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Collection Date
TUDAT TUDTC
_________________
TULOC
Hidden/pre-populated
LOWER LIMB REGION
TUTEST
Hidden/pre-populated
Lesion Location Identification
<TUTEST codelist>
TUORRES
Hidden/pre-populated
IDENTIFIED
If this location is a graft, enter the name of the native tissue, organ or blood vessel.
TURESLOC TURESLOC when TUTEST = Lesion Location Identification
_________________
<LOC codelist>
Check "Yes" for this question if the lesion is located in a graft tissue, organ or blood vessel.Indicate whether the located lesion is in a graft.
NSAE.TURLGFFL
TURESLAT TURESLAT when TUTEST = Lesion Location Identification
_________________
<LAT codelist>
TURESLDL TURESLDL when TUTEST = Lesion Location Identification
_________________
Sponsor-specified
TULNKID TULNKID, TRLNKID, RSLNKID
_________________
What was the severity of lesion?
RSTEST RS = ACCAHA01-ACC/AHA Classification of Coronary Lesions Type
OrderTypeCDASHIG VariableQuestion TextPromptCRF Completion InstructionsSDTMIG TargetSDTMIG Variable MappingControlled Terminology Codelist NameImplementation NotesPermissible ValuesPre-populated ValueQuery DisplayList StyleHidden
1textTUDATCollection Date
Collection DateTUDTC
N/A


Prompt


2textTULOCWhat was the anatomical region shown by the imaging procedure?Image Location
TULOC

This is the general anatomical part or region made available for assessment by the imaging procedure. If this location is not known, leave TULOC blank.
LOWER LIMB REGION

Y
3textTUTESTWhat was the
lesion
identification test
name?
Lesion
Identification
Test Name
Record the name of the TU
test, if not printed on the CRF.
If collected on the CRF, the
sponsor may provide additional
instructions to ensure the data
is entered as intended.
TUTEST
(TUTEST)Required to identify to which test the result relates. It is
recommended that test names be preprinted on the CRF rather than collected in a field that requires the site to enter text. If the form is laid out as a grid, then words such as Test can be included as the column header.

Lesion Location Identification

Y
4textTUORRES
Result
TUORRES
N/A

IDENTIFIED

Y
5textTURESLOCWhat was the
location of
the lesion based on the assessment of the image?
Result Anatomical LocationIf this location is a graft, enter the name of the native tissue, organ or blood vessel.TURESLOC when TUTEST = Lesion Location Identification
(LOC)






6textNSAE.TURLGFFLIndicate whether the located lesion is in a graft.Graft Result Location FlagCheck "Yes" for this question if the lesion is located in a graft tissue, organ or blood vessel.NSAE.TURLGFFL


Yes

radio




7textTURESLATIf applicable, indicate the laterality of the location of the lesion.Result Location Laterality
TURESLAT when TUTEST = Lesion Location Identification
(LAT)






8textTURESLDLIf applicable, provide more detail of the location of the lesion.Result Location directionality
TURESLDL when TUTEST = Lesion Location Identification
N/A






9textTULNKIDWhat was the
Lesion ID?
Lesion IDSponsor-specifiedTULNKID, TRLNKID, RSLNKID
N/AThis variable is used to provide a unique code for each identified lesion in order to link records across related domains (TU, TR, RS).





10textRSTESTWhat was the severity of lesion?

RS = ACCAHA01-ACC/AHA Classification of Coronary Lesions Type


Type A, Type B, Type C

radio











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