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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: Therapies
CRF: Surgical and Procedural Interventions
Item count: 54 (54 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
C21668
ICD-10-CM code
SurgTherapuProcICD10CMCode
Code from the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-10-CM) for the selected surgical procedure
Surgical or therapeutic procedure ICD-10-CM code
MB;C;T;S;G;Other, specify;
Muscle biopsy;Contracture Release;Tracheostomy;Scoliosis;Gastrostomy;Other specify;
Alphanumeric
Choose all that apply. Recommend collection during acute hospital care. Document information on a continuing basis and check/update on discharge/death from review of medical charts. Add date stamp for when assessed. In previous trials and studies, information on surgical procedures has typically been documented in free text format, thus often precluding any meaningful analysis. We therefore propose the use of ICD-10 coding.
International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM): http://www.cdc.gov/nchs/icd/icd10cm.htm#icd2016
Adult;Pediatric
Supplemental
1.0
8/28/2013
Aliases for variable name not defined
Surgical and Procedural Interventions
Therapies
Treatment/Intervention Data
  
Multiple Pre-Defined Values Selected
       
C21669
Surgical or therapeutic procedure ICD-10-CM other text
SurgTherapuProcICD10CMOTH
The free-text field related to 'Surgical or therapeutic procedure ICD-10-CM code' specifying other text. Code from the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) for the selected surgical procedure
Surgical or therapeutic procedure ICD-9-CM code other, specify
  
Alphanumeric
Choose all that apply. Recommend collection during acute hospital care. Document information on a continuing basis and check/update on discharge/death from review of medical charts. Add date stamp for when assessed. In previous trials and studies, information on surgical procedures has typically been documented in free text format, thus often precluding any meaningful analysis. We therefore propose the use of ICD-9 coding.
International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) for permissible values: http://www.cdc.gov/nchs/icd/icd9cm.htm
Adult;Pediatric
Supplemental
1.0
5/27/2014
Aliases for variable name not defined
Surgical and Procedural Interventions
Therapies
Treatment/Intervention Data
 
4000
Free-Form Entry
       
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
Start 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 granularity known (e.g., year, year and month, complete date plus hours and minutes, etc.).
No references available
Adult;Pediatric
Supplemental
3.0
7/25/2013
Refer to SCI CDE Annotated Form
Surgical and Procedural Interventions
Therapies
Treatment/Intervention Data
Surgical or therapeutic procedure start date and time
 
Free-Form Entry
       
C05104
Inpatient or outpatient status
InpatOutpatStatus
Status describing whether the participant/subject was admitted to the hospital and stayed overnight
Inpatient or Outpatient
Inpatient;Outpatient;Home health;
Inpatient;Outpatient;Home health;
Alphanumeric
Choose one.
No references available
Adult;Pediatric
Supplemental
3.0
7/20/2013
Aliases for variable name not defined
Surgical and Procedural Interventions
Therapies
Treatment/Intervention Data
Inpatient or outpatient status
 
Single Pre-Defined Value Selected
       
C05105
Surgical or therapeutic procedure end date and time
SurgTherapuProcEndDateTime
Date on which the surgical or therapeutic procedure ended
End 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 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
Surgical and Procedural Interventions
Therapies
Treatment/Intervention Data
Surgical or therapeutic procedure end date and time
 
Free-Form Entry
       
C19080
Spinal intervention surgical procedure performance nonparticipating facility indicator
SpnIntrvSrgProcPrfNoprtFcltInd
Indicates performance of a spinal intervention or a surgical procedure at a nonparticipating facility
Was a spinal intervention or a surgical procedure performed at a nonparticipating facility?
No;Unknown;Yes;
Using available documentation, able to reliably determine intervention was NOT performed;Documentation not available or not complete, therefore unable to reliably determine if intervention was performed;Please complete the questions below;
Alphanumeric
Choose one.
No references available
Adult;Pediatric
Supplemental
1.0
5/27/2014
Aliases for variable name not defined
Surgical and Procedural Interventions
Therapies
Treatment/Intervention Data
  
Single Pre-Defined Value Selected
       
C19081
Spinal intervention or surgical procedure performance study facility indicator
SpnIntrvSrgProcPrfStdyFcltyInd
Indicator for performance of a spinal intervention or a surgical procedure at the study facility
Was a spinal intervention or surgical procedure performed at the study facility?
No;Unknown;Yes;
No;Unknown;Please complete the questions below;
Alphanumeric
Choose one.
No references available
Adult;Pediatric
Supplemental
1.0
5/27/2014
Aliases for variable name not defined
Surgical and Procedural Interventions
Therapies
Treatment/Intervention Data
  
Single Pre-Defined Value Selected
       
C19082
Interventionprocedure date
IntervProcedDate
Date (and time if applicable and known) intervention/procedure was performed
Intervention/procedure 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 granularity known (e.g., year, year and month, complete date plus hours and minutes, etc.).
Dvorak MF, Itshayek E, Fehlings MG, Vaccaro AR, Wing PC, Biering-Sorensen F, Noonan VK. International Spinal Cord Injury: Spinal Interventions and Surgical Procedures Basic Data set. Spinal Cord. 2015 Feb;53(2):155-65. doi: 10.1038/sc.2014.182.
Adult;Pediatric
Supplemental
1.0
5/27/2014
Aliases for variable name not defined
Surgical and Procedural Interventions
Therapies
Treatment/Intervention Data
  
Free-Form Entry
       
C19083
Non-surgical bed rest external immobilization indicator
NonSurgBedRestExterImmobilInd
The indicator related to non-surgical bed rest and external immobilization
Non-Surgical bed rest and external immobilization
No;Enforced bed-rest;External immobilizing device;Both enforced bed-rest and external immobilizing device;Unknown;
No;Enforced bed-rest;External immobilizing device;Both enforced bed-rest and external immobilizing device;Unknown;
Alphanumeric
Choose one.
This includes prescriptive bed-rest which usually involves more than 10 days of enforced bed-rest and does not include the normal recumbency which follows injury or surgery as a patient is slowly mobilized. The application of external spinal immobilization devices such as braces, casts, halo thoracic vests, etc. is also a specific spine intervention.
Dvorak MF, Itshayek E, Fehlings MG, Vaccaro AR, Wing PC, Biering-Sorensen F, Noonan VK. International Spinal Cord Injury: Spinal Interventions and Surgical Procedures Basic Data set. Spinal Cord. 2015 Feb;53(2):155-65. doi: 10.1038/sc.2014.182.
Adult;Pediatric
Supplemental
1.0
5/27/2014
Aliases for variable name not defined
Surgical and Procedural Interventions
Therapies
Treatment/Intervention Data
  
Single Pre-Defined Value Selected
       
C19084
Spinal elements close manipulation & reduction indicator
SpnlElmntsClsdManipul&ReducInd
The indicator related to closed manipulation and/or reduction of spinal elements in a spinal intervention
SpnlInterv- Closed manipulation and/or reduction of spinal elements
Yes;No;Unknown;
Yes;No;Unknown;
Alphanumeric
Choose one.
Performance of a closed reduction or manipulation may require application of pins, tongs, head halters, or various other forms of traction and then the subsequent manipulation. This may be performed over several hours or the patient may be left in traction for several days in an attempt to slowly effect a reduction.
Dvorak MF, Itshayek E, Fehlings MG, Vaccaro AR, Wing PC, Biering-Sorensen F, Noonan VK. International Spinal Cord Injury: Spinal Interventions and Surgical Procedures Basic Data set. Spinal Cord. 2015 Feb;53(2):155-65. doi: 10.1038/sc.2014.182.
Adult;Pediatric
Supplemental
1.0
5/27/2014
Aliases for variable name not defined
Surgical and Procedural Interventions
Therapies
Treatment/Intervention Data
  
Single Pre-Defined Value Selected
       
C19085
Surgical procedure approach type
SurgProcedApproachTyp
The type of approach taken in surgical procedure
SurgProced- Approach
No;Anterior open surgical procedure;Posterior open surgical procedure;Both anterior and posterior open surgical procedures;Unknown;
No;Anterior open surgical procedure;Posterior open surgical procedure;Both anterior and posterior open surgical procedures;Unknown;
Alphanumeric
Choose one.
Anterior surgical approaches include all anterior and lateral cervical approaches as well as any thoracic or lumbar approach that visualizes the vertebral body or inter-vertebral disk such as thoracotomy, thoracoscopy, thoracoplasty, thoraco-abdominal, retro-peritoneal, trans-peritoneal, or variations of lateral lumbar approaches. A posterior approach includes midline posterior incisions, paraspinal and Wiltse type incisions that expose the lamina, facet joints, and/or the transverse processes. Also included in posterior approaches are percutaneous or minimally invasive surgical techniques that enable insertion of spinal implants through stab incisions.
Dvorak MF, Itshayek E, Fehlings MG, Vaccaro AR, Wing PC, Biering-Sorensen F, Noonan VK. International Spinal Cord Injury: Spinal Interventions and Surgical Procedures Basic Data set. Spinal Cord. 2015 Feb;53(2):155-65. doi: 10.1038/sc.2014.182.
Adult;Pediatric
Supplemental
1.0
5/27/2014
Aliases for variable name not defined
Surgical and Procedural Interventions
Therapies
Treatment/Intervention Data
  
Single Pre-Defined Value Selected
       
C19087
Closure date & time
ClosureDateTime
Date and time the closure was performed by indicating the month, day, and year for the date and am, pm, or 24 hour clock for time
Date and time of the intervention, completion or surgical closure
  
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, Itshayek E, Fehlings MG, Vaccaro AR, Wing PC, Biering-Sorensen F, Noonan VK. International Spinal Cord Injury: Spinal Interventions and Surgical Procedures Basic Data set. Spinal Cord. 2015 Feb;53(2):155-65. doi: 10.1038/sc.2014.182.
Adult;Pediatric
Supplemental
1.0
5/27/2014
Aliases for variable name not defined
Surgical and Procedural Interventions
Therapies
Treatment/Intervention Data
  
Free-Form Entry
       
C19088
Open reduction indicator
OpenReductionInd
Indicator for open reduction
Surgical procedure - open reduction
Yes;No;Unknown;
Yes;No;Unknown;
Alphanumeric
Most commonly, open reduction is performed through a posterior surgical approach, but may, on occasion such as the anterior cervical discectomy which is followed by a reduction of a facet dislocation, be performed through an anterior approach.
Dvorak MF, Itshayek E, Fehlings MG, Vaccaro AR, Wing PC, Biering-Sorensen F, Noonan VK. International Spinal Cord Injury: Spinal Interventions and Surgical Procedures Basic Data set. Spinal Cord. 2015 Feb;53(2):155-65. doi: 10.1038/sc.2014.182.
Adult;Pediatric
Supplemental
1.0
5/27/2014
Aliases for variable name not defined
Surgical and Procedural Interventions
Therapies
Treatment/Intervention Data
  
Single Pre-Defined Value Selected
       
C19089
Neural element direct decompression indicator
NeuralElmntDirectDecomprssnInd
Indicator of direct decompression of neural elements
Direct decompression of neural elements
Yes;No;Unknown;
Yes;No;Unknown;
Alphanumeric
This includes removing bone or disk that may be compressing one or more nerve roots. Direct surgical decompression does NOT include the indirect reduction that occurs with an open or closed reduction of neural elements, which may restore the spinal canal dimensions or restore the anatomy of neural foraminae. This may be performed through either an anterior or posterior surgical approach but requires direct visualization of the neural elements (dura). As such, it cannot be performed percutaneously.
Dvorak MF, Itshayek E, Fehlings MG, Vaccaro AR, Wing PC, Biering-Sorensen F, Noonan VK. International Spinal Cord Injury: Spinal Interventions and Surgical Procedures Basic Data set. Spinal Cord. 2015 Feb;53(2):155-65. doi: 10.1038/sc.2014.182.
Adult;Pediatric
Supplemental
1.0
5/27/2014
Aliases for variable name not defined
Surgical and Procedural Interventions
Therapies
Treatment/Intervention Data
  
Single Pre-Defined Value Selected
       
C19090
Stabilization and fusion segment number
StablizationFusionSegmentNum
The number of the stabilization and fusion segment in the surgical procedure
Stabilization & Fusion Segment Number
C0-C07;L1-L5;S1-S5;T1-T12;
C0-C07;L1-L5;S1-S5;T1-T12;
Alphanumeric
When a surgical procedure is performed it may or may not include the insertion of instrumentation to stabilize vertebral levels and may or may not involve a formal fusion procedure with or without insertion of local or distantly harvested structural or non-structural bone graft or substitutes. This variable encompasses any and all of the above in one single data point. This variable orders and assigns numbers to each region of the spine which has undergone a spinal instrumentation or fusion procedure beginning with the most cephalic region that has been instrumented and fused and progressing to the most caudal fused region regardless of which level of spinal column injury is the most severe or significant injury or which injury may or may not contribute to the patient’s neurological
injury. If a patient has had a vC5-6 anterior fusion and also a vT12 to vL2 posterior instrumentation, then each of these non-contiguous instrumented and fused regions would receive a numerical score beginning with 1 for the vC5-6 fusion and 2 for the vT12-vL2 instrumentation.
Dvorak MF, Itshayek E, Fehlings MG, Vaccaro AR, Wing PC, Biering-Sorensen F, Noonan VK. International Spinal Cord Injury: Spinal Interventions and Surgical Procedures Basic Data set. Spinal Cord. 2015 Feb;53(2):155-65. doi: 10.1038/sc.2014.182.
Adult;Pediatric
Supplemental
1.0
5/27/2014
Aliases for variable name not defined
Surgical and Procedural Interventions
Therapies
Treatment/Intervention Data
  
Single Pre-Defined Value Selected
       
C19100
Stabilization and fusion segment level
StabilizationFusionSegmentLvl
Level of stabilization and fusion segment in surgical procedure
Stabilization & Fusion Segment Level
Cervical;Lumbar;Sacral;Thoracic;Unknown Cervical;Unknown Level;Unknown Lumbar;Unknown Sacral;Unknown Thoracic;
Cervical;Lumbar;Sacral;Thoracic;Unknown Cervical;Unknown Level;Unknown Lumbar;Unknown Sacral;Unknown Thoracic;
Alphanumeric
This variable is used to document each of the level(s) of spinal fusion or instrumentation. For a single fused motion segment injury, such as a C5-6 anterior fusion and plating, both the cephalic and caudal of the two adjacent vertebrae are identified and separated by a dash (-). The prefix “v” references the fact that we are referring to a spinal column level (vertebral level) and helps distinguish the spinal column injury level from the neurological level. The cervical region is represented by vC00-vC07. The occiput is considered to be the most cephalic vertebral level and is designated by vC00. The thoracic region is represented by vT01-vT12.
Dvorak MF, Itshayek E, Fehlings MG, Vaccaro AR, Wing PC, Biering-Sorensen F, Noonan VK. International Spinal Cord Injury: Spinal Interventions and Surgical Procedures Basic Data set. Spinal Cord. 2015 Feb;53(2):155-65. doi: 10.1038/sc.2014.182.
Adult;Pediatric
Supplemental
1.0
5/28/2014
Aliases for variable name not defined
Surgical and Procedural Interventions
Therapies
Treatment/Intervention Data
  
Single Pre-Defined Value Selected
       
C05453
Hypotensive episode indicator
HypotnsnEpiInd
Indicator of hypotensive episode. In adults, hypotensive episode is defined as systolic blood pressure < 90 mmHg. In children, it is defined as systolic blood pressure < 5th percentile for age
Did participant/subject experience hypotensive episode (systolic BP < 90 mm Hg for longer than 5 minutes)?
Yes;No;Suspected;Unknown;
Yes;No;Suspected;Unknown;
Alphanumeric
Choose one.
McHugh GS, Engel DC, Butcher I, et al. Prognostic value of secondary insults in traumatic brain injury: results from the IMPACT study. J Neurotrauma. Feb 2007;24(2):287-93. Silverstone P. Pulse oxymetry of at the road side: a study of pulse oxymetry in immediate care. BMJ. Mar 1989;298(6675):711-13. Stocchetti N, Furlan A, Volta F. Hypoxemia and arterial hypotension at the accident side in head injury. J Trauma. 1996;40:764-67. De Witt DS, Jenkins LW, Prough DS. Enhanced vulnerability to secondary ischemic insults after experimental traumatic brain injury. New Horizon. Aug 1995;3(3):376-383.
Adult;Pediatric
Supplemental
3.0
7/20/2013
Aliases for variable name not defined
Surgical and Procedural Interventions
Therapies
Treatment/Intervention Data
Hypotensive episode indicator
 
Single Pre-Defined Value Selected
       
C05457
Hypoxic episode indicator
HypxEpiInd
Indicator of hypoxic episode. Hypoxic episode is defined as partial pressure of oxygen in the blood (paO2) < 8kPa (60mmHg) or oxygen saturation (SaO2) < 90%
Did participant/subject experience hypoxic episode [oxygen saturation (SpO2) less than 90% for > 5 min]?
Yes;No;Suspected;Unknown;
Yes;No;Suspected;Unknown;
Alphanumeric
Choose one.
McHugh GS, Engel DC, Butcher I, et al. Prognostic value of secondary insults in traumatic brain injury: results from the IMPACT study. J Neurotrauma. Feb 2007;24(2):287-93. Silverstone P. Pulse oxymetry of at the road side: a study of pulse oxymetry in immediate care. BMJ. Mar 1989;298(6675):711-13. Stocchetti N, Furlan A, Volta F. Hypoxemia and arterial hypotension at the accident side in head injury. J Trauma. 1996;40:764-67. De Witt DS, Jenkins LW, Prough DS. Enhanced vulnerability to secondary ischemic insults after experimental traumatic brain injury. New Horizon. Aug 1995;3(3):376-383. Steyerberg EW, Mushkudiani N, Perel P, et al. Predicting outcome after traumatic brain injury: development and international validation of prognostic scores based on admission characteristics. PLoS Med. Aug 2008;5(8):e165. MRC CRASH Trial Collaborators. Predicting outcome after traumatic brain injury: practical prognostic models based on large cohort of international patients. BMJ. Feb 2008;336(7641):425-429. Signorini DF, Andrews PJ, Jones PA, et al. Adding insult to injury: the prognostic value of early secondary insults for survival after traumatic brain injury. J Neurol Neurosurg Psychiatry. Jan 1999;66(1):26-31 Pediatric-specific reference(s): Adelson PD, Bratton SL, Carney, NA, Chesnut RM, du Coudray HE, Goldstein B, Kochanek PM, Miller HC, Partington MD, Selden NR, Warden CR, Wright DW. Guidelines for the acute medical management of severe traumatic brain injury in infants, children, and adolescents. Chapter 6. Threshold for treatment of intracranial hypertension. (2003a). Pediatr Crit Care Med 4:S25-S27.
Adult;Pediatric
Supplemental
3.0
7/20/2013
Aliases for variable name not defined
Surgical and Procedural Interventions
Therapies
Treatment/Intervention Data
Hypoxic episode indicator
 
Single Pre-Defined Value Selected
       
C19091
Urinary tract surgical procedure indicator
UrinaryTractSurgProcedInd
Indicator for surgical procedure on the urinary tract
Surgical Procedures on the Urinary Tract
Yes;No;Unknown;
Yes;No;Unknown;
Alphanumeric
Choose one.
Bladder stone or upper urinary tract stone removal includes any type of removal, including via endoscopy, extracorporal shock wave lithotripsy (ESWL), or open lithotomy.
The ileoureterostomy is corresponding to the formely ileal loop or ureteroileocutaneostomy (Bricker conduit). The continent catheterizable valves, include Monteand Mitrofanoff procedures. For other possible surgical procedures it is recommended to write them in a textfield, from which it will be possible to retrieve more detailed data when necessary. If there is more than one “other” surgical procedure, this field may be duplicated or triplicated, with the latest date given when the particular procedure has been performed. If the information has been documented once and noadditional surgical procedures on the urinary tract have been performed it is not necessary fill in this item again, to avoid redundant data.
Biering-Sørensen F, Craggs M, Kennelly M, Schick E, Wyndaele JJ. International Lower Urinary Tract Function Basic Spinal Cord Injury Data Set. Spinal Cord 2008 May;46(5):325-30.
Adult;Pediatric
Supplemental
1.0
5/27/2014
Aliases for variable name not defined
Surgical and Procedural Interventions
Therapies
Treatment/Intervention Data
  
Single Pre-Defined Value Selected
       
C19092
Urinary tract surgical procedure other text
UrinaryTractSurgProcedOTH
The free text field related to "Urinary tract surgical procedures indicator" specifying the other text. The type of procedure.
Other, specify
  
Alphanumeric
No instructions available
Biering-Sørensen F, Craggs M, Kennelly M, Schick E, Wyndaele JJ. International Lower Urinary Tract Function Basic Spinal Cord Injury Data Set. Spinal Cord 2008 May;46(5):325-30.
Adult;Pediatric
Supplemental
1.0
5/27/2014
Aliases for variable name not defined
Surgical and Procedural Interventions
Therapies
Treatment/Intervention Data
 
4000
Free-Form Entry
       
C19093
Gastrointestinal tract surgical procedure indicator
GastroTractSurgProcedInd
Indicator for surgical procedure on the gastrointestinal tract
Surgical procedures on the gastrointestinal tract
Appendicectomy, date performed YYYYMMDD;Cholecysectomy, date performed YYYYMMDD;Colostomy, date last performed YYYYMMDD;Ileostomy, date last performed YYYYMMDD;No;Other, specify:…date performed, YYYYMMDD;Unknown;
Appendicectomy, date performed YYYYMMDD;Cholecysectomy, date performed YYYYMMDD;Colostomy, date last performed YYYYMMDD;Ileostomy, date last performed YYYYMMDD;No;Other, specify:…date performed, YYYYMMDD;Unknown;
Alphanumeric
Choose one.
Krogh K, Perkash I, Stiens SA, Biering-Sørensen F. International bowel function basic spinal cord injury data set. Spinal Cord. 2009 Mar;47(3):230-4. doi: 10.1038/sc.2008.102.
Adult;Pediatric
Supplemental
1.0
5/27/2014
Aliases for variable name not defined
Surgical and Procedural Interventions
Therapies
Treatment/Intervention Data
  
Single Pre-Defined Value Selected
       
C19094
Gastrointestinal tract surgical procedure other text
GastroTractSurgProcedOTH
The free text field related to "Gastrointestinal tract surgical procedure indicator" specifying other text. Type of procedure.
Other, specify
  
Alphanumeric
No instructions available
Krogh K, Perkash I, Stiens SA, Biering-Sørensen F. International bowel function basic spinal cord injury data set. Spinal Cord. 2009 Mar;47(3):230-4. doi: 10.1038/sc.2008.102.
Adult;Pediatric
Supplemental
1.0
5/27/2014
Aliases for variable name not defined
Surgical and Procedural Interventions
Therapies
Treatment/Intervention Data
 
4000
Free-Form Entry
       
C19095
Pressure ulcer surgical treatment indicator
PressrUlcSurgTreatmentInd
Indicator for surgical treatment of pressure ulcer
Has the present pressure ulcer been surgically treated?
Yes;No;Unknown;
Yes;No;Unknown;
Alphanumeric
Choose one.
Karlsson AK, Krassioukov A, Alexander MS, Donovan W, Biering-Sørensen F. International spinal cord injury skin and thermoregulation function basic data set. Spinal Cord. 2012 Jul;50(7):512-6. doi: 10.1038/sc.2011.167.
Adult;Pediatric
Supplemental
1.0
5/27/2014
Aliases for variable name not defined
Surgical and Procedural Interventions
Therapies
Treatment/Intervention Data
  
Single Pre-Defined Value Selected
       
C19096
Surgery performed date
SurgPerformedDate
Date of last surgical intervention
Date of last surgical intervention
  
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.).
Karlsson AK, Krassioukov A, Alexander MS, Donovan W, Biering-Sørensen F. International spinal cord injury skin and thermoregulation function basic data set. Spinal Cord. 2012 Jul;50(7):512-6. doi: 10.1038/sc.2011.167.
Adult;Pediatric
Supplemental
1.0
5/27/2014
Aliases for variable name not defined
Surgical and Procedural Interventions
Therapies
Treatment/Intervention Data
  
Free-Form Entry
       
C06409
Skin thermoregulation pressure ulcer past year indicator
SkiThermPressrUlcPstYrInd
Indicator of the presence of a pressure ulcer during the last 12 months
Has any other pressure ulcer been surgically treated during the last 12 months
Yes;No;Unknown;
Yes;No;Unknown;
Alphanumeric
No instructions available
International spinal cord injury skin and thermoregulation function basic data set. Spinal Cord. 2012 Jul;50(7):512-6. doi: 10.1038/sc.2011.167.
Adult;Pediatric
Supplemental
3.0
7/17/2013
ULCRL12M
Surgical and Procedural Interventions
Therapies
Treatment/Intervention Data
Pressure ulcer past year indicator
 
Single Pre-Defined Value Selected
       
12-16-2018
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