CDE Detailed Report
Disease: system
Subdomain Name: Therapies
CRF: files
Displaying 1 - 50 of 81
Subdomain Name: Therapies
CRF: files
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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| C58500 | Transportation device type other text | TransportDeviceTypOtherTxt | Text describing the presence of any other transfer device used | Text describing the presence of any other transfer device use | Other, specify | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2018-04-16 15:58:24.0 | External Devices - CP | Therapies | Treatment/Intervention Data | 255 |
Free-Form Entry |
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| 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 | |||||||||
| C56953 | Cane stick use type | CaneStickUseTyp | Type of cane which the participant/subject uses, if applicable | Type of cane which the participant/subject uses, if applicable | If yes, | Quad cane;Single Point Cane | Quad cane;Single Point Cane | Alphanumeric |
If the participant/subject uses a cane, then record the type used. Choose one option. |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2017-08-07 12:12:38.0 | External Devices - CP | Therapies | Treatment/Intervention Data |
Single Pre-Defined Value Selected |
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| C58479 | Orthosis laterality type | OrthosisLateralityTyp | Laterality type of orthoses used by participant/subject | Laterality type of orthoses used by participant/subject | If yes, | Unilateral;Bilateral | Unilateral;Bilateral | Alphanumeric | No references available. | Adult;Pediatric | Supplemental | 1.00 | 2018-04-12 17:17:20.0 | External Devices - CP | Therapies | Treatment/Intervention Data |
Single Pre-Defined Value Selected |
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| C58511 | Nonspeak communication device type other text | NonSpeakCommunDevTypOtherTxt | Text describing the presence of any other type of non-speaking communication device used | Text describing the presence of any other type of non-speaking communication device use | Other, specify | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2018-04-16 21:31:02.0 | External Devices - CP | Therapies | Treatment/Intervention Data | 255 |
Free-Form Entry |
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| C58490 | Position device type other text | PositionDeviceTypOthrTxt | Text describing the presence of any other positioning device used | Text describing the presence of any other positioning device use | Other, specify | Alphanumeric |
Specify whether positioning devices other than Seated or Lying Position Device, Stander and Truncal Support Devices are used. |
Adult;Pediatric | Supplemental | 1.00 | 2018-04-16 14:04:03.0 | External Devices - CP | Therapies | Treatment/Intervention Data | 255 |
Free-Form Entry |
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| C58574 | Static lower extremity stretch orthosis splint use anatomic site laterality type | StaLEStrOrthSplntUsAnStLatTyp | Side of the body of the anatomic site of the static lower extremity stretching orthosis/splints use | Side of the body of the anatomic site of the static lower extremity stretching orthosis/splints use | 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 | 2018-04-13 11:27:48.0 | External Devices - CP | Therapies | Treatment/Intervention Data |
Multiple Pre-Defined Values Selected |
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| C12673 | Position device use indicator | PositionDevUseInd | Indicator of whether the participant/subject uses any positioning devices | Indicator of whether the participant/subject uses any positioning devices | Does the participant use positioning devices? | Yes, specify;No | Yes, specify;No | Alphanumeric |
If Yes, (complete section 3) |
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 |
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| C58501 | Transportation device type | TransportDeviceTyp | Type for all transportation devices currently used by the participant/subject | Type for all transportation devices currently used by the participant/subject | If yes, | Adaptive car seat/Booster seat;Other, specify;Seating restraints (e.g., Manual, Electronic, Torso, Wheel Wells);Vehicle Lifts (e.g., Platform/Rotary);Vehicle with driver modifications | Adaptive car seat/Booster seat;Other, specify;Seating restraints (e.g., Manual, Electronic, Torso, Wheel Wells);Vehicle Lifts (e.g., Platform/Rotary);Vehicle with driver modifications | Alphanumeric |
Only answer if transportation devices is answered Yes. |
Adult;Pediatric | Supplemental | 1.00 | 2018-04-16 16:05:13.0 | External Devices - CP | Therapies | Treatment/Intervention Data |
Multiple Pre-Defined Values Selected |
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| C58624 | Transfer transportation device type use indicator | TransfrTransportDevTypUseInd | Indicator whether the participant/subject currently uses the selected types of transfer/transportation devices | Indicator whether the participant/subject currently uses the selected types of transfer/transportation devices | Device Used? | Yes;No;Not applicable | Yes;No;Not applicable | Alphanumeric |
For each transfer/transportation device type record if it is used. Choose one for each device type. |
Adult;Pediatric | Supplemental | 1.00 | 2018-11-02 14:02:36.0 | External Devices - CP | Therapies | Treatment/Intervention Data |
Single Pre-Defined Value Selected |
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| C56954 | Dynamic upper extremity orthosis splint use frequency type | DynmUEOrthoSplntUseFreqTyp | Frequency type with which the participant/subject uses their dynamic upper extremity orthosis/splints, if applicable | Frequency type with which the participant/subject uses their dynamic upper extremity 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 upper extremity orthosis/splints is answered Yes. |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2017-08-07 12:54:36.0 | External Devices - CP | Therapies | Treatment/Intervention Data |
Multiple Pre-Defined Values Selected |
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| C58480 | AFO type | AFOTyp | Type of ankle-foot orthosis (AFO) used by the participant/subject | Type of ankle-foot orthosis (AFO) used by the participant/subject | If yes, | Solid;Articulating;Dynamic Ankle Foot Orthosis (DAFO);Posterior Leaf Spring (PLS);Carbon Fiber | Solid;Articulating;Dynamic Ankle Foot Orthosis (DAFO);Posterior Leaf Spring (PLS);Carbon Fiber | Alphanumeric |
Only answer if Ankle-foot Orthosis is answered Yes. Choose all that apply. |
No references available. | Adult;Pediatric | Supplemental | 1.00 | 2018-04-13 09:33:55.0 | External Devices - CP | Therapies | Treatment/Intervention Data |
Multiple Pre-Defined Values Selected |
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| C58512 | Access communication device type | AccessCommunDevTyp | Type for all access communication devices currently used by the participant/subject | Type for all access communication devices currently used by the participant/subject | Uses: | Another body part, specify;Brain computer interface;Eye gaze;Finger;Head or chin pointer;One or more switches, device scans between messages;Other, specify | Another body part, specify;Brain computer interface;Eye gaze;Finger;Head or chin pointer;One or more switches, device scans between messages;Other, specify | Alphanumeric |
Only answer if access communication devices is answered Yes. |
No references available. | Adult;Pediatric | Supplemental | 1.00 | 2018-04-16 21:33:56.0 | External Devices - CP | Therapies | Treatment/Intervention Data |
Multiple Pre-Defined Values Selected |
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| C58491 | Activity daily living device type | ADLDeviceTyp | Type for all activity of daily living devices currently used by the participant/subject | Type for all activity of daily living devices currently used by the participant/subjec | ADL Devices | Eating / Drinking Assistive Devices;Bathing Devices;Toileting Devices | Eating / Drinking Assistive Devices;Bathing Devices;Toileting Devices | Alphanumeric |
For each ADL device type record if it is used |
No references available. | Adult;Pediatric | Supplemental | 1.00 | 2018-04-16 14:07:02.0 | External Devices - CP | Therapies | Treatment/Intervention Data |
Multiple Pre-Defined Values Selected |
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| C58575 | Activity daily living device type use indicator | ActivDailyLivingDevcTypUseInd | Indicator whether the participant/subject currently uses the selected types of activity of daily living devices | Indicator whether the participant/subject currently uses the selected types of activity of daily living device | Device used? | Yes;No;Not applicable;Unknown | Yes;No;Not applicable;Unknown | Alphanumeric |
For each activity daily living device type record if it is used. Choose one for each device type. |
Adult;Pediatric | Supplemental | 1.00 | 2018-06-28 12:11:42.0 | External Devices - CP | Therapies | Treatment/Intervention Data |
Single Pre-Defined Value 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 use mobility devices? | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric |
If Yes, (complete section 1) |
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 |
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| C58470 | Transfer transportation device use indicator | TransferTransportDevUseInd | Indicator of whether the participant/subject uses any transfer/transportation devices | Indicator of whether the participant/subject uses any transfer/transportation devices | Does the participant use transfer/transportation devices? | Yes, specify;No | Yes, specify;No | Alphanumeric |
If Yes, (Complete section 5) |
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 |
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| C58502 | Communication devices category type | CommunicationDevCatTyp | Type of category for all communication devices currently used by the participant/subject | Type of category for all communication devices currently used by the participant/subject | Communication Devices | Speaking Communication Device;Non-Speaking Communication Device;Access Communication Device;Other, specify | Speaking Communication Device;Non-Speaking Communication Device;Access Communication Device;Other, specify | Alphanumeric |
For each communication device type record if it is used |
No references available. | Adult;Pediatric | Supplemental | 1.10 | 2022-01-07 16:02:40.0 | External Devices - CP | Therapies | Treatment/Intervention Data |
Multiple Pre-Defined Values Selected |
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| C58625 | Communication device type use indicator | CommunicationDevTypeUseInd | Indicator whether the participant/subject currently uses the selected types of transfer/transportation devices | Indicator whether the participant/subject currently uses the selected types of transfer/transportation devices | Device Used? | Yes;No;Not applicable | Yes;No;Not applicable | Alphanumeric |
For each communication device type record if it is used. Choose one for each device type. |
Adult;Pediatric | Supplemental | 1.00 | 2018-11-02 14:10:33.0 | External Devices - CP | Therapies | Treatment/Intervention Data |
Single Pre-Defined Value Selected |
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| C58481 | Dynamic upper extremity orthosis splint use anatomic site | DynmUEOrthoSplntUseAnatSite | Anatomic site of the dynamic upper extremity orthosis/splints use | Anatomic site of the dynamic upper extremity orthosis/splints use | Anatomic Site: | Thumb;Wrist/hand;Hand/Fingers;Elbow | Thumb;Wrist/hand;Hand/Fingers;Elbow | Alphanumeric |
Only answer if Dynamic Upper extremity orthosis/splints is answered Yes. |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2018-04-13 10:18:13.0 | External Devices - CP | Therapies | Treatment/Intervention Data |
Multiple Pre-Defined Values Selected |
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| C58513 | Access communication device type other text | AccessCommunDevTypOtherTxt | Text describing the presence of any other type of access communication device used | Text describing the presence of any other type of access communication device use | Other, specify | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2018-04-16 22:32:50.0 | External Devices - CP | Therapies | Treatment/Intervention Data | 255 |
Free-Form Entry |
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| C58492 | Bath device type | BathDeviceTyp | Type for all bathing devices currently used by the participant/subject | Type for all bathing devices currently used by the participant/subject | If yes, | Bath Chair/Bench;Bathroom grab bars;Other, specify;Removable Shower Head;Roll-in Shower | Bath Chair/Bench;Bathroom grab bars;Other, specify;Removable Shower Head;Roll-in Shower | Alphanumeric |
Only answer if bathing devices is answered Yes. |
No references available. | Adult;Pediatric | Supplemental | 1.00 | 2018-04-16 14:15:24.0 | External Devices - CP | Therapies | Treatment/Intervention Data |
Multiple Pre-Defined Values Selected |
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| C58577 | Eat drink assistive device type | EatDrinkAssistDeviceTyp | Type of eating / drinking device currently used by the participant/subject | Type of eating / drinking device currently used by the participant/subjec | Device used? | Cutlery / Chopsticks;Plates / Bowls;Cups, Mugs, Drinking Aids (e.g., Straws, Grip Adapters / Attachments);Stoppers and Funnels;Bib / Clothing Protectors;Feeding Systems (enteral / parenteral);Feeding Apparatus (manual);Food Guards;Other, specify | Cutlery / Chopsticks;Plates / Bowls;Cups, Mugs, Drinking Aids (e.g., Straws, Grip Adapters / Attachments);Stoppers and Funnels;Bib / Clothing Protectors;Feeding Systems (enteral / parenteral);Feeding Apparatus (manual);Food Guards;Other, specify | Alphanumeric |
Only answer if eating / drinking assistive device is answered Yes. |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2018-06-29 13:18:07.0 | External Devices - CP | 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 use orthoses? | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric |
If Yes, (complete section 2) |
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 |
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| C58471 | ADL device use indicator | ADLDevUseInd | Indicator of whether the participant/subject uses any ADL (activities of daily living) devices | Indicator of whether the participant/subject uses any ADL (activities of daily living) devices | Does the participant use ADL devices? | Yes, specify;No | Yes, specify;No | Alphanumeric |
If Yes, (complete section 4) |
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 |
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| C58503 | Communication device category type other text | CommunicationDeviceCatTypOTH | The free-text field related to 'Communication devices category type', specifying other text | The free-text field related to 'Communication devices category type', specifying other tex | Other, specify | Alphanumeric |
Specify whether Communication devices other than Speaking Communication Device, Non-Speaking Communication Device, and Access Communication Device are used. |
Adult;Pediatric | Supplemental | 1.10 | 2022-01-07 16:32:43.0 | External Devices - CP | Therapies | Treatment/Intervention Data | 255 |
Free-Form Entry |
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| C58626 | Transfer device type other text | TransferDevTypeOthrTxt | Text describing the presence of any other transfer device used | Text describing the presence of any other transfer device use | Other, specify | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2018-11-02 16:02:13.0 | External Devices - CP | Therapies | Treatment/Intervention Data | 255 |
Free-Form Entry |
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| C58482 | Static upper extremity orthosis splint use frequency type | StaticUEOrthoSplntUseFreqTyp | Frequency type with which the participant/subject uses their static upper extremity orthosis/splints, if applicable | Frequency type with which the participant/subject uses their static upper extremity 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 upper extremity orthosis/splints is answered Yes. |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2017-08-07 12:54:36.0 | External Devices - CP | Therapies | Treatment/Intervention Data |
Multiple Pre-Defined Values Selected |
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| C58566 | Orthosis type other text | OrthosisTypeOthrTxt | Text describing the presence of any other orthotic device used | Text describing the presence of any other orthotic device use | Other orthosis, Specify | Alphanumeric |
Specify whether orthoses other than 'Shoe Inserts of any type, Supramalleolar orthotic (SMO), Ankle-foot orthosis (AFO), Knee-ankle-foot orthosis (KAFO), Hip-knee-ankle foot orthosis (HKAFO), Dynamic Upper Extremity Orthosis/Splints, Static Upper Extremity Orthosis/Splints, Dynamic Lower Extremity Orthosis/Splints, and Static Lower Extremity Orthosis/Splints are used. |
Adult;Pediatric | Supplemental | 1.00 | 2018-06-27 08:59:09.0 | External Devices - CP | Therapies | Treatment/Intervention Data | 255 |
Free-Form Entry |
