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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: Traumatic Brain Injury
SubDisease: Comprehensive
Sub-Domain: Biomechanical Devices
CRF: Blast Exposure Form
Item count: 60 (60 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
Supplemental
3.0
6/21/2013
Aliases for variable name not defined
Blast Exposure Form
Biomechanical Devices
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
Supplemental
1.0
6/5/2014
Aliases for variable name not defined
Blast Exposure Form
Biomechanical Devices
Disease/Injury Related Events
 
255
Free-Form Entry
       
C56805
Blast sensor test series number
BlastSensTestSerNum
The number in the blast sensor test series.
Test Series Number:
  
Numeric Values
End state is a series numbering system that is centralized and spans across all labs doing relevant work, assigned prior to the conduct of each test series. However, there is not a sufficient mechanisms for that centralization of series numbering at present, so the recommended Test Series identifier is [PI or LAB text identifier] followed by a serial number for work conducted by that lab.
No references available
Adult
Supplemental
1.0
7/26/2017
Aliases for variable name not defined
Blast Exposure Form
Biomechanical Devices
Disease/Injury Related Events
  
Free-Form Entry
       
C06005
Data collected date and time
DataCollDateTime
Date (and time, if applicable and known) the data were collected. This may be the date/time a particular examination or procedure was performed.
Test series date and time:
  
Date or Date & Time
MM / DD / YYYY ; 24-hour _ H _ M____at start
No references available
Adult
Supplemental
3.0
7/24/2013
Aliases for variable name not defined
Blast Exposure Form
Biomechanical Devices
Disease/Injury Related Events
Data collected date and time
 
Free-Form Entry
       
C56806
Blast sensor charge describe text
BlastSensChrgDesTxt
Text describing the charge with respect to the blast sensor test.
Charge Descriptions:
  
Alphanumeric
single line free field text
No references available
Adult
Supplemental–Highly Recommended
1.0
7/26/2017
Aliases for variable name not defined
Blast Exposure Form
Biomechanical Devices
Disease/Injury Related Events
  
Free-Form Entry
       
C56807
Test description text
TestDescTxt
The free-text field to describing the test.
Test Description:
  
Alphanumeric
single line free field text
No references available
Adult
Supplemental–Highly Recommended
1.0
7/26/2017
Aliases for variable name not defined
Blast Exposure Form
Biomechanical Devices
Disease/Injury Related Events
  
Free-Form Entry
       
C56808
Blast sensor distribution code
BlastSensDistCode
The OPSEC determined distribution code for the blast sensor test series.
Distribution Code (OPSEC Determined):
A;B;C;D;E;F;
A;B;C;D;E;F;
Alphanumeric
A, B, C, D, E, F [reference http://www.dtic.mil/dtic/pdf/distribution_statements_and_reasons.pdf]
No references available
Adult
Supplemental
1.0
7/26/2017
Aliases for variable name not defined
Blast Exposure Form
Biomechanical Devices
Disease/Injury Related Events
  
Single Pre-Defined Value Selected
       
C56809
Blast sensor air temperature value
BlastSensAirTempVal
The recorded value of the air temperature on the day of the test.
Air temperature:
  
Alphanumeric
degrees Celsius measured at beginning of Test Series (measured method not constrained)
No references available
Adult
Supplemental
1.0
7/26/2017
Aliases for variable name not defined
Blast Exposure Form
Biomechanical Devices
Disease/Injury Related Events
  
Free-Form Entry
       
C56810
Blast sensor air pressure value
BlastSensAirPresVal
The recorded value of the air pressure on the day of the test.
Air Pressure:
  
Alphanumeric
Any standardized measure at beginning of Test Series (measurement method not constrained)
No references available
Adult
Supplemental
1.0
7/26/2017
Aliases for variable name not defined
Blast Exposure Form
Biomechanical Devices
Disease/Injury Related Events
 
20
Free-Form Entry
       
C56811
Blast sensor air magnitude value
BlastSensAirMagVal
The recorded value of the air magnitude on the day of the test.
Air Magnitude:
  
Alphanumeric
No instructions available
No references available
Adult
Supplemental
1.0
7/26/2017
Aliases for variable name not defined
Blast Exposure Form
Biomechanical Devices
Disease/Injury Related Events
 
20
Free-Form Entry
       
C56812
Blast sensor cross wind magnitude value
BlastSensCrossWindMagVal
The recorded value of the cross wind magnitude on the day of the test.
Cross Wind Magnitude:
  
Alphanumeric
any standardized measure at beginning of Test Series (measurement method not constrained)
No references available
Adult
Supplemental
1.0
7/26/2017
Aliases for variable name not defined
Blast Exposure Form
Biomechanical Devices
Disease/Injury Related Events
 
20
Free-Form Entry
       
C56813
Blast sensor cross wind direction text
BlastSensCrossWindDirTxt
Text describing the direction of the cross wind on the day of the test.
Cross Wind Direction:
  
Alphanumeric
any standardized measure at beginning of Test Series, Direction is direction of flow angled from North (approximate) (measurement method not constrained)
No references available
Adult
Supplemental
1.0
7/26/2017
Aliases for variable name not defined
Blast Exposure Form
Biomechanical Devices
Disease/Injury Related Events
 
20
Free-Form Entry
       
C56814
Blast sensor pressure source description text
BlastSensPresSrcDescTxt
Text describing the pressure source with respect to the blast sensor test.
Pressure Source Description:
  
Alphanumeric
single line free field text
No references available
Adult
Supplemental
1.0
7/26/2017
Aliases for variable name not defined
Blast Exposure Form
Biomechanical Devices
Disease/Injury Related Events
 
400
Free-Form Entry
       
C56815
Blast sensor test review documentation status
BlastSensTestRevDocStat
The status related to the blast sensor test review documentation.
Test Review Documentation:
  
Alphanumeric
available/not available
No references available
Adult
Supplemental
1.0
7/26/2017
Aliases for variable name not defined
Blast Exposure Form
Biomechanical Devices
Disease/Injury Related Events
  
Single Pre-Defined Value Selected
       
C56937
Companion security release form name
CompanSecurityReleaseFormName
The name of the companion security release form.
Companion Security Release Form:
Required;Not Required;
Required;Not Required;
Alphanumeric
required/not required
No references available
Adult
Supplemental
1.0
8/4/2017
Aliases for variable name not defined
Blast Exposure Form
Biomechanical Devices
Disease/Injury Related Events
  
Free-Form Entry
       
C56938
Test after report text
TestAfterReportTxt
The free-text field related to test after report.
Test After Report:
Available;Not Available;
Available;Not Available;
Alphanumeric
available/not available
No references available
Adult
Supplemental
1.0
8/4/2017
Aliases for variable name not defined
Blast Exposure Form
Biomechanical Devices
Disease/Injury Related Events
  
Free-Form Entry
       
C56939
Test setup diagrams text
TestSetupDiagramTxt
The free-text field related to test setup diagrams.
Test Setup Diagrams:
  
Alphanumeric
diagram/image/Topological Map of Area/Lidar XYZ Scan of Area and format (jpg, bmp, pdf, etc)
No references available
Adult
Supplemental–Highly Recommended
1.0
8/4/2017
Aliases for variable name not defined
Blast Exposure Form
Biomechanical Devices
Disease/Injury Related Events
 
4000
Free-Form Entry
       
C56940
Test setup images text
TestSetupImagesTxt
The free-text field related to test setup images.
Test Setup Images:
  
Alphanumeric
No instructions available
No references available
Adult
Supplemental
1.0
8/4/2017
Aliases for variable name not defined
Blast Exposure Form
Biomechanical Devices
Disease/Injury Related Events
 
4000
Free-Form Entry
       
C56816
Blast sensor document name
BlastSensDocName
The name of the document that is related to the blast sensor test.
Document Name:
  
Alphanumeric
single line free text
No references available
Adult
Supplemental
1.0
7/26/2017
Aliases for variable name not defined
Blast Exposure Form
Biomechanical Devices
Disease/Injury Related Events
 
255
Free-Form Entry
       
C56817
Blast sensor document category
BlastSensDocCat
The category of the blast sensor document in question.
Document Category:
Image;Test Report;Pre-test review;
Image;Test Report;Pre-test review;
Alphanumeric
image/Test Report/Pre-Test Review
No references available
Adult
Supplemental
1.0
7/26/2017
Aliases for variable name not defined
Blast Exposure Form
Biomechanical Devices
Disease/Injury Related Events
  
Single Pre-Defined Value Selected
       
C56818
Blast sensor document description text
BlastSensDocDescTxt
Text describing the document containing information relevant to the participant/subject's blast sensor test.
Document Description:
  
Alphanumeric
single line free text
No references available
Adult
Supplemental
1.0
7/26/2017
Aliases for variable name not defined
Blast Exposure Form
Biomechanical Devices
Disease/Injury Related Events
 
200
Free-Form Entry
       
C56819
Blast sensor test series tag type
BlastSensTestSerTagTyp
The type of tag(s) that the document is associated with pertaining to the blast sensor test series.
Tags:
Home Made Explosive;Conventional Explosive;Metallized Explosive;Interior;Exterior;Buried Explosive;Air Burst;155mm Muzzle Shock;120mm Mortar Muzzle Shock;81mm Mortar Muzzle Shock;60mm Mortar Muzzle Shock;120mm Tank Muzzle Shock;Shoulder Fired Rocket Air Shock;Behind Armor Air Shock;Near Field;Medium Field;Far Field;Ground Shock;
Home Made Explosive;Conventional Explosive;Metallized Explosive;Interior;Exterior;Buried Explosive;Air Burst;155mm Muzzle Shock;120mm Mortar Muzzle Shock;81mm Mortar Muzzle Shock;60mm Mortar Muzzle Shock;120mm Tank Muzzle Shock;Shoulder Fired Rocket Air Shock;Behind Armor Air Shock;Near Field;Medium Field;Far Field;Ground Shock;
Alphanumeric
No instructions available
No references available
Adult
Supplemental
1.0
7/26/2017
Aliases for variable name not defined
Blast Exposure Form
Biomechanical Devices
Disease/Injury Related Events
  
Multiple Pre-Defined Values Selected
       
C56820
Blast sensor individual test shot number
BlastSensIndivestShotNum
Number representing an individual blast sensor test shot.
Individual Test Shot Number:
  
Numeric Values
serial number within Test series
No references available
Adult
Supplemental
1.0
7/28/2017
Aliases for variable name not defined
Blast Exposure Form
Biomechanical Devices
Disease/Injury Related Events
  
Free-Form Entry
       
C56821
Blast sensor test shot distribution level text
BlastSensTestShotDistLvlTxt
Text representing the blast sensor test shot distribution level.
Test Shot Distribution Level:
A;B;C;D;E;F;
A;B;C;D;E;F;
Alphanumeric
A, B, C, D, E, F
No references available
Adult
Supplemental
1.0
7/28/2017
Aliases for variable name not defined
Blast Exposure Form
Biomechanical Devices
Disease/Injury Related Events
  
Free-Form Entry
       
C56822
Blast sensor test shot designated FOUO level type
BlastSensTestShotDesFOUOLvlTyp
The FOUO level designated for the blast sensor test shot.
Test Shot Designated FOUO Level:
UNCLAS;FOUO;NOFORN;SECRET;
UNCLAS;FOUO;NOFORN;SECRET;
Alphanumeric
No instructions available
No references available
Adult
Supplemental
1.0
7/28/2017
Aliases for variable name not defined
Blast Exposure Form
Biomechanical Devices
Disease/Injury Related Events
  
Free-Form Entry
       
12-11-2018
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