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CDE Detailed Report
This report contains detailed information about the selected CDEs.
Note: If at least one CDE was selected from a copyright- or trademark-protected instrument/scale then all of the CDEs from that instrument/scale are included in this report.
Disease: Stroke
Sub-Domain: Therapies
CRF: Rehabilitation Therapies
Item count: 26 (26 distinct CDEs)
CDE ID
CDE Name
Variable Name
Definition / Description
Question Text
Permissible Value
Description
Data Type
Instructions
References
Population
Classification (e.g., Core)
Version #
Version Date
Aliases for Variable Name
CRF Module / Guideline
© or TM
Sub-Domain
Domain
Previous Title
Size
Input Restrictions
Min Value
Max Value
Measurement Type
LOINC ID
SNOMED
caDSR ID
CDISC ID
C06005
Data collected date and time
DataCollDateTime
Date (and time, if applicable and known) the data were collected. This may be the date/time a particular examination or procedure was performed.
Date information collected:
  
Date or Date & Time
Record the date/time according to the ISO 8601, the International Standard for the representation of dates and times (http://www.iso.org/iso/home.html). The date/time should be recorded to the level of granularity known (e.g., year, year and month, complete date plus hours and minutes, etc.).
No references available
Adult;Pediatric
Supplemental
3.0
7/24/2013
Aliases for variable name not defined
Rehabilitation Therapies
Therapies
Treatment/Intervention Data
Data collected date and time
 
Free-Form Entry
       
C14290
Location post-acute stroke discharge type
LoctnPstAcutStrokeDischrgTyp
Indicates the participant's/ subject's current location after discharge from the acute hospital for the index stroke/transient ischemic attack (TIA).
Current location of post-acute discharge
Own home with self care;Another family member's/ friend's home;Short term/ general hospital for inpatient care;Skilled nursing facility (SNF) with Medicare certification in anticipation of skilled care;Designated Cancer Center or Children's Hospital;Home under care of organized home health service organization;Expired;Court/ law enforcement facility;Federal health care facility;Hospice- home;Hospice- medical facility (certified) providing hospice level of care;Hospital-based Medicare approved swing bed;Inpatient rehabilitation facility (IRF) including rehabilitation distinct part units of a hospital;Medicare certified long term care hospital (LTCH);Nursing facility certified under Medicaid but not certified under Medicare;Psychiatric hospital or psychiatric distinct part unit of a hospital;Critical Access Hospital (CAH);Another type of health care institution not defined above;
Own home with self care;Another family member's/ friend's home;Short term/ general hospital for inpatient care;Skilled nursing facility (SNF) with Medicare certification in anticipation of skilled care;Designated Cancer Center or Children's Hospital;Home under care of organized home health service organization;Expired;Court/ law enforcement facility;Federal health care facility;Hospice- home;Hospice- medical facility (certified) providing hospice level of care;Hospital-based Medicare approved swing bed;Inpatient rehabilitation facility (IRF) including rehabilitation distinct part units of a hospital;Medicare certified long term care hospital (LTCH);Nursing facility certified under Medicaid but not certified under Medicare;Psychiatric hospital or psychiatric distinct part unit of a hospital;Critical Access Hospital (CAH);Another type of health care institution not defined above;
Alphanumeric
It is suggested that this data element be collected at 3, 6, and twelve months post-acute discharge.
No references available
Adult;Pediatric
Supplemental
3.0
6/21/2013
Aliases for variable name not defined
Rehabilitation Therapies
Therapies
Treatment/Intervention Data
Location post-acute stroke discharge type
 
Single Pre-Defined Value Selected
       
C14284
Resource Utilization Group Version IV (RUG IV) - alpha-numeric code
RUGIVAlphaNumCode
Indicates the Resource Utilization Group Version IV (RUG IV). Medicare pays skilled nursing facilities (SNFs) under a Prospective Payment System (PPS). PPS payments are per diem rates based on the patient's condition as determined by classification into a specific Resource Utilization Group (RUG). This classification is done by the use of a clinical assessment tool, the Minimum Data Set (MDS) and is required to be performed periodically according to an established schedule for purposes of Medicare payment. Each MDS represents the patient's clinical status based on an assessment reference date and established look back periods for the covered days associated with that MDS.
Resource Utilization Group Version IV (RUG IV)
  
Alphanumeric
The RUG IV codes should be entered in this format: __ __ __ (3-letter alpha-numeric code)
See http://www.cms.hhs.gov/MDS20SWSpecs/ for the most current list of RUG codes. RUG-IV went into effect October 1, 2010.
Adult;Pediatric
Supplemental
3.0
6/21/2013
Aliases for variable name not defined
Rehabilitation Therapies
Therapies
Treatment/Intervention Data
RUG IV alpha-numeric code
255
Free-Form Entry
       
C14285
Therapy or rehabilitation assessment indicator
TherRehabAssInd
Indicates if there is documentation that the participant/ subject was assessed for or received rehabilitation services. Rehabilitation is a treatment or treatments designed to facilitate the process of recovery from injury, illness, or disease to as normal a condition as possible.
Assessed for or receiving rehabilitation services
Yes;No;Unknown;
Yes;No;Unknown;
Alphanumeric
Choose one
Get With The Guidelines (GWTG) Stroke Patient Management Tool Coding Instructions (Updated on 11/4/2009); Paul Coverdell National Acute Stroke Registry;
The Joint Commission (TJC)
Adult;Pediatric
Supplemental
3.0
6/21/2013
Aliases for variable name not defined
Rehabilitation Therapies
Therapies
Treatment/Intervention Data
Therapy or rehabilitation assessment made indicator
 
Single Pre-Defined Value Selected
       
C14286
Therapy or rehabilitation received status
TherRehabReceStatus
If the participant/ subject received or was assessed for rehabilitation services, describes the type(s) of services.
Type(s) of rehabilitation services received
Received rehabilitation services during hospitalization;Transferred to rehabilitation facility;Referred to rehabilitation services following discharge;Ineligible to receive rehabilitation services because symptoms resolved;Ineligible to receive rehabilitation services due to impairment;Ineligible to receive rehabilitation services because of insurance issues;Other, specify;
Received rehabilitation services during hospitalization;Transferred to rehabilitation facility;Referred to rehabilitation services following discharge;Ineligible to receive rehabilitation services because symptoms resolved;Ineligible to receive rehabilitation services due to impairment (i.e.: poor prognosis, patient unable to tolerate rehabilitation therapeutic regimen, patient unable to receive services because of insurance issues);Ineligible to receive rehabilitation services because of insurance issues (e.g., no insurance, patient is an undocumented immigrant, etc.);Other specify;
Alphanumeric
Choose all that apply.
No references available
Adult;Pediatric
Supplemental
3.0
6/21/2013
Aliases for variable name not defined
Rehabilitation Therapies
Therapies
Treatment/Intervention Data
Therapy or rehabilitation received status
 
Multiple Pre-Defined Values Selected
       
C05130
Therapy or rehabilitation type
TherpyRehabTyp
Type of therapy or rehabilitation services received by the participant/subject
Type(s) of rehabilitation therapy disciplines received
Speech therapy;Occupational therapy;Vocational;Physical therapy;Psychological;Dietary;Recreational;Other, specify;
Speech therapy;Occupational therapy;Vocational;Physical therapy;Psychological;Dietary;Recreational;Other, specify;
Alphanumeric
Choose all that apply.
International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM): http://www.cdc.gov/nchs/icd/icd9cm.htm
Adult;Pediatric
Supplemental
3.0
7/20/2013
Aliases for variable name not defined
Rehabilitation Therapies
Therapies
Treatment/Intervention Data
Therapy or rehabilitation type
 
Multiple Pre-Defined Values Selected
       
C18768
Therapy or rehabilitation other text
TherpyRehabOTH
The free-text field related to 'Therapy or rehabilitation type' specifying other text. Type of therapy or rehabilitation services received by the participant/subject
Other, specify
  
Alphanumeric
Choose all that apply.
International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM): http://www.cdc.gov/nchs/icd/icd9cm.htm
Adult;Pediatric
Supplemental
1.0
5/27/2014
Aliases for variable name not defined
Rehabilitation Therapies
Therapies
Treatment/Intervention Data
 
4000
Free-Form Entry
       
C21667
Therapy rehabilitation ICD 10 CM code
TherpyRehabICD10CMCd
ICD-10-CM code that describes the therapy or rehabilitation received by the participant/subject
Type(s) of rehabilitation therapy disciplines received
  
Alphanumeric
Code the therapy or rehabilitation service received using the ICD-10-CM codes to enable data aggregation.
International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM): http://www.cdc.gov/nchs/icd/icd10cm.htm#icd2016
Adult;Pediatric
Supplemental
1.0
7/20/2013
Aliases for variable name not defined
Rehabilitation Therapies
Therapies
Treatment/Intervention Data
 
255
Free-Form Entry
       
C05132
Therapy or rehabilitation frequency
TherpyRehabFreq
Identified describing the frequency the participant/subject received the therapy or rehabilitation
Frequency of rehabilitation therapy
  
Numeric Values
Choose one.
Frequency data should be coded using the CDISC SDTM Frequency Terminology prior to aggregation or sharing.
CDISC SDTM Frequency Terminology (http://www.cancer.gov/cancertopics/cancerlibrary/terminologyresources/cdisc)
Adult;Pediatric
Supplemental
3.0
7/20/2013
Aliases for variable name not defined
Rehabilitation Therapies
Therapies
Treatment/Intervention Data
Therapy or rehabilitation frequency
 
Free-Form Entry
       
C05133
Therapy or rehabilitation session duration
TherpyRehabSessnDur
Average duration of a therapy or rehabilitation session
Average duration of rehabilitation therapy visit
  
Numeric Values
Record the duration of therapy or rehabilitation session in minutes.
No references available
Adult;Pediatric
Supplemental
3.0
7/20/2013
Aliases for variable name not defined
Rehabilitation Therapies
Therapies
Treatment/Intervention Data
Therapy or rehabilitation session duration
 
Free-Form Entry
  
minute
    
C05104
Inpatient or outpatient status
InpatOutpatStatus
Status describing whether the participant/subject was admitted to the hospital and stayed overnight
Setting for rehabilitation therapy
Inpatient;Outpatient;Home health;
Inpatient;Outpatient;Home health;
Alphanumeric
Choose one.
No references available
Adult;Pediatric
Supplemental
3.0
7/20/2013
Aliases for variable name not defined
Rehabilitation Therapies
Therapies
Treatment/Intervention Data
Inpatient or outpatient status
 
Single Pre-Defined Value Selected
       
C12679
Mobility device use indicator
MobilityDvcUseInd
Whether the participant/subject uses a mobility device (e.g., wheelchair)
Provided with mobility devices
Yes;No;Unknown;
Yes;No;Unknown;
Alphanumeric
Choose one
No references available
Adult;Pediatric
Supplemental
3.0
7/25/2013
Aliases for variable name not defined
Rehabilitation Therapies
Therapies
Treatment/Intervention Data
Mobility device use indicator
 
Single Pre-Defined Value Selected
       
C12683
Mobility device type
MobilityDvcTyp
Type for all mobility devices currently used by the participant/subject
Type(s) of mobility devices
Quad cane;Straight cane;Walker;Manual wheelchair;Power wheelchair;Scooter;Other, specify;
Quad cane;Straight cane;Walker;Manual wheelchair;Power wheelchair;Scooter;Other, specify;
Alphanumeric
Choose all that apply
No references available
Adult;Pediatric
Supplemental
3.0
7/25/2013
Aliases for variable name not defined
Rehabilitation Therapies
Therapies
Treatment/Intervention Data
Mobility device type
 
Multiple Pre-Defined Values Selected
       
C18870
Mobility device other text
MobilityDvcOTH
The free-text field related to 'Mobility device type' specifying other text. Type for all mobility devices currently used by the participant/subject
Other, specify
  
Alphanumeric
Choose all that apply
No references available
Adult;Pediatric
Supplemental
3.0
7/25/2013
Aliases for variable name not defined
Rehabilitation Therapies
Therapies
Treatment/Intervention Data
 
4000
Free-Form Entry
       
C14288
Adjunctive treatment indicator
AdjTreatInd
Indicates if any adjunctive treatments were performed on the participant/ subject to preserve or increase independence.
Received adjunctive treatments
Yes;No;Unknown;
Yes;No;Unknown;
Alphanumeric
Choose one
No references available
Adult;Pediatric
Supplemental
3.0
6/21/2013
Aliases for variable name not defined
Rehabilitation Therapies
Therapies
Treatment/Intervention Data
Adjunctive treatment indicator
 
Single Pre-Defined Value Selected
       
C14289
Adjunctive treatment type
AdjTreatTyp
Describe the type(s) of adjunctive treatments.
Type(s) of adjunctive treatments
Feeding/gastrostromy tube placement;Botulinum toxin for spasticity;Intrathecal baclofen;Functional electrical stimulation;Tracheostomy;Tendon lengthening or transfer;Contracture release;Surgical procedure for drooling, specify;Other, specify;
Feeding/gastrostromy tube placement;Botulinum toxin for spasticity;Intrathecal baclofen;Functional electrical stimulation;Tracheostomy;Tendon lengthening or transfer;Contracture release;Surgical procedure for drooling, specify;Other, specify;
Alphanumeric
Choose all that apply.
No references available
Adult;Pediatric
Supplemental
3.0
6/21/2013
Aliases for variable name not defined
Rehabilitation Therapies
Therapies
Treatment/Intervention Data
Adjunctive treatment type
 
Multiple Pre-Defined Values Selected
       
C18913
Adjunctive treatment other text
AdjTreatOTH
The free-text field related to 'Adjunctive treatment type' specifying other text. Describe the type(s) of adjunctive treatments.
Other, specify
  
Alphanumeric
Choose all that apply.
No references available
Adult;Pediatric
Supplemental
3.0
6/21/2013
Aliases for variable name not defined
Rehabilitation Therapies
Therapies
Treatment/Intervention Data
 
4000
Free-Form Entry
       
C12682
Orthosis use indicator
OrthosisUseInd
Whether the participant/subject uses orthosis (i.e., external orthopedic appliance that prevents or assists the movement of the spine or limbs)
Provided with positioning devices
Yes;No;Unknown;
Yes;No;Unknown;
Alphanumeric
Choose one
No references available
Adult;Pediatric
Supplemental
3.0
7/25/2013
Aliases for variable name not defined
Rehabilitation Therapies
Therapies
Treatment/Intervention Data
Orthosis use indicator
 
Single Pre-Defined Value Selected
       
C12943
Orthosis type
OrthosisTyp
Type of orthosis (i.e., external orthopedic appliance that prevents or assists the movement of the spine or limbs)
Type(s) of positioning devices
Wrist splints;Ankle-foot orthosis (AFO);Other upper extremity device;Other lower extremity device;Adaptive or Activities of Daily Living (ADL) equipment;Other, specify;
Wrist splints;Ankle-foot orthosis (AFO);Other upper extremity device;Other lower extremity device;Adaptive or Activities of Daily Living (ADL) equipment;Other, specify;
Alphanumeric
Choose all that apply.
No references available
Adult;Pediatric
Supplemental
3.0
7/25/2013
Aliases for variable name not defined
Rehabilitation Therapies
Therapies
Treatment/Intervention Data
Orthosis type
 
Multiple Pre-Defined Values Selected
       
C18883
Orthosis other text
OrthosisOTH
The free-text field related to 'Orthosis type' specifying other text. Type of orthosis (i.e., external orthopedic appliance that prevents or assists the movement of the spine or limbs)
Other, specify
  
Alphanumeric
Choose all that apply.
No references available
Adult;Pediatric
Supplemental
3.0
7/25/2013
Aliases for variable name not defined
Rehabilitation Therapies
Therapies
Treatment/Intervention Data
 
4000
Free-Form Entry
       
C14292
Durable medical equipment indicator
DurableMedEquipmentInd
Indicates if the participant/ subject was provided with any durable medical equipment.
Provided with durable medical equipment
Yes;No;Unknown;
Yes;No;Unknown;
Alphanumeric
Choose one
No references available
Adult;Pediatric
Supplemental
3.0
6/21/2013
Aliases for variable name not defined
Rehabilitation Therapies
Therapies
Treatment/Intervention Data
Durable medical equipment indicator
 
Single Pre-Defined Value Selected
       
C18914
Durable medical equipment other text
DurableMedEquipmentOTH
The free-text field related to 'Durable medical equipment type' specifying other text. If the participant/ subject was provided with any durable medical equipment, describes the type(s) of equipment received.
Other, specify
  
Alphanumeric
Choose all that apply.
No references available
Adult;Pediatric
Supplemental
3.0
6/21/2013
Aliases for variable name not defined
Rehabilitation Therapies
Therapies
Treatment/Intervention Data
 
4000
Free-Form Entry
       
C14293
Durable medical equipment type
DurableMedEquipmentTyp
If the participant/ subject was provided with any durable medical equipment, describes the type(s) of equipment received.
Type(s) of durable medical equipment
Bedside commode;Hospital bed;Bathroom grab bars;Stair lifts;Raised toilet seats;Shower seats;Suction devices;Oxygen;Ramps;Other, specify;
Bedside commode;Hospital bed;Bathroom grab bars;Stair lifts;Raised toilet seats;Shower seats;Suction devices;Oxygen;Ramps;Other, specify;
Alphanumeric
Choose all that apply.
No references available
Adult;Pediatric
Supplemental
3.0
6/21/2013
Aliases for variable name not defined
Rehabilitation Therapies
Therapies
Treatment/Intervention Data
Durable medical equipment type
 
Multiple Pre-Defined Values Selected
       
C14294
Follow-up care stroke specialist indicator
FollowUpStrokeSpecInd
Indicates if the participant/ subject received follow-up care from a stroke specialist.
Follow-up care from stroke specialist
Yes;No;Unknown;
Yes;No;Unknown;
Alphanumeric
Choose one

Supplemental - Highly Recommended based on study type, disease stage and disease type
No references available
Adult;Pediatric
Supplemental–Highly Recommended
3.0
6/21/2013
Aliases for variable name not defined
Rehabilitation Therapies
Therapies
Treatment/Intervention Data
Follow-up care from stroke specialist indicator
 
Single Pre-Defined Value Selected
       
C14295
Follow-up care primary care provider indicator
FollowUpPrimCarProvInd
Indicates if the participant/ subject received follow-up care from a primary care physician (PCP).
Follow-up care from primary care physician indicator
Yes;No;Unknown;
Yes;No;Unknown;
Alphanumeric
Choose one

Supplemental - Highly Recommended based on study type, disease stage and disease type
No references available
Adult;Pediatric
Supplemental–Highly Recommended
3.0
6/21/2013
Aliases for variable name not defined
Rehabilitation Therapies
Therapies
Treatment/Intervention Data
Follow-up care from PCP indicator
 
Single Pre-Defined Value Selected
       
C14296
Follow-up care rehabilitation doctor indicator
FollowUpPrimCarRehabDocInd
Indicates if the participant/ subject received follow-up care from a rehabilitation doctor.
Follow-up care from rehabilitation doctor
Yes;No;Not applicable;Unknown;
Yes;No;Not applicable;Unknown;
Alphanumeric
Choose one
No references available
Adult;Pediatric
Supplemental
3.0
6/21/2013
Aliases for variable name not defined
Rehabilitation Therapies
Therapies
Treatment/Intervention Data
Follow-up care from rehab doctor indicator
 
Single Pre-Defined Value Selected
       
01-16-2019
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