CDE Detailed Report

Disease: Spinal Cord Injury
Subdomain Name: Electrodiagnostics
CRF: Sympathetic Skin Responses

Displaying 1 - 10 of 10
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
C19240 Sympathetic skin response frequency SSRFreq Frequency of Sympathetic Skin Response Frequency of Sympathetic Skin Response SSR present? Numeric Values

Responses/Trial

Adult;Pediatric Supplemental 1.00 2014-06-05 09:59:44.0 Sympathetic Skin Responses Electrodiagnostics Outcomes and End Points

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C19241 Sympathetic skin response mono poly-phasic type SymSkinResMonoPolyPhasicSSRTyp Type of sympathetic skin response phase Type of sympathetic skin response phase Mono/poly- phasic Monophasic;Polyphasic Monophasic;Polyphasic Alphanumeric Adult;Pediatric Supplemental 1.00 2014-06-05 10:05:23.0 Sympathetic Skin Responses Electrodiagnostics Outcomes and End Points

Single Pre-Defined Value Selected

C19242 Sympathetic skin response peak-to-peak amplitude value SymSkinResPeakToPeakAmplituVal The value of peak-to-peak amplitude as related to sympathetic skin response The value of peak-to-peak amplitude as related to sympathetic skin respons Peak-to-peak amplitude Numeric Values Adult;Pediatric Supplemental 1.00 2014-06-05 10:13:29.0 Sympathetic Skin Responses Electrodiagnostics Outcomes and End Points

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Millivolt
C19243 Sensory latency value SensoryLatencyVal The value of latency in sensory response The value of latency in sensory respons Latency Numeric Values Adult;Pediatric Supplemental 1.00 2014-06-05 10:17:27.0 Sympathetic Skin Responses Electrodiagnostics Outcomes and End Points

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second
C21658 Electrodiagnostic exam date ElectrodiagExamDate The date of the electrodiagnostic exam testing The date of the electrodiagnostic exam testin Date of Exam: Date or Date & Time Adult;Pediatric Supplemental 3.00 2013-07-16 14:01:43.01 Sympathetic Skin Responses Electrodiagnostics Outcomes and End Points

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C01711 Lab test result unit of measure LabTestResltUoM Unit of measure for the laboratory test result Unit of measure for the laboratory test result Units for Result Alphanumeric

Record the units the numeric results for each laboratory test are measured in. See the data dictionary for additional information on coding the unit of measure using Unified Coed for Units of Measure (UCUM)

Unified Code for Units of Measure - http://unitsofmeasure.org/ Adult;Pediatric Supplemental 3.00 2013-07-25 08:54:08.2 Sympathetic Skin Responses Electrodiagnostics Outcomes and End Points 255

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2787947
C02411 Laterality type LatTyp Laterality type relative to the anatomic site of the body examined or affected Laterality type relative to the anatomic site of the body examined or affected Left/Right Left;Right;Midline Left;Right;Midline Alphanumeric

Choose one.

Duhaime AC, Gean AD, Haacke EM, Hicks R, Wintermark M, Mukherjee P, Brody D, Latour L, Riedy G; Common Data Elements Neuroimaging Working Group Members, Pediatric Working Group Members. Common data elements in radiologic imaging of traumatic brain injury. Arch Phys Med Rehabil. 2010 Nov;91(11):1661-6. [DOI: 10.1016/j.apmr.2010.07.238] Haacke, E.M., Duhaime, A.C., Gean, A.D., Riedy, G., Wintermark, M., Mukherjee, P., Brody, D.L., DeGraba, T., Duncan, T.D., and Elovic, E. (2010). Common data elements in radiologic imaging of traumatic brain injury. Journal of Magnetic Resonance Imaging 32, 516-543, DOI:10.1002/jmri.22259 Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Sympathetic Skin Responses Electrodiagnostics Outcomes and End Points

Single Pre-Defined Value Selected

C18027 Comment text CmmntTxt Provide any additional information that pertains to the question Provide any additional information that pertains to the question Comments: Alphanumeric Adult;Pediatric Supplemental 3.00 2013-07-16 14:01:43.01 Sympathetic Skin Responses Electrodiagnostics Outcomes and End Points 4000

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C19236 Sympathetic skin response epithelial anatomic site SymSkinResEpithelialAntmicSite Anatomic site of epithelial tissue as related to sympathetic skin response Anatomic site of epithelial tissue as related to sympathetic skin respons Skin site Foot;Hand;Other Foot;Hand;Other (state) Alphanumeric Adult;Pediatric Supplemental 1.00 2014-06-04 16:04:21.0 Sympathetic Skin Responses Electrodiagnostics Outcomes and End Points

Single Pre-Defined Value Selected

C19239 Sympathic skin response epithelial stimulus type SympSkinResEpithelialStimulTyp Type of epithelial stimulus in assessment of sympathetic skin response Type of epithelial stimulus in assessment of sympathetic skin respons Stimulus Alphanumeric Adult;Pediatric Supplemental 1.00 2014-06-05 09:54:40.0 Sympathetic Skin Responses Electrodiagnostics Outcomes and End Points 4000

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CSV