CDASH for Coronary Arterial Lesion

Collection Date	Collection Date TUDAT TUDTC	_________________
	Image Location TULOC Hidden/pre-populated	CORONARY VESSEL SYSTEM
	Lesion Identification Test Name TUTEST Hidden/pre-populated	Lesion Location Identification <TUTEST codelist>
	Result TUORRES Hidden/pre-populated	IDENTIFIED
If this location is a graft, enter the name of the native tissue, organ or blood vessel.	What was the location of the lesion based on the assessment of the image? TURESLOC TURESLOC when TUTEST = Lesion Location Identification	_________________ <LOC codelist>
	If applicable, indicate the laterality of the location of the lesion. TURESLAT TURESLAT when TUTEST = Lesion Location Identification	_________________ <LAT codelist>
	If applicable, provide more detail of the location of the lesion. TURESLDL TURESLDL when TUTEST = Lesion Location Identification	_________________
Sponsor-specified	What was the Lesion ID? TULNKID TULNKID, TRLNKID, RSLNKID	_________________
	Coronary Lesion Severity Clinical Classification RSCAT Hidden/pre-populated	ACC/AHA CLASSIFICATION OF CORONARY LESIONS
	What was the severity of the coronary lesion? RSTEST RSTEST when RSTEST = ACCAHA01-ACC/AHA Classification of Coronary Lesions Type	Type A Type B Type C
	Coronary Arterial Perfusion Clinical Classification RSCAT Hidden/pre-populated	TIMIFLOW
	How severely was perfusion impacted as a result of the coronary lesion? RSTEST RSTEST when RSTEST = TIMI01-TIMI Flow Grade	Grade I Grade II Grade III Grade IIII

Order	Type	CDASHIG Variable	Question Text	Prompt	CRF Completion Instructions	SDTMIG Target	Controlled Terminology Codelist Name	Implementation Notes	Permissible Values	Pre-populated Value	Query Display	List Style	Hidden
1	text	TUDAT	Collection Date		Collection Date	TUDTC	N/A				Prompt
2	text	TULOC	What 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.		CORONARY VESSEL SYSTEM			Y
3	text	TUTEST	What 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
4	text	TUORRES		Result		TUORRES	N/A			IDENTIFIED			Y
5	text	TURESLOC	What was the location of the lesion based on the assessment of the image?	Result Anatomical Location	If this location is a graft, enter the name of the native tissue, organ or blood vessel.	TURESLOC when TUTEST = Lesion Location Identification	(LOC)
7	text	TURESLAT	If applicable, indicate the laterality of the location of the lesion.	Result Location Laterality		TURESLAT when TUTEST = Lesion Location Identification	(LAT)
8	text	TURESLDL	If applicable, provide more detail of the location of the lesion.	Result Location directionality		TURESLDL when TUTEST = Lesion Location Identification	N/A
9	text	TULNKID	What was the Lesion ID?	Lesion ID	Sponsor-specified	TULNKID, TRLNKID, RSLNKID	N/A	This variable is used to provide a unique code for each identified lesion in order to link records across related domains (TU, TR, RS).
10	text	RSCAT	Record the clinical classification used for the assessment of Coronary lesion severity.	Coronary Lesion Severity Clinical Classification		RSCAT				ACC/AHA CLASSIFICATION OF CORONARY LESIONS			Y
11	text	RSTEST	What was the severity of the coronary lesion?	Coronary Lesion Severity		RSTEST when RSTEST = ACCAHA01-ACC/AHA Classification of Coronary Lesions Type		If the instrument is considered as a clinical classification (i.e. validated, peer-reviewed public domain or copyrighted instrument), use the combined RS/CC domain and follow CC controlled terminology business rules.	Type A; Type B; Type C			radio
12	text	RSCAT	Record the clinical classification used for the assessment of coronary arterial perfusion.	Coronary Arterial Perfusion Clinical Classification		RSCAT				TIMIFLOW			Y
13	text	RSTEST	How severely was perfusion impacted as a result of the coronary lesion?	Coronary Arterial Perfusion Perfusion Grade		RSTEST when RSTEST = TIMI01-TIMI Flow Grade		If the instrument is considered as a clinical classification (i.e. validated, peer-reviewed public domain or copyrighted instrument), use the combined RS/CC domain and follow CC controlled terminology business rules.	Grade I; Grade II; Grade III; Grade IIII			radio

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