F1943-C50673
C50673
Interactive Behavior Questionnaire - Something else indicator
The indicator related to the parent doing something else when the child tries to talk with them, as part of the Interactive Behavior Questionnaire
Supplemental
Conflict Behavior Questionnaire/Interaction Behavior Questionnaire
False
Sport-Related Concussion
Persistent/Chronic
F1943-C50791
C50791
Interactive Behavior Questionnaire - Interested thing status
The status related to the parent being interested in the things that the child does, as part of the Interactive Behavior Questionnaire
Supplemental
Conflict Behavior Questionnaire/Interaction Behavior Questionnaire
False
Sport-Related Concussion
Comprehensive
F1943-C50791
C50791
Interactive Behavior Questionnaire - Interested thing status
The status related to the parent being interested in the things that the child does, as part of the Interactive Behavior Questionnaire
Supplemental
Conflict Behavior Questionnaire/Interaction Behavior Questionnaire
False
Sport-Related Concussion
Persistent/Chronic
F1948-C21583
C21583
Tinnitus Functional Index (TFI) - Tinnitus symptom past week indicator
The indicator related tinnitus or ringing, buzzing, tinkling, and hissing being experienced in the past week, as part of Tinnitus Functional Index (TFI)
Supplemental
Tinnitus Functional Index (TFI)
False
Sport-Related Concussion
Comprehensive
F1948-C21583
C21583
Tinnitus Functional Index (TFI) - Tinnitus symptom past week indicator
The indicator related tinnitus or ringing, buzzing, tinkling, and hissing being experienced in the past week, as part of Tinnitus Functional Index (TFI)
Supplemental
Tinnitus Functional Index (TFI)
False
Sport-Related Concussion
Subacute
F1948-C21583
C21583
Tinnitus Functional Index (TFI) - Tinnitus symptom past week indicator
The indicator related tinnitus or ringing, buzzing, tinkling, and hissing being experienced in the past week, as part of Tinnitus Functional Index (TFI)
Supplemental
Tinnitus Functional Index (TFI)
False
Sport-Related Concussion
Persistent/Chronic
F1948-C21584
C21584
Tinnitus Functional Index (TFI) - Tinnitus symptom awake past week percentage value
The percentage value related tinnitus or ringing, buzzing, tinkling, and hissing being experienced while awake in the past week, as part of the Tinnitus Functional Index (TFI)
Supplemental
Tinnitus Functional Index (TFI)
False
Sport-Related Concussion
Comprehensive
F1948-C21584
C21584
Tinnitus Functional Index (TFI) - Tinnitus symptom awake past week percentage value
The percentage value related tinnitus or ringing, buzzing, tinkling, and hissing being experienced while awake in the past week, as part of the Tinnitus Functional Index (TFI)
Supplemental
Tinnitus Functional Index (TFI)
False
Sport-Related Concussion
Subacute
F1948-C21584
C21584
Tinnitus Functional Index (TFI) - Tinnitus symptom awake past week percentage value
The percentage value related tinnitus or ringing, buzzing, tinkling, and hissing being experienced while awake in the past week, as part of the Tinnitus Functional Index (TFI)
Supplemental
Tinnitus Functional Index (TFI)
False
Sport-Related Concussion
Persistent/Chronic
F1948-C21586
C21586
Tinnitus Functional Index (TFI) - Tinnitus symptom awake annoyance past week percentage value
The percentage value related to annoyance at tinnitus or ringing, buzzing, tinkling, and hissing being experienced while awake in the past week, as part of the Tinnitus Functional Index (TFI)
Supplemental
Tinnitus Functional Index (TFI)
False
Sport-Related Concussion
Persistent/Chronic
F1948-C21586
C21586
Tinnitus Functional Index (TFI) - Tinnitus symptom awake annoyance past week percentage value
The percentage value related to annoyance at tinnitus or ringing, buzzing, tinkling, and hissing being experienced while awake in the past week, as part of the Tinnitus Functional Index (TFI)
Supplemental
Tinnitus Functional Index (TFI)
False
Sport-Related Concussion
Comprehensive
F1948-C21586
C21586
Tinnitus Functional Index (TFI) - Tinnitus symptom awake annoyance past week percentage value
The percentage value related to annoyance at tinnitus or ringing, buzzing, tinkling, and hissing being experienced while awake in the past week, as part of the Tinnitus Functional Index (TFI)
Supplemental
Tinnitus Functional Index (TFI)
False
Sport-Related Concussion
Subacute
F1978-C00007
C00007
Birth date
Date (and time, if applicable and known) the participant/subject was born
Supplemental
Post-Concussion Symptom Inventory (PCSI) Self-Report Assessment Form Pre and Post-Injury Report Ages 13-18
False
Sport-Related Concussion
Subacute
F1978-C00007
C00007
Birth date
Date (and time, if applicable and known) the participant/subject was born
Supplemental
Post-Concussion Symptom Inventory (PCSI) Self-Report Assessment Form Pre and Post-Injury Report Ages 13-18
False
Sport-Related Concussion
Persistent/Chronic
F1978-C00007
C00007
Birth date
Date (and time, if applicable and known) the participant/subject was born
Supplemental
Post-Concussion Symptom Inventory (PCSI) Self-Report Assessment Form Pre and Post-Injury Report Ages 13-18
False
Sport-Related Concussion
Acute
F1978-C00007
C00007
Birth date
Date (and time, if applicable and known) the participant/subject was born
Supplemental
Post-Concussion Symptom Inventory (PCSI) Self-Report Assessment Form Pre and Post-Injury Report Ages 13-18
False
Sport-Related Concussion
Comprehensive
F1978-C00008
C00008
Age value
Value for participant's age, calculated as elapsed time since the birth of the participant
Supplemental
Post-Concussion Symptom Inventory (PCSI) Self-Report Assessment Form Pre and Post-Injury Report Ages 13-18
False
Sport-Related Concussion
Comprehensive
F1978-C00008
C00008
Age value
Value for participant's age, calculated as elapsed time since the birth of the participant
Supplemental
Post-Concussion Symptom Inventory (PCSI) Self-Report Assessment Form Pre and Post-Injury Report Ages 13-18
False
Sport-Related Concussion
Subacute
F1978-C00008
C00008
Age value
Value for participant's age, calculated as elapsed time since the birth of the participant
Supplemental
Post-Concussion Symptom Inventory (PCSI) Self-Report Assessment Form Pre and Post-Injury Report Ages 13-18
False
Sport-Related Concussion
Persistent/Chronic
F1978-C00008
C00008
Age value
Value for participant's age, calculated as elapsed time since the birth of the participant
Supplemental
Post-Concussion Symptom Inventory (PCSI) Self-Report Assessment Form Pre and Post-Injury Report Ages 13-18
False
Sport-Related Concussion
Acute
F1978-C06005
C06005
Data collected date and time
Date (and time, if applicable and known) the data were collected. This may be the date/time a particular examination or procedure was performed
Supplemental
Post-Concussion Symptom Inventory (PCSI) Self-Report Assessment Form Pre and Post-Injury Report Ages 13-18
False
Sport-Related Concussion
Acute
F1978-C06005
C06005
Data collected date and time
Date (and time, if applicable and known) the data were collected. This may be the date/time a particular examination or procedure was performed
Supplemental
Post-Concussion Symptom Inventory (PCSI) Self-Report Assessment Form Pre and Post-Injury Report Ages 13-18
False
Sport-Related Concussion
Comprehensive
F1978-C06005
C06005
Data collected date and time
Date (and time, if applicable and known) the data were collected. This may be the date/time a particular examination or procedure was performed
Supplemental
Post-Concussion Symptom Inventory (PCSI) Self-Report Assessment Form Pre and Post-Injury Report Ages 13-18
False
Sport-Related Concussion
Subacute
F1978-C06005
C06005
Data collected date and time
Date (and time, if applicable and known) the data were collected. This may be the date/time a particular examination or procedure was performed
Supplemental
Post-Concussion Symptom Inventory (PCSI) Self-Report Assessment Form Pre and Post-Injury Report Ages 13-18
False
Sport-Related Concussion
Persistent/Chronic
F1978-C21117
C21117
Subject name
Name of subject/participant
Supplemental
Post-Concussion Symptom Inventory (PCSI) Self-Report Assessment Form Pre and Post-Injury Report Ages 13-18
False
Sport-Related Concussion
Persistent/Chronic