CDE Detailed Report

Disease: Epilepsy
Subdomain Name: Physical/Neurological Examination
CRF: Neurological Exam

Displaying 51 - 75 of 75
CDE ID CDE Name Variable Name Definition Short Description Question Text Permissible Values Description Data Type Disease Specific Instructions Disease Specific Reference Population Classification (e.g., Core) Version Number Version Date CRF Name (CRF Module / Guidance) Subdomain Name Domain Name Size Input Restrictions Min Value Max Value Measurement Type External Id Loinc External Id Snomed External Id caDSR External Id CDISC
C14443 Muscle tone assessment anatomic site MuscToneAssmtAntmicSite Anatomic location of the muscle tone as part of the motor examination Anatomic location of the muscle tone as part of the motor examinatio Muscle Tone - global assessment Right upper extremity;Left upper extremity;Right lower extremity;Left lower extremity;Truncal tone Right upper extremity (RUE);Left upper extremity (LUE);Right lower extremity (RLE);Left lower extremity (LLE);Truncal tone Alphanumeric

Evaluate all extremities. Truncal tone - is recommended for pediatric studies only

No references available Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Neurological Exam Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C18513 Sensory system abnormality dermatome present text SensySysAbnrmlyDermtPresTxt The free-text field to describe the dermatome sensory abnormality, the area of skin supplied with afferent nerve fibers by a single posterior spinal root The free-text field to describe the dermatome sensory abnormality, the area of skin supplied with afferent nerve fibers by a single posterior spinal roo Dermatome, explain Alphanumeric No references available Adult;Pediatric Supplemental 3.00 2013-07-30 14:29:49.047 Neurological Exam Physical/Neurological Examination Assessments and Examinations 255

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C14455 Cerebellar or coordination assessment abnormality present status CerbllCoordAssmtAbnrmlyPrsStat Whether the cerebellar/coordination assessment found abnormalities Whether the cerebellar/coordination assessment found abnormalities Abnormality present? Yes;No;Cannot Assess;Other, specify Yes;No;Cannot Assess;Other, specify Alphanumeric

Choose one for each assessment type. Cannot Assess means the examiner does not know if the patient is normal or not; i.e. an uncooperative patient.

No references available Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Neurological Exam Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C18937 Muscle strength abnormality assessment other text MuscStrAbnrmlyAssmtOTH The free-text field related to 'Muscle strength abnormality assessment type' specifying other text. The muscle strength abnormality type The free-text field related to 'Muscle strength abnormality assessment type' specifying other text. The muscle strength abnormality type Other, specify Alphanumeric No references available Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Neurological Exam Physical/Neurological Examination Assessments and Examinations 4000

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C14469 Sensory system modalities affected type SensyModltyAffctTyp The type and location of the sensory receptor activated by a stimulus plays the primary role in coding the stimulus modality The type and location of the sensory receptor activated by a stimulus plays the primary role in coding the stimulus modality Sensory Modalities Affected Light Touch;Pain and Temperature;Vibration;Proprioception;Other, specify Light Touch;Pain and Temperature;Vibration;Proprioception;Other, specify Alphanumeric

Choose all that apply

No references available Adult;Pediatric Supplemental 1.00 2012-10-05 00:00:00.0 Neurological Exam Physical/Neurological Examination Assessments and Examinations

Multiple Pre-Defined Values Selected

C18948 Sensory system abnormality anatomic other text SensySysAbnrmlySymmAntmicOTH The free-text field related to 'Sensory system abnormality anatomic site' specifying other text. The location of abnormality for sensory system The free-text field related to 'Sensory system abnormality anatomic site' specifying other text. The location of abnormality for sensory system Location of Abnormality Alphanumeric

Choose all that apply. If other, explain.

No references available Adult;Pediatric Supplemental 1.00 2012-10-05 00:00:00.0 Neurological Exam Physical/Neurological Examination Assessments and Examinations 4000

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C14433 Cranial nerves global assessment result CranlNerveGlobAssmtReslt The condition of Cranial Nerves The condition of Cranial Nerves Cranial nerves - global assessment Normal;Abnormal;Cannot Assess;Other, specify Normal;Abnormal;Cannot Assess;Other, specify Alphanumeric

Choose only one

No references available Adult;Pediatric Supplemental 1.00 2012-10-05 00:00:00.0 Neurological Exam Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C14444 Muscle tone assessment abnormality indicator MuscToneAbnrmlyAssmtInd Whether the muscle tone assessment found any abnormalities Whether the muscle tone assessment found any abnormalities Abnormality present? Yes;No;Not assessed;Unknown Yes;No;Not assessed;Unknown Alphanumeric

Choose one for each anatomic site

No references available Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Neurological Exam Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C18514 Sensory system abnormality participant description text SensySysAbnrmlyPrtpDescTxt The free-text field to capture the participant's description of the sensory abnormality The free-text field to capture the participant's description of the sensory abnormalit Patient Description of abnormal symptoms Alphanumeric No references available Adult;Pediatric Supplemental 3.00 2013-07-30 14:29:49.047 Neurological Exam Physical/Neurological Examination Assessments and Examinations 255

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C14456 Cerebellar or coordination assessment abnormality present type CerbllCoordAssmtAbnrmlyPresTyp Type of abnormality found by the cerebellar/coordination assessment Type of abnormality found by the cerebellar/coordination assessment If Abnormal, explain RUE;LUE;Dysmetria;Slowness;Cannot assess due to weakness;Other, specify Right upper extremity (RUE);Left upper extremity (LUE);Dysmetria;Slowness;Cannot assess due to weakness;Other, specify Alphanumeric

Choose all that apply. If abnormal, explain. "Cannot Assess due to Weakness" meant that the test of coordination is abnormal, but abnormal because of weakness (presumably not cerebellar in origin) rather than cerebellar dysfunction.

No references available Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Neurological Exam Physical/Neurological Examination Assessments and Examinations

Multiple Pre-Defined Values Selected

C18938 Muscle weakness brain pattern other text MuscWeakBrainPattrnOTH The free-text field related to 'Muscle weakness brain pattern type' specifying other text. Patterns describing weakness in location of brain The free-text field related to 'Muscle weakness brain pattern type' specifying other text. Patterns describing weakness in location of brain Other, specify Alphanumeric

Choose all that apply. Describe if applicable.

No references available Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Neurological Exam Physical/Neurological Examination Assessments and Examinations 4000

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C18503 Assessment unable text AssmtUnableTxt The free-text field to explain why there was no assessment of nystagmus performed The free-text field to explain why there was no assessment of nystagmus performe Cannot Assess, explain Alphanumeric No references available Adult;Pediatric Supplemental 3.00 2013-07-30 14:29:49.047 Neurological Exam Physical/Neurological Examination Assessments and Examinations 255

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C18949 Sensory system modalities affected other text SensyModltyAffctOTH The free-text field related to 'Sensory system modalities affected type' specifying other text. The type and location of the sensory receptor activated by a stimulus plays the primary role in coding the stimulus modality The free-text field related to 'Sensory system modalities affected type' specifying other text. The type and location of the sensory receptor activated by a stimulus plays the primary role in coding the stimulus modality Other, specify Alphanumeric

Choose all that apply

No references available Adult;Pediatric Supplemental 1.00 2012-10-05 00:00:00.0 Neurological Exam Physical/Neurological Examination Assessments and Examinations 4000

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C14434 Cranial nerve abnormal identifier type CranlNerveAbnrmlIdTyp The identified cranial nerve that assessed as abnormal The identified cranial nerve that assessed as abnorma Cranial Nerve Number CN II;CN III;CN IV;CN V;CN VI;CN VII;CN VIII;CN IX;CN X;CN XI;CN XII Cranial nerve II;Cranial nerve III;Cranial nerve IV;Cranial nerve V;Cranial nerve VI;Cranial nerve VII;Cranial nerve VIII;Cranial nerve IX;Cranial nerve X;Cranial nerve XI;Cranial nerve XII Alphanumeric

Record which of the cranial nerves are abnormal and the side. Choose all that apply.

No references available Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Neurological Exam Physical/Neurological Examination Assessments and Examinations

Multiple Pre-Defined Values Selected

C14445 Muscle tone assessment abnormality type MuscToneAbnrmlyAssmtTyp The muscle tone abnormality type The muscle tone abnormality type If abnormal, indicate type Abnormal - Decreased;Abnormal - Increased;Other, specify Abnormal - Decreased;Abnormal - Increased;Other, specify Alphanumeric

Choose one

No references available Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Neurological Exam Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C18515 Sensory system abnormality sensory nerve present text SensySysAbnrmlySensNrvPresTxt The free-text field to describe the sensory nerve abnormality The free-text field to describe the sensory nerve abnormalit Sensory Nerve, explain Alphanumeric No references available Adult;Pediatric Supplemental 3.00 2013-07-30 14:29:49.047 Neurological Exam Physical/Neurological Examination Assessments and Examinations 255

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C14459 Reflex exam global assessment result RflxExmGlobAssmtReslt The global assessment of the ability and condition of reflexes The global assessment of the ability and condition of reflexes Reflexes - global assessment Abnormal;Normal;Cannot Assess;Other, specify Abnormal;Normal;Cannot Assess;Other, specify Alphanumeric

Choose one. If abnormal answer questions A and B.

No references available Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Neurological Exam Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C18939 Muscle weakness neurological anatomic other text MuscWeakNeuroAntmicOTH The free-text field related to 'Muscle weakness neurological anatomic site' specifying other text. Anatomic location of neurological muscle weakness The free-text field related to 'Muscle weakness neurological anatomic site' specifying other text. Anatomic location of neurological muscle weaknes Other, specify Alphanumeric

Choose all that apply

No references available Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Neurological Exam Physical/Neurological Examination Assessments and Examinations 4000

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C18504 Cranial nerves abnormality present text CranlNerveAbnrmlyPresTxt The free-text field to explain the abnormality of the cranial nerve identified The free-text field to explain the abnormality of the cranial nerve identifie Explain Abnormality Alphanumeric

Indicate which of the following cranial nerves are abnormal

No references available Adult;Pediatric Supplemental 3.00 2013-07-30 14:29:49.047 Neurological Exam Physical/Neurological Examination Assessments and Examinations 255

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C21106 Gait assessment result other text GaitAssmtResltOTH The free-text field to specify the other result of the gait assessment The free-text field to specify the other result of the gait assessment Other, specify Alphanumeric Adult;Pediatric Supplemental 1.00 2015-06-02 16:57:18.0 Neurological Exam Physical/Neurological Examination Assessments and Examinations 4000

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C14435 Nystagmus indicator NystagmusInd Involuntary movements of the eyeballs; its presence or absence is used to diagnose a variety of neurological and visual disorders Involuntary movements of the eyeballs; its presence or absence is used to diagnose a variety of neurological and visual disorders Nystagmus Yes;No;Cannot Assess Yes;No;Cannot Assess Alphanumeric

Specify type, if yes

No references available Adult;Pediatric Supplemental 1.00 2012-10-05 00:00:00.0 Neurological Exam Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C14446 Muscle strength assessment anatomic site MuscStrAssmtAntmicSite Anatomic location of the muscle strength as part of the motor examination Anatomic location of the muscle strength as part of the motor examinatio Muscle strength - global assessment Right upper extremity;Left upper extremity;Right lower extremity;Left lower extremity Right upper extremity (RUE);Left upper extremity (LUE);Right lower extremity (RLE);Left lower extremity (LLE) Alphanumeric

Evaluate all extremities.

No references available Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Neurological Exam Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C18516 Sensory system abnormality stocking glove present text SensySysAbnrmlyStckGlvPresTxt The free-text field to describe the stocking sensory abnormality, a generalised and gradual loss of peripheral nerve function results in a receding glove and stocking pattern The free-text field to describe the stocking sensory abnormality, a generalised and gradual loss of peripheral nerve function results in a receding glove and stocking patter Stocking/Glove, explain Alphanumeric No references available Adult;Pediatric Supplemental 3.00 2013-07-30 14:29:49.047 Neurological Exam Physical/Neurological Examination Assessments and Examinations 255

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C14460 Reflex assessment anatomic site RflxAntmicSite The location or category for reflex assessment of limbs The location or category for reflex assessment of limbs Assessment of Limbs Right Arm;Left Arm;Right Leg;Left Leg Right Arm;Left Arm;Right Leg;Left Leg Alphanumeric

If reflexes abnormal record the results for each limb

No references available Adult;Pediatric Supplemental 1.00 2012-10-05 00:00:00.0 Neurological Exam Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C18940 Tremor assessment other text TremAssessOTH The free-text field related to 'Tremor assessment status' specifying other text. The status indicating whether tremors could be detected during the exam The free-text field related to 'Tremor assessment status' specifying other text. The status indicating whether tremors could be detected during the exam Other, specify Alphanumeric

Choose only one

No references available Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Neurological Exam Physical/Neurological Examination Assessments and Examinations 4000

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CSV