CDE Detailed Report
Disease: NeuroRehab
Subdomain Name: Other Clinical Data
CRF: Immediate Post-Concussion Assessment and Cognitive Testing (imPACT)
Displaying 1 - 50 of 109
Subdomain Name: Other Clinical Data
CRF: Immediate Post-Concussion Assessment and Cognitive Testing (imPACT)
Displaying 1 - 50 of 109
| CDE ID | CDE Name | Variable Name | Definition | Short Description | Question Text | Permissible Values | Description | Data Type | Disease Specific Instructions | Disease Specific Reference | Population | Classification (e.g., Core) | Version Number | Version Date | CRF Name (CRF Module / Guidance) | Subdomain Name | Domain Name | Size | Input Restrictions | Min Value | Max Value | Measurement Type | External Id Loinc | External Id Snomed | External Id caDSR | External Id CDISC |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| C21450 | Immediate Post-Concussion Assessment Testing (ImPACT) - Symbol match visible total correct count | ImPACTSymbMatchVisTotCorrCt | The number of visible total correct responses on the symbol match module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT) | The number of visible total correct responses on the symbol match module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT | Total correct (visible) | Numeric Values | Adult | NeuroRehab Sport Related Concussion Core | 1.00 | 2015-07-20 11:52:01.0 | Immediate Post-Concussion Assessment and Cognitive Testing (imPACT) | Other Clinical Data | Assessments and Examinations |
Free-Form Entry |
0 | 27 | ||||||||||
| C21386 | Immediate Post-Concussion Assessment Testing (ImPACT) - Strenuous exercise 3 hour duration indicator | ImPACTStrenExerLst3HrInd | Indicator of whether the subject did strenuous exercise in the last 3 hours, as part of the Immediate Post-Concussion Assessment Testing (ImPACT) | Indicator of whether the subject did strenuous exercise in the last 3 hours, as part of the Immediate Post-Concussion Assessment Testing (ImPACT | Strenuous exercise in the last 3 hours | No;Yes | No;Yes | Alphanumeric | Adult | NeuroRehab Sport Related Concussion Core | 1.00 | 2015-07-20 11:52:01.0 | Immediate Post-Concussion Assessment and Cognitive Testing (imPACT) | Other Clinical Data | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C21418 | Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS) - Light sensitivity score | ImPACTPCSSSensitiveLightScore | The subject's current sensitivity to light rating score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS) | The subject's current sensitivity to light rating score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS | Sensitivity to light | 1;2;3;4;5;6;0 | Minor;Minor;Moderate;Moderate;Severe;Severe;Not experiencing this symptom | Numeric Values | Adult | NeuroRehab Sport Related Concussion Core | 1.00 | 2015-07-20 11:52:01.0 | Immediate Post-Concussion Assessment and Cognitive Testing (imPACT) | Other Clinical Data | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C21461 | Immediate Post-Concussion Assessment Testing (ImPACT) - Three letters average time to first click duration | ImPACTThreeLetAvgTmFstClickDur | The duration of average time to first click on the three letters module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT) | The duration of average time to first click on the three letters module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT | Avg. time to first click | Numeric Values | Adult | NeuroRehab Sport Related Concussion Core | 1.00 | 2015-07-20 11:52:01.0 | Immediate Post-Concussion Assessment and Cognitive Testing (imPACT) | Other Clinical Data | Assessments and Examinations |
Free-Form Entry |
0 | |||||||||||
| C21397 | Immediate Post-Concussion Assessment Testing (ImPACT) - Visual motor speed composite percentage value | ImPACTVisMotSpeedCompPercVal | The percentile of the subject's visual motor speed composite score (if available), as part of the Immediate Post-Concussion Assessment Testing (ImPACT) | The percentile of the subject's visual motor speed composite score (if available), as part of the Immediate Post-Concussion Assessment Testing (ImPACT | Visual motor speed composite | Numeric Values | Adult | NeuroRehab Sport Related Concussion Core | 1.00 | 2015-07-20 11:52:01.0 | Immediate Post-Concussion Assessment and Cognitive Testing (imPACT) | Other Clinical Data | Assessments and Examinations |
Free-Form Entry |
0 | 100 | ||||||||||
| C21429 | Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS) - Visual problem score | ImPACTPCSSVisualProbScore | The subject's current visual problems rating score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS) | The subject's current visual problems rating score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS | Visual problems | 1;2;3;4;5;6;0 | Minor;Minor;Moderate;Moderate;Severe;Severe;Not experiencing this symptom | Numeric Values | Adult | NeuroRehab Sport Related Concussion Core | 1.00 | 2015-07-20 11:52:01.0 | Immediate Post-Concussion Assessment and Cognitive Testing (imPACT) | Other Clinical Data | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C21365 | Immediate Post-Concussion Assessment Testing (ImPACT) - School year repeat indicator | ImPACTRepeatYrsSchoolInd | Indicator of whether the subject has to repeat one or more years of school, as part of the Immediate Post-Concussion Assessment Testing (ImPACT) | Indicator of whether the subject has to repeat one or more years of school, as part of the Immediate Post-Concussion Assessment Testing (ImPACT | Repeated one or more years of school | No;Yes | No;Yes | Alphanumeric | Adult | NeuroRehab Sport Related Concussion Core | 1.00 | 2015-07-20 11:52:01.0 | Immediate Post-Concussion Assessment and Cognitive Testing (imPACT) | Other Clinical Data | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C21376 | Immediate Post-Concussion Assessment Testing (ImPACT) - Game miss count | ImPACTGamesMissedCt | Total number of games missed as a result of concussions, as part of the Immediate Post-Concussion Assessment Testing (ImPACT) | Total number of games missed as a result of concussions, as part of the Immediate Post-Concussion Assessment Testing (ImPACT | Total games missed as a result of all concussions combined | Numeric Values | Adult | NeuroRehab Sport Related Concussion Core | 1.00 | 2015-07-20 11:52:01.0 | Immediate Post-Concussion Assessment and Cognitive Testing (imPACT) | Other Clinical Data | Assessments and Examinations |
Free-Form Entry |
0 | |||||||||||
| C21408 | Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS) - Headache score | ImPACTPCSSHeadacheScore | The subject's current headache rating score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS) | The subject's current headache rating score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS | Headache | 1;2;3;4;5;6;0 | Minor;Minor;Moderate;Moderate;Severe;Severe;Not experiencing this symptom | Numeric Values | Adult | NeuroRehab Sport Related Concussion Core | 1.00 | 2015-07-20 11:52:01.0 | Immediate Post-Concussion Assessment and Cognitive Testing (imPACT) | Other Clinical Data | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C21440 | Immediate Post-Concussion Assessment Testing (ImPACT) - Design memory learning correct percentage value | ImPACTDesignMemLrnCorrPercVal | The learning percent correct number on the design memory module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT) | The learning percent correct number on the design memory module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT | Learning percent correct | Numeric Values | Adult | NeuroRehab Sport Related Concussion Core | 1.00 | 2015-07-20 11:52:01.0 | Immediate Post-Concussion Assessment and Cognitive Testing (imPACT) | Other Clinical Data | Assessments and Examinations |
Free-Form Entry |
0 | 100 | ||||||||||
| C21451 | Immediate Post-Concussion Assessment Testing (ImPACT) - Symbol match visible average correct reaction time duration | ImPACTSymbMatchVisAvgCorrRTDur | The visible average reaction time total correct duration, as part of the Immediate Post-Concussion Assessment Testing (ImPACT) | The visible average reaction time total correct duration, as part of the Immediate Post-Concussion Assessment Testing (ImPACT | Avg. correct RT (visible) | Numeric Values | Adult | NeuroRehab Sport Related Concussion Core | 1.00 | 2015-07-20 11:52:01.0 | Immediate Post-Concussion Assessment and Cognitive Testing (imPACT) | Other Clinical Data | Assessments and Examinations |
Free-Form Entry |
0 | |||||||||||
| C21387 | Immediate Post-Concussion Assessment Testing (ImPACT) - Exam type | ImPACTExamType | Type of exam conducted, as part of the Immediate Post-Concussion Assessment Testing (ImPACT) | Type of exam conducted, as part of the Immediate Post-Concussion Assessment Testing (ImPACT | Exam Type | Baseline;Post-Injury 1;Post-Injury 2;Post-Injury 3;Post-Injury 4;Post-Injury 5 | Baseline;Post-Injury 1;Post-Injury 2;Post-Injury 3;Post-Injury 4;Post-Injury 5 | Alphanumeric | Adult | NeuroRehab Sport Related Concussion Core | 1.00 | 2015-07-20 11:52:01.0 | Immediate Post-Concussion Assessment and Cognitive Testing (imPACT) | Other Clinical Data | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C21419 | Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS) - Noise sensitivity score | ImPACTPCSSSensitiveNoiseScore | The subject's current sensitivity to noise rating score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS) | The subject's current sensitivity to noise rating score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS | Sensitivity to noise | 1;2;3;4;5;6;0 | Minor;Minor;Moderate;Moderate;Severe;Severe;Not experiencing this symptom | Numeric Values | Adult | NeuroRehab Sport Related Concussion Core | 1.00 | 2015-07-20 11:52:01.0 | Immediate Post-Concussion Assessment and Cognitive Testing (imPACT) | Other Clinical Data | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C21366 | Immediate Post-Concussion Assessment Testing (ImPACT) - Attention deficit disorder hyperactivity problem indicator | ImPACTProbADDHyperInd | Indicator of whether the subject has problems with ADD/hyperactivity, as part of the Immediate Post-Concussion Assessment Testing (ImPACT) | Indicator of whether the subject has problems with ADD/hyperactivity, as part of the Immediate Post-Concussion Assessment Testing (ImPACT | Problems with ADD/hyperactivity | No;Yes | No;Yes | Alphanumeric | Adult | NeuroRehab Sport Related Concussion Core | 1.00 | 2015-07-20 11:52:01.0 | Immediate Post-Concussion Assessment and Cognitive Testing (imPACT) | Other Clinical Data | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C21462 | Immediate Post-Concussion Assessment Testing (ImPACT) - Three letter average count | ImPACTThreeLetAvgCt | The average number of counted items on the three letters module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT) | The average number of counted items on the three letters module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT | Avg. counted | Numeric Values | Adult | NeuroRehab Sport Related Concussion Core | 1.00 | 2015-07-20 11:52:01.0 | Immediate Post-Concussion Assessment and Cognitive Testing (imPACT) | Other Clinical Data | Assessments and Examinations |
Free-Form Entry |
0 | |||||||||||
| C21398 | Immediate Post-Concussion Assessment Testing (ImPACT) - Visual motor speed Reliable Change Index (RCI) exceed indicator | ImPACTVisMotSpeedRCIExceedInd | 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) | 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 | No;Yes | No;Yes | Alphanumeric | Adult | NeuroRehab Sport Related Concussion Core | 1.00 | 2015-07-20 11:52:01.0 | Immediate Post-Concussion Assessment and Cognitive Testing (imPACT) | Other Clinical Data | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C21430 | Immediate Post-Concussion Assessment Testing (ImPACT) - Total symptom score | ImPACTTotalSymptomScore | The subject's total symptom score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT) | The subject's total symptom score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT | Total Symptom Score | Numeric Values | Adult | NeuroRehab Sport Related Concussion Core | 1.00 | 2015-07-20 11:52:01.0 | Immediate Post-Concussion Assessment and Cognitive Testing (imPACT) | Other Clinical Data | Assessments and Examinations |
Free-Form Entry |
0 | 132 | ||||||||||
| C21377 | Immediate Post-Concussion Assessment Testing (ImPACT) - Concussion five most recent month year text | ImPACT5MostRecentConcussTxt | The month/year text of the 5 most recent concussions, as part of the Immediate Post-Concussion Assessment Testing (ImPACT) | The month/year text of the 5 most recent concussions, as part of the Immediate Post-Concussion Assessment Testing (ImPACT | Concussion history | Alphanumeric | Adult | NeuroRehab Sport Related Concussion Core | 1.00 | 2015-07-20 11:52:01.0 | Immediate Post-Concussion Assessment and Cognitive Testing (imPACT) | Other Clinical Data | Assessments and Examinations | 100 |
Free-Form Entry |
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| C21409 | Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS) - Nausea score | ImPACTPCSSNauseaScore | The subject's current nausea rating score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS) | The subject's current nausea rating score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS | Nauseau | 1;2;3;4;5;6;0 | Minor;Minor;Moderate;Moderate;Severe;Severe;Not experiencing this symptom | Numeric Values | Adult | NeuroRehab Sport Related Concussion Core | 1.00 | 2015-07-20 11:52:01.0 | Immediate Post-Concussion Assessment and Cognitive Testing (imPACT) | Other Clinical Data | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C21441 | Immediate Post-Concussion Assessment Testing (ImPACT) - Design memory delay hit count | ImPACTDesignMemDelayHitCt | The number of delayed hits on the design memory module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT) | The number of delayed hits on the design memory module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT | Hits (delay) | Numeric Values | Adult | NeuroRehab Sport Related Concussion Core | 1.00 | 2015-07-20 11:52:01.0 | Immediate Post-Concussion Assessment and Cognitive Testing (imPACT) | Other Clinical Data | Assessments and Examinations |
Free-Form Entry |
0 | 12 | ||||||||||
| C21452 | Immediate Post-Concussion Assessment Testing (ImPACT) - Symbol match hidden total correct count | ImPACTSymbMatchHidTotCorrCt | The number of hidden total correct responses on the symbol match module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT) | The number of hidden total correct responses on the symbol match module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT | Total correct (hidden) | Numeric Values | Adult | NeuroRehab Sport Related Concussion Core | 1.00 | 2015-07-20 11:52:01.0 | Immediate Post-Concussion Assessment and Cognitive Testing (imPACT) | Other Clinical Data | Assessments and Examinations |
Free-Form Entry |
0 | 27 | ||||||||||
| C21388 | Immediate Post-Concussion Assessment Testing (ImPACT) - Exam language type | ImPACTExamLanguageType | Type of language the exam was conducted in, as part of the Immediate Post-Concussion Assessment Testing (ImPACT) | Type of language the exam was conducted in, as part of the Immediate Post-Concussion Assessment Testing (ImPACT | Exam Language | Alphanumeric | Adult | NeuroRehab Sport Related Concussion Core | 1.00 | 2015-07-20 11:52:01.0 | Immediate Post-Concussion Assessment and Cognitive Testing (imPACT) | Other Clinical Data | Assessments and Examinations | 100 |
Free-Form Entry |
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| C21420 | Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS) - Irritability score | ImPACTPCSSIrritabilityScore | The subject's current irritability rating score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS) | The subject's current irritability rating score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS | Irritability | 1;2;3;4;5;6;0 | Minor;Minor;Moderate;Moderate;Severe;Severe;Not experiencing this symptom | Numeric Values | Adult | NeuroRehab Sport Related Concussion Core | 1.00 | 2015-07-20 11:52:01.0 | Immediate Post-Concussion Assessment and Cognitive Testing (imPACT) | Other Clinical Data | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C21367 | Immediate Post-Concussion Assessment Testing (ImPACT) - Student performance type | ImPACTStudentPerfType | Type of student performance at school, as part of the Immediate Post-Concussion Assessment Testing (ImPACT) | Type of student performance at school, as part of the Immediate Post-Concussion Assessment Testing (ImPACT | Performance at school | Below Average;Average;Above Average | Below Average;Average;Above Average | Alphanumeric | Adult | NeuroRehab Sport Related Concussion Core | 1.00 | 2015-07-20 11:52:01.0 | Immediate Post-Concussion Assessment and Cognitive Testing (imPACT) | Other Clinical Data | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C21463 | Immediate Post-Concussion Assessment Testing (ImPACT) - Three letter average correct count | ImPACTThreeLetAvCorrCt | The average number of correctly counted items on the three letters module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT) | The average number of correctly counted items on the three letters module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT | Avg. counted correctly | Numeric Values | Adult | NeuroRehab Sport Related Concussion Core | 1.00 | 2015-07-20 11:52:01.0 | Immediate Post-Concussion Assessment and Cognitive Testing (imPACT) | Other Clinical Data | Assessments and Examinations |
Free-Form Entry |
0 | |||||||||||
| C21399 | Immediate Post-Concussion Assessment Testing (ImPACT) - Reaction time composite score | ImPACTReactTimeCompScore | Reaction time composite score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT) | Reaction time composite score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT | Reaction time composite | Numeric Values | Adult | NeuroRehab Sport Related Concussion Core | 1.00 | 2015-07-20 11:52:01.0 | Immediate Post-Concussion Assessment and Cognitive Testing (imPACT) | Other Clinical Data | Assessments and Examinations |
Free-Form Entry |
0 | |||||||||||
| C21431 | Immediate Post-Concussion Assessment Testing (ImPACT) - Word memory immediate hit count | ImPACTWordMemImmedHitCt | The number of immediate hits on the word memory module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT) | The number of immediate hits on the word memory module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT | Hits (Immediate) | Numeric Values | Adult | NeuroRehab Sport Related Concussion Core | 1.00 | 2015-07-20 11:52:01.0 | Immediate Post-Concussion Assessment and Cognitive Testing (imPACT) | Other Clinical Data | Assessments and Examinations |
Free-Form Entry |
0 | 12 | ||||||||||
| C21378 | Immediate Post-Concussion Assessment Testing (ImPACT) - Headache treatment physician administered indicator | ImPACTTreatHeadPhysicianInd | Indicator of whether the subject was treated for headaches by a physician, as part of the Immediate Post-Concussion Assessment Testing (ImPACT) | Indicator of whether the subject was treated for headaches by a physician, as part of the Immediate Post-Concussion Assessment Testing (ImPACT | Treatment for headaches by physician | No;Yes | No;Yes | Alphanumeric | Adult | NeuroRehab Sport Related Concussion Core | 1.00 | 2015-07-20 11:52:01.0 | Immediate Post-Concussion Assessment and Cognitive Testing (imPACT) | Other Clinical Data | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C21410 | Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS) - Vomiting score | ImPACTPCSSVomitingScore | The subject's current vomiting rating score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS) | The subject's current vomiting rating score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS | Vomiting | 1;2;3;4;5;6;0 | Minor;Minor;Moderate;Moderate;Severe;Severe;Not experiencing this symptom | Numeric Values | Adult | NeuroRehab Sport Related Concussion Core | 1.00 | 2015-07-20 11:52:01.0 | Immediate Post-Concussion Assessment and Cognitive Testing (imPACT) | Other Clinical Data | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C21442 | Immediate Post-Concussion Assessment Testing (ImPACT) - Design memory delay correct distractor count | ImPACTDesignMemDelayCorrDisCt | The number of delayed correct distractors on the design memory module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT) | The number of delayed correct distractors on the design memory module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT | Correct distractors (delay) | Numeric Values | Adult | NeuroRehab Sport Related Concussion Core | 1.00 | 2015-07-20 11:52:01.0 | Immediate Post-Concussion Assessment and Cognitive Testing (imPACT) | Other Clinical Data | Assessments and Examinations |
Free-Form Entry |
0 | 12 | ||||||||||
| C21453 | Immediate Post-Concussion Assessment Testing (ImPACT) - Symbol match hidden average correct reaction time duration | ImPACTSymbMatchHidAvgCorrRTDur | The hidden average reaction time total correct duration, as part of the Immediate Post-Concussion Assessment Testing (ImPACT) | The hidden average reaction time total correct duration, as part of the Immediate Post-Concussion Assessment Testing (ImPACT | Avg. correct RT (hidden) | Numeric Values | Adult | NeuroRehab Sport Related Concussion Core | 1.00 | 2015-07-20 11:52:01.0 | Immediate Post-Concussion Assessment and Cognitive Testing (imPACT) | Other Clinical Data | Assessments and Examinations |
Free-Form Entry |
0 | |||||||||||
| C21389 | Immediate Post-Concussion Assessment Testing (ImPACT) - Test version type | ImPACTTestVersionType | Type of test version used for the exam, as part of the Immediate Post-Concussion Assessment Testing (ImPACT) | Type of test version used for the exam, as part of the Immediate Post-Concussion Assessment Testing (ImPACT | Test Version | Alphanumeric | Adult | NeuroRehab Sport Related Concussion Core | 1.00 | 2015-07-20 11:52:01.0 | Immediate Post-Concussion Assessment and Cognitive Testing (imPACT) | Other Clinical Data | Assessments and Examinations | 10 |
Free-Form Entry |
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| C21421 | Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS) - Sadness score | ImPACTPCSSSadnessScore | The subject's current sadness rating score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS) | The subject's current sadness rating score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS | Sadness | 1;2;3;4;5;6;0 | Minor;Minor;Moderate;Moderate;Severe;Severe;Not experiencing this symptom | Numeric Values | Adult | NeuroRehab Sport Related Concussion Core | 1.00 | 2015-07-20 11:52:01.0 | Immediate Post-Concussion Assessment and Cognitive Testing (imPACT) | Other Clinical Data | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C21368 | Immediate Post-Concussion Assessment Testing (ImPACT) - Current sport type | ImPACTCurrentSportType | Type of sport the subject participates currently, as part of the Immediate Post-Concussion Assessment Testing (ImPACT) | Type of sport the subject participates currently, as part of the Immediate Post-Concussion Assessment Testing (ImPACT | Current sport | Alphanumeric | Adult | NeuroRehab Sport Related Concussion Core | 1.00 | 2015-07-20 11:52:01.0 | Immediate Post-Concussion Assessment and Cognitive Testing (imPACT) | Other Clinical Data | Assessments and Examinations | 100 |
Free-Form Entry |
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| C21464 | Immediate Post-Concussion Assessment Testing (ImPACT) - Invalid assessment indicator | ImPACTInvalidAssInd | Indicator of whether the data is considered to be invalid, as part of the Immediate Post-Concussion Assessment Testing (ImPACT) | Indicator of whether the data is considered to be invalid, as part of the Immediate Post-Concussion Assessment Testing (ImPACT | No;Yes;Unknown | No;Yes;Unknown | Alphanumeric | Adult | NeuroRehab Sport Related Concussion Core | 1.00 | 2015-07-20 11:52:01.0 | Immediate Post-Concussion Assessment and Cognitive Testing (imPACT) | Other Clinical Data | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C21400 | Immediate Post-Concussion Assessment Testing (ImPACT) - Reaction time composite percentage value | ImPACTReactTimeCompPercVal | The percentile of the subject's reaction time composite score (if available), as part of the Immediate Post-Concussion Assessment Testing (ImPACT) | The percentile of the subject's reaction time composite score (if available), as part of the Immediate Post-Concussion Assessment Testing (ImPACT | Reaction time composite | Numeric Values | Adult | NeuroRehab Sport Related Concussion Core | 1.00 | 2015-07-20 11:52:01.0 | Immediate Post-Concussion Assessment and Cognitive Testing (imPACT) | Other Clinical Data | Assessments and Examinations |
Free-Form Entry |
0 | 100 | ||||||||||
| C21432 | Immediate Post-Concussion Assessment Testing (ImPACT) - Word memory immediate correct distractor count | ImPACTWordMemImmedCorrDisCt | The number of immediate correct distractors identified on the word memory module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT) | The number of immediate correct distractors identified on the word memory module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT | Correct distractors (immed.) | Numeric Values | Adult | NeuroRehab Sport Related Concussion Core | 1.00 | 2015-07-20 11:52:01.0 | Immediate Post-Concussion Assessment and Cognitive Testing (imPACT) | Other Clinical Data | Assessments and Examinations |
Free-Form Entry |
0 | 12 | ||||||||||
| C21379 | Immediate Post-Concussion Assessment Testing (ImPACT) - Migraine treatment physician administered indicator | ImPACTTreatMigPhysicianInd | Indicator of whether the subject was treated for migraine by a physician, as part of the Immediate Post-Concussion Assessment Testing (ImPACT) | Indicator of whether the subject was treated for migraine by a physician, as part of the Immediate Post-Concussion Assessment Testing (ImPACT | Treatment for migraine headaches by physician | No;Yes | No;Yes | Alphanumeric | Adult | NeuroRehab Sport Related Concussion Core | 1.00 | 2015-07-20 11:52:01.0 | Immediate Post-Concussion Assessment and Cognitive Testing (imPACT) | Other Clinical Data | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C21411 | Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS) - Balance problem score | ImPACTPCSSBalanceProblemScore | The subject's current balance problems rating score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS) | The subject's current balance problems rating score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS | Balance problems | 1;2;3;4;5;6;0 | Minor;Minor;Moderate;Moderate;Severe;Severe;Not experiencing this symptom | Numeric Values | Adult | NeuroRehab Sport Related Concussion Core | 1.00 | 2015-07-20 11:52:01.0 | Immediate Post-Concussion Assessment and Cognitive Testing (imPACT) | Other Clinical Data | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C21443 | Immediate Post-Concussion Assessment Testing (ImPACT) - Design memory delay percent correct percentage value | ImPACTDesignMemDelCorrPercVal | The delayed memory percent correct number on the design memory module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT) | The delayed memory percent correct number on the design memory module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT | Delayed memory pct. Correct | Numeric Values | Adult | NeuroRehab Sport Related Concussion Core | 1.00 | 2015-07-20 11:52:01.0 | Immediate Post-Concussion Assessment and Cognitive Testing (imPACT) | Other Clinical Data | Assessments and Examinations |
Free-Form Entry |
0 | 100 | ||||||||||
| C21454 | Immediate Post-Concussion Assessment Testing (ImPACT) - Color match total correct count | ImPACTColorMatchTotCorrCt | The number of total correct on the color match module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT) | The number of total correct on the color match module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT | Total correct | Numeric Values | Adult | NeuroRehab Sport Related Concussion Core | 1.00 | 2015-07-20 11:52:01.0 | Immediate Post-Concussion Assessment and Cognitive Testing (imPACT) | Other Clinical Data | Assessments and Examinations |
Free-Form Entry |
0 | |||||||||||
| C21390 | Immediate Post-Concussion Assessment Testing (ImPACT) - Verbal memory composite score | ImPACTVerbMemoryCompScore | Verbal memory composite score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT) | Verbal memory composite score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT | Memory composite (verbal) | Numeric Values | Adult | NeuroRehab Sport Related Concussion Core | 1.00 | 2015-07-20 11:52:01.0 | Immediate Post-Concussion Assessment and Cognitive Testing (imPACT) | Other Clinical Data | Assessments and Examinations |
Free-Form Entry |
0 | 100 | ||||||||||
| C21422 | Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS) - Nervousness score | ImPACTPCSSNervousnessScore | The subject's current nervousness rating score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS) | The subject's current nervousness rating score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS | Nervousness | 1;2;3;4;5;6;0 | Minor;Minor;Moderate;Moderate;Severe;Severe;Not experiencing this symptom | Numeric Values | Adult | NeuroRehab Sport Related Concussion Core | 1.00 | 2015-07-20 11:52:01.0 | Immediate Post-Concussion Assessment and Cognitive Testing (imPACT) | Other Clinical Data | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C00004 | Birth country ISO code | BirthCntryISOCode | Code (ISO 3166-1 alpha-2 code) for country where the participant was born | Code (ISO 3166-1 alpha-2 code) for country where the participant was born | Native country/region | AF;AX;AL;DZ;AS;AD;AO;AI;AQ;AG;AR;AM;AW;AU;AT;AZ;BS;BH;BD;BB;BY;BE;BZ;BJ;BM;BT;BO;BQ;BA;BW;BV;BR;IO;BN;BG;BF;BI;KH;CM;CA;CV;KY;CF;TD;CL;CN;CX;CC;CO;KM;CG;CD;CK;CR;CI;HR;CU;CW;CY;CZ;DK;DJ;DM;DO;EC;EG;SV;GQ;ER;EE;ET;FK;FO;FJ;FI;FR;GF;PF;TF;GA;GM;GE;DE;GH;GI;GR;GL;GD;GP;GU;GT;GG;GN;GW;GY;HT;HM;VA;HN;HK;HU;IS;IN;ID;IR;IQ;IE;IM;IL;IT;JM;JP;JE;JO;KZ;KE;KI;KP;KR;KW;KG;LA;LV;LB;LS;LR;LY;LI;LT;LU;MO;MK;MG;MW;MY;MV;ML;MT;MH;MQ;MR;MU;YT;MX;FM;MD;MC;MN;ME;MS;MA;MZ;MM;NA;NR;NP;NL;NC;NZ;NI;NE;NG;NU;NF;MP;NO;OM;PK;PW;PS;PA;PG;PY;PE;PH;PN;PL;PT;PR;QA;RE;RO;RU;RW;BL;SH;KN;LC;MF;PM;VC;WS;SM;ST;SA;SN;RS;SC;SL;SG;SX;SK;SI;SB;SO;ZA;GS;SS;ES;LK;SD;SR;SJ;SZ;SE;CH;SY;TW;TJ;TZ;TH;TL;TG;TK;TO;TT;TN;TR;TM;TC;TV;UG;UA;AE;GB;US;UM;UY;UZ;VU;VE;VN;VG;VI;WF;EH;YE;ZM;ZW | AFGHANISTAN;ALAND ISLANDS;ALBANIA;ALGERIA;AMERICAN SAMOA;ANDORRA;ANGOLA;ANGUILLA;ANTARCTICA;ANTIGUA AND BARBUDA;ARGENTINA;ARMENIA;ARUBA;AUSTRALIA;AUSTRIA;AZERBAIJAN;BAHAMAS;BAHRAIN;BANGLADESH;BARBADOS;BELARUS;BELGIUM;BELIZE;BENIN;BERMUDA;BHUTAN;BOLIVIA, PLURINATIONAL STATE OF;BONAIRE, SINT EUSTATIUS AND SABA;BOSNIA AND HERZEGOVINA;BOTSWANA;BOUVET ISLAND;BRAZIL;BRITISH INDIAN OCEAN TERRITORY;BRUNEI DARUSSALAM;BULGARIA;BURKINA FASO;BURUNDI;CAMBODIA;CAMEROON;CANADA;CAPE VERDE;CAYMAN ISLANDS;CENTRAL AFRICAN REPUBLIC;CHAD;CHILE;CHINA;CHRISTMAS ISLAND;COCOS (KEELING) ISLANDS;COLOMBIA;COMOROS;CONGO;CONGO, THE DEMOCRATIC REPUBLIC OF THE;COOK ISLANDS;COSTA RICA;COTE D'IVOIRE;CROATIA;CUBA;CURACAO;CYPRUS;CZECH REPUBLIC;DENMARK;DJIBOUTI;DOMINICA;DOMINICAN REPUBLIC;ECUADOR;EGYPT;EL SALVADOR;EQUATORIAL GUINEA;ER;ESTONIA;ETHIOPIA;FALKLAND ISLANDS (MALVINAS);FAROE ISLANDS;FIJI;FINLAND;FRANCE;FRENCH GUIANA;FRENCH POLYNESIA;FRENCH SOUTHERN TERRITORIES;GABON;GAMBIA;GEORGIA;GERMANY;GHANA;GIBRALTAR;GREECE;GREENLAND;GRENADA;GUADELOUPE;GUAM;GUATEMALA;GUERNSEY;GUINEA;GUINEA-BISSAU;GUYANA;HAITI;HEARD ISLAND AND MCDONALD ISLANDS;HOLY SEE (VATICAN CITY STATE);HONDURAS;HONG KONG;HUNGARY;ICELAND;INDIA;INDONESIA;IRAN, ISLAMIC REPUBLIC OF;IRAQ;IRELAND;ISLE OF MAN;ISRAEL;ITALY;JAMAICA;JAPAN;JERSEY;JORDAN;KAZAKHSTAN;KENYA;KIRIBATI;KOREA, DEMOCRATIC PEOPLE'S REPUBLIC OF;KOREA, REPUBLIC OF;KUWAIT;KYRGYZSTAN;LAO PEOPLE'S DEMOCRATIC REPUBLIC;LATVIA;LEBANON;LESOTHO;LIBERIA;LIBYA;LIECHTENSTEIN;LITHUANIA;LUXEMBOURG;MACAO;MACEDONIA, THE FORMER YUGOSLAV REPUBLIC OF;MADAGASCAR;MALAWI;MALAYSIA;MALDIVES;MALI;MALTA;MARSHALL ISLANDS;MARTINIQUE;MAURITANIA;MAURITIUS;MAYOTTE;MEXICO;MICRONESIA, FEDERATED STATES OF;MOLDOVA, REPUBLIC OF;MONACO;MONGOLIA;MONTENEGRO;MONTSERRAT;MOROCCO;MOZAMBIQUE;MYANMAR;NAMIBIA;NAURU;NEPAL;NETHERLANDS;NEW CALEDONIA;NEW ZEALAND;NICARAGUA;NIGER;NIGERIA;NIUE;NORFOLK ISLAND;NORTHERN MARIANA ISLANDS;NORWAY;OMAN;PAKISTAN;PALAU;PALESTINIAN TERRITORY, OCCUPIED;PANAMA;PAPUA NEW GUINEA;PARAGUAY;PERU;PHILIPPINES;PITCAIRN;POLAND;PORTUGAL;PUERTO RICO;QATAR;REUNION;ROMANIA;RUSSIAN FEDERATION;RWANDA;SAINT BARTHELEMY;SAINT HELENA, ASCENSION AND TRISTAN DA CUNHA;SAINT KITTS AND NEVIS;SAINT LUCIA;SAINT MARTIN (FRENCH PART);SAINT PIERRE AND MIQUELON;SAINT VINCENT AND THE GRENADINES;SAMOA;SAN MARINO;SAO TOME AND PRINCIPE;SAUDI ARABIA;SENEGAL;SERBIA;SEYCHELLES;SIERRA LEONE;SINGAPORE;SINT MAARTEN (DUTCH PART);SLOVAKIA;SLOVENIA;SOLOMON ISLANDS;SOMALIA;SOUTH AFRICA;SOUTH GEORGIA AND THE SOUTH SANDWICH ISLANDS;SOUTH SUDAN;SPAIN;SRI LANKA;SUDAN;SURINAME;SVALBARD AND JAN MAYEN;SWAZILAND;SWEDEN;SWITZERLAND;SYRIAN ARAB REPUBLIC;TAIWAN, PROVINCE OF CHINA;TAJIKISTAN;TANZANIA, UNITED REPUBLIC OF;THAILAND;TIMOR-LESTE;TOGO;TOKELAU;TONGA;TRINIDAD AND TOBAGO;TUNISIA;TURKEY;TURKMENISTAN;TURKS AND CAICOS ISLANDS;TUVALU;UGANDA;UKRAINE;UNITED ARAB EMIRATES;UNITED KINGDOM;UNITED STATES;UNITED STATES MINOR OUTLYING ISLANDS;URUGUAY;UZBEKISTAN;VANUATU;VENEZUELA, BOLIVARIAN REPUBLIC OF;VIET NAM;VIRGIN ISLANDS, BRITISH;VIRGIN ISLANDS, U.S.;WALLIS AND FUTUNA;WESTERN SAHARA;YEMEN;ZAMBIA;ZIMBABWE | Alphanumeric | Adult | NeuroRehab Sport Related Concussion Core | 3.1 | 10/16/2024 8:51:21 AM | Immediate Post-Concussion Assessment and Cognitive Testing (imPACT) | Other Clinical Data | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C21369 | Immediate Post-Concussion Assessment Testing (ImPACT) - Primary position event class text | ImPACTPrimPosEventClassText | Primary type of position/event/class, as part of the Immediate Post-Concussion Assessment Testing (ImPACT) | Primary type of position/event/class, as part of the Immediate Post-Concussion Assessment Testing (ImPACT | Primary position/event/class | Alphanumeric | Adult | NeuroRehab Sport Related Concussion Core | 1.00 | 2015-07-20 11:52:01.0 | Immediate Post-Concussion Assessment and Cognitive Testing (imPACT) | Other Clinical Data | Assessments and Examinations | 400 |
Free-Form Entry |
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| C21524 | Language secondary text | LangSecondaryTxt | Text for the language the participant/subject speaks second-most often | Text for the language the participant/subject speaks second-most often | Secondary language | eng;spa;sgn;chi;fre;ger;Other, specify | English;Spanish;Sign Languages;Chinese languages;French;German;Other, specify | Alphanumeric | Adult | NeuroRehab Sport Related Concussion Core | 3.00 | 2013-07-20 10:21:25.65 | Immediate Post-Concussion Assessment and Cognitive Testing (imPACT) | Other Clinical Data | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C21401 | Immediate Post-Concussion Assessment Testing (ImPACT) - Reaction time Reliable Change Index (RCI) exceeded indicator | ImPACTReactTimeRCIExceedInd | 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) | 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 | No;Yes | No;Yes | Alphanumeric | Adult | NeuroRehab Sport Related Concussion Core | 1.00 | 2015-07-20 11:52:01.0 | Immediate Post-Concussion Assessment and Cognitive Testing (imPACT) | Other Clinical Data | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C21433 | Immediate Post-Concussion Assessment Testing (ImPACT) - Word memory learning correct percentage value | ImPACTWordMemLearnCorrPercVal | The learning percent correct number on the word memory module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT) | The learning percent correct number on the word memory module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT | Learning percent correct | Numeric Values | Adult | NeuroRehab Sport Related Concussion Core | 1.00 | 2015-07-20 11:52:01.0 | Immediate Post-Concussion Assessment and Cognitive Testing (imPACT) | Other Clinical Data | Assessments and Examinations |
Free-Form Entry |
0 | 100 | ||||||||||
| C21380 | Immediate Post-Concussion Assessment Testing (ImPACT) - Epilepsy seizure treatment administered indicator | ImPACTTreatEpilepSeizInd | Indicator of whether the subject was treated for epilepsy/seizures, as part of the Immediate Post-Concussion Assessment Testing (ImPACT) | Indicator of whether the subject was treated for epilepsy/seizures, as part of the Immediate Post-Concussion Assessment Testing (ImPACT | Treatment for epilepsy/seizures: | No;Yes | No;Yes | Alphanumeric | Adult | NeuroRehab Sport Related Concussion Core | 1.00 | 2015-07-20 11:52:01.0 | Immediate Post-Concussion Assessment and Cognitive Testing (imPACT) | Other Clinical Data | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C21412 | Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS) - Dizziness score | ImPACTPCSSDizzinessScore | The subject's current dizziness rating score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS) | The subject's current dizziness rating score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS | Dizziness | 1;2;3;4;5;6;0 | Minor;Minor;Moderate;Moderate;Severe;Severe;Not experiencing this symptom | Numeric Values | Adult | NeuroRehab Sport Related Concussion Core | 1.00 | 2015-07-20 11:52:01.0 | Immediate Post-Concussion Assessment and Cognitive Testing (imPACT) | Other Clinical Data | Assessments and Examinations |
Single Pre-Defined Value Selected |
