CDE Detailed Report
Disease: NeuroRehab
Subdomain Name: Devices
CRF: Devices: Mobility and Manipulation
Displaying 1 - 50 of 139
Subdomain Name: Devices
CRF: Devices: Mobility and Manipulation
Displaying 1 - 50 of 139
| CDE ID | CDE Name | Variable Name | Definition | Short Description | Question Text | Permissible Values | Description | Data Type | Disease Specific Instructions | Disease Specific Reference | Population | Classification (e.g., Core) | Version Number | Version Date | CRF Name (CRF Module / Guidance) | Subdomain Name | Domain Name | Size | Input Restrictions | Min Value | Max Value | Measurement Type | External Id Loinc | External Id Snomed | External Id caDSR | External Id CDISC |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| C12679 | Mobility device use indicator | MobilityDvcUseInd | Whether the participant/subject uses a mobility device (e.g., wheelchair) | Whether the participant/subject uses a mobility device (e.g., wheelchair) | Does the participant use mobility devices? | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric |
No instructions available |
No references available | Adult | NeuroRehab Supplemental-Highly Recommended | 3.00 | 2013-07-25 08:54:08.2 | Devices: Mobility and Manipulation | Devices | Treatment/Intervention Data |
Single Pre-Defined Value Selected |
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| C58571 | Dynamic lower extremity stretch orthosis splint frequency use laterality type | DynLEStrOrtSplnUseFreqLatrlTyp | Laterality type of dynamic lower extremity stretching orthosis splints frequency used by participant/subject | Laterality type of dynamic lower extremity stretching orthosis splints frequency used by participant/subjec | If yes, | Left;Right | Left;Right | Alphanumeric |
Only answer if dynamic lower extremity stretching orthosis/splints is answered Yes. |
No references available | Adult | NeuroRehab Supplemental-Highly Recommended | 1.00 | 2018-06-27 11:42:16.0 | Devices: Mobility and Manipulation | Devices | Treatment/Intervention Data |
Single Pre-Defined Value Selected |
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| C19067 | Other mobility device other text | OthrMobilityDevOTH | The free-text field related to 'Other mobility device type' specifying other text. Type of other mobility device that the participant/ subject uses | The free-text field related to 'Other mobility device type' specifying other text. Type of other mobility device that the participant/ subject uses | Other, specify | Alphanumeric | No references available | Adult | NeuroRehab Supplemental-Highly Recommended | 3.00 | 2013-07-21 12:11:21.037 | Devices: Mobility and Manipulation | Devices | Treatment/Intervention Data | 4000 |
Free-Form Entry |
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| C58473 | Mobility device use frequency type | MobilityDeviceUseFreqTyp | Frequency type with which the participant/subject uses their mobility device(s), if applicable | Frequency type with which the participant/subject uses their mobility device(s), if applicable | If yes | Full-time;Part-time | Full-time;Part-time | Alphanumeric |
If the participant/subject uses mobile device(s) then record the extent of use. Choose one option. |
No references available | Adult | NeuroRehab Supplemental-Highly Recommended | 3.00 | 2013-07-24 11:38:01.2 | Devices: Mobility and Manipulation | Devices | Treatment/Intervention Data |
Single Pre-Defined Value Selected |
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| C17511 | Walking difficulty age need intermittent support indicator | WlkDfcltyAgeNdIntrmtSuprtInd | Indicator used when participant/subject age when needing intermittent support for walking | Indicator used when participant/subject age when needing intermittent support for walking | If participant/subject needs intermittent support for walking, indicate age of participant when support first needed. | Unknown | Unknown | Alphanumeric |
Leave age blank if unknown and choose Unknown. |
No references available | Adult | NeuroRehab Supplemental-Highly Recommended | 3.00 | 2013-07-15 16:08:48.687 | Devices: Mobility and Manipulation | Devices | Treatment/Intervention Data |
Single Pre-Defined Value Selected |
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| C58621 | Stand time use type | StandTimeUseTyp | Type stand time used by the participant/subject | Type stand time used by the participant/subject | If yes, | Number of minutes per day;Number of days per week | Number of minutes per day;Number of days per week | Alphanumeric |
Only answer if stander position device is answered Yes. |
No references available | Adult | NeuroRehab Supplemental-Highly Recommended | 1.00 | 2018-11-02 13:27:56.0 | Devices: Mobility and Manipulation | Devices | Treatment/Intervention Data |
Multiple Pre-Defined Values Selected |
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| C21649 | Single orthosis side designator | SingOrthSideDsigntr | Designates the side that the participant/subject uses a single orthosis | Designates the side that the participant/subject uses a single orthosi | Unilateral | Left;Right | Left;Right | Alphanumeric | No references available | Adult | NeuroRehab Supplemental-Highly Recommended | 3.00 | 2013-07-21 12:11:21.037 | Devices: Mobility and Manipulation | Devices | Treatment/Intervention Data |
Single Pre-Defined Value Selected |
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| C58485 | Dynamic lower extremity stretch orthosis splint use anatomic site | DynLEStrchOrthSplntUseAnatSite | Anatomic site of the dynamic lower extremity stretching orthosis/splints use | Anatomic site of the dynamic lower extremity stretching orthosis/splints use | Anatomic Site: | Ankle;Knee;Hip | Ankle;Knee;Hip | Alphanumeric |
Only answer if dynamic lower extremity stretching orthosis/splints is answered Yes. |
No references available | Adult | NeuroRehab Supplemental-Highly Recommended | 1.00 | 2018-04-13 11:14:58.0 | Devices: Mobility and Manipulation | Devices | Treatment/Intervention Data |
Multiple Pre-Defined Values Selected |
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| C58496 | Toilet device type other text | ToiletDeviceTypOtherTxt | Text describing the presence of any other toileting device used | Text describing the presence of any other toileting device use | Other, specify | Alphanumeric | No references available | Adult | NeuroRehab Supplemental-Highly Recommended | 1.00 | 2018-04-16 15:17:18.0 | Devices: Mobility and Manipulation | Devices | Treatment/Intervention Data | 255 |
Free-Form Entry |
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| C18191 | Serial cast start date | SerialCastStartDate | Date on which the serial casting therapy started | Date on which the serial casting therapy started | Start Date | Date or Date & Time | No references available | Adult | NeuroRehab Supplemental-Highly Recommended | 3.00 | 2013-07-21 12:11:21.037 | Devices: Mobility and Manipulation | Devices | Treatment/Intervention Data |
Free-Form Entry |
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| C59011 | Walking primary assistive device daily use duration not applicable status | WlkPrmAstDvDlyUseDurNotAppStat | Status indicating that the amount of time per day using the primary assistive walking device does not apply to the subject/participant | Status indicating that the amount of time per day using the primary assistive walking device does not apply to the subject/participan | Indicate the amount of time the participant/subject uses the primary assistive walking device. | N/A | N/A | Alphanumeric |
No instructions available |
No references available | Adult | NeuroRehab Supplemental-Highly Recommended | 1.00 | 2022-01-10 10:21:19.0 | Devices: Mobility and Manipulation | Devices | Treatment/Intervention Data |
Single Pre-Defined Value Selected |
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| C22899 | Gross Motor Function Classification System (GMFCS) - Level scale | GMFCSLevelScl | The scale level as reference to the Gross Motor Function Classification System (GMFCS) | The scale level as reference to the Gross Motor Function Classification System (GMFCS | GMFCS Level | Level I;Level II;Level III;Level IV;Level V | Children walk at home, school, outdoors and in the community. They can climb stairs without the use of a railing. Children perform gross motor skills such as running and jumping, but speed, balance and coordination are limited.;Children walk in most settings and climb stairs holding onto a railing. They may experience difficulty walking long distances and balancing on uneven terrain, inclines, in crowded areas or confined spaces. Children may walk with physical assistance, a hand held mobility device or used wheeled mobility over long distances. Children have only minimal ability to perform gross motor skills such as running and jumping.;Children walk using a hand-held mobility device in most indoor settings. They may climb stairs holding onto a railing with supervision or assistance. Children use wheeled mobility when traveling long distances and may self-propel for shorter distances.;Children use methods of mobility that require physical assistance or powered mobility in most settings. They may walk for short distances at home with physical assistance or use powered mobility or a body support walker when positioned. At school, outdoors and in the community children are transported in a manual wheelchair or use powered mobility.;Children are transported in a manual wheelchair in all settings. Children are limited in their ability to maintain antigravity head and trunk postures and control leg and arm movements. | Alphanumeric | No references available | Adult | NeuroRehab Supplemental-Highly Recommended | 1.00 | 2016-12-07 13:11:56.0 | Devices: Mobility and Manipulation | Devices | Treatment/Intervention Data |
Single Pre-Defined Value Selected |
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| C10712 | Walking use 2 cane crutch indicator | WalkUse2CaneCrutchInd | Indicator whether the participant/subject uses two canes or crutches for walking | Indicator whether the participant/subject uses two canes or crutches for walking | Indicate if the participant/subject uses two canes/crutches. | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric |
If "No" or "Unknown" skip to "Walker use indicator." |
No references available | Adult | NeuroRehab Supplemental-Highly Recommended | 3.00 | 2013-07-11 15:03:49.2 | Devices: Mobility and Manipulation | Devices | Treatment/Intervention Data |
Single Pre-Defined Value Selected |
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| C12682 | Orthosis use indicator | OrthosisUseInd | Whether the participant/subject uses orthosis (i.e., external orthopedic appliance that prevents or assists the movement of the spine or limbs) | Whether the participant/subject uses orthosis (i.e., external orthopedic appliance that prevents or assists the movement of the spine or limbs) | Does the participant use orthoses? | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric | No references available | Adult | NeuroRehab Supplemental-Highly Recommended | 3.00 | 2013-07-25 08:54:08.2 | Devices: Mobility and Manipulation | Devices | Treatment/Intervention Data |
Single Pre-Defined Value Selected |
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| C58572 | Dynamic lower extremity stretch orthosis splint use anatomic site laterality type | DynLEStrOrtSplnUsAnatSitLatTyp | Laterality type of dynamic lower extremity stretching orthosis splints anatomic site used by participant/subject | Laterality type of dynamic lower extremity stretching orthosis splints anatomic site used by participant/subjec | If yes, | Left;Right | Left;Right | Alphanumeric |
Only answer if dynamic lower extremity stretching orthosis/splints is answered Yes. |
No references available | Adult | NeuroRehab Supplemental-Highly Recommended | 1.00 | 2018-06-27 11:49:04.0 | Devices: Mobility and Manipulation | Devices | Treatment/Intervention Data |
Single Pre-Defined Value Selected |
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| C19068 | Upper extremity device specify text | UpperExtremityDevST | The free-text field related to 'Upper extremity device indicator'. Indicator for whether an upper extremity device is used | The free-text field related to 'Upper extremity device indicator'. Indicator for whether an upper extremity device is used | Yes, specify | Alphanumeric | No references available | Adult | NeuroRehab Supplemental-Highly Recommended | 3.00 | 2013-07-21 12:11:21.037 | Devices: Mobility and Manipulation | Devices | Treatment/Intervention Data | 4000 |
Free-Form Entry |
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| C58474 | Mobility device use distance type | MobilityDeviceUseDistanceTyp | Distance use type with which the participant/subject uses their mobility device(s), if applicable | Distance use type with which the participant/subject uses their mobility device(s), if applicable | Use distance | Long distance;Short distance | Long distance;Short distance | Alphanumeric |
If the participant/subject uses mobility device(s) then record the distance use. Choose one option. |
No references available | Adult | NeuroRehab Supplemental-Highly Recommended | 1.00 | 2018-04-12 12:20:58.0 | Devices: Mobility and Manipulation | Devices | Treatment/Intervention Data |
Single Pre-Defined Value Selected |
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| C17512 | Walking difficulty age need permanent support indicator | WlkDffcltyAgeNeedPrmSuprtInd | Indicator related to age of participant/subject needing permanent support for walking | Indicator related to age of participant/subject needing permanent support for walking | If participant/subject needs permanent support for walking, indicate age of participant when support first needed. | Unknown | Unknown | Alphanumeric |
Leave age blank and choose Unknown. |
No references available | Adult | NeuroRehab Supplemental-Highly Recommended | 3.00 | 2013-07-15 16:08:48.687 | Devices: Mobility and Manipulation | Devices | Treatment/Intervention Data |
Single Pre-Defined Value Selected |
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| C58622 | Number minutes day duration | NumberMinutesDayDur | Duration in minutes per day a stander used by the participant/subject | Duration in minutes per day a stander used by the participant/subject | Number of minutes per day | Numeric Values |
Enter the number of minutes a stander is used per day, if applicable. |
No references available | Adult | NeuroRehab Supplemental-Highly Recommended | 1.00 | 2018-11-02 13:37:37.0 | Devices: Mobility and Manipulation | Devices | Treatment/Intervention Data |
Free-Form Entry |
0 | 1440 | ||||||||
| C21651 | Upper extremity orthosis type | UpperExtrmtyOrthosisTyp | Type of upper extremity orthosis (i.e., external orthopedic appliance that prevents or assists the movement of the spine or limbs) the participant/subject uses | Type of upper extremity orthosis (i.e., external orthopedic appliance that prevents or assists the movement of the spine or limbs) the participant/subject uses | Upper Extremity Orthoses | Elbow orthosis;Hand only;Wrist hand orthosis | Elbow orthosis;Hand only;Wrist hand orthosis | Alphanumeric | No references available | Adult | NeuroRehab Supplemental-Highly Recommended | 3.00 | 2013-07-25 08:54:08.2 | Devices: Mobility and Manipulation | Devices | Treatment/Intervention Data |
Multiple Pre-Defined Values Selected |
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| C10697 | Fall rate | FallRate | Rate that reflects the participant's/subject's current frequency of falling | Rate that reflects the participant's/subject's current frequency of falling | Indicate the description that reflects the participant's/subject's current rate of falls. | Normal;Rare falling;Occasional falls;Falls multiple times a week or requires device to prevent falls;Unable to stand | Normal;Rare falling (less than once a month);Occasional falls (once a week to once a month);Falls multiple times a week or requires device to prevent falls;Unable to stand | Alphanumeric |
Choose only one. |
No references available | Adult | NeuroRehab Supplemental-Highly Recommended | 3.00 | 2013-07-11 15:03:49.2 | Devices: Mobility and Manipulation | Devices | Treatment/Intervention Data |
Single Pre-Defined Value Selected |
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| C58486 | Static lower extremity stretch orthosis splint use frequency type | StatLEStrchOrthSplntUseFreqTyp | Frequency type with which the participant/subject uses their static lower extremity stretching orthosis/splints, if applicable | Frequency type with which the participant/subject uses their static lower extremity stretching orthosis/splints, if applicable | If yes, | Daytime use;Full-time use;Part-time use;Night time use | Daytime use;Full-time use;Part-time use;Night time use | Alphanumeric |
Only answer if static lower extremity stretching orthosis/splints is answered Yes. |
No references available | Adult | NeuroRehab Supplemental-Highly Recommended | 1.00 | 2018-04-13 11:24:20.0 | Devices: Mobility and Manipulation | Devices | Treatment/Intervention Data |
Multiple Pre-Defined Values Selected |
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| C58497 | Transfer transportation device type | TransferTransportDeviceTyp | Type for all transfer/transportation devices currently used by the participant/subject | Type for all transfer/transportation devices currently used by the participant/subject | Transfer/Transportation | Transfer Devices;Transportation Devices;Other, specify | Transfer Devices;Transportation Devices;Other, specify | Alphanumeric |
For each transfer/transportation device type record if it is used. |
No references available | Adult | NeuroRehab Supplemental-Highly Recommended | 1.00 | 2018-04-16 15:24:35.0 | Devices: Mobility and Manipulation | Devices | Treatment/Intervention Data |
Multiple Pre-Defined Values Selected |
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| C18192 | Serial cast stop date | SerialCastStopDate | Date on which the serial casting therapy ended | Date on which the serial casting therapy ended | Stop Date | Date or Date & Time | No references available | Adult | NeuroRehab Supplemental-Highly Recommended | 3.00 | 2013-07-21 12:11:21.037 | Devices: Mobility and Manipulation | Devices | Treatment/Intervention Data |
Free-Form Entry |
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| C22900 | Manual Ability Classification System (MACS) - Level scale | MACSLevelScl | The scale level related to the Mini-Manual Ability Classification System (MACS) | The scale level related to the Mini-Manual Ability Classification System (MACS | MACS Level | Level I;Level II;Level III;Level IV;Level V | Handles objects easily and successfully.;Handles most objects but with somewhat reduced quality and/or speed of achievement.;Handles objects with difficulty, needs help to prepare and/or modify activities.;Handles a limited selection of easily managed objects in adapted situations.;Does not handle objects and has severely limited ability to perform even simple actions. | Alphanumeric | No references available | Adult | NeuroRehab Supplemental-Highly Recommended | 1.00 | 2016-12-07 13:36:23.0 | Devices: Mobility and Manipulation | Devices | Treatment/Intervention Data |
Single Pre-Defined Value Selected |
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| C10713 | Walking cane or crutches pair use age started value | WalkUse2CaneCrutchStrtAgeVal | Age of the participant/subject when he/she began using two canes or crutches for walking | Value of the participant/subject's age at which he/she began using two canes or crutches for walking | If yes to canes/ crutches, indicate age participant/subject began using two canes/crutches. | Numeric Values |
Answer should be recorded in years. |
No references available | Adult | NeuroRehab Supplemental-Highly Recommended | 4.00 | 2013-07-11 15:03:49.0 | Devices: Mobility and Manipulation | Devices | Treatment/Intervention Data |
Free-Form Entry |
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| C12683 | Mobility device type | MobilityDvcTyp | Type for all mobility devices currently used by the participant/subject | Type for all mobility devices currently used by the participant/subject | Mobility Devices | Other, specify;Manual wheelchair;Power assist wheelchair;Power wheelchair;Scooter;Medical/Adaptive Stroller;Walker;Gait Trainer/Weight Supported Walkers;Crutches;Cane / Stick;Other Mobility Device | Other, specify;Manual wheelchair;Power assist wheelchair;Power wheelchair;Scooter;Medical/Adaptive Stroller;Walker;Gait Trainer/Weight Supported Walkers;Crutches;Cane / Stick;Other Mobility Device | Alphanumeric |
For each mobility device type record if it is used. |
No references available | Adult | NeuroRehab Supplemental-Highly Recommended | 3.00 | 2013-07-25 08:54:08.2 | Devices: Mobility and Manipulation | Devices | Treatment/Intervention Data |
Multiple Pre-Defined Values Selected |
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| C58573 | Static lower extremity stretch orthosis splint frequency use laterality type | StcLEStrOrtSplnUseFreqLatrlTyp | Laterality type of static lower extremity stretching orthosis splints frequency used by participant/subject | Laterality type of static lower extremity stretching orthosis splints frequency used by participant/subjec | If yes, | Left;Right | Left;Right | Alphanumeric |
Only answer if static lower extremity stretching orthosis/splints is answered Yes. |
No references available | Adult | NeuroRehab Supplemental-Highly Recommended | 1.00 | 2018-06-27 11:42:16.0 | Devices: Mobility and Manipulation | Devices | Treatment/Intervention Data |
Single Pre-Defined Value Selected |
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| C19136 | Rehabilitation services assessment/reception indicator | RehabServicesAessmentInd | Indicator for the assessment for or reception of rehabilitation services | Indicator for the assessment for or reception of rehabilitation services | Patient was assessed for/received rehabilitation services? | No;Yes;Unknown | No;Yes;Unknown | Alphanumeric | No references available | Adult | NeuroRehab Supplemental-Highly Recommended | 1.00 | 2014-05-29 10:15:57.0 | Devices: Mobility and Manipulation | Devices | Treatment/Intervention Data |
Single Pre-Defined Value Selected |
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| C58475 | Mobility device use location type | MobilityDeviceUseLocationTyp | Use location type where the participant/subject uses their mobility device(s), if applicable | Use location type where the participant/subject uses their mobility device(s), if applicable | Used at | Home;School/Work;Community;Other, specify | Home;School/Work;Community;Other, specify | Alphanumeric |
If the participant/subject uses mobility device(s) then record the location use. |
No references available | Adult | NeuroRehab Supplemental-Highly Recommended | 1.00 | 2018-04-12 13:27:46.0 | Devices: Mobility and Manipulation | Devices | Treatment/Intervention Data |
Multiple Pre-Defined Values Selected |
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| C17517 | Wheelchair primary mobility means age indicator | WheelchairPrimMobilMeanAgeInd | Indicator used related age of participant/subject when they first began to use a wheelchair as their primary means of mobility | Indicator used related age of participant/subject when they first began to use a wheelchair as their primary means of mobilit | If participant/subject uses a wheelchair as their primary means of mobility, indicate age of participant when they first began to use a wheelchair as their primary means of mobility. | Unknown | Unknown | Alphanumeric |
Choose Unknown if age is not known. |
No references available | Adult | NeuroRehab Supplemental-Highly Recommended | 3.10 | 2022-01-10 15:23:58.0 | Devices: Mobility and Manipulation | Devices | Treatment/Intervention Data |
Single Pre-Defined Value Selected |
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| C58623 | Number days week count | NumberDayWeekCt | Count of days per week a stander used by the participant/subject | Count of days per week a stander used by the participant/subject | Number of days per week | Numeric Values |
Enter the number of days a stander is used per week, if applicable. |
No references available | Adult | NeuroRehab Supplemental-Highly Recommended | 1.00 | 2018-11-02 13:37:37.0 | Devices: Mobility and Manipulation | Devices | Treatment/Intervention Data |
Free-Form Entry |
0 | 7 | ||||||||
| C21652 | Elbow wrist orthosis type | ElbowWristOrthosisTyp | Type of elbow or wrist orthosis the participant/subject uses | Type of elbow or wrist orthosis the participant/subject uses | Yes | Day;Dynamic;Night;Static | Day;Dynamic;Night;Static | Alphanumeric |
Choose all that apply. |
No references available | Adult | NeuroRehab Supplemental-Highly Recommended | 3.00 | 2013-07-25 08:54:08.2 | Devices: Mobility and Manipulation | Devices | Treatment/Intervention Data |
Multiple Pre-Defined Values Selected |
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| C10699 | Sitting ability status | SittingAbilityStatus | Status that reflects the participant's/subject's current ability to sit | Status that reflects the participant's/subject's current ability to sit | Indicate the description that reflects the participant's/subject's current ability to sit. | Can sit only with extensive support;Slight imbalance of the trunk, but needs no back support;Unable to sit;Unable to sit without back support;Without any difficulty | Can sit only with extensive support (geriatric chair, posy, etc.);Slight imbalance of the trunk, but needs no back support;Unable to sit;Unable to sit without back support;Without any difficulty | Alphanumeric |
Choose only one. |
No references available | Adult | NeuroRehab Supplemental-Highly Recommended | 3.00 | 2013-07-11 15:03:49.2 | Devices: Mobility and Manipulation | Devices | Treatment/Intervention Data |
Single Pre-Defined Value Selected |
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| C58487 | Static lower extremity stretch orthosis splint use anatomic site | StaLEStrchOrthSplntUseAnatSite | Anatomic site of the static lower extremity stretching orthosis/splints use | Anatomic site of the static lower extremity stretching orthosis/splints use | Anatomic Site: | Ankle;Knee;Hip | Ankle;Knee;Hip | Alphanumeric |
Only answer if static lower extremity stretching orthosis/splints is answered Yes. |
No references available | Adult | NeuroRehab Supplemental-Highly Recommended | 1.00 | 2018-04-13 11:27:48.0 | Devices: Mobility and Manipulation | Devices | Treatment/Intervention Data |
Multiple Pre-Defined Values Selected |
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| C58498 | Transfer transportation device type other text | TrnsfrfTransprtDevcTypOtherTxt | Text describing the presence of any other transfer/transportation device used | Text describing the presence of any other transfer/transportation device use | Other, specify | Alphanumeric |
Specify whether transfer/transportation devices other than those included in Transfer and Transportation Devices are used. |
No references available | Adult | NeuroRehab Supplemental-Highly Recommended | 1.00 | 2018-04-16 15:31:54.0 | Devices: Mobility and Manipulation | Devices | Treatment/Intervention Data | 255 |
Free-Form Entry |
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| C18193 | Support stand use indicator | SuprtStandUseInd | Indicator for whether the participant/subject has a supported standing use in the positioning of wheelchair | Indicator for whether the participant/subject has a supported standing use in the positioning of wheelchair | Supported standing use | Yes;No;Not applicable;Unknown | Yes;No;Not applicable;Unknown | Alphanumeric | No references available | Adult | NeuroRehab Supplemental-Highly Recommended | 3.00 | 2013-07-21 12:11:21.037 | Devices: Mobility and Manipulation | Devices | Treatment/Intervention Data |
Single Pre-Defined Value Selected |
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| C22908 | Physical therapy adaptive equipment orthotic session type | PTAEOrthoticSessionTyp | The type of session related to adaptive equipment or orthotics related to the physical therapy | The type of session related to adaptive equipment or orthotics related to the physical therap | AE/Orthotic | Prescription;Fabrication;Maintenance/repair;Ergonomic intervention;Training;Fitting/Adjustment | Prescription;Fabrication;Maintenance/repair;Ergonomic intervention;Training;Fitting/Adjustment | Alphanumeric | No references available | Adult | NeuroRehab Supplemental-Highly Recommended | 1.00 | 2016-12-08 08:16:44.0 | Devices: Mobility and Manipulation | Devices | Treatment/Intervention Data |
Multiple Pre-Defined Values Selected |
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| C10714 | Walker use indicator | WalkerUseInd | Indicator whether the participant/subject uses a walker | Indicator whether the participant/subject uses a walker | Indicate if participant/subject uses a walker. | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric |
No instructions available |
No references available | Adult | NeuroRehab Supplemental-Highly Recommended | 3.00 | 2013-07-11 15:03:49.2 | Devices: Mobility and Manipulation | Devices | Treatment/Intervention Data |
Single Pre-Defined Value Selected |
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| C12684 | Mobility device type use indicator | MobltyDevTypUseInd | Indicator whether the participant/subject currently uses the selected types of mobility device | Indicator whether the participant/subject currently uses the selected types of mobility device | Device used? | Yes;No;Not applicable;Unknown | Yes;No;Not applicable;Unknown | Alphanumeric |
For each mobility device type record if it is used. Choose one for each device type. |
No references available | Adult | NeuroRehab Supplemental-Highly Recommended | 3.00 | 2013-07-24 11:38:01.2 | Devices: Mobility and Manipulation | Devices | Treatment/Intervention Data |
Single Pre-Defined Value Selected |
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| C58574 | Static lower extremity stretch orthosis splint use anatomic site laterality type | StaLEStrOrthSplntUsAnStLatTyp | Side of the body of the anatomic site of the static lower extremity stretching orthosis/splints use | Side of the body of the anatomic site of the static lower extremity stretching orthosis/splints use | If yes, | Left;Right | Left;Right | Alphanumeric |
Only answer if static lower extremity stretching orthosis/splints is answered Yes. |
No references available | Adult | NeuroRehab Supplemental-Highly Recommended | 1.00 | 2018-04-13 11:27:48.0 | Devices: Mobility and Manipulation | Devices | Treatment/Intervention Data |
Multiple Pre-Defined Values Selected |
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| C19140 | Discipline types | DisciplineTypes | The types of disciplines relevant to rehabilitation services | The types of disciplines relevant to rehabilitation services | Type of Therapy | Art, music or play therapy;Child life therapy;Exercise physiology/kinesiology;Occupational therapy;Other, specify;Personal trainer;Physical therapy;Psychology;Respiratory therapy;Social work/case management;Speech language pathology;Supplemental nursing;Therapeutic recreation | Art, music or play therapy;Child life therapy;Exercise physiology/kinesiology;Occupational therapy;Other, specify;Personal trainer;Physical therapy;Psychology;Respiratory therapy;Social work/case management;Speech language pathology;Supplemental nursing;Therapeutic recreation | Alphanumeric | No references available | Adult | NeuroRehab Supplemental-Highly Recommended | 1.00 | 2014-05-29 10:28:06.0 | Devices: Mobility and Manipulation | Devices | Treatment/Intervention Data |
Single Pre-Defined Value Selected |
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| C58476 | Mobility device use location type other text | MobilDeviceUseLocatnTypOthrTxt | Text describing the presence of any other mobility device location use | Text describing the presence of any other mobility device location us | Other, specify | Alphanumeric |
No instructions available |
No references available | Adult | NeuroRehab Supplemental-Highly Recommended | 1.00 | 2018-04-12 13:56:59.0 | Devices: Mobility and Manipulation | Devices | Treatment/Intervention Data | 255 |
Free-Form Entry |
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| C58488 | Position device type | PositionDeviceTyp | Type for all positioning devices currently used by the participant/subject | Type for all positioning devices currently used by the participant/subject | Positioning Devices | Seated or Lying Position Device;Stander;Truncal Support Devices;Other, specify | Seated or Lying Position Device;Stander;Truncal Support Devices;Other, specify | Alphanumeric |
For each positioning device type record if it is used. |
No references available | Adult | NeuroRehab Supplemental-Highly Recommended | 1.00 | 2018-04-16 11:43:18.0 | Devices: Mobility and Manipulation | Devices | Treatment/Intervention Data |
Multiple Pre-Defined Values Selected |
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| C17970 | Positioning device text | PositioningDevTxt | Text specification of any positioning device currently used by the participant/subject | Text specification of any positioning device currently used by the participant/subject | Positioning Devices, specify | Alphanumeric | No references available | Adult | NeuroRehab Supplemental-Highly Recommended | 3.00 | 2013-07-25 08:54:08.2 | Devices: Mobility and Manipulation | Devices | Treatment/Intervention Data | 255 |
Free-Form Entry |
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| C58624 | Transfer transportation device type use indicator | TransfrTransportDevTypUseInd | Indicator whether the participant/subject currently uses the selected types of transfer/transportation devices | Indicator whether the participant/subject currently uses the selected types of transfer/transportation devices | Device Used? | Yes;No;Not applicable | Yes;No;Not applicable | Alphanumeric |
For each transfer/transportation device type record if it is used. Choose one for each device type. |
No references available | Adult | NeuroRehab Supplemental-Highly Recommended | 1.00 | 2018-11-02 14:02:36.0 | Devices: Mobility and Manipulation | Devices | Treatment/Intervention Data |
Single Pre-Defined Value Selected |
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| C21653 | Hand Orthosis Type | HandOrthosisTyp | Type of hand orthosis the participant/subject uses | Type of hand orthosis the participant/subject uses | Yes | Day;Night | Day;Night | Alphanumeric |
Choose all that apply. |
No references available | Adult | NeuroRehab Supplemental-Highly Recommended | 3.00 | 2013-07-25 08:54:08.2 | Devices: Mobility and Manipulation | Devices | Treatment/Intervention Data |
Multiple Pre-Defined Values Selected |
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| C10701 | Walking difficulty level status | WalkingDifficultyLvlStatus | Status that reflects the participant's/subject's current level of walking difficulty | Status that reflects the participant's/subject's current level of walking difficulty | Indicate the description that reflects the participant's/subject's current level of difficulty walking. | Without any difficulty;With some difficulties walking or getting around;With difficulty, difficulty walking interfered with activities of daily living;Participant unable to walk on their own | Without any difficulty;With some difficulties walking or getting around;With difficulty, difficulty walking interfered with activities of daily living;Participant unable to walk on their own | Alphanumeric |
No instructions available |
No references available | Adult | NeuroRehab Supplemental-Highly Recommended | 3.00 | 2013-07-11 15:03:49.2 | Devices: Mobility and Manipulation | Devices | Treatment/Intervention Data |
Single Pre-Defined Value Selected |
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| C58499 | Transfer device type | TransferDeviceTyp | Type for all transfer devices currently used by the participant/subject | Type for all transfer devices currently used by the participant/subject | If yes, | Transfer bars;Transfer slings/belts;Transfer boards;Lift system (e.g., Hoyer, ceiling track system);Other, specify | Transfer bars;Transfer slings/belts;Transfer boards;Lift system (e.g., Hoyer, ceiling track system);Other, specify | Alphanumeric |
Only answer if transfer devices is answered Yes. |
No references available | Adult | NeuroRehab Supplemental-Highly Recommended | 1.00 | 2018-04-16 15:38:33.0 | Devices: Mobility and Manipulation | Devices | Treatment/Intervention Data |
Multiple Pre-Defined Values Selected |
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| C18197 | Upper extremity device indicator | UpperExtremityDevInd | Indicator for whether an upper extremity device is used | Indicator for whether an upper extremity device is used | Upper extremity devices | Yes, specify;No;Not applicable;Unknown | Yes, specify;No;Not applicable;Unknown | Alphanumeric | No references available | Adult | NeuroRehab Supplemental-Highly Recommended | 3.00 | 2013-07-21 12:11:21.037 | Devices: Mobility and Manipulation | Devices | Treatment/Intervention Data |
Single Pre-Defined Value Selected |
