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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: Self - Report Testing (On Intake)
Item count: 78 (78 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
C22195
Base head pressure indicator
BasHdPrsInd
The indicator related to pressure at the base of head.
Do you have pressure at the base of your head?
Yes;No;
Yes;No;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Core
1.0
6/8/2016
Aliases for variable name not defined
Self - Report Testing (On Intake)
Physical/Neurological Examination
Assessments and Examinations
  
Single Pre-Defined Value Selected
       
C22198
Behind eye pain radiate indicator
BhndEyePnRadInd
The indicator related to pain radiating behind your eyes.
Does your pain radiate behind your eyes?
Yes;No;
Yes;No;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental–Highly Recommended
1.0
6/8/2016
Aliases for variable name not defined
Self - Report Testing (On Intake)
Physical/Neurological Examination
Assessments and Examinations
  
Single Pre-Defined Value Selected
       
C22200
Neck shoulder pain radiate indicator
NckShldrPnRdInd
The indicator related to pain radiating to the neck or shoulders.
Does your pain radiate to your neck or shoulders?
Yes;No;
Yes;No;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental–Highly Recommended
1.0
6/8/2016
Aliases for variable name not defined
Self - Report Testing (On Intake)
Physical/Neurological Examination
Assessments and Examinations
  
Single Pre-Defined Value Selected
       
C22205
Cough cry laugh sneeze pain worse indicator
CghCryLghSnzPnWrseInd
The indicator related to pain worsened by coughing, crying, laughing, sneezing, orgasms, bowel movements.
Is the pain worsened by coughing, crying, laughing, sneezing, orgasms, bowel movements?
Yes;No;
Yes;No;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Core
1.0
6/8/2016
Aliases for variable name not defined
Self - Report Testing (On Intake)
Physical/Neurological Examination
Assessments and Examinations
  
Single Pre-Defined Value Selected
       
C22208
Stiffness pain general indicator
StiffPnGenInd
The indicator related to general neck pain/stiffness.
Do you have general neck pain/stiffness?
Yes;No;
Yes;No;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental–Highly Recommended
1.0
6/8/2016
Aliases for variable name not defined
Self - Report Testing (On Intake)
Physical/Neurological Examination
Assessments and Examinations
  
Single Pre-Defined Value Selected
       
C22711
Pain pressure behind eyes indicator
PainPressrBehndEyesInd
Indicator of whether the patient/participant feels pressure or pain behind his or her eyes.
Do you have pain or pressure behind your eyes?
Yes;No;
Yes;No;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
10/13/2016
Aliases for variable name not defined
Self - Report Testing (On Intake)
Physical/Neurological Examination
Assessments and Examinations
  
Single Pre-Defined Value Selected
       
C22712
Light sensitivity indicator
LightSensitivityInd
Indicator of whether the patient/participant is sensitive to light.
Are you sensitive to light?
Yes;No;
Yes;No;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
10/13/2016
Aliases for variable name not defined
Self - Report Testing (On Intake)
Physical/Neurological Examination
Assessments and Examinations
  
Single Pre-Defined Value Selected
       
C22713
Vision blurred indicator
VisionBlurredInd
Indicator of whether the patient/participant has blurred vision.
Do you have blurred vision?
Yes;No;
Yes;No;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
10/13/2016
Aliases for variable name not defined
Self - Report Testing (On Intake)
Physical/Neurological Examination
Assessments and Examinations
  
Single Pre-Defined Value Selected
       
C22714
Vision doubled indicator
VisionDoubledInd
Indicator of whether the patient/participant has double vision.
Do you have double vision?
Yes;No;
Yes;No;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
10/13/2016
Aliases for variable name not defined
Self - Report Testing (On Intake)
Physical/Neurological Examination
Assessments and Examinations
  
Single Pre-Defined Value Selected
       
C22715
Visual field reduced look straight ahead indicator
VisFldReducLookStrghtAhdInd
Indicator of whether the patient/participant's visual field is reduced or missing a portion when looking straight ahead with either or both eyes.
Are you missing a portion of your visual field when looking straight ahead (Field Cuts) with either or both eyes?
Yes;No;
Yes;No;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
10/13/2016
Aliases for variable name not defined
Self - Report Testing (On Intake)
Physical/Neurological Examination
Assessments and Examinations
  
Single Pre-Defined Value Selected
       
C22716
Ear pressure indicator
EarPressureInd
Indicator of whether the patient/participant has pressure in his or her ears.
Do you have pressure in your ears?
Yes;No;
Yes;No;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
10/13/2016
Aliases for variable name not defined
Self - Report Testing (On Intake)
Physical/Neurological Examination
Assessments and Examinations
  
Single Pre-Defined Value Selected
       
C21693
Chiari I malformation position change dizzy symptom indicator
CMPosChngDzySympInd
The indicator related to dizziness with position changes in defining signs and symptoms for Chiari I malformation.
Do you have dizziness with position changes?
Yes;No;
Yes;No;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
5/27/2016
LOT4
Self - Report Testing (On Intake)
Physical/Neurological Examination
Assessments and Examinations
  
Single Pre-Defined Value Selected
       
C22717
Stand unsteady indicator
StandUnsteadyInd
Indicator of whether the patient/participant feels unsteady when standing.
Do you have feelings of unsteadiness when standing?
Yes;No;
Yes;No;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
10/13/2016
Aliases for variable name not defined
Self - Report Testing (On Intake)
Physical/Neurological Examination
Assessments and Examinations
  
Single Pre-Defined Value Selected
       
C22718
Walk unsteady indicator
WalkUnsteadyInd
Indicator of whether the patient/participant feels unsteady when walking.
Do you have feelings of unsteadiness when walking?
Yes;No;
Yes;No;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
10/13/2016
Aliases for variable name not defined
Self - Report Testing (On Intake)
Physical/Neurological Examination
Assessments and Examinations
  
Single Pre-Defined Value Selected
       
C22719
Tinnitus indicator
TinnitusInd
Indicator of whether the patient/participant has tinnitus or a high-pitched ringing in his or her ears.
Do you have high-pitched ringing in your ears?
Yes;No;
Yes;No;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
10/13/2016
Aliases for variable name not defined
Self - Report Testing (On Intake)
Physical/Neurological Examination
Assessments and Examinations
  
Single Pre-Defined Value Selected
       
C22720
Tremor indicator
TremorInd
Indicator of whether the patient/participant has tremors.
Do you have tremors?
Yes;No;
Yes;No;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
10/13/2016
Aliases for variable name not defined
Self - Report Testing (On Intake)
Physical/Neurological Examination
Assessments and Examinations
  
Single Pre-Defined Value Selected
       
C21873
Medical history hearing deficit indicator
MedHistHeaDefInd
The indicator related to personal medical history of hearing deficit or use of hearing aid.
Do you have decreased hearing?
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
Self - Report Testing (On Intake)
Physical/Neurological Examination
Assessments and Examinations
  
Single Pre-Defined Value Selected
       
C22721
Hearing very sensitive indicator
HearingVerySensitiveInd
Indicator of whether the patient/participant has very sensitive hearing.
Do you have very sensitive hearing?
Yes;No;
Yes;No;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
10/13/2016
Aliases for variable name not defined
Self - Report Testing (On Intake)
Physical/Neurological Examination
Assessments and Examinations
  
Single Pre-Defined Value Selected
       
C13523
Dizziness or vertigo indicator
DizzinessVertigoInd
Indicator of whether the participant/subject experienced dizziness or vertigo.
Do you have vertigo (feelings that you or the room are spinning)?
Yes;No;
Yes;No;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
3.0
6/21/2013
Aliases for variable name not defined
Self - Report Testing (On Intake)
Physical/Neurological Examination
Assessments and Examinations
Dizziness or vertigo indicator
 
Single Pre-Defined Value Selected
       
C22722
Swallow difficulty indicator
SwallowDifficultyInd
Indicator of whether the patient/participant has difficulty swallowing.
Do you have difficulty swallowing?
Yes;No;
Yes;No;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental–Highly Recommended
1.0
10/13/2016
Aliases for variable name not defined
Self - Report Testing (On Intake)
Physical/Neurological Examination
Assessments and Examinations
  
Single Pre-Defined Value Selected
       
C22723
Throat tight indicator
ThroatTightInd
Indicator of whether the patient/participant has throat tightness.
Do you have throat tightness?
Yes;No;
Yes;No;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
10/13/2016
Aliases for variable name not defined
Self - Report Testing (On Intake)
Physical/Neurological Examination
Assessments and Examinations
  
Single Pre-Defined Value Selected
       
C22724
Speech difficulty indicator
SpeechDifficultyInd
Indicator of whether the patient/participant has difficulty with speech.
Do you have difficulty speaking?
Yes;No;
Yes;No;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
10/13/2016
Aliases for variable name not defined
Self - Report Testing (On Intake)
Physical/Neurological Examination
Assessments and Examinations
  
Single Pre-Defined Value Selected
       
C22725
Vocal hoarseness increase indicator
VocalHoarsenessIncreaseInd
Indicator of whether the patient/participant has experienced an increase in vocal hoarseness.
Is your voice changing, becoming hoarse?
Yes;No;
Yes;No;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
10/13/2016
Aliases for variable name not defined
Self - Report Testing (On Intake)
Physical/Neurological Examination
Assessments and Examinations
  
Single Pre-Defined Value Selected
       
C21577
Respiration stop during sleep indicator
RespStopDurSleepInd
The indicator related to stopping of transport of oxygen from the outside air to the cells within tissues during sleep.
Do you have sleep apnea?
Yes;No;
Yes;No;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental–Highly Recommended
1.0
7/28/2015
Aliases for variable name not defined
Self - Report Testing (On Intake)
Physical/Neurological Examination
Assessments and Examinations
  
Single Pre-Defined Value Selected
       
C22771
Snoring indicator
SnoringInd
Indicator of whether the patient/participant snores during sleep.
Do you snore?
Yes;No;
Yes;No;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
10/13/2016
Aliases for variable name not defined
Self - Report Testing (On Intake)
Physical/Neurological Examination
Assessments and Examinations
  
Single Pre-Defined Value Selected
       
C01052
Loss of consciousness indicator
LOCInd
The indicator for whether the participant/subject experienced any period of loss of consciousness (LOC).
Have you ever “passed out”?
Yes;No;
Yes;No;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental–Highly Recommended
3.0
7/20/2013
Aliases for variable name not defined
Self - Report Testing (On Intake)
Physical/Neurological Examination
Assessments and Examinations
Loss of consciousness indicator
 
Single Pre-Defined Value Selected
       
07-20-2019
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