CDE Detailed Report

Disease: Sport Related Concussion
Sub-Domain: Neurological Outcomes
CRF: Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI)

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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
C20635 Neurological Outcome Scale for Traumatic Brain Injury (NOS - TBI) - Left arm motor function untestable reason NOSTBIMotorFuncLArmUntestblRsn Reason left arm motor function is untestable (use if limb is missing or amputated or shoulder joint is fused), as part of Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI) Reason left arm motor function is untestable (use if limb is missing or amputated or shoulder joint is fused), as part of Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI) Reason: Alphanumeric Wilde et al. (2010). The Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI): I. Construct Validity. J Neurotrauma. 27(6): 983–989. Adult;Pediatric Supplemental 1.00 2015-05-20 12:56:28.0 Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI) Neurological Outcomes Outcomes and End Points 255

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C20672 Neurological Outcome Scale for Traumatic Brain Injury (NOS - TBI) - Neglect scale NOSTBINeglectScl The scale as related to neglect (visual, auditory, and sensory extinction or inattention: ''Cookie theft'' card is used for visual; finger rub for auditory; bilateral simultaneous stimulation to the hands), as part of Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI) The scale as related to neglect (visual, auditory, and sensory extinction or inattention: ''Cookie theft'' card is used for visual; finger rub for auditory; bilateral simultaneous stimulation to the hands), as part of Neurological Outcome Scale for Trauma Neglect (visual, auditory, and sensory extinction or inattention: ''Cookie theft'' card is used for visual; finger rub for auditory; bilateral simultaneous stimulation to the hands) 0;1;2 No neglect (no evidence of inattention or neglect on any modality, able to recognize bilateral simultaneous cutaneous stimulation on the right and left, no evidence of visual neglect on the stimulus card, and no evidence of auditory extinction or inattention);Partial neglect (evidence of inattention or neglect in one of three modalities);Complete neglect (profound hemi-inattention or hemi-inattention to more than one modality, the patient does not recognize his or her own hand or orients only to one side of space) Numeric Values Wilde et al. (2010). The Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI): I. Construct Validity. J Neurotrauma. 27(6): 983–989. Adult;Pediatric Supplemental 1.00 2015-05-20 13:16:48.0 Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI) Neurological Outcomes Outcomes and End Points

Single Pre-Defined Value Selected

C20605 Neurological Outcome Scale for Traumatic Brain Injury (NOS - TBI) - Right side visual field scale NOSTBIRightVisualFieldScl The scale as related to right visual field (count fingers in all four quadrants of the visual field of each eye separately), as part of Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI) The scale as related to right visual field (count fingers in all four quadrants of the visual field of each eye separately), as part of Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI) Visual fields: R side (count fingers in all four quadrants of the visual field of each eye separately) 0;1;2 No visual loss;Partial hemianopia (partial field defect in both eyes, quadratic or sector defect);Complete hemianopia (dense visual field defect in both eyes, homonymous hemianopia) Numeric Values Wilde et al. (2010). The Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI): I. Construct Validity. J Neurotrauma. 27(6): 983–989. Adult;Pediatric Supplemental 1.00 2015-05-20 10:50:50.0 Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI) Neurological Outcomes Outcomes and End Points

Single Pre-Defined Value Selected

C20639 Neurological Outcome Scale for Traumatic Brain Injury (NOS - TBI) - Right leg motor function scale NOSTBIMotorFunctRightLegScl Scale of motor function for right leg, as part of Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI) Scale of motor function for right leg, as part of Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI) Motor function: R leg (patient extends leg at 30- to 45-degree angle for 5 sec) 0;1;2;3;4;UN No drift;Drift (able to hold for 10 seconds but there is drift, limb falls to intermediate position);Some effort against gravity (unable to hold for 10 seconds, but some effort against gravity);No effort against gravity (unable to raise to angle, but some effort against gravity, patient is unable to sustain the position if the examiner raises the limb to the correct angle);No movement (unable to move the limb, no movement against gravity);Untestable (use if limb is missing or amputated, or shoulder joint is fused) Alphanumeric Wilde et al. (2010). The Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI): I. Construct Validity. J Neurotrauma. 27(6): 983–989. Adult;Pediatric Supplemental 1.00 2015-05-20 12:57:42.0 Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI) Neurological Outcomes Outcomes and End Points

Single Pre-Defined Value Selected

C20673 Neurological Outcome Scale for Traumatic Brain Injury (NOS - TBI) - Smell scale NOSTBISmellScl The scale as related to smell, as part of Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI) The scale as related to smell, as part of Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI) Smell (identify four different odors) 0;1;2;UN No observed or reported change in sense of smell;Decreased sense of smell by observation or report (at least one error in identifying stimuli);Absent sense of smell by observation;Untestable Alphanumeric Wilde et al. (2010). The Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI): I. Construct Validity. J Neurotrauma. 27(6): 983–989. Adult;Pediatric Supplemental 1.00 2015-05-20 13:18:05.0 Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI) Neurological Outcomes Outcomes and End Points

Single Pre-Defined Value Selected

C20607 Neurological Outcome Scale for Traumatic Brain Injury (NOS - TBI) - Left side visual field scale NOSTBILeftVisualFieldScl The scale as related to left visual field (count fingers in all four quadrants of the visual field of each eye separately), as part of Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI) The scale as related to left visual field (count fingers in all four quadrants of the visual field of each eye separately), as part of Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI) Visual fields: L side (count fingers in all four quadrants of the visual field of each eye separately) 0;1;2 No visual loss;Partial hemianopia (partial field defect in both eyes, quadratic or sector defect);Complete hemianopia (dense visual field defect in both eyes, homonymous hemianopia) Numeric Values Wilde et al. (2010). The Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI): I. Construct Validity. J Neurotrauma. 27(6): 983–989. Adult;Pediatric Supplemental 1.00 2015-05-20 10:52:14.0 Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI) Neurological Outcomes Outcomes and End Points

Single Pre-Defined Value Selected

C20642 Neurological Outcome Scale for Traumatic Brain Injury (NOS - TBI) - Left leg motor function scale NOSTBIMotorFunctLeftLegScl Scale of motor function for left leg, as part of Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI) Scale of motor function for left leg, as part of Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI) Motor function: L leg (patient extends leg at 30- to 45-degree angle for 5 sec) 0;1;2;3;4;UN No drift;Drift (able to hold for 10 seconds but there is drift, limb falls to intermediate position);Some effort against gravity (unable to hold for 10 seconds, but some effort against gravity);No effort against gravity (unable to raise to angle, but some effort against gravity, patient is unable to sustain the position if the examiner raises the limb to the correct angle);No movement (unable to move the limb, no movement against gravity);Untestable (use if limb is missing or amputated, or shoulder joint is fused) Alphanumeric Wilde et al. (2010). The Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI): I. Construct Validity. J Neurotrauma. 27(6): 983–989. Adult;Pediatric Supplemental 1.00 2015-05-20 12:59:14.0 Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI) Neurological Outcomes Outcomes and End Points

Single Pre-Defined Value Selected

C20674 Neurological Outcome Scale for Traumatic Brain Injury (NOS - TBI) - Smell untestable reason NOSTBISmellUntestblRsn Reason smell is untestable, as part of Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI) Reason smell is untestable, as part of Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI) Reason: Alphanumeric Wilde et al. (2010). The Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI): I. Construct Validity. J Neurotrauma. 27(6): 983–989. Adult;Pediatric Supplemental 1.00 2015-05-20 13:20:57.0 Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI) Neurological Outcomes Outcomes and End Points 255

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C20610 Neurological Outcome Scale for Traumatic Brain Injury (NOS - TBI) - Pupillary response scale NOSTBIPupilRespnsScl The scale as related to pupillary response (observe pupil shape; test direct pupillary reactivity with penlight; test accommodation), as part of Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI) The scale as related to pupillary response (observe pupil shape; test direct pupillary reactivity with penlight; test accommodation), as part of Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI) Pupillary response: (observe pupil shape; test direct pupillary reactivity with penlight; test accommodation) 0;1;2 No deficits (pupils are round, equally reactive, responsive to light and accommodation);Abnormal but incomplete response (one eye compared to the other);Abnormal pupil shape Numeric Values Wilde et al. (2010). The Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI): I. Construct Validity. J Neurotrauma. 27(6): 983–989. Adult;Pediatric Supplemental 1.00 2015-05-20 10:53:20.0 Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI) Neurological Outcomes Outcomes and End Points

Single Pre-Defined Value Selected

C20646 Neurological Outcome Scale for Traumatic Brain Injury (NOS - TBI) - Right leg motor function untestable reason NOSTBIRightLegUntestblRsn Reason right leg motor function is untestable (use if limb is missing or amputated or hip joint is fused), as part of Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI) Reason right leg motor function is untestable (use if limb is missing or amputated or hip joint is fused), as part of Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI) Reason: Alphanumeric Wilde et al. (2010). The Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI): I. Construct Validity. J Neurotrauma. 27(6): 983–989. Adult;Pediatric Supplemental 1.00 2015-05-20 13:00:37.0 Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI) Neurological Outcomes Outcomes and End Points 255

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C20675 Neurological Outcome Scale for Traumatic Brain Injury (NOS - TBI) - Gait ataxia scale (supplemental) NOSTBIGaitAtaxiaScl The scale as related to gait ataxia, as part of Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI). Supplemental. The scale as related to gait ataxia, as part of Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI). Supplemental. Gait ataxia (tandem gait)—SUPPLEMENTAL 0;1;2;UN Normal tandem gait;Occasional lateral missteps (two or less within 10 consecutive steps);Frequent lateral missteps (more than two within 10 consecutive steps);Untestable (patient is unable to ambulate safely) Alphanumeric Wilde et al. (2010). The Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI): I. Construct Validity. J Neurotrauma. 27(6): 983–989. Adult;Pediatric Supplemental 1.00 2015-05-20 13:22:17.0 Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI) Neurological Outcomes Outcomes and End Points

Single Pre-Defined Value Selected

C20613 Neurological Outcome Scale for Traumatic Brain Injury (NOS - TBI) - Right side hearing scale NOSTBIHearingRightSideScl The scale as related to hearing on the right side (finger rub), as part of Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI) The scale as related to hearing on the right side (finger rub), as part of Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI) Hearing: R side (finger rub) 0;1;2 No deficits;Mild deficit (inconsistent detection of the stimulus or need to increase volume);Severe or complete hearing deficit in right ear (cannot detect the stimulus at all) Numeric Values Wilde et al. (2010). The Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI): I. Construct Validity. J Neurotrauma. 27(6): 983–989. Adult;Pediatric Supplemental 1.00 2015-05-20 10:54:42.0 Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI) Neurological Outcomes Outcomes and End Points

Single Pre-Defined Value Selected

C20649 Neurological Outcome Scale for Traumatic Brain Injury (NOS - TBI) - Left leg motor function untestable reason NOSTBILeftLegUntestblRsn Reason left leg motor function is untestable (use if limb is missing or amputated or hip joint is fused), as part of Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI) Reason left leg motor function is untestable (use if limb is missing or amputated or hip joint is fused), as part of Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI) Reason: Alphanumeric Wilde et al. (2010). The Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI): I. Construct Validity. J Neurotrauma. 27(6): 983–989. Adult;Pediatric Supplemental 1.00 2015-05-20 13:02:10.0 Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI) Neurological Outcomes Outcomes and End Points 255

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C20676 Neurological Outcome Scale for Traumatic Brain Injury (NOS - TBI) - Gait ataxia untestable reason NOSTBIGaitAtaxiaUntestRsn Reason gait ataxia is untestable (patient is unable to ambulate safely), as part of Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI) Reason gait ataxia is untestable (patient is unable to ambulate safely), as part of Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI) Reason: Alphanumeric Wilde et al. (2010). The Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI): I. Construct Validity. J Neurotrauma. 27(6): 983–989. Adult;Pediatric Supplemental 1.00 2015-05-20 13:23:35.0 Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI) Neurological Outcomes Outcomes and End Points 255

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C20615 Neurological Outcome Scale for Traumatic Brain Injury (NOS - TBI) - Left side hearing scale NOSTBIHearingLeftSideScl The scale as related to hearing on the left side (finger rub), as part of Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI) The scale as related to hearing on the left side (finger rub), as part of Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI) Hearing: L side (finger rub) 0;1;2 No deficits;Mild deficit (inconsistent detection of the stimulus or need to increase volume);Severe or complete hearing deficit in left ear (cannot detect the stimulus at all) Numeric Values Wilde et al. (2010). The Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI): I. Construct Validity. J Neurotrauma. 27(6): 983–989. Adult;Pediatric Supplemental 1.00 2015-05-20 10:56:34.0 Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI) Neurological Outcomes Outcomes and End Points

Single Pre-Defined Value Selected

C20656 Neurological Outcome Scale for Traumatic Brain Injury (NOS - TBI) - Right upper extremity sensory scale NOSTBISensoryRightArmScl The scale as related to right arm sensory loss (examine with sharp and dull ends of a pin on proximal ends of all four limbs), as part of Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI) The scale as related to right arm sensory loss (examine with sharp and dull ends of a pin on proximal ends of all four limbs), as part of Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI) Sensory: Right upper extremity (examine with sharp and dull ends of a pin on the proximal ends of all four limbs) 0;1;2 Normal (no sensory loss);Partial loss (mild to moderate diminution in perception);Dense loss (severe sensory loss so that the patient is unaware of being touched) Numeric Values Wilde et al. (2010). The Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI): I. Construct Validity. J Neurotrauma. 27(6): 983–989. Adult;Pediatric Supplemental 1.00 2015-05-20 13:06:13.0 Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI) Neurological Outcomes Outcomes and End Points

Single Pre-Defined Value Selected

C20677 Neurological Outcome Scale for Traumatic Brain Injury (NOS - TBI) - Limb ataxia scale (supplemental) NOSTBILimbAtaxiaScl The scale as related to limb ataxia, as part of Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI). Supplemental. The scale as related to limb ataxia, as part of Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI). Supplemental. Limb ataxia (examined by finger-to-nose and heel-to shin tests) —SUPPLEMENTAL 0;1;2;UN No ataxia (movements are accurate, smooth, and precise);Ataxia present in either arm or leg (one of the two tests is performed well);Ataxia present in both arm and leg or bilaterally (Movements are inaccurate, clumsy, or poorly done on both tasks);Untestable (use if complete paralysis of the limb or limb is missing, or if this item would create significant pain or possible injury) Alphanumeric Wilde et al. (2010). The Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI): I. Construct Validity. J Neurotrauma. 27(6): 983–989. Adult;Pediatric Supplemental 1.00 2015-05-20 13:24:55.0 Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI) Neurological Outcomes Outcomes and End Points

Single Pre-Defined Value Selected

C20621 Neurological Outcome Scale for Traumatic Brain Injury (NOS - TBI) - Right side facial paresis scale NOSTBIFacialParesisRightScl The scale as related to facial paresis on the right side (look for symmetry at rest and during spontaneous facial movements observe activation during
commands such as smile, show teeth, puff out cheeks, pucker, close eyes forcefully, raise eyebrows), as part of Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI)
The scale as related to facial paresis on the right side (look for symmetry at rest and during spontaneous facial movements observe activation during commands such as smile, show teeth, puff out cheeks, pucker, close eyes forcefully, raise eyebrows), as Facial paresis: R side (look for symmetry at rest and during spontaneous facial movements observe activation during commands such as smile, show teeth, puff out cheeks, pucker, close eyes forcefully, raise eyebrows) 0;1;2;3 Normal facial movements, no abnormal asymmetry;Minor paresis (asymmetry at rest or doing spontaneous facial movements);Partial paresis (unilateral ''central'' facial paresis, decreased spontaneous and forced movements with changes most prominent at the mouth, orbital and forehead are normal);Complete palsy (involves forehead, orbital, and circumoral muscles) Numeric Values Wilde et al. (2010). The Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI): I. Construct Validity. J Neurotrauma. 27(6): 983–989. Adult;Pediatric Supplemental 1.00 2015-05-20 12:47:45 Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI) Neurological Outcomes Outcomes and End Points

Single Pre-Defined Value Selected

C20661 Neurological Outcome Scale for Traumatic Brain Injury (NOS - TBI) - Left upper extremity sensory scale NOSTBISensoryLeftArmScl The scale as related to left arm sensory loss (examine with sharp and dull ends of a pin on proximal ends of all four limbs), as part of Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI) The scale as related to left arm sensory loss (examine with sharp and dull ends of a pin on proximal ends of all four limbs), as part of Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI) Sensory: Left upper extremity (examine with sharp and dull ends of a pin on proximal ends of all four limbs) 0;1;2 Normal (no sensory loss);Partial loss (mild to moderate diminution in perception);Dense loss (severe sensory loss so that the patient is unaware of being touched) Numeric Values Wilde et al. (2010). The Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI): I. Construct Validity. J Neurotrauma. 27(6): 983–989. Adult;Pediatric Supplemental 1.00 2015-05-20 13:07:50.0 Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI) Neurological Outcomes Outcomes and End Points

Single Pre-Defined Value Selected

C20678 Neurological Outcome Scale for Traumatic Brain Injury (NOS - TBI) - Limb ataxia untestable reason NOSTBILimbAtaxiaUntestRsn Reason limb ataxia is untestable (use if complete paralysis of the limb or limb is missing, or if this item would create significant pain or possible injury), as part of Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI) Reason limb ataxia is untestable (use if complete paralysis of the limb or limb is missing, or if this item would create significant pain or possible injury), as part of Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI) Reason: Alphanumeric Wilde et al. (2010). The Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI): I. Construct Validity. J Neurotrauma. 27(6): 983–989. Adult;Pediatric Supplemental 1.00 2015-05-20 13:26:00.0 Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI) Neurological Outcomes Outcomes and End Points 255

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C20624 Neurological Outcome Scale for Traumatic Brain Injury (NOS - TBI) - Left side facial paresis scale NOSTBIFacialParesisLeftScl The scale as related to facial paresis on the left side (look for symmetry at rest and during spontaneous facial movements; observe activation during commands such as smile, show teeth, puff out cheeks, pucker, close eyes forcefully, raise eyebrows), as part of Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI) The scale as related to facial paresis on the left side (look for symmetry at rest and during spontaneous facial movements; observe activation during commands such as smile, show teeth, puff out cheeks, pucker, close eyes forcefully, raise eyebrows) Facial paresis: L side (look for symmetry at rest and during spontaneous facial movements; observe activation during commands such as smile, show teeth, puff out cheeks, pucker, close eyes forcefully, raise eyebrows) 0;1;2;3 Normal facial movements, no abnormal asymmetry;Minor paresis (asymmetry at rest or doing spontaneous facial movements);Partial paresis (unilateral ''central'' facial paresis, decreased spontaneous and forced movements with changes most prominent at the mouth, orbital and forehead are normal);Complete palsy (involves forehead, orbital, and circumoral muscles) Numeric Values Wilde et al. (2010). The Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI): I. Construct Validity. J Neurotrauma. 27(6): 983–989. Adult;Pediatric Supplemental 1.00 2015-05-20 12:50:14.0 Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI) Neurological Outcomes Outcomes and End Points

Single Pre-Defined Value Selected

C20664 Neurological Outcome Scale for Traumatic Brain Injury (NOS - TBI) - Right lower extremity sensory scale NOSTBISensoryRightLegScl The scale as related to right leg sensory loss (examine with sharp and dull ends of a pin on proximal ends of all four limbs), as part of Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI) The scale as related to right leg sensory loss (examine with sharp and dull ends of a pin on proximal ends of all four limbs), as part of Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI) Sensory: Right lower extremity (examine with sharp and dull ends of a pin on proximal ends of all four limbs) 0;1;2 Normal (no sensory loss);Partial loss (mild to moderate diminution in perception);Dense loss (severe sensory loss so that the patient is unaware of being touched) Numeric Values Wilde et al. (2010). The Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI): I. Construct Validity. J Neurotrauma. 27(6): 983–989. Adult;Pediatric Supplemental 1.00 2015-05-20 13:09:54.0 Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI) Neurological Outcomes Outcomes and End Points

Single Pre-Defined Value Selected

C20597 Neurological Outcome Scale for Traumatic Brain Injury (NOS - TBI) - Level of consciousness scale NOSTBILOCScl The scale as related to level of consciousness, as part of Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI) The scale as related to level of consciousness, as part of Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI) Level of consciousness (LOC) (observation through examination and testing of level of arousal) 1;0;2;3 Not alert, but arousable with minimal stimulation;Alert;Not alert, requires repeated stimulation to attend;Coma - responds only with reflex motor or autonomic effects, or totally unresponsive Numeric Values Wilde et al. (2010). The Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI): I. Construct Validity. J Neurotrauma. 27(6): 983–989. Adult;Pediatric Supplemental 1.00 2015-05-20 10:42:35.0 Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI) Neurological Outcomes Outcomes and End Points

Single Pre-Defined Value Selected

C20679 Neurological Outcome Scale for Traumatic Brain Injury (NOS - TBI) - Score without supplemental items NOSTBIWithoutSupplemItemsScore Score without supplemental items NOSTBIGaitAtaxiaScl and NOSTBILimbAtaxiaScl (and without items scored as "UN"), as part of Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI) Score without supplemental items NOSTBIGaitAtaxiaScl and NOSTBILimbAtaxiaScl (and without items scored as "UN"), as part of Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI) Sum of the scores for items 1–13 except those scored as UN; if an item is scored as UN, do not include in the total. Numeric Values Wilde et al. (2010). The Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI): I. Construct Validity. J Neurotrauma. 27(6): 983–989. Adult;Pediatric Supplemental 1.00 2015-05-20 13:27:21.0 Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI) Neurological Outcomes Outcomes and End Points

Free-Form Entry

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C20626 Neurological Outcome Scale for Traumatic Brain Injury (NOS - TBI) - Right arm motor function scale NOSTBIMotorFunctRightArmScl The scale as related to motor function for right arm (patient extends arm at 90-degree angle for 10 sec), as part of Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI) The scale as related to motor function for right arm (patient extends arm at 90-degree angle for 10 sec), as part of Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI) Motor function: R arm (patient extends arm at 90-degree angle for 10 sec) 0;1;2;3;4;UN No drift;Drift (able to hold for 10 seconds but there is drift, limb falls to intermediate position);Some effort against gravity (unable to hold for 10 seconds, but some effort against gravity);No effort against gravity (unable to raise to angle, but some effort against gravity, patient is unable to sustain the position if the examiner raises the limb to the correct angle);No movement (unable to move the limb, no movement against gravity);Untestable (use if limb is missing or amputated, or shoulder joint is fused) Alphanumeric Wilde et al. (2010). The Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI): I. Construct Validity. J Neurotrauma. 27(6): 983–989. Adult;Pediatric Supplemental 1.00 2015-05-20 12:51:59.0 Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI) Neurological Outcomes Outcomes and End Points

Single Pre-Defined Value Selected

C20668 Neurological Outcome Scale for Traumatic Brain Injury (NOS - TBI) - Left lower extremity sensory scale NOSTBISensoryLeftLegScl The scale as related to left leg sensory loss (examine with sharp and dull ends of a pin on proximal ends of all four limbs), as part of Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI) The scale as related to left leg sensory loss (examine with sharp and dull ends of a pin on proximal ends of all four limbs), as part of Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI) Sensory: Left lower extremity (examine with sharp and dull ends of a pin on proximal ends of all four limbs) 0;1;2 Normal (no sensory loss);Partial loss (mild to moderate diminution in perception);Dense loss (severe sensory loss so that the patient is unaware of being touched) Numeric Values Wilde et al. (2010). The Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI): I. Construct Validity. J Neurotrauma. 27(6): 983–989. Adult;Pediatric Supplemental 1.00 2015-05-20 13:11:19.0 Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI) Neurological Outcomes Outcomes and End Points

Single Pre-Defined Value Selected

C20598 Neurological Outcome Scale for Traumatic Brain Injury (NOS - TBI) - Level of consciousness current month age response scale NOSTBILOCQuestionsScl The scale as related to level of consciousness based on questions of current month and age, as part of Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI) The scale as related to level of consciousness based on questions of current month and age, as part of Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI) LOC questions (current month and age) 0;1;2 Answers both questions correctly;Answers one question correctly;Both incorrect Numeric Values Wilde et al. (2010). The Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI): I. Construct Validity. J Neurotrauma. 27(6): 983–989. Adult;Pediatric Supplemental 1.00 2015-05-20 10:44:57.0 Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI) Neurological Outcomes Outcomes and End Points

Single Pre-Defined Value Selected

C20680 Neurological Outcome Scale for Traumatic Brain Injury (NOS - TBI) - Score of supplemental items NOSTBISupplementalItemsScore Score for supplemental items NOSTBIGaitAtaxiaScl and NOSTBILimbAtaxiaScl (and without items scored as "UN"), as part of Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI) Score for supplemental items NOSTBIGaitAtaxiaScl and NOSTBILimbAtaxiaScl (and without items scored as "UN"), as part of Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI) Sum of items 14–15 (NOSTBIGaitAtaxiaScl and NOSTBILimbAtaxiaScl) except those scored as UN Numeric Values Wilde et al. (2010). The Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI): I. Construct Validity. J Neurotrauma. 27(6): 983–989. Adult;Pediatric Supplemental 1.00 2015-05-20 13:28:42.0 Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI) Neurological Outcomes Outcomes and End Points

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C20629 Neurological Outcome Scale for Traumatic Brain Injury (NOS - TBI) - Left arm motor function scale NOSTBIMotorFunctLeftArmScl The scale as related to motor function for left arm, as part of Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI) The scale as related to motor function for left arm, as part of Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI) Motor function: L arm (patient extends arm at 90-degree angle for 10 sec) 0;1;2;3;4;UN No drift;Drift (able to hold for 10 seconds but there is drift, limb falls to intermediate position);Some effort against gravity (unable to hold for 10 seconds, but some effort against gravity);No effort against gravity (unable to raise to angle, but some effort against gravity, patient is unable to sustain the position if the examiner raises the limb to the correct angle);No movement (unable to move the limb, no movement against gravity);Untestable (use if limb is missing or amputated, or shoulder joint is fused) Alphanumeric Wilde et al. (2010). The Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI): I. Construct Validity. J Neurotrauma. 27(6): 983–989. Adult;Pediatric Supplemental 1.00 2015-05-20 12:53:39.0 Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI) Neurological Outcomes Outcomes and End Points

Single Pre-Defined Value Selected

C20670 Neurological Outcome Scale for Traumatic Brain Injury (NOS - TBI) - Best language scale NOSTBIBestLanguageScl The scale as related to language (naming objects and reading sentences fromstimulus card, comprehension of language through entire exam), as part of Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI) The scale as related to language (naming objects and reading sentences fromstimulus card, comprehension of language through entire exam), as part of Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI) Best language (naming objects and reading sentences from stimulus card, comprehension of language through entire exam) 0;1;2;3 No aphasia (reading sentences, naming and comprehension are intact);Mild to moderate aphasia (mild to moderate naming errors, word-finding errors, paraphasias, mild impairment in comprehension or expression);Severe aphasia (difficulty in reading as well as naming objects, Broca's or Wernicke's aphasia);Mute Numeric Values Wilde et al. (2010). The Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI): I. Construct Validity. J Neurotrauma. 27(6): 983–989. Adult;Pediatric Supplemental 1.00 2015-05-20 13:13:20.0 Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI) Neurological Outcomes Outcomes and End Points

Single Pre-Defined Value Selected

C20600 Neurological Outcome Scale for Traumatic Brain Injury (NOS - TBI) - Level of consciousness eye open make fist command response scale NOSTBILOCCommandsScl The scale as related to loss of consciousness commands to open and close eyes and make a fist, as part of Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI) The scale as related to loss of consciousness commands to open and close eyes and make a fist, as part of Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI) LOC commands (open and close eyes, make a fist) 0;1;2 Obeys both correctly;Obeys one correctly;Both incorrect Numeric Values Wilde et al. (2010). The Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI): I. Construct Validity. J Neurotrauma. 27(6): 983–989. Adult;Pediatric Supplemental 1.00 2015-05-20 10:46:30.0 Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI) Neurological Outcomes Outcomes and End Points

Single Pre-Defined Value Selected

C20632 Neurological Outcome Scale for Traumatic Brain Injury (NOS - TBI) - Right arm motor function untestable reason NOSTBIMotorFuncRArmUntestblRsn Reason right arm motor function is untestable (use if limb is missing or amputated or shoulder joint is fused), as part of Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI) Reason right arm motor function is untestable (use if limb is missing or amputated or shoulder joint is fused), as part of Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI) Reason: Alphanumeric Wilde et al. (2010). The Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI): I. Construct Validity. J Neurotrauma. 27(6): 983–989. Adult;Pediatric Supplemental 1.00 2015-05-20 12:55:00.0 Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI) Neurological Outcomes Outcomes and End Points 255

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C20671 Neurological Outcome Scale for Traumatic Brain Injury (NOS - TBI) - Dysarthria scale NOSTBIDysarthriaScl The scale as related to dysarthria (pronounce standard list of words from stimulus card; observation through examination), as part of Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI) The scale as related to dysarthria (pronounce standard list of words from stimulus card; observation through examination), as part of Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI) Dysarthria (pronounce standard list of words from stimulus card; observation through examination) 0;1;2;UN Normal articulation (clear and without articulation difficulty);Mild to moderate dysarthria (slurring, can be understood but with some difficulty);Near unintelligible or worse (patient's speech so slurred that it is unintelligible);Untestable (use only if patient has endotracheal tube or Best Language=3) Alphanumeric Wilde et al. (2010). The Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI): I. Construct Validity. J Neurotrauma. 27(6): 983–989. Adult;Pediatric Supplemental 1.00 2015-05-20 13:14:23.0 Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI) Neurological Outcomes Outcomes and End Points

Single Pre-Defined Value Selected

C20602 Neurological Outcome Scale for Traumatic Brain Injury (NOS - TBI) - Gaze scale NOSTBIGazeScl The scale as related to gaze (only horizontal eye movements; check for abnormal spontaneous movements and ability to look right and left to command), as part of Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI) The scale as related to gaze (only horizontal eye movements; check for abnormal spontaneous movements and ability to look right and left to command), as part of Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI)" Gaze (only horizontal eye movements; check for abnormal spontaneous movements and ability to look right and left to command) 0;1;2 Normal;Partial gaze palsy (unable to move one or both eyes completely to at least one direction);Forced deviation or total gaze paresis (conjugate deviation of eyes to right or left) Numeric Values Wilde et al. (2010). The Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI): I. Construct Validity. J Neurotrauma. 27(6): 983–989. Adult;Pediatric Supplemental 1.00 2015-05-20 10:48:35 Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI) Neurological Outcomes Outcomes and End Points

Single Pre-Defined Value Selected

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