CDE Detailed Report

Disease: Chiari I Malformation
Subdomain Name: Assessing Comorbidities
CRF: Co-Morbidities

Displaying 1 - 50 of 86
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
C22440 Head shape trigonocephaly indicator HeadShapeTrigonoInd The indicator related to head shape trigonocephaly, in which the subject has a triangular shaped forehead The indicator related to head shape trigonocephaly, in which the subject has a triangular shaped forehea Trigonocephaly No;Yes No;Yes Alphanumeric Adult;Pediatric Exploratory 1.00 2016-06-10 13:12:33.0 Co-Morbidities Assessing Comorbidities Outcomes and End Points

Single Pre-Defined Value Selected

C22478 Attention deficit hyperactivity disorder indicator AttDefHyperDisInd The indicator related to the disorders of attention deficit disorder (ADD) and attention deficit hyperactivity disorder (ADHD) The indicator related to the disorders of attention deficit disorder (ADD) and attention deficit hyperactivity disorder (ADHD ADD/ADHD No;Yes No;Yes Alphanumeric Adult;Pediatric Supplemental 1.00 2016-06-10 16:30:55.0 Co-Morbidities Assessing Comorbidities Outcomes and End Points

Single Pre-Defined Value Selected

C22405 Cutaneous stigmata occult tethered spinal cord capillary hemengioma indicator CutStigOccTethSCCapHemeInd The indicator related to skin abnormalities associated with spina bifida or cutaneous stigmata occult tethered spinal cord specific for capillary hemengioma The indicator related to skin abnormalities associated with spina bifida or cutaneous stigmata occult tethered spinal cord specific for capillary hemengiom Capillary hemangioma No;Yes No;Yes Alphanumeric Adult;Pediatric Core 1.00 2016-06-10 10:28:53.0 Co-Morbidities Assessing Comorbidities Outcomes and End Points

Single Pre-Defined Value Selected

C22416 Birth delivery normal indicator BirthDelivNormInd The indicator related to birth presentation at delivery being normal The indicator related to birth presentation at delivery being norma Birth presentation: Normal No;Yes No;Yes Alphanumeric Adult;Pediatric Exploratory 1.00 2016-06-10 10:59:29.0 Co-Morbidities Assessing Comorbidities Outcomes and End Points

Single Pre-Defined Value Selected

C22451 Hydrocephalus family history ventricle variant indicator HydroFmlyHistVentVarInd The indicator related to personal or immediate family history of hydrocephalus, specifically any ventricular variants, such as cavum septum pellucidum and cavum vergi The indicator related to personal or immediate family history of hydrocephalus, specifically any ventricular variants, such as cavum septum pellucidum and cavum verg Hydrocephalus: ventricular variants (cavum septum pellucidum, cavum vergi) No;Yes No;Yes Alphanumeric Adult;Pediatric Core 1.00 2016-06-10 14:16:03.0 Co-Morbidities Assessing Comorbidities Outcomes and End Points

Single Pre-Defined Value Selected

C22427 Fetal alcohol syndrome condition indicator FetAlcSyndrmCondInd The indicator related to the condition of fetal alcohol syndrome, which the group of signs and symptoms of birth defects caused by a woman drinking alcohol during pregnancy The indicator related to the condition of fetal alcohol syndrome, which the group of signs and symptoms of birth defects caused by a woman drinking alcohol during pregnanc Fetal alcohol syndrome No;Yes No;Yes Alphanumeric Adult;Pediatric Exploratory 1.00 2016-06-10 12:02:52.0 Co-Morbidities Assessing Comorbidities Outcomes and End Points

Single Pre-Defined Value Selected

C22467 Medical history sarcoidosis condition indicator MedHisSarcoCondInd The indicator related to medical history of the condition sarcoidosis, the growth of many tiny inflammatory cells throughout the body The indicator related to medical history of the condition sarcoidosis, the growth of many tiny inflammatory cells throughout the bod Sarcoidosis No;Yes No;Yes Alphanumeric Adult;Pediatric Exploratory 1.00 2016-06-10 15:58:46.0 Co-Morbidities Assessing Comorbidities Outcomes and End Points

Single Pre-Defined Value Selected

C19831 Psychiatric anxiety indicator PsychAnxInd Indicator of anxiety Indicator of anxiety Anxiety No;Yes No;Yes Alphanumeric Adult;Pediatric Supplemental 1.00 2015-02-05 00:00:00.0 Co-Morbidities Assessing Comorbidities Outcomes and End Points

Single Pre-Defined Value Selected

C22441 Medical history cranial vault remodel indicator MedHistCranlVaultRemInd The indicator related to medical history in which the subject has any history of cranial vault remodeling The indicator related to medical history in which the subject has any history of cranial vault remodelin H/O cranial vault remodeling No;Yes No;Yes Alphanumeric Adult;Pediatric Exploratory 1.00 2016-06-10 13:15:05.0 Co-Morbidities Assessing Comorbidities Outcomes and End Points

Single Pre-Defined Value Selected

C22479 Spinal cord tethered lipoma indicator SpinCordTethLipInd The indicator related to having lipoma as the condition of tethered spinal cord (low lying conus medullaris) The indicator related to having lipoma as the condition of tethered spinal cord (low lying conus medullaris Tethered cord (low lying conus medullaris): Lipoma No;Yes No;Yes Alphanumeric Adult;Pediatric Core 1.00 2016-06-10 16:21:44.0 Co-Morbidities Assessing Comorbidities Outcomes and End Points

Single Pre-Defined Value Selected

C22406 Cutaneous stigmata occult tethered spinal cord lipoma indicator CutStigOccTethSCLipInd The indicator related to skin abnormalities associated with spina bifida or cutaneous stigmata occult tethered spinal cord specific for lipoma The indicator related to skin abnormalities associated with spina bifida or cutaneous stigmata occult tethered spinal cord specific for lipoma Lipomas No;Yes No;Yes Alphanumeric Adult;Pediatric Core 1.00 2016-06-10 10:29:39.0 Co-Morbidities Assessing Comorbidities Outcomes and End Points

Single Pre-Defined Value Selected

C22417 Birth delivery breech indicator BirthDelivBreeInd The indicator related to birth presentation at delivery being a breech birth The indicator related to birth presentation at delivery being a breech birt Birth presentation: Breech No;Yes No;Yes Alphanumeric Adult;Pediatric Exploratory 1.00 2016-06-10 10:59:29.0 Co-Morbidities Assessing Comorbidities Outcomes and End Points

Single Pre-Defined Value Selected

C22452 Klippel Feil Anomaly diagnosis indicator KlipFeilAnomDiagnosInd The indicator related to the clinical diagnosis of Klippel Feil Anomaly, or fused cervical vertebrae The indicator related to the clinical diagnosis of Klippel Feil Anomaly, or fused cervical vertebra Klippel Feil Anomaly Yes;No;Unknown Yes;No;Unknown Alphanumeric Adult;Pediatric Core 1.00 2016-06-10 14:19:38.0 Co-Morbidities Assessing Comorbidities Outcomes and End Points

Single Pre-Defined Value Selected

C22428 Material infection condition indicator MatInfectCondInd The indicator related to the condition of a maternal infection developing during pregnancy The indicator related to the condition of a maternal infection developing during pregnanc Maternal infections No;Yes No;Yes Alphanumeric Adult;Pediatric Exploratory 1.00 2016-06-10 12:10:39.0 Co-Morbidities Assessing Comorbidities Outcomes and End Points

Single Pre-Defined Value Selected

C22469 Medical history tuberculosis condition indicator MedHisTBCondInd The indicator related to medical history of the condition tuberculosis (TB) The indicator related to medical history of the condition tuberculosis (TB Tuberculosis No;Yes No;Yes Alphanumeric Adult;Pediatric Exploratory 1.00 2016-06-10 15:58:46.0 Co-Morbidities Assessing Comorbidities Outcomes and End Points

Single Pre-Defined Value Selected

C19877 Medical history depression since last visit indicator MedHistDepressSLVInd Indicator of depression since last study visit Indicator of depression since last study visit Depression No;Yes No;Yes Alphanumeric Adult;Pediatric Core 1.00 2015-02-06 00:00:00.0 Co-Morbidities Assessing Comorbidities Outcomes and End Points

Single Pre-Defined Value Selected

C22407 Cutaneous stigmata occult thread spinal cord appendage indicator CutStigOccTethSCAppInd The indicator related to skin abnormalities associated with spina bifida or cutaneous stigmata occult tethered spinal cord specific for appendage The indicator related to skin abnormalities associated with spina bifida or cutaneous stigmata occult tethered spinal cord specific for appendage Appendages No;Yes No;Yes Alphanumeric Adult;Pediatric Core 1.00 2016-06-10 10:29:39.0 Co-Morbidities Assessing Comorbidities Outcomes and End Points

Single Pre-Defined Value Selected

C22442 Medical history correction high arched palate abnormality indicator MedHistCorrHiArchPalAbnrmlyInd The indicator related to medical history of or correction of an abnormality in the subject's high arched palate The indicator related to medical history of or correction of an abnormality in the subject's high arched palat High arched palate No;Yes No;Yes Alphanumeric Adult;Pediatric Supplemental 1.00 2016-06-10 13:20:37.0 Co-Morbidities Assessing Comorbidities Outcomes and End Points

Single Pre-Defined Value Selected

C22480 Spinal cord tethered myelomeningocele indicator SpinCordTethMyeloInd The indicator related to having myelomeningocele as the condition of tethered spinal cord (low lying conus medullaris) The indicator related to having myelomeningocele as the condition of tethered spinal cord (low lying conus medullaris Tethered cord (low lying conus medullaris): Myelomeningocele No;Yes No;Yes Alphanumeric Adult;Pediatric Core 1.00 2016-06-10 16:21:44.0 Co-Morbidities Assessing Comorbidities Outcomes and End Points

Single Pre-Defined Value Selected

C22418 Birth delivery forceps use indicator BirthDelivForUseInd The indicator related to birth presentation at delivery requiring the use of forceps The indicator related to birth presentation at delivery requiring the use of forceps Birth presentation: Forceps No;Yes No;Yes Alphanumeric Adult;Pediatric Exploratory 1.00 2016-06-10 10:59:29.0 Co-Morbidities Assessing Comorbidities Outcomes and End Points

Single Pre-Defined Value Selected

C22453 Medical history dysautonomia indicator MedHistDysInd The indicator related to any reported history of POTS (postural orthostatic tachycardia syndrome), NMH (Neurally mediated Hypotension) or fainting The indicator related to any reported history of POTS (postural orthostatic tachycardia syndrome), NMH (Neurally mediated Hypotension) or faintin Dysautonomia No;Yes No;Yes Alphanumeric Adult;Pediatric Supplemental 1.00 2016-06-10 14:23:13.0 Co-Morbidities Assessing Comorbidities Outcomes and End Points

Single Pre-Defined Value Selected

C22429 Motor vehicle accident injury indicator MVAInjInd The indicator relating to any previous or current injuries due to a motor vehicle accident (MVA) The indicator relating to any previous or current injuries due to a motor vehicle accident (MVA Motor vehicle accident No;Yes No;Yes Alphanumeric Adult;Pediatric Core 1.00 2016-06-10 12:16:37.0 Co-Morbidities Assessing Comorbidities Outcomes and End Points

Single Pre-Defined Value Selected

C22470 Diamond blackfan anemia disorder indicator DiaBlackAneDisordrInd The indicator related to the presence of the disorder Diamond-Blackfan anemia (DBA), in which the bone marrow malfunctions and fails to produce enough red blood cells The indicator related to the presence of the disorder Diamond-Blackfan anemia (DBA), in which the bone marrow malfunctions and fails to produce enough red blood cell Diamond-Blackfan No;Yes No;Yes Alphanumeric Adult;Pediatric Supplemental 1.00 2016-06-10 16:04:28.0 Co-Morbidities Assessing Comorbidities Outcomes and End Points

Single Pre-Defined Value Selected

C21870 Medical history Lyme disease indicator MedHistLymDisInd The indicator related to personal medical history of Lyme disease The indicator related to personal medical history of Lyme diseas Lyme Disease No;Yes No;Yes Alphanumeric Adult;Pediatric Supplemental 1.00 2016-06-06 10:50:40.0 Co-Morbidities Assessing Comorbidities Outcomes and End Points

Single Pre-Defined Value Selected

C22408 Cutaneous stigmata occult tethered spinal cord meningocele manque indicator CutStigOccTethSCMenManInd The indicator related to skin abnormalities associated with spina bifida or cutaneous stigmata occult tethered spinal cord specific for meningocele manque The indicator related to skin abnormalities associated with spina bifida or cutaneous stigmata occult tethered spinal cord specific for meningocele manque Meningocele manque No;Yes No;Yes Alphanumeric Adult;Pediatric Core 1.00 2016-06-10 10:29:39.0 Co-Morbidities Assessing Comorbidities Outcomes and End Points

Single Pre-Defined Value Selected

C22443 Medical history correction cleft palate abnormality indicator MedHistCorrCleftPalAbnrmlyInd The indicator related to medical history of or correction of an abnormality in the subject's cleft palate The indicator related to medical history of or correction of an abnormality in the subject's cleft palat Cleft palate No;Yes No;Yes Alphanumeric Adult;Pediatric Supplemental 1.00 2016-06-10 13:20:37.0 Co-Morbidities Assessing Comorbidities Outcomes and End Points

Single Pre-Defined Value Selected

C22481 Spinal cord tethered thick filum indicator SpinCordTethMyelomInd The indicator related to having thickened filum as the condition of tethered spinal cord (low lying conus medullaris) The indicator related to having thickened filum as the condition of tethered spinal cord (low lying conus medullaris Tethered cord (low lying conus medullaris): Thickened flium No;Yes No;Yes Alphanumeric Adult;Pediatric Core 1.00 2016-06-10 16:21:44.0 Co-Morbidities Assessing Comorbidities Outcomes and End Points

Single Pre-Defined Value Selected

C22419 Birth delivery Caesarian section indicator BirthDelivCSectionInd The indicator related to birth presentation at delivery being a Caesarian section The indicator related to birth presentation at delivery being a Caesarian sectio Birth presentation: Caesarian Section No;Yes No;Yes Alphanumeric Adult;Pediatric Exploratory 1.00 2016-06-10 10:59:29.0 Co-Morbidities Assessing Comorbidities Outcomes and End Points

Single Pre-Defined Value Selected

C22454 Pseudotumor papilledema family history condition indicator PseudoPapFmlyHistCondInd The indicator related to personal or family history of pseudotumors or papilledema The indicator related to personal or family history of pseudotumors or papilledem Pseudotumor/Papilledema No;Yes No;Yes Alphanumeric Adult;Pediatric Supplemental 1.00 2016-06-10 14:27:01.0 Co-Morbidities Assessing Comorbidities Outcomes and End Points

Single Pre-Defined Value Selected

C00001 Gestational age value GestatnlAgeVal Time elapsed in weeks between the first day of the last normal menstrual period and the day of delivery of the participant/subject Time elapsed in weeks between the first day of the last normal menstrual period and the day of delivery of the participant/subjec Gestational age at birth Numeric Values Adult;Pediatric Exploratory 3.00 2013-07-25 08:54:08.2 Co-Morbidities Assessing Comorbidities Outcomes and End Points

Free-Form Entry

0 52 week 3192017
C22430 Brain injury unspecified indicator BrnInjUnspecInd The indicator relating to any unspecified brain injuries the subject has had The indicator relating to any unspecified brain injuries the subject has ha Other brain injury No;Yes No;Yes Alphanumeric Adult;Pediatric Core 1.00 2016-06-10 12:31:15.0 Co-Morbidities Assessing Comorbidities Outcomes and End Points

Single Pre-Defined Value Selected

C22471 Methylenetetrahydrofolate reductase genetic defect indicator MTHFRGenDefectInd The indicator related to the absence of the methylenetetrahydrofolate reductase (MTHFR) gene, a gene essential in converting vitamin B9 into a usable form and the body's growth and metabolism The indicator related to the absence of the methylenetetrahydrofolate reductase (MTHFR) gene, a gene essential in converting vitamin B9 into a usable form and the body's growth and metabolis MHTFR defect No;Yes No;Yes Alphanumeric Adult;Pediatric Supplemental 1.00 2016-06-10 16:08:51.0 Co-Morbidities Assessing Comorbidities Outcomes and End Points

Single Pre-Defined Value Selected

C21887 Injury whiplash indicator InjWhiInd The indicator relating to injury in the form of whiplash The indicator relating to injury in the form of whiplas Whiplash No;Yes No;Yes Alphanumeric Adult;Pediatric Core 1.00 2016-06-06 11:11:25.0 Co-Morbidities Assessing Comorbidities Outcomes and End Points

Single Pre-Defined Value Selected

C22409 Skin abnormality stretch mark indicator SkinAbnormlyStrMarkInd The indicator related to evaluation of the presence of skin abnormality of stretch marks consistent with connective tissue disorders The indicator related to evaluation of the presence of skin abnormality of stretch marks consistent with connective tissue disorders Stretch marks No;Yes No;Yes Alphanumeric Adult;Pediatric Core 1.00 2016-06-10 10:33:41.0 Co-Morbidities Assessing Comorbidities Outcomes and End Points

Single Pre-Defined Value Selected

C22444 Medical history correction bifid uvula abnormality indicator MedHistCorrBifUvuAbnrmlyInd The indicator related to medical history of or correction of an abnormality in the subject's bifid uvula The indicator related to medical history of or correction of an abnormality in the subject's bifid uvul Bifid uvula No;Yes No;Yes Alphanumeric Adult;Pediatric Supplemental 1.00 2016-06-10 13:20:37.0 Co-Morbidities Assessing Comorbidities Outcomes and End Points

Single Pre-Defined Value Selected

C22420 Gestation singleton indicator GestSingleInd The indicator related to a single gestation The indicator related to a single gestatio Singleton No;Yes No;Yes Alphanumeric Adult;Pediatric Exploratory 1.00 2016-06-10 11:33:19.0 Co-Morbidities Assessing Comorbidities Outcomes and End Points

Single Pre-Defined Value Selected

C22455 Family history cranial synostosis condition type FmlyHistCranlSynoCondTyp The type related to personal or family history of the condition of cranial synostosis The type related to personal or family history of the condition of cranial synostosi Cranial synostosis type Pfeieffer;Vater's;Aperts;Crouzon's;Other, specify Pfeieffer;Vater's;Aperts;Crouzon's;Other, specify Alphanumeric Adult;Pediatric Supplemental 1.00 2016-06-10 14:30:34.0 Co-Morbidities Assessing Comorbidities Outcomes and End Points

Single Pre-Defined Value Selected

C00007 Birth date BirthDate Date (and time, if applicable and known) the participant/subject was born Date (and time, if applicable and known) the participant/subject was born Children (a-z): DOB Date or Date & Time Adult;Pediatric Supplemental 3.00 2013-07-25 08:54:08.2 Co-Morbidities Assessing Comorbidities Outcomes and End Points

Free-Form Entry

793
C22431 Neck injury unspecified indicator NeckInjUnspecInd The indicator relating to any unspecified neck injuries the subject has had The indicator relating to any unspecified neck injuries the subject has ha Other neck injury No;Yes No;Yes Alphanumeric Adult;Pediatric Core 1.00 2016-06-10 12:31:15.0 Co-Morbidities Assessing Comorbidities Outcomes and End Points

Single Pre-Defined Value Selected

C22472 Coagulopathy condition indicator CoagCondInd The indicator related to the condition coagulopathy, a condition in which the bloods ability to clot is impaired The indicator related to the condition coagulopathy, a condition in which the bloods ability to clot is impaire Coagulopathy No;Yes No;Yes Alphanumeric Adult;Pediatric Supplemental 1.00 2016-06-10 16:13:12.0 Co-Morbidities Assessing Comorbidities Outcomes and End Points

Single Pre-Defined Value Selected

C22399 Spina bifida diagnosis indicator SpinaBifDiagnosInd The indicator related to diagnosis of spina bifida The indicator related to diagnosis of spina bifida Prior clinical diagnosis of spina bifida No;Yes No;Yes Alphanumeric Adult;Pediatric Core 1.00 2016-06-10 10:00:26.0 Co-Morbidities Assessing Comorbidities Outcomes and End Points

Single Pre-Defined Value Selected

C22410 Skin abnormality hyperextensiblilty indicator SkinAbnormlyHyperInd The indicator related to evaluation of the presence of skin abnormality of hyperextensiblilty consistent with connective tissue disorders The indicator related to evaluation of the presence of skin abnormality of hyperextensiblilty consistent with connective tissue disorders Hyperextensible No;Yes No;Yes Alphanumeric Adult;Pediatric Core 1.00 2016-06-10 10:34:55.0 Co-Morbidities Assessing Comorbidities Outcomes and End Points

Single Pre-Defined Value Selected

C22445 Micrognathia condition indicator MicCondInd The indicator related to the condition of micrognathia, in which the subject has a small receding jaw The indicator related to the condition of micrognathia, in which the subject has a small receding ja Micrognathia No;Yes No;Yes Alphanumeric Adult;Pediatric Exploratory 1.00 2016-06-10 13:25:02.0 Co-Morbidities Assessing Comorbidities Outcomes and End Points

Single Pre-Defined Value Selected

C22421 Gestation twin indicator GestTwinId The indicator related to a twin gestation The indicator related to a twin gestatio Twin No;Yes No;Yes Alphanumeric Adult;Pediatric Exploratory 1.00 2016-06-10 11:36:05.0 Co-Morbidities Assessing Comorbidities Outcomes and End Points

Single Pre-Defined Value Selected

C22456 Pregnancy miscarriage medical termination still birth count PregMiscarMedTermStillBirCount The count related to the number of abortions, miscarriages, and/or still births the mother has had The count related to the number of abortions, miscarriages, and/or still births the mother has ha Pregnancy History: Abortions, miscarriages, or Still born Numeric Values Adult;Pediatric Supplemental 1.00 2016-06-10 14:35:28.0 Co-Morbidities Assessing Comorbidities Outcomes and End Points

Free-Form Entry

0
C00035 Gender type GenderTyp Self-reported gender of the participant/subject Self-reported gender of the participant/subjec Children (a-z): Sex Alphanumeric Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Co-Morbidities Assessing Comorbidities Outcomes and End Points

Single Pre-Defined Value Selected

2200604
C22433 Medical history aortic root enlargement indicator MedHistAorRootElargeInd The indicator related to any medical history of the enlargement of the subject's aortic root The indicator related to any medical history of the enlargement of the subject's aortic roo Aortic root enlargement No;Yes No;Yes Alphanumeric Adult;Pediatric Exploratory 1.00 2016-06-10 12:56:04.0 Co-Morbidities Assessing Comorbidities Outcomes and End Points

Single Pre-Defined Value Selected

C22473 Anemia condition indicator AneCondInd The indicator related to the blood condition anemia The indicator related to the blood condition anemi Anemia No;Yes No;Yes Alphanumeric Adult;Pediatric Supplemental 1.00 2016-06-10 16:14:52.0 Co-Morbidities Assessing Comorbidities Outcomes and End Points

Single Pre-Defined Value Selected

C22400 Spina bifida occulta diagnosis indicator SpinaBifOccDiagnosInd The indicator related to spina bifida in which there is a defect in the bony spinal canal without protrusion of the cord or meninges The indicator related to spina bifida in which there is a defect in the bony spinal canal without protrusion of the cord or meninge Spina bifida occulta No;Yes No;Yes Alphanumeric Adult;Pediatric Supplemental 1.00 2016-06-10 10:01:37.0 Co-Morbidities Assessing Comorbidities Outcomes and End Points

Single Pre-Defined Value Selected

C22411 Skin abnormality peizogenic papule indicator SkinAbnrmlyPeizPapInd The indicator related to evaluation of the presence of skin abnormality of peizogenic papule consistent with connective tissue disorders The indicator related to evaluation of the presence of skin abnormality of peizogenic papule consistent with connective tissue disorders Peizogenic papules No;Yes No;Yes Alphanumeric Adult;Pediatric Exploratory 1.00 2016-06-10 10:35:44.0 Co-Morbidities Assessing Comorbidities Outcomes and End Points

Single Pre-Defined Value Selected

CSV