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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: Therapies
CRF: Treatments and Interventions
Item count: 43 (43 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
C55283
Concussion education training performed indicator
ConcussEduTrainPerformdInd
Indicator related to whether concussion education or training was performed
Was concussion educational training/awareness done?
Yes;No;
Yes;No;
Alphanumeric
Please see the Data Dictionary for definitions for each of the data elements included in this CRF Module.
No references available
Adult;Pediatric
Supplemental
3.0
7/25/2013
Aliases for variable name not defined
Treatments and Interventions
Therapies
Treatment/Intervention Data
  
Single Pre-Defined Value Selected
       
C55284
Concussion education training text
ConcussEduTrainTxt
Free-text field to specify the type of concussion education or training that was performed
Yes, specify type of education
  
Alphanumeric
Please see the Data Dictionary for definitions for each of the data elements included in this CRF Module.
No references available
Adult;Pediatric
Supplemental
3.0
7/25/2013
Aliases for variable name not defined
Treatments and Interventions
Therapies
Treatment/Intervention Data
  
Free-Form Entry
       
C55285
Concussion education training start date
ConcussEduTrainStrtDate
Date when concussion education or training was started
If yes, date initiated:
  
Date or Date & Time
Please see the Data Dictionary for definitions for each of the data elements included in this CRF Module.
No references available
Adult;Pediatric
Supplemental
3.0
7/25/2013
Aliases for variable name not defined
Treatments and Interventions
Therapies
Treatment/Intervention Data
  
Free-Form Entry
       
C55286
Physical rest indicator
PhysicalRestInd
The element related to whether there was physical rest
Was there physical rest?
Yes;No;
Yes;No;
Alphanumeric
Please see the Data Dictionary for definitions for each of the data elements included in this CRF Module.
No references available
Adult;Pediatric
Supplemental
3.0
7/25/2013
Aliases for variable name not defined
Treatments and Interventions
Therapies
Treatment/Intervention Data
  
Single Pre-Defined Value Selected
       
C55287
Physical rest after concussion duration
PhysicalRestAfterConcussDur
Duration of physical rest following a concussion
Yes, indicate duration
  
Numeric Values
Please see the Data Dictionary for definitions for each of the data elements included in this CRF Module.
No references available
Adult;Pediatric
Supplemental
3.0
7/25/2013
Aliases for variable name not defined
Treatments and Interventions
Therapies
Treatment/Intervention Data
  
Free-Form Entry
       
C55288
Physical rest after concussion start date
PhysclRestAfterConcussStrtDate
Date when physical rest was started following a concussion
If yes, date initiated:
  
Date or Date & Time
Please see the Data Dictionary for definitions for each of the data elements included in this CRF Module.
No references available
Adult;Pediatric
Supplemental
3.0
7/25/2013
Aliases for variable name not defined
Treatments and Interventions
Therapies
Treatment/Intervention Data
  
Free-Form Entry
       
C55289
Cognitive rest after concussion indicator
CognitiveRestAfterConcussInd
The element related to whether there was cognitive rest following a concussion
Cognitive Rest
Yes;No;
Yes;No;
Alphanumeric
Please see the Data Dictionary for definitions for each of the data elements included in this CRF Module.
No references available
Adult;Pediatric
Supplemental
3.0
7/25/2013
Aliases for variable name not defined
Treatments and Interventions
Therapies
Treatment/Intervention Data
  
Single Pre-Defined Value Selected
       
C55290
Cognitive rest after concussion duration
CognitiveRestAfterConcussDur
Duration of cognitive rest following a concussion
Yes, indicate duration
  
Numeric Values
Please see the Data Dictionary for definitions for each of the data elements included in this CRF Module.
No references available
Adult;Pediatric
Supplemental
3.0
7/25/2013
Aliases for variable name not defined
Treatments and Interventions
Therapies
Treatment/Intervention Data
  
Free-Form Entry
       
C55291
Cognitive rest after concussion start date
CognRestAfterConcussStrtDate
Date when cognitive rest was started following a concussion
If yes, date initiated
  
Date or Date & Time
Please see the Data Dictionary for definitions for each of the data elements included in this CRF Module.
No references available
Adult;Pediatric
Supplemental
3.0
7/25/2013
Aliases for variable name not defined
Treatments and Interventions
Therapies
Treatment/Intervention Data
  
Free-Form Entry
       
C55292
Concurrent injury treatment after concussion indicator
ConcurrInjTxAfterConcussInd
The indicator related to whether there was concurrent injury treatment following a concussion
Concurrent injury treatment
Yes;No;
Yes;No;
Alphanumeric
Please see the Data Dictionary for definitions for each of the data elements included in this CRF Module.
No references available
Adult;Pediatric
Supplemental
3.0
7/25/2013
Aliases for variable name not defined
Treatments and Interventions
Therapies
Treatment/Intervention Data
  
Single Pre-Defined Value Selected
       
C55293
Concurrent injury treatment after concussion specify text
ConcurrInjTreatAftConcussSpTxt
Free-text field to specify the type of concurrent injury treatment following a concussion
Yes, specify type of treatment
  
Alphanumeric
Please see the Data Dictionary for definitions for each of the data elements included in this CRF Module.
No references available
Adult;Pediatric
Supplemental
3.0
7/25/2013
Aliases for variable name not defined
Treatments and Interventions
Therapies
Treatment/Intervention Data
  
Free-Form Entry
       
C55294
Concurrent injury treatment after concussion duration
ConcurrInjTreatAftConcussDur
The element related to the duration of concurrent injury treatment following a concussion
Length of time (minutes)
  
Numeric Values
Please see the Data Dictionary for definitions for each of the data elements included in this CRF Module.
No references available
Adult;Pediatric
Supplemental
3.0
7/25/2013
Aliases for variable name not defined
Treatments and Interventions
Therapies
Treatment/Intervention Data
  
Free-Form Entry
       
C55295
Concurrent injury treatment after concussion start date
ConcrrInjTreatAftCncssStrtDate
The date that concurrent injury treatment following a concussion began
If yes, date initiated:
  
Date or Date & Time
Please see the Data Dictionary for definitions for each of the data elements included in this CRF Module.
No references available
Adult;Pediatric
Supplemental
3.0
7/25/2013
Aliases for variable name not defined
Treatments and Interventions
Therapies
Treatment/Intervention Data
  
Free-Form Entry
       
C55799
Work accommodation indicator
WorkAccmmdtnInd
Indicator related to whether patient received some type of work accommodation.
Work Accommodation
Yes;No;
Yes;No;
Alphanumeric
Please see the Data Dictionary for definitions for each of the data elements included in this CRF Module.
No references available
Adult;Pediatric
Supplemental
1.0
6/1/2017
Aliases for variable name not defined
Treatments and Interventions
Therapies
Treatment/Intervention Data
  
Single Pre-Defined Value Selected
       
C55800
Work accommodation duration
WorkAccmmdatnDur
Duration of time in days that work accommodation was received by the patient.
Yes, indicate duration
  
Alphanumeric
Please see the Data Dictionary for definitions for each of the data elements included in this CRF Module.
No references available
Adult;Pediatric
Supplemental
1.0
6/1/2017
Aliases for variable name not defined
Treatments and Interventions
Therapies
Treatment/Intervention Data
 
255
Free-Form Entry
       
C55802
Work accommodation start date
WorkAccmmdtnStrtDate
The start date of patient's work accommodation.
Type of Accommodation:
  
Alphanumeric
Please see the Data Dictionary for definitions for each of the data elements included in this CRF Module.
No references available
Adult;Pediatric
Supplemental
1.0
6/1/2017
Aliases for variable name not defined
Treatments and Interventions
Therapies
Treatment/Intervention Data
 
255
Free-Form Entry
       
C55801
Work accommodation text
WorkAccmmdtnTxt
Type of work accommodation that was used by the patient.
If yes, date initiated:
  
Alphanumeric
Please see the Data Dictionary for definitions for each of the data elements included in this CRF Module.
No references available
Adult;Pediatric
Supplemental
1.0
6/1/2017
Aliases for variable name not defined
Treatments and Interventions
Therapies
Treatment/Intervention Data
 
255
Free-Form Entry
       
C55803
Academic accommodations indicator
AcademicAccmmdtnsInd
Indicator related to the academic accommodation(s) used by the patient.
Academic Accommodation(s)
Yes;No;
Yes;No;
Alphanumeric
Please see the Data Dictionary for definitions for each of the data elements included in this CRF Module.
No references available
Adult;Pediatric
Supplemental
1.0
6/1/2017
Aliases for variable name not defined
Treatments and Interventions
Therapies
Treatment/Intervention Data
  
Single Pre-Defined Value Selected
       
C55804
Academic accommodations duration
AcademicAccmmdtnsDur
Duration of the academic accommodation(s) used by the patient.
Yes, indicate duration (days)
  
Alphanumeric
Please see the Data Dictionary for definitions for each of the data elements included in this CRF Module.
No references available
Adult;Pediatric
Supplemental
1.0
6/1/2017
Aliases for variable name not defined
Treatments and Interventions
Therapies
Treatment/Intervention Data
 
255
Free-Form Entry
       
C55805
Academic accommodations start time
AcademicAccmmdtnsStrtTime
Start time/date that the patient began using academic accommodations.
If yes, date initiated:
  
Alphanumeric
Please see the Data Dictionary for definitions for each of the data elements included in this CRF Module.
No references available
Adult;Pediatric
Supplemental
1.0
6/1/2017
Aliases for variable name not defined
Treatments and Interventions
Therapies
Treatment/Intervention Data
 
255
Free-Form Entry
       
C55806
Academic accommodations text
AcademicAccmmdtnsTxt
Type of academic accommodations used by the patient.
Type of Accommodation (s):
  
Alphanumeric
Please see the Data Dictionary for definitions for each of the data elements included in this CRF Module.
No references available
Adult;Pediatric
Supplemental
1.0
6/1/2017
Aliases for variable name not defined
Treatments and Interventions
Therapies
Treatment/Intervention Data
 
255
Free-Form Entry
       
C55807
Cognitive therapy indicator
CognitiveTherapyInd
Indicator related to whether the patient used cognitive therapy or not.
Cognitive therapy
Yes;No;
Yes;No;
Alphanumeric
Please see the Data Dictionary for definitions for each of the data elements included in this CRF Module.
No references available
Adult;Pediatric
Supplemental
1.0
6/1/2017
Aliases for variable name not defined
Treatments and Interventions
Therapies
Treatment/Intervention Data
  
Single Pre-Defined Value Selected
       
C55808
Cognitive therapy session number
CognitiveTherapySessionNum
Number of sessions of cognitive therapy that the patient attended.
Yes, indicate number of sessions
  
Alphanumeric
Please see the Data Dictionary for definitions for each of the data elements included in this CRF Module.
No references available
Adult;Pediatric
Supplemental
1.0
6/1/2017
Aliases for variable name not defined
Treatments and Interventions
Therapies
Treatment/Intervention Data
 
255
Free-Form Entry
       
C55816
Cognitive therapy start date
CognitiveTherapyStrtDate
Start date of patient's cognitive therapy.
If yes, date initiated:
  
Alphanumeric
Please see the Data Dictionary for definitions for each of the data elements included in this CRF Module.
No references available
Adult;Pediatric
Supplemental
1.0
6/1/2017
Aliases for variable name not defined
Treatments and Interventions
Therapies
Treatment/Intervention Data
 
255
Free-Form Entry
       
C55819
Behavioral therapy management indicator
BhvrlThrpyMngmntInd
Indicator related to whether of not the patient used behavioral therapy/management.
Behavioral Therapy/Management
Yes;No;
Yes;No;
Alphanumeric
Please see the Data Dictionary for definitions for each of the data elements included in this CRF Module.
No references available
Adult;Pediatric
Supplemental
1.0
6/1/2017
Aliases for variable name not defined
Treatments and Interventions
Therapies
Treatment/Intervention Data
  
Single Pre-Defined Value Selected
       
12-15-2018
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