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CDE Detailed Report
This report contains detailed information about the selected CDEs.
Note: If at least one CDE was selected from a copyright- or trademark-protected instrument/scale then all of the CDEs from that instrument/scale are included in this report.
Disease: Cerebral Palsy
Sub-Domain: Therapies
CRF: Speech and Language Therapy Treatment Session
Item count: 44 (44 distinct CDEs)
CDE ID
CDE Name
Variable Name
Definition / Description
Question Text
Permissible Value
Description
Data Type
Instructions
References
Population
Classification (e.g., Core)
Version #
Version Date
Aliases for Variable Name
CRF Module / Guideline
© or TM
Sub-Domain
Domain
Previous Title
Size
Input Restrictions
Min Value
Max Value
Measurement Type
LOINC ID
SNOMED
caDSR ID
CDISC ID
C19247
Subject ID
SubIDNam
Subject identification ID
Patient/Client Name or ID #
  
Alphanumeric
No instructions available
1) Effgen, S., Westcott McCoy, S., Chiarello, L, Jeffries, L., & Bush, H. (2016). Physical therapy-related child outcomes in school: An example of practice-based evidence methodology. Pediatric Physical Therapy, 28(1), 47-56; 2) Horn, S., Corrigan, J., Bogner, J., Hammond, F., Seel, R., Smout, R., Barrett, R., ….. & Whiteneck, G. (2015). Traumatic Brain injury - practice based evidence study: Design and patients, centers, treatments, and outcomes. Archives of Physical Medicine and Rehabilitation, 96(8 Suppl 3), S178-196; 3 ) McCoy SW, Linn M 2010 Training Manual School - Physical Therapy Interventions for Pediatrics (S-PTIP) Data Form Version 4; 4) FLACC Scale (Extracted from The FLACC: A behavioral scale for scoring postoperative pain in young children, by S Merkel and others, 1997, Pediatr Nurse 23(3), p. 293-297).
Pediatric
Core
1.0
6/5/2014
Aliases for variable name not defined
Speech and Language Therapy Treatment Session
Therapies
Treatment/Intervention Data
 
255
Free-Form Entry
       
C19500
Assessment performed date
AssessmentPerformedDate
The date of assessment of the examination being performed.
Date
  
Date or Date & Time
No instructions available
11) Effgen, S., Westcott McCoy, S., Chiarello, L, Jeffries, L., & Bush, H. (2016). Physical therapy-related child outcomes in school: An example of practice-based evidence methodology. Pediatric Physical Therapy, 28(1), 47-56; 2) Horn, S., Corrigan, J., Bogner, J., Hammond, F., Seel, R., Smout, R., Barrett, R., ..... & Whiteneck, G. (2015). Traumatic Brain injury - practice based evidence study: Design and patients, centers, treatments, and outcomes. Archives of Physical Medicine and Rehabilitation, 96(8 Suppl 3), S178-196; 3 ) McCoy SW, Linn M 2010 Training Manual School - Physical Therapy Interventions for Pediatrics (S-PTIP) Data Form Version 4; 4) FLACC Scale (Extracted from The FLACC: A behavioral scale for scoring postoperative pain in young children, by S Merkel and others, 1997, Pediatr Nurse 23(3), p. 293-297).
Pediatric
Supplemental
1.0
6/18/2014
Aliases for variable name not defined
Speech and Language Therapy Treatment Session
Therapies
Treatment/Intervention Data
  
Free-Form Entry
       
C22593
Communication Function Classification System level type
CFCSLevelTyp
The level of the patient assigned by the Communication Function Classification System (CFCS)
CFCS Level (circle)
I;II;III;IV;V;
I;II;III;IV;V;
Alphanumeric
Circle one
1) Effgen, S., Westcott McCoy, S., Chiarello, L, Jeffries, L., & Bush, H. (2016). Physical therapy-related child outcomes in school: An example of practice-based evidence methodology. Pediatric Physical Therapy, 28(1), 47-56; 2) Horn, S., Corrigan, J., Bogner, J., Hammond, F., Seel, R., Smout, R., Barrett, R., ..... & Whiteneck, G. (2015). Traumatic Brain injury - practice based evidence study: Design and patients, centers, treatments, and outcomes. Archives of Physical Medicine and Rehabilitation, 96(8 Suppl 3), S178-196; 3 ) McCoy SW, Linn M 2010 Training Manual School - Physical Therapy Interventions for Pediatrics (S-PTIP) Data Form Version 4; 4) FLACC Scale (Extracted from The FLACC: A behavioral scale for scoring postoperative pain in young children, by S Merkel and others, 1997, Pediatr Nurse 23(3), p. 293-297).
Pediatric
Supplemental
1.0
7/12/2016
Aliases for variable name not defined
Speech and Language Therapy Treatment Session
Therapies
Treatment/Intervention Data
  
Single Pre-Defined Value Selected
       
C22594
Communication Function Classification System communication method used type
CFCSCommMethdUsedTyp
The type of communication method(s) used, given by the Communication Function Classification System (CFCS).
CFCS Communication Methods Used
Speech;Sounds;Manual signs;Eye gaze, facial expression, gesture, point;Communication Book, Pictures;SGD;
Speech;Sounds;Manual signs;Eye gaze, facial expression, gesture, point;Communication Book, Pictures;SGD;
Alphanumeric
Check all that apply.
1) Effgen, S., Westcott McCoy, S., Chiarello, L, Jeffries, L., & Bush, H. (2016). Physical therapy-related child outcomes in school: An example of practice-based evidence methodology. Pediatric Physical Therapy, 28(1), 47-56; 2) Horn, S., Corrigan, J., Bogner, J., Hammond, F., Seel, R., Smout, R., Barrett, R., ..... & Whiteneck, G. (2015). Traumatic Brain injury - practice based evidence study: Design and patients, centers, treatments, and outcomes. Archives of Physical Medicine and Rehabilitation, 96(8 Suppl 3), S178-196; 3 ) McCoy SW, Linn M 2010 Training Manual School - Physical Therapy Interventions for Pediatrics (S-PTIP) Data Form Version 4; 4) FLACC Scale (Extracted from The FLACC: A behavioral scale for scoring postoperative pain in young children, by S Merkel and others, 1997, Pediatr Nurse 23(3), p. 293-297).
Pediatric
Supplemental
1.0
7/12/2016
Aliases for variable name not defined
Speech and Language Therapy Treatment Session
Therapies
Treatment/Intervention Data
  
Multiple Pre-Defined Values Selected
       
C22595
Therapy session type
TherSessionTyp
The type of session in which the patient or client received therapy.
Session Type
Individual;Group;Co-Tx;
Individual;Group;Co-Tx;
Alphanumeric
Choose one.
1) Effgen, S., Westcott McCoy, S., Chiarello, L, Jeffries, L., & Bush, H. (2016). Physical therapy-related child outcomes in school: An example of practice-based evidence methodology. Pediatric Physical Therapy, 28(1), 47-56; 2) Horn, S., Corrigan, J., Bogner, J., Hammond, F., Seel, R., Smout, R., Barrett, R., ..... & Whiteneck, G. (2015). Traumatic Brain injury - practice based evidence study: Design and patients, centers, treatments, and outcomes. Archives of Physical Medicine and Rehabilitation, 96(8 Suppl 3), S178-196; 3 ) McCoy SW, Linn M 2010 Training Manual School - Physical Therapy Interventions for Pediatrics (S-PTIP) Data Form Version 4; 4) FLACC Scale (Extracted from The FLACC: A behavioral scale for scoring postoperative pain in young children, by S Merkel and others, 1997, Pediatr Nurse 23(3), p. 293-297).
Pediatric
Supplemental
1.0
7/12/2016
Aliases for variable name not defined
Speech and Language Therapy Treatment Session
Therapies
Treatment/Intervention Data
  
Single Pre-Defined Value Selected
       
C22596
Therapy setting type
TherSetTyp
The setting related to therapy session.
Setting
home-based;Day Care;school-based;Early Intervention;Day Tx Program;Residential Facility;Inpatient (acute med);Inpatient (acute rehab);Inpatient (subacute rehab);Outpatient Clinic;Other;
home-based;Day Care;school-based;Early Intervention;Day Tx Program;Residential Facility;Inpatient (acute med);Inpatient (acute rehab);Inpatient (subacute rehab);Outpatient Clinic;Other;
Alphanumeric
No instructions available
11) Effgen, S., Westcott McCoy, S., Chiarello, L, Jeffries, L., & Bush, H. (2016). Physical therapy-related child outcomes in school: An example of practice-based evidence methodology. Pediatric Physical Therapy, 28(1), 47-56; 2) Horn, S., Corrigan, J., Bogner, J., Hammond, F., Seel, R., Smout, R., Barrett, R., ..... & Whiteneck, G. (2015). Traumatic Brain injury - practice based evidence study: Design and patients, centers, treatments, and outcomes. Archives of Physical Medicine and Rehabilitation, 96(8 Suppl 3), S178-196; 3 ) McCoy SW, Linn M 2010 Training Manual School - Physical Therapy Interventions for Pediatrics (S-PTIP) Data Form Version 4; 4) FLACC Scale (Extracted from The FLACC: A behavioral scale for scoring postoperative pain in young children, by S Merkel and others, 1997, Pediatr Nurse 23(3), p. 293-297).
Pediatric
Supplemental
1.0
7/12/2016
Aliases for variable name not defined
Speech and Language Therapy Treatment Session
Therapies
Treatment/Intervention Data
  
Single Pre-Defined Value Selected
       
C22597
Therapy participant count
TherPartCt
The number of patients participating in the therapy session.
# patients
  
Numeric Values
No instructions available
1) Effgen, S., Westcott McCoy, S., Chiarello, L, Jeffries, L., & Bush, H. (2016). Physical therapy-related child outcomes in school: An example of practice-based evidence methodology. Pediatric Physical Therapy, 28(1), 47-56; 2) Horn, S., Corrigan, J., Bogner, J., Hammond, F., Seel, R., Smout, R., Barrett, R., ..... & Whiteneck, G. (2015). Traumatic Brain injury - practice based evidence study: Design and patients, centers, treatments, and outcomes. Archives of Physical Medicine and Rehabilitation, 96(8 Suppl 3), S178-196; 3 ) McCoy SW, Linn M 2010 Training Manual School - Physical Therapy Interventions for Pediatrics (S-PTIP) Data Form Version 4; 4) FLACC Scale (Extracted from The FLACC: A behavioral scale for scoring postoperative pain in young children, by S Merkel and others, 1997, Pediatr Nurse 23(3), p. 293-297).
Pediatric
Supplemental
1.0
7/12/2016
Aliases for variable name not defined
Speech and Language Therapy Treatment Session
Therapies
Treatment/Intervention Data
  
Free-Form Entry
0
      
C22598
Therapist count
TherapistCt
The number of therapists participating in the treatment session.
# therapists
  
Numeric Values
No instructions available
1) Effgen, S., Westcott McCoy, S., Chiarello, L, Jeffries, L., & Bush, H. (2016). Physical therapy-related child outcomes in school: An example of practice-based evidence methodology. Pediatric Physical Therapy, 28(1), 47-56; 2) Horn, S., Corrigan, J., Bogner, J., Hammond, F., Seel, R., Smout, R., Barrett, R., ..... & Whiteneck, G. (2015). Traumatic Brain injury - practice based evidence study: Design and patients, centers, treatments, and outcomes. Archives of Physical Medicine and Rehabilitation, 96(8 Suppl 3), S178-196; 3 ) McCoy SW, Linn M 2010 Training Manual School - Physical Therapy Interventions for Pediatrics (S-PTIP) Data Form Version 4; 4) FLACC Scale (Extracted from The FLACC: A behavioral scale for scoring postoperative pain in young children, by S Merkel and others, 1997, Pediatr Nurse 23(3), p. 293-297).
Pediatric
Supplemental
1.0
7/12/2016
Aliases for variable name not defined
Speech and Language Therapy Treatment Session
Therapies
Treatment/Intervention Data
  
Free-Form Entry
0
      
C22599
Therapy participant family caregiver count
TherParFamCarCt
The number of family members and/or caregivers participating in the treatment session.
# family/caregiver
  
Numeric Values
No instructions available
1) Effgen, S., Westcott McCoy, S., Chiarello, L, Jeffries, L., & Bush, H. (2016). Physical therapy-related child outcomes in school: An example of practice-based evidence methodology. Pediatric Physical Therapy, 28(1), 47-56; 2) Horn, S., Corrigan, J., Bogner, J., Hammond, F., Seel, R., Smout, R., Barrett, R., ..... & Whiteneck, G. (2015). Traumatic Brain injury - practice based evidence study: Design and patients, centers, treatments, and outcomes. Archives of Physical Medicine and Rehabilitation, 96(8 Suppl 3), S178-196; 3 ) McCoy SW, Linn M 2010 Training Manual School - Physical Therapy Interventions for Pediatrics (S-PTIP) Data Form Version 4; 4) FLACC Scale (Extracted from The FLACC: A behavioral scale for scoring postoperative pain in young children, by S Merkel and others, 1997, Pediatr Nurse 23(3), p. 293-297).
Pediatric
Supplemental
1.0
7/12/2016
Aliases for variable name not defined
Speech and Language Therapy Treatment Session
Therapies
Treatment/Intervention Data
  
Free-Form Entry
0
      
C22600
Therapy participant other count
TherParOthrCt
The number of other people participating in the treatment session.
# other
  
Numeric Values
No instructions available
11) Effgen, S., Westcott McCoy, S., Chiarello, L, Jeffries, L., & Bush, H. (2016). Physical therapy-related child outcomes in school: An example of practice-based evidence methodology. Pediatric Physical Therapy, 28(1), 47-56; 2) Horn, S., Corrigan, J., Bogner, J., Hammond, F., Seel, R., Smout, R., Barrett, R., ..... & Whiteneck, G. (2015). Traumatic Brain injury - practice based evidence study: Design and patients, centers, treatments, and outcomes. Archives of Physical Medicine and Rehabilitation, 96(8 Suppl 3), S178-196; 3 ) McCoy SW, Linn M 2010 Training Manual School - Physical Therapy Interventions for Pediatrics (S-PTIP) Data Form Version 4; 4) FLACC Scale (Extracted from The FLACC: A behavioral scale for scoring postoperative pain in young children, by S Merkel and others, 1997, Pediatr Nurse 23(3), p. 293-297).
Pediatric
Supplemental
1.0
7/12/2016
Aliases for variable name not defined
Speech and Language Therapy Treatment Session
Therapies
Treatment/Intervention Data
  
Free-Form Entry
0
      
C22601
Therapy participant other text
TheParOTH
Text describing the any other people participating in the therapy session.
Other text
  
Alphanumeric
No instructions available
1) Effgen, S., Westcott McCoy, S., Chiarello, L, Jeffries, L., & Bush, H. (2016). Physical therapy-related child outcomes in school: An example of practice-based evidence methodology. Pediatric Physical Therapy, 28(1), 47-56; 2) Horn, S., Corrigan, J., Bogner, J., Hammond, F., Seel, R., Smout, R., Barrett, R., ..... & Whiteneck, G. (2015). Traumatic Brain injury - practice based evidence study: Design and patients, centers, treatments, and outcomes. Archives of Physical Medicine and Rehabilitation, 96(8 Suppl 3), S178-196; 3 ) McCoy SW, Linn M 2010 Training Manual School - Physical Therapy Interventions for Pediatrics (S-PTIP) Data Form Version 4; 4) FLACC Scale (Extracted from The FLACC: A behavioral scale for scoring postoperative pain in young children, by S Merkel and others, 1997, Pediatr Nurse 23(3), p. 293-297).
Pediatric
Supplemental
1.0
7/12/2016
Aliases for variable name not defined
Speech and Language Therapy Treatment Session
Therapies
Treatment/Intervention Data
 
4000
Free-Form Entry
       
C22602
Therapy week frequency
TherWeekFreq
The weekly frequency of the patient or client's treatment session.
per week
  
Numeric Values
No instructions available
1) Effgen, S., Westcott McCoy, S., Chiarello, L, Jeffries, L., & Bush, H. (2016). Physical therapy-related child outcomes in school: An example of practice-based evidence methodology. Pediatric Physical Therapy, 28(1), 47-56; 2) Horn, S., Corrigan, J., Bogner, J., Hammond, F., Seel, R., Smout, R., Barrett, R., ..... & Whiteneck, G. (2015). Traumatic Brain injury - practice based evidence study: Design and patients, centers, treatments, and outcomes. Archives of Physical Medicine and Rehabilitation, 96(8 Suppl 3), S178-196; 3 ) McCoy SW, Linn M 2010 Training Manual School - Physical Therapy Interventions for Pediatrics (S-PTIP) Data Form Version 4; 4) FLACC Scale (Extracted from The FLACC: A behavioral scale for scoring postoperative pain in young children, by S Merkel and others, 1997, Pediatr Nurse 23(3), p. 293-297).
Pediatric
Supplemental
1.0
7/12/2016
Aliases for variable name not defined
Speech and Language Therapy Treatment Session
Therapies
Treatment/Intervention Data
  
Free-Form Entry
0
 
time per week
    
C22603
Therapy month frequency
TherMonFreq
The monthly frequency of the patient or client's treatment session.
per month
  
Numeric Values
No instructions available
1) Effgen, S., Westcott McCoy, S., Chiarello, L, Jeffries, L., & Bush, H. (2016). Physical therapy-related child outcomes in school: An example of practice-based evidence methodology. Pediatric Physical Therapy, 28(1), 47-56; 2) Horn, S., Corrigan, J., Bogner, J., Hammond, F., Seel, R., Smout, R., Barrett, R., ..... & Whiteneck, G. (2015). Traumatic Brain injury - practice based evidence study: Design and patients, centers, treatments, and outcomes. Archives of Physical Medicine and Rehabilitation, 96(8 Suppl 3), S178-196; 3 ) McCoy SW, Linn M 2010 Training Manual School - Physical Therapy Interventions for Pediatrics (S-PTIP) Data Form Version 4; 4) FLACC Scale (Extracted from The FLACC: A behavioral scale for scoring postoperative pain in young children, by S Merkel and others, 1997, Pediatr Nurse 23(3), p. 293-297).
Pediatric
Supplemental
1.0
7/12/2016
Aliases for variable name not defined
Speech and Language Therapy Treatment Session
Therapies
Treatment/Intervention Data
  
Free-Form Entry
0
 
time per month
    
C22604
Therapy consultative frequency
TherConFreq
The consultative frequency (less than once a month) of the patient or client's treatment session.
consultative (< 1 x month)
  
Numeric Values
No instructions available
1) Effgen, S., Westcott McCoy, S., Chiarello, L, Jeffries, L., & Bush, H. (2016). Physical therapy-related child outcomes in school: An example of practice-based evidence methodology. Pediatric Physical Therapy, 28(1), 47-56; 2) Horn, S., Corrigan, J., Bogner, J., Hammond, F., Seel, R., Smout, R., Barrett, R., ..... & Whiteneck, G. (2015). Traumatic Brain injury - practice based evidence study: Design and patients, centers, treatments, and outcomes. Archives of Physical Medicine and Rehabilitation, 96(8 Suppl 3), S178-196; 3 ) McCoy SW, Linn M 2010 Training Manual School - Physical Therapy Interventions for Pediatrics (S-PTIP) Data Form Version 4; 4) FLACC Scale (Extracted from The FLACC: A behavioral scale for scoring postoperative pain in young children, by S Merkel and others, 1997, Pediatr Nurse 23(3), p. 293-297).
Pediatric
Supplemental
1.0
7/12/2016
Aliases for variable name not defined
Speech and Language Therapy Treatment Session
Therapies
Treatment/Intervention Data
  
Free-Form Entry
0
      
C22618
Therapy session minute duration
TherSessionMinDur
The duration of the patient or client's treatment session in minutes
Session Duration (total time in minutes)
  
Numeric Values
Complete at End of Individual Session
1) Effgen, S., Westcott McCoy, S., Chiarello, L, Jeffries, L., & Bush, H. (2016). Physical therapy-related child outcomes in school: An example of practice-based evidence methodology. Pediatric Physical Therapy, 28(1), 47-56; 2) Horn, S., Corrigan, J., Bogner, J., Hammond, F., Seel, R., Smout, R., Barrett, R., ..... & Whiteneck, G. (2015). Traumatic Brain injury - practice based evidence study: Design and patients, centers, treatments, and outcomes. Archives of Physical Medicine and Rehabilitation, 96(8 Suppl 3), S178-196; 3 ) McCoy SW, Linn M 2010 Training Manual School - Physical Therapy Interventions for Pediatrics (S-PTIP) Data Form Version 4; 4) FLACC Scale (Extracted from The FLACC: A behavioral scale for scoring postoperative pain in young children, by S Merkel and others, 1997, Pediatr Nurse 23(3), p. 293-297).
Pediatric
Supplemental
1.0
7/13/2016
Aliases for variable name not defined
Speech and Language Therapy Treatment Session
Therapies
Treatment/Intervention Data
  
Free-Form Entry
0
 
minute
    
C22619
Therapy bill unit service value
TherapyBillUnitServiceVal
The total units of service billed for the patient or client's therapy treatment session.
Total Units of service billed (if any)
  
Numeric Values
Complete at End of Individual Session
1) Effgen, S., Westcott McCoy, S., Chiarello, L, Jeffries, L., & Bush, H. (2016). Physical therapy-related child outcomes in school: An example of practice-based evidence methodology. Pediatric Physical Therapy, 28(1), 47-56; 2) Horn, S., Corrigan, J., Bogner, J., Hammond, F., Seel, R., Smout, R., Barrett, R., ..... & Whiteneck, G. (2015). Traumatic Brain injury - practice based evidence study: Design and patients, centers, treatments, and outcomes. Archives of Physical Medicine and Rehabilitation, 96(8 Suppl 3), S178-196; 3 ) McCoy SW, Linn M 2010 Training Manual School - Physical Therapy Interventions for Pediatrics (S-PTIP) Data Form Version 4; 4) FLACC Scale (Extracted from The FLACC: A behavioral scale for scoring postoperative pain in young children, by S Merkel and others, 1997, Pediatr Nurse 23(3), p. 293-297).
Pediatric
Supplemental
1.0
7/13/2016
Aliases for variable name not defined
Speech and Language Therapy Treatment Session
Therapies
Treatment/Intervention Data
  
Free-Form Entry
0
      
C22620
Child Effort Rating - Overall scale
ChildEffortScale
The scale representing the overall rating for "Child Effort" across the entire session.
Child Effort
1;0;2;3;4;5;6;
minimal effort;absence of effort;below average effort;Average effort;above average effort;very good effort;superior effort;
Numeric Values
Record an overall rating for "child Effort" across the entire session by circling a number on the visual analogue scale : 0 = child's behavior during the session(s) was not at all conductive to achieving the service objectives, to 6 = child's behavior during the session(s) was exceptionally conductive to achieving the service objectives. Choose the number that best fits your initial impression.
1) Effgen, S., Westcott McCoy, S., Chiarello, L, Jeffries, L., & Bush, H. (2016). Physical therapy-related child outcomes in school: An example of practice-based evidence methodology. Pediatric Physical Therapy, 28(1), 47-56; 2) Horn, S., Corrigan, J., Bogner, J., Hammond, F., Seel, R., Smout, R., Barrett, R., ..... & Whiteneck, G. (2015). Traumatic Brain injury - practice based evidence study: Design and patients, centers, treatments, and outcomes. Archives of Physical Medicine and Rehabilitation, 96(8 Suppl 3), S178-196; 3 ) McCoy SW, Linn M 2010 Training Manual School - Physical Therapy Interventions for Pediatrics (S-PTIP) Data Form Version 4; 4) FLACC Scale (Extracted from The FLACC: A behavioral scale for scoring postoperative pain in young children, by S Merkel and others, 1997, Pediatr Nurse 23(3), p. 293-297).
Pediatric
Supplemental
1.0
7/13/2016
Aliases for variable name not defined
Speech and Language Therapy Treatment Session
Therapies
Treatment/Intervention Data
  
Single Pre-Defined Value Selected
       
C19835
Pain indicator
PainInd
Indicator of pain present
Pain
Yes;No;
Yes;No;
Alphanumeric
If yes, move on to the next questions. If no, skip to "Factors influencing session"
1) Effgen, S., Westcott McCoy, S., Chiarello, L, Jeffries, L., & Bush, H. (2016). Physical therapy-related child outcomes in school: An example of practice-based evidence methodology. Pediatric Physical Therapy, 28(1), 47-56; 2) Horn, S., Corrigan, J., Bogner, J., Hammond, F., Seel, R., Smout, R., Barrett, R., ..... & Whiteneck, G. (2015). Traumatic Brain injury - practice based evidence study: Design and patients, centers, treatments, and outcomes. Archives of Physical Medicine and Rehabilitation, 96(8 Suppl 3), S178-196; 3 ) McCoy SW, Linn M 2010 Training Manual School - Physical Therapy Interventions for Pediatrics (S-PTIP) Data Form Version 4; 4) FLACC Scale (Extracted from The FLACC: A behavioral scale for scoring postoperative pain in young children, by S Merkel and others, 1997, Pediatr Nurse 23(3), p. 293-297).
Pediatric
Supplemental
1.0
2/5/2015
Aliases for variable name not defined
Speech and Language Therapy Treatment Session
Therapies
Treatment/Intervention Data
  
Single Pre-Defined Value Selected
       
C06058
Pain problem grade
PainProbGrade
Grade for the pain problem that indicates whether the person is describing their worst pain problem, their second worst pain problem, or their third worst pain problem.
If yes, list pain level here
  
Alphanumeric
Ask and record if and only if the patient or client answered 'Yes" to the previous question.
1) Effgen, S., Westcott McCoy, S., Chiarello, L, Jeffries, L., & Bush, H. (2016). Physical therapy-related child outcomes in school: An example of practice-based evidence methodology. Pediatric Physical Therapy, 28(1), 47-56; 2) Horn, S., Corrigan, J., Bogner, J., Hammond, F., Seel, R., Smout, R., Barrett, R., ..... & Whiteneck, G. (2015). Traumatic Brain injury - practice based evidence study: Design and patients, centers, treatments, and outcomes. Archives of Physical Medicine and Rehabilitation, 96(8 Suppl 3), S178-196; 3 ) McCoy SW, Linn M 2010 Training Manual School - Physical Therapy Interventions for Pediatrics (S-PTIP) Data Form Version 4; 4) FLACC Scale (Extracted from The FLACC: A behavioral scale for scoring postoperative pain in young children, by S Merkel and others, 1997, Pediatr Nurse 23(3), p. 293-297).
Pediatric
Supplemental
3.0
7/17/2013
PNPROB
Speech and Language Therapy Treatment Session
Therapies
Treatment/Intervention Data
Pain problem grade
255
Free-Form Entry
       
C22621
Pain scale type
PainScaleTyp
The type of pain scale used to measure the patient or client's pain
Pain Scale Used
Number;Faces;FLACC;
Number;Faces;FLACC;
Alphanumeric
circle which pain scale
11) Effgen, S., Westcott McCoy, S., Chiarello, L, Jeffries, L., & Bush, H. (2016). Physical therapy-related child outcomes in school: An example of practice-based evidence methodology. Pediatric Physical Therapy, 28(1), 47-56; 2) Horn, S., Corrigan, J., Bogner, J., Hammond, F., Seel, R., Smout, R., Barrett, R., ..... & Whiteneck, G. (2015). Traumatic Brain injury - practice based evidence study: Design and patients, centers, treatments, and outcomes. Archives of Physical Medicine and Rehabilitation, 96(8 Suppl 3), S178-196; 3 ) McCoy SW, Linn M 2010 Training Manual School - Physical Therapy Interventions for Pediatrics (S-PTIP) Data Form Version 4; 4) FLACC Scale (Extracted from The FLACC: A behavioral scale for scoring postoperative pain in young children, by S Merkel and others, 1997, Pediatr Nurse 23(3), p. 293-297).
Pediatric
Supplemental
1.0
7/13/2016
Aliases for variable name not defined
Speech and Language Therapy Treatment Session
Therapies
Treatment/Intervention Data
  
Single Pre-Defined Value Selected
       
C22622
Wong-Baker FACES - Pain rating scale
WongBakerFacesPainRatingScale
This scale uses faces and corresponding numbers to indicate the amount of pain the subject feels.
FACES Scale
0;2;4;6;8;10;
No Hurt;Hurts Little Bit;Hurts Little More;Hurts Even More;Hurts Whole Lot;Hurts Worst;
Numeric Values
No instructions available
1) Effgen, S., Westcott McCoy, S., Chiarello, L, Jeffries, L., & Bush, H. (2016). Physical therapy-related child outcomes in school: An example of practice-based evidence methodology. Pediatric Physical Therapy, 28(1), 47-56; 2) Horn, S., Corrigan, J., Bogner, J., Hammond, F., Seel, R., Smout, R., Barrett, R., ..... & Whiteneck, G. (2015). Traumatic Brain injury - practice based evidence study: Design and patients, centers, treatments, and outcomes. Archives of Physical Medicine and Rehabilitation, 96(8 Suppl 3), S178-196; 3 ) McCoy SW, Linn M 2010 Training Manual School - Physical Therapy Interventions for Pediatrics (S-PTIP) Data Form Version 4; 4) FLACC Scale (Extracted from The FLACC: A behavioral scale for scoring postoperative pain in young children, by S Merkel and others, 1997, Pediatr Nurse 23(3), p. 293-297).
Pediatric
Supplemental
1.0
7/13/2016
Aliases for variable name not defined
Speech and Language Therapy Treatment Session
Therapies
Treatment/Intervention Data
  
Single Pre-Defined Value Selected
       
C22623
Face Legs Activity Cry Consolability (FLACC) - Criteria type
FLACCScaleCritTyp
The type of criteria being scored as part of the Face, Legs, Activity, Cry, Consolability scale (FLACC).
Criteria
Face;Legs;Activity;Cry;Consolability;
Face;Legs;Activity;Cry;Consolability;
Alphanumeric
No instructions available
11) Effgen, S., Westcott McCoy, S., Chiarello, L, Jeffries, L., & Bush, H. (2016). Physical therapy-related child outcomes in school: An example of practice-based evidence methodology. Pediatric Physical Therapy, 28(1), 47-56; 2) Horn, S., Corrigan, J., Bogner, J., Hammond, F., Seel, R., Smout, R., Barrett, R., ..... & Whiteneck, G. (2015). Traumatic Brain injury - practice based evidence study: Design and patients, centers, treatments, and outcomes. Archives of Physical Medicine and Rehabilitation, 96(8 Suppl 3), S178-196; 3 ) McCoy SW, Linn M 2010 Training Manual School - Physical Therapy Interventions for Pediatrics (S-PTIP) Data Form Version 4; 4) FLACC Scale (Extracted from The FLACC: A behavioral scale for scoring postoperative pain in young children, by S Merkel and others, 1997, Pediatr Nurse 23(3), p. 293-297).
Pediatric
Supplemental
1.0
7/13/2016
Aliases for variable name not defined
Speech and Language Therapy Treatment Session
Therapies
Treatment/Intervention Data
  
Single Pre-Defined Value Selected
       
C22624
Face Legs Activity Cry Consolability (FLACC) - Face score
FLACCScaleFaceScore
The score of the face portion as part of the Face, Legs, Activity, Cry, Consolability scale (FLACC).
Face
0;1;2;
No particular expression or smile;Occasional grimace or frown, withdrawn, uninterested;Frequent to constant quivering chin, clenched jaw;
Numeric Values
No instructions available
1) Effgen, S., Westcott McCoy, S., Chiarello, L, Jeffries, L., & Bush, H. (2016). Physical therapy-related child outcomes in school: An example of practice-based evidence methodology. Pediatric Physical Therapy, 28(1), 47-56; 2) Horn, S., Corrigan, J., Bogner, J., Hammond, F., Seel, R., Smout, R., Barrett, R., ..... & Whiteneck, G. (2015). Traumatic Brain injury - practice based evidence study: Design and patients, centers, treatments, and outcomes. Archives of Physical Medicine and Rehabilitation, 96(8 Suppl 3), S178-196; 3 ) McCoy SW, Linn M 2010 Training Manual School - Physical Therapy Interventions for Pediatrics (S-PTIP) Data Form Version 4; 4) FLACC Scale (Extracted from The FLACC: A behavioral scale for scoring postoperative pain in young children, by S Merkel and others, 1997, Pediatr Nurse 23(3), p. 293-297).
Pediatric
Supplemental
1.0
7/13/2016
Aliases for variable name not defined
Speech and Language Therapy Treatment Session
Therapies
Treatment/Intervention Data
  
Single Pre-Defined Value Selected
       
C22625
Face Legs Activity Cry Consolability (FLACC) - Legs score
FLACCScaleLegsScore
The score of the legs portion as part of the Face, Legs, Activity, Cry, Consolability scale (FLACC).
Legs
0;1;2;
Normal position or relaxed;Uneasy, restless, tense;Kicking, or legs drawn up;
Numeric Values
No instructions available
1) Effgen, S., Westcott McCoy, S., Chiarello, L, Jeffries, L., & Bush, H. (2016). Physical therapy-related child outcomes in school: An example of practice-based evidence methodology. Pediatric Physical Therapy, 28(1), 47-56; 2) Horn, S., Corrigan, J., Bogner, J., Hammond, F., Seel, R., Smout, R., Barrett, R., ..... & Whiteneck, G. (2015). Traumatic Brain injury - practice based evidence study: Design and patients, centers, treatments, and outcomes. Archives of Physical Medicine and Rehabilitation, 96(8 Suppl 3), S178-196; 3 ) McCoy SW, Linn M 2010 Training Manual School - Physical Therapy Interventions for Pediatrics (S-PTIP) Data Form Version 4; 4) FLACC Scale (Extracted from The FLACC: A behavioral scale for scoring postoperative pain in young children, by S Merkel and others, 1997, Pediatr Nurse 23(3), p. 293-297).
Pediatric
Supplemental
1.0
7/13/2016
Aliases for variable name not defined
Speech and Language Therapy Treatment Session
Therapies
Treatment/Intervention Data
  
Single Pre-Defined Value Selected
       
C22626
Face Legs Activity Cry Consolability (FLACC) - Activity score
FLACCScaleActivityScore
The score of the activity portion as part of the Face, Legs, Activity, Cry, Consolability scale (FLACC).
Activity
0;1;2;
Lying quietly, normal position, moves easily;Squirming, shifting, back and forth, tense;Arched, rigid or jerking;
Numeric Values
No instructions available
1) Effgen, S., Westcott McCoy, S., Chiarello, L, Jeffries, L., & Bush, H. (2016). Physical therapy-related child outcomes in school: An example of practice-based evidence methodology. Pediatric Physical Therapy, 28(1), 47-56; 2) Horn, S., Corrigan, J., Bogner, J., Hammond, F., Seel, R., Smout, R., Barrett, R., ..... & Whiteneck, G. (2015). Traumatic Brain injury - practice based evidence study: Design and patients, centers, treatments, and outcomes. Archives of Physical Medicine and Rehabilitation, 96(8 Suppl 3), S178-196; 3 ) McCoy SW, Linn M 2010 Training Manual School - Physical Therapy Interventions for Pediatrics (S-PTIP) Data Form Version 4; 4) FLACC Scale (Extracted from The FLACC: A behavioral scale for scoring postoperative pain in young children, by S Merkel and others, 1997, Pediatr Nurse 23(3), p. 293-297).
Pediatric
Supplemental
1.0
7/13/2016
Aliases for variable name not defined
Speech and Language Therapy Treatment Session
Therapies
Treatment/Intervention Data
  
Single Pre-Defined Value Selected
       
C22627
Face Legs Activity Cry Consolability (FLACC) - Cry score
FLACCScaleCryScore
The score of the cry portion as part of the Face, Legs, Activity, Cry, Consolability scale (FLACC).
Cry
0;1;2;
No cry (awake or asleep);Moans or whimpers:occasional complaint;Crying steadily, screams or sobs, frequent complaints;
Numeric Values
No instructions available
1) Effgen, S., Westcott McCoy, S., Chiarello, L, Jeffries, L., & Bush, H. (2016). Physical therapy-related child outcomes in school: An example of practice-based evidence methodology. Pediatric Physical Therapy, 28(1), 47-56; 2) Horn, S., Corrigan, J., Bogner, J., Hammond, F., Seel, R., Smout, R., Barrett, R., ..... & Whiteneck, G. (2015). Traumatic Brain injury - practice based evidence study: Design and patients, centers, treatments, and outcomes. Archives of Physical Medicine and Rehabilitation, 96(8 Suppl 3), S178-196; 3 ) McCoy SW, Linn M 2010 Training Manual School - Physical Therapy Interventions for Pediatrics (S-PTIP) Data Form Version 4; 4) FLACC Scale (Extracted from The FLACC: A behavioral scale for scoring postoperative pain in young children, by S Merkel and others, 1997, Pediatr Nurse 23(3), p. 293-297).
Pediatric
Supplemental
1.0
7/13/2016
Aliases for variable name not defined
Speech and Language Therapy Treatment Session
Therapies
Treatment/Intervention Data
  
Single Pre-Defined Value Selected
       
07-22-2019
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