CDE Detailed Report
Disease: Spinal Cord Injury
Subdomain Name: The International SCI Data Sets
CRF: International Standards for Neurological Classification of SCI Worksheet
Displaying 1 - 29 of 29
Subdomain Name: The International SCI Data Sets
CRF: International Standards for Neurological Classification of SCI Worksheet
Displaying 1 - 29 of 29
| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| C06005 | Data collected date and time | DataCollDateTime | Date (and time, if applicable and known) the data were collected. This may be the date/time a particular examination or procedure was performed | Date (and time, if applicable and known) the data were collected. This may be the date/time a particular examination or procedure was performe | Date Time of Exam | Date or Date & Time |
Record the date/time according to the ISO 8601, the International Standard for the representation of dates and times (http://www.iso.org/iso/home.html). The date/time should be recorded to the level of granularity known (e.g., year, year and month, complete date plus hours and minutes, etc.). |
Used with permission of the American Spinal Injury Association: International Standards for Neurological Classification of Spinal Cord Injury, revised 2011; Atlanta, GA. Updated 2015. | Adult;Pediatric | Core | 3.00 | 2013-07-24 21:00:23.88 | International Standards for Neurological Classification of SCI Worksheet | The International SCI Data Sets | The International SCI Data Sets |
Free-Form Entry |
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| C06326 | SCI Classification sensory exam anatomic site | SCIClssSensExamAntmicSite | Spinal cord level evaluated during the sensory examination | Spinal cord level evaluated during the sensory examination | Sensory | C2;C3;C4;C5;C6;C7;L1;L2;L3;L4;L5;S1;S2;S3;S4-5;T1;T2;T3;T4;T5;T6;T7;T8;T9;T10;T11;T12;C8 | C2;C3;C4;C5;C6;C7;L1;L2;L3;L4;L5;S1;S2;S3;S4-5;T1;T2;T3;T4;T5;T6;T7;T8;T9;T10;T11;T12;C8 | Alphanumeric |
This element and the 'SCI Classification Sensory Exam Laterality Type' element should be used with the subsequent sensory grades and scores to identify with which anatomic site and side (i.e., left or right) the sensory grade/score is associated. |
Used with permission of the American Spinal Injury Association: International Standards for Neurological Classification of Spinal Cord Injury, revised 2011; Atlanta, GA. Updated 2015 | Adult;Pediatric | Core | 3.00 | 2013-07-17 09:26:36.973 | International Standards for Neurological Classification of SCI Worksheet | The International SCI Data Sets | The International SCI Data Sets |
Single Pre-Defined Value Selected |
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| C06419 | SCI Classification motor strength upper limb single side score | SCIClssMtrStrgthUpLmbSnglSdScr | Score of motor strength for the upper limb on the specific side | Score of motor strength for the upper limb on the specific side | Motor Upper Limb R/L | Numeric Values |
Should be calculated/derived from the raw data. The maximum score for each side is 25. |
Used with permission of the American Spinal Injury Association: International Standards for Neurological Classification of Spinal Cord Injury, revised 2011; Atlanta, GA. Updated 2015 | Adult;Pediatric | Core | 3.00 | 2013-07-17 09:26:36.973 | International Standards for Neurological Classification of SCI Worksheet | The International SCI Data Sets | The International SCI Data Sets |
Free-Form Entry |
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| C06006 | SCI Classification sensory neurological level left result | SCIClssSensNeuroLvlLftReslt | Result of the most caudal segment of the spinal cord on the left side of the body with normal sensory function for pinprick and light touch | Result of the most caudal segment of the spinal cord on the left side of the body with normal sensory function for pinprick and light touc | Neurological Level Sensory L | C1;C2;C3;C4;C5;C6;C7;C8;L1;L2;L3;L4;L5;S1;S2;S3;S4-5;T1;T2;T3;T4;T5;T6;T7;T8;T9;T10;T11;T12;X00;X99 | C1;C2;C3;C4;C5;C6;C7;C8;L1;L2;L3;L4;L5;S1;S2;S3;S4-5;T1;T2;T3;T4;T5;T6;T7;T8;T9;T10;T11;T12;X00;X99 | Alphanumeric |
If only the alphabetic part of the level is known, it is permissible to use code C, L, T, or S followed by numeric code "99". Use code X99 if the level is completely unknown, the exam was not done, or there was no corresponding admission or discharge. |
DeVivo M, Biering-SØrensen F, Charlifue S, Noonan V, Post M, Stripling T, Wing P. International Spinal Cord Injury Core Data Set. Spinal Cord 2006 Sep;44(9):535-40. Refer to the latest published version of The International Standards for Neurological Classification of Spinal Cord Injury for complete information on the sensory examination and a listing of all key points. | Adult;Pediatric | Core | 3.00 | 2013-07-17 09:26:36.973 | International Standards for Neurological Classification of SCI Worksheet | The International SCI Data Sets | The International SCI Data Sets |
Single Pre-Defined Value Selected |
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| C06329 | SCI Classification light touch total score | SCIClssLteTchTtlScore | Total score of sensation of light touch on the right and left sides of the body | Total score of sensation of light touch on the right and left sides of the bod | Light Touch Score | Numeric Values |
Should be calculated/derived from the raw data. The maximum total score is 112. |
Used with permission of the American Spinal Injury Association: International Standards for Neurological Classification of Spinal Cord Injury, revised 2011; Atlanta, GA. Updated 2015 | Adult;Pediatric | Core | 3.00 | 2013-07-17 09:26:36.973 | International Standards for Neurological Classification of SCI Worksheet | The International SCI Data Sets | The International SCI Data Sets |
Free-Form Entry |
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| C06420 | SCI Classification motor strength lower limb single side score | SCIClssMtrStrgthLwLmbSnglSdScr | Score of motor strength for the lower limb on the specific side | Score of motor strength for the lower limb on the specific sid | Motor Lower Limb R/L | Numeric Values |
Should be calculated/derived from the raw data. The maximum score for each side is 25. |
Used with permission of the American Spinal Injury Association: International Standards for Neurological Classification of Spinal Cord Injury, revised 2011; Atlanta, GA. Updated 2015. | Adult;Pediatric | Core | 3.00 | 2013-07-17 09:26:36.973 | International Standards for Neurological Classification of SCI Worksheet | The International SCI Data Sets | The International SCI Data Sets |
Free-Form Entry |
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| C06007 | SCI Classification sensory neurological level right result | SCIClssSensNeuroLvlRtReslt | Result of the most caudal segment of the spinal cord on the right side of the body with normal sensory function for pinprick and light touch | Result of the most caudal segment of the spinal cord on the right side of the body with normal sensory function for pinprick and light touc | Neurological Level Sensory R | C1;C2;C3;C4;C5;C6;C7;C8;L1;L2;L3;L4;L5;S1;S2;S3;S4-5;T1;T2;T3;T4;T5;T6;T7;T8;T9;T10;T11;T12;X00;X99 | C1;C2;C3;C4;C5;C6;C7;C8;L1;L2;L3;L4;L5;S1;S2;S3;S4-5;T1;T2;T3;T4;T5;T6;T7;T8;T9;T10;T11;T12;X00;X99 | Alphanumeric |
If only the alphabetic part of the level is known, it is permissible to use code C, L, T, or S followed by numeric code "99". Use code X99 if the level is completely unknown, the exam was not done, or there was no corresponding admission or discharge. |
DeVivo M, Biering-SØrensen F, Charlifue S, Noonan V, Post M, Stripling T, Wing P. International Spinal Cord Injury Core Data Set. Spinal Cord 2006 Sep;44(9):535-40. Refer to the latest published version of The International Standards for Neurological Classification of Spinal Cord Injury for complete information on the sensory examination and a listing of all key points. | Adult;Pediatric | Core | 3.00 | 2013-07-17 09:26:36.973 | International Standards for Neurological Classification of SCI Worksheet | The International SCI Data Sets | The International SCI Data Sets |
Single Pre-Defined Value Selected |
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| C06330 | SCI Classification sensory zone of partial preservation left result | SCIClssSensZnePrtlPresrvLftRes | Result of the caudal extent of partially innervated segments, demonstrating partial preservation of sensory function on the left side of the body | Result of the caudal extent of partially innervated segments, demonstrating partial preservation of sensory function on the left side of the bod | Zone of Partial Preservation Sensory L | C1;C2;C3;C4;C5;C6;C7;L1;L2;L3;L4;L5;S1;S2;S3;S4-5;T1;T2;T3;T4;T5;T6;T7;T8;T9;T10;T11;T12;C8;X00;X99 | C1;C2;C3;C4;C5;C6;C7;L1;L2;L3;L4;L5;S1;S2;S3;S4-5;T1;T2;T3;T4;T5;T6;T7;T8;T9;T10;T11;T12;C8;X00;X99 | Alphanumeric |
Choose one dermatome |
Used with permission of the American Spinal Injury Association: International Standards for Neurological Classification of Spinal Cord Injury, revised 2011; Atlanta, GA. Updated 2015 | Adult;Pediatric | Core | 3.00 | 2013-07-17 09:26:36.973 | International Standards for Neurological Classification of SCI Worksheet | The International SCI Data Sets | The International SCI Data Sets |
Single Pre-Defined Value Selected |
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| C06421 | SCI Classification light touch single side score | SCIClssLghtTchSnglSdScore | Score of sensation of light touch for the specific side of the body | Score of sensation of light touch for the specific side of the bod | Light Touch R/L | Numeric Values |
Should be calculated/derived from the raw data. The maximum score for each side is 56. |
Used with permission of the American Spinal Injury Association: International Standards for Neurological Classification of Spinal Cord Injury, revised 2011; Atlanta, GA. Updated 2015 | Adult;Pediatric | Core | 3.00 | 2013-07-17 09:26:36.973 | International Standards for Neurological Classification of SCI Worksheet | The International SCI Data Sets | The International SCI Data Sets |
Free-Form Entry |
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| C06008 | SCI Classification motor neurological level left result | SCIClssMtrNeuroLvlLftReslt | Result of the lowest key muscle on the left side of the body that has a grade of at least 3, provided the key muscles represented by segments above that level are judged to be normal (grade 5) | Result of the lowest key muscle on the left side of the body that has a grade of at least 3, provided the key muscles represented by segments above that level are judged to be normal (grade 5 | Neurological Level Motor L | C1;C2;C3;C4;C5;C6;C7;C8;L1;L2;L3;L4;L5;S1;S2;S3;S4-5;T1;T2;T3;T4;T5;T6;T7;T8;T9;T10;T11;T12;X00;X99 | C1;C2;C3;C4;C5;C6;C7;C8;L1;L2;L3;L4;L5;S1;S2;S3;S4-5;T1;T2;T3;T4;T5;T6;T7;T8;T9;T10;T11;T12;X00;X99 | Alphanumeric |
If only the alphabetic part of the level is known, it is permissible to use code C, L, T, or S followed by numeric code "99". Use code X99 if the level is completely unknown, the exam was not done, or there was no corresponding admission or discharge. |
DeVivo M, Biering-SØrensen F, Charlifue S, Noonan V, Post M, Stripling T, Wing P. International Spinal Cord Injury Core Data Set. Spinal Cord 2006 Sep;44(9):535-40. Refer to the latest published version of The International Standards for Neurological Classification of Spinal Cord Injury for complete information on the sensory examination and a listing of all key points. | Adult;Pediatric | Core | 3.00 | 2013-07-17 09:26:36.973 | International Standards for Neurological Classification of SCI Worksheet | The International SCI Data Sets | The International SCI Data Sets |
Single Pre-Defined Value Selected |
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| C06331 | SCI Classification pin prick anatomic site grade | SCIClssPnPrckAntmicSiteGrd | Grade of the ability to sense a pin prick on the specific spinal cord level and side | Grade of the ability to sense a pin prick on the specific spinal cord level and side | Ability, Impaired, Normal, Not Testable | 0;1;2;NT | Absent;Impaired;Normal;Not testable | Alphanumeric |
Choose the best score and record for each spinal cord level and side. |
Used with permission of the American Spinal Injury Association: International Standards for Neurological Classification of Spinal Cord Injury, revised 2011; Atlanta, GA. Updated 2015 | Adult;Pediatric | Core | 3.00 | 2013-07-17 09:26:36.973 | International Standards for Neurological Classification of SCI Worksheet | The International SCI Data Sets | The International SCI Data Sets |
Single Pre-Defined Value Selected |
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| C06422 | SCI Classification pin prick single side score | SCIClssPnPrckSnglSdeScore | Score of sensation of a pin prick for the specific side of the body | Score of sensation of a pin prick for the specific side of the bod | Pin Prick R/L | Numeric Values |
Should be calculated/derived from the raw data. The maximum score for each side is 56. |
Used with permission of the American Spinal Injury Association: International Standards for Neurological Classification of Spinal Cord Injury, revised 2011; Atlanta, GA. Updated 2015 | Adult;Pediatric | Core | 3.00 | 2013-07-17 09:26:36.973 | International Standards for Neurological Classification of SCI Worksheet | The International SCI Data Sets | The International SCI Data Sets |
Free-Form Entry |
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| C06009 | SCI Classification motor neurological level right result | SCIClssMtrNeuroLvlRteReslt | Result of the lowest key muscle on the right side of the body that has a grade of at least 3, provided the key muscles represented by segments above that level are judged to be normal (grade 5) | Result of the lowest key muscle on the right side of the body that has a grade of at least 3, provided the key muscles represented by segments above that level are judged to be normal (grade 5 | Neurological Level Motor R | C1;C2;C3;C4;C5;C6;C7;C8;L1;L2;L3;L4;L5;S1;S2;S3;S4-5;T1;T2;T3;T4;T5;T6;T7;T8;T9;T10;T11;T12;X00;X99 | C1;C2;C3;C4;C5;C6;C7;C8;L1;L2;L3;L4;L5;S1;S2;S3;S4-5;T1;T2;T3;T4;T5;T6;T7;T8;T9;T10;T11;T12;X00;X99 | Alphanumeric |
If only the alphabetic part of the level is known, it is permissible to use code C, L, T, or S followed by numeric code "99". Use code X99 if the level is completely unknown, the exam was not done, or there was no corresponding admission or discharge. |
DeVivo M, Biering-SØrensen F, Charlifue S, Noonan V, Post M, Stripling T, Wing P. International Spinal Cord Injury Core Data Set. Spinal Cord 2006 Sep;44(9):535-40. Refer to the latest published version of The International Standards for Neurological Classification of Spinal Cord Injury for complete information on the sensory examination and a listing of all key points. | Adult;Pediatric | Core | 3.00 | 2013-07-17 09:26:36.973 | International Standards for Neurological Classification of SCI Worksheet | The International SCI Data Sets | The International SCI Data Sets |
Single Pre-Defined Value Selected |
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| C06335 | SCI Classification pin prick total score | SCIClssPnPrckTtlScore | Total score of a pin prick on the right and left sides of the body | Total score of a pin prick on the right and left sides of the bod | Pin Prick Score | Numeric Values |
Should be calculated/derived from the raw data. The maximum total score is 112. |
Used with permission of the American Spinal Injury Association: International Standards for Neurological Classification of Spinal Cord Injury, revised 2011; Atlanta, GA. Updated 2015 | Adult;Pediatric | Core | 3.00 | 2013-07-17 09:26:36.973 | International Standards for Neurological Classification of SCI Worksheet | The International SCI Data Sets | The International SCI Data Sets |
Free-Form Entry |
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| C19247 | Subject ID | SubIDNam | Subject identification ID | Subject identification ID | Subject | Alphanumeric |
The participant or subject identifiers or IDs should be assigned by the study. |
Used with permission of the American Spinal Injury Association: International Standards for Neurological Classification of Spinal Cord Injury, revised 2011; Atlanta, GA. Updated 2015 | Adult;Pediatric | Core | 1.00 | 2014-06-05 13:10:49.0 | International Standards for Neurological Classification of SCI Worksheet | The International SCI Data Sets | The International SCI Data Sets | 255 |
Free-Form Entry |
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| C06010 | ASIA Impairment Scale | ASIAImprmntScale | Scale for the participant's/subject's impairment level on The American Spinal Injury Association (ASIA) Impairment Scale classification, which attempts to quantitate the degree of impairment | Scale for the participant's/subject's impairment level on the American Spinal Injury Association (ASIA) Impairment Scale classification, which attempts to quantitate the degree of impairment | ASIA Impairment Scale | A;B;C;D;E;U | Complete Injury. No motor or sensory function is preserved in the sacral segments S4-S5.;Incomplete. Sensory but not motor function is preserved below the neurological level and includes the sacral segments S4-S5.;Incomplete. Motor function is preserved below the neurological level, and more than half of the key muscles below the neurological level have a muscle grade less than 3.;Incomplete. Motor function is preserved below the neurological level, and at least half of key muscles below the neurological level have a muscle grade of 3 or more.;Normal. Motor and sensory function are normal.;Unknown or not applicable. | Alphanumeric |
Refer to the instructions on the ASIA Standard Neurological Classification of SCI worksheet |
Used with permission of the American Spinal Injury Association: International Standards for Neurological Classification of Spinal Cord Injury, revised 2011; Atlanta, GA. Updated 2015 | Adult;Pediatric | Core | 3.00 | 2013-07-17 09:26:36.973 | International Standards for Neurological Classification of SCI Worksheet | The International SCI Data Sets | The International SCI Data Sets |
Single Pre-Defined Value Selected |
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| C06336 | SCI Classification motor zone of partial preservation left result | SCIClssMtrZnePrtlPresrvLftRslt | Result of the caudal extent of partially innervated segments, demonstrating partial preservation of motor function on the left side of the body | Result of the caudal extent of partially innervated segments, demonstrating partial preservation of motor function on the left side of the bod | Zone of Partial Preservation Motor L | C1;C2;C3;C4;C5;C6;C7;L1;L2;L3;L4;L5;S1;S2;S3;S4-5;T1;T2;T3;T4;T5;T6;T7;T8;T9;T10;T11;T12;C8;X00;X99 | C1;C2;C3;C4;C5;C6;C7;L1;L2;L3;L4;L5;S1;S2;S3;S4-5;T1;T2;T3;T4;T5;T6;T7;T8;T9;T10;T11;T12;C8;X00;X99 | Alphanumeric |
Choose one dermatome |
Used with permission of the American Spinal Injury Association: International Standards for Neurological Classification of Spinal Cord Injury, revised 2011; Atlanta, GA. Updated 2015 | Adult;Pediatric | Core | 3.00 | 2013-07-17 09:26:36.973 | International Standards for Neurological Classification of SCI Worksheet | The International SCI Data Sets | The International SCI Data Sets |
Single Pre-Defined Value Selected |
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| C06320 | SCI Classification motor strength upper limb total score | SCIClssMtrStrgthUpLmbTtlScore | Total score of motor strength for the upper right and left limbs | Total score of motor strength for the upper right and left limb | Motor Upper Limb Total | Numeric Values |
Should be calculated/derived from the raw data. The maximum total score is 50. |
Used with permission of the American Spinal Injury Association: International Standards for Neurological Classification of Spinal Cord Injury, revised 2011; Atlanta, GA. Updated 2015. | Adult;Pediatric | Core | 3.00 | 2013-07-17 09:26:36.973 | International Standards for Neurological Classification of SCI Worksheet | The International SCI Data Sets | The International SCI Data Sets |
Free-Form Entry |
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| C06337 | SCI Classification motor exam anatomic site grade | SCIClssMtrExamAntmicSiteGrd | Grade that documents the movement, range of motion, and resistance of the specific muscle on the right or left side | Grade that documents the movement, range of motion, and resistance of the specific muscle on the right or left sid | Muscle Grading | 0;1;2;3;4;5;5*;NT | Total paralysis;Palpable or visible contraction;Active movement, full range of motion, gravity eliminated;Active movement, full range of motion, against gravity;Active movement, full range of motion, against gravity and provides some resistance;Active movement, full range of motion, against gravity and provides normal resistance;Muscle able to exert, in examiner's judgment, sufficient resistance to be considered normal if identifiable inhibiting factors were not present;Not testable | Alphanumeric |
Choose best score and record for each muscle on each side |
Used with permission of the American Spinal Injury Association: International Standards for Neurological Classification of Spinal Cord Injury, revised 2011; Atlanta, GA. Updated 2015 | Adult;Pediatric | Core | 3.00 | 2013-07-17 09:26:36.973 | International Standards for Neurological Classification of SCI Worksheet | The International SCI Data Sets | The International SCI Data Sets |
Single Pre-Defined Value Selected |
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| C06322 | SCI Classification sensory zone of partial preservation right result | SCIClssSensZnePrtlPresrvRteRes | Result of the caudal extent of partially innervated segments, demonstrating partial preservation of sensory function on the right side of the body | Result of the caudal extent of partially innervated segments, demonstrating partial preservation of sensory function on the right side of the bod | Zone of Partial Preservation Sensory R | C1;C2;C3;C4;C5;C6;C7;L1;L2;L3;L4;L5;S1;S2;S3;S4-5;T1;T2;T3;T4;T5;T6;T7;T8;T9;T10;T11;T12;C8;X00;X99 | C1;C2;C3;C4;C5;C6;C7;L1;L2;L3;L4;L5;S1;S2;S3;S4-5;T1;T2;T3;T4;T5;T6;T7;T8;T9;T10;T11;T12;C8;X00;X99 | Alphanumeric |
Choose one dermatome |
Used with permission of the American Spinal Injury Association: International Standards for Neurological Classification of Spinal Cord Injury, revised 2011; Atlanta, GA. Updated 2015 | Adult;Pediatric | Core | 3.00 | 2013-07-17 09:26:36.973 | International Standards for Neurological Classification of SCI Worksheet | The International SCI Data Sets | The International SCI Data Sets |
Single Pre-Defined Value Selected |
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| C06347 | SCI Classification motor strength lower limb total score | SCIClssMtrStrgthLwLmbTtlScore | Total score of motor strength for the lower right and left limbs | Total score of motor strength for the lower right and left limb | Motor Lower Limb Total | Numeric Values |
Should be calculated/derived from the raw data. The maximum total score is 50. |
Used with permission of the American Spinal Injury Association: International Standards for Neurological Classification of Spinal Cord Injury, revised 2011; Atlanta, GA. Updated 2015 | Adult;Pediatric | Core | 3.00 | 2013-07-17 09:26:36.973 | International Standards for Neurological Classification of SCI Worksheet | The International SCI Data Sets | The International SCI Data Sets |
Free-Form Entry |
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| C06323 | SCI Classification motor zone of partial preservation right result | SCIClssMtrZnePrtlPresrvRteRslt | Result of the caudal extent of partially innervated segments, demonstrating partial preservation of motor function on the right side of the body | Result of the caudal extent of partially innervated segments, demonstrating partial preservation of motor function on the right side of the bod | Zone of Partial Preservation Motor R | C1;C2;C3;C4;C5;C6;C7;L1;L2;L3;L4;L5;S1;S2;S3;S4-5;T1;T2;T3;T4;T5;T6;T7;T8;T9;T10;T11;T12;C8;X00;X99 | C1;C2;C3;C4;C5;C6;C7;L1;L2;L3;L4;L5;S1;S2;S3;S4-5;T1;T2;T3;T4;T5;T6;T7;T8;T9;T10;T11;T12;C8;X00;X99 | Alphanumeric |
Choose one dermatome |
Used with permission of the American Spinal Injury Association: International Standards for Neurological Classification of Spinal Cord Injury, revised 2011; Atlanta, GA. Updated 2015 | Adult;Pediatric | Core | 3.00 | 2013-07-17 09:26:36.973 | International Standards for Neurological Classification of SCI Worksheet | The International SCI Data Sets | The International SCI Data Sets |
Single Pre-Defined Value Selected |
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| C06348 | SCI Classification anal sensation indicator | SCIClssAnalSensInd | Indicator of whether or not the person has any anal sensation | Indicator of whether or not the person has any anal sensatio | Any anal sensation | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric |
Choose one |
Used with permission of the American Spinal Injury Association: International Standards for Neurological Classification of Spinal Cord Injury, revised 2011; Atlanta, GA. Updated 2015 | Adult;Pediatric | Core | 3.00 | 2013-07-17 09:26:36.973 | International Standards for Neurological Classification of SCI Worksheet | The International SCI Data Sets | The International SCI Data Sets |
Single Pre-Defined Value Selected |
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| C02411 | Laterality type | LatTyp | Laterality type relative to the anatomic site of the body examined or affected | Laterality type relative to the anatomic site of the body examined or affected | R L | Left;Right | Left;Right | Alphanumeric |
This element, and the 'SCI Classification motor exam anatomic site' and 'SCI Classification sensory exam anatomic site' elements as applicable, should be used with the subsequent motor and sensory grades and scores to identify with which anatomic site and side (i.e., left or right) each motor and sensory grade/score is associated. |
Used with permission of the American Spinal Injury Association: International Standards for Neurological Classification of Spinal Cord Injury, revised 2011; Atlanta, GA. Updated 2015 | Adult;Pediatric | Core | 3.00 | 2013-08-28 16:08:00.453 | International Standards for Neurological Classification of SCI Worksheet | The International SCI Data Sets | The International SCI Data Sets |
Single Pre-Defined Value Selected |
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| C06324 | SCI Classification motor exam anatomic site | SCIClssMtrExamAntmicSite | Muscle (and associated spinal cord level) evaluated during the motor examination | Muscle (and associated spinal cord level) evaluated during the motor examination | Motor | Elbow flexor (C5);Wrist extensor (C6);Elbow extensor (C7);Finger flexor (C8);Finger abductor (T1);Hip flexor (L2);Knee extensor (L3);Ankle dorsiflexor (L4);Long toe extensor (L5);Ankle plantar flexor (S1) | Elbow flexor (C5);Wrist extensor (C6);Elbow extensor (C7);Finger flexor (C8);Finger abductor (T1);Hip flexor (L2);Knee extensor (L3);Ankle dorsiflexor (L4);Long toe extensor (L5);Ankle plantar flexor (S1) | Alphanumeric |
This element and the 'SCI Classification motor or sensory exam laterality type' element should be used with the subsequent motor grades and scores to identify with which anatomic site and side (i.e., left or right) the motor grade/score is associated. |
Used with permission of the American Spinal Injury Association: International Standards for Neurological Classification of Spinal Cord Injury, revised 2011; Atlanta, GA. Updated 2015 | Adult;Pediatric | Core | 3.00 | 2013-07-17 09:26:36.973 | International Standards for Neurological Classification of SCI Worksheet | The International SCI Data Sets | The International SCI Data Sets |
Single Pre-Defined Value Selected |
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| C06387 | SCI Classification anal contraction voluntary indicator | SCIClssAnalContVolunInd | Indicator of whether or not the patient can have a voluntary anal contraction | Indicator of whether or not the patient can have a voluntary anal contractio | Voluntary anal contraction | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric |
Choose one |
Used with permission of the American Spinal Injury Association: International Standards for Neurological Classification of Spinal Cord Injury, revised 2011; Atlanta, GA. Updated 2015 | Adult;Pediatric | Core | 3.00 | 2013-07-17 09:26:36.973 | International Standards for Neurological Classification of SCI Worksheet | The International SCI Data Sets | The International SCI Data Sets |
Single Pre-Defined Value Selected |
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| C06000 | Site identifier number | SiteIDNum | Unique identification number given to the study site to distinguish the location where data is recorded | Unique identification number given to the study site to distinguish the location where data is recorde | Site | Alphanumeric |
The site identifiers or IDs should be assigned by the study. |
Used with permission of the American Spinal Injury Association: International Standards for Neurological Classification of Spinal Cord Injury, revised 2011; Atlanta, GA. Updated 2015 | Adult;Pediatric | Core | 3.00 | 2013-07-17 09:26:36.973 | International Standards for Neurological Classification of SCI Worksheet | The International SCI Data Sets | The International SCI Data Sets | 255 |
Free-Form Entry |
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| C06325 | SCI Classification light touch anatomic site grade | SCIClssLteTchAntmicSteGrd | Grade that documents the ability to sense light touch on the specific spinal cord level and side | Grade that documents the ability to sense light touch on the specific spinal cord level and side | Ability, Impaired, Normal, Not Testable | 0;1;2;NT | Absent;Impaired;Normal;Not testable | Alphanumeric |
Choose the best score and record for each spinal cord level and side. |
Used with permission of the American Spinal Injury Association: International Standards for Neurological Classification of Spinal Cord Injury, revised 2011; Atlanta, GA. Updated 2015 | Adult;Pediatric | Core | 3.00 | 2013-07-17 09:26:36.973 | International Standards for Neurological Classification of SCI Worksheet | The International SCI Data Sets | The International SCI Data Sets |
Single Pre-Defined Value Selected |
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| C06410 | SCI Classification S4-S5 sensory function result | SCIClssS4S5SensFuncReslt | Result of the extent to which motor or sensory function is preserved in the sacral segments S4-S5 | Result of the extent to which motor or sensory function is preserved in the sacral segments S4-S | Complete or Incomplete? | Complete;Incomplete | No motor or sensory function is preserved in the sacral segments S4-S5;Some motor or sensory function is preserved in the sacral segments S4-S5. | Alphanumeric |
Choose one |
Used with permission of the American Spinal Injury Association: International Standards for Neurological Classification of Spinal Cord Injury, revised 2011; Atlanta, GA. Updated 2015 | Adult;Pediatric | Core | 3.00 | 2013-07-17 09:26:36.973 | International Standards for Neurological Classification of SCI Worksheet | The International SCI Data Sets | The International SCI Data Sets |
Single Pre-Defined Value Selected |
