CDE Detailed Report

Disease: Chiari I Malformation
Sub-Domain: General Health History
CRF: CMI - Hereditary Disorders of Connective Tissue Screening (2)

Displaying 1 - 10 of 10
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
C21773 Chiari malformation screening chronic edema varicose vein fatty skin tumor diagnosis indicator ChiMalScrChrEdeVarFatTumDiaInd The indicator related to fatty skin tumors or bumps, bluish hands or feet, varicose veins, or chronic edema (swelling) in a screening diagnosis for Chiari malformation. The indicator related to fatty skin tumors or bumps, bluish hands or feet, varicose veins, or chronic edema (swelling) in a screening diagnosis for Chiari malformation. Have you noted fatty skin tumors or bumps, bluish hands or feet, varicose veins, or chronic edema (swelling)? No;Yes No;Yes Alphanumeric Adult;Pediatric Supplemental 1.00 2016-06-02 14:16:21.0 CMI - Hereditary Disorders of Connective Tissue Screening (2) General Health History Participant History and Family History

Single Pre-Defined Value Selected

C21774 Chiari malformation screening bruise stretch mark skin hernia prolapse scar formation indicator ChiMAlScrBruStrHerProScaForInd The indicator related to easy bruising, stretch marks, stretchy skin, hernias, prolapses, or unusual scar formation in a screening for Chiari malformation. The indicator related to easy bruising, stretch marks, stretchy skin, hernias, prolapses, or unusual scar formation in a screening for Chiari malformation. Have you experienced easy bruising, stretch marks, stretchy skin, hernias, prolapses, or unusual scar formation? No;Yes No;Yes Alphanumeric Adult;Pediatric Supplemental 1.00 2016-06-02 14:17:29.0 CMI - Hereditary Disorders of Connective Tissue Screening (2) General Health History Participant History and Family History

Single Pre-Defined Value Selected

C21761 Chiari malformation screening hypermobility family indicator ChiMalScrHypFmlyInd The indicator related to family members having joint hypermobility syndrome which is a condition that features joints that easily move beyond the normal range. Expected for that particular joint in a screening diagnosis for Chiari malformation. The indicator related to family members having joint hypermobility syndrome which is a condition that features joints that easily move beyond the normal range. Expected for that particular joint in a screening diagnosis for Chiari malformation. Do you considered yourself or any immediate family members to be double jointed (hypermobile)? No;Yes No;Yes Alphanumeric Adult;Pediatric Supplemental 1.00 2016-06-02 13:53:10.0 CMI - Hereditary Disorders of Connective Tissue Screening (2) General Health History Participant History and Family History

Single Pre-Defined Value Selected

C21764 Chiari malformation screening ocular lens problem indicator ChiMalScrOcuLenProbInd The indicator related to optic or ocular lens problems. The indicator related to optic or ocular lens problems. Have you had any optic (or ocular) lens problems? No;Yes No;Yes Alphanumeric

Excluding astigmatism.

Adult;Pediatric Supplemental 1.00 2016-06-02 13:58:34.0 CMI - Hereditary Disorders of Connective Tissue Screening (2) General Health History Participant History and Family History

Single Pre-Defined Value Selected

C21765 Chiari malformation screening dental development poor enamel temporomandibular joint problem indicator ChiMAlScrDenEnaTemJoiProbInd The indicator related to having any developmental problems with teeth, poor dental enamel or temporomandibular joint disorder in a screening diagnosis for Chiari malformation. The indicator related to having any developmental problems with teeth, poor dental enamel or temporomandibular joint disorder in a screening diagnosis for Chiari malformation. Have you had any developmental problems with your teeth, poor dental enamel, or temporomandibular joint (TMJ) disorder? No;Yes No;Yes Alphanumeric Adult;Pediatric Supplemental 1.00 2016-06-02 14:01:20.0 CMI - Hereditary Disorders of Connective Tissue Screening (2) General Health History Participant History and Family History

Single Pre-Defined Value Selected

C21766 Chiari malformation screening echocardiogram mitral valve prolapse aortic aneurysm diagnosis indicator ChiMalScrEchMVPAorAneDiagInd The indicator related to ever having a echocardiogram reveal mitral valve prolapse (MVP) or aortic aneurysm (or enlargement) in a screening diagnosis for Chiari malformation. The indicator related to ever having a echocardiogram reveal mitral valve prolapse (MVP) or aortic aneurysm (or enlargement) in a screening diagnosis for Chiari malformation. Has an echocardiogram ever revealed mitral valve prolapse (MVP) or aortic aneurysm (or enlargement)? No;Yes No;Yes Alphanumeric Adult;Pediatric Supplemental 1.00 2016-06-02 14:02:58.0 CMI - Hereditary Disorders of Connective Tissue Screening (2) General Health History Participant History and Family History

Single Pre-Defined Value Selected

C21767 Chiari malformation screening orthopedic joint hip dislocation unusual pain screen indicator ChiMalScrOrtJoiHipDisPaiScrInd The indicator related to any kind of hip or any other joint dislocation, unusual joint pain, or susceptibility to joint injury in a screening for Chiari malformation. The indicator related to any kind of hip or any other joint dislocation, unusual joint pain, or susceptibility to joint injury in a screening for Chiari malformation. Have you had any kind of hip or any other joint dislocation, unusual joint pain, or susceptibility to joint injury? No;Yes No;Yes Alphanumeric Adult;Pediatric Supplemental 1.00 2016-06-02 14:05:08.0 CMI - Hereditary Disorders of Connective Tissue Screening (2) General Health History Participant History and Family History

Single Pre-Defined Value Selected

C21769 Chiari malformation screening orthopedic flat feet scoliosis chest deformity screen indicator ChiMalScrOrtFlaFeeScoCheDefInd The indicator related to having flat feet, scoliosis (spinal curvature), or a chest deformity in a screening for Chiari malformation. The indicator related to having flat feet, scoliosis (spinal curvature), or a chest deformity in a screening for Chiari malformation. Have you ever had flat feet, scoliosis (spinal curvature), or a chest deformity? No;Yes No;Yes Alphanumeric Adult;Pediatric Supplemental 1.00 2016-06-02 14:12:41.0 CMI - Hereditary Disorders of Connective Tissue Screening (2) General Health History Participant History and Family History

Single Pre-Defined Value Selected

C21770 Chiari malformation screening gastrointestinal gastric reflux irritable bowel syndrome malabsorption diagnosis indicator ChiMalScrGasRefIBSMalDiagInd The indicator related to diagnosis of gastric reflux, irritable bowel syndrome, or malabsorption in a screening for Chiari malformation. The indicator related to diagnosis of gastric reflux, irritable bowel syndrome, or malabsorption in a screening for Chiari malformation. Have you ever been diagnosed with gastric reflux, irritable bowel syndrome, or malabsorption? No;Yes No;Yes Alphanumeric Adult;Pediatric Supplemental 1.00 2016-06-02 14:14:20.0 CMI - Hereditary Disorders of Connective Tissue Screening (2) General Health History Participant History and Family History

Single Pre-Defined Value Selected

C21771 Chiari malformation screening wound prolong heal separation indicator ChiMalScrWouPeoHeaSepInd The indicator related to experiencing prolonged wound healing or separation in a screening for Chiari malformation. The indicator related to experiencing prolonged wound healing or separation in a screening for Chiari malformation. Have you experienced prolonged wound healing or separation? No;Yes No;Yes Alphanumeric Adult;Pediatric Supplemental 1.00 2016-06-02 14:15:30.0 CMI - Hereditary Disorders of Connective Tissue Screening (2) General Health History Participant History and Family History

Single Pre-Defined Value Selected

CSV