CDE Detailed Report

Disease: Cerebral Palsy
Subdomain Name: Therapies
CRF: External Devices - CP

Displaying 51 - 81 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
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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

CSV