CDE Detailed Report

Disease: content
Sub-Domain: Post-concussive/TBI-Related Symptoms
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 / Guideline) Sub Domain Name Domain Name Size Input Restrictions Min Value Max Value Measurement Type External Id Loinc External Id Snomed External Id caDSR External Id CDISC
C21383 Immediate Post-Concussion Assessment Testing (ImPACT) - Psychiatric condition treatment administered indicator ImPACTTreatPsychiatricCondInd Indicator of whether the subject has received treatment for a psychiatric condition such as depression or anxiety, as part of the Immediate Post-Concussion Assessment Testing (ImPACT) Indicator of whether the subject has received treatment for a psychiatric condition such as depression or anxiety, as part of the Immediate Post-Concussion Assessment Testing (ImPACT Treatment for psychiatric condition (depression, anxiety) No;Yes No;Yes Alphanumeric Adult;Pediatric Supplemental 1.00 2015-07-20 11:52:01.0 Immediate Post-Concussion Assessment and Cognitive Testing (imPACT) Post-concussive/TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected
C21415 Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS) - Sleep greater than normal duration score ImPACTPCSSSlpMoreThnUsualScore The subject's current sleep more 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 more than usual rating score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS Sleeping more than usual 1;2;3;4;5;6;0 Minor;Minor;Moderate;Moderate;Severe;Severe;Not experiencing this symptom Numeric Values Adult;Pediatric Supplemental 1.00 2015-07-20 11:52:01.0 Immediate Post-Concussion Assessment and Cognitive Testing (imPACT) Post-concussive/TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected
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;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Immediate Post-Concussion Assessment and Cognitive Testing (imPACT) Post-concussive/TBI-Related Symptoms Outcomes and End Points 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;Pediatric Supplemental 1.00 2015-07-20 11:52:01.0 Immediate Post-Concussion Assessment and Cognitive Testing (imPACT) Post-concussive/TBI-Related Symptoms Outcomes and End Points

Free-Form Entry

 0 5
C21394 Immediate Post-Concussion Assessment Testing (ImPACT) - Visual memory composite percentage value ImPACTVisMemCompPercVal The percentile of the subject's visual memory composite score (if available), as part of the Immediate Post-Concussion Assessment Testing (ImPACT) The percentile of the subject's visual memory composite score (if available), as part of the Immediate Post-Concussion Assessment Testing (ImPACT Memory composite (visual) Numeric Values Adult;Pediatric Supplemental 1.00 2015-07-20 11:52:01.0 Immediate Post-Concussion Assessment and Cognitive Testing (imPACT) Post-concussive/TBI-Related Symptoms Outcomes and End Points

Free-Form Entry

 0 100
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;Pediatric Supplemental 1.00 2015-07-20 11:52:01.0 Immediate Post-Concussion Assessment and Cognitive Testing (imPACT) Post-concussive/TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected
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;Pediatric Supplemental 1.00 2015-07-20 11:52:01.0 Immediate Post-Concussion Assessment and Cognitive Testing (imPACT) Post-concussive/TBI-Related Symptoms Outcomes and End Points

Free-Form Entry

 0
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;Pediatric Supplemental 1.00 2015-07-20 11:52:01.0 Immediate Post-Concussion Assessment and Cognitive Testing (imPACT) Post-concussive/TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected
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;Pediatric Supplemental 1.00 2015-07-20 11:52:01.0 Immediate Post-Concussion Assessment and Cognitive Testing (imPACT) Post-concussive/TBI-Related Symptoms Outcomes and End Points

Free-Form Entry

 0 100
CSV