CDE Detailed Report
Subdomain Name: Physical/Neurological Examination
CRF: Physical Exam - Immune Module
Displaying 1 - 21 of 21
| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 |
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| 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 |
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| 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 |
Free-Form Entry |
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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 |
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| 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 |
Free-Form Entry |
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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. | 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 |
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| 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 |
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| 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. | 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 |
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| 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 |
Free-Form Entry |
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| 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. | 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 |
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| 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 |
Free-Form Entry |
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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. | 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 |
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| 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 |
Free-Form Entry |
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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. | 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 |
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| 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 |
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| 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. | 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 |
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| 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 |
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| 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. | 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 |
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| C01539 | Temperature measurement | TempMeasr | Measurement of the participant's/subject's body temperature | Measurement of the participant's/subject's body temperatur | 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 |
Free-Form Entry |
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. | 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 |
Free-Form Entry |
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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 |
