CDE Detailed Report

Disease: content
Sub-Domain: Physical/Neurological Examination
CRF: welcome

Displaying 1 - 50 of 141
CDE ID CDE Name Variable Name Definition Short Description Additional Notes (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
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

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

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

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

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

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

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 examination. 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

C58007 Thyroid size assessment indicator ThyroidSizeAssmtInd The indicator of thyroid size assessment in physical examination. The indicator of thyroid size assessment in physical examination. 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

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

C57917 Reflex Babinski assessment status ReflexBabinskiAssmtStat The status of Babinski reflexes assessment in neurological examination. The status of Babinski reflexes assessment in neurological examination. 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

C58082 Mental psychological thoughts assessment status MentalPsychThoughtsAssmtStat The status of mental and psychological thoughts assessment status. The status of mental and psychological thoughts assessment status. 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

C58018 Ear canals assessment status EarCanalsAssmtStat The status of ear canals assessment in physical examination. The status of ear canals assessment in physical examination. 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

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 examination. 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

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 examination. 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

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 examination. 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

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 examination. 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

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 examination. 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

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 examination. 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

C58008 Thyroid summary assessment status ThyroidSummaryAssmtStat The status of summary thyroid assessment in physical examination. The status of summary thyroid assessment in physical examination. 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

C58040 Abdomen summary assessment status AbdomenSummaryAssmtStat The status of summary abdomen assessment in physical examination. The status of summary abdomen assessment in physical examination. 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

C57906 Muscle tone assessment status MuscleToneAssmtStat The status of tone muscles assessment in neurological examination. The status of tone muscles assessment in neurological examination. 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

C57919 Reflex summary assessment status ReflexSummaryAssmtStat The status of summary reflexes assessment in neurological examination. The status of summary reflexes assessment in neurological examination. 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

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 examination. 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

C58019 Ears summary assessment status EarsSummaryAssmtStat The status of summary ears assessment in physical examination. The status of summary ears assessment in physical examination. 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

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 examination. 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

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 examination. 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

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 examination. 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

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 examination. 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

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 examination. 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

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 examination. 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

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 examination. 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

C58041 Liver palpable assessment indicator LiverPalpableAssmtInd The indicator of liver palpable assessment in physical examination. The indicator of liver palpable assessment in physical examination. 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

C57907 Muscle atrophy assessment status MuscleAtrphyAssmtStat The status of atrophy muscles assessment in neurological examination. The status of atrophy muscles assessment in neurological examination. 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

C57920 Neurologic summary assessment status NeuroSummaryAssmtStat The status of summary neurologic assessment in neurological examination. The status of summary neurologic assessment in neurological examination. 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

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 examination. 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

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 examination. 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

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 button. 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 examination. 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

C57998 Oral status summary assessment status OralStatSummaryAssmtStat The status of summary oral assessment in physical examination. The status of summary oral assessment in physical examination. 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

C58031 Lungs summary assessment status LungsSummaryAssmtStat The status of summary lungs assessment in physical examination. The status of summary lungs assessment in physical examination. 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

CSV