Cure Sickle Cell Initiative | Page 2

CDE Detailed Report

Disease: cookie-policy
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	Form
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
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
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
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
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
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
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
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
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
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
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
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
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
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	Other	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	Other	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	Other		Multiple Pre-Defined Values 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	Other	255	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	Other		Single Pre-Defined Value Selected
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	Other		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	Other	4000	Free-Form Entry
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	Other	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	Other	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	Other		Single Pre-Defined Value Selected

75 results.