CDE Detailed Report
Disease: Spinal Muscular Atrophy
Subdomain Name: Devices
CRF: External Devices - SMA
Displaying 1 - 13 of 13
Subdomain Name: Devices
CRF: External Devices - SMA
Displaying 1 - 13 of 13
| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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;Pediatric | Supplemental | 3.00 | 2013-07-25 08:54:08.2 | External Devices - SMA | Devices | Treatment/Intervention Data | 255 |
Free-Form Entry |
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| C12673 | Position device use indicator | PositionDevUseInd | Indicator of whether the participant/subject uses any positioning devices | Indicator of whether the participant/subject uses any positioning devices | Does the participant/subject use positioning devices? | Yes, specify;No | Yes, specify;No | Alphanumeric |
Choose one. If a positioning device is used specify the type. |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-07-25 08:54:08.2 | External Devices - SMA | Devices | Treatment/Intervention Data |
Single Pre-Defined Value Selected |
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| C18870 | Mobility device other text | MobilityDvcOTH | The free-text field related to 'Mobility device type' specifying other text. Type for all mobility devices currently used by the participant/subject | The free-text field related to 'Mobility device type' specifying other text. Type for all mobility devices currently used by the participant/subject | Other, specify | Alphanumeric |
For each mobility device type record if it is used |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-07-25 08:54:08.2 | External Devices - SMA | Devices | Treatment/Intervention Data | 4000 |
Free-Form Entry |
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| 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/subject use mobility devices? | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric |
Yes(complete section 1) |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-07-25 08:54:08.2 | External Devices - SMA | Devices | Treatment/Intervention Data |
Single Pre-Defined Value Selected |
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| C18883 | Orthosis other text | OrthosisOTH | The free-text field related to 'Orthosis type' specifying other text. Type of orthosis (i.e., external orthopedic appliance that prevents or assists the movement of the spine or limbs) | The free-text field related to 'Orthosis type' specifying other text. Type of orthosis (i.e., external orthopedic appliance that prevents or assists the movement of the spine or limbs) | Other, specify | Alphanumeric |
For each orthosis type record if it is used |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-07-25 08:54:08.2 | External Devices - SMA | Devices | Treatment/Intervention Data | 4000 |
Free-Form Entry |
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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/subject use orthoses? | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric |
Yes(complete section 2) |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-07-25 08:54:08.2 | External Devices - SMA | Devices | Treatment/Intervention Data |
Single Pre-Defined Value Selected |
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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 | Quad cane;Straight cane;Walker;Manual wheelchair;Power wheelchair;Scooter;Other, specify | Quad cane;Straight cane;Walker;Manual wheelchair;Power wheelchair;Scooter;Other, specify | Alphanumeric |
For each mobility device type record if it is used |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-07-25 08:54:08.2 | External Devices - SMA | Devices | Treatment/Intervention Data |
Multiple Pre-Defined Values 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;Pediatric | Supplemental | 3.00 | 2013-07-24 11:38:01.2 | External Devices - SMA | Devices | Treatment/Intervention Data |
Single Pre-Defined Value Selected |
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| C12685 | Wheelchair use frequency | WheelchairUseFreq | Frequency with which the participant/subject uses their wheelchair, if applicable | Frequency with which the participant/subject uses their wheelchair, if applicable | Wheelchair Yes | Full-time;Part-time | Full-time;Part-time | Alphanumeric |
If the participant/subject uses a manual wheelchair or power wheelchair then record the extent of use. Choose one option. |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-07-24 11:38:01.2 | External Devices - SMA | Devices | Treatment/Intervention Data |
Single Pre-Defined Value Selected |
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| C12686 | Orthosis type use indicator | OrthsisTypUseInd | Indicator whether the participant/subject currently uses the selected types of orthosis | Indicator whether the participant/subject currently uses the selected types of orthosis | Device used? | Yes;No;Not applicable;Unknown | Yes;No;Not applicable;Unknown | Alphanumeric |
For each orthosis type record if it is used. Choose one for each device type. |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-07-24 11:38:01.2 | External Devices - SMA | Devices | Treatment/Intervention Data |
Single Pre-Defined Value Selected |
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| C12687 | Orthosis ankle foot orthosis type | OrthsisAFOTyp | Type of any ankle-foot orthosis (AFO) currently used by the participant/subject | Type of any ankle-foot orthosis (AFO) currently used by the participant/subject | Ankle-foot orthosis (AFO) Yes | Solid;Articulating;(DAFO) | Solid;Articulating;Dynamic ankle-foot orthosis (DAFO) | Alphanumeric |
Only answer if Ankle-foot Orthosis is answered Yes. Choose all that apply. |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-07-25 08:54:08.2 | External Devices - SMA | Devices | Treatment/Intervention Data |
Multiple Pre-Defined Values Selected |
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| C12688 | Orthosis knee ankle foot orthosis ischial weight bearing indicator | OrthsisKnAnkFoOIschlWgtBrngInd | Indicator whether any knee-ankle-foot orthosis (KAFO) currently used by the participant/subject is ischial weight bearing | Indicator whether any knee-ankle-foot orthosis (KAFO) currently used by the participant/subject is ischial weight bearing | Yes, ischial weight bearing? | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric |
Only answer if Knee-ankle-foot Orthosis is answered Yes. Choose one. |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-07-24 11:38:01.2 | External Devices - SMA | Devices | Treatment/Intervention Data |
Single Pre-Defined Value Selected |
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| C12943 | Orthosis type | OrthosisTyp | Type of orthosis (i.e., external orthopedic appliance that prevents or assists the movement of the spine or limbs) | Type of orthosis (i.e., external orthopedic appliance that prevents or assists the movement of the spine or limbs) | Orthoses | Inserts of any type;Supramalleolar orthotic;Ankle-foot orthosis (AFO);Knee-ankle-foot orthosis;Hip-knee-ankle-foot orthosis (HKAFO);Stander;Body jacket/Thoracic-lumbar-sacral orthoses;Reciprocal gait orthoses (RGO);Other, specify | Inserts of any type;Supramalleolar orthotic (SMO);Ankle-foot orthosis (AFO);Knee-ankle-foot orthosis (KAFO);Hip-knee-ankle-foot orthosis (HKAFO);Stander;Body jacket/Thoracic-lumbar-sacral orthoses (TLSO);Reciprocal gait orthoses (RGO);Other, specify | Alphanumeric |
For each orthosis type record if it is used |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-07-25 08:54:08.2 | External Devices - SMA | Devices | Treatment/Intervention Data |
Multiple Pre-Defined Values Selected |
