CDE Detailed Report

Disease: Spinal Cord Injury
Sub-Domain: Electrodiagnostics
CRF: Sensory Evoked Potentials

Displaying 1 - 24 of 24
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 External Id Loinc External Id Snomed External Id caDSR External Id CDISC
C15531 Imaging evoked potential stimulation frequency value ImgEVStimulationFreqVal The stimulation frequency used on the participant/subject as part of the Blink Reflex and Evoked Potential Imaging test The stimulation frequency used on the participant/subject as part of the Blink Reflex and Evoked Potential Imaging test Stimulation frequency Numeric Values

Suggested one stimulus every 20 seconds. Include units

Rossi S, Hallett M, Rossini PM, et. Al. and The Safety of TMS Consensus Group. Safety, ethical considerations, and application guidelines for the use of transcranial magnetic stimulation in clinical practice and research. Clinical Neurophysiology 2009;120:2008-2039. Wasserman EM. Risk and safety of repetitive transcranial magnetic stimulation: report and suggested guidelines from the International Workshop on the Safety of Repetitive Transcranial Magnetic Stimulation, June 5-7, 1996. Electroencephalography and Clinical Neurophysiology 1998;108:1-16. Adult;Pediatric Supplemental 3.00 2013-07-16 14:01:43.01 Sensory Evoked Potentials Electrodiagnostics Outcomes and End Points

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Hertz
C19345 Temperature peak measurement value TempPeakMeasrmntVal Measurement of the participant's/subject's body peak temperature. Measurement of the participant's/subject's body peak temperature. Peak temperature/Energy Numeric Values Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Sensory Evoked Potentials Electrodiagnostics Outcomes and End Points

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0 50 degree Celsius
C15544 Imaging stimulation intensity value ImgStimlIntenVal Stimulation intensity used on imaging. Stimulation intensity used on imaging. Stimulation intensity Numeric Values

Not more than 2.0mA; Include units

No references available Adult;Pediatric Supplemental 3.00 2013-07-16 14:01:43.01 Sensory Evoked Potentials Electrodiagnostics Outcomes and End Points

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C19346 Sensory evoked potential heat average scale SEPHeatAvgScl The average numeric value related to assessing somatosensory system functioning with heat The average numeric value related to assessing somatosensory system functioning with heat Average numeric rating 0;1;10;2;3;4;5;6;7;8;9 0;1;10;2;3;4;5;6;7;8;9 Numeric Values Adult;Pediatric Supplemental 1.00 2014-06-11 17:26:16.0 Sensory Evoked Potentials 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 response. Amplitude Numeric Values Adult;Pediatric Supplemental 1.00 2014-06-05 10:13:29.0 Sensory Evoked Potentials Electrodiagnostics Outcomes and End Points

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Millivolt
C19347 Temperature average measurement value TempAvgMeasrmntVal Measurement of the participant's/subject's body average temperature. Measurement of the participant's/subject's body average temperature. Average temperature Numeric Values Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Sensory Evoked Potentials Electrodiagnostics Outcomes and End Points

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0 50 degree Celsius
C19243 Sensory latency value SensoryLatencyVal The value of latency in sensory response. The value of latency in sensory response. Latency Numeric Values Adult;Pediatric Supplemental 1.00 2014-06-05 10:17:27.0 Sensory Evoked Potentials Electrodiagnostics Outcomes and End Points

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second
C19349 Thermal quantitative sensory testing standardized instruction text TQSTTstngInstcnTxt Standardized instructions for thermal quantitative sensory testing Standardized instructions for thermal quantitative sensory testing Standardized instructions Alphanumeric Adult;Pediatric Supplemental 1.00 2014-06-12 09:58:34.0 Sensory Evoked Potentials Electrodiagnostics Outcomes and End Points 4000

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C19316 Dermatome area name DermatomeAreaName Name of dermatome area Name of dermatome area Side/Dermatome Alphanumeric Adult;Pediatric Supplemental 1.00 2014-06-09 10:08:38.0 Sensory Evoked Potentials Electrodiagnostics Outcomes and End Points 4000

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C19350 Pulse count PulseCt Number of pulses Number of pulses Number of pulses Numeric Values Adult;Pediatric Supplemental 1.00 2014-06-12 10:03:38.0 Sensory Evoked Potentials Electrodiagnostics Outcomes and End Points

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C19327 Sensory evoked potential side nerve dermatome description text SEPSideNrveDrmtmeDcrptnTxt Text of description of sensory evoked potential side nerve dermatome Text of description of sensory evoked potential side nerve dermatome Side/Nerve/Dermatome Alphanumeric Adult;Pediatric Supplemental 1.00 2014-06-09 16:05:17.0 Sensory Evoked Potentials Electrodiagnostics Outcomes and End Points 4000

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C19351 Quantitative sensory testing pinprick assessment result QSTPinprickAssessmentRes Result for the assessment of pinprick sensation in thermal quantitative sensory testing Result for the assessment of pinprick sensation in thermal quantitative sensory testing Pinprick Absent;Impaired;Normal Absent;Impaired;Normal Alphanumeric Adult;Pediatric Supplemental 1.00 2014-06-12 10:54:44.0 Sensory Evoked Potentials Electrodiagnostics Outcomes and End Points

Single Pre-Defined Value Selected

C19328 Scalp recording-reference electrode configuration type SclpRcrdngRfrncEltrdCnfgurnTyp Type of electrode configuration scalp recording-reference Type of electrode configuration scalp recording-reference Scalp recording-reference electrode configuration Alphanumeric Adult;Pediatric Supplemental 1.00 2014-06-09 16:12:59.0 Sensory Evoked Potentials Electrodiagnostics Outcomes and End Points 4000

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C19352 Quantitative sensory testing light touch assessment result QSTLghtTchAssmntRes Result for assessment of light touch sensation in quantitative sensory testing Result for assessment of light touch sensation in quantitative sensory testing Light touch Absent;Impaired;Normal Absent;Impaired;Normal Alphanumeric Adult;Pediatric Supplemental 1.00 2014-06-12 11:02:37.0 Sensory Evoked Potentials Electrodiagnostics Outcomes and End Points

Single Pre-Defined Value Selected

C19329 Spine recording-reference electrode configuration type SpnRcrdngRfrncElctrdCnfgrtnTyp Type of electrode configuration of spine recording-reference Type of electrode configuration of spine recording-reference Spine recording-reference electrode configuration Alphanumeric

If applicable

Adult;Pediatric Supplemental 1.00 2014-06-09 16:18:06.0 Sensory Evoked Potentials Electrodiagnostics Outcomes and End Points 4000

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C19353 Sensory evoked potential stimulation threshold assessment type SEPStimulatnThrshldAssTyp Type of stimulation threshold assessed in sensory evoked potential testing Type of stimulation threshold assessed in sensory evoked potential testing Threshold Cold detection;Cold pain;Hot pain;Warm detection Cold detection;Cold pain;Hot pain;Warm detection Alphanumeric Adult;Pediatric Supplemental 1.00 2014-06-12 11:06:43.0 Sensory Evoked Potentials Electrodiagnostics Outcomes and End Points

Single Pre-Defined Value Selected

C01539 Temperature measurement TempMeasr Measurement of the participant's/subject's body temperature. Measurement of the participant's/subject's body temperature. Baseline temperature Numeric Values

CHEPs only. Record the temperature of the participant/ subject. Also indicate the scale used to capture temperature.

No references available Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Sensory Evoked Potentials Electrodiagnostics Outcomes and End Points

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0 50 degree Celsius 2644401
C19330 Sensory evoked potential stimulation count SEPStimulationCt The number of stimulations in sensory evoked potential. The number of stimulations in sensory evoked potential. Number of stimulations Numeric Values Adult;Pediatric Supplemental 1.00 2014-06-09 16:27:34.0 Sensory Evoked Potentials Electrodiagnostics Outcomes and End Points

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C19354 Thermal quantitative sensory testing increase rate value TQSTIncreaseRateVal Rate of increase in stimulation intensity for thermal quantitative sensory testing Rate of increase in stimulation intensity for thermal quantitative sensory testing Rate of increase Numeric Values Adult;Pediatric Supplemental 1.00 2014-06-12 11:34:21.0 Sensory Evoked Potentials 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 Unit of measure Alphanumeric Adult;Pediatric Supplemental 3.00 2013-07-25 08:54:08.2 Sensory Evoked Potentials Electrodiagnostics Outcomes and End Points 255

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2787947
C19343 Sensory evoked potential stimulation spine anatomic site SEPStimulatnAntmicSite The anatomic site in the spine related to assessing somatosensory system functioning The anatomic site in the spine related to assessing somatosensory system functioning Stimulation site Alphanumeric Adult;Pediatric Supplemental 1.00 2014-06-11 17:08:26.0 Sensory Evoked Potentials Electrodiagnostics Outcomes and End Points 4000

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C19355 Thermal quantitative sensory testing decrease rate value TQSTDecreaseRateVal Rate of decrease in stimulation intensity for thermal quantitative sensory testing Rate of decrease in stimulation intensity for thermal quantitative sensory testing Rate of decrease Numeric Values Adult;Pediatric Supplemental 1.00 2014-06-12 11:39:34.0 Sensory Evoked Potentials Electrodiagnostics Outcomes and End Points

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C02494 Imaging study date and time ImgStdyDateTime Date (and time, if applicable and known) the radiologic study was obtained. Date (and time, if applicable and known) the radiologic study was obtained. Date of test 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.).

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 Sensory Evoked Potentials Electrodiagnostics Outcomes and End Points

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C19344 Sensory evoked potential sensory spine component used text SEPSensrySpneCompontUsdTxt Free text field for the component related to assessing somatosensory system functioning Free text field for the component related to assessing somatosensory system functioning Component Alphanumeric

e.g., N1, P40, N20

Adult;Pediatric Supplemental 1.00 2014-06-11 17:18:11.0 Sensory Evoked Potentials Electrodiagnostics Outcomes and End Points 4000

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CSV