CDE Detailed Report
Disease: Spinal Cord Injury
Subdomain Name: Therapies
CRF: Assistive
Displaying 1 - 26 of 26
Subdomain Name: Therapies
CRF: Assistive
Displaying 1 - 26 of 26
| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-07-21 12:11:21.037 | Assistive/Mobility Devices and Orthoses | Therapies | Treatment/Intervention Data |
Single Pre-Defined Value Selected |
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| C21650 | Orthosis cane type | OrthosisCaneTyp | Type of cane the participant/subject uses | Type of cane the participant/subject uses | Yes | 1;2;Quad Base;Single Point | 1;2;Quad Base;Single Point | Alphanumeric |
(check all that apply) |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-07-21 12:11:21.037 | Assistive/Mobility Devices and Orthoses | Therapies | 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;Other, specify;Mobile standers;Standing wheelchairs | Scooter;Stroller;Other, specify;Mobile standers;Standing wheelchairs | Alphanumeric |
(check all that apply) |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-07-21 12:11:21.037 | Assistive/Mobility Devices and Orthoses | Therapies | Treatment/Intervention Data |
Multiple Pre-Defined Values Selected |
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| 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 | Adult;Pediatric | Supplemental | 3.00 | 2013-07-25 08:54:08.2 | Assistive/Mobility Devices and Orthoses | Therapies | Treatment/Intervention Data |
Multiple Pre-Defined Values 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 |
(check all that apply) |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-07-21 12:11:21.037 | Assistive/Mobility Devices and Orthoses | Therapies | Treatment/Intervention Data |
Single Pre-Defined Value Selected |
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| 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 |
(check all that apply) |
Adult;Pediatric | Supplemental | 3.00 | 2013-07-25 08:54:08.2 | Assistive/Mobility Devices and Orthoses | Therapies | Treatment/Intervention Data |
Multiple Pre-Defined Values Selected |
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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 | Assistive/Mobility Devices and Orthoses | Therapies | 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 |
(check all that apply) |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-07-21 12:11:21.037 | Assistive/Mobility Devices and Orthoses | Therapies | Treatment/Intervention Data |
Multiple Pre-Defined Values 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 |
(check all that apply) |
Adult;Pediatric | Supplemental | 3.00 | 2013-07-25 08:54:08.2 | Assistive/Mobility Devices and Orthoses | Therapies | Treatment/Intervention Data |
Multiple Pre-Defined Values 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/subject use lower extremity orthoses and assistive devices? | 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 | Assistive/Mobility Devices and Orthoses | Therapies | 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 | No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-07-25 08:54:08.2 | Assistive/Mobility Devices and Orthoses | Therapies | Treatment/Intervention Data | 4000 |
Free-Form Entry |
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| C21654 | Back brace indicator | BackBraceInd | Indicator of whether the participant/subject wears a type of orthosis for the spine | Indicator of whether the participant/subject wears a type of orthosis for the spine | Do you wear a body jacket/back brace/TSLO | No;Yes | No;Yes | Alphanumeric |
(check all that apply) |
Adult;Pediatric | Supplemental | 3.00 | 2013-07-24 11:38:01.2 | Assistive/Mobility Devices and Orthoses | Therapies | Treatment/Intervention Data |
Single Pre-Defined Value Selected |
3165788 | ||||||||
| 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 | No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-07-25 08:54:08.2 | Assistive/Mobility Devices and Orthoses | Therapies | Treatment/Intervention Data |
Multiple Pre-Defined Values 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;Pediatric | Supplemental | 3.00 | 2013-07-21 12:11:21.037 | Assistive/Mobility Devices and Orthoses | Therapies | Treatment/Intervention Data | 4000 |
Free-Form Entry |
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| C21655 | Back brace frequency type | BackBraceFreqTyp | Describes how long the participant/subject wears the body jacket/back brace/TSLO | Describes how long the participant/subject wears the body jacket/back brace/TSLO | If yes, | All the time;Day only;Night only | All the time;Day only;Night only | Alphanumeric | Adult;Pediatric | Supplemental | 3.00 | 2013-07-21 12:11:21.037 | Assistive/Mobility Devices and Orthoses | Therapies | Treatment/Intervention Data |
Single Pre-Defined Value Selected |
||||||||||
| 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 | Assistive/Mobility Devices and Orthoses | Therapies | Treatment/Intervention Data |
Single Pre-Defined Value Selected |
|||||||||
| C21644 | Orthosis stander type | OrthosisStanderTyp | Type of stander the participant/subject uses | Type of stander the participant/subject uses | Yes | Dynamic;Mobile;Prone;Static;Supine | Dynamic;Mobile;Prone;Static;Supine | Alphanumeric |
(check all that apply) |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-07-21 12:11:21.037 | Assistive/Mobility Devices and Orthoses | Therapies | Treatment/Intervention Data |
Single Pre-Defined Value Selected |
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| C21656 | Orthosis other type | OrthosisOtherTyp | Other types of orthoses used by the participant/subject | Other types of orthoses used by the participant/subject | Do you use any other type of orthosis | Hip;Neck;Shoulder | Hip;Neck;Shoulder | Alphanumeric |
(check all that apply) |
Adult;Pediatric | Supplemental | 3.00 | 2013-07-21 12:11:21.037 | Assistive/Mobility Devices and Orthoses | Therapies | 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 | Yes: | Full-time;Part-time | Full-time;Part-time | Alphanumeric | No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-07-24 11:38:01.2 | Assistive/Mobility Devices and Orthoses | Therapies | Treatment/Intervention Data |
Single Pre-Defined Value Selected |
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| C21645 | Orthosis walker type | OrthosisWalkerTyp | Type of walker the participant/subject uses | Type of walker the participant/subject uses | Yes | Anterior;Posterior;Wheeled | Anterior;Posterior;Wheeled | Alphanumeric |
(check all that apply) |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-07-21 12:11:21.037 | Assistive/Mobility Devices and Orthoses | Therapies | 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 | No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-07-24 11:38:01.2 | Assistive/Mobility Devices and Orthoses | Therapies | Treatment/Intervention Data |
Single Pre-Defined Value Selected |
|||||||||
| C21646 | Orthosis crutches type | OrthosisCrutchesTyp | Type of crutches the participant/subject uses | Type of crutches the participant/subject uses | Yes | 1;2;Axillary;Forearm;Lofstrand | 1;2;Axillary;Forearm;Lofstrand | Alphanumeric |
(check all that apply) |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-07-21 12:11:21.037 | Assistive/Mobility Devices and Orthoses | Therapies | Treatment/Intervention Data |
Single Pre-Defined Value 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 | Yes;No | Alphanumeric | Adult;Pediatric | Supplemental | 3.00 | 2013-07-24 11:38:01.2 | Assistive/Mobility Devices and Orthoses | Therapies | Treatment/Intervention Data |
Single Pre-Defined Value Selected |
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| C21648 | Walker wheel number | WalkerWheelNum | Designates the number of wheels the walker has that the participant/subject uses | Designates the number of wheels the walker has that the participant/subject uses | Wheeled | 2;4 | 2;4 | Alphanumeric |
(circle) |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-07-21 12:11:21.037 | Assistive/Mobility Devices and Orthoses | Therapies | 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;Walker;Crutches;Cane;Upper extremity assistive devices | 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;Walker;Crutches;Cane;Upper extremity assistive devices (ex. mobile arm support) | Alphanumeric | No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-07-25 08:54:08.2 | Assistive/Mobility Devices and Orthoses | Therapies | 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 | 1 | Left;Right | Left;Right | Alphanumeric |
(circle) |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-07-21 12:11:21.037 | Assistive/Mobility Devices and Orthoses | Therapies | Treatment/Intervention Data |
Single Pre-Defined Value Selected |
