CDE Detailed Report
Disease: Chiari I Malformation
Subdomain Name: General Health History
CRF: CMI - Hereditary Disorders of Connective Tissue Screening (2)
Displaying 1 - 10 of 10
Subdomain Name: General Health History
CRF: CMI - Hereditary Disorders of Connective Tissue Screening (2)
Displaying 1 - 10 of 10
| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| C21771 | Chiari malformation screening wound prolong heal separation indicator | ChiMalScrWouPeoHeaSepInd | The indicator related to experiencing prolonged wound healing or separation in a screening for Chiari malformation | The indicator related to experiencing prolonged wound healing or separation in a screening for Chiari malformatio | Have you experienced prolonged wound healing or separation? | No;Yes | No;Yes | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2016-06-02 14:15:30.0 | CMI - Hereditary Disorders of Connective Tissue Screening (2) | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C21773 | Chiari malformation screening chronic edema varicose vein fatty skin tumor diagnosis indicator | ChiMalScrChrEdeVarFatTumDiaInd | The indicator related to fatty skin tumors or bumps, bluish hands or feet, varicose veins, or chronic edema (swelling) in a screening diagnosis for Chiari malformation | The indicator related to fatty skin tumors or bumps, bluish hands or feet, varicose veins, or chronic edema (swelling) in a screening diagnosis for Chiari malformatio | Have you noted fatty skin tumors or bumps, bluish hands or feet, varicose veins, or chronic edema (swelling)? | No;Yes | No;Yes | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2016-06-02 14:16:21.0 | CMI - Hereditary Disorders of Connective Tissue Screening (2) | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C21774 | Chiari malformation screening bruise stretch mark skin hernia prolapse scar formation indicator | ChiMAlScrBruStrHerProScaForInd | The indicator related to easy bruising, stretch marks, stretchy skin, hernias, prolapses, or unusual scar formation in a screening for Chiari malformation | The indicator related to easy bruising, stretch marks, stretchy skin, hernias, prolapses, or unusual scar formation in a screening for Chiari malformatio | Have you experienced easy bruising, stretch marks, stretchy skin, hernias, prolapses, or unusual scar formation? | No;Yes | No;Yes | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2016-06-02 14:17:29.0 | CMI - Hereditary Disorders of Connective Tissue Screening (2) | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C21761 | Chiari malformation screening hypermobility family indicator | ChiMalScrHypFmlyInd | The indicator related to family members having joint hypermobility syndrome which is a condition that features joints that easily move beyond the normal range. Expected for that particular joint in a screening diagnosis for Chiari malformation | The indicator related to family members having joint hypermobility syndrome which is a condition that features joints that easily move beyond the normal range. Expected for that particular joint in a screening diagnosis for Chiari malformatio | Do you considered yourself or any immediate family members to be double jointed (hypermobile)? | No;Yes | No;Yes | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2016-06-02 13:53:10.0 | CMI - Hereditary Disorders of Connective Tissue Screening (2) | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C21764 | Chiari malformation screening ocular lens problem indicator | ChiMalScrOcuLenProbInd | The indicator related to optic or ocular lens problems | The indicator related to optic or ocular lens problem | Have you had any optic (or ocular) lens problems? | No;Yes | No;Yes | Alphanumeric |
Excluding astigmatism. |
Adult;Pediatric | Supplemental | 1.00 | 2016-06-02 13:58:34.0 | CMI - Hereditary Disorders of Connective Tissue Screening (2) | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C21765 | Chiari malformation screening dental development poor enamel temporomandibular joint problem indicator | ChiMAlScrDenEnaTemJoiProbInd | The indicator related to having any developmental problems with teeth, poor dental enamel or temporomandibular joint disorder in a screening diagnosis for Chiari malformation | The indicator related to having any developmental problems with teeth, poor dental enamel or temporomandibular joint disorder in a screening diagnosis for Chiari malformatio | Have you had any developmental problems with your teeth, poor dental enamel, or temporomandibular joint (TMJ) disorder? | No;Yes | No;Yes | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2016-06-02 14:01:20.0 | CMI - Hereditary Disorders of Connective Tissue Screening (2) | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C21766 | Chiari malformation screening echocardiogram mitral valve prolapse aortic aneurysm diagnosis indicator | ChiMalScrEchMVPAorAneDiagInd | The indicator related to ever having a echocardiogram reveal mitral valve prolapse (MVP) or aortic aneurysm (or enlargement) in a screening diagnosis for Chiari malformation | The indicator related to ever having a echocardiogram reveal mitral valve prolapse (MVP) or aortic aneurysm (or enlargement) in a screening diagnosis for Chiari malformatio | Has an echocardiogram ever revealed mitral valve prolapse (MVP) or aortic aneurysm (or enlargement)? | No;Yes | No;Yes | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2016-06-02 14:02:58.0 | CMI - Hereditary Disorders of Connective Tissue Screening (2) | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C21767 | Chiari malformation screening orthopedic joint hip dislocation unusual pain screen indicator | ChiMalScrOrtJoiHipDisPaiScrInd | The indicator related to any kind of hip or any other joint dislocation, unusual joint pain, or susceptibility to joint injury in a screening for Chiari malformation | The indicator related to any kind of hip or any other joint dislocation, unusual joint pain, or susceptibility to joint injury in a screening for Chiari malformatio | Have you had any kind of hip or any other joint dislocation, unusual joint pain, or susceptibility to joint injury? | No;Yes | No;Yes | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2016-06-02 14:05:08.0 | CMI - Hereditary Disorders of Connective Tissue Screening (2) | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C21769 | Chiari malformation screening orthopedic flat feet scoliosis chest deformity screen indicator | ChiMalScrOrtFlaFeeScoCheDefInd | The indicator related to having flat feet, scoliosis (spinal curvature), or a chest deformity in a screening for Chiari malformation | The indicator related to having flat feet, scoliosis (spinal curvature), or a chest deformity in a screening for Chiari malformatio | Have you ever had flat feet, scoliosis (spinal curvature), or a chest deformity? | No;Yes | No;Yes | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2016-06-02 14:12:41.0 | CMI - Hereditary Disorders of Connective Tissue Screening (2) | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C21770 | Chiari malformation screening gastrointestinal gastric reflux irritable bowel syndrome malabsorption diagnosis indicator | ChiMalScrGasRefIBSMalDiagInd | The indicator related to diagnosis of gastric reflux, irritable bowel syndrome, or malabsorption in a screening for Chiari malformation | The indicator related to diagnosis of gastric reflux, irritable bowel syndrome, or malabsorption in a screening for Chiari malformatio | Have you ever been diagnosed with gastric reflux, irritable bowel syndrome, or malabsorption? | No;Yes | No;Yes | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2016-06-02 14:14:20.0 | CMI - Hereditary Disorders of Connective Tissue Screening (2) | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
