CDE Detailed Report
Disease: system
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CRF: files
Displaying 51 - 73 of 73
Subdomain Name: [php]
CRF: files
Displaying 51 - 73 of 73
| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| C18947 | Sensory system global assessment other text | SensySysGlobAssmtOTH | The free-text field related to 'Sensory system global assessment result' specifying other text. The condition and ability of sensory system | The free-text field related to 'Sensory system global assessment result' specifying other text. The condition and ability of sensory system | Other, specify: | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2012-10-05 00:00:00.0 | Neurological Exam | [php] | [php_1] | 4000 |
Free-Form Entry |
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| C00028 | Language spoken fluent ISO code | LangSpokeFluentISOCode | Code (ISO 639-2)for each language that the participant/subject speaks fluently | Code (ISO 639-2)for each language that the participant/subject speaks fluently | Language spoken fluently and corresponding ISO 639-2 code | English (eng);Spanish (spa);German (ger);Chinese (chi);French/Creole (cpf);Arabic;Russian (rus);Italian (ita);Polish (pol);Other specify;American Sign Language (sgn);Chinese languages (Chi) | English (eng);Spanish (spa);German (ger);Chinese (chi);French/Creole (cpf);Arabic (ara);Russian (rus);Italian (ita);Polish (pol);Other specify;American Sign Language (sgn);Chinese languages (Chi) | Alphanumeric |
Choose all that apply. 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] |
Multiple Pre-Defined Values Selected |
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| C17277 | Modified Romberg test result | ModRombergTestReslt | The result of the Modified Romberg test | The result of the Modified Romberg test | Modified Romberg test result | Normal;Abnormal | Normal;Abnormal | Alphanumeric |
Choose one. |
Agrawal, Y, Carey, JP, Hoffman, HJ, Sklare, DA, and Schubert, MC. The modified Romberg balance test: Normative data in US adults. Otology & Neurotology: 2011; 32(8):1309-1311. For the National Health and Nutrition Examination Survey (NHANES) Balance Exam Procedures Manual see http://www.cdc.gov/nchs/data/nhanes/ba.pdf | Adult;Pediatric | Supplemental | 3.00 | 2013-07-20 10:21:25.65 | Neurological Exam | [php] | [php_1] |
Single Pre-Defined Value Selected |
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| C14431 | Mental status examined type | MentlStatExamTyp | Type of mental status assessment performed | Type of mental status assessment performed | Mental Assessments | Attention;Working Memory;Recent Memory;Remote Memory;Spontaneous speech;Comprehension;Naming;Repetition;Reading;Affect | Attention;Working Memory;Recent Memory;Remote Memory;Spontaneous speech;Language Comprehension;Language Naming;Language Repetition;Language Reading;Affect | Alphanumeric |
Answer where applicable Recommended tests are: Attention-forward digit span (6 is normal for adults), Working Memory-reverse digit span (4 is normal for adults), Recent (Episodic) Memory-immediate recall of 3 objects and then recall again after 3-5 minute delay, Remote (Semantic) Memory-either recall of verifiable personal information from the patient's past (i.e. previous addresses or schools) or well-known current events (i.e. naming the Presidents backwards) |
Adult;Pediatric | Supplemental | 1.00 | 2012-10-05 00:00:00.0 | Neurological Exam | [php] | [php_1] |
Multiple Pre-Defined Values Selected |
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| C18935 | Muscle bulk assessment abnormality other text | MuscBulkAbnrmlyAssmtOTH | The free-text field related to 'Muscle bulk assessment abnormality type' specifying other text. The muscle bulk abnormality type | The free-text field related to 'Muscle bulk assessment abnormality type' specifying other text. The muscle bulk abnormality type | Cannot assess, explain: | Alphanumeric | Adult;Pediatric | Supplemental | 3.00 | 2013-08-28 16:08:00.453 | Neurological Exam | [php] | [php_1] | 4000 |
Free-Form Entry |
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| C14442 | Muscle bulk assessment abnormality type | MuscBulkAbnrmlyAssmtTyp | The muscle bulk abnormality type | The muscle bulk abnormality type | If abnormal, indicate type: | Abnormal and symmetric;Abnormal and asymmetric;Abnormal - Increased;Abnormal - Decreased;Other, specify | Abnormal and symmetric;Abnormal and asymmetric;Abnormal - Increased;Abnormal - Decreased;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 |
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| C14456 | Cerebellar or coordination assessment abnormality present type | CerbllCoordAssmtAbnrmlyPresTyp | Type of abnormality found by the cerebellar/coordination assessment | Type of abnormality found by the cerebellar/coordination assessment | If abnormal, please explain: | RUE;LUE;Dysmetria;Slowness;Cannot assess due to weakness;Other, specify | Right upper extremity (RUE);Left upper extremity (LUE);Dysmetria;Slowness;Cannot assess due to weakness;Other, specify | Alphanumeric |
Select all that apply. If abnormal, explain. "Cannot Assess due to Weakness" meant that the test of coordination is abnormal, but abnormal because of weakness (presumably not cerebellar in origin) rather than cerebellar dysfunction. |
Adult;Pediatric | Supplemental | 3.00 | 2013-08-28 16:08:00.453 | Neurological Exam | [php] | [php_1] |
Multiple Pre-Defined Values Selected |
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| C18948 | Sensory system abnormality anatomic other text | SensySysAbnrmlySymmAntmicOTH | The free-text field related to 'Sensory system abnormality anatomic site' specifying other text. The location of abnormality for sensory system | The free-text field related to 'Sensory system abnormality anatomic site' specifying other text. The location of abnormality for sensory system | Other, specify: | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2012-10-05 00:00:00.0 | Neurological Exam | [php] | [php_1] | 4000 |
Free-Form Entry |
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| C00029 | Language written fluent ISO code | LangWrtnFlntlyTxtISOCode | Code (ISO 639-2) for each language that the participant/subject writes fluently | Code (ISO 639-2) for each language that the participant/subject writes fluently | Language written fluently and corresponding ISO 639-2 code | Alphanumeric |
Text for all languages participant/subject writes fluently. 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 |
Free-Form Entry |
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| C18504 | Cranial nerves abnormality present text | CranlNerveAbnrmlyPresTxt | The free-text field to explain the abnormality of the cranial nerve identified | The free-text field to explain the abnormality of the cranial nerve identifie | Explain Abnormaility | Alphanumeric | Adult;Pediatric | Supplemental | 3.00 | 2013-07-30 14:29:49.047 | Neurological Exam | [php] | [php_1] | 255 |
Free-Form Entry |
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| C14432 | Mental status exam abnormality indicator | MentlStatExamAbnrmlyInd | Whether the mental assessment showed abnormal results | Whether the mental assessment showed abnormal results | Abnormality present? | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric |
Choose one. |
Adult;Pediatric | Supplemental | 1.00 | 2012-10-05 00:00:00.0 | Neurological Exam | [php] | [php_1] |
Single Pre-Defined Value Selected |
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| C18936 | Muscle tone assessment abnormality other text | MuscToneAbnrmlyAssmtOTH | The free-text field related to 'Muscle tone assessment abnormality type' specifying other text. The muscle tone abnormality type | The free-text field related to 'Muscle tone assessment abnormality type' specifying other text. The muscle tone abnormality type | Other, specify: | Alphanumeric | Adult;Pediatric | Supplemental | 3.00 | 2013-08-28 16:08:00.453 | Neurological Exam | [php] | [php_1] | 4000 |
Free-Form Entry |
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| C14443 | Muscle tone assessment anatomic site | MuscToneAssmtAntmicSite | Anatomic location of the muscle tone as part of the motor examination | Anatomic location of the muscle tone as part of the motor examinatio | Muscle tone - global assessment | Right upper extremity;Left upper extremity;Right lower extremity;Left lower extremity;Truncal tone | Right upper extremity (RUE);Left upper extremity (LUE);Right lower extremity (RLE);Left lower extremity (LLE);Truncal tone | 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 |
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| C14459 | Reflex exam global assessment result | RflxExmGlobAssmtReslt | The global assessment of the ability and condition of reflexes | The global assessment of the ability and condition of reflexes | Reflexes - global assessment | Abnormal;Normal;Cannot Assess;Other, specify | Abnormal;Normal;Cannot Assess;Other, specify | Alphanumeric |
Choose one. If abnormal collect 'Reflex assessment anatomic site' and 'Reflex assessment limb result' |
Adult;Pediatric | Supplemental | 3.00 | 2013-08-28 16:08:00.453 | Neurological Exam | [php] | [php_1] |
Single Pre-Defined Value Selected |
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| C18949 | Sensory system modalities affected other text | SensyModltyAffctOTH | The free-text field related to 'Sensory system modalities affected type' specifying other text. The type and location of the sensory receptor activated by a stimulus plays the primary role in coding the stimulus modality | The free-text field related to 'Sensory system modalities affected type' specifying other text. The type and location of the sensory receptor activated by a stimulus plays the primary role in coding the stimulus modality | Other, specify: | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2012-10-05 00:00:00.0 | Neurological Exam | [php] | [php_1] | 4000 |
Free-Form Entry |
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| C01003 | Pupil reactivity light right eye result | PupilReactivityLghtRtEyeReslt | Result of testing of the contraction of the participant's/subject's right pupil when a bright light is shone on it from an angle | Result of testing of the contraction of the participant's/subject's right pupil when a bright light is shone on it from an angle | Right pupil reactivity | Sluggish;Nonreactive;Brisk;Untestable;Unknown | Abnormal but still responsive;Abnormal;Normal;; | Alphanumeric | Adult;Pediatric | Supplemental | 3.00 | 2013-07-20 10:21:25.65 | Neurological Exam | [php] | [php_1] |
Single Pre-Defined Value Selected |
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| C18513 | Sensory system abnormality dermatome present text | SensySysAbnrmlyDermtPresTxt | The free-text field to describe the dermatome sensory abnormality, the area of skin supplied with afferent nerve fibers by a single posterior spinal root | The free-text field to describe the dermatome sensory abnormality, the area of skin supplied with afferent nerve fibers by a single posterior spinal roo | Dermatome, explain: | Alphanumeric | Adult;Pediatric | Supplemental | 3.00 | 2013-07-30 14:29:49.047 | Neurological Exam | [php] | [php_1] | 255 |
Free-Form Entry |
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| C14433 | Cranial nerves global assessment result | CranlNerveGlobAssmtReslt | The condition of Cranial Nerves | The condition of Cranial Nerves | Cranial nerves - global assessment | Normal;Abnormal;Cannot Assess;Other, specify | Normal;Abnormal;Cannot Assess;Other, specify | Alphanumeric |
Choose one. |
Adult;Pediatric | Supplemental | 1.00 | 2012-10-05 00:00:00.0 | Neurological Exam | [php] | [php_1] |
Single Pre-Defined Value Selected |
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| C18937 | Muscle strength abnormality assessment other text | MuscStrAbnrmlyAssmtOTH | The free-text field related to 'Muscle strength abnormality assessment type' specifying other text. The muscle strength abnormality type | The free-text field related to 'Muscle strength abnormality assessment type' specifying other text. The muscle strength abnormality type | Other, specify: | Alphanumeric | Adult;Pediatric | Supplemental | 3.00 | 2013-08-28 16:08:00.453 | Neurological Exam | [php] | [php_1] | 4000 |
Free-Form Entry |
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| C14444 | Muscle tone assessment abnormality indicator | MuscToneAbnrmlyAssmtInd | Whether the muscle tone assessment found any abnormalities | Whether the muscle tone 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 |
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| C14460 | Reflex assessment anatomic site | RflxAntmicSite | The location or category for reflex assessment of limbs | The location or category for reflex assessment of limbs | Assessment of limbs | Right Arm;Left Arm;Right Leg;Left Leg | Right Arm;Left Arm;Right Leg;Left Leg | Alphanumeric |
If reflexes abnormal record the results for each limb |
Adult;Pediatric | Supplemental | 1.00 | 2012-10-05 00:00:00.0 | Neurological Exam | [php] | [php_1] |
Single Pre-Defined Value Selected |
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| C53213 | Mental status exam abnormality explain text | MentlStatExamAbnrmlyExplTxt | The free-text field to explain the abnormality found as a result of mental assessment | The free-text field to explain the abnormality found as a result of mental assessment | Explain Abnormality | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2012-10-05 00:00:00.0 | Neurological Exam | [php] | [php_1] | 500 |
Free-Form Entry |
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| C01004 | Pupil reactivity light left eye result | PupilReactivityLghtLftEyeReslt | Result of testing of the contraction of the participant's/subject's left pupil when a bright light is shone on it from an angle | Result of testing of the contraction of the participant's/subject's left pupil when a bright light is shone on it from an angle | Left pupil reactivity: | Sluggish;Nonreactive;Brisk;Untestable;Unknown | Abnormal but still responsive;Abnormal;Normal;; | Alphanumeric | Adult;Pediatric | Supplemental | 3.00 | 2013-07-20 10:21:25.65 | Neurological Exam | [php] | [php_1] |
Single Pre-Defined Value Selected |
