CDE Detailed Report
Disease: Cerebral Palsy
Subdomain Name: Therapies
CRF: External Devices - CP
Displaying 1 - 50 of 81
Subdomain Name: Therapies
CRF: External Devices - CP
Displaying 1 - 50 of 81
| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| C58630 | Crutch use laterality type | CrutchUseLateralTyp | Laterality type with which the participant/subject uses their crutches | Laterality type with which the participant/subject uses their crutche | Laterality of type of crutches used. | Unilateral;Bilateral | Unilateral;Bilateral | Alphanumeric |
Select laterality for type of crutches used. |
Adult;Pediatric | Supplemental | 1.00 | 2018-04-12 14:27:43.0 | External Devices - CP | Therapies | Treatment/Intervention Data |
Single Pre-Defined Value Selected |
|||||||||
| C58631 | Position device type use indicator | PositionDeviceTypUseInd | Indicator whether the participant/subject currently uses the selected types of positioning devices | Indicator whether the participant/subject currently uses the selected types of positioning device | Devices Used? | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2018-06-28 12:11:42.0 | External Devices - CP | Therapies | Treatment/Intervention Data |
Single Pre-Defined Value Selected |
||||||||||||
| C58632 | Access communication device type another body part specify text | AccComDevTypAnothrBodPrtSpcTxt | Text describing the presence of another body part for type of access communication device used | Text describing the presence of another body part for type of access communication device use | Another body part, specify | Alphanumeric |
Specify the type of another body part used. |
Adult;Pediatric | Supplemental | 1.00 | 2018-11-30 15:33:00.0 | External Devices - CP | Therapies | Treatment/Intervention Data | 255 |
Free-Form Entry |
||||||||||
| C58472 | Communications device use indicator | CommunicationDevUseInd | Indicator of whether the participant/subject uses any communication devices | Indicator of whether the participant/subject uses any communication devices | Does the participant use communication devices? | Yes, specify;No | Yes, specify;No | Alphanumeric |
If Yes, (complete section 6) |
No references available. | Adult;Pediatric | Supplemental | 3.00 | 2013-07-25 08:54:08.2 | External Devices - CP | Therapies | Treatment/Intervention Data |
Single Pre-Defined Value Selected |
||||||||
| C58504 | Speak communication device type | SpeakCommunDevTyp | Type for all speaking communication devices currently used by the participant/subject | Type for all speaking communication devices currently used by the participant/subject | If yes, | IPAD;Dedicated Speech Generating Device (used for communication);Android;Other, specify | IPAD;Dedicated Speech Generating Device (used for communication);Android;Other, specify | Alphanumeric |
Only answer if speaking communication devices is answered Yes. |
No references available. | Adult;Pediatric | Supplemental | 1.00 | 2018-04-16 20:34:09.0 | External Devices - CP | Therapies | Treatment/Intervention Data |
Multiple Pre-Defined Values Selected |
||||||||
| C58567 | Dynamic upper extremity orthosis splint frequency use laterality type | DynUEOrthoSplntUseFreqLatrlTyp | Laterality type of dynamic upper extremity orthosis splints frequency used by participant/subject | Laterality type of dynamic upper extremity orthosis splints frequency used by participant/subjec | If yes, | Left;Right | Left;Right | Alphanumeric |
Only answer if dynamic upper extremity orthosis/splints is answered Yes. |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2018-06-27 11:42:16.0 | External Devices - CP | Therapies | Treatment/Intervention Data |
Single Pre-Defined Value Selected |
||||||||
| C58483 | Static upper extremity orthosis splint use anatomic site | StaticUEOrthoSplntUseAnatSite | Anatomic site of the static upper extremity orthosis/splints use | Anatomic site of the static upper extremity orthosis/splints use | Anatomic Site: | Thumb;Wrist/hand;Hand/Fingers;Elbow | Thumb;Wrist/hand;Hand/Fingers;Elbow | Alphanumeric |
Only answer if static upper extremity orthosis/splints is answered Yes. |
No references available. | Adult;Pediatric | Supplemental | 1.00 | 2018-04-13 10:47:12.0 | External Devices - CP | Therapies | Treatment/Intervention Data |
Multiple Pre-Defined Values Selected |
||||||||
| C58617 | Mobility device use propel type | MobilityDeviceUsePropelTyp | Propel type the participant/subject uses their mobility device(s), if applicable | Propel type the participant/subject uses their mobility device(s), if applicable | Propel | Independent;Partial Independence;Dependent;Other, specify | Independent;Partial Independence;Dependent;Other, specify | Alphanumeric |
If the participant/subject uses mobility device(s) then record the propulsion use. |
Adult;Pediatric | Supplemental | 1.00 | 2018-11-02 09:29:16.0 | External Devices - CP | Therapies | Treatment/Intervention Data |
Multiple Pre-Defined Values 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 |
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 - CP | Therapies | Treatment/Intervention Data |
Single Pre-Defined Value Selected |
||||||||
| C58494 | Bath device type other text | BathDeviceTypOtherTxt | Text describing the presence of any other bathing device used | Text describing the presence of any other bathing device use | Other, specify | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2018-04-16 15:02:41.0 | External Devices - CP | Therapies | Treatment/Intervention Data | 255 |
Free-Form Entry |
|||||||||||
| 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;Pediatric | Supplemental | 3.00 | 2013-07-24 11:38:01.2 | External Devices - CP | Therapies | Treatment/Intervention Data |
Single Pre-Defined Value Selected |
||||||||
| C58505 | Speak communication device type other text | SpeakCommunDevTypOtherTxt | Text describing the presence of any other type of speaking communication device used | Text describing the presence of any other type of speaking communication device use | Other, specify | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2018-04-16 20:42:58.0 | External Devices - CP | Therapies | Treatment/Intervention Data | 255 |
Free-Form Entry |
|||||||||||
| C58568 | Dynamic upper extremity orthosis splint use anatomic site laterality type | DynUEOrthSplnUseAnatSiteLatTyp | Laterality type of dynamic upper extremity orthosis splints anatomic site used by participant/subject | Laterality type of dynamic upper extremity orthosis splints anatomic site used by participant/subjec | If Yes, | Left;Right | Left;Right | Alphanumeric |
Only answer if dynamic upper extremity orthosis/splints is answered Yes. |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2018-06-27 11:49:04.0 | External Devices - CP | Therapies | Treatment/Intervention Data |
Single Pre-Defined Value Selected |
||||||||
| C58484 | Dynamic lower extremity stretch orthosis splint use frequency type | DynmLEStrchOrthSplntUseFreqTyp | Frequency type with which the participant/subject uses their dynamic lower extremity stretching orthosis/splints, if applicable | Frequency type with which the participant/subject uses their dynamic 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 Dynamic lower extremity stretching orthosis/splints is answered Yes. |
No references available. | Adult;Pediatric | Supplemental | 1.00 | 2018-04-13 10:55:59.0 | External Devices - CP | Therapies | Treatment/Intervention Data |
Multiple Pre-Defined Values Selected |
||||||||
| C58618 | Mobility device use propel type other text | MobilDeviceUsePropelTypOthrTxt | Text describing other propulsion type of mobility device use | Text describing other propulsion type of mobility device us | Other, specify | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2018-04-12 13:56:59.0 | External Devices - CP | Therapies | Treatment/Intervention Data | 255 |
Free-Form Entry |
|||||||||||
| 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 |
Indicator whether the participant/subject currently uses the selected types of orthosis |
Adult;Pediatric | Supplemental | 3.00 | 2013-07-24 11:38:01.2 | External Devices - CP | Therapies | Treatment/Intervention Data |
Single Pre-Defined Value Selected |
|||||||||
| C58495 | Toilet device type | ToiletDeviceTyp | Type for all toileting devices currently used by the participant/subject | Type for all toileting devices currently used by the participant/subject | If yes, | Toilet chair/Commode;Toilet Riser/Adaptive Seat Over Toilet;Bathroom grab bars;Other, specify | Toilet chair/Commode;Toilet Riser/Adaptive Seat Over Toilet;Bathroom grab bars;Other, specify | Alphanumeric |
Only answer if toileting devices is answered Yes. |
No references available. | Adult;Pediatric | Supplemental | 1.00 | 2018-04-16 15:04:12.0 | External Devices - CP | Therapies | Treatment/Intervention Data |
Multiple Pre-Defined Values Selected |
||||||||
| C58506 | IPAD application text | IpadApplicatnTxt | Text describing the type of iPad application used | Text describing the type of iPad application use | App used, specify | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2018-04-16 20:45:23.0 | External Devices - CP | Therapies | Treatment/Intervention Data | 255 |
Free-Form Entry |
|||||||||||
| 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;Pediatric | Supplemental | 1.00 | 2018-04-12 12:20:58.0 | External Devices - CP | Therapies | Treatment/Intervention Data |
Single Pre-Defined Value Selected |
||||||||
| C58569 | Static upper extremity orthosis splint frequency use laterality type | StatcUEOrthSplntUseFreqLatTyp | Laterality type of static upper extremity orthosis splints frequency used by participant/subject | Laterality type of static upper extremity orthosis splints frequency used by participant/subjec | If yes, | Left;Right | Left;Right | Alphanumeric |
Only answer if static upper extremity orthosis/splints is answered Yes. |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2018-06-27 12:05:23.0 | External Devices - CP | Therapies | Treatment/Intervention Data |
Single Pre-Defined Value Selected |
||||||||
| 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;Pediatric | Supplemental | 1.00 | 2018-04-13 11:14:58.0 | External Devices - CP | Therapies | Treatment/Intervention Data |
Multiple Pre-Defined Values Selected |
||||||||
| C58619 | Truncal support device type | TruncalSupportDeviceTyp | Type of truncal support device type currently used by the participant/subject | Type of truncal support device type currently used by the participant/subject | Truncal Support Devices | Neoprene trunk support;Thoracic-lumbar-sacral orthoses (TLSO);Body jacket;Sitting support orthosis (SSO);Other, specify | Neoprene trunk support;Thoracic-lumbar-sacral orthoses (TLSO);Body jacket;Sitting support orthosis (SSO);Other specify | Alphanumeric |
Only answer if truncal support devices is answered Yes. |
Adult;Pediatric | Supplemental | 1.00 | 2018-11-02 11:59:06.0 | External Devices - CP | Therapies | Treatment/Intervention Data |
Multiple Pre-Defined Values Selected |
|||||||||
| 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 mobility devices, specify | Alphanumeric |
Specify whether mobility devices other than manual wheelchair, power assist wheelchair, power wheel chair, scooter, medical/adaptive stroller, gait trainer / weight supported walkers, crutches and cane / stick are used. |
Adult;Pediatric | Supplemental | 3.00 | 2013-07-25 08:54:08.2 | External Devices - CP | Therapies | Treatment/Intervention Data | 4000 |
Free-Form Entry |
||||||||||
| 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 | Adult;Pediatric | Supplemental | 1.00 | 2018-04-16 15:17:18.0 | External Devices - CP | Therapies | Treatment/Intervention Data | 255 |
Free-Form Entry |
|||||||||||
| C58507 | Android application text | AndroidApplicationTxt | Text describing the type of Android application used | Text describing the type of Android application use | App used, specify | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2018-04-16 20:47:30.0 | External Devices - CP | Therapies | Treatment/Intervention Data | 255 |
Free-Form Entry |
|||||||||||
| 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 | Use 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;Pediatric | Supplemental | 1.00 | 2018-04-12 13:27:46.0 | External Devices - CP | Therapies | Treatment/Intervention Data |
Multiple Pre-Defined Values Selected |
||||||||
| C58570 | Static upper extremity orthosis splint use anatomic site laterality type | StcUEOrthSplnUseAnatSiteLatTyp | Laterality type of static upper extremity orthosis splints anatomic site used by participant/subject | Laterality type of static upper extremity orthosis splints anatomic site used by participant/subjec | If yes, | Left;Right | Left;Right | Alphanumeric |
Only answer if static upper extremity orthosis/splints is answered Yes. |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2018-06-27 12:08:20.0 | External Devices - CP | Therapies | Treatment/Intervention Data |
Single Pre-Defined Value Selected |
||||||||
| 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;Pediatric | Supplemental | 1.00 | 2018-04-13 11:24:20.0 | External Devices - CP | Therapies | Treatment/Intervention Data |
Multiple Pre-Defined Values Selected |
||||||||
| C58620 | Truncal support device type other text | TruncalSupportDeviceTypOthrTxt | Text describing the presence of any other truncal support device used | Text describing the presence of any other truncal support device used | Other, specify | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2018-11-02 12:19:54.0 | External Devices - CP | Therapies | Treatment/Intervention Data | 255 |
Free-Form Entry |
|||||||||||
| 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 | Adult;Pediatric | Supplemental | 3.00 | 2013-07-25 08:54:08.2 | External Devices - CP | Therapies | Treatment/Intervention Data | 4000 |
Free-Form Entry |
|||||||||||
| 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 |
Adult;Pediatric | Supplemental | 1.00 | 2018-04-16 15:24:35.0 | External Devices - CP | Therapies | Treatment/Intervention Data |
Multiple Pre-Defined Values Selected |
|||||||||
| C58508 | Dedicate speech generating device manufacturer name | DedicSpeechGenertngManufcName | Name of manufacturer of dedicated speech generating device | Name of manufacturer of dedicated speech generating device | Specify device manufacturer | Alphanumeric |
Specify manufacturer and device (e.g., Attainment GoTalk 20, Dynavox Maestro, PRC Accent 1000, Ablenet Step-by-Step) |
Adult;Pediatric | Supplemental | 1.00 | 2018-04-16 20:58:28.0 | External Devices - CP | Therapies | Treatment/Intervention Data | 255 |
Free-Form Entry |
||||||||||
| 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 references available. | Adult;Pediatric | Supplemental | 1.00 | 2018-04-12 13:56:59.0 | External Devices - CP | Therapies | Treatment/Intervention Data | 255 |
Free-Form Entry |
||||||||||
| 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;Pediatric | Supplemental | 1.00 | 2018-06-27 11:42:16.0 | External Devices - CP | Therapies | Treatment/Intervention Data |
Single Pre-Defined Value Selected |
||||||||
| 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;Pediatric | Supplemental | 1.00 | 2018-04-13 11:27:48.0 | External Devices - CP | Therapies | Treatment/Intervention Data |
Multiple Pre-Defined Values Selected |
||||||||
| 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. |
Adult;Pediatric | Supplemental | 1.00 | 2018-11-02 13:27:56.0 | External Devices - CP | Therapies | Treatment/Intervention Data |
Multiple Pre-Defined Values Selected |
|||||||||
| C56951 | Walker use type | WalkerUseTyp | Type of walker which the participant/subject uses, if applicable | Type of walker which the participant/subject uses, if applicable | Type of walker | Front or Forward Walker (no wheels, two-wheeled, or four wheeled);Reverse Rolling Walker | Front or Forward Walker (no wheels, two-wheeled, or four wheeled);Reverse Rolling Walker | Alphanumeric |
If the participant/subject uses a walker, then record the type used. Choose one option. |
No references available. | Adult;Pediatric | Supplemental | 1.00 | 2017-08-07 11:32:24.0 | External Devices - CP | Therapies | Treatment/Intervention Data |
Single Pre-Defined Value Selected |
||||||||
| 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 Transfer Devices and Transportation Devices are used. |
Adult;Pediatric | Supplemental | 1.00 | 2018-04-16 15:31:54.0 | External Devices - CP | Therapies | Treatment/Intervention Data | 255 |
Free-Form Entry |
||||||||||
| C58509 | Dedicate speech generating device name | DedicSpeechGenertngDevceName | Name of dedicated speech generating device | Name of dedicated speech generating device | Specify device | Alphanumeric |
Specify manufacturer and device (e.g., Attainment GoTalk 20, Dynavox Maestro, PRC Accent 1000, Ablenet Step-by-Step) |
Adult;Pediatric | Supplemental | 1.00 | 2018-04-16 21:00:06.0 | External Devices - CP | Therapies | Treatment/Intervention Data | 255 |
Free-Form Entry |
||||||||||
| C58477 | Cane stick use laterality type | CaneStickUseLateralTyp | Laterality type with which the participant/subject uses their cane/stick | Laterality type with which the participant/subject uses their cane/stick | If yes, | Unilateral;Bilateral | Unilateral;Bilateral | Alphanumeric | No references available. | Adult;Pediatric | Supplemental | 1.00 | 2018-04-12 14:27:43.0 | External Devices - CP | Therapies | Treatment/Intervention Data |
Single Pre-Defined Value Selected |
|||||||||
| 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;Pediatric | Supplemental | 1.00 | 2018-06-27 11:49:04.0 | External Devices - CP | Therapies | Treatment/Intervention Data |
Single Pre-Defined Value Selected |
||||||||
| 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;Pediatric | Supplemental | 1.00 | 2018-04-16 11:43:18.0 | External Devices - CP | Therapies | Treatment/Intervention Data |
Multiple Pre-Defined Values Selected |
||||||||
| 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 |
Adult;Pediatric | Supplemental | 1.00 | 2018-11-02 13:37:37.0 | External Devices - CP | Therapies | Treatment/Intervention Data |
Free-Form Entry |
0 | 1440 | |||||||||
| C56952 | Crutch use type | CrutchUseTyp | Type of crutches which the participant/subject uses, if applicable | Type of crutches which the participant/subject uses, if applicable | Type of crutches | Lofstrand or Forearm Crutches;Underarm;Other, specify | Lofstrand or Forearm Crutches;Underarm;Other, specify | Alphanumeric |
If the participant/subject uses crutches, then record the type used. Choose one option. |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2017-08-07 11:44:13.0 | External Devices - CP | Therapies | Treatment/Intervention Data |
Multiple Pre-Defined Values Selected |
||||||||
| 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. |
Adult;Pediatric | Supplemental | 1.00 | 2018-04-16 15:38:33.0 | External Devices - CP | Therapies | Treatment/Intervention Data |
Multiple Pre-Defined Values Selected |
|||||||||
| C58510 | Nonspeak communication device type | NonSpeakCommunDevTyp | Type for all non-speaking communication devices currently used by the participant/subject | Type for all non-speaking communication devices currently used by the participant/subject | If yes, | Communication Book or Board;Pictures/Picture Exchange Communication System (PECS);Other, specify | Communication Book or Board;Pictures/Picture Exchange Communication System (PECS);Other specify | Alphanumeric |
Only answer if non-speaking communication devices is answered Yes. |
No references available. | Adult;Pediatric | Supplemental | 1.00 | 2018-04-16 21:28:20.0 | External Devices - CP | Therapies | Treatment/Intervention Data |
Multiple Pre-Defined Values Selected |
||||||||
| C58478 | Orthoses type | OrthosesTyp | Type for all orthoses currently used by the participant/subject | Type for all orthoses currently used by the participant/subject | Orthoses | Ankle-foot orthosis (AFO);Dynamic Lower Extremity Stretching Orthosis/Splints;Dynamic Upper Extremity Orthosis/Splints;Hip-knee-ankle-foot orthosis (HKAFO);Shoe Inserts of any type;Knee-ankle-foot orthosis (KAFO);Other Orthosis, specify;Static Lower Extremity Stretching Orthosis/Splints;Static Upper Extremity Orthosis/Splints;Supramalleolar orthotic (SMO) | Ankle-foot orthosis (AFO);Dynamic Lower Extremity Stretching Orthosis/Splints;Dynamic Upper Extremity Orthosis/Splints;Hip-knee-ankle-foot orthosis (HKAFO);Shoe Inserts of any type;Knee-ankle-foot orthosis (KAFO);Other Orthosis, specify;Static Lower Extremity Stretching Orthosis/Splints;Static Upper Extremity Orthosis/Splints;Supramalleolar orthotic (SMO) | Alphanumeric |
For each orthoses type record if it is used |
No references available. | Adult;Pediatric | Supplemental | 1.00 | 2018-04-12 16:55:27.0 | External Devices - CP | Therapies | Treatment/Intervention Data |
Multiple Pre-Defined Values Selected |
||||||||
| 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;Pediatric | Supplemental | 1.00 | 2018-06-27 11:42:16.0 | External Devices - CP | Therapies | Treatment/Intervention Data |
Single Pre-Defined Value Selected |
||||||||
| C58489 | Seat lie position device type | SeatLiePositionDeviceTyp | Type of seated or lying position device currently used by the participant/subject | Type of seated or lying position device currently used by the participant/subject | Seated or Lying Position Device | Abduction wedge;Serial casting;Saddle seats/Bolster seats;Seat inserts;Corner chair | Abduction wedge;Serial casting;Saddle seats/Bolster seats;Seat inserts;Corner chair | Alphanumeric |
Only answer if seated or lying position device is answered Yes. |
No references available. | Adult;Pediatric | Supplemental | 1.00 | 2018-04-16 13:53:49.0 | External Devices - CP | Therapies | Treatment/Intervention Data |
Multiple Pre-Defined Values Selected |
||||||||
| 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 |
Adult;Pediatric | Supplemental | 1.00 | 2018-11-02 13:37:37.0 | External Devices - CP | Therapies | Treatment/Intervention Data |
Free-Form Entry |
0 | 7 |
