CDE Detailed Report

Disease: content
Subdomain Name: [php]
CRF: welcome

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
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
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

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
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
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
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

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

Free-Form Entry
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
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
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
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
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
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
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
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
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
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
CSV