CDE Detailed Report
Disease: Chiari I Malformation
Subdomain Name: Physical/Neurological Examination
CRF: Self - Report Testing (On Intake)
Displaying 51 - 78 of 78
Subdomain Name: Physical/Neurological Examination
CRF: Self - Report Testing (On Intake)
Displaying 51 - 78 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 |
