CDE Detailed Report
Disease: Chiari I Malformation
Subdomain Name: General and Motor
CRF: content
Displaying 1 - 13 of 13
Subdomain Name: General and Motor
CRF: content
Displaying 1 - 13 of 13
| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| C55650 | Eye visual fixation left lateral gaze type | EyeVisFixLLaterGaazeTyp | The type as related to left lateral gaze in visual fixation | The type as related to left lateral gaze in visual fixatio | L-Lateral gaze | RB, LB, UB, DB, T or M;C/F/R;S/U;Co/Di;L/H | Right beat, Left beat, Upbeat, Downbeat, Torsional or Mixed (combinatio of horizontal, vertical and/or torsional);Course high amp/Fine low amp/Rotatory;Sustained/Unsustained;Conjugate/Disconjugate;Low freq/High freq | Alphanumeric |
(choose one) |
Adult;Pediatric | Supplemental-Highly Recommended | 1.00 | 2017-05-22 12:58:11.0 | Nystagmus/Strabismus | General and Motor | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C55651 | Eye visual fixation vertical downgaze type | EyeVisFixVertDowngazeTyp | The type as related to vertical downgaze in visual fixation | The type as related to vertical downgaze in visual fixatio | Vertical Downgaze | S/U;C/F;UB/DB | Sustained/Unsustained;Course high amp/Fine low amp;Upbeat/Downbeat | Alphanumeric |
(choose one) |
Adult;Pediatric | Supplemental-Highly Recommended | 1.00 | 2017-05-22 12:58:11.0 | Nystagmus/Strabismus | General and Motor | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C55652 | Eye visual fixation vertical upgaze type | EyeVisFixVertUpgazeTyp | The type as related to vertical upgaze in visual fixation | The type as related to vertical upgaze in visual fixatio | Vertical Upgaze | S/U;C/F;UB/DB | Sustained/Unsustained;Course high amp/Fine low amp;Upbeat/Downbeat | Alphanumeric |
(choose one) |
Adult;Pediatric | Supplemental | 1.00 | 2017-05-22 12:58:11.0 | Nystagmus/Strabismus | General and Motor | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C55653 | Head shake thrust status | HeadShakeThrustStatus | The status related to head shake/thrust | The status related to head shake/thrus | Head Shake/Thrust | Normal gain;Impaired VOR | Normal gain;Impaired VOR | Alphanumeric |
Normal Gain - absence of corrective saccades |
Adult;Pediatric | Supplemental | 1.00 | 2017-05-22 12:52:59.0 | Nystagmus/Strabismus | General and Motor | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C55654 | Saccadic pursuit indicator | SaccadicPursuitInd | The indicator related to saccadic pursuit | The indicator related to saccadic pursui | Saccadic pursuit | No;Yes | No;Yes | Alphanumeric |
Assess usual fluidity of smooth pursuit movement left and right with presence of corrective saccades |
Adult;Pediatric | Supplemental-Highly Recommended | 1.00 | 2017-05-22 12:52:59.0 | Nystagmus/Strabismus | General and Motor | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C55655 | Nystagmus rebound indicator | NystagmusReboundInd | The indicator related to nystagmus rebound or assessment for presence of nystagmus in primary after persistent eccentric gaze | The indicator related to nystagmus rebound or assessment for presence of nystagmus in primary after persistent eccentric gaz | Rebound | No;Yes | No;Yes | Alphanumeric |
Assess for presence of nystagmus in primary after persistent eccentric gaze. If present the slow phase is in the direction of the former eccentric gaze. |
Adult;Pediatric | Supplemental | 1.00 | 2017-05-22 12:52:59.0 | Nystagmus/Strabismus | General and Motor | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C55656 | Nystagmus valsalva emergence indicator | NystagmusValvEmergInd | The indicator related to emergence or worsening of nystagmus with valsalva maneuver | The indicator related to emergence or worsening of nystagmus with valsalva maneuve | Valsalva induced nystagmus | No;Yes | No;Yes | Alphanumeric |
Emergence or worsening of nystagmus with valsalva maneuver |
Adult;Pediatric | Supplemental | 1.00 | 2017-05-22 12:52:59.0 | Nystagmus/Strabismus | General and Motor | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C55646 | Eye convergence retraction indicator | EyeConverRetractInd | The indicator related to eye convergence and retraction | The indicator related to eye convergence and retractio | Convergence-Retraction | No;Yes | No;Yes | Alphanumeric |
indicate if convergence and retraction on attempted upgaze saccade is present by selecting yes or no. |
Adult;Pediatric | Supplemental | 1.00 | 2017-05-22 12:52:59.0 | Nystagmus/Strabismus | General and Motor | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C55657 | Nystagmus neck flexion emergence indicator | NystagmusNeckFlexEmergInd | The indicator related to emergence or worsening of nystagmus with neck flexion | The indicator related to emergence or worsening of nystagmus with neck flexio | Neck flexion and nystagmus | No;Yes | No;Yes | Alphanumeric |
Emergence or worsening of nystagmus with neck flexion |
Adult;Pediatric | Exploratory | 1.00 | 2017-05-22 12:52:59.0 | Nystagmus/Strabismus | General and Motor | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C55647 | Eye visual fixation primary position type | EyeVisFixPrimPosTyp | The type as related to the primary position during visual fixation | The type as related to the primary position during visual fixatio | Primary position during visual fixation | RB, LB, UB, DB, T or M;C/F/R;S/U;Co/Di;L/H | Right beat, Left beat, Upbeat, Downbeat, Torsional or Mixed (combinatio of horizontal, vertical and/or torsional);Course high amp/Fine low amp/Rotatory;Sustained/Unsustained;Conjugate/Disconjugate;Low freq/High freq | Alphanumeric |
(choose one) |
Adult;Pediatric | Supplemental-Highly Recommended | 1.00 | 2017-05-22 12:58:11.0 | Nystagmus/Strabismus | General and Motor | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C55658 | Strabismus indicator | StrabismusInd | The indicator related to strabismu (esotropia/exotropia/skew deviation) | The indicator related to strabismu (esotropia/exotropia/skew deviation | Strabismus | No;Yes | No;Yes | Alphanumeric |
Esotropia/exotropia/skew deviation |
Adult;Pediatric | Supplemental | 1.00 | 2017-05-22 12:52:59.0 | Nystagmus/Strabismus | General and Motor | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C55648 | Eye absent visual fixation primary position type | EyeAbsVisFixPrimPosTyp | The type as related to the primary position in absence of visual fixation | The type as related to the primary position in absence of visual fixatio | Primary position in the absence of visual fixation | RB, LB, UB, DB, T or M;C/F/R;S/U;Co/Di;L/H | Right beat, Left beat, Upbeat, Downbeat, Torsional or Mixed (combinatio of horizontal, vertical and/or torsional);Course high amp/Fine low amp/Rotatory;Sustained/Unsustained;Conjugate/Disconjugate;Low freq/High freq | Alphanumeric |
(Nystagmus can be checked with Frenzel goggles or with a direct ophthalmoscope while the other eye is covered) (choose one) |
Adult;Pediatric | Supplemental | 1.00 | 2017-05-22 12:58:11.0 | Nystagmus/Strabismus | General and Motor | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C55649 | Eye visual fixation right lateral gaze type | EyeVisFixRLaterGaazeTyp | The type as related to right lateral gaze in visual fixation | The type as related to right lateral gaze in visual fixatio | R-Lateral gaze | RB, LB, UB, DB, T or M;C/F/R;S/U;Co/Di;L/H | Right beat, Left beat, Upbeat, Downbeat, Torsional or Mixed (combinatio of horizontal, vertical and/or torsional);Course high amp/Fine low amp/Rotatory;Sustained/Unsustained;Conjugate/Disconjugate;Low freq/High freq | Alphanumeric |
(choose one) |
Adult;Pediatric | Supplemental-Highly Recommended | 1.00 | 2017-05-22 12:58:11.0 | Nystagmus/Strabismus | General and Motor | Assessments and Examinations |
Single Pre-Defined Value Selected |
