CDE Detailed Report

Disease: Myotonic Muscular Dystrophy
Subdomain Name: Other Clinical Data
CRF: Non-Dystrophic Myotonia Interactive Voice Response (IVR) Diary

Displaying 1 - 8 of 8
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
C19706 Non-Dystrophic Myotonia Interactive Voice Response (IVR) Diary - Pain prior day assessment indicator NDMIVRPainPrDayAssInd Indicator of pain felt within the last 24 hours Indicator of pain felt within the last 24 hours Have you had pain within the last 24 hours? No;Yes No;Yes Alphanumeric

Choose only one. Indicate if pain was felt within the last 24 hours

Statland JM, Wang Y, Richesson R, Bundy B, Herbelin L, Gomes J, Trivedi J et al. An interactive voice response diary for patients with non-dystrophic myotonia. Muscle & Nerve, Jul;44 (1): 30-5, 2011. Adult;Pediatric Exploratory 1.00 2015-02-02 12:49:00.0 Non-Dystrophic Myotonia Interactive Voice Response (IVR) Diary Other Clinical Data Assessments and Examinations

Single Pre-Defined Value Selected

C19707 Non-Dystrophic Myotonia Interactive Voice Response (IVR) Diary - Pain prior day assessment scale NDMIVRPainPrDayAssScl Scale of amount of pain within the last 24 hours Scale of amount of pain within the last 24 hours If YES, on average, please rate your amount of pain from 1-9 with 1 being minimal and 9 being the worst pain you ever have 2;3;4;5;6;7;8;9;1 2;3;4;5;6;7;8;9=worst pain felt;1=minimal amount of pain Alphanumeric

Choose only one. Record the amount of pain felt in the last 24 hours using a scale from 1-9.

Statland JM, Wang Y, Richesson R, Bundy B, Herbelin L, Gomes J, Trivedi J et al. An interactive voice response diary for patients with non-dystrophic myotonia. Muscle & Nerve, Jul;44 (1): 30-5, 2011. Adult;Pediatric Exploratory 1.00 2015-02-02 12:52:17.0 Non-Dystrophic Myotonia Interactive Voice Response (IVR) Diary Other Clinical Data Assessments and Examinations

Single Pre-Defined Value Selected

C19708 Non-Dystrophic Myotonia Interactive Voice Response (IVR) Diary - Weakness prior day assessment indicator NDMIVRWeakPrDayAssInd Indicator of weakness felt within the last 24 hours Indicator of weakness felt within the last 24 hours Have you had weakness within the last 24 hours? No;Yes No;Yes Alphanumeric

Choose only one. Indicate if weakness was felt within the last 24 hours

Statland JM, Wang Y, Richesson R, Bundy B, Herbelin L, Gomes J, Trivedi J et al. An interactive voice response diary for patients with non-dystrophic myotonia. Muscle & Nerve, Jul;44 (1): 30-5, 2011. Adult;Pediatric Exploratory 1.00 2015-02-02 12:55:40.0 Non-Dystrophic Myotonia Interactive Voice Response (IVR) Diary Other Clinical Data Assessments and Examinations

Single Pre-Defined Value Selected

C19709 Non-Dystrophic Myotonia Interactive Voice Response (IVR) Diary - Weakness prior day assessment scale NDMIVRWeakPrDayAssScl Scale of amount of weakness within the last 24 hours Scale of amount of weakness within the last 24 hours If YES, on average, please rate your amount of weakness from 1-9 with 1 being minimal and 9 being the worst weakness you ever have 1;2;3;4;5;6;7;8;9 1=minimal amount of weakness;2;3;4;5;6;7;8;9=worst weakness felt Alphanumeric

Choose only one. Record the amount of weakness felt in the last 24 hours using a scale from 1-9.

Statland JM, Wang Y, Richesson R, Bundy B, Herbelin L, Gomes J, Trivedi J et al. An interactive voice response diary for patients with non-dystrophic myotonia. Muscle & Nerve, Jul;44 (1): 30-5, 2011. Adult;Pediatric Exploratory 1.00 2015-02-02 12:58:44.0 Non-Dystrophic Myotonia Interactive Voice Response (IVR) Diary Other Clinical Data Assessments and Examinations

Single Pre-Defined Value Selected

C19710 Non-Dystrophic Myotonia Interactive Voice Response (IVR) Diary - Fatique prior day assessment indicator NDMIVRFatiguePrDayAssInd Indicator of tiredness or fatigue within the last 24 hours Indicator of tiredness or fatigue within the last 24 hours Have you had tiredness/fatigue within the last 24 hours? No;Yes No;Yes Alphanumeric

Choose only one. Indicate if tiredness/fatigue was felt within the last 24 hours

Statland JM, Wang Y, Richesson R, Bundy B, Herbelin L, Gomes J, Trivedi J et al. An interactive voice response diary for patients with non-dystrophic myotonia. Muscle & Nerve, Jul;44 (1): 30-5, 2011. Adult;Pediatric Exploratory 1.00 2015-02-02 13:01:21.0 Non-Dystrophic Myotonia Interactive Voice Response (IVR) Diary Other Clinical Data Assessments and Examinations

Single Pre-Defined Value Selected

C19711 Non-Dystrophic Myotonia Interactive Voice Response (IVR) Diary - Fatique prior day assessment scale NDMIVRFatiguePrDayAssScl Scale of amount of tiredness or fatigue within the last 24 hours Scale of amount of tiredness or fatigue within the last 24 hours If YES, on average, please rate your amount of tiredness or fatigue from 1-9 with 1 being minimal and 9 being the worst tiredness/fatigue you ever have 1;2;3;4;5;6;7;8;9 1=minimal amount of tiredness/fatigue;2;3;4;5;6;7;8;9=worst tiredness/fatigue felt Alphanumeric

Choose only one. Record the amount of tiredness or fatigue felt in the last 24 hours using a scale from 1-9.

Statland JM, Wang Y, Richesson R, Bundy B, Herbelin L, Gomes J, Trivedi J et al. An interactive voice response diary for patients with non-dystrophic myotonia. Muscle & Nerve, Jul;44 (1): 30-5, 2011. Adult;Pediatric Exploratory 1.00 2015-02-02 13:04:09.0 Non-Dystrophic Myotonia Interactive Voice Response (IVR) Diary Other Clinical Data Assessments and Examinations

Single Pre-Defined Value Selected

C19704 Non-Dystrophic Myotonia Interactive Voice Response (IVR) Diary - Stiffness prior day assessment indicator NDMIVRStiffnsPrDayAssInd Indicator of stiffness felt within the last 24 hours Indicator of stiffness felt within the last 24 hours Have you had stiffness within the last 24 hours? No;Yes No;Yes Alphanumeric

Choose only one. Indicate if stiffness was felt within the last 24 hours

Statland JM, Wang Y, Richesson R, Bundy B, Herbelin L, Gomes J, Trivedi J et al. An interactive voice response diary for patients with non-dystrophic myotonia. Muscle & Nerve, Jul;44 (1): 30-5, 2011. Adult;Pediatric Exploratory 1.00 2015-02-02 12:21:04.0 Non-Dystrophic Myotonia Interactive Voice Response (IVR) Diary Other Clinical Data Assessments and Examinations

Single Pre-Defined Value Selected

C19705 Non-Dystrophic Myotonia Interactive Voice Response (IVR) Diary - Stiffness prior day assessment scale NDMIVRStiffnsPrDayAssScl Scale of amount of stiffness within the last 24 hours Scale of amount of stiffness within the last 24 hours If YES, on average, please rate your amount of stiffness from 1-9 with 1 being minimal and 9 being the worst stiffness you ever have. 1;2;3;4;5;6;7;8;9 1=minimal amount of stiffness;2;3;4;5;6;7;8;9=worst stiffness felt Alphanumeric

Choose only one. Record the amount of stiffness felt in the last 24 hours using a scale from 1-9.

Statland JM, Wang Y, Richesson R, Bundy B, Herbelin L, Gomes J, Trivedi J et al. An interactive voice response diary for patients with non-dystrophic myotonia. Muscle & Nerve, Jul;44 (1): 30-5, 2011. Adult;Pediatric Exploratory 1.00 2015-02-02 12:25:22.0 Non-Dystrophic Myotonia Interactive Voice Response (IVR) Diary Other Clinical Data Assessments and Examinations

Single Pre-Defined Value Selected

CSV