CDE Detailed Report
Disease: NeuroRehab
Subdomain Name: Other Clinical Data
CRF: Immediate Post-Concussion Assessment and Cognitive Testing (imPACT)
Displaying 51 - 100 of 109
Subdomain Name: Other Clinical Data
CRF: Immediate Post-Concussion Assessment and Cognitive Testing (imPACT)
Displaying 51 - 100 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| C21426 | Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS) - Mental fog assessment score | ImPACTPCSSFeelMentFogScore | The subject's current feeling mentally foggy rating score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS) | The subject's current feeling mentally foggy rating score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS | Feeling mentally foggy | 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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| C02014 | Medication prior or concomitant name | MedctnPriorConcomName | Name of the prior/concomitant agent or drug administered | Name of the prior/concomitant agent or drug administere | Prior or concomitant medication name | Alphanumeric | Adult | NeuroRehab Sport Related Concussion Core | 3.00 | 2013-08-28 16:08:00.453 | Immediate Post-Concussion Assessment and Cognitive Testing (imPACT) | Other Clinical Data | Assessments and Examinations | 4000 |
Free-Form Entry |
3162728 | ||||||||||
| C21458 | Immediate Post-Concussion Assessment Testing (ImPACT) - Three letters total sequence correct count | ImPACTThreeLetTotSeqCorrCt | The number of total sequence items correct on the three letters module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT) | The number of total sequence items correct on the three letters module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT | Total sequence 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 | 5 | ||||||||||
| C21405 | Immediate Post-Concussion Assessment Testing (ImPACT) - Total symptom Reliable Change Index (RCI) exceeded indicator | ImPACTTotalSymptomRCIExceedInd | Indicator of whether the subject's total symptom score exceeded the Reliable Change Index (RCI), as part of the Immediate Post-Concussion Assessment Testing (ImPACT) | Indicator of whether the subject's total symptom score 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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| C21437 | Immediate Post-Concussion Assessment Testing (ImPACT) - Word memory total percent correct percentage value | ImPACTWordMemTotCorrPercVal | The total percent correct on the word memory module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT) | The total percent correct on the word memory module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT | Total 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 | ||||||||||
| C21373 | Immediate Post-Concussion Assessment Testing (ImPACT) - Confusion concussion result count | ImPACTConcussResultConfCt | Number of concussions that resulted in confusion, as part of the Immediate Post-Concussion Assessment Testing (ImPACT) | Number of concussions that resulted in confusion, as part of the Immediate Post-Concussion Assessment Testing (ImPACT | Concussions that resulted in confusion | 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 | |||||||||||
| C21384 | Immediate Post-Concussion Assessment Testing (ImPACT) - Dyslexia diagnosis indicator | ImPACTDxDyslexiaInd | Indicator of whether the subject has been diagnosed with dyslexia, as part of the Immediate Post-Concussion Assessment Testing (ImPACT) | Indicator of whether the subject has been diagnosed with dyslexia, as part of the Immediate Post-Concussion Assessment Testing (ImPACT | Diagnosed with Dyslexia | 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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| C21416 | Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS) - Sleep less than normal duration score | ImPACTPCSSSlpLessThnUsualScore | The subject's current sleep less than usual rating score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS) | The subject's current sleep less than usual rating score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS | Sleeping less than usual | 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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| C21448 | Immediate Post-Concussion Assessment Testing (ImPACT) - X and O interference total incorrect count | ImPACTXOInterTotIncorrCt | The interference total incorrect number on the X's and O's module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT) | The interference total incorrect number on the X's and O's module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT | Total incorrect (interference) | 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 | |||||||||||
| C21395 | Immediate Post-Concussion Assessment Testing (ImPACT) - Visual memory Reliable Change Index (RCI) exceeded indicator | ImPACTVisMemRCIExceedInd | Indicator of whether the subject's composite score in visual memory 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 memory 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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| C21427 | Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS) - Concentration difficultly assessment score | ImPACTPCSSDiffConcentrateScore | The subject's current difficulty concentrating rating score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS) | The subject's current difficulty concentrating rating score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS | Difficulty concentrating | 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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| C21363 | Immediate Post-Concussion Assessment Testing (ImPACT) - Second language spoken year duration | ImPACTSecondLanguageYrDur | The count of years the subject spoke a language, as part of the Immediate Post-Concussion Assessment Testing (ImPACT) | The count of years the subject spoke a language, as part of the Immediate Post-Concussion Assessment Testing (ImPACT | Years speaking | 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 | |||||||||||
| C21459 | Immediate Post-Concussion Assessment Testing (ImPACT) - Three letters total letters correct count | ImPACTThreeLetTotLetCorrCt | The number of total correct letters on the three letters module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT) | The number of total correct letters on the three letters module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT | Total letters 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 | 15 | ||||||||||
| C21406 | Immediate Post-Concussion Assessment Testing (ImPACT) - Cognitive efficiency index score | ImPACTCogEfficiencyIndexScore | Cognitive efficiency index score (CEI) is the subject's cognitive efficiency index score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT) | Cognitive efficiency index score (CEI) is the subject's cognitive efficiency index score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT | Cognitive Efficiency Index: | 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 |
-1 | 1 | ||||||||||
| C21438 | Immediate Post-Concussion Assessment Testing (ImPACT) - Design memory immediate hit count | ImPACTDesignMemImmedHitCt | The number of immediate hits on the design memory module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT) | The number of immediate hits on the design 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 | ||||||||||
| C21374 | Immediate Post-Concussion Assessment Testing (ImPACT) - Memory loss post injury concussion result count | ImPACTConcussResMemLossAftCt | Number of concussions that resulted in loss of memory of events immediately after injury, as part of the Immediate Post-Concussion Assessment Testing (ImPACT) | Number of concussions that resulted in loss of memory of events immediately after injury, as part of the Immediate Post-Concussion Assessment Testing (ImPACT | Concussions that resulted in difficulty remembering events that occurred immediately after injury | 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 | |||||||||||
| C21385 | Immediate Post-Concussion Assessment Testing (ImPACT) - Autism diagnosis indicator | ImPACTDxAutismInd | Indicator of whether the subject has been diagnosed with autism, as part of the Immediate Post-Concussion Assessment Testing (ImPACT) | Indicator of whether the subject has been diagnosed with autism, as part of the Immediate Post-Concussion Assessment Testing (ImPACT | Diagnosed with Autism | 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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| C21417 | Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS) - Drowsiness score | ImPACTPCSSDrowsinessScore | The subject's current drowsiness rating score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS) | The subject's current drowsiness rating score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS | Drowsiness | 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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| C21449 | Immediate Post-Concussion Assessment Testing (ImPACT) - X and O interference average incorrect reaction time duration | ImPACTXOInterAvgIncorrRTDur | 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) | 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 | Avg. incorrect RT (interfer.) | 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 | |||||||||||
| C21396 | Immediate Post-Concussion Assessment Testing (ImPACT) - Visual motor speed composite score | ImPACTVisMotSpeedCompScore | Visual motor speed composite score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT) | Visual motor speed composite score, 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 | ||||||||||
| C21428 | Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS) - Memory difficulty assessment score | ImPACTPCSSDiffRemeberScore | The subject's current difficulty remembering rating score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS) | The subject's current difficulty remembering rating score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS | Difficulty remembering | 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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| C21364 | Immediate Post-Concussion Assessment Testing (ImPACT) - Speech therapy receive indicator | ImPACTReceivedSpeechTherInd | Indicator of whether the subject received speech therapy | Indicator of whether the subject received speech therap | Received speech therapy | No;Yes | No;Yes | Alphanumeric |
N/A |
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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| C21460 | Immediate Post-Concussion Assessment Testing (ImPACT) - Three letters percent of total letters correct percentage value | ImPACTThreLetPctTotLetCorPVal | The numeric percentage of total letters correct on the three letters module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT) | The numeric percentage of total letters correct on the three letters module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT | Pct. of total letters 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 | ||||||||||
| C21407 | Immediate Post-Concussion Assessment Testing (ImPACT) - Sleep last night hour duration | ImPACTHoursSleptLstNghtDur | Duration (in hours) the subject slept last night, as part of the Immediate Post-Concussion Assessment Testing (ImPACT) | Duration (in hours) the subject slept last night, as part of the Immediate Post-Concussion Assessment Testing (ImPACT | Hours slept last night | 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 | 24 | ||||||||||
| C21439 | Immediate Post-Concussion Assessment Testing (ImPACT) - Design memory immediate correct distractor count | ImPACTDesignMemImmedCorrDisCt | The number of immediate correct distractors identified on the design memory module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT) | The number of immediate correct distractors identified on the design 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 | ||||||||||
| C21375 | Immediate Post-Concussion Assessment Testing (ImPACT) - Memory loss prior injury concussion result count | ImPACTConcussResMemLossBefCt | Number of concussions that resulted in a loss of memory of the events that occurred before injury, as part of the Immediate Post-Concussion Assessment Testing (ImPACT) | Number of concussions that resulted in a loss of memory of the events that occurred before injury, as part of the Immediate Post-Concussion Assessment Testing (ImPACT | Concussions that resulted in difficulty remembering events that occurred | 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 | |||||||||||
| 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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| 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 | ||||||||||
| 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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| 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 | |||||||||||
| 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 | ||||||||||
| 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 | |||||||||||
| 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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| 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 | |||||||||||
| 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 | ||||||||||
| 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 | |||||||||||
| 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 | ||||||||||
| 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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| 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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| 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 | ||||||||||
| 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 |
