CDE Detailed Report

Disease: Spinal Cord Injury
Subdomain Name: Hospital/Care Management
CRF: Rehabilitation Admission

Displaying 1 - 11 of 11
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
C19129 Facility arrival time FacilityArrivalTime Time at which patient arrived at facility Time at which patient arrived at facility Facility arrival time 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.).
Record the earliest document time. If participant transferred from acute at the same facility, please enter time of transfer to rehab.

Adult;Pediatric Supplemental 1.00 2014-05-28 16:09:22.0 Rehabilitation Admission/Discharge Hospital/Care Management Assessments and Examinations

Free-Form Entry

C19130 Facility discharge date FacilityDischargeDate Date when patient was discharged from facility Date when the patient was discharged from the facility Facility discharge date 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.).

Adult;Pediatric Supplemental 1.00 2014-05-28 16:11:26.0 Rehabilitation Admission/Discharge Hospital/Care Management Assessments and Examinations

Free-Form Entry

C19131 Facility discharge time FacilityDischargeTime The time at which the patient was discharged from the facility The time at which the patient was discharged from the facility Facility discharge time 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.).

Adult;Pediatric Supplemental 1.00 2014-05-28 16:13:42.0 Rehabilitation Admission/Discharge Hospital/Care Management Assessments and Examinations

Free-Form Entry

C19132 Ventilator assistance utilization indicator VentilatorAssistanceUtilznInd Indicator for the utilization of ventilator assistance on discharge Indicator for the utilization of ventilator assistance on discharge Utilization of ventilator assistance on discharge No;Unknown;Yes, 24 hours per day at discharge;Yes, less than 24 hours per day at discharge;Yes, unknown number of hours per day at discharge No;Unknown;Yes, 24 hours per day at discharge;Yes, less than 24 hours per day at discharge;Yes, unknown number of hours per day at discharge Alphanumeric

Ventilatory assistance includes but is not limited to mechanical ventilators, phrenic nerve stimulators, external negative pressure devices, and BiPAP. Do not include routine administration of oxygen; periodic IPPB administration; or CPAP.

Biering-SØrensen F, DeVivo MJ, Charlifue S, Chen Y, New PW, Noonan V, Post MWM, Vogel L. International Spinal Cord Injury Core Data Set (version 2.0)-including standardization of reporting. Spinal Cord. 2017 Aug;55(8):759-764 Adult;Pediatric Supplemental 1.00 2014-05-28 16:15:11.0 Rehabilitation Admission/Discharge Hospital/Care Management Assessments and Examinations

Single Pre-Defined Value Selected

C19133 Vital status type VitalStatusTyp The type of vital status held by the patient on discharge The type of vital status held by the patient on discharge Vital status (on discharge) Alive;Dead Alive;Dead Alphanumeric

choose one

Adult;Pediatric Supplemental 1.00 2014-05-28 16:18:34.0 Rehabilitation Admission/Discharge Hospital/Care Management Assessments and Examinations

Single Pre-Defined Value Selected

C19135 Days hospitalized count DaysHospitalizedCt Total number of days hospitalized Total number of days hospitalized Total days hospitalized Numeric Values

If the patient/subject is transferred to rehabilitation then this data element would be completed on the Rehab Admission/Discharge form (i.e. only needs to filled one time). Because patients may be discharged home between phases of care, or their initial care may have been delayed, it may not be possible to subtract the final date of discharge from the initial admission date to determine overall hospital length of stay. Therefore, the length of stay should be recorded separately by adding together the number of days spent in each hospital. This information should be obtained by examining the admission and discharge forms from each hospital.

DeVivo M, Biering-SØrensen F, Charlifue S, Noonan V, Post M, Stripling T, Wing P; Executive Committee for the International SCI Data Sets Committees. International Spinal Cord Injury Core Data Set. Spinal Cord. 2006 Sep;44(9):535-40. Adult;Pediatric Supplemental 1.00 2014-05-29 10:05:41.0 Rehabilitation Admission/Discharge Hospital/Care Management Assessments and Examinations

Free-Form Entry

C19160 Discharge facility type DischargeFacilityTyp The type of facility to which the participant was discharged The type of facility to which the participant was discharged Place of discharge Assisted living residence;Correctional institution;Deceased;Group living situation;Homeless;Hospital;Hotel or motel;Nursing home;Other unclassified;Private residence;Rehabilitation hospital;Unknown Assisted living residence;Correctional institution;Deceased;Group living situation;Homeless;Hospital;Hotel or motel;Nursing home;Other unclassified;Private residence;Rehabilitation hospital;Unknown Alphanumeric

Private residence: includes house, condominium, mobile home, apartment, or houseboat.
Hospital: includes mental hospital or other acute care hospital for management of continuing medical issues after spinal cord injury-related care and/or rehabilitation is completed.
Nursing home: includes skilled nursing facilities and institutions providing essentially long-term, custodial, chronic disease care.
Assisted living residence: includes residential non-institutional locations in which some level of support for activities of daily living is provided.
Group living situation: includes transitional living facility or any residence shared by non-family members.
Correctional institution: includes prison, penitentiary, jail, correctional center, etc.
Homeless: includes cave, car, tent, etc.
Note: If the patient's place of residence does not fit into any of the above classifications, document it as "other, unclassified".

DeVivo M, Biering-S&Oslash;rensen F, Charlifue S, Noonan V, Post M, Stripling T, Wing P; Executive Committee for the International SCI Data Sets Committees. International Spinal Cord Injury Core Data Set. Spinal Cord. 2006 Sep;44(9):535-40.<br /><br />Note: an additional option was added to the ISCOS International SCI Core Data Set (rehabilitation unit) as it may be applicable for SCI studies. Adult;Pediatric Supplemental 1.00 2014-05-29 12:12:43.0 Rehabilitation Admission/Discharge Hospital/Care Management Assessments and Examinations

Single Pre-Defined Value Selected

C21657 Rehabilitation facility type RehabFacilityTyp The type of rehabilitation facility to which the participant was discharged The type of rehabilitation facility to which the participant was discharged Rehabilitation facility type General adult rehabilitation;General pediatric rehabilitation;Other;SCI adult rehabilitation;SCI pediatric rehabilitation;Unknown General adult rehabilitation;General pediatric rehabilitation;Other;SCI adult rehabilitation;SCI pediatric rehabilitation;Unknown Alphanumeric Adult;Pediatric Supplemental 1.00 2014-05-29 12:12:43.0 Rehabilitation Admission/Discharge Hospital/Care Management Assessments and Examinations

Single Pre-Defined Value Selected

C18153 Data unknown text DataUnknwnTxt The free-text field to Mark an "X" in to record if data are unknown or not available The free-text field to Mark an "X" in to record if data are unknown or not availabl If no details available, check unknown Alphanumeric Adult;Pediatric Supplemental 3.00 2013-07-17 09:26:36.973 Rehabilitation Admission/Discharge Hospital/Care Management Assessments and Examinations 20

Free-Form Entry

C19127 Facility name FacilityName Name of facility Name of facility Facility name Alphanumeric Adult;Pediatric Supplemental 1.00 2014-05-28 16:05:31.0 Rehabilitation Admission/Discharge Hospital/Care Management Assessments and Examinations 4000

Free-Form Entry

C19128 Facility arrival date FacilityArrivalDate Date when patient arrived at facility Date when patient arrived at facility Facility arrival Date 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.).

Adult;Pediatric Supplemental 1.00 2014-05-28 16:06:44.0 Rehabilitation Admission/Discharge Hospital/Care Management Assessments and Examinations

Free-Form Entry

CSV