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CDE Detailed Report
This report contains detailed information about the selected CDEs.
Note: If at least one CDE was selected from a copyright- or trademark-protected instrument/scale then all of the CDEs from that instrument/scale are included in this report.
Disease:
Sub-Domain: Devices
CRF: External Devices - SMA
Item count: 13 (13 distinct CDEs)
CDE ID
CDE Name
Variable Name
Definition / Description
Question Text
Permissible Value
Description
Data Type
Instructions
References
Population
Classification (e.g., Core)
Version #
Version Date
Aliases for Variable Name
CRF Module / Guideline
© or TM
Sub-Domain
Domain
Previous Title
Size
Input Restrictions
Min Value
Max Value
Measurement Type
LOINC ID
SNOMED
caDSR ID
CDISC ID
C12679
Mobility device use indicator
MobilityDvcUseInd
Whether the participant/subject uses a mobility device (e.g., wheelchair)
Does the participant/subject use mobility devices?
Yes;No;Unknown;
Yes;No;Unknown;
Alphanumeric
Yes(complete section 1)
No references available
Adult;Pediatric
Supplemental
3.0
7/25/2013
Aliases for variable name not defined
External Devices - SMA
Devices
Treatment/Intervention Data
Mobility device use indicator
 
Single Pre-Defined Value Selected
       
C12683
Mobility device type
MobilityDvcTyp
Type for all mobility devices currently used by the participant/subject
Mobility Devices
  
Alphanumeric
For each mobility device type record if it is used
No references available
Adult;Pediatric
Supplemental
3.0
7/25/2013
Aliases for variable name not defined
External Devices - SMA
Devices
Treatment/Intervention Data
Mobility device type
 
Multiple Pre-Defined Values Selected
       
C18870
Mobility device other text
MobilityDvcOTH
The free-text field related to 'Mobility device type' specifying other text. Type for all mobility devices currently used by the participant/subject
Other, specify
  
Alphanumeric
For each mobility device type record if it is used
No references available
Adult;Pediatric
Supplemental
3.0
7/25/2013
Aliases for variable name not defined
External Devices - SMA
Devices
Treatment/Intervention Data
 
4000
Free-Form Entry
       
C12684
Mobility device type use indicator
MobltyDevTypUseInd
Indicator whether the participant/subject currently uses the selected types of mobility device
Device used?
Yes;No;Not applicable;Unknown;
Yes;No;Not applicable;Unknown;
Alphanumeric
For each mobility device type record if it is used. Choose one for each device type.
No references available
Adult;Pediatric
Supplemental
3.0
7/24/2013
Aliases for variable name not defined
External Devices - SMA
Devices
Treatment/Intervention Data
Mobility device type use indicator
 
Single Pre-Defined Value Selected
       
C12685
Wheelchair use frequency
WheelchairUseFreq
Frequency with which the participant/subject uses their wheelchair, if applicable
Wheelchair Yes
Full-time;Part-time;
Full-time;Part-time;
Alphanumeric
If the participant/subject uses a manual wheelchair or power wheelchair then record the extent of use. Choose one option.
No references available
Adult;Pediatric
Supplemental
3.0
7/24/2013
Aliases for variable name not defined
External Devices - SMA
Devices
Treatment/Intervention Data
Wheelchair use frequency
 
Single Pre-Defined Value Selected
       
C12682
Orthosis use indicator
OrthosisUseInd
Whether the participant/subject uses orthosis (i.e., external orthopedic appliance that prevents or assists the movement of the spine or limbs)
Does the participant/subject use orthoses?
Yes;No;Unknown;
Yes;No;Unknown;
Alphanumeric
Yes(complete section 2)
No references available
Adult;Pediatric
Supplemental
3.0
7/25/2013
Aliases for variable name not defined
External Devices - SMA
Devices
Treatment/Intervention Data
Orthosis use indicator
 
Single Pre-Defined Value Selected
       
C18883
Orthosis other text
OrthosisOTH
The free-text field related to 'Orthosis type' specifying other text. Type of orthosis (i.e., external orthopedic appliance that prevents or assists the movement of the spine or limbs)
Other, specify
  
Alphanumeric
For each orthosis type record if it is used
No references available
Adult;Pediatric
Supplemental
3.0
7/25/2013
Aliases for variable name not defined
External Devices - SMA
Devices
Treatment/Intervention Data
 
4000
Free-Form Entry
       
C12943
Orthosis type
OrthosisTyp
Type of orthosis (i.e., external orthopedic appliance that prevents or assists the movement of the spine or limbs)
Orthoses
  
Alphanumeric
For each orthosis type record if it is used
No references available
Adult;Pediatric
Supplemental
3.0
7/25/2013
Aliases for variable name not defined
External Devices - SMA
Devices
Treatment/Intervention Data
Orthosis type
 
Multiple Pre-Defined Values Selected
       
C12686
Orthosis type use indicator
OrthsisTypUseInd
Indicator whether the participant/subject currently uses the selected types of orthosis
Device used?
Yes;No;Not applicable;Unknown;
Yes;No;Not applicable;Unknown;
Alphanumeric
For each orthosis type record if it is used. Choose one for each device type.
No references available
Adult;Pediatric
Supplemental
3.0
7/24/2013
Aliases for variable name not defined
External Devices - SMA
Devices
Treatment/Intervention Data
Orthosis type use indicator
 
Single Pre-Defined Value Selected
       
C12687
Orthosis ankle foot orthosis type
OrthsisAFOTyp
Type of any ankle-foot orthosis (AFO) currently used by the participant/subject
Ankle-foot orthosis (AFO) Yes
Solid;Articulating;(DAFO);
Solid;Articulating;Dynamic ankle-foot orthosis (DAFO);
Alphanumeric
Only answer if Ankle-foot Orthosis is answered Yes. Choose all that apply.
No references available
Adult;Pediatric
Supplemental
3.0
7/25/2013
Aliases for variable name not defined
External Devices - SMA
Devices
Treatment/Intervention Data
Ankle-foot orthosis type
 
Multiple Pre-Defined Values Selected
       
C12688
Orthosis knee ankle foot orthosis ischial weight bearing indicator
OrthsisKnAnkFoOIschlWgtBrngInd
Indicator whether any knee-ankle-foot orthosis (KAFO) currently used by the participant/subject is ischial weight bearing
Yes, ischial weight bearing?
Yes;No;Unknown;
Yes;No;Unknown;
Alphanumeric
Only answer if Knee-ankle-foot Orthosis is answered Yes. Choose one.
No references available
Adult;Pediatric
Supplemental
3.0
7/24/2013
Aliases for variable name not defined
External Devices - SMA
Devices
Treatment/Intervention Data
Knee-ankle-foot orthosis weight bearing indicator
 
Single Pre-Defined Value Selected
       
C12673
Positioning device use indicator
PositioningDevUseInd
Indicator of whether the participant/subject uses any positioning devices
Does the participant/subject use positioning devices?
Yes, specify;No;
Yes, specify;No;
Alphanumeric
Choose one. If a positioning device is used specify the type.
No references available
Adult;Pediatric
Supplemental
3.0
7/25/2013
Aliases for variable name not defined
External Devices - SMA
Devices
Treatment/Intervention Data
Positioning device use indicator
 
Single Pre-Defined Value Selected
       
C17970
Positioning device text
PositioningDevTxt
Text specification of any positioning device currently used by the participant/subject
Positioning Devices, specify
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
3.0
7/25/2013
Aliases for variable name not defined
External Devices - SMA
Devices
Treatment/Intervention Data
 
255
Free-Form Entry
       
12-17-2018
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