Cure Sickle Cell Initiative | Page 2

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	Form
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
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
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
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
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
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
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
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
C18508	Muscle weakness peripheral nerve lesion present text	MuscWeakPerphrlNervLesnPresTxt	The free-text field to describe the peripheral nerve lesion present resultling in muscle weakness.	The free-text field to describe the peripheral nerve lesion present resultling in muscle weakness.	Peripheral Nerve Lesion(s), 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
C14438	Motor exam global abnormality present indicator	MotorExamGloblAbnrmlyPresInd	Global assessment whether an abnormality was present following the motor exam.	Global assessment whether an abnormality was present following the motor exam.	Abnormality present?	Yes;No;Cannot Assess	Yes;No;Cannot Assess	Alphanumeric	Choose one for each global assessment type	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
C14450	Muscle weakness brain pattern type	MuscWeakBrainPattrnTyp	Patterns describing weakness in location of brain	Patterns describing weakness in location of brain	Does the weakness suggest one of the following patterns?	Right Hemiparesis;Left Hemiparesis;Diplegia / Paraparesis;Quadriplegia / Quadraparesis;Peripheral Nerve Lesion(s), Neuropathic Weakness;Neuropathic weakness;Myopathic Weakness;Other, specify	Right Hemiparesis;Left Hemiparesis;Diplegia / Paraparesis;Quadriplegia / Quadraparesis;Peripheral Nerve Lesion(s), Neuropathic Weakness;Neuropathic weakness;Myopathic Weakness;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		Multiple Pre-Defined Values Selected
C18932	Cranial nerves global assessment other text	CranlNerveGlobAssmtOTH	The free-text field related to 'Cranial nerves global assessment result' specifying other text. The condition of Cranial Nerves	The free-text field related to 'Cranial nerves global assessment result' specifying other text. The condition of Cranial Nerves	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	4000	Free-Form Entry
C14463	Reflex plantar left response result	RflxPlntrLftRespnsReslt	The results from reflex plantar response on the left side	The results from reflex plantar response on the left side	Plantar Response Left	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
C18943	Cerebellar or coordination assessment abnormality explain other text	CerbllCoordAssmtAbnrmlyExplOTH	The free-text field related to 'Cerebellar or coordination assessment abnormality present type' specifying other text for explaining the type of abnormality found by the cerebellar/coordination assessment	The free-text field related to 'Cerebellar or coordination assessment abnormality present type' specifying other text. Type of abnormality found by the cerebellar/coordination assessment	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	4000	Free-Form Entry
C11026	Neuromuscular Exam Muscle weakness indicator	NeuromuExmCranlMuscleWeaknInd	Indicator whether there is muscle weakness in the muscle or muscle group examined	Whether there is muscle weakness in the muscle or muscle group examined	Weakness?	Yes;No	Yes;No	Alphanumeric	Choose one. If yes, 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	DeBaun Forms
C18509	Reflex left arm assessment status	RflxLftArmAssmtStatus	The status of the relfex assessment for the left arm.	The status of the relfex assessment for the left arm.	Left 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	Additional Proposed Instruments	Other		Single Pre-Defined Value Selected
C14439	Motor exam global assessment abnormality type	MotorExamGloblAbnrmlyAssmtTyp	Global assessment abnormality type found during the motor exam	Global assessment abnormality type found during the motor exam	If abnormal, indicate type	Abnormal and symmetric;Abnormal and asymmetric;Abnormal - Increased;Abnormal - Decreased;Other, specify	Abnormal and symmetric;Abnormal and asymmetric;Abnormal - Increased;Abnormal - Decreased;Other, specify	Alphanumeric	If the global assessment found an abnormality, then record the abnormality type	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
C14451	Muscle weakness neurological anatomic site	MuscWeakNeuroAntmicSite	Anatomic location of neurological muscle weakness.	Neurological location of the muscle weakness	Specify the neurological location of the weakness	Brain;Spinal Cord;Peripheral Nervous System;Other, specify;Brain;Spinal Cord;Peripheral Nervous System;Other, specify	Brain;Spinal Cord;Peripheral Nervous System;Other, specify;Brain;Spinal Cord;Peripheral Nervous System;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		Multiple Pre-Defined Values Selected
C18933	Nystagmus other text	NystagmusOTH	The free-text field related to 'Nystagmus type' specifying other text. Type of involuntary movement of the eyeballs; its presence or absence is used to diagnose a variety of neurological and visual disorders	The free-text field related to 'Nystagmus type' specifying other text. Type of involuntary movement of the eyeballs; its presence or absence is used to diagnose a variety of neurological and visual disorders	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	4000	Free-Form Entry
C14465	Gait abnormality assessment type	GaitAbnrmlyAssmtTyp	Type of abnormal gait	Type of abnormal gait	Type of Abnormal Gait	Ataxic Gait;Hemiparetic Gait - Left side;Hemiparetic Gait - Right side;Diplegic Gait;Parkinsonian Gait;Other gait abnormalities	Ataxic Gait;Hemiparetic Gait - Left side;Hemiparetic Gait - Right side;Diplegic Gait;Parkinsonian Gait;Other gait abnormalities	Alphanumeric	Choose best response	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
C18944	Reflex exam global assessment other text	RflxExmGlobAssmtOTH	The free-text field related to 'Reflex exam global assessment result' specifying other text. The global assessment of the ability and condition of reflexes	The free-text field related to 'Reflex exam global assessment result' specifying other text. The global assessment of the ability and condition of reflexes	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	4000	Free-Form Entry
C11061	Gait assessment result	GaitAssmtReslt	Result of the gait assessment	Result of the gait assessment	Gait - global assessment	Normal;Abnormal;Cannot Assess;Other, specify	Normal;Abnormal;Cannot Assess;Other, specify	Alphanumeric	Choose one. Indicate type if abnormal	No references available	Adult;Pediatric	Proposed	3.00	2013-07-22 16:57:17.79	Neurological Exam	Additional Proposed Instruments	Other		Single Pre-Defined Value Selected	DeBaun Forms

75 results.