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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: The International SCI Data Sets
CRF: International SCI Spinal Column Injury Basic Data Set
Item count: 10 (10 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
C06000
Site identifier number
SiteIDNum
Unique identification number given to the study site to distinguish the location where data is recorded.
Site
  
Alphanumeric
The site identifiers or IDs should be assigned by the study.
Dvorak MF, Wing PC, Fehlings MG, Vaccaro AR, Itshayek E, Biering-Sorensen F, Noonan VK. International Spinal Cord Injury Spinal Column Injury Basic Data Set. Spinal Cord. 2012 Jun 5. [Epub ahead of print]
Adult
Supplemental
3.0
7/17/2013
SITE
International SCI Spinal Column Injury Basic Data Set
The International SCI Data Sets
The International SCI Data Sets
Site identifier
255
Free-Form Entry
       
C19247
Subject ID
SubIDNam
Subject identification ID
Subject
  
Alphanumeric
The participant or subject identifiers or IDs should be assigned by the study.
Dvorak MF, Wing PC, Fehlings MG, Vaccaro AR, Itshayek E, Biering-Sorensen F, Noonan VK. International Spinal Cord Injury Spinal Column Injury Basic Data Set. Spinal Cord. 2012 Jun 5. [Epub ahead of print]
Adult;Pediatric
Supplemental
1.0
6/5/2014
Aliases for variable name not defined
International SCI Spinal Column Injury Basic Data Set
The International SCI Data Sets
The International SCI Data Sets
 
255
Free-Form Entry
       
C06005
Data collected date and time
DataCollDateTime
Date (and time, if applicable and known) the data were collected. This may be the date/time a particular examination or procedure was performed.
Date Performed
  
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 granularity known (e.g., year, year and month, complete date plus hours and minutes, etc.).
Dvorak MF, Wing PC, Fehlings MG, Vaccaro AR, Itshayek E, Biering-Sorensen F, Noonan VK. International Spinal Cord Injury Spinal Column Injury Basic Data Set. Spinal Cord. 2012 Jun 5. [Epub ahead of print]
Adult;Pediatric
Supplemental
3.0
7/24/2013
Aliases for variable name not defined
International SCI Spinal Column Injury Basic Data Set
The International SCI Data Sets
The International SCI Data Sets
Data collected date and time
 
Free-Form Entry
       
C06426
Spinal cord injury type
SpnlCrdInjTyp
The mechanism of spinal cord injury
Penetrating/blunt injury
Blunt;Penetrating;Unknown;
Blunt;Penetrating;Unknown;
Alphanumeric
Choose one
Dvorak MF, Wing PC, Fehlings MG, Vaccaro AR, Itshayek E, Biering-Sorensen F, Noonan VK. International Spinal Cord Injury Spinal Column Injury Basic Data Set. Spinal Cord. 2012 Jun 5. [Epub ahead of print]
Adult
Supplemental
3.0
7/17/2013
INJRMECH
International SCI Spinal Column Injury Basic Data Set
The International SCI Data Sets
The International SCI Data Sets
Spinal cord injury mechanism type
 
Single Pre-Defined Value Selected
       
C06427
Spinal column injury indicator
SpnlColmInjInd
Indicator of whether there was any disruption through the spinal column including the bony vertebral elements and their supporting ligaments, capsules, discs, and other supporting soft tissues.
Spinal column injury
Yes;No;Unknown;
Yes;No;Unknown;
Alphanumeric
Choose one
Dvorak MF, Wing PC, Fehlings MG, Vaccaro AR, Itshayek E, Biering-Sorensen F, Noonan VK. International Spinal Cord Injury Spinal Column Injury Basic Data Set. Spinal Cord. 2012 Jun 5. [Epub ahead of print]
Adult
Supplemental
3.0
7/17/2013
SPNCLINJ
International SCI Spinal Column Injury Basic Data Set
The International SCI Data Sets
The International SCI Data Sets
Spinal column injury indicator
 
Single Pre-Defined Value Selected
       
C06428
Spinal column injury extent type
SpnlColmInjExntTyp
In the presence of an injury through the spine, this element documents whether there is a single level spinal column injury or if there are multiple levels involved.
Single or multiple spinal column level injury (-ies)
Single;Multiple;Unknown;
Single;Multiple;Unknown;
Alphanumeric
Choose one
Dvorak MF, Wing PC, Fehlings MG, Vaccaro AR, Itshayek E, Biering-Sorensen F, Noonan VK. International Spinal Cord Injury Spinal Column Injury Basic Data Set. Spinal Cord. 2012 Jun 5. [Epub ahead of print]
Adult
Supplemental
3.0
7/17/2013
NOINJLVL
International SCI Spinal Column Injury Basic Data Set
The International SCI Data Sets
The International SCI Data Sets
Spinal column injury extent type
 
Single Pre-Defined Value Selected
       
C06429
Spinal column injury number
SpnlColmInjNum
Number assigned to the spinal column injury. The spinal column injuries are assigned numbers starting with the most cephalic spinal column injury.
Spinal column injury number
  
Numeric Values
Record the injury number if 2 or more injuries were experienced. Check against single/multiple variable to ensure only one record exists if Single was checked, and 2 or more records exist if Multiple was checked.
Dvorak MF, Wing PC, Fehlings MG, Vaccaro AR, Itshayek E, Biering-Sorensen F, Noonan VK. International Spinal Cord Injury Spinal Column Injury Basic Data Set. Spinal Cord. 2012 Jun 5. [Epub ahead of print]
Adult
Supplemental
3.0
7/17/2013
SPNINJNO
International SCI Spinal Column Injury Basic Data Set
The International SCI Data Sets
The International SCI Data Sets
Spinal column injury order of nearness to head number
 
Free-Form Entry
       
C05452
Spinal injury anatomic site
SpnlInjAntmicSit
Anatomic site(s) of the spine injury represented as level(s) of the spinal-injured vertebrae.
Spinal column injury level
C0;C1;C2;C3;C4;C5;C6;C7;T1;T2;T3;T4;T5;T6;T7;T8;T9;T10;T11;T12;L1;L2;L3;L4;L5;S1;S2;S3;S4-5;
C0;C1;C2;C3;C4;C5;C6;C7;T1;T2;T3;T4;T5;T6;T7;T8;T9;T10;T11;T12;L1;L2;L3;L4;L5;S1;S2;S3;S4-5;
Alphanumeric
This element documents the spinal column level (or vertebral level) and not the neurological level. This is to be filled in for each level of injury, starting with the most cephalic injury. In the case of multiple spinal injuries, a separate entry will be completed for each spinal column injury level. The code X99 should be used only if the level is completely unknown. .
Dvorak MF, Wing PC, Fehlings MG, Vaccaro AR, Itshayek E, Biering-Sorensen F, Noonan VK. International Spinal Cord Injury Spinal Column Injury Basic Data Set. Spinal Cord. 2012 Jun 5. [Epub ahead of print]
Adult;Pediatric
Supplemental
3.0
7/20/2013
SCI CDEs: SPNINLVL
International SCI Spinal Column Injury Basic Data Set
The International SCI Data Sets
The International SCI Data Sets
Spine injury anatomic site
 
Multiple Pre-Defined Values Selected
       
C06430
Disc posterior ligamentous complex injury indicator
DiscPostrLigmntComplxInjInd
For each of the level(s) of the spinal-injured vertebra(e) whether there was evidence of either a disc or a posterior ligamentous complex injury (occiput to sacrum). Posterior ligamentous complex injury is defined as the presence of acute disruption or injury to the posterior ligamentous complex through the spinal column from the occiput to the level of the sacrum. Disc Injury is defined as a traumatic disruption of the annulus of the disc through either distraction, translation, or rotation. It will also include a traumatic disc protrusion causing a spinal cord injury. Isolated traumatic disc injuries commonly occur with hyper-extension mechanisms in the cervical spine.
Disc/posterior ligamentous complex injury
Yes;No;Unknown;
Yes;No;Unknown;
Alphanumeric
Choose one - This is to be filled in for each level of injury, starting with the most cephalic injury. Acute injury to the posterior ligamentous complex should be diagnosed clinically or radiographically. Clinical evidence relies on the presence of marked local bruising and/or a palpable interspinous gap possibly with local tenderness. Radiologic diagnosis is dependent on the existence of a widened interspinous space on AP or lateral x-ray or reformatted CT of the spine, or by appropriate MRI. It may also appear as avulsion of a bone from the spinous processes or lamina. When a traumatic injury to the disc and annulus occurs in association with posterior element distraction, subluxation, or dislocation, this will be recorded as a disc and posterior ligamentous complex injury. In the case of multiple spinal column injuries, a separate entry will be filled out for each level of spinal column injury.
Boyd,M., Dvorak,M.F., & Fisher,C. Injury of the posterior ligamentous complex of the thoracolumbar spine: a prospective evaluation of the diagnostic accuracy of magnetic resonance imaging. Spine. 34, E841-E847 (2009). Dvorak MF, Wing PC, Fehlings MG, Vaccaro AR, Itshayek E, Biering-Sorensen F, Noonan VK. International Spinal Cord Injury Spinal Column Injury Basic Data Set. Spinal Cord. 2012 Jun 5. [Epub ahead of print] Dvorak,M.F., Fisher,C.G., Fehlings,M.G., Rampersaud,Y.R., Oner,F.C., & Aarabi B., Vaccaro,A.R. The surgical approach to subaxial cervical spine injuries: an evidence-based algorithm based on the SLIC classification system. Spine. 32, 2620-2629 (2007). Lee,J.Y., Vaccaro,A.R., Schweitzer,K.M. Jr., Lim,M.R., Baron,E.M., Rampersaud,R., Oner,F.C., Hulbert,R.J., Hedlund,R., Fehlings,M.G., Arnold,P., Harrop,J., Bono,C.M., Anderson,P.A., Patel,A., Anderson,D.G., & Harris,M.B. Assessment of injury to the thoracolumbar posterior ligamentous complex in the setting of normal-appearing plain radiography. Spine J. 7, 422-427 (2007). Patel,A.A. Dailey,A., Brodke,D.S., Daubs,M., Anderson,P.A., Hurlbert,R.J., & Vacccaro,A.R. Subaxial cervical spine trauma classification: the Subaxial Injury Classification system and case examples. Neurosurg. Focus. 25, E8 (2008). Rihn,J.A., Fisher,C., Harrop,J., Morrison,W., Yang,N., & Vaccaro,A.R. Assessment of the posterior ligamentous complex following acute cervical spine trauma. J. Bone Joint Surg. Am. 92, 583-589 (2010). Vaccaro,A.R., Rihn,J.A., Saravanja,D., Anderson,D.G., Hilibrand,A.S., Albert,T.J., Fehlings,M.G., Morrison,W., Flanders,A.E., France,J.C., Arnold,P., Anderson,P.A., Friel,B., Malfair,D., Street,J., Kwon,B., Paquette,S., Boyd,M., Dvorak,M.F., & Fisher,C. Injury of the posterior ligamentous complex of the thoracolumbar spine: a prospective evaluation of the diagnostic accuracy of magnetic resonance imaging. Spine. 34, E841-E847 (2009). Vaccaro,A.R., Lee,J.Y., Schweitzer,K.M. Jr., Lim,M.R., Baron,E.M., Oner,F.C., Hulbert,R.J., Hedlund,R., Fehlings,M.G., Arnold,P., Harrop,J., Bono,C.M., Anderson,P.A., Anderson,D.G., & Harris,M.B. Assessment of injury to the posterior ligamentous complex in thoracolumbar spine trauma. Spine J. 6, 524-528 (2006).
Adult
Supplemental
3.0
7/17/2013
DISCINJ
International SCI Spinal Column Injury Basic Data Set
The International SCI Data Sets
The International SCI Data Sets
Spine disc or posterior ligamentous complex injury indicator
 
Single Pre-Defined Value Selected
       
C06431
Spinal injury traumatic translation indicator
SpnlInjTraumtcTransltnInd
For each of the spinal column injury level(s) whether there was any traumatic translation (occiput to sacrum). Translation is defined as sagittal and/or coronal plane mal-alignment of adjacent vertebra as seen on lateral and/or AP radiographs respectively; it consists of movement of 3.5 mm or more of one cervical vertebra on top of the adjacent vertebra or movement of 2.5 mm or more of one thoracic and lumbar vertebra on top of the adjacent vertebra1 (on available imaging).
Traumatic translation
Yes;No;Unknown;
Yes;No;Unknown;
Alphanumeric
Choose one - This is to be filled in for each level of injury, starting with the most cephalic injury. Malalignment that was caused by a degenerative process such as degenerative spondylolisthesis is not considered traumatic translation, and the value "No" should be recorded. In the case of multiple spinal injuries, a separate entry will be filled out regarding each level.
Dvorak MF, Wing PC, Fehlings MG, Vaccaro AR, Itshayek E, Biering-Sorensen F, Noonan VK. International Spinal Cord Injury Spinal Column Injury Basic Data Set. Spinal Cord. 2012 Jun 5. [Epub ahead of print]
Adult
Supplemental
3.0
7/17/2013
TRTRANSL
International SCI Spinal Column Injury Basic Data Set
The International SCI Data Sets
The International SCI Data Sets
Spine injury traumatic translation indicator
 
Single Pre-Defined Value Selected
       
12-16-2018
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