CDE Detailed Report
Subdomain Name: Therapies
CRF: Post Discharge
Displaying 1 - 8 of 8
| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| C18768 | Therapy or rehabilitation other text | TherpyRehabOTH | The free-text field related to 'Therapy or rehabilitation type' specifying other text. Type of therapy or rehabilitation services received by the participant/subject | The free-text field related to 'Therapy or rehabilitation type' specifying other text. Type of therapy or rehabilitation services received by the participant/subject | Other, specify | Alphanumeric |
Choose all that apply. Response is obtained from report by the participant/subject, a reliable proxy or medical records. Add date stamp for when assessed. Recommend collection at end of initial medical care. Service provision post-TBI is important to track as it is an indicator of health care resource utilization. |
International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM): http://www.cdc.gov/nchs/icd/icd9cm.htm | Adult;Pediatric | Basic | 1.00 | 2014-05-27 13:34:46.0 | Post Discharge/Outpatient Treatment | Therapies | Treatment/Intervention Data | 4000 |
Free-Form Entry |
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| C21667 | Therapy rehabilitation ICD 10 CM code | TherpyRehabICD10CMCd | ICD-10-CM code that describes the therapy or rehabilitation received by the participant/subject | ICD-10-CM code that describes the therapy or rehabilitation received by the participant/subject | Alphanumeric |
Add date stamp for when assessed. Recommend collection at least at end of inititial medical care. |
International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) for permissible values: http://www.cdc.gov/nchs/icd/icd9cm.htm | Adult;Pediatric | Basic | 1.00 | 2013-07-20 10:21:25.65 | Post Discharge/Outpatient Treatment | Therapies | Treatment/Intervention Data | 255 |
Free-Form Entry |
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| C05130 | Therapy or rehabilitation type | TherpyRehabTyp | Type of therapy or rehabilitation services received by the participant/subject | Type of therapy or rehabilitation services received by the participant/subjec | Type of Therapy or Rehabilitation | Unknown;Other, specify;Home health;Therapeutic recreation;Speech therapy;Occupational therapy;Physical therapy | Unknown;Other, specify;Home health;Therapeutic recreation;Speech therapy;Occupational therapy;Physical therapy | Alphanumeric |
Choose all that apply. Response is obtained from report by the participant/subject, a reliable proxy or medical records. Add date stamp for when assessed. Recommend collection at end of initial medical care. Service provision post-TBI is important to track as it is an indicator of health care resource utilization. |
International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM): http://www.cdc.gov/nchs/icd/icd9cm.htm | Adult;Pediatric | Basic | 3.00 | 2013-07-20 10:21:25.65 | Post Discharge/Outpatient Treatment | Therapies | Treatment/Intervention Data |
Multiple Pre-Defined Values Selected |
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| C05132 | Therapy or rehabilitation frequency | TherpyRehabFreq | Identified describing the frequency the participant/subject received the therapy or rehabilitation | Identified describing the frequency the participant/subject received the therapy or rehabilitation | Therapy or Rehabilitation Frequency | Numeric Values |
Choose one. |
CDISC SDTM Frequency Terminology (Code C71113) (http://www.cancer.gov/cancertopics/cancerlibrary/terminologyresources/cdisc) - http://evs.nci.nih.gov/ftp1/CDISC/SDTM/ | Adult;Pediatric | Basic | 3.00 | 2013-07-20 10:21:25.65 | Post Discharge/Outpatient Treatment | Therapies | Treatment/Intervention Data |
Free-Form Entry |
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| C05133 | Therapy or rehabilitation session duration | TherpyRehabSessnDur | Average duration of a therapy or rehabilitation session | Average duration of a therapy or rehabilitation session | Avg. Duration of Therapy Session | Numeric Values |
Record the duration of therapy or rehabilitation session in minutes. |
No references available | Adult;Pediatric | Basic | 3.00 | 2013-07-20 10:21:25.65 | Post Discharge/Outpatient Treatment | Therapies | Treatment/Intervention Data |
Free-Form Entry |
minute | |||||||||
| C05134 | Therapy rehabilitation start date time | TherpyRehabStrtDateTime | Date (and time, if applicable and known) on which the therapy or rehabilitation started | Date (and time, if applicable and known) on which the therapy or rehabilitation started | Date Time of Initiation | 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.). |
No references available | Adult;Pediatric | Basic | 3.00 | 2013-07-20 10:21:25.65 | Post Discharge/Outpatient Treatment | Therapies | Treatment/Intervention Data |
Free-Form Entry |
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| C05135 | Therapy rehabilitation end date time | TherpyRehabEndDateTime | Date (and time, if applicable and known) on which the therapy or rehabilitation ended | Date (and time, if applicable and known) on which the therapy or rehabilitation ended | Date Time of Discontinuation | 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.). |
No references available | Adult;Pediatric | Basic | 3.00 | 2013-07-20 10:21:25.65 | Post Discharge/Outpatient Treatment | Therapies | Treatment/Intervention Data |
Free-Form Entry |
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| C05136 | Therapy rehabilitation ongoing indicator | TherpyRehabOngngInd | Indicator of whether the therapy or rehabilitation is ongoing | Indicator of whether the therapy or rehabilitation is ongoing | Therapy or Rehabilitation Ongoing? | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric |
Choose one. Add date and time stamp for when assessed. |
No references available | Adult;Pediatric | Basic | 3.00 | 2013-07-20 10:21:25.65 | Post Discharge/Outpatient Treatment | Therapies | Treatment/Intervention Data |
Single Pre-Defined Value Selected |
