CDE Detailed Report

Disease: Chiari I Malformation
Subdomain Name: Classification
CRF: Chiari I Malformation Presentation Exam

Displaying 1 - 50 of 63
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
C22258 Reflex deep tendon reflex triceps response score ReflexDeepTendTricpRespnsScore The response score related to deep tendon reflex testing of triceps (radial:c7-8) The response score related to deep tendon reflex testing of triceps (radial:c7-8 Tricep (Radial: C7-C8) 2+;3+;4+;1+;0 brisk response, normal;very brisk response, may or may not be normal;a tap elicits a repeating reflex (clonus), always abnormal;slight but present response, may or may not be normal;no response, always abnormal Alphanumeric Adult;Pediatric Supplemental 1.00 2016-06-08 13:39:44.0 Chiari I Malformation Presentation Exam Classification Disease/Injury Related Events

Single Pre-Defined Value Selected

C22034 Motor strength testing right wrist extension scale MotStrgthTestRtWristExtScale The amount of movement in the extension of the right wrist muscles The amount of movement in the extension of the right wrist muscle Wrist Ext Right 0;1;2;3;4;5 No movement is observed;Only a trace or flicker of movement is seen or felt in the muscle or fasciculations are observed in the muscle;Muscle can move only if the resistance of gravity is removed. As an example, the elbow can only be fully flexed only if the arm is maintained in a horizontal plane;Muscle strength is further reduced such that the joint can be moved only against gravity with the examiner's resistance completely removed. As an example, the elbow can be moved from full extension to full flexion starting with the arm hanging down at the side.;Muscle strength is reduced but muscle contraction can still move joint against resistance.;Muscle contracts normally against full resistance. Numeric Values Adult;Pediatric Exploratory 1.00 2016-06-07 10:50:45.0 Chiari I Malformation Presentation Exam Classification Disease/Injury Related Events

Single Pre-Defined Value Selected

C22047 Motor strength testing right ankle df scale MotStrTstRtAnkDFScale The amount of movement in the right ankle df The amount of movement in the right ankle d Ankle DF Right 0;1;2;3;4;5 No movement is observed;Only a trace or flicker of movement is seen or felt in the muscle or fasciculations are observed in the muscle;Muscle can move only if the resistance of gravity is removed. As an example, the elbow can only be fully flexed only if the arm is maintained in a horizontal plane;Muscle strength is further reduced such that the joint can be moved only against gravity with the examiner's resistance completely removed. As an example, the elbow can be moved from full extension to full flexion starting with the arm hanging down at the side.;Muscle strength is reduced but muscle contraction can still move joint against resistance.;Muscle contracts normally against full resistance. Numeric Values Adult;Pediatric Exploratory 1.00 2016-06-07 11:23:43.0 Chiari I Malformation Presentation Exam Classification Disease/Injury Related Events

Single Pre-Defined Value Selected

C21725 Strabismus assessment indicator StrabismusAssmtInd The indicator related to strabismus which is a condition that interferes with binocular vision because it prevents a person from directing both eyes simultaneously towards the same fixation point The indicator related to strabismus which is a condition that interferes with binocular vision because it prevents a person from directing both eyes simultaneously towards the same fixation poin Strabismus No;Yes No;Yes Alphanumeric Adult;Pediatric Supplemental 1.00 2016-05-31 16:45:02.0 Chiari I Malformation Presentation Exam Classification Disease/Injury Related Events

Single Pre-Defined Value Selected

C22101 Modified Ashworth Scale - Limb tone testing left wrist scale ModAshworthScaleLmbTnLtWstScl The scale of limb tone testing for the left wrist, as part of the Modified Ashworth Scale The scale of limb tone testing for the left wrist, as part of the Modified Ashworth Scal Wrist Left 0;1;2;4;3 No increase in muscle tone;Slight increase in muscle tone, manifested by a catch and release or by minimal resistance at the end of the range of motion when the affected part(s) is moved in flexion or extension;More marked increase in muscle tone through most of the ROM, but affected part(s) easily moved;Affected part(s) rigid in flexion or extension;Considerable increase in muscle tone, passive movement difficult Alphanumeric Adult;Pediatric Exploratory 1.00 2016-06-07 16:53:49.0 Chiari I Malformation Presentation Exam Classification Disease/Injury Related Events

Single Pre-Defined Value Selected

C22260 Reflex deep tendon reflex brachioradialis response score ReflexDeepTendBrachRespnsScore The response score related to deep tendon reflex testing of brachioradialis (radial:c5-6) The response score related to deep tendon reflex testing of brachioradialis (radial:c5-6 Brachioradialis (Radial: C5-C6) 2+;3+;4+;1+;0 brisk response, normal;very brisk response, may or may not be normal;a tap elicits a repeating reflex (clonus), always abnormal;slight but present response, may or may not be normal;no response, always abnormal Alphanumeric Adult;Pediatric Supplemental 1.00 2016-06-08 13:39:44.0 Chiari I Malformation Presentation Exam Classification Disease/Injury Related Events

Single Pre-Defined Value Selected

C22035 Motor strength testing left wrist extension scale MotStrgthTestLtWristExtScale The amount of movement in the extension of the left wrist muscles The amount of movement in the extension of the left wrist muscle Wrist Ext Left 0;1;2;3;4;5 No movement is observed;Only a trace or flicker of movement is seen or felt in the muscle or fasciculations are observed in the muscle;Muscle can move only if the resistance of gravity is removed. As an example, the elbow can only be fully flexed only if the arm is maintained in a horizontal plane;Muscle strength is further reduced such that the joint can be moved only against gravity with the examiner's resistance completely removed. As an example, the elbow can be moved from full extension to full flexion starting with the arm hanging down at the side.;Muscle strength is reduced but muscle contraction can still move joint against resistance.;Muscle contracts normally against full resistance. Numeric Values Adult;Pediatric Exploratory 1.00 2016-06-07 10:50:45.0 Chiari I Malformation Presentation Exam Classification Disease/Injury Related Events

Single Pre-Defined Value Selected

C10709 Walking assistive device indicator WalkAssistiveDeviceInd Indicator of whether the participant/subject uses an assistive device for walking Indicator of whether the participant/subject uses an assistive device for walking Use of assistive device required? Yes;No Yes;No Alphanumeric Adult;Pediatric Supplemental 3.00 2013-07-11 15:03:49.2 Chiari I Malformation Presentation Exam Classification Disease/Injury Related Events

Single Pre-Defined Value Selected

C22048 Motor strength testing left ankle df scale MotStrTstLtAnkDFScale The amount of movement in the left ankle df The amount of movement in the left ankle d Ankle DF Left 0;1;2;3;4;5 No movement is observed;Only a trace or flicker of movement is seen or felt in the muscle or fasciculations are observed in the muscle;Muscle can move only if the resistance of gravity is removed. As an example, the elbow can only be fully flexed only if the arm is maintained in a horizontal plane;Muscle strength is further reduced such that the joint can be moved only against gravity with the examiner's resistance completely removed. As an example, the elbow can be moved from full extension to full flexion starting with the arm hanging down at the side.;Muscle strength is reduced but muscle contraction can still move joint against resistance.;Muscle contracts normally against full resistance. Numeric Values Adult;Pediatric Exploratory 1.00 2016-06-07 11:28:40.0 Chiari I Malformation Presentation Exam Classification Disease/Injury Related Events

Single Pre-Defined Value Selected

C22025 Motor strength testing iliopsoas right scale MotStrTstIllRScale The amount of movement in the right iliopsoas The amount of movement in the right iliopsoa Iliopsoas Right 0;1;2;3;4;5 No movement is observed;Only a trace or flicker of movement is seen or felt in the muscle or fasciculations are observed in the muscle;Muscle can move only if the resistance of gravity is removed. As an example, the elbow can only be fully flexed only if the arm is maintained in a horizontal plane;Muscle strength is further reduced such that the joint can be moved only against gravity with the examiner's resistance completely removed. As an example, the elbow can be moved from full extension to full flexion starting with the arm hanging down at the side.;Muscle strength is reduced but muscle contraction can still move joint against resistance.;Muscle contracts normally against full resistance. Numeric Values Adult;Pediatric Exploratory 1.00 2016-06-07 10:50:21.0 Chiari I Malformation Presentation Exam Classification Disease/Injury Related Events

Single Pre-Defined Value Selected

C22102 Modified Ashworth Scale - Limb tone testing right wrist scale ModAshworthScaleLmbTnRtWstScl The scale of limb tone testing for the right wrist, as part of the Modified Ashworth Scale The scale of limb tone testing for the right wrist, as part of the Modified Ashworth Scal Wrist Right 0;1;2;4;3 No increase in muscle tone;Slight increase in muscle tone, manifested by a catch and release or by minimal resistance at the end of the range of motion when the affected part(s) is moved in flexion or extension;More marked increase in muscle tone through most of the ROM, but affected part(s) easily moved;Affected part(s) rigid in flexion or extension;Considerable increase in muscle tone, passive movement difficult Alphanumeric Adult;Pediatric Exploratory 1.00 2016-06-07 16:53:49.0 Chiari I Malformation Presentation Exam Classification Disease/Injury Related Events

Single Pre-Defined Value Selected

C22262 Reflex deep tendon reflex finger flexor response score ReflexDeepTendFinFxRespnsScore The response score related to deep tendon reflex testing of finger flexor (median/ulnar:c6-t1) The response score related to deep tendon reflex testing of finger flexor (median/ulnar:c6-t1 Finger Flexor (Median/Ulnar: C6-T1) 2+;3+;4+;1+;0 brisk response, normal;very brisk response, may or may not be normal;a tap elicits a repeating reflex (clonus), always abnormal;slight but present response, may or may not be normal;no response, always abnormal Alphanumeric Adult;Pediatric Supplemental 1.00 2016-06-08 13:39:44.0 Chiari I Malformation Presentation Exam Classification Disease/Injury Related Events

Single Pre-Defined Value Selected

C22036 Motor strength testing right wrist flexion scale MotStrgthTestRtWristFlexScale The amount of movement in the flexion of the right wrist muscles The amount of movement in the flexion of the right wrist muscle Wrist Flx Right 0;1;2;3;4;5 No movement is observed;Only a trace or flicker of movement is seen or felt in the muscle or fasciculations are observed in the muscle;Muscle can move only if the resistance of gravity is removed. As an example, the elbow can only be fully flexed only if the arm is maintained in a horizontal plane;Muscle strength is further reduced such that the joint can be moved only against gravity with the examiner's resistance completely removed. As an example, the elbow can be moved from full extension to full flexion starting with the arm hanging down at the side.;Muscle strength is reduced but muscle contraction can still move joint against resistance.;Muscle contracts normally against full resistance. Numeric Values Adult;Pediatric Exploratory 1.00 2016-06-07 10:50:45.0 Chiari I Malformation Presentation Exam Classification Disease/Injury Related Events

Single Pre-Defined Value Selected

C17402 Site name SiteName The name of the site for the study The name of the site for the study Site Name: Alphanumeric Adult;Pediatric Supplemental 3.00 2013-06-21 00:00:00.0 Chiari I Malformation Presentation Exam Classification Disease/Injury Related Events 255

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C22049 Motor strength testing right ankle pf scale MotStrTstRtAnkPFScale The amount of movement in the right ankle pf The amount of movement in the right ankle p Ankle PF Right 0;1;2;3;4;5 No movement is observed;Only a trace or flicker of movement is seen or felt in the muscle or fasciculations are observed in the muscle;Muscle can move only if the resistance of gravity is removed. As an example, the elbow can only be fully flexed only if the arm is maintained in a horizontal plane;Muscle strength is further reduced such that the joint can be moved only against gravity with the examiner's resistance completely removed. As an example, the elbow can be moved from full extension to full flexion starting with the arm hanging down at the side.;Muscle strength is reduced but muscle contraction can still move joint against resistance.;Muscle contracts normally against full resistance. Numeric Values Adult;Pediatric Exploratory 1.00 2016-06-07 11:31:01.0 Chiari I Malformation Presentation Exam Classification Disease/Injury Related Events

Single Pre-Defined Value Selected

C22026 Motor strength testing right deltoid scale MotStrgthTestRtDeltScale The amount of movement in the right deltoid muscle The amount of movement in the right deltoid muscl Deltoid Right 0;1;2;3;4;5 No movement is observed;Only a trace or flicker of movement is seen or felt in the muscle or fasciculations are observed in the muscle;Muscle can move only if the resistance of gravity is removed. As an example, the elbow can only be fully flexed only if the arm is maintained in a horizontal plane;Muscle strength is further reduced such that the joint can be moved only against gravity with the examiner's resistance completely removed. As an example, the elbow can be moved from full extension to full flexion starting with the arm hanging down at the side.;Muscle strength is reduced but muscle contraction can still move joint against resistance.;Muscle contracts normally against full resistance. Numeric Values Adult;Pediatric Exploratory 1.00 2016-06-07 10:50:45.0 Chiari I Malformation Presentation Exam Classification Disease/Injury Related Events

Single Pre-Defined Value Selected

C22103 Modified Ashworth Scale - Limb tone testing left hip scale ModAshworthScaleLmbTnLtHipScl The scale of limb tone testing for the left hip, as part of the Modified Ashworth Scale The scale of limb tone testing for the left hip, as part of the Modified Ashworth Scal Hip Left 0;1;2;4;3 No increase in muscle tone;Slight increase in muscle tone, manifested by a catch and release or by minimal resistance at the end of the range of motion when the affected part(s) is moved in flexion or extension;More marked increase in muscle tone through most of the ROM, but affected part(s) easily moved;Affected part(s) rigid in flexion or extension;Considerable increase in muscle tone, passive movement difficult Alphanumeric Adult;Pediatric Exploratory 1.00 2016-06-07 16:53:49.0 Chiari I Malformation Presentation Exam Classification Disease/Injury Related Events

Single Pre-Defined Value Selected

C22264 Reflex deep tendon reflex patellar response score ReflexDeepTendPatelRespnsScore The response score related to deep tendon reflex testing of patellar (femoral:l2-4) The response score related to deep tendon reflex testing of patellar (femoral:l2-4 Patellar (Femoral: L2-L4) 2+;3+;4+;1+;0 brisk response, normal;very brisk response, may or may not be normal;a tap elicits a repeating reflex (clonus), always abnormal;slight but present response, may or may not be normal;no response, always abnormal Alphanumeric Adult;Pediatric Supplemental 1.00 2016-06-08 13:39:44.0 Chiari I Malformation Presentation Exam Classification Disease/Injury Related Events

Single Pre-Defined Value Selected

C22037 Motor strength testing gluteus left scale MotStrTstGlutLftScale The amount of movement in the left gluteus The amount of movement in the left gluteu Gluteus Left 0;1;2;3;4;5 No movement is observed;Only a trace or flicker of movement is seen or felt in the muscle or fasciculations are observed in the muscle;Muscle can move only if the resistance of gravity is removed. As an example, the elbow can only be fully flexed only if the arm is maintained in a horizontal plane;Muscle strength is further reduced such that the joint can be moved only against gravity with the examiner's resistance completely removed. As an example, the elbow can be moved from full extension to full flexion starting with the arm hanging down at the side.;Muscle strength is reduced but muscle contraction can still move joint against resistance.;Muscle contracts normally against full resistance. Numeric Values Adult;Pediatric Exploratory 1.00 2016-06-07 11:07:52.0 Chiari I Malformation Presentation Exam Classification Disease/Injury Related Events

Single Pre-Defined Value Selected

C18495 Protocol ID number ProtIDNum The designated number used to identify the protocol or study to which participants/subjects will be enrolled The designated number used to identify the protocol or study to which participants/subjects will be enrolle Study Name/ID: Alphanumeric Adult;Pediatric Supplemental 3.00 2013-07-18 16:35:19.49 Chiari I Malformation Presentation Exam Classification Disease/Injury Related Events 255

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C22050 Motor strength testing left ankle pf scale MotStrTstLfAnkPFScale The amount of movement in the left ankle pf The amount of movement in the left ankle p Ankle PF Left 0;1;2;3;4;5 No movement is observed;Only a trace or flicker of movement is seen or felt in the muscle or fasciculations are observed in the muscle;Muscle can move only if the resistance of gravity is removed. As an example, the elbow can only be fully flexed only if the arm is maintained in a horizontal plane;Muscle strength is further reduced such that the joint can be moved only against gravity with the examiner's resistance completely removed. As an example, the elbow can be moved from full extension to full flexion starting with the arm hanging down at the side.;Muscle strength is reduced but muscle contraction can still move joint against resistance.;Muscle contracts normally against full resistance. Numeric Values Adult;Pediatric Exploratory 1.00 2016-06-07 11:33:19.0 Chiari I Malformation Presentation Exam Classification Disease/Injury Related Events

Single Pre-Defined Value Selected

C22027 Motor strength testing left deltoid scale MotStrgthTestLtDeltScale The amount of movement in the left deltoid muscle The amount of movement in the left deltoid muscl Deltoid Left 0;1;2;3;4;5 No movement is observed;Only a trace or flicker of movement is seen or felt in the muscle or fasciculations are observed in the muscle;Muscle can move only if the resistance of gravity is removed. As an example, the elbow can only be fully flexed only if the arm is maintained in a horizontal plane;Muscle strength is further reduced such that the joint can be moved only against gravity with the examiner's resistance completely removed. As an example, the elbow can be moved from full extension to full flexion starting with the arm hanging down at the side.;Muscle strength is reduced but muscle contraction can still move joint against resistance.;Muscle contracts normally against full resistance. Numeric Values Adult;Pediatric Exploratory 1.00 2016-06-07 10:50:45.0 Chiari I Malformation Presentation Exam Classification Disease/Injury Related Events

Single Pre-Defined Value Selected

C22104 Modified Ashworth Scale - Limb tone testing right knee scale ModAshworthScaleLmbTnRtKneScl The scale of limb tone testing for the right knee, as part of the Modified Ashworth Scale The scale of limb tone testing for the right knee, as part of the Modified Ashworth Scal Knee Right 0;1;2;4;3 No increase in muscle tone;Slight increase in muscle tone, manifested by a catch and release or by minimal resistance at the end of the range of motion when the affected part(s) is moved in flexion or extension;More marked increase in muscle tone through most of the ROM, but affected part(s) easily moved;Affected part(s) rigid in flexion or extension;Considerable increase in muscle tone, passive movement difficult Alphanumeric Adult;Pediatric Exploratory 1.00 2016-06-07 16:53:49.0 Chiari I Malformation Presentation Exam Classification Disease/Injury Related Events

Single Pre-Defined Value Selected

C22270 Reflex deep tendon reflex adductor response score ReflexDeepTendAductRespnsScore The response score related to deep tendon reflex testing of adductor (obturator:l2-4) The response score related to deep tendon reflex testing of adductor (obturator:l2-4 Adductor (Obturator: L2-L4) 2+;3+;4+;1+;0 brisk response, normal;very brisk response, may or may not be normal;a tap elicits a repeating reflex (clonus), always abnormal;slight but present response, may or may not be normal;no response, always abnormal Alphanumeric Adult;Pediatric Supplemental 1.00 2016-06-08 13:39:44.0 Chiari I Malformation Presentation Exam Classification Disease/Injury Related Events

Single Pre-Defined Value Selected

C22038 Motor strength testing left wrist flexion scale MotStrgthTestLtWristFlexScale The amount of movement in the flexion of the left wrist muscles The amount of movement in the flexion of the left wrist muscle Wrist Flx Left 0;1;2;3;4;5 No movement is observed;Only a trace or flicker of movement is seen or felt in the muscle or fasciculations are observed in the muscle;Muscle can move only if the resistance of gravity is removed. As an example, the elbow can only be fully flexed only if the arm is maintained in a horizontal plane;Muscle strength is further reduced such that the joint can be moved only against gravity with the examiner's resistance completely removed. As an example, the elbow can be moved from full extension to full flexion starting with the arm hanging down at the side.;Muscle strength is reduced but muscle contraction can still move joint against resistance.;Muscle contracts normally against full resistance. Numeric Values Adult;Pediatric Exploratory 1.00 2016-06-07 10:50:45.0 Chiari I Malformation Presentation Exam Classification Disease/Injury Related Events

Single Pre-Defined Value Selected

C19247 Subject ID SubIDNam Subject identification ID Subject identification ID Subject ID: Alphanumeric Adult;Pediatric Supplemental 1.00 2014-06-05 13:10:49.0 Chiari I Malformation Presentation Exam Classification Disease/Injury Related Events 255

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C22051 Motor strength testing right ehl scale MotStrTstRtEHLScale The amount of movement in the right ehl The amount of movement in the right eh EHL Right 0;1;2;3;4;5 No movement is observed;Only a trace or flicker of movement is seen or felt in the muscle or fasciculations are observed in the muscle;Muscle can move only if the resistance of gravity is removed. As an example, the elbow can only be fully flexed only if the arm is maintained in a horizontal plane;Muscle strength is further reduced such that the joint can be moved only against gravity with the examiner's resistance completely removed. As an example, the elbow can be moved from full extension to full flexion starting with the arm hanging down at the side.;Muscle strength is reduced but muscle contraction can still move joint against resistance.;Muscle contracts normally against full resistance. Numeric Values Adult;Pediatric Exploratory 1.00 2016-06-07 11:35:41.0 Chiari I Malformation Presentation Exam Classification Disease/Injury Related Events

Single Pre-Defined Value Selected

C22028 Motor strength testing right bicep scale MotStrgthTestRtBicScale The amount of movement in the right bicep muscle The amount of movement in the right bicep muscl Bicep Right 0;1;2;3;4;5 No movement is observed;Only a trace or flicker of movement is seen or felt in the muscle or fasciculations are observed in the muscle;Muscle can move only if the resistance of gravity is removed. As an example, the elbow can only be fully flexed only if the arm is maintained in a horizontal plane;Muscle strength is further reduced such that the joint can be moved only against gravity with the examiner's resistance completely removed. As an example, the elbow can be moved from full extension to full flexion starting with the arm hanging down at the side.;Muscle strength is reduced but muscle contraction can still move joint against resistance.;Muscle contracts normally against full resistance. Numeric Values Adult;Pediatric Exploratory 1.00 2016-06-07 10:50:45.0 Chiari I Malformation Presentation Exam Classification Disease/Injury Related Events

Single Pre-Defined Value Selected

C22105 Modified Ashworth Scale - Limb tone testing left knee scale ModAshworthScaleLmbTnLtKneScl The scale of limb tone testing for the left knee, as part of the Modified Ashworth Scale The scale of limb tone testing for the left knee, as part of the Modified Ashworth Scal Knee Left 0;1;2;4;3 No increase in muscle tone;Slight increase in muscle tone, manifested by a catch and release or by minimal resistance at the end of the range of motion when the affected part(s) is moved in flexion or extension;More marked increase in muscle tone through most of the ROM, but affected part(s) easily moved;Affected part(s) rigid in flexion or extension;Considerable increase in muscle tone, passive movement difficult Alphanumeric Adult;Pediatric Exploratory 1.00 2016-06-07 16:53:49.0 Chiari I Malformation Presentation Exam Classification Disease/Injury Related Events

Single Pre-Defined Value Selected

C22272 Reflex deep tendon reflex achilles response score ReflexDeepTendAchilRespnsScore The response score related to deep tendon reflex testing of achilles (tibial:s1) The response score related to deep tendon reflex testing of achilles (tibial:s1 Achilles (Tibial: S1) 2+;3+;4+;1+;0 brisk response, normal;very brisk response, may or may not be normal;a tap elicits a repeating reflex (clonus), always abnormal;slight but present response, may or may not be normal;no response, always abnormal Alphanumeric Adult;Pediatric Supplemental 1.00 2016-06-08 13:39:44.0 Chiari I Malformation Presentation Exam Classification Disease/Injury Related Events

Single Pre-Defined Value Selected

C22039 Motor strength testing right quadricep scale MotStrTstRQuadScale The amount of movement in the right quadricep The amount of movement in the right quadrice Quad Right 0;1;2;3;4;5 No movement is observed;Only a trace or flicker of movement is seen or felt in the muscle or fasciculations are observed in the muscle;Muscle can move only if the resistance of gravity is removed. As an example, the elbow can only be fully flexed only if the arm is maintained in a horizontal plane;Muscle strength is further reduced such that the joint can be moved only against gravity with the examiner's resistance completely removed. As an example, the elbow can be moved from full extension to full flexion starting with the arm hanging down at the side.;Muscle strength is reduced but muscle contraction can still move joint against resistance.;Muscle contracts normally against full resistance. Numeric Values Adult;Pediatric Exploratory 1.00 2016-06-07 11:12:37.0 Chiari I Malformation Presentation Exam Classification Disease/Injury Related Events

Single Pre-Defined Value Selected

C19256 Study protocol name StudyProtocolName Name of study protocol Name of study protocol Study Name Alphanumeric Adult;Pediatric Supplemental 1.00 2014-06-05 16:38:14.0 Chiari I Malformation Presentation Exam Classification Disease/Injury Related Events 4000

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C22052 Motor strength testing left ehl scale MotStrTstLtEHLScale The amount of movement in the left EHL The amount of movement in the left EH EHL Left 0;1;2;3;4;5 No movement is observed;Only a trace or flicker of movement is seen or felt in the muscle or fasciculations are observed in the muscle;Muscle can move only if the resistance of gravity is removed. As an example, the elbow can only be fully flexed only if the arm is maintained in a horizontal plane;Muscle strength is further reduced such that the joint can be moved only against gravity with the examiner's resistance completely removed. As an example, the elbow can be moved from full extension to full flexion starting with the arm hanging down at the side.;Muscle strength is reduced but muscle contraction can still move joint against resistance.;Muscle contracts normally against full resistance. Numeric Values Adult;Pediatric Exploratory 1.00 2016-06-07 11:39:32.0 Chiari I Malformation Presentation Exam Classification Disease/Injury Related Events

Single Pre-Defined Value Selected

C22029 Motor strength testing left bicep scale MotStrgthTestLtBicScale The amount of movement in the left bicep muscle The amount of movement in the left bicep muscl Bicep Left 0;1;2;3;4;5 No movement is observed;Only a trace or flicker of movement is seen or felt in the muscle or fasciculations are observed in the muscle;Muscle can move only if the resistance of gravity is removed. As an example, the elbow can only be fully flexed only if the arm is maintained in a horizontal plane;Muscle strength is further reduced such that the joint can be moved only against gravity with the examiner's resistance completely removed. As an example, the elbow can be moved from full extension to full flexion starting with the arm hanging down at the side.;Muscle strength is reduced but muscle contraction can still move joint against resistance.;Muscle contracts normally against full resistance. Numeric Values Adult;Pediatric Exploratory 1.00 2016-06-07 10:50:45.0 Chiari I Malformation Presentation Exam Classification Disease/Injury Related Events

Single Pre-Defined Value Selected

C22106 Modified Ashworth Scale - Limb tone testing right ankle scale ModAshworthScaleLmbTnRtAnkScl The scale of limb tone testing for the right ankle, as part of the Modified Ashworth Scale The scale of limb tone testing for the right ankle, as part of the Modified Ashworth Scal Right Ankle 0;1;2;4;3 No increase in muscle tone;Slight increase in muscle tone, manifested by a catch and release or by minimal resistance at the end of the range of motion when the affected part(s) is moved in flexion or extension;More marked increase in muscle tone through most of the ROM, but affected part(s) easily moved;Affected part(s) rigid in flexion or extension;Considerable increase in muscle tone, passive movement difficult Alphanumeric Adult;Pediatric Exploratory 1.00 2016-06-07 16:53:49.0 Chiari I Malformation Presentation Exam Classification Disease/Injury Related Events

Single Pre-Defined Value Selected

C22276 Reflex deep tendon reflex hamstring response score ReflexDeepTendHamstRespnsScore The response score related to deep tendon reflex testing of hamstring (sciatic/tibial:l4-s2) The response score related to deep tendon reflex testing of hamstring (sciatic/tibial:l4-s2 Hamstring (Sciatic/Tibial: L4-S2) 2+;3+;4+;1+;0 brisk response, normal;very brisk response, may or may not be normal;a tap elicits a repeating reflex (clonus), always abnormal;slight but present response, may or may not be normal;no response, always abnormal Alphanumeric Adult;Pediatric Supplemental 1.00 2016-06-08 13:39:44.0 Chiari I Malformation Presentation Exam Classification Disease/Injury Related Events

Single Pre-Defined Value Selected

C22040 Motor strength testing intrinsic right hand scale MotStrgthTestIntrRtHandSca The amount of movement in the intrinsic muscles of the right hand The amount of movement in the intrinsic muscles of the right han Intr. Hand Right 0;1;2;3;4;5 No movement is observed;Only a trace or flicker of movement is seen or felt in the muscle or fasciculations are observed in the muscle;Muscle can move only if the resistance of gravity is removed. As an example, the elbow can only be fully flexed only if the arm is maintained in a horizontal plane;Muscle strength is further reduced such that the joint can be moved only against gravity with the examiner's resistance completely removed. As an example, the elbow can be moved from full extension to full flexion starting with the arm hanging down at the side.;Muscle strength is reduced but muscle contraction can still move joint against resistance.;Muscle contracts normally against full resistance. Numeric Values Adult;Pediatric Exploratory 1.00 2016-06-07 11:15:31.0 Chiari I Malformation Presentation Exam Classification Disease/Injury Related Events

Single Pre-Defined Value Selected

C19500 Assessment performed date AssessmentPerformedDate The date of assessment of the examination being performed The date of assessment of the examination being performed Date Date or Date & Time Adult;Pediatric Supplemental 1.00 2014-06-18 08:10:12.0 Chiari I Malformation Presentation Exam Classification Disease/Injury Related Events

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C22058 Modified Ashworth Scale - Limb tone testing right shoulder scale ModAshworthScaleLmbTnRtShdScl The scale of limb tone testing for the right shoulder, as part of the Modified Ashworth Scale The scale of limb tone testing for the right shoulder, as part of the Modified Ashworth Scal Shoulder Right 0;1;2;4;3 No increase in muscle tone;Slight increase in muscle tone, manifested by a catch and release or by minimal resistance at the end of the range of motion when the affected part(s) is moved in flexion or extension;More marked increase in muscle tone through most of the ROM, but affected part(s) easily moved;Affected part(s) rigid in flexion or extension;Considerable increase in muscle tone, passive movement difficult Alphanumeric Adult;Pediatric Exploratory 1.00 2016-06-07 11:21:22.0 Chiari I Malformation Presentation Exam Classification Disease/Injury Related Events

Single Pre-Defined Value Selected

C22030 Motor strength testing left iliopsoas scale MotStrTstLfIlScale The amount of movement in the left iliopsoas The amount of movement in the left iliopsoa Iliopsoas Left 0;1;2;3;4;5 No movement is observed;Only a trace or flicker of movement is seen or felt in the muscle or fasciculations are observed in the muscle;Muscle can move only if the resistance of gravity is removed. As an example, the elbow can only be fully flexed only if the arm is maintained in a horizontal plane;Muscle strength is further reduced such that the joint can be moved only against gravity with the examiner's resistance completely removed. As an example, the elbow can be moved from full extension to full flexion starting with the arm hanging down at the side.;Muscle strength is reduced but muscle contraction can still move joint against resistance.;Muscle contracts normally against full resistance. Numeric Values Adult;Pediatric Exploratory 1.00 2016-06-07 11:00:42.0 Chiari I Malformation Presentation Exam Classification Disease/Injury Related Events

Single Pre-Defined Value Selected

C22107 Modified Ashworth Scale - Limb tone testing left ankle scale ModAshworthScaleLmbTnLtAnkScl The scale of limb tone testing for the left ankle, as part of the Modified Ashworth Scale The scale of limb tone testing for the left ankle, as part of the Modified Ashworth Scal Ankle Left 0;1;2;4;3 No increase in muscle tone;Slight increase in muscle tone, manifested by a catch and release or by minimal resistance at the end of the range of motion when the affected part(s) is moved in flexion or extension;More marked increase in muscle tone through most of the ROM, but affected part(s) easily moved;Affected part(s) rigid in flexion or extension;Considerable increase in muscle tone, passive movement difficult Alphanumeric Adult;Pediatric Exploratory 1.00 2016-06-07 16:53:49.0 Chiari I Malformation Presentation Exam Classification Disease/Injury Related Events

Single Pre-Defined Value Selected

C22298 Reflex pyramidal frontal release sign glabellar status RflxPyrmdFrntRelsSinGlabStat The response status as related to pyramidal/frontal release sign glabellar reflex The response status as related to pyramidal/frontal release sign glabellar refle Glabellar 0;1 No Response;Response Alphanumeric Adult;Pediatric Supplemental 1.00 2016-06-09 12:54:58.0 Chiari I Malformation Presentation Exam Classification Disease/Injury Related Events

Single Pre-Defined Value Selected

C22041 Motor strength testing left quadricep scale MotStrTstLQuadScale The amount of movement in the left quadricep The amount of movement in the left quadrice Quad Left 0;1;2;3;4;5 No movement is observed;Only a trace or flicker of movement is seen or felt in the muscle or fasciculations are observed in the muscle;Muscle can move only if the resistance of gravity is removed. As an example, the elbow can only be fully flexed only if the arm is maintained in a horizontal plane;Muscle strength is further reduced such that the joint can be moved only against gravity with the examiner's resistance completely removed. As an example, the elbow can be moved from full extension to full flexion starting with the arm hanging down at the side.;Muscle strength is reduced but muscle contraction can still move joint against resistance.;Muscle contracts normally against full resistance. Numeric Values Adult;Pediatric Exploratory 1.00 2016-06-07 11:15:05.0 Chiari I Malformation Presentation Exam Classification Disease/Injury Related Events

Single Pre-Defined Value Selected

C21714 Gag reflect status GagReflexStatus Status as related to gag reflex Status as related to gag refle Gag Reflex Absent;Present Absent;Present Alphanumeric Adult;Pediatric Supplemental 1.00 2016-05-31 09:26:26.0 Chiari I Malformation Presentation Exam Classification Disease/Injury Related Events

Single Pre-Defined Value Selected

C22062 Modified Ashworth Scale - Limb tone testing left shoulder scale ModAshworthScaleLmbTnLtShdScl The scale of limb tone testing for the left shoulder, as part of the Modified Ashworth Scale The scale of limb tone testing for the left shoulder, as part of the Modified Ashworth Scal Shoulder Left 0;1;2;4;3 No increase in muscle tone;Slight increase in muscle tone, manifested by a catch and release or by minimal resistance at the end of the range of motion when the affected part(s) is moved in flexion or extension;More marked increase in muscle tone through most of the ROM, but affected part(s) easily moved;Affected part(s) rigid in flexion or extension;Considerable increase in muscle tone, passive movement difficult Alphanumeric Adult;Pediatric Exploratory 1.00 2016-06-07 15:07:53.0 Chiari I Malformation Presentation Exam Classification Disease/Injury Related Events

Single Pre-Defined Value Selected

C22031 Motor strength testing right triceps scale MotStrgthTestRtTriScale The amount of movement in the right triceps muscle The amount of movement in the right triceps muscl Tricep Right 0;1;2;3;4;5 No movement is observed;Only a trace or flicker of movement is seen or felt in the muscle or fasciculations are observed in the muscle;Muscle can move only if the resistance of gravity is removed. As an example, the elbow can only be fully flexed only if the arm is maintained in a horizontal plane;Muscle strength is further reduced such that the joint can be moved only against gravity with the examiner's resistance completely removed. As an example, the elbow can be moved from full extension to full flexion starting with the arm hanging down at the side.;Muscle strength is reduced but muscle contraction can still move joint against resistance.;Muscle contracts normally against full resistance. Numeric Values Adult;Pediatric Exploratory 1.00 2016-06-07 10:50:45.0 Chiari I Malformation Presentation Exam Classification Disease/Injury Related Events

Single Pre-Defined Value Selected

C22213 Reflex deep tendon reflex jaw response score ReflexDeepTendJawRespnsScore The response score related to deep tendon reflex testing of jaw (trigeminal: cn v) The response score related to deep tendon reflex testing of jaw (trigeminal: cn v Jaw (Trigeminal: CN V) 2+;3+;4+;1+;0 brisk response, normal;very brisk response, may or may not be normal;a tap elicits a repeating reflex (clonus), always abnormal;slight but present response, may or may not be normal;no response, always abnormal Alphanumeric Adult;Pediatric Supplemental 1.00 2016-06-08 13:39:44.0 Chiari I Malformation Presentation Exam Classification Disease/Injury Related Events

Single Pre-Defined Value Selected

C22301 Reflex pyramidal frontal release sign snout status RflxPyrmdFrntRelsSinSnoutStat The response status as related to pyramidal/frontal release sign snout reflex The response status as related to pyramidal/frontal release sign snout refle Snout 0;1 No Response;Response Alphanumeric Adult;Pediatric Supplemental 1.00 2016-06-09 12:54:58.0 Chiari I Malformation Presentation Exam Classification Disease/Injury Related Events

Single Pre-Defined Value Selected

C22042 Motor strength testing intrinsic left hand scale MotStrgthTestIntrLtHandScale The amount of movement in the intrinsic muscles of the left hand The amount of movement in the intrinsic muscles of the left han Intr. Hand Left 0;1;2;3;4;5 No movement is observed;Only a trace or flicker of movement is seen or felt in the muscle or fasciculations are observed in the muscle;Muscle can move only if the resistance of gravity is removed. As an example, the elbow can only be fully flexed only if the arm is maintained in a horizontal plane;Muscle strength is further reduced such that the joint can be moved only against gravity with the examiner's resistance completely removed. As an example, the elbow can be moved from full extension to full flexion starting with the arm hanging down at the side.;Muscle strength is reduced but muscle contraction can still move joint against resistance.;Muscle contracts normally against full resistance. Numeric Values Adult;Pediatric Exploratory 1.00 2016-06-07 11:15:31.0 Chiari I Malformation Presentation Exam Classification Disease/Injury Related Events

Single Pre-Defined Value Selected

C21715 Tongue function deviation assessment status TongueFunctDeviationAssmtStat Status as related to tongue function deviation Status as related to tongue function deviatio Tongue Deviation Right;Left;None Right;Left;None Alphanumeric Adult;Pediatric Supplemental 1.00 2016-05-31 09:53:22.0 Chiari I Malformation Presentation Exam Classification Disease/Injury Related Events

Multiple Pre-Defined Values Selected

CSV