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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: Physical Therapy Individual Session
Item count: 28 (28 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
C21117
Subject name
SubjectName
Name of subject/participant.
Patient Name or ID#
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
6/12/2015
Aliases for variable name not defined
Physical Therapy Individual Session
Therapies
Treatment/Intervention Data
 
255
Free-Form Entry
       
C22902
Physical therapist name
PhysicalTherapistNam
The name related to the physical therapist.
Therapist
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
12/7/2016
Aliases for variable name not defined
Physical Therapy Individual Session
Therapies
Treatment/Intervention Data
 
255
Free-Form Entry
       
C15910
Assessment date and time
AssessDateTime
The date of participant's injury
Date
  
Date or Date & Time
No instructions available
No references available
Adult;Pediatric
Supplemental
3.0
7/16/2013
Aliases for variable name not defined
Physical Therapy Individual Session
Therapies
Treatment/Intervention Data
Assessment date and time
 
Free-Form Entry
       
C22899
Gross Motor Function Classification System (GMFCS) - Level scale
GMFCSLevelScl
The scale level as reference to the Gross Motor Function Classification System (GMFCS).
GMFCS Level
Level I;Level II;Level III;Level IV;Level V;
Children walk at home, school, outdoors and in the community. They can climb stairs without the use of a railing. Children perform gross motor skills such as running and jumping, but speed, balance and coordination are limited.;Children walk in most settings and climb stairs holding onto a railing. They may experience difficulty walking long distances and balancing on uneven terrain, inclines, in crowded areas or confined spaces. Children may walk with physical assistance, a hand held mobility device or used wheeled mobility over long distances. Children have only minimal ability to perform gross motor skills such as running and jumping.;Children walk using a hand-held mobility device in most indoor settings. They may climb stairs holding onto a railing with supervision or assistance. Children use wheeled mobility when traveling long distances and may self-propel for shorter distances.;Children use methods of mobility that require physical assistance or powered mobility in most settings. They may walk for short distances at home with physical assistance or use powered mobility or a body support walker when positioned. At school, outdoors and in the community children are transported in a manual wheelchair or use powered mobility.;Children are transported in a manual wheelchair in all settings. Children are limited in their ability to maintain antigravity head and trunk postures and control leg and arm movements.;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
12/7/2016
Aliases for variable name not defined
Physical Therapy Individual Session
Therapies
Treatment/Intervention Data
  
Single Pre-Defined Value Selected
       
C22900
Manual Ability Classification System (MACS) - Level scale
MACSLevelScl
The scale level related to the Mini-Manual Ability Classification System (MACS).
MACS Level
Level I;Level II;Level III;Level IV;Level V;
Handles objects easily and successfully.;Handles most objects but with somewhat reduced quality and/or speed of achievement.;Handles objects with difficulty, needs help to prepare and/or modify activities.;Handles a limited selection of easily managed objects in adapted situations.;Does not handle objects and has severely limited ability to perform even simple actions.;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
12/7/2016
Aliases for variable name not defined
Physical Therapy Individual Session
Therapies
Treatment/Intervention Data
  
Single Pre-Defined Value Selected
       
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
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
7/13/2016
Aliases for variable name not defined
Physical Therapy Individual 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.
Units Billed (15 minute incraments)
  
Numeric Values
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
7/13/2016
Aliases for variable name not defined
Physical Therapy Individual 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 Rating
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
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
7/13/2016
Aliases for variable name not defined
Physical Therapy Individual Session
Therapies
Treatment/Intervention Data
  
Single Pre-Defined Value 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
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
7/12/2016
Aliases for variable name not defined
Physical Therapy Individual Session
Therapies
Treatment/Intervention Data
  
Single Pre-Defined Value Selected
       
C22901
Therapy session cotherapy type
TherapySessionCoTxTyp
The type related to the co-therapy for the therapy session.
If CoTx
SLP;PT;Other;
Speech and Language Pathologist;Physical therapist;Other;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
12/7/2016
Aliases for variable name not defined
Physical Therapy Individual Session
Therapies
Treatment/Intervention Data
  
Single Pre-Defined Value Selected
       
C22602
Therapy week frequency
TherWeekFreq
The weekly frequency of the patient or client's treatment session.
Frequency per week
  
Numeric Values
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
7/12/2016
Aliases for variable name not defined
Physical Therapy Individual Session
Therapies
Treatment/Intervention Data
  
Free-Form Entry
0
 
time per week
    
C22604
Therapy consultative frequency
TherConFreq
The consultative frequency (less than once a month) of the patient or client's treatment session.
Frequency consultative (less than once per month)
  
Numeric Values
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
7/12/2016
Aliases for variable name not defined
Physical Therapy Individual Session
Therapies
Treatment/Intervention Data
  
Free-Form Entry
0
      
C22603
Therapy month frequency
TherMonFreq
The monthly frequency of the patient or client's treatment session.
Frequency per month
  
Numeric Values
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
7/12/2016
Aliases for variable name not defined
Physical Therapy Individual Session
Therapies
Treatment/Intervention Data
  
Free-Form Entry
0
 
time per month
    
C22597
Therapy participant count
TherPartCt
The number of patients participating in the therapy session.
Session participants # patients
  
Numeric Values
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
7/12/2016
Aliases for variable name not defined
Physical Therapy Individual Session
Therapies
Treatment/Intervention Data
  
Free-Form Entry
0
      
C22598
Therapist count
TherapistCt
The number of therapists participating in the treatment session.
Session participants # therapist
  
Numeric Values
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
7/12/2016
Aliases for variable name not defined
Physical Therapy Individual 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.
Session participants # family/caregiver
  
Numeric Values
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
7/12/2016
Aliases for variable name not defined
Physical Therapy Individual Session
Therapies
Treatment/Intervention Data
  
Free-Form Entry
0
      
C19835
Pain indicator
PainInd
Indicator of pain present
Pain
Yes;No;
Yes;No;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
2/5/2015
Aliases for variable name not defined
Physical Therapy Individual 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 number
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
3.0
7/17/2013
PNPROB
Physical Therapy Individual 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
Faces;FLACC;Visual analog;
Faces;FLACC;Visual analog;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
7/13/2016
Aliases for variable name not defined
Physical Therapy Individual Session
Therapies
Treatment/Intervention Data
  
Single Pre-Defined Value Selected
       
C22629
Therapy factor influence session type
TherFacInfSesTyp
The type of factor(s) that influenced the treatment session
Factors influencing session
agitation/behavior;disinterest;Fatigue;low arousal;inattention;emotional distress/crying;medical;environment;
agitation/behavior;disinterest;Fatigue;low arousal;inattention;emotional distress/crying;medical;environment;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
7/13/2016
Aliases for variable name not defined
Physical Therapy Individual Session
Therapies
Treatment/Intervention Data
  
Multiple Pre-Defined Values Selected
       
C22904
Physical therapy focus area type
PTFocusAreaTyp
The type related to physical therapy focus area.
PT focus areas
Pre-functional;Sitting;Standing;Transitions/transfers;Mobility;Gait-household, community, exercise;Fitness/health/recreation management;Self-care;Gross motor;Communication;Caregiver management;
Pre-functional;Sitting;Standing;Transitions/transfers;Mobility;Gait-household, community, exercise;Fitness/health/recreation management;Self-care;Gross motor;Communication;Caregiver management;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
12/8/2016
Aliases for variable name not defined
Physical Therapy Individual Session
Therapies
Treatment/Intervention Data
  
Multiple Pre-Defined Values Selected
       
C22905
Physcial therapy minute duration
PTMinDur
The duration in minutes related to physical therapy.
Mins
  
Numeric Values
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
12/8/2016
Aliases for variable name not defined
Physical Therapy Individual Session
Therapies
Treatment/Intervention Data
  
Free-Form Entry
  
minute
    
C22906
Physical therapy intervention type
PTInterventionTyp
The type of intervention related to the physical therapy.
Intervention
Assessment/evaluation;Education/training;Balance;Postural control;Coordination;Motor control;Facilitation/Handling;Repetitive task practice;Oral-Motor Facilitation;Manual therapy;Joint mobilization/manipulation;Massage;Strengthening functional;Stretching;Strengthening (PRE);Breathing;Aerobic conditioning;Postural drainage;Electrical stimulation NMES;Electrical stimulation Tens;Deep thermal;Hot/cold;Biofeedback;Telehealth;Pressure relief;Position changes;Skin check;Energy conservation;
Assessment/evaluation;Education/training;Balance;Postural control;Coordination;Motor control;Facilitation/Handling;Repetitive task practice;Oral-Motor Facilitation;Manual therapy;Joint mobilization/manipulation;Massage;Strengthening functional;Stretching;Strengthening (PRE);Breathing;Aerobic conditioning;Postural drainage;Electrical stimulation NMES;Electrical stimulation Tens;Deep thermal;Hot/cold;Biofeedback;Telehealth;Pressure relief;Position changes;Skin check;Energy conservation;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
12/8/2016
Aliases for variable name not defined
Physical Therapy Individual Session
Therapies
Treatment/Intervention Data
  
Multiple Pre-Defined Values Selected
       
C22908
Physical therapy adaptive equipment orthotic session type
PTAEOrthoticSessionTyp
The type of session related to adaptive equipment or orthotics related to the physical therapy.
AE/Orthotic
Prescription;Fabrication;Maintenance/repair;Ergonomic intervention;Training;Fitting/Adjustment;
Prescription;Fabrication;Maintenance/repair;Ergonomic intervention;Training;Fitting/Adjustment;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
12/8/2016
Aliases for variable name not defined
Physical Therapy Individual Session
Therapies
Treatment/Intervention Data
  
Multiple Pre-Defined Values Selected
       
C22907
Physical therapy device type
PTDeviceTyp
The type of device related to the physical therapy.
Equipment
BWS system;Treadmill;Stationary bike;Ellipitical;UBE;Seated stepper;Wall rail/furniture;Push toy;Walker;Manual wheelchair;Power wheelchair;Gait Trainer/Weight Supported Walkers;Hoyer/overhead lift;Stander;Other AE;
Body weight support system;Treadmill;Stationary bike;Ellipitical;Upper body ergometer;Seated stepper;Wall rail/furniture;Push toy;Walker;Manual wheelchair;Power wheelchair;Gait Trainer/Weight Supported Walkers;Hoyer/overhead lift;Stander;Other adaptive equipment;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
12/8/2016
Aliases for variable name not defined
Physical Therapy Individual Session
Therapies
Treatment/Intervention Data
  
Multiple Pre-Defined Values Selected
       
C22909
Physical therapy position type
PTPositionTyp
The type of position related to the physical therapy.
Positioning
Static seating;Dynamic seating;Static standing;Dynamic standing;Floor position;
Static seating;Dynamic seating;Static standing;Dynamic standing;Floor position;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
12/8/2016
Aliases for variable name not defined
Physical Therapy Individual Session
Therapies
Treatment/Intervention Data
  
Multiple Pre-Defined Values Selected
       
07-15-2019
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