CDE Detailed Report
Disease: content
Subdomain Name: Therapies
CRF: welcome
Displaying 1 - 44 of 44
Subdomain Name: Therapies
CRF: welcome
Displaying 1 - 44 of 44
| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 sessio | 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 |
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| 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 |
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| 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 |
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| 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 sessio | 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 |
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| 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 |
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| 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 |
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| 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 sessio | 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 therap | 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 |
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| 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 |
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| 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 sessio | 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 sessio | 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 sessio | 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 |
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| 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 |
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| 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 sessio | 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 |
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| 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 sessio | 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 |
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| C22597 | Therapy participant count | TherPartCt | The number of patients participating in the therapy session | The number of patients participating in the therapy sessio | # 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 |
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| 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 |
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| 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 |
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| C22598 | Therapist count | TherapistCt | The number of therapists participating in the treatment session | The number of therapists participating in the treatment sessio | # 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 |
Free-Form Entry |
0 | ||||||||||
| 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 |
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| 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 feel | 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 |
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| 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 proble | 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 |
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| 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 |
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| 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 sessio | # 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 |
Free-Form Entry |
0 | ||||||||||
| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 sessio | # 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 |
Free-Form Entry |
0 | ||||||||||
| 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 |
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| 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., ….. & 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 |
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| 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 |
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| 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 sessio | 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 |
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| 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 |
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| 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 |
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| 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., ….. & 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 |
