F1624-C19500
C19500
Assessment performed date
The date of assessment of the examination being performed
Supplemental
Rivermead Post-Concussive Symptoms Questionnaire (RPQ)
False
Traumatic Brain Injury
Comprehensive
F1624-C19500
C19500
Assessment performed date
The date of assessment of the examination being performed
Supplemental
Rivermead Post-Concussive Symptoms Questionnaire (RPQ)
False
Traumatic Brain Injury
Acute Hospitalized
F1624-C21117
C21117
Subject name
Name of subject/participant
Supplemental
Rivermead Post-Concussive Symptoms Questionnaire (RPQ)
False
Traumatic Brain Injury
Acute Hospitalized
F1624-C21117
C21117
Subject name
Name of subject/participant
Supplemental
Rivermead Post-Concussive Symptoms Questionnaire (RPQ)
False
Traumatic Brain Injury
Comprehensive
F1624-C52359
C52359
The Rivermead Post-Concussion Symptoms Questionnaire (RPQ) - Double vision scale
Scale that rates the severity of how the subject now suffers from double vision as compared with before the accident, as part of The Rivermead Post-Concussion Symptoms Questionnaire (RPQ)
Supplemental
Rivermead Post-Concussive Symptoms Questionnaire (RPQ)
False
Traumatic Brain Injury
Comprehensive
F1624-C52359
C52359
The Rivermead Post-Concussion Symptoms Questionnaire (RPQ) - Double vision scale
Scale that rates the severity of how the subject now suffers from double vision as compared with before the accident, as part of The Rivermead Post-Concussion Symptoms Questionnaire (RPQ)
Supplemental
Rivermead Post-Concussive Symptoms Questionnaire (RPQ)
False
Traumatic Brain Injury
Acute Hospitalized
F1624-C52360
C52360
The Rivermead Post-Concussion Symptoms Questionnaire (RPQ) - Forgetfulness scale
Scale that rates the severity of how the subject now suffers from forgetfulness/poor memory as compared with before the accident, as part of The Rivermead Post-Concussion Symptoms Questionnaire (RPQ)
Supplemental
Rivermead Post-Concussive Symptoms Questionnaire (RPQ)
False
Traumatic Brain Injury
Comprehensive
F1624-C52360
C52360
The Rivermead Post-Concussion Symptoms Questionnaire (RPQ) - Forgetfulness scale
Scale that rates the severity of how the subject now suffers from forgetfulness/poor memory as compared with before the accident, as part of The Rivermead Post-Concussion Symptoms Questionnaire (RPQ)
Supplemental
Rivermead Post-Concussive Symptoms Questionnaire (RPQ)
False
Traumatic Brain Injury
Acute Hospitalized
F1624-C52361
C52361
The Rivermead Post-Concussion Symptoms Questionnaire (RPQ) - Sum of the ratings for the first 3 items excluding ratings of 1
Sum of the ratings for the first three items of the Rivermead Post-Concussion Symptoms Questionnaire (RPQ) excluding ratings of 1
Supplemental
Rivermead Post-Concussive Symptoms Questionnaire (RPQ)
False
Traumatic Brain Injury
Comprehensive
F1624-C52361
C52361
The Rivermead Post-Concussion Symptoms Questionnaire (RPQ) - Sum of the ratings for the first 3 items excluding ratings of 1
Sum of the ratings for the first three items of the Rivermead Post-Concussion Symptoms Questionnaire (RPQ) excluding ratings of 1
Supplemental
Rivermead Post-Concussive Symptoms Questionnaire (RPQ)
False
Traumatic Brain Injury
Acute Hospitalized
F1624-C52362
C52362
The Rivermead Post-Concussion Symptoms Questionnaire (RPQ) - Poor concentration scale
Scale that rates the severity of how the subject now suffers from poor concentration as compared with before the accident, as part of the Rivermead Post-Concussion Symptoms Questionnaire (RPQ)
Supplemental
Rivermead Post-Concussive Symptoms Questionnaire (RPQ)
False
Traumatic Brain Injury
Comprehensive
F1624-C52362
C52362
The Rivermead Post-Concussion Symptoms Questionnaire (RPQ) - Poor concentration scale
Scale that rates the severity of how the subject now suffers from poor concentration as compared with before the accident, as part of the Rivermead Post-Concussion Symptoms Questionnaire (RPQ)
Supplemental
Rivermead Post-Concussive Symptoms Questionnaire (RPQ)
False
Traumatic Brain Injury
Acute Hospitalized
F1624-C52363
C52363
The Rivermead Post-Concussion Symptoms Questionnaire (RPQ) - Nausea scale
Scale that rates the severity of how the subject now suffers from nausea and/or vomiting as compared with before the accident, as part of The Rivermead Post-Concussion Symptoms Questionnaire (RPQ)
Supplemental
Rivermead Post-Concussive Symptoms Questionnaire (RPQ)
False
Traumatic Brain Injury
Comprehensive
F1624-C52363
C52363
The Rivermead Post-Concussion Symptoms Questionnaire (RPQ) - Nausea scale
Scale that rates the severity of how the subject now suffers from nausea and/or vomiting as compared with before the accident, as part of The Rivermead Post-Concussion Symptoms Questionnaire (RPQ)
Supplemental
Rivermead Post-Concussive Symptoms Questionnaire (RPQ)
False
Traumatic Brain Injury
Acute Hospitalized
F1624-C52364
C52364
The Rivermead Post-Concussion Symptoms Questionnaire (RPQ) - Headaches scale
Scale that rates the severity of how the subject now suffers from headaches as compared with before the accident, as part of The Rivermead Post-Concussion Symptoms Questionnaire (RPQ)
Supplemental
Rivermead Post-Concussive Symptoms Questionnaire (RPQ)
False
Traumatic Brain Injury
Acute Hospitalized
F1624-C52364
C52364
The Rivermead Post-Concussion Symptoms Questionnaire (RPQ) - Headaches scale
Scale that rates the severity of how the subject now suffers from headaches as compared with before the accident, as part of The Rivermead Post-Concussion Symptoms Questionnaire (RPQ)
Supplemental
Rivermead Post-Concussive Symptoms Questionnaire (RPQ)
False
Traumatic Brain Injury
Comprehensive
F1624-C52365
C52365
The Rivermead Post-Concussion Symptoms Questionnaire (RPQ) - Noise sensitivity scale
Scale that rates the severity of how the subject now suffers from noise sensitivity and easily upset by loud noise as compared with before the accident, as part of The Rivermead Post-Concussion Symptoms Questionnaire (RPQ)
Supplemental
Rivermead Post-Concussive Symptoms Questionnaire (RPQ)
False
Traumatic Brain Injury
Comprehensive
F1624-C52365
C52365
The Rivermead Post-Concussion Symptoms Questionnaire (RPQ) - Noise sensitivity scale
Scale that rates the severity of how the subject now suffers from noise sensitivity and easily upset by loud noise as compared with before the accident, as part of The Rivermead Post-Concussion Symptoms Questionnaire (RPQ)
Supplemental
Rivermead Post-Concussive Symptoms Questionnaire (RPQ)
False
Traumatic Brain Injury
Acute Hospitalized
F1624-C52366
C52366
The Rivermead Post-Concussion Symptoms Questionnaire (RPQ) - Sum of the ratings for items 1-16 excluding ratings of 1
Sum of the ratings for items 1-16 of the Rivermead Post-Concussion Symptoms Questionnaire (RPQ) excluding ratings of 1
Supplemental
Rivermead Post-Concussive Symptoms Questionnaire (RPQ)
False
Traumatic Brain Injury
Comprehensive
F1624-C52366
C52366
The Rivermead Post-Concussion Symptoms Questionnaire (RPQ) - Sum of the ratings for items 1-16 excluding ratings of 1
Sum of the ratings for items 1-16 of the Rivermead Post-Concussion Symptoms Questionnaire (RPQ) excluding ratings of 1
Supplemental
Rivermead Post-Concussive Symptoms Questionnaire (RPQ)
False
Traumatic Brain Injury
Acute Hospitalized
F1624-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
Supplemental
Rivermead Post-Concussive Symptoms Questionnaire (RPQ)
False
Traumatic Brain Injury
Comprehensive
F1624-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
Supplemental
Rivermead Post-Concussive Symptoms Questionnaire (RPQ)
False
Traumatic Brain Injury
Acute Hospitalized
F1624-C52368
C52368
The Rivermead Post-Concussion Symptoms Questionnaire (RPQ) - Second other difficulty text
The free-text field related to 'The Rivermead Post-Concussion Symptoms Questionnaire (RPQ)- Second other difficulty scale' specifying the second other difficulty text
Supplemental
Rivermead Post-Concussive Symptoms Questionnaire (RPQ)
False
Traumatic Brain Injury
Comprehensive
F1624-C52368
C52368
The Rivermead Post-Concussion Symptoms Questionnaire (RPQ) - Second other difficulty text
The free-text field related to 'The Rivermead Post-Concussion Symptoms Questionnaire (RPQ)- Second other difficulty scale' specifying the second other difficulty text
Supplemental
Rivermead Post-Concussive Symptoms Questionnaire (RPQ)
False
Traumatic Brain Injury
Acute Hospitalized
F1624-C52369
C52369
The Rivermead Post-Concussion Symptoms Questionnaire (RPQ) - Longer to think scale
Scale that rates the severity of how the subject now suffers from taking longer to think as compared with before the accident, as part of The Rivermead Post-Concussion Symptoms Questionnaire (RPQ)
Supplemental
Rivermead Post-Concussive Symptoms Questionnaire (RPQ)
False
Traumatic Brain Injury
Comprehensive