F2387-C54363
C54363
Acute Concussion Evaluation (ACE) - Risk factors protracted recovery concussion history indicator
Indicator of whether concussion history is a risk factor that may protract the subject/participant recovery process since injury as related to the Acute Concussion Evaluation (ACE)
Supplemental
Acute Concussion Evaluation (ACE)
False
Sport-Related Concussion
Comprehensive
F2387-C54364
C54364
Acute Concussion Evaluation (ACE) - Risk factors protracted recovery concussion history previous value
Value of the number of previous concussions as a risk factor that may protract the subject/participant recovery process since injury as related to the Acute Concussion Evaluation (ACE)
Supplemental
Acute Concussion Evaluation (ACE)
False
Sport-Related Concussion
Comprehensive
F2387-C54365
C54365
Acute Concussion Evaluation (ACE) - Risk factors protracted recovery concussion history duration type
Type of duration of longest symptom regarding concussion history as a risk factor that may protract the subject/participant recovery process since injury as related to the Acute Concussion Evaluation (ACE)
Supplemental
Acute Concussion Evaluation (ACE)
False
Sport-Related Concussion
Comprehensive
F2387-C54366
C54366
Acute Concussion Evaluation (ACE) - Risk factors protracted recovery multiple concussion force reinjury indicator
Indicator of whether multiple concussions occur with less force caused reinjury is a risk factor that may protract the subject/participant recovery process since injury as related to the Acute Concussion Evaluation (ACE)
Supplemental
Acute Concussion Evaluation (ACE)
False
Sport-Related Concussion
Comprehensive
F2387-C54367
C54367
Acute Concussion Evaluation (ACE) - Risk factors protracted recovery headache history indicator
Indicator of whether headache history is a risk factor that may protract the subject/participant recovery process since injury as related to the Acute Concussion Evaluation (ACE)
Supplemental
Acute Concussion Evaluation (ACE)
False
Sport-Related Concussion
Comprehensive
F2387-C54368
C54368
Acute Concussion Evaluation (ACE) - Risk factors protracted recovery headache history prior treatment status
Status of whether prior treatment for headaches is a risk factor that may protract the subject/participant recovery process since injury as related to the Acute Concussion Evaluation (ACE)
Supplemental
Acute Concussion Evaluation (ACE)
False
Sport-Related Concussion
Comprehensive
F2387-C54369
C54369
Acute Concussion Evaluation (ACE) - Risk factors protracted recovery migraine headache type
Type of migraine headache as a risk factor that may protract the subject/participant recovery process since injury as related to the Acute Concussion Evaluation (ACE)
Supplemental
Acute Concussion Evaluation (ACE)
False
Sport-Related Concussion
Comprehensive
F2387-C54370
C54370
Acute Concussion Evaluation (ACE) - Risk factors protracted recovery migraine headache family text
Text describing which family member(s) had/have migraine headache as a risk factor that may protract the subject/participant recovery process since injury as related to the Acute Concussion Evaluation (ACE)
Supplemental
Acute Concussion Evaluation (ACE)
False
Sport-Related Concussion
Comprehensive
F2387-C54371
C54371
Acute Concussion Evaluation (ACE) - Risk factors protracted recovery developmental history type
Type of developmental history as a risk factor that may protract the subject/participant recovery process since injury as related to the Acute Concussion Evaluation (ACE)
Supplemental
Acute Concussion Evaluation (ACE)
False
Sport-Related Concussion
Comprehensive
F2387-C54372
C54372
Acute Concussion Evaluation (ACE) - Risk factors protracted recovery other developmental disorder other text
Text describing other developmental disorder as a risk factor that may protract the subject/participant recovery process since injury as related to the Acute Concussion Evaluation (ACE)
Supplemental
Acute Concussion Evaluation (ACE)
False
Sport-Related Concussion
Comprehensive
F2387-C54375
C54375
Acute Concussion Evaluation (ACE) - Risk factors protracted recovery psychiatric history type
Type psychiatric history disorder as a risk factor that may protract the subject/participant recovery process since injury as related to the Acute Concussion Evaluation (ACE)
Supplemental
Acute Concussion Evaluation (ACE)
False
Sport-Related Concussion
Comprehensive
F2387-C54377
C54377
Acute Concussion Evaluation (ACE) - Risk factors protracted recovery other psychiatric disorder other text
Text for other psychiatric disorder as a risk factor that may protract the subject/participant recovery process since injury as related to the Acute Concussion Evaluation (ACE)
Supplemental
Acute Concussion Evaluation (ACE)
False
Sport-Related Concussion
Comprehensive
F2387-C54378
C54378
Acute Concussion Evaluation (ACE) - Risk factors protracted recovery comorbid medical disorders medication usage text
Text for other comorbid medical disorders or medication usage as a risk factor that may protract the subject/participant recovery process since injury as related to the Acute Concussion Evaluation (ACE)
Supplemental
Acute Concussion Evaluation (ACE)
False
Sport-Related Concussion
Comprehensive
F2387-C54380
C54380
Acute Concussion Evaluation (ACE) - Red flags acute emergency management type
Type of red flags for acute emergency management as related to the Acute Concussion Evaluation (ACE)
Supplemental
Acute Concussion Evaluation (ACE)
False
Sport-Related Concussion
Comprehensive
F2387-C54390
C54390
Acute Concussion Evaluation (ACE) - Diagnosis (ICD) concussion type
Type of ICD diagnosis of concussion as related to the Acute Concussion Evaluation (ACE)
Supplemental
Acute Concussion Evaluation (ACE)
False
Sport-Related Concussion
Comprehensive
F2387-C54391
C54391
Acute Concussion Evaluation (ACE) - Follow-up action plan type
Type of follow-up plan of action for subject/participant as related to the Acute Concussion Evaluation (ACE)
Supplemental
Acute Concussion Evaluation (ACE)
False
Sport-Related Concussion
Comprehensive
F2387-C54392
C54392
Acute Concussion Evaluation (ACE) - Follow-up action plan physician clinician office monitoring date
Date of physician/clinician office monitoring follow-up plan of action for subject/participant as related to the Acute Concussion Evaluation (ACE)
Supplemental
Acute Concussion Evaluation (ACE)
False
Sport-Related Concussion
Comprehensive
F2387-C54393
C54393
Acute Concussion Evaluation (ACE) - Follow-up action plan referral type
Type follow-up plan of action referral for subject/participant as related to the Acute Concussion Evaluation (ACE)
Supplemental
Acute Concussion Evaluation (ACE)
False
Sport-Related Concussion
Comprehensive
F2387-C54394
C54394
Acute Concussion Evaluation (ACE) - Follow-up action plan referral physician type
Type follow-up plan of action referral physician for subject/participant as related to the Acute Concussion Evaluation (ACE)
Supplemental
Acute Concussion Evaluation (ACE)
False
Sport-Related Concussion
Comprehensive
F2387-C54395
C54395
Acute Concussion Evaluation (ACE) - Follow-up action plan referral physician type other text
Test of other type follow-up plan of action referral physician for subject/participant as related to the Acute Concussion Evaluation (ACE)
Supplemental
Acute Concussion Evaluation (ACE)
False
Sport-Related Concussion
Comprehensive
F2387-C54396
C54396
Acute Concussion Evaluation (ACE) - ACE reporter text
Person/individual administering the Acute Concussion Evaluation (ACE)
Supplemental
Acute Concussion Evaluation (ACE)
False
Sport-Related Concussion
Comprehensive
F2387-C00007
C00007
Birth date
Date (and time, if applicable and known) the participant/subject was born
Supplemental
Acute Concussion Evaluation (ACE)
False
Sport-Related Concussion
Acute
F2387-C00008
C00008
Age value
Value for participant's age, calculated as elapsed time since the birth of the participant
Supplemental
Acute Concussion Evaluation (ACE)
False
Sport-Related Concussion
Acute
F2387-C05400
C05400
Injury date time
Date (and time, if applicable and known) of injury
Supplemental
Acute Concussion Evaluation (ACE)
False
Sport-Related Concussion
Acute
F2387-C17409
C17409
Visit date
Date of interview or visit (actually the date when data in the form were captured)
Supplemental
Acute Concussion Evaluation (ACE)
False
Sport-Related Concussion
Acute