CDE Detailed Report

Disease: Cerebral Palsy
Sub-Domain: Therapies
CRF: Speech and Language Therapy Treatment Session

Displaying 1 - 44 of 44
CDE ID CDE Name Variable Name Definition Short Description Additional Notes (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 / Guideline) Sub Domain Name Domain Name Size Input Restrictions Min Value Max Value Measurement Type External Id Loinc External Id Snomed External Id caDSR External Id CDISC
C22604 Therapy consultative frequency TherConFreq The consultative frequency (less than once a month) of the patient or client's treatment session. The consultative frequency (less than once a month) of the patient or client's treatment session. consultative (< 1 x month) Numeric Values 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 1.00 2016-07-12 09:45:45.0 Speech and Language Therapy Treatment Session Therapies Treatment/Intervention Data

Free-Form Entry

0
C22628 Face Legs Activity Cry Consolability (FLACC) - Consolability score FLACCScaleConsolabilityScore The score of the consolability portion as part of the Face, Legs, Activity, Cry, Consolability scale (FLACC). The score of the consolability portion as part of the Face, Legs, Activity, Cry, Consolability scale (FLACC). Consolability 0;1;2 Content, relaxed;Reassured by occasional touching, hugging or being talked to, distractable;Difficult to console or comfort Numeric Values 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 1.00 2016-07-13 13:50:07.0 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). 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 1.00 2016-07-12 09:19:31.0 Speech and Language Therapy Treatment Session Therapies Treatment/Intervention Data

Multiple Pre-Defined Values Selected

C22639 Speech language pathology focus area assessment intervention type SLPFocAreaAssmtInterTyp The type of intervention used for assessments as part of the speech and language therapy treatment session The type of intervention used for assessments as part of the speech and language therapy treatment session Assessments Intervention # 23;24;25;26;27;28;29;30 Cognition Assessment;Language Assessment;Speech Assessment;AAC Assessment;Swallowing Assessment - Bedside;Swallowing Assessment - FEES;Swallowing Assessment - MBSP;Hearing Screening Numeric Values 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 1.00 2016-07-13 14:30:59.0 Speech and Language Therapy Treatment Session Therapies Treatment/Intervention Data

Multiple Pre-Defined Values Selected

C22618 Therapy session minute duration TherSessionMinDur The duration of the patient or client's treatment session in minutes 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 1.00 2016-07-13 12:23:00.0 Speech and Language Therapy Treatment Session Therapies Treatment/Intervention Data

Free-Form Entry

0 minute
C22629 Therapy factor influence session type TherFacInfSesTyp The type of factor(s) that influenced the treatment session 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 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 1.00 2016-07-13 13:56:31.0 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. 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 1.00 2016-07-12 09:33:51.0 Speech and Language Therapy Treatment Session Therapies Treatment/Intervention Data

Single Pre-Defined Value Selected

C22640 Speech language pathology focus area home intervention type SLPFocAreaHomeInterTyp The type of intervention used for home as part of the speech and language therapy treatment session The type of intervention used for home as part of the speech and language therapy treatment session Home Intervention # 1;2;3;4;5;6;7;8;9;10;11;12;13;14;15;16;17;18;19;20;21;22;23;24;25;26;27;28;29;30;31;32;33;34;35;36;37;38;39;40;41;42;43;44;45;46;47;48;49;50;51;52;53;54;55;56;57;58;59;60;61;62;63;64;65;66;67;68;69;70;71;72;73;74;75;76;77;78;79;80;81;82;83;84;85;86;87;88;89;90;91;92 Breath Coordination;Speech Intelligibility Strategies;Speech Sound Production;Vocal Function Exercises;Speaking Valve;Conversation;Turn-Taking;Establishing Joint Attention;Initiation;Topic Maintenance/Change;Cause/Effect;Object Permanence;Functional Play;Play Skills;Environmental Problem Solving;Paper/Pencil Problem Solving;Sequencing;Verbal Reasoning;Functional Problem Solving;Visual Scanning;Visual Attention;Auditory Attention;Cognition Assessment;Language Assessment;Speech Assessment;AAC Assessment;Swallowing Assessment - Bedside;Swallowing Assessment - FEES;Swallowing Assessment - MBSP;Hearing Screening;Following 1-Step Commands;Following Multi-Step Commands;Word Matching;Yes/No Questions;Wh- Questions;Sentence Comprehension;Paragraph Comprehension;Morphology/Syntax;Sequencing;Categorization;Object Identification;Picture Discrimination;Picture Identification;Object Function;Pre-Swallowing (Oral Hygiene);Meal Observation Analysis;Oral Stim/Desensitization;P.O. Trials;Swallow Strengthen Exercise;Oral Motor Swallow Exercises;Swallow Strategies/Maneuvers;Multi-Modal Communication;High-Tech Com Device;Low-Tech Com Device;Operational Competency;Strategic Competency;Pictures/PECS;Manual Signs;Patient Education;Caregiver/Patient Education;Com Partner Training;Assistive Technology Training;Naming/Object ID/Labeling;Gesture Use/Demo Obj. Function;Describe Picture/Object Function;Morphology/Syntax;Phrase Production;Defining Words;Compound/Complex Sentence;Asking/Answering Questions;Multi-Sentence Production;Conversation level;Simple Functional Tasks;Identify signs in community;Developing Daily Schedule;Complex Functional Tasks;Community Outings;Delayed Recall;Immediate Recall;Compensation- Ext Strategy;Compensation- Internal Strategy;Spaced Retrieval;Working Memory;Verbal Orientation Review;Sensory Stimulation;Games;Switch Toys;Switch Training Activities;Computer App (Office/Email/Web);Specialized Software;Reading;Writing Numeric Values 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 1.00 2016-07-13 14:34:20.0 Speech and Language Therapy Treatment Session Therapies Treatment/Intervention Data

Multiple Pre-Defined Values Selected

C22619 Therapy bill unit service value TherapyBillUnitServiceVal The total units of service billed for the patient or client's therapy treatment session. 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 1.00 2016-07-13 12:24:06.0 Speech and Language Therapy Treatment Session Therapies Treatment/Intervention Data

Free-Form Entry

0
C22630 Speech language pathology focus area intervention duration SLPFocusAreasInterDur The duration of each focus area intervention in minutes, as part of the patient or client's speech and language therapy treatment session. The duration of each focus area intervention in minutes, as part of the patient or client's speech and language therapy treatment session. Mins Numeric Values 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 1.00 2016-07-13 14:00:20.0 Speech and Language Therapy Treatment Session Therapies Treatment/Intervention Data

Free-Form Entry

0 minute
C22596 Therapy setting type TherSetTyp The setting related to therapy session. 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 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 1.00 2016-07-12 09:35:40.0 Speech and Language Therapy Treatment Session Therapies Treatment/Intervention Data

Single Pre-Defined Value Selected

C22641 Speech language pathology focus area leisure community intervention type SLPFocAreLeiComInterTyp The type of intervention used for leisure and/or community as part of the speech and language therapy treatment session The type of intervention used for leisure and/or community as part of the speech and language therapy treatment session Leisure/Community Intervention # 1;2;3;4;5;6;7;8;9;10;11;12;13;14;15;16;17;18;19;20;21;22;23;24;25;26;27;28;29;30;31;32;33;34;35;36;37;38;39;40;41;42;43;44;45;46;47;48;49;50;51;52;53;54;55;56;57;58;59;60;61;62;63;64;65;66;67;68;69;70;71;72;73;74;75;76;77;78;79;80;81;82;83;84;85;86;87;88;89;90;91;92 Breath Coordination;Speech Intelligibility Strategies;Speech Sound Production;Vocal Function Exercises;Speaking Valve;Conversation;Turn-Taking;Establishing Joint Attention;Initiation;Topic Maintenance/Change;Cause/Effect;Object Permanence;Functional Play;Play Skills;Environmental Problem Solving;Paper/Pencil Problem Solving;Sequencing;Verbal Reasoning;Functional Problem Solving;Visual Scanning;Visual Attention;Auditory Attention;Cognition Assessment;Language Assessment;Speech Assessment;AAC Assessment;Swallowing Assessment - Bedside;Swallowing Assessment - FEES;Swallowing Assessment - MBSP;Hearing Screening;Following 1-Step Commands;Following Multi-Step Commands;Word Matching;Yes/No Questions;Wh- Questions;Sentence Comprehension;Paragraph Comprehension;Morphology/Syntax;Sequencing;Categorization;Object Identification;Picture Discrimination;Picture Identification;Object Function;Pre-Swallowing (Oral Hygiene);Meal Observation Analysis;Oral Stim/Desensitization;P.O. Trials;Swallow Strengthen Exercise;Oral Motor Swallow Exercises;Swallow Strategies/Maneuvers;Multi-Modal Communication;High-Tech Com Device;Low-Tech Com Device;Operational Competency;Strategic Competency;Pictures/PECS;Manual Signs;Patient Education;Caregiver/Patient Education;Com Partner Training;Assistive Technology Training;Naming/Object ID/Labeling;Gesture Use/Demo Obj. Function;Describe Picture/Object Function;Morphology/Syntax;Phrase Production;Defining Words;Compound/Complex Sentence;Asking/Answering Questions;Multi-Sentence Production;Conversation level;Simple Functional Tasks;Identify signs in community;Developing Daily Schedule;Complex Functional Tasks;Community Outings;Delayed Recall;Immediate Recall;Compensation- Ext Strategy;Compensation- Internal Strategy;Spaced Retrieval;Working Memory;Verbal Orientation Review;Sensory Stimulation;Games;Switch Toys;Switch Training Activities;Computer App (Office/Email/Web);Specialized Software;Reading;Writing Numeric Values 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 1.00 2016-07-13 14:34:20.0 Speech and Language Therapy Treatment Session Therapies Treatment/Intervention Data

Multiple Pre-Defined Values Selected

C22620 Child Effort Rating - Overall scale ChildEffortScale The scale representing the overall rating for "Child Effort" across the entire session. 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 1.00 2016-07-13 12:25:37.0 Speech and Language Therapy Treatment Session Therapies Treatment/Intervention Data

Single Pre-Defined Value Selected

C22631 Speech language pathology focus area speech production intervention type SLPFocusAreaspeProdInterTyp The type of intervention used for speech production as part of the speech and language therapy treatment session. The type of intervention used for speech production as part of the speech and language therapy treatment session. Speech Production Intervention # 1;2;3;4;5 Breath Coordination;Speech Intelligibility Strategies;Speech Sound Production;Vocal Function Exercises;Speaking Valve Numeric Values 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 1.00 2016-07-13 14:01:37.0 Speech and Language Therapy Treatment Session Therapies Treatment/Intervention Data

Multiple Pre-Defined Values Selected

C22597 Therapy participant count TherPartCt The number of patients participating in the therapy session. The number of patients participating in the therapy session. # patients Numeric Values 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 1.00 2016-07-12 09:39:26.0 Speech and Language Therapy Treatment Session Therapies Treatment/Intervention Data

Free-Form Entry

0
C22642 Speech language pathology focus area education school intervention type SLPFocAreaEduSchoTyp The type of intervention used for education and school as part of the speech and language therapy treatment session The type of intervention used for education and school as part of the speech and language therapy treatment session Education/School Intervention # 1;2;3;4;5;6;7;8;9;10;11;12;13;14;15;16;17;18;19;20;21;22;23;24;25;26;27;28;29;30;31;32;33;34;35;36;37;38;39;40;41;42;43;44;45;46;47;48;49;50;51;52;53;54;55;56;57;58;59;60;61;62;63;64;65;66;67;68;69;70;71;72;73;74;75;76;77;78;79;80;81;82;83;84;85;86;87;88;89;90;91;92 Breath Coordination;Speech Intelligibility Strategies;Speech Sound Production;Vocal Function Exercises;Speaking Valve;Conversation;Turn-Taking;Establishing Joint Attention;Initiation;Topic Maintenance/Change;Cause/Effect;Object Permanence;Functional Play;Play Skills;Environmental Problem Solving;Paper/Pencil Problem Solving;Sequencing;Verbal Reasoning;Functional Problem Solving;Visual Scanning;Visual Attention;Auditory Attention;Cognition Assessment;Language Assessment;Speech Assessment;AAC Assessment;Swallowing Assessment - Bedside;Swallowing Assessment - FEES;Swallowing Assessment - MBSP;Hearing Screening;Following 1-Step Commands;Following Multi-Step Commands;Word Matching;Yes/No Questions;Wh- Questions;Sentence Comprehension;Paragraph Comprehension;Morphology/Syntax;Sequencing;Categorization;Object Identification;Picture Discrimination;Picture Identification;Object Function;Pre-Swallowing (Oral Hygiene);Meal Observation Analysis;Oral Stim/Desensitization;P.O. Trials;Swallow Strengthen Exercise;Oral Motor Swallow Exercises;Swallow Strategies/Maneuvers;Multi-Modal Communication;High-Tech Com Device;Low-Tech Com Device;Operational Competency;Strategic Competency;Pictures/PECS;Manual Signs;Patient Education;Caregiver/Patient Education;Com Partner Training;Assistive Technology Training;Naming/Object ID/Labeling;Gesture Use/Demo Obj. Function;Describe Picture/Object Function;Morphology/Syntax;Phrase Production;Defining Words;Compound/Complex Sentence;Asking/Answering Questions;Multi-Sentence Production;Conversation level;Simple Functional Tasks;Identify signs in community;Developing Daily Schedule;Complex Functional Tasks;Community Outings;Delayed Recall;Immediate Recall;Compensation- Ext Strategy;Compensation- Internal Strategy;Spaced Retrieval;Working Memory;Verbal Orientation Review;Sensory Stimulation;Games;Switch Toys;Switch Training Activities;Computer App (Office/Email/Web);Specialized Software;Reading;Writing Numeric Values 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 1.00 2016-07-13 14:34:20.0 Speech and Language Therapy Treatment Session Therapies Treatment/Intervention Data

Multiple Pre-Defined Values Selected

C22621 Pain scale type PainScaleTyp The type of pain scale used to measure the patient or client's pain 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 1.00 2016-07-13 13:11:56.0 Speech and Language Therapy Treatment Session Therapies Treatment/Intervention Data

Single Pre-Defined Value Selected

C22632 Speech language pathology focus area language receptive understand intervention type SLPFocAreaLanRecUndInterTyp The type of intervention used for receptive language and understanding as part of the speech and language therapy treatment session The type of intervention used for receptive language and understanding as part of the speech and language therapy treatment session Language, Expressive (Understanding) Intervention # 31;32;33;34;35;36;37;38;39;40;41;42;43;44 Following 1-Step Commands;Following Multi-Step Commands;Word Matching;Yes/No Questions;Wh- Questions;Sentence Comprehension;Paragraph Comprehension;Morphology/Syntax;Sequencing;Categorization;Object Identification;Picture Discrimination;Picture Identification;Object Function Numeric Values 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 1.00 2016-07-13 14:05:08.0 Speech and Language Therapy Treatment Session Therapies Treatment/Intervention Data

Multiple Pre-Defined Values Selected

C22598 Therapist count TherapistCt The number of therapists participating in the treatment session. The number of therapists participating in the treatment session. # therapists Numeric Values 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 1.00 2016-07-12 09:40:17.0 Speech and Language Therapy Treatment Session Therapies Treatment/Intervention Data

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C22643 Speech language pathology focus area social participation intervention type SLPFocAreSocPartInterTyp The type of intervention used for social participation as part of the speech and language therapy treatment session The type of intervention used for social participation as part of the speech and language therapy treatment session Social participation Intervention # 1;2;3;4;5;6;7;8;9;10;11;12;13;14;15;16;17;18;19;20;21;22;23;24;25;26;27;28;29;30;31;32;33;34;35;36;37;38;39;40;41;42;43;44;45;46;47;48;49;50;51;52;53;54;55;56;57;58;59;60;61;62;63;64;65;66;67;68;69;70;71;72;73;74;75;76;77;78;79;80;81;82;83;84;85;86;87;88;89;90;91;92 Breath Coordination;Speech Intelligibility Strategies;Speech Sound Production;Vocal Function Exercises;Speaking Valve;Conversation;Turn-Taking;Establishing Joint Attention;Initiation;Topic Maintenance/Change;Cause/Effect;Object Permanence;Functional Play;Play Skills;Environmental Problem Solving;Paper/Pencil Problem Solving;Sequencing;Verbal Reasoning;Functional Problem Solving;Visual Scanning;Visual Attention;Auditory Attention;Cognition Assessment;Language Assessment;Speech Assessment;AAC Assessment;Swallowing Assessment - Bedside;Swallowing Assessment - FEES;Swallowing Assessment - MBSP;Hearing Screening;Following 1-Step Commands;Following Multi-Step Commands;Word Matching;Yes/No Questions;Wh- Questions;Sentence Comprehension;Paragraph Comprehension;Morphology/Syntax;Sequencing;Categorization;Object Identification;Picture Discrimination;Picture Identification;Object Function;Pre-Swallowing (Oral Hygiene);Meal Observation Analysis;Oral Stim/Desensitization;P.O. Trials;Swallow Strengthen Exercise;Oral Motor Swallow Exercises;Swallow Strategies/Maneuvers;Multi-Modal Communication;High-Tech Com Device;Low-Tech Com Device;Operational Competency;Strategic Competency;Pictures/PECS;Manual Signs;Patient Education;Caregiver/Patient Education;Com Partner Training;Assistive Technology Training;Naming/Object ID/Labeling;Gesture Use/Demo Obj. Function;Describe Picture/Object Function;Morphology/Syntax;Phrase Production;Defining Words;Compound/Complex Sentence;Asking/Answering Questions;Multi-Sentence Production;Conversation level;Simple Functional Tasks;Identify signs in community;Developing Daily Schedule;Complex Functional Tasks;Community Outings;Delayed Recall;Immediate Recall;Compensation- Ext Strategy;Compensation- Internal Strategy;Spaced Retrieval;Working Memory;Verbal Orientation Review;Sensory Stimulation;Games;Switch Toys;Switch Training Activities;Computer App (Office/Email/Web);Specialized Software;Reading;Writing Numeric Values 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 1.00 2016-07-13 14:34:20.0 Speech and Language Therapy Treatment Session Therapies Treatment/Intervention Data

Multiple Pre-Defined Values 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. This scale uses faces and corresponding numbers to indicate the amount of pain the subject feels. FACES Scale 0;10;2;4;6;8 No Hurt;Hurts Worst;Hurts Little Bit;Hurts Little More;Hurts Even More;Hurts Whole Lot Numeric Values 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 1.00 2016-07-13 13:21:18.0 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. 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 3.00 2013-07-17 09:26:36.973 Speech and Language Therapy Treatment Session Therapies Treatment/Intervention Data 255

Free-Form Entry

C22633 Speech language pathology focus area language expressive produce intervention type SLPFocAreaLanExpProdInterTyp The type of intervention used for expressive language and producing as part of the speech and language therapy treatment session The type of intervention used for expressive language and producing as part of the speech and language therapy treatment session Language, Expressive (Producing) Intervention # 63;64;65;66;67;68;69;70;71;72 Naming/Object ID/Labeling;Gesture Use/Demo Obj. Function;Describe Picture/Object Function;Morphology/Syntax;Phrase Production;Defining Words;Compound/Complex Sentence;Asking/Answering Questions;Multi-Sentence Production;Conversation level Numeric Values 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 1.00 2016-07-13 14:09:58.0 Speech and Language Therapy Treatment Session Therapies Treatment/Intervention Data

Multiple Pre-Defined Values Selected

C22599 Therapy participant family caregiver count TherParFamCarCt The number of family members and/or caregivers participating in the treatment session. The number of family members and/or caregivers participating in the treatment session. # family/caregiver Numeric Values 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 1.00 2016-07-12 09:41:20.0 Speech and Language Therapy Treatment Session Therapies Treatment/Intervention Data

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C22644 Speech language pathology focus area vocation job intervention type SLPFocAreVocJobInterTyp The type of intervention used for vocation and jobs as part of the speech and language therapy treatment session The type of intervention used for vocation and jobs as part of the speech and language therapy treatment session Vocation/Job Intervention # 1;2;3;4;5;6;7;8;9;10;11;12;13;14;15;16;17;18;19;20;21;22;23;24;25;26;27;28;29;30;31;32;33;34;35;36;37;38;39;40;41;42;43;44;45;46;47;48;49;50;51;52;53;54;55;56;57;58;59;60;61;62;63;64;65;66;67;68;69;70;71;72;73;74;75;76;77;78;79;80;81;82;83;84;85;86;87;88;89;90;91;92 Breath Coordination;Speech Intelligibility Strategies;Speech Sound Production;Vocal Function Exercises;Speaking Valve;Conversation;Turn-Taking;Establishing Joint Attention;Initiation;Topic Maintenance/Change;Cause/Effect;Object Permanence;Functional Play;Play Skills;Environmental Problem Solving;Paper/Pencil Problem Solving;Sequencing;Verbal Reasoning;Functional Problem Solving;Visual Scanning;Visual Attention;Auditory Attention;Cognition Assessment;Language Assessment;Speech Assessment;AAC Assessment;Swallowing Assessment - Bedside;Swallowing Assessment - FEES;Swallowing Assessment - MBSP;Hearing Screening;Following 1-Step Commands;Following Multi-Step Commands;Word Matching;Yes/No Questions;Wh- Questions;Sentence Comprehension;Paragraph Comprehension;Morphology/Syntax;Sequencing;Categorization;Object Identification;Picture Discrimination;Picture Identification;Object Function;Pre-Swallowing (Oral Hygiene);Meal Observation Analysis;Oral Stim/Desensitization;P.O. Trials;Swallow Strengthen Exercise;Oral Motor Swallow Exercises;Swallow Strategies/Maneuvers;Multi-Modal Communication;High-Tech Com Device;Low-Tech Com Device;Operational Competency;Strategic Competency;Pictures/PECS;Manual Signs;Patient Education;Caregiver/Patient Education;Com Partner Training;Assistive Technology Training;Naming/Object ID/Labeling;Gesture Use/Demo Obj. Function;Describe Picture/Object Function;Morphology/Syntax;Phrase Production;Defining Words;Compound/Complex Sentence;Asking/Answering Questions;Multi-Sentence Production;Conversation level;Simple Functional Tasks;Identify signs in community;Developing Daily Schedule;Complex Functional Tasks;Community Outings;Delayed Recall;Immediate Recall;Compensation- Ext Strategy;Compensation- Internal Strategy;Spaced Retrieval;Working Memory;Verbal Orientation Review;Sensory Stimulation;Games;Switch Toys;Switch Training Activities;Computer App (Office/Email/Web);Specialized Software;Reading;Writing Numeric Values 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 1.00 2016-07-13 14:34:20.0 Speech and Language Therapy Treatment Session Therapies Treatment/Intervention Data

Multiple Pre-Defined Values 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). 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 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 1.00 2016-07-13 13:27:32.0 Speech and Language Therapy Treatment Session Therapies Treatment/Intervention Data

Single Pre-Defined Value Selected

C11655 Edmonton Symptom Assessment System (ESAS) - pain scale ESASPainScale Scale rating the intensity of pain, as part of the Edmonton Symptom Assessment System (ESAS) Scale rating the intensity of pain, as part of the Edmonton Symptom Assessment System (ESAS) 0-10 Numeric Pain Rating Scale 0;1;2;3;4;5;6;7;8;9;10 No Pain;;;;;;;;;;Worst possible pain Numeric Values

The scale rates from 0 to 10, with each number representing a different level of pain. 0 represents no pain, 5 represents moderate pain, and 10 represents the worst possible pain.

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 3.00 2013-07-22 16:57:17.79 Speech and Language Therapy Treatment Session Therapies Treatment/Intervention Data

Single Pre-Defined Value Selected

C22634 Speech language pathology focus area language social pragmatic intervention type SLPFocAreaLanSocPragInterTyp The type of intervention used for social language and pragmatics as part of the speech and language therapy treatment session The type of intervention used for social language and pragmatics as part of the speech and language therapy treatment session Language, Social (Pragmatics) intervention # 6;7;8;9;10 Conversation;Turn-Taking;Establishing Joint Attention;Initiation;Topic Maintenance/Change Numeric Values 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 1.00 2016-07-13 14:14:43.0 Speech and Language Therapy Treatment Session Therapies Treatment/Intervention Data

Multiple Pre-Defined Values Selected

C22600 Therapy participant other count TherParOthrCt The number of other people participating in the treatment session. The number of other people participating in the treatment session. # other Numeric Values 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 1.00 2016-07-12 09:42:04.0 Speech and Language Therapy Treatment Session Therapies Treatment/Intervention Data

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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). 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 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 1.00 2016-07-13 13:29:43.0 Speech and Language Therapy Treatment Session Therapies Treatment/Intervention Data

Single Pre-Defined Value Selected

C19247 Subject ID SubIDNam Subject identification ID Subject identification ID Patient/Client Name or ID # Alphanumeric 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., &#8230;.. & 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 1.00 2014-06-05 13:10:49.0 Speech and Language Therapy Treatment Session Therapies Treatment/Intervention Data 255

Free-Form Entry

C22635 Speech language pathology focus area swallow dysphagia oral feed intervention type SLPFocAreSwalDysOFInterTyp The type of intervention used for swallowing, dysphagia, and/or oral feeding as part of the speech and language therapy treatment session The type of intervention used for swallowing, dysphagia, and/or oral feeding as part of the speech and language therapy treatment session Swallowing/Dysphagia/Oral Feeding Intervention # 45;46;47;48;49;50;51 Pre-Swallowing (Oral Hygiene);Meal Observation Analysis;Oral Stim/Desensitization;P.O. Trials;Swallow Strengthen Exercise;Oral Motor Swallow Exercises;Swallow Strategies/Maneuvers Numeric Values 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 1.00 2016-07-13 14:17:22.0 Speech and Language Therapy Treatment Session Therapies Treatment/Intervention Data

Multiple Pre-Defined Values Selected

C22601 Therapy participant other text TheParOTH Text describing the any other people participating in the therapy session. Text describing the any other people participating in the therapy session. Other text Alphanumeric 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 1.00 2016-07-12 09:42:40.0 Speech and Language Therapy Treatment Session Therapies Treatment/Intervention Data 4000

Free-Form Entry

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). 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 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 1.00 2016-07-13 13:32:10.0 Speech and Language Therapy Treatment Session Therapies Treatment/Intervention Data

Single Pre-Defined Value Selected

C19500 Assessment performed date AssessmentPerformedDate The date of assessment of the examination being performed. The date of assessment of the examination being performed. Date Date or Date & Time 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 1.00 2014-06-18 08:10:12.0 Speech and Language Therapy Treatment Session Therapies Treatment/Intervention Data

Free-Form Entry

C22636 Speech language pathology focus area cognitive development skill intervention type SLPFocAreaCogDevSkillInterTyp The type of intervention used for cognitive and developmental skills as part of the speech and language therapy treatment session The type of intervention used for cognitive and developmental skills as part of the speech and language therapy treatment session Cognitive/Developmental Skills Intervention # 11;12;13;14 Cause/Effect;Object Permanence;Functional Play;Play Skills Numeric Values 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., &#8230;.. & 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 1.00 2016-07-13 14:22:17.0 Speech and Language Therapy Treatment Session Therapies Treatment/Intervention Data

Multiple Pre-Defined Values Selected

C22602 Therapy week frequency TherWeekFreq The weekly frequency of the patient or client's treatment session. The weekly frequency of the patient or client's treatment session. per week Numeric Values 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 1.00 2016-07-12 09:43:32.0 Speech and Language Therapy Treatment Session Therapies Treatment/Intervention Data

Free-Form Entry

0 time per week
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). 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 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 1.00 2016-07-13 13:34:33.0 Speech and Language Therapy Treatment Session Therapies Treatment/Intervention Data

Single Pre-Defined Value Selected

C19835 Pain indicator PainInd Indicator of pain present Indicator of pain present Pain No;Yes No;Yes 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 1.00 2015-02-05 00:00:00.0 Speech and Language Therapy Treatment Session Therapies Treatment/Intervention Data

Single Pre-Defined Value Selected

C22637 Speech language pathology focus area augmentative alternative communication intervention type SLPFocAreaAugAltCommInterTyp The type of intervention used for augmentative and alternative communication (AAC) as part of the speech and language therapy treatment session The type of intervention used for augmentative and alternative communication (AAC) as part of the speech and language therapy treatment session Augmentative & Alternative Communication (AAC) Intervention # 52;53;54;55;56;57;58 Multi-Modal Communication;High-Tech Com Device;Low-Tech Com Device;Operational Competency;Strategic Competency;Pictures/PECS;Manual Signs Numeric Values 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 1.00 2016-07-13 14:24:26.0 Speech and Language Therapy Treatment Session Therapies Treatment/Intervention Data

Multiple Pre-Defined Values Selected

C22603 Therapy month frequency TherMonFreq The monthly frequency of the patient or client's treatment session. The monthly frequency of the patient or client's treatment session. per month Numeric Values 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 1.00 2016-07-12 09:44:16.0 Speech and Language Therapy Treatment Session Therapies Treatment/Intervention Data

Free-Form Entry

0 time per month
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). 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 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 1.00 2016-07-13 13:48:05.0 Speech and Language Therapy Treatment Session Therapies Treatment/Intervention Data

Single Pre-Defined Value Selected

C22593 Communication Function Classification System level type CFCSLevelTyp The level of the patient assigned by the Communication Function Classification System (CFCS) 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 1.00 2016-07-12 09:08:50.0 Speech and Language Therapy Treatment Session Therapies Treatment/Intervention Data

Single Pre-Defined Value Selected

C22638 Speech language pathology focus area environment factor intervention type SLPFOcAreaEnviroFacInterTyp The type of intervention used for environmental factors as part of the speech and language therapy treatment session The type of intervention used for environmental factors as part of the speech and language therapy treatment session Environmental Factors Intervention # 59;60;61;62 Patient Education;Caregiver/Patient Education;Com Partner Training;Assistive Technology Training Numeric Values 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 1.00 2016-07-13 14:27:42.0 Speech and Language Therapy Treatment Session Therapies Treatment/Intervention Data

Multiple Pre-Defined Values Selected

CSV