CDE Detailed Report

Disease: Chiari I Malformation
Sub-Domain: Physical/Neurological Examination
CRF: Neurological Exam

Displaying 1 - 30 of 30
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 / Guideline) Sub Domain Name Domain Name Size Input Restrictions Min Value Max Value Measurement Type External Id Loinc External Id Snomed External Id caDSR External Id CDISC
C22206 Chiari malformation neurological examination heel toe walking normal indicator CMNeuroExamHeelToeWlkNrmlInd The indicator related to heel and toe walking being normal. The indicator related to heel and toe walking being normal. Heel and toe walking are normal. No;Yes No;Yes Alphanumeric Adult Supplemental 1.00 2016-06-08 13:39:59.0 Neurological Exam Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C22221 Chiari malformation neurological examination secondary sensory modalities intact indicator CMNrExmScdyMdScSnryMdltyIntInd The indicator related to secondary sensory modalities being intact (e.g. limb localization, DSS, graphesthesia). The indicator related to secondary sensory modalities being intact (e.g. limb localization, DSS, graphesthesia). Secondary sensory modalities are intact
(e.g. limb localization, DSS, graphesthesia)
No;Yes No;Yes Alphanumeric Adult Supplemental 1.00 2016-06-08 13:59:19.0 Neurological Exam Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C22186 Chiari malformation I neurological examination ptosis absent extraocular muscles intact pupils equal round light reaction indicator CMNroExmPtsAbntExtrIntEqlRxInd The indicator related to extraocular muscles (EOMs) are intact, intact pupils equal round react light (PERRL), and no ptosis. The indicator related to extraocular muscles (EOMs) are intact, intact pupils equal round react light (PERRL), and no ptosis. EOMs are intact, PERRL, no ptosis. No;Yes No;Yes Alphanumeric Adult Supplemental 1.00 2016-06-08 12:05:03.0 Neurological Exam Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C22207 Chiari malformation neurological examination tandem standing walking not difficult indicator CMNrExmTndmStndngWlkNtDfcltInd The indicator related to not having difficulty with tandem standing and walking. The indicator related to not having difficulty with tandem standing and walking. No difficulty with tandem standing and walking is noted. No;Yes No;Yes Alphanumeric Adult Supplemental 1.00 2016-06-08 13:41:20.0 Neurological Exam Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C22187 Chiari malformation I neurological examination nystagmus absent indicator CMNeuroExamNystagmusAbsntInd The indicator related to not having nystagmus. The indicator related to not having nystagmus. No nystagmus No;Yes No;Yes Alphanumeric Adult Supplemental 1.00 2016-06-08 12:07:01.0 Neurological Exam Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C22209 Chiari malformation neurological examination muscle strength bulk intact indicator CMNeuroExamMusclStrgthIntctInd The indicator related to muscle strength and bulk being intact. The indicator related to muscle strength and bulk being intact. Muscle strength and bulk are intact. No;Yes No;Yes Alphanumeric Adult Supplemental 1.00 2016-06-08 13:54:04.0 Neurological Exam Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C22188 Chiari malformation neurological examination facial asymmetry weakness absent indicator CMNeuroExmFclAssymWeakAbsntInd The indicator related to not having facial asymmetry or weakness. The indicator related to not having facial asymmetry or weakness. No facial asymmetry or weakness. No;Yes No;Yes Alphanumeric Adult Supplemental 1.00 2016-06-08 12:08:01.0 Neurological Exam Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C22211 Chiari malformation neurological examination pronator drift absent indicator CMNeuroExamPrntorDrftAbsntInd The indicator related to not having pronator drift. The indicator related to not having pronator drift. No pronator drift is noted. No;Yes No;Yes Alphanumeric Adult Supplemental 1.00 2016-06-08 13:54:55.0 Neurological Exam Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C22176 Chiari malformation neurological examination alert orient indicator CMNeuroExamAlertOrientInd The indicator related to patient being alert and oriented to person, place and time. The indicator related to patient being alert and oriented to person, place and time. Pt. is alert and oriented to person, place and time. No;Yes No;Yes Alphanumeric Adult Supplemental 1.00 2016-06-08 10:50:12.0 Neurological Exam Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C22189 Chiari malformation neurological examination facial sensation normal indicator CMNeuroExamFaclSensNrmlInd The indicator related to having normal facial sensation to touch and pin. The indicator related to having normal facial sensation to touch and pin. Normal facial sensation to touch and pin. No;Yes No;Yes Alphanumeric Adult Supplemental 1.00 2016-06-08 12:08:37.0 Neurological Exam Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C22212 Chiari malformation neurological examination deep tendon reflex symmetrical indicator CMINeurExamDTRSymInd The indicator related to deep tendon reflexes (DTRs) 1-2+ and symmetrical. The indicator related to deep tendon reflexes (DTRs) 1-2+ and symmetrical. DTRs 1-2+ and symmetrical. No;Yes No;Yes Alphanumeric Adult Supplemental 1.00 2016-06-08 13:55:41.0 Neurological Exam Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C22179 Chiari malformation neurological examination attention short-term memory intact indicator CMINeurExAttShortTermMemIntInd The indicator related to attention and short-term memory being intact as part of neurological examination form made for Chiari Malformation The indicator related to attention and short-term memory being intact as part of neurological examination form made for Chiari Malformation Attention and short-term memory are intact. No;Yes No;Yes Alphanumeric Adult Supplemental 1.00 2016-06-08 11:25:47.0 Neurological Exam Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C22197 Chiari malformation neurological examination corneal reflex present indicator CMNeuroExamCornealRxPrsntInd The indicator related to corneal reflexes being present. The indicator related to corneal reflexes being present. Corneal reflexes are present. No;Yes No;Yes Alphanumeric Adult Supplemental 1.00 2016-06-08 12:25:01.0 Neurological Exam Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C22214 Chiari malformation neurological examination abdominal reflex present indicator CMNeuroExamAbdRflxPresentInd The indicator related to abdominal reflexes being present. The indicator related to abdominal reflexes being present. Abdominal reflexes are present. No;Yes No;Yes Alphanumeric Adult Supplemental 1.00 2016-06-08 13:56:20.0 Neurological Exam Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C22180 Chiari malformation neurological examination normal mood indicator CMNeuroExamNrmlMoodInd The indicator related to mood and affect being normal. The indicator related to mood and affect being normal. Mood and affect are normal. No;Yes No;Yes Alphanumeric Adult Supplemental 1.00 2016-06-08 11:54:30.0 Neurological Exam Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C22199 Chiari malformation neurological examination tongue palate pharynx intact indicator CMNuroExmTngPalatePhrynxIntInd The indicator related to tongue, palate and pharynx being intact. The indicator related to tongue, palate and pharynx being intact. Tongue, palate and pharynx intact. No;Yes No;Yes Alphanumeric Adult Supplemental 1.00 2016-06-08 13:30:32.0 Neurological Exam Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C22215 Chiari malformation neurological examination plantar flexor response indicator CMNeuroPlntrFxRespInd The indicator related to plantar responses are flexor. The indicator related to plantar responses are flexor. Plantar responses are flexor. No;Yes No;Yes Alphanumeric Adult Supplemental 1.00 2016-06-08 13:56:53.0 Neurological Exam Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C22181 Chiari malformation neurological examination speech fluent comprehension intact indicator CMNroExamSpeFlntCmprhnsnIntInd The indicator related to speech being fluent and comprehension intact. The indicator related to speech being fluent and comprehension intact. Speech is fluent and comprehension is intact. No;Yes No;Yes Alphanumeric Adult Supplemental 1.00 2016-06-08 11:55:21.0 Neurological Exam Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C22201 Chiari malformation neurological examination hearing intact indicator CMNeuroExamHearingIntInd The indicator related to hearing being intact to 128 Hz TF, and the Weber is midline. The indicator related to hearing being intact to 128 Hz TF, and the Weber is midline. Hearing is intact to 128 Hz TF, the Weber is midline. No;Yes No;Yes Alphanumeric Adult Supplemental 1.00 2016-06-08 13:33:50.0 Neurological Exam Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C22216 Chiari malformation neurological examination tone normal indicator CMNeuroExamToneNrmlInd The indicator related to tone being normal, no abnormal movements or tremors are noted. The indicator related to tone being normal, no abnormal movements or tremors are noted. Tone is normal; no abnormal movements or tremors are noted. No;Yes No;Yes Alphanumeric Adult Supplemental 1.00 2016-06-08 13:57:18.0 Neurological Exam Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C22182 Chiari malformation I neurological examination dysphasia absent indicator CMNeuroExamDysphasiaAbsentInd The indicator related to not having dysphasia. The indicator related to not having dysphasia. No dysphasia is noted. No;Yes No;Yes Alphanumeric Adult Supplemental 1.00 2016-06-08 11:58:22.0 Neurological Exam Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C22202 Chiari malformation neurological examination gag reflex bilateral present indicator CMINeuroExamGagRefBiPreInd The indicator related to gag reflex being present bilaterally. The indicator related to gag reflex being present bilaterally. Gag reflex is present bilaterally. No;Yes No;Yes Alphanumeric Adult Supplemental 1.00 2016-06-08 13:37:29.0 Neurological Exam Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C22217 Chiari malformation neurological examination coordination rapid alternating movement intact indicator CMNroExmCrdintnRpidAltMvIntInd The indicator related to coordination and rapid alternating movements being intact. The indicator related to coordination and rapid alternating movements being intact. Coordination and rapid alternating movements are intact. No;Yes No;Yes Alphanumeric Adult Supplemental 1.00 2016-06-08 13:57:51.0 Neurological Exam Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C22183 Chiari malformation neurological examination funduscopic exam benign indicator CMNeuroExamFndscpcExamBengnInd The indicator related to funduscopic exam being benign and discs flat. The indicator related to funduscopic exam being benign and discs flat. Funduscopic exam is benign, discs flat. No;Yes No;Yes Alphanumeric Adult Supplemental 1.00 2016-06-08 11:59:51.0 Neurological Exam Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C22203 Chiari malformation neurological examination dysarthria dysphonia absent indicator CMNroExmDysrthiDysphniAbsntInd The indicator related to not having dysarthria or dysphonia. The indicator related to not having dysarthria or dysphonia. No dysarthria or dysphonia is noted. No;Yes No;Yes Alphanumeric Adult Supplemental 1.00 2016-06-08 13:38:30.0 Neurological Exam Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C22218 Chiari malformation neurological examination Romberg negative indicator CMNeuroExamRombergNegInd The indicator related to Romberg (Std) negative. The indicator related to Romberg (Std) negative. Romberg (Std) negative. No;Yes No;Yes Alphanumeric Adult Supplemental 1.00 2016-06-08 13:58:22.0 Neurological Exam Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C22184 Chiari malformation neurological examination venous pulsation visible indicator CMNeuroExamVenPulsationVisInd The indicator related to venous pulsations being seen. The indicator related to venous pulsations being seen. Venous pulsations are seen. No;Yes No;Yes Alphanumeric Adult Supplemental 1.00 2016-06-08 12:00:46.0 Neurological Exam Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C22204 Chiari malformation neurological examination gait station normal indicator CMNeuroExamGaitStatnNrmlInd The indicator related to gait and station being normal. The indicator related to gait and station being normal. Gait and station are normal. No;Yes No;Yes Alphanumeric Adult Supplemental 1.00 2016-06-08 13:39:09.0 Neurological Exam Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C22219 Chiari malformation neurological examination sensation intact indicator CMNeuroExamSensatnIntInd The indicator related to sensation being intact to touch, vibration, position sense, pin and temperature. The indicator related to sensation being intact to touch, vibration, position sense, pin and temperature. Sensation is intact to touch, vibration, position sense, pin and temperature. No;Yes No;Yes Alphanumeric Adult Supplemental 1.00 2016-06-08 13:58:51.0 Neurological Exam Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C22185 Chiari malformation neurological examination visual field full indicator CMNeuroExamVisFieldFullInd The indicator related to visual fields being full to confrontation. The indicator related to visual fields being full to confrontation. Visual fields are full to confrontation. No;Yes No;Yes Alphanumeric Adult Supplemental 1.00 2016-06-08 12:01:41.0 Neurological Exam Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

CSV