CDE Detailed Report

Disease: content
Sub-Domain: Physical/Neurological Examination
CRF: welcome

Displaying 1 - 50 of 78
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 / 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
C22720 Tremor indicator TremorInd Indicator of whether the patient/participant has tremors. Indicator of whether the patient/participant has tremors. Do you have tremors? No;Yes No;Yes Alphanumeric Adult;Pediatric Supplemental 1.00 2016-10-13 12:39:16.0 Self - Report Testing (On Intake) Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C22752 Sex decreased interest indicator SexDecreasdIntrestInd Indicator of whether the patient/participant has experienced decreased interest in sex. Indicator of whether the patient/participant has experienced decreased interest in sex. Do you have a decreased interest in sex (reduced libido)? No;Yes No;Yes Alphanumeric Adult;Pediatric Supplemental 1.00 2016-10-13 12:39:16.0 Self - Report Testing (On Intake) Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C22731 Sensation loss extremities indicator SensationLossExtremitiesInd Indicator of whether the patient/participant has experienced a partial or complete loss of sensation in his or her extremities. Indicator of whether the patient/participant has experienced a partial or complete loss of sensation in his or her extremities. Do you have partial or complete loss of sensation in your extremities? No;Yes No;Yes Alphanumeric Adult;Pediatric Supplemental-Highly Recommended 1.00 2016-10-13 12:39:16.0 Self - Report Testing (On Intake) Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C22763 Nipple discharge indicator NippleDischargeInd Indicator of whether the patient/participant is experiencing or exhibits discharge from one or both nipples. Indicator of whether the patient/participant is experiencing or exhibits discharge from one or both nipples. Do you have nipple discharge? No;Yes No;Yes Alphanumeric Adult;Pediatric Exploratory 1.00 2016-10-13 12:39:16.0 Self - Report Testing (On Intake) Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C19833 Psychiatric depression indicator PsychDepressInd Indicator of history of depression Indicator of history of depression Do you suffer from depression? No;Yes No;Yes Alphanumeric Adult;Pediatric Supplemental 1.00 2015-02-05 00:00:00.0 Self - Report Testing (On Intake) Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C22665 Medical history chronic constipation indicator MedHIstChrnConsInd Indicator of whether the participant/subject has/had chronic constipation Indicator of whether the participant/subject has/had chronic constipation Do you have constipation? Yes;No Yes;No Alphanumeric Adult;Pediatric Supplemental 1.00 2016-07-27 11:34:16.0 Self - Report Testing (On Intake) Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C22742 Excessive urination frequency indicator ExcessvUrinatnFreqncyInd Indicator of whether the patient/participant's urination frequency has been excessive. Indicator of whether the patient/participant's urination frequency has been excessive. Do you urinate more than 10 times per day? No;Yes No;Yes Alphanumeric Adult;Pediatric Supplemental 1.00 2016-10-13 12:39:16.0 Self - Report Testing (On Intake) Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C22721 Hearing very sensitive indicator HearingVerySensitiveInd Indicator of whether the patient/participant has very sensitive hearing. Indicator of whether the patient/participant has very sensitive hearing. Do you have very sensitive hearing? No;Yes No;Yes Alphanumeric Adult;Pediatric Supplemental 1.00 2016-10-13 12:39:16.0 Self - Report Testing (On Intake) Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C22753 Sexual arousal difficulty maintain indicator SexlArslDffcltyMntnInd Indicator of whether the patient/participant is experiencing difficulty maintaining sexual arousal. Indicator of whether the patient/participant is experiencing difficulty maintaining sexual arousal. Do you have difficulty maintaining arousal? No;Yes No;Yes Alphanumeric Adult;Pediatric Supplemental 1.00 2016-10-13 12:39:16.0 Self - Report Testing (On Intake) Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C22732 Burning pain abnormal extremity indicator BurnPainAbnormalExtremityInd Indicator of whether the patient/participant has experienced an abnormal burning pain in his or her extremeties. Indicator of whether the patient/participant has experienced an abnormal burning pain in his or her extremeties. Do you have an abnormal burning pain in your extremities? No;Yes No;Yes Alphanumeric Adult;Pediatric Supplemental-Highly Recommended 1.00 2016-10-13 12:39:16.0 Self - Report Testing (On Intake) Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C22764 Joint hypermobility indicator JointHypermobilityInd Indicator of whether the patient/participant is experiencing or exhibits hypermobility of one or more joints. Indicator of whether the patient/participant is experiencing or exhibits hypermobility of one or more joints. Do you have joint hypermobility? No;Yes No;Yes Alphanumeric Adult;Pediatric Supplemental-Highly Recommended 1.00 2016-10-13 12:39:16.0 Self - Report Testing (On Intake) Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C21577 Respiration stop during sleep indicator RespStopDurSleepInd The indicator related to stopping of transport of oxygen from the outside air to the cells within tissues during sleep. The indicator related to stopping of transport of oxygen from the outside air to the cells within tissues during sleep. Do you have sleep apnea? No;Yes No;Yes Alphanumeric Adult;Pediatric Supplemental-Highly Recommended 1.00 2015-07-28 18:24:23.0 Self - Report Testing (On Intake) Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C22711 Pain pressure behind eyes indicator PainPressrBehndEyesInd Indicator of whether the patient/participant feels pressure or pain behind his or her eyes. Indicator of whether the patient/participant feels pressure or pain behind his or her eyes. Do you have pain or pressure behind your eyes? No;Yes No;Yes Alphanumeric Adult;Pediatric Supplemental 1.00 2016-10-13 12:39:16.0 Self - Report Testing (On Intake) Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C22743 Inability empty bladder single attempt indicator InabltyEmptyBlddrSnglAttmptInd Indicator of whether the patient/participant is unable to empty his or her bladder in a single urination attempt. Indicator of whether the patient/participant is unable to empty his or her bladder in a single urination attempt. Do you go two or more times in succession before completely emptying your bladder? No;Yes No;Yes Alphanumeric Adult;Pediatric Supplemental 1.00 2016-10-13 12:39:16.0 Self - Report Testing (On Intake) Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C22722 Swallow difficulty indicator SwallowDifficultyInd Indicator of whether the patient/participant has difficulty swallowing. Indicator of whether the patient/participant has difficulty swallowing. Do you have difficulty swallowing? No;Yes No;Yes Alphanumeric Adult;Pediatric Supplemental-Highly Recommended 1.00 2016-10-13 12:39:16.0 Self - Report Testing (On Intake) Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C22754 Attain orgasm difficulty indicator AttainOrgsmDffcltyInd Indicator of whether the patient/participant experiences difficulty attaining orgasm. Indicator of whether the patient/participant experiences difficulty attaining orgasm. Do you have difficulty reaching orgasm? No;Yes No;Yes Alphanumeric Adult;Pediatric Supplemental 1.00 2016-10-13 12:39:16.0 Self - Report Testing (On Intake) Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C22733 Extremity specific area pain decreased sensation indicator ExtmtySpcfcAreaPnDcrsdSnstnInd Indicator of whether the patient/participant has experienced pain or decreased sensation in a specific area of his or her extremities. Indicator of whether the patient/participant has experienced pain or decreased sensation in a specific area of his or her extremities. Do you have pain or decreased sensation over a specific portion of your extremities? No;Yes No;Yes Alphanumeric Adult;Pediatric Supplemental-Highly Recommended 1.00 2016-10-13 12:39:16.0 Self - Report Testing (On Intake) Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C22765 Thyroid problem diagnosis ever indicator ThyroidProblmDiagnosEvrInd Indicator of whether the patient/participant has ever been diagnosed with a thyroid problem. Indicator of whether the patient/participant has ever been diagnosed with a thyroid problem. Have you been diagnosed with thyroid problems? No;Yes No;Yes Alphanumeric Adult;Pediatric Supplemental 1.00 2016-10-13 12:39:16.0 Self - Report Testing (On Intake) Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C21692 Chiari I malformation prickle tingle numb arm leg frequent occurrence symptom indicator CMPrkTngNmbArmLgFrqOcSymInd The indicator related to frequent prickling, tingling or numbness in your arms/legs in defining signs and symptoms for Chiari I malformation. The indicator related to frequent prickling, tingling or numbness in your arms/legs in defining signs and symptoms for Chiari I malformation. Do you suffer from prickling, tingling or numbness of your extremities? Yes;No Yes;No Alphanumeric Adult;Pediatric Supplemental 1.00 2016-05-26 17:58:16.0 Self - Report Testing (On Intake) Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C22712 Light sensitivity indicator LightSensitivityInd Indicator of whether the patient/participant is sensitive to light. Indicator of whether the patient/participant is sensitive to light. Are you sensitive to light? No;Yes No;Yes Alphanumeric Adult;Pediatric Supplemental 1.00 2016-10-13 12:39:16.0 Self - Report Testing (On Intake) Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C22744 Recurrent urinary tract infection indicator RecurrUrinryTractInfctnInd Indicator of whether the patient/participant has a history of recurring urinary tract infections. Indicator of whether the patient/participant has a history of recurring urinary tract infections. Do you have a history of recurring urinary bladder or kidney infections? No;Yes No;Yes Alphanumeric Adult;Pediatric Supplemental 1.00 2016-10-13 12:39:16.0 Self - Report Testing (On Intake) Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C22723 Throat tight indicator ThroatTightInd Indicator of whether the patient/participant has throat tightness. Indicator of whether the patient/participant has throat tightness. Do you have throat tightness? No;Yes No;Yes Alphanumeric Adult;Pediatric Supplemental 1.00 2016-10-13 12:39:16.0 Self - Report Testing (On Intake) Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C22755 Sexual dysfunction indicator SexualDysfunctionInd Indicator of whether the patient/participant experiences sexual dysfunction such as inability to attain orgasm, erectile dysfunction, inability to ejaculate. Indicator of whether the patient/participant experiences sexual dysfunction such as inability to attain orgasm, erectile dysfunction, inability to ejaculate. Have you lost the ability to reach an orgasm, sustain an erection, or ejaculate properly? No;Yes No;Yes Alphanumeric Adult;Pediatric Supplemental 1.00 2016-10-13 12:39:16.0 Self - Report Testing (On Intake) Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C22734 Skin change indicator SkinChangeInd Indicator of whether the patient/participant has experienced a skin change. Indicator of whether the patient/participant has experienced a skin change. Do you have any noticeable skin changes? No;Yes No;Yes Alphanumeric Adult;Pediatric Supplemental 1.00 2016-10-13 12:39:16.0 Self - Report Testing (On Intake) Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C22766 Pituitary problem diagnosis ever indicator PituitryProblmDiagnosEvrInd Indicator of whether the patient/participant has ever been diagnosed with a pituitary gland problem. Indicator of whether the patient/participant has ever been diagnosed with a pituitary gland problem. Have you been diagnosed with any pituitary problems? No;Yes No;Yes Alphanumeric Adult;Pediatric Supplemental 1.00 2016-10-13 12:39:16.0 Self - Report Testing (On Intake) Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C21693 Chiari I malformation position change dizzy symptom indicator CMPosChngDzySympInd The indicator related to dizziness with position changes in defining signs and symptoms for Chiari I malformation. The indicator related to dizziness with position changes in defining signs and symptoms for Chiari I malformation. Do you have dizziness with position changes? Yes;No Yes;No Alphanumeric Adult;Pediatric Supplemental 1.00 2016-05-27 08:49:49.0 Self - Report Testing (On Intake) Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C22713 Vision blurred indicator VisionBlurredInd Indicator of whether the patient/participant has blurred vision. Indicator of whether the patient/participant has blurred vision. Do you have blurred vision? No;Yes No;Yes Alphanumeric Adult;Pediatric Supplemental 1.00 2016-10-13 12:39:16.0 Self - Report Testing (On Intake) Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C22745 Interstitial cystitis diagnosis ever indicator IntrsttlCystitsDiagnosEvrInd Indicator of whether the patient/participant has ever been diagnosed with interstitial cystitis. Indicator of whether the patient/participant has ever been diagnosed with interstitial cystitis. Have you ever been diagnosed with interstitial cystitis? No;Yes No;Yes Alphanumeric Adult;Pediatric Supplemental 1.00 2016-10-13 12:39:16.0 Self - Report Testing (On Intake) Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C22724 Speech difficulty indicator SpeechDifficultyInd Indicator of whether the patient/participant has difficulty with speech. Indicator of whether the patient/participant has difficulty with speech. Do you have difficulty speaking? No;Yes No;Yes Alphanumeric Adult;Pediatric Supplemental 1.00 2016-10-13 12:39:16.0 Self - Report Testing (On Intake) Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C22756 Genital pelvic sensation loss indicator GenitalPelvicSensatnLossInd Indicator of whether the patient/participant has experienced a loss of sensation in his or her genital or pelvic area. Indicator of whether the patient/participant has experienced a loss of sensation in his or her genital or pelvic area. Have you experienced a decrease or loss of sensation in your pelvic (or genital) area? No;Yes No;Yes Alphanumeric Adult;Pediatric Supplemental 1.00 2016-10-13 12:39:16.0 Self - Report Testing (On Intake) Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C22735 Balance difficulty absent visual cue indicator BlncDffcltyAbsntVslCueInd Indicator of whether the patient/participant has experienced difficulty with balance in the absence of visual cues. Indicator of whether the patient/participant has experienced difficulty with balance in the absence of visual cues. If you close your eyes or are in the dark, do you have difficulty with your balance? No;Yes No;Yes Alphanumeric Adult;Pediatric Supplemental 1.00 2016-10-13 12:39:16.0 Self - Report Testing (On Intake) Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C22767 Bleeding clotting disorder indicator BleedClotDisorderInd Indicator of whether the patient/participant has ever had a bleeding or blood clotting disorder. Indicator of whether the patient/participant has ever had a bleeding or blood clotting disorder. Have you experienced any bleeding or blood clotting disorders? No;Yes No;Yes Alphanumeric Adult;Pediatric Supplemental 1.00 2016-10-13 12:39:16.0 Self - Report Testing (On Intake) Physical/Neurological Examination Assessments and Examinations

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. Do you have wound healing problems? No;Yes No;Yes Alphanumeric Adult;Pediatric Supplemental 1.00 2016-06-02 14:15:30.0 Self - Report Testing (On Intake) Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C22714 Vision doubled indicator VisionDoubledInd Indicator of whether the patient/participant has double vision. Indicator of whether the patient/participant has double vision. Do you have double vision? No;Yes No;Yes Alphanumeric Adult;Pediatric Supplemental 1.00 2016-10-13 12:39:16.0 Self - Report Testing (On Intake) Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C22746 Urethral stricture prostate problem diagnosis ever indicator UrthrlStrctrPrstPblmDgnsEvrInd Indicator of whether the patient/participant has ever been diagnosed with a urethral stricture or prostate problem. Indicator of whether the patient/participant has ever been diagnosed with a urethral stricture or prostate problem. Have you ever been diagnosed with a urethral stricture or prostate problems? No;Yes No;Yes Alphanumeric Adult;Pediatric Supplemental 1.00 2016-10-13 12:39:16.0 Self - Report Testing (On Intake) Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C22725 Vocal hoarseness increase indicator VocalHoarsenessIncreaseInd Indicator of whether the patient/participant has experienced an increase in vocal hoarseness. Indicator of whether the patient/participant has experienced an increase in vocal hoarseness. Is your voice changing, becoming hoarse? No;Yes No;Yes Alphanumeric Adult;Pediatric Supplemental 1.00 2016-10-13 12:39:16.0 Self - Report Testing (On Intake) Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C22757 Short-term memory loss indicator ShortTermMemoryLossInd Indicator of whether the patient/participant is experiencing a loss of short-term memory. Indicator of whether the patient/participant is experiencing a loss of short-term memory. Do you suffer from short-term memory loss? No;Yes No;Yes Alphanumeric Adult;Pediatric Supplemental 1.00 2016-10-13 12:39:16.0 Self - Report Testing (On Intake) Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C22736 Extremity weakness indicator ExtremityWeaknessInd Indicator of whether the patient/participant has experienced weakness of his or her extremities. Indicator of whether the patient/participant has experienced weakness of his or her extremities. Do you have weakness of your extremities? No;Yes No;Yes Alphanumeric Adult;Pediatric Supplemental-Highly Recommended 1.00 2016-10-13 12:39:16.0 Self - Report Testing (On Intake) Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C22768 Irregular menstrual period indicator IrreglrMenstrlPeriodInd Indicator of whether the patient/participant has irregular menstrual periods. Indicator of whether the patient/participant has irregular menstrual periods. Women: Do you have irregular periods? No;Yes No;Yes Alphanumeric Adult;Pediatric Supplemental 1.00 2016-10-13 12:39:16.0 Self - Report Testing (On Intake) Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C21873 Medical history hearing deficit indicator MedHistHeaDefInd The indicator related to personal medical history of hearing deficit or use of hearing aid. The indicator related to personal medical history of hearing deficit or use of hearing aid. Do you have decreased hearing? No;Yes No;Yes Alphanumeric Adult;Pediatric Supplemental 1.00 2016-06-06 10:55:07.0 Self - Report Testing (On Intake) Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C22715 Visual field reduced look straight ahead indicator VisFldReducLookStrghtAhdInd Indicator of whether the patient/participant's visual field is reduced or missing a portion when looking straight ahead with either or both eyes. Indicator of whether the patient/participant's visual field is reduced or missing a portion when looking straight ahead with either or both eyes. Are you missing a portion of your visual field when looking straight ahead (Field Cuts) with either or both eyes? No;Yes No;Yes Alphanumeric Adult;Pediatric Supplemental 1.00 2016-10-13 12:39:16.0 Self - Report Testing (On Intake) Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C22747 Current diarrhea indicator CurrentDiarrheaInd Indicator of whether the patient/participant currently experiences diarrhea. Indicator of whether the patient/participant currently experiences diarrhea. Do you suffer from diarrhea? No;Yes No;Yes Alphanumeric Adult;Pediatric Supplemental 1.00 2016-10-13 12:39:16.0 Self - Report Testing (On Intake) Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C22726 Palpitations indicator PalpitationsInd Indicator of whether the patient/participant has experienced palpitations. Indicator of whether the patient/participant has experienced palpitations. Do you have palpitations? No;Yes No;Yes Alphanumeric Adult;Pediatric Supplemental 1.00 2016-10-13 12:39:16.0 Self - Report Testing (On Intake) Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C22758 Long-term memory loss indicator LongTermMemoryLossInd Indicator of whether the patient/participant is experiencing a decline in long-term memory. Indicator of whether the patient/participant is experiencing a decline in long-term memory. Do you suffer from long-term memory loss? No;Yes No;Yes Alphanumeric Adult;Pediatric Supplemental 1.00 2016-10-13 12:39:16.0 Self - Report Testing (On Intake) Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C22737 Muscle tone loss indicator MuscleToneLossInd Indicator of whether the patient/participant has experienced a loss of muscle tone. Indicator of whether the patient/participant has experienced a loss of muscle tone. Do you have loss of muscle tone? No;Yes No;Yes Alphanumeric Adult;Pediatric Supplemental-Highly Recommended 1.00 2016-10-13 12:39:16.0 Self - Report Testing (On Intake) Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C22769 Unexpected breast milk production indicator UnexpectBrstMlkProdInd Indicator of whether the patient/participant is experiencing unexpected breast milk production. Indicator of whether the patient/participant is experiencing unexpected breast milk production. Women: Do you have unexpected milk production at the breast? No;Yes No;Yes Alphanumeric Adult;Pediatric Supplemental 1.00 2016-10-13 12:39:16.0 Self - Report Testing (On Intake) Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C22195 Base head pressure indicator BasHdPrsInd The indicator related to pressure at the base of head. The indicator related to pressure at the base of head. Do you have pressure at the base of your head? Yes;No Yes;No Alphanumeric Adult;Pediatric Core 1.00 2016-06-08 13:20:31.0 Self - Report Testing (On Intake) Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C22716 Ear pressure indicator EarPressureInd Indicator of whether the patient/participant has pressure in his or her ears. Indicator of whether the patient/participant has pressure in his or her ears. Do you have pressure in your ears? No;Yes No;Yes Alphanumeric Adult;Pediatric Supplemental 1.00 2016-10-13 12:39:16.0 Self - Report Testing (On Intake) Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C22748 Occasional bowel incontinence current indicator OccasnlBowlIncontncCurrInd Indicator of whether the patient/participant currently experiences occasional bowel incontinence. Indicator of whether the patient/participant currently experiences occasional bowel incontinence. Have you had occasional incontinence for stools (fecal soiling)? No;Yes No;Yes Alphanumeric Adult;Pediatric Supplemental 1.00 2016-10-13 12:39:16.0 Self - Report Testing (On Intake) Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C22727 Breath shortness indicator BreathShortnessInd Indicator of whether the patient/participant has experienced shortness of breath. Indicator of whether the patient/participant has experienced shortness of breath. Do you ever have shortness of breath? No;Yes No;Yes Alphanumeric Adult;Pediatric Supplemental 1.00 2016-10-13 12:39:16.0 Self - Report Testing (On Intake) Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

CSV