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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: Imbalance
Item count: 10 (10 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
C21923
Balance unsteady stand walk indicator
BalanceUnsteadyStandWalkInd
The indicator related to feelings of unsteadiness when standing or walking
Feelings of unsteadiness when standing or walking?
Yes;No;
Yes;No;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
6/6/2016
Aliases for variable name not defined
Imbalance
General and Motor
Assessments and Examinations
  
Single Pre-Defined Value Selected
       
C21925
Balance falls frequency
BalanceFallsFreq
The frequency as related to falls.
Falls
Daily;Weekly;Occasionally;Rarely;
Daily;Weekly;Occasionally;Rarely;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
6/6/2016
Aliases for variable name not defined
Imbalance
General and Motor
Assessments and Examinations
  
Single Pre-Defined Value Selected
       
C21926
Mobility assistive device use type
MobilityAssistiveDeviceUseTyp
The type as related to use of a mobility assistance device.
Use of assist device?
Cane;Wheelchair;N/A;
Cane;Wheelchair;N/A;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
6/6/2016
Aliases for variable name not defined
Imbalance
General and Motor
Assessments and Examinations
  
Single Pre-Defined Value Selected
       
C17277
Modified Romberg test result
ModRombergTestReslt
The result of the Modified Romberg test
Tandem Romberg
Normal;Abnormal;
Normal;Abnormal;
Alphanumeric
Able for 5 sec
No references available
Adult;Pediatric
Supplemental
3.0
7/20/2013
Aliases for variable name not defined
Imbalance
General and Motor
Assessments and Examinations
Modified Romberg test result
 
Single Pre-Defined Value Selected
       
C11061
Gait assessment result
GaitAssmtReslt
Result of the gait assessment
Tandem Gait
Normal;Abnormal;
Normal;Abnormal;
Alphanumeric
5 paces unaided
No references available
Adult;Pediatric
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Imbalance
General and Motor
Assessments and Examinations
Gait assessment result
 
Single Pre-Defined Value Selected
       
C21931
Dizziness motion related indicator
DizzinessMotionRelatedInd
The indicator related to motion related dizziness
Motion related dizziness
Yes;No;
Yes;No;
Alphanumeric
Dizziness with turning or in motion in a vehicle
No references available
Adult;Pediatric
Supplemental
1.0
6/6/2016
Aliases for variable name not defined
Imbalance
General and Motor
Assessments and Examinations
  
Single Pre-Defined Value Selected
       
C21944
Dizziness motion related duration type
DizzinessMotionRelatedDurTyp
The duration as related to the motion related dizziness.
Duration – How long have you had motion-related dizziness?
Weeks;Months;years;
Weeks;Months;years;
Alphanumeric
Select single duration
No references available
Adult;Pediatric
Supplemental
1.0
6/6/2016
Aliases for variable name not defined
Imbalance
General and Motor
Assessments and Examinations
  
Single Pre-Defined Value Selected
       
C21966
Ataxia upper extremity indicator
AtaxiaUpperExtremityInd
The indicator related to upper extremities having ataxia.
Limb Ataxia: Upper extremities
Yes;No;
Yes;No;
Alphanumeric
By physician exam
No references available
Adult;Pediatric
Supplemental
1.0
6/6/2016
Aliases for variable name not defined
Imbalance
General and Motor
Assessments and Examinations
  
Single Pre-Defined Value Selected
       
C22013
Ataxia lower extremity indicator
AtaxiaLowerExtremityInd
The indicator related to lower extremities having ataxia.
Limb Ataxia: Lower extremities
Yes;No;
Yes;No;
Alphanumeric
By physician exam
No references available
Adult;Pediatric
Supplemental
1.0
6/7/2016
Aliases for variable name not defined
Imbalance
General and Motor
Assessments and Examinations
  
Single Pre-Defined Value Selected
       
C22015
Ocular movement disorder type
OcularMovementDisorderTyp
The type as related to ocular movement disorder.
Ocular movement disorder
Jittery movements;Saccadic pursuit;Downbeat nystagmus;
Jittery movements;Saccadic pursuit;Downbeat nystagmus;
Alphanumeric
By physician exam; Indicate those that apply
No references available
Adult;Pediatric
Supplemental
1.0
6/7/2016
Aliases for variable name not defined
Imbalance
General and Motor
Assessments and Examinations
  
Single Pre-Defined Value Selected
       
07-22-2019
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