CDE Detailed Report
Disease: Cerebral Palsy
Subdomain Name: Therapies
CRF: Physical Therapy Individual Session
Displaying 1 - 28 of 28
Subdomain Name: Therapies
CRF: Physical Therapy Individual Session
Displaying 1 - 28 of 28
| 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 | Frequency per week | Numeric Values | Adult;Pediatric | Supplemental | 1.00 | 2016-07-12 09:43:32.0 | Physical Therapy Individual Session | Therapies | Treatment/Intervention Data |
Free-Form Entry |
0 | time per week | ||||||||||
| C22902 | Physical therapist name | PhysicalTherapistNam | The name related to the physical therapist | The name related to the physical therapis | Therapist | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2016-12-07 13:06:51.0 | Physical Therapy Individual Session | Therapies | Treatment/Intervention Data | 255 |
Free-Form Entry |
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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 | Physical Therapy Individual Session | Therapies | Treatment/Intervention Data |
Free-Form Entry |
0 | time per month | ||||||||||
| C22904 | Physical therapy focus area type | PTFocusAreaTyp | The type related to physical therapy focus area | The type related to physical therapy focus are | PT focus areas | Pre-functional;Sitting;Standing;Transitions/transfers;Mobility;Gait-household, community, exercise;Fitness/health/recreation management;Self-care;Gross motor;Communication;Caregiver management | Pre-functional;Sitting;Standing;Transitions/transfers;Mobility;Gait-household, community, exercise;Fitness/health/recreation management;Self-care;Gross motor;Communication;Caregiver management | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2016-12-08 08:16:44.0 | Physical Therapy Individual 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 | Frequency consultative (less than once per month) | Numeric Values | Adult;Pediatric | Supplemental | 1.00 | 2016-07-12 09:45:45.0 | Physical Therapy Individual Session | Therapies | Treatment/Intervention Data |
Free-Form Entry |
0 | |||||||||||
| C22905 | Physcial therapy minute duration | PTMinDur | The duration in minutes related to physical therapy | The duration in minutes related to physical therap | Mins | Numeric Values | Adult;Pediatric | Supplemental | 1.00 | 2016-12-08 08:16:44.0 | Physical Therapy Individual Session | Therapies | Treatment/Intervention Data |
Free-Form Entry |
minute | |||||||||||
| 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 | Physical Therapy Individual Session | Therapies | Treatment/Intervention Data | 255 |
Free-Form Entry |
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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 | Physical Therapy Individual Session | Therapies | Treatment/Intervention Data |
Free-Form Entry |
0 | minute | ||||||||||
| C22906 | Physical therapy intervention type | PTInterventionTyp | The type of intervention related to the physical therapy | The type of intervention related to the physical therap | Intervention | Assessment/evaluation;Deep thermal;Balance;Education/training;Postural control;Coordination;Motor control;Facilitation/Handling;Repetitive task practice;Oral-Motor Facilitation;Manual therapy;Joint mobilization/manipulation;Massage;Strengthening functional;Strengthening (PRE);Stretching;Breathing;Aerobic conditioning;Postural drainage;Electrical stimulation NMES;Electrical stimulation Tens;Hot/cold;Biofeedback;Telehealth;Pressure relief;Position changes;Skin check;Energy conservation | Assessment/evaluation;Deep thermal;Balance;Education/training;Postural control;Coordination;Motor control;Facilitation/Handling;Repetitive task practice;Oral-Motor Facilitation;Manual therapy;Joint mobilization/manipulation;Massage;Strengthening functional;Strengthening (PRE);Stretching;Breathing;Aerobic conditioning;Postural drainage;Electrical stimulation NMES;Electrical stimulation Tens;Hot/cold;Biofeedback;Telehealth;Pressure relief;Position changes;Skin check;Energy conservation | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2016-12-08 08:16:44.0 | Physical Therapy Individual Session | Therapies | Treatment/Intervention Data |
Multiple Pre-Defined Values Selected |
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| 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 | Physical Therapy Individual Session | Therapies | Treatment/Intervention Data |
Free-Form Entry |
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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 | Units Billed (15 minute incraments) | Numeric Values | Adult;Pediatric | Supplemental | 1.00 | 2016-07-13 12:24:06.0 | Physical Therapy Individual Session | Therapies | Treatment/Intervention Data |
Free-Form Entry |
0 | |||||||||||
| C22907 | Physical therapy device type | PTDeviceTyp | The type of device related to the physical therapy | The type of device related to the physical therap | Equipment | BWS system;Treadmill;Stationary bike;Ellipitical;UBE;Seated stepper;Wall rail/furniture;Push toy;Walker;Manual wheelchair;Power wheelchair;Gait Trainer/Weight Supported Walkers;Hoyer/overhead lift;Stander;Other AE | Body weight support system;Treadmill;Stationary bike;Ellipitical;Upper body ergometer;Seated stepper;Wall rail/furniture;Push toy;Walker;Manual wheelchair;Power wheelchair;Gait Trainer/Weight Supported Walkers;Hoyer/overhead lift;Stander;Other adaptive equipment | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2016-12-08 08:16:44.0 | Physical Therapy Individual Session | Therapies | Treatment/Intervention Data |
Multiple Pre-Defined Values Selected |
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| 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 | Physical Therapy Individual Session | Therapies | Treatment/Intervention Data |
Single Pre-Defined Value 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 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 | Physical Therapy Individual Session | Therapies | Treatment/Intervention Data |
Single Pre-Defined Value Selected |
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| C22908 | Physical therapy adaptive equipment orthotic session type | PTAEOrthoticSessionTyp | The type of session related to adaptive equipment or orthotics related to the physical therapy | The type of session related to adaptive equipment or orthotics related to the physical therap | AE/Orthotic | Prescription;Fabrication;Maintenance/repair;Ergonomic intervention;Training;Fitting/Adjustment | Prescription;Fabrication;Maintenance/repair;Ergonomic intervention;Training;Fitting/Adjustment | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2016-12-08 08:16:44.0 | Physical Therapy Individual Session | Therapies | Treatment/Intervention Data |
Multiple Pre-Defined Values Selected |
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| 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 | Physical Therapy Individual Session | Therapies | Treatment/Intervention Data | 255 |
Free-Form Entry |
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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 | Faces;FLACC;Visual analog | Faces;FLACC;Visual analog | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2016-07-13 13:11:56.0 | Physical Therapy Individual Session | Therapies | Treatment/Intervention Data |
Single Pre-Defined Value Selected |
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| C22909 | Physical therapy position type | PTPositionTyp | The type of position related to the physical therapy | The type of position related to the physical therap | Positioning | Static seating;Static standing;Dynamic seating;Dynamic standing;Floor position | Static seating;Static standing;Dynamic seating;Dynamic standing;Floor position | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2016-12-08 08:16:44.0 | Physical Therapy Individual 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 | Adult;Pediatric | Supplemental | 1.00 | 2016-07-12 09:33:51.0 | Physical Therapy Individual Session | Therapies | Treatment/Intervention Data |
Single Pre-Defined Value Selected |
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| 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 | Physical Therapy Individual Session | Therapies | Treatment/Intervention Data |
Multiple Pre-Defined Values Selected |
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| C22910 | Physical therapy assistive technical device type | PTAssTechDeviceTyp | The type of assistive technical device as related to the physical therapy | The type of assistive technical device as related to the physical therap | Assistive technical devices | Adapted toys/games;Electronic (tablet, PDA);AAC device;Pictures/schedules;Switches;Computer;Modifier;Virtual reality;Video gaming;Pet therapy;Aquatic therapy | Adapted toys/games;Electronic (tablet, PDA);Augmentative and alternative communication device;Pictures/schedules;Switches;Computer;Modifier;Virtual reality;Video gaming;Pet therapy;Aquatic therapy | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2016-12-08 08:16:44.0 | Physical Therapy Individual 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 | Session participants # patients | Numeric Values | Adult;Pediatric | Supplemental | 1.00 | 2016-07-12 09:39:26.0 | Physical Therapy Individual Session | Therapies | Treatment/Intervention Data |
Free-Form Entry |
0 | |||||||||||
| 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 | Physical Therapy Individual Session | Therapies | Treatment/Intervention Data |
Single Pre-Defined Value Selected |
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| C22911 | Physical therapy orthoses type | PTOrthosesTyp | The type of orthoses as related to the physical therapy | The type of orthoses as related to the physical therap | Orthoses | AFO;SMO;FO;HKAFO;TLSO;Serial casting knee;Serial casting ankle;Knee immobilizer;Neuroprosthesis (FES);KAFO;Elastic wraps/suits;Therapeutic taping;Shoe insert off the shelf | Ankle foot orthosis;Supramalleolar orthosis;Foot orthosis;Hip knee ankle foot orthosis;Thoraco-lumbo-sacral orthosis;Serial casting knee;Serial casting ankle;Knee immobilizer;Neuroprosthesis (FES);Knee ankle foot orthosis;Elastic wraps/suits;Therapeutic taping;Shoe insert off the shelf | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2016-12-08 08:16:44.0 | Physical Therapy Individual 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 | Session participants # therapist | Numeric Values | Adult;Pediatric | Supplemental | 1.00 | 2016-07-12 09:40:17.0 | Physical Therapy Individual Session | Therapies | Treatment/Intervention Data |
Free-Form Entry |
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 | Physical Therapy Individual Session | Therapies | Treatment/Intervention Data |
Single Pre-Defined Value 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 | Session participants # family/caregiver | Numeric Values | Adult;Pediatric | Supplemental | 1.00 | 2016-07-12 09:41:20.0 | Physical Therapy Individual Session | Therapies | Treatment/Intervention Data |
Free-Form Entry |
0 | |||||||||||
| 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 CoTx | SLP;PT;Other | Speech and Language Pathologist;Physical therapist;Other | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2016-12-07 23:27:04.0 | Physical Therapy Individual Session | Therapies | Treatment/Intervention Data |
Single Pre-Defined Value Selected |
