CDE Detailed Report

Disease: content
Subdomain Name: Physical/Neurological Examination
CRF: welcome

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
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
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
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
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
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
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
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
C58075 Lymph nodes inguinal assessment status LymphNodesInguinalAssmtStat The status of inguinal lymph nodes assessment in physical examination The status of inguinal lymph nodes assessment in physical examinatio Inguinal 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
C58011 Eyes pupils reactive assessment indicator EyesPupilsReactiveAssmtInd The indicator of eyes pupils reactive assessment in physical examination The indicator of eyes pupils reactive assessment in physical examinatio Reactive 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
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
C57989 Standing time duration StandingTimeDur Duration of time in minutes the participant/subject was standing Duration of time in minutes the participant/subject was standin Standing for _ _ minutes Numeric Values

Please specify how many minutes

 Adult;Pediatric Supplemental-Highly Recommended 1.00 2018-01-23 11:06:42.0 Physical Examination Physical/Neurological Examination Assessments and Examinations

Free-Form Entry

 minutes
C58151 Liver palpable assessment indicator text LiverPalpablAssessmntIndTxt Description of liver palpable assessment in physical examination Description of liver palpable assessment in physical examinatio If palpable, describe here Alphanumeric Adult;Pediatric Supplemental-Highly Recommended 1.00 2018-02-05 10:32:27.0 Physical Examination Physical/Neurological Examination Assessments and Examinations 255

Free-Form Entry
C58022 Pharynx mucosa assessment status PharynxMucosaAssmtStat The status of pharynx mucosa assessment in physical examination The status of pharynx mucosa assessment in physical examinatio 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
C18027 Comment text CmmntTxt Provide any additional information that pertains to the question Provide any additional information that pertains to the question Comments Alphanumeric Adult;Pediatric Supplemental-Highly Recommended 3.00 2013-07-16 14:01:43.01 Physical Examination Physical/Neurological Examination Assessments and Examinations 4000

Free-Form Entry
C58054 Joints muscles spine assessment status JointsMusclesSpineAssmtStat The status of joints muscles spine assessment in physical examination The status of joints muscles spine assessment in physical examinatio Spine 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
C58065 Skin acne assessment status SkinAcneAssmtStat The status of skin acne assessment in physical examination The status of skin acne assessment in physical examinatio Acne 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
C58000 Neck masses assessment indicator NeckMassesAssmtInd The indicator of neck masses assessment in physical examination The indicator of neck masses assessment in physical examinatio Masses 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
C58033 Heart auscultation assessment status HearttAuscultationAssmtStat The status of heart auscultation (rate, rhythm, murmurs, extra sounds) assessment in physical examination The status of heart auscultation (rate, rhythm, murmurs, extra sounds) assessment in physical examinatio Heart ausculation (rate, rhythm, murmurs, extra sounds) 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
C57898 Cranial nerve facial expression assessment status CranlNervFaclExpressAssmtStat The status of facial expression cranial nerves assessment in neurological examination The status of facial expression cranial nerves assessment in neurological examinatio Facial expression 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
C57910 Muscle proximal muscle strength assessment status MuscleProxmlMscStrgthAssmtStat The status of proximal muscle strength muscles assessment in neurological examination The status of proximal muscle strength muscles assessment in neurological examinatio Proximal muscle strength 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
C58076 Lymph nodes summary assessment status LymphNodesSummaryAssmtStat The status of summary lymph nodes assessment in physical examination The status of summary lymph nodes assessment in physical examinatio Lymph nodes 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
C58012 Eyes pupils accommodate assessment indicator EyesPupilsAccommodateAssmtInd The indicator of eyes pupils accommodate assessment in physical examination The indicator of eyes pupils accommodate assessment in physical examinatio Accommodate 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
C00023 Hand preference type HandPrefTyp Hand which the participant/subject uses predominantly, not necessarily the hand he/she writes with exclusively Hand which the participant/subject uses predominantly, not necessarily the hand he/she writes with exclusivel Handedness Left hand;Right hand;Both hands;Unknown Left hand;Right hand;Both hands;Unknown Alphanumeric Adult;Pediatric Supplemental-Highly Recommended 3.00 2013-07-25 08:54:08.2 Physical Examination Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

 2180147
C58044 Spleen summary assessment status SpleenSummaryAssmtStat The status of summary spleen assessment in physical examination The status of summary spleen assessment in physical examinatio Spleen 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
C57990 Neck circumference measurement NeckCircumferenceMeasr Circumferential measurement of the neck at the skin just below the larynx (Adam's apple) and extended horizontally all the way around the neck Circumferential measurement of the neck at the skin just below the larynx (Adam's apple) and extended horizontally all the way around the nec Neck Circumference Numeric Values Adult;Pediatric Supplemental-Highly Recommended 1.00 2018-01-23 11:21:20.0 Physical Examination Physical/Neurological Examination Assessments and Examinations

Free-Form Entry

 Inches
C58152 Spleen palpable assessment indicator text SpleenPalpablAssessmntIndTxt Description of spleen palpable assessment in physical examination Description of spleen palpable assessment in physical examinatio If palpable, describe here Alphanumeric Adult;Pediatric Supplemental-Highly Recommended 1.00 2018-02-05 10:32:27.0 Physical Examination Physical/Neurological Examination Assessments and Examinations 255

Free-Form Entry
C58023 Pharynx volume adequate assessment status PharynxVolumeAdequateAssmtStat The status of pharynx volume adequate assessment in physical examination The status of pharynx volume adequate assessment in physical examinatio Volume adequate 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
C19247 Subject ID SubIDNam Subject identification ID Subject identification ID Subject ID: Alphanumeric Adult;Pediatric Supplemental-Highly Recommended 1.00 2014-06-05 13:10:49.0 Physical Examination Physical/Neurological Examination Assessments and Examinations 255

Free-Form Entry
C58055 Joints muscles shoulders assessment status JointsMusclsShouldersAssmtStat The status of joints muscles shoulders assessment in physical examination The status of joints muscles shoulders assessment in physical examinatio Shoulders 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
C58066 Skin ulcerations assessment status SkinUlcerationsAssmtStat The status of skin ulcerations assessment in physical examination The status of skin ulcerations assessment in physical examinatio Ulcerations 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
C58001 Neck jugular venous distension assessment status NeckJuglrVenDistnsnAssmtStat The status of neck jugular venous distension assessment in physical examination The status of neck jugular venous distension assessment in physical examinatio Jugular venous distension 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
C58034 Carotid artery auscultation pain assessment status CarotdArtAuscultnPainAssmtStat The status of carotid artery auscultation pain (systolic bruit) assessment in physical examination The status of carotid artery auscultation pain (systolic bruit) assessment in physical examinatio Carotid artery Ausculation/Pain (systolic bruit) Absent;Present Absent;Present Alphanumeric Adult;Pediatric Supplemental-Highly Recommended 1.00 2018-01-23 14:00:50.0 Physical Examination Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected
C57900 Cranial nerve summary assessment status CranlNervSummaryAssmtStat The status of summary cranial nerves assessment in neurological examination The status of summary cranial nerves assessment in neurological examinatio Cranial nerves 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
C57911 Muscle distal muscle strength assessment status MuscleDistlMsclStrgthAssmtStat The status of distal muscle strength muscles assessment in neurological examination The status of distal muscle strength muscles assessment in neurological examinatio Distal muscle strength 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
C58077 Cerebellar tandem stance gait assessment status CerebelrTandmStncGaitAssmtStat The status of tandem stance/gait cerebellar assessment in neurological examination The status of tandem stance/gait cerebellar assessment in neurological examinatio Tandem stance/gait Abnormal;Normal Abnormal;Normal 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
C58013 Eyes sclera assessment status EyesScleraAssmtStat The status of eye sclera assessment in physical examination The status of eye sclera assessment in physical examinatio Sclera Normal;Icteric;Other Normal;Icteric;Other Alphanumeric Adult;Pediatric Supplemental-Highly Recommended 1.00 2018-01-23 12:53:15.0 Physical Examination Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected
C01507 Blood pressure diastolic measurement BldPressrDiastlMeasr Measurement of pressure of the participant's blood against the artery walls during diastole (the relaxation phase) in millimeters of mercury (mmHg) Measurement of pressure of the participant's blood against the artery walls during diastole (the relaxation phase) in millimeters of mercury (mmHg) Systolic blood pressure (mmHg) Numeric Values

Measure in Supine and in Standing positions

 Adult;Pediatric Supplemental-Highly Recommended 3.10 2024-03-11 10:40:54.0 Physical Examination Physical/Neurological Examination Assessments and Examinations

Free-Form Entry

 0 300 millimeter of mercury 2004291
C58045 Extremities edematous assessment indicator ExtremitiesEdematousAssmtInd The indicator of extremities edematous assessment in physical examination The indicator of extremities edematous assessment in physical examinatio Edematous No;Yes No;Yes 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
C57991 Head hair assessment status HeadHairAssmtStat The status of head hair assessment in physical examination The status of head hair assessment in physical examinatio Hair Normal;Alopecia Normal;Alopecia Alphanumeric Adult;Pediatric Supplemental-Highly Recommended 1.00 2018-01-23 11:26:13.0 Physical Examination Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected
C58163 Lymph nodes supraclavicular assessment status text LymphNodesSupraclvAssmtStatTxt Text of status of supraclavicular lymph nodes assessment in physical examination Text of 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
C58024 Pharynx tongue large assessment status PharynxTongueLargeAssmtStat The status of pharynx tongue large assessment in physical examination The status of pharynx tongue large assessment in physical examinatio Tongue large 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
C57884 Cerebellar heel shin assessment status CerebellarHeelShinAssmtStat The status of heel to shin cerebellar assessment in neurological examination The status of heel to shin cerebellar assessment in neurological examinatio Heel to shin Normal;Abnormal;Cannot assess, explain: Normal;Abnormal;Cannot assess, explain: Alphanumeric Adult;Pediatric Supplemental-Highly Recommended 1.00 2018-01-12 15:23:12.0 Physical Examination Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected
C58056 Joints muscles elbows assessment status JointsMusclesElbowsAssmtStat The status of joints muscles elbows assessment in physical examination The status of joints muscles elbows assessment in physical examinatio Elbows 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
CSV