CDE Detailed Report

Disease: content
Subdomain Name: Other Clinical Data
CRF: welcome

Displaying 101 - 109 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
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

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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

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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

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

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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

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

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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

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

CSV