Cerebral Palsy Research Network Blog

Registry Elements

Registry Element Name Definition Deprecated
CPRN0001 FACES Pain Scale: Abdomen no
CPRN0002 Severity of Abdominal Pain

single choice

no
CPRN0003 Abnormal Heel Strike

the foot contacting the ground (like a stomp) heel-first

no
CPRN0005 Adductor Release (Open) Location for Left Side no
CPRN0006 Adductor Release (Open) Location for Right Side no
CPRN0007 Allergies (in last 2 weeks?)

Are we talking about respiratory allergies only?

no
CPRN0008 Anesthesia given during delivery?

Indicator of whether or not antibiotics were utilized during the birthing process.

no
CPRN0009 Galeazzi – Thigh Segment Length no
CPRN0010 Left Ankle Dorsiflexion (Knee Extended) no
CPRN0011 Left Ankle Dorsiflexion (Knee Extended) Passive Range of Motion no
CPRN0012 Left Ankle Dorsiflexion (Knee Flexed) Passive Range of Motion no
CPRN0013 Left Ankle Dorsiflexion (Knee Flexed) no
CPRN0014 Left Ankle Plantar Flexion Passive Range of Motion no
CPRN0015 Apex – Spine (Seated) AP – Cervical

Seated spine AP (anterior/posterior): view of the spine from the an anterior/posterior position while the patient is in a seated position. Indication of which side of the body the apex of curvature of the spine is in the cervical portion of the spine (superior most 7 vertebrae of the spine)

no
CPRN0016 Apex – Spine (Seated) AP – Lumbar

Seated spine AP (anterior/posterior): view of the spine from the an anterior/posterior position while the patient is in a seated position. Indication of which side of the body the apex of curvature of the spine is in the lumbar portion of the spine inferior most 5 vertebrae of the spine)

no
CPRN0017 Apex – Spine (Seated) AP – Thoracic

Seated spine AP (anterior/posterior): view of the spine from the an anterior/posterior position while the patient is in a seated position. Indication of which side of the body the apex of curvature of the spine is in the thoracic portion of the spine (middle 12 vertebrae of the spine)

no
CPRN0018 Apex – Spine (Seated) AP – Thoracolumbar

Seated spine AP (anterior/posterior): view of the spine from the an anterior/posterior position while the patient is in a seated position. Indication of which side of the body the apex of curvature of the spine is in the thoracolumbar portion of the spine (portion of the spine between the cervical spine and the lumbar spine)

no
CPRN0019 Apex – Spine (Seated) LAT – Cervical

Seated spine LAT (lateral): view of the spine from the a lateral position while the patient is in a seated position. Indication of which side of the body the apex of curvature of the spine is in the cervical portion of the spine (superior most 7 vertebrae of the spine)

no
CPRN0020 Apex – Spine (Seated) LAT – Lumbar

Seated spine LAT (lateral): view of the spine from the a lateral position while the patient is in a seated position. Indication of which side of the body the apex of curvature of the spine is in the lumbar portion of the spine inferior most 5 vertebrae of the spine)

no
CPRN0021 Apex – Spine (Seated) LAT – Thoracic

Seated spine LAT (lateral): view of the spine from the a lateral position while the patient is in a seated position
Indication of which side of the body the apex of curvature of the spine is in the thoracic portion of the spine (middle 12 vertebrae of the spine)

no
CPRN0022 Apex – Spine (Seated) LAT – Thoracolumbar

Seated spine LAT (lateral): view of the spine from the a lateral position while the patient is in a seated position
Indication of which side of the body the apex of curvature of the spine is in the thoracolumbar portion of the spine (portion of the spine between the cervical spine and the lumbar spine)

no
CPRN0023 Apgar Score – 10 Minute

Test to assess the health of newborn children against infant mortality. 10 minute: conducted 10 minutes after birth determining how well the baby is doing outside the womb.

no
CPRN0024 Apgar Score – 1 Minute

Test to assess the health of newborn children against infant mortality. 1 minute: conducted 1 minute after birth determining how well the baby tolderate the birthing process.

no
CPRN0025 Apgar Score – 5 Minute

Test to assess the health of newborn children against infant mortality. 5 minute: conducted 5 minutes after birth determining how well the baby is doing outside the womb.

no
CPRN0026 Left Ankle Plantar Flexion no
CPRN0027 Arthrodesis Type for Left Side

Surgical proceudre where the articular surface of a musculoskeletal joint is replaced, remodeled or realigned by osteotomy or some other procedure

no
CPRN0028 Arthrodesis Type for Right Side

Surgical proceudre where the articular surface of a musculoskeletal joint is replaced, remodeled or realigned by osteotomy or some other procedure

no
CPRN0029 Ashworth – Grade – Left Ankle – Dorsiflexion (knee extended)

Left Ankle Dorsiflexion: also called plantar flexion – movement of the ankle where the toes are brought closer to the shin decreasing the angle between the dorsum of the foot and the leg. Knee Extended: knee is in a straight position.

no
CPRN0055 Left Anterior Popliteal Angle (Bilateral or with Hamstring Shift) R2 (R2) no
CPRN0056 Left Anterior Popliteal Angle (Unilateral or without Hamstring Shift) Passive Range of Motion no
CPRN0057 Left Anterior Popliteal (Angle with Hamstring Shift) no
CPRN0058 Left Anterior Popliteal Angle (without Hamstring Shift) no
CPRN0059 Left Hip Abduction no
CPRN0060 Left Hip Abduction (hips extended knees flexed) no
CPRN0061 Left Hip Abduction (hips extended knees flexed) Modified Ashworth Spasticity Scale no
CPRN0062 Pelvic AP – Acetabular Index Assessed

The acetabular wall index for assessing anteroposterior femoral head coverage

no
CPRN0063 Pelvic AP – Acetabular Angle Assessed

Acetabular angle: defined as the angle made from line through the Y synchondroses and another line through the superior and inferior points of the iliac portion of teh acetabulum

no
CPRN0064 Left Hip Abduction (hips extended knees flexed) Passive Range of Motion no
CPRN0065 Current Asthma

by report or chart review, yes/no

no
CPRN0066 Babinski Reflex Present

yes/no

no
CPRN0067 Babinski Reflex Location

can be multiple

no
CPRN0068 FACES Pain Scale: Back no
CPRN0069 Severity of Back Pain

single choice

no
CPRN0070 Baclofen Trial Completed or Performed? no
CPRN0071 Birth Complications

can be multiple- per chart of stated history

no
CPRN0072 Birth Length

in cm

no
CPRN0073 Birth Weight

in kg

no
CPRN0074 Bone replaced no
CPRN0075 Botox Injection Dose Left Side Lateral Hamstring

Dose of botox injection in the left lateral hamstring

no
CPRN0076 Botox Injection Dose Left Side Medial Hamstring

Dose of botox injection in the left medial hamstring

no
CPRN0077 Botox Injection Dose Right Side Lateral Hamstring

Dose of botox injection in the right lateral hamstring

no
CPRN0078 Botox Injection Dose Right Side Medial Hamstring

Dose of botox injection in the right medial hamstring

no
CPRN0079 Botox Injection Frequency Left Side Lateral Hamstring

Frequency of botox injection in the left lateral hamstring

no
CPRN0080 Botox Injection Frequency Left Side Medial Hamstring

Frequency of botox injection in the left medial hamstring

no
CPRN0081 Botox Injection Frequency Right Side Lateral Hamstring

Frequency of botox injection in the right lateral hamstring

no
CPRN0082 Botox Injection Frequency Right Side Medial Hamstring

Frequency of botox injection in the right medial hamstring

no
CPRN0083 Left Hip Abduction (hips extended knees flexed) Angle of Catch When Moved Quickly (R1) no
CPRN0084 Left Hip Abduction (hips extended knees flexed) R2 no
CPRN0085 Bowel Problems

by report, can be multiple. currently on meds= yes

no
CPRN0086 Combined Procedures no
CPRN0087 Baclofen Pump Surgery Performed

Indication of whether or not surgery to place a baclofen pump was conducted. Baclofen pump: a programmable device that delivers liquid medication around the clock directly to the intrathecal space in the spinal cord

no
CPRN0089 Type of Baclofen Pump Surgery

New baclofen pump: a programmable device that delivers liquid medication around the clock directly to the intrathecal space in the spinal cord
Replacement pump: procedure to place a replacement baclofen pump
Catheter revision: positioning of a tube from the surface of the skin to a major vein
Wound revision: surgery performed to replace or compensate for a failed implant or to correct undesirable sequelae of previous surgery

no
CPRN0090 Calcaneal Osteotomy to Correct Varus Procedure for Left Side

Calcaneal Osteotomy: an extra-articular, joint-sparing procedure used to correct cavovarus and planovalgus foot deformity

no
CPRN0091 Calcaneal Osteotomy to Correct Varus Procedure for Right Side

Calcaneal Osteotomy: an extra-articular, joint-sparing procedure used to correct cavovarus and planovalgus foot deformity

no
CPRN0092 Left Hip Abduction (hips extended knees flexed) Modified Tardieu Scale no
CPRN0093 Callosity Present – Left

Callosity: a thickened and hardened part of the skin; a callus.

no
CPRN0094 Callosity Present – Right

Callosity: a thickened and hardened part of the skin; a callus.

no
CPRN0095 Who are the caregivers?

Type of relationship that the person who serves as the participant/subject’s primary caregiver has with the participant/subject. (NINDS)

no
CPRN0096 Catheter Tip Level

Catheter tip level: location of the tip of the catheter.
High cervical: vertebrae from the top of the spine to the base of the skull
Mid cervical: inferior to the high cervical and superior to the mid thoracic certebrae
Mid thoracic: middle portion of the spine containing 12 vertebrae
Intraventricular: within the ventricles of the CNS

no
CPRN0097 Is the pump being implanted for a cerebral palsy diagnosis? no
CPRN0098 CFCS

Communication Function Classification System

no
CPRN0099 Leaning forward – Fit/Size no
CPRN0100 Leaning left – Fit/Size no
CPRN0101 Leaning right – Fit/Size no
CPRN0102 Upright – Fit/Size no
CPRN0103 Left Hip Abduction (hips and knees extended) no
CPRN0104 Clinics at which patient has ever been seen:

Indication of which services, clinics, or specialists the patient has seen.

no
CPRN0105 Clinics at which patient has ever been seen – Other

Description of any other services, clinics, or specialists the patient has seen.

no
CPRN0106 Clonus Present

yes/no

no
CPRN0107 Clonus Location

can be multiple

no
CPRN0108 CNS Entry Level

Laminectomy: surgery that creates space by removing the lamina the back part of a vertebrae that covers the spinal canal.

no
CPRN0109 What is diagnosis non CP diagnosis? no
CPRN0110 CNS Entry Method no
CPRN0111 Catheter Tip Level

Indication of location of catheter tip

no
CPRN0112 Cobb Angle Degrees – Spine (Seated) AP – Cervical

Seated spine AP (anterior/posterior): view of the spine from the an anterior/posterior position while the patient is in a seated positionCobb Angle: measure of the curvature of the spine in degrees, Cobb angle of 10 degress is regarded as minimum angulation to define scoliosis Cervical: superior most 7 vertebrae of the spine

no
CPRN0113 Cobb Angle Degrees – Spine (Seated) AP – Lumbar

Seated spine AP (anterior/posterior): view of the spine from the an anterior/posterior position while the patient is in a seated positionCobb Angle: measure of the curvature of the spine in degrees, Cobb angle of 10 degress is regarded as minimum angulation to define scoliosis Lumbar: inferior most 5 vertebae of the spine

no
CPRN0114 Cobb Angle Degrees – Spine (Seated) AP – Thoracic

Seated spine AP (anterior/posterior): view of the spine from the an anterior/posterior position while the patient is in a seated positionCobb Angle: measure of the curvature of the spine in degrees, Cobb angle of 10 degress is regarded as minimum angulation to define scoliosis Thoracic: middle 12 vertebrae of the spine

no
CPRN0115 Cobb Angle Degrees – Spine (Seated) AP – Thoracolumbar

Seated spine AP (anterior/posterior): view of the spine from the an anterior/posterior position while the patient is in a seated positionCobb Angle: measure of the curvature of the spine in degrees, Cobb angle of 10 degress is regarded as minimum angulation to define scoliosis Thoracolumbar: portion of the spine between the cervical spine and the lumbar spine

no
CPRN0116 Cobb Angle Degrees – Spine (Seated) LAT – Cervical

Seated spine LAT (lateral): view of the spine from the a lateral position while the patient is in a seated position Cobb Angle: measure of the curvature of the spine in degrees, Cobb angle of 10 degress is regarded as minimum angulation to define scoliosis Cervical: superior most 7 vertebrae of the spine

no
CPRN0117 Cobb Angle Degrees – Spine (Seated) LAT – Lumbar

Seated spine LAT (lateral): view of the spine from the a lateral position while the patient is in a seated position Cobb Angle: measure of the curvature of the spine in degrees, Cobb angle of 10 degress is regarded as minimum angulation to define scoliosis Lumbar: inferior most 5 vertebae of the spine

no
CPRN0118 Cobb Angle Degrees – Spine (Seated) LAT – Thoracic

Seated spine LAT (lateral): view of the spine from the a lateral position while the patient is in a seated position Cobb Angle: measure of the curvature of the spine in degrees, Cobb angle of 10 degress is regarded as minimum angulation to define scoliosis Thoracic: middle 12 vertebrae of teh spine

no
CPRN0119 Cobb Angle Degrees – Spine (Seated) LAT – Thoracolumbar

Seated spine LAT (lateral): view of the spine from the a lateral position while the patient is in a seated position Cobb Angle: measure of the curvature of the spine in degrees, Cobb angle of 10 degress is regarded as minimum angulation to define scoliosis Thoracolumbar: portion of the spine between the cervical spine and the lumbar spine

no
CPRN0120 Consent Information

single choice

no
CPRN0121 Continence Developed

yes/no. yes= never needs diaper or pull-ups

no
CPRN0122 Left Hip Abduction (hips and knees extended) Modified Ashworth Spasticity Scale no
CPRN0123 CP Distribution

O Unilateral – left (left hemiplegia)O Unilateral – right (right hemiplegia)O Bilateral symmetric (diplegia)O Bilateral symmetric (quadriplegia)O Bilateral asymmetric – left predominant (left triplegia) O Bilateral asymmetric – right predominant (right triplegia)

no
CPRN0124 Crouch

Excessive dorsiflexion of calcaneus at the ankle in combination with excessive flexion at the knee and hip leading to a “crouched” position

no
CPRN0125 Left Hip Abduction (hips and knees extended) Passive Range of Motion no
CPRN0126 Current CSF Diversion Mechanism(s)

can be multiple

no
CPRN0127 Medial Cuneiform Flexion Osteotomy Procedure for Left Side no
CPRN0128 Medial Cuneiform Flexion Osteotomy Procedure for Right Side no
CPRN0129 Patient Date of Birth

Date the patient was born. Formmated mm/dd/yyyy. (NINDS)

no
CPRN0131 Decreased Stance no
CPRN0132 Left Hip Abduction (hips and knees extended) Angle of Catch When Moved Quickly (R1) no
CPRN0133 Decreased Stride Length

Stide length is the distance between two successive placements of the same foot. Consists of two step lengths, left and right, each of which is the distance by which the named foot moved forward in front of the other one.

no
CPRN0134 Left Hip Abduction (hips and knees extended) R2 no
CPRN0135 Left Hip Abduction (hips and knees extended) Modified Tardieu Scale no
CPRN0136 Left Hip Abduction (hips and knees flexed) no
CPRN0137 Left Hip Abduction (hips and knees flexed) Modified Ashworth Spasticity Scale no
CPRN0138 Left Hip Abduction (hips and knees flexed) Passive Range of Motion no
CPRN0139 Left Hip Abduction (hips and knees flexed) Angle of Catch When Moved Quickly (R1) no
CPRN0140 Left Hip Abduction (hips and knees flexed) R2 no
CPRN0141 Left Hip Abduction (hips and knees flexed) Modified Tardieu Scale no
CPRN0142 Left Hip Abduction Modified Ashworth Spasticity Scale no
CPRN0191 Measurement Degrees – Frog Leg Lateral

Frog leg lateral view: Patient is in the supine position, with flexed knees, with knee(s) rotated away from the midline of the body

no
CPRN0192 Measurement Degrees – Pelvic AP

Pelvis AP (anterior/posterior): view of part of the pelvis containing the iliac crest, proximal femur, pubis, ischium, and the great pelvic ring.

no
CPRN0193 Has the patient seen a dentist in the last year?

yes/no

no
CPRN0194 Drooling

by report, yes/no. currently on meds= yes

no
CPRN0195 Duration – Nasal Mupirocin

Nasal Mupirocin Pre-Op: ointment placed in the nasal cavity used pre-operatively to reduce risk of infection
Measure of duration

no
CPRN0196 Area of Electrical Leads Placement

indication of whether electrical leads were placed on the surface or intramuscularly on the patient.

no
CPRN0197 Extent of Level of Exposure no
CPRN0198 Extent of Level of Exposure – Other no
CPRN0199 Location of Electrical Leads Placement

Gastrocnemius: Forms the lateral-most portion of the calf muslce.
Hip Adductors: muscles in the medial compartment of the thigh comprised of five muscles
Hip Flexors: located on the ventral portion of the body connecting to the superior portion of the femur

no
CPRN0200 Location of Electrical Leads Placement – Other

Description of other location of placement of electrical leads

no
CPRN0201 Electrophysiology Findings

Electrophysiology: test the electrical activity of the heart to find where an arrhythmia is originating.
Tetanic Contractions: a sustained muscle contraction evoked when the motor nerve that innervates a skeletal muscle emits action potentials at a high rate.
Selective Dorsal Rhizotomy: surgical procedure performed on the lower spinal cord where the nerves are seperated then identified via and electrical stimulation.

no
CPRN0202 Electrophysiology Findings – Other

Electrophysiology: test the electrical activity of the heart to find where an arrhythmia is originating.
Description of other findings from the electrophysiology.

no
CPRN0203 Left Hip Abduction Passive Range of Motion no
CPRN0204 Left Hip Extension Passive Range of Motion no
CPRN0205 Left Hip Extension Angle of Catch When Moved Quickly (R1) no
CPRN0206 Left Hip External Rotation Passive Range of Motion no
CPRN0207 Left Hip Flexion Passive Range of Motion no
CPRN0208 Left Hip Flexion Angle of Catch When Moved Quickly (R1) no
CPRN0209 Left Hip Internal Rotation Passive Range of Motion no
CPRN0210 Left Knee Extension no
CPRN0211 Date of Consent

Date of consent formatted mm/dd/yyyy. Date of enrollment should be used for sites who consent and enroll. If consent is waived, enrollment occurs at the point the first records are entered.

no
CPRN0212 Left Knee Extension Passive Range of Motion no
CPRN0213 Left Knee Extension Angle of Catch When Moved Quickly (R1) no
CPRN0214 Left Knee Flexion R2 (R2) no
CPRN0215 Left Knee Flexion no
CPRN0216 Date of Change in Registry Status no
CPRN0217 Status: no
CPRN0218 Status – Other: no
CPRN0219 Has there been a change in the patient’s registry status since enrollment? no
CPRN0220 Equinus/toe weight bearing

Equinus: upward bending motion of the ankle joint is limitedToe weight bearing: characterized by absence of normal heel-to-floor contact by both feet during gait “toe walking”

no
CPRN0221 Left Hip Extension no
CPRN0222 Etiology

At any rate, single choice. Defined by clinician using all available data

no
CPRN0223 Etiology – Other

Free text, Defined by clinician using all availale data

no
CPRN0224 Presence of Exclusionary Neurodevelopmental Diagnosis

yes/no

no
CPRN0225 Feeding Tube Required

currently yes or currently no only

no
CPRN0226 Type of Feeding Tube

single choice

no
CPRN0227 Femoral Derotational Osteotomy (Diaphyseal) Fixation Type for Left Side

Proximal Femoral Derotational Osteotomy Fixation: surgical procedure to correct specific deformities of the femur.
Flexible Intramedullary Nails: surgical treatment for pediatric femur fractures- nails are flexible
Locked Intramedullary Nails: surgical treatment for pediatric femur fractures-nails are locked
Plate and screw construct: surgical treatment for pediatric femur fractures- plates and screws are utilized

no
CPRN0228 Femoral Derotational Osteotomy (Diaphyseal) Fixation Type for Right Side

Proximal Femoral Derotational Osteotomy Fixation: surgical procedure to correct specific deformities of the femur.
Flexible Intramedullary Nails: surgical treatment for pediatric femur fractures- nails are flexible
Locked Intramedullary Nails: surgical treatment for pediatric femur fractures-nails are locked
Plate and screw construct: surgical treatment for pediatric femur fractures- plates and screws are utilized

no
CPRN0229 Femoral Derotational Osteotomy (Supracondylar) Type for Left Side

Proximal Femoral Derotational Osteotomy Fixation: surgical procedure to correct specific deformities of the femur.
Locking Plate: surgical intervention for fractures and osteoporosis
Blade Plate: surigcal intervention utilized for acute femoral fractures and nonunions
Crossed K-Wires: Kirschner wires fixation method of surgical intervention

no
CPRN0230 Femoral Derotational Osteotomy (Supracondylar) Type for Right Side

Proximal Femoral Derotational Osteotomy Fixation: surgical procedure to correct specific deformities of the femur.
Locking Plate: surgical intervention for fractures and osteoporosis
Blade Plate: surigcal intervention utilized for acute femoral fractures and nonunions
Crossed K-Wires: Kirschner wires fixation method of surgical intervention

no
CPRN0231 Functional Mobility Scale 500-Meter – Score

1=Uses wheelchair or stroller: May stand for transfers and may do some supported stepping. 2=Uses K- walker or other walking frame: w/o assistance 3=Uses two crutches: w/o assistance. 4=uses one crutch or two sticks: w/o assistance. If uses walls, etc. for support please use 4. 5=Independent on level surfaces: does not use walking aids or need assistance. 6=Independent on all surfaces: does not use any waling aids or need assistance when walking, running, climbing stairs, etc. C= does this by crawling only applies to 5 m

no
CPRN0232 Functional Mobility Scale 50-Meter – Score

1=Uses wheelchair or stroller: May stand for transfers and may do some supported stepping. 2=Uses K- walker or other walking frame: w/o assistance 3=Uses two crutches: w/o assistance. 4=uses one crutch or two sticks: w/o assistance. If uses walls, etc. for support please use 4. 5=Independent on level surfaces: does not use walking aids or need assistance. 6=Independent on all surfaces: does not use any waling aids or need assistance when walking, running, climbing stairs, etc. C= does this by crawling only applies to 5 m

no
CPRN0233 Functional Mobility Scale 5-Meter – Score

1=Uses wheelchair or stroller: May stand for transfers and may do some supported stepping. 2=Uses K- walker or other walking frame: w/o assistance 3=Uses two crutches: w/o assistance. 4=uses one crutch or two sticks: w/o assistance. If uses walls, etc. for support please use 4. 5=Independent on level surfaces: does not use walking aids or need assistance. 6=Independent on all surfaces: does not use any waling aids or need assistance when walking, running, climbing stairs, etc. C= does this by crawling only applies to 5 m

no
CPRN0234 Left Hip External Rotation no
CPRN0235 Forefoot Direction – Left

Forefoot: the front part of the foot, also referred to as the ball of the foot, postioned anterior to the midfoot
Abducted: foot abnormaility that causes the front half of the foot (forefoot) to turn outward – away from the midline of the body
Adducted: foot abnormaility that causes the front half of the foot (forefoot) to turn inward – toward the midline of the body

no
CPRN0236 Forefoot Direction – Right

Forefoot: the front part of the foot, also referred to as the ball of the foot, postioned anterior to the midfoot
Abducted: foot abnormaility that causes the front half of the foot (forefoot) to turn outward – away from the midline of the body
Adducted: foot abnormaility that causes the front half of the foot (forefoot) to turn inward – toward the midline of the body

no
CPRN0237 History of Fragility Fracture

yes/no

no
CPRN0238 Fragility Fracture – Medications

free text

no
CPRN0239 Fragility Fracture – Therapies

free text

no
CPRN0240 Fragility Fracture – Treatments

free text

no
CPRN0241 Left Hip External Rotation Modified Tardieu Scale no
CPRN0242 Assessment

Study of kinematics of gait in various planes.

no
CPRN0243 Gait Deviations

Variation of standard human gait, typically manifesting as a coping mechanism in response to an anatomical impairment

no
CPRN0244 Left Hip Extension Modified Tardieu Scale no
CPRN0245 Left Hip Flexion no
CPRN0246 Gait Observation Type

Barefoot walk: observation occurs without shoes on
Orthotic braces: are used to provide support to a weakend body part or joint

no
CPRN0247 Left Hip Flexion Modified Tardieu Scale no
CPRN0248 Left Hip Internal Rotation no
CPRN0249 Left Hip Internal Rotation Modified Tardieu Scale no
CPRN0250 When was the last generalized tonic clonic seizure? no
CPRN0251 When was the last motor seizure (non-GTC)? no
CPRN0252 When was the last non motor seizure? no
CPRN0253 GDI – Value – Left

GDI: Gait Deviation Index- summary measure that provides a global picture of gait kinematic data

no
CPRN0254 GDI – Value – Right

GDI: Gait Deviation Index- summary measure that provides a global picture of gait kinematic data

no
CPRN0255 Gestational Age

in weeks

no
CPRN0256 GMFCS

single choice

no
CPRN0257 How many days of that last month were affected by seizure treatment side effects? no
CPRN0258 How many days of the last month have been affected by seizures? no
CPRN0259 Right Ankle Dorsiflexion (Knee Extended) Passive Range of Motion no
CPRN0260 Right Ankle Dorsiflexion (Knee Flexed) Passive Range of Motion no
CPRN0261 Right Ankle Plantar Flexion Passive Range of Motion no
CPRN0262 GPS – Value – Left

GPS: Gail Profil Scale- root mean square distance between gait data for an individual child and the averaged data from children with no gait pathology

no
CPRN0263 GPS – Value – Right

GPS: Gail Profil Scale- root mean square distance between gait data for an individual child and the averaged data from children with no gait pathology

no
CPRN0264 G-tube?

G-Tube: gastrostomy tube is a tube inserted through the abdomen to deliver nutrition directly to the stomach.

no
CPRN0265 Right Anterior Popliteal Angle (Bilateral or with Hamstring Shift) Passive Range of Motion no
CPRN0266 Hallux Characteristic – Left

Hallux: also referred to as the big toe, the toe closest to the midline of the body.
Valgus: Hallux (big toe) tilts over the smaller toes and a bony lump appears on the inside of the foot
Dorsal Bunion: bump and/or swelling on the base of the hallux (big toe) on the dorsal (top) surface

no
CPRN0267 Hallux Characteristic – Right

Hallux: also referred to as the big toe, the toe closest to the midline of the body.
Valgus: Hallux (big toe) tilts over the smaller toes and a bony lump appears on the inside of the foot
Dorsal Bunion: bump and/or swelling on the base of the hallux (big toe) on the dorsal (top) surface

no
CPRN0268 Hand Dominance

would split N/A into equal and not assessed. L/R per history or exam

no
CPRN0269 FACES Pain Scale: Head

single choice

no
CPRN0270 Severity of Head Pain

single choice

no
CPRN0271 Hearing Status

The indicator of whether the participant’s/subject’s hearing is normal, impaired, or is considered to be deaf.

no
CPRN0272 Heel Valgus

A condition in which the rear of the foot tends to curve outward at the ankle joint.

no
CPRN0273 Gait Observation Type

Type of gait observation
Barefoot walk: patient is not wearing shoes
With AFOs: patient is utilizing ankle-foot orthoses
No Gait Observation: Observation of gait was not conducted

no
CPRN0274 Heel Varus

A condition in which the rear of the foot tends to curve inward at the ankle joint.

no
CPRN0275 Right Anterior Popliteal Angle (Unilateral or without Hamstring Shift) R2 (R2) no
CPRN0276 High Side – Frog Leg Lateral

Frog leg lateral view: Patient is in the supine position, with flexed knees, with knee(s) rotated away from the midline of the body
Measure of what side of the pelvis is higher in pelvis obliquity

no
CPRN0277 High Side – Pelvic AP

Pelvis AP (anterior/posterior): view of part of the pelvis containing the iliac crest, proximal femur, pubis, ischium, and the great pelvic ring.
Measure of what side of the pelvis is higher in pelvis obliquity

no
CPRN0278 Right Hip Abduction (hips extended knees flexed)Passive Range of Motion no
CPRN0279 Hindfoot Angulation – Left

Hindfoot Varus- a medial (toward the tibia) inversion of the rearfoot at the subtalar joint.
Hinfoot Valgus-malalignment of the hindfoot in which the mid-calcaneal axis is deviated away from the midline of the body.

no
CPRN0280 Hindfoot Angulation – Right

Hindfoot Varus- a medial (toward the tibia) inversion of the rearfoot at the subtalar joint.
Hinfoot Valgus-malalignment of the hindfoot in which the mid-calcaneal axis is deviated away from the midline of the body.

no
CPRN0281 Hip Arthroplasty Type for Left Side

Surgical proceudre where the articular surface of a musculoskeletal joint is replaced, remodeled or realigned by osteotomy or some other procedure

no
CPRN0282 Hip Arthroplasty Type for Right Side

Surgical proceudre where the articular surface of a musculoskeletal joint is replaced, remodeled or realigned by osteotomy or some other procedure

no
CPRN0283 FACES Pain Scale: Hip

single choice

no
CPRN0284 Severity of Hip Pain

single choice

no
CPRN0285 Assessment of Hip Stability Type for Left Side – Other

Hip stability: ability to maintain center of gacity and produce strength and coordination in hips and truck.
Indication of other type of measure utilized to assess hip stability

no
CPRN0286 Assessment of Hip Stability Type for Right Side

Hip stability: ability to maintain center of gacity and produce strength and coordination in hips and truck.
Indication of other type of measure utilized to assess hip stability

no
CPRN0287 Assessment of Hip Stability Type for Left Side

Hip stability: ability to maintain center of gacity and produce strength and coordination in hips and truck.
Clinical: clinical evaluation
Fluoroscopy: type of medical imaging that shows a continuous x-ray image on a monitor.
Arthrogram: an z-ray image or picure of te inside of a joint after a contrast medium is injected into the joint.

no
CPRN0288 Assessment of Hip Stability Type for Right Side

Hip stability: ability to maintain center of gacity and produce strength and coordination in hips and truck.
Clinical: clinical evaluation
Fluoroscopy: type of medical imaging that shows a continuous x-ray image on a monitor.
Arthrogram: an z-ray image or picure of te inside of a joint after a contrast medium is injected into the joint.

no
CPRN0289 Right Hip Abduction (hips extended knees flexed) Angle of Catch When Moved Quickly (R1) no
CPRN0290 Right Hip Abduction (hips extended knees flexed) R2 no
CPRN0291 Right Hip Abduction (hips and knees extended) Passive Range of Motion no
CPRN0292 Right Hip Abduction (hips and knees extended) Angle of Catch When Moved Quickly (R1) no
CPRN0293 Right Hip Abduction (hips and knees extended) R2 no
CPRN0294 Right Hip Abduction (hips and knees flexed) Passive Range of Motion no
CPRN0295 Right Hip Abduction (hips and knees flexed) Angle of Catch When Moved Quickly (R1) no
CPRN0296 Right Hip Abduction (hips and knees flexed) R2 no
CPRN0297 Right Hip Abduction Passive Range of Motion no
CPRN0298 Right Hip Extension Passive Range of Motion no
CPRN0299 Right Hip Extension Angle of Catch When Moved Quickly (R1) no
CPRN0300 Right Hip External Rotation Passive Range of Motion no
CPRN0301 Right Hip Flexion Passive Range of Motion no
CPRN0302 Right Hip Flexion Angle of Catch When Moved Quickly (R1) no
CPRN0303 Right Hip Internal Rotation Passive Range of Motion no
CPRN0304 History of treatments prior to surgery

Anti-spastic: used to manage spasticity in upper and lower extremities
Intramuscular medication: delivering medication deep into the muslces in order to be absorbed into the bloodstream quickly.
Intrathecal Baclofen: delivering baclofen directly to the target site in the spinal cord to treat spasticity.
Selective Dorsal Rhizotomy: surgical procedure performed on the lower spinal cord where the nerves are seperated then identified via and electrical stimulation.
Fusion Surgery: surgery to permanently connect two or more vertebrae in the spine

no
CPRN0305 History of treatments prior to surgery – Other

Indication of patients history of surgeries

no
CPRN0306 Hospital Admissions in Past 12 Months?

yes/no

no
CPRN0307 Hospital ID

Identifcation number associated with treatment hospital

no
CPRN0308 Hyperreflexia Present

yes/no

no
CPRN0309 Hyperreflexia Location

can be multiple

no
CPRN0310 Previous ICU Admission for Dystonic Crises

Dystonic Crisis: effects that can occurs after administration of a neuroleptic drug characterized by intermittend spasmodic or sustained involuntary contractions of muscles in the face, neck, trunk, pelvis, extremities, and larynx. Indication of prior ICU admission due to dystonic crisis.

no
CPRN0311 Brain MRI/CT Findings no
CPRN0312 Brain MRI/CT Findings – Other

Description of other brain MRI/CT imaging reults

no
CPRN0314 Hip X-ray Findings – Subluxation?

Findings of hip x-ray imaging. Subluxation: a partial dislocation

no
CPRN0315 Hip X-ray Findings – Subluxation Degree

Finds of hip x-ray imaging. Degree of partial dislocation.

no
CPRN0316 Right Knee Extension Passive Range of Motion no
CPRN0317 Scoliosis X-ray Findings – Kyphosis Degree

Degree of excessive outward curvature of the spine

no
CPRN0318 Scoliosis X-ray Findings – Lordosis Degree

Degree of excessive inward curvature of the spine

no
CPRN0319 Scoliosis X-ray Findings – Scoliosis Degree

Degree of abnormal lateral curvature of the spine

no
CPRN0320 Spine MRI/CT Findings

Findings of spine MRI/CT imaging.
Kyphosis: excessive outward curvature of the spine
Scoliosis: abnormal lateral curvature of the spine.

no
CPRN0321 Right Knee Extension Angle of Catch When Moved Quickly (R1) no
CPRN0322 Other Steps to Reduce Infection Risk:

Description of other steps taken to reduce the risk of infection

no
CPRN0323 Intoeing

When walking or running the feet turn inward (medially) rather than pointing straight ahead. Also referred to as “pigeon-toe”.

no
CPRN0324 Right Knee Flexion Passive Range of Motion no
CPRN0325 Intra-operative muscle evaluation no
CPRN0326 Intra Op Anesthesia Complications

Indication of complications occuring with anesthesia during operation

no
CPRN0327 Intra Operative Procedures

Procedures conducted during surgery
SSI: surgical site infection
GA: general anethesia
Transfusion: transferring of blood or other fluid

no
CPRN0328 CSF Leak within 3 months of surgery?

Indication of CSF leak within 3 months of surgery CSF Leak: CFS leaks through a defect in the dura or the skull and out through the nose or ear.

no
CPRN0329 Signs and Symptoms Improved 3-Months Post-Operatively

Characteristics observed worsened 6 months post-operatively
Clonus: neurological condtion that creates involuntary muslce contactions restulting in rhythmic shaking movements.
Positive Babinski Response: reflux that occurs when the sole of the foot is stimulated causing the big toe to move upward
Hyperreflexia: involuntary nervous system overreacts to external or bodily stimuli

no
CPRN0330 Signs and Symptoms Improved 3-Months Post-Operatively

Indication of any other characteristics observed improvment 6 months post-operatively

no
CPRN0331 Maintenance Dose at 3 Months (micrograms/day) no
CPRN0332 Signs and Symptoms Worsened 3-Months Post-Operatively

Characteristics observed worsened 6 months post-operatively
Clonus: neurological condtion that creates involuntary muslce contactions restulting in rhythmic shaking movements.
Positive Babinski Response: reflux that occurs when the sole of the foot is stimulated causing the big toe to move upward
Hyperreflexia: involuntary nervous system overreacts to external or bodily stimuli

no
CPRN0333 Signs and Symptoms Worsened 3-Months Post-Operatively

Indication of any other characteristics observed worsened 6 months post-operatively

no
CPRN0334 Was the Intrathecal Baclofen Pump Surgical Protocol for Infection Reduction followed? no
CPRN0335 Jump Gait

Also referred to as jump knee:

no
CPRN0336 Number of Abnormal Rootlets – Left
(of rootlets tested)
no
CPRN0337 Knee hyperextension/recurvatum

Deformity of the knee join, knee bends anteriorly

no
CPRN0338 Number of Abnormal Rootlets – Left – L1
(of rootlets tested)
no
CPRN0339 Number of Abnormal Rootlets – Left – L2
(of rootlets tested)
no
CPRN0340 Number of Abnormal Rootlets – Left – L3
(of rootlets tested)
no
CPRN0341 Number of Abnormal Rootlets – Left – L4
(of rootlets tested)
no
CPRN0342 Number of Abnormal Rootlets – Left – L5
(of rootlets tested)
no
CPRN0343 Number of Abnormal Rootlets – Left – S1
(of rootlets tested)
no
CPRN0344 Number of Abnormal Rootlets – Left – S2
(of rootlets tested)
no
CPRN0345 Knee Height

in cm

no
CPRN0346 Left Ankle Dorsiflexion (Knee Extended) Modified Ashworth Spasticity Scale

With knee extended, Starting with ankle in plantarflexion move joint quickly towards dorsiflexion noting spasticity of plantarflexors

no
CPRN0347 Left Ankle Dorsiflexion (Knee Extended) Tardieu Spasticity Scale

With knee extended, Starting with ankle in plantarflexion move joint quickly towards dorsiflexion noting spasticity of plantarflexors

no
CPRN0348 Left Ankle Dorsiflexion (Knee Extended) Angle of Catch When Moved Quickly (R1)

With knee extended, Starting with ankle in plantarflexion move joint quickly towards dorsiflexion noting angle of catch R1 of plantarflexors where 0 degrees is ankle at neutral dorsi/plantarflexion at a right angle

no
CPRN0349 Left Ankle Dorsiflexion (Knee Extended) Passive Range of Motion (R2)

With knee extended Starting with ankle in plantarflexion move joint slowly towards dorsiflexion noting passive end range of motion

no
CPRN0350 Left Ankle Dorsiflexion (Knee Flexed) Angle of Catch When Moved Quickly (R1)

With knee flexed, Starting with ankle in plantarflexion move joint quickly towards dorsiflexion noting angle of catch R1 of plantarflexors

no
CPRN0351 Left Ankle Dorsiflexion (Knee Flexed) Passive Range of Motion (R2)

With knee flexed Starting with ankle in plantarflexion move joint slowly towards dorsiflexion noting end passive range of motion end range.

no
CPRN0352 Left Ankle Dorsiflexion (Knee Flexed) Modified Ashworth Spasticity Scale

With knee flexed, Starting with ankle in plantarflexion move joint quickly towards dorsiflexion noting spasticity of plantarflexors

no
CPRN0353 Left Ankle Dorsiflexion (Knee Flexed) Tardieu Spasticity Scale

With knee flexed, Starting with ankle in plantarflexion move joint quickly towards dorsiflexion noting spasticity of plantarflexors

no
CPRN0354 Number of Abnormal Rootlets – Right
(of rootlets tested)
no
CPRN0355 Number of Abnormal Rootlets – Right – L1
(of rootlets tested)
no
CPRN0356 Number of Abnormal Rootlets – Right – L2
(of rootlets tested)
no
CPRN0357 Left Ankle Plantar Flexion Angle of Catch When Moved Quickly (R1)

Starting with ankle in dorsiflexion move ankle joint quickly into plantarflexion noting angle of catch R1 of dorsiflexors where 45 degrees is full plantarflexion

no
CPRN0358 Left Ankle Plantar Flexion Passive Range of Motion (R2)

Starting with ankle in dorsiflexion move ankle joint slowly into plantarflexion noting passive end range of motion.

no
CPRN0359 Number of Abnormal Rootlets – Right – L3
(of rootlets tested)
no
CPRN0360 Left Ankle Plantar Flexion Modified Ashworth Spasticity Scale

Starting with ankle in dorsiflexion move ankle joint quickly into plantarflexion noting spasticity of dorsiflexors

no
CPRN0361 Left Ankle Plantar Flexion Tardieu Spasticity Scale

Starting with ankle in dorsiflexion move ankle joint quickly into plantarflexion noting apasticity of dorsiflexors

no
CPRN0362 Number of Abnormal Rootlets – Right – L4
(of rootlets tested)
no
CPRN0363 Left Anterior Popliteal Angle (with Hamstring Shift) Angle of Catch When Moved Quickly (R1)

Starting with hip at 90 degrees of flexion and knee in full flexion opposite leg is flexed 30-45 degrees to shift pelvis to neutral on the table (with hamstring shift hs), move the lower leg quickly towards vertical. R1 is the angle of catch spasticity in hamstrings Anterior popliteal angle refers to the angle vertical to top of shin, where vertical or full knee extension is 0 degrees

no
CPRN0364 Left Anterior Popliteal Angle (with Hamstring Shift) Passive Range of Motion (R2)

Starting with hip at 90 degrees of flexion and knee in full flexion opposite leg is flexed 30-45 degrees to shift pelvis neutral on the table (with hamstring shift hs) move the lower leg slowly towards vertical noting the passive end range of motion. Anterior popliteal angle refers to the angle vertical to top of shin, where vertical or full knee extension is 0 degrees

no
CPRN0365 Number of Abnormal Rootlets – Right – L5
(of rootlets tested)
no
CPRN0366 Left Anterior Popliteal Angle (without Hamstring Shift) Angle of Catch When Moved Quickly (R1)

Starting with hip at 90 degrees of flexion and knee in full flexion opposite leg is extended on the table (without hamstring shift wohs), move the lower leg quickly towards vertical. R1 is the angle of catch spasticity in hamstrings

no
CPRN0367 Left Anterior Popliteal Angle (without Hamstring Shift) Passive Range of Motion (R2)

Starting with hip at 90 degrees of flexion and knee in full flexion opposite leg is extended on the table (without hamstring shift wohs) move the lower leg slowly towards veritcal noting the passive end range of motion R2

no
CPRN0368 Number of Abnormal Rootlets – Right – S1
(of rootlets tested)
no
CPRN0369 Left Anterior Popliteal (Angle with Hamstring Shift) Modified Ashworth Spasticity Scale

Starting with hip at 90 degrees of flexion and knee in full flexion opposite leg is flexed 30-45 degrees to shift pelvis to neutral on the table (with hamstring shift hs), move the lower leg quickly towards vertical assessing spasticity in the hamstrings .

no
CPRN0370 Left Anterior Popliteal (Angle with Hamstring Shift) Tardieu Spasticity Scale

Starting with hip at 90 degrees of flexion and knee in full flexion opposite leg is flexed 30-45 degrees to shift pelvis to neutral on the table (with hamstring shift hs), move the lower leg quickly towards vertical assessing spasticity in the hamstrings .

no
CPRN0371 Left Anterior Popliteal (Angle without Hamstring Shift) Modified Ashworth Spasticity Scale

Starting with hip at 90 degrees of flexion and knee in full flexion opposite leg is extended on the table (without hamstring shift wohs), move the lower leg quickly towards vertical assessing spasticity in hamstrings

no
CPRN0372 Left Anterior Popliteal Angle (without Hamstring Shift) Tardieu Spasticity Scale

Starting with hip at 90 degrees of flexion and knee in full flexion opposite leg is extended on the table (without hamstring shift wohs), move the lower leg quickly towards vertical assessing spasticity in hamstrings

no
CPRN0373 Left Elbow Extension Passive Range of Motion

End range of motion when limb moved passively Note 0 degrees is full extension and +5 would be hyperextension

no
CPRN0374 Left Elbow Flexion Passive Range of Motion

End range of motion when limb moved passively Note 0 degrees is where elbow is in full extension and full flexion is 145 degrees

no
CPRN0375 Number of Abnormal Rootlets – Right – S2
(of rootlets tested)
no
CPRN0376 Number of Abnormal Rootlets Cut – Left
(of abnormal rootlets)
no
CPRN0377 Left Hip Abduction Angle of Catch When Moved Quickly (R1)

Moving limb quickly into abduction measuring angle of catch of adductors Supine with hip and knees extended

no
CPRN0378 Left Hip Abduction Passive Range of Motion (R2)

Moving limb slowly into abduction measuring end range of passive motion 60 degrees is full hip abduction Supine with hip and knees extended

no
CPRN0380 Left Hip Abduction Tardieu Spasticity Scale

Moving limb quickly into hip abduction this is the spasticity in the hip adductor muscle Supine with hip and knees extended

no
CPRN0381 Number of Abnormal Rootlets Cut – Right
(of abnormal rootlets)
no
CPRN0382 Left Hip Extension Modified Ashworth Spasticity Scale

When moving the limb quickly into hip extension you are assessing spasticity in hip flexors

no
CPRN0383 Left Hip Extension R2

Moving the limb slowly into hip extension this is the end range of passive motion where 30 degrees is full hip extension.

no
CPRN0384 Left Hip External Rotation Passive Range of Motion

Moving limb slowly towards hip external rotation this is PROM

no
CPRN0385 Left Hip External Rotation Modified Ashworth Spasticity Scale

When moving the limb quickly into hip extension you are assessing spasticity in hip flexors

no
CPRN0386 Left Hip Flexion Modified Ashworth Spasticity Scale

Moving the limb quickly into hip flexion assessing spasticity in the hip extensors

no
CPRN0387 Left Hip Flexion Passive Range of Motion

Moving the limb slowly into hip flexion this is the end range of passive motion where 135 degrees is full hip flexion

no
CPRN0388 Left Hip Internal Rotation Passive Range of Motion

Moving limb slowly towards hip internal rotation this is PROM

no
CPRN0389 Left Hip Internal Rotation Modified Ashworth Spasticity Scale

When moving the limb quickly into hip extension you are assessing spasticity in hip flexors

no
CPRN0390 Percentage of Nerve Cut – Left
(of abnormal rootlets cut)
no
CPRN0391 Left Knee Extension Modified Ashworth Scale

move leg quickly into knee extension assessing tone in the knee while moving knee into extension

no
CPRN0392 Left Knee Extension Passive Range of Motion

Assess for knee flexion contracture, where 0 degrees if full knee extension, +5 is hyper extension at knee

no
CPRN0393 Left Knee Flexion Angle of Catch When Moved Quickly (R1)

Starting with knee in full extension (0 degrees) move leg quickly into knee flexion assesses angle of catch R1 in knee extensors where 0 degrees is knee in full extension

no
CPRN0394 Left Knee Flexion Passive Range of Motion (R2)

Starting with knee in full extension (0 degrees) move leg slowly into knee flexion noting passive end range of motion and 150 is full knee flexion.

no
CPRN0395 Percentage of Nerve Cut – Left – L1
(of abnormal rootlets cut)
no
CPRN0396 Left Knee Flexion Modified Ashworth Spasticity Scale

Starting with knee in full extension (0 degrees) move leg quickly into knee flexion assessing tone in the knee extensors while moving knee into flexion

no
CPRN0397 Left Knee Flexion Tardieu Spasticity Scale

Starting with knee in full extension (0 degrees) move leg quickly into knee flexion assessing tone in the knee extensors while moving knee into flexion

no
CPRN0398 Percentage of Nerve Cut – Left – L2
(of abnormal rootlets cut)
no
CPRN0399 Left Shoulder Abduction Passive Range of Motion

End range of motion when limb moved passively into abduction where full shoulder abduction is 180 degrees.

no
CPRN0400 Left Shoulder Extension Passive Range of Motion

End range of motion when limb moved passively into shoulder extension where 30 degrees is full shoulder extensioned passively

no
CPRN0401 Left Shoulder Flexion Passive Range of Motion

End range of motion when limb moved passively into flexion where full shoulder flexion is 180 degrees

no
CPRN0402 Left Thumb Abduction Passive Range of Motion

End range of motion when thumb is passively abducted and 90 degress is full thumb abduction.

no
CPRN0403 Percentage of Nerve Cut – Left – L3
(of abnormal rootlets cut)
no
CPRN0404 Left Wrist Extension Passive Range of Motion

End range of motion when limb moved slowly passively Note 0 degrees is wrist at neutral flex/ext and 55 degrees is full extension

no
CPRN0405 Left Wrist Flexion Passive Range of Motion

End range of motion when limb moved slowly passively Note 0 degrees is wrist at neutral flex/ext and 80 degrees is full fexion

no
CPRN0406 FACES Pain Scale: Leg

single choice

no
CPRN0407 Severity of Leg Pain

single choice

no
CPRN0408 Percentage of Nerve Cut – Left – L4
(of abnormal rootlets cut)
no
CPRN0409 Location – Other Location Mupirocin

Mupirocin: ointment to reduce risk of infection
G-Tube: gastrostomy tube is a tube inserted through the abdomen to deliver nutrition directly to the stomach.
Trach:Surgical procedure to create an opening through the trachea to provide an airway
Mitrofanoff: tunnel between the bladder and the ouside of the body to pass urine through a catheter.

no
CPRN0410 Percentage of Nerve Cut – Left – L5
(of abnormal rootlets cut)
no
CPRN0411 Percentage of Nerve Cut – Left – S1
(of abnormal rootlets cut)
no
CPRN0412 Percentage of Nerve Cut – Left – S2
(of abnormal rootlets cut)
no
CPRN0413 Percentage of Nerve Cut – Right
(of abnormal rootlets cut)
no
CPRN0414 Percentage of Nerve Cut – Right – L1
(of abnormal rootlets cut)
no
CPRN0415 Percentage of Nerve Cut – Right – L2
(of abnormal rootlets cut)
no
CPRN0416 Percentage of Nerve Cut – Right – L3
(of abnormal rootlets cut)
no
CPRN0417 Percentage of Nerve Cut – Right – L4
(of abnormal rootlets cut)
no
CPRN0418 Percentage of Nerve Cut – Right – L5
(of abnormal rootlets cut)
no
CPRN0419 Percentage of Nerve Cut – Right – S1
(of abnormal rootlets cut)
no
CPRN0420 Percentage of Nerve Cut – Right – S2
(of abnormal rootlets cut)
no
CPRN0421 Number of Rootlets Tested – Left – L1 no
CPRN0422 Number of Rootlets Tested – Left – L2 no
CPRN0423 Number of Rootlets Tested – Left – L3 no
CPRN0424 Number of Rootlets Tested – Left – L4 no
CPRN0425 Number of Rootlets Tested – Left – L5 no
CPRN0426 Number of Rootlets Tested – Left – S1 no
CPRN0427 Number of Rootlets Tested – Left – S2 no
CPRN0428 Number of Rootlets Tested – Right – L1 no
CPRN0429 Number of Rootlets Tested – Right – L2 no
CPRN0430 Number of Rootlets Tested – Right – L3 no
CPRN0431 Number of Rootlets Tested – Right – L4 no
CPRN0432 Number of Rootlets Tested – Right – L5 no
CPRN0433 Number of Rootlets Tested – Right – S1 no
CPRN0434 Number of Rootlets Tested – Right – S2 no
CPRN0435 Right Ankle Dorsiflexion (Knee Extended) no
CPRN0436 Right Ankle Dorsiflexion (Knee Flexed) no
CPRN0437 Right Ankle Plantar Flexion no
CPRN0438 Right Anterior Popliteal (Angle with Hamstring Shift) no
CPRN0439 Right Anterior Popliteal (Angle without Hamstring Shift) no
CPRN0440 Right Hip Abduction no
CPRN0441 Right Hip Abduction (hips extended knees flexed) no
CPRN0442 Right Hip Abduction (hips extended knees flexed) Modified Ashworth Spasticity Scale no
CPRN0443 Right Hip Abduction (hips extended knees flexed) Modified Tardieu Scale no
CPRN0444 Right Hip Abduction (hips and knees extended) no
CPRN0445 Right Hip Abduction (hips and knees extended) Modified Ashworth Spasticity Scale no
CPRN0446 Right Hip Abduction (hips and knees extended) Modified Tardieu Scale no
CPRN0447 Right Hip Abduction (hips and knees flexed) no
CPRN0448 Right Hip Abduction (hips and knees flexed) Modified Ashworth Spasticity Scale no
CPRN0449 Right Hip Abduction (hips and knees flexed) Modified Tardieu Scale no
CPRN0450 Right Hip Extension no
CPRN0451 Right Hip External Rotation no
CPRN0452 Right Hip External Rotation Modified Tardieu Scale no
CPRN0453 Right Hip Extension Modified Tardieu Scale no
CPRN0454 Right Hip Flexion no
CPRN0455 Right Hip Flexion Modified Tardieu Scale no
CPRN0456 Right Hip Internal Rotation no
CPRN0457 Right Hip Internal Rotation Modified Tardieu Scale no
CPRN0458 Right Knee Extension no
CPRN0459 Right Knee Flexion no
CPRN0460 SCALE – Grade – Left Subtalar no
CPRN0461 SCALE – Grade – Right Subtalar no
CPRN0462 SCALE – Grade – Left Toe no
CPRN0463 SCALE – Grade – Right Toe no
CPRN0464 SCALE – Location: Left Subtalar – Other Descriptors no
CPRN0465 SCALE – Location: Right Subtalar – Other Descriptors no
CPRN0466 SCALE – Location: Left Toe – Other Descriptors no
CPRN0467 SCALE – Location: Right Toe – Other Descriptors no
CPRN0468 Type of SDR no
CPRN0469 Spinal Sections Tested and/or Cut no
CPRN0470 Ventral Rhizotomy Performed? no
CPRN0471 MACS

What happened to GMFCS , I assume someone else is doing this.

no
CPRN0472 Maternal Substance Use

can be multiple- per chart or stated history

no
CPRN0473 Maternal Substance Use – Other

free text- per chart or stated history

no
CPRN0474 Medial Hamstring Lengthening (Open) Type for Left Side

Surgical lenthening of the hamstrings with the goal of increasing knee extension at initial contact.
Semitendinosis: one of the muscles making up the hamstrings located at the posterior and medial aspect of the thigh
Semimembranous: most medial of the three hamstring muscles lying postermedially in the thigh and deep to the semitendinosus.
Gracilis: most superficial muscle on the medial side of the thigh

no
CPRN0475 Medial Hamstring Lengthening (Open) Type for Right Side

Surgical lenthening of the hamstrings with the goal of increasing knee extension at initial contact.
Semitendinosis: one of the muscles making up the hamstrings located at the posterior and medial aspect of the thigh
Semimembranous: most medial of the three hamstring muscles lying postermedially in the thigh and deep to the semitendinosus.
Gracilis: most superficial muscle on the medial side of the thigh

no
CPRN0476 Medications Taken in the Last 2 Weeks

Are we talking about respiratory medicines?

no
CPRN0477 Mental Health Concerns

Can be multiple. Must have “official diagnosis”. If on meds = yes

no
CPRN0478 Mental Health Concerns – Other

free text

no
CPRN0479 Methods of Communication

can be multiple

no
CPRN0480 Methods of Communication

free text

no
CPRN0482 Midfoot Type – Left

Midfoot: middle of the foot componsed of bones, tendons, and liagments, connecting the forefoot and the hindfoot.
Collapsed: foot abnormaility characterized by sagging or flattening of the arch/midfoot
Cavus: foot abnormality characterized by atypically high medial longitudinal arch- commonly features an inverted hindfoot, an adducted forefoot, and dorsal contracture of the toes

no
CPRN0483 Midfoot Type – Right

Midfoot: middle of the foot componsed of bones, tendons, and liagments, connecting the forefoot and the hindfoot.
Collapsed: foot abnormaility characterized by sagging or flattening of the arch/midfoot
Cavus: foot abnormality characterized by atypically high medial longitudinal arch- commonly features an inverted hindfoot, an adducted forefoot, and dorsal contracture of the toes

no
CPRN0484 Migration Percentage – Frog Leg Lateral Left Side

Frog leg lateral view: Patient is in the supine position, with flexed knees, with knee(s) rotated away from the midline of the body Migration Percentage: as a measure of hip displacement – represents the portion of the ossified femoral head that is not covered by the ossififed acetabular roof

no
CPRN0485 Migration Percentage – Frog Leg Lateral Right Side

Frog leg lateral view: Patient is in the supine position, with flexed knees, with knee(s) rotated away from the midline of the body Migration Percentage: as a measure of hip displacement – represents the portion of the ossified femoral head that is not covered by the ossififed acetabular roof

no
CPRN0486 Migration Percentage – Pelvis AP Left Side

Pelvis AP (anterior/posterior): view of part of the pelvis containing the iliac crest, proximal femur, pubis, ischium, and the great pelvic ring. MIgration Percentage: as a measure of hip displacment- represents the protion of the ossified femoral head that is not covered by the ossified acetabular roof

no
CPRN0487 Migration Percentage – Pelvis AP Right Side

Pelvis AP (anterior/posterior): view of part of the pelvis containing the iliac crest, proximal femur, pubis, ischium, and the great pelvic ring. MIgration Percentage: as a measure of hip displacment- represents the protion of the ossified femoral head that is not covered by the ossified acetabular roof

no
CPRN0488 Gross Motor Developmental Milestone: Crawling

Age when the participant/subject achieved or experienced the specific clinical event or milestone of crawling (NINDS)

no
CPRN0489 Gross Motor Developmental Milestone: Rolling

Age when the participant/subject achieved or experienced the specific clinical event or milestone of rolling over (NINDS)

no
CPRN0490 Gross Motor Developmental Milestone: Sitting

Age when the participant/subject achieved or experienced the specific clinical event or milestone of sitting (NINDS)

no
CPRN0491 Gross Motor Developmental Milestone: Standing

Age when the participant/subject achieved or experienced the specific clinical event or milestone of standing (NINDS)

no
CPRN0492 Gross Motor Developmental Milestone: Walking

Age when the participant/subject achieved or experienced the specific clinical event or milestone of walking (NINDS)

no
CPRN0493 Mucous Clearance Device

can be multiple

no
CPRN0494 Mucous Clearance Device – Other

free text

no
CPRN0495 Multiple Gestation

no, twins, triplets, quadruplets, quintuplets, sextuplets (at least on NCH forms)

no
CPRN0496 Muscle Tone/Movement Disorder

Clinician defined. Single choice. If more than one= Mixed

no
CPRN0497 Muscle Tone/Movement Disorder – Other

Free text

no
CPRN0498 Name of Organisms

Indication of organisms present

no
CPRN0499 FACES Pain Scale: Neck

single choice

no
CPRN0500 Severity of Neck Pain

single choice

no
CPRN0501 Admitted to Neonatal ICU

yes/no

no
CPRN0502 Additional Neurodevelopmental Conditions Recorded

Does/did the participant/subject have any of the following neurodevelopmental conditions? Can be multiple. ADHD and Autism= Has an “official” diagnosis. Hydrocephalus does NOT include Hydrocephalus ex-vacuo (Have Jeff weigh in on this)

no
CPRN0503 Additional Neurodevelopmental Conditions Recorded – Other

Free text, Defined by clinician using all availale data

no
CPRN0504 New Pump Placement

Subfascial: located beneath the dermis of the skin
Subcutaneous: the innermost layer of skin made up of fat and connective tissues.

no
CPRN0505 New Pump Size

Indication of new baclofen pump size in mL

no
CPRN0506 New Catheter Model

Indicator of new catheter type that was placed

no
CPRN0507 New Pump Placement

The new replacement pump placement:
Subfascial: located beneath the dermis of the skin
Subcutaneous: the innermost layer of skin made up of fat and connective tissues.

no
CPRN0508 New Pump Size

Indicator of replacement pump size measured in mL

no
CPRN0509 Presence of Nissen

yes/no. Nissen unwrapped= yes

no
CPRN0510 Number of Left Rootlets Tested

Rootlet: a nerve root is the intial segment of the nerve leaving the central nervous system. Indication of number of left rootlets tested in the patient

no
CPRN0511 Number of Right Rootlets Tested

Rootlet: a nerve root is the intial segment of the nerve leaving the central nervous system. Indication of number of left rootlets tested in the patient

no
CPRN0512 Old Catheter Model

Indicator of previous catheter type that was removed

no
CPRN0513 Old Pump Size

Indicator of previous pump size measured in mL

no
CPRN0515 1-Minute Walk Test Score no
CPRN0516 Open Wound?

Indication of presence of an open wound

no
CPRN0517 Operating Room Number

Indication of operating room number

no
CPRN0519 FACES Pain Scale: Other

single choice

no
CPRN0520 Severity of Other Pain

single choice

no
CPRN0521 Other Respiratory Devices

can be multiple

no
CPRN0522 Other Respiratory Devices – Other

free text

no
CPRN0523 Child Has Pain in Last 2 Weeks

per child or parent

no
CPRN0524 Location of Pain

can be multiple

no
CPRN0525 Location of Pain – Other

free text

no
CPRN0526 Patient BMI

in kg/m2

no
CPRN0527 Patient Ethnicity

Category of ethnicity the participant/subject most closely identifies with. (NINDS)

no
CPRN0528 Patient Gender

Self-reported gender of the participant/subject. Gender is the socially constructed identity of sex. Gender is equated with phenotypic sex. Gender may differ from the sex of an individual determined genetically. Unspecified is defined as Undifferentiated/Indeterminant/Intersex. (NINDS)

no
CPRN0529 Patient Length

in cm

no
CPRN0530 Patient Race

Category of race the participant/subject most closely identifies with

no
CPRN0531 Patient Temperature

in C

no
CPRN0532 Patient Weight

in kg

no
CPRN0533 Pelvic AP – Triradiate Closed Acetabular Angle Degrees

Pelvis AP (anterior/posterior): view of part of the pelvis containing the iliac crest, proximal femur, pubis, ischium, and the great pelvic ring.Acetabular angle: defined as the angle made from line through the Y synchondroses and another line through the superior and inferior points of the iliac portion of the acetabulum

no
CPRN0534 Pelvic AP – Triradiate Open Acetabular Index Degrees

Pelvis AP (anterior/posterior): view of part of the pelvis containing the iliac crest, proximal femur, pubis, ischium, and the great pelvic ring.The acetabular wall index for assessing anteroposterior femoral head coverage

no
CPRN0535 Pelvic Osteotomy Type for Left Side

Surgical procedure involving reshaping a shallow hip socket so that it accommodates the ball of the hip joint- the femoral head.

no
CPRN0536 Pelvic Osteotomy Type for Right Side

Surgical procedure involving reshaping a shallow hip socket so that it accommodates the ball of the hip joint- the femoral head.

no
CPRN0537 Pelvic Obliquity Present – Frog Leg Lateral

Frog leg lateral view: Patient is in the supine position, with flexed knees, with knee(s) rotated away from the midline of the bodyPelvic Obliquity: Inequal height of the sides of the pelvis

no
CPRN0538 Pelvic Obliquity Present – Pelvis AP

Pelvis AP (anterior/posterior): view of part of the pelvis containing the iliac crest, proximal femur, pubis, ischium, and the great pelvic ring.Pelvic Obliquity: Inequal height of the sides of the pelvis

no
CPRN0539 Percentage of Left Cross-Sectional Sensory Roots Cut

cross-sectional sensory roots cut: curring the original sensory nerve cells out of the root and mplanting the ramining root directly into a deeper strcutre within the spinal cord.
Indication of percentage of cross-sectional cuts conducted

no
CPRN0540 Percentage of Right Cross-Sectional Sensory Roots Cut

cross-sectional sensory roots cut: curring the original sensory nerve cells out of the root and mplanting the ramining root directly into a deeper strcutre within the spinal cord.
Indication of percentage of cross-sectional cuts conducted

no
CPRN0541 Pneumonia/Respiratory Infections in Past 12 Months

yes/no

no
CPRN0542 Poor Coordination Present

yes/no

no
CPRN0543 Poor Coordination Location

can be multiple

no
CPRN0550 Post-Op Antibiotics (8 hours after pre-op)

Description of antibiotics delivered post-operatively

no
CPRN0553 Complications (Lower Extremity)

Indication of type of complication occuring in the lower extremities.

no
CPRN0554 Post Operative Immobilization – Lower Extremity – Type of Hip Spica Cast

Hip Spica Cast: body cast used to keep hips and legs from moving post-operatively, non weight bearing.

no
CPRN0555 Post Operative Immobilization – Lower Extremity

Indication of method of lower extremity immobilization post-operatively.

no
CPRN0556 Post Operative Immobilization – Lower Extremity – Other

Description of any other type of lower extremity immobilization post-operatively that was not indicated above.

no
CPRN0557 Hospital length of stay (in days) – Neuro

Indication of length of stay in neurology measured in days.

no
CPRN0558 Post-Operative Length of Stay (Days) – Ortho

Indicaiton of how long the patient stayed in the hospital following orthopedic intervention

no
CPRN0559 Post Operative Management

Method of managament post-operatively.

no
CPRN0560 Initial Post-Operative Pain Control

Indication of pain medication utilized immediately post-operatively.

no
CPRN0561 Initial Post-Operative Pain Control – Other

Description of an other type of pain control utilized post-operatively.

no
CPRN0562 Post Op Pain Control – Type

Type of pain control utilized post-operatively

no
CPRN0563 Post Operative Transfusion

Indication of post-operative blood or fluid transfusion

no
CPRN0564 Pre-Op CHG Wipes Used no
CPRN0565 Pre-Op Antibiotics?

Indication/description of antibiotics utilized pre-operatively

no
CPRN0566 IV ABX Within 60′ of incision?

Indication of antibiotics utilized within 60 minutes of incision

no
CPRN0567 Type of IV antibiotic

type of intravenous antibiotic utilized pre-operatively

no
CPRN0568 Pre-Op Infection Reduction Steps Recorded

CHG (Dynahex)/Hibiclens Bath at Home: used to clean the skin to prevent infection
CHG Wipes in Pre-Op: Chlorhexidine Gluconate wipes used pre-operatively to prevent infection
Nasal Mupirocin Pre-Op: ointment placed in the nasal cavity used pre-operatively to reduce risk of infection
Staph Screen: nasal swab to test for staphyloccocus aureus
Skin Integrity Screen: evaluation of integrity of the patient’s skin

no
CPRN0569 Pre-operative signs and symptoms

Characteristics observed prior to surgery.
Clonus: repeated, rhythmic, muscular spasms
Positive Babinski Response: reflux that occurs when the sole of the foot is stimulated causing the big toe to move upward
Hyerflexia:involuntary nervous system reacted to external or bodily stimuli

no
CPRN0570 Pre-operative signs and symptoms – Other

Description of other characteristics observed prior to surgery.

no
CPRN0571 Prep Infection Reduction Steps Recorded

Indication of what preventative steps were taken durig preparation for surgery

no
CPRN0572 Pre-Prep Infection Reduction Steps Recorded

Indication of what preventative steps were taken during pre-preparation for surgery

no
CPRN0573 Previous ITB Infection

Indication of prior infection of baclofen pump.

no
CPRN0574 Previous Pouch no
CPRN0575 Previous procedure/device:

Spinal fusion: surgery to permanently connect two or more vertebrae in the spine
G-Tube: gastrostomy tube is a tube inserted through the abdomen to deliver nutrition directly to the stomach.
Trach:Surgical procedure to create an opening through the trachea to provide an airway
Mitrofanoff: tunnel between the bladder and the ouside of the body to pass urine through a catheter.
ACE: Antegrade continent enema, uses the apendix or small piece of intestine to create a tube through an enema is given.

no
CPRN0577 Hospital(s) of previous procedure(s) or device(s): no
CPRN0578 Operating Room Number (if known):

Indication of operating room number

no
CPRN0579 Previous procedure/device – Other

Description of other procedures conducted.

no
CPRN0580 Surgeon # 1 of previous procedure(s) or device(s):

Indication of surgeon conducting procedure

no
CPRN0581 Surgeon # 2 of previous procedure(s) or device(s):

Indication of surgeon conducting procedure

no
CPRN0582 Surgeon # 3 of previous procedure(s) or device(s):

Indication of surgeon conducting procedure

no
CPRN0583 Prior Botox Injection

yes/no

no
CPRN0584 Prior Surgery

yes/no

no
CPRN0585 Behavioral abnormalities no
CPRN0586 Difficulty with breathing no
CPRN0587 Difficulty with verbal communications no
CPRN0588 Difficulty with eating no
CPRN0589 Epilepsy/seizure disorder no
CPRN0590 Hearing impairment no
CPRN0591 Hydrocephalus no
CPRN0592 Intellectual disability or IEP no
CPRN0593 Difficulty with understanding language no
CPRN0594 Vision impairment no
CPRN0595 Procedures Infection Reduction Steps Recorded

Bacitracin Irrigation: antibiotic that prevents infections by stopping the growth of certain bacteria
Intrathecal Antibotics (Vanc./Gent./Other): an injection that goes into the cerebral spinal fluid and administers medicine
Antibiotic Sutures: to protect against surgical site infections
Antibiotic Powder in Wounds: intrawound local anesthetic to prevent infection

no
CPRN0596 Femoral anteversion (trochanteric prominence palpatation test – Degrees – Left

Femoral anteversion: inward twisting of the thigh bone (femur), femoral anteversion causes the knees and feet to turn inward measured in degrees

no
CPRN0597 Femoral anteversion (trochanteric prominence palpatation test – Degrees – Right

Femoral anteversion: inward twisting of the thigh bone (femur), femoral anteversion causes the knees and feet to turn inward measured in degrees

no
CPRN0598 Hip External Rotation – Degrees – Left

Hip external rotation: the twisting movment of the thigh outward from the hip joint- during this meausre the patient’s foot is rotated toward the midline of the body measured in degrees

no
CPRN0599 Hip External Rotation – Degrees – Right

Hip external rotation: the twisting movment of the thigh outward from the hip joint- during this meausre the patient’s foot is rotated toward the midline of the body measured in degrees

no
CPRN0600 Hip Internal Rotation – Degrees – Left

Hip internal rotation: the twisting movment of the thigh inward from the hip joint- during this meausre the patient’s foot is rotated away from the midline of the body measured in degrees

no
CPRN0601 Hip Internal Rotation – Degrees – Right

Hip internal rotation: the twisting movment of the thigh inward from the hip joint- during this meausre the patient’s foot is rotated away from the midline of the body measured in degrees

no
CPRN0602 Tibial Torsion Assessments – Bimalleolar Axis – Degrees – Left

Tibial torsion: an inward twisting of the shinbones (tibia) causing the feet to turn inward
Bimalleolar Axis: drawn in a cut just below the tibial pilon’s articular surface with the medial and lateral and malledoli and talar dome eviden btween the centers of the dense surfaces of the malleoli measured in degrees

no
CPRN0603 Tibial Torsion Assessments – Bimalleolar Axis – Degrees – Right

Tibial torsion: an inward twisting of the shinbones (tibia) causing the feet to turn inward
Bimalleolar Axis: drawn in a cut just below the tibial pilon’s articular surface with the medial and lateral and malledoli and talar dome eviden btween the centers of the dense surfaces of the malleoli measured in degrees

no
CPRN0604 Tibial Torsion Assessments – Thigh Foot Angle – Degrees – Left

Tibial torsion: an inward twisting of the shinbones (tibia) causing the feet to turn inward
Thigh foot angle: assesing the angle between the femur axis and foot axis measured in degrees

no
CPRN0605 Tibial Torsion Assessments – Thigh Foot Angle – Degrees – Right

Tibial torsion: an inward twisting of the shinbones (tibia) causing the feet to turn inward
Thigh foot angle: assesing the angle between the femur axis and foot axis measured in degrees

no
CPRN0607 Simulated Coleman block test finding – Left

Coleman block test: evaulates hindfoot flexibility and pronation of the forefoot while patient steps down onto block
If heel varus corrects while the patient is standing on the block, hindfoot is considered flexible if not, hindfoot is considered to be rigid

no
CPRN0608 Simulated Coleman block test finding – Right

Coleman block test: evaulates hindfoot flexibility and pronation of the forefoot while patient steps down onto block
If heel varus corrects while the patient is standing on the block, hindfoot is considered flexible if not, hindfoot is considered to be rigid

no
CPRN0616 Tibial Segment Length Difference – Left?

Tibial segment length difference: the length from the ankle joint to the knee joint, variation between each leg

no
CPRN0617 Tibial Segment Length Difference – Right?

Tibial segment length difference: the length from the ankle joint to the knee joint, variation between each leg

no
CPRN0619 Rectus femoris (Duncan Ely) Values – R1 – Left

Duncan-Ely test is utilized to assess rectus femoris (a quad muscle) spasticity by passively flexing the knee rapidly while the patient lies in a prone position (ventral side down).
R1- indicates a first catch felt during quick passive stretching

no
CPRN0620 Rectus femoris (Duncan Ely) Values – R1 – Right

Duncan-Ely test is utilized to assess rectus femoris (a quad muscle) spasticity by passively flexing the knee rapidly while the patient lies in a prone position (ventral side down).
R1- indicates a first catch felt during quick passive stretching

no
CPRN0621 Rectus femoris (Duncan Ely) Values – R2 – Left

Duncan-Ely test is utilized to assess rectus femoris (a quad muscle) spasticity by passively flexing the knee rapidly while the patient lies in a prone position (ventral side down).
R2- indicates maximum passive range

no
CPRN0622 Rectus femoris (Duncan Ely) Values – R2 – Right

Duncan-Ely test is utilized to assess rectus femoris (a quad muscle) spasticity by passively flexing the knee rapidly while the patient lies in a prone position (ventral side down).
R2- indicates maximum passive range

no
CPRN0627 Proximal Femoral Derotational Osteotomy Fixation Type for Right Side

Proximal Femoral Derotational Osteotomy Fixation: surgical procedure to correct specific deformities of the femur.
Intertrochanteric: type of fracture of the hip and femur between the greater and lesser trochanters
Subtrochanteric: type of fracture of the hip and femur in the area from lesser trochanter to 5 cm distal.

no
CPRN0628 Proximal Femoral Derotational Osteotomy Fixation Type for Left Side

Proximal Femoral Derotational Osteotomy Fixation: surgical procedure to correct specific deformities of the femur.
Intertrochanteric: type of fracture of the hip and femur between the greater and lesser trochanters
Subtrochanteric: type of fracture of the hip and femur in the area from lesser trochanter to 5 cm distal.

no
CPRN0629 Pseudomeningocele Within 3-Months of Surgery

Pseudomeningocele: extradural cerebrospinal fluid collection arising from a dural defect. Indication of presense within 3 months of surgery

no
CPRN0630 Physical Therapy Completed Post-Operatively

Indicaiton of whether or not physical therapy was conducted post-operatively

no
CPRN0631 Frequency of Inpatient Therapy:

Frequency that patient recieved inpatient physical therapy measured in days per week or amount of sessions per day

no
CPRN0632 Frequency of Outpatient Therapy

Frequency that patient recieved outpatient physical therapy measured in days per week or amount of sessions per day

no
CPRN0633 Reason PT Not Completed Post-Operatively

Indication of reason physical therapy was not completed.

no
CPRN0634 Length of Physical Therapy Inpatient

Length of time patient particpated in inpactient physyical therapy measure in weeks.

no
CPRN0635 Length of Physical Therapy Oupatient:

Length of time patient particpated in outpatient physyical therapy measured in weeks.

no
CPRN0637 Date Performed – Foot AP (Weightbearing when possible)

Foot AP: view of the foot from an anterior/posterior position Date imaging was collected

no
CPRN0638 Date Performed – Foot LAT (Weightbearing when possible)

Foot LAT: view of the foot from a lateral position Date imaging was collected

no
CPRN0639 Date Performed – Frog Leg Lateral

Frog leg lateral view: Patient is in the supine position, with flexed knees, with knee(s) rotated away from the midline of the body Date imaging was collected

no
CPRN0640 Date Performed – Knee AP

Knee AP: view of the knee from an anterior/posterior position Date imaging was collected

no
CPRN0641 Date Performed – Knee LAT

Knee LAT: view of the knee from a lateral position Date imaging was collected

no
CPRN0642 Date Performed – Pelvis AP

Pelvis AP (anterior/posterior): view of part of the pelvis containing the iliac crest, proximal femur, pubis, ischium, and the great pelvic ring. Date imaging was collected

no
CPRN0643 Date Performed – Spine (Seated) AP

Seated spine AP (anterior/posterior): view of the spine from the an anterior/posterior position while the patient is in a seated position Date imaging was collected

no
CPRN0644 Date Performed – Spine (Seated) LAT

Seated spine LAT (lateral): view of the spine from the a lateral position while the patient is in a seated position Date imaging was collected

no
CPRN0645 Radiographs Type

Indication of type/location of radiograph (also known as x-ray) utilized.
AP: anterior/posterior
LAT: lateral

no
CPRN0646 Reason for Removal

CSF Leak: CFS leaks through a defect in the dura or the skull and out through the nose or ear.
Lack of efficacy: the lack of ability to produce the desired result
Culture-positive: blood culture that is posiive indicating the presense of infection

no
CPRN0647 Reason for Replacement

Indication of reason for pump replacement

no
CPRN0648 Reason for Catheter Revision

CSF Leak: CFS leaks through a defect in the dura or the skull and out through the nose or ear.
Pseudomeningocele: an extradural cerebrospinal fluid collection arising from a dural defect
Occlusion: blockage

no
CPRN0649 Reason for Wound Revision

Dehiscence: a surgical complication in which a would ruptures along a surgical incision.
Exposed Hardware: a complication involving inserted hardware becoming exposed
CSF Leak: CFS leaks through a defect in the dura or the skull and out through the nose or ear.
Culture-positive: blood culture that is posiive indicating the presense of infection

no
CPRN0651 Current Signs and Symptoms of Reflux

by report, yes/no

no
CPRN0654 Location of Revision no
CPRN0655 Right Ankle Dorsiflexion (Knee Extended) Angle of Catch When Moved Quickly (R1)

With knee extended, Starting with ankle in plantarflexion move joint quickly towards dorsiflexion noting angle of catch R1 of plantarflexors where 0 degrees is neutral dorsi/plantarflexion

no
CPRN0656 Right Ankle Dorsiflexion (Knee Extended) Passive Range of Motion (R2)

With knee extended Starting with ankle in plantarflexion move joint slowly towards dorsiflexion noting passive end range of motion

no
CPRN0657 Right Ankle Dorsiflexion (Knee Flexed) Angle of Catch When Moved Quickly (R1)

With knee flexed, Starting with ankle in plantarflexion move joint quickly towards dorsiflexion noting anlge of catch R1 of plantarflexors where 45 degrees is full dorsiflexion

no
CPRN0658 Right Ankle Dorsiflexion (Knee Flexed) Passive Range of Motion (R2)

With knee flexed Starting with ankle in plantarflexion move joint slowly towards dorsiflexion noting passive end range of motion where 45 degrees is full dorsiflexion.

no
CPRN0662 Right Ankle Plantar Flexion Angle of Catch When Moved Quickly (R1)

Starting with ankle in dorsiflexion move ankle joint quickly into plantarflexion noting angle of catch R1 of dorsiflexors where 45 degrees is full plantarflexion.

no
CPRN0663 Right Ankle Plantar Flexion Passive Range of Motion (R2)

Starting with ankle in dorsiflexion move ankle joint slowly into plantarflexion noting passive end range of motion where 45 degrees is full plantarflexion.

no
CPRN0666 Right Anterior Popliteal Angle (with Hamstring Shift) Angle of Catch When Moved Quickly (R1)

Starting with hip at 90 degrees of flexion and knee in full flexion opposite leg is flexed 30-45 degrees to shift pelvis to neutral on the table (with hamstring shift hs), move the lower leg quickly towards vertical. noting the angle of catch R1 in hamstrings Anterior popliteal angle refers to the angle vertical to top of shin, where vertical or full knee extension is 0 degrees

no
CPRN0667 Right Anterior Popliteal Angle (with Hamstring Shift) Passive Range of Motion (R2)

Starting with hip at 90 degrees of flexion and knee in full flexion opposite leg is flexed 30-45 degrees to shift pelvis neutral on the table (with hamstring shift hs) move leg slowly to vertical noting passive end range of motion/flexibility of hamstrings. Anterior popliteal angle refers to the angle vertical to top of shin, where vertical or full knee extension is 0 degrees

no
CPRN0669 Right Anterior Popliteal Angle (without Hamstring Shift) Angle of Catch When Moved Quickly (R1)

Starting with hip at 90 degrees of flexion and knee in full flexion opposite leg is extended on the table (without hamstring shift wohs), move the lower leg quicklytowards vertical. R1 is the angle of catch spasticity in hamstrings

no
CPRN0670 Right Anterior Popliteal Angle (without Hamstring Shift) Passive Range of Motion (R2)

Starting with hip at 90 degrees of flexion and knee in full flexion opposite leg is extended on the table (without hamstring shift wohs) move the lower leg slowly towards veritcal noting the passive end range of motion R2

no
CPRN0672 Right Elbow Extension Passive Range of Motion

End range of motion when limb moved passively Note 0 degrees is full extension and +5 would be hyperextension

no
CPRN0673 Right Elbow Flexion Passive Range of Motion

End range of motion when limb moved passively Note 0 degrees is where elbow is in full extension and full flexion is 145 degrees

no
CPRN0676 Right Hip Abduction Angle of Catch When Moved Quickly (R1)

Moving limb quickly into abduction measuring angle of catch of adductors Assessed in Supine with hip and knees extended

no
CPRN0677 Right Hip Abduction Passive Range of Motion (R2)

Moving limb slowly into abduction measuring end range of passive motion 60 degrees is full hip abduction Assessed in Supine with hip and knees extended

no
CPRN0679 Right Hip Extension Modified Ashworth Spasticity Scale

When moving the limb quickly into hip extension you are assessing spasticity in hip flexors

no
CPRN0680 Right Hip Extension Passive Range of Motion

Moving the limb slowly into hip extension this is the end range of passive motion where 30 degrees is full hip extension.

no
CPRN0681 Right Hip External Rotation R2

Moving limb slowly towards hip external rotation this is PROM

no
CPRN0682 Right Hip Flexion Modified Ashworth Spasticity Scale

When moving the limb quickly into hip flexion you are assessing spasticity in hip extensors

no
CPRN0683 Right Hip Flexion Passive Range of Motion

Moving the limb slowly into hip flexion this is the end range of passive motion where 135 degrees is full hip flexion

no
CPRN0684 Right Hip Internal Rotation Passive Range of Motion

Moving limb slowly towards hip internal rotation this is PROM

no
CPRN0686 Right Knee Extension Modified Ashworth Spasticity Scale

move leg quickly into knee extension assessing tone in the knee while moving knee into extension

no
CPRN0687 Right Knee Extension Passive Range of Motion

Assess for knee flexion contracture, where 0 degrees if full knee extension, +5 is hyper extension at knee

no
CPRN0688 Right Knee Flexion Angle of Catch When Moved Quickly (R1)

Starting with knee in full extension (0 degrees) move leg quickly into knee flexion noting angle of catch R1 while moving knee into flexion

no
CPRN0689 Right Knee Flexion Passive Range of Motion (R2)

Starting with knee in full extension (0 degrees) move leg slowly into knee flexion noting passive end range of motion where 150 is full knee flexion.

no
CPRN0692 Right Shoulder Abduction Passive Range of Motion

End range of motion when limb moved passively into abduction where full shoulder abduction is 180 degrees.

no
CPRN0693 Right Shoulder Extension Passive Range of Motion

End range of motion when limb moved passively into shoulder extension where 30 degrees is full shoulder extensioned passively

no
CPRN0694 Right Shoulder Flexion Passive Range of Motion

End range of motion when limb moved passively where full shoulder flexion is 180 degrees

no
CPRN0695 Right Thumb Abduction Passive Range of Motion

End range of motion when thumb is passively abducted and 90 degress is full thumb abduction.

no
CPRN0697 Right Wrist Extension Passive Range of Motion

End range of motion when limb moved slowly passively Note 0 degrees is wrist at neutral flex/ext and 55 degrees is full extension

no
CPRN0698 Right Wrist Flexion Passive Range of Motion

End range of motion when limb moved slowly passively Note 0 degrees is wrist at neutral flex/ext and 80 degrees is full fexion

no
CPRN0699 Route of Delivery

Indicator of whether birth happened vaginally or via ceasarian section.

no
CPRN0700 Right Ankle Dorsiflexion (Knee Extended) Modified Ashworth Spasticity Scale

With knee extended, Starting with ankle in plantarflexion move joint quickly towards dorsiflexion noting spasticity of plantarflexors

no
CPRN0701 Right Ankle Dorsiflexion (Knee Extended) Tardieu Spasticity Scale

With knee extended, Starting with ankle in plantarflexion move joint quickly towards dorsiflexion noting spasticity of plantarflexors

no
CPRN0702 Right Ankle Dorsiflexion (Knee Flexed) Modified Ashworth Spasticity Scale

With knee flexed, Starting with ankle in plantarflexion move joint quickly towards dorsiflexion noting spasticity of plantarflexors

no
CPRN0703 Right Ankle Dorsiflexion (Knee Flexed) Tardieu Spasticity Scale

With knee flexed, Starting with ankle in plantarflexion move joint quickly towards dorsiflexion noting spasticity of plantarflexors

no
CPRN0704 Right Ankle Plantar Flexion Modified Ashworth Spasticity Scale

Starting with ankle in dorsiflexion move ankle joint quickly into plantarflexion noting apasticity of dorsiflexors

no
CPRN0705 Right Ankle Plantar Flexion Tardieu Spasticity Scale

Starting with ankle in dorsiflexion move ankle joint quickly into plantarflexion noting apasticity of dorsiflexors

no
CPRN0706 Right Anterior Popliteal (Angle with Hamstring Shift) Modified Ashworth Spasticity Scale

Starting with hip at 90 degrees of flexion and knee in full flexion opposite leg is flexed 30-45 degrees to shift pelvis to neutral on the table (with hamstring shift hs), move the lower leg quickly towards vertical assessing spasticity in the hamstrings .

no
CPRN0707 Right Anterior Popliteal (Angle with Hamstring Shift) Tardieu Spasticity Scale

Starting with hip at 90 degrees of flexion and knee in full flexion opposite leg is flexed 30-45 degrees to shift pelvis to neutral on the table (with hamstring shift hs), move the lower leg quickly towards vertical assessing spasticity in the hamstrings .

no
CPRN0708 Right Anterior Popliteal (Angle without Hamstring Shift) Modified Ashworth Spasticity Scale

Starting with hip at 90 degrees of flexion and knee in full flexion opposite leg is extended on the table (without hamstring shift wohs), move the lower leg quickly towards vertical assessing spasticity in hamstrings

no
CPRN0709 Right Anterior Popliteal (Angle without Hamstring Shift) Tardieu Spasticity Scale

Starting with hip at 90 degrees of flexion and knee in full flexion opposite leg is extended on the table (without hamstring shift wohs), move the lower leg quickly towards vertical assessing spasticity in hamstrings

no
CPRN0710 Right Hip Abduction Modified Ashworth Spasticity Scale

Moving the limb quickly into hip abduction noting the spasticity grade of the adductors. Supine with hip and knees extended

no
CPRN0711 Right Hip Abduction Tardieu Spasticity Scale

Moving the limb quickly into hip abduction noting the spasticity grade of the adductors. Assessed in Supine with hip and knees extended

no
CPRN0712 Right Hip External Rotation Modified Ashworth Spasticity Scale

When moving the limb quickly into hip extension you are assessing spasticity in hip flexors

no
CPRN0713 Right Hip Internal Rotation Modified Ashworth Spasticity Scale

When moving the limb quickly into hip extension you are assessing spasticity in hip flexors

no
CPRN0714 Right Knee Flexion Modified Ashworth Spasticity Scale

Starting with knee in full extension (0 degrees) move leg quickly into knee flexion assessing tone in the knee extensors while moving knee into flexion

no
CPRN0715 Right Knee Flexion Tardieu Spasticity Scale

Starting with knee in full extension (0 degrees) move leg quickly into knee flexion assessing tone in the knee extensors while moving knee into flexion

no
CPRN0716 SCALE – Grade – Left Ankle no
CPRN0717 SCALE – Grade – Right Ankle no
CPRN0718 SCALE – Grade – Left Hip no
CPRN0719 SCALE – Grade – Right Hip no
CPRN0720 SCALE – Grade – Left Knee no
CPRN0721 SCALE – Grade – Right Knee no
CPRN0726 SCALE – Location: Left Ankle – Other Descriptors no
CPRN0727 SCALE – Location: Right Ankle – Other Descriptors no
CPRN0728 SCALE – Location: Left Hip – Other Descriptors no
CPRN0729 SCALE – Location: Right Hip – Other Descriptors no
CPRN0730 SCALE – Location: Left Knee – Other Descriptors no
CPRN0731 SCALE – Location: Right Knee – Other Descriptors no
CPRN0732 What Supports are in Place at School?

by report, single response

no
CPRN0733 Contains Non-Physical Accommodations?

I thought we were getting rid of this one?

no
CPRN0734 Scissoring

Characterized by hypertonia and flexion in the legs, hips, and pelvis accompanied by extreme adduction leading to the knees and thighs hitting or crossing

no
CPRN0736 Signs and Symptoms Improved 6-Months Post-Operatively

Characteristics observed improvment 6 moths post-operatively
Clonus: neurological condtion that creates involuntary muslce contactions restulting in rhythmic shaking movements.
Positive Babinski Response: reflux that occurs when the sole of the foot is stimulated causing the big toe to move upward
Hyperreflexia: involuntary nervous system overreacts to external or bodily stimuli

no
CPRN0737 Signs and Symptoms Improved 6-Months Post-Operatively – Other

Indication of any other characteristics observed improvment 6 months post-operatively

no
CPRN0739 Treatment Undergone Since Surgical Intervention

Anti-spastic: used to manage spasticity in upper and lower extremities
Intramuscular medication: delivering medication deep into the muscles in order to be absorbed into the bloodstream quickly.
Intrathecal Baclofen: delivering baclofen directly to the target site in the spinal cord to treat spasticity.
Fusion Surgery: surgery to permanently connect two or more vertebrae in the spine

no
CPRN0740 Treatment Undergone Since Surgical Intervention – Other

Indication of any other treatment conducted since spinal intervention

no
CPRN0741 Signs and Symptoms Worsened 6-Months Post-Operatively

Characteristics observed worsened 6 months post-operatively
Clonus: neurological condtion that creates involuntary muslce contactions restulting in rhythmic shaking movements.
Positive Babinski Response: reflux that occurs when the sole of the foot is stimulated causing the big toe to move upward
Hyperreflexia: involuntary nervous system overreacts to external or bodily stimuli

no
CPRN0742 Signs and Symptoms Worsened 6-Months Post-Operatively – Other

Indication of any other characteristics observed worsened 6 months post-operatively

no
CPRN0743 Child has Seizures no
CPRN0744 Seizures Controlled (Parents’ Opinion)

Awaiting new seizure questions from Adam Ostendorf

no
CPRN0745 Seizure Treatments

can be multiple

no
CPRN0746 Seizure Treatments – Other

free text

no
CPRN0747 Kyphosis – Flexible Deformity

Kyphosis: excessive outward curvature of the spine, causing hunching of the back Nonstructural curves are not fixed, but flexible and readily corrected with bending

no
CPRN0748 Lordosis – Flexible Deformity

Lordosis: excessive inward curvature of the spine Nonstructural curves are not fixed, but flexible and readily corrected with bending

no
CPRN0749 Scoliosis – Flexible Deformity

Scoliosis: abnormal lateral curvature of the spine Nonstructural curves are not fixed, but flexible and readily corrected with bending

no
CPRN0750 Pelvic Obliquity – High Side

Indicator of which side of the pelvis is higher in the presence of pelvic obliquity

no
CPRN0751 Kyphosis – Location

Description of location of kyphosis (excessive outward curavture of the spine, causing hunching of the back)
Cervical: superior most 7 vertebrae of the spine
Thoracic: middle 12 vertebrae of teh spine
Lumbar: inferior most 5 vertebae of the spine

no
CPRN0752 Lordosis – Location

Description of location of lordosis (excessive inward curvature of the spine)
Cervical: superior most 7 vertebrae of the spine
Thoracic: middle 12 vertebrae of teh spine
Lumbar: inferior most 5 vertebae of the spine

no
CPRN0753 Scoliosis – Location

Description of location of scoliosis (abnormal lateral curvature of the spine)
Cervical: superior most 7 vertebrae of the spine
Thoracic: middle 12 vertebrae of teh spine
Lumbar: inferior most 5 vertebae of the spine
Thoracolumbar: portion of the spine between the cervical spine and the lumbar spine

no
CPRN0754 Kyphosis – Status

Indicator of presence of kyphosis (excessive outward curvature of the spine, causing hunching of the back)

no
CPRN0755 Lordosis – Status

Indicator of presence of lordosis (excessive inward curvature of the spine)

no
CPRN0756 Pelvic Obliquity – Status

Indicator of presence of pelvic obliquity (also referred to as pelvic tilt or rotation- can be caused by leg length inequality)

no
CPRN0757 Scoliosis – Status

Indicator of presence of scoliosis (abnormal lateral curvature of the spine)

no
CPRN0760 Sphericity – Frog Leg Lateral Left Side

Frog leg lateral view: Patient is in the supine position, with flexed knees, with knee(s) rotated away from the midline of the body
Femoral Head Sphericity: femoral head- the superior most portion of the femor, where attachemnt is made to the hip joing. Measure of spherical shape of the head of the femur.

no
CPRN0761 Sphericity – Frog Leg Lateral Right Side

Frog leg lateral view: Patient is in the supine position, with flexed knees, with knee(s) rotated away from the midline of the body
Femoral Head Sphericity: femoral head- the superior most portion of the femor, where attachemnt is made to the hip joing. Measure of spherical shape of the head of the femur.

no
CPRN0762 Sphericity – Pelvis AP Left Side

Pelvis AP (anterior/posterior): view of part of the pelvis containing the iliac crest, proximal femur, pubis, ischium, and the great pelvic ring.
Femoral Head Sphericity: femoral head- the superior most portion of the femor, where attachemnt is made to the hip joing. Measure of spherical shape of the head of the femur.

no
CPRN0763 Sphericity – Pelvis AP Right Side

Pelvis AP (anterior/posterior): view of part of the pelvis containing the iliac crest, proximal femur, pubis, ischium, and the great pelvic ring.
Femoral Head Sphericity: femoral head- the superior most portion of the femor, where attachemnt is made to the hip joing. Measure of spherical shape of the head of the femur.

no
CPRN0764 Spinal Deformity Developed

Indication of type of spinal deformality detected.

no
CPRN0765 Spinal Deformity Comment:

Description or comment on spinal deformailty detected.

no
CPRN0766 Date Spinal Deformity Assessed

Indication of date spinal abnormality was assessed

no
CPRN0767 Spinal fusion?

Spinal fusion: surgery to permanently connect two or more vertebrae in the spine

no
CPRN0768 Spreading Reflexes

yes/no

no
CPRN0769 Spreading Reflexes Location

can be multiple

no
CPRN0771 Supported Walking for Exercise

Utilization of supported walking as an exercise to improve gait

no
CPRN0772 Number Double Gloved – Double-Gloving Used

Indication of whether or not double gloving was utilized

no
CPRN0773 Number Scrubbed – Water-Aided Hand Scrub Used

Indication of whether or not water-aided hand scrub was utilized

no
CPRN0774 Number Scrubbed – Waterless Hand Scrub Used

Indication of whether or not waterless hand scrub was utilized

no
CPRN0777 Indication for Surgery

Reason for surgery
Poor spasticity: muscles are continuously contracted
Ease of ADLs: improve patients ability to participate in activities of daily living.
Poor dystonia: movement disorder in which a person’s muscles contract uncontrollably

no
CPRN0778 Indication for Surgery – Other

Description of any other reasons for patient’s surgeries

no
CPRN0784 Video Swallow Study Recommendations

can be multiple

no
CPRN0787 Tendo Achilles Lengthening (Percutaneous) Sliding Type for Left Side

Tendo Achilles Lengthening: surgical procedure to lengthen the achilles tendon to allow the patient to walk flat-footed.

no
CPRN0788 Tendo Achilles Lengthening (Percutaneous) Sliding Type for Right Side

Tendo Achilles Lengthening: surgical procedure to lengthen the achilles tendon to allow the patient to walk flat-footed.

no
CPRN0790 10-Meter Walk Test Score

How many seconds to walk 10 meters at self selected speed (average of 3 trials In usual footwear, orthoses and assitive device. Report seconds, have epic calculate seconds per 1 meter.

no
CPRN0791 Tibial Derotational Osteotomy Locality for Left Side

A twist in the tibia bone of the lower leg bringing the knee and ankle out of alignment. Surgical procedure involving cracking a bone to correct rotation of tibia.
Proximal: closer to the medial portion of the body or point of attachment
Diaphyseal: midsection of the tibia, also known as shaft or body
Distal: further from the medial portion of the body, away from the point of attachment

no
CPRN0792 Tibial Derotational Osteotomy Locality for Right Side

A twist in the tibia bone of the lower leg bringing the knee and ankle out of alignment. Surgical procedure involving cracking a bone to correct rotation of tibia.
Proximal: closer to the medial portion of the body or point of attachment
Diaphyseal: midsection of the tibia, also known as shaft or body
Distal: further from the medial portion of the body, away from the point of attachment

no
CPRN0793 Length of Time Patient Kept Flat Post-Operatively

Indication of length of time patient was kept flat following operation measured in hours.

no
CPRN0794 Patient Has Tracheostomy or Other Respiratory Devices

yes/no

no
CPRN0795 Tracheostomy

yes/no

no
CPRN0796 Transfusion – Source

Method of transfussion
Cell Saver: recovering blood lost during surgery and re-infusing it into the patient
Autologous: recovering blood lost during surgery and re-infusing it into the patient
Directed donor: Someone who has a relationship to the patient donates blood
Banked blood: Blood recieved from a blood bank

no
CPRN0797 Triradiate

Triradiate: the “Y”-shaped epiphyseal plate, evaluating the position of the triradate cartilage of the pelvis

no
CPRN0799 Date of withdrawal

mm/dd/yyyy

no
CPRN0800 Explanation for withdrawal:

free text

no
CPRN0801 Reason for withdrawal:

can be multiple

no
CPRN0807 Urine Problems

by report, can be multiple. currently on meds= yes

no
CPRN0808 Varus Derotational Osteotomy of Proximal Femur Fixation Type for Left Side – Other no
CPRN0809 Varus Derotational Osteotomy of Proximal Femur Fixation Type for Right Side – Other no
CPRN0810 Varus Derotational Osteotomy of Proximal Femur Fixation Type for Left Side no
CPRN0811 Varus Derotational Osteotomy of Proximal Femur Fixation Type for Right Side no
CPRN0812 Vision Status

The indicator of whether the participant’s/subject’s vision is normal, impaired, or is considered to be blind.

no
CPRN0813 Waist Circumference

in cm

no
CPRN0814 Patient Weight (kg)

Weight of patient measured in kg

no
CPRN0815 Name of Organisms no
CPRN0816 Abdominal Wound/Pump Pocket Revision no
CPRN0821 Patient Length (cm)

Length of patient measured in cm

no
CPRN0004 Foot Assessments yes
CPRN0033 Ashworth – Grade – Left Elbow – Extension

Left Elbow Extension: movement that increases the angle between ulna and humerus.

yes
CPRN0034 Ashworth – Grade – Left Elbow – Flexion

Left Elbow Flexion: movement that decreases the angle between ulna and humerus.

yes
CPRN0035 Ashworth – Grade – Right Elbow – Extension

single choice
Right Elbow Extension: movement that increases the angle between ulna and humerus. 0,0: no increase in tone; 1,1 slight increase in tone giving a catch when the limb was moved; 2,2 more marked increase in tone but limb easily flexed; 3,3 considerable increase in tone- passive movement difficult; 4,4 limb rigid

yes
CPRN0036 Ashworth – Grade – Right Elbow – Flexion

single choice
Right Elbow Flexion: movement that descreases the angle between ulna and humerus. 0,0: no increase in tone; 1,1 slight increase in tone giving a catch when the limb was moved; 2,2 more marked increase in tone but limb easily flexed; 3,3 considerable increase in tone- passive movement difficult; 4,4 limb rigid

yes
CPRN0037 Ashworth – Grade – Left Hip – Abduction

Left Hip Abduction: movement of the leg away from the mid-line of the body – movement used when stepping side to side.

yes
CPRN0038 Ashworth – Grade – Left Hip – Extension

single choice
Left Hip Extension: posterior movement of the leg away from the body. 0,0: no increase in tone; 1,1 slight increase in tone giving a catch when the limb was moved; 2,2 more marked increase in tone but limb easily flexed; 3,3 considerable increase in tone- passive movement difficult; 4,4 limb rigid

yes
CPRN0039 Ashworth – Grade – Left Hip – External Rotation

single choice
Left Hip External Rotation: movement of the femur rotating within the hip joint away from the mid-line of the body, turning the knee outward. 0,0: no increase in tone; 1,1 slight increase in tone giving a catch when the limb was moved; 2,2 more marked increase in tone but limb easily flexed; 3,3 considerable increase in tone- passive movement difficult; 4,4 limb rigid

yes
CPRN0040 Ashworth – Grade – Left Hip – Flexion

single choice
Left Hip Flexion: movement bringing the leg closer towards the body in the sagittal plane- closer to the torso. 0,0: no increase in tone; 1,1 slight increase in tone giving a catch when the limb was moved; 2,2 more marked increase in tone but limb easily flexed; 3,3 considerable increase in tone- passive movement difficult; 4,4 limb rigid

yes
CPRN0041 Ashworth – Grade – Left Hip – Internal Rotation

single choice
Left Hip Internal Rotation: also called medial rotation- movement of the femur rotating within the hip joint toward the mid-line of the body. 0,0: no increase in tone; 1,1 slight increase in tone giving a catch when the limb was moved; 2,2 more marked increase in tone but limb easily flexed; 3,3 considerable increase in tone- passive movement difficult; 4,4 limb rigid

yes
CPRN0042 Ashworth – Grade – Right Hip – Abduction

single choice
Right Hip Abduction: movement of the leg away from the midline of the body – movement used when stepping side to side. 0,0: no increase in tone; 1,1 slight increase in tone giving a catch when the limb was moved; 2,2 more marked increase in tone but limb easily flexed; 3,3 considerable increase in tone- passive movement difficult; 4,4 limb rigid

yes
CPRN0043 Ashworth – Grade – Right Hip – Extension

single choice
Right Hip Extension: posterior movement of the leg away from the body. 0,0: no increase in tone; 1,1 slight increase in tone giving a catch when the limb was moved; 2,2 more marked increase in tone but limb easily flexed; 3,3 considerable increase in tone- passive movement difficult; 4,4 limb rigid

yes
CPRN0044 Ashworth – Grade – Right Hip – External Rotation

single choice
Right Hip External Rotation: movement of the femur rotating within the hip joint away from the mid-line of the body, turning the knee outward. 0,0: no increase in tone; 1,1 slight increase in tone giving a catch when the limb was moved; 2,2 more marked increase in tone but limb easily flexed; 3,3 considerable increase in tone- passive movement difficult; 4,4 limb rigid

yes
CPRN0045 Ashworth – Grade – Right Hip – Flexion

single choice
Right Hip Flexion: movement bringing the leg closer towards the body in the sagittal plane- closer to the torso. 0,0: no increase in tone; 1,1 slight increase in tone giving a catch when the limb was moved; 2,2 more marked increase in tone but limb easily flexed; 3,3 considerable increase in tone- passive movement difficult; 4,4 limb rigid

yes
CPRN0046 Ashworth – Grade – Right Hip – Internal Rotation

single choice
Right Hip Internal Rotation: also called medial rotation- movement of the femur rotating within the hip joint toward the mid-line of the body. 0,0: no increase in tone; 1,1 slight increase in tone giving a catch when the limb was moved; 2,2 more marked increase in tone but limb easily flexed; 3,3 considerable increase in tone- passive movement difficult; 4,4 limb rigid

yes
CPRN0047 Ashworth – Grade – Left Knee – Extension

single choice
Left Knee Extension: movement of straightening the leg. 0,0: no increase in tone; 1,1 slight increase in tone giving a catch when the limb was moved; 2,2 more marked increase in tone but limb easily flexed; 3,3 considerable increase in tone- passive movement difficult; 4,4 limb rigid

yes
CPRN0048 Ashworth – Grade – Left Knee – Flexion

single choice
Left Knee Flexion: the bending of the knee to bring the foot toward the posterior thigh. 0,0: no increase in tone; 1,1 slight increase in tone giving a catch when the limb was moved; 2,2 more marked increase in tone but limb easily flexed; 3,3 considerable increase in tone- passive movement difficult; 4,4 limb rigid

yes
CPRN0049 Ashworth – Grade – Right Knee – Extension

single choice
Right Knee Extension: movement of straightening the leg. 0,0: no increase in tone; 1,1 slight increase in tone giving a catch when the limb was moved; 2,2 more marked increase in tone but limb easily flexed; 3,3 considerable increase in tone- passive movement difficult; 4,4 limb rigid

yes
CPRN0050 Ashworth – Grade – Right Knee – Flexion

single choice
Right Knee Flexion: the bending of the knee to bring the foot toward the posterior thigh. 0,0: no increase in tone; 1,1 slight increase in tone giving a catch when the limb was moved; 2,2 more marked increase in tone but limb easily flexed; 3,3 considerable increase in tone- passive movement difficult; 4,4 limb rigid

yes
CPRN0051 Ashworth – Grade – Left Wrist – Extension

single choice
Left Wrist Extension: hand is tilted around wrist joint toward dorsal surface or back of hand. 0,0: no increase in tone; 1,1 slight increase in tone giving a catch when the limb was moved; 2,2 more marked increase in tone but limb easily flexed; 3,3 considerable increase in tone- passive movement difficult; 4,4 limb rigid

yes
CPRN0052 Ashworth – Grade – Left Wrist – Flexion

single choice
Left Writst Flexion: hand is tilted around wrist joint toward palmar surface of forearm. 0,0: no increase in tone; 1,1 slight increase in tone giving a catch when the limb was moved; 2,2 more marked increase in tone but limb easily flexed; 3,3 considerable increase in tone- passive movement difficult; 4,4 limb rigid

yes
CPRN0053 Ashworth – Grade – Right Wrist – Extension

single choice
Right Wrist Extension: hand is tilted around wrist joint toward dorsal surface or back of hand. 0,0: no increase in tone; 1,1 slight increase in tone giving a catch when the limb was moved; 2,2 more marked increase in tone but limb easily flexed; 3,3 considerable increase in tone- passive movement difficult; 4,4 limb rigid

yes
CPRN0054 Ashworth – Grade – Right Wrist – Flexion

single choice
Right Writst Flexion: hand is tilted around wrist joint toward palmar surface of forearm. 0,0: no increase in tone; 1,1 slight increase in tone giving a catch when the limb was moved; 2,2 more marked increase in tone but limb easily flexed; 3,3 considerable increase in tone- passive movement difficult; 4,4 limb rigid

yes
CPRN0143 Degree – Ankle dorsiflexion (knee extended) – Left/R1

Ankle dorsiflexion- movement where the toes are brought closer to the shin decreasing the angle between the dorsum of the foot and the leg. Knee extended- leg is straightend. R1- indicates a first catch felt during quick passive stretching

yes
CPRN0145 Degree – Ankle dorsiflexion (knee extended) – Right/R1

Ankle dorsiflexion- movement where the toes are brought closer to the shin decreasing the angle between the dorsum of the foot and the leg. Knee extended- leg is straightend. R1- indicates a first catch felt during quick passive stretching

yes
CPRN0147 Degree – Ankle dorsiflexion (knee flexed) – Left/R1

Ankle dorsiflexion- movement where the toes are brought closer to the shin decreasing the angle between the dorsum of the foot and the leg. Knee flexed- knee bent bringing the lower leg toward the back of the thigh. R1- indicates a first catch felt during quick passive stretching

yes
CPRN0149 Degree – Ankle dorsiflexion (knee flexed) – Right/R1

Ankle dorsiflexion- movement where the toes are brought closer to the shin decreasing the angle between the dorsum of the foot and the leg. Knee flexed- knee bent bringing the lower leg toward the back of the thigh. R1- indicates a first catch felt during quick passive stretching

yes
CPRN0155 Degree – Hip abduction (hips and knees extended) – Left/R1

Hip abduction- movement of the leg away from the midline of the body. Hips extended- backward movment of the leg. Knee extended- leg is straightend. R1- indicates a first catch felt during quick passive stretching

yes
CPRN0157 Degree – Hip abduction (hips and knees extended) – Right/R1

Hip abduction- movement of the leg away from the midline of the body. Hips extended- backward movment of the leg. Knee extended- leg is straightend.R1- indicates a first catch felt during quick passive stretching

yes
CPRN0167 Degree – Hip extension/flexion contracture (Thomas test) – Left/R1

Thomas Test- testing hip flexion contractures, anterior or lateral capsular restrictions or hip flexor tightness. Lack of full hip extension with knee flexion less than 45 degrees indicates iliopsoas tightness. R1- indicates a first catch felt during quick passive stretching

yes
CPRN0169 Degree – Hip extension/flexion contracture (Thomas test) – Right/R1

Thomas Test- testing hip flexion contractures, anterior or lateral capsular restrictions or hip flexor tightness. Lack of full hip extension with knee flexion less than 45 degrees indicates iliopsoas tightness. R1- indicates a first catch felt during quick passive stretching

yes
CPRN0171 Degree – Hip flexion – Left/R1

Hip flexion- bring legs and trunk together, movement of leg or knee towards the torso or bend the torso forward at the hip R1- indicates a first catch felt during quick passive stretching

yes
CPRN0173 Degree – Hip flexion – Right/R1

Hip flexion- bring legs and trunk together, movement of leg or knee towards the torso or bend the torso forward at the hip R1- indicates a first catch felt during quick passive stretching

yes
CPRN0176 Degree – Knee extension (knee flexion contracture) – Left/R1

Knee extension- straightening of the leg. Knee Flexion contracture- inability to fully straighten the knee. Normal active range of motion (AROM) of the knee is 0 degrees extention and 140 degrees flexion. R1- indicates a first catch felt during quick passive stretching

yes
CPRN0178 Degree – Knee extension (knee flexion contracture) – Right/R1

Knee extension- straightening of the leg. Knee Flexion contracture- inability to fully straighten the knee. Normal active range of motion (AROM) of the knee is 0 degrees extention and 140 degrees flexion. R1- indicates a first catch felt during quick passive stretching

yes
CPRN0179 Degree – Knee flexion – Left/R1

Knee flexion: bending of the knee so that the angle between the bones of the limb at the joint is decreased. R1- indicates a first catch felt during quick passive stretching

yes
CPRN0181 Degree – Knee flexion – Right/R1

Knee flexion: bending of the knee so that the angle between the bones of the limb at the joint is decreased.R1- indicates a first catch felt during quick passive stretching

yes
CPRN0183 Degree – Popliteal angle (bilateral) – Left/R1

Popliteal angle- assessment of the tone of the hamstring muscles, the angle between the thight and the leg is approximately 90 degrees, extention of the leg beyond 90 degrees to 120 degrees would be seen as hypotonia. Bilateral- both legs R1- indicates a first catch felt during quick passive stretching

yes
CPRN0185 Degree – Popliteal angle (bilateral) – Right/R1

Popliteal angle- assessment of the tone of the hamstring muscles, the angle between the thight and the leg is approximately 90 degrees, extention of the leg beyond 90 degrees to 120 degrees would be seen as hypotonia. Bilateral- both legs R1- indicates a first catch felt during quick passive stretching

yes
CPRN0551 Post-Op Antibiotics – Other

Description of any other type of antibiotics administered post-operatively.

yes
CPRN0552 Post-Op Antibiotics – Type

Indication of type of antibiotics administered post-operatively

yes
CPRN0738 SDR Performed

Indication of whether or not selective dorsal rhizotomy was performed. Selective Dorsal Rhizotomy: surgical procedure performed on the lower spinal cord where the nerves are seperated then identified via and electrical stimulation.

yes
CPRN0786 Is this patient a TBI patient?

Indication of whether or not this patient has experienced a traumatic brain injury

yes