CDE Detailed Report

Disease: Chiari I Malformation
Sub-Domain: 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 / 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
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 infections. 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

C22712 Light sensitivity indicator LightSensitivityInd Indicator of whether the patient/participant is sensitive to light. Indicator of whether the patient/participant is sensitive to light. 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

C22723 Throat tight indicator ThroatTightInd Indicator of whether the patient/participant has throat tightness. Indicator of whether the patient/participant has throat tightness. 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

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 ejaculate. 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

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 change. 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

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 problem. 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

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 malformation. 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

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 cystitis. 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

C22713 Vision blurred indicator VisionBlurredInd Indicator of whether the patient/participant has blurred vision. Indicator of whether the patient/participant has blurred vision. 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

C22724 Speech difficulty indicator SpeechDifficultyInd Indicator of whether the patient/participant has difficulty with speech. Indicator of whether the patient/participant has difficulty with speech. Do you have difficulty speaking? 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

C22756 Genital pelvic sensation loss indicator GenitalPelvicSensatnLossInd Indicator of whether the patient/participant has experienced a loss of sensation in his or her genital or pelvic area. Indicator of whether the patient/participant has experienced a loss of sensation in his or her genital or pelvic area. Have you experienced a decrease or loss of sensation in your pelvic (or genital) area? 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

C22735 Balance difficulty absent visual cue indicator BlncDffcltyAbsntVslCueInd Indicator of whether the patient/participant has experienced difficulty with balance in the absence of visual cues. Indicator of whether the patient/participant has experienced difficulty with balance in the absence of visual cues. If you close your eyes or are in the dark, do you have difficulty with your balance? 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

C22767 Bleeding clotting disorder indicator BleedClotDisorderInd Indicator of whether the patient/participant has ever had a bleeding or blood clotting disorder. Indicator of whether the patient/participant has ever had a bleeding or blood clotting disorder. Have you experienced any bleeding or blood clotting disorders? 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

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 malformation. Do you have wound healing problems? No;Yes No;Yes Alphanumeric Adult;Pediatric Supplemental 1.00 2016-06-02 14:15:30.0 Self - Report Testing (On Intake) Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C22746 Urethral stricture prostate problem diagnosis ever indicator UrthrlStrctrPrstPblmDgnsEvrInd Indicator of whether the patient/participant has ever been diagnosed with a urethral stricture or prostate problem. Indicator of whether the patient/participant has ever been diagnosed with a urethral stricture or prostate problem. Have you ever been diagnosed with a urethral stricture or prostate 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

C22714 Vision doubled indicator VisionDoubledInd Indicator of whether the patient/participant has double vision. Indicator of whether the patient/participant has double vision. Do you have double 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

C22725 Vocal hoarseness increase indicator VocalHoarsenessIncreaseInd Indicator of whether the patient/participant has experienced an increase in vocal hoarseness. Indicator of whether the patient/participant has experienced an increase in vocal hoarseness. Is your voice changing, becoming hoarse? 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

C22757 Short-term memory loss indicator ShortTermMemoryLossInd Indicator of whether the patient/participant is experiencing a loss of short-term memory. Indicator of whether the patient/participant is experiencing a loss of short-term memory. Do you suffer from short-term memory loss? 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

C22736 Extremity weakness indicator ExtremityWeaknessInd Indicator of whether the patient/participant has experienced weakness of his or her extremities. Indicator of whether the patient/participant has experienced weakness of his or her extremities. Do you have weakness 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

C22768 Irregular menstrual period indicator IrreglrMenstrlPeriodInd Indicator of whether the patient/participant has irregular menstrual periods. Indicator of whether the patient/participant has irregular menstrual periods. Women: Do you have irregular periods? 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

C21873 Medical history hearing deficit indicator MedHistHeaDefInd The indicator related to personal medical history of hearing deficit or use of hearing aid. The indicator related to personal medical history of hearing deficit or use of hearing aid. Do you have decreased hearing? No;Yes No;Yes Alphanumeric Adult;Pediatric Supplemental 1.00 2016-06-06 10:55:07.0 Self - Report Testing (On Intake) Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C22747 Current diarrhea indicator CurrentDiarrheaInd Indicator of whether the patient/participant currently experiences diarrhea. Indicator of whether the patient/participant currently experiences diarrhea. Do you suffer from diarrhea? 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

C22715 Visual field reduced look straight ahead indicator VisFldReducLookStrghtAhdInd Indicator of whether the patient/participant's visual field is reduced or missing a portion when looking straight ahead with either or both eyes. Indicator of whether the patient/participant's visual field is reduced or missing a portion when looking straight ahead with either or both eyes. Are you missing a portion of your visual field when looking straight ahead (Field Cuts) with either or both 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

C22726 Palpitations indicator PalpitationsInd Indicator of whether the patient/participant has experienced palpitations. Indicator of whether the patient/participant has experienced palpitations. Do you have palpitations? 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

C22758 Long-term memory loss indicator LongTermMemoryLossInd Indicator of whether the patient/participant is experiencing a decline in long-term memory. Indicator of whether the patient/participant is experiencing a decline in long-term memory. Do you suffer from long-term memory loss? 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

C22737 Muscle tone loss indicator MuscleToneLossInd Indicator of whether the patient/participant has experienced a loss of muscle tone. Indicator of whether the patient/participant has experienced a loss of muscle tone. Do you have loss of muscle tone? 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

C22769 Unexpected breast milk production indicator UnexpectBrstMlkProdInd Indicator of whether the patient/participant is experiencing unexpected breast milk production. Indicator of whether the patient/participant is experiencing unexpected breast milk production. Women: Do you have unexpected milk production at the breast? 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

C22195 Base head pressure indicator BasHdPrsInd The indicator related to pressure at the base of head. The indicator related to pressure at the base of head. Do you have pressure at the base of your head? Yes;No Yes;No Alphanumeric Adult;Pediatric Core 1.00 2016-06-08 13:20:31.0 Self - Report Testing (On Intake) Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C22748 Occasional bowel incontinence current indicator OccasnlBowlIncontncCurrInd Indicator of whether the patient/participant currently experiences occasional bowel incontinence. Indicator of whether the patient/participant currently experiences occasional bowel incontinence. Have you had occasional incontinence for stools (fecal soiling)? 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

C22716 Ear pressure indicator EarPressureInd Indicator of whether the patient/participant has pressure in his or her ears. Indicator of whether the patient/participant has pressure in his or her ears. Do you have pressure 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

C22727 Breath shortness indicator BreathShortnessInd Indicator of whether the patient/participant has experienced shortness of breath. Indicator of whether the patient/participant has experienced shortness of breath. Do you ever have shortness of breath? 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

C22759 Indecisiveness indicator IndecisivenessInd Indicator of whether the patient/participant is experiencing or exhibits difficulty making decisions. Indicator of whether the patient/participant is experiencing or exhibits difficulty making decisions. Do you have difficulty making decisions? 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

C22738 Precision grip difficulty indicator PrecisionGripDifficultyInd Indicator of whether the patient/participant has experienced difficulty with his or her precision grip. Indicator of whether the patient/participant has experienced difficulty with his or her precision grip. Do you have difficulty picking up small objects with your fingers? 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

C22770 Need urinate multiple times while sleep indicator NdUrinatMultplTimeWhilSlpInd Indicator of whether the patient/participant experiences the need to urinate more than once while sleeping. Indicator of whether the patient/participant experiences the need to urinate more than once while sleeping. Do you awaken from sleep two or more times 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

C22198 Behind eye pain radiate indicator BhndEyePnRadInd The indicator related to pain radiating behind your eyes. The indicator related to pain radiating behind your eyes. Does your pain radiate behind your eyes? Yes;No Yes;No Alphanumeric Adult;Pediatric Supplemental-Highly Recommended 1.00 2016-06-08 13:28:30.0 Self - Report Testing (On Intake) Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C22749 Irritable bowel syndrome diagnosis ever indicator IrritblBowelSyndrmDiagnsEvrInd Indicator of whether the patient/participant has ever been diagnosed with Irritable Bowel Syndrome (IBS). Indicator of whether the patient/participant has ever been diagnosed with Irritable Bowel Syndrome (IBS). Have you ever been diagnosed with irritable bowel syndrome (IBS)? 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

C22717 Stand unsteady indicator StandUnsteadyInd Indicator of whether the patient/participant feels unsteady when standing. Indicator of whether the patient/participant feels unsteady when standing. Do you have feelings of unsteadiness when standing? 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

C22728 Frequent nausea indicator FrequentNauseaInd Indicator of whether the patient/participant has experienced frequent nausea. Indicator of whether the patient/participant has experienced frequent nausea. 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

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 words. 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

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

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 extremities. 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

C22771 Snoring indicator SnoringInd Indicator of whether the patient/participant snores during sleep. Indicator of whether the patient/participant snores during sleep. 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

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 shoulders. 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

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 sensitivity. 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

C22718 Walk unsteady indicator WalkUnsteadyInd Indicator of whether the patient/participant feels unsteady when walking. Indicator of whether the patient/participant feels unsteady when walking. 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

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 touch. 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

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 irritability. 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

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 urine. 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

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 urinate. 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

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 disorder. 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

CSV