CDE Detailed Report

Disease: Cerebral Palsy
Subdomain Name: Therapies
CRF: Occupational Therapy Treatment Session: Cerebral Palsy

Displaying 1 - 24 of 24
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
C22898 Occupational therapy therapist name OTTherapistNam The name related to the occupational therapy therapist The name related to the occupational therapy therapis Therapist Alphanumeric Adult;Pediatric Supplemental 1.00 2016-12-07 13:06:51.0 Occupational Therapy Treatment Session: Cerebral Palsy Therapies Treatment/Intervention Data 255

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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 Frequency per month Numeric Values Adult;Pediatric Supplemental 1.00 2016-07-12 09:44:16.0 Occupational Therapy Treatment Session: Cerebral Palsy Therapies Treatment/Intervention Data

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 0 time per month
C22899 Gross Motor Function Classification System (GMFCS) - Level scale GMFCSLevelScl The scale level as reference to the Gross Motor Function Classification System (GMFCS) The scale level as reference to the Gross Motor Function Classification System (GMFCS GMFCS Level Level I;Level II;Level III;Level IV;Level V Children walk at home, school, outdoors and in the community. They can climb stairs without the use of a railing. Children perform gross motor skills such as running and jumping, but speed, balance and coordination are limited.;Children walk in most settings and climb stairs holding onto a railing. They may experience difficulty walking long distances and balancing on uneven terrain, inclines, in crowded areas or confined spaces. Children may walk with physical assistance, a hand held mobility device or used wheeled mobility over long distances. Children have only minimal ability to perform gross motor skills such as running and jumping.;Children walk using a hand-held mobility device in most indoor settings. They may climb stairs holding onto a railing with supervision or assistance. Children use wheeled mobility when traveling long distances and may self-propel for shorter distances.;Children use methods of mobility that require physical assistance or powered mobility in most settings. They may walk for short distances at home with physical assistance or use powered mobility or a body support walker when positioned. At school, outdoors and in the community children are transported in a manual wheelchair or use powered mobility.;Children are transported in a manual wheelchair in all settings. Children are limited in their ability to maintain antigravity head and trunk postures and control leg and arm movements. Alphanumeric Adult;Pediatric Supplemental 1.00 2016-12-07 13:11:56.0 Occupational Therapy Treatment Session: Cerebral Palsy 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 proble If yes, list pain level number Alphanumeric Adult;Pediatric Supplemental 3.00 2013-07-17 09:26:36.973 Occupational Therapy Treatment Session: Cerebral Palsy Therapies Treatment/Intervention Data 255

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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 Frequency consultative (less than one time a month) Numeric Values Adult;Pediatric Supplemental 1.00 2016-07-12 09:45:45.0 Occupational Therapy Treatment Session: Cerebral Palsy Therapies Treatment/Intervention Data

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 0
C22900 Manual Ability Classification System (MACS) - Level scale MACSLevelScl The scale level related to the Mini-Manual Ability Classification System (MACS) The scale level related to the Mini-Manual Ability Classification System (MACS MACS Level Level I;Level II;Level III;Level IV;Level V Handles objects easily and successfully.;Handles most objects but with somewhat reduced quality and/or speed of achievement.;Handles objects with difficulty, needs help to prepare and/or modify activities.;Handles a limited selection of easily managed objects in adapted situations.;Does not handle objects and has severely limited ability to perform even simple actions. Alphanumeric Adult;Pediatric Supplemental 1.00 2016-12-07 13:36:23.0 Occupational Therapy Treatment Session: Cerebral Palsy Therapies Treatment/Intervention Data

Single Pre-Defined Value Selected
C15910 Assessment date and time AssessDateTime The date of participant's injury The date of participant's injury Date Date or Date & Time Adult;Pediatric Supplemental 3.00 2013-07-16 14:01:43.01 Occupational Therapy Treatment Session: Cerebral Palsy Therapies Treatment/Intervention Data

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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 Adult;Pediatric Supplemental 1.00 2016-07-13 12:23:00.0 Occupational Therapy Treatment Session: Cerebral Palsy Therapies Treatment/Intervention Data

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 0 minute
C22901 Therapy session cotherapy type TherapySessionCoTxTyp The type related to the co-therapy for the therapy session The type related to the co-therapy for the therapy sessio If Co-Tx SLP;PT;Other Speech and Language Pathologist;Physical therapist;Other Alphanumeric Adult;Pediatric Supplemental 1.00 2016-12-07 23:27:04.0 Occupational Therapy Treatment Session: Cerebral Palsy 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 Adult;Pediatric Supplemental 1.00 2015-02-05 00:00:00.0 Occupational Therapy Treatment Session: Cerebral Palsy Therapies Treatment/Intervention Data

Single Pre-Defined Value 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 sessio Units Billed (15 minute increments) Numeric Values Adult;Pediatric Supplemental 1.00 2016-07-13 12:24:06.0 Occupational Therapy Treatment Session: Cerebral Palsy Therapies Treatment/Intervention Data

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 0
C21117 Subject name SubjectName Name of subject/participant Name of subject/participan Patient Name or ID# Alphanumeric Adult;Pediatric Supplemental 1.00 2015-06-12 15:16:39.0 Occupational Therapy Treatment Session: Cerebral Palsy Therapies Treatment/Intervention Data 255

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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 Rating 1;0;2;3;4;5;6 minimal effort;absence of effort;below average effort;Average effort;above average effort;very good effort;superior effort Numeric Values Adult;Pediatric Supplemental 1.00 2016-07-13 12:25:37.0 Occupational Therapy Treatment Session: Cerebral Palsy Therapies Treatment/Intervention Data

Single Pre-Defined Value Selected
C22595 Therapy session type TherSessionTyp The type of session in which the patient or client received therapy The type of session in which the patient or client received therap Session type Individual;Group;Co-Tx Individual;Group;Co-Tx Alphanumeric Adult;Pediatric Supplemental 1.00 2016-07-12 09:33:51.0 Occupational Therapy Treatment Session: Cerebral Palsy Therapies Treatment/Intervention Data

Single Pre-Defined Value 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 Faces;FLACC;Visual analog Faces;FLACC;Visual analog Alphanumeric Adult;Pediatric Supplemental 1.00 2016-07-13 13:11:56.0 Occupational Therapy Treatment Session: Cerebral Palsy Therapies Treatment/Intervention Data

Single Pre-Defined Value Selected
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;Other community 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;Other community Alphanumeric Adult;Pediatric Supplemental 1.00 2016-07-12 09:35:40.0 Occupational Therapy Treatment Session: Cerebral Palsy Therapies Treatment/Intervention Data

Single Pre-Defined Value Selected
C22629 Therapy factor influence session type TherFacInfSesTyp The type of factor(s) that influenced the treatment session 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 Adult;Pediatric Supplemental 1.00 2016-07-13 13:56:31.0 Occupational Therapy Treatment Session: Cerebral Palsy 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 sessio Session Participants # patients Numeric Values Adult;Pediatric Supplemental 1.00 2016-07-12 09:39:26.0 Occupational Therapy Treatment Session: Cerebral Palsy Therapies Treatment/Intervention Data

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 0
C22895 Occupational therapy focus area type OTFocusAreaTyp The type as related to the areas of focus in occupational therapy The type as related to the areas of focus in occupational therap OT Focus Areas Pre-Functional/Preparatory;Bathing;Toileting;Dressing;Grooming;Swallowing/Dysphagia;Self-feeding;Transfers;Functional Mobility;Care of Personal Devices;Community Mobility, Driving;Shopping;Household Chores;Health management/fitness;Meal preparation;Money management;Emergency management;Caregiver management;Communication management;Rest & Sleep;Play;Leisure;Education/School;Social participation;Work Pre-Functional/Preparatory;Bathing;Toileting;Dressing;Grooming;Swallowing/Dysphagia;Self-feeding;Transfers;Functional Mobility;Care of Personal Devices;Community Mobility, Driving;Shopping;Household Chores;Health management/fitness;Meal preparation;Money management;Emergency management;Caregiver management;Communication management;Rest & Sleep;Play;Leisure;Education/School;Social participation;Work Alphanumeric Adult;Pediatric Supplemental 1.00 2016-12-06 16:49:42.0 Occupational Therapy Treatment Session: Cerebral Palsy 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 sessio Session Participants # therapists Numeric Values Adult;Pediatric Supplemental 1.00 2016-07-12 09:40:17.0 Occupational Therapy Treatment Session: Cerebral Palsy Therapies Treatment/Intervention Data

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 0
C22896 Occupational therapy focus area minute time OTFocusAreaMinTime The time in minutes as related to the areas of focus in occupational therapy The time in minutes as related to the areas of focus in occupational therap Mins Date or Date & Time Adult;Pediatric Supplemental 1.00 2016-12-06 16:49:42.0 Occupational Therapy Treatment Session: Cerebral Palsy Therapies Treatment/Intervention Data

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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 Session Participants # family/caregiver Numeric Values Adult;Pediatric Supplemental 1.00 2016-07-12 09:41:20.0 Occupational Therapy Treatment Session: Cerebral Palsy Therapies Treatment/Intervention Data

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 0
C22897 Occupation therapy intervention type OTInterventionTyp The type as related to intervention in occupational therapy The type as related to intervention in occupational therap Intervention(s) Assessment/evaluation;Education/training;Prescription;Fabrication;Fitting/Adjustment;Balance;Postural control;Reaching;Fine Motor/Dexterity;UE Motor Control CIMT;UE Motor Control Bimanual;UE Motor Control Other;Repetitive task practice;Facilitation/Handling;Oral-Motor Facilitation;Strengthening;Stretching;Cardiopulmonary;Visual Perceptual;Visual Visual-Motor;Visual Low vision/CVI;Visual Oculomotor;Sensory-Processing Registration;Sensory-Processing Modulation;Sensory-Processing Discrimination;Sensory-Processing Sensory diet;Cognitive training;Behavioral/emotional regulation;Compensatory strategies;Environmental modifications;Energy conservation;Ergonomic intervention;Electrotherapeutic NMES;Electrotherapeutic TENS;Superficial Therapy Cold;Superficial Therapy Heat;Deep thermal;Biofeedback;Pressure relief;Skin check;Static fingers;Static thumb;Static wrist;Static elbow;Static shoulder;Dynamic fingers;Dynamic thumb;Dynamic wrist;Dynamic elbow;Dynamic shoulder;Serial-Progressive fingers;Serial-Progressive thumb;Serial-Progressive wrist;Serial-Progressive elbow;Serial Casting fingers;Serial Casting wrist;Serial Casting thumb;Serial Casting elbow;Soft splint/neoprene fingers;Soft splint/neoprene thumb;Soft splint/neoprene elbow;Soft splint/neoprene wrist;Elbow immobilizer;TLSO/Trunk orthosis;Elastic wraps/suits;Therapeutic taping;Neuroprosthesis (FES);Robotics;Manual wheelchair;Power wheelchair;Walker;Gait Trainer/Weight Supported Walkers;Push toy;Overhead suspension;Other mobility;Static seating;Dynamic seating;Floor positioning;Stander;Other positioning;Computer software;Computer hardware;Tablet/mobile device;Switches;Adapted toys/games;Pictures/schedules;Bathing/showering AE;Toileting AE;Hoyer/overhead lift;Other AE;Virtual reality;Video gaming;Pet-assisted therapy;Aquatic therapy;AAC device Assessment/evaluation;Education/training;Prescription;Fabrication;Fitting/Adjustment;Balance;Postural control;Reaching;Fine Motor/Dexterity;UE Motor Control CIMT;UE Motor Control Bimanual;UE Motor Control Other;Repetitive task practice;Facilitation/Handling;Oral-Motor Facilitation;Strengthening;Stretching;Cardiopulmonary;Visual Perceptual;Visual Visual-Motor;Visual Low vision/CVI;Visual Oculomotor;Sensory-Processing Registration;Sensory-Processing Modulation;Sensory-Processing Discrimination;Sensory-Processing Sensory diet;Cognitive training;Behavioral/emotional regulation;Compensatory strategies;Environmental modifications;Energy conservation;Ergonomic intervention;Electrotherapeutic NMES;Electrotherapeutic TENS;Superficial Therapy Cold;Superficial Therapy Heat;Deep thermal;Biofeedback;Pressure relief;Skin check;Static fingers;Static thumb;Static wrist;Static elbow;Static shoulder;Dynamic fingers;Dynamic thumb;Dynamic wrist;Dynamic elbow;Dynamic shoulder;Serial-Progressive fingers;Serial-Progressive thumb;Serial-Progressive wrist;Serial-Progressive elbow;Serial Casting fingers;Serial Casting wrist;Serial Casting thumb;Serial Casting elbow;Soft splint/neoprene fingers;Soft splint/neoprene thumb;Soft splint/neoprene elbow;Soft splint/neoprene wrist;Elbow immobilizer;TLSO/Trunk orthosis;Elastic wraps/suits;Therapeutic taping;Neuroprosthesis (FES);Robotics;Manual wheelchair;Power wheelchair;Walker;Gait Trainer/Weight Supported Walkers;Push toy;Overhead suspension;Other mobility;Static seating;Dynamic seating;Floor positioning;Stander;Other positioning;Computer software;Computer hardware;Tablet/mobile device;Switches;Adapted toys/games;Pictures/schedules;Bathing/showering AE;Toileting AE;Hoyer/overhead lift;Other AE;Virtual reality;Video gaming;Pet-assisted therapy;Aquatic therapy;Augmentative and alternative communication device Alphanumeric Adult;Pediatric Supplemental 1.00 2016-12-06 16:49:42.0 Occupational Therapy Treatment Session: Cerebral Palsy 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 sessio Frequency per week Numeric Values Adult;Pediatric Supplemental 1.00 2016-07-12 09:43:32.0 Occupational Therapy Treatment Session: Cerebral Palsy Therapies Treatment/Intervention Data

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 0 time per week
CSV