, specify;ACA;VA;PCA | Internal carotid artery;Basilar;Middle cerebral artery;Other, specify;Anterior carotid artery;Vertebral artery;Posterior carotid artery | Alphanumeric |
Use the specific codelist that corresponds to the type of imaging done |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-06-21 00:00:00.0 | Vessel Imaging Transcranial Doppler (TCD) | Assessments and Examinations | Imaging Diagnostics |
Multiple Pre-Defined Values Selected |
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| C18720 | Imaging visual analysis location performed other text | ImgVisAnlysisLocPerfOTH | The free-text field related to 'Imaging visual analysis location performed type' specifying other text. Location where visual analysis of the imaging data are performed | The free-text field related to 'Imaging visual analysis location performed type' specifying other text. Location where visual analysis of the imaging data are performed | Other, specify | Alphanumeric |
Select all that apply |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2014-05-27 13:34:46.0 | Vessel Imaging Transcranial Doppler (TCD) | Assessments and Examinations | Imaging Diagnostics | 4000 |
Free-Form Entry |
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| C10570 | Imaging contrast agent used indicator | ImgContrastAgentUsedInd | Indicator as to whether or not an imaging contrast agent was used for the scan as part of Diffusion Tensor Imaging (DTI). | Indicator as to whether or not an imaging contrast agent was used for the scan. | Contrast Agent | Yes;No;Unknown;Not applicable | Yes;No;Unknown;Not applicable | Alphanumeric |
These CDEs are collected when an imaging study is performed using TCD to assess the intra cranial cerebral (brain) circulation; the velocity of blood flow through the brain's blood vessels is captured along with other findings. (Examples of CDEs included: Peak velocity; Flow direction; and Microembolic signal intensity) |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-08-28 16:08:00.453 | Vessel Imaging Transcranial Doppler (TCD) | Assessments and Examinations | Imaging Diagnostics |
Single Pre-Defined Value Selected |
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| C13905 | Imaging contrast agent method type | ImgContrastAgentMethodTyp | Indicates imaging contrast agent method of administration | Type of imaging contrast agent used for the scan. | Type | Bolus;Infusion;Other, specify;Bolus;Infusion;Other, specify | Bolus;Infusion;Other, specify;Bolus;Infusion;Other, specify | Alphanumeric |
Associated form contains data elements collected when an imaging study is performed using TCCS to examine the brain vessels and evaluate cerebral hemodynamics. (Examples of CDEs included: COGIF score; Number of microembolic signals; and Vasomotor response) |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-06-21 00:00:00.0 | Vessel Imaging Transcranial Doppler (TCD) | Assessments and Examinations | Imaging Diagnostics |
Single Pre-Defined Value Selected |
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| C14022 | Sickle cell disease criterion result text | SickleCellCriterResltTxt | Indicates sickle cell criterion result | Indicates sickle cell criterion result | Criterion | Alphanumeric |
These CDEs are collected when an imaging study is performed using TCD to assess the intra cranial cerebral (brain) circulation; the velocity of blood flow through the brain's blood vessels is captured along with other findings. (Examples of CDEs included: Peak velocity; Flow direction; and Microembolic signal intensity) |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-06-21 00:00:00.0 | Vessel Imaging Transcranial Doppler (TCD) | Assessments and Examinations | Imaging Diagnostics | 255 |
Free-Form Entry |
DeBaun Forms | |||||||||||||||||||||||||||||
| C14000 | Extracranial stenosis present indicator | ExtracranStenPresInd | Indicates presence of extracranial stenosis | Indicates presence of extracranial stenosis | Extracranial stenosis | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric |
These CDEs are collected when an imaging study is performed using TCD to assess the intra cranial cerebral (brain) circulation; the velocity of blood flow through the brain's blood vessels is captured along with other findings. (Examples of CDEs included: Peak velocity; Flow direction; and Microembolic signal intensity) |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-06-21 00:00:00.0 | Vessel Imaging Transcranial Doppler (TCD) | Assessments and Examinations | Imaging Diagnostics |
Single Pre-Defined Value Selected |
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| C14033 | Vasospasm vessel anatomic site | VasospasmVesselAntmicSite | Indicates vasospasm vessel(s) | Indicates vasospasm vessel(s) | Vessel(s) | ICA;Basilar;MCA;Other, specify;ACA;VA | Internal carotid artery;Basilar;Middle cerebral artery;Other, specify;Anterior cerebral artery;Vertebral artery | Alphanumeric |
Use the specific codelist that corresponds to the type of imaging done |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-06-21 00:00:00.0 | Vessel Imaging Transcranial Doppler (TCD) | Assessments and Examinations | Imaging Diagnostics |
Multiple Pre-Defined Values Selected |
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| C14011 | Intracranial stenosis present indicator | IntracranStenosisPresentInd | Indicates presence of intracranial stenosis | Indicates presence of intracranial stenosis | Intracranial stenosis | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric |
These CDEs are collected when an imaging study is performed using TCD to assess the intra cranial cerebral (brain) circulation; the velocity of blood flow through the brain's blood vessels is captured along with other findings. (Examples of CDEs included: Peak velocity; Flow direction; and Microembolic signal intensity) |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-06-21 00:00:00.0 | Vessel Imaging Transcranial Doppler (TCD) | Assessments and Examinations | Imaging Diagnostics |
Single Pre-Defined Value Selected |
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| C18888 | Imaging acquisition reason other text | ImgAcquisitionRsnOTH | The free-text field related to 'Imaging acquisition reason' specifying other text. Describes why the imaging study was performed | The free-text field related to 'Imaging acquisition reason' specifying other text. Describes why the imaging study was performed | Other, specify | Alphanumeric |
Select all that apply |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-06-21 00:00:00.0 | Vessel Imaging Transcranial Doppler (TCD) | Assessments and Examinations | Imaging Diagnostics | 4000 |
Free-Form Entry |
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| C10931 | Imaging quality of images technically satisfactory indicator | ImgQualImgTechnSatisInd | Indicator of whether the quality of the images were technically satisfactory. | Indicator of whether the quality of the images were technically satisfactory. | Study technically satisfactory | Yes;No;Unknown;Not applicable | Yes;No;Unknown;Not applicable | Alphanumeric |
Associated form contains data elements collected when an imaging study is performed using TCCS to examine the brain vessels and evaluate cerebral hemodynamics. (Examples of CDEs included: COGIF score; Number of microembolic signals; and Vasomotor response) |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-07-25 08:54:08.2 | Vessel Imaging Transcranial Doppler (TCD) | Assessments and Examinations | Imaging Diagnostics |
Single Pre-Defined Value Selected |
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| C13942 | Imaging vessel category | ImgVesselCat | Indicates vessel category | Indicates vessel category | Vessels | M1;Insular M2;A1;ICA;P1;P2;EC ICA;Siphon;Vert;Basilar;Ophthalmic | M1;Insular M2;A1;Internal Carotid Artery (ICA);P1;P2;EC Internal Carotid Artery (ICA);Siphon;Vert;Basilar;Ophthalmic Artery | Alphanumeric |
Use the specific codelist that corresponds to the type of imaging done |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-06-21 00:00:00.0 | Vessel Imaging Transcranial Doppler (TCD) | Assessments and Examinations | Imaging Diagnostics |
Single Pre-Defined Value Selected |
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| C14023 | Sickle cell disease diagnosis result | SickleCellDiagnosReslt | Indicates sickle cell diagnosis result | Indicates sickle cell diagnosis result | Diagnosis | Abnormal;Normal;Conditional;Abnormal;Normal;Conditional | Abnormal;Normal;Conditional;Abnormal;Normal;Conditional | Alphanumeric |
These CDEs are collected when an imaging study is performed using TCD to assess the intra cranial cerebral (brain) circulation; the velocity of blood flow through the brain's blood vessels is captured along with other findings. (Examples of CDEs included: Peak velocity; Flow direction; and Microembolic signal intensity) |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-06-21 00:00:00.0 | Vessel Imaging Transcranial Doppler (TCD) | Assessments and Examinations | Imaging Diagnostics |
Single Pre-Defined Value Selected |
DeBaun Forms | ||||||||||||||||||||||||||||
| C14001 | Extracranial stenosis type | ExtracranStenosisTyp | Indicates extracranial stenosis type | Indicates extracranial stenosis type | Extracranial stenosis | Collateral;Reduced upstroke;Reduced pulsatility index (Pi);VMR;Reduced velocity;Collateral;Reduced upstroke;Reduced pulsatility index (Pi);VMR;Reduced velocity | Collateral;Reduced upstroke;Reduced pulsatility index (Pi);VMR;Reduced velocity;Collateral;Reduced upstroke;Reduced pulsatility index (Pi);VMR;Reduced velocity | Alphanumeric |
Select all that apply |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-06-21 00:00:00.0 | Vessel Imaging Transcranial Doppler (TCD) | Assessments and Examinations | Imaging Diagnostics |
Multiple Pre-Defined Values Selected |
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| C14034 | Vasomotor response (VMR) vessel anatomic site | VMRVesselAntmicSite | Indicates vasomotor response (VMR) vessel type | Indicates vasomotor response (VMR) vessel type | Vessel | M1;A1;P1;Siphon;Ophthalmic;Vert;Basilar;MCA;Other, specify | M1;A1;P1;Siphon;Ophthalmic;Vert;Basilar;Middle cerebral artery;Other, specify | Alphanumeric |
Use the specific codelist that corresponds to the type of imaging done |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-06-21 00:00:00.0 | Vessel Imaging Transcranial Doppler (TCD) | Assessments and Examinations | Imaging Diagnostics |
Multiple Pre-Defined Values Selected |
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| C14012 | Intracranial stenosis peak systolic velocity (PSV) criterion result | IntracranStenoPSVCriterReslt | Indicates intracranial stenosis peak systolic velocity (PSV) criterion | Indicates intracranial stenosis peak systolic velocity (PSV) criterion | PSV criterion | Alphanumeric |
These CDEs are collected when an imaging study is performed using TCD to assess the intra cranial cerebral (brain) circulation; the velocity of blood flow through the brain's blood vessels is captured along with other findings. (Examples of CDEs included: Peak velocity; Flow direction; and Microembolic signal intensity) |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-06-21 00:00:00.0 | Vessel Imaging Transcranial Doppler (TCD) | Assessments and Examinations | Imaging Diagnostics | 255 |
Free-Form Entry |
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| C18899 | Imaging brain death vessel anatomic other text | ImgBrainDeathVesseIAntmicOTH | The free-text field related to 'Imaging brain death vessel anatomic site' specifying other text. Indicates brain death vessel(s) | The free-text field related to 'Imaging brain death vessel anatomic site' specifying other text. Indicates brain death vessel(s) | Other, specify | Alphanumeric |
Use the specific codelist that corresponds to the type of imaging done |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-06-21 00:00:00.0 | Vessel Imaging Transcranial Doppler (TCD) | Assessments and Examinations | Imaging Diagnostics | 4000 |
Free-Form Entry |
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| C13245 | National Institutes of Health Stroke Scale (NIHSS) - Severity total score | NIHSSSevTotalScore | The level of stroke severity as measured by the NIH Stroke Scale (NIHSS) scoring system (i.e., total of the subscale item scores). | The level of stroke severity as measured by the NIH Stroke Scale (NIHSS) scoring system (i.e., total of the subscale item scores). | NIH Stroke Scale (NIHSS) at time of study: | Numeric Values |
A maximal score of 42 represents the most severe and devastating stroke. This element should be collected with the other elements of the NIH Stroke Scale (NIHSS). |
Brott, T., H.P. Adams Jr., C.P. Olinger, J.R. Marler, W.G. Barsan, J. Biller, J. Spilker, R. Holleran, R. Eberle, V. Hertzberg, M. Rorick, C.J. Moomaw, and M. Walker (1989) Measurements of acute cerebral infarction: a clinical examination scale. Stroke, 20, 964-970. http://stroke.ahajournals.org/content/20/7/864.full.pdf | Adult;Pediatric | Supplemental | 3.00 | 2013-06-21 00:00:00.0 | Vessel Imaging Transcranial Doppler (TCD) | Assessments and Examinations | Imaging Diagnostics |
Free-Form Entry |
0 | 42 | |||||||||||||||||||||||||||||
| C13947 | Imaging peak velocity measurement | ImgPeakVelocityMeasr | Indicates peak velocity measurement (cm/sec) | Indicates peak velocity measurement (cm/sec) | Peak velocity | Numeric Values |
Indicate peak velocity in units of cm/sec |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-06-21 00:00:00.0 | Vessel Imaging Transcranial Doppler (TCD) | Assessments and Examinations | Imaging Diagnostics |
Free-Form Entry |
0 | 999 | centimeter per second | ||||||||||||||||||||||||||||
| C14024 | Vasospasm criterion value | VasoCriterionVal | Indicates vasospasm criterion value | Indicates vasospasm criterion value | Criterion | Numeric Values |
Associated form contains data elements collected when an imaging study is performed using TCCS to examine the brain vessels and evaluate cerebral hemodynamics. (Examples of CDEs included: COGIF score; Number of microembolic signals; and Vasomotor response) |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-06-21 00:00:00.0 | Vessel Imaging Transcranial Doppler (TCD) | Assessments and Examinations | Imaging Diagnostics |
Free-Form Entry |
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| C14002 | Extracranial stenosis collateral artery anatomic site | ExtracranStenCollArtAntmicSite | The site of parallel arteries having extracranial stenosis. | The site of parallel arteries having extracranial stenosis. | Collateral | OA;ACA;VA | Ophthalmic artery;Anterior cerebral artery;Vertebral artery | Alphanumeric |
These CDEs are collected when an imaging study is performed using TCD to assess the intra cranial cerebral (brain) circulation; the velocity of blood flow through the brain's blood vessels is captured along with other findings. (Examples of CDEs included: Peak velocity; Flow direction; and Microembolic signal intensity) |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-06-21 00:00:00.0 | Vessel Imaging Transcranial Doppler (TCD) | Assessments and Examinations | Imaging Diagnostics |
Single Pre-Defined Value Selected |
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| C14035 | VMR response result | VMRResponseReslt | Indicates vasomotor response (VMR) response result | Indicates vasomotor response (VMR) response result | VMR | Abnormal;Normal;Abnormal;Normal | Abnormal;Normal;Abnormal;Normal | Alphanumeric |
Associated form contains data elements collected when an imaging study is performed using TCCS to examine the brain vessels and evaluate cerebral hemodynamics. (Examples of CDEs included: COGIF score; Number of microembolic signals; and Vasomotor response) |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-06-21 00:00:00.0 | Vessel Imaging Transcranial Doppler (TCD) | Assessments and Examinations | Imaging Diagnostics |
Single Pre-Defined Value Selected |
