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CDE Detailed Report
This report contains detailed information about the selected CDEs.
Note: If at least one CDE was selected from a copyright- or trademark-protected instrument/scale then all of the CDEs from that instrument/scale are included in this report.
Disease: Chiari I Malformation
Sub-Domain: General and Motor
CRF: Coordination
Item count: 13 (13 distinct CDEs)
CDE ID
CDE Name
Variable Name
Definition / Description
Question Text
Permissible Value
Description
Data Type
Instructions
References
Population
Classification (e.g., Core)
Version #
Version Date
Aliases for Variable Name
CRF Module / Guideline
© or TM
Sub-Domain
Domain
Previous Title
Size
Input Restrictions
Min Value
Max Value
Measurement Type
LOINC ID
SNOMED
caDSR ID
CDISC ID
C21700
Coordination gait assessment scale
CoordinationGtAsmtScale
The scale related to assessment of manner of person's walking
Gait
0;1;2;3;4;
unable;severely unsteady, needs touch or hand assist;moderately unsteady, more than base 1';mildly unsteady, slighly widened base 3-6'';Normal;
Numeric Values
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
5/27/2016
CO1
Coordination
General and Motor
Assessments and Examinations
  
Single Pre-Defined Value Selected
       
C21701
Coordination gait tandem assessment scale
CoordinationGtTndmAssmtScale
The scale related to assessment of manner of person's walking where toes of the back foot touch the heel of the front foot at each step
Tandem Gait
0;1;2;3;4;
unable;severely unsteady, unable to do at least 3 consecutive steps;moderately unsteady, steps off 3-6 per 10 steps;mildly unsteady, steps off 3 or less per 10 steps;Normal to 10 steps;
Numeric Values
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
5/27/2016
CO2
Coordination
General and Motor
Assessments and Examinations
  
Single Pre-Defined Value Selected
       
C21702
Coordination stance assessment scale
CoordinationStncAssmtScale
The scale related to assessment of way someone stands
Stance
0;1;3;2;4;
unable;severely unsteady, needs touch or hand assist;mildly unsteady, slighly widened base 3-6'';moderately unsteady, more than base 1';Normal, toes and heels together;
Numeric Values
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
5/27/2016
CO3
Coordination
General and Motor
Assessments and Examinations
  
Single Pre-Defined Value Selected
       
C21703
Coordination Romberg maintain stance eye close assessment scale
CoordinationRmbgMnStnEyClAsScl
The scale related to assessment of Romberg's test of neurological function of maintaining way of standing with eyes closed
Romberg
0;1;2;3;4;
0 = unable;1 = severely unsteady, needs touch or hand assist;2 - Moderately affected. Sometimes asked to repeat statements;3 = mildly unsteady, slighly widened base 3-6'';4 = Normal;
Numeric Values
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
5/27/2016
CO4
Coordination
General and Motor
Assessments and Examinations
  
Single Pre-Defined Value Selected
       
C21704
Coordination finger to nose right upper extremity assessment scale
CoordinationFnNsRUEAsScale
The scale related to assessment of the motion finger to nose right (upper extremity).
Right UE:F/N
0;1;2;3;4;
unable;severely unsteady;moderately unsteady;mildly unsteady;Normal;
Numeric Values
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
5/27/2016
CO5
Coordination
General and Motor
Assessments and Examinations
  
Single Pre-Defined Value Selected
       
C21705
Coordination finger to nose right upper extremity tap assessment scale
CoordinationFngNsRUETpAsScale
The scale related to assessment of the ability to complete the motion of finger to nose (right upper extremity) tap.
Right UE:Tap
0;1;2;3;4;
unable;severely unsteady;moderately unsteady;mildly unsteady;Normal;
Numeric Values
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
5/27/2016
CO6
Coordination
General and Motor
Assessments and Examinations
  
Single Pre-Defined Value Selected
       
C21706
Coordination finger to nose left upper extremity assessment scale
CoordinationFgNsLUEAsScale
The scale related to assessment of the ability to complete the motion of finger to nose (left upper extremity).
Left UE:F/N
0;1;2;3;4;
unable;severely unsteady;moderately unsteady;mildly unsteady;Normal;
Numeric Values
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
5/27/2016
CO7
Coordination
General and Motor
Assessments and Examinations
  
Single Pre-Defined Value Selected
       
C21707
Coordination finger to nose left upper extremity tap assessment scale
CoordinationFgNsLUETpAsScale
The scale related to assessment of the ability to complete the motion of finger to nose (left upper extremity) tap
Left UE:Tap
0;1;2;3;4;
unable;severely unsteady;moderately unsteady;mildly unsteady;Normal;
Numeric Values
No instructions available
No references available
Pediatric
Supplemental
1.0
5/27/2016
CO8
Coordination
General and Motor
Assessments and Examinations
  
Single Pre-Defined Value Selected
       
C21708
Coordination heel to shin right lower extremity assessment scale
CoordinationHlShnRLEAsScale
The scale related to assessment of the ability to complete the motion of heel to shin (right lower extremity).
Right LE:H/S
0;1;2;3;4;
unable;severely unsteady;moderately unsteady;mildly unsteady;Normal;
Numeric Values
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
5/27/2016
CO9
Coordination
General and Motor
Assessments and Examinations
  
Single Pre-Defined Value Selected
       
C21709
Coordination heel to shin right lower extremity tap assessment scale
CoordinationHlShnRLETpAsScale
The scale related to assessment of completing the motion of heel to shin (right lower extremity) tap
Right LE:Tap
0;1;2;3;4;
unable;severely unsteady;moderately unsteady;mildly unsteady;Normal;
Numeric Values
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
5/27/2016
CO10
Coordination
General and Motor
Assessments and Examinations
  
Single Pre-Defined Value Selected
       
C21710
Coordination heel to shin left lower extremity assessment scale
CoordinationHlShnLLEAsScale
The scale related to assessment of the ability to complete the motion of heel to shin (lower extremity)
Left LE:H/S
0;1;2;3;4;
unable;severely unsteady;moderately unsteady;mildly unsteady;Normal;
Numeric Values
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
5/27/2016
CO11
Coordination
General and Motor
Assessments and Examinations
  
Single Pre-Defined Value Selected
       
C21711
Coordination heel to shin left lower extremity tap assessment scale
CoordinationHlShnLLETpAsScale
The scale related to assessment of the ability to complete the motion of heel to shin (lower level extremity) tap
Left LE:Tap
0;1;2;3;4;
unable;severely unsteady;moderately unsteady;mildly unsteady;Normal;
Numeric Values
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
5/27/2016
CO12
Coordination
General and Motor
Assessments and Examinations
  
Single Pre-Defined Value Selected
       
C21712
Coordination total assessment score
CoordinationTtlAsmntScore
Total score of the Coordination assessment scale
Total Score
  
Numeric Values
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
5/27/2016
CO13
Coordination
General and Motor
Assessments and Examinations
  
Free-Form Entry
0
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07-21-2019
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