CDE Detailed Report

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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
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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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

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

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

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

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

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

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

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

C22071 Modified Ashworth Scale - Limb tone testing right elbow scale ModAshworthScaleLmbTnRtElbScl The scale of limb tone testing for the right elbow, as part of the Modified Ashworth Scale The scale of limb tone testing for the right elbow, as part of the Modified Ashworth Scal Elbow 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 15:17:34.0 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

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