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
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

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

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

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

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 Other 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 Additional Proposed Instruments Other

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 Other 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 Additional Proposed Instruments Other

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 Other 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 Other 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 Other

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 Other 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 Additional Proposed Instruments Other

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 Additional Proposed Instruments Other 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 Additional Proposed Instruments Other

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 Additional Proposed Instruments Other

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 Additional Proposed Instruments Other 255

Free-Form Entry

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 Additional Proposed Instruments Other

Single Pre-Defined Value Selected

C18931 Global change since prior examination other text GlobalChangeSincPriorExamOTH The free-text field related to 'Global change since prior examination result' specifying other text. Global assessment of the difference between the prior and follow-up examinations The free-text field related to 'Global change since prior examination result' specifying other text. Global assessment of the difference between the prior and follow-up examinations 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 Additional Proposed Instruments Other 4000

Free-Form Entry

C14448 Muscle strength abnormality assessment type MuscStrAbnrmlyAssmtTyp The muscle strength abnormality type The muscle strength 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

C18942 Cerebellar or coordination assessment abnormality present other text CerbllCoordAssmtAbnrmlyPrsOTH The free-text field related to 'Cerebellar or coordination assessment abnormality present status' specifying other text. Whether the cerebellar/coordination assessment found abnormalities The free-text field related to 'Cerebellar or coordination assessment abnormality present status' specifying other text. Whether the cerebellar/coordination assessment found abnormalities 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 4000

Free-Form Entry

DeBaun Forms
C06005 Data collected date and time DataCollDateTime Date (and time, if applicable and known) the data were collected. This may be the date/time a particular examination or procedure was performed. Date (and time, if applicable and known) the data were collected. This may be the date/time a particular examination or procedure was performed. Date form completed Date or Date & Time

Record the date/time according to the ISO 8601, the International Standard for the representation of dates and times (http://www.iso.org/iso/home.html). The date/time should be recorded to the level of granularity known (e.g., year, year and month, complete date plus hours and minutes, etc.).

EPILEPSY: Berg AT, Berkovic SF, Brodie MJ, Buchhalter J, et al. Revised terminology and concepts for organization of seizures and epilepsies: report of the ILAE Commission on Classification and Terminology, 2005-2009. Epilepsia. 2010 Apr;51(4):676-85. http://www.ilae-epilepsy.org/Visitors/Centre/ctf/ctfoverview.cfm Adult;Pediatric Proposed 3.00 2013-07-24 21:00:23.88 Neurological Exam Additional Proposed Instruments Other

Free-Form Entry

C14462 Reflex plantar right response result RflxPlntrRtRespnsReslt The results from reflex plantar response on the right side The results from reflex plantar response on the right side Plantar Response Right Flexor;Extensor;Equivocal;Cannot Assess;Other, specify Flexor;Extensor;Equivocal;Cannot Assess;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

DeBaun Forms
75 results.
CSV