Sub-Domain: cookie-policy
CRF:
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
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 | cookie-policy |
Multiple Pre-Defined Values Selected |
||||||||||||||||||||||||||||||
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 | cookie-policy | 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 | cookie-policy |
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 | cookie-policy | 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 | cookie-policy |
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 | cookie-policy | 255 |
Free-Form Entry |
||||||||||||||||||||||||||||||||
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 | cookie-policy | 4000 |
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 | cookie-policy |
Single Pre-Defined Value Selected |
||||||||||||||||||||||||||||||
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 | cookie-policy | 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 | cookie-policy |
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 | cookie-policy | 255 |
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 | cookie-policy |
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 | cookie-policy | 255 |
Free-Form Entry |
||||||||||||||||||||||||||||||||
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 | cookie-policy | 4000 |
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 | cookie-policy |
Single Pre-Defined Value Selected |
||||||||||||||||||||||||||||||
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 | cookie-policy | 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 | cookie-policy |
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 | cookie-policy | 255 |
Free-Form Entry |
||||||||||||||||||||||||||||||||
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 | cookie-policy | 255 |
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 | cookie-policy |
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 | cookie-policy | 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 | cookie-policy |
Single Pre-Defined Value Selected |
||||||||||||||||||||||||||||||||
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 | cookie-policy |
Single Pre-Defined Value Selected |
||||||||||||||||||||||||||||||
C14437 | Motor exam global assessment type | MotorExamGloblAssmtTyp | Type of global assessment for the motor exam | Type of global assessment for the motor exam | Motor assessments | Muscle bulk;Muscle tone;Muscle strength | Muscle bulk;Muscle tone;Muscle strength | Alphanumeric |
For each global 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 | cookie-policy |
Single Pre-Defined Value Selected |
||||||||||||||||||||||||||||||
C18507 | Muscle weakness neuropathic weakness present text | MuscWeakNeuropathWeakPresTxt | The free-text field to describe the neuropathic weakness present resultling in muscle weakness. | The free-text field to describe the neuropathic weakness present resultling in muscle weakness. | Neuropathic Weakness, describe | Alphanumeric | No references available | Adult;Pediatric | Proposed | 3.00 | 2013-07-30 14:29:49.047 | Neurological Exam | cookie-policy | 255 |
Free-Form Entry |