CDE Detailed Report

Disease: system
Subdomain Name: Other Clinical Data
CRF: files

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
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

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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
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
C21444 Immediate Post-Concussion Assessment Testing (ImPACT) - Design memory total correct percentage value ImPACTDesignMemTotCorrPercVal The total percent correct on the design memory module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT) The total percent correct on the design 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

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 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
C21423 Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS) - Emotional greater than normal score ImPACTPCSSFeelEmotionalScore The subject's current feeling more emotional rating score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS) The subject's current feeling more emotional rating score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS Feeling more emotional 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
C00005 Birth country name BirthCntryName Name for country where the participant/subject was born Name for country where the participant/subject was born Native country/region Alphanumeric Adult NeuroRehab Sport Related Concussion Core 3.00 2013-07-24 21:00:23.88 Immediate Post-Concussion Assessment and Cognitive Testing (imPACT) Other Clinical Data Assessments and Examinations 255

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C21455 Immediate Post-Concussion Assessment Testing (ImPACT) - Color match average correct reaction time duration ImPACTColorMatchAvgCorrRTDur The average correct reaction time duration on the color match module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT) The average correct reaction time duration on the color match module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT Avg. correct RT 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
C21391 Immediate Post-Concussion Assessment Testing (ImPACT) - Verbal memory composite percentage value ImPACTVerbMemCompPercVal The percentile of the subject's verbal memory composite score (if available), as part of the Immediate Post-Concussion Assessment Testing (ImPACT) The percentile of the subject's verbal memory composite score (if available), 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

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 0 100
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