CDE Detailed Report
Disease: content
Subdomain Name: Other Clinical Data
CRF: welcome
Displaying 1 - 28 of 28
Subdomain Name: Other Clinical Data
CRF: welcome
Displaying 1 - 28 of 28
| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| C05400 | Injury date time | InjDateTime | Date (and time, if applicable and known) of injury | Date (and time, if applicable and known) of injury | Date of Injury: | Date or Date & Time | Adult | NeuroRehab Sport Related Concussion Core | 3.00 | 2013-07-20 10:21:25.65 | Post Concussion Symptom Scale | Other Clinical Data | Assessments and Examinations |
Free-Form Entry |
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| C55268 | Post Concussion Symptom Scale (PCSS) - Sleep loss symptom score | PCSSDSleepLossSympScore | The score for loss of sleep symptoms as part of the Post Concussion Symptom Scale (PCSS) | The score for loss of sleep symptoms as part of the Post Concussion Symptom Scale (PCSS) | Loss of sleep | 1;2;4;5;0;3;6 | 1;2;4;5;No symptoms at all;Moderate;Severe | Numeric Values | Adult | NeuroRehab Sport Related Concussion Core | 1.00 | 2017-04-26 15:07:24.0 | Post Concussion Symptom Scale | Other Clinical Data | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C55279 | Post Concussion Symptom Scale (PCSS) - Difficulty concentrating symptom score | PCSSDifficltyConcentrSympScore | The score for symptoms of having difficulty concentrating as part of the Post Concussion Symptom Scale (PCSS) | The score for symptoms of having difficulty concentrating as part of the Post Concussion Symptom Scale (PCSS) | Difficulty concentrating | 1;2;4;5;0;3;6 | 1;2;4;5;No symptoms at all;Moderate;Severe | Numeric Values | Adult | NeuroRehab Sport Related Concussion Core | 1.00 | 2017-04-26 15:07:24.0 | Post Concussion Symptom Scale | Other Clinical Data | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C21117 | Subject name | SubjectName | Name of subject/participant | Name of subject/participan | Name: | Alphanumeric | Adult | NeuroRehab Sport Related Concussion Core | 1.00 | 2015-06-12 15:16:39.0 | Post Concussion Symptom Scale | Other Clinical Data | Assessments and Examinations | 255 |
Free-Form Entry |
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| C55269 | Post Concussion Symptom Scale (PCSS) - Drowsiness symptom score | PCSSDDrowsinessSympScore | The score for drowsiness symptoms as part of the Post Concussion Symptom Scale (PCSS) | The score for drowsiness symptoms as part of the Post Concussion Symptom Scale (PCSS) | Drowsiness | 1;2;4;5;0;3;6 | 1;2;4;5;No symptoms at all;Moderate;Severe | Numeric Values | Adult | NeuroRehab Sport Related Concussion Core | 1.00 | 2017-04-26 15:07:24.0 | Post Concussion Symptom Scale | Other Clinical Data | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C55280 | Post Concussion Symptom Scale (PCSS) - Difficulty remembering symptom score | PCSSDifficltyRememberSympScore | The score for symptoms of having difficulty remembering as part of the Post Concussion Symptom Scale (PCSS) | The score for symptoms of having difficulty remembering as part of the Post Concussion Symptom Scale (PCSS) | Difficulty remembering | 1;2;4;5;0;3;6 | 1;2;4;5;No symptoms at all;Moderate;Severe | Numeric Values | Adult | NeuroRehab Sport Related Concussion Core | 1.00 | 2017-04-26 15:07:24.0 | Post Concussion Symptom Scale | Other Clinical Data | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C55259 | Post Concussion Symptom Scale (PCSS) - Time after concussion count | PCSSTimeAfterConcussCount | The number of days or hours following concussion as part of the Post Concussion Symptom Scale (PCSS) | The number of days or hours following concussion as part of the Post Concussion Symptom Scale (PCSS) | Days/Hrs | Numeric Values | Adult | NeuroRehab Sport Related Concussion Core | 1.00 | 2017-04-26 15:07:24.0 | Post Concussion Symptom Scale | Other Clinical Data | Assessments and Examinations |
Free-Form Entry |
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| C55270 | Post Concussion Symptom Scale (PCSS) - Light sensitivity symptom score | PCSSDLightSensSympScore | The score for light sensitivity symptoms as part of the Post Concussion Symptom Scale (PCSS) | The score for light sensitivity symptoms as part of the Post Concussion Symptom Scale (PCSS) | Light sensitivity | 1;2;4;5;0;3;6 | 1;2;4;5;No symptoms at all;Moderate;Severe | Numeric Values | Adult | NeuroRehab Sport Related Concussion Core | 1.00 | 2017-04-26 15:07:24.0 | Post Concussion Symptom Scale | Other Clinical Data | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C55281 | Post Concussion Symptom Scale (PCSS) - Visual problem symptom score | PCSSVisualProbSympScore | The score for visual problem symptoms as part of the Post Concussion Symptom Scale (PCSS) | The score for visual problem symptoms as part of the Post Concussion Symptom Scale (PCSS) | Visual problems | 1;2;4;5;0;3;6 | 1;2;4;5;No symptoms at all;Moderate;Severe | Numeric Values | Adult | NeuroRehab Sport Related Concussion Core | 1.00 | 2017-04-26 15:07:24.0 | Post Concussion Symptom Scale | Other Clinical Data | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C55260 | Post Concussion Symptom Scale (PCSS) - Headache symptom score | PCSSHeadacheSympScore | The score for headache symptoms as part of the Post Concussion Symptom Scale (PCSS) | The score for headache symptoms as part of the Post Concussion Symptom Scale (PCSS) | Headache | 1;2;4;5;0;3;6 | 1;2;4;5;No symptoms at all;Moderate;Severe | Numeric Values | Adult | NeuroRehab Sport Related Concussion Core | 1.00 | 2017-04-26 15:07:24.0 | Post Concussion Symptom Scale | Other Clinical Data | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C55271 | Post Concussion Symptom Scale (PCSS) - Noise sensitivity symptom score | PCSSDNoiseSensSympScore | The score for noise sensitivity symptoms as part of the Post Concussion Symptom Scale (PCSS) | The score for noise sensitivity symptoms as part of the Post Concussion Symptom Scale (PCSS) | Noise sensitivity | 1;2;4;5;0;3;6 | 1;2;4;5;No symptoms at all;Moderate;Severe | Numeric Values | Adult | NeuroRehab Sport Related Concussion Core | 1.00 | 2017-04-26 15:07:24.0 | Post Concussion Symptom Scale | Other Clinical Data | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C55282 | Post Concussion Symptom Scale (PCSS) - Total score | PCSSTotalScore | The total score as part of the Post Concussion Symptom Scale (PCSS) | The total score as part of the Post Concussion Symptom Scale (PCSS) | Total score | Numeric Values | Adult | NeuroRehab Sport Related Concussion Core | 1.00 | 2017-04-26 15:07:24.0 | Post Concussion Symptom Scale | Other Clinical Data | Assessments and Examinations |
Free-Form Entry |
0 | 132 | ||||||||||
| C55261 | Post Concussion Symptom Scale (PCSS) - Nausea symptom score | PCSSNauseaSympScore | The score for nausea symptoms as part of the Post Concussion Symptom Scale (PCSS) | The score for nausea symptoms as part of the Post Concussion Symptom Scale (PCSS) | Nausea | 1;2;4;5;0;3;6 | 1;2;4;5;No symptoms at all;Moderate;Severe | Numeric Values | Adult | NeuroRehab Sport Related Concussion Core | 1.00 | 2017-04-26 15:07:24.0 | Post Concussion Symptom Scale | Other Clinical Data | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C55272 | Post Concussion Symptom Scale (PCSS) - Irritability symptom score | PCSSDIrritabSympScore | The score for irritability symptoms as part of the Post Concussion Symptom Scale (PCSS) | The score for irritability symptoms as part of the Post Concussion Symptom Scale (PCSS) | Irritability | 1;2;4;5;0;3;6 | 1;2;4;5;No symptoms at all;Moderate;Severe | Numeric Values | Adult | NeuroRehab Sport Related Concussion Core | 1.00 | 2017-04-26 15:07:24.0 | Post Concussion Symptom Scale | Other Clinical Data | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C55262 | Post Concussion Symptom Scale (PCSS) - Vomiting symptom score | PCSSVomitingSympScore | The score for vomiting symptoms as part of the Post Concussion Symptom Scale (PCSS) | The score for vomiting symptoms as part of the Post Concussion Symptom Scale (PCSS) | Vomiting | 1;2;4;5;0;3;6 | 1;2;4;5;No symptoms at all;Moderate;Severe | Numeric Values | Adult | NeuroRehab Sport Related Concussion Core | 1.00 | 2017-04-26 15:07:24.0 | Post Concussion Symptom Scale | Other Clinical Data | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C55273 | Post Concussion Symptom Scale (PCSS) - Sadness symptom score | PCSSDSadnessSympScore | The score for sadness symptoms as part of the Post Concussion Symptom Scale (PCSS) | The score for sadness symptoms as part of the Post Concussion Symptom Scale (PCSS) | Sadness | 1;2;4;5;0;3;6 | 1;2;4;5;No symptoms at all;Moderate;Severe | Numeric Values | Adult | NeuroRehab Sport Related Concussion Core | 1.00 | 2017-04-26 15:07:24.0 | Post Concussion Symptom Scale | Other Clinical Data | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C55263 | Post Concussion Symptom Scale (PCSS) - Balance problem symptom score | PCSSBalanceProbSympScore | The score for balance problems symptoms as part of the Post Concussion Symptom Scale (PCSS) | The score for balance problems symptoms as part of the Post Concussion Symptom Scale (PCSS) | Balance problems | 1;2;4;5;0;3;6 | 1;2;4;5;No symptoms at all;Moderate;Severe | Numeric Values | Adult | NeuroRehab Sport Related Concussion Core | 1.00 | 2017-04-26 15:07:24.0 | Post Concussion Symptom Scale | Other Clinical Data | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C55274 | Post Concussion Symptom Scale (PCSS) - Nervousness symptom score | PCSSDNervousnessSympScore | The score for nervousness symptoms as part of the Post Concussion Symptom Scale (PCSS) | The score for nervousness symptoms as part of the Post Concussion Symptom Scale (PCSS) | Nervousness | 1;2;4;5;0;3;6 | 1;2;4;5;No symptoms at all;Moderate;Severe | Numeric Values | Adult | NeuroRehab Sport Related Concussion Core | 1.00 | 2017-04-26 15:07:24.0 | Post Concussion Symptom Scale | Other Clinical Data | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C55264 | Post Concussion Symptom Scale (PCSS) - Dizziness symptom score | PCSSDizzinessSympScore | The score for dizziness symptoms as part of the Post Concussion Symptom Scale (PCSS) | The score for dizziness symptoms as part of the Post Concussion Symptom Scale (PCSS) | Dizziness | 1;2;4;5;0;3;6 | 1;2;4;5;No symptoms at all;Moderate;Severe | Numeric Values | Adult | NeuroRehab Sport Related Concussion Core | 1.00 | 2017-04-26 15:07:24.0 | Post Concussion Symptom Scale | Other Clinical Data | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C55275 | Post Concussion Symptom Scale (PCSS) - More emotional symptom score | PCSSMoreEmotionalSympScore | The score for having more emotional symptoms as part of the Post Concussion Symptom Scale (PCSS) | The score for having more emotional symptoms as part of the Post Concussion Symptom Scale (PCSS) | More emotional | 1;2;4;5;0;3;6 | 1;2;4;5;No symptoms at all;Moderate;Severe | Numeric Values | Adult | NeuroRehab Sport Related Concussion Core | 1.00 | 2017-04-26 15:07:24.0 | Post Concussion Symptom Scale | Other Clinical Data | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C55265 | Post Concussion Symptom Scale (PCSS) - Fatigue symptom score | PCSSDFatigueSympScore | The score for fatigue symptoms as part of the Post Concussion Symptom Scale (PCSS) | The score for fatigue symptoms as part of the Post Concussion Symptom Scale (PCSS) | Fatigue | 1;2;4;5;0;3;6 | 1;2;4;5;No symptoms at all;Moderate;Severe | Numeric Values | Adult | NeuroRehab Sport Related Concussion Core | 1.00 | 2017-04-26 15:07:24.0 | Post Concussion Symptom Scale | Other Clinical Data | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C55276 | Post Concussion Symptom Scale (PCSS) - Numbness symptom score | PCSSNumbnessSympScore | The score for numbness symptoms as part of the Post Concussion Symptom Scale (PCSS) | The score for numbness symptoms as part of the Post Concussion Symptom Scale (PCSS) | Numbness | 1;2;4;5;0;3;6 | 1;2;4;5;No symptoms at all;Moderate;Severe | Numeric Values | Adult | NeuroRehab Sport Related Concussion Core | 1.00 | 2017-04-26 15:07:24.0 | Post Concussion Symptom Scale | Other Clinical Data | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C00007 | Birth date | BirthDate | Date (and time, if applicable and known) the participant was born | Date (and time, if applicable and known) the participant was born | Age/DOB: | Date or Date & Time | Adult | NeuroRehab Sport Related Concussion Core | 3.1 | 10/16/2024 8:51:14 AM | Post Concussion Symptom Scale | Other Clinical Data | Assessments and Examinations |
Free-Form Entry |
793 | |||||||||||
| C55266 | Post Concussion Symptom Scale (PCSS) - Trouble fall asleep symptom score | PCSSDTrblFallAsleepSympScore | The score for having trouble asleep symptoms as part of the Post Concussion Symptom Scale (PCSS) | The score for having trouble asleep symptoms as part of the Post Concussion Symptom Scale (PCSS) | Trouble falling to sleep | 1;2;4;5;0;3;6 | 1;2;4;5;No symptoms at all;Moderate;Severe | Numeric Values | Adult | NeuroRehab Sport Related Concussion Core | 1.00 | 2017-04-26 15:07:24.0 | Post Concussion Symptom Scale | Other Clinical Data | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C55277 | Post Concussion Symptom Scale (PCSS) - Feel slow symptom score | PCSSFeelSlowSympScore | The score for symptoms of feeling "slow" as part of the Post Concussion Symptom Scale (PCSS) | The score for symptoms of feeling "slow" as part of the Post Concussion Symptom Scale (PCSS) | Feeling "slow" | 1;2;4;5;0;3;6 | 1;2;4;5;No symptoms at all;Moderate;Severe | Numeric Values | Adult | NeuroRehab Sport Related Concussion Core | 1.00 | 2017-04-26 15:07:24.0 | Post Concussion Symptom Scale | Other Clinical Data | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C00008 | Age value | AgeVal | Value for participant's age, calculated as elapsed time since the birth of the participant | Value for participant's age, calculated as elapsed time since the birth of the participant | Age/DOB: | Numeric Values | Adult | NeuroRehab Sport Related Concussion Core | 3.10 | 2024-02-29 15:47:28.0 | Post Concussion Symptom Scale | Other Clinical Data | Assessments and Examinations |
Free-Form Entry |
0 | 1800 | month | |||||||||
| C55267 | Post Concussion Symptom Scale (PCSS) - Excessive sleep symptom score | PCSSDExcessSleepSympScore | The score for excessive sleep symptoms as part of the Post Concussion Symptom Scale (PCSS) | The score for excessive sleep symptoms as part of the Post Concussion Symptom Scale (PCSS) | Excessive sleep | 1;2;4;5;0;3;6 | 1;2;4;5;No symptoms at all;Moderate;Severe | Numeric Values | Adult | NeuroRehab Sport Related Concussion Core | 1.00 | 2017-04-26 15:07:24.0 | Post Concussion Symptom Scale | Other Clinical Data | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C55278 | Post Concussion Symptom Scale (PCSS) - Feel foggy symptom score | PCSSFeelFoggySympScore | The score for symptoms of feeling "foggy" as part of the Post Concussion Symptom Scale (PCSS) | The score for symptoms of feeling "foggy" as part of the Post Concussion Symptom Scale (PCSS) | Feeling "foggy" | 1;2;4;5;0;3;6 | 1;2;4;5;No symptoms at all;Moderate;Severe | Numeric Values | Adult | NeuroRehab Sport Related Concussion Core | 1.00 | 2017-04-26 15:07:24.0 | Post Concussion Symptom Scale | Other Clinical Data | Assessments and Examinations |
Single Pre-Defined Value Selected |
