ID

16110

Description

NINDS Common Data Elements, Multiple Sclerosis Physical Exam Used from the National Institute of Neurological Disorders and Stroke Common Data Elements (https://www.commondataelements.ninds.nih.gov/) References: Grinnon ST, Miller K, Marler JR, Lu Y, Stout A, Odenkirchen J, Kunitz S. National Institute of Neurological Disorders and Stroke Common Data Element Project - approach and methods. Clin Trials. 2012;9(3):322-9.

Link

https://www.commondataelements.ninds.nih.gov/

Keywords

Versions (1)
  1. 6/29/16 6/29/16 -
Uploaded on

June 29, 2016

DOI

To request one please log in.

License

Creative Commons BY-NC 3.0
Model comments :

You can comment on the data model here. Via the speech bubbles at the itemgroups and items you can add comments to those specificially.

Back to model comments
Itemgroup comments for :

Item comments for :

In order to download data models you must be logged in. Please log in or register for free.

NINDS CDE Physical Exam Multiple Sclerosis

English

Physical Exam

1 forms  
  1. StudyEvent: ODM
    1. Physical Exam
Physical Exam
Description

Physical Exam

Alias
UMLS CUI-1
C0031809
Study ID
Description

Study ID

Data type

integer

Alias
UMLS CUI [1]
C2826693
Study site name
Description

Study site name

Data type

text

Alias
UMLS CUI [1]
C2825164
Subject ID
Description

Subject ID

Data type

integer

Alias
UMLS CUI [1]
C2348585
1. Date of Exam:
Description

Date Physical Exam

Data type

date

Alias
UMLS CUI [1,1]
C0011008
UMLS CUI [1,2]
C0031809
2. Was a physical exam performed on the participant/subject?
Description

Physical Exam

Data type

text

Alias
UMLS CUI [1]
C0031809
Table for Recording Results of Physical Exam
Description

Table for Recording Results of Physical Exam

Alias
UMLS CUI-1
C0031809
UMLS CUI-2
C0456984
Constitutional symptoms (e.g., fever, weight loss)
Description

Constitutional symptoms fever weight loss

Data type

text

Alias
UMLS CUI [1,1]
C0009812
UMLS CUI [1,2]
C0015967
UMLS CUI [1,3]
C1262477
Describe Abnormality or Comment if Body System is Not Examined
Description

Abnormal result Physical examination

Data type

text

Alias
UMLS CUI [1,1]
C0459424
UMLS CUI [1,2]
C0031809
If Abnormality, Clinically Significant?
Description

Clinically Significant Abnormal result Physical Examination

Data type

text

Alias
UMLS CUI [1,1]
C0459424
UMLS CUI [1,2]
C2826634
Eyes
Description

Eyes

Data type

text

Alias
UMLS CUI [1]
C0015392
Describe Abnormality or Comment if Body System is Not Examined
Description

Abnormal result Physical examination

Data type

text

Alias
UMLS CUI [1,1]
C0459424
UMLS CUI [1,2]
C0031809
If Abnormality, Clinically Significant?
Description

Clinically Significant Abnormal result Physical Examination

Data type

text

Alias
UMLS CUI [1,1]
C0459424
UMLS CUI [1,2]
C2826634
Ears, Nose, Mouth, and Throat
Description

Ears Nose Mouth Throat

Data type

text

Alias
UMLS CUI [1,1]
C0013443
UMLS CUI [1,2]
C0028429
UMLS CUI [1,3]
C1267547
UMLS CUI [1,4]
C0031354
Describe Abnormality or Comment if Body System is Not Examined
Description

Abnormal result Physical examination

Data type

text

Alias
UMLS CUI [1,1]
C0459424
UMLS CUI [1,2]
C0031809
If Abnormality, Clinically Significant?
Description

Clinically Significant Abnormal result Physical Examination

Data type

text

Alias
UMLS CUI [1,1]
C0459424
UMLS CUI [1,2]
C2826634
Cardiovascular
Description

Cardiovascular system

Data type

text

Alias
UMLS CUI [1]
C0007226
Describe Abnormality or Comment if Body System is Not Examined
Description

Abnormal result Physical examination

Data type

text

Alias
UMLS CUI [1,1]
C0459424
UMLS CUI [1,2]
C0031809
If Abnormality, Clinically Significant?
Description

Clinically Significant Abnormal result Physical Examination

Data type

text

Alias
UMLS CUI [1,1]
C0459424
UMLS CUI [1,2]
C2826634
Respiratory
Description

Respiratory system

Data type

text

Alias
UMLS CUI [1]
C0035237
Describe Abnormality or Comment if Body System is Not Examined
Description

Abnormal result Physical examination

Data type

text

Alias
UMLS CUI [1,1]
C0459424
UMLS CUI [1,2]
C0031809
If Abnormality, Clinically Significant?
Description

Clinically Significant Abnormal result Physical Examination

Data type

text

Alias
UMLS CUI [1,1]
C0459424
UMLS CUI [1,2]
C2826634
Gastrointestinal
Description

Gastrointestinal system

Data type

text

Alias
UMLS CUI [1]
C0012240
Describe Abnormality or Comment if Body System is Not Examined
Description

Abnormal result Physical examination

Data type

text

Alias
UMLS CUI [1,1]
C0459424
UMLS CUI [1,2]
C0031809
If Abnormality, Clinically Significant?
Description

Clinically Significant Abnormal result Physical Examination

Data type

text

Alias
UMLS CUI [1,1]
C0459424
UMLS CUI [1,2]
C2826634
Genitourinary
Description

Genitourinary system

Data type

text

Alias
UMLS CUI [1]
C0042066
Describe Abnormality or Comment if Body System is Not Examined
Description

Abnormal result Physical examination

Data type

text

Alias
UMLS CUI [1,1]
C0459424
UMLS CUI [1,2]
C0031809
If Abnormality, Clinically Significant?
Description

Clinically Significant Abnormal result Physical Examination

Data type

text

Alias
UMLS CUI [1,1]
C0459424
UMLS CUI [1,2]
C2826634
Musculoskeletal
Description

Musculoskeletal system

Data type

text

Alias
UMLS CUI [1]
C0026860
Describe Abnormality or Comment if Body System is Not Examined
Description

Abnormal result Physical examination

Data type

text

Alias
UMLS CUI [1,1]
C0459424
UMLS CUI [1,2]
C0031809
If Abnormality, Clinically Significant?
Description

Clinically Significant Abnormal result Physical Examination

Data type

text

Alias
UMLS CUI [1,1]
C0459424
UMLS CUI [1,2]
C2826634
Integumentary (skin and/or breast)
Description

Integumentary system

Data type

text

Alias
UMLS CUI [1]
C0037267
Describe Abnormality or Comment if Body System is Not Examined
Description

Abnormal result Physical examination

Data type

text

Alias
UMLS CUI [1,1]
C0459424
UMLS CUI [1,2]
C0031809
If Abnormality, Clinically Significant?
Description

Clinically Significant Abnormal result Physical Examination

Data type

text

Alias
UMLS CUI [1,1]
C0459424
UMLS CUI [1,2]
C2826634
Neurological
Description

Neurological system

Data type

text

Alias
UMLS CUI [1]
C0027853
Describe Abnormality or Comment if Body System is Not Examined
Description

Abnormal result Physical examination

Data type

text

Alias
UMLS CUI [1,1]
C0459424
UMLS CUI [1,2]
C0031809
If Abnormality, Clinically Significant?
Description

Clinically Significant Abnormal result Physical Examination

Data type

text

Alias
UMLS CUI [1,1]
C0459424
UMLS CUI [1,2]
C2826634
Psychiatric
Description

Psychiatric

Data type

text

Alias
UMLS CUI [1]
C0233402
Describe Abnormality or Comment if Body System is Not Examined
Description

Abnormal result Physical examination

Data type

text

Alias
UMLS CUI [1,1]
C0459424
UMLS CUI [1,2]
C0031809
If Abnormality, Clinically Significant?
Description

Clinically Significant Abnormal result Physical Examination

Data type

text

Alias
UMLS CUI [1,1]
C0459424
UMLS CUI [1,2]
C2826634
Endocrine
Description

Endocrine system

Data type

text

Alias
UMLS CUI [1]
C0014136
Describe Abnormality or Comment if Body System is Not Examined
Description

Abnormal result Physical examination

Data type

text

Alias
UMLS CUI [1,1]
C0459424
UMLS CUI [1,2]
C0031809
If Abnormality, Clinically Significant?
Description

Clinically Significant Abnormal result Physical Examination

Data type

text

Alias
UMLS CUI [1,1]
C0459424
UMLS CUI [1,2]
C2826634
Hematologic/Lymphatic
Description

Hematologic system; Lymphatic system

Data type

text

Alias
UMLS CUI [1]
C0279810
UMLS CUI [2]
C0024235
Describe Abnormality or Comment if Body System is Not Examined
Description

Abnormal result Physical examination

Data type

text

Alias
UMLS CUI [1,1]
C0459424
UMLS CUI [1,2]
C0031809
If Abnormality, Clinically Significant?
Description

Clinically Significant Abnormal result Physical Examination

Data type

text

Alias
UMLS CUI [1,1]
C0459424
UMLS CUI [1,2]
C2826634
Allergic/Immunologic
Description

Immune system Allergic

Data type

text

Alias
UMLS CUI [1,1]
C0020962
UMLS CUI [1,2]
C0700624
Describe Abnormality or Comment if Body System is Not Examined
Description

Abnormal result Physical examination

Data type

text

Alias
UMLS CUI [1,1]
C0459424
UMLS CUI [1,2]
C0031809
If Abnormality, Clinically Significant?
Description

Clinically Significant Abnormal result Physical Examination

Data type

text

Alias
UMLS CUI [1,1]
C0459424
UMLS CUI [1,2]
C2826634
3. Hand preference: (Hand participant/subject uses predominately, not necessarily hand he/she writes with exclusively)
Description

hand predominant

Data type

text

Alias
UMLS CUI [1,1]
C0018563
UMLS CUI [1,2]
C1542147
Back to the top of the page

Similar models

Physical Exam

1 forms
  1. StudyEvent: ODM
    1. Physical Exam
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Physical Exam
C0031809 (UMLS CUI-1)
Study ID
Item
Study ID
integer
C2826693 (UMLS CUI [1])
Study site name
Item
Study site name
text
C2825164 (UMLS CUI [1])
Subject ID
Item
Subject ID
integer
C2348585 (UMLS CUI [1])
Date Physical Exam
Item
1. Date of Exam:
date
C0011008 (UMLS CUI [1,1])
C0031809 (UMLS CUI [1,2])
Item
2. Was a physical exam performed on the participant/subject?
text
C0031809 (UMLS CUI [1])
Physical Exam
Code List
2. Was a physical exam performed on the participant/subject?
CL Item
Yes (Specify results below) (1)
CL Item
No (2)
Item Group
Table for Recording Results of Physical Exam
C0031809 (UMLS CUI-1)
C0456984 (UMLS CUI-2)
Item
Constitutional symptoms (e.g., fever, weight loss)
text
C0009812 (UMLS CUI [1,1])
C0015967 (UMLS CUI [1,2])
C1262477 (UMLS CUI [1,3])
fever; weight loss
Code List
Constitutional symptoms (e.g., fever, weight loss)
CL Item
Normal (1)
CL Item
Abnormal (2)
CL Item
Not examined (3)
Abnormal result Physical examination
Item
Describe Abnormality or Comment if Body System is Not Examined
text
C0459424 (UMLS CUI [1,1])
C0031809 (UMLS CUI [1,2])
Item
If Abnormality, Clinically Significant?
text
C0459424 (UMLS CUI [1,1])
C2826634 (UMLS CUI [1,2])
Physical Examination Clinically Significant
Code List
If Abnormality, Clinically Significant?
CL Item
Clinically significant  (1)
CL Item
Not clinically significant (2)
Item
Eyes
text
C0015392 (UMLS CUI [1])
fever; weight loss
Code List
Eyes
CL Item
Normal (1)
CL Item
Abnormal (2)
CL Item
Not examined (3)
Abnormal result Physical examination
Item
Describe Abnormality or Comment if Body System is Not Examined
text
C0459424 (UMLS CUI [1,1])
C0031809 (UMLS CUI [1,2])
Item
If Abnormality, Clinically Significant?
text
C0459424 (UMLS CUI [1,1])
C2826634 (UMLS CUI [1,2])
Physical Examination Clinically Significant
Code List
If Abnormality, Clinically Significant?
CL Item
Clinically significant  (1)
CL Item
Not clinically significant (2)
Item
Ears, Nose, Mouth, and Throat
text
C0013443 (UMLS CUI [1,1])
C0028429 (UMLS CUI [1,2])
C1267547 (UMLS CUI [1,3])
C0031354 (UMLS CUI [1,4])
fever; weight loss
Code List
Ears, Nose, Mouth, and Throat
CL Item
Normal (1)
CL Item
Abnormal (2)
CL Item
Not examined (3)
Abnormal result Physical examination
Item
Describe Abnormality or Comment if Body System is Not Examined
text
C0459424 (UMLS CUI [1,1])
C0031809 (UMLS CUI [1,2])
Item
If Abnormality, Clinically Significant?
text
C0459424 (UMLS CUI [1,1])
C2826634 (UMLS CUI [1,2])
Physical Examination Clinically Significant
Code List
If Abnormality, Clinically Significant?
CL Item
Clinically significant  (1)
CL Item
Not clinically significant (2)
Item
Cardiovascular
text
C0007226 (UMLS CUI [1])
fever; weight loss
Code List
Cardiovascular
CL Item
Normal (1)
CL Item
Abnormal (2)
CL Item
Not examined (3)
Abnormal result Physical examination
Item
Describe Abnormality or Comment if Body System is Not Examined
text
C0459424 (UMLS CUI [1,1])
C0031809 (UMLS CUI [1,2])
Item
If Abnormality, Clinically Significant?
text
C0459424 (UMLS CUI [1,1])
C2826634 (UMLS CUI [1,2])
Physical Examination Clinically Significant
Code List
If Abnormality, Clinically Significant?
CL Item
Clinically significant  (1)
CL Item
Not clinically significant (2)
Item
Respiratory
text
C0035237 (UMLS CUI [1])
fever; weight loss
Code List
Respiratory
CL Item
Normal (1)
CL Item
Abnormal (2)
CL Item
Not examined (3)
Abnormal result Physical examination
Item
Describe Abnormality or Comment if Body System is Not Examined
text
C0459424 (UMLS CUI [1,1])
C0031809 (UMLS CUI [1,2])
Item
If Abnormality, Clinically Significant?
text
C0459424 (UMLS CUI [1,1])
C2826634 (UMLS CUI [1,2])
Physical Examination Clinically Significant
Code List
If Abnormality, Clinically Significant?
CL Item
Clinically significant  (1)
CL Item
Not clinically significant (2)
Item
Gastrointestinal
text
C0012240 (UMLS CUI [1])
fever; weight loss
Code List
Gastrointestinal
CL Item
Normal (1)
CL Item
Abnormal (2)
CL Item
Not examined (3)
Abnormal result Physical examination
Item
Describe Abnormality or Comment if Body System is Not Examined
text
C0459424 (UMLS CUI [1,1])
C0031809 (UMLS CUI [1,2])
Item
If Abnormality, Clinically Significant?
text
C0459424 (UMLS CUI [1,1])
C2826634 (UMLS CUI [1,2])
Physical Examination Clinically Significant
Code List
If Abnormality, Clinically Significant?
CL Item
Clinically significant  (1)
CL Item
Not clinically significant (2)
Item
Genitourinary
text
C0042066 (UMLS CUI [1])
fever; weight loss
Code List
Genitourinary
CL Item
Normal (1)
CL Item
Abnormal (2)
CL Item
Not examined (3)
Abnormal result Physical examination
Item
Describe Abnormality or Comment if Body System is Not Examined
text
C0459424 (UMLS CUI [1,1])
C0031809 (UMLS CUI [1,2])
Item
If Abnormality, Clinically Significant?
text
C0459424 (UMLS CUI [1,1])
C2826634 (UMLS CUI [1,2])
Physical Examination Clinically Significant
Code List
If Abnormality, Clinically Significant?
CL Item
Clinically significant  (1)
CL Item
Not clinically significant (2)
Item
Musculoskeletal
text
C0026860 (UMLS CUI [1])
fever; weight loss
Code List
Musculoskeletal
CL Item
Normal (1)
CL Item
Abnormal (2)
CL Item
Not examined (3)
Abnormal result Physical examination
Item
Describe Abnormality or Comment if Body System is Not Examined
text
C0459424 (UMLS CUI [1,1])
C0031809 (UMLS CUI [1,2])
Item
If Abnormality, Clinically Significant?
text
C0459424 (UMLS CUI [1,1])
C2826634 (UMLS CUI [1,2])
Physical Examination Clinically Significant
Code List
If Abnormality, Clinically Significant?
CL Item
Clinically significant  (1)
CL Item
Not clinically significant (2)
Item
Integumentary (skin and/or breast)
text
C0037267 (UMLS CUI [1])
fever; weight loss
Code List
Integumentary (skin and/or breast)
CL Item
Normal (1)
CL Item
Abnormal (2)
CL Item
Not examined (3)
Abnormal result Physical examination
Item
Describe Abnormality or Comment if Body System is Not Examined
text
C0459424 (UMLS CUI [1,1])
C0031809 (UMLS CUI [1,2])
Item
If Abnormality, Clinically Significant?
text
C0459424 (UMLS CUI [1,1])
C2826634 (UMLS CUI [1,2])
Physical Examination Clinically Significant
Code List
If Abnormality, Clinically Significant?
CL Item
Clinically significant  (1)
CL Item
Not clinically significant (2)
Item
Neurological
text
C0027853 (UMLS CUI [1])
fever; weight loss
Code List
Neurological
CL Item
Normal (1)
CL Item
Abnormal (2)
CL Item
Not examined (3)
Abnormal result Physical examination
Item
Describe Abnormality or Comment if Body System is Not Examined
text
C0459424 (UMLS CUI [1,1])
C0031809 (UMLS CUI [1,2])
Item
If Abnormality, Clinically Significant?
text
C0459424 (UMLS CUI [1,1])
C2826634 (UMLS CUI [1,2])
Physical Examination Clinically Significant
Code List
If Abnormality, Clinically Significant?
CL Item
Clinically significant  (1)
CL Item
Not clinically significant (2)
Item
Psychiatric
text
C0233402 (UMLS CUI [1])
fever; weight loss
Code List
Psychiatric
CL Item
Normal (1)
CL Item
Abnormal (2)
CL Item
Not examined (3)
Abnormal result Physical examination
Item
Describe Abnormality or Comment if Body System is Not Examined
text
C0459424 (UMLS CUI [1,1])
C0031809 (UMLS CUI [1,2])
Item
If Abnormality, Clinically Significant?
text
C0459424 (UMLS CUI [1,1])
C2826634 (UMLS CUI [1,2])
Physical Examination Clinically Significant
Code List
If Abnormality, Clinically Significant?
CL Item
Clinically significant  (1)
CL Item
Not clinically significant (2)
Item
Endocrine
text
C0014136 (UMLS CUI [1])
fever; weight loss
Code List
Endocrine
CL Item
Normal (1)
CL Item
Abnormal (2)
CL Item
Not examined (3)
Abnormal result Physical examination
Item
Describe Abnormality or Comment if Body System is Not Examined
text
C0459424 (UMLS CUI [1,1])
C0031809 (UMLS CUI [1,2])
Item
If Abnormality, Clinically Significant?
text
C0459424 (UMLS CUI [1,1])
C2826634 (UMLS CUI [1,2])
Physical Examination Clinically Significant
Code List
If Abnormality, Clinically Significant?
CL Item
Clinically significant  (1)
CL Item
Not clinically significant (2)
Item
Hematologic/Lymphatic
text
C0279810 (UMLS CUI [1])
C0024235 (UMLS CUI [2])
fever; weight loss
Code List
Hematologic/Lymphatic
CL Item
Normal (1)
CL Item
Abnormal (2)
CL Item
Not examined (3)
Abnormal result Physical examination
Item
Describe Abnormality or Comment if Body System is Not Examined
text
C0459424 (UMLS CUI [1,1])
C0031809 (UMLS CUI [1,2])
Item
If Abnormality, Clinically Significant?
text
C0459424 (UMLS CUI [1,1])
C2826634 (UMLS CUI [1,2])
Physical Examination Clinically Significant
Code List
If Abnormality, Clinically Significant?
CL Item
Clinically significant  (1)
CL Item
Not clinically significant (2)
Item
Allergic/Immunologic
text
C0020962 (UMLS CUI [1,1])
C0700624 (UMLS CUI [1,2])
fever; weight loss
Code List
Allergic/Immunologic
CL Item
Normal (1)
CL Item
Abnormal (2)
CL Item
Not examined (3)
Abnormal result Physical examination
Item
Describe Abnormality or Comment if Body System is Not Examined
text
C0459424 (UMLS CUI [1,1])
C0031809 (UMLS CUI [1,2])
Item
If Abnormality, Clinically Significant?
text
C0459424 (UMLS CUI [1,1])
C2826634 (UMLS CUI [1,2])
Physical Examination Clinically Significant
Code List
If Abnormality, Clinically Significant?
CL Item
Clinically significant  (1)
CL Item
Not clinically significant (2)
Item
3. Hand preference: (Hand participant/subject uses predominately, not necessarily hand he/she writes with exclusively)
text
C0018563 (UMLS CUI [1,1])
C1542147 (UMLS CUI [1,2])
hand predominant
Code List
3. Hand preference: (Hand participant/subject uses predominately, not necessarily hand he/she writes with exclusively)
CL Item
Left hand  (1)
CL Item
Right hand  (2)
CL Item
Both hands  (3)
CL Item
Unknown (4)
Back to the top of the page 

Contact

Please use this form for feedback, questions and suggestions for improvements.

Fields marked with * are required.

Help

Do you need help on how to use the search function? Please watch the corresponding tutorial video for more details and learn how to use the search function most efficiently.

Watch Tutorial