CDE Detailed Report
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 |
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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 examinatio | 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 |
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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 examinatio | 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 |
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C58028 | Chest summary assessment status | ChestSummaryAssmtStat | The status of summary chest assessment in physical examination | The status of summary chest assessment in physical examinatio | 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 |
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C57893 | Cerebellar summary assessment status | CerebellarSummaryAssmtStat | The status of summary cerebellar assessment in neurological examination | The status of summary cerebellar assessment in neurological examinatio | 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 |
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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 examinatio | 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 |
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C58071 | Lymph nodes cervical posterior assessment status | LymphNodesCervclPostrAssmtStat | The status of cervical posterior lymph nodes assessment in physical examination | The status of cervical posterior lymph nodes assessment in physical examinatio | Cervical Posterior | Normal;Enlarged;Tender | Normal;Enlarged;Tender | 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 |
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C58007 | Thyroid size assessment indicator | ThyroidSizeAssmtInd | The indicator of thyroid size assessment in physical examination | The indicator of thyroid size assessment in physical examinatio | Size | 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 |
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C58039 | Abdomen masses assessment indicator | AbdomenMassesAssmtInd | The indicator of abdomen masses assessment in physical examination | The indicator of abdomen masses assessment in physical examinatio | 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 |
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C57917 | Reflex Babinski assessment status | ReflexBabinskiAssmtStat | The status of Babinski reflexes assessment in neurological examination | The status of Babinski reflexes assessment in neurological examinatio | Babinski | Absent;Present;Cannot assess, explain: | Absent;Present;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 |
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C58082 | Mental psychological thoughts assessment status | MentalPsychThoughtsAssmtStat | The status of mental and psychological thoughts assessment status | The status of mental and psychological thoughts assessment statu | Thoughts | 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 |
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C58018 | Ear canals assessment status | EarCanalsAssmtStat | The status of ear canals assessment in physical examination | The status of ear canals assessment in physical examinatio | Canals | 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 |
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C01541 | Weight measurement | WgtMeasr | Measurement of participant's/subject's weight | Measurement of participant's/subject's weight | Weight | Numeric Values | Adult;Pediatric | Supplemental-Highly Recommended | 3.00 | 2013-07-25 08:54:08.2 | Physical Examination | Physical/Neurological Examination | Assessments and Examinations |
Free-Form Entry |
0 | 500 | kilogram | 2179689 | ||||||||
C58050 | Extremities pulses femoral right assessment value | ExtremPulsFemoralRtAssmtVal | The value of right femoral pulse extremity assessment in physical examination | The value of right femoral pulse extremity assessment in physical examinatio | Femoral 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 |
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C58061 | Joints muscles ankles assessment status | JointsMusclesAnklesAssmtStat | The status of joints muscles ankles assessment in physical examination | The status of joints muscles ankles assessment in physical examinatio | Ankles | 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 |
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C57996 | Oral cavity gums assessment status | OralCavtyGumsAssmtStat | The status of oral cavity gums assessment in physical examination | The status of oral cavity gums assessment in physical examinatio | Gums | Good;Fair;Poor | Good;Fair;Poor | Alphanumeric | Adult;Pediatric | Supplemental-Highly Recommended | 1.00 | 2018-01-23 12:07:23.0 | Physical Examination | Physical/Neurological Examination | Assessments and Examinations |
Single Pre-Defined Value Selected |
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C58029 | Lungs chest percussion assessment status | LungsChestPercussionAssmtStat | The status of lung chest percussion assessment in physical examination | The status of lung chest percussion assessment in physical examinatio | Chest percussion | 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 |
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C57894 | Cranial nerve extra ocular muscle assessment status | CranlNervExOculrMusclAssmtStat | The status of extra ocular muscles (eye movements) cranial nerves assessment in neurological examination | The status of extra ocular muscles (eye movements) cranial nerves assessment in neurological examinatio | Extra ocular muscles | 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 |
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C57906 | Muscle tone assessment status | MuscleToneAssmtStat | The status of tone muscles assessment in neurological examination | The status of tone muscles assessment in neurological examinatio | Tone | 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 |
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C58072 | Lymph nodes cervical anterior assessment status | LymphNodesCervclAnterAssmtStat | The status of cervical anterior lymph nodes assessment in physical examination | The status of cervical anterior lymph nodes assessment in physical examinatio | Cervical Anterior | Normal;Enlarged;Tender | Normal;Enlarged;Tender | 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 |
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C58008 | Thyroid summary assessment status | ThyroidSummaryAssmtStat | The status of summary thyroid assessment in physical examination | The status of summary thyroid assessment in physical examinatio | Thyroid 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 |
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C58040 | Abdomen summary assessment status | AbdomenSummaryAssmtStat | The status of summary abdomen assessment in physical examination | The status of summary abdomen assessment in physical examinatio | Abdomen 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 |
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C57919 | Reflex summary assessment status | ReflexSummaryAssmtStat | The status of summary reflexes assessment in neurological examination | The status of summary reflexes assessment in neurological examinatio | Reflexes 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 |
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C58083 | Mental psychological summary assessment status | MentalPsychSumAssmtStat | The status of mental and psychological assessment in physical examination | The status of mental and psychological assessment in physical examinatio | Mental and Psychological status summary | Abnormal;Normal;Exam not done | Abnormal;Normal;Exam not done | Alphanumeric | Adult;Pediatric | Supplemental-Highly Recommended | 1.00 | 2018-01-25 13:28:10.0 | Physical Examination | Physical/Neurological Examination | Assessments and Examinations |
Single Pre-Defined Value Selected |
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C58019 | Ears summary assessment status | EarsSummaryAssmtStat | The status of summary ears assessment in physical examination | The status of summary ears assessment in physical examinatio | Ears 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 |
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C01565 | Blood pressure systolic measurement | BldPressrSystMeasr | Measurement of pressure of the participant's/subject's blood against the artery walls during systole (the contraction phase) in millimeters of mercury (mmHg) | Measurement of pressure of the participant's/subject's blood against the artery walls during systole (the contraction phase) in millimeters of mercury (mmHg) | Diastolic blood pressure (mmHg) | Numeric Values |
Measure in Supine and Standing positions |
Adult;Pediatric | Supplemental-Highly Recommended | 3.00 | 2013-07-25 08:54:08.2 | Physical Examination | Physical/Neurological Examination | Assessments and Examinations |
Free-Form Entry |
0 | 300 | millimeter of mercury | 2004289 | C25298 | ||||||
C58051 | Extremities pulses tibial dorsalis pedis artery left assessment value | ExtrmPlsTibDorPedArtLtAsmtVal | The value of left tibial artery or dorsalis pedis artery pulse extremity assessment in physical examination | The value of left tibial artery or dorsalis pedis artery pulse extremity assessment in physical examinatio | Tibial artery or dorsalis pedis artery 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 |
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C58062 | Joints muscles feet assessment status | JointsMusclesFeetAssmtStat | The status of joints muscles feet assessment in physical examination | The status of joints muscles feet assessment in physical examinatio | Feet | 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 |
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C57997 | Oral cavity oropharynx assessment status | OralCavtyOropharynxAssmtStat | The status of oral cavity oropharynx assessment in physical examination | The status of oral cavity oropharynx assessment in physical examinatio | Oropharynx | Abnormal;Normal | Abnormal;Normal | Alphanumeric | Adult;Pediatric | Supplemental-Highly Recommended | 1.00 | 2018-01-23 12:09:51.0 | Physical Examination | Physical/Neurological Examination | Assessments and Examinations |
Single Pre-Defined Value Selected |
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C58030 | Lungs lung auscultation assessment status | LungsLungAuscultationAssmtStat | The status of lung auscultation (sounds, rales, crepitations) assessment in physical examination | The status of lung auscultation (sounds, rales, crepitations) assessment in physical examinatio | Lung auscultation (sounds, rales, crepitations) | 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 |
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C57895 | Cranial nerve visual field assessment status | CranlNervVisuaFieldlAssmtStat | The status of visual fields (confrontation) cranial nerves assessment in neurological examination | The status of visual fields (confrontation) cranial nerves assessment in neurological examinatio | Visual fields (confrontation) | 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 |
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C57907 | Muscle atrophy assessment status | MuscleAtrphyAssmtStat | The status of atrophy muscles assessment in neurological examination | The status of atrophy muscles assessment in neurological examinatio | Atrophy | 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 |
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C58073 | Lymph nodes supraclavicular assessment status | LymphNodesSupraclavAssmtStat | The status of supraclavicular lymph nodes assessment in physical examination | The status of supraclavicular lymph nodes assessment in physical examinatio | Supraclavicular | Normal;Enlarged;Tender | Normal;Enlarged;Tender | 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 |
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C58009 | Eyes pupils equal assessment indicator | EyesPupilsEqualAssmtInd | The indicator of eyes pupils equal assessment in physical examination | The indicator of eyes pupils equal assessment in physical examinatio | Equal | 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 |
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C58041 | Liver palpable assessment indicator | LiverPalpableAssmtInd | The indicator of liver palpable assessment in physical examination | The indicator of liver palpable assessment in physical examinatio | Palpable | No;Yes | No;Yes | Alphanumeric |
If palpable, describe in Comments |
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 |
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C57920 | Neurologic summary assessment status | NeuroSummaryAssmtStat | The status of summary neurologic assessment in neurological examination | The status of summary neurologic assessment in neurological examinatio | Neurologic 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 |
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C58084 | Physical exam assessment other text | PhysicalExamAssmtOtherTxt | Text of other physical exam assessments in the physical examination | Text of other physical exam assessments in the physical examinatio | Other (specify) | Alphanumeric | Adult;Pediatric | Supplemental-Highly Recommended | 1.00 | 2018-01-25 13:35:17.0 | Physical Examination | Physical/Neurological Examination | Assessments and Examinations | 255 |
Free-Form Entry |
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C58020 | Nose nasal mucosa assessment status | NoseNasalMucosaAssmtStat | The status of nose nasal mucosa assessment in physical examination | The status of nose nasal mucosa assessment in physical examinatio | Nasal mucosa | 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 |
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C14428 | Waist circumference measurement | WaitCirMeasr | A measurement of the body circumference at the level of the waist. It should be the smallest circumference of the natural waist, usually just above the belly button | A measurement of the body circumference at the level of the waist. It should be the smallest circumference of the natural waist, usually just above the belly butto | Waist Circumference | Numeric Values | Adult;Pediatric | Supplemental-Highly Recommended | 3.00 | 2013-06-21 00:00:00.0 | Physical Examination | Physical/Neurological Examination | Assessments and Examinations |
Free-Form Entry |
0 | 400 | centimeter | |||||||||
C58052 | Extremities pulses tibial dorsalis pedis artery right assessment value | ExtrmPlsTibDorPedArtRtAsmtVal | The value of right tibial artery or dorsalis pedis artery pulse extremity assessment in physical examination | The value of right tibial artery or dorsalis pedis artery pulse extremity assessment in physical examinatio | Tibial artery or dorsalis pedis artery 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 |
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C58063 | Joints muscles summary assessment status | JointsMusclesSummaryAssmtStat | The status of summary joints and muscles assessment in physical examination | The status of summary joints and muscles assessment in physical examinatio | Joints and muscle 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 |
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C57998 | Oral status summary assessment status | OralStatSummaryAssmtStat | The status of summary oral assessment in physical examination | The status of summary oral assessment in physical examinatio | Oral status summary | Abnormal;Normal;Exam not done | Abnormal;Normal;Exam not done | Alphanumeric | Adult;Pediatric | Supplemental-Highly Recommended | 1.00 | 2018-01-23 12:13:32.0 | Physical Examination | Physical/Neurological Examination | Assessments and Examinations |
Single Pre-Defined Value Selected |
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C58031 | Lungs summary assessment status | LungsSummaryAssmtStat | The status of summary lungs assessment in physical examination | The status of summary lungs assessment in physical examinatio | Lungs 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 |
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C57896 | Cranial nerve shoulder raise assessment status | CranlNervShouldrRaiseAssmtStat | The status of shoulder raise cranial nerves assessment in neurological examination | The status of shoulder raise cranial nerves assessment in neurological examinatio | Shoulder raise | 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 |
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C57908 | Muscle rise chair tiptoe assessment status | MuscleRiseChairTiptoeAssmtStat | The status of rise from chair to tiptoes muscles assessment in neurological examination | The status of rise from chair to tiptoes muscles assessment in neurological examinatio | Rise for chair to tip toes | 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 |
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C58074 | Lymph nodes axillary assessment status | LymphNodesAxillaryAssmtStat | The status of axillary lymph nodes assessment in physical examination | The status of axillary lymph nodes assessment in physical examinatio | Axillary | Normal;Enlarged;Tender | Normal;Enlarged;Tender | 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 |
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C58010 | Eyes pupils round assessment indicator | EyesPupilsRoundAssmtInd | The indicator of eyes pupils round assessment in physical examination | The indicator of eyes pupils round assessment in physical examinatio | Round | 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 |
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C58042 | Liver summary assessment status | LiverSummaryAssmtStat | The status of summary liver assessment in physical examination | The status of summary liver assessment in physical examinatio | Liver 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 |
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C57988 | Reflex triceps assessment status | ReflexTricepAssmtStat | The status of triceps reflexes assessment in neurological examination | The status of triceps reflexes assessment in neurological examinatio | Triceps | 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 |
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C58085 | Clinical impressions differential diagnoses text | ClinImpressionsDifferntlDxTxt | Text of clinical impressions and differential diagnoses in the physical examination | Text of clinical impressions and differential diagnoses in the physical examinatio | Ipression: Overall impression of this patient | Alphanumeric | Adult;Pediatric | Supplemental-Highly Recommended | 1.00 | 2018-01-25 13:51:44.0 | Physical Examination | Physical/Neurological Examination | Assessments and Examinations | 4000 |
Free-Form Entry |
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C58021 | Nose summary assessment status | NoseSummaryAssmtStat | The status of summary nose assessment in physical examination | The status of summary nose assessment in physical examinatio | Nose 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 |