of0
Export
 
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: Sport Related Concussion
SubDisease: Comprehensive
Sub-Domain: Cognitive Assessment
CRF: Immediate Post-Concussion Assessment and Cognitive Testing (imPACT)
Item count: 545 (109 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
C00005
Birth country name
BirthCntryName
Name for country where the participant/subject was born
Native country/region
  
Alphanumeric
No instructions available
Iverson GL, Lovell MR, Collins MW. Validity of ImPACT for measuring processing speed
following sports-related concussion. J Clin Exper Neuropsychol. 2005;27(6):683–699.
Adult;Pediatric
Core
3.0
7/24/2013
Aliases for variable name not defined
Immediate Post-Concussion Assessment and Cognitive Testing (imPACT)
Cognitive Assessment
Outcomes and End Points
Birth country name
255
Free-Form Entry
       
C00004
Birth country ISO code
BirthCntryISOCode
Code (ISO 3166-1 alpha-2 code) for country where the participant/subject was born
Native country/region
AF;AX;AL;DZ;AS;AD;AO;AI;AQ;AG;AR;AM;AW;AU;AT;AZ;BS;BH;BD;BB;BY;BE;BZ;BJ;BM;BT;BO;BQ;BA;BW;BV;BR;IO;BN;BG;BF;BI;KH;CM;CA;CV;KY;CF;TD;CL;CN;CX;CC;CO;KM;CG;CD;CK;CR;CI;HR;CU;CW;CY;CZ;DK;DJ;DM;DO;EC;EG;SV;GQ;ER;EE;ET;FK;FO;FJ;FI;FR;GF;PF;TF;GA;GM;GE;DE;GH;GI;GR;GL;GD;GP;GU;GT;GG;GN;GW;GY;HT;HM;VA;HN;HK;HU;IS;IN;ID;IR;IQ;IE;IM;IL;IT;JM;JP;JE;JO;KZ;KE;KI;KP;KR;KW;KG;LA;LV;LB;LS;LR;LY;LI;LT;LU;MO;MK;MG;MW;MY;MV;ML;MT;MH;MQ;MR;MU;YT;MX;FM;MD;MC;MN;ME;MS;MA;MZ;MM;NA;NR;NP;NL;NC;NZ;NI;NE;NG;NU;NF;MP;NO;OM;PK;PW;PS;PA;PG;PY;PE;PH;PN;PL;PT;PR;QA;RE;RO;RU;RW;BL;SH;KN;LC;MF;PM;VC;WS;SM;ST;SA;SN;RS;SC;SL;SG;SX;SK;SI;SB;SO;ZA;GS;SS;ES;LK;SD;SR;SJ;SZ;SE;CH;SY;TW;TJ;TZ;TH;TL;TG;TK;TO;TT;TN;TR;TM;TC;TV;UG;UA;AE;GB;US;UM;UY;UZ;VU;VE;VN;VG;VI;WF;EH;YE;ZM;ZW;
AFGHANISTAN;ALAND ISLANDS;ALBANIA;ALGERIA;AMERICAN SAMOA;ANDORRA;ANGOLA;ANGUILLA;ANTARCTICA;ANTIGUA AND BARBUDA;ARGENTINA;ARMENIA;ARUBA;AUSTRALIA;AUSTRIA;AZERBAIJAN;BAHAMAS;BAHRAIN;BANGLADESH;BARBADOS;BELARUS;BELGIUM;BELIZE;BENIN;BERMUDA;BHUTAN;BOLIVIA, PLURINATIONAL STATE OF;BONAIRE, SINT EUSTATIUS AND SABA;BOSNIA AND HERZEGOVINA;BOTSWANA;BOUVET ISLAND;BRAZIL;BRITISH INDIAN OCEAN TERRITORY;BRUNEI DARUSSALAM;BULGARIA;BURKINA FASO;BURUNDI;CAMBODIA;CAMEROON;CANADA;CAPE VERDE;CAYMAN ISLANDS;CENTRAL AFRICAN REPUBLIC;CHAD;CHILE;CHINA;CHRISTMAS ISLAND;COCOS (KEELING) ISLANDS;COLOMBIA;COMOROS;CONGO;CONGO, THE DEMOCRATIC REPUBLIC OF THE;COOK ISLANDS;COSTA RICA;COTE D'IVOIRE;CROATIA;CUBA;CURACAO;CYPRUS;CZECH REPUBLIC;DENMARK;DJIBOUTI;DOMINICA;DOMINICAN REPUBLIC;ECUADOR;EGYPT;EL SALVADOR;EQUATORIAL GUINEA;ER;ESTONIA;ETHIOPIA;FALKLAND ISLANDS (MALVINAS);FAROE ISLANDS;FIJI;FINLAND;FRANCE;FRENCH GUIANA;FRENCH POLYNESIA;FRENCH SOUTHERN TERRITORIES;GABON;GAMBIA;GEORGIA;GERMANY;GHANA;GIBRALTAR;GREECE;GREENLAND;GRENADA;GUADELOUPE;GUAM;GUATEMALA;GUERNSEY;GUINEA;GUINEA-BISSAU;GUYANA;HAITI;HEARD ISLAND AND MCDONALD ISLANDS;HOLY SEE (VATICAN CITY STATE);HONDURAS;HONG KONG;HUNGARY;ICELAND;INDIA;INDONESIA;IRAN, ISLAMIC REPUBLIC OF;IRAQ;IRELAND;ISLE OF MAN;ISRAEL;ITALY;JAMAICA;JAPAN;JERSEY;JORDAN;KAZAKHSTAN;KENYA;KIRIBATI;KOREA, DEMOCRATIC PEOPLE'S REPUBLIC OF;KOREA, REPUBLIC OF;KUWAIT;KYRGYZSTAN;LAO PEOPLE'S DEMOCRATIC REPUBLIC;LATVIA;LEBANON;LESOTHO;LIBERIA;LIBYA;LIECHTENSTEIN;LITHUANIA;LUXEMBOURG;MACAO;MACEDONIA, THE FORMER YUGOSLAV REPUBLIC OF;MADAGASCAR;MALAWI;MALAYSIA;MALDIVES;MALI;MALTA;MARSHALL ISLANDS;MARTINIQUE;MAURITANIA;MAURITIUS;MAYOTTE;MEXICO;MICRONESIA, FEDERATED STATES OF;MOLDOVA, REPUBLIC OF;MONACO;MONGOLIA;MONTENEGRO;MONTSERRAT;MOROCCO;MOZAMBIQUE;MYANMAR;NAMIBIA;NAURU;NEPAL;NETHERLANDS;NEW CALEDONIA;NEW ZEALAND;NICARAGUA;NIGER;NIGERIA;NIUE;NORFOLK ISLAND;NORTHERN MARIANA ISLANDS;NORWAY;OMAN;PAKISTAN;PALAU;PALESTINIAN TERRITORY, OCCUPIED;PANAMA;PAPUA NEW GUINEA;PARAGUAY;PERU;PHILIPPINES;PITCAIRN;POLAND;PORTUGAL;PUERTO RICO;QATAR;REUNION;ROMANIA;RUSSIAN FEDERATION;RWANDA;SAINT BARTHELEMY;SAINT HELENA, ASCENSION AND TRISTAN DA CUNHA;SAINT KITTS AND NEVIS;SAINT LUCIA;SAINT MARTIN (FRENCH PART);SAINT PIERRE AND MIQUELON;SAINT VINCENT AND THE GRENADINES;SAMOA;SAN MARINO;SAO TOME AND PRINCIPE;SAUDI ARABIA;SENEGAL;SERBIA;SEYCHELLES;SIERRA LEONE;SINGAPORE;SINT MAARTEN (DUTCH PART);SLOVAKIA;SLOVENIA;SOLOMON ISLANDS;SOMALIA;SOUTH AFRICA;SOUTH GEORGIA AND THE SOUTH SANDWICH ISLANDS;SOUTH SUDAN;SPAIN;SRI LANKA;SUDAN;SURINAME;SVALBARD AND JAN MAYEN;SWAZILAND;SWEDEN;SWITZERLAND;SYRIAN ARAB REPUBLIC;TAIWAN, PROVINCE OF CHINA;TAJIKISTAN;TANZANIA, UNITED REPUBLIC OF;THAILAND;TIMOR-LESTE;TOGO;TOKELAU;TONGA;TRINIDAD AND TOBAGO;TUNISIA;TURKEY;TURKMENISTAN;TURKS AND CAICOS ISLANDS;TUVALU;UGANDA;UKRAINE;UNITED ARAB EMIRATES;UNITED KINGDOM;UNITED STATES;UNITED STATES MINOR OUTLYING ISLANDS;URUGUAY;UZBEKISTAN;VANUATU;VENEZUELA, BOLIVARIAN REPUBLIC OF;VIET NAM;VIRGIN ISLANDS, BRITISH;VIRGIN ISLANDS, U.S.;WALLIS AND FUTUNA;WESTERN SAHARA;YEMEN;ZAMBIA;ZIMBABWE;
Alphanumeric
No instructions available
Iverson GL, Lovell MR, Collins MW. Validity of ImPACT for measuring processing speed
following sports-related concussion. J Clin Exper Neuropsychol. 2005;27(6):683–699.
Adult;Pediatric
Core
3.0
7/24/2013
Aliases for variable name not defined
Immediate Post-Concussion Assessment and Cognitive Testing (imPACT)
Cognitive Assessment
Outcomes and End Points
Birth country ISO 3166-1 alpha-2 code
 
Single Pre-Defined Value Selected
       
C00025
Language primary text
LangPrimryTxt
Text for the language the participant/subject speaks most often
Native language
eng;spa;sgn;chi;fre;ger;Other, specify;
English;Spanish;Sign Languages;Chinese languages;French;German;Other, specify;
Alphanumeric
No instructions available
Iverson GL, Lovell MR, Collins MW. Validity of ImPACT for measuring processing speed
following sports-related concussion. J Clin Exper Neuropsychol. 2005;27(6):683–699.
Adult;Pediatric
Core
3.0
7/20/2013
Aliases for variable name not defined
Immediate Post-Concussion Assessment and Cognitive Testing (imPACT)
Cognitive Assessment
Outcomes and End Points
Language primary text
 
Single Pre-Defined Value Selected
       
C00024
Language primary ISO code
LangPrimryCode
Code (ISO 639-2) for the language the participant/subject speaks most often
Native language
  
Alphanumeric
No instructions available
Iverson GL, Lovell MR, Collins MW. Validity of ImPACT for measuring processing speed
following sports-related concussion. J Clin Exper Neuropsychol. 2005;27(6):683–699.
Adult;Pediatric
Core
3.0
7/20/2013
Aliases for variable name not defined
Immediate Post-Concussion Assessment and Cognitive Testing (imPACT)
Cognitive Assessment
Outcomes and End Points
Language primary ISO 639-2 code
255
Free-Form Entry
       
C21524
Language secondary text
LangSecondaryTxt
Text for the language the participant/subject speaks second-most often
Secondary language
eng;spa;sgn;chi;fre;ger;Other, specify;
English;Spanish;Sign Languages;Chinese languages;French;German;Other, specify;
Alphanumeric
No instructions available
Iverson GL, Lovell MR, Collins MW. Validity of ImPACT for measuring processing speed
following sports-related concussion. J Clin Exper Neuropsychol. 2005;27(6):683–699.
Adult;Pediatric
Core
3.0
7/20/2013
Aliases for variable name not defined
Immediate Post-Concussion Assessment and Cognitive Testing (imPACT)
Cognitive Assessment
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
C21525
Language secondary ISO code
LangSecondaryCode
Code (ISO 639-2) for the language the participant/subject speaks second-most often
Secondary language ISO code
  
Alphanumeric
No instructions available
Iverson GL, Lovell MR, Collins MW. Validity of ImPACT for measuring processing speed
following sports-related concussion. J Clin Exper Neuropsychol. 2005;27(6):683–699.
Adult;Pediatric
Core
3.0
7/20/2013
Aliases for variable name not defined
Immediate Post-Concussion Assessment and Cognitive Testing (imPACT)
Cognitive Assessment
Outcomes and End Points
 
255
Free-Form Entry
       
C21363
Immediate Post-Concussion Assessment Testing (ImPACT) - Second language spoken year duration
ImPACTSecondLanguageYrDur
The count of years the subject spoke a language, as part of the Immediate Post-Concussion Assessment Testing (ImPACT).
Years speaking
  
Numeric Values
No instructions available
Iverson GL, Lovell MR, Collins MW. Validity of ImPACT for measuring processing speed
following sports-related concussion. J Clin Exper Neuropsychol. 2005;27(6):683–699.
Adult;Pediatric
Core
1.0
7/20/2015
Aliases for variable name not defined
Immediate Post-Concussion Assessment and Cognitive Testing (imPACT)
Cognitive Assessment
Outcomes and End Points
  
Free-Form Entry
0
      
C21364
Immediate Post-Concussion Assessment Testing (ImPACT) - Speech therapy receive indicator
ImPACTReceivedSpeechTherInd
Indicator of whether the subject received speech therapy.
Received speech therapy
Yes;No;
Yes;No;
Alphanumeric
N/A
Iverson GL, Lovell MR, Collins MW. Validity of ImPACT for measuring processing speed
following sports-related concussion. J Clin Exper Neuropsychol. 2005;27(6):683–699.
Adult;Pediatric
Core
1.0
7/20/2015
Aliases for variable name not defined
Immediate Post-Concussion Assessment and Cognitive Testing (imPACT)
Cognitive Assessment
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
C21365
Immediate Post-Concussion Assessment Testing (ImPACT) - School year repeat indicator
ImPACTRepeatYrsSchoolInd
Indicator of whether the subject has to repeat one or more years of school, as part of the Immediate Post-Concussion Assessment Testing (ImPACT).
Repeated one or more years of school
Yes;No;
Yes;No;
Alphanumeric
No instructions available
Iverson GL, Lovell MR, Collins MW. Validity of ImPACT for measuring processing speed
following sports-related concussion. J Clin Exper Neuropsychol. 2005;27(6):683–699.
Adult;Pediatric
Core
1.0
7/20/2015
Aliases for variable name not defined
Immediate Post-Concussion Assessment and Cognitive Testing (imPACT)
Cognitive Assessment
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
C21366
Immediate Post-Concussion Assessment Testing (ImPACT) - Attention deficit disorder hyperactivity problem indicator
ImPACTProbADDHyperInd
Indicator of whether the subject has problems with ADD/hyperactivity, as part of the Immediate Post-Concussion Assessment Testing (ImPACT).
Problems with ADD/hyperactivity
Yes;No;
Yes;No;
Alphanumeric
No instructions available
Iverson GL, Lovell MR, Collins MW. Validity of ImPACT for measuring processing speed
following sports-related concussion. J Clin Exper Neuropsychol. 2005;27(6):683–699.
Adult;Pediatric
Core
1.0
7/20/2015
Aliases for variable name not defined
Immediate Post-Concussion Assessment and Cognitive Testing (imPACT)
Cognitive Assessment
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
C21367
Immediate Post-Concussion Assessment Testing (ImPACT) - Student performance type
ImPACTStudentPerfType
Type of student performance at school, as part of the Immediate Post-Concussion Assessment Testing (ImPACT).
Performance at school
Below Average;Average;Above Average;
Below Average;Average;Above Average;
Alphanumeric
No instructions available
Iverson GL, Lovell MR, Collins MW. Validity of ImPACT for measuring processing speed
following sports-related concussion. J Clin Exper Neuropsychol. 2005;27(6):683–699.
Adult;Pediatric
Core
1.0
7/20/2015
Aliases for variable name not defined
Immediate Post-Concussion Assessment and Cognitive Testing (imPACT)
Cognitive Assessment
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
C21368
Immediate Post-Concussion Assessment Testing (ImPACT) - Current sport type
ImPACTCurrentSportType
Type of sport the subject participates currently, as part of the Immediate Post-Concussion Assessment Testing (ImPACT).
Current sport
  
Alphanumeric
No instructions available
Iverson GL, Lovell MR, Collins MW. Validity of ImPACT for measuring processing speed
following sports-related concussion. J Clin Exper Neuropsychol. 2005;27(6):683–699.
Adult;Pediatric
Core
1.0
7/20/2015
Aliases for variable name not defined
Immediate Post-Concussion Assessment and Cognitive Testing (imPACT)
Cognitive Assessment
Outcomes and End Points
 
100
Free-Form Entry
       
C21369
Immediate Post-Concussion Assessment Testing (ImPACT) - Primary position event class text
ImPACTPrimPosEventClassText
Primary type of position/event/class, as part of the Immediate Post-Concussion Assessment Testing (ImPACT).
Primary position/event/class
  
Alphanumeric
No instructions available
Iverson GL, Lovell MR, Collins MW. Validity of ImPACT for measuring processing speed
following sports-related concussion. J Clin Exper Neuropsychol. 2005;27(6):683–699.
Adult;Pediatric
Core
1.0
7/20/2015
Aliases for variable name not defined
Immediate Post-Concussion Assessment and Cognitive Testing (imPACT)
Cognitive Assessment
Outcomes and End Points
 
400
Free-Form Entry
       
C21370
Immediate Post-Concussion Assessment Testing (ImPACT) - Current participation level type
ImPACTCurrentPartLvlTyp
Current type of level of participation in sports, as part of the Immediate Post-Concussion Assessment Testing (ImPACT).
Current level of participation
Pro;Semi-Pro;Collegiate;HS;JHS;
Pro;Semi-Pro;Collegiate;HS;JHS;
Alphanumeric
No instructions available
Iverson GL, Lovell MR, Collins MW. Validity of ImPACT for measuring processing speed
following sports-related concussion. J Clin Exper Neuropsychol. 2005;27(6):683–699.
Adult;Pediatric
Core
1.0
7/20/2015
Aliases for variable name not defined
Immediate Post-Concussion Assessment and Cognitive Testing (imPACT)
Cognitive Assessment
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
C21371
Immediate Post-Concussion Assessment Testing (ImPACT) - Current participation level year count
ImPACTYrsExpLevelCt
Number of years experience at current participation level, as part of the Immediate Post-Concussion Assessment Testing (ImPACT).
Years of experience at this level
  
Numeric Values
No instructions available
Iverson GL, Lovell MR, Collins MW. Validity of ImPACT for measuring processing speed
following sports-related concussion. J Clin Exper Neuropsychol. 2005;27(6):683–699.
Adult;Pediatric
Core
1.0
7/20/2015
Aliases for variable name not defined
Immediate Post-Concussion Assessment and Cognitive Testing (imPACT)
Cognitive Assessment
Outcomes and End Points
  
Free-Form Entry
0
      
C21372
Immediate Post-Concussion Assessment Testing (ImPACT) - Loss of consciousness concussion result count
ImPACTConcussResultLOCCt
Number of concussions that resulted in loss of consciousness (LOC), as part of the Immediate Post-Concussion Assessment Testing (ImPACT).
Concussions that resulted in loss of consciousness
  
Numeric Values
No instructions available
Iverson GL, Lovell MR, Collins MW. Validity of ImPACT for measuring processing speed
following sports-related concussion. J Clin Exper Neuropsychol. 2005;27(6):683–699.
Adult;Pediatric
Core
1.0
7/20/2015
Aliases for variable name not defined
Immediate Post-Concussion Assessment and Cognitive Testing (imPACT)
Cognitive Assessment
Outcomes and End Points
  
Free-Form Entry
0
      
C21373
Immediate Post-Concussion Assessment Testing (ImPACT) - Confusion concussion result count
ImPACTConcussResultConfCt
Number of concussions that resulted in confusion, as part of the Immediate Post-Concussion Assessment Testing (ImPACT).
Concussions that resulted in confusion
  
Numeric Values
No instructions available
Iverson GL, Lovell MR, Collins MW. Validity of ImPACT for measuring processing speed
following sports-related concussion. J Clin Exper Neuropsychol. 2005;27(6):683–699.
Adult;Pediatric
Core
1.0
7/20/2015
Aliases for variable name not defined
Immediate Post-Concussion Assessment and Cognitive Testing (imPACT)
Cognitive Assessment
Outcomes and End Points
  
Free-Form Entry
0
      
C21374
Immediate Post-Concussion Assessment Testing (ImPACT) - Memory loss post injury concussion result count
ImPACTConcussResMemLossAftCt
Number of concussions that resulted in loss of memory of events immediately after injury, as part of the Immediate Post-Concussion Assessment Testing (ImPACT).
Concussions that resulted in difficulty remembering events that occurred immediately after injury
  
Numeric Values
No instructions available
Iverson GL, Lovell MR, Collins MW. Validity of ImPACT for measuring processing speed
following sports-related concussion. J Clin Exper Neuropsychol. 2005;27(6):683–699.
Adult;Pediatric
Core
1.0
7/20/2015
Aliases for variable name not defined
Immediate Post-Concussion Assessment and Cognitive Testing (imPACT)
Cognitive Assessment
Outcomes and End Points
  
Free-Form Entry
0
      
C21375
Immediate Post-Concussion Assessment Testing (ImPACT) - Memory loss prior injury concussion result count
ImPACTConcussResMemLossBefCt
Number of concussions that resulted in a loss of memory of the events that occurred before injury, as part of the Immediate Post-Concussion Assessment Testing (ImPACT).
Concussions that resulted in difficulty remembering events that occurred
  
Numeric Values
No instructions available
Iverson GL, Lovell MR, Collins MW. Validity of ImPACT for measuring processing speed
following sports-related concussion. J Clin Exper Neuropsychol. 2005;27(6):683–699.
Adult;Pediatric
Core
1.0
7/20/2015
Aliases for variable name not defined
Immediate Post-Concussion Assessment and Cognitive Testing (imPACT)
Cognitive Assessment
Outcomes and End Points
  
Free-Form Entry
0
      
C21376
Immediate Post-Concussion Assessment Testing (ImPACT) - Game miss count
ImPACTGamesMissedCt
Total number of games missed as a result of concussions, as part of the Immediate Post-Concussion Assessment Testing (ImPACT).
Total games missed as a result of all concussions combined
  
Numeric Values
No instructions available
Iverson GL, Lovell MR, Collins MW. Validity of ImPACT for measuring processing speed
following sports-related concussion. J Clin Exper Neuropsychol. 2005;27(6):683–699.
Adult;Pediatric
Core
1.0
7/20/2015
Aliases for variable name not defined
Immediate Post-Concussion Assessment and Cognitive Testing (imPACT)
Cognitive Assessment
Outcomes and End Points
  
Free-Form Entry
0
      
C21377
Immediate Post-Concussion Assessment Testing (ImPACT) - Concussion five most recent month year text
ImPACT5MostRecentConcussTxt
The month/year text of the 5 most recent concussions, as part of the Immediate Post-Concussion Assessment Testing (ImPACT).
Concussion history
  
Alphanumeric
No instructions available
Iverson GL, Lovell MR, Collins MW. Validity of ImPACT for measuring processing speed
following sports-related concussion. J Clin Exper Neuropsychol. 2005;27(6):683–699.
Adult;Pediatric
Core
1.0
7/20/2015
Aliases for variable name not defined
Immediate Post-Concussion Assessment and Cognitive Testing (imPACT)
Cognitive Assessment
Outcomes and End Points
 
100
Free-Form Entry
       
C21378
Immediate Post-Concussion Assessment Testing (ImPACT) - Headache treatment physician administered indicator
ImPACTTreatHeadPhysicianInd
Indicator of whether the subject was treated for headaches by a physician, as part of the Immediate Post-Concussion Assessment Testing (ImPACT).
Treatment for headaches by physician
Yes;No;
Yes;No;
Alphanumeric
No instructions available
Iverson GL, Lovell MR, Collins MW. Validity of ImPACT for measuring processing speed
following sports-related concussion. J Clin Exper Neuropsychol. 2005;27(6):683–699.
Adult;Pediatric
Core
1.0
7/20/2015
Aliases for variable name not defined
Immediate Post-Concussion Assessment and Cognitive Testing (imPACT)
Cognitive Assessment
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
C21379
Immediate Post-Concussion Assessment Testing (ImPACT) - Migraine treatment physician administered indicator
ImPACTTreatMigPhysicianInd
Indicator of whether the subject was treated for migraine by a physician, as part of the Immediate Post-Concussion Assessment Testing (ImPACT).
Treatment for migraine headaches by physician
Yes;No;
Yes;No;
Alphanumeric
No instructions available
Iverson GL, Lovell MR, Collins MW. Validity of ImPACT for measuring processing speed
following sports-related concussion. J Clin Exper Neuropsychol. 2005;27(6):683–699.
Adult;Pediatric
Core
1.0
7/20/2015
Aliases for variable name not defined
Immediate Post-Concussion Assessment and Cognitive Testing (imPACT)
Cognitive Assessment
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
C21380
Immediate Post-Concussion Assessment Testing (ImPACT) - Epilepsy seizure treatment administered indicator
ImPACTTreatEpilepSeizInd
Indicator of whether the subject was treated for epilepsy/seizures, as part of the Immediate Post-Concussion Assessment Testing (ImPACT).
Treatment for epilepsy/seizures:
Yes;No;
Yes;No;
Alphanumeric
No instructions available
Iverson GL, Lovell MR, Collins MW. Validity of ImPACT for measuring processing speed
following sports-related concussion. J Clin Exper Neuropsychol. 2005;27(6):683–699.
Adult;Pediatric
Core
1.0
7/20/2015
Aliases for variable name not defined
Immediate Post-Concussion Assessment and Cognitive Testing (imPACT)
Cognitive Assessment
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
C21381
Immediate Post-Concussion Assessment Testing (ImPACT) - Brain surgery patient medical history indicator
ImPACTHxBrainSurgInd
Indicator of whether the subject has a history of brain surgery, as part of the Immediate Post-Concussion Assessment Testing (ImPACT).
History of brain surgery
Yes;No;
Yes;No;
Alphanumeric
No instructions available
Iverson GL, Lovell MR, Collins MW. Validity of ImPACT for measuring processing speed
following sports-related concussion. J Clin Exper Neuropsychol. 2005;27(6):683–699.
Adult;Pediatric
Core
1.0
7/20/2015
Aliases for variable name not defined
Immediate Post-Concussion Assessment and Cognitive Testing (imPACT)
Cognitive Assessment
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
12-19-2018
Page 1 of 4