CDE Detailed Report

Disease: Myalgic Encephalomyelitis/Chronic Fatigue Syndrome
Subdomain Name: Physical/Neurological Examination
CRF: Physical Examination

Displaying 1 - 50 of 141
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
C58050 Extremities pulses femoral right assessment value ExtremPulsFemoralRtAssmtVal The value of right femoral pulse extremity assessment in physical examination The value of right femoral pulse extremity assessment in physical examinatio Femoral Right Numeric Values Adult;Pediatric Supplemental-Highly Recommended 1.00 2018-01-23 15:20:09.0 Physical Examination Physical/Neurological Examination Assessments and Examinations

Free-Form Entry
C57917 Reflex Babinski assessment status ReflexBabinskiAssmtStat The status of Babinski reflexes assessment in neurological examination The status of Babinski reflexes assessment in neurological examinatio Babinski Absent;Present;Cannot assess, explain: Absent;Present;Cannot assess, explain: Alphanumeric Adult;Pediatric Supplemental-Highly Recommended 1.00 2018-01-15 08:45:07.0 Physical Examination Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected
C58082 Mental psychological thoughts assessment status MentalPsychThoughtsAssmtStat The status of mental and psychological thoughts assessment status The status of mental and psychological thoughts assessment statu Thoughts Abnormal;Normal Abnormal;Normal Alphanumeric Adult;Pediatric Supplemental-Highly Recommended 1.00 2018-01-25 13:16:55.0 Physical Examination Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected
C58018 Ear canals assessment status EarCanalsAssmtStat The status of ear canals assessment in physical examination The status of ear canals assessment in physical examinatio Canals Abnormal;Normal Abnormal;Normal Alphanumeric Adult;Pediatric Supplemental-Highly Recommended 1.00 2018-01-23 13:06:59.0 Physical Examination Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected
C01541 Weight measurement WgtMeasr Measurement of participant's weight Measurement of participant's weight Weight Numeric Values Adult;Pediatric Supplemental-Highly Recommended 3.10 2024-02-29 15:49:21.0 Physical Examination Physical/Neurological Examination Assessments and Examinations

Free-Form Entry

 0 500 kilogram 2179689
C57894 Cranial nerve extra ocular muscle assessment status CranlNervExOculrMusclAssmtStat The status of extra ocular muscles (eye movements) cranial nerves assessment in neurological examination The status of extra ocular muscles (eye movements) cranial nerves assessment in neurological examinatio Extra ocular muscles Normal;Abnormal;Cannot assess, explain: Normal;Abnormal;Cannot assess, explain: Alphanumeric Adult;Pediatric Supplemental-Highly Recommended 1.00 2018-01-15 08:45:07.0 Physical Examination Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected
C58061 Joints muscles ankles assessment status JointsMusclesAnklesAssmtStat The status of joints muscles ankles assessment in physical examination The status of joints muscles ankles assessment in physical examinatio Ankles Abnormal;Normal Abnormal;Normal Alphanumeric

Review swelling, heat or redness, nodularity, ROM, extensibility, tender points

 Adult;Pediatric Supplemental-Highly Recommended 1.00 2018-01-23 13:06:59.0 Physical Examination Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected
C57996 Oral cavity gums assessment status OralCavtyGumsAssmtStat The status of oral cavity gums assessment in physical examination The status of oral cavity gums assessment in physical examinatio Gums Good;Fair;Poor Good;Fair;Poor Alphanumeric Adult;Pediatric Supplemental-Highly Recommended 1.00 2018-01-23 12:07:23.0 Physical Examination Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected
C58029 Lungs chest percussion assessment status LungsChestPercussionAssmtStat The status of lung chest percussion assessment in physical examination The status of lung chest percussion assessment in physical examinatio Chest percussion Abnormal;Normal Abnormal;Normal Alphanumeric Adult;Pediatric Supplemental-Highly Recommended 1.00 2018-01-23 13:06:59.0 Physical Examination Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected
C57906 Muscle tone assessment status MuscleToneAssmtStat The status of tone muscles assessment in neurological examination The status of tone muscles assessment in neurological examinatio Tone Normal;Abnormal;Cannot assess, explain: Normal;Abnormal;Cannot assess, explain: Alphanumeric Adult;Pediatric Supplemental-Highly Recommended 1.00 2018-01-15 08:45:07.0 Physical Examination Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected
C58072 Lymph nodes cervical anterior assessment status LymphNodesCervclAnterAssmtStat The status of cervical anterior lymph nodes assessment in physical examination The status of cervical anterior lymph nodes assessment in physical examinatio Cervical Anterior Normal;Enlarged;Tender Normal;Enlarged;Tender Alphanumeric Adult;Pediatric Supplemental-Highly Recommended 1.00 2018-01-23 13:06:59.0 Physical Examination Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected
C58008 Thyroid summary assessment status ThyroidSummaryAssmtStat The status of summary thyroid assessment in physical examination The status of summary thyroid assessment in physical examinatio Thyroid summary Abnormal;Normal;Exam not done Abnormal;Normal;Exam not done Alphanumeric Adult;Pediatric Supplemental-Highly Recommended 1.00 2018-01-23 11:46:51.0 Physical Examination Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected
C58040 Abdomen summary assessment status AbdomenSummaryAssmtStat The status of summary abdomen assessment in physical examination The status of summary abdomen assessment in physical examinatio Abdomen summary Abnormal;Normal;Exam not done Abnormal;Normal;Exam not done Alphanumeric Adult;Pediatric Supplemental-Highly Recommended 1.00 2018-01-23 11:46:51.0 Physical Examination Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected
C58051 Extremities pulses tibial dorsalis pedis artery left assessment value ExtrmPlsTibDorPedArtLtAsmtVal The value of left tibial artery or dorsalis pedis artery pulse extremity assessment in physical examination The value of left tibial artery or dorsalis pedis artery pulse extremity assessment in physical examinatio Tibial artery or dorsalis pedis artery Left Numeric Values Adult;Pediatric Supplemental-Highly Recommended 1.00 2018-01-23 15:20:09.0 Physical Examination Physical/Neurological Examination Assessments and Examinations

Free-Form Entry
C57919 Reflex summary assessment status ReflexSummaryAssmtStat The status of summary reflexes assessment in neurological examination The status of summary reflexes assessment in neurological examinatio Reflexes summary Abnormal;Normal;Exam not done Abnormal;Normal;Exam not done Alphanumeric Adult;Pediatric Supplemental-Highly Recommended 1.00 2018-01-15 08:45:07.0 Physical Examination Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected
C58083 Mental psychological summary assessment status MentalPsychSumAssmtStat The status of mental and psychological assessment in physical examination The status of mental and psychological assessment in physical examinatio Mental and Psychological status summary Abnormal;Normal;Exam not done Abnormal;Normal;Exam not done Alphanumeric Adult;Pediatric Supplemental-Highly Recommended 1.00 2018-01-25 13:28:10.0 Physical Examination Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected
C58019 Ears summary assessment status EarsSummaryAssmtStat The status of summary ears assessment in physical examination The status of summary ears assessment in physical examinatio Ears summary Abnormal;Normal;Exam not done Abnormal;Normal;Exam not done Alphanumeric Adult;Pediatric Supplemental-Highly Recommended 1.00 2018-01-23 11:46:51.0 Physical Examination Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected
C01565 Blood pressure systolic measurement BldPressrSystMeasr Measurement of pressure of the participant's blood against the artery walls during systole (the contraction phase) in millimeters of mercury (mmHg) Measurement of pressure of the participant's blood against the artery walls during systole (the contraction phase) in millimeters of mercury (mmHg) Diastolic blood pressure (mmHg) Numeric Values

Measure in Supine and Standing positions

 Adult;Pediatric Supplemental-Highly Recommended 3.10 2024-03-11 10:40:09.0 Physical Examination Physical/Neurological Examination Assessments and Examinations

Free-Form Entry

 0 300 millimeter of mercury 2004289 C25298
C57895 Cranial nerve visual field assessment status CranlNervVisuaFieldlAssmtStat The status of visual fields (confrontation) cranial nerves assessment in neurological examination The status of visual fields (confrontation) cranial nerves assessment in neurological examinatio Visual fields (confrontation) Normal;Abnormal;Cannot assess, explain: Normal;Abnormal;Cannot assess, explain: Alphanumeric Adult;Pediatric Supplemental-Highly Recommended 1.00 2018-01-15 08:45:07.0 Physical Examination Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected
C58062 Joints muscles feet assessment status JointsMusclesFeetAssmtStat The status of joints muscles feet assessment in physical examination The status of joints muscles feet assessment in physical examinatio Feet Abnormal;Normal Abnormal;Normal Alphanumeric

Review swelling, heat or redness, nodularity, ROM, extensibility, tender points

 Adult;Pediatric Supplemental-Highly Recommended 1.00 2018-01-23 13:06:59.0 Physical Examination Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected
C57997 Oral cavity oropharynx assessment status OralCavtyOropharynxAssmtStat The status of oral cavity oropharynx assessment in physical examination The status of oral cavity oropharynx assessment in physical examinatio Oropharynx Abnormal;Normal Abnormal;Normal Alphanumeric Adult;Pediatric Supplemental-Highly Recommended 1.00 2018-01-23 12:09:51.0 Physical Examination Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected
C58030 Lungs lung auscultation assessment status LungsLungAuscultationAssmtStat The status of lung auscultation (sounds, rales, crepitations) assessment in physical examination The status of lung auscultation (sounds, rales, crepitations) assessment in physical examinatio Lung auscultation (sounds, rales, crepitations) Abnormal;Normal Abnormal;Normal Alphanumeric Adult;Pediatric Supplemental-Highly Recommended 1.00 2018-01-23 13:06:59.0 Physical Examination Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected
C57907 Muscle atrophy assessment status MuscleAtrphyAssmtStat The status of atrophy muscles assessment in neurological examination The status of atrophy muscles assessment in neurological examinatio Atrophy Normal;Abnormal;Cannot assess, explain: Normal;Abnormal;Cannot assess, explain: Alphanumeric Adult;Pediatric Supplemental-Highly Recommended 1.00 2018-01-15 08:45:07.0 Physical Examination Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected
C58073 Lymph nodes supraclavicular assessment status LymphNodesSupraclavAssmtStat The status of supraclavicular lymph nodes assessment in physical examination The status of supraclavicular lymph nodes assessment in physical examinatio Supraclavicular Normal;Enlarged;Tender Normal;Enlarged;Tender Alphanumeric Adult;Pediatric Supplemental-Highly Recommended 1.00 2018-01-23 13:06:59.0 Physical Examination Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected
C58009 Eyes pupils equal assessment indicator EyesPupilsEqualAssmtInd The indicator of eyes pupils equal assessment in physical examination The indicator of eyes pupils equal assessment in physical examinatio Equal No;Yes No;Yes Alphanumeric Adult;Pediatric Supplemental-Highly Recommended 1.00 2018-01-23 12:37:48.0 Physical Examination Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected
C58041 Liver palpable assessment indicator LiverPalpableAssmtInd The indicator of liver palpable assessment in physical examination The indicator of liver palpable assessment in physical examinatio Palpable No;Yes No;Yes Alphanumeric

If palpable, describe in Comments

 Adult;Pediatric Supplemental-Highly Recommended 1.00 2018-01-23 13:06:59.0 Physical Examination Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected
C58052 Extremities pulses tibial dorsalis pedis artery right assessment value ExtrmPlsTibDorPedArtRtAsmtVal The value of right tibial artery or dorsalis pedis artery pulse extremity assessment in physical examination The value of right tibial artery or dorsalis pedis artery pulse extremity assessment in physical examinatio Tibial artery or dorsalis pedis artery Right Numeric Values Adult;Pediatric Supplemental-Highly Recommended 1.00 2018-01-23 15:20:09.0 Physical Examination Physical/Neurological Examination Assessments and Examinations

Free-Form Entry
C57920 Neurologic summary assessment status NeuroSummaryAssmtStat The status of summary neurologic assessment in neurological examination The status of summary neurologic assessment in neurological examinatio Neurologic summary Abnormal;Normal;Exam not done Abnormal;Normal;Exam not done Alphanumeric Adult;Pediatric Supplemental-Highly Recommended 1.00 2018-01-15 08:45:07.0 Physical Examination Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected
C58084 Physical exam assessment other text PhysicalExamAssmtOtherTxt Text of other physical exam assessments in the physical examination Text of other physical exam assessments in the physical examinatio Other (specify) Alphanumeric Adult;Pediatric Supplemental-Highly Recommended 1.00 2018-01-25 13:35:17.0 Physical Examination Physical/Neurological Examination Assessments and Examinations 255

Free-Form Entry
C58020 Nose nasal mucosa assessment status NoseNasalMucosaAssmtStat The status of nose nasal mucosa assessment in physical examination The status of nose nasal mucosa assessment in physical examinatio Nasal mucosa Abnormal;Normal Abnormal;Normal Alphanumeric Adult;Pediatric Supplemental-Highly Recommended 1.00 2018-01-23 13:06:59.0 Physical Examination Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected
C14428 Waist circumference measurement WaitCirMeasr A measurement of the body circumference at the level of the waist. It should be the smallest circumference of the natural waist, usually just above the belly button A measurement of the body circumference at the level of the waist. It should be the smallest circumference of the natural waist, usually just above the belly butto Waist Circumference Numeric Values Adult;Pediatric Supplemental-Highly Recommended 3.00 2013-06-21 00:00:00.0 Physical Examination Physical/Neurological Examination Assessments and Examinations

Free-Form Entry

 0 400 centimeter
C57896 Cranial nerve shoulder raise assessment status CranlNervShouldrRaiseAssmtStat The status of shoulder raise cranial nerves assessment in neurological examination The status of shoulder raise cranial nerves assessment in neurological examinatio Shoulder raise Normal;Abnormal;Cannot assess, explain: Normal;Abnormal;Cannot assess, explain: Alphanumeric Adult;Pediatric Supplemental-Highly Recommended 1.00 2018-01-15 08:45:07.0 Physical Examination Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected
C58063 Joints muscles summary assessment status JointsMusclesSummaryAssmtStat The status of summary joints and muscles assessment in physical examination The status of summary joints and muscles assessment in physical examinatio Joints and muscle summary Abnormal;Normal;Exam not done Abnormal;Normal;Exam not done Alphanumeric Adult;Pediatric Supplemental-Highly Recommended 1.00 2018-01-23 11:46:51.0 Physical Examination Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected
C57998 Oral status summary assessment status OralStatSummaryAssmtStat The status of summary oral assessment in physical examination The status of summary oral assessment in physical examinatio Oral status summary Abnormal;Normal;Exam not done Abnormal;Normal;Exam not done Alphanumeric Adult;Pediatric Supplemental-Highly Recommended 1.00 2018-01-23 12:13:32.0 Physical Examination Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected
C58031 Lungs summary assessment status LungsSummaryAssmtStat The status of summary lungs assessment in physical examination The status of summary lungs assessment in physical examinatio Lungs summary Abnormal;Normal;Exam not done Abnormal;Normal;Exam not done Alphanumeric Adult;Pediatric Supplemental-Highly Recommended 1.00 2018-01-23 11:46:51.0 Physical Examination Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected
C58042 Liver summary assessment status LiverSummaryAssmtStat The status of summary liver assessment in physical examination The status of summary liver assessment in physical examinatio Liver summary Abnormal;Normal;Exam not done Abnormal;Normal;Exam not done Alphanumeric Adult;Pediatric Supplemental-Highly Recommended 1.00 2018-01-23 11:46:51.0 Physical Examination Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected
C57908 Muscle rise chair tiptoe assessment status MuscleRiseChairTiptoeAssmtStat The status of rise from chair to tiptoes muscles assessment in neurological examination The status of rise from chair to tiptoes muscles assessment in neurological examinatio Rise for chair to tip toes Normal;Abnormal;Cannot assess, explain: Normal;Abnormal;Cannot assess, explain: Alphanumeric Adult;Pediatric Supplemental-Highly Recommended 1.00 2018-01-15 08:45:07.0 Physical Examination Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected
C58074 Lymph nodes axillary assessment status LymphNodesAxillaryAssmtStat The status of axillary lymph nodes assessment in physical examination The status of axillary lymph nodes assessment in physical examinatio Axillary Normal;Enlarged;Tender Normal;Enlarged;Tender Alphanumeric Adult;Pediatric Supplemental-Highly Recommended 1.00 2018-01-23 13:06:59.0 Physical Examination Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected
C58010 Eyes pupils round assessment indicator EyesPupilsRoundAssmtInd The indicator of eyes pupils round assessment in physical examination The indicator of eyes pupils round assessment in physical examinatio Round No;Yes No;Yes Alphanumeric Adult;Pediatric Supplemental-Highly Recommended 1.00 2018-01-23 12:37:48.0 Physical Examination Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected
C58053 Extremities summary assessment status ExtremitiesSummaryAssmtStat The status of summary extremities assessment in physical examination The status of summary extremities assessment in physical examinatio Extremities summary Abnormal;Normal;Exam not done Abnormal;Normal;Exam not done Alphanumeric Adult;Pediatric Supplemental-Highly Recommended 1.00 2018-01-23 11:46:51.0 Physical Examination Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected
C57988 Reflex triceps assessment status ReflexTricepAssmtStat The status of triceps reflexes assessment in neurological examination The status of triceps reflexes assessment in neurological examinatio Triceps Abnormal;Normal;Hyper;Cannot assess, explain: Abnormal;Normal;Hyper;Cannot assess, explain: Alphanumeric Adult;Pediatric Supplemental-Highly Recommended 1.00 2018-01-15 08:45:07.0 Physical Examination Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected
C58085 Clinical impressions differential diagnoses text ClinImpressionsDifferntlDxTxt Text of clinical impressions and differential diagnoses in the physical examination Text of clinical impressions and differential diagnoses in the physical examinatio Ipression: Overall impression of this patient Alphanumeric Adult;Pediatric Supplemental-Highly Recommended 1.00 2018-01-25 13:51:44.0 Physical Examination Physical/Neurological Examination Assessments and Examinations 4000

Free-Form Entry
C58021 Nose summary assessment status NoseSummaryAssmtStat The status of summary nose assessment in physical examination The status of summary nose assessment in physical examinatio Nose summary Abnormal;Normal;Exam not done Abnormal;Normal;Exam not done Alphanumeric Adult;Pediatric Supplemental-Highly Recommended 1.00 2018-01-23 11:46:51.0 Physical Examination Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected
C14458 Hip circumference measurement HipCircumMeasr A measurement of the body circumference at the level of the hip. It should be the hip circumference at its widest part of the buttocks or hip A measurement of the body circumference at the level of the hip. It should be the hip circumference at its widest part of the buttocks or hi Hip Circumference Numeric Values Adult;Pediatric Supplemental-Highly Recommended 3.00 2013-06-21 00:00:00.0 Physical Examination Physical/Neurological Examination Assessments and Examinations

Free-Form Entry

 0 400 centimeter
C57897 Cranial nerve auditory assessment status CranlNervAudAssmtStat The status of hearing (gross) cranial nerves assessment in neurological examination The status of hearing (gross) cranial nerves assessment in neurological examinatio Hearing (gross) Normal;Abnormal;Cannot assess, explain: Normal;Abnormal;Cannot assess, explain: Alphanumeric Adult;Pediatric Supplemental-Highly Recommended 1.00 2018-01-15 08:45:07.0 Physical Examination Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected
C58064 Skin jaundice assessment status SkinJaundiceAssmtStat The status of skin jaundice assessment in physical examination The status of skin jaundice assessment in physical examinatio Jaundice Absent;Present Absent;Present Alphanumeric Adult;Pediatric Supplemental-Highly Recommended 1.00 2018-01-23 12:29:34.0 Physical Examination Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected
C57999 Neck supple assessment indicator NeckSuppleAssmtInd The indicator of neck supple assessment in physical examination The indicator of neck supple assessment in physical examinatio Supple No;Yes No;Yes Alphanumeric Adult;Pediatric Supplemental-Highly Recommended 1.00 2018-01-23 12:16:05.0 Physical Examination Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected
C58032 Heart palpation assessment status HeartPalpationAssmtStat The status of heart palpation assessment in physical examination The status of heart palpation assessment in physical examinatio Heart palpation Abnormal;Normal Abnormal;Normal Alphanumeric Adult;Pediatric Supplemental-Highly Recommended 1.00 2018-01-23 13:06:59.0 Physical Examination Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected
C58043 Spleen palpable assessment indicator SpleenPalpableAssmtInd The indicator of spleen palpable assessment in physical examination The indicator of spleen palpable assessment in physical examinatio Palpable No;Yes No;Yes Alphanumeric

I fpalpable, describe in Comments

 Adult;Pediatric Supplemental-Highly Recommended 1.00 2018-01-23 13:06:59.0 Physical Examination Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected
C57909 Muscle involuntary movement assessment status MuscleInvolntryMovmntAssmtStat The status of involuntary movements muscles assessment in neurological examination The status of involuntary movements muscles assessment in neurological examinatio Involuntary movements Present;Absent Present;Absent Alphanumeric Adult;Pediatric Supplemental-Highly Recommended 1.00 2018-01-15 08:45:07.0 Physical Examination Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected
CSV