CDE Detailed Report

Disease: Spinal Cord Injury
Subdomain Name: Hospital/Care Management
CRF: Acute Admission

Displaying 1 - 18 of 18
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
C19127 Facility name FacilityName Name of facility Name of facility Facility Name Alphanumeric Adult;Pediatric Supplemental 1.00 2014-05-28 16:05:31.0 Acute Admission/Discharge Hospital/Care Management Assessments and Examinations 4000

Free-Form Entry

C19167 Special care unit type SCUTyp Type of special care unit Type of special care unit Type of SCU Intensive Care Unit;Step-Down Unit Intensive Care Unit (ICU);Step-Down Unit (SDU) Alphanumeric

Choose one.

Adult;Pediatric Supplemental 1.00 2014-05-29 14:04:21.0 Acute Admission/Discharge Hospital/Care Management Assessments and Examinations

Single Pre-Defined Value Selected

C19128 Facility arrival date FacilityArrivalDate Date when patient arrived at facility Date when patient arrived at facility Facility Arrival 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 the granularity known (e.g., year, year and month, complete date plus hours and minutes, etc.).

Adult;Pediatric Supplemental 1.00 2014-05-28 16:06:44.0 Acute Admission/Discharge Hospital/Care Management Assessments and Examinations

Free-Form Entry

C19168 Special care unit admission date SCUAdmissionDate Date at which participant was admitted to special care unit Date at which participant was admitted to special care unit Admission 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 the granularity known (e.g., year, year and month, complete date plus hours and minutes, etc.).

Adult;Pediatric Supplemental 1.00 2014-05-29 14:15:25.0 Acute Admission/Discharge Hospital/Care Management Assessments and Examinations

Free-Form Entry

C19129 Facility arrival time FacilityArrivalTime Time at which patient arrived at facility Time at which patient arrived at facility Facility Arrival Time 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 the granularity known (e.g., year, year and month, complete date plus hours and minutes, etc.).
Record the earliest documented time. If participant transferred from acute at the same facility, please enter time of transfer to rehab.

Adult;Pediatric Supplemental 1.00 2014-05-28 16:09:22.0 Acute Admission/Discharge Hospital/Care Management Assessments and Examinations

Free-Form Entry

C19169 Special care unit discharge date SCUDischargeDate Date at which participant was discharged from special care unit Date at which participant was discharged from special care unit Discharge 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 the granularity known (e.g., year, year and month, complete date plus hours and minutes, etc.).

Adult;Pediatric Supplemental 1.00 2014-05-29 14:17:40.0 Acute Admission/Discharge Hospital/Care Management Assessments and Examinations

Free-Form Entry

C19130 Facility discharge date FacilityDischargeDate Date when patient was discharged from facility Date when the patient was discharged from the facility Facility Discharge 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 the granularity known (e.g., year, year and month, complete date plus hours and minutes, etc.).

Adult;Pediatric Supplemental 1.00 2014-05-28 16:11:26.0 Acute Admission/Discharge Hospital/Care Management Assessments and Examinations

Free-Form Entry

C21632 Intensive care unit type ICUTyp Type of intensive care unit the participant/subject is in Type of intensive care unit the participant/subject is i ICU: Adult ICU;ICU, unspecified;Pediatric ICU Adult Intensive Care Unit (ICU);Intensive Care Unit (ICU), unspecified;Pediatric Intensive Care Unit (ICU) Alphanumeric Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Acute Admission/Discharge Hospital/Care Management Assessments and Examinations

Multiple Pre-Defined Values Selected

C19131 Facility discharge time FacilityDischargeTime The time at which the patient was discharged from the facility The time at which the patient was discharged from the facility Facility discharge time 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 the granularity known (e.g., year, year and month, complete date plus hours and minutes, etc.).

Adult;Pediatric Supplemental 1.00 2014-05-28 16:13:42.0 Acute Admission/Discharge Hospital/Care Management Assessments and Examinations

Free-Form Entry

C19132 Ventilator assistance utilization indicator VentilatorAssistanceUtilznInd Indicator for the utilization of ventilator assistance on discharge Indicator for the utilization of ventilator assistance on discharge Utilization of ventilator assistance on discharge No;Unknown;Yes, 24 hours per day at discharge;Yes, less than 24 hours per day at discharge;Yes, unknown number of hours per day at discharge No;Unknown;Yes, 24 hours per day at discharge;Yes, less than 24 hours per day at discharge;Yes, unknown number of hours per day at discharge Alphanumeric

Ventilatory assistance includes but is not limited to mechanical ventilators, phrenic nerve stimulators, external negative pressure devices, and BiPAP. Do not include routine administration of oxygen, periodic IPPB administration, or CPAP.

Biering-SØrensen F, DeVivo MJ, Charlifue S, Chen Y, New PW, Noonan V, Post MWM, Vogel L. International Spinal Cord Injury Core Data Set (version 2.0)-including standardization of reporting. Spinal Cord. 2017;55(8):759-764. Adult;Pediatric Supplemental 1.00 2014-05-28 16:15:11.0 Acute Admission/Discharge Hospital/Care Management Assessments and Examinations

Single Pre-Defined Value Selected

C19159 Care provision level CareProvisionLevel The level of care provided to participant by health care facility The level fo care provided to participant by health care facility Level of Care Acute;Emergency;Emergency & Acute Acute;Emergency;Emergency & Acute Alphanumeric

Provided to participant by health care facility

Adult;Pediatric Supplemental 1.00 2014-05-29 12:08:31.0 Acute Admission/Discharge Hospital/Care Management Assessments and Examinations

Single Pre-Defined Value Selected

C19160 Discharge facility type DischargeFacilityTyp The type of facility to which the participant was discharged The type of facility to which the participant was discharged Place of discharge Assisted living residence;Correctional institution;Deceased;Group living situation;Homeless;Hospital;Hotel or motel;Nursing home;Other unclassified;Private residence;Rehabilitation hospital;Unknown Assisted living residence;Correctional institution;Deceased;Group living situation;Homeless;Hospital;Hotel or motel;Nursing home;Other unclassified;Private residence;Rehabilitation hospital;Unknown Alphanumeric

Private residence: includes house, condominium, mobile home, apartment, or houseboat.

Hospital: includes mental hospital or other acute care hospital for management of continuing medical issues after spinal cord injury-related care and/or rehabilitation is completed.
Nursing home: includes skilled nursing facilities and institutions providing essentially long-term, custodial, chronic disease care.
Assisted living residence: includes residential non-institutional locations in which some level of support for activities of daily living is provided.
Group living situation: includes transitional living facility or any residence shared by non-family members.
Correctional institution: includes prison, penitentiary, jail, correctional center, etc.
Homeless: includes cave, car, tent, etc.
Note: If the patient's place of residence does not fit into any of the above classifications, document it as "other, unclassified".

DeVivo M, Biering-S&Oslash;rensen F, Charlifue S, Noonan V, Post M, Stripling T, Wing P. International Spinal Cord Injury Core Data Set. Spinal Cord 2006 Sep;44(9):535-40.<br /><br />Note: an additional option was added to the ISCOS International SCI Core Data Set (rehabilitation unit) as it may be applicable for SCI studies. Adult;Pediatric Supplemental 1.00 2014-05-29 12:12:43.0 Acute Admission/Discharge Hospital/Care Management Assessments and Examinations

Single Pre-Defined Value Selected

C04807 Vital status VitStatus Status of participant/subject as alive or dead Status of participant/subject as alive or dead Vital status on discharge Alive;Dead Alive;Dead Alphanumeric

Choose one.

No references available Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Acute Admission/Discharge Hospital/Care Management Assessments and Examinations

Single Pre-Defined Value Selected

C19162 Acute care unit admission date AcuteCareUnitAdmissionDate The date at which participant was admitted to acute care unit The date at which participant was admitted to acute care unit Date of admission to acute care unit 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 the granularity known (e.g., year, year and month, complete date plus hours and minutes, etc.).
(e.g. ICU, step-down, acute. Do not include Post-Anaesthetic Recovery (PAR). If more than one transfer, choose first date. Note: If Unknown, please document date of first clinical assessment on acute care unit [any type of assessment, e.g., RN, physician, etc.])

Adult;Pediatric Supplemental 1.00 2014-05-29 12:14:49.0 Acute Admission/Discharge Hospital/Care Management Assessments and Examinations

Free-Form Entry

C06002 Inpatient treatment total day number InpatTreatmtTotlDyNum Total number of days spent in the hospital from the date of injury until discharge from the last inpatient treatment phase (the date of inpatient discharge) Total number of days spent in the hospital from the date of injury until discharge from the last inpatient treatment phase (the date of inpatient discharge Total Days Hospitalized for Acute Care and Rehabilitation Numeric Values

Do not count days when the patient is temporarily discharged pending readmission (between injury and final in participant rehabilitation discharge).
If the patient is transferred to rehabilitation then this data element would be completed on the Rehab Admission/Discharge form (i.e. only needs to filled one time). Because patients may be discharged home between phases of care, or their initial care may have been delayed, it may not be possible to subtract the final date of discharge from the initial admission date to determine overall hospital length of stay. Therefore, the length of stay should be recorded separately by adding together the number of days spent in each hospital. This information should be obtained by examining the admission and discharge forms from each hospital.

DeVivo M, Biering-S&Oslash;rensen F, Charlifue S, Noonan V, Post M, Stripling T, Wing P. International Spinal Cord Injury Core Data Set. Spinal Cord 2006 Sep;44(9):535-40. Adult;Pediatric Supplemental 3.00 2013-07-17 09:26:36.973 Acute Admission/Discharge Hospital/Care Management Assessments and Examinations

Free-Form Entry

C19163 Acute care unit admission time AcuteCareUnitAdmissionTime The time at which participant was admitted to acute care unit The time at which participant was admitted to acute care unit Time of admission to acute care unit 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 the granularity known (e.g., year, year and month, complete date plus hours and minutes, etc.).
(e.g., ICU, step-down, acute. Do not include Post-Anaesthetic Recovery (PAR) room. If more than one transfer, choose first time. Note: If Unknown, please document time of first clinical assessment on acute care unit [any type of assessment, e.g., RN, physician, etc.])

Adult;Pediatric Supplemental 1.00 2014-05-29 12:24:55.0 Acute Admission/Discharge Hospital/Care Management Assessments and Examinations

Free-Form Entry

C18153 Data unknown text DataUnknwnTxt The free-text field to Mark an "X" in to record if data are unknown or not available The free-text field to Mark an "X" in to record if data are unknown or not availabl Unknown Alphanumeric Adult;Pediatric Supplemental 3.00 2013-07-17 09:26:36.973 Acute Admission/Discharge Hospital/Care Management Assessments and Examinations 20

Free-Form Entry

C19166 Special care unit admittance indicator SCUAddmittanceInd Indicator for the admittance of participant to special care unit, including any Intensive Care or Step-Down Unit Indicator for the admittance of participant to special care unit, including any Intensive Care or Step-Down Unit Was the participant admitted to a Special Care Unit at any time during their stay? (including any Intensive Care or Step-Down Unit) No;Yes No;Yes Alphanumeric

Including any Intensive Care or Step-Down Unit

Adult;Pediatric Supplemental 1.00 2014-05-29 13:03:57.0 Acute Admission/Discharge Hospital/Care Management Assessments and Examinations

Single Pre-Defined Value Selected

CSV