An academic license is required for use within an investigator driven study, that is or is not funded by a not for profit granting foundation/agency. This license can apply to primary investigators, graduate students, academic institutions, research institutes and healthcare institutes. There is no fee for this license, however, a data sharing agreement is required. Neural Outcomes Consulting Inc. will execute the license. The de-identified CMSA data collected in the study will be requested at the end of the study. The data transfer agreement (DTA) will be executed by Neural Outcomes Consulting Inc. The specific data elements that will be requested will be included in the DTA. There can be an administrative fee attached to execution of this agreement.