CDE Detailed Report
Disease: Cerebral Palsy
Subdomain Name: Physical/Neurological Examination
CRF: Physical Examination
Displaying 1 - 10 of 10
Subdomain Name: Physical/Neurological Examination
CRF: Physical Examination
Displaying 1 - 10 of 10
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 |
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C01015 | Physical exam performed indicator | PhysExamPerfrmdInd | Indicator of whether a physical exam was performed on the participant/subject | Indicator of whether a physical exam was performed on the participant/subject | Was a physical exam performed on the participant/subject? | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric | Adult;Pediatric | Supplemental | 3.00 | 2013-07-25 08:54:08.2 | Physical Examination | Physical/Neurological Examination | Assessments and Examinations |
Single Pre-Defined Value Selected |
2201750 | |||||||||
C14430 | Tanner stage | TannerStage | Stages of physical development in children, adolescents and adults. The scale defines physical measurements of development based on external primary and secondary sex characteristics, such as the size of the breasts, genitalia, and development of pubic hair | Stages of physical development in children, adolescents and adults. The scale defines physical measurements of development based on external primary and secondary sex characteristics, such as the size of the breasts, genitalia, and development of pubic hai | Tanner Stage | I;II;III;IV;V | I;II;III;IV;V | Alphanumeric | Pediatric | Supplemental | 1.00 | 2012-10-05 00:00:00.0 | Physical Examination | Physical/Neurological Examination | Assessments and Examinations |
Single Pre-Defined Value Selected |
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C17402 | Site name | SiteName | The name of the site for the study | The name of the site for the study | Site Name | Alphanumeric | Adult;Pediatric | Core | 3.00 | 2013-06-21 00:00:00.0 | Physical Examination | Physical/Neurological Examination | Assessments and Examinations | 255 |
Free-Form Entry |
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C19247 | Subject ID | SubIDNam | Subject identification ID | Subject identification ID | Subject ID | Alphanumeric | Adult;Pediatric | Core | 1.00 | 2014-06-05 13:10:49.0 | Physical Examination | Physical/Neurological Examination | Assessments and Examinations | 255 |
Free-Form Entry |
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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 | Hand preference | Left hand;Right hand;Both hands;Unknown;Not established | Left hand;Right hand;Both hands;Unknown;Not established | Alphanumeric |
Choose one – the hand which the participant/subject uses predominantly, not necessarily the hand the participant/subject writes with exclusively. |
Adult;Pediatric | Core | 3.00 | 2013-07-25 08:54:08.2 | Physical Examination | Physical/Neurological Examination | Assessments and Examinations |
Single Pre-Defined Value Selected |
2180147 | ||||||||
C00312 | Body system category | BodySysCat | Category or grouping used in the comprehensive assessment of a participant/subject, which includes a subjective history taking component as well as an objective based structured interview and physical examination of all the body systems | Category or grouping used in the comprehensive assessment of a participant/subject, which includes a subjective history taking component as well as an objective based structured interview and physical examination of all the body system | Body System | Allergic/Immunologic;Cardiovascular;Constitutional symptoms (e.g., fever, weight loss);Dermatological;Ears, Nose, Mouth, Throat;Endocrine;Eyes;Gastrointestinal;Gastrointestinal/Abdominal;Genitourinary;Gynecologic/Urologic/ Renal;Hematologic/Lymphatic;Hepatobiliary;Integumentary (skin and/or breast);Musculoskeletal;Musculoskeletal (separate from ALS exam);Neurological;Neurologic/CNS;Neurological (separate from ALS exam);Oncologic;Psychiatric;Pulmonary;Respiratory;Other, specify: | Allergic/Immunologic;Cardiovascular;Constitutional symptoms (e.g., fever, weight loss);Dermatological;Ears, Nose, Mouth, Throat;Endocrine;Eyes;Gastrointestinal;Gastrointestinal/Abdominal;Genitourinary;Gynecologic/Urologic/ Renal;Hematologic/Lymphatic;Hepatobiliary;Integumentary (skin and/or breast);Musculoskeletal;Musculoskeletal (separate from ALS exam);Neurological;Neurologic/CNS;Neurological (separate from ALS exam);Oncologic;Psychiatric;Pulmonary;Respiratory;Other, specify: | Alphanumeric | Adult;Pediatric | Supplemental | 3.00 | 2013-07-25 08:54:08.2 | Physical Examination | Physical/Neurological Examination | Assessments and Examinations |
Single Pre-Defined Value Selected |
2002895 | |||||||||
C01010 | Physical exam date and time | PhysExamDateTime | Date (and time if applicable and known) physical exam was performed | Date (and time if applicable and known) physical exam was performed | Date of Exam | Date or Date & Time |
Record the date (and time) the physical exam was performed. The date/time should be recorded to the level of granularity known (e.g., year, year and month, complete date plus hours and minutes, etc.) and in the format acceptable to the study database. |
Adult;Pediatric | Supplemental | 3.00 | 2013-08-28 16:08:00.453 | Physical Examination | Physical/Neurological Examination | Assessments and Examinations |
Free-Form Entry |
2004170 | ||||||||||
C01012 | Physical exam body system result type | PhysExamBodySysResltTyp | Assessment result of each body system examined | Assessment result of each body system examined | Result | Abnormal;Normal;Not examined | Abnormal;Normal;Not examined | Alphanumeric |
Choose one. |
Adult;Pediatric | Supplemental | 3.00 | 2013-07-25 08:54:08.2 | Physical Examination | Physical/Neurological Examination | Assessments and Examinations |
Single Pre-Defined Value Selected |
2821383 | ||||||||
C01013 | Physical exam description text | PhysExamDescripTxt | Free text field to describe the abnormality in a specific body system or an explanation of why the body system was not examined | Free text field to describe the abnormality in a specific body system or an explanation of why the body system was not examined | Describe abnormality or comment if body system is not examined | Alphanumeric |
Data to entered by site |
Adult;Pediatric | Supplemental | 3.00 | 2013-07-25 08:54:08.2 | Physical Examination | Physical/Neurological Examination | Assessments and Examinations | 255 |
Free-Form Entry |
2201880 | |||||||||
C01014 | Physical exam abnormality significance type | PhysExamAbnrmlySignfcnceTyp | An indication if the physical exam abnormality in a specific body system is clinically significant | An indication if the physical exam abnormality in a specific body system is clinically significant | If abnormality, clinically significant? | Clinically Significant;Not Clinically Significant | Clinically Significant;Not Clinically Significant | Alphanumeric | Adult;Pediatric | Supplemental | 3.00 | 2013-07-25 08:54:08.2 | Physical Examination | Physical/Neurological Examination | Assessments and Examinations |
Single Pre-Defined Value Selected |
3180087 |