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CDE Detailed Report

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Sub-Domain: Assessments and Examinations
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Displaying 1 - 50 of 75

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
C14466	Sensory system global assessment result	SensySytGlobAssmtReslt	The condition and ability of sensory system	The condition and ability of sensory system	Sensory System - 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-D.	No references available	Adult;Pediatric	Proposed	1.00	2012-10-05 00:00:00.0	Neurological Exam	Assessments and Examinations	Physical Examinations		Single Pre-Defined Value Selected
C18945	Reflex plantar right response other text	RflxPlntrRtRespnsOTH	The free-text field related to 'Reflex plantar right response result' specifying other text. The results from reflex plantar response on the right side	The free-text field related to 'Reflex plantar right response result' specifying other text. The results from reflex plantar response on the right 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	Assessments and Examinations	Physical Examinations	4000	Free-Form Entry
C14429	Global change since prior examination result	GlobalChangeSincPriorExamReslt	Global assessment of the difference between the prior and follow-up examinations	Global assessment of the difference between the prior and follow-up examinations	If follow-up exam, change from prior exam	No change;Improved;Worse;Unknown;Other, specify	No change;Improved;Worse;Unknown;Other, specify	Alphanumeric	Record change from prior exam if follow-up exam	No references available	Adult;Pediatric	Proposed	1.00	2012-10-05 00:00:00.0	Neurological Exam	Assessments and Examinations	Physical Examinations		Single Pre-Defined Value Selected
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	Assessments and Examinations	Physical Examinations		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	Assessments and Examinations	Physical Examinations		Single Pre-Defined Value Selected
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	Assessments and Examinations	Physical Examinations		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	Assessments and Examinations	Physical Examinations	4000	Free-Form Entry
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	Assessments and Examinations	Physical Examinations		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	Assessments and Examinations	Physical Examinations	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	Assessments and Examinations	Physical Examinations		Multiple Pre-Defined Values 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	Assessments and Examinations	Physical Examinations		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	Assessments and Examinations	Physical Examinations		Single Pre-Defined Value Selected
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	Assessments and Examinations	Physical Examinations		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	Assessments and Examinations	Physical Examinations	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	Assessments and Examinations	Physical Examinations		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	Assessments and Examinations	Physical Examinations	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	Assessments and Examinations	Physical Examinations		Single Pre-Defined Value 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	Assessments and Examinations	Physical Examinations		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	Assessments and Examinations	Physical Examinations	255	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	Assessments and Examinations	Physical Examinations		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	Assessments and Examinations	Physical Examinations	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	Assessments and Examinations	Physical Examinations		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	Assessments and Examinations	Physical Examinations	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	Assessments and Examinations	Physical Examinations		Single Pre-Defined Value 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	Assessments and Examinations	Physical Examinations		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	Assessments and Examinations	Physical Examinations	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	Assessments and Examinations	Physical Examinations		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	Assessments and Examinations	Physical Examinations	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	Assessments and Examinations	Physical Examinations	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	Assessments and Examinations	Physical Examinations	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	Assessments and Examinations	Physical Examinations		Multiple Pre-Defined Values Selected
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	Assessments and Examinations	Physical Examinations		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	Assessments and Examinations	Physical Examinations	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	Assessments and Examinations	Physical Examinations		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	Assessments and Examinations	Physical Examinations	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	Assessments and Examinations	Physical Examinations	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	Assessments and Examinations	Physical Examinations	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	Assessments and Examinations	Physical Examinations		Single Pre-Defined Value Selected
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	Assessments and Examinations	Physical Examinations		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	Assessments and Examinations	Physical Examinations	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	Assessments and Examinations	Physical Examinations		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	Assessments and Examinations	Physical Examinations	4000	Free-Form Entry
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	Assessments and Examinations	Physical Examinations	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	Assessments and Examinations	Physical Examinations	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	Assessments and Examinations	Physical Examinations		Single Pre-Defined Value Selected
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	Assessments and Examinations	Physical Examinations		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	Assessments and Examinations	Physical Examinations	255	Free-Form Entry
C14461	Reflex assessment limb result	RflxQual	The results from reflex limb assessment	The results from reflex limb assessment	Assessment of Limbs	Increased with clonus;Increased without clonus;Hypoactive;Absent	Increased with clonus;Increased without clonus;Hypoactive;Absent	Alphanumeric	Choose one for each limb	No references available	Adult;Pediatric	Proposed	1.00	2012-10-05 00:00:00.0	Neurological Exam	Assessments and Examinations	Physical Examinations		Single Pre-Defined Value Selected
C18941	Tremor other text	TremOTH	The free-text field related to 'Tremor type' specifying other text. The type of tremor detected during the exam	The free-text field related to 'Tremor type' specifying other text. The type of tremor 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	Assessments and Examinations	Physical Examinations	4000	Free-Form Entry
C02411	Laterality type	LatTyp	Laterality type relative to the anatomic site of the body examined or affected	Laterality type relative to the anatomic site of the body examined or affected	Laterality			Alphanumeric	Record which of the cranial nerves are abnormal and the side. Choose only one.	No references available	Adult;Pediatric	Proposed	3.00	2013-08-28 16:08:00.453	Neurological Exam	Assessments and Examinations	Physical Examinations		Single Pre-Defined Value Selected

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