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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 and Other Treatments
Item count: 28 (28 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
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
No instructions available
No references available
Adult;Pediatric
Supplemental
3.0
7/25/2013
Aliases for variable name not defined
External Devices and Other Treatments
Devices
Treatment/Intervention Data
 
4000
Free-Form Entry
       
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)
Supplemental - Highly Recommended
No references available
Adult;Pediatric
Supplemental
3.0
7/25/2013
Aliases for variable name not defined
External Devices and Other Treatments
Devices
Treatment/Intervention Data
Mobility device use indicator
 
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 and Other Treatments
Devices
Treatment/Intervention Data
Orthosis use indicator
 
Single Pre-Defined Value Selected
       
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
No instructions available
No references available
Adult;Pediatric
Supplemental
3.0
7/24/2013
Aliases for variable name not defined
External Devices and Other Treatments
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
Power Wheelchair
Full-time;Part-time;
Full-time;Part-time;
Alphanumeric
Supplemental-Highly Recommended
No references available
Adult;Pediatric
Supplemental
3.0
7/24/2013
Aliases for variable name not defined
External Devices and Other Treatments
Devices
Treatment/Intervention Data
Wheelchair use frequency
 
Single Pre-Defined Value Selected
       
C18176
Therapy rehabilitation indicator
TherapyRehabInd
Indicator for whether the participant/subject uses other therapy or rehabilitation procedures besides the use of mobility devices, orthoses, and positioning devices
Besides use of mobility devices, orthoses, and positioning devices, does the participant/ subject utilize other therapies?
Yes;No;Unknown;
Yes;No;Unknown;
Alphanumeric
If Yes, complete section 3
No references available
Adult;Pediatric
Supplemental
3.0
7/21/2013
Aliases for variable name not defined
External Devices and Other Treatments
Devices
Treatment/Intervention Data
  
Single Pre-Defined Value Selected
       
C18183
Wheelchair driven subject indicator
WheelchairDriveSubjInd
Indicator for whether the power wheelchair is driven by the participant/subject
Is the wheelchair driven by the participant/ subject?
Yes;No;Unknown;
Yes;No;Unknown;
Alphanumeric
Supplemental - Highly Recommended
No references available
Adult;Pediatric
Supplemental
3.0
7/21/2013
Aliases for variable name not defined
External Devices and Other Treatments
Devices
Treatment/Intervention Data
  
Single Pre-Defined Value Selected
       
C12683
Mobility device type
MobilityDvcTyp
Type for all mobility devices currently used by the participant/subject
Mobility Devices
Manual wheelchair;Power wheelchair;Power assist wheelchair;Other Mobility Device;Positioning Wheelchair;Upper Extremity Devices;
Manual wheelchair;Power wheelchair;Power assist wheelchair;Other Mobility Device;Positioning Wheelchair;Upper Extremity Devices;
Alphanumeric
Supplemental - Highly Recommended
No references available
Adult;Pediatric
Supplemental
3.0
7/25/2013
Aliases for variable name not defined
External Devices and Other Treatments
Devices
Treatment/Intervention Data
Mobility device type
 
Multiple Pre-Defined Values Selected
       
C18188
Other mobility device type
OthrMobilityDevTyp
Type of other mobility device that the participant/ subject uses
Other mobility device
Scooter;Stroller;Standers;Other, specify;
Scooter;Stroller;Standers;Other, specify;
Alphanumeric
Choose all that apply
Supplemental - Highly Recommended
No references available
Adult;Pediatric
Supplemental
3.0
7/21/2013
Aliases for variable name not defined
External Devices and Other Treatments
Devices
Treatment/Intervention Data
  
Multiple Pre-Defined Values Selected
       
C19067
Other mobility device other text
OthrMobilityDevOTH
The free-text field related to 'Other mobility device type' specifying other text. Type of other mobility device that the participant/ subject uses
Other, specify
  
Alphanumeric
Choose all that apply
No references available
Adult;Pediatric
Supplemental
3.0
7/21/2013
Aliases for variable name not defined
External Devices and Other Treatments
Devices
Treatment/Intervention Data
 
4000
Free-Form Entry
       
C18190
Regular daily tilt indicator
RegDailyTiltInd
Indicator for whether the participant/subject has a regular daily tilt in the positioning of wheelchair
Regular/daily tilt
Yes;No;Not applicable;Unknown;
Yes;No;Not applicable;Unknown;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
3.0
7/21/2013
Aliases for variable name not defined
External Devices and Other Treatments
Devices
Treatment/Intervention Data
  
Single Pre-Defined Value Selected
       
C18193
Support stand use indicator
SuprtStandUseInd
Indicator for whether the participant/subject has a supported standing use in the positioning of wheelchair
Supported standing use
Yes;No;Not applicable;Unknown;
Yes;No;Not applicable;Unknown;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
3.0
7/21/2013
Aliases for variable name not defined
External Devices and Other Treatments
Devices
Treatment/Intervention Data
  
Single Pre-Defined Value Selected
       
C19068
Upper extremity device specify text
UpperExtremityDevST
The free-text field related to 'Upper extremity device indicator'. Indicator for whether an upper extremity device is used
Yes, specify
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
3.0
7/21/2013
Aliases for variable name not defined
External Devices and Other Treatments
Devices
Treatment/Intervention Data
 
4000
Free-Form Entry
       
C18197
Upper extremity device indicator
UpperExtremityDevInd
Indicator for whether an upper extremity device is used
Upper extremity devices
Yes, specify;No;Not applicable;Unknown;
Yes, specify;No;Not applicable;Unknown;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
3.0
7/21/2013
Aliases for variable name not defined
External Devices and Other Treatments
Devices
Treatment/Intervention Data
  
Single Pre-Defined Value Selected
       
C12943
Orthosis type
OrthosisTyp
Type of orthosis (i.e., external orthopedic appliance that prevents or assists the movement of the spine or limbs)
Orthoses and Positioning Devices
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
3.0
7/25/2013
Aliases for variable name not defined
External Devices and Other Treatments
Devices
Treatment/Intervention Data
Orthosis type
 
Multiple Pre-Defined Values 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
No instructions available
No references available
Adult;Pediatric
Supplemental
3.0
7/25/2013
Aliases for variable name not defined
External Devices and Other Treatments
Devices
Treatment/Intervention Data
 
4000
Free-Form Entry
       
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
No instructions available
No references available
Adult;Pediatric
Supplemental
3.0
7/24/2013
Aliases for variable name not defined
External Devices and Other Treatments
Devices
Treatment/Intervention Data
Orthosis type use indicator
 
Single Pre-Defined Value Selected
       
C18195
Ankle foot orthosis type
AnklFootOrthosisTyp
Type of ankle-foot orthosis the participant/subject uses
Type
Solid;Articulating;Dynamic ankle-foot orthosis style type;
Solid;Articulating;Dynamic ankle-foot orthosis style type;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
3.0
7/21/2013
Aliases for variable name not defined
External Devices and Other Treatments
Devices
Treatment/Intervention Data
  
Single Pre-Defined Value Selected
       
C18198
Ankle foot orthosis use type
AnklFootOrthosisUseTyp
Type of use for ankle-foot orthosis
Use
Walking;Resting splints;
Walking;Resting splints;
Alphanumeric
Choose all that apply
No references available
Adult;Pediatric
Supplemental
3.0
7/21/2013
Aliases for variable name not defined
External Devices and Other Treatments
Devices
Treatment/Intervention Data
  
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
No instructions available
No references available
Adult;Pediatric
Supplemental
3.0
7/24/2013
Aliases for variable name not defined
External Devices and Other Treatments
Devices
Treatment/Intervention Data
Knee-ankle-foot orthosis weight bearing indicator
 
Single Pre-Defined Value Selected
       
C21667
Therapy rehabilitation ICD 10 CM code
TherpyRehabICD10CMCd
ICD-10-CM code that describes the therapy or rehabilitation received by the participant/subject
Therapy ICD-9-CM code
  
Alphanumeric
No instructions available
International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM): http://www.cdc.gov/nchs/icd/icd9cm.htm
Adult;Pediatric
Supplemental
1.0
7/20/2013
Aliases for variable name not defined
External Devices and Other Treatments
Devices
Treatment/Intervention Data
 
255
Free-Form Entry
       
C18199
Therapeutic use indicator
TherapuUseInd
Indicator for whether the participant/subject uses the type of therapy
Use of Therapy
Yes;No;Unknown;
Yes;No;Unknown;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
3.0
7/21/2013
Aliases for variable name not defined
External Devices and Other Treatments
Devices
Treatment/Intervention Data
  
Single Pre-Defined Value Selected
       
C18200
Therapeutic stretching type
TherapuStretchTyp
Type of stretching therapy
Stretching
Active;Passive;
Active;Passive;
Alphanumeric
check all that apply
No references available
Adult;Pediatric
Supplemental
3.0
7/21/2013
Aliases for variable name not defined
External Devices and Other Treatments
Devices
Treatment/Intervention Data
  
Multiple Pre-Defined Values Selected
       
C18182
Therapy rehabilitation frequency
TherapuRehabFreq
Frequency the participant/subject received the therapy or rehabilitation
Frequency
0;1;2;3;4;5;6;7;
0;1;2;3;4;5;6;7;
Numeric Values
days/week
CDISC SDTM Frequency Terminology (http://www.cancer.gov/cancertopics/cancerlibrary/terminologyresources/cdisc)
Adult;Pediatric
Supplemental
3.0
7/21/2013
Aliases for variable name not defined
External Devices and Other Treatments
Devices
Treatment/Intervention Data
  
Single Pre-Defined Value Selected
       
C18181
Therapy rehabilitation session duration
TherapuRehabSessDur
Duration of a therapy or rehabilitation session
Duration
15 minutes;30 minutes;45 minutes;60 minutes;Other, specify;
15 minutes;30 minutes;45 minutes;60 minutes;Other, specify;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
3.0
7/21/2013
Aliases for variable name not defined
External Devices and Other Treatments
Devices
Treatment/Intervention Data
  
Single Pre-Defined Value Selected
  
minute
    
C19066
Therapy rehabilitation session other text
TherapyRehabSessOTH
The free-text field related to 'Therapy rehabilitation session duration' specifying other text. Duration of a therapy or rehabilitation session
Other, specify
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
3.0
7/21/2013
Aliases for variable name not defined
External Devices and Other Treatments
Devices
Treatment/Intervention Data
 
4000
Free-Form Entry
  
minute
    
07-21-2019
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