CDE Detailed Report

Disease: Myalgic Encephalomyelitis/Chronic Fatigue Syndrome
Sub-Domain: Physical/Neurological Examination
CRF: Physical Examination

Displaying 1 - 50 of 141
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
C58014 Eyes fundoscopic assessment status EyesFundoscopicAssmtStat The status of eyes fundoscopic assessment in physical examination. The status of eyes fundoscopic assessment in physical examination. Fundoscopic Abnormal;Normal Abnormal;Normal Alphanumeric Adult;Pediatric Supplemental-Highly Recommended 1.00 2018-01-23 12:58:36.0 Physical Examination Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C01521 Heart rate HeartRate The participant/subject's pulse or number of contractions (heart beats) per minute The participant/subject's pulse or number of contractions (heart beats) per minute Heart Rate Numeric Values Adult;Pediatric Supplemental-Highly Recommended 3.00 2013-08-28 16:08:00.453 Physical Examination Physical/Neurological Examination Assessments and Examinations

Free-Form Entry

0 300 beats per minute 2767073
C58046 Extremities dependent rubor assessment indicator ExtrmitiesDepndntRuborAssmtInd The indicator of extremities dependent rubor assessment in physical examination. The indicator of extremities dependent rubor assessment in physical examination. Dependent rubor No;Yes No;Yes Alphanumeric Adult;Pediatric Supplemental-Highly Recommended 1.00 2018-01-23 13:06:59.0 Physical Examination Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C57912 Muscle strength summary assessment status MuscleStrgthSummaryAssmtStat The status of summary muscle strength assessment in neurological examination. The status of summary muscle strength assessment in neurological examination. Muscle strength summary Abnormal;Normal;Exam not done Abnormal;Normal;Exam not done Alphanumeric Adult;Pediatric Supplemental-Highly Recommended 1.00 2018-01-15 08:45:07.0 Physical Examination Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C58078 Cerebellar tandem stance gait augmentation assessment status CbTandemGaitAugmntAssmtStat The status of tandem stance/gait with augmentation cerebellar assessment in neurological examination. The status of tandem stance/gait with augmentation cerebellar assessment in neurological examination. with augmentation Abnormal;Normal Abnormal;Normal Alphanumeric Adult;Pediatric Supplemental-Highly Recommended 1.00 2018-01-15 08:45:07.0 Physical Examination Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C58025 Pharynx TMJ tender assessment status PharynxTMJTenderAssmtStat The status of pharynx TMJ tender assessment in physical examination. The status of pharynx TMJ tender assessment in physical examination. TMJ tender Abnormal;Normal Abnormal;Normal Alphanumeric Adult;Pediatric Supplemental-Highly Recommended 1.00 2018-01-23 13:06:59.0 Physical Examination Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C57885 Cerebellar finger nose finger assessment status CerebellarFngrNseFngrAssmtStat The status of finger-nose-finger cerebellar assessment in neurological examination. The status of finger-nose-finger cerebellar assessment in neurological examination. Finger-Nose-Finger Normal;Abnormal;Cannot assess, explain: Normal;Abnormal;Cannot assess, explain: Alphanumeric Adult;Pediatric Supplemental-Highly Recommended 1.00 2018-01-12 15:23:12.0 Physical Examination Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C58057 Joints muscles wrists assessment status JointsMusclesWristsAssmtStat The status of joints muscles wrists assessment in physical examination. The status of joints muscles wrists assessment in physical examination. Wrists Abnormal;Normal Abnormal;Normal Alphanumeric

Review swelling, heat or redness, nodularity, ROM, extensibility, tender points

Adult;Pediatric Supplemental-Highly Recommended 1.00 2018-01-23 13:06:59.0 Physical Examination Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C57992 Head scalp assessment status HeadScalpAssmtStat The status of head scalp assessment in physical examination. The status of head scalp assessment in physical examination. Scalp Abnormal;Normal Abnormal;Normal Alphanumeric Adult;Pediatric Supplemental-Highly Recommended 1.00 2018-01-23 11:37:04.0 Physical Examination Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C58036 Heart large artery summary assessment status HeartLrgArterySummaryAssmtStat The status of summary heart and large artery assessment in physical examination. The status of summary heart and large artery assessment in physical examination. Heart and large arteries summary Abnormal;Normal;Exam not done Abnormal;Normal;Exam not done Alphanumeric Adult;Pediatric Supplemental-Highly Recommended 1.00 2018-01-23 11:46:51.0 Physical Examination Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C57902 Sensory pinprick assessment status SensoryPinprickAssmtStat The status of pinprick sensory (hands, feet) assessment in neurological examination. The status of pinprick sensory (hands, feet) assessment in neurological examination. Pinprick Normal;Abnormal;Cannot assess, explain: Normal;Abnormal;Cannot assess, explain: Alphanumeric Adult;Pediatric Supplemental-Highly Recommended 1.00 2018-01-15 08:45:07.0 Physical Examination Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C58068 Skin lesions assessment status SkinLesionsAssmtStat The status of skin lesions assessment in physical examination. The status of skin lesions assessment in physical examination. Lesions Absent;Present Absent;Present Alphanumeric Adult;Pediatric Supplemental-Highly Recommended 1.00 2018-01-23 12:29:34.0 Physical Examination Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C58004 Thyroid visible assessment indicator ThyroidVisibleAssmtInd The indicator of thyroid visible assessment in physical examination. The indicator of thyroid visible assessment in physical examination. Visible No;Yes No;Yes Alphanumeric Adult;Pediatric Supplemental-Highly Recommended 1.00 2018-01-23 12:37:48.0 Physical Examination Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C58015 Eyes photophobia assessment status EyesPhotophobiaAssmtStat The status of eyes photophobia assessment in physical examination. The status of eyes photophobia assessment in physical examination. Photophobia Abnormal;Normal Abnormal;Normal Alphanumeric Adult;Pediatric Supplemental-Highly Recommended 1.00 2018-01-23 12:58:36.0 Physical Examination Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C01522 Height measurement HgtMeasr Measurement of participant's/subject's height. Measurement of participant's/subject's height. Height Numeric Values Adult;Pediatric Supplemental-Highly Recommended 3.00 2013-08-28 16:08:00.453 Physical Examination Physical/Neurological Examination Assessments and Examinations

Free-Form Entry

0 400 centimeter 649
C58047 Extremities pulses radial left assessment value ExtremPulsRadialLtAssmtVal The value of left radial pulse extremity assessment in physical examination. The value of left radial pulse extremity assessment in physical examination. Radial Left Numeric Values Adult;Pediatric Supplemental-Highly Recommended 1.00 2018-01-23 15:20:09.0 Physical Examination Physical/Neurological Examination Assessments and Examinations

Free-Form Entry

C57913 Reflex bicep assessment status ReflexBicepAssmtStat The status of biceps reflexes assessment in neurological examination. The status of biceps reflexes assessment in neurological examination. Biceps Abnormal;Normal;Hyper;Cannot assess, explain: Abnormal;Normal;Hyper;Cannot assess, explain: Alphanumeric Adult;Pediatric Supplemental-Highly Recommended 1.00 2018-01-15 08:45:07.0 Physical Examination Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C58079 Mental psychological affect assessment status MentalPsychAffectAssmtStat The status of mental and psychological affect assessment status. The status of mental and psychological affect assessment status. Affect Abnormal;Normal Abnormal;Normal Alphanumeric Adult;Pediatric Supplemental-Highly Recommended 1.00 2018-01-25 13:16:55.0 Physical Examination Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C58026 Pharynx summary assessment status PharynxSummaryAssmtStat The status of summary pharynx assessment in physical examination. The status of summary pharynx assessment in physical examination. Pharynx summary Abnormal;Normal;Exam not done Abnormal;Normal;Exam not done Alphanumeric Adult;Pediatric Supplemental-Highly Recommended 1.00 2018-01-23 11:46:51.0 Physical Examination Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C57889 Cerebellar gait normal gait assessment status CerebellarGaitNrmGaitAssmtStat The status of normal gait cerebellar assessment in neurological examination. The status of normal gait cerebellar assessment in neurological examination. Gait Normal;Abnormal;Cannot assess, explain: Normal;Abnormal;Cannot assess, explain: Alphanumeric Adult;Pediatric Supplemental-Highly Recommended 1.00 2018-01-15 08:45:07.0 Physical Examination Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C58058 Joints muscles hands assessment status JointsMusclesHandsAssmtStat The status of joints muscles hands assessment in physical examination. The status of joints muscles hands assessment in physical examination. Hands Abnormal;Normal Abnormal;Normal Alphanumeric

Review swelling, heat or redness, nodularity, ROM, extensibility, tender points

Adult;Pediatric Supplemental-Highly Recommended 1.00 2018-01-23 13:06:59.0 Physical Examination Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C57993 Head summary assessment status HeadSummaryAssmtStat The status of summary head assessment in physical examination. The status of summary head assessment in physical examination. Head summary Abnormal;Normal;Exam not done Abnormal;Normal;Exam not done Alphanumeric Adult;Pediatric Supplemental-Highly Recommended 1.00 2018-01-23 11:46:51.0 Physical Examination Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C58037 Abdomen bowel sounds assessment status AbdomenBowelSoundsAssmtStat The status of abdomen bowel sounds assessment in physical examination. The status of abdomen bowel sounds assessment in physical examination. Bowel sounds Abnormal;Normal Abnormal;Normal Alphanumeric Adult;Pediatric Supplemental-Highly Recommended 1.00 2018-01-23 13:06:59.0 Physical Examination Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C57903 Sensory vibration assessment status SensoryVibrationAssmtStat The status of vibration (compare hand to foot) sensory (hands, feet) assessment in neurological examination. The status of vibration (compare hand to foot) sensory (hands, feet) assessment in neurological examination. Vibration Normal;Abnormal;Cannot assess, explain: Normal;Abnormal;Cannot assess, explain: Alphanumeric Adult;Pediatric Supplemental-Highly Recommended 1.00 2018-01-15 08:45:07.0 Physical Examination Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C58069 Skin too dry assessment status SkinTooDryAssmtStat The status of skin too dry assessment in physical examination. The status of skin loo dry assessment in physical examination. Too dry Absent;Present Absent;Present Alphanumeric Adult;Pediatric Supplemental-Highly Recommended 1.00 2018-01-23 12:29:34.0 Physical Examination Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C58005 Thyroid palpable assessment indicator ThyroidPalpableAssmtInd The indicator of thyroid palpable assessment in physical examination. The indicator of thyroid palpable assessment in physical examination. Palpable No;Yes No;Yes Alphanumeric Adult;Pediatric Supplemental-Highly Recommended 1.00 2018-01-23 12:37:48.0 Physical Examination Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C58016 Eyes summary assessment status EyesSummaryAssmtStat The status of summary eyes assessment in physical examination. The status of summary eyes assessment in physical examination. Eyes summary Abnormal;Normal;Exam not done Abnormal;Normal;Exam not done Alphanumeric Adult;Pediatric Supplemental-Highly Recommended 1.00 2018-01-23 11:46:51.0 Physical Examination Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C01535 Respiratory rate RespRate Rate of the participant/subject's breathing (inhalation and exhalation). Rate of the participant/subject's breathing (inhalation and exhalation). Respiratory rate (breaths/min) Numeric Values

Measure in Supine and Standing positions

Adult;Pediatric Supplemental-Highly Recommended 3.00 2013-08-28 16:08:00.453 Physical Examination Physical/Neurological Examination Assessments and Examinations

Free-Form Entry

0 120 breaths per minute 2644399
C58048 Extremities pulses radial right assessment value ExtremPulsRadialRtAssmtVal The value of right radial pulse extremity assessment in physical examination. The value of right radial pulse extremity assessment in physical examination. Radial Right Numeric Values Adult;Pediatric Supplemental-Highly Recommended 1.00 2018-01-23 15:20:09.0 Physical Examination Physical/Neurological Examination Assessments and Examinations

Free-Form Entry

C57915 Reflex patellar assessment status ReflexPatellarAssmtStat The status of patellar reflexes assessment in neurological examination. The status of patellar reflexes assessment in neurological examination. Patellar Abnormal;Normal;Hyper;Cannot assess, explain: Abnormal;Normal;Hyper;Cannot assess, explain: Alphanumeric Adult;Pediatric Supplemental-Highly Recommended 1.00 2018-01-15 08:45:07.0 Physical Examination Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C58080 Mental psychological speech assessment status MentalPsychSpeechAssmtStat The status of mental and psychological speech assessment status. The status of mental and psychological speech assessment status. Speech Abnormal;Normal Abnormal;Normal Alphanumeric Adult;Pediatric Supplemental-Highly Recommended 1.00 2018-01-25 13:16:55.0 Physical Examination Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C58027 Chest shape assessment status ChestShapeAssmtStat The status of chest shape assessment in physical examination. The status of chest shape assessment in physical examination. Shape Abnormal;Normal Abnormal;Normal Alphanumeric Adult;Pediatric Supplemental-Highly Recommended 1.00 2018-01-23 13:06:59.0 Physical Examination Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C57891 Cerebellar tandem Romberg assessment status CerebellarTandmRombrgAssmtStat The status of tandem Romberg cerebellar assessment in neurological examination. The status of tandem Romberg cerebellar assessment in neurological examination. Romberg Positive;Negative Positive;Negative Alphanumeric Adult;Pediatric Supplemental-Highly Recommended 1.00 2018-01-15 08:45:07.0 Physical Examination Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C58059 Joints muscles hips assessment status JointsMusclesHipsAssmtStat The status of joints muscles hips assessment in physical examination. The status of joints muscles hips assessment in physical examination. Hips Abnormal;Normal Abnormal;Normal Alphanumeric

Review swelling, heat or redness, nodularity, ROM, extensibility, tender points

Adult;Pediatric Supplemental-Highly Recommended 1.00 2018-01-23 13:06:59.0 Physical Examination Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C57994 Oral cavity mercury fillings assessment status OralCavtyHgFillngtsAssmtStat The status of oral cavity mercury fillings assessment in physical examination. The status of oral cavity mercury fillings assessment in physical examination. Mercury fillings Absent;Present Absent;Present Alphanumeric Adult;Pediatric Supplemental-Highly Recommended 1.00 2018-01-23 11:48:29.0 Physical Examination Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C58038 Abdomen tenderness assessment indicator AbdomenTendernessAssmtInd The indicator of abdomen tenderness assessment in physical examination. The indicator of abdomen tenderness assessment in physical examination. Tenderness No;Yes No;Yes Alphanumeric Adult;Pediatric Supplemental-Highly Recommended 1.00 2018-01-23 13:06:59.0 Physical Examination Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C57904 Sensory proprioception assessment status SensoryProprioceptionAssmtStat The status of proprioception (great toe, up/down) sensory (hands, feet) assessment in neurological examination. The status of proprioception (great toe, up/down) sensory (hands, feet) assessment in neurological examination. Proprioception (great toe, up/down) Normal;Abnormal;Cannot assess, explain: Normal;Abnormal;Cannot assess, explain: Alphanumeric Adult;Pediatric Supplemental-Highly Recommended 1.00 2018-01-15 08:45:07.0 Physical Examination Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C58070 Skin summary assessment status SkinSummaryAssmtStat The status of summary skin assessment in physical examination. The status of summary skin assessment in physical examination. Skin summary Abnormal;Normal;Exam not done Abnormal;Normal;Exam not done Alphanumeric Adult;Pediatric Supplemental-Highly Recommended 1.00 2018-01-23 11:46:51.0 Physical Examination Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C58006 Thyroid nodules assessment indicator ThyroidNodulesAssmtInd The indicator of thyroid nodules assessment in physical examination. The indicator of thyroid nodules assessment in physical examination. Nodules No;Yes No;Yes Alphanumeric Adult;Pediatric Supplemental-Highly Recommended 1.00 2018-01-23 12:37:48.0 Physical Examination Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C58017 Ear tympanic membrane assessment status EarTympancMembranesAssmtStat The status of ear tympanic membranes assessment in physical examination. The status of ear tympanic membranes assessment in physical examination. Tympanic membrane Abnormal;Normal Abnormal;Normal Alphanumeric Adult;Pediatric Supplemental-Highly Recommended 1.00 2018-01-23 13:06:59.0 Physical Examination Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C01539 Temperature measurement TempMeasr Measurement of the participant's/subject's body temperature. Measurement of the participant's/subject's body temperature. Oral Temperature Numeric Values Adult;Pediatric Supplemental-Highly Recommended 3.00 2013-08-28 16:08:00.453 Physical Examination Physical/Neurological Examination Assessments and Examinations

Free-Form Entry

0 50 degree Celsius 2644401
C58049 Extremities pulses femoral left assessment value ExtremPulsFemoralLtAssmtVal The value of left femoral pulse extremity assessment in physical examination. The value of left femoral pulse extremity assessment in physical examination. Femoral Left Numeric Values Adult;Pediatric Supplemental-Highly Recommended 1.00 2018-01-23 15:20:09.0 Physical Examination Physical/Neurological Examination Assessments and Examinations

Free-Form Entry

C57916 Reflex ankle jerk assessment status ReflexAnkleJerkAssmtStat The status of ankle jerk reflexes assessment in neurological examination. The status of ankle jerk reflexes assessment in neurological examination. Ankle jerk Abnormal;Normal;Hyper;Cannot assess, explain: Abnormal;Normal;Hyper;Cannot assess, explain: Alphanumeric Adult;Pediatric Supplemental-Highly Recommended 1.00 2018-01-15 08:45:07.0 Physical Examination Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C58081 Mental psychological orientation assessment status MentalPsychOrientAssmtStat The status of mental and psychological orientation assessment status. The status of mental and psychological orientation assessment status. Orientation Abnormal;Normal Abnormal;Normal Alphanumeric Adult;Pediatric Supplemental-Highly Recommended 1.00 2018-01-25 13:16:55.0 Physical Examination Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C58028 Chest summary assessment status ChestSummaryAssmtStat The status of summary chest assessment in physical examination. The status of summary chest assessment in physical examination. Chest summary Abnormal;Normal;Exam not done Abnormal;Normal;Exam not done Alphanumeric Adult;Pediatric Supplemental-Highly Recommended 1.00 2018-01-23 11:46:51.0 Physical Examination Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C57893 Cerebellar summary assessment status CerebellarSummaryAssmtStat The status of summary cerebellar assessment in neurological examination. The status of summary cerebellar assessment in neurological examination. Cerebellar summary Abnormal;Normal;Exam not done Abnormal;Normal;Exam not done Alphanumeric Adult;Pediatric Supplemental-Highly Recommended 1.00 2018-01-15 08:45:07.0 Physical Examination Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C58060 Joints muscles knees assessment status JointsMusclesKneesAssmtStat The status of joints muscles knees assessment in physical examination. The status of joints muscles knees assessment in physical examination. Knees Abnormal;Normal Abnormal;Normal Alphanumeric

Review swelling, heat or redness, nodularity, ROM, extensibility, tender points

Adult;Pediatric Supplemental-Highly Recommended 1.00 2018-01-23 13:06:59.0 Physical Examination Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C57995 Oral cavity dentition assessment status OralCavtyDentitionAssmtStat The status of oral cavity dentition assessment in physical examination. The status of oral cavity dentition assessment in physical examination. Dentition Good;Poor;Edentulous Good;Poor;Edentulous Alphanumeric Adult;Pediatric Supplemental-Highly Recommended 1.00 2018-01-23 12:04:00.0 Physical Examination Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C58039 Abdomen masses assessment indicator AbdomenMassesAssmtInd The indicator of abdomen masses assessment in physical examination. The indicator of abdomen masses assessment in physical examination. Masses No;Yes No;Yes Alphanumeric Adult;Pediatric Supplemental-Highly Recommended 1.00 2018-01-23 13:06:59.0 Physical Examination Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C57905 Sensory summary assessment status SensorySummaryAssmtStat The status of summary sensory (hands, feet) assessment in neurological examination. The status of summary sensory (hands, feet) assessment in neurological examination. Sensory (hands, feet) summary Abnormal;Normal;Exam not done Abnormal;Normal;Exam not done Alphanumeric Adult;Pediatric Supplemental-Highly Recommended 1.00 2018-01-15 08:45:07.0 Physical Examination Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

CSV