CDE Detailed Report
Disease: Cerebral Palsy
Subdomain Name: Therapies
CRF: External Devices - CP
Displaying 51 - 81 of 81
Subdomain Name: Therapies
CRF: External Devices - CP
Displaying 51 - 81 of 81
| CDE ID | CDE Name | Variable Name | Definition | Short Description | Question Text | Permissible Values | Description | Data Type | Disease Specific Instructions | Disease Specific Reference | Population | Classification (e.g., Core) | Version Number | Version Date | CRF Name (CRF Module / Guidance) | Subdomain Name | Domain Name | Size | Input Restrictions | Min Value | Max Value | Measurement Type | External Id Loinc | External Id Snomed | External Id caDSR | External Id CDISC |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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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| 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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| 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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| 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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| 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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| 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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| 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 |
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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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| 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 |
