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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 Musculoskeletal Basic Data Set
Item count: 26 (26 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.
No references available
Adult
Supplemental
3.0
7/17/2013
SITE
International SCI Musculoskeletal 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.
No references available
Adult;Pediatric
Supplemental
1.0
6/5/2014
Aliases for variable name not defined
International SCI Musculoskeletal 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.).
No references available
Adult;Pediatric
Supplemental
3.0
7/24/2013
Aliases for variable name not defined
International SCI Musculoskeletal Basic Data Set
The International SCI Data Sets
The International SCI Data Sets
Data collected date and time
 
Free-Form Entry
       
C06432
Neuro-Musculoskeletal history before spinal cord lesion type
NeurmsckltlHstBfrSpnlCrdLsnTyp
Type of neuro-musculoskeletal history before spinal cord lesion
 
Pre-existing congenital deformities of the spine and spinal cord;Pre-existing degenerative spine disorders;Pre-existing systemic neuro-degenerative disorders;
Pre-existing congenital deformities of the spine and spinal cord;Pre-existing degenerative spine disorders;Pre-existing systemic neuro-degenerative disorders;
Alphanumeric
No instructions available
No references available
Adult
Supplemental
3.0
7/17/2013
Refer to SCI CDE Annotated Form
International SCI Musculoskeletal Basic Data Set
The International SCI Data Sets
The International SCI Data Sets
Neuro-Musculoskeletal history before spinal cord lesion type
 
Multiple Pre-Defined Values Selected
       
C19202
Pre spinal cord lesion neuro-musculoskeletal history type
PreSpnlCrdLsnNroMscSkelHistTyp
Type of neuro-musculoskeletal history prior to spinal cord lesion
Neuro-musculoskeletal history before spinal cord lesion
None;Pre-existing congenital deformities of the spine and spinal cord;Pre-existing degenerative spine disorders;Pre-existing systemic neuro-degenerative disorders;
None;Pre-existing congenital deformities of the spine and spinal cord;Pre-existing degenerative spine disorders;Pre-existing systemic neuro-degenerative disorders;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
6/3/2014
Aliases for variable name not defined
International SCI Musculoskeletal Basic Data Set
The International SCI Data Sets
The International SCI Data Sets
  
Single Pre-Defined Value Selected
       
C19203
Pre-existing congenital deformity specify diagnosis name
CongentlDeformSpecifyDiagName
Specifies name of pre-existing congenital deformity of the spine and spinal cord
If yes, specify diagnosis and location
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
6/3/2014
Aliases for variable name not defined
International SCI Musculoskeletal Basic Data Set
The International SCI Data Sets
The International SCI Data Sets
 
4000
Free-Form Entry
       
C19204
Pre-existing congenital deformity specify anatomic site
CongentlDeformSpcfyAntmicSite
Anatomic site of pre-existing congenital deformity of spine and spinal cord
If yes, specify diagnosis and location
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
6/3/2014
Aliases for variable name not defined
International SCI Musculoskeletal Basic Data Set
The International SCI Data Sets
The International SCI Data Sets
 
4000
Free-Form Entry
       
C00322
Medical history condition text
MedclHistCondTxt
Verbatim text for the medical condition/disease reported by the participant/subject or documented in the medical record as part of medical history
If previous surgery due to this, description
  
Alphanumeric
Document the specific diagnosis for each pre-existing neuro-musculoskeletal condition and document the location/anatomic site if not obvious. Previous surgeries due to any of the conditions should also be documented with this element. Record each condition or surgery on separate lines.
No references available
Adult;Pediatric
Core
3.0
7/25/2013
Refer to SCI CDE Annotated Form
International SCI Musculoskeletal Basic Data Set
The International SCI Data Sets
The International SCI Data Sets
Medical history condition text
4000
Free-Form Entry
     
2003874
 
C18174
Pre-exist diagnosis location text
PrexstDiagnsisLoctnTxt
Text describing the diagnosis and location of the pre-existing neuro-musculoskeletal history of either the spin and spinal cord, degenerative spine disorders, or systemic neuro-degenerative disorders.
If yes, specify Diagnosis and Location
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
3.0
7/17/2013
Aliases for variable name not defined
International SCI Musculoskeletal Basic Data Set
The International SCI Data Sets
The International SCI Data Sets
 
255
Free-Form Entry
       
C00313
Medical history condition SNOMED CT code
MedclHistCondSNOMEDCTCode
Systematized Nomenclature Of Medicine Clinical Terms (SNOMED CT) code for medical condition/disease reported by the participant/subject
   
Alphanumeric
Code each of the pre-existing neuro-musculoskeletal conditions and/or surgeries using SNOMED CT
SNOMED CT Codes (http://www.nlm.nih.gov/research/umls/Snomed/snomed_main.html)
Adult;Pediatric
Core
3.0
7/25/2013
Aliases for variable name not defined
International SCI Musculoskeletal Basic Data Set
The International SCI Data Sets
The International SCI Data Sets
Medical history condition SNOMED CT code
255
Free-Form Entry
       
C00317
Medical history condition start date and time
MedclHistCondStrtDateTime
Date (and time, if applicable and known) for the start of an event in the participant's/subject's medical history
   
Date or Date & Time
Document the date of the surgery related to the pre-existing neuro-musculoskeletal condition. 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.) and in the format acceptable to the study database.
No references available
Adult;Pediatric
Supplemental
3.0
7/25/2013
Aliases for variable name not defined
International SCI Musculoskeletal Basic Data Set
The International SCI Data Sets
The International SCI Data Sets
Medical history condition start date and time
 
Free-Form Entry
     
2543596
 
C06435
Neuro-Musculoskeletal condition type
NeuroMuscskltlCondTyp
Type of neuro-musculoskeletal condition experienced or diagnosed
Fractures, heterotopic ossifications, contractures, or degenerative changes/overuse
Fracture;Heterotopic ossification;Contracture;Degenerative change/overuse;
Fracture;Heterotopic ossification;Contracture;Degenerative change/overuse;
Alphanumeric
Identifies whether the anatomic site and laterality type describes the fracture, heterotopic ossification, contracture, or degenerative change/overuse
No references available
Adult
Supplemental
3.0
7/17/2013
Aliases for variable name not defined
International SCI Musculoskeletal Basic Data Set
The International SCI Data Sets
The International SCI Data Sets
Neuro-Musculoskeletal condition type
 
Single Pre-Defined Value Selected
       
C06436
Neuro-Musculoskeletal condition anatomic site
NeuroMuscskltlCondAntmicSite
Anatomic site of the neuro-musculoskeletal condition experienced or diagnosed
Location
Neck/Cervical spine;Shoulder/Humerus;Elbow;Forearm;Wrist;Hand;Upper back/Thoracic spine;Lower back/Lumbar spine;Pelvis;Hip/Femur;Knee;Tibia/Fibula;Ankle;Foot;
Neck/Cervical spine;Shoulder/Humerus;Elbow;Forearm;Wrist;Hand;Upper back/Thoracic spine;Lower back/Lumbar spine;Pelvis;Hip/Femur;Knee;Tibia/Fibula;Ankle;Foot;
Alphanumeric
Choose one for each neuro-musculoskeletal condition (fracture, heterotopic ossification, contracture, or degenerative change/overuse)
Fergusson D, Hutton B and Drodge A. The epidemiology of major joint contractures: A systematic review of the literature. Clinical Orthopaedics and Related Research. 2006;14:22-29. Apple, D, Cody, R, Allen, A. Overuse Syndrome of the Upper Limb in People With Spinal Cord Injury. In: Apple, DF, Editor, Physical Fitness: A guide for individuals with spinal cord injury. Journal of Rehabilitation Research and Development, Chapter 5, 1996 (Clinical Supplement): 97-108
Adult
Supplemental
3.0
7/17/2013
FRACTLOC;
International SCI Musculoskeletal Basic Data Set
The International SCI Data Sets
The International SCI Data Sets
Neuro-Musculoskeletal condition anatomic site
 
Single Pre-Defined Value Selected
       
C02411
Laterality type
LatTyp
Laterality type relative to the anatomic site of the body examined or affected
Right/Left
  
Alphanumeric
Document the location (anatomic site and side) of each fracture
No references available
Adult;Pediatric
Supplemental
3.0
8/28/2013
Aliases for variable name not defined
International SCI Musculoskeletal Basic Data Set
The International SCI Data Sets
The International SCI Data Sets
Laterality type
 
Single Pre-Defined Value Selected
       
C06439
Fracture date
FractrDate
Date (and time, if applicable and known) the fracture occurred at each site
Date of fracture
  
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.).
No references available
Adult
Supplemental
3.0
7/17/2013
FRACTRDT
International SCI Musculoskeletal Basic Data Set
The International SCI Data Sets
The International SCI Data Sets
Fracture date and time
 
Free-Form Entry
       
C06440
Fragility fracture indicator
FragltyFractrInd
Indicator of whether the fracture is a fragility fracture. Fragility fractures result from low force injuries insufficient to fracture normal bone
 
Yes;No;Unknown;
Yes;No;Unknown;
Alphanumeric
Choose one
Jiang SD, Dai LY, Jiang LS. Osteoporosis after spinal cord injury. Osteoporos Int 2006; 17: 180-192. Craven BC, Robertson LA, McGillivray CF, Adachi JD. Detection and Treatment of Sublesional Osteoporosis Among Patients with Chronic Spinal Cord Injury: Proposed Paradigms. Topics in Spinal Cord Rehabilitation 2009; 14(4):1-22.
Adult
Supplemental
3.0
7/17/2013
FRGLFRAC
International SCI Musculoskeletal Basic Data Set
The International SCI Data Sets
The International SCI Data Sets
Fragility fracture indicator
 
Single Pre-Defined Value Selected
       
C06447
Spasticity spasm indicator
SpasctySpsmInd
Indicator of the presence of spasticity/spasms
Presence of spasticity/spasms
Yes;No;Unknown;
Yes;No;Unknown;
Alphanumeric
The presence of spasticity / spasms in the upper and lower extremities is captured using the modified Ashworth scale (MAS), i.e. greater than 1 on the MAS, or observation of spasms.
Bohannon RW, Smith MB. Interrater reliability of a Modified Ashworth Scale of muscle spasticity. Physical Therapy. 1987:67:206-7.
Adult
Supplemental
3.0
7/17/2013
SPASTICI
International SCI Musculoskeletal Basic Data Set
The International SCI Data Sets
The International SCI Data Sets
Spasticity or spasms indicator
 
Single Pre-Defined Value Selected
       
C06448
Spasticity spasm treat last four week indicator
SpasctySpsmTrtLst4WkInd
Indicator of whether the person with SCI has received any kind of treatment for spasticity/spasms within the last four weeks.
Treatment for spasticity/spasms within the last four weeks?
Yes;No;Unknown;
Yes;No;Unknown;
Alphanumeric
YES should be indicated if any kind of treatment has been used for spasticity over the last four weeks regardless of whether it was or was not prescribed.
No references available
Adult
Supplemental
3.0
7/17/2013
SPSTXL4W
International SCI Musculoskeletal Basic Data Set
The International SCI Data Sets
The International SCI Data Sets
Spasticity or spasms treated in last four weeks indicator
 
Single Pre-Defined Value Selected
       
C06449
Heterotopic ossification detection method type
HetrotpcOssfctnDetctnMethdTyp
Type of method used to document the heterotopic ossification
Method used to document heterotopic ossification, if present
X-ray;CT-scan;Triple phase bone scan;Other, specify;
X-ray;CT-scan;Triple phase bone scan;Other method;
Alphanumeric
Indicate the method used to confirm the presence of heterotopic ossification
No references available
Adult
Supplemental
3.0
7/17/2013
HODOCMTH
International SCI Musculoskeletal Basic Data Set
The International SCI Data Sets
The International SCI Data Sets
Heterotopic ossification detection method type
 
Multiple Pre-Defined Values Selected
       
C18798
Heterotopic ossification detection method other text
HetrotpcOssfctnDetctnMethdOTH
The free-text field related to 'Heterotopic ossification detection method type' specifying other text. Type of method used to document the heterotopic ossification
Other, specify
  
Alphanumeric
Indicate the method used to confirm the presence of heterotopic ossification
No references available
Adult
Supplemental
3.0
7/17/2013
Aliases for variable name not defined
International SCI Musculoskeletal Basic Data Set
The International SCI Data Sets
The International SCI Data Sets
 
4000
Free-Form Entry
       
C06450
Neuromuscular scoliosis indicator
NeuromusclrSclsisInd
Indicator of any appreciable observable lateral deviation in the normally straight vertical line of the spine due to the sequelae of spinal cord injury (SCI)
Scoliosis
Yes;No;Unknown;
Yes;No;Unknown;
Alphanumeric
Choose one
Brown JC, Swank SM, Matta J, Barras DM. Late spinal deformity in quadriplegic children. J Pediatric Orthopedics, 1984;4:456-461.
Adult
Supplemental
3.0
7/17/2013
SCLIOSIS
International SCI Musculoskeletal Basic Data Set
The International SCI Data Sets
The International SCI Data Sets
Spinal cord injury related neuromuscular scoliosis indicator
 
Single Pre-Defined Value Selected
       
C06451
Neuromuscular scoliosis assessment method type
NeromusclrSclsisAssmntMethdTyp
Type of method(s) used to determine the presence of neuromuscular scoliosis.
If scoliosis present, method of assessment
Observation in sitting;Observation in standing;Plain radiographs in sitting;Plain radiographs in standing;
Observation in sitting;Observation in standing;Plain radiographs in sitting;Plain radiographs in standing;
Alphanumeric
Check all that apply
O'Brien MF. (2005). Spinal Deformity Study Group Radiographic Measurement Manual Medtronic Sofamor Danek USA, Inc.
Adult
Supplemental
3.0
7/17/2013
Refer to SCI CDE Annotated Form
International SCI Musculoskeletal Basic Data Set
The International SCI Data Sets
The International SCI Data Sets
Neuromuscular scoliosis assessment method type
 
Multiple Pre-Defined Values Selected
       
C06452
Neuromuscular scoliosis surgery treat indicator
NeuromusclrSclsisSurgTrtInd
Indicator of whether the scoliosis has been surgical treated.
Surgically treated?
Yes;No;Unknown;
Yes;No;Unknown;
Alphanumeric
Choose one
Brown JC, Swank SM, Matta J, Barras DM. Late spinal deformity in quadriplegic children. J Pediatric Orthopedics, 1984;4:456-461.
Adult;Pediatric
Supplemental
3.0
7/17/2013
Refer to SCI CDE Annotated Form
International SCI Musculoskeletal Basic Data Set
The International SCI Data Sets
The International SCI Data Sets
Neuromuscular scoliosis surgically treated indicator
 
Single Pre-Defined Value Selected
       
C05106
Surgical or therapeutic procedure start date and time
SurgTherapuProcStartDateTime
Date (and time, if applicable and known) on which the surgical or therapeutic procedure started
Date of surgery
  
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.).
Brown JC, Swank SM, Matta J, Barras DM. Late spinal deformity in quadriplegic children. J Pediatric Orthopedics, 1984;4:456-461.
Adult;Pediatric
Supplemental
3.0
7/25/2013
Refer to SCI CDE Annotated Form
International SCI Musculoskeletal Basic Data Set
The International SCI Data Sets
The International SCI Data Sets
Surgical or therapeutic procedure start date and time
 
Free-Form Entry
       
C06454
Musculoskeletal other problem text
MusclskltlOthrProbTxt
Text describing the presence of any other musculoskeletal problems not described elsewhere.
Other musculoskeletal problems; specify
  
Alphanumeric
Specify any other type of musculoskeletal problem not captured in the other variables. This could among other issues include gibbus formation in relation to Pott's paraplegia.
Benzagmout M, Boujraf S, Chakour K, Chaoui Mel F. Pott's disease in children. Surg Neurol Int. 2011 Jan 11;2:1. Moon MS, Moon JL, Moon YW, Kim SS, Kim SS, Sun DH, Choi WT. Pott's paraplegia in patients with severely deformed dorsal or dorsolumbar spines: treatment and prognosis. Spinal Cord. 2003 Mar;41(3):164-71.
Adult
Supplemental
3.0
7/17/2013
MUSSKOTH
International SCI Musculoskeletal Basic Data Set
The International SCI Data Sets
The International SCI Data Sets
Musculoskeletal other problems indicator
255
Free-Form Entry
       
12-19-2018
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