CDE Detailed Report
Disease: system
Subdomain Name: Therapies
CRF: files
Displaying 51 - 81 of 81
Subdomain Name: Therapies
CRF: files
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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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| 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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| 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 |
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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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| C58578 | Eat drink assistive device type other text | EatDrinkAssistDeviceTypOthrTxt | Text describing the presence of any other eating / drinking device used | Text describing the presence of any other eating / drinking device use | Other, specify | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2018-06-29 13:52:08.0 | External Devices - CP | Therapies | Treatment/Intervention Data | 255 |
Free-Form Entry |
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| 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 | Other, specify;Manual wheelchair;Power assist wheelchair;Power wheelchair;Scooter;Medical/Adaptive Stroller;Walker;Gait Trainer/Weight Supported Walkers;Crutches;Cane / Stick;Other Mobility Device | Other, specify;Manual wheelchair;Power assist wheelchair;Power wheelchair;Scooter;Medical/Adaptive Stroller;Walker;Gait Trainer/Weight Supported Walkers;Crutches;Cane / Stick;Other Mobility Device | Alphanumeric |
For each mobility device type record if it is used |
No references available. | Adult;Pediatric | Supplemental | 3.00 | 2013-07-25 08:54:08.2 | External Devices - CP | Therapies | Treatment/Intervention Data |
Multiple Pre-Defined Values Selected |
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| C58493 | Activity Daily Living device type other text | ADLDeviceTypOtherTxt | Text describing the presence of any other activity of daily living device used | Text describing the presence of any other activity of daily living device use | Other, specify | Alphanumeric |
Specify whether ADL devices other than Eating / Drinking Assistive Devices, Bathing Devices, and Toileting Devices are used. |
Adult;Pediatric | Supplemental | 1.00 | 2018-04-16 14:54:50.0 | External Devices - CP | Therapies | Treatment/Intervention Data | 255 |
Free-Form Entry |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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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 |
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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
