CDE Detailed Report

Disease: Myalgic Encephalomyelitis/Chronic Fatigue Syndrome
Subdomain Name: Imaging Diagnostics
CRF: Positron Emission Tomography (PET)

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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
C08270 Imaging reference region text ImgRefRegnTxt Text that describes the reference region used for the imaging scan and analysis Text that describes the reference region used for the imaging scan and analysis If yes, describe brain reference region Alphanumeric Adult;Pediatric Supplemental-Highly Recommended 3.00 2013-07-22 09:34:41.527 Positron Emission Tomography (PET) Imaging Diagnostics Assessments and Examinations 4000

Free-Form Entry

C58559 Imaging adverse event radiopharmaceutical relate indicator ImgAdvEvntRadiopharmRelateInd Indicator as to whether or not any adverse events related to the radiopharmaceutical used for the imaging scan occurred Indicator as to whether or not any adverse events related to the radiopharmaceutical used for the imaging scan occurre Did any adverse events related to the radiopharmaceutical occur? No;Yes No;Yes Alphanumeric Adult;Pediatric Supplemental-Highly Recommended 1.00 2018-06-07 11:24:56.0 Positron Emission Tomography (PET) Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C58527 Imaging radiopharmaceutical name ImgRadiopharmName Name of the radiopharmaceutical used in the imaging scan Name of the radiopharmaceutical used in the imaging sca Name of radiopharmaceutical Alphanumeric Adult;Pediatric Supplemental-Highly Recommended 1.00 2018-05-31 10:48:56.0 Positron Emission Tomography (PET) Imaging Diagnostics Assessments and Examinations 255

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