CDE Detailed Report
Disease: Chiari I Malformation
Subdomain Name: Physical/Neurological Examination
CRF: Self - Report Testing (On Intake)
Displaying 1 - 50 of 78
Subdomain Name: Physical/Neurological Examination
CRF: Self - Report Testing (On Intake)
Displaying 1 - 50 of 78
| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| C22760 | Word selection anomia indicator | WordSelectnAnomiaInd | Indicator of whether the patient/participant is experiencing or exhibits problems with recalling words | Indicator of whether the patient/participant is experiencing or exhibits problems with recalling word | Do you have word finding problems? | No;Yes | No;Yes | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2016-10-13 12:39:16.0 | Self - Report Testing (On Intake) | Physical/Neurological Examination | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C01052 | Loss of consciousness indicator | LOCInd | The indicator for whether the participant/subject experienced any period of loss of consciousness (LOC) | 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 | Adult;Pediatric | Supplemental-Highly Recommended | 3.00 | 2013-07-20 10:21:25.65 | Self - Report Testing (On Intake) | Physical/Neurological Examination | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C22728 | Frequent nausea indicator | FrequentNauseaInd | Indicator of whether the patient/participant has experienced frequent nausea | Indicator of whether the patient/participant has experienced frequent nause | Do you have frequent nausea? | No;Yes | No;Yes | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2016-10-13 12:39:16.0 | Self - Report Testing (On Intake) | Physical/Neurological Examination | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C22739 | Extremity stiffness indicator | ExtremityStiffnessInd | Indicator of whether the patient/participant has experienced stiffness in his or her extremities | Indicator of whether the patient/participant has experienced stiffness in his or her extremitie | Do you have stiffness of your arms or legs? | No;Yes | No;Yes | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2016-10-13 12:39:16.0 | Self - Report Testing (On Intake) | Physical/Neurological Examination | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C22771 | Snoring indicator | SnoringInd | Indicator of whether the patient/participant snores during sleep | Indicator of whether the patient/participant snores during slee | Do you snore? | No;Yes | No;Yes | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2016-10-13 12:39:16.0 | Self - Report Testing (On Intake) | Physical/Neurological Examination | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C22200 | Neck shoulder pain radiate indicator | NckShldrPnRdInd | The indicator related to pain radiating to the neck or shoulders | The indicator related to pain radiating to the neck or shoulder | Does your pain radiate to your neck or shoulders? | Yes;No | Yes;No | Alphanumeric | Adult;Pediatric | Supplemental-Highly Recommended | 1.00 | 2016-06-08 13:33:42.0 | Self - Report Testing (On Intake) | Physical/Neurological Examination | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C22750 | Celiac disease gluten sensitivity diagnosis ever indicator | ClcDzGltnSnstvtyDiagnosEvrInd | Indicator of whether the patient/participant has ever been diagnosed with celiac disease or gluten sensitivity | Indicator of whether the patient/participant has ever been diagnosed with celiac disease or gluten sensitivit | Have you ever been diagnosed with celiac disease or gluten sensitivity? | No;Yes | No;Yes | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2016-10-13 12:39:16.0 | Self - Report Testing (On Intake) | Physical/Neurological Examination | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C22718 | Walk unsteady indicator | WalkUnsteadyInd | Indicator of whether the patient/participant feels unsteady when walking | Indicator of whether the patient/participant feels unsteady when walkin | Do you have feelings of unsteadiness when walking? | No;Yes | No;Yes | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2016-10-13 12:39:16.0 | Self - Report Testing (On Intake) | Physical/Neurological Examination | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C22761 | Irritability indicator | IrritabilityInd | Indicator of whether the patient/participant is experiencing or exhibits irritability | Indicator of whether the patient/participant is experiencing or exhibits irritabilit | Do you suffer from irritability? | No;Yes | No;Yes | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2016-10-13 12:39:16.0 | Self - Report Testing (On Intake) | Physical/Neurological Examination | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C06020 | Urinary incontinence past three months indicator | UrinIncntPstThreeMoInd | Indicator of involuntary urine leakage (incontinence) within the last three months. Urinary incontinence is defined by International Continence Society (Abrams et al. 2002) as the complaint of any involuntary leakage of urine | Indicator of involuntary urine leakage (incontinence) within the last three months. Urinary incontinence is defined by International Continence Society (Abrams et al. 2002) as the complaint of any involuntary leakage of urin | Do you have urinary incontinence (Have you accidentally leaked urine)? | No;Yes | No;Yes | Alphanumeric | Adult;Pediatric | Supplemental | 3.00 | 2013-07-17 09:26:36.973 | Self - Report Testing (On Intake) | Physical/Neurological Examination | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C22729 | Pain touch sensitivity increase indicator | PainTouchSensitivityIncreasInd | Indicator of whether the patient/participant has experienced an increase in sensitivity to pain or touch | Indicator of whether the patient/participant has experienced an increase in sensitivity to pain or touc | Do you have increased sensitivity to pain or touch? | No;Yes | No;Yes | Alphanumeric | Adult;Pediatric | Supplemental-Highly Recommended | 1.00 | 2016-10-13 12:39:16.0 | Self - Report Testing (On Intake) | Physical/Neurological Examination | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C22740 | Urination urge control difficulty indicator | UrinatnUrgCntrlDiffcltyInd | Indicator of whether the patient/participant has experienced difficulty controlling the urge to urinate | Indicator of whether the patient/participant has experienced difficulty controlling the urge to urinat | Do you have difficulty controlling the urge to urinate? | No;Yes | No;Yes | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2016-10-13 12:39:16.0 | Self - Report Testing (On Intake) | Physical/Neurological Examination | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C22772 | Precipitating cause test type | PreciptatCauseTestTyp | Type of test(s) performed to identify the precipitating cause of the neurological disorder | Type of test(s) performed to identify the precipitating cause of the neurological disorde | Which of these tests have been performed to identify the precipitating cause of the disorder? | MRI Brain;MRI Cervical Spine;MRI Lumbar Spine;MRI Thoracic Spine;Cine MRI;CT Head;CT Cervical Spine;CT Thoracic Spine;CT Lumbar Spine;CT Myelogram;X-ray Skull;X-ray Shunt Series;X-ray Cervical Spine;X-ray Thoracic Spine;X-ray Lumbar Spine;PET Scan: Brain;Lumbar Puncture;Stellate Ganglion Block;Other;Vestibular Function Testing;Tilt Table;Holter Monitor;Barium Swallow;Sleep Apnea Monitoring;Sleep EEG Monitoring;Pulmonary Function Tests;Pituitary Hormone Profile;Lyme Titer;Rheumatology Panel;Rheumatology Consultation;Allergist Consultation;Cardiology Consultation;Coagulation/Hematology Consultation;Endocrinology Consultation;ENT/Otolaryngology Consultation;Genetics Consultation;Neurology Consultation;Neuropsychology Consultation;Nutritional Assessment Consultation;Orthopedics Consultation;Pain Management Consultation;Urology Consultation;Other Consultation | MRI Brain;MRI Cervical Spine;MRI Lumbar Spine;MRI Thoracic Spine;Cine MRI (CSF flow study);CT Head;CT Cervical Spine;CT Thoracic Spine;CT Lumbar Spine;CT Myelogram;X-ray Skull;X-ray Shunt Series;X-ray Cervical Spine;X-ray Thoracic Spine;X-ray Lumbar Spine;PET Scan: Brain;Lumbar Puncture;Stellate Ganglion Block;Other;Vestibular Function Testing;Tilt Table;Holter Monitor;Barium Swallow;Sleep Apnea Monitoring;Sleep EEG Monitoring;Pulmonary Function Tests;Pituitary Hormone Profile;Lyme Titer;Rheumatology Panel;Rheumatology Consultation;Allergist Consultation;Cardiology Consultation;Coagulation/Hematology Consultation;Endocrinology Consultation;ENT/Otolaryngology Consultation;Genetics Consultation;Neurology Consultation;Neuropsychology Consultation;Nutritional Assessment Consultation;Orthopedics Consultation;Pain Management Consultation;Urology Consultation;Other Consultation | Alphanumeric |
All tests/consultations are classified as Supplemental except for the following: CORE: MRI Brain, Neurology Consultation; SUPPLEMENTAL - HIGHLY RECOMMENDED: Cine MRI, MRI Cervical/Thoracic/Lumbar Spine, Genetics Consultation; EXPLORATORY: Other, Other Consultation |
Adult;Pediatric | Supplemental | 1.00 | 2016-10-13 12:39:16.0 | Self - Report Testing (On Intake) | Physical/Neurological Examination | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C22205 | Cough cry laugh sneeze pain worse indicator | CghCryLghSnzPnWrseInd | The indicator related to pain worsened by coughing, crying, laughing, sneezing, orgasms, bowel movements | The indicator related to pain worsened by coughing, crying, laughing, sneezing, orgasms, bowel movement | Is the pain worsened by coughing, crying, laughing, sneezing, orgasms, bowel movements? | Yes;No | Yes;No | Alphanumeric | Adult;Pediatric | Core | 1.00 | 2016-06-08 13:37:46.0 | Self - Report Testing (On Intake) | Physical/Neurological Examination | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C22751 | Crohns disease colitis diagnosis ever indicator | CrohnDzColitisDiagnosEvrInd | Indicator of whether the patient/participant has ever been diagnosed with Crohn's disease or colitis | Indicator of whether the patient/participant has ever been diagnosed with Crohn's disease or coliti | Have you ever been diagnosed with Crohn's disease or colitis? | No;Yes | No;Yes | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2016-10-13 12:39:16.0 | Self - Report Testing (On Intake) | Physical/Neurological Examination | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C22719 | Tinnitus indicator | TinnitusInd | Indicator of whether the patient/participant has tinnitus or a high-pitched ringing in his or her ears | Indicator of whether the patient/participant has tinnitus or a high-pitched ringing in his or her ear | Do you have high-pitched ringing in your ears? | No;Yes | No;Yes | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2016-10-13 12:39:16.0 | Self - Report Testing (On Intake) | Physical/Neurological Examination | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C22762 | Chronic fatigue indicator | ChronicFatigueInd | Indicator of whether the patient/participant is experiencing or exhibits chronic fatigue | Indicator of whether the patient/participant is experiencing or exhibits chronic fatigu | Do you suffer from chronic fatigue? | No;Yes | No;Yes | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2016-10-13 12:39:16.0 | Self - Report Testing (On Intake) | Physical/Neurological Examination | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C13523 | Dizziness or vertigo indicator | DizzinessVertigoInd | Indicator of whether the participant/subject experienced dizziness or vertigo | Indicator of whether the participant/subject experienced dizziness or vertig | Do you have vertigo (feelings that you or the room are spinning)? | Yes;No | Yes;No | Alphanumeric | Adult;Pediatric | Supplemental | 3.00 | 2013-06-21 00:00:00.0 | Self - Report Testing (On Intake) | Physical/Neurological Examination | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C22730 | Pain sensitivity decrease indicator | PainSensitivityDecreaseInd | Indicator of whether the patient/participant has experienced a decrease in sensitivity to pain | Indicator of whether the patient/participant has experienced a decrease in sensitivity to pai | Do you have diminished sensitivity to pain? | No;Yes | No;Yes | Alphanumeric | Adult;Pediatric | Supplemental-Highly Recommended | 1.00 | 2016-10-13 12:39:16.0 | Self - Report Testing (On Intake) | Physical/Neurological Examination | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C22741 | Urination initiation difficulty indicator | UrinatnInitiatnDffcltyInd | Indicator of whether the patient/participant has experienced difficulty initiating urination | Indicator of whether the patient/participant has experienced difficulty initiating urinatio | Do you have difficulty initiating your urine stream? | No;Yes | No;Yes | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2016-10-13 12:39:16.0 | Self - Report Testing (On Intake) | Physical/Neurological Examination | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C22773 | Precipitating cause test date | PreciptatCauseTestDate | Date on which the selected Precipitating Cause Test Type was performed | Date on which the selected Precipitating Cause Test Type was performe | Record date of test/image | Date or Date & Time | Adult;Pediatric | Supplemental | 1.00 | 2016-10-13 12:39:16.0 | Self - Report Testing (On Intake) | Physical/Neurological Examination | Assessments and Examinations |
Free-Form Entry |
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| C22208 | Stiffness pain general indicator | StiffPnGenInd | The indicator related to general neck pain/stiffness | The indicator related to general neck pain/stiffnes | Do you have general neck pain/stiffness? | Yes;No | Yes;No | Alphanumeric | Adult;Pediatric | Supplemental-Highly Recommended | 1.00 | 2016-06-08 13:41:27.0 | Self - Report Testing (On Intake) | Physical/Neurological Examination | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C22752 | Sex decreased interest indicator | SexDecreasdIntrestInd | Indicator of whether the patient/participant has experienced decreased interest in sex | Indicator of whether the patient/participant has experienced decreased interest in se | Do you have a decreased interest in sex (reduced libido)? | No;Yes | No;Yes | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2016-10-13 12:39:16.0 | Self - Report Testing (On Intake) | Physical/Neurological Examination | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C22720 | Tremor indicator | TremorInd | Indicator of whether the patient/participant has tremors | Indicator of whether the patient/participant has tremor | Do you have tremors? | No;Yes | No;Yes | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2016-10-13 12:39:16.0 | Self - Report Testing (On Intake) | Physical/Neurological Examination | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C22763 | Nipple discharge indicator | NippleDischargeInd | Indicator of whether the patient/participant is experiencing or exhibits discharge from one or both nipples | Indicator of whether the patient/participant is experiencing or exhibits discharge from one or both nipple | Do you have nipple discharge? | No;Yes | No;Yes | Alphanumeric | Adult;Pediatric | Exploratory | 1.00 | 2016-10-13 12:39:16.0 | Self - Report Testing (On Intake) | Physical/Neurological Examination | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C19833 | Psychiatric depression indicator | PsychDepressInd | Indicator of history of depression | Indicator of history of depression | Do you suffer from depression? | No;Yes | No;Yes | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2015-02-05 00:00:00.0 | Self - Report Testing (On Intake) | Physical/Neurological Examination | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C22731 | Sensation loss extremities indicator | SensationLossExtremitiesInd | Indicator of whether the patient/participant has experienced a partial or complete loss of sensation in his or her extremities | Indicator of whether the patient/participant has experienced a partial or complete loss of sensation in his or her extremitie | Do you have partial or complete loss of sensation in your extremities? | No;Yes | No;Yes | Alphanumeric | Adult;Pediatric | Supplemental-Highly Recommended | 1.00 | 2016-10-13 12:39:16.0 | Self - Report Testing (On Intake) | Physical/Neurological Examination | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C22742 | Excessive urination frequency indicator | ExcessvUrinatnFreqncyInd | Indicator of whether the patient/participant's urination frequency has been excessive | Indicator of whether the patient/participant's urination frequency has been excessiv | Do you urinate more than 10 times per day? | No;Yes | No;Yes | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2016-10-13 12:39:16.0 | Self - Report Testing (On Intake) | Physical/Neurological Examination | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C22665 | Medical history chronic constipation indicator | MedHIstChrnConsInd | Indicator of whether the participant/subject has/had chronic constipation | Indicator of whether the participant/subject has/had chronic constipation | Do you have constipation? | Yes;No | Yes;No | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2016-07-27 11:34:16.0 | Self - Report Testing (On Intake) | Physical/Neurological Examination | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C22753 | Sexual arousal difficulty maintain indicator | SexlArslDffcltyMntnInd | Indicator of whether the patient/participant is experiencing difficulty maintaining sexual arousal | Indicator of whether the patient/participant is experiencing difficulty maintaining sexual arousa | Do you have difficulty maintaining arousal? | No;Yes | No;Yes | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2016-10-13 12:39:16.0 | Self - Report Testing (On Intake) | Physical/Neurological Examination | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C22721 | Hearing very sensitive indicator | HearingVerySensitiveInd | Indicator of whether the patient/participant has very sensitive hearing | Indicator of whether the patient/participant has very sensitive hearin | Do you have very sensitive hearing? | No;Yes | No;Yes | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2016-10-13 12:39:16.0 | Self - Report Testing (On Intake) | Physical/Neurological Examination | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C22764 | Joint hypermobility indicator | JointHypermobilityInd | Indicator of whether the patient/participant is experiencing or exhibits hypermobility of one or more joints | Indicator of whether the patient/participant is experiencing or exhibits hypermobility of one or more joint | Do you have joint hypermobility? | No;Yes | No;Yes | Alphanumeric | Adult;Pediatric | Supplemental-Highly Recommended | 1.00 | 2016-10-13 12:39:16.0 | Self - Report Testing (On Intake) | Physical/Neurological Examination | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| 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 | The indicator related to stopping of transport of oxygen from the outside air to the cells within tissues during slee | Do you have sleep apnea? | No;Yes | No;Yes | Alphanumeric | Adult;Pediatric | Supplemental-Highly Recommended | 1.00 | 2015-07-28 18:24:23.0 | Self - Report Testing (On Intake) | Physical/Neurological Examination | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C22732 | Burning pain abnormal extremity indicator | BurnPainAbnormalExtremityInd | Indicator of whether the patient/participant has experienced an abnormal burning pain in his or her extremeties | Indicator of whether the patient/participant has experienced an abnormal burning pain in his or her extremetie | Do you have an abnormal burning pain in your extremities? | No;Yes | No;Yes | Alphanumeric | Adult;Pediatric | Supplemental-Highly Recommended | 1.00 | 2016-10-13 12:39:16.0 | Self - Report Testing (On Intake) | Physical/Neurological Examination | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C22743 | Inability empty bladder single attempt indicator | InabltyEmptyBlddrSnglAttmptInd | Indicator of whether the patient/participant is unable to empty his or her bladder in a single urination attempt | Indicator of whether the patient/participant is unable to empty his or her bladder in a single urination attemp | Do you go two or more times in succession before completely emptying your bladder? | No;Yes | No;Yes | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2016-10-13 12:39:16.0 | Self - Report Testing (On Intake) | Physical/Neurological Examination | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C22711 | Pain pressure behind eyes indicator | PainPressrBehndEyesInd | Indicator of whether the patient/participant feels pressure or pain behind his or her eyes | Indicator of whether the patient/participant feels pressure or pain behind his or her eye | Do you have pain or pressure behind your eyes? | No;Yes | No;Yes | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2016-10-13 12:39:16.0 | Self - Report Testing (On Intake) | Physical/Neurological Examination | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C22754 | Attain orgasm difficulty indicator | AttainOrgsmDffcltyInd | Indicator of whether the patient/participant experiences difficulty attaining orgasm | Indicator of whether the patient/participant experiences difficulty attaining orgas | Do you have difficulty reaching orgasm? | No;Yes | No;Yes | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2016-10-13 12:39:16.0 | Self - Report Testing (On Intake) | Physical/Neurological Examination | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C22722 | Swallow difficulty indicator | SwallowDifficultyInd | Indicator of whether the patient/participant has difficulty swallowing | Indicator of whether the patient/participant has difficulty swallowin | Do you have difficulty swallowing? | No;Yes | No;Yes | Alphanumeric | Adult;Pediatric | Supplemental-Highly Recommended | 1.00 | 2016-10-13 12:39:16.0 | Self - Report Testing (On Intake) | Physical/Neurological Examination | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C22765 | Thyroid problem diagnosis ever indicator | ThyroidProblmDiagnosEvrInd | Indicator of whether the patient/participant has ever been diagnosed with a thyroid problem | Indicator of whether the patient/participant has ever been diagnosed with a thyroid proble | Have you been diagnosed with thyroid problems? | No;Yes | No;Yes | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2016-10-13 12:39:16.0 | Self - Report Testing (On Intake) | Physical/Neurological Examination | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C21692 | Chiari I malformation prickle tingle numb arm leg frequent occurrence symptom indicator | CMPrkTngNmbArmLgFrqOcSymInd | The indicator related to frequent prickling, tingling or numbness in your arms/legs in defining signs and symptoms for Chiari I malformation | The indicator related to frequent prickling, tingling or numbness in your arms/legs in defining signs and symptoms for Chiari I malformatio | Do you suffer from prickling, tingling or numbness of your extremities? | Yes;No | Yes;No | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2016-05-26 17:58:16.0 | Self - Report Testing (On Intake) | Physical/Neurological Examination | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C22733 | Extremity specific area pain decreased sensation indicator | ExtmtySpcfcAreaPnDcrsdSnstnInd | Indicator of whether the patient/participant has experienced pain or decreased sensation in a specific area of his or her extremities | Indicator of whether the patient/participant has experienced pain or decreased sensation in a specific area of his or her extremitie | Do you have pain or decreased sensation over a specific portion of your extremities? | No;Yes | No;Yes | Alphanumeric | Adult;Pediatric | Supplemental-Highly Recommended | 1.00 | 2016-10-13 12:39:16.0 | Self - Report Testing (On Intake) | Physical/Neurological Examination | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C22744 | Recurrent urinary tract infection indicator | RecurrUrinryTractInfctnInd | Indicator of whether the patient/participant has a history of recurring urinary tract infections | Indicator of whether the patient/participant has a history of recurring urinary tract infection | Do you have a history of recurring urinary bladder or kidney infections? | No;Yes | No;Yes | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2016-10-13 12:39:16.0 | Self - Report Testing (On Intake) | Physical/Neurological Examination | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C22712 | Light sensitivity indicator | LightSensitivityInd | Indicator of whether the patient/participant is sensitive to light | Indicator of whether the patient/participant is sensitive to ligh | Are you sensitive to light? | No;Yes | No;Yes | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2016-10-13 12:39:16.0 | Self - Report Testing (On Intake) | Physical/Neurological Examination | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C22755 | Sexual dysfunction indicator | SexualDysfunctionInd | Indicator of whether the patient/participant experiences sexual dysfunction such as inability to attain orgasm, erectile dysfunction, inability to ejaculate | Indicator of whether the patient/participant experiences sexual dysfunction such as inability to attain orgasm, erectile dysfunction, inability to ejaculat | Have you lost the ability to reach an orgasm, sustain an erection, or ejaculate properly? | No;Yes | No;Yes | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2016-10-13 12:39:16.0 | Self - Report Testing (On Intake) | Physical/Neurological Examination | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C22723 | Throat tight indicator | ThroatTightInd | Indicator of whether the patient/participant has throat tightness | Indicator of whether the patient/participant has throat tightnes | Do you have throat tightness? | No;Yes | No;Yes | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2016-10-13 12:39:16.0 | Self - Report Testing (On Intake) | Physical/Neurological Examination | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C22766 | Pituitary problem diagnosis ever indicator | PituitryProblmDiagnosEvrInd | Indicator of whether the patient/participant has ever been diagnosed with a pituitary gland problem | Indicator of whether the patient/participant has ever been diagnosed with a pituitary gland proble | Have you been diagnosed with any pituitary problems? | No;Yes | No;Yes | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2016-10-13 12:39:16.0 | Self - Report Testing (On Intake) | Physical/Neurological Examination | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| 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 | The indicator related to dizziness with position changes in defining signs and symptoms for Chiari I malformatio | Do you have dizziness with position changes? | Yes;No | Yes;No | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2016-05-27 08:49:49.0 | Self - Report Testing (On Intake) | Physical/Neurological Examination | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C22734 | Skin change indicator | SkinChangeInd | Indicator of whether the patient/participant has experienced a skin change | Indicator of whether the patient/participant has experienced a skin chang | Do you have any noticeable skin changes? | No;Yes | No;Yes | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2016-10-13 12:39:16.0 | Self - Report Testing (On Intake) | Physical/Neurological Examination | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C22745 | Interstitial cystitis diagnosis ever indicator | IntrsttlCystitsDiagnosEvrInd | Indicator of whether the patient/participant has ever been diagnosed with interstitial cystitis | Indicator of whether the patient/participant has ever been diagnosed with interstitial cystiti | Have you ever been diagnosed with interstitial cystitis? | No;Yes | No;Yes | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2016-10-13 12:39:16.0 | Self - Report Testing (On Intake) | Physical/Neurological Examination | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C22713 | Vision blurred indicator | VisionBlurredInd | Indicator of whether the patient/participant has blurred vision | Indicator of whether the patient/participant has blurred visio | Do you have blurred vision? | No;Yes | No;Yes | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2016-10-13 12:39:16.0 | Self - Report Testing (On Intake) | Physical/Neurological Examination | Assessments and Examinations |
Single Pre-Defined Value Selected |
