CDE Detailed Report
Disease: Sport-Related Concussion
Subdomain Name: Physical Examinations
CRF: Clinical Examination
Displaying 1 - 19 of 19
Subdomain Name: Physical Examinations
CRF: Clinical Examination
Displaying 1 - 19 of 19
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 |
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C52396 | Post-concussion think about symptom indicator | PCThinkAbtSymptmInd | The indicator relating to whether or not the subject often thinks about his/her symptoms post-concussion | The indicator relating to whether or not the subject often thinks about his/her symptoms post-concussio | Are you often thinking about your symptoms? | Yes;No;Unknown;Not Asked | Yes;No;Unknown;Not Asked | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2017-01-17 16:07:51.0 | Clinical Examination | Physical Examinations | Assessments and Examinations |
Single Pre-Defined Value Selected |
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C52386 | Post-concussion fatigue end of day indicator | PCFatigueEndOfDayInd | The indicator relating to whether or not the subject feels more fatigued than normal at the end of the day post-concussion | The indicator relating to whether or not the subject feels more fatigued than normal at the end of the day post-concussio | Do you feel more fatigued than normal at the end of the day? | Yes;No;Unknown;Not Asked | Yes;No;Unknown;Not Asked | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2017-01-17 15:53:33.0 | Clinical Examination | Physical Examinations | Assessments and Examinations |
Single Pre-Defined Value Selected |
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C52397 | Post-concussion think about symptom severity score | PCThinkAbtSymptmSevScore | The score relating to how often the subject thinks of his/her symptoms post-concussion | The score relating to how often the subject thinks of his/her symptoms post-concussio | Severity (0-10) | Numeric Values | Adult;Pediatric | Supplemental | 1.00 | 2017-01-17 16:09:08.0 | Clinical Examination | Physical Examinations | Assessments and Examinations |
Free-Form Entry |
0 | 10 | ||||||||||
C52387 | Post-concussion fatigue end of day severity score | PCFatigueAtEndOfDaySevScore | The score of the severity of the subject's fatigue at the end of the day, if any post-concussion | The score of the severity of the subject's fatigue at the end of the day, if any post-concussio | Severity (0-10) | Numeric Values | Adult;Pediatric | Supplemental | 1.00 | 2017-01-17 15:54:46.0 | Clinical Examination | Physical Examinations | Assessments and Examinations |
Free-Form Entry |
0 | 10 | ||||||||||
C55731 | Post injury day count | PostInjuryDayCt | The number of day post injury | The number of day post injur | Number of days form completed from date of injury? | Numeric Values | Adult;Pediatric | Supplemental | 1.00 | 2017-05-26 15:25:06.0 | Clinical Examination | Physical Examinations | Assessments and Examinations |
Free-Form Entry |
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C52388 | Post-concussion easily distract indicator | PCEasilyDistractInd | The indicator relating to whether or not the subject is easily distracted post-concussion | The indicator relating to whether or not the subject is easily distracted post-concussio | Are you easily distracted? | Yes;No;Unknown;Not Asked | Yes;No;Unknown;Not Asked | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2017-01-17 15:55:34.0 | Clinical Examination | Physical Examinations | Assessments and Examinations |
Single Pre-Defined Value Selected |
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C52389 | Post-concussion easily distract severity score | PCEasilyDistractSevScore | The score pertaining to how easily distracted the subject gets post-concussion | The score pertaining to how easily distracted the subject gets post-concussio | Severity (0-10) | Numeric Values | Adult;Pediatric | Supplemental | 1.00 | 2017-01-17 15:56:34.0 | Clinical Examination | Physical Examinations | Assessments and Examinations |
Free-Form Entry |
0 | 10 | ||||||||||
C52390 | Post-concussion stress increase indicator | PCStressIncreaseInd | The indicator relating to whether or not the subject has been experiencing more stress than normal post-concussion | The indicator relating to whether or not the subject has been experiencing more stress than normal post-concussio | Are you experiencing more stress than normal? | Yes;No;Unknown;Not Asked | Yes;No;Unknown;Not Asked | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2017-01-17 16:00:41.0 | Clinical Examination | Physical Examinations | Assessments and Examinations |
Single Pre-Defined Value Selected |
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C17402 | Site name | SiteName | The name of the site for the study | The name of the site for the study | Site Name | Alphanumeric | Adult;Pediatric | Supplemental | 3.00 | 2013-06-21 00:00:00.0 | Clinical Examination | Physical Examinations | Assessments and Examinations | 255 |
Free-Form Entry |
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C52391 | Post-concussion stress increase severity score | PCStressIncreaseSevScore | The score of the severity of how much more stress the subject is experiencing more than usual post-concussion | The score of the severity of how much more stress the subject is experiencing more than usual post-concussio | Severity (0-10) | Numeric Values | Adult;Pediatric | Supplemental | 1.00 | 2017-01-17 16:01:40.0 | Clinical Examination | Physical Examinations | Assessments and Examinations |
Free-Form Entry |
0 | 10 | ||||||||||
C19247 | Subject ID | SubIDNam | Subject identification ID | Subject identification ID | Subject ID | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2014-06-05 13:10:49.0 | Clinical Examination | Physical Examinations | Assessments and Examinations | 255 |
Free-Form Entry |
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C52392 | Post-concussion difficulty turning off thought indicator | PCDiffTurnOffThoughtInd | The indicator relating to whether or not the subject has difficulty turning off his/her thoughts post-concussion | The indicator relating to whether or not the subject has difficulty turning off his/her thoughts post-concussio | Do you have difficulty turning off your thoughts? | Yes;No;Unknown;Not Asked | Yes;No;Unknown;Not Asked | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2017-01-17 16:02:43.0 | Clinical Examination | Physical Examinations | Assessments and Examinations |
Single Pre-Defined Value Selected |
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C52382 | Post-concussion busy environment foggy dizzy indicator | PCBusyEnviroFogDizzyInd | The indicator relating to whether or not busy environments cause the subject to feel foggy, dizzy, fatigued, or overwhelmed post-concussion | The indicator relating to whether or not busy environments cause the subject to feel foggy, dizzy, fatigued, or overwhelmed post-concussio | Do busy environments cause you to feel foggy, dizzy, fatigued or overwhelmed? | Yes;No;Unknown;Not Asked | Yes;No;Unknown;Not Asked | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2017-01-17 15:47:12.0 | Clinical Examination | Physical Examinations | Assessments and Examinations |
Single Pre-Defined Value Selected |
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C52393 | Post-concussion difficulty turning off thought severity score | PCDiffTurnOffThoughtSevScore | The score of how difficult is it for the subject to turn off his/her thoughts post-concussion | The score of how difficult is it for the subject to turn off his/her thoughts post-concussio | Severity (0-10) | Numeric Values | Adult;Pediatric | Supplemental | 1.00 | 2017-01-17 16:04:17.0 | Clinical Examination | Physical Examinations | Assessments and Examinations |
Free-Form Entry |
0 | 10 | ||||||||||
C52383 | Post-concussion busy environment foggy dizzy severity score | PCBusyEnviroFogDizzySevScore | The score of the severity of the dizziness or fatigue the subject experiences from busy environments post-concussion | The score of the severity of the dizziness or fatigue the subject experiences from busy environments post-concussio | Severity (0-10) | Numeric Values | Adult;Pediatric | Supplemental | 1.00 | 2017-01-17 15:49:27.0 | Clinical Examination | Physical Examinations | Assessments and Examinations |
Free-Form Entry |
0 | 10 | ||||||||||
C52394 | Post-concussion negative change mood personality indicator | PCNegaChangMoodPersInd | The indicator relating to whether or not the subject has been experiencing negative changes in his/her mood or personality post-concussion | The indicator relating to whether or not the subject has been experiencing negative changes in his/her mood or personality post-concussio | Have you experienced negative changes in mood or personality? | Yes;No;Unknown;Not Asked | Yes;No;Unknown;Not Asked | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2017-01-17 16:05:21.0 | Clinical Examination | Physical Examinations | Assessments and Examinations |
Single Pre-Defined Value Selected |
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C52384 | Post-concussion blurred fuzzy vision while read indicator | PCBlurFuzzyVisWhileReadInd | The indicator relating to whether or not the subject has blurred fuzzy vision while reading or difficulty reading post-concussion | The indicator relating to whether or not the subject has blurred fuzzy vision while reading or difficulty reading post-concussio | Do you have blurred or fuzzy vision while reading or difficulty reading? | Yes;No;Unknown;Not Asked | Yes;No;Unknown;Not Asked | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2017-01-17 15:51:08.0 | Clinical Examination | Physical Examinations | Assessments and Examinations |
Single Pre-Defined Value Selected |
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C52395 | Post-concussion negative change mood personality severity score | PCNegaChangeModdPersSevScore | The score of the severity of the subject's negative changes in his/her mood or personality post-concussion | The score of the severity of the subject's negative changes in his/her mood or personality post-concussio | Severity (0-10) | Numeric Values | Adult;Pediatric | Supplemental | 1.00 | 2017-01-17 16:06:43.0 | Clinical Examination | Physical Examinations | Assessments and Examinations |
Free-Form Entry |
0 | 10 | ||||||||||
C52385 | Post-concussion blurred fuzzy vision while read severity score | PCBlurFuzzyVisWhilReadSevScore | The score of the severity of the blurred fuzzy vision the subject experiences while reading or his/her difficulty reading post-concussion | The score of the severity of the blurred fuzzy vision the subject experiences while reading or his/her difficulty reading post-concussio | Severity (0-10) | Numeric Values | Adult;Pediatric | Supplemental | 1.00 | 2017-01-17 15:52:16.0 | Clinical Examination | Physical Examinations | Assessments and Examinations |
Free-Form Entry |
0 | 10 |