of0
Export
 
CDE Detailed Report
This report contains detailed information about the selected CDEs.
Note: If at least one CDE was selected from a copyright- or trademark-protected instrument/scale then all of the CDEs from that instrument/scale are included in this report.
Disease: Myalgic Encephalomyelitis/Chronic Fatigue Syndrome
Sub-Domain: Imaging Diagnostics
CRF: Positron Emission Tomography (PET)
Item count: 53 (53 distinct CDEs)
CDE ID
CDE Name
Variable Name
Definition / Description
Question Text
Permissible Value
Description
Data Type
Instructions
References
Population
Classification (e.g., Core)
Version #
Version Date
Aliases for Variable Name
CRF Module / Guideline
© or TM
Sub-Domain
Domain
Previous Title
Size
Input Restrictions
Min Value
Max Value
Measurement Type
LOINC ID
SNOMED
caDSR ID
CDISC ID
C02494
Imaging study date and time
ImgStdyDateTime
Date (and time, if applicable and known) the radiologic study was obtained.
Date of Exam
  
Date or Date & Time
Record the date/time according to the ISO 8601, the International Standard for the representation of dates and times (http://www.iso.org/iso/home.html). The date/time should be recorded to the level of granularity known (e.g., year, year and month, complete date plus hours and minutes, etc.).
No references available
Adult;Pediatric
Supplemental–Highly Recommended
3.0
8/28/2013
Refer to SCI CDE Annotated Form
Positron Emission Tomography (PET)
Imaging Diagnostics
Assessments and Examinations
Imaging study date and time
 
Free-Form Entry
       
C58527
Imaging radiopharmaceutical name
ImgRadiopharmName
Name of the radiopharmaceutical used in the imaging scan.
Name of radiopharmaceutical
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental–Highly Recommended
1.0
5/31/2018
Aliases for variable name not defined
Positron Emission Tomography (PET)
Imaging Diagnostics
Assessments and Examinations
  
Free-Form Entry
       
C58528
Imaging radiopharmaceutical manufacturer text
ImgRadiopharmManufTxt
Text describing the source (manufacturer) of the radiopharmaceutical used in the imaging scan.
Source (manufacturer) of radiopharmaceutical
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental–Highly Recommended
1.0
5/31/2018
Aliases for variable name not defined
Positron Emission Tomography (PET)
Imaging Diagnostics
Assessments and Examinations
  
Free-Form Entry
       
C58529
Imaging radiopharmaceutical synthesis process text
ImgRadiopharmSynthProcTxt
Text describing the synthesis process used to manufacture the radiopharmaceutical used in the imaging scan.
Synthesis process (reference, if available)
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental–Highly Recommended
1.0
5/31/2018
Aliases for variable name not defined
Positron Emission Tomography (PET)
Imaging Diagnostics
Assessments and Examinations
  
Free-Form Entry
       
C58530
Imaging radiopharmaceutical synthesis process source text
ImgRadiopharmSynthProcSrceTxt
Text describing the source (reference) for synthesis process used to manufacture the radiopharmaceutical used in the imaging scan.
   
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental–Highly Recommended
1.0
5/31/2018
Aliases for variable name not defined
Positron Emission Tomography (PET)
Imaging Diagnostics
Assessments and Examinations
  
Free-Form Entry
       
C58531
Imaging radiopharmaceutical mechanism of action text
ImgRadiopharmMechActTxt
Text describing the mechanism of action of the radiopharmaceutical used in the imaging scan.
Mechanism of action
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental–Highly Recommended
1.0
5/31/2018
Aliases for variable name not defined
Positron Emission Tomography (PET)
Imaging Diagnostics
Assessments and Examinations
  
Free-Form Entry
       
C58532
Imaging radiopharmaceutical synthesis administration between average duration
ImgRadiopharmSynthAdmBwnAvgDur
Average duration between synthesis and administration of the radiopharmaceutical used in the imaging scan.
Average time between synthesis and administration
  
Numeric Values
No instructions available
No references available
Adult;Pediatric
Supplemental–Highly Recommended
1.0
5/31/2018
Aliases for variable name not defined
Positron Emission Tomography (PET)
Imaging Diagnostics
Assessments and Examinations
  
Free-Form Entry
       
C58533
Imaging radiopharmaceutical dose
ImgRadiopharmDose
Dose of radiopharmaceutical injected for the imaging scan.
Dosage (MBq)
  
Numeric Values
No instructions available
No references available
Adult;Pediatric
Supplemental–Highly Recommended
1.0
5/31/2018
Aliases for variable name not defined
Positron Emission Tomography (PET)
Imaging Diagnostics
Assessments and Examinations
  
Free-Form Entry
  
megabecquerel
    
C58534
Imaging radiopharmaceutical molar activity rate
ImgRadiopharmMolarActRt
Rate of molar activity of the radiopharmaceutical used in the imaging scan.
Molar activity (e.g. GBq/µmole)
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental–Highly Recommended
1.0
5/31/2018
Aliases for variable name not defined
Positron Emission Tomography (PET)
Imaging Diagnostics
Assessments and Examinations
  
Free-Form Entry
       
C58535
Imaging radiopharmaceutical mass inject measurement
ImgRadiopharmMassInjectMeasr
Measurement of the injected mass of the radiopharamaceutical used in the imaging scan.
Injected mass
  
Numeric Values
No instructions available
No references available
Adult;Pediatric
Supplemental–Highly Recommended
1.0
5/31/2018
Aliases for variable name not defined
Positron Emission Tomography (PET)
Imaging Diagnostics
Assessments and Examinations
  
Free-Form Entry
       
C58536
Imaging radiochemical minimum yield value
ImgRadiochemMinYieldVal
Value of minimum radiochemical yield used in the imaging scan.
Minimum radiochemical yield (µSv)
  
Numeric Values
No instructions available
No references available
Adult;Pediatric
Supplemental–Highly Recommended
1.0
5/31/2018
Aliases for variable name not defined
Positron Emission Tomography (PET)
Imaging Diagnostics
Assessments and Examinations
  
Free-Form Entry
  
microsievert
    
C58537
Imaging radiochemical minimum purity percentage value
ImgRadiochemlMinPurPercentVal
Percentage value of minimum radiochemical purity used in the imaging scan.
Minimum purity (%)
  
Numeric Values
No instructions available
No references available
Adult;Pediatric
Supplemental–Highly Recommended
1.0
5/31/2018
Aliases for variable name not defined
Positron Emission Tomography (PET)
Imaging Diagnostics
Assessments and Examinations
  
Free-Form Entry
  
percent
    
C58538
Imaging radiopharmaceutical administration type
ImgRadiopharmAdminTyp
The type of administration for the radiopharmaceutical used in the imaging scan.
Administration as
Bolus;Infusion;
Bolus;Infusion;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental–Highly Recommended
1.0
5/31/2018
Aliases for variable name not defined
Positron Emission Tomography (PET)
Imaging Diagnostics
Assessments and Examinations
  
Single Pre-Defined Value Selected
       
C58539
Imaging radiopharmaceutical infusion duration
ImgRadiopharmInfusionDur
The duration of the infusion of the radiopharmaceutical used in the imaging scan.
infusion time (mins)
  
Numeric Values
No instructions available
No references available
Adult;Pediatric
Supplemental–Highly Recommended
1.0
6/6/2018
Aliases for variable name not defined
Positron Emission Tomography (PET)
Imaging Diagnostics
Assessments and Examinations
  
Free-Form Entry
  
minute
    
C02496
Imaging scanner manufacturer name
ImgScannerManufName
Name of manufacturer of imaging scanner
Scanner make
GE;Siemens;Philips;Toshiba;Other, specify;
GE;Siemens;Philips;Toshiba;Other, specify;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental–Highly Recommended
3.0
7/25/2013
Aliases for variable name not defined
Positron Emission Tomography (PET)
Imaging Diagnostics
Assessments and Examinations
Imaging scanner manufacturer name
 
Single Pre-Defined Value Selected
       
C17939
Scanner manufacturer other name
ScannerManufNameOthName
Name of the tissue scanner (e.g. Magnetic Resonance Imaging or Computerized Tomography) manufacturer if not one of the listed possibilities
Other, specify
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental–Highly Recommended
3.0
7/24/2013
Aliases for variable name not defined
Positron Emission Tomography (PET)
Imaging Diagnostics
Assessments and Examinations
 
255
Free-Form Entry
       
C20247
Imaging scanner model name text
ImgScannerModelNameTxt
The free-text field related to name of model of imaging scanner.
Scanner model
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental–Highly Recommended
1.0
2/12/2015
Aliases for variable name not defined
Positron Emission Tomography (PET)
Imaging Diagnostics
Assessments and Examinations
 
4000
Free-Form Entry
       
C58540
Imaging participant group type
ImgPartcpntGroupTyp
The type of group of the participants in the imaging scan.
Type(s) of participant (check all that apply)
Patients;Healthy controls;
Patients;Healthy controls;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental–Highly Recommended
1.0
6/6/2018
Aliases for variable name not defined
Positron Emission Tomography (PET)
Imaging Diagnostics
Assessments and Examinations
  
Multiple Pre-Defined Values Selected
       
C58541
Imaging patient participant group diagnosis text
ImgPatntPartcpntGrpDiagnosTxt
The free-text field describing the diagnosis of the participants in the patient group in the imaging scan.
Patients (specify diagnosis)
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental–Highly Recommended
1.0
6/6/2018
Aliases for variable name not defined
Positron Emission Tomography (PET)
Imaging Diagnostics
Assessments and Examinations
  
Free-Form Entry
       
C58542
Imaging experiment condition task indicator
ImgExperimentCondTaskInd
Indicator as to whether or not experimental conditions/tasks were used in the imaging scan.
Experimental conditions/tasks
Yes;No;
Yes;No;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental–Highly Recommended
1.0
6/6/2018
Aliases for variable name not defined
Positron Emission Tomography (PET)
Imaging Diagnostics
Assessments and Examinations
  
Single Pre-Defined Value Selected
       
C58543
Imaging experiment condition task text
ImgExperimentCondTaskTxt
The free-text field describing the experimental conditions/tasks in the imaging scan.
If yes, describe
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental–Highly Recommended
1.0
6/6/2018
Aliases for variable name not defined
Positron Emission Tomography (PET)
Imaging Diagnostics
Assessments and Examinations
  
Free-Form Entry
       
C58544
Imaging scan location type
ImgScanLocTyp
The location(s) scanned during imaging.
Scan Location (check all that apply)
Whole body;Brain only;
Whole body;Brain only;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental–Highly Recommended
1.0
6/6/2018
Aliases for variable name not defined
Positron Emission Tomography (PET)
Imaging Diagnostics
Assessments and Examinations
  
Multiple Pre-Defined Values Selected
       
C08242
Imaging acquisition duration
ImgAcquisitionDur
Duration of the imaging scan in minutes
Length of scan
  
Numeric Values
No instructions available
No references available
Adult;Pediatric
Supplemental–Highly Recommended
3.0
7/24/2013
Aliases for variable name not defined
Positron Emission Tomography (PET)
Imaging Diagnostics
Assessments and Examinations
Imaging scan duration
 
Free-Form Entry
  
minute
    
C58545
Imaging matrix size axis 1 measurement
ImgMatrixSizeAxis1Measr
Measurement, in voxels, of the axis 1 dimension of the matrix within the anatomy of interest.
Matrix size (number of voxels x, y, z)
  
Numeric Values
No instructions available
No references available
Adult;Pediatric
Supplemental–Highly Recommended
3.0
7/22/2013
Aliases for variable name not defined
Positron Emission Tomography (PET)
Imaging Diagnostics
Assessments and Examinations
  
Free-Form Entry
  
voxel
    
C58546
Imaging matrix size axis 2 measurement
ImgMatrixSizeAxis2Measr
Measurement, in voxels, of the axis 2 dimension of the matrix within the anatomy of interest.
   
Numeric Values
No instructions available
No references available
Adult;Pediatric
Supplemental–Highly Recommended
3.0
7/22/2013
Aliases for variable name not defined
Positron Emission Tomography (PET)
Imaging Diagnostics
Assessments and Examinations
  
Free-Form Entry
  
voxel
    
C58547
Imaging matrix size axis 3 measurement
ImgMatrixSizeAxis3Measr
Measurement, in voxels, of the axis 3 dimension of the matrix within the anatomy of interest.
   
Numeric Values
No instructions available
No references available
Adult;Pediatric
Supplemental–Highly Recommended
3.0
7/22/2013
Aliases for variable name not defined
Positron Emission Tomography (PET)
Imaging Diagnostics
Assessments and Examinations
  
Free-Form Entry
  
voxel
    
06-20-2019
Page 1 of 2