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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: Spinal Cord Injury
SubDisease: Spinal Cord Injury
Sub-Domain: Hospital/Care Management
CRF: Acute Admission/Discharge
Item count: 18 (18 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
C19127
Facility name
FacilityName
Name of facility
Facility Name
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
5/28/2014
Aliases for variable name not defined
Acute Admission/Discharge
Hospital/Care Management
Assessments and Examinations
 
4000
Free-Form Entry
       
C19159
Care provision level
CareProvisionLevel
The level of care provided to participant by health care facility
Level of Care
Acute;Emergency;Emergency & Acute;
Acute;Emergency;Emergency & Acute;
Alphanumeric
Provided to participant by health care facility
No references available
Adult;Pediatric
Supplemental
1.0
5/29/2014
Aliases for variable name not defined
Acute Admission/Discharge
Hospital/Care Management
Assessments and Examinations
  
Single Pre-Defined Value Selected
       
C19128
Facility arrival date
FacilityArrivalDate
Date when patient arrived at facility
Facility Arrival Date
  
Date or Date & Time
Record the date/time according to the ISO 8601, the International Standard for the representation of dates and times (http://www.iso.org/iso/home/html). The date/time should be recorded to the level of the granularity known (e.g., year, year and month, complete date plus hours and minutes, etc.).
No references available
Adult;Pediatric
Supplemental
1.0
5/28/2014
Aliases for variable name not defined
Acute Admission/Discharge
Hospital/Care Management
Assessments and Examinations
  
Free-Form Entry
       
C19129
Facility arrival time
FacilityArrivalTime
Time at which patient arrived at facility
Facility Arrival Time
  
Date or Date & Time
Record the date/time according to the ISO 8601, the International Standard for the representation of dates and times (http://www.iso.org/iso/home/html). The date/time should be recorded to the level of the granularity known (e.g., year, year and month, complete date plus hours and minutes, etc.).
Record the earliest documented time. If participant transferred from acute at the same facility, please enter time of transfer to rehab.
No references available
Adult;Pediatric
Supplemental
1.0
5/28/2014
Aliases for variable name not defined
Acute Admission/Discharge
Hospital/Care Management
Assessments and Examinations
  
Free-Form Entry
       
C19162
Acute care unit admission date
AcuteCareUnitAdmissionDate
The date at which participant was admitted to acute care unit
Date of admission to acute care unit
  
Date or Date & Time
Record the date/time according to the ISO 8601, the International Standard for the representation of dates and times (http://www.iso.org/iso/home/html). The date/time should be recorded to the level of the granularity known (e.g., year, year and month, complete date plus hours and minutes, etc.).
(e.g. ICU, step-down, acute. Do not include Post-Anaesthetic Recovery (PAR). If more than one transfer, choose first date. Note: If Unknown, please document date of first clinical assessment on acute care unit [any type of assessment, e.g., RN, physician, etc.])
No references available
Adult;Pediatric
Supplemental
1.0
5/29/2014
Aliases for variable name not defined
Acute Admission/Discharge
Hospital/Care Management
Assessments and Examinations
  
Free-Form Entry
       
C19163
Acute care unit admission time
AcuteCareUnitAdmissionTime
The time at which participant was admitted to acute care unit
Time of admission to acute care unit
  
Date or Date & Time
Record the date/time according to the ISO 8601, the International Standard for the representation of dates and times (http://www.iso.org/iso/home/html). The date/time should be recorded to the level of the granularity known (e.g., year, year and month, complete date plus hours and minutes, etc.).
(e.g., ICU, step-down, acute. Do not include Post-Anaesthetic Recovery (PAR) room. If more than one transfer, choose first time. Note: If Unknown, please document time of first clinical assessment on acute care unit [any type of assessment, e.g., RN, physician, etc.])
No references available
Adult;Pediatric
Supplemental
1.0
5/29/2014
Aliases for variable name not defined
Acute Admission/Discharge
Hospital/Care Management
Assessments and Examinations
  
Free-Form Entry
       
C18153
Data unknown text
DataUnknwnTxt
The free-text field to Mark an "X" in to record if data are unknown or not available.
Unknown
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
3.0
7/17/2013
Aliases for variable name not defined
Acute Admission/Discharge
Hospital/Care Management
Assessments and Examinations
 
20
Free-Form Entry
       
C19166
Special care unit admittance indicator
SCUAddmittanceInd
Indicator for the admittance of participant to special care unit, including any Intensive Care or Step-Down Unit
Was the participant admitted to a Special Care Unit at any time during their stay? (including any Intensive Care or Step-Down Unit)
Yes;No;
Yes;No;
Alphanumeric
Including any Intensive Care or Step-Down Unit
No references available
Adult;Pediatric
Supplemental
1.0
5/29/2014
Aliases for variable name not defined
Acute Admission/Discharge
Hospital/Care Management
Assessments and Examinations
  
Single Pre-Defined Value Selected
       
C19167
Special care unit type
SCUTyp
Type of special care unit
Type of SCU
Intensive Care Unit;Step-Down Unit;
Intensive Care Unit (ICU);Step-Down Unit (SDU);
Alphanumeric
Choose one.
No references available
Adult;Pediatric
Supplemental
1.0
5/29/2014
Aliases for variable name not defined
Acute Admission/Discharge
Hospital/Care Management
Assessments and Examinations
  
Single Pre-Defined Value Selected
       
C21632
Intensive care unit type
ICUTyp
Type of intensive care unit the participant/subject is in.
ICU:
Adult ICU;Pediatric ICU;ICU, unspecified;
Adult Intensive Care Unit (ICU);Pediatric Intensive Care Unit (ICU);Intensive Care Unit (ICU), unspecified;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
3.0
7/20/2013
Aliases for variable name not defined
Acute Admission/Discharge
Hospital/Care Management
Assessments and Examinations
  
Multiple Pre-Defined Values Selected
       
C19168
Special care unit admission date
SCUAdmissionDate
Date at which participant was admitted to special care unit
Admission Date
  
Date or Date & Time
Record the date/time according to the ISO 8601, the International Standard for the representation of dates and times (http://www.iso.org/iso/home/html). The date/time should be recorded to the level of the granularity known (e.g., year, year and month, complete date plus hours and minutes, etc.).
No references available
Adult;Pediatric
Supplemental
1.0
5/29/2014
Aliases for variable name not defined
Acute Admission/Discharge
Hospital/Care Management
Assessments and Examinations
  
Free-Form Entry
       
C19169
Special care unit discharge date
SCUDischargeDate
Date at which participant was discharged from special care unit
Discharge date
  
Date or Date & Time
Record the date/time according to the ISO 8601, the International Standard for the representation of dates and times (http://www.iso.org/iso/home/html). The date/time should be recorded to the level of the granularity known (e.g., year, year and month, complete date plus hours and minutes, etc.).
No references available
Adult;Pediatric
Supplemental
1.0
5/29/2014
Aliases for variable name not defined
Acute Admission/Discharge
Hospital/Care Management
Assessments and Examinations
  
Free-Form Entry
       
C19130
Facility discharge date
FacilityDischargeDate
Date when patient was discharged from facility
Facility Discharge Date
  
Date or Date & Time
Record the date/time according to the ISO 8601, the International Standard for the representation of dates and times (http://www.iso.org/iso/home/html). The date/time should be recorded to the level of the granularity known (e.g., year, year and month, complete date plus hours and minutes, etc.).
No references available
Adult;Pediatric
Supplemental
1.0
5/28/2014
Aliases for variable name not defined
Acute Admission/Discharge
Hospital/Care Management
Assessments and Examinations
  
Free-Form Entry
       
C19131
Facility discharge time
FacilityDischargeTime
The time at which the patient was discharged from the facility
Facility discharge time
  
Date or Date & Time
Record the date/time according to the ISO 8601, the International Standard for the representation of dates and times (http://www.iso.org/iso/home/html). The date/time should be recorded to the level of the granularity known (e.g., year, year and month, complete date plus hours and minutes, etc.).
No references available
Adult;Pediatric
Supplemental
1.0
5/28/2014
Aliases for variable name not defined
Acute Admission/Discharge
Hospital/Care Management
Assessments and Examinations
  
Free-Form Entry
       
C19132
Ventilator assistance utilization indicator
VentilatorAssistanceUtilznInd
Indicator for the utilization of ventilator assistance on discharge
Utilization of ventilator assistance on discharge
No;Unknown;Yes, 24 hours per day at discharge;Yes, less than 24 hours per day at discharge;Yes, unknown number of hours per day at discharge;
No;Unknown;Yes, 24 hours per day at discharge;Yes, less than 24 hours per day at discharge;Yes, unknown number of hours per day at discharge;
Alphanumeric
Ventilatory assistance includes but is not limited to mechanical ventilators, phrenic nerve stimulators, external negative pressure devices, and BiPAP. Do not include routine administration of oxygen, periodic IPPB administration, or CPAP.
DeVivo M., Biering-Sorensen F, Charlifue S, Noonan V, Post M, Stripling T, Wing P. International Spinal Cord Injury Core Data Set. Spinal Cord 2006 Sep;44(9):535-40.
Adult;Pediatric
Supplemental
1.0
5/28/2014
Aliases for variable name not defined
Acute Admission/Discharge
Hospital/Care Management
Assessments and Examinations
  
Single Pre-Defined Value Selected
       
C04807
Vital status
VitStatus
Status of participant/subject as alive or dead
Vital status on discharge
Alive;Dead;
Alive;Dead;
Alphanumeric
Choose one.
No references available
Adult;Pediatric
Supplemental
3.0
7/20/2013
Aliases for variable name not defined
Acute Admission/Discharge
Hospital/Care Management
Assessments and Examinations
Vital status
 
Single Pre-Defined Value Selected
       
C19160
Discharge facility type
DischargeFacilityTyp
The type of facility to which the participant was discharged
Place of discharge
Assisted living residence;Correctional institution;Deceased;Group living situation;Homeless;Hospital;Hotel or motel;Nursing home;Other unclassified;Private residence;Rehabilitation hospital;Unknown;
Assisted living residence;Correctional institution;Deceased;Group living situation;Homeless;Hospital;Hotel or motel;Nursing home;Other unclassified;Private residence;Rehabilitation hospital;Unknown;
Alphanumeric
Private residence: includes house, condominium, mobile home, apartment, or houseboat.

Hospital: includes mental hospital or other acute care hospital for management of continuing medical issues after spinal cord injury-related care and/or rehabilitation is completed.
Nursing home: includes skilled nursing facilities and institutions providing essentially long-term, custodial, chronic disease care.
Assisted living residence: includes residential non-institutional locations in which some level of support for activities of daily living is provided.
Group living situation: includes transitional living facility or any residence shared by non-family members.
Correctional institution: includes prison, penitentiary, jail, correctional center, etc.
Homeless: includes cave, car, tent, etc.
Note: If the patient’s place of residence does not fit into any of the above classifications, document it as “other, unclassified”.
DeVivo M, Biering-Sørensen F, Charlifue S, Noonan V, Post M, Stripling T, Wing P. International Spinal Cord Injury Core Data Set. Spinal Cord 2006 Sep;44(9):535-40.

Note: an additional option was added to the ISCOS International SCI Core Data Set (rehabilitation unit) as it may be applicable for SCI studies.
Adult;Pediatric
Supplemental
1.0
5/29/2014
Aliases for variable name not defined
Acute Admission/Discharge
Hospital/Care Management
Assessments and Examinations
  
Single Pre-Defined Value Selected
       
C06002
Inpatient treatment total day number
InpatTreatmtTotlDyNum
Total number of days spent in the hospital from the date of injury until discharge from the last inpatient treatment phase (the date of inpatient discharge).
Total Days Hospitalized for Acute Care and Rehabilitation
  
Numeric Values
Do not count days when the patient is temporarily discharged pending readmission (between injury and final in participant rehabilitation discharge).
If the patient is transferred to rehabilitation then this data element would be completed on the Rehab Admission/Discharge form (i.e. only needs to filled one time). Because patients may be discharged home between phases of care, or their initial care may have been delayed, it may not be possible to subtract the final date of discharge from the initial admission date to determine overall hospital length of stay. Therefore, the length of stay should be recorded separately by adding together the number of days spent in each hospital. This information should be obtained by examining the admission and discharge forms from each hospital.
DeVivo M, Biering-Sørensen F, Charlifue S, Noonan V, Post M, Stripling T, Wing P. International Spinal Cord Injury Core Data Set. Spinal Cord 2006 Sep;44(9):535-40.
Adult;Pediatric
Supplemental
3.0
7/17/2013
HOSPTLDY
Acute Admission/Discharge
Hospital/Care Management
Assessments and Examinations
Inpatient treatment total days number
 
Free-Form Entry
       
12-19-2018
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