ID

13361

Description

Modified Form Summary of Core/Supplemental - Highly Recommended or Supplemental Recommendations: Stroke CDEs Updated: October 13, 2015 This modified form used the National Institute of Neurological Disorders and Stroke Common Data Elements (http://www.commondataelements.ninds.nih.gov/) The National Institute of Neurological Disorders and Stroke (NINDS) and other Federal agencies and international organizations have the common mission of developing data standards for clinical research. Through the efforts of subject-specific working groups, topic-driven data elements have been created. References section: Grinnon ST, Miller K, Marler JR, Lu Y, Stout A, Odenkirchen J, Kunitz S. National Institute of Neurological Disorders and Stroke Common Data Element Project - approach and methods. Clin Trials. 2012;9(3):322-9.

Link

http://www.commondataelements.ninds.nih.gov/

Keywords

  1. 10/31/15 10/31/15 - Sarah Schulze Sünninghausen
  2. 2/9/16 2/9/16 - Julian Varghese
  3. 9/20/21 9/20/21 -
Uploaded on

February 9, 2016

DOI

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License

Creative Commons BY-NC 3.0

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Start-up Resource - NINDS Stroke CDE Recommendations

ODM-UMLS: Summary of Stroke CDE Recommendations

Core CDEs for all NINDs Studies
Description

Core CDEs for all NINDs Studies

Patient date of birth (dd.mm.yyyy)
Description

Date (and time, if applicable and known) the Patient was born

Data type

date

Alias
UMLS CUI [1]
C0421451
Ethnic group
Description

Category of ethnicity the patient most closely identifies with

Data type

integer

Alias
UMLS CUI [1]
C0015031
Racial group
Description

The patient's self declared racial origination, independent of ethnic origination, using OMB approved categories.

Data type

integer

Alias
UMLS CUI [1]
C0034510
Gender
Description

Self-reported gender of the patient. Gender is the socially constructed identity of sex. Gender is equated with phenotypic sex. Gender may differ from the sex of an individual determined genetically.

Data type

integer

Alias
UMLS CUI [1]
C0079399
Educational Status
Description

Number of years of education completed

Data type

text

Measurement units
  • years
Alias
UMLS CUI [1]
C0013658
years
Medical History
Description

Verbatim text for the medical condition/disease reported by the participant/subject or documented in the medical record as part of medical history

Data type

text

Alias
UMLS CUI [1]
C0262926
Core CDEs for Stroke Studies
Description

Core CDEs for Stroke Studies

Systolic blood pressure measurement
Description

Measurement of pressure of the participant's/subject's blood against the artery walls during systole (the contraction phase) in millimeters of mercury (mmHg)

Data type

text

Measurement units
  • mmHg
Alias
UMLS CUI [1]
C1306620
mmHg
Diastolic blood pressure measurement
Description

Measurement of pressure of the participant's/subject's blood against the artery walls during diastole (the relaxation phase) in millimeters of mercury (mmHg)

Data type

text

Measurement units
  • mmHg
Alias
UMLS CUI [1]
C1305849
mmHg
Vital signs date and time
Description

Date (and time, if applicable and known) the vital signs and other body measurements were taken by indicating the month, day, and year for the date and am, pm, or 24 hour clock for time

Data type

datetime

Alias
UMLS CUI [1,1]
C1717740
UMLS CUI [1,2]
C0518766
Ambulatory Status
Description

Status that reflects the participant's/subject's ability to walk

Data type

integer

Alias
UMLS CUI [1]
C1550332
Supplemental/Highly Recommended CDEs for Types of Stroke Studies
Description

Supplemental/Highly Recommended CDEs for Types of Stroke Studies

heart rate
Description

The patient's pulse or number of contractions (heart beats) per minute

Data type

text

Measurement units
  • /min
Alias
UMLS CUI [1]
C0018810
/min
Body Height
Description

Measurement of patient's height.

Data type

text

Alias
UMLS CUI [1]
C0005890
Unit of Measure
Description

Unit of measure for the height numerical value for subject/participant

Data type

integer

Alias
UMLS CUI [1]
C1519795
Respiratory rate
Description

Rate of the patient's breathing (inhalation and exhalation).

Data type

text

Alias
UMLS CUI [1]
C0231832
Body temperature
Description

Measurement of the patient's body temperature.

Data type

text

Alias
UMLS CUI [1]
C0005903
Unit of Measure
Description

Unit of measure for the temperature numerical value

Data type

integer

Alias
UMLS CUI [1]
C1519795
Body weight
Description

Measurement of patient's weight

Data type

text

Alias
UMLS CUI [1]
C0005910
Unit of Measure
Description

Unit of measure for the weight numerical value

Data type

integer

Alias
UMLS CUI [1]
C1519795
Oxygen saturation measurement
Description

Value, as a percent, of baseline O2 saturation (SPO2) in nocturnal oximetry, as part of Nocturnal Oximetry.

Data type

text

Measurement units
  • percent
Alias
UMLS CUI [1]
C0523807
percent
Tobacco smoking status
Description

Indicator for whether the patient regularly uses tobacco products (e.g. cigarettes, cigars, chewing tobacco or pipe) at the present time.

Data type

integer

Alias
UMLS CUI [1]
C3496610
Former smoker
Description

Indicator of the patient's past regular tobacco (e.g. cigarettes, cigars, chewing tobacco or pipe) use prior to the past 12 months

Data type

integer

Alias
UMLS CUI [1]
C0337671
Drug abuse
Description

Category of illegal drugs, prescription, or over-the-counter drugs the patient used for purposes other than those for which they are meant to be used, or in large amounts

Data type

integer

Alias
UMLS CUI [1]
C0013146
Drug or substance illicitly used other text
Description

Drug or substance illicitly used other text

Data type

text

Substance Abuse Detection
Description

Indicator of patient's use of illegal drugs, prescription or over-the-counter drugs in the past year for purposes other than those for which they are meant to be used, or in large amounts

Data type

integer

Alias
UMLS CUI [1]
C0038577
Behavioral history
Description

Date (and time, if applicable and known) the patient behavioral history was taken

Data type

datetime

Alias
UMLS CUI [1,1]
C1717740
UMLS CUI [1,2]
C2135982
Alcohol consumption
Description

The frequency of consumption of alcohol by the participant.

Data type

integer

Alias
UMLS CUI [1]
C0001948
Hospital admission date (DD.MM.YYYY)
Description

Date (and time, if applicable and known) the patient was admitted to the hospital

Data type

datetime

Alias
UMLS CUI [1]
C1302393
Psychological Well Being
Description

The date and time at which the patient was last known to be without the signs and symptoms of the current stroke or at his or her prior baseline. This element captures the date and time for last known well that is determined to be the most accurate after all the data have been evaluated and additional witnesses interviewed (if applicable).

Data type

datetime

Alias
UMLS CUI [1]
C0424578
admission to hospital arrival date and time
Description

Date (and time, if applicable and known) the Patient arrived at the hospital

Data type

datetime

Alias
UMLS CUI [1]
C2215405
Clinical stroke time-based definition indicator
Description

Indicates whether the patient suffered a clinical stroke according to the following, "time-based" definition: Stroke is a sudden focal neurological deficit of presumed vascular origin lasting >= 24 hours (or fatal within 24 hours).

Data type

integer

Clinical stroke tissue-based definition indicator
Description

Indicates whether the patient suffered a clinical stroke according to the following, "tissue-based" definition: Symptomatic stroke is a sudden focal neurological deficit, of any duration, due to focal brain, spinal cord, or retinal infarction or hemorrhage. Infarction or hemorrhage may be demonstrated either 1) directly by imaging/laboratory/pathologic examination in patients with symptom duration less than 24 hours, or 2) inferred by symptoms lasting >= 24 hours (or fatal within 24 hours) that cannot be attributed to another cause.

Data type

integer

Clinical stroke time-based definition type
Description

Indicates the type of clinical stroke suffered by the adult patient, using duration of symptoms to distinguish between ischemic stroke and TIA.

Data type

integer

Clinical stroke tissue-based definition type
Description

Indicates the type of clinical stroke suffered by the adult patient, using tissue status to distinguish between ischemic stroke and TIA.

Data type

integer

Hospital discharge date (DD.MM.YYYY)
Description

Date (and time, if applicable and known) the participant/subject was discharged from the hospital

Data type

datetime

Alias
UMLS CUI [1]
C2710998
Principal diagnosis
Description

The principal diagnosis is defined in the Uniform Hospital Discharge Data Set (UHDDS) as "that condition established after study to be chiefly responsible for occasioning the admission of the patient to the hospital for care."

Data type

text

Alias
UMLS CUI [1]
C0011900
Treatment-subsequent & other section
Description

Patient's discharge destination. The discharge destination is defined as where the patient is going for post-acute stay.

Data type

integer

Alias
UMLS CUI [1]
C1830351
Thrombolysis, cerebral, by intravenous infusion
Description

Indicates whether Intravenous Tissue Plasminogen Activator (IV tPA) was initiated for the participant/subject at your hospital

Data type

integer

Alias
UMLS CUI [1]
C0519784
IV tPA initiated date and time (Date & Time; alteplase)
Description

If Intravenous Tissue Plasminogen Activator (IV tPA) was initiated, indicates the date and time IV tPA was initiated at this hospital or ED (time of bolus administration)

Data type

datetime

Alias
UMLS CUI [1,1]
C1717740
UMLS CUI [1,2]
C0032143
Intra-arterial infusion of thrombolytic Agent (Indicator; Intra-arterial infusion of thrombolytic Agent)
Description

Indicates whether an Intra-arterial (IA) procedure was initiated for participant/ subject at this hospital.

Data type

integer

Alias
UMLS CUI [1]
C0184952
Intra-arterial (IA) procedure type (Procedure Code)
Description

If intra-arterial (IA) procedure was initiated, describes the type of intra-arterial (IA) procedure performed on patient at this hospital

Data type

integer

Alias
UMLS CUI [1]
C1550373
Anticoagulant in hospital indicator (Indicator Anticoagulants)
Description

Whether the participant/ subject received arterial dose anticoagulants during the acute hospital stay, not including venous prophylaxis dose Unfractionated heparin, LMW heparin, etc.

Data type

integer

Alias
UMLS CUI [1,1]
C0003280
UMLS CUI [1,2]
C3489408
Anticoagulants
Description

Type(s) of anticoagulants received

Data type

integer

Alias
UMLS CUI [1]
C0003280
Anticoagulant other text
Description

Anticoagulant other text

Data type

text

Antiplatelet in hospital indicator (Indicator; Antiplatelet Agents)
Description

Whether the participant/ subject received arterial dose antiplatelets during the acute hospital stay

Data type

integer

Alias
UMLS CUI [1,1]
C0085826
UMLS CUI [1,2]
C3489408
Antiplatelet Agents
Description

Type(s) of antiplatelets received

Data type

integer

Alias
UMLS CUI [1]
C0085826
Antiplatelet other text
Description

Antiplatelet other text

Data type

text

Stroke discharge medication category (Medication.discharge:Cmplx:Pt:^Patient:Set)
Description

Class(es) of medications the Patient was prescribed at hospital discharge following stroke

Data type

integer

Alias
UMLS CUI [1]
C0801646
Description of plan for follow-up care
Description

Indicates if the participant/ subject received follow-up care from a stroke specialist.

Data type

integer

Alias
UMLS CUI [1]
C0517773
Primary Health Care
Description

Indicates if the participant/ subject received follow-up care from a primary care physician (PCP).

Data type

integer

Alias
UMLS CUI [1]
C0033137
Laterality:Type:Pt:Anatomic part.*:Nom
Description

Laterality type relative to the anatomic site of the body examined or affected (NIH Stroke Scale (NIHSS))

Data type

text

Alias
UMLS CUI [1]
C0803043
Walking time Duration (Walking (activity))
Description

Walking time duration

Data type

text

Alias
UMLS CUI [1]
C0080331
Walking speed
Description

Walking speed value

Data type

text

Alias
UMLS CUI [1]
C1637288

Similar models

ODM-UMLS: Summary of Stroke CDE Recommendations

Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Core CDEs for all NINDs Studies
Birth date
Item
Patient date of birth (dd.mm.yyyy)
date
C0421451 (UMLS CUI [1])
Item
Ethnic group
integer
C0015031 (UMLS CUI [1])
Code List
Ethnic group
CL Item
Hispanic or Latino (1)
CL Item
Not Hispanic or Latino (2)
CL Item
Unknown (3)
CL Item
Not reported (4)
Item
Racial group
integer
C0034510 (UMLS CUI [1])
Code List
Racial group
CL Item
American Indian or Alaska Native (1)
CL Item
Asian (2)
CL Item
Black or African-American (3)
CL Item
Native Hawaiian or other Pacific Islander (4)
CL Item
White (5)
CL Item
Unknown (6)
CL Item
Not reported (7)
Item
Gender
integer
C0079399 (UMLS CUI [1])
Code List
Gender
CL Item
Female (1)
CL Item
Male (2)
CL Item
Unknown (3)
CL Item
Unspecified (4)
CL Item
Not reported (5)
Education year count
Item
Educational Status
text
C0013658 (UMLS CUI [1])
Medical history condition text
Item
Medical History
text
C0262926 (UMLS CUI [1])
Item Group
Core CDEs for Stroke Studies
Blood pressure systolic measurement
Item
Systolic blood pressure measurement
text
C1306620 (UMLS CUI [1])
Blood pressure diastolic measurement
Item
Diastolic blood pressure measurement
text
C1305849 (UMLS CUI [1])
Vital signs date and time
Item
Vital signs date and time
datetime
C1717740 (UMLS CUI [1,1])
C0518766 (UMLS CUI [1,2])
Item
Ambulatory Status
integer
C1550332 (UMLS CUI [1])
Code List
Ambulatory Status
CL Item
Able to ambulate independently (no help from another person) w/ or w/o device (1)
CL Item
With assistance (from person) (2)
CL Item
Unable to ambulate (3)
CL Item
Unknown (4)
Item Group
Supplemental/Highly Recommended CDEs for Types of Stroke Studies
Heart rate
Item
heart rate
text
C0018810 (UMLS CUI [1])
Height measurement
Item
Body Height
text
C0005890 (UMLS CUI [1])
Item
Unit of Measure
integer
C1519795 (UMLS CUI [1])
Code List
Unit of Measure
CL Item
Inches (1)
CL Item
Centimeters (2)
CL Item
meters (3)
CL Item
feet (4)
Respiratory rate
Item
Respiratory rate
text
C0231832 (UMLS CUI [1])
Temperature measurement
Item
Body temperature
text
C0005903 (UMLS CUI [1])
Item
Unit of Measure
integer
C1519795 (UMLS CUI [1])
Code List
Unit of Measure
CL Item
degrees Fahrenheit (1)
CL Item
degrees Celsius (2)
Weight measurement
Item
Body weight
text
C0005910 (UMLS CUI [1])
Item
Unit of Measure
integer
C1519795 (UMLS CUI [1])
Code List
Unit of Measure
CL Item
Pounds (1)
CL Item
Kilograms (2)
Oxygen saturation measurement
Item
Oxygen saturation measurement
text
C0523807 (UMLS CUI [1])
Item
Tobacco smoking status
integer
C3496610 (UMLS CUI [1])
Code List
Tobacco smoking status
CL Item
yes (1)
CL Item
no (2)
CL Item
unknown (3)
Item
Former smoker
integer
C0337671 (UMLS CUI [1])
Code List
Former smoker
CL Item
yes (1)
CL Item
no (2)
CL Item
unknown (3)
Item
Drug abuse
integer
C0013146 (UMLS CUI [1])
CL Item
Sedatives (e.g., sleeping pills, barbiturates, Seconal, Quaaludes, or Chloral Hydrate) (1)
CL Item
Tranquilizers or anti-anxiety drugs (e.g., Valium, Librium, muscle relaxants, or Zanax) (2)
CL Item
Painkillers (e.g., Codeine, Darvon, Percodan, Dilaudid, or Demerol) (3)
CL Item
Stimulants (e.g., Preludin, Benzedrine, Methadrine, uppers, or Speed) (4)
CL Item
Marijuana, hash, THC, or grass (5)
CL Item
Cocaine or crack (6)
CL Item
Hallucinogens (e.g., Ecstasy, LSD, mescaline, psilocybin, PCP, angel dust, or peyote) (7)
CL Item
Inhalants or Solvents (e.g., Amyl nitrate, nitrous oxide, glue, tolune, or gasoline) (8)
CL Item
Heroin (9)
CL Item
Other, specify (e.g., Methadone, Elavil, steroids, Thorazine, or Haldol) (10)
Drug or substance illicitly used other text
Item
Drug or substance illicitly used other text
text
Item
Substance Abuse Detection
integer
C0038577 (UMLS CUI [1])
Code List
Substance Abuse Detection
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Behavioral history assessment date and time
Item
Behavioral history
datetime
C1717740 (UMLS CUI [1,1])
C2135982 (UMLS CUI [1,2])
Item
Alcohol consumption
integer
C0001948 (UMLS CUI [1])
Code List
Alcohol consumption
CL Item
Monthly or less (1)
CL Item
2 to 4 times a month (2)
CL Item
2 to 3 times a week (3)
CL Item
4 or more times a week (4)
CL Item
unknown (5)
CL Item
never (6)
Hospital admission date and time
Item
Hospital admission date (DD.MM.YYYY)
datetime
C1302393 (UMLS CUI [1])
Last known to be well date and time
Item
Psychological Well Being
datetime
C0424578 (UMLS CUI [1])
Hospital arrival date and time
Item
admission to hospital arrival date and time
datetime
C2215405 (UMLS CUI [1])
Item
Clinical stroke time-based definition indicator
integer
Code List
Clinical stroke time-based definition indicator
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Clinical stroke tissue-based definition indicator
integer
Code List
Clinical stroke tissue-based definition indicator
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Clinical stroke time-based definition type
integer
Code List
Clinical stroke time-based definition type
CL Item
Ischemic Stroke (1)
C0948008 (UMLS CUI-1)
CL Item
Transient Ischemic Attack (TIA) (2)
C0007787 (UMLS CUI-1)
CL Item
Intracerebral hemorrhage (ICH) (3)
C2937358 (UMLS CUI-1)
CL Item
Intraventricular hemorrhage (IVH) (4)
C0240059 (UMLS CUI-1)
CL Item
Subarachnoid hemorrhage (SAH) (5)
C0038525 (UMLS CUI-1)
CL Item
Clinical Stroke of Uncertain Type (6)
C0393963 (UMLS CUI-1)
CL Item
Silent Stroke (Clinically Asymptomatic) (7)
C2728316 (UMLS CUI-1)
Item
Clinical stroke tissue-based definition type
integer
Code List
Clinical stroke tissue-based definition type
CL Item
Ischemic Stroke (1)
CL Item
Transient Ischemic Attack (TIA) (2)
CL Item
Intracerebral hemorrhage (ICH) (3)
CL Item
Intraventricular hemorrhage (IVH) (4)
CL Item
Subarachnoid hemorrhage (SAH) (5)
CL Item
Clinical Stroke of Uncertain Type (6)
CL Item
Silent Stroke (Clinically Asymptomatic) (7)
Hospital discharge date and time
Item
Hospital discharge date (DD.MM.YYYY)
datetime
C2710998 (UMLS CUI [1])
Diagnosis principal discharge text
Item
Principal diagnosis
text
C0011900 (UMLS CUI [1])
Item
Treatment-subsequent & other section
integer
C1830351 (UMLS CUI [1])
Code List
Treatment-subsequent & other section
CL Item
Initial residence (1)
CL Item
Discharge destination (2)
Item
Thrombolysis, cerebral, by intravenous infusion
integer
C0519784 (UMLS CUI [1])
Code List
Thrombolysis, cerebral, by intravenous infusion
CL Item
Yes - within 0-3 hour window (1)
CL Item
Yes - within 3-4.5 hour window (2)
CL Item
No (3)
IV tPA initiated date and time
Item
IV tPA initiated date and time (Date & Time; alteplase)
datetime
C1717740 (UMLS CUI [1,1])
C0032143 (UMLS CUI [1,2])
Item
Intra-arterial infusion of thrombolytic Agent (Indicator; Intra-arterial infusion of thrombolytic Agent)
integer
C0184952 (UMLS CUI [1])
Code List
Intra-arterial infusion of thrombolytic Agent (Indicator; Intra-arterial infusion of thrombolytic Agent)
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Intra-arterial (IA) procedure type (Procedure Code)
integer
C1550373 (UMLS CUI [1])
Code List
Intra-arterial (IA) procedure type (Procedure Code)
CL Item
Pharmacological (1)
CL Item
Mechanical (2)
CL Item
Both (3)
Item
Anticoagulant in hospital indicator (Indicator Anticoagulants)
integer
C0003280 (UMLS CUI [1,1])
C3489408 (UMLS CUI [1,2])
Code List
Anticoagulant in hospital indicator (Indicator Anticoagulants)
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Anticoagulants
integer
C0003280 (UMLS CUI [1])
Code List
Anticoagulants
CL Item
Unfractionated heparin IV (1)
CL Item
Full dose LMW heparin (Enoxaparin , Others) (2)
CL Item
Warfarin (Coumadin) (3)
CL Item
Fondaparinux (Arixtra) (4)
CL Item
Other (5)
CL Item
specify (6)
Anticoagulant other text
Item
Anticoagulant other text
text
Item
Antiplatelet in hospital indicator (Indicator; Antiplatelet Agents)
integer
C0085826 (UMLS CUI [1,1])
C3489408 (UMLS CUI [1,2])
Code List
Antiplatelet in hospital indicator (Indicator; Antiplatelet Agents)
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Antiplatelet Agents
integer
C0085826 (UMLS CUI [1])
Code List
Antiplatelet Agents
CL Item
Aspirin (1)
CL Item
Aspirin/Dipyridamole (in separate formulations or as Aggrenox) (2)
CL Item
Clopidogrel (Plavix) (3)
CL Item
Ticlopidine (Ticlid) (4)
CL Item
Other (5)
CL Item
specify (6)
Antiplatelet other text
Item
Antiplatelet other text
text
Item
Stroke discharge medication category (Medication.discharge:Cmplx:Pt:^Patient:Set)
integer
C0801646 (UMLS CUI [1])
Code List
Stroke discharge medication category (Medication.discharge:Cmplx:Pt:^Patient:Set)
CL Item
Anticoagulants (1)
CL Item
Antiplatelets (2)
CL Item
Antihypertensives (3)
CL Item
Anti-diabetic agents (4)
CL Item
Lipid lowering agents (5)
Item
Description of plan for follow-up care
integer
C0517773 (UMLS CUI [1])
Code List
Description of plan for follow-up care
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Primary Health Care
integer
C0033137 (UMLS CUI [1])
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Laterality type
Item
Laterality:Type:Pt:Anatomic part.*:Nom
text
C0803043 (UMLS CUI [1])
Walking time duration
Item
Walking time Duration (Walking (activity))
text
C0080331 (UMLS CUI [1])
Walking speed value
Item
Walking speed
text
C1637288 (UMLS CUI [1])

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