CDE Detailed Report

Disease: Myalgic Encephalomyelitis/Chronic Fatigue Syndrome
Sub-Domain: Physical/Neurological Examination
CRF: Physical Exam - Immune Module

Displaying 1 - 21 of 21
CDE ID CDE Name Variable Name Definition Short Description Additional Notes (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 / Guideline) Sub Domain Name Domain Name Size Input Restrictions Min Value Max Value Measurement Type External Id Loinc External Id Snomed External Id caDSR External Id CDISC
C57941 Lymph node exam submandibular status LymphNdExmSubmandStat The status of the submandibular nodes during a lympho node exam The status of the submandibular nodes during a lympho node exam Submandibular nodes: Abnormal;Normal Abnormal;Normal Alphanumeric

Lymph node exam: mark abnormal if any nodal regions are abnormal. One or more lymph node areas should be selected for inclusion (for example, anterior cervical, axillary, and inguinal). Those performing exam should be provided instructions regarding examination. If there is concern for malignancy this should be addressed (eg, presence of supratrochlear nodes is highly suggestive). Further details regarding lymph node locations and examination may be found at:
Bazemore AW, Smucker DR. Lymphadenopathy and malignancy. Am Fam Physician. 2002; 66(11):2103-10.

Bazemore AW, Smucker DR. Lymphadenopathy and malignancy. Am Fam Physician. 2002; 66(11):2103-10. Adult;Pediatric Supplemental-Highly Recommended 1.00 2018-01-17 13:05:31.0 Physical Exam - Immune Module Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C57952 Hair exam comments text HairExmCommentTxt Free-text field to make comments based on a hair exam Free-text field to make comments based on a hair exam Hair comments Alphanumeric

Comment on thinning, change in texture, etc.

Adult;Pediatric Supplemental-Highly Recommended 1.00 2018-01-17 13:36:40.0 Physical Exam - Immune Module Physical/Neurological Examination Assessments and Examinations 255

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C57942 Lymph node exam occipital status LymphNdExmOccipitalStat The status of the occipital nodes during a lympho node exam The status of the occipital nodes during a lympho node exam Occipital nodes: Abnormal;Normal Abnormal;Normal Alphanumeric

Lymph node exam: mark abnormal if any nodal regions are abnormal. One or more lymph node areas should be selected for inclusion (for example, anterior cervical, axillary, and inguinal). Those performing exam should be provided instructions regarding examination. If there is concern for malignancy this should be addressed (eg, presence of supratrochlear nodes is highly suggestive). Further details regarding lymph node locations and examination may be found at:
Bazemore AW, Smucker DR. Lymphadenopathy and malignancy. Am Fam Physician. 2002; 66(11):2103-10.

Bazemore AW, Smucker DR. Lymphadenopathy and malignancy. Am Fam Physician. 2002; 66(11):2103-10. Adult;Pediatric Supplemental-Highly Recommended 1.00 2018-01-17 13:05:31.0 Physical Exam - Immune Module Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C57953 Joint exam tender joint count JointExmTenderJointCt The number of tender joints found during a joint exam The number of tender joints found during a joint exam Total # of tender joints: Numeric Values

Total # out of 68

Adult;Pediatric Supplemental-Highly Recommended 1.00 2018-01-17 14:34:09.0 Physical Exam - Immune Module Physical/Neurological Examination Assessments and Examinations

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C57943 Lymph node exam supraclavicular status LymphNdExmSupraclvStat The status of the supraclavicular nodes during a lympho node exam The status of the supraclavicular nodes during a lympho node exam Supraclavicular nodes: Abnormal;Normal Abnormal;Normal Alphanumeric

Lymph node exam: mark abnormal if any nodal regions are abnormal. One or more lymph node areas should be selected for inclusion (for example, anterior cervical, axillary, and inguinal). Those performing exam should be provided instructions regarding examination. If there is concern for malignancy this should be addressed (eg, presence of supratrochlear nodes is highly suggestive). Further details regarding lymph node locations and examination may be found at:
Bazemore AW, Smucker DR. Lymphadenopathy and malignancy. Am Fam Physician. 2002; 66(11):2103-10.

Bazemore AW, Smucker DR. Lymphadenopathy and malignancy. Am Fam Physician. 2002; 66(11):2103-10. Adult;Pediatric Supplemental-Highly Recommended 1.00 2018-01-17 13:05:31.0 Physical Exam - Immune Module Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C57954 Joint exam swollen joint count JointExmSwollenJointCt The number of swollen joints found during a joint exam The number of swollen joints found during a joint exam Total # of swollen joints: Numeric Values

Total # out of 68

Adult;Pediatric Supplemental-Highly Recommended 1.00 2018-01-17 14:34:09.0 Physical Exam - Immune Module Physical/Neurological Examination Assessments and Examinations

Free-Form Entry

C57944 Lymph node exam axillary status LymphNdExmAxillaryStat The status of the axillary nodes during a lymph node exam The status of the axillary nodes during a lymph node exam Axillary nodes: Abnormal;Normal Abnormal;Normal Alphanumeric

Lymph node exam: mark abnormal if any nodal regions are abnormal. One or more lymph node areas should be selected for inclusion (for example, anterior cervical, axillary, and inguinal). Those performing exam should be provided instructions regarding examination. If there is concern for malignancy this should be addressed (eg, presence of supratrochlear nodes is highly suggestive). Further details regarding lymph node locations and examination may be found at:
Bazemore AW, Smucker DR. Lymphadenopathy and malignancy. Am Fam Physician. 2002; 66(11):2103-10.

Bazemore AW, Smucker DR. Lymphadenopathy and malignancy. Am Fam Physician. 2002; 66(11):2103-10. Adult;Pediatric Supplemental-Highly Recommended 1.00 2018-01-17 13:05:31.0 Physical Exam - Immune Module Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C57955 Joint exam damaged joint count JointExmDamagedJointCt The number of damaged joints found during a joint exam The number of damaged joints found during a joint exam Total # of damaged joints: Numeric Values

Total # out of 68

Adult;Pediatric Supplemental-Highly Recommended 1.00 2018-01-17 14:34:09.0 Physical Exam - Immune Module Physical/Neurological Examination Assessments and Examinations

Free-Form Entry

C57945 Lymph node exam inguinal status LymphNdExmInguinalStat The status of the inguinal nodes during a lymph node exam The status of the inguinal nodes during a lymph node exam Inguinal nodes: Abnormal;Normal Abnormal;Normal Alphanumeric

Lymph node exam: mark abnormal if any nodal regions are abnormal. One or more lymph node areas should be selected for inclusion (for example, anterior cervical, axillary, and inguinal). Those performing exam should be provided instructions regarding examination. If there is concern for malignancy this should be addressed (eg, presence of supratrochlear nodes is highly suggestive). Further details regarding lymph node locations and examination may be found at:
Bazemore AW, Smucker DR. Lymphadenopathy and malignancy. Am Fam Physician. 2002; 66(11):2103-10.

Bazemore AW, Smucker DR. Lymphadenopathy and malignancy. Am Fam Physician. 2002; 66(11):2103-10. Adult;Pediatric Supplemental-Highly Recommended 1.00 2018-01-17 13:05:31.0 Physical Exam - Immune Module Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C01539 Temperature measurement TempMeasr Measurement of the participant's/subject's body temperature. Measurement of the participant's/subject's body temperature. Temperature: Numeric Values Adult;Pediatric Supplemental-Highly Recommended 3.00 2013-08-28 16:08:00.453 Physical Exam - Immune Module Physical/Neurological Examination Assessments and Examinations

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0 50 degree Celsius 2644401
C57946 Lymph node exam abnormal result text LymphaNdExmAbnRsltTxt Free-text field to describe the results of an abnormal lymph node exam Free-text field to describe the results of an abnormal lymph node exam If abnormal, describe findings: Alphanumeric

Lymph node exam: mark abnormal if any nodal regions are abnormal. One or more lymph node areas should be selected for inclusion (for example, anterior cervical, axillary, and inguinal). Those performing exam should be provided instructions regarding examination. If there is concern for malignancy this should be addressed (eg, presence of supratrochlear nodes is highly suggestive). Further details regarding lymph node locations and examination may be found at:
Bazemore AW, Smucker DR. Lymphadenopathy and malignancy. Am Fam Physician. 2002; 66(11):2103-10.

Bazemore AW, Smucker DR. Lymphadenopathy and malignancy. Am Fam Physician. 2002; 66(11):2103-10. Adult;Pediatric Supplemental-Highly Recommended 1.00 2018-01-17 13:05:31.0 Physical Exam - Immune Module Physical/Neurological Examination Assessments and Examinations 500

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C01580 Temperature unit of measure TempUOM Unit of measure for the temperature numerical value Unit of measure for the temperature numerical value F;C degrees Fahrenheit;degrees Celsius Alphanumeric Adult;Pediatric Supplemental-Highly Recommended 3.00 2013-07-24 11:38:01.2 Physical Exam - Immune Module Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

2956267
C57947 Skin exam result status SkinExmRsltStat The status of findings from a skin exam The status of findings from a skin exam Skin Abnormal;Normal (no rash) Abnormal;Normal (no rash) Alphanumeric

Minimal, clinically insignificant, age-appropriate findings, or where the examiner is unable to clearly discern an abnormality, may be marked normal.

Adult;Pediatric Supplemental-Highly Recommended 1.00 2018-01-17 13:36:40.0 Physical Exam - Immune Module Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C57937 Oropharyngeal exam status OropharExamStat The results of an oropharyngeal exam The results of an oropharyngeal exam Oropharyngeal exam: Abnormal;Normal Abnormal;Normal Alphanumeric

Minimal, clinically insignificant, age-appropriate findings, or where the examiner is unable to clearly discern an abmormality, may be marked normal.

Adult;Pediatric Supplemental-Highly Recommended 1.00 2018-01-17 12:23:54.0 Physical Exam - Immune Module Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C57948 Skin exam abnormal result text SkinExmAbnrmlRsltTxt Free-text field to describe the abnormal findings of a skin exam Free-text field to describe the abnormal findings of a skin exam If abnormal, describe findings: Alphanumeric

Minimal, clinically insignificant, age-appropriate findings, or where the examiner is unable to clearly discern an abnormality, may be marked normal.

Adult;Pediatric Supplemental-Highly Recommended 1.00 2018-01-17 13:36:40.0 Physical Exam - Immune Module Physical/Neurological Examination Assessments and Examinations 500

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C57938 Oropharyngeal exam abnormal result text OropharExamAbnrmlRsltTxt Free-text field to describe abnormal results of an oropharyngeal exam Free-text field to describe abnormal results of an oropharyngeal exam If abnormal, describe findings: Alphanumeric Adult;Pediatric Supplemental-Highly Recommended 1.00 2018-01-17 12:23:54.0 Physical Exam - Immune Module Physical/Neurological Examination Assessments and Examinations 500

Free-Form Entry

C57949 Skin exam comments text SkinExmCommentTxt Free-text field to make comments based on a skin exam Free-text field to make comments based on a skin exam Skin comments Alphanumeric

Comment on dry skin, folliculitis

Adult;Pediatric Supplemental-Highly Recommended 1.00 2018-01-17 13:36:40.0 Physical Exam - Immune Module Physical/Neurological Examination Assessments and Examinations 500

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C57939 Lymph node exam anterior cervical status LymphNdExmAntCervStat The status of the anterior cervical nodes during a lympho node exam The status of the anterior cervical nodes during a lympho node exam Anterior cervical nodes: Abnormal;Normal Abnormal;Normal Alphanumeric

Lymph node exam: mark abnormal if any nodal regions are abnormal. One or more lymph node areas should be selected for inclusion (for example, anterior cervical, axillary, and inguinal). Those performing exam should be provided instructions regarding examination. If there is concern for malignancy this should be addressed (eg, presence of supratrochlear nodes is highly suggestive). Further details regarding lymph node locations and examination may be found at:
Bazemore AW, Smucker DR. Lymphadenopathy and malignancy. Am Fam Physician. 2002; 66(11):2103-10.

Bazemore AW, Smucker DR. Lymphadenopathy and malignancy. Am Fam Physician. 2002; 66(11):2103-10. Adult;Pediatric Supplemental-Highly Recommended 1.00 2018-01-17 13:05:31.0 Physical Exam - Immune Module Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C57950 Hair exam result status HairExmRsltStat The results of a hair exam The results of a hair exam Hair Abnormal;Normal (no alopecia) Abnormal;Normal (no alopecia) Alphanumeric

Minimal, clinically insignificant, age-appropriate findings, or where the examiner is unable to clearly discern an abnormality, may be marked normal.

Adult;Pediatric Supplemental-Highly Recommended 1.00 2018-01-17 13:36:40.0 Physical Exam - Immune Module Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C57940 Lymph node exam posterior cervical status LymphNdExmPostCervStat The status of the posterior cervical nodes during a lympho node exam The status of the posterior cervical nodes during a lympho node exam Posterior cervical nodes: Abnormal;Normal Abnormal;Normal Alphanumeric

Lymph node exam: mark abnormal if any nodal regions are abnormal. One or more lymph node areas should be selected for inclusion (for example, anterior cervical, axillary, and inguinal). Those performing exam should be provided instructions regarding examination. If there is concern for malignancy this should be addressed (eg, presence of supratrochlear nodes is highly suggestive). Further details regarding lymph node locations and examination may be found at:
Bazemore AW, Smucker DR. Lymphadenopathy and malignancy. Am Fam Physician. 2002; 66(11):2103-10.

Bazemore AW, Smucker DR. Lymphadenopathy and malignancy. Am Fam Physician. 2002; 66(11):2103-10. Adult;Pediatric Supplemental-Highly Recommended 1.00 2018-01-17 13:05:31.0 Physical Exam - Immune Module Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C57951 Hair exam abnormal result text HairExmAbnrmlRsltTxt Free-text field to describe abnormal results of a hair exam Free-text field to describe abnormal results of a hair exam If abnormal, describe findings: Alphanumeric

Minimal, clinically insignificant, age-appropriate findings, or where the examiner is unable to clearly discern an abnormality, may be marked normal.

Adult;Pediatric Supplemental-Highly Recommended 1.00 2018-01-17 13:36:40.0 Physical Exam - Immune Module Physical/Neurological Examination Assessments and Examinations 500

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