CDE Detailed Report
Disease: content
Subdomain Name: Devices
CRF: welcome
Displaying 1 - 28 of 28
Subdomain Name: Devices
CRF: welcome
Displaying 1 - 28 of 28
| 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/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 and Other Treatments | Devices | Treatment/Intervention Data |
Single Pre-Defined Value Selected |
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| C18183 | Wheelchair driven subject indicator | WheelchairDriveSubjInd | Indicator for whether the power wheelchair is driven by the participant/subject | Indicator for whether the power wheelchair is driven by the participant/subject | Is the wheelchair driven by the participant/ subject? | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric |
Supplemental - Highly Recommended |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-07-21 12:11:21.037 | External Devices and Other Treatments | 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 | No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-07-25 08:54:08.2 | External Devices and Other Treatments | 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 and Other Treatments | Devices | Treatment/Intervention Data |
Single Pre-Defined Value Selected |
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| C18188 | Other mobility device type | OthrMobilityDevTyp | Type of other mobility device that the participant/ subject uses | Type of other mobility device that the participant/ subject uses | Other mobility device | Scooter;Stroller;Standers;Other, specify | Scooter;Stroller;Standers;Other, specify | Alphanumeric |
Choose all that apply |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-07-21 12:11:21.037 | External Devices and Other Treatments | Devices | Treatment/Intervention Data |
Multiple Pre-Defined Values 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 | No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-07-25 08:54:08.2 | External Devices and Other Treatments | Devices | Treatment/Intervention Data | 4000 |
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 | Manual wheelchair;Power wheelchair;Power assist wheelchair;Other Mobility Device;Positioning Wheelchair;Upper Extremity Devices | Manual wheelchair;Power wheelchair;Power assist wheelchair;Other Mobility Device;Positioning Wheelchair;Upper Extremity Devices | Alphanumeric |
Supplemental - Highly Recommended |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-07-25 08:54:08.2 | External Devices and Other Treatments | Devices | Treatment/Intervention Data |
Multiple Pre-Defined Values Selected |
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| C18190 | Regular daily tilt indicator | RegDailyTiltInd | Indicator for whether the participant/subject has a regular daily tilt in the positioning of wheelchair | Indicator for whether the participant/subject has a regular daily tilt in the positioning of wheelchair | Regular/daily tilt | Yes;No;Not applicable;Unknown | Yes;No;Not applicable;Unknown | Alphanumeric | No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-07-21 12:11:21.037 | External Devices and Other Treatments | Devices | Treatment/Intervention Data |
Single Pre-Defined Value Selected |
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| C19066 | Therapy rehabilitation session other text | TherapyRehabSessOTH | The free-text field related to 'Therapy rehabilitation session duration' specifying other text. Duration of a therapy or rehabilitation session | The free-text field related to 'Therapy rehabilitation session duration' specifying other text. Duration of a therapy or rehabilitation session | Other, specify | Alphanumeric | No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-07-21 12:11:21.037 | External Devices and Other Treatments | Devices | Treatment/Intervention Data | 4000 |
Free-Form Entry |
minute | |||||||||
| 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 | No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-07-24 11:38:01.2 | External Devices and Other Treatments | Devices | Treatment/Intervention Data |
Single Pre-Defined Value Selected |
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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;Pediatric | Supplemental | 3.00 | 2013-07-21 12:11:21.037 | External Devices and Other Treatments | Devices | Treatment/Intervention Data |
Free-Form Entry |
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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 |
Choose all that apply |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-07-21 12:11:21.037 | External Devices and Other Treatments | Devices | Treatment/Intervention Data | 4000 |
Free-Form Entry |
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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 | Power Wheelchair | Full-time;Part-time | Full-time;Part-time | Alphanumeric |
Supplemental-Highly Recommended |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-07-24 11:38:01.2 | External Devices and Other Treatments | Devices | Treatment/Intervention Data |
Single Pre-Defined Value 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;Pediatric | Supplemental | 3.00 | 2013-07-21 12:11:21.037 | External Devices and Other Treatments | Devices | Treatment/Intervention Data |
Free-Form Entry |
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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;Pediatric | Supplemental | 3.00 | 2013-07-21 12:11:21.037 | External Devices and Other Treatments | Devices | Treatment/Intervention Data | 4000 |
Free-Form Entry |
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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 | No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-07-24 11:38:01.2 | External Devices and Other Treatments | Devices | Treatment/Intervention Data |
Single Pre-Defined Value Selected |
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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;Pediatric | Supplemental | 3.00 | 2013-07-21 12:11:21.037 | External Devices and Other Treatments | Devices | Treatment/Intervention Data |
Single Pre-Defined Value Selected |
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| C21667 | Therapy rehabilitation ICD 10 CM code | TherpyRehabICD10CMCd | ICD-10-CM code that describes the therapy or rehabilitation received by the participant/subject | ICD-10-CM code that describes the therapy or rehabilitation received by the participant/subject | Therapy ICD-9-CM code | Alphanumeric | International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM): http://www.cdc.gov/nchs/icd/icd9cm.htm | Adult;Pediatric | Supplemental | 1.00 | 2013-07-20 10:21:25.65 | External Devices and Other Treatments | Devices | Treatment/Intervention Data | 255 |
Free-Form Entry |
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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 | No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-07-24 11:38:01.2 | External Devices and Other Treatments | Devices | Treatment/Intervention Data |
Single Pre-Defined Value Selected |
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| C18195 | Ankle foot orthosis type | AnklFootOrthosisTyp | Type of ankle-foot orthosis the participant/subject uses | Type of ankle-foot orthosis the participant/subject uses | Type | Solid;Articulating;Dynamic ankle-foot orthosis style type | Solid;Articulating;Dynamic ankle-foot orthosis style type | Alphanumeric | No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-07-21 12:11:21.037 | External Devices and Other Treatments | 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 and Positioning Devices | 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 | No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-07-25 08:54:08.2 | External Devices and Other Treatments | 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;Pediatric | Supplemental | 3.00 | 2013-07-21 12:11:21.037 | External Devices and Other Treatments | Devices | Treatment/Intervention Data |
Single Pre-Defined Value Selected |
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| C18176 | Therapy rehabilitation indicator | TherapyRehabInd | Indicator for whether the participant/subject uses other therapy or rehabilitation procedures besides the use of mobility devices, orthoses, and positioning devices | Indicator for whether the participant/subject uses other therapy or rehabilitation procedures besides the use of mobility devices, orthoses, and positioning devices | Besides use of mobility devices, orthoses, and positioning devices, does the participant/ subject utilize other therapies? | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric |
If Yes, complete section 3 |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-07-21 12:11:21.037 | External Devices and Other Treatments | Devices | Treatment/Intervention Data |
Single Pre-Defined Value Selected |
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| C18198 | Ankle foot orthosis use type | AnklFootOrthosisUseTyp | Type of use for ankle-foot orthosis | Type of use for ankle-foot orthosis | Use | Walking;Resting splints | Walking;Resting splints | Alphanumeric |
Choose all that apply |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-07-21 12:11:21.037 | External Devices and Other Treatments | Devices | Treatment/Intervention Data |
Multiple Pre-Defined Values Selected |
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| C18181 | Therapy rehabilitation session duration | TherapuRehabSessDur | Duration of a therapy or rehabilitation session | Duration of a therapy or rehabilitation session | Duration | 15 minutes;30 minutes;45 minutes;60 minutes;Other, specify | 15 minutes;30 minutes;45 minutes;60 minutes;Other, specify | Alphanumeric | No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-07-21 12:11:21.037 | External Devices and Other Treatments | Devices | Treatment/Intervention Data |
Single Pre-Defined Value Selected |
minute | ||||||||
| C18199 | Therapeutic use indicator | TherapuUseInd | Indicator for whether the participant/subject uses the type of therapy | Indicator for whether the participant/subject uses the type of therapy | Use of Therapy | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric | No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-07-21 12:11:21.037 | External Devices and Other Treatments | Devices | Treatment/Intervention Data |
Single Pre-Defined Value Selected |
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| C18182 | Therapy rehabilitation frequency | TherapuRehabFreq | Frequency the participant/subject received the therapy or rehabilitation | Frequency the participant/subject received the therapy or rehabilitation | Frequency | 0;1;2;3;4;5;6;7 | 0;1;2;3;4;5;6;7 | Numeric Values |
days/week |
CDISC SDTM Frequency Terminology (http://www.cancer.gov/cancertopics/cancerlibrary/terminologyresources/cdisc) | Adult;Pediatric | Supplemental | 3.00 | 2013-07-21 12:11:21.037 | External Devices and Other Treatments | Devices | Treatment/Intervention Data |
Single Pre-Defined Value Selected |
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| C18200 | Therapeutic stretching type | TherapuStretchTyp | Type of stretching therapy | Type of stretching therapy | Stretching | Active;Passive | Active;Passive | Alphanumeric |
check all that apply |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-07-21 12:11:21.037 | External Devices and Other Treatments | Devices | Treatment/Intervention Data |
Multiple Pre-Defined Values Selected |
