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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: Friedreich's Ataxia
Sub-Domain: Ataxia and Performance Measures
CRF: Timed 25-Foot Walk (T25-FW)
Item count: 14 (14 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
C11990
Timed 25-Foot Walk (T25FW) - ankle foot orthosis status
T25FWAFOStatus
Indicator whether the participant/subject wore an ankle-foot orthosis (AFO) during the assessment, as part of the Timed 25-Foot Walk (T25FW)
Did patient wear an AFO?
Yes;No;
Yes;No;
Alphanumeric
NO ADDITIONAL INSTRUCTIONS
Timed 25-Foot Walk (T25-FW). National Multiple Sclerosis Society. http://nationalmssociety.org/for-professionals/researchers/clinical-study-measures/t25-fw/index.aspx. Multiple sclerosis administration and scoring manual. National Multiple Sclerosis Society. 2001.
Adult;Pediatric
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Timed 25-Foot Walk (T25-FW)
Ataxia and Performance Measures
Outcomes and End Points
T25FW Q1
 
Single Pre-Defined Value Selected
       
C11991
Timed 25-Foot Walk (T25FW) - assistive device status
T25FWAssistDevStatus
Indicator whether the participant/subject used an assistive device during the assessment, as part of the Timed 25-Foot Walk (T25FW)
Was assistive device used?
Yes;No;
Yes;No;
Alphanumeric
No additional instructions
Timed 25-Foot Walk (T25-FW). National Multiple Sclerosis Society. http://nationalmssociety.org/for-professionals/researchers/clinical-study-measures/t25-fw/index.aspx. Multiple sclerosis administration and scoring manual. National Multiple Sclerosis Society. 2001.
Adult;Pediatric
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Timed 25-Foot Walk (T25-FW)
Ataxia and Performance Measures
Outcomes and End Points
T25FW Q2
 
Single Pre-Defined Value Selected
       
C11992
Timed 25-Foot Walk (T25FW) - unilateral assistance device type
T25FWUniAssistDevType
Range, in sides of the body, for which the participant/subject used an assistive device during the assessment, as part of the Timed 25-Foot Walk (T25FW)
Assistive device used
Unilateral;Bilateral;
Unilateral;Bilateral;
Alphanumeric
Mark one
Timed 25-Foot Walk (T25-FW). National Multiple Sclerosis Society. http://nationalmssociety.org/for-professionals/researchers/clinical-study-measures/t25-fw/index.aspx. Multiple sclerosis administration and scoring manual. National Multiple Sclerosis Society. 2001.
Adult;Pediatric
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Timed 25-Foot Walk (T25-FW)
Ataxia and Performance Measures
Outcomes and End Points
T25FW Q3
 
Single Pre-Defined Value Selected
       
C11993
Timed 25-Foot Walk (T25FW) - bilateral assistance device type
T25FWBilatrlAssistanceDevType
Type of assistive device used by the participant/subject during the assessment, as part of the Timed 25-Foot Walk (T25FW)
Assistive device used
Cane;Crutch;Walker/Rollator;
Cane;Crutch;Walker/Rollator;
Alphanumeric
Mark one
Timed 25-Foot Walk (T25-FW). National Multiple Sclerosis Society. http://nationalmssociety.org/for-professionals/researchers/clinical-study-measures/t25-fw/index.aspx. Multiple sclerosis administration and scoring manual. National Multiple Sclerosis Society. 2001.
Adult;Pediatric
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Timed 25-Foot Walk (T25-FW)
Ataxia and Performance Measures
Outcomes and End Points
T25FW Q4
 
Single Pre-Defined Value Selected
       
C11995
Timed 25-Foot Walk (T25FW) - trial 1 duration
T25FWTr1WalkDur
Duration , in seconds and to the nearest tenth of a second, of the participant/subject's walking 25 feet for the trial being recorded, as part of the Timed 25-Foot Walk (T25FW)
Time for 25-foot walk
  
Numeric Values
Record time in seconds. Record for Trial 1 and Trial 2.
Timed 25-Foot Walk (T25-FW). National Multiple Sclerosis Society. http://nationalmssociety.org/for-professionals/researchers/clinical-study-measures/t25-fw/index.aspx. Multiple sclerosis administration and scoring manual. National Multiple Sclerosis Society. 2001.
Adult;Pediatric
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Timed 25-Foot Walk (T25-FW)
Ataxia and Performance Measures
Outcomes and End Points
T25FW Q6 Trial 1
 
Free-Form Entry
  
second
    
C17864
Timed 25-Foot Walk (T25FW) - trial number
T25FWTrialNum
Number assigned for identification to the trial currently being assessed, as part of the Frontal Behavioral Inventory-ALS Version (FBI-ALS)
 
1;2;
1;2;
Numeric Values
No instructions available
Timed 25-Foot Walk (T25-FW). National Multiple Sclerosis Society. http://nationalmssociety.org/for-professionals/researchers/clinical-study-measures/t25-fw/index.aspx. Multiple sclerosis administration and scoring manual. National Multiple Sclerosis Society. 2001.
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Timed 25-Foot Walk (T25-FW)
Ataxia and Performance Measures
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
C11996
Timed 25-Foot Walk (T25FW) - trial 1 circumstances affecting performance text
T25FWCircmstncAfctTr1PerfTxt
Text description of any circumstances that affected the participant/subject's performance on or completion of the trial being recorded, as part of the Frontal Behavioral Inventory-ALS Version (FBI-ALS)
For a complete trial, record any circumstances that affected the patient's performance
  
Alphanumeric
Record for Trial 1 and Trial 2, only if trial was completed.
Timed 25-Foot Walk (T25-FW). National Multiple Sclerosis Society. http://nationalmssociety.org/for-professionals/researchers/clinical-study-measures/t25-fw/index.aspx. Multiple sclerosis administration and scoring manual. National Multiple Sclerosis Society. 2001.
Adult;Pediatric
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Timed 25-Foot Walk (T25-FW)
Ataxia and Performance Measures
Outcomes and End Points
T25FW Q7 Trial 1
255
Free-Form Entry
       
C11997
Timed 25-Foot Walk (T25FW) - trial 1 not completed reason
T25FWTr1NotCompltRsn
Indicator of the reason why the trial being recorded was not completed, as part of the Frontal Behavioral Inventory-ALS Version (FBI-ALS)
If trial was not completed
Unable to complete trial due to physical limitations;Other;
Unable to complete trial due to physical limitations;Other;
Alphanumeric
Choose only one. Record for Trial 1 and Trial 2, if trial was not completed.
Timed 25-Foot Walk (T25-FW). National Multiple Sclerosis Society. http://nationalmssociety.org/for-professionals/researchers/clinical-study-measures/t25-fw/index.aspx. Multiple sclerosis administration and scoring manual. National Multiple Sclerosis Society. 2001.
Adult;Pediatric
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Timed 25-Foot Walk (T25-FW)
Ataxia and Performance Measures
Outcomes and End Points
T25FW Q8 Trial 1
 
Single Pre-Defined Value Selected
       
C11998
Timed 25-Foot Walk (T25FW) - trial 2 duration
T25FWTr2WalkDur
The time it takes the participant/subject to walk 25 feet, as part of the Timed 25-Foot Walk (T25FW)
The time it takes the participant/subject to walk 25 feet
  
Numeric Values
Record time in seconds. Record for Trial 1 and Trial 2.
Timed 25-Foot Walk (T25-FW). National Multiple Sclerosis Society. http://nationalmssociety.org/for-professionals/researchers/clinical-study-measures/t25-fw/index.aspx. Multiple sclerosis administration and scoring manual. National Multiple Sclerosis Society. 2001.
Adult;Pediatric
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Timed 25-Foot Walk (T25-FW)
Ataxia and Performance Measures
Outcomes and End Points
T25FW Q6 Trial 2
 
Free-Form Entry
       
C11999
Timed 25-Foot Walk (T25FW) - trial 2 circumstances affecting performance text
T25FWCircmstncAfctTr2PerfTxt
Record in text any circumstances that affected the patient's performance for a completed Trial 2, as part of the Timed 25-Foot Walk (T25FW)
For a complete trial, record any circumstances that affected the patient's performance.
  
Alphanumeric
Record for Trial 1 and Trial 2, only if trial was completed.
Timed 25-Foot Walk (T25-FW). National Multiple Sclerosis Society. http://nationalmssociety.org/for-professionals/researchers/clinical-study-measures/t25-fw/index.aspx. Multiple sclerosis administration and scoring manual. National Multiple Sclerosis Society. 2001.
Adult;Pediatric
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Timed 25-Foot Walk (T25-FW)
Ataxia and Performance Measures
Outcomes and End Points
T25FW Q7 Trial 2
255
Free-Form Entry
       
C17863
Timed 25-Foot Walk (T25FW) - trial not complete reason text
T25FWTrialNotCompltRsnTxt
Text description of the indicated reason why the trial being recorded was not completed, as part of the Frontal Behavioral Inventory-ALS Version (FBI-ALS)
Specify
  
Alphanumeric
No instructions available
Timed 25-Foot Walk (T25-FW). National Multiple Sclerosis Society. http://nationalmssociety.org/for-professionals/researchers/clinical-study-measures/t25-fw/index.aspx. Multiple sclerosis administration and scoring manual. National Multiple Sclerosis Society. 2001.
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Timed 25-Foot Walk (T25-FW)
Ataxia and Performance Measures
Outcomes and End Points
 
255
Free-Form Entry
       
C12000
Timed 25-Foot Walk (T25FW) - trial 2 not completed reason
T25FWTr2NotCompltRsn
Specify the type of reason Trial 2 was not completed by the participant/subject, as part of the Timed 25-Foot Walk (T25FW)
If trial was not completed, the reason the trial was not completed by the participant/subject
Unable to complete trial due to physical limitations;Other;
Unable to complete trial due to physical limitations;Other;
Alphanumeric
Choose only one. Record for Trial 1 and Trial 2, if trial was not completed.
Timed 25-Foot Walk (T25-FW). National Multiple Sclerosis Society. http://nationalmssociety.org/for-professionals/researchers/clinical-study-measures/t25-fw/index.aspx. Multiple sclerosis administration and scoring manual. National Multiple Sclerosis Society. 2001.
Adult;Pediatric
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Timed 25-Foot Walk (T25-FW)
Ataxia and Performance Measures
Outcomes and End Points
T25FW Q8 Trial 2
 
Single Pre-Defined Value Selected
       
C12001
Timed 25-Foot Walk (T25FW) - more than two attempts indicator
T25FWMoreTwoAttmptsInd
Indicator of whether more than two attempts were required to obtain two successful trials, as part of the Frontal Behavioral Inventory-ALS Version (FBI-ALS)
Did it take more than two attempts to get two successful trials?
Yes;No;
Yes;No;
Alphanumeric
NO ADDITIONAL INSTRUCTIONS
Timed 25-Foot Walk (T25-FW). National Multiple Sclerosis Society. http://nationalmssociety.org/for-professionals/researchers/clinical-study-measures/t25-fw/index.aspx. Multiple sclerosis administration and scoring manual. National Multiple Sclerosis Society. 2001.
Adult;Pediatric
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Timed 25-Foot Walk (T25-FW)
Ataxia and Performance Measures
Outcomes and End Points
T25FW Q9
 
Single Pre-Defined Value Selected
       
C12002
Timed 25-Foot Walk (T25FW) - more than two attempts text
T25FWOver2AttmptReqdReasnTxt
Text specification of reason(s) for attempting more than two trials, as part of the Frontal Behavioral Inventory-ALS Version (FBI-ALS)
If yes, please specify reason(s) for more than two attempted trials
  
Alphanumeric
NO ADDITIONAL INSTRUCTIONS
Timed 25-Foot Walk (T25-FW). National Multiple Sclerosis Society. http://nationalmssociety.org/for-professionals/researchers/clinical-study-measures/t25-fw/index.aspx. Multiple sclerosis administration and scoring manual. National Multiple Sclerosis Society. 2001.
Adult;Pediatric
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Timed 25-Foot Walk (T25-FW)
Ataxia and Performance Measures
Outcomes and End Points
T25FW Q10
255
Free-Form Entry
       
07-15-2019
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