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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: Physical/Neurological Examination
CRF: Brainstem Signs/Symptoms
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
C21713
Swallow function problem type
SwallowFunctionProbType
Type as related to problem with function of swallowing.
Swallowing Function
No problem;Difficult with liquids;Difficult with solids;Frequent choking;
No problem;Difficult with liquids;Difficult with solids;Frequent choking;
Alphanumeric
Please see the Data Dictionary for definitions for each of the data elements included in this CRF Module.
Important note: None of the data elements included on this CRF are considered Core (i.e., strongly recommended for all studies to collect). These data elements are supplemental or exploratory and should be collected on clinical trials and only if the research team considers them appropriate for their study.
No references available
Adult;Pediatric
Supplemental
1.0
5/27/2016
Aliases for variable name not defined
Brainstem Signs/Symptoms
Physical/Neurological Examination
Assessments and Examinations
  
Single Pre-Defined Value Selected
       
C21714
Gag reflect status
GagReflexStatus
Status as related to gag reflex.
Gag reflex
Absent;Present;
Absent;Present;
Alphanumeric
Please see the Data Dictionary for definitions for each of the data elements included in this CRF Module.
Important note: None of the data elements included on this CRF are considered Core (i.e., strongly recommended for all studies to collect). These data elements are supplemental or exploratory and should be collected on clinical trials and only if the research team considers them appropriate for their study.
No references available
Adult;Pediatric
Supplemental
1.0
5/31/2016
Aliases for variable name not defined
Brainstem Signs/Symptoms
Physical/Neurological Examination
Assessments and Examinations
  
Single Pre-Defined Value Selected
       
C21715
Tongue function deviation assessment status
TongueFunctDeviationAssmtStat
Status as related to tongue function deviation.
Tongue Function - Tongue Deviation
Right;Left;None;
Right;Left;None;
Alphanumeric
Please see the Data Dictionary for definitions for each of the data elements included in this CRF Module.
Important note: None of the data elements included on this CRF are considered Core (i.e., strongly recommended for all studies to collect). These data elements are supplemental or exploratory and should be collected on clinical trials and only if the research team considers them appropriate for their study.
No references available
Adult;Pediatric
Supplemental
1.0
5/31/2016
Aliases for variable name not defined
Brainstem Signs/Symptoms
Physical/Neurological Examination
Assessments and Examinations
  
Multiple Pre-Defined Values Selected
       
C21716
Tongue function atrophy assessment status
TongueFunctionAtrphyAssmtStat
Status as related to tongue function atrophy.
Tongue Function - Tongue Atrophy
Right;Left;Both;
Right;Left;Both;
Alphanumeric
Please see the Data Dictionary for definitions for each of the data elements included in this CRF Module.
Important note: None of the data elements included on this CRF are considered Core (i.e., strongly recommended for all studies to collect). These data elements are supplemental or exploratory and should be collected on clinical trials and only if the research team considers them appropriate for their study.
No references available
Adult;Pediatric
Supplemental
1.0
5/31/2016
Aliases for variable name not defined
Brainstem Signs/Symptoms
Physical/Neurological Examination
Assessments and Examinations
  
Single Pre-Defined Value Selected
       
C21717
Sleep disorder finding type
SleepDisordrFindType
Type as related to sleep disorder.
Sleep Disorder
Obstructive;Central;PLMS;
Obstructive;Central;PLMS;
Alphanumeric
Please see the Data Dictionary for definitions for each of the data elements included in this CRF Module.
Important note: None of the data elements included on this CRF are considered Core (i.e., strongly recommended for all studies to collect). These data elements are supplemental or exploratory and should be collected on clinical trials and only if the research team considers them appropriate for their study.
No references available
Adult;Pediatric
Supplemental
1.0
5/31/2016
Aliases for variable name not defined
Brainstem Signs/Symptoms
Physical/Neurological Examination
Assessments and Examinations
  
Multiple Pre-Defined Values Selected
       
C21718
Cardiac arrhythmia finding text
CardiacArrthythFndngTxt
The free-text field to explain the findings of the cardiac arrhythmia.
Cardiac Arrhythmias
  
Alphanumeric
Please see the Data Dictionary for definitions for each of the data elements included in this CRF Module.
Important note: None of the data elements included on this CRF are considered Core (i.e., strongly recommended for all studies to collect). These data elements are supplemental or exploratory and should be collected on clinical trials and only if the research team considers them appropriate for their study.
No references available
Adult;Pediatric
Exploratory
1.0
5/31/2016
Aliases for variable name not defined
Brainstem Signs/Symptoms
Physical/Neurological Examination
Assessments and Examinations
  
Free-Form Entry
       
C21719
Sixth cranial nerve palsy assessment status
SixthCranlNervPalsyAssmtStat
Status as related to assessment of 6th cranial nerve palsy.
6th nerve palsy
Right;Left;Both;
Right;Left;Both;
Alphanumeric
Please see the Data Dictionary for definitions for each of the data elements included in this CRF Module.
Important note: None of the data elements included on this CRF are considered Core (i.e., strongly recommended for all studies to collect). These data elements are supplemental or exploratory and should be collected on clinical trials and only if the research team considers them appropriate for their study.
No references available
Adult;Pediatric
Exploratory
1.0
5/31/2016
Aliases for variable name not defined
Brainstem Signs/Symptoms
Physical/Neurological Examination
Assessments and Examinations
  
Single Pre-Defined Value Selected
       
C21720
Vertigo assessment indicator
VertigoAssmtInd
Indicator as related to assessment of vertigo.
Vertigo
Yes;No;Positional;
Yes;No;Positional;
Alphanumeric
Please see the Data Dictionary for definitions for each of the data elements included in this CRF Module.
Important note: None of the data elements included on this CRF are considered Core (i.e., strongly recommended for all studies to collect). These data elements are supplemental or exploratory and should be collected on clinical trials and only if the research team considers them appropriate for their study.
No references available
Adult;Pediatric
Supplemental
1.0
5/31/2016
Aliases for variable name not defined
Brainstem Signs/Symptoms
Physical/Neurological Examination
Assessments and Examinations
  
Single Pre-Defined Value Selected
       
C21722
Oculomotor saccadic pursuit assessment indicator
OculomtrSaccadicPursAssmtInd
Indicator related to if there are saccades (quick movements of eye in same direction toward) and smooth pursuit (tracking object) eye movements which are two different types of oculomotor control.
Saccadic Pursuit
No;Yes;
No;Yes;
Alphanumeric
Please see the Data Dictionary for definitions for each of the data elements included in this CRF Module.
Important note: None of the data elements included on this CRF are considered Core (i.e., strongly recommended for all studies to collect). These data elements are supplemental or exploratory and should be collected on clinical trials and only if the research team considers them appropriate for their study.
No references available
Adult;Pediatric
Supplemental
1.0
5/31/2016
Aliases for variable name not defined
Brainstem Signs/Symptoms
Physical/Neurological Examination
Assessments and Examinations
  
Single Pre-Defined Value Selected
       
C21723
Coordination truncal instability assessment indicator
CoordinTruncalInstabilAssmtInd
Indicator related to truncal instability or with a wide-based "drunken sailor" gait.
Truncal Instability
Yes;No;
Yes;No;
Alphanumeric
Please see the Data Dictionary for definitions for each of the data elements included in this CRF Module.
Important note: None of the data elements included on this CRF are considered Core (i.e., strongly recommended for all studies to collect). These data elements are supplemental or exploratory and should be collected on clinical trials and only if the research team considers them appropriate for their study.
No references available
Adult;Pediatric
Supplemental
1.0
5/31/2016
Aliases for variable name not defined
Brainstem Signs/Symptoms
Physical/Neurological Examination
Assessments and Examinations
 
200
Free-Form Entry
       
C21724
Nausea vomit assessment status
NauseaVomitAssmtStat
The status as related to nausea and vomiting.
Nausea/Vomiting
None;Morning;Night time;
None;Morning;Night time;
Alphanumeric
Please see the Data Dictionary for definitions for each of the data elements included in this CRF Module.
Important note: None of the data elements included on this CRF are considered Core (i.e., strongly recommended for all studies to collect). These data elements are supplemental or exploratory and should be collected on clinical trials and only if the research team considers them appropriate for their study.
No references available
Adult;Pediatric
Supplemental
1.0
5/31/2016
Aliases for variable name not defined
Brainstem Signs/Symptoms
Physical/Neurological Examination
Assessments and Examinations
  
Multiple Pre-Defined Values Selected
       
C21725
Strabismus assessment indicator
StrabismusAssmtInd
The indicator related to strabismus which is a condition that interferes with binocular vision because it prevents a person from directing both eyes simultaneously towards the same fixation point.
Strabismus
Yes;No;
Yes;No;
Alphanumeric
Please see the Data Dictionary for definitions for each of the data elements included in this CRF Module.
Important note: None of the data elements included on this CRF are considered Core (i.e., strongly recommended for all studies to collect). These data elements are supplemental or exploratory and should be collected on clinical trials and only if the research team considers them appropriate for their study.
No references available
Adult;Pediatric
Exploratory
1.0
5/31/2016
Aliases for variable name not defined
Brainstem Signs/Symptoms
Physical/Neurological Examination
Assessments and Examinations
  
Single Pre-Defined Value Selected
       
C22774
Hoarseness assessment indicator
HoarseAssmtInd
The indicator related to hoarseness which describes abnormal voice changes.
Hoarseness
Yes;No;
Yes;No;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Exploratory
1.0
5/31/2016
Aliases for variable name not defined
Brainstem Signs/Symptoms
Physical/Neurological Examination
Assessments and Examinations
  
Single Pre-Defined Value Selected
       
07-15-2019
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