CDE Detailed Report

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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
C14435 Nystagmus indicator NystagmusInd Involuntary movements of the eyeballs; its presence or absence is used to diagnose a variety of neurological and visual disorders Involuntary movements of the eyeballs; its presence or absence is used to diagnose a variety of neurological and visual disorders Nystagmus Yes;No;Cannot Assess Yes;No;Cannot Assess Alphanumeric

Specify type, if yes

Adult;Pediatric Supplemental 1.00 2012-10-05 00:00:00.0 Neurological Exam [php] [php_1]

Single Pre-Defined Value Selected

C18939 Muscle weakness neurological anatomic other text MuscWeakNeuroAntmicOTH The free-text field related to 'Muscle weakness neurological anatomic site' specifying other text. Anatomic location of neurological muscle weakness The free-text field related to 'Muscle weakness neurological anatomic site' specifying other text. Anatomic location of neurological muscle weaknes Other, specify: Alphanumeric Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Neurological Exam [php] [php_1] 4000

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C14446 Muscle strength assessment anatomic site MuscStrAssmtAntmicSite Anatomic location of the muscle strength as part of the motor examination Anatomic location of the muscle strength as part of the motor examinatio Muscle strength - global assessment Right upper extremity;Left upper extremity;Right lower extremity;Left lower extremity Right upper extremity (RUE);Left upper extremity (LUE);Right lower extremity (RLE);Left lower extremity (LLE) Alphanumeric

Evaluate all extremities.

Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Neurological Exam [php] [php_1]

Single Pre-Defined Value Selected

C14462 Reflex plantar right response result RflxPlntrRtRespnsReslt The results from reflex plantar response on the right side The results from reflex plantar response on the right side Right: Flexor;Extensor;Equivocal;Cannot Assess;Other, specify Flexor;Extensor;Equivocal;Cannot Assess;Other, specify Alphanumeric

Choose all that apply. If other, explain.

Adult;Pediatric Supplemental 1.00 2012-10-05 00:00:00.0 Neurological Exam [php] [php_1]

Multiple Pre-Defined Values Selected

C01006 Pupil left eye measurement PupilLftEyeMeasr Measurement of the left pupil in millimeters Measurement of the left pupil of the eye in mm Left pupil measurement Numeric Values

Pupil measurement recorded in millimeters (mm). Acceptable range is 1-9 mm.

Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Neurological Exam [php] [php_1]

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1 10 millimeter
C18516 Sensory system abnormality stocking glove present text SensySysAbnrmlyStckGlvPresTxt The free-text field to describe the stocking sensory abnormality, a generalised and gradual loss of peripheral nerve function results in a receding glove and stocking pattern The free-text field to describe the stocking sensory abnormality, a generalised and gradual loss of peripheral nerve function results in a receding glove and stocking patter Stocking/glove, explain: Alphanumeric Adult;Pediatric Supplemental 3.00 2013-07-30 14:29:49.047 Neurological Exam [php] [php_1] 255

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C14436 Nystagmus type NystagmusTyp Type of involuntary movement of the eyeballs; its presence or absence is used to diagnose a variety of neurological and visual disorders Type of involuntary movement of the eyeballs; its presence or absence is used to diagnose a variety of neurological and visual disorders Type of nystagmus Physiologic;Abnormal;Other, specify Physiologic;Abnormal;Other, specify Alphanumeric

Enter type of nystagmus; physiological nystagmus is normal nystagmus (i.e. a few beats at end gaze)

Adult;Pediatric Supplemental 1.00 2012-10-05 00:00:00.0 Neurological Exam [php] [php_1]

Single Pre-Defined Value Selected

C18942 Cerebellar or coordination assessment abnormality present other text CerbllCoordAssmtAbnrmlyPrsOTH The free-text field related to 'Cerebellar or coordination assessment abnormality present status' specifying other text. Whether the cerebellar/coordination assessment found abnormalities The free-text field related to 'Cerebellar or coordination assessment abnormality present status' specifying other text. Whether the cerebellar/coordination assessment found abnormalities Other, specify: Alphanumeric Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Neurological Exam [php] [php_1] 4000

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C14447 Muscle strength abnormality assessment indicator MuscStrAbnrmlyAssmtInd Whether the muscle strength assessment found any abnormalities Whether the muscle strength assessment found any abnormalities Abnormality present? Yes;No;Not assessed;Unknown Yes;No;Not assessed;Unknown Alphanumeric

Choose one for each anatomic site

Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Neurological Exam [php] [php_1]

Single Pre-Defined Value Selected

C14463 Reflex plantar left response result RflxPlntrLftRespnsReslt The results from reflex plantar response on the left side The results from reflex plantar response on the left side Left: Flexor;Extensor;Equivocal;Cannot Assess;Other, specify Flexor;Extensor;Equivocal;Cannot Assess;Other, specify Alphanumeric

Choose all that apply. If other, explain.

Adult;Pediatric Supplemental 1.00 2012-10-05 00:00:00.0 Neurological Exam [php] [php_1]

Multiple Pre-Defined Values Selected

C01023 Pupil shape right eye type PupilShapeRtEyeTyp Type of shape of the pupil of the right eye Type of shape of the pupil of the right eye Right pupil shape: Oval;Round;Unknown Oval;Round;Unknown Alphanumeric

Choose one. Recommend collection at least at study hospital admission/discharge and protocol milestones.

Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Neurological Exam [php] [php_1]

Single Pre-Defined Value Selected

C18517 Sensory system abnormality stocking present text SensySysAbnrmlyStockPresTxt The free-text field to describe the stocking sensory abnormality, a generalised and gradual loss of peripheral nerve function results in a receding stocking pattern The free-text field to describe the stocking sensory abnormality, a generalised and gradual loss of peripheral nerve function results in a receding stocking patter Stocking, explain: Alphanumeric Adult;Pediatric Supplemental 3.00 2013-07-30 14:29:49.047 Neurological Exam [php] [php_1] 255

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C14437 Motor exam global assessment type MotorExamGloblAssmtTyp Type of global assessment for the motor exam Type of global assessment for the motor exam Motor assessments Muscle bulk;Muscle tone;Muscle strength Muscle bulk;Muscle tone;Muscle strength Alphanumeric

For each global assessment type record whether an abnormality is present and if so the type of abnormality

Adult;Pediatric Supplemental 1.00 2012-10-05 00:00:00.0 Neurological Exam [php] [php_1]

Single Pre-Defined Value Selected

C18943 Cerebellar or coordination assessment abnormality explain other text CerbllCoordAssmtAbnrmlyExplOTH The free-text field related to 'Cerebellar or coordination assessment abnormality present type' specifying other text for explaining the type of abnormality found by the cerebellar/coordination assessment The free-text field related to 'Cerebellar or coordination assessment abnormality present type' specifying other text. Type of abnormality found by the cerebellar/coordination assessment Other, specify: Alphanumeric Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Neurological Exam [php] [php_1] 4000

Free-Form Entry

C00024 Language primary ISO code LangPrimryCode Code (ISO 639-2) for the language the participant/subject speaks most often Code (ISO 639-2) for the language the participant/subject speaks most often Other, specify ISO 639-2 code Alphanumeric

Choose one. It may be easier to record the full name of the language and code the data later using the ISO 639-2 codes.

ISO 639-2 language codes (http://www.loc.gov/standards/iso639-2/php/code_list.php) Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Neurological Exam [php] [php_1] 255

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C14448 Muscle strength abnormality assessment type MuscStrAbnrmlyAssmtTyp The muscle strength abnormality type The muscle strength abnormality type If abnormal, indicate type: Abnormal - Decreased;Abnormal - Increased;Other, specify Abnormal - Decreased;Abnormal - Increased;Other, specify Alphanumeric

Choose one.

Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Neurological Exam [php] [php_1]

Single Pre-Defined Value Selected

C14466 Sensory system global assessment result SensySytGlobAssmtReslt The condition and ability of sensory system The condition and ability of sensory system Sensory system - global assessment: Abnormal;Normal;Cannot Assess;Other, specify Abnormal;Normal;Cannot Assess;Other, specify Alphanumeric

Choose one. If abnormal answer questions A-D.

Adult;Pediatric Supplemental 1.00 2012-10-05 00:00:00.0 Neurological Exam [php] [php_1]

Single Pre-Defined Value Selected

C01024 Pupil shape left eye type PupilShapeLftEyeTyp Type of shape of the pupil of the left eye Type of shape of the pupil of the left eye Left pupil shape: Oval;Round;Unknown Oval;Round;Unknown Alphanumeric

Choose one. Recommend collection at least at study hospital admission/discharge and protocol milestones.

Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Neurological Exam [php] [php_1]

Single Pre-Defined Value Selected

C18732 Language primary other text LangPrimryOTH The free-text field related to 'Language primary text' specifying other text. Text for the language the participant/subject speaks most often The free-text field related to 'Language primary text' specifying other text. Text for the language the participant/subject speaks most often Other, specify ISO 639-2 code Alphanumeric

Text for participant's/subject's primary language. It may be easier to record the full name of the language and code the data later using the ISO 639-2 codes.

ISO 639-2 language codes (http://www.loc.gov/standards/iso639-2/php/code_list.php) Adult;Pediatric Supplemental 1.00 2014-05-27 13:34:46.0 Neurological Exam [php] [php_1] 4000

Free-Form Entry

C14438 Motor exam global abnormality present indicator MotorExamGloblAbnrmlyPresInd Global assessment whether an abnormality was present following the motor exam Global assessment whether an abnormality was present following the motor exa Abnormality present? Yes;No;Cannot Assess Yes;No;Cannot Assess Alphanumeric

Choose one for each global assessment type

Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Neurological Exam [php] [php_1]

Single Pre-Defined Value Selected

C18944 Reflex exam global assessment other text RflxExmGlobAssmtOTH The free-text field related to 'Reflex exam global assessment result' specifying other text. The global assessment of the ability and condition of reflexes The free-text field related to 'Reflex exam global assessment result' specifying other text. The global assessment of the ability and condition of reflexes Other, specify: Alphanumeric Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Neurological Exam [php] [php_1] 4000

Free-Form Entry

C00025 Language primary text LangPrimryTxt Text for the language the participant/subject speaks most often Text for the language the participant/subject speaks most often Primary language eng;spa;sgn;chi;fre;ger;Other, specify English;Spanish;Sign Languages;Chinese languages;French;German;Other, specify Alphanumeric

Text for participant's/subject's primary language. It may be easier to record the full name of the language and code the data later using the ISO 639-2 codes.

ISO 639-2 language codes (http://www.loc.gov/standards/iso639-2/php/code_list.php) Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Neurological Exam [php] [php_1]

Single Pre-Defined Value Selected

C14450 Muscle weakness brain pattern type MuscWeakBrainPattrnTyp Patterns describing weakness in location of brain Patterns describing weakness in location of brain Does the weakness suggest one of the following patterns? Right Hemiparesis;Left Hemiparesis;Diplegia / Paraparesis;Quadriplegia / Quadraparesis;Peripheral Nerve Lesion(s), Neuropathic Weakness;Neuropathic weakness;Myopathic Weakness;Other, specify Right Hemiparesis;Left Hemiparesis;Diplegia / Paraparesis;Quadriplegia / Quadraparesis;Peripheral Nerve Lesion(s), Neuropathic Weakness;Neuropathic weakness;Myopathic Weakness;Other, specify Alphanumeric

Choose all that apply.

Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Neurological Exam [php] [php_1]

Multiple Pre-Defined Values Selected

CSV