CDE Detailed Report
Disease: system
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CRF: files
Displaying 1 - 50 of 73
Subdomain Name: [php]
CRF: files
Displaying 1 - 50 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| C18514 | Sensory system abnormality participant description text | SensySysAbnrmlyPrtpDescTxt | The free-text field to capture the participant's description of the sensory abnormality | The free-text field to capture the participant's description of the sensory abnormalit | Patient description of abnormal symptoms: | Alphanumeric | Adult;Pediatric | Supplemental | 3.00 | 2013-07-30 14:29:49.047 | Neurological Exam | [php] | [php_1] | 255 |
Free-Form Entry |
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| C14434 | Cranial nerve abnormal identifier type | CranlNerveAbnrmlIdTyp | The identified cranial nerve that assessed as abnormal | The identified cranial nerve that assessed as abnorma | Cranial nerve number | CN II;CN III;CN IV;CN V;CN VI;CN VII;CN VIII;CN IX;CN X;CN XI;CN XII | Cranial nerve II;Cranial nerve III;Cranial nerve IV;Cranial nerve V;Cranial nerve VI;Cranial nerve VII;Cranial nerve VIII;Cranial nerve IX;Cranial nerve X;Cranial nerve XI;Cranial nerve XII | Alphanumeric | Adult;Pediatric | Supplemental | 3.00 | 2013-08-28 16:08:00.453 | Neurological Exam | [php] | [php_1] |
Multiple Pre-Defined Values Selected |
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| C18938 | Muscle weakness brain pattern other text | MuscWeakBrainPattrnOTH | The free-text field related to 'Muscle weakness brain pattern type' specifying other text. Patterns describing weakness in location of brain | The free-text field related to 'Muscle weakness brain pattern type' specifying other text. Patterns describing weakness in location of brain | Other, specify: | Alphanumeric | Adult;Pediatric | Supplemental | 3.00 | 2013-08-28 16:08:00.453 | Neurological Exam | [php] | [php_1] | 4000 |
Free-Form Entry |
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| C14445 | Muscle tone assessment abnormality type | MuscToneAbnrmlyAssmtTyp | The muscle tone abnormality type | The muscle tone 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 |
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| C14461 | Reflex assessment limb result | RflxQual | The results from reflex limb assessment | The results from reflex limb assessment | Assessment of limbs | Increased with clonus;Increased without clonus;Hypoactive;Absent | Increased with clonus;Increased without clonus;Hypoactive;Absent | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2012-10-05 00:00:00.0 | Neurological Exam | [php] | [php_1] |
Single Pre-Defined Value Selected |
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| C53214 | Cranial nerve global assessment cannot assess reason | CranlNerveGlobAssmtCantAsesRsn | The free-text field related to 'Cranial nerves global assessment result' specifying the reason unable to assess | The free-text field related to 'Cranial nerves global assessment result' specifying the reason unable to assess | Cannot assess, explain | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2012-10-05 00:00:00.0 | Neurological Exam | [php] | [php_1] | 4000 |
Free-Form Entry |
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| C01005 | Pupil right eye measurement | PupilRtEyeMeasr | Measurement of the right pupil in millimeters | Measurement of the right pupil in millimeters | Right pupil measurement | Numeric Values |
Pupil measurement recorded in millimeters (mm). Acceptable range is 1-9 mm. |
Adult;Pediatric | Supplemental | 3.00 | 2013-07-20 10:21:25.65 | Neurological Exam | [php] | [php_1] |
Free-Form Entry |
1 | 10 | millimeter | ||||||||
| C18515 | Sensory system abnormality sensory nerve present text | SensySysAbnrmlySensNrvPresTxt | The free-text field to describe the sensory nerve abnormality | The free-text field to describe the sensory nerve abnormalit | Sensory nerve, explain: | Alphanumeric | Adult;Pediatric | Supplemental | 3.00 | 2013-07-30 14:29:49.047 | Neurological Exam | [php] | [php_1] | 255 |
Free-Form Entry |
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| C14435 | Nystagmus indicator | NystagmusInd | Involuntary movements of the eyeballs; its presence or absence is used to diagnose a variety of neurological and visual disorders | Involuntary movements of the eyeballs; its presence or absence is used to diagnose a variety of neurological and visual disorders | Nystagmus | Yes;No;Cannot Assess | Yes;No;Cannot Assess | Alphanumeric |
Specify type, if yes |
Adult;Pediatric | Supplemental | 1.00 | 2012-10-05 00:00:00.0 | Neurological Exam | [php] | [php_1] |
Single Pre-Defined Value Selected |
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| C18939 | Muscle weakness neurological anatomic other text | MuscWeakNeuroAntmicOTH | The free-text field related to 'Muscle weakness neurological anatomic site' specifying other text. Anatomic location of neurological muscle weakness | The free-text field related to 'Muscle weakness neurological anatomic site' specifying other text. Anatomic location of neurological muscle weaknes | Other, specify: | Alphanumeric | Adult;Pediatric | Supplemental | 3.00 | 2013-08-28 16:08:00.453 | Neurological Exam | [php] | [php_1] | 4000 |
Free-Form Entry |
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| C14446 | Muscle strength assessment anatomic site | MuscStrAssmtAntmicSite | Anatomic location of the muscle strength as part of the motor examination | Anatomic location of the muscle strength as part of the motor examinatio | Muscle strength - 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 |
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| C14462 | Reflex plantar right response result | RflxPlntrRtRespnsReslt | The results from reflex plantar response on the right side | The results from reflex plantar response on the right side | Right: | Flexor;Extensor;Equivocal;Cannot Assess;Other, specify | Flexor;Extensor;Equivocal;Cannot Assess;Other, specify | Alphanumeric |
Choose 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 |
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| C01006 | Pupil left eye measurement | PupilLftEyeMeasr | Measurement of the left pupil in millimeters | Measurement of the left pupil of the eye in mm | Left pupil measurement | Numeric Values |
Pupil measurement recorded in millimeters (mm). Acceptable range is 1-9 mm. |
Adult;Pediatric | Supplemental | 3.00 | 2013-07-20 10:21:25.65 | Neurological Exam | [php] | [php_1] |
Free-Form Entry |
1 | 10 | millimeter | ||||||||
| C18516 | Sensory system abnormality stocking glove present text | SensySysAbnrmlyStckGlvPresTxt | The free-text field to describe the stocking sensory abnormality, a generalised and gradual loss of peripheral nerve function results in a receding glove and stocking pattern | The free-text field to describe the stocking sensory abnormality, a generalised and gradual loss of peripheral nerve function results in a receding glove and stocking patter | Stocking/glove, explain: | Alphanumeric | Adult;Pediatric | Supplemental | 3.00 | 2013-07-30 14:29:49.047 | Neurological Exam | [php] | [php_1] | 255 |
Free-Form Entry |
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| C14436 | Nystagmus type | NystagmusTyp | Type of involuntary movement of the eyeballs; its presence or absence is used to diagnose a variety of neurological and visual disorders | Type of involuntary movement of the eyeballs; its presence or absence is used to diagnose a variety of neurological and visual disorders | Type of nystagmus | Physiologic;Abnormal;Other, specify | Physiologic;Abnormal;Other, specify | Alphanumeric |
Enter type of nystagmus; physiological nystagmus is normal nystagmus (i.e. a few beats at end gaze) |
Adult;Pediatric | Supplemental | 1.00 | 2012-10-05 00:00:00.0 | Neurological Exam | [php] | [php_1] |
Single Pre-Defined Value Selected |
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| C18942 | Cerebellar or coordination assessment abnormality present other text | CerbllCoordAssmtAbnrmlyPrsOTH | The free-text field related to 'Cerebellar or coordination assessment abnormality present status' specifying other text. Whether the cerebellar/coordination assessment found abnormalities | The free-text field related to 'Cerebellar or coordination assessment abnormality present status' specifying other text. Whether the cerebellar/coordination assessment found abnormalities | Other, specify: | Alphanumeric | Adult;Pediatric | Supplemental | 3.00 | 2013-08-28 16:08:00.453 | Neurological Exam | [php] | [php_1] | 4000 |
Free-Form Entry |
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| C14447 | Muscle strength abnormality assessment indicator | MuscStrAbnrmlyAssmtInd | Whether the muscle strength assessment found any abnormalities | Whether the muscle strength 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 |
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| C14463 | Reflex plantar left response result | RflxPlntrLftRespnsReslt | The results from reflex plantar response on the left side | The results from reflex plantar response on the left side | Left: | Flexor;Extensor;Equivocal;Cannot Assess;Other, specify | Flexor;Extensor;Equivocal;Cannot Assess;Other, specify | Alphanumeric |
Choose 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 |
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| C01023 | Pupil shape right eye type | PupilShapeRtEyeTyp | Type of shape of the pupil of the right eye | Type of shape of the pupil of the right eye | Right 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 |
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| C18517 | Sensory system abnormality stocking present text | SensySysAbnrmlyStockPresTxt | The free-text field to describe the stocking sensory abnormality, a generalised and gradual loss of peripheral nerve function results in a receding stocking pattern | The free-text field to describe the stocking sensory abnormality, a generalised and gradual loss of peripheral nerve function results in a receding stocking patter | Stocking, explain: | Alphanumeric | Adult;Pediatric | Supplemental | 3.00 | 2013-07-30 14:29:49.047 | Neurological Exam | [php] | [php_1] | 255 |
Free-Form Entry |
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| C14437 | Motor exam global assessment type | MotorExamGloblAssmtTyp | Type of global assessment for the motor exam | Type of global assessment for the motor exam | Motor assessments | Muscle bulk;Muscle tone;Muscle strength | Muscle bulk;Muscle tone;Muscle strength | Alphanumeric |
For each global 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 |
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| 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 |
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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 |
Free-Form Entry |
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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 |
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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 |
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| 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 |
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| 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 |
Free-Form Entry |
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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 |
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| 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 |
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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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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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 |
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| 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 |
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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 |
Free-Form Entry |
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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 |
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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 |
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| 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 |
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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 |
Free-Form Entry |
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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 |
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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 |
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| 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 |
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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 |
Free-Form Entry |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
