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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: Sport Related Concussion
SubDisease: Comprehensive
Sub-Domain: General Health History
CRF: Concussion History
Item count: 9 (9 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
C52398
Injury mechanism type
InjuryMechTyp
The type of mechanism leading to the subject's injury
Mechanism
Blow to head or neck;Motor vehicle crash—pedestrian/bicyclist;Motor vehicle crash—occupant;Sport/recreation;Fall;Fight or being hit;Explosion/blast;Other;
Blow to head or neck;Motor vehicle crash—pedestrian/bicyclist;Motor vehicle crash—occupant;Sport/recreation;Fall;Fight or being hit;Explosion/blast;Other;
Alphanumeric
Mechanism Prompts:
Blow to the head or neck: Have you ever been hospitalized or treated in an emergency room following an injury to your head or neck? Think about any childhood injuries you remember or were told about.
Car / vehicle accident: Have you ever injured your head or neck in a car accident or from some other moving vehicle accident (e.g. motorcycle, ATV)?
Sport / recreation: Have you ever been hit in the head or fallen on your head while participating in an organized sport or recreational activity, including on the playground?
Fall: Have you ever injured from falling?
Fight or being hit: Have you ever injured your head or neck in a fight, from being hit by someone/something, or from being shaken violently?
Explosion / Blast: Have you ever been nearby when an explosion or a blast occurred? If you served in the military, think about any combat- or training-related incidents.
No references available
Adult
Supplemental
1.1
5/12/2017
Aliases for variable name not defined
Concussion History
General Health History
Participant History and Family History
  
Multiple Pre-Defined Values Selected
       
C52399
Concussion diagnosis
ConcussionDiagnos
Diagnosis of whether or not the subject has a concussion
The concussion was diagnosed or undiagnosed
Diagnosed;Undiagnosed;
Diagnosed;Undiagnosed;
Alphanumeric
No instructions available
No references available
Adult
Supplemental
1.0
1/18/2017
Aliases for variable name not defined
Concussion History
General Health History
Participant History and Family History
  
Single Pre-Defined Value Selected
       
C52400
Injury date
InjuryDate
The date the subject received his or her injury
Approxiamate date of injury (mm/yyyy)
  
Date or Date & Time
No instructions available
No references available
Adult
Supplemental
1.0
1/18/2017
Aliases for variable name not defined
Concussion History
General Health History
Participant History and Family History
  
Free-Form Entry
       
C52401
Injury age value
InjAgeVal
The value of the subject's age at the time he/she was injured
Age at time of injury
  
Numeric Values
No instructions available
No references available
Adult
Supplemental
1.0
1/18/2017
Aliases for variable name not defined
Concussion History
General Health History
Participant History and Family History
  
Free-Form Entry
  
year
    
C01052
Loss of consciousness indicator
LOCInd
The indicator for whether the participant/subject experienced any period of loss of consciousness (LOC).
Did you lose consciousness (i.e. knocked out/blacked out)?
Yes;No;
Yes;No;
Alphanumeric
No instructions available
No references available
Adult
Supplemental
3.0
7/20/2013
Aliases for variable name not defined
Concussion History
General Health History
Participant History and Family History
Loss of consciousness indicator
 
Single Pre-Defined Value Selected
       
C52403
Unconsciousness time value
UnconsciousTimeVal
Value representing the amount of time, in seconds, that the subject was unconscious.
How long were you unconscious (seconds)?
  
Numeric Values
No instructions available
No references available
Adult
Supplemental
1.0
1/18/2017
Aliases for variable name not defined
Concussion History
General Health History
Participant History and Family History
  
Free-Form Entry
  
seconds
    
C52404
Difficulty remembering before after injury indicator
DiffRemeBefAfterInjInd
The indicator relating to whether or not the subject has difficulty remembering things before or after his or her injury.
Did/do you have difficulty remembering things before or after the injury?
Yes;No;
Yes;No;
Alphanumeric
No instructions available
No references available
Adult
Supplemental
1.0
1/18/2017
Aliases for variable name not defined
Concussion History
General Health History
Participant History and Family History
  
Single Pre-Defined Value Selected
       
C52405
Minutes not remember value
MinutesNotRememberVal
The value of how many minutes the subject does not remember.
How many minutes do you not remember?
  
Numeric Values
No instructions available
No references available
Adult
Supplemental
1.0
1/18/2017
Aliases for variable name not defined
Concussion History
General Health History
Participant History and Family History
  
Free-Form Entry
  
minute
    
C52406
Day symptom experience count
DaySymptmExpCt
The count of the number of days the subject experience symptoms related to his or her injury
How many days did you experience symptoms related to the injury?
  
Numeric Values
No instructions available
No references available
Adult
Supplemental
1.0
1/18/2017
Aliases for variable name not defined
Concussion History
General Health History
Participant History and Family History
  
Free-Form Entry
  
day
    
12-19-2018
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