CDE Detailed Report
Disease:
Sub-Domain: Additional Proposed Instruments
CRF:

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
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 general-data-protection-regulation-gdpr

Multiple Pre-Defined Values 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 general-data-protection-regulation-gdpr 4000

Free-Form Entry

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 general-data-protection-regulation-gdpr

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 general-data-protection-regulation-gdpr 255

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 general-data-protection-regulation-gdpr

Multiple Pre-Defined Values Selected

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 general-data-protection-regulation-gdpr 4000

Free-Form Entry

C14434 Cranial nerve abnormal identifier type CranlNerveAbnrmlIdTyp The identified cranial nerve that assessed as abnormal. The identified cranial nerve that assessed as abnormal. Cranial Nerve Number CN II;CN III;CN IV;CN V;CN VI;CN VII;CN VIII;CN IX;CN X;CN XI;CN XII;CN II;CN III;CN IV;CN V;CN VI;CN VII;CN VIII;CN IX;CN X;CN XI;CN XII Cranial nerve II;Cranial nerve III;Cranial nerve IV;Cranial nerve V;Cranial nerve VI;Cranial nerve VII;Cranial nerve VIII;Cranial nerve IX;Cranial nerve X;Cranial nerve XI;Cranial nerve XII;Cranial nerve II;Cranial nerve III;Cranial nerve IV;Cranial nerve V;Cranial nerve VI;Cranial nerve VII;Cranial nerve VIII;Cranial nerve IX;Cranial nerve X;Cranial nerve XI;Cranial nerve XII Alphanumeric

Record which of the cranial nerves are abnormal and the side. Choose all that apply.

No references available Adult;Pediatric Proposed 3.00 2013-08-28 16:08:00.453 Neurological Exam Additional Proposed Instruments general-data-protection-regulation-gdpr

Multiple Pre-Defined Values Selected

C18503 Assessment unable text AssmtUnableTxt The free-text field to explain why there was no assessment of nystagmus performed. The free-text field to explain why there was no assessment of nystagmus, involuntary movement of the eyeballs, performed. Cannot Assess, explain Alphanumeric No references available Adult;Pediatric Proposed 3.00 2013-07-30 14:29:49.047 Neurological Exam Additional Proposed Instruments general-data-protection-regulation-gdpr 255

Free-Form Entry

C18949 Sensory system modalities affected other text SensyModltyAffctOTH The free-text field related to 'Sensory system modalities affected type' specifying other text. The type and location of the sensory receptor activated by a stimulus plays the primary role in coding the stimulus modality The free-text field related to 'Sensory system modalities affected type' specifying other text. The type and location of the sensory receptor activated by a stimulus plays the primary role in coding the stimulus modality Other, specify Alphanumeric

Choose all that apply

No references available Adult;Pediatric Proposed 1.00 2012-10-05 00:00:00.0 Neurological Exam Additional Proposed Instruments general-data-protection-regulation-gdpr 4000

Free-Form Entry

C14445 Muscle tone assessment abnormality type MuscToneAbnrmlyAssmtTyp The muscle tone abnormality type The muscle tone abnormality type If abnormal, indicate type Abnormal - Decreased;Abnormal - Increased;Other, specify Abnormal - Decreased;Abnormal - Increased;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 general-data-protection-regulation-gdpr

Single Pre-Defined Value Selected

C18515 Sensory system abnormality sensory nerve present text SensySysAbnrmlySensNrvPresTxt The free-text field to describe the sensory nerve abnormality. The free-text field to describe the sensory nerve abnormality. Sensory Nerve, explain Alphanumeric No references available Adult;Pediatric Proposed 3.00 2013-07-30 14:29:49.047 Neurological Exam Additional Proposed Instruments general-data-protection-regulation-gdpr 255

Free-Form Entry

C14459 Reflex exam global assessment result RflxExmGlobAssmtReslt The global assessment of the ability and condition of reflexes The global assessment of the ability and condition of reflexes Reflexes - global assessment Abnormal;Normal;Cannot Assess;Other, specify;Abnormal;Normal;Cannot Assess;Other, specify Abnormal;Normal;Cannot Assess;Other, specify;Abnormal;Normal;Cannot Assess;Other, specify Alphanumeric

Choose one. If abnormal answer questions A and B.

No references available Adult;Pediatric Proposed 3.00 2013-08-28 16:08:00.453 Neurological Exam Additional Proposed Instruments general-data-protection-regulation-gdpr

Single Pre-Defined Value Selected

C18939 Muscle weakness neurological anatomic other text MuscWeakNeuroAntmicOTH The free-text field related to 'Muscle weakness neurological anatomic site' specifying other text. Anatomic location of neurological muscle weakness. The free-text field related to 'Muscle weakness neurological anatomic site' specifying other text. Anatomic location of neurological muscle weakness. Other, specify Alphanumeric

Choose all that apply

No references available Adult;Pediatric Proposed 3.00 2013-08-28 16:08:00.453 Neurological Exam Additional Proposed Instruments general-data-protection-regulation-gdpr 4000

Free-Form Entry

C14435 Nystagmus indicator NystagmusInd Involuntary movements of the eyeballs; its presence or absence is used to diagnose a variety of neurological and visual disorders Involuntary movements of the eyeballs; its presence or absence is used to diagnose a variety of neurological and visual disorders Nystagmus Yes;No;Cannot Assess Yes;No;Cannot Assess Alphanumeric

Specify type, if yes

No references available Adult;Pediatric Proposed 1.00 2012-10-05 00:00:00.0 Neurological Exam Additional Proposed Instruments general-data-protection-regulation-gdpr

Single Pre-Defined Value Selected

C18504 Cranial nerves abnormality present text CranlNerveAbnrmlyPresTxt The free-text field to explain the abnormality of the cranial nerve identified. The free-text field to explain the abnormality of the cranial nerve identified. Explain Abnormality Alphanumeric

Indicate which of the following cranial nerves are abnormal

No references available Adult;Pediatric Proposed 3.00 2013-07-30 14:29:49.047 Neurological Exam Additional Proposed Instruments general-data-protection-regulation-gdpr 255

Free-Form Entry

C21106 Gait assessment result other text GaitAssmtResltOTH The free-text field to specify the other result of the gait assessment The free-text field to specify the other result of the gait assessment Other, specify Alphanumeric Adult;Pediatric Proposed 1.00 2015-06-02 16:57:18.0 Neurological Exam Additional Proposed Instruments general-data-protection-regulation-gdpr 4000

Free-Form Entry

C14446 Muscle strength assessment anatomic site MuscStrAssmtAntmicSite Anatomic location of the muscle strength as part of the motor examination. Anatomic location of the muscle strength as part of the motor examination. Muscle strength - global assessment Right upper extremity;Left upper extremity;Right lower extremity;Left lower extremity Right upper extremity (RUE);Left upper extremity (LUE);Right lower extremity (RLE);Left lower extremity (LLE) Alphanumeric

Evaluate all extremities.

No references available Adult;Pediatric Proposed 3.00 2013-08-28 16:08:00.453 Neurological Exam Additional Proposed Instruments general-data-protection-regulation-gdpr

Single Pre-Defined Value Selected

C18516 Sensory system abnormality stocking glove present text SensySysAbnrmlyStckGlvPresTxt The free-text field to describe the stocking sensory abnormality, a generalised and gradual loss of peripheral nerve function results in a receding glove and stocking pattern. The free-text field to describe the stocking sensory abnormality, a generalised and gradual loss of peripheral nerve function results in a receding glove and stocking pattern. Stocking/Glove, explain Alphanumeric No references available Adult;Pediatric Proposed 3.00 2013-07-30 14:29:49.047 Neurological Exam Additional Proposed Instruments general-data-protection-regulation-gdpr 255

Free-Form Entry

C14460 Reflex assessment anatomic site RflxAntmicSite The location or category for reflex assessment of limbs The location or category for reflex assessment of limbs Assessment of Limbs Right Arm;Left Arm;Right Leg;Left Leg Right Arm;Left Arm;Right Leg;Left Leg Alphanumeric

If reflexes abnormal record the results for each limb

No references available Adult;Pediatric Proposed 1.00 2012-10-05 00:00:00.0 Neurological Exam Additional Proposed Instruments general-data-protection-regulation-gdpr

Single Pre-Defined Value Selected

C18940 Tremor assessment other text TremAssessOTH The free-text field related to 'Tremor assessment status' specifying other text. The status indicating whether tremors could be detected during the exam The free-text field related to 'Tremor assessment status' specifying other text. The status indicating whether tremors could be detected during the exam 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 general-data-protection-regulation-gdpr 4000

Free-Form Entry

C14436 Nystagmus type NystagmusTyp Type of involuntary movement of the eyeballs; its presence or absence is used to diagnose a variety of neurological and visual disorders Type of involuntary movement of the eyeballs; its presence or absence is used to diagnose a variety of neurological and visual disorders Type of nystagmus Physiologic;Abnormal;Other, specify Physiologic;Abnormal;Other, specify Alphanumeric

Enter type of nystagmus; physiological nystagmus is normal nystagmus (i.e. a few beats at end gaze)

No references available Adult;Pediatric Proposed 1.00 2012-10-05 00:00:00.0 Neurological Exam Additional Proposed Instruments general-data-protection-regulation-gdpr

Single Pre-Defined Value Selected

C18506 Muscle weakness myopathic weakness present text MuscWeakMyopathWeakPresTxt The free-text field to describethe myopathic weakness present resultling in muscle weakness. The free-text field to describethe myopathic weakness present resultling in muscle weakness. Myopathic Weakness, describe Alphanumeric No references available Adult;Pediatric Proposed 3.00 2013-07-30 14:29:49.047 Neurological Exam Additional Proposed Instruments general-data-protection-regulation-gdpr 255

Free-Form Entry

C21107 Gait abnormality assessment other text GaitAbnrmlyAssmtOTH The free-text field for other type of abnormal gait The free-text field for other type of abnormal gait Other Gait Abnormalities, specify Alphanumeric

Choose best response

No references available Adult;Pediatric Proposed 1.00 2015-06-02 16:08:00.0 Neurological Exam Additional Proposed Instruments general-data-protection-regulation-gdpr 4000

Free-Form Entry

C14447 Muscle strength abnormality assessment indicator MuscStrAbnrmlyAssmtInd Whether the muscle strength assessment found any abnormalities Whether the muscle strength 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 general-data-protection-regulation-gdpr

Single Pre-Defined Value Selected

C18517 Sensory system abnormality stocking present text SensySysAbnrmlyStockPresTxt The free-text field to describe the stocking sensory abnormality, a generalised and gradual loss of peripheral nerve function results in a receding stocking pattern. The free-text field to describe the stocking sensory abnormality, a generalised and gradual loss of peripheral nerve function results in a receding stocking pattern. Stocking, explain Alphanumeric No references available Adult;Pediatric Proposed 3.00 2013-07-30 14:29:49.047 Neurological Exam Additional Proposed Instruments general-data-protection-regulation-gdpr 255

Free-Form Entry

75 results.
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