CDE Detailed Report

Disease: Unruptured Cerebral Aneurysms and Subarachnoid Hemorrhage
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CRF: Neurological Exam

Displaying 51 - 73 of 73
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
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

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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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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

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

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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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

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

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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

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

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

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

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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

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

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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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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

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]

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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

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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

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

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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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CSV