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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: History of Disease/Injury Event
CRF: CMI - Tethered Cord Screening
Item count: 19 (19 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
C06005
Data collected date and time
DataCollDateTime
Date (and time, if applicable and known) the data were collected. This may be the date/time a particular examination or procedure was performed.
Date
  
Date or Date & Time
No instructions available
No references available
Adult;Pediatric
Supplemental
3.0
7/24/2013
Aliases for variable name not defined
CMI - Tethered Cord Screening
History of Disease/Injury Event
Disease/Injury Related Events
Data collected date and time
 
Free-Form Entry
       
C22366
Chiari malformation tethered spinal cord urine hold trouble indicator
ChiariMlfTethSpCrdUrHlTroubInd
The indicator related to trouble holding your urine.
Do you have trouble holding your urine more than 10-15 minutes after the 1st urge to go?
Yes;No;
Yes;No;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
6/9/2016
Aliases for variable name not defined
CMI - Tethered Cord Screening
History of Disease/Injury Event
Disease/Injury Related Events
  
Single Pre-Defined Value Selected
       
C22369
Chiari malformation tethered spinal cord frequent urinate indicator
ChiariMlfTethSpinCdFrqUrinInd
Indicator related to frequency of urination.
Do you urinate more than 10 times per day?
Yes;No;
Yes;No;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
6/9/2016
Aliases for variable name not defined
CMI - Tethered Cord Screening
History of Disease/Injury Event
Disease/Injury Related Events
  
Single Pre-Defined Value Selected
       
C22371
Chiari malformation tethered spinal cord urinary incontinence indicator
CMTethSpiCrdUrnyIncontInd
The indicator related to urinary incontinence.
Do you have urinary incontinence (Have you accidentally leaked urine)?
Yes;No;
Yes;No;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
6/9/2016
Aliases for variable name not defined
CMI - Tethered Cord Screening
History of Disease/Injury Event
Disease/Injury Related Events
  
Single Pre-Defined Value Selected
       
C22374
Chiari malformation tethered spinal cord urinary dribble incontinence indicator
ChiariMlfTethSpCdUrinDrbIncInd
The indicator related to dribbling (in the context of urinary incontinence).
Dribbling?
Yes;No;
Yes;No;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
6/9/2016
Aliases for variable name not defined
CMI - Tethered Cord Screening
History of Disease/Injury Event
Disease/Injury Related Events
  
Single Pre-Defined Value Selected
       
C22375
Chiari malformation tethered spinal cord urinary drench incontinence indicator
ChiariMlTethSpCdUrinDrnIncnInd
The indicator related to urinary drenching (in context of urinary incontinence).
Drenching?
Yes;No;
Yes;No;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
6/9/2016
Aliases for variable name not defined
CMI - Tethered Cord Screening
History of Disease/Injury Event
Disease/Injury Related Events
  
Single Pre-Defined Value Selected
       
C22378
Chiari malformation tethered spinal cord urinate incomplete indicator
ChiariMlfTethSpCdUrinIncomInd
The indicator related to incomplete urination.
Do you go two or more times in succession before completely emptying your bladder?
Yes;No;
Yes;No;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
6/9/2016
Aliases for variable name not defined
CMI - Tethered Cord Screening
History of Disease/Injury Event
Disease/Injury Related Events
  
Single Pre-Defined Value Selected
       
C22379
Chiari malformation tethered spinal cord reoccur bladder kidney indicator
ChiariMlfTethSpCdRocBlKdInd
The indicator related to recurring urinary bladder or kidney infection.
Do you have a history of recurring urinary bladder or kidney infections?
Yes;No;
Yes;No;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
6/9/2016
Aliases for variable name not defined
CMI - Tethered Cord Screening
History of Disease/Injury Event
Disease/Injury Related Events
  
Single Pre-Defined Value Selected
       
C22380
Chiari malformation tethered spinal cord past urodynamic test indicator
ChiariMlfTethSpnCdPstUroTstInd
The indicator related to past urodynamic testing.
Have you had urodynamic testing in the past?
Yes;No;
Yes;No;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
6/9/2016
Aliases for variable name not defined
CMI - Tethered Cord Screening
History of Disease/Injury Event
Disease/Injury Related Events
  
Single Pre-Defined Value Selected
       
C22381
Chiari malformation tethered spinal cord occasional fecal incontinence indicator
ChiariMlfTethSpCdOcFclInconInd
The indicator related to the occasional incontinence (in context of stool).
Have you had occasional incontinence for stools (fecal soiling)?
Yes;No;
Yes;No;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
6/9/2016
Aliases for variable name not defined
CMI - Tethered Cord Screening
History of Disease/Injury Event
Disease/Injury Related Events
  
Single Pre-Defined Value Selected
       
C22382
Chiari malformation tethered spinal cord decrease pelvic sensation indicator
ChiariMlfTethSpCdDecPlvSenInd
The indicator related to a decrease of sensation in the pelvic region.
Have you experienced a decrease or loss of sensation in your pelvic (or genital) area?
Yes;No;
Yes;No;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
6/9/2016
Aliases for variable name not defined
CMI - Tethered Cord Screening
History of Disease/Injury Event
Disease/Injury Related Events
  
Single Pre-Defined Value Selected
       
C22383
Chiari malformation tethered spinal cord loss sexual intercourse ability indicator
ChiariMlfTethSpCdLsSxlInsAbInd
The indicator related to the loss of ability to perform physiological sexual functions.
Have you lost the ability to reach an orgasm, sustain an erection, or ejaculate properly?
Yes;No;
Yes;No;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
6/9/2016
Aliases for variable name not defined
CMI - Tethered Cord Screening
History of Disease/Injury Event
Disease/Injury Related Events
  
Single Pre-Defined Value Selected
       
C22384
Chiari malformation tethered spinal cord persistent low back pain indicator
ChiariMlfTethSpCdPrsLwBckPnInd
The indicator related to persistent or unexplained low back pain.
Do you have persistent or unexplained low back pain?
Yes;No;
Yes;No;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
6/9/2016
Aliases for variable name not defined
CMI - Tethered Cord Screening
History of Disease/Injury Event
Disease/Injury Related Events
  
Single Pre-Defined Value Selected
       
C22385
Chiari malformation tethered spinal cord leg pain indicator
ChiariMlfTethSpCdLgPnInd
The indicator related to leg pain.
Do you have leg pains?
Yes;No;
Yes;No;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
6/10/2016
Aliases for variable name not defined
CMI - Tethered Cord Screening
History of Disease/Injury Event
Disease/Injury Related Events
  
Single Pre-Defined Value Selected
       
C22386
Chiari malformation tethered spinal cord restless leg syndrome indicator
ChiariMlfTethSpCdRstLgSynInd
The indicator related to restless leg syndrome.
Do you have restless leg syndrome?
Yes;No;
Yes;No;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
6/10/2016
Aliases for variable name not defined
CMI - Tethered Cord Screening
History of Disease/Injury Event
Disease/Injury Related Events
  
Single Pre-Defined Value Selected
       
C22387
Chiari malformation tethered spinal cord sole numbness indicator
ChiariMlfTethSpCdSleNmbInd
The indicator related to numbness in the soles of an individual's feet.
Do you have numbness in the soles of your feet?
Yes;No;
Yes;No;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
6/10/2016
Aliases for variable name not defined
CMI - Tethered Cord Screening
History of Disease/Injury Event
Disease/Injury Related Events
  
Single Pre-Defined Value Selected
       
C22388
Chiari malformation tethered spinal cord knee bent sleep back pain indicator
ChiariMlfTethSpCdKnBnSlBkPnInd
The indicator related to knees bent at night to relieve back or leg discomfort.
Do you keep your knees bent at night to relieve back or leg discomfort?
Yes;No;
Yes;No;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
6/10/2016
Aliases for variable name not defined
CMI - Tethered Cord Screening
History of Disease/Injury Event
Disease/Injury Related Events
  
Single Pre-Defined Value Selected
       
C22389
Chiari malformation tethered spinal cord low back leg pain urinary symptom stair walk indicator
ChiariMlfThSpCdBkLPUSyStWkInd
The indicator related to low back pain, leg pain, or urinary symptoms while walking up stairs.
Do you have low back pain, leg pain, or urinary symptoms while walking up stairs?
Yes;No;
Yes;No;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
6/10/2016
Aliases for variable name not defined
CMI - Tethered Cord Screening
History of Disease/Injury Event
Disease/Injury Related Events
  
Single Pre-Defined Value Selected
       
C22391
Chiari malformation tethered spinal cord history severe growing pain indicator
ChiariMlfTethSpCdHsSvGrPnInd
The indicator related to a history of growing pains during childhood and adolescence.
Did you have a history of severe growing pains during childhood and adolescence?
Yes;No;
Yes;No;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
6/10/2016
Aliases for variable name not defined
CMI - Tethered Cord Screening
History of Disease/Injury Event
Disease/Injury Related Events
  
Single Pre-Defined Value Selected
       
07-15-2019
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