CDE Detailed Report | NINDS Common Data Elements

Disease: Sport-Related Concussion
Subdomain Name: General Health History
CRF: Concussion History

Displaying 1 - 9 of 9

CDE ID	CDE Name	Variable Name	Definition	Short Description	Question Text	Permissible Values	Description	Data Type	Disease Specific Instructions	Population	Classification (e.g., Core)	Version Number	Version Date	CRF Name (CRF Module / Guidance)	Subdomain Name	Domain Name	Input Restrictions	Measurement Type
C01052	Loss of consciousness indicator	LOCInd	The indicator for whether the participant/subject experienced any period of loss of consciousness (LOC)	The indicator for whether the participant/subject experienced any period of loss of consciousness (LOC	Did you lose consciousness (i.e. knocked out/blacked out)?	Yes;No	Yes;No	Alphanumeric		Adult	Supplemental	3.00	2013-07-20 10:21:25.65	Concussion History	General Health History	Participant History and Family History	Single Pre-Defined Value Selected
C52398	Injury mechanism type	InjuryMechTyp	The type of mechanism leading to the subject's injury	The type of mechanism leading to the subject's injury	Mechanism	Blow to head or neck;Sport/recreation;Fight or being hit;Explosion/blast;Other;Fall;Motor vehicle crash—pedestrian/bicyclist;Motor vehicle crash—occupant	Blow to head or neck;Sport/recreation;Fight or being hit;Explosion/blast;Other;Fall;Motor vehicle crash—pedestrian/bicyclist;Motor vehicle crash—occupant	Alphanumeric	Mechanism Prompts: Blow to the head or neck: Have you ever been hospitalized or treated in an emergency room following an injury to your head or neck? Think about any childhood injuries you remember or were told about. Car / vehicle accident: Have you ever injured your head or neck in a car accident or from some other moving vehicle accident (e.g. motorcycle, ATV)? Sport / recreation: Have you ever been hit in the head or fallen on your head while participating in an organized sport or recreational activity, including on the playground? Fall: Have you ever injured from falling? Fight or being hit: Have you ever injured your head or neck in a fight, from being hit by someone/something, or from being shaken violently? Explosion / Blast: Have you ever been nearby when an explosion or a blast occurred? If you served in the military, think about any combat- or training-related incidents.	Adult	Supplemental	1.10	2017-05-12 11:35:57.0	Concussion History	General Health History	Participant History and Family History	Multiple Pre-Defined Values Selected
C52399	Concussion diagnosis	ConcussionDiagnos	Diagnosis of whether or not the subject has a concussion	Diagnosis of whether or not the subject has a concussion	The concussion was diagnosed or undiagnosed	Diagnosed;Undiagnosed	Diagnosed;Undiagnosed	Alphanumeric		Adult	Supplemental	1.00	2017-01-18 09:15:18.0	Concussion History	General Health History	Participant History and Family History	Single Pre-Defined Value Selected
C52400	Injury date	InjuryDate	The date the subject received his or her injury	The date the subject received his or her injury	Approxiamate date of injury (mm/yyyy)			Date or Date & Time		Adult	Supplemental	1.00	2017-01-18 09:25:29.0	Concussion History	General Health History	Participant History and Family History	Free-Form Entry
C52401	Injury age value	InjAgeVal	The value of the subject's age at the time he/she was injured	The value of the subject's age at the time he/she was injured	Age at time of injury			Numeric Values		Adult	Supplemental	1.00	2017-01-18 09:34:35.0	Concussion History	General Health History	Participant History and Family History	Free-Form Entry	year
C52403	Unconsciousness time value	UnconsciousTimeVal	Value representing the amount of time, in seconds, that the subject was unconscious	Value representing the amount of time, in seconds, that the subject was unconsciou	How long were you unconscious (seconds)?			Numeric Values		Adult	Supplemental	1.00	2017-01-18 09:42:29.0	Concussion History	General Health History	Participant History and Family History	Free-Form Entry	seconds
C52404	Difficulty remembering before after injury indicator	DiffRemeBefAfterInjInd	The indicator relating to whether or not the subject has difficulty remembering things before or after his or her injury	The indicator relating to whether or not the subject has difficulty remembering things before or after his or her injur	Did/do you have difficulty remembering things before or after the injury?	No;Yes	No;Yes	Alphanumeric		Adult	Supplemental	1.00	2017-01-18 10:01:42.0	Concussion History	General Health History	Participant History and Family History	Single Pre-Defined Value Selected
C52405	Minutes not remember value	MinutesNotRememberVal	The value of how many minutes the subject does not remember	The value of how many minutes the subject does not remembe	How many minutes do you not remember?			Numeric Values		Adult	Supplemental	1.00	2017-01-18 10:02:55.0	Concussion History	General Health History	Participant History and Family History	Free-Form Entry	minute
C52406	Day symptom experience count	DaySymptmExpCt	The count of the number of days the subject experience symptoms related to his or her injury	The count of the number of days the subject experience symptoms related to his or her injury	How many days did you experience symptoms related to the injury?			Numeric Values		Adult	Supplemental	1.00	2017-01-18 10:03:45.0	Concussion History	General Health History	Participant History and Family History	Free-Form Entry	day