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
C00024 Language primary ISO code LangPrimryCode Code (ISO 639-2) for the language the participant/subject speaks most often Code (ISO 639-2) for the language the participant/subject speaks most often Other, specify ISO 639-2 code Alphanumeric

Choose one. It may be easier to record the full name of the language and code the data later using the ISO 639-2 codes.

 ISO 639-2 language codes (http://www.loc.gov/standards/iso639-2/php/code_list.php) Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Neurological Exam [php] [php_1] 255

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C14448 Muscle strength abnormality assessment type MuscStrAbnrmlyAssmtTyp The muscle strength abnormality type The muscle strength abnormality type If abnormal, indicate type: Abnormal - Decreased;Abnormal - Increased;Other, specify Abnormal - Decreased;Abnormal - Increased;Other, specify Alphanumeric

Choose one.

 Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Neurological Exam [php] [php_1]

Single Pre-Defined Value Selected
C18943 Cerebellar or coordination assessment abnormality explain other text CerbllCoordAssmtAbnrmlyExplOTH The free-text field related to 'Cerebellar or coordination assessment abnormality present type' specifying other text for explaining the type of abnormality found by the cerebellar/coordination assessment The free-text field related to 'Cerebellar or coordination assessment abnormality present type' specifying other text. Type of abnormality found by the cerebellar/coordination assessment Other, specify: Alphanumeric Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Neurological Exam [php] [php_1] 4000

Free-Form Entry
C01024 Pupil shape left eye type PupilShapeLftEyeTyp Type of shape of the pupil of the left eye Type of shape of the pupil of the left eye Left pupil shape: Oval;Round;Unknown Oval;Round;Unknown Alphanumeric

Choose one. Recommend collection at least at study hospital admission/discharge and protocol milestones.

 Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Neurological Exam [php] [php_1]

Single Pre-Defined Value Selected
C14466 Sensory system global assessment result SensySytGlobAssmtReslt The condition and ability of sensory system The condition and ability of sensory system Sensory system - global assessment: Abnormal;Normal;Cannot Assess;Other, specify Abnormal;Normal;Cannot Assess;Other, specify Alphanumeric

Choose one. If abnormal answer questions A-D.

 Adult;Pediatric Supplemental 1.00 2012-10-05 00:00:00.0 Neurological Exam [php] [php_1]

Single Pre-Defined Value Selected
C14438 Motor exam global abnormality present indicator MotorExamGloblAbnrmlyPresInd Global assessment whether an abnormality was present following the motor exam Global assessment whether an abnormality was present following the motor exa Abnormality present? Yes;No;Cannot Assess Yes;No;Cannot Assess Alphanumeric

Choose one for each global assessment type

 Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Neurological Exam [php] [php_1]

Single Pre-Defined Value Selected
C18732 Language primary other text LangPrimryOTH The free-text field related to 'Language primary text' specifying other text. Text for the language the participant/subject speaks most often The free-text field related to 'Language primary text' specifying other text. Text for the language the participant/subject speaks most often Other, specify ISO 639-2 code Alphanumeric

Text for participant's/subject's primary language. It may be easier to record the full name of the language and code the data later using the ISO 639-2 codes.

 ISO 639-2 language codes (http://www.loc.gov/standards/iso639-2/php/code_list.php) Adult;Pediatric Supplemental 1.00 2014-05-27 13:34:46.0 Neurological Exam [php] [php_1] 4000

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C00025 Language primary text LangPrimryTxt Text for the language the participant/subject speaks most often Text for the language the participant/subject speaks most often Primary language eng;spa;sgn;chi;fre;ger;Other, specify English;Spanish;Sign Languages;Chinese languages;French;German;Other, specify Alphanumeric

Text for participant's/subject's primary language. It may be easier to record the full name of the language and code the data later using the ISO 639-2 codes.

 ISO 639-2 language codes (http://www.loc.gov/standards/iso639-2/php/code_list.php) Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Neurological Exam [php] [php_1]

Single Pre-Defined Value Selected
C14450 Muscle weakness brain pattern type MuscWeakBrainPattrnTyp Patterns describing weakness in location of brain Patterns describing weakness in location of brain Does the weakness suggest one of the following patterns? Right Hemiparesis;Left Hemiparesis;Diplegia / Paraparesis;Quadriplegia / Quadraparesis;Peripheral Nerve Lesion(s), Neuropathic Weakness;Neuropathic weakness;Myopathic Weakness;Other, specify Right Hemiparesis;Left Hemiparesis;Diplegia / Paraparesis;Quadriplegia / Quadraparesis;Peripheral Nerve Lesion(s), Neuropathic Weakness;Neuropathic weakness;Myopathic Weakness;Other, specify Alphanumeric

Choose all that apply.

 Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Neurological Exam [php] [php_1]

Multiple Pre-Defined Values Selected
C18944 Reflex exam global assessment other text RflxExmGlobAssmtOTH The free-text field related to 'Reflex exam global assessment result' specifying other text. The global assessment of the ability and condition of reflexes The free-text field related to 'Reflex exam global assessment result' specifying other text. The global assessment of the ability and condition of reflexes Other, specify: Alphanumeric Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Neurological Exam [php] [php_1] 4000

Free-Form Entry
C02411 Laterality type LatTyp Laterality type relative to the anatomic site of the body examined or affected Laterality type relative to the anatomic site of the body examined or affected Laterality Left;Right;Bilateral Left;Right;Bilateral Alphanumeric Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Neurological Exam [php] [php_1]

Single Pre-Defined Value Selected
C14467 Sensory system abnormality symmetry type SensySysAbnrmlySymmTyp Symmetry of abnormality for sensory system results Symmetry of abnormality for sensory system results Symmetry of abnormality: Symmetric;Asymmetric Symmetric;Asymmetric Alphanumeric

Choose only one.

 Adult;Pediatric Supplemental 1.00 2012-10-05 00:00:00.0 Neurological Exam [php] [php_1]

Single Pre-Defined Value Selected
C14439 Motor exam global assessment abnormality type MotorExamGloblAbnrmlyAssmtTyp Global assessment abnormality type found during the motor exam Global assessment abnormality type found during the motor exam If abnormal, indicate type Abnormal and symmetric;Abnormal and asymmetric;Abnormal - Increased;Abnormal - Decreased;Other, specify Abnormal and symmetric;Abnormal and asymmetric;Abnormal - Increased;Abnormal - Decreased;Other, specify Alphanumeric Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Neurological Exam [php] [php_1]

Single Pre-Defined Value Selected
C18932 Cranial nerves global assessment other text CranlNerveGlobAssmtOTH The free-text field related to 'Cranial nerves global assessment result' specifying other text. The condition of Cranial Nerves The free-text field related to 'Cranial nerves global assessment result' specifying other text. The condition of Cranial Nerves Other, specify Alphanumeric Adult;Pediatric Supplemental 1.00 2012-10-05 00:00:00.0 Neurological Exam [php] [php_1] 4000

Free-Form Entry
C00026 Language spoken Fluent text LangSpokeFluentTxt Text for each language that the participant/subject speaks fluently Text for each language that the participant/subject speaks fluently Language spoken fluently text and corresponding ISO 639-2 code Alphanumeric

Choose all that apply

 Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Neurological Exam [php] [php_1] 255

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C14451 Muscle weakness neurological anatomic site MuscWeakNeuroAntmicSite Anatomic location of neurological muscle weakness Neurological location of the muscle weakness Specify the neurological location of the weakness: Brain;Spinal Cord;Peripheral Nervous System;Other, specify Brain;Spinal Cord;Peripheral Nervous System;Other, specify Alphanumeric

Choose all that apply.

 Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Neurological Exam [php] [php_1]

Multiple Pre-Defined Values Selected
C18945 Reflex plantar right response other text RflxPlntrRtRespnsOTH The free-text field related to 'Reflex plantar right response result' specifying other text. The results from reflex plantar response on the right side The free-text field related to 'Reflex plantar right response result' specifying other text. The results from reflex plantar response on the right side Other, specify: Alphanumeric Adult;Pediatric Supplemental 1.00 2012-10-05 00:00:00.0 Neurological Exam [php] [php_1] 4000

Free-Form Entry
C06005 Data collected date and time DataCollDateTime Date (and time, if applicable and known) the data were collected. This may be the date/time a particular examination or procedure was performed Date (and time, if applicable and known) the data were collected. This may be the date/time a particular examination or procedure was performe Date of exam Date or Date & Time

Record the date/time according to the ISO 8601, the International Standard for the representation of dates and times (http://www.iso.org/iso/home.html). 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.).

 Adult;Pediatric Supplemental 3.00 2013-07-24 21:00:23.88 Neurological Exam [php] [php_1]

Free-Form Entry
C14468 Sensory system abnormality anatomic site SensySysAbnrmlySymmAntmicSite The location of abnormality for sensory system The location of abnormality for sensory system Location of abnormality: Stocking;Stocking/Glove;Dermatome;Sensory Nerve;Other, specify Stocking;Stocking/Glove;Dermatome;Sensory Nerve;Other, specify Alphanumeric

Select all that apply. If other, explain.

 Adult;Pediatric Supplemental 1.00 2012-10-05 00:00:00.0 Neurological Exam [php] [php_1]

Multiple Pre-Defined Values Selected
C14440 Muscle bulk assessment anatomic site MuscBulkAssmtAntmicSite Anatomic location of the muscle bulk exam as part of the motor examination Anatomic location of the muscle bulk exam as part of the motor examinatio Muscle bulk - global assessment Right upper extremity;Left upper extremity;Right lower extremity;Left lower extremity Right upper extremity (RUE);Left upper extremity (LUE);Right lower extremity (RLE);Left lower extremity (LLE) Alphanumeric

Evaluate all extremities

 Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Neurological Exam [php] [php_1]

Single Pre-Defined Value Selected
C18933 Nystagmus other text NystagmusOTH The free-text field related to 'Nystagmus type' specifying other text. Type of involuntary movement of the eyeballs; its presence or absence is used to diagnose a variety of neurological and visual disorders The free-text field related to 'Nystagmus type' specifying other text. Type of involuntary movement of the eyeballs; its presence or absence is used to diagnose a variety of neurological and visual disorders Other, specify Alphanumeric Adult;Pediatric Supplemental 1.00 2012-10-05 00:00:00.0 Neurological Exam [php] [php_1] 4000

Free-Form Entry
C00027 Language written Fluent text LangWrtnFlntlyTxt Text for each language that the participant/subject writes fluently Text for each language that the participant/subject writes fluently Language written fluently text and corresponding ISO 639-2 code Alphanumeric

Text for all languages participant/subject writes fluently. It may be easier to record the full name of the language and code the data later using the ISO 639-2 codes.

 ISO 639-2 language codes (http://www.loc.gov/standards/iso639-2/php/code_list.php) Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Neurological Exam [php] [php_1] 255

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C14454 Cerebellar or coordination assessment type CerbllrCoordinationAssmtTyp Type of cerebellar/coordination assessment performed Type of cerebellar/coordination assessment performed Cerebellar/Coordination assessments Finger-to-Nose;Rapid Alternating Movements;Heel-to-Shin Finger-to-Nose;Rapid Alternating Movements;Heel-to-Shin Alphanumeric

For each assessment type record whether an abnormality is present and if so the type of abnormality

 Adult;Pediatric Supplemental 1.00 2012-10-05 00:00:00.0 Neurological Exam [php] [php_1]

Single Pre-Defined Value Selected
C18946 Reflex plantar left response other text RflxPlntrLftRespnsOTH The free-text field related to 'Reflex plantar left response result' specifying other text. The results from reflex plantar response on the left side The free-text field related to 'Reflex plantar left response result' specifying other text. The results from reflex plantar response on the left side Other, specify: Alphanumeric Adult;Pediatric Supplemental 1.00 2012-10-05 00:00:00.0 Neurological Exam [php] [php_1] 4000

Free-Form Entry
C11026 Neuromuscular Exam Muscle weakness indicator NeuromuExmCranlMuscleWeaknInd Indicator whether there is muscle weakness in the muscle or muscle group examined Whether there is muscle weakness in the muscle or muscle group examined Weakness? Yes;No Yes;No Alphanumeric

Choose one. If yes, collect 'Muscle weakness brain pattern type' and 'Muscle weakness neurological anatomic site'

 Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Neurological Exam [php] [php_1]

Single Pre-Defined Value Selected
C14469 Sensory system modalities affected type SensyModltyAffctTyp The type and location of the sensory receptor activated by a stimulus plays the primary role in coding the stimulus modality The type and location of the sensory receptor activated by a stimulus plays the primary role in coding the stimulus modality Sensory modalities affected: Light Touch;Pain and Temperature;Vibration;Proprioception;Other, specify Light Touch;Pain and Temperature;Vibration;Proprioception;Other, specify Alphanumeric

Select all that apply:

 Adult;Pediatric Supplemental 1.00 2012-10-05 00:00:00.0 Neurological Exam [php] [php_1]

Multiple Pre-Defined Values Selected
C14441 Muscle bulk assessment abnormality indicator MuscBulkAbnrmlyAssmtInd Whether the muscle bulk assessment found any abnormalities Whether the muscle bulk assessment found any abnormalities Abnormality present? Yes;No;Cannot Assess Yes;No;Cannot Assess Alphanumeric

Choose one for each anatomic site

 Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Neurological Exam [php] [php_1]

Single Pre-Defined Value Selected
C18934 Motor exam global assessment abnormality other text MotorExamGloblAbnrmlyAssmtOTH The free-text field related to 'Motor exam global assessment abnormality type' specifying other text. Global assessment abnormality type found during the motor exam The free-text field related to 'Motor exam global assessment abnormality type' specifying other text. Global assessment abnormality type found during the motor exam Other, specify: Alphanumeric Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Neurological Exam [php] [php_1] 4000

Free-Form Entry
C18947 Sensory system global assessment other text SensySysGlobAssmtOTH The free-text field related to 'Sensory system global assessment result' specifying other text. The condition and ability of sensory system The free-text field related to 'Sensory system global assessment result' specifying other text. The condition and ability of sensory system Other, specify: Alphanumeric Adult;Pediatric Supplemental 1.00 2012-10-05 00:00:00.0 Neurological Exam [php] [php_1] 4000

Free-Form Entry
C00028 Language spoken fluent ISO code LangSpokeFluentISOCode Code (ISO 639-2)for each language that the participant/subject speaks fluently Code (ISO 639-2)for each language that the participant/subject speaks fluently Language spoken fluently and corresponding ISO 639-2 code English (eng);Spanish (spa);German (ger);Chinese (chi);French/Creole (cpf);Arabic;Russian (rus);Italian (ita);Polish (pol);Other specify;American Sign Language (sgn);Chinese languages (Chi) English (eng);Spanish (spa);German (ger);Chinese (chi);French/Creole (cpf);Arabic (ara);Russian (rus);Italian (ita);Polish (pol);Other specify;American Sign Language (sgn);Chinese languages (Chi) Alphanumeric

Choose all that apply. It may be easier to record the full name of the language and code the data later using the ISO 639-2 codes.

 ISO 639-2 language codes (http://www.loc.gov/standards/iso639-2/php/code_list.php) Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Neurological Exam [php] [php_1]

Multiple Pre-Defined Values Selected
C14455 Cerebellar or coordination assessment abnormality present status CerbllCoordAssmtAbnrmlyPrsStat Whether the cerebellar/coordination assessment found abnormalities Whether the cerebellar/coordination assessment found abnormalities Abnormality present? Yes;No;Cannot Assess;Other, specify Yes;No;Cannot Assess;Other, specify Alphanumeric

Choose one for each assessment type. Cannot Assess means the examiner does not know if the patient is normal or not; i.e. an uncooperative patient.

 Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Neurological Exam [php] [php_1]

Single Pre-Defined Value Selected
C14431 Mental status examined type MentlStatExamTyp Type of mental status assessment performed Type of mental status assessment performed Mental Assessments Attention;Working Memory;Recent Memory;Remote Memory;Spontaneous speech;Comprehension;Naming;Repetition;Reading;Affect Attention;Working Memory;Recent Memory;Remote Memory;Spontaneous speech;Language Comprehension;Language Naming;Language Repetition;Language Reading;Affect Alphanumeric

Answer where applicable Recommended tests are: Attention-forward digit span (6 is normal for adults), Working Memory-reverse digit span (4 is normal for adults), Recent (Episodic) Memory-immediate recall of 3 objects and then recall again after 3-5 minute delay, Remote (Semantic) Memory-either recall of verifiable personal information from the patient's past (i.e. previous addresses or schools) or well-known current events (i.e. naming the Presidents backwards)

 Adult;Pediatric Supplemental 1.00 2012-10-05 00:00:00.0 Neurological Exam [php] [php_1]

Multiple Pre-Defined Values Selected
C17277 Modified Romberg test result ModRombergTestReslt The result of the Modified Romberg test The result of the Modified Romberg test Modified Romberg test result Normal;Abnormal Normal;Abnormal Alphanumeric

Choose one.

 Agrawal, Y, Carey, JP, Hoffman, HJ, Sklare, DA, and Schubert, MC. The modified Romberg balance test: Normative data in US adults. Otology & Neurotology: 2011; 32(8):1309-1311. For the National Health and Nutrition Examination Survey (NHANES) Balance Exam Procedures Manual see http://www.cdc.gov/nchs/data/nhanes/ba.pdf Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Neurological Exam [php] [php_1]

Single Pre-Defined Value Selected
C14442 Muscle bulk assessment abnormality type MuscBulkAbnrmlyAssmtTyp The muscle bulk abnormality type The muscle bulk abnormality type If abnormal, indicate type: Abnormal and symmetric;Abnormal and asymmetric;Abnormal - Increased;Abnormal - Decreased;Other, specify Abnormal and symmetric;Abnormal and asymmetric;Abnormal - Increased;Abnormal - Decreased;Other, specify Alphanumeric

Choose one.

 Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Neurological Exam [php] [php_1]

Single Pre-Defined Value Selected
C18935 Muscle bulk assessment abnormality other text MuscBulkAbnrmlyAssmtOTH The free-text field related to 'Muscle bulk assessment abnormality type' specifying other text. The muscle bulk abnormality type The free-text field related to 'Muscle bulk assessment abnormality type' specifying other text. The muscle bulk abnormality type Cannot assess, explain: Alphanumeric Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Neurological Exam [php] [php_1] 4000

Free-Form Entry
C18948 Sensory system abnormality anatomic other text SensySysAbnrmlySymmAntmicOTH The free-text field related to 'Sensory system abnormality anatomic site' specifying other text. The location of abnormality for sensory system The free-text field related to 'Sensory system abnormality anatomic site' specifying other text. The location of abnormality for sensory system Other, specify: Alphanumeric Adult;Pediatric Supplemental 1.00 2012-10-05 00:00:00.0 Neurological Exam [php] [php_1] 4000

Free-Form Entry
C00029 Language written fluent ISO code LangWrtnFlntlyTxtISOCode Code (ISO 639-2) for each language that the participant/subject writes fluently Code (ISO 639-2) for each language that the participant/subject writes fluently Language written fluently and corresponding ISO 639-2 code Alphanumeric

Text for all languages participant/subject writes fluently. It may be easier to record the full name of the language and code the data later using the ISO 639-2 codes.

 ISO 639-2 language codes (http://www.loc.gov/standards/iso639-2/php/code_list.php) Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Neurological Exam [php] [php_1] 255

Free-Form Entry
C14456 Cerebellar or coordination assessment abnormality present type CerbllCoordAssmtAbnrmlyPresTyp Type of abnormality found by the cerebellar/coordination assessment Type of abnormality found by the cerebellar/coordination assessment If abnormal, please explain: RUE;LUE;Dysmetria;Slowness;Cannot assess due to weakness;Other, specify Right upper extremity (RUE);Left upper extremity (LUE);Dysmetria;Slowness;Cannot assess due to weakness;Other, specify Alphanumeric

Select all that apply. If abnormal, explain. "Cannot Assess due to Weakness" meant that the test of coordination is abnormal, but abnormal because of weakness (presumably not cerebellar in origin) rather than cerebellar dysfunction.

 Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Neurological Exam [php] [php_1]

Multiple Pre-Defined Values Selected
C14432 Mental status exam abnormality indicator MentlStatExamAbnrmlyInd Whether the mental assessment showed abnormal results Whether the mental assessment showed abnormal results Abnormality present? Yes;No;Unknown Yes;No;Unknown Alphanumeric

Choose one.

 Adult;Pediatric Supplemental 1.00 2012-10-05 00:00:00.0 Neurological Exam [php] [php_1]

Single Pre-Defined Value Selected
C18504 Cranial nerves abnormality present text CranlNerveAbnrmlyPresTxt The free-text field to explain the abnormality of the cranial nerve identified The free-text field to explain the abnormality of the cranial nerve identifie Explain Abnormaility Alphanumeric Adult;Pediatric Supplemental 3.00 2013-07-30 14:29:49.047 Neurological Exam [php] [php_1] 255

Free-Form Entry
C14443 Muscle tone assessment anatomic site MuscToneAssmtAntmicSite Anatomic location of the muscle tone as part of the motor examination Anatomic location of the muscle tone as part of the motor examinatio Muscle tone - global assessment Right upper extremity;Left upper extremity;Right lower extremity;Left lower extremity;Truncal tone Right upper extremity (RUE);Left upper extremity (LUE);Right lower extremity (RLE);Left lower extremity (LLE);Truncal tone Alphanumeric

Evaluate all extremities.

 Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Neurological Exam [php] [php_1]

Single Pre-Defined Value Selected
C18936 Muscle tone assessment abnormality other text MuscToneAbnrmlyAssmtOTH The free-text field related to 'Muscle tone assessment abnormality type' specifying other text. The muscle tone abnormality type The free-text field related to 'Muscle tone assessment abnormality type' specifying other text. The muscle tone abnormality type Other, specify: Alphanumeric Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Neurological Exam [php] [php_1] 4000

Free-Form Entry
C18949 Sensory system modalities affected other text SensyModltyAffctOTH The free-text field related to 'Sensory system modalities affected type' specifying other text. The type and location of the sensory receptor activated by a stimulus plays the primary role in coding the stimulus modality The free-text field related to 'Sensory system modalities affected type' specifying other text. The type and location of the sensory receptor activated by a stimulus plays the primary role in coding the stimulus modality Other, specify: Alphanumeric Adult;Pediatric Supplemental 1.00 2012-10-05 00:00:00.0 Neurological Exam [php] [php_1] 4000

Free-Form Entry
C01003 Pupil reactivity light right eye result PupilReactivityLghtRtEyeReslt Result of testing of the contraction of the participant's/subject's right pupil when a bright light is shone on it from an angle Result of testing of the contraction of the participant's/subject's right pupil when a bright light is shone on it from an angle Right pupil reactivity Sluggish;Nonreactive;Brisk;Untestable;Unknown Abnormal but still responsive;Abnormal;Normal;; Alphanumeric Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Neurological Exam [php] [php_1]

Single Pre-Defined Value Selected
C14459 Reflex exam global assessment result RflxExmGlobAssmtReslt The global assessment of the ability and condition of reflexes The global assessment of the ability and condition of reflexes Reflexes - global assessment Abnormal;Normal;Cannot Assess;Other, specify Abnormal;Normal;Cannot Assess;Other, specify Alphanumeric

Choose one. If abnormal collect 'Reflex assessment anatomic site' and 'Reflex assessment limb result'

 Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Neurological Exam [php] [php_1]

Single Pre-Defined Value Selected
C14433 Cranial nerves global assessment result CranlNerveGlobAssmtReslt The condition of Cranial Nerves The condition of Cranial Nerves Cranial nerves - global assessment Normal;Abnormal;Cannot Assess;Other, specify Normal;Abnormal;Cannot Assess;Other, specify Alphanumeric

Choose one.

 Adult;Pediatric Supplemental 1.00 2012-10-05 00:00:00.0 Neurological Exam [php] [php_1]

Single Pre-Defined Value Selected
C18513 Sensory system abnormality dermatome present text SensySysAbnrmlyDermtPresTxt The free-text field to describe the dermatome sensory abnormality, the area of skin supplied with afferent nerve fibers by a single posterior spinal root The free-text field to describe the dermatome sensory abnormality, the area of skin supplied with afferent nerve fibers by a single posterior spinal roo Dermatome, explain: Alphanumeric Adult;Pediatric Supplemental 3.00 2013-07-30 14:29:49.047 Neurological Exam [php] [php_1] 255

Free-Form Entry
C14444 Muscle tone assessment abnormality indicator MuscToneAbnrmlyAssmtInd Whether the muscle tone assessment found any abnormalities Whether the muscle tone assessment found any abnormalities Abnormality present? Yes;No;Not assessed;Unknown Yes;No;Not assessed;Unknown Alphanumeric

Choose one for each anatomic site

 Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Neurological Exam [php] [php_1]

Single Pre-Defined Value Selected
C18937 Muscle strength abnormality assessment other text MuscStrAbnrmlyAssmtOTH The free-text field related to 'Muscle strength abnormality assessment type' specifying other text. The muscle strength abnormality type The free-text field related to 'Muscle strength abnormality assessment type' specifying other text. The muscle strength abnormality type Other, specify: Alphanumeric Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Neurological Exam [php] [php_1] 4000

Free-Form Entry
C53213 Mental status exam abnormality explain text MentlStatExamAbnrmlyExplTxt The free-text field to explain the abnormality found as a result of mental assessment The free-text field to explain the abnormality found as a result of mental assessment Explain Abnormality Alphanumeric Adult;Pediatric Supplemental 1.00 2012-10-05 00:00:00.0 Neurological Exam [php] [php_1] 500

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CSV