CDE Detailed Report
Disease: content
Subdomain Name: Physical/Neurological Examination
CRF: welcome
Displaying 1 - 16 of 16
Subdomain Name: Physical/Neurological Examination
CRF: welcome
Displaying 1 - 16 of 16
| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| C01000 | Glasgow Coma Scale (GCS) - eye response scale | GCSEyeRespnsScale | Glasgow Coma Scale (GCS) - Best eye response (E). The GCS is a standardized instrument for assessing the level of consciousness. It evaluates three aspects of responsiveness: eye opening, motor response, verbal response | Glasgow Coma Scale (GCS) - Best eye response (E). The GCS is a standardized instrument for assessing the level of consciousness. It evaluates three aspects of responsiveness: eye opening, motor response, verbal respons | Best eye response | 1;2;3;4;Untestable;Unknown | No eye opening;Eye opening to pain;Eye opening to speech/verbal command;Eyes open spontaneously;Untestable;Unknown | Numeric Values |
Choose one |
Teasdale G, Jennett B. Assessment of coma and impaired consciousness. A practical scale. Lancet. Jul 1974;2(7872):81-4. Marmarou A, Lu J, Butcher I, et al. Prognostic value of the Glasgow Coma Scale and pupil reactivity in traumatic brain injury assessed pre-hospital and on enrollment: an IMPACT analysis. J Neurotrauma. Feb 2007;24(2):270-80. Stocchetti N, Pagan F, Calappi E, et al. Inaccurate early assessment of neurological severity in head injury. J Neurotrauma. Sep 2004:21(9):1131-40. Balestreri M, Czosnyka M, Chatfield DA, et al. Predictive value of Glasgow Coma Scale after brain trauma: change in trend over the past ten years. J Neurol Neurosurg Psychiatry. Jan 2004;75(1):161-2. | Adult;Pediatric | Core | 3.00 | 2013-07-20 10:21:25.65 | Neurological Assessment: Glasgow Coma Scale (GCS) and Pupils | Physical/Neurological Examination | Assessments and Examinations |
Single Pre-Defined Value Selected |
C124724 | |||||||
| C01021 | Pediatric Glasgow Coma Scale (PGCS) - motor response score | PGCSMotorRespnsScore | Score for the participant's motor response according to the Pediatric Glasgow Coma Scale (PGCS) if the participant is under the age of 18 | Score for the participant's motor response according to the Pediatric Glasgow Coma Scale (PGCS) if the participant is under the age of 1 | Motor response | 1;2;3;4;5;6;Untestable;Unknown | No motor response;Extension to pain;Flexion to pain;Withdrawal from pain;Localizing pain;Obeys commands;Untestable;Unknown | Alphanumeric |
Choose one |
Marcin J and Pollack M. (2002). Triage scoring systems, severity of illness measures, and mortality prediction models in pediatric trauma. Crit Care Med. 30:S457-S467. | Pediatric | Core | 3.00 | 2013-07-20 10:21:25.65 | Neurological Assessment: Glasgow Coma Scale (GCS) and Pupils | Physical/Neurological Examination | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C01001 | Glasgow Coma Scale (GCS) - motor response scale | GCSMotorRespnsScale | Glasgow Coma Scale (GCS) - Best motor response (M). The GCS is a standardized instrument for assessing the level of consciousness. It evaluates three aspects of responsiveness: eye opening, motor response, verbal response | Glasgow Coma Scale (GCS) - Best motor response (M). The GCS is a standardized instrument for assessing the level of consciousness. It evaluates three aspects of responsiveness: eye opening, motor response, verbal respons | Motor response | 1;2;3;4;5;6;Untestable;Unknown | No motor response;Abnormal extension/Extensor response;Abnormal flexion;Flexion withdrawal/withdraws from pain;Localizes pain;Obeys command;Untestable;Unknown | Numeric Values |
Choose one |
Teasdale G, Jennett B. Assessment of coma and impaired consciousness. A practical scale. Lancet. Jul 1974;2(7872):81-4. Marmarou A, Lu J, Butcher I, et al. Prognostic value of the Glasgow Coma Scale and pupil reactivity in traumatic brain injury assessed pre-hospital and on enrollment: an IMPACT analysis. J Neurotrauma. Feb 2007;24(2):270-80. Stocchetti N, Pagan F, Calappi E, et al. Inaccurate early assessment of neurological severity in head injury. J Neurotrauma. Sep 2004:21(9):1131-40. Balestreri M, Czosnyka M, Chatfield DA, et al. Predictive value of Glasgow Coma Scale after brain trauma: change in trend over the past ten years. J Neurol Neurosurg Psychiatry. Jan 2004;75(1):161-2. Steyerberg EW, Mushkudiani N, Perel P, et al. Predicting outcome after traumatic brain injury: development and international validation of prognostic scores based on admission characteristics. PLoS Med. Aug 2008;5(8):e165. MRC CRASH Trial Collaborators. Predicting outcome after traumatic brain injury: practical prognostic models based on large cohort of international patients. BMJ. Feb 2008;336(7641):425-429. | Adult;Pediatric | Core | 3.00 | 2013-07-20 10:21:25.65 | Neurological Assessment: Glasgow Coma Scale (GCS) and Pupils | Physical/Neurological Examination | Assessments and Examinations |
Single Pre-Defined Value Selected |
C124725 | |||||||
| C01022 | Pediatric Glasgow Coma Scale (PGCS) - verbal response score | PGCSVerbalRespnsScore | Score for the participant's verbal response according to the Pediatric Glasgow Coma Scale (PGCS) if the participant is under the age of 18 | Score for the participant's verbal response according to the Pediatric Glasgow Coma Scale (PGCS) if the participant is under the age of 1 | Verbal response | 1;2;3;4;5;Untestable;Unknown | No vocal response;Inconsolable, agitated;Inconsistently consolable, moaning;Cries, but is consolable, inappropriate interactions;Smiles, oriented to sounds, follows objects, interacts;Untestable;Unknown | Alphanumeric |
Choose one |
Marcin J and Pollack M. (2002). Triage scoring systems, severity of illness measures, and mortality prediction models in pediatric trauma. Crit Care Med. 30:S457-S467. | Pediatric | Core | 3.00 | 2013-07-20 10:21:25.65 | Neurological Assessment: Glasgow Coma Scale (GCS) and Pupils | Physical/Neurological Examination | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C01002 | Glasgow Coma Scale (GCS) - verbal response scale | GCSVerbalRspnsScale | Score that describes the participant's verbal response according to the Glasgow Coma Scale (GCS) | Score that describes the participant's verbal response according to the Glasgow Coma Scale (GCS) | Verbal response | 1;2;3;4;5;Untestable;Unknown | No verbal response/sounds;Incomprehensible sound;Inappropriate words;Confused;Oriented;Untestable;Unknown | Numeric Values |
Choose one |
Teasdale G, Jennett B. Assessment of coma and impaired consciousness. A practical scale. Lancet. Jul 1974;2(7872):81-4. Marmarou A, Lu J, Butcher I, et al. Prognostic value of the Glasgow Coma Scale and pupil reactivity in traumatic brain injury assessed pre-hospital and on enrollment: an IMPACT analysis. J Neurotrauma. Feb 2007;24(2):270-80. Stocchetti N, Pagan F, Calappi E, et al. Inaccurate early assessment of neurological severity in head injury. J Neurotrauma. Sep 2004:21(9):1131-40. Balestreri M, Czosnyka M, Chatfield DA, et al. Predictive value of Glasgow Coma Scale after brain trauma: change in trend over the past ten years. J Neurol Neurosurg Psychiatry. Jan 2004;75(1):161-2. | Adult;Pediatric | Core | 3.00 | 2013-07-20 10:21:25.65 | Neurological Assessment: Glasgow Coma Scale (GCS) and Pupils | Physical/Neurological Examination | Assessments and Examinations |
Single Pre-Defined Value Selected |
C124726 | |||||||
| C01023 | Pupil shape right eye type | PupilShapeRtEyeTyp | Type of shape of the pupil of the right eye | Type of shape of the pupil of the right eye | Right pupil shape | Oval;Round;Unknown | Oval;Round;Unknown | Alphanumeric |
Choose one. Recommend collection at least at study hospital admission/discharge and protocol milestones. This element is recommended for pediatric studies. |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-07-20 10:21:25.65 | Neurological Assessment: Glasgow Coma Scale (GCS) and Pupils | Physical/Neurological Examination | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C01003 | Pupil reactivity light right eye result | PupilReactivityLghtRtEyeReslt | Result of testing of the contraction of the participant's/subject's right pupil when a bright light is shone on it from an angle | Result of testing of the contraction of the participant's/subject's right pupil when a bright light is shone on it from an angle | Right pupil reactivity | Sluggish;Nonreactive;Brisk;Untestable;Unknown | Abnormal but still responsive;Abnormal;Normal;; | Alphanumeric |
Choose one. |
Marmarou A, Lu J, Butcher I, et al. Prognostic value of the Glasgow Coma Scale and pupil reactivity in traumatic brain injury assessed pre-hospital and on enrollment: an IMPACT analysis. J Neurotrauma. Feb 2007;24(2):270-80. | Adult;Pediatric | Supplemental | 3.00 | 2013-07-20 10:21:25.65 | Neurological Assessment: Glasgow Coma Scale (GCS) and Pupils | Physical/Neurological Examination | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C01024 | Pupil shape left eye type | PupilShapeLftEyeTyp | Type of shape of the pupil of the left eye | Type of shape of the pupil of the left eye | Left pupil shape | Oval;Round;Unknown | Oval;Round;Unknown | Alphanumeric |
Choose one. Recommend collection at least at study hospital admission/discharge and protocol milestones. This element is recommended for pediatric studies. |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-07-20 10:21:25.65 | Neurological Assessment: Glasgow Coma Scale (GCS) and Pupils | Physical/Neurological Examination | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C01004 | Pupil reactivity light left eye result | PupilReactivityLghtLftEyeReslt | Result of testing of the contraction of the participant's/subject's left pupil when a bright light is shone on it from an angle | Result of testing of the contraction of the participant's/subject's left pupil when a bright light is shone on it from an angle | Left pupil reactivity | Sluggish;Nonreactive;Brisk;Untestable;Unknown | Abnormal but still responsive;Abnormal;Normal;; | Alphanumeric |
Choose one. |
Marmarou A, Lu J, Butcher I, et al. Prognostic value of the Glasgow Coma Scale and pupil reactivity in traumatic brain injury assessed pre-hospital and on enrollment: an IMPACT analysis. J Neurotrauma. Feb 2007;24(2):270-80. | Adult;Pediatric | Supplemental | 3.00 | 2013-07-20 10:21:25.65 | Neurological Assessment: Glasgow Coma Scale (GCS) and Pupils | Physical/Neurological Examination | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C18399 | Glasgow Coma Scale (GCS) - Scale type | GCSScaleTyp | Type of Glasgow Coma Scale (GCS) used | Type of Glasgow Coma Scale (GCS) use | Scale Used | Glasgow Coma Scale;Pediatric Glasgow Coma Scale | Glasgow Coma Scale (GCS);Pediatric Glasgow Coma Scale(PGCS) | Alphanumeric | No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-07-20 10:21:25.65 | Neurological Assessment: Glasgow Coma Scale (GCS) and Pupils | Physical/Neurological Examination | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C01005 | Pupil right eye measurement | PupilRtEyeMeasr | Measurement of the right pupil in millimeters | Measurement of the right pupil in millimeters | Right pupil measurement | Numeric Values |
Pupil measurement recorded in millimeters (mm). Acceptable range is 1-10mm. This element is recommended for pediatric studies. |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-07-20 10:21:25.65 | Neurological Assessment: Glasgow Coma Scale (GCS) and Pupils | Physical/Neurological Examination | Assessments and Examinations |
Free-Form Entry |
1 | 10 | millimeter | |||||||
| C01006 | Pupil left eye measurement | PupilLftEyeMeasr | Measurement of the left pupil in millimeters | Measurement of the left pupil of the eye in mm | Left pupil measurement | Numeric Values |
Pupil measurement recorded in millimeters (mm). Acceptable range is 1-10mm. This element is recommended for pediatric studies. |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-07-20 10:21:25.65 | Neurological Assessment: Glasgow Coma Scale (GCS) and Pupils | Physical/Neurological Examination | Assessments and Examinations |
Free-Form Entry |
1 | 10 | millimeter | |||||||
| C01011 | Glasgow Coma Scale (GCS) - confounders type | GCSConfounderTyp | Type of confounders influencing participant's/subject's Glasgow Coma Scale (GCS) score | Type of confounders influencing participant's/subject's Glasgow Coma Scale (GCS) score | GCS confounders type | Alcohol/drugs of abuse;C-spine injury;Hypoxia/hypotension;Hypothermia;Sedation;Paralytic;Unknown;GCS Accurate | Alcohol/drugs of abuse;C-spine injury;Hypoxia/hypotension;Hypothermia;Sedation;Paralytic;Unknown;GCS Accurate | Alphanumeric |
Choose all that apply. |
No references available | Adult;Pediatric | Basic | 3.00 | 2013-07-20 10:21:25.65 | Neurological Assessment: Glasgow Coma Scale (GCS) and Pupils | Physical/Neurological Examination | Assessments and Examinations |
Multiple Pre-Defined Values Selected |
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| C01016 | Glasgow Coma Scale (GCS) - total score | GCSTotalScore | Glasgow Coma Scale (GCS) - Total Score. The GCS is a standardized instrument for assessing the level of consciousness. It evaluates three aspects of responsiveness: eye opening, motor response, verbal response. The total score is the sum of the scores for the three response types. (3-15) | Glasgow Coma Scale (GCS) - Total Score. The GCS is a standardized instrument for assessing the level of consciousness. It evaluates three aspects of responsiveness: eye opening, motor response, verbal response. The total score is the sum of the scores for the three response types. (3-15 | Total score | 3;4;5;6;7;8;9;10;11;12;13;14;15;Untestable;Unknown | 3;4;5;6;7;8;9;10;11;12;13;14;15;Untestable;Unknown | Numeric Values |
3-15 calculated field----http://www.glasgowcomascale.org/faq/ ----*Dealing with missing information: There are various different strategies for dealing with information that is missing because of factors interfering with assessment such as those described above. 1. Assess, communicate and make decisions using the remaining components. Although guidelines are often expressed in terms of a total GCS 'score,' the trend in whichever of the components (eye, motor or verbal) can be assessed is still valuable. 2. Do not use number '1' to record missing component; use 'NT' (Not testable). 3. Do not report a total score when a component is Not Testable because the score will be low and this could be confusing to medical colleagues. This may also imply that the patient is more unwell than they actually are. 4. It is possible using statistical methods to estimate a missing component from the findings in the other components. This is probably more relevant to research than clinical practice. |
Teasdale G, Jennett B. Assessment of coma and impaired consciousness. A practical scale. Lancet. Jul 1974;2(7872):81-4.---Marmarou A, Lu J, Butcher I, et al. Prognostic value of the Glasgow Coma Scale and pupil reactivity in traumatic brain injury assessed pre-hospital and on enrollment: an IMPACT analysis. J Neurotrauma. Feb 2007;24(2):270-80.---Stocchetti N, Pagan F, Calappi E, et al. Inaccurate early assessment of neurological severity in head injury. J Neurotrauma. Sep 2004:21(9):1131-40.---Balestreri M, Czosnyka M, Chatfield DA, et al. Predictive value of Glasgow Coma Scale after brain trauma: change in trend over the past ten years. J Neurol Neurosurg Psychiatry. Jan 2004;75(1):161-2. | Adult;Pediatric | Core | 3.00 | 2013-07-20 10:21:25.65 | Neurological Assessment: Glasgow Coma Scale (GCS) and Pupils | Physical/Neurological Examination | Assessments and Examinations |
Single Pre-Defined Value Selected |
C124727 | |||||||
| C01017 | Pediatric Glasgow Coma Scale (PGCS) - total score | PGCSTotalScore | Score for the participant's total Pediatric Glasgow Coma Scale (PGCS) score of the 3 tests, eye, motor, and verbal responses. A score of less than 9 would indicate that that participant is in a severe coma while a score of greater than 9 is a mild or no coma at all | Score for the participant's total Pediatric Glasgow Coma Scale (PGCS) score of the 3 tests, eye, motor, and verbal responses. A score of less than 9 would indicate that that participant is in a severe coma while a score of greater than 9 is a mild or no coma at al | Total score | 3;4;5;6;7;8;9;10;11;12;13;14;15;Untestable;Unknown | 3;4;5;6;7;8;9;10;11;12;13;14;15;Untestable;Unknown | Alphanumeric |
3-15 calculated field |
Marcin J and Pollack M. (2002). Triage scoring systems, severity of illness measures, and mortality prediction models in pediatric trauma. Crit Care Med. 30:S457-S467. | Pediatric | Core | 3.00 | 2013-07-20 10:21:25.65 | Neurological Assessment: Glasgow Coma Scale (GCS) and Pupils | Physical/Neurological Examination | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C01020 | Pediatric Glasgow Coma Scale (PGCS) - eye response score | PGCSEyeRespnsScore | Score for the participant's eye response according to the Pediatric Glasgow Coma Scale (PGCS) if the participant is under the age of 18 | Score for the participant's eye response according to the Pediatric Glasgow Coma Scale (PGCS) if the participant is under the age of 1 | Best eye response | 1;2;3;4;Untestable;Unknown | No eye opening;Eye opening to pain;Eye opening to speech;Eyes open spontaneously;Untestable;Unknown | Alphanumeric |
Choose one |
Marcin J and Pollack M. (2002). Triage scoring systems, severity of illness measures, and mortality prediction models in pediatric trauma. Crit Care Med. 30:S457-S467. | Pediatric | Core | 3.00 | 2013-07-20 10:21:25.65 | Neurological Assessment: Glasgow Coma Scale (GCS) and Pupils | Physical/Neurological Examination | Assessments and Examinations |
Single Pre-Defined Value Selected |
