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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: History of Disease/Injury Event
CRF: Return to Play
Item count: 14 (14 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
C19256
Study protocol name
StudyProtocolName
Name of study protocol
Study Name/ID pre-filled
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
6/5/2014
Aliases for variable name not defined
Return to Play
History of Disease/Injury Event
Disease/Injury Related Events
 
4000
Free-Form Entry
       
C17402
Site name
SiteName
The name of the site for the study
Site Name
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
3.0
6/21/2013
Aliases for variable name not defined
Return to Play
History of Disease/Injury Event
Disease/Injury Related Events
Site name
255
Free-Form Entry
       
C19247
Subject ID
SubIDNam
Subject identification ID
Subject ID
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
6/5/2014
Aliases for variable name not defined
Return to Play
History of Disease/Injury Event
Disease/Injury Related Events
 
255
Free-Form Entry
       
C15910
Assessment date and time
AssessDateTime
The date of participant's injury
Assessment Date/Time
  
Date or Date & Time
No instructions available
No references available
Adult;Pediatric
Supplemental
3.0
7/16/2013
Aliases for variable name not defined
Return to Play
History of Disease/Injury Event
Disease/Injury Related Events
Assessment date and time
 
Free-Form Entry
       
C05400
Injury date time
InjDateTime
Date (and time, if applicable and known) of injury
Injury Date/Time
  
Date or Date & Time
No instructions available
No references available
Adult;Pediatric
Supplemental
3.0
7/20/2013
SCI CDEs: INJURYDT
Return to Play
History of Disease/Injury Event
Disease/Injury Related Events
Injury date and time
 
Free-Form Entry
       
C55629
Same sport indicator
SameSportInd
Indicator if the participant/subject returned to the same sport, as part of the Return to Play case report form
Did participant return to same sport?
Yes;No;Unknown;
Yes;No;Unknown;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
5/18/2017
Aliases for variable name not defined
Return to Play
History of Disease/Injury Event
Disease/Injury Related Events
  
Multiple Pre-Defined Values Selected
       
C55630
Same level of activity indicator
SameLvlActiveInd
The indicator specificying if the participant/subject returned to the same level of activity as part of the Return to Play case report form
Did participant teturn to same level of activity
Yes;No;Unknown;
Yes;No;Unknown;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
5/18/2017
Aliases for variable name not defined
Return to Play
History of Disease/Injury Event
Disease/Injury Related Events
  
Multiple Pre-Defined Values Selected
       
C55628
Return to sport indicator
ReturnSportInd
The indicator if the participant/subject return to play sport as part of the Return to Play case report form
Did participant return to sport
Yes;No;Unknown;
Yes;No;Unknown;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
5/18/2017
Aliases for variable name not defined
Return to Play
History of Disease/Injury Event
Disease/Injury Related Events
  
Single Pre-Defined Value Selected
       
C55631
No activity rehabilitation completed date
NoActiveRehabStageCompDate
The date the participant/subject completed the no activity (symptom limited physical and cognitive rest) rehabilitation stage as part of the Return to Play case report form
No activity (symptom limited physical and cognitive rest)
  
Date or Date & Time
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
5/18/2017
Aliases for variable name not defined
Return to Play
History of Disease/Injury Event
Disease/Injury Related Events
  
Free-Form Entry
       
C55632
Light aerobic exercise reahbilitation stage completed date
LghtAeroExercRehabStagCompDate
The date the participant/subject completed the light aerobic exercise (walking, swimming or stationary cycling keeping intensity <70% maximum permitted heart rate; no resistance training) rehabilitation stage as part of the Return to Play case report form
Light aerobic exercise (walking, swimming or stationary cycling keeping intensity <70% maximum permitted heart rate; no resistance training)
  
Date or Date & Time
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
5/18/2017
Aliases for variable name not defined
Return to Play
History of Disease/Injury Event
Disease/Injury Related Events
  
Free-Form Entry
       
C55633
Sport-specific excercise rehabilitation stage completed date
SprtSpecExerRehabStagCompDate
The date the participant/subject completed the sport-specific exercise (skating drills in ice hockey, running drills in soccer; no head impact activities) rehabilitation stage as part of the Return to Play case report form
Sport-specific exercise (skating drills in ice hockey, running drills in soccer; no head impact activities)
  
Date or Date & Time
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
5/18/2017
Aliases for variable name not defined
Return to Play
History of Disease/Injury Event
Disease/Injury Related Events
  
Free-Form Entry
       
C55635
Non-contact rehabilitation stage complete date
NonContactRehabStageCompDate
The date the participant/subject completed the Non-contact (progression to more complex training drills, eg passing drills in football and ice hockey; may start progressive resistance training) rehabilitation stage as part of the Return to play CRF
Non-contact training drills (progression to more complex training drills, eg passing drills in football and ice hockey; may start progressive resistance training)
  
Date or Date & Time
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
5/18/2017
Aliases for variable name not defined
Return to Play
History of Disease/Injury Event
Disease/Injury Related Events
  
Free-Form Entry
       
C55634
Full-contact practice completed date
FullContactCompDate
The date the participant/subject completed the full contact (following medical clearance participate in normal training activities) rehabilitation stage as part of the Return to Play case report form
Full-contact practice (following medical clearance participate in normal training activities)
  
Date or Date & Time
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
5/18/2017
Aliases for variable name not defined
Return to Play
History of Disease/Injury Event
Disease/Injury Related Events
  
Free-Form Entry
       
C55636
Return to play rehabilitation stage complete date
RetrnPlaytRehabStageCompDate
The date the participant/subject completed the return to play (normal game play) rehabilitation stage as part of the Return to play CRF
Return to play (normal game play)
  
Date or Date & Time
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
5/18/2017
Aliases for variable name not defined
Return to Play
History of Disease/Injury Event
Disease/Injury Related Events
  
Free-Form Entry
       
12-19-2018
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