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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: Functional Magnetic Resonance Imaging (fMRI)
Item count: 73 (73 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 scan
  
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
Functional Magnetic Resonance Imaging (fMRI)
Imaging Diagnostics
Assessments and Examinations
Imaging study date and time
 
Free-Form Entry
       
C02495
Imaging scanner strength value
ImgScannerStrgthVal
Value, in Tesla (T), of the scanner's magnetic field strength used for the scan being reported
Magnet Strength
1.5T;3.0T;7.0T;Other, specify;
1.5T;3.0T;7.0T;Other, specify;
Alphanumeric
Choose one
No references available
Adult;Pediatric
Supplemental–Highly Recommended
3.0
8/28/2013
Aliases for variable name not defined
Functional Magnetic Resonance Imaging (fMRI)
Imaging Diagnostics
Assessments and Examinations
Imaging scanner strength value
 
Single Pre-Defined Value Selected
  
Tesla
    
C18718
Imaging scanner strength other text
ImgScannerStrgthOTH
The free-text field related to 'Imaging scanner strength value' specifying other text. Value, in Tesla (T), of the scanner's magnetic field strength used for the scan being reported
Other, specify
  
Alphanumeric
Choose one
No references available
Adult;Pediatric
Supplemental–Highly Recommended
1.0
5/27/2014
Aliases for variable name not defined
Functional Magnetic Resonance Imaging (fMRI)
Imaging Diagnostics
Assessments and Examinations
 
4000
Free-Form Entry
  
Tesla
    
C10568
Imaging radio frequency coil channel count
ImgRFCoilChannelCt
Number of the coil channels in the radio frequency (RF) coil used for the imaging scan
Coil
1;8;16;32;Other, specify;
Single coil;8 channels;16 channels;32 channels;Other, specify;
Alphanumeric
Record the number of coils for the applicable receiver coils.
No references available
Adult;Pediatric
Supplemental–Highly Recommended
3.0
7/24/2013
Aliases for variable name not defined
Functional Magnetic Resonance Imaging (fMRI)
Imaging Diagnostics
Assessments and Examinations
Imaging coil channel number
 
Single Pre-Defined Value Selected
       
C18714
Imaging radio frequency coil channel other text
ImgRFCoilChannelOTH
The free-text field related to 'Imaging radio frequency coil channel count' specifying other text. Number of the coil channels in the radio frequency (RF) coil used for the imaging scan
Other, specify
  
Alphanumeric
Record the number of coils for the applicable receiver coils.
No references available
Adult;Pediatric
Supplemental–Highly Recommended
1.0
5/27/2014
Aliases for variable name not defined
Functional Magnetic Resonance Imaging (fMRI)
Imaging Diagnostics
Assessments and Examinations
 
4000
Free-Form Entry
       
C02496
Imaging scanner manufacturer name
ImgScannerManufName
Name of manufacturer of imaging scanner
Name of the scanner manufacturer
GE;Siemens;Philips;Toshiba;Other, specify;
GE;Siemens;Philips;Toshiba;Other, specify;
Alphanumeric
Choose one
No references available
Adult;Pediatric
Supplemental–Highly Recommended
3.0
7/25/2013
Aliases for variable name not defined
Functional Magnetic Resonance Imaging (fMRI)
Imaging Diagnostics
Assessments and Examinations
Imaging scanner manufacturer name
 
Single Pre-Defined Value Selected
       
C18716
Imaging scanner manufacturer other text
ImgScannerManufOTH
The free-text field related to 'Imaging scanner manufacturer name' specifying other text. Name of manufacturer of imaging scanner
Other, specify
  
Alphanumeric
No additional instructions
No references available
Adult;Pediatric
Supplemental–Highly Recommended
1.0
5/27/2014
Aliases for variable name not defined
Functional Magnetic Resonance Imaging (fMRI)
Imaging Diagnostics
Assessments and Examinations
 
4000
Free-Form Entry
       
C55773
Imaging MRI scanner used count
ImagMRIScanUsedCt
The number of different MRI scanners that were used on the subject.
Number of differenet MRI scanners used
  
Numeric Values
Report the number of different MRI scanners that were used for imaging participants during the study
No references available
Adult;Pediatric
Supplemental–Highly Recommended
1.0
5/31/2017
Aliases for variable name not defined
Functional Magnetic Resonance Imaging (fMRI)
Imaging Diagnostics
Assessments and Examinations
  
Free-Form Entry
       
C55782
Imaging scanner software hardware update text
ImagScanSoftHardUpdateTxt
Text describing any scanner software or hardware updates during the time the study was performed.
Scanner software or hardware updates during study performance
  
Alphanumeric
No additional instructions
No references available
Adult;Pediatric
Supplemental–Highly Recommended
1.0
5/31/2017
Aliases for variable name not defined
Functional Magnetic Resonance Imaging (fMRI)
Imaging Diagnostics
Assessments and Examinations
 
255
Free-Form Entry
       
C15529
Imaging quality assurance/quality control (QA/QC) implemented techniques text
ImgQAQCImplentTxt
Free text field to describe the quality assurance techniques implemented.
What measures of quality assurance scans were used?
  
Alphanumeric
No additional instructions
No references available
Adult;Pediatric
Supplemental–Highly Recommended
3.0
7/16/2013
Aliases for variable name not defined
Functional Magnetic Resonance Imaging (fMRI)
Imaging Diagnostics
Assessments and Examinations
Imaging scan QA/QC type
4000
Free-Form Entry
       
C15536
Imaging paradigm approach type
ImgPardgmApprochTyp
The types of approach of imaging paradigm
Approach
Evoked Functional Scan with Stimulation;Evoked Functional Scan with Patient Task;Resting State Functional Imaging;Perfusion Imaging;Other;
Evoked Functional Scan with Stimulation;Evoked Functional Scan with Patient Task;Resting State Functional Imaging;Perfusion Imaging;Other;
Alphanumeric
Choose all that apply
No references available
Adult;Pediatric
Supplemental–Highly Recommended
3.0
7/16/2013
Aliases for variable name not defined
Functional Magnetic Resonance Imaging (fMRI)
Imaging Diagnostics
Assessments and Examinations
Imaging paradigm approach type
 
Multiple Pre-Defined Values Selected
       
C56608
Imaging evoked functional scan stimulation type
ImagEvoFuncScanStimTyp
The type of stimulation used for the patient's evoked functional scan, if applicable.
Type of stimulation, if applicable
Sensory;Non-painful;Painful;
Sensory;Specify modality: e.g. visual/auditory/olfactory/gustatory/tactile;Specify modality: e.g. thermal, visual, chemical;
Alphanumeric
Choose all that apply
No references available
Adult;Pediatric
Supplemental–Highly Recommended
1.0
6/19/2017
Aliases for variable name not defined
Functional Magnetic Resonance Imaging (fMRI)
Imaging Diagnostics
Assessments and Examinations
  
Multiple Pre-Defined Values Selected
       
C15588
Imaging stimulation device make text
ImgStimlDevMakeText
Make of device make used for stimulation
Make
  
Alphanumeric
No additional instructions
No references available
Adult;Pediatric
Supplemental–Highly Recommended
3.0
7/16/2013
Aliases for variable name not defined
Functional Magnetic Resonance Imaging (fMRI)
Imaging Diagnostics
Assessments and Examinations
Imaging stimulation device manufacturer name
255
Free-Form Entry
       
C15592
Imaging stimulation device model text
ImgStimlDevModelText
Model of device used for stimulation
Model
  
Alphanumeric
No additional instructions
No references available
Adult;Pediatric
Supplemental–Highly Recommended
3.0
7/16/2013
Aliases for variable name not defined
Functional Magnetic Resonance Imaging (fMRI)
Imaging Diagnostics
Assessments and Examinations
Imaging stimulation device model name
255
Free-Form Entry
       
C15595
Imaging stimulation device model year date
ImgStimlDevModelYrDate
Model year of device used for stimulation
Year
  
Date or Date & Time
Record Year in YYYY format
No references available
Adult;Pediatric
Supplemental–Highly Recommended
3.0
7/16/2013
Aliases for variable name not defined
Functional Magnetic Resonance Imaging (fMRI)
Imaging Diagnostics
Assessments and Examinations
Imaging stimulation device model year value
 
Free-Form Entry
       
C57959
Imaging stimulation task name
ImgStimlTaskName
The name of the task used during stimulation, if applicable.
Name of task, if applicable
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental–Highly Recommended
1.0
1/19/2018
Aliases for variable name not defined
Functional Magnetic Resonance Imaging (fMRI)
Imaging Diagnostics
Assessments and Examinations
 
255
Free-Form Entry
       
C57960
Imaging stimulation task previous use reference text
ImgStimlTaskPrevUseRefTxt
The text providing the reference to where the stimulation task was previously used.
Reference to where this task was previously used
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental–Highly Recommended
1.0
1/19/2018
Aliases for variable name not defined
Functional Magnetic Resonance Imaging (fMRI)
Imaging Diagnostics
Assessments and Examinations
 
255
Free-Form Entry
       
C15598
Imaging stimulation on period duration
ImgStimlOnPerDur
Duration on period of the stimulation
Duration on period
  
Numeric Values
Record in minutes/seconds
No references available
Adult;Pediatric
Supplemental–Highly Recommended
3.0
7/16/2013
Aliases for variable name not defined
Functional Magnetic Resonance Imaging (fMRI)
Imaging Diagnostics
Assessments and Examinations
Imaging stimulation on period duration
 
Free-Form Entry
       
C15600
Imaging stimulation off period duration
ImgStimlOffPerDur
Duration of off period of the stimulation
Duration off period
  
Numeric Values
Record in minutes/seconds
No references available
Adult;Pediatric
Supplemental–Highly Recommended
3.0
7/16/2013
Aliases for variable name not defined
Functional Magnetic Resonance Imaging (fMRI)
Imaging Diagnostics
Assessments and Examinations
Imaging stimulation off period duration
 
Free-Form Entry
       
C15603
Imaging randomization technique type
ImgRandTchTyp
The type of randomization technique used during stimulation
Randomization technique
Randomized delivery;Non-randomized delivery;
Randomized delivery;Non-randomized delivery;
Alphanumeric
Choose one. Report whether the order of the stimuli or order of on and off-periods was random or non-random.
No references available
Adult;Pediatric
Supplemental–Highly Recommended
3.0
7/16/2013
Aliases for variable name not defined
Functional Magnetic Resonance Imaging (fMRI)
Imaging Diagnostics
Assessments and Examinations
Imaging randomization technique type
 
Single Pre-Defined Value Selected
       
C15606
Imaging multiple evoked functional acquisitions indicator
ImgMultEvokFuncAcqInd
Multiple evoked functional acquisitions
Are there multiple evoked functional acquisitions?
Yes;No;
Yes;No;
Alphanumeric
Choose one
No references available
Adult;Pediatric
Supplemental–Highly Recommended
3.0
7/16/2013
Aliases for variable name not defined
Functional Magnetic Resonance Imaging (fMRI)
Imaging Diagnostics
Assessments and Examinations
Imaging multiple evoked functional acquisitions indicator
 
Single Pre-Defined Value Selected
       
C19330
Sensory evoked potential stimulation count
SEPStimulationCt
The number of stimulations in sensory evoked potential.
Total number of stimulations?
  
Numeric Values
Report the total number of times that the patient ewas stimulated during the study.
No references available
Adult;Pediatric
Supplemental–Highly Recommended
1.0
6/9/2014
Aliases for variable name not defined
Functional Magnetic Resonance Imaging (fMRI)
Imaging Diagnostics
Assessments and Examinations
  
Free-Form Entry
       
C15609
Imaging rest duration
ImgRestDur
The rest duration between multiple evoked functional acquisitions
If there are multiple evoked functional acquisitions, what is the rest duration in between acquisitions?
  
Numeric Values
Record in seconds. Report the duration of time between each functional acquisition.
No references available
Adult;Pediatric
Supplemental–Highly Recommended
3.0
7/16/2013
Aliases for variable name not defined
Functional Magnetic Resonance Imaging (fMRI)
Imaging Diagnostics
Assessments and Examinations
Imaging rest duration
 
Free-Form Entry
  
second
    
C56598
Imaging functional scan patient task type
ImagFuncScanPtTaskTyp
The type of task that the patient performed for the evoked functional scan, if applicable.
Type of patient task, if applicable
Motor;Cognitive;Other, specify;
Motor;Cognitive;Other, specify;
Alphanumeric
Choose all that apply
No references available
Adult;Pediatric
Supplemental–Highly Recommended
1.0
6/19/2017
Aliases for variable name not defined
Functional Magnetic Resonance Imaging (fMRI)
Imaging Diagnostics
Assessments and Examinations
  
Single Pre-Defined Value Selected
       
C56599
Imaging functional scan patient task other text
ImagFucScanPtTaskOthrTxt
Text describing another patient task performed during the evoked functional scan, if applicable.
Other, specify
  
Alphanumeric
No additional instructions
No references available
Adult;Pediatric
Supplemental–Highly Recommended
1.0
6/19/2017
Aliases for variable name not defined
Functional Magnetic Resonance Imaging (fMRI)
Imaging Diagnostics
Assessments and Examinations
 
255
Free-Form Entry
       
C56600
Imaging functional scan performed task count
ImagFuncScanPerfTaskCt
The total number of performed tasks during the patient's functional scan.
Total number of performed tasks?
  
Numeric Values
Report the total number of times that the patient performed a task during the study
No references available
Adult;Pediatric
Supplemental–Highly Recommended
1.0
6/19/2017
Aliases for variable name not defined
Functional Magnetic Resonance Imaging (fMRI)
Imaging Diagnostics
Assessments and Examinations
  
Free-Form Entry
0
      
06-16-2019
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