CDE Detailed Report

Disease: Cerebral Palsy
Subdomain Name: Physical/Neurological Examination
CRF: Physical Examination

Displaying 1 - 10 of 10
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
C01010 Physical exam date and time PhysExamDateTime Date (and time if applicable and known) physical exam was performed Date (and time if applicable and known) physical exam was performed Date of Exam Date or Date & Time

Record the date (and time) the physical exam was performed. The date/time should be recorded to the level of granularity known (e.g., year, year and month, complete date plus hours and minutes, etc.) and in the format acceptable to the study database.

 Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Physical Examination Physical/Neurological Examination Assessments and Examinations

Free-Form Entry

 2004170
C01012 Physical exam body system result type PhysExamBodySysResltTyp Assessment result of each body system examined Assessment result of each body system examined Result Abnormal;Normal;Not examined Abnormal;Normal;Not examined Alphanumeric

Choose one.

 Adult;Pediatric Supplemental 3.00 2013-07-25 08:54:08.2 Physical Examination Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

 2821383
C01013 Physical exam description text PhysExamDescripTxt Free text field to describe the abnormality in a specific body system or an explanation of why the body system was not examined Free text field to describe the abnormality in a specific body system or an explanation of why the body system was not examined Describe abnormality or comment if body system is not examined Alphanumeric

Data to entered by site

 Adult;Pediatric Supplemental 3.00 2013-07-25 08:54:08.2 Physical Examination Physical/Neurological Examination Assessments and Examinations 255

Free-Form Entry

 2201880
C01014 Physical exam abnormality significance type PhysExamAbnrmlySignfcnceTyp An indication if the physical exam abnormality in a specific body system is clinically significant An indication if the physical exam abnormality in a specific body system is clinically significant If abnormality, clinically significant? Clinically Significant;Not Clinically Significant Clinically Significant;Not Clinically Significant Alphanumeric Adult;Pediatric Supplemental 3.00 2013-07-25 08:54:08.2 Physical Examination Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

 3180087
C01015 Physical exam performed indicator PhysExamPerfrmdInd Indicator of whether a physical exam was performed on the participant/subject Indicator of whether a physical exam was performed on the participant/subject Was a physical exam performed on the participant/subject? Yes;No;Unknown Yes;No;Unknown Alphanumeric Adult;Pediatric Supplemental 3.00 2013-07-25 08:54:08.2 Physical Examination Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

 2201750
C14430 Tanner stage TannerStage Stages of physical development in children, adolescents and adults. The scale defines physical measurements of development based on external primary and secondary sex characteristics, such as the size of the breasts, genitalia, and development of pubic hair Stages of physical development in children, adolescents and adults. The scale defines physical measurements of development based on external primary and secondary sex characteristics, such as the size of the breasts, genitalia, and development of pubic hai Tanner Stage I;II;III;IV;V I;II;III;IV;V Alphanumeric Pediatric Supplemental 1.00 2012-10-05 00:00:00.0 Physical Examination Physical/Neurological Examination Assessments and Examinations

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 Core 3.00 2013-06-21 00:00:00.0 Physical Examination Physical/Neurological Examination Assessments and Examinations 255

Free-Form Entry
C19247 Subject ID SubIDNam Subject identification ID Subject identification ID Subject ID Alphanumeric Adult;Pediatric Core 1.00 2014-06-05 13:10:49.0 Physical Examination Physical/Neurological Examination Assessments and Examinations 255

Free-Form Entry
C00023 Hand preference type HandPrefTyp Hand which the participant/subject uses predominantly, not necessarily the hand he/she writes with exclusively Hand which the participant/subject uses predominantly, not necessarily the hand he/she writes with exclusivel Hand preference Left hand;Right hand;Both hands;Unknown;Not established Left hand;Right hand;Both hands;Unknown;Not established Alphanumeric

Choose one – the hand which the participant/subject uses predominantly, not necessarily the hand the participant/subject writes with exclusively.

 Adult;Pediatric Core 3.00 2013-07-25 08:54:08.2 Physical Examination Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

 2180147
C00312 Body system category BodySysCat Category or grouping used in the comprehensive assessment of a participant/subject, which includes a subjective history taking component as well as an objective based structured interview and physical examination of all the body systems Category or grouping used in the comprehensive assessment of a participant/subject, which includes a subjective history taking component as well as an objective based structured interview and physical examination of all the body system Body System Allergic/Immunologic;Cardiovascular;Constitutional symptoms (e.g., fever, weight loss);Dermatological;Ears, Nose, Mouth, Throat;Endocrine;Eyes;Gastrointestinal;Gastrointestinal/Abdominal;Genitourinary;Gynecologic/Urologic/ Renal;Hematologic/Lymphatic;Hepatobiliary;Integumentary (skin and/or breast);Musculoskeletal;Musculoskeletal (separate from ALS exam);Neurological;Neurologic/CNS;Neurological (separate from ALS exam);Oncologic;Psychiatric;Pulmonary;Respiratory;Other, specify: Allergic/Immunologic;Cardiovascular;Constitutional symptoms (e.g., fever, weight loss);Dermatological;Ears, Nose, Mouth, Throat;Endocrine;Eyes;Gastrointestinal;Gastrointestinal/Abdominal;Genitourinary;Gynecologic/Urologic/ Renal;Hematologic/Lymphatic;Hepatobiliary;Integumentary (skin and/or breast);Musculoskeletal;Musculoskeletal (separate from ALS exam);Neurological;Neurologic/CNS;Neurological (separate from ALS exam);Oncologic;Psychiatric;Pulmonary;Respiratory;Other, specify: Alphanumeric Adult;Pediatric Supplemental 3.00 2013-07-25 08:54:08.2 Physical Examination Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

 2002895
CSV