F2883-C54139
C54139
Victoria Symptom Validity Test (VSVT) - Total items correct number
The total number of easy and difficult items the subject correctly responded, as a part of the Victoria Symptom Validity Test (VSVT)
NeuroRehab Supplemental-Highly Recommended
Victoria Symptom Validity Test (VSVT)
True
NeuroRehab
NeuroRehab Comprehensive
F2942-C58574
C58574
Static lower extremity stretch orthosis splint use anatomic site laterality type
Side of the body of the anatomic site of the static lower extremity stretching orthosis/splints use
NeuroRehab Supplemental-Highly Recommended
Devices: Mobility and Manipulation
False
NeuroRehab
NeuroRehab Comprehensive
F2905-C21391
C21391
Immediate Post-Concussion Assessment Testing (ImPACT) - Verbal memory composite percentage value
The percentile of the subject's verbal memory composite score (if available), 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-C21463
C21463
Immediate Post-Concussion Assessment Testing (ImPACT) - Three letter average correct count
The average number of correctly 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 Subacute Sport Related Concussion
F2877-C56350
C56350
NIH Toolbox Cognitive Oral reading recognition english age 7 up age adjusted scale score
The age adjusted scale score for the NIHTB Oral Reading Recognition ENG Age 7+ field of the NIH Toolbox Cognitive Battery
NeuroRehab Supplemental-Highly Recommended
NIH Toolbox Cognitive Battery
False
NeuroRehab
NeuroRehab General
F2905-C21444
C21444
Immediate Post-Concussion Assessment Testing (ImPACT) - Design memory total correct percentage value
The total percent correct 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
F2869-C53748
C53748
Wide Range Achievement Test 4 (WRAT-4) - Letter 13 score
Score for Letter Recognition item 13, as a part of the Wide Range Achievement Test 4 (WRAT-4)
NeuroRehab Supplemental-Highly Recommended
Word Reading Subtest of the Wide Range Achievement Test (WRAT-4)
True
NeuroRehab
NeuroRehab General
F2905-C21407
C21407
Immediate Post-Concussion Assessment Testing (ImPACT) - Sleep last night hour duration
Duration (in hours) the subject slept last night, 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
F2873-C54268
C54268
Repeatable Battery for the Assessment of Neuropsychological Status (RBANS) - Total scale index score
Total scale index score, as part of the Repeatable Battery for the Assessment of Neuropsychological Status (RBANS) Form A Story Recall Subtest
NeuroRehab Supplemental-Highly Recommended
Repeatable Battery for Assessment of Neuropsychological Status (RBANS)
True
NeuroRehab
NeuroRehab General
F2903-C20574
C20574
TBI Quality of Life (TBI-QOL) - Independence T-score
The T-Score related to perceived independence, ability to tell others about one's needs, and sense of control over one's life, as part of the TBI Quality of Life (TBI-QOL)
NeuroRehab Supplemental-Highly Recommended
Traumatic Brain Injury - Quality of Life (TBI-QOL)
False
NeuroRehab
NeuroRehab Concussion/Mild TBI
F2869-C53744
C53744
Wide Range Achievement Test 4 (WRAT-4) - Letter 11 score
Score for Letter Recognition item 11, as a part of the Wide Range Achievement Test 4 (WRAT-4)
NeuroRehab Supplemental-Highly Recommended
Word Reading Subtest of the Wide Range Achievement Test (WRAT-4)
True
NeuroRehab
NeuroRehab Comprehensive
F2905-C21460
C21460
Immediate Post-Concussion Assessment Testing (ImPACT) - Three letters percent of total letters correct percentage value
The numeric percentage of total letters correct 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
F2869-C53873
C53873
Wide Range Achievement Test 4 (WRAT-4) - Word reading item 18 text
The word used for Word Reading item 18, as part of Wide Range Achievement Test 4 (WRAT-4)
NeuroRehab Supplemental-Highly Recommended
Word Reading Subtest of the Wide Range Achievement Test (WRAT-4)
True
NeuroRehab
NeuroRehab General
F2863-C19500
C19500
Assessment performed date
The date of assessment of the examination being performed
NeuroRehab Supplemental-Highly Recommended
Rivermead Post-Concussive Symptoms Questionnaire (RPQ)
False
NeuroRehab
NeuroRehab TBI Comprehensive
F2905-C21404
C21404
Immediate Post-Concussion Assessment Testing (ImPACT) - Impulse control Reliable Change Index (RCI) exceeded indicator
Indicator of whether the subject's composite score in impulse control 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
F2869-C53869
C53869
Wide Range Achievement Test 4 (WRAT-4) - Letter 8 text
The letter used for Letter Recognition item 8, as part of Wide Range Achievement Test 4 (WRAT-4)
NeuroRehab Supplemental-Highly Recommended
Word Reading Subtest of the Wide Range Achievement Test (WRAT-4)
True
NeuroRehab
NeuroRehab Comprehensive
F2903-C20583
C20583
TBI Quality of Life (TBI-QOL) - Self esteem T-score
The T-Score related to assessment of one's emotional, evaluative, and cognitive perceptions of competence and worth, as part of the TBI Quality of Life (TBI-QOL)
NeuroRehab Supplemental-Highly Recommended
Traumatic Brain Injury - Quality of Life (TBI-QOL)
False
NeuroRehab
NeuroRehab TBI Comprehensive
F2867-C55798
C55798
Test of Premorbid Functioning - Reading based IQ equivalent estimate value
The estimate of the subject's IQ, based on an equivalent value the subject's reading score, as part of the Test of Premorbid Functioning
NeuroRehab Supplemental-Highly Recommended
Test of Premorbid Functioning
False
NeuroRehab
NeuroRehab General
F2862-C18634
C18634
Brief Symptom Inventory-18 (BSI18)- Numbness or tingling scale
The scale for the participant's distress from numbness or tingling in parts of their body
NeuroRehab Supplemental-Highly Recommended
Brief Symptom Inventory-18 (BSI-18)
True
NeuroRehab
NeuroRehab Acute Sport Related Concussion
F2863-C52367
C52367
The Rivermead Post-Concussion Symptoms Questionnaire (RPQ) - Second other difficulty scale
Scale that rates the severity of how the subject now suffers from other difficulties as compared with before the accident. Rate the second other difficulty
NeuroRehab Supplemental-Highly Recommended
Rivermead Post-Concussive Symptoms Questionnaire (RPQ)
False
NeuroRehab
NeuroRehab Persistent/Chronic Sport Related Concussion
F2884-C21501
C21501
Wechsler Adult Intelligence Scale IV (WAIS IV) - Digit span sequencing subtest item number
Item number, as part of Wechsler Adult Intelligence Scale IV (WAIS IV) Digit Span Sequencing subtest
NeuroRehab Supplemental-Highly Recommended
Processing Speed Index of the Wechsler Adult Intelligence Scale-Fourth Edition (WAIS-IV)
False
NeuroRehab
NeuroRehab Comprehensive
F2891-C20425
C20425
Beck Depression Inventory II (BDI-II) - Guilty feeling scale
Scale identifying level of guilty feelings, as part of the Beck Depression Inventory II (BDI-II)
NeuroRehab Supplemental-Highly Recommended
Beck Depression Inventory II (BDI-II)
True
NeuroRehab
NeuroRehab General
F2861-C54467
C54467
Functional Gait Assessment (FGA) - Total score
Total score for the subject/participant's performance on all tasks, as part of the Functional Gait Assessment (FGA)
NeuroRehab Supplemental-Highly Recommended
Functional Gait Assessment
False
NeuroRehab
NeuroRehab Persistent/Chronic Sport Related Concussion
F2896-C21071
C21071
Frontal Systems Behavior Scale (FrSBE) - Disinhibition subscale raw score
Raw score for Disinhibition subscale as part of Frontal Systems Behavior Scale (FrSBE)
NeuroRehab Supplemental-Highly Recommended
Frontal Systems Behavioral Scale (FrSBe)
True
NeuroRehab
NeuroRehab General
F2906-C55271
C55271
Post Concussion Symptom Scale (PCSS) - Noise sensitivity symptom score
The score for noise sensitivity 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