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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: Physical Examinations
CRF: Clinical Examination
Item count: 19 (19 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
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
Clinical Examination
Physical Examinations
Assessments and Examinations
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
Clinical Examination
Physical Examinations
Assessments and Examinations
 
255
Free-Form Entry
       
C55731
Post injury day count
PostInjuryDayCt
The number of day post injury.
Number of days form completed from date of injury?
  
Numeric Values
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
5/26/2017
Aliases for variable name not defined
Clinical Examination
Physical Examinations
Assessments and Examinations
  
Free-Form Entry
       
C52382
Post-concussion busy environment foggy dizzy indicator
PCBusyEnviroFogDizzyInd
The indicator relating to whether or not busy environments cause the subject to feel foggy, dizzy, fatigued, or overwhelmed post-concussion.
Do busy environments cause you to feel foggy, dizzy, fatigued or overwhelmed?
Yes;No;Unknown;Not Asked;
Yes;No;Unknown;Not Asked;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
1/17/2017
Aliases for variable name not defined
Clinical Examination
Physical Examinations
Assessments and Examinations
  
Single Pre-Defined Value Selected
       
C52383
Post-concussion busy environment foggy dizzy severity score
PCBusyEnviroFogDizzySevScore
The score of the severity of the dizziness or fatigue the subject experiences from busy environments post-concussion.
Severity (0-10)
  
Numeric Values
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
1/17/2017
Aliases for variable name not defined
Clinical Examination
Physical Examinations
Assessments and Examinations
  
Free-Form Entry
0
10
     
C52384
Post-concussion blurred fuzzy vision while read indicator
PCBlurFuzzyVisWhileReadInd
The indicator relating to whether or not the subject has blurred fuzzy vision while reading or difficulty reading post-concussion.
Do you have blurred or fuzzy vision while reading or difficulty reading?
Yes;No;Unknown;Not Asked;
Yes;No;Unknown;Not Asked;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
1/17/2017
Aliases for variable name not defined
Clinical Examination
Physical Examinations
Assessments and Examinations
  
Single Pre-Defined Value Selected
       
C52385
Post-concussion blurred fuzzy vision while read severity score
PCBlurFuzzyVisWhilReadSevScore
The score of the severity of the blurred fuzzy vision the subject experiences while reading or his/her difficulty reading post-concussion.
Severity (0-10)
  
Numeric Values
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
1/17/2017
Aliases for variable name not defined
Clinical Examination
Physical Examinations
Assessments and Examinations
  
Free-Form Entry
0
10
     
C52386
Post-concussion fatigue end of day indicator
PCFatigueEndOfDayInd
The indicator relating to whether or not the subject feels more fatigued than normal at the end of the day post-concussion.
Do you feel more fatigued than normal at the end of the day?
Yes;No;Unknown;Not Asked;
Yes;No;Unknown;Not Asked;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
1/17/2017
Aliases for variable name not defined
Clinical Examination
Physical Examinations
Assessments and Examinations
  
Single Pre-Defined Value Selected
       
C52387
Post-concussion fatigue end of day severity score
PCFatigueAtEndOfDaySevScore
The score of the severity of the subject's fatigue at the end of the day, if any post-concussion.
Severity (0-10)
  
Numeric Values
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
1/17/2017
Aliases for variable name not defined
Clinical Examination
Physical Examinations
Assessments and Examinations
  
Free-Form Entry
0
10
     
C52388
Post-concussion easily distract indicator
PCEasilyDistractInd
The indicator relating to whether or not the subject is easily distracted post-concussion.
Are you easily distracted?
Yes;No;Unknown;Not Asked;
Yes;No;Unknown;Not Asked;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
1/17/2017
Aliases for variable name not defined
Clinical Examination
Physical Examinations
Assessments and Examinations
  
Single Pre-Defined Value Selected
       
C52389
Post-concussion easily distract severity score
PCEasilyDistractSevScore
The score pertaining to how easily distracted the subject gets post-concussion.
Severity (0-10)
  
Numeric Values
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
1/17/2017
Aliases for variable name not defined
Clinical Examination
Physical Examinations
Assessments and Examinations
  
Free-Form Entry
0
10
     
C52390
Post-concussion stress increase indicator
PCStressIncreaseInd
The indicator relating to whether or not the subject has been experiencing more stress than normal post-concussion.
Are you experiencing more stress than normal?
Yes;No;Unknown;Not Asked;
Yes;No;Unknown;Not Asked;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
1/17/2017
Aliases for variable name not defined
Clinical Examination
Physical Examinations
Assessments and Examinations
  
Single Pre-Defined Value Selected
       
C52391
Post-concussion stress increase severity score
PCStressIncreaseSevScore
The score of the severity of how much more stress the subject is experiencing more than usual post-concussion.
Severity (0-10)
  
Numeric Values
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
1/17/2017
Aliases for variable name not defined
Clinical Examination
Physical Examinations
Assessments and Examinations
  
Free-Form Entry
0
10
     
C52392
Post-concussion difficulty turning off thought indicator
PCDiffTurnOffThoughtInd
The indicator relating to whether or not the subject has difficulty turning off his/her thoughts post-concussion.
Do you have difficulty turning off your thoughts?
Yes;No;Unknown;Not Asked;
Yes;No;Unknown;Not Asked;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
1/17/2017
Aliases for variable name not defined
Clinical Examination
Physical Examinations
Assessments and Examinations
  
Single Pre-Defined Value Selected
       
C52393
Post-concussion difficulty turning off thought severity score
PCDiffTurnOffThoughtSevScore
The score of how difficult is it for the subject to turn off his/her thoughts post-concussion.
Severity (0-10)
  
Numeric Values
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
1/17/2017
Aliases for variable name not defined
Clinical Examination
Physical Examinations
Assessments and Examinations
  
Free-Form Entry
0
10
     
C52394
Post-concussion negative change mood personality indicator
PCNegaChangMoodPersInd
The indicator relating to whether or not the subject has been experiencing negative changes in his/her mood or personality post-concussion.
Have you experienced negative changes in mood or personality?
Yes;No;Unknown;Not Asked;
Yes;No;Unknown;Not Asked;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
1/17/2017
Aliases for variable name not defined
Clinical Examination
Physical Examinations
Assessments and Examinations
  
Single Pre-Defined Value Selected
       
C52395
Post-concussion negative change mood personality severity score
PCNegaChangeModdPersSevScore
The score of the severity of the subject's negative changes in his/her mood or personality post-concussion.
Severity (0-10)
  
Numeric Values
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
1/17/2017
Aliases for variable name not defined
Clinical Examination
Physical Examinations
Assessments and Examinations
  
Free-Form Entry
0
10
     
C52396
Post-concussion think about symptom indicator
PCThinkAbtSymptmInd
The indicator relating to whether or not the subject often thinks about his/her symptoms post-concussion.
Are you often thinking about your symptoms?
Yes;No;Unknown;Not Asked;
Yes;No;Unknown;Not Asked;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
1/17/2017
Aliases for variable name not defined
Clinical Examination
Physical Examinations
Assessments and Examinations
  
Single Pre-Defined Value Selected
       
C52397
Post-concussion think about symptom severity score
PCThinkAbtSymptmSevScore
The score relating to how often the subject thinks of his/her symptoms post-concussion.
Severity (0-10)
  
Numeric Values
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
1/17/2017
Aliases for variable name not defined
Clinical Examination
Physical Examinations
Assessments and Examinations
  
Free-Form Entry
0
10
     
12-15-2018
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