CDE Detailed Report

Disease: Facioscapulohumeral Muscular Dystrophy
Subdomain Name: Functional Outcomes
CRF: Goniometry

Displaying 1 - 4 of 4
CDE ID CDE Name Variable Name Definition Short Description 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 / Guidance) Subdomain Name Domain Name Size Input Restrictions Min Value Max Value Measurement Type External Id Loinc External Id Snomed External Id caDSR External Id CDISC
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 Shoulder Left;Right Left;Right Alphanumeric Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Goniometry Functional Outcomes Outcomes and End Points

Single Pre-Defined Value Selected
C19500 Assessment performed date AssessmentPerformedDate The date of assessment of the examination being performed The date of assessment of the examination being performed Date of Goniometry Date or Date & Time Adult;Pediatric Supplemental 1.00 2014-06-18 08:10:12.0 Goniometry Functional Outcomes Outcomes and End Points

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C19737 Goniometry shoulder abduct measurement GoniomShouldAbductMeasr Measurement in degrees of the passive range of motion for shoulder abduction Measurement in degrees of the passive range of motion for shoulder abductio Shoulder abduction Numeric Values

Assess passive range of motion (ROM) for shoulder abduction, measured to nearest 5 degrees using standard goniometry techniques. • Requires assessment by a trained person (such as a physical therapist) • Estimated time per person is minutes • Need a goniometer • Limitations—requires a trained specialist

 Adult;Pediatric Supplemental 1.00 2015-02-07 10:06:50.0 Goniometry Functional Outcomes Outcomes and End Points

Free-Form Entry

 -360 360 degrees of arc
C19738 Goniometry shoulder forward flexion measurement GonShoulbductFwdFlexnMeasr Measurement in degrees of the passive range of motion for shoulder forward flexion Measurement in degrees of the passive range of motion for shoulder forward flexio Shoulder forward flexion Numeric Values

Assess passive range of motion (ROM) for shoulder abduction, measured to nearest 5 degrees using standard goniometry techniques. • Requires assessment by a trained person (such as a physical therapist) • Estimated time per person is minutes • Need a goniometer • Limitations—requires a trained specialist

 Adult;Pediatric Supplemental 1.00 2015-02-07 10:06:50.0 Goniometry Functional Outcomes Outcomes and End Points

Free-Form Entry

 -360 360 degrees of arc
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