F2906-C05400
C05400
Injury date time
Date (and time, if applicable and known) of injury
NeuroRehab Sport Related Concussion Core
Post Concussion Symptom Scale
False
NeuroRehab
NeuroRehab Acute Sport Related Concussion
F2905-C21441
C21441
Immediate Post-Concussion Assessment Testing (ImPACT) - Design memory delay hit count
The number of delayed hits on the design memory module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT)
NeuroRehab Sport Related Concussion Core
Immediate Post-Concussion Assessment and Cognitive Testing (imPACT)
True
NeuroRehab
NeuroRehab Persistent/Chronic Sport Related Concussion
F2905-C21385
C21385
Immediate Post-Concussion Assessment Testing (ImPACT) - Autism diagnosis indicator
Indicator of whether the subject has been diagnosed with autism, as part of the Immediate Post-Concussion Assessment Testing (ImPACT)
NeuroRehab Sport Related Concussion Core
Immediate Post-Concussion Assessment and Cognitive Testing (imPACT)
True
NeuroRehab
NeuroRehab Sport Related Concussion Comprehensive
F2905-C21457
C21457
Immediate Post-Concussion Assessment Testing (ImPACT) - Color match average commissions reaction time duration
The average commissions reaction time duration on the color match module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT)
NeuroRehab Sport Related Concussion Core
Immediate Post-Concussion Assessment and Cognitive Testing (imPACT)
True
NeuroRehab
NeuroRehab Subacute Sport Related Concussion
F2905-C21438
C21438
Immediate Post-Concussion Assessment Testing (ImPACT) - Design memory immediate hit count
The number of immediate hits on the design memory module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT)
NeuroRehab Sport Related Concussion Core
Immediate Post-Concussion Assessment and Cognitive Testing (imPACT)
True
NeuroRehab
NeuroRehab Comprehensive
F2905-C21401
C21401
Immediate Post-Concussion Assessment Testing (ImPACT) - Reaction time Reliable Change Index (RCI) exceeded indicator
Indicator of whether the subject's composite score in reaction time exceeded the Reliable Change Index (RCI), as part of the Immediate Post-Concussion Assessment Testing (ImPACT)
NeuroRehab Sport Related Concussion Core
Immediate Post-Concussion Assessment and Cognitive Testing (imPACT)
True
NeuroRehab
NeuroRehab Persistent/Chronic Sport Related Concussion
F2905-C21454
C21454
Immediate Post-Concussion Assessment Testing (ImPACT) - Color match total correct count
The number of total correct on the color match module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT)
NeuroRehab Sport Related Concussion Core
Immediate Post-Concussion Assessment and Cognitive Testing (imPACT)
True
NeuroRehab
NeuroRehab Acute Sport Related Concussion
F2905-C21398
C21398
Immediate Post-Concussion Assessment Testing (ImPACT) - Visual motor speed Reliable Change Index (RCI) exceed indicator
Indicator of whether the subject's composite score in visual motor speed exceeded the Reliable Change Index (RCI), as part of the Immediate Post-Concussion Assessment Testing (ImPACT)
NeuroRehab Sport Related Concussion Core
Immediate Post-Concussion Assessment and Cognitive Testing (imPACT)
True
NeuroRehab
NeuroRehab Comprehensive
F2906-C55265
C55265
Post Concussion Symptom Scale (PCSS) - Fatigue symptom score
The score for fatigue symptoms as part of the Post Concussion Symptom Scale (PCSS)
NeuroRehab Sport Related Concussion Core
Post Concussion Symptom Scale
False
NeuroRehab
NeuroRehab Acute Sport Related Concussion
F2905-C21449
C21449
Immediate Post-Concussion Assessment Testing (ImPACT) - X and O interference average incorrect reaction time duration
The interference average incorrect reaction time duration on the X's and O's module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT)
NeuroRehab Sport Related Concussion Core
Immediate Post-Concussion Assessment and Cognitive Testing (imPACT)
True
NeuroRehab
NeuroRehab Persistent/Chronic Sport Related Concussion
F2905-C21393
C21393
Immediate Post-Concussion Assessment Testing (ImPACT) - Visual memory composite score
Visual memory composite score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT)
NeuroRehab Sport Related Concussion Core
Immediate Post-Concussion Assessment and Cognitive Testing (imPACT)
True
NeuroRehab
NeuroRehab Sport Related Concussion Comprehensive
F2905-C21524
C21524
Language secondary text
Text for the language the participant/subject speaks second-most often
NeuroRehab Sport Related Concussion Core
Immediate Post-Concussion Assessment and Cognitive Testing (imPACT)
True
NeuroRehab
NeuroRehab Subacute Sport Related Concussion
F2905-C21446
C21446
Immediate Post-Concussion Assessment Testing (ImPACT) - X and O interference total correct count
The interference total correct on the X's and O's module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT)
NeuroRehab Sport Related Concussion Core
Immediate Post-Concussion Assessment and Cognitive Testing (imPACT)
True
NeuroRehab
NeuroRehab Comprehensive
F2905-C21409
C21409
Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS) - Nausea score
The subject's current nausea rating score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS)
NeuroRehab Sport Related Concussion Core
Immediate Post-Concussion Assessment and Cognitive Testing (imPACT)
True
NeuroRehab
NeuroRehab Persistent/Chronic Sport Related Concussion
F2905-C21462
C21462
Immediate Post-Concussion Assessment Testing (ImPACT) - Three letter average count
The average number of counted items on the three letters module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT)
NeuroRehab Sport Related Concussion Core
Immediate Post-Concussion Assessment and Cognitive Testing (imPACT)
True
NeuroRehab
NeuroRehab Acute Sport Related Concussion
F2905-C21406
C21406
Immediate Post-Concussion Assessment Testing (ImPACT) - Cognitive efficiency index score
Cognitive efficiency index score (CEI) is the subject's cognitive efficiency index score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT)
NeuroRehab Sport Related Concussion Core
Immediate Post-Concussion Assessment and Cognitive Testing (imPACT)
True
NeuroRehab
NeuroRehab Comprehensive
F2905-C21457
C21457
Immediate Post-Concussion Assessment Testing (ImPACT) - Color match average commissions reaction time duration
The average commissions reaction time duration on the color match module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT)
NeuroRehab Sport Related Concussion Core
Immediate Post-Concussion Assessment and Cognitive Testing (imPACT)
True
NeuroRehab
NeuroRehab Persistent/Chronic Sport Related Concussion
F2905-C21401
C21401
Immediate Post-Concussion Assessment Testing (ImPACT) - Reaction time Reliable Change Index (RCI) exceeded indicator
Indicator of whether the subject's composite score in reaction time exceeded the Reliable Change Index (RCI), as part of the Immediate Post-Concussion Assessment Testing (ImPACT)
NeuroRehab Sport Related Concussion Core
Immediate Post-Concussion Assessment and Cognitive Testing (imPACT)
True
NeuroRehab
NeuroRehab Sport Related Concussion Comprehensive
F2906-C55261
C55261
Post Concussion Symptom Scale (PCSS) - Nausea symptom score
The score for nausea symptoms as part of the Post Concussion Symptom Scale (PCSS)
NeuroRehab Sport Related Concussion Core
Post Concussion Symptom Scale
False
NeuroRehab
NeuroRehab Comprehensive
F2905-C21454
C21454
Immediate Post-Concussion Assessment Testing (ImPACT) - Color match total correct count
The number of total correct on the color match module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT)
NeuroRehab Sport Related Concussion Core
Immediate Post-Concussion Assessment and Cognitive Testing (imPACT)
True
NeuroRehab
NeuroRehab Comprehensive
F2905-C21417
C21417
Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS) - Drowsiness score
The subject's current drowsiness rating score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS)
NeuroRehab Sport Related Concussion Core
Immediate Post-Concussion Assessment and Cognitive Testing (imPACT)
True
NeuroRehab
NeuroRehab Persistent/Chronic Sport Related Concussion
F2906-C55274
C55274
Post Concussion Symptom Scale (PCSS) - Nervousness symptom score
The score for nervousness symptoms as part of the Post Concussion Symptom Scale (PCSS)
NeuroRehab Sport Related Concussion Core
Post Concussion Symptom Scale
False
NeuroRehab
NeuroRehab Subacute Sport Related Concussion
F2905-C00025
C00025
Language primary text
Text for the language the participant/subject speaks most often
NeuroRehab Sport Related Concussion Core
Immediate Post-Concussion Assessment and Cognitive Testing (imPACT)
True
NeuroRehab
NeuroRehab Sport Related Concussion Comprehensive
F2905-C21433
C21433
Immediate Post-Concussion Assessment Testing (ImPACT) - Word memory learning correct percentage value
The learning percent correct number on the word memory module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT)
NeuroRehab Sport Related Concussion Core
Immediate Post-Concussion Assessment and Cognitive Testing (imPACT)
True
NeuroRehab
NeuroRehab Subacute Sport Related Concussion
F2905-C21414
C21414
Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS) - Falling asleep trouble score
The subject's current trouble falling asleep rating score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS)
NeuroRehab Sport Related Concussion Core
Immediate Post-Concussion Assessment and Cognitive Testing (imPACT)
True
NeuroRehab
NeuroRehab Comprehensive