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 Comprehensive
F2905-C21425
C21425
Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS) - Slowed down assessment score
The subject's current feeling slowed down 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-C55282
C55282
Post Concussion Symptom Scale (PCSS) - Total score
The total score 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-C21369
C21369
Immediate Post-Concussion Assessment Testing (ImPACT) - Primary position event class text
Primary type of position/event/class, 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-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 Subacute Sport Related Concussion
F2905-C21422
C21422
Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS) - Nervousness score
The subject's current nervousness 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
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 Persistent/Chronic 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 Acute Sport Related Concussion
F2905-C21382
C21382
Immediate Post-Concussion Assessment Testing (ImPACT) - Substance alcohol abuse treatment administered indicator
Indicator of whether the subject has received treatment for substance or alcohol abuse, 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-C55277
C55277
Post Concussion Symptom Scale (PCSS) - Feel slow symptom score
The score for symptoms of feeling "slow" as part of the Post Concussion Symptom Scale (PCSS)
NeuroRehab Sport Related Concussion Core
Post Concussion Symptom Scale
False
NeuroRehab
NeuroRehab 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 Persistent/Chronic Sport Related Concussion
F2905-C21377
C21377
Immediate Post-Concussion Assessment Testing (ImPACT) - Concussion five most recent month year text
The month/year text of the 5 most recent concussions, 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-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 Subacute Sport Related Concussion
F2905-C21430
C21430
Immediate Post-Concussion Assessment Testing (ImPACT) - Total symptom score
The subject's total symptom 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-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 Persistent/Chronic 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 Acute Sport Related Concussion
F2905-C21390
C21390
Immediate Post-Concussion Assessment Testing (ImPACT) - Verbal memory composite score
Verbal 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 Comprehensive
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