CDE Detailed Report
Disease: Sickle Cell Disease
Sub-Domain: Additional Proposed Instruments
CRF: Neurological Exam

75 results.
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 Source Form Set Form Field Domain CDASH Variable CDASH Definition CDASH Label Controlled Terminology Prompt Essentiality Question Text CDASH imp guidance SDTM IG target csDSR PhenX Data Type CRF Completion Inst SDTMIG Target Var SDTMIG Target Map Codelist Name PVs Pre Pop Value Query Display List Style
C14441 Muscle bulk assessment abnormality indicator MuscBulkAbnrmlyAssmtInd Whether the muscle bulk assessment found any abnormalities Whether the muscle bulk assessment found any abnormalities Abnormality present? Yes;No;Cannot Assess Yes;No;Cannot Assess Alphanumeric

Choose one for each anatomic site

No references available Adult;Pediatric Proposed 3.00 2013-08-28 16:08:00.453 Neurological Exam Additional Proposed Instruments Other

Single Pre-Defined Value Selected

C18511 Reflex right arm assessment status RflxRtArmAssmtStatus The status of the relfex assessment for the right arm. The status of the relfex assessment for the right arm. Right Arm Increased with clonus;Increased without clonus;Hypoactive;Absent Increased with clonus;Increased without clonus;Hypoactive;Absent Alphanumeric No references available Adult;Pediatric Proposed 3.00 2013-07-30 14:29:49.047 Neurological Exam Additional Proposed Instruments Other

Single Pre-Defined Value Selected

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 Other, specify Alphanumeric

Choose one

No references available Adult;Pediatric Proposed 3.00 2013-08-28 16:08:00.453 Neurological Exam Additional Proposed Instruments Other 4000

Free-Form Entry

C14453 Tremor type TremTyp The type of tremor detected during the exam The type of tremor detected during the exam Type of tremor Postural;Rest;Intention;Other, specify Postural;Rest;Intention;Other, specify Alphanumeric

Choose only one

No references available Adult;Pediatric Proposed 3.00 2013-08-28 16:08:00.453 Neurological Exam Additional Proposed Instruments Other

Single Pre-Defined Value Selected

C18946 Reflex plantar left response other text RflxPlntrLftRespnsOTH The free-text field related to 'Reflex plantar left response result' specifying other text. The results from reflex plantar response on the left side The free-text field related to 'Reflex plantar left response result' specifying other text. The results from reflex plantar response on the left side Other, specify Alphanumeric

Choose all that apply. If other, explain.

No references available Adult;Pediatric Proposed 1.00 2012-10-05 00:00:00.0 Neurological Exam Additional Proposed Instruments Other 4000

Free-Form Entry

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)

No references available Adult;Pediatric Proposed 1.00 2012-10-05 00:00:00.0 Neurological Exam Additional Proposed Instruments Other

Multiple Pre-Defined Values Selected

C14467 Sensory system abnormality symmetry type SensySysAbnrmlySymmTyp Symmetry of abnormality for sensory system results Symmetry of abnormality for sensory system results Symmetry of Abnormality Symmetric;Asymmetric Symmetric;Asymmetric Alphanumeric

Choose only one

No references available Adult;Pediatric Proposed 1.00 2012-10-05 00:00:00.0 Neurological Exam Additional Proposed Instruments Other

Single Pre-Defined Value Selected

C14442 Muscle bulk assessment abnormality type MuscBulkAbnrmlyAssmtTyp The muscle bulk abnormality type The muscle bulk abnormality type If abnormal, indicate type: Abnormal - Increased;Abnormal - Decreased;Other, specify Abnormal - Increased;Abnormal - Decreased;Other, specify Alphanumeric

Choose one

No references available Adult;Pediatric Proposed 3.00 2013-08-28 16:08:00.453 Neurological Exam Additional Proposed Instruments Other

Single Pre-Defined Value Selected

C18512 Reflex right leg assessment status RflxRtLegAssmtStatus The status of the relfex assessment for the right leg. The status of the relfex assessment for the right leg. Right Leg Increased with clonus;Increased without clonus;Hypoactive;Absent Increased with clonus;Increased without clonus;Hypoactive;Absent Alphanumeric No references available Adult;Pediatric Proposed 3.00 2013-07-30 14:29:49.047 Neurological Exam Additional Proposed Instruments Other

Single Pre-Defined Value Selected

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 No references available Adult;Pediatric Proposed 3.00 2013-08-28 16:08:00.453 Neurological Exam Additional Proposed Instruments Other 4000

Free-Form Entry

C14454 Cerebellar or coordination assessment type CerbllrCoordinationAssmtTyp Type of cerebellar/coordination assessment performed Type of cerebellar/coordination assessment performed Cerebellar/Coordination assessments Finger-to-Nose;Rapid Alternating Movements;Heel-to-Shin Finger-to-Nose;Rapid Alternating Movements;Heel-to-Shin Alphanumeric

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

No references available Adult;Pediatric Proposed 1.00 2012-10-05 00:00:00.0 Neurological Exam Additional Proposed Instruments Other

Single Pre-Defined Value Selected

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

Choose one. If abnormal answer questions A-D.

No references available Adult;Pediatric Proposed 1.00 2012-10-05 00:00:00.0 Neurological Exam Additional Proposed Instruments Other 4000

Free-Form Entry

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 only one

No references available Adult;Pediatric Proposed 1.00 2012-10-05 00:00:00.0 Neurological Exam Additional Proposed Instruments Other

Single Pre-Defined Value Selected

C14468 Sensory system abnormality anatomic site SensySysAbnrmlySymmAntmicSite The location of abnormality for sensory system The location of abnormality for sensory system Location of Abnormality Stocking;Stocking/Glove;Dermatome;Sensory Nerve;Other, specify Stocking;Stocking/Glove;Dermatome;Sensory Nerve;Other, specify Alphanumeric

Choose all that apply. If other, explain.

No references available Adult;Pediatric Proposed 1.00 2012-10-05 00:00:00.0 Neurological Exam Additional Proposed Instruments Other

Multiple Pre-Defined Values Selected

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 examination. 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. Truncal tone - is recommended for pediatric studies only

No references available Adult;Pediatric Proposed 3.00 2013-08-28 16:08:00.453 Neurological Exam Additional Proposed Instruments Other

Single Pre-Defined Value Selected

DeBaun Forms
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 root. Dermatome, explain Alphanumeric No references available Adult;Pediatric Proposed 3.00 2013-07-30 14:29:49.047 Neurological Exam Additional Proposed Instruments Other 255

Free-Form Entry

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 No references available Adult;Pediatric Proposed 3.00 2013-08-28 16:08:00.453 Neurological Exam Additional Proposed Instruments Other 4000

Free-Form Entry

C14455 Cerebellar or coordination assessment abnormality present status CerbllCoordAssmtAbnrmlyPrsStat Whether the cerebellar/coordination assessment found abnormalities Whether the cerebellar/coordination assessment found abnormalities Abnormality present? Yes;No;Cannot Assess;Other, specify Yes;No;Cannot Assess;Other, specify Alphanumeric

Choose one for each assessment type. Cannot Assess means the examiner does not know if the patient is normal or not; i.e. an uncooperative patient.

No references available Adult;Pediatric Proposed 3.00 2013-08-28 16:08:00.453 Neurological Exam Additional Proposed Instruments Other

Single Pre-Defined Value Selected

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 Location of Abnormality Alphanumeric

Choose all that apply. If other, explain.

No references available Adult;Pediatric Proposed 1.00 2012-10-05 00:00:00.0 Neurological Exam Additional Proposed Instruments Other 4000

Free-Form Entry

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 only one

No references available Adult;Pediatric Proposed 1.00 2012-10-05 00:00:00.0 Neurological Exam Additional Proposed Instruments Other

Single Pre-Defined Value Selected

C14469 Sensory system modalities affected type SensyModltyAffctTyp The type and location of the sensory receptor activated by a stimulus plays the primary role in coding the stimulus modality The type and location of the sensory receptor activated by a stimulus plays the primary role in coding the stimulus modality Sensory Modalities Affected Light Touch;Pain and Temperature;Vibration;Proprioception;Other, specify Light Touch;Pain and Temperature;Vibration;Proprioception;Other, specify Alphanumeric

Choose all that apply

No references available Adult;Pediatric Proposed 1.00 2012-10-05 00:00:00.0 Neurological Exam Additional Proposed Instruments Other

Multiple Pre-Defined Values Selected

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

No references available Adult;Pediatric Proposed 3.00 2013-08-28 16:08:00.453 Neurological Exam Additional Proposed Instruments Other

Single Pre-Defined Value Selected

DeBaun Forms
C18514 Sensory system abnormality participant description text SensySysAbnrmlyPrtpDescTxt The free-text field to capture the participant's description of the sensory abnormality. The free-text field to capture the participant's description of the sensory abnormality. Patient Description of abnormal symptoms Alphanumeric No references available Adult;Pediatric Proposed 3.00 2013-07-30 14:29:49.047 Neurological Exam Additional Proposed Instruments Other 255

Free-Form Entry

C18938 Muscle weakness brain pattern other text MuscWeakBrainPattrnOTH The free-text field related to 'Muscle weakness brain pattern type' specifying other text. Patterns describing weakness in location of brain The free-text field related to 'Muscle weakness brain pattern type' specifying other text. Patterns describing weakness in location of brain Other, specify Alphanumeric

Choose all that apply. Describe if applicable.

No references available Adult;Pediatric Proposed 3.00 2013-08-28 16:08:00.453 Neurological Exam Additional Proposed Instruments Other 4000

Free-Form Entry

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, 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

Choose 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.

No references available Adult;Pediatric Proposed 3.00 2013-08-28 16:08:00.453 Neurological Exam Additional Proposed Instruments Other

Multiple Pre-Defined Values Selected

75 results.
CSV