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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: Cerebral Palsy
Sub-Domain: Therapies
CRF: External Devices – CP
Item count: 80 (80 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 use mobility devices?
Yes;No;Unknown;
Yes;No;Unknown;
Alphanumeric
If Yes, (complete section 1)
No references available.
Adult;Pediatric
Supplemental
3.0
7/25/2013
Aliases for variable name not defined
External Devices – CP
Therapies
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 use orthoses?
Yes;No;Unknown;
Yes;No;Unknown;
Alphanumeric
If Yes, (complete section 2)
No references available.
Adult;Pediatric
Supplemental
3.0
7/25/2013
Aliases for variable name not defined
External Devices – CP
Therapies
Treatment/Intervention Data
Orthosis use indicator
 
Single Pre-Defined Value Selected
       
C12673
Position device use indicator
PositionDevUseInd
Indicator of whether the participant/subject uses any positioning devices
Does the participant use positioning devices?
Yes, specify;No;
Yes, specify;No;
Alphanumeric
If Yes, (complete section 3)
No references available.
Adult;Pediatric
Supplemental
3.0
7/25/2013
Aliases for variable name not defined
External Devices – CP
Therapies
Treatment/Intervention Data
Positioning device use indicator
 
Single Pre-Defined Value Selected
       
C58471
ADL device use indicator
ADLDevUseInd
Indicator of whether the participant/subject uses any ADL (activities of daily living) devices
Does the participant use ADL devices?
Yes, specify;No;
Yes, specify;No;
Alphanumeric
If Yes, (complete section 4)
No references available.
Adult;Pediatric
Supplemental
3.0
7/25/2013
Aliases for variable name not defined
External Devices – CP
Therapies
Treatment/Intervention Data
  
Single Pre-Defined Value Selected
       
C58470
Transfer transportation device use indicator
TransferTransportDevUseInd
Indicator of whether the participant/subject uses any transfer/transportation devices
Does the participant use transfer/transportation devices?
Yes, specify;No;
Yes, specify;No;
Alphanumeric
If Yes, (Complete section 5)
No references available.
Adult;Pediatric
Supplemental
3.0
7/25/2013
Aliases for variable name not defined
External Devices – CP
Therapies
Treatment/Intervention Data
  
Single Pre-Defined Value Selected
       
C58472
Communications device use indicator
CommunicationDevUseInd
Indicator of whether the participant/subject uses any communication devices
Does the participant use communication devices?
Yes, specify;No;
Yes, specify;No;
Alphanumeric
If Yes, (complete section 6)
No references available.
Adult;Pediatric
Supplemental
3.0
7/25/2013
Aliases for variable name not defined
External Devices – CP
Therapies
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
Other, specify;Manual wheelchair;Power assist wheelchair;Power wheelchair;Scooter;Medical/Adaptive Stroller;Walker;Gait Trainer/Weight Supported Walkers;Crutches;Cane / Stick;Other Mobility Device;
Other, specify;Manual wheelchair;Power assist wheelchair;Power wheelchair;Scooter;Medical/Adaptive Stroller;Walker;Gait Trainer/Weight Supported Walkers;Crutches;Cane / Stick;Other Mobility Device;
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 – CP
Therapies
Treatment/Intervention Data
Mobility device type
 
Multiple Pre-Defined Values 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
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 – CP
Therapies
Treatment/Intervention Data
Mobility device type use indicator
 
Single Pre-Defined Value Selected
       
C58473
Mobility device use frequency type
MobilityDeviceUseFreqTyp
Frequency type with which the participant/subject uses their mobility device(s), if applicable
If yes,
Full-time;Part-time;
Full-time;Part-time;
Alphanumeric
If the participant/subject uses mobile device(s) 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 – CP
Therapies
Treatment/Intervention Data
  
Single Pre-Defined Value Selected
       
C58474
Mobility device use distance type
MobilityDeviceUseDistanceTyp
Distance use type with which the participant/subject uses their mobility device(s), if applicable
Use distance
Long distance;Short distance;
Long distance;Short distance;
Alphanumeric
If the participant/subject uses mobility device(s) then record the distance use. Choose one option.
No references available.
Adult;Pediatric
Supplemental
1.0
4/12/2018
Aliases for variable name not defined
External Devices – CP
Therapies
Treatment/Intervention Data
  
Single Pre-Defined Value Selected
       
C58475
Mobility device use location type
MobilityDeviceUseLocationTyp
Use location type where the participant/subject uses their mobility device(s), if applicable
Use at
Home;School/Work;Community;Other, specify;
Home;School/Work;Community;Other, specify;
Alphanumeric
If the participant/subject uses mobility device(s) then record the location use.
No references available.
Adult;Pediatric
Supplemental
1.0
4/12/2018
Aliases for variable name not defined
External Devices – CP
Therapies
Treatment/Intervention Data
  
Multiple Pre-Defined Values Selected
       
C58476
Mobility device use location type other text
MobilDeviceUseLocatnTypOthrTxt
Text describing the presence of any other mobility device location use.
Other, specify
  
Alphanumeric
No instructions available
No references available.
Adult;Pediatric
Supplemental
1.0
4/12/2018
Aliases for variable name not defined
External Devices – CP
Therapies
Treatment/Intervention Data
 
255
Free-Form Entry
       
C58617
Mobility device use propel type
MobilityDeviceUsePropelTyp
Propel type the participant/subject uses their mobility device(s), if applicable
Propel
Independent;Dependent;Partial Independence;Other, specify;
Independent;Dependent;Partial Independence;Other, specify;
Alphanumeric
If the participant/subject uses mobility device(s) then record the propulsion use.
No references available
Adult;Pediatric
Supplemental
1.0
11/2/2018
Aliases for variable name not defined
External Devices – CP
Therapies
Treatment/Intervention Data
  
Multiple Pre-Defined Values Selected
       
C58618
Mobility device use propel type other text
MobilDeviceUsePropelTypOthrTxt
Text describing other propulsion type of mobility device use.
Other, specify
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
4/12/2018
Aliases for variable name not defined
External Devices – CP
Therapies
Treatment/Intervention Data
 
255
Free-Form Entry
       
C56951
Walker use type
WalkerUseTyp
Type of walker which the participant/subject uses, if applicable
Type of walker
Front or Forward Walker (no wheels, two-wheeled, or four wheeled);Reverse Rolling Walker;
Front or Forward Walker (no wheels, two-wheeled, or four wheeled);Reverse Rolling Walker;
Alphanumeric
If the participant/subject uses a walker, then record the type used. Choose one option.
No references available.
Adult;Pediatric
Supplemental
1.0
8/7/2017
Aliases for variable name not defined
External Devices – CP
Therapies
Treatment/Intervention Data
  
Single Pre-Defined Value Selected
       
C56952
Crutch use type
CrutchUseTyp
Type of crutches which the participant/subject uses, if applicable
Type of crutches
Lofstrand or Forearm Crutches;Underarm;Other, specify;
Lofstrand or Forearm Crutches;Underarm;Other, specify;
Alphanumeric
If the participant/subject uses crutches, then record the type used. Choose one option.
No references available
Adult;Pediatric
Supplemental
1.0
8/7/2017
Aliases for variable name not defined
External Devices – CP
Therapies
Treatment/Intervention Data
  
Multiple Pre-Defined Values Selected
       
C58630
Crutch use laterality type
CrutchUseLateralTyp
Laterality type with which the participant/subject uses their crutches.
Laterality of type of crutches used.
Unilateral;Bilateral;
Unilateral;Bilateral;
Alphanumeric
Select laterality for type of crutches used.
No references available
Adult;Pediatric
Supplemental
1.0
4/12/2018
Aliases for variable name not defined
External Devices – CP
Therapies
Treatment/Intervention Data
  
Single Pre-Defined Value Selected
       
C56953
Cane stick use type
CaneStickUseTyp
Type of cane which the participant/subject uses, if applicable
If yes,
Quad cane;Single Point Cane;
Quad cane;Single Point Cane;
Alphanumeric
If the participant/subject uses a cane, then record the type used. Choose one option.
No references available
Adult;Pediatric
Supplemental
1.0
8/7/2017
Aliases for variable name not defined
External Devices – CP
Therapies
Treatment/Intervention Data
  
Single Pre-Defined Value Selected
       
C58477
Cane stick use laterality type
CaneStickUseLateralTyp
Laterality type with which the participant/subject uses their cane/stick
If yes,
Unilateral;Bilateral;
Unilateral;Bilateral;
Alphanumeric
No instructions available
No references available.
Adult;Pediatric
Supplemental
1.0
4/12/2018
Aliases for variable name not defined
External Devices – CP
Therapies
Treatment/Intervention Data
  
Single Pre-Defined Value 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 mobility devices, specify
  
Alphanumeric
Specify whether mobility devices other than manual wheelchair, power assist wheelchair, power wheel chair, scooter, medical/adaptive stroller, gait trainer / weight supported walkers, crutches and cane / stick are used.
No references available
Adult;Pediatric
Supplemental
3.0
7/25/2013
Aliases for variable name not defined
External Devices – CP
Therapies
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
Indicator whether the participant/subject currently uses the selected types of orthosis
No references available
Adult;Pediatric
Supplemental
3.0
7/24/2013
Aliases for variable name not defined
External Devices – CP
Therapies
Treatment/Intervention Data
Orthosis type use indicator
 
Single Pre-Defined Value Selected
       
C58478
Orthoses type
OrthosesTyp
Type for all orthoses currently used by the participant/subject
Orthoses
Shoe Inserts of any type;Supramalleolar orthotic (SMO);Ankle-foot orthosis (AFO);Knee-ankle-foot orthosis (KAFO);Hip-knee-ankle-foot orthosis (HKAFO);Dynamic Upper Extremity Orthosis/Splints;Static Upper Extremity Orthosis/Splints;Dynamic Lower Extremity Stretching Orthosis/Splints;Static Lower Extremity Stretching Orthosis/Splints;Other Orthosis, specify;
Shoe Inserts of any type;Supramalleolar orthotic (SMO);Ankle-foot orthosis (AFO);Knee-ankle-foot orthosis (KAFO);Hip-knee-ankle-foot orthosis (HKAFO);Dynamic Upper Extremity Orthosis/Splints;Static Upper Extremity Orthosis/Splints;Dynamic Lower Extremity Stretching Orthosis/Splints;Static Lower Extremity Stretching Orthosis/Splints;Other Orthosis, specify;
Alphanumeric
For each orthoses type record if it is used
No references available.
Adult;Pediatric
Supplemental
1.0
4/12/2018
Aliases for variable name not defined
External Devices – CP
Therapies
Treatment/Intervention Data
  
Multiple Pre-Defined Values Selected
       
C58479
Orthosis laterality type
OrthosisLateralityTyp
Laterality type of orthoses used by participant/subject
If yes,
Unilateral;Bilateral;
Unilateral;Bilateral;
Alphanumeric
No instructions available
No references available.
Adult;Pediatric
Supplemental
1.0
4/12/2018
Aliases for variable name not defined
External Devices – CP
Therapies
Treatment/Intervention Data
  
Single Pre-Defined Value Selected
       
C58480
AFO type
AFOTyp
Type of ankle-foot orthosis (AFO) used by the participant/subject
If yes,
Solid;Articulating;Dynamic Ankle Foot Orthosis (DAFO);Posterior Leaf Spring (PLS);Carbon Fiber;
Solid;Articulating;Dynamic Ankle Foot Orthosis (DAFO);Posterior Leaf Spring (PLS);Carbon Fiber;
Alphanumeric
Only answer if Ankle-foot Orthosis is answered Yes. Choose all that apply.
No references available.
Adult;Pediatric
Supplemental
1.0
4/13/2018
Aliases for variable name not defined
External Devices – CP
Therapies
Treatment/Intervention Data
  
Multiple Pre-Defined Values Selected
       
C56954
Dynamic upper extremity orthosis splint use frequency type
DynmUEOrthoSplntUseFreqTyp
Frequency type with which the participant/subject uses their dynamic upper extremity orthosis/splints, if applicable
If yes,
Daytime use;Full-time use;Part-time use;Night time use;
Daytime use;Full-time use;Part-time use;Night time use;
Alphanumeric
Only answer if dynamic upper extremity orthosis/splints is answered Yes.
No references available
Adult;Pediatric
Supplemental
1.0
8/7/2017
Aliases for variable name not defined
External Devices – CP
Therapies
Treatment/Intervention Data
  
Multiple Pre-Defined Values Selected
       
C58567
Dynamic upper extremity orthosis splint frequency use laterality type
DynUEOrthoSplntUseFreqLatrlTyp
Laterality type of dynamic upper extremity orthosis splints frequency used by participant/subject.
If yes,
Left;Right;
Left;Right;
Alphanumeric
Only answer if dynamic upper extremity orthosis/splints is answered Yes.
No references available
Adult;Pediatric
Supplemental
1.0
6/27/2018
Aliases for variable name not defined
External Devices – CP
Therapies
Treatment/Intervention Data
  
Single Pre-Defined Value Selected
       
07-20-2019
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