CDE Detailed Report

Disease: Sport Related Concussion
Subdomain Name: Post-Concussive / Mild TBI-Related Symptoms
CRF: Sport Concussion Assessment Tool - 3rd Edition (SCAT3)

Displaying 1 - 50 of 114
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
C52503 Standardized Assessment of Concussion (SAC) - Immediate memory Trial 2 total score SACImmMemT2TotalScore The total score the subject received on Trial 2 of the Immediate section of the Standardized Assessment of Concussion (SAC) The total score the subject received on Trial 2 of the Immediate section of the Standardized Assessment of Concussion (SAC Trial 2 Total Numeric Values 1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, Kvarnstr&Ouml;m J, Olsson M, Yd&Eacute;n T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. Adult;Pediatric Supplemental 1.00 2017-01-19 08:45:04.0 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

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C52439 Maddocks Score - Last match score MaddocksMatchScore The score the subject received on third question (last match question) of the Maddocks Score The score the subject received on third question (last match question) of the Maddocks Scor Who scored last in this match? 0;1 0;1 Numeric Values

I am going to ask you a few questions, please listen carefully and give your best effort.

1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, Kvarnstr&Ouml;m J, Olsson M, Yd&Eacute;n T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. Adult;Pediatric Supplemental 1.00 2017-01-18 14:31:26.0 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C52471 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) - Symptom Evaluation more emotional score SCAT3SymptmEvalMoreEmoScore The score pertaining to how much the subject feels like he/she has been more emotional, as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3) The score pertaining to how much the subject feels like he/she has been more emotional, as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3 More emotional 0;1;2;3;4;5;6 None;Mild;mild;Moderate;Moderate;Severe;Severe Numeric Values

You should score yourself on the following symptoms, based on how you feel now

1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, Kvarnstr&Ouml;m J, Olsson M, Yd&Eacute;n T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. Adult;Pediatric Supplemental 1.00 2017-01-19 08:45:04.0 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C19500 Assessment performed date AssessmentPerformedDate The date of assessment of the examination being performed The date of assessment of the examination being performed Date of Assessment Date or Date & Time 1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, Kvarnstr&Ouml;m J, Olsson M, Yd&Eacute;n T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. Adult;Pediatric Supplemental 1.00 2014-06-18 08:10:12.0 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

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C52514 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) - Neck Examination finding text SCAT3NeckExamFindTxt Text describing the findings from the subject's neck examination, as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3) Text describing the findings from the subject's neck examination, as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3 Findings: Alphanumeric 1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, Kvarnstr&Ouml;m J, Olsson M, Yd&Eacute;n T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. Adult;Pediatric Supplemental 1.00 2017-01-19 08:45:04.0 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points 2000

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C52450 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) - Family diagnosis indicator SCAT3FmlyDiagnosInd The indicator relating to whether or not the subject's family has ever been diagnosed with any of the aforementioned problems, as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3) The indicator relating to whether or not the subject's family has ever been diagnosed with any of the aforementioned problems, as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3 Has anyone in your family ever been diagnosed wiith any of these problems? Y;N Yes;No Alphanumeric 1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, Kvarnstr&Ouml;m J, Olsson M, Yd&Eacute;n T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. Adult;Pediatric Supplemental 1.00 2017-01-18 15:13:32.0 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C52482 Standardized Assessment of Concussion (SAC) - Orientation date score SACOrientDateScore The score of the second question (date question) of the Orientation section of the Standardized Assessment of Concussion (SAC) The score of the second question (date question) of the Orientation section of the Standardized Assessment of Concussion (SAC What is the date today? 0;1 0;1 Numeric Values 1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, Kvarnstr&Ouml;m J, Olsson M, Yd&Eacute;n T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. Adult;Pediatric Supplemental 1.00 2017-01-19 08:45:04.0 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C52493 Standardized Assessment of Concussion (SAC) - Immediate memory Trial 2 Item 2 score SACImmMemT2Item2Score The score the subject received on Item 2 (default apple) of Trial 2 of the Immediate section of the Standardized Assessment of Concussion (SAC) The score the subject received on Item 2 (default apple) of Trial 2 of the Immediate section of the Standardized Assessment of Concussion (SAC apple Trial 2 0;1 0;1 Numeric Values

I am going to repeat the same list again. Repeat back as many words as you can remember in any order, even if you said the word before.

1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, Kvarnstr&Ouml;m J, Olsson M, Yd&Eacute;n T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. Adult;Pediatric Supplemental 1.00 2017-01-19 08:45:04.0 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C52424 Sport Concussion Assessment Tool (SCAT) - Loss consciousness time duration SCATLossConcsnTmDur Duration of incidents where the subject reports losing consciousness, as part of the Sport Concussion Assessment Tool (SCAT) Duration of incidents where the subject reports losing consciousness, as part of the Sport Concussion Assessment Tool (SCAT "If so, how long?" Numeric Values 1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, Kvarnstr&Ouml;m J, Olsson M, Yd&Eacute;n T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. Adult;Pediatric Supplemental-Highly Recommended 3.00 2013-07-20 10:21:25.65 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

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C52461 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) - Symptom Evaluation sensitivity to noise score SCAT3SymptmEvalSensNoiseScore The score pertaining to how sensitive the subject is to noise, as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3) The score pertaining to how sensitive the subject is to noise, as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3 Sensitivity to noise 0;1;2;3;4;5;6 None;Mild;mild;Moderate;Moderate;Severe;Severe Numeric Values

You should score yourself on the following symptoms, based on how you feel now.

1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, Kvarnstr&Ouml;m J, Olsson M, Yd&Eacute;n T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. Adult;Pediatric Supplemental 1.00 2017-01-19 08:45:04.0 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C52504 Standardized Assessment of Concussion (SAC) - Immediate memory Trial 3 total score SACImmMemT3TotalScore The total score the subject received on Trial 3 of the Immediate section of the Standardized Assessment of Concussion (SAC) The total score the subject received on Trial 3 of the Immediate section of the Standardized Assessment of Concussion (SAC Trial 3 Total Numeric Values 1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, Kvarnstr&Ouml;m J, Olsson M, Yd&Eacute;n T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. Adult;Pediatric Supplemental 1.00 2017-01-19 08:45:04.0 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

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C52440 Maddocks Score - Team play last game score MaddocksTeamPlayLastGameScore The score the subject received on fourth question (team play of last game question) of the Maddocks Score The score the subject received on fourth question (team play of last game question) of the Maddocks Scor What team did you play last week/game? 0;1 0;1 Numeric Values

I am going to ask you a few questions, please listen carefully and give your best effort.

1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, Kvarnstr&Ouml;m J, Olsson M, Yd&Eacute;n T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. Adult;Pediatric Supplemental 1.00 2017-01-18 14:31:26.0 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C52472 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) - Symptom Evaluation irritability score SCAT3SymptmEvalIrriScore The score pertaining to how much the subject feels irritable, as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3) The score pertaining to how much the subject feels irritable, as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3 Irritability 0;1;2;3;4;5;6 None;Mild;mild;Moderate;Moderate;Severe;Severe Numeric Values

You should score yourself on the following symptoms, based on how you feel now

1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, Kvarnstr&Ouml;m J, Olsson M, Yd&Eacute;n T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. Adult;Pediatric Supplemental 1.00 2017-01-19 08:45:04.0 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C20795 Balance Error Scoring System (BESS) - Double leg stance firm surface error count BESSDblLegFirmErrorCt Number of errors during double leg stance with feet together on firm surface, as part of Balance Error Scoring System (BESS) Number of errors during double leg stance with feet together on firm surface, as part of Balance Error Scoring System (BESS Double leg stance Numeric Values 1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, Kvarnstr&Ouml;m J, Olsson M, Yd&Eacute;n T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. Adult;Pediatric Supplemental 1.00 2015-05-21 08:51:27.0 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Free-Form Entry

0 10
C52521 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) - Balance ExaminationCondition tandem gait time value SCAT3BalExamCondTanGaitTimeVal The value of the time, in seconds, that it the subject clocked in at on his/her tandem gait assessment on the Condition section of the Balance Examination section, as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3) The value of the time, in seconds, that it the subject clocked in at on his/her tandem gait assessment on the Condition section of the Balance Examination section, as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3 Time (best of 4 trials) Numeric Values

Participants are instructed to stand with their feet together behind a starting line (the test is best done with footwear removed). Then, they walk in a forward direction as quickly and as accurately as possible along a 38mm wide (sports tape), 3 meter line with an alternate foot heel-to-toe gait ensuring that they approximate their heel and toe on each step. Once they cross the end of the 3m line, they turn 180 degrees and return to the tarting point using the same gait. A total of 4 trials are done and the best time is retained. Athletes should complete the test in 14 seconds. Athletes fail the test if they step off the line, have a separation between their heel and toe, or if they touch or grab the examiner or an object. In this case, the time is not recorded and the trial repeated, if appropriate.

1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, Kvarnstr&Ouml;m J, Olsson M, Yd&Eacute;n T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. Adult;Pediatric Supplemental 1.00 2017-01-19 08:45:04.0 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Free-Form Entry

second
C52451 Sport Concussion Assessment Tool (SCAT) - Medication indicator SCATMediactionInd The indicator relating to whether or not the subject is currently on any medications, as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3) The indicator relating to whether or not the subject is currently on any medications, as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3 Are you on any medications? Y;N Yes;No Alphanumeric 1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, Kvarnstr&Ouml;m J, Olsson M, Yd&Eacute;n T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. Adult;Pediatric Supplemental 1.00 2017-01-18 15:13:32.0 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C52483 Standardized Assessment of Concussion (SAC) - Orientation day score SACOrientDayScore The score of the third question (day question) of the Orientation section of the Standardized Assessment of Concussion (SAC) The score of the third question (day question) of the Orientation section of the Standardized Assessment of Concussion (SAC What is the day of the week? 0;1 0;1 Numeric Values 1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, Kvarnstr&Ouml;m J, Olsson M, Yd&Eacute;n T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. Adult;Pediatric Supplemental 1.00 2017-01-19 08:45:04.0 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C52494 Standardized Assessment of Concussion (SAC) - Immediate memory Trial 2 Item 3 score SACImmMemT2Item3Score The score the subject received on Item 3 (default carpet) of Trial 2 of the Immediate section of the Standardized Assessment of Concussion (SAC) The score the subject received on Item 3 (default carpet) of Trial 2 of the Immediate section of the Standardized Assessment of Concussion (SAC carpet Trial 2 0;1 0;1 Numeric Values

I am going to repeat the same list again. Repeat back as many words as you can remember in any order, even if you said the word before.

1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, Kvarnstr&Ouml;m J, Olsson M, Yd&Eacute;n T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. Adult;Pediatric Supplemental 1.00 2017-01-19 08:45:04.0 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C52425 Sport Concussion Assessment Tool (SCAT) - Balance motor incoordination indicator SCATBalMotorIncoordInd The indicator relating to whether or not the subject has balance or motor incoordination, as part of the Sport Concussion Assessment Tool (SCAT) The indicator relating to whether or not the subject has balance or motor incoordination, as part of the Sport Concussion Assessment Tool (SCAT Balance or motor incoordination (stumbles, slow/laboured movements,etc.)? Y;N Yes;No Alphanumeric 1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, Kvarnstr&Ouml;m J, Olsson M, Yd&Eacute;n T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. Adult;Pediatric Supplemental 1.00 2017-01-18 14:14:31.0 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C52462 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) - Symptom Evaluation feeling slowed down score SCAT3SymptmEvalFeelSlowDnScore The score pertaining to how much the subject feels slowed down, as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3) The score pertaining to how much the subject feels slowed down, as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3 Feeling slowed down 0;1;2;3;4;5;6 None;Mild;mild;Moderate;Moderate;Severe;Severe Numeric Values

You should score yourself on the following symptoms, based on how you feel now

1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, Kvarnstr&Ouml;m J, Olsson M, Yd&Eacute;n T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. Adult;Pediatric Supplemental 1.00 2017-01-19 08:45:04.0 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

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 Numeric Values 1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, Kvarnstr&Ouml;m J, Olsson M, Yd&Eacute;n T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. Adult;Pediatric Supplemental 3.10 2024-02-29 15:47:28.0 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Free-Form Entry

0 1800 month
C52505 Standardized Assessment of Concussion (SAC) - Immediate memory total score SACImmMemTotalScore The total score the subject received on the Immediate memory section of the Standardized Assessment of Concussion (SAC) The total score the subject received on the Immediate memory section of the Standardized Assessment of Concussion (SAC Immediate memory score total Numeric Values 1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, Kvarnstr&Ouml;m J, Olsson M, Yd&Eacute;n T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. Adult;Pediatric Supplemental 1.00 2017-01-19 08:45:04.0 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Free-Form Entry

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C52441 Maddocks Score - Team win last game score MaddocksTeamWinLastGameScore The score the subject received on fifth question (team win last game question) of the Maddocks Score The score the subject received on fifth question (team win last game question) of the Maddocks Scor Did your team win the last game? 0;1 0;1 Numeric Values

I am going to ask you a few questions, please listen carefully and give your best effort.

1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, Kvarnstr&Ouml;m J, Olsson M, Yd&Eacute;n T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. Adult;Pediatric Supplemental 1.00 2017-01-18 14:31:26.0 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C52473 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) - Symptom Evaluation sadness score SCAT3SymptmEvalSadScore The score pertaining to how much the subject feels sad, as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3) The score pertaining to how much the subject feels sad, as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3 Sadness 0;1;2;3;4;5;6 None;Mild;mild;Moderate;Moderate;Severe;Severe Numeric Values

You should score yourself on the following symptoms, based on how you feel now

1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, Kvarnstr&Ouml;m J, Olsson M, Yd&Eacute;n T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. Adult;Pediatric Supplemental 1.00 2017-01-19 08:45:04.0 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C20796 Balance Error Scoring System (BESS) - Single leg stance firm surface error count BESSSglLegFirmErrorCt Number of errors during single leg stance with non-dominant foot tested on firm surface, as part of Balance Error Scoring System (BESS) Number of errors during single leg stance with non-dominant foot tested on firm surface, as part of Balance Error Scoring System (BESS Single leg stance (non-dominant foot): Numeric Values 1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, Kvarnstr&Ouml;m J, Olsson M, Yd&Eacute;n T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. Adult;Pediatric Supplemental 1.00 2015-05-21 08:51:27.0 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

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0 10
C52522 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) - Coordination Examination arm tested type SCAT3CoordExamArmTestTyp The arm being tested for upper limb coordination on the Coordination Examination section, as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3) The arm being tested for upper limb coordination on the Coordination Examination section, as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3 Which arm was tested Left;Right Left;Right Alphanumeric

I am going to test your coordination now. Please sit comfortably on the chair with your eyes open and your arm (either right or left) outstretched (shoulder flexed to 90 degrees and elbow and fingers extended), pointing in front of you. When I give a start signal, I would like you to perform five successive finger to nose repetitions using your index finger to touch the tip of the nose, and then return to the starting position, as quickly and as accurately as possible.

1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, Kvarnstr&Ouml;m J, Olsson M, Yd&Eacute;n T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. Adult;Pediatric Supplemental 1.00 2017-01-19 08:45:04.0 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C52452 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) - Medication text SCAT3MediactionTxt Text listing any and all of the subject's current medications, as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3) Text listing any and all of the subject's current medications, as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3 If yes, please list: Alphanumeric 1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, Kvarnstr&Ouml;m J, Olsson M, Yd&Eacute;n T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. Adult;Pediatric Supplemental 1.00 2017-01-18 15:13:32.0 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points 255

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C52484 Standardized Assessment of Concussion (SAC) - Orientation year score SACOrientYrScore The score of the fourth question (year question) of the Orientation section of the Standardized Assessment of Concussion (SAC) The score of the fourth question (year question) of the Orientation section of the Standardized Assessment of Concussion (SAC What year is it? 0;1 0;1 Numeric Values 1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, Kvarnstr&Ouml;m J, Olsson M, Yd&Eacute;n T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. Adult;Pediatric Supplemental 1.00 2017-01-19 08:45:04.0 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C52495 Standardized Assessment of Concussion (SAC) - Immediate memory Trial 2 Item 4 score SACImmMemT2Item4Score The score the subject received on Item 4 (default saddle) of Trial 2 of the Immediate section of the Standardized Assessment of Concussion (SAC) The score the subject received on Item 4 (default saddle) of Trial 2 of the Immediate section of the Standardized Assessment of Concussion (SAC saddle Trial 2 0;1 0;1 Numeric Values

I am going to repeat the same list again. Repeat back as many words as you can remember in any order, even if you said the word before.

1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, Kvarnstr&Ouml;m J, Olsson M, Yd&Eacute;n T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. Adult;Pediatric Supplemental 1.00 2017-01-19 08:45:04.0 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C52426 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) - Disorientation confusion indicator SCAT3DisorientConfusInd The indicator relating to whether or not the subject has any disorientation or confusion, as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3) The indicator relating to whether or not the subject has any disorientation or confusion, as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3 Disorientation or confusion (inability to respond appropriately to questions)? Y;N Yes;No Alphanumeric 1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, Kvarnstr&Ouml;m J, Olsson M, Yd&Eacute;n T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. Adult;Pediatric Supplemental 1.00 2017-01-18 14:14:31.0 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C52463 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) - Symptom Evaluation feeling like in a fog score SCAT3SymptmEvalFeelInFogScore The score pertaining to how much the subject feels like he/she is "in a fog", as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3) The score pertaining to how much the subject feels like he/she is "in a fog", as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3 Feeling like "in a fog" 0;1;2;3;4;5;6 None;Mild;mild;Moderate;Moderate;Severe;Severe Numeric Values

You should score yourself on the following symptoms, based on how you feel now

1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, Kvarnstr&Ouml;m J, Olsson M, Yd&Eacute;n T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. Adult;Pediatric Supplemental 1.00 2017-01-19 08:45:04.0 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C00015 Education year count EduYrCt Number of years of education completed (age 5 and beyond) Number of years of education completed (age 5 and beyond) Years of education completed Numeric Values 1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, Kvarnstr&Ouml;m J, Olsson M, Yd&Eacute;n T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. Adult;Pediatric Supplemental 3.00 2013-07-22 16:57:17.79 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

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0 30 year 3134878
C52506 Standardized Assessment of Concussion (SAC) - Concentration digit backward 3 digit number score SACConcDB3DigitNumScore The score the subject received on Item 1 (default 4-9-3) of Concentration: Digits Backward section of the Standardized Assessment of Concussion (SAC) The score the subject received on Item 1 (default 4-9-3) of Concentration: Digits Backward section of the Standardized Assessment of Concussion (SAC 4-9-3 0;1 0;1 Numeric Values

I am going to read you a string of numbers and when I am done, you repeat them back to me backwards, in reverse order of how I read them to you. For example, if I say 7-1-9, you would say 9-1-7.

1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, Kvarnstr&Ouml;m J, Olsson M, Yd&Eacute;n T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. Adult;Pediatric Supplemental 1.00 2017-01-19 08:45:04.0 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C52442 Maddocks Score - Total score MaddocksTotalScore The total score the subject received on the Maddocks Score The total score the subject received on the Maddocks Scor Maddocks score Numeric Values 1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, Kvarnstr&Ouml;m J, Olsson M, Yd&Eacute;n T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. Adult;Pediatric Supplemental 1.00 2017-01-18 14:31:26.0 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

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0 5
C52474 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) - Symptom Evaluation nervous anxious score SCAT3SymptmEvalNervAnxScore The score pertaining to how much the subject feels nervous or anxious, as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3) The score pertaining to how much the subject feels nervous or anxious, as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3 Nervous or Anxious 0;1;2;3;4;5;6 None;Mild;mild;Moderate;Moderate;Severe;Severe Numeric Values

You should score yourself on the following symptoms, based on how you feel now

1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, Kvarnstr&Ouml;m J, Olsson M, Yd&Eacute;n T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. Adult;Pediatric Supplemental 1.00 2017-01-19 08:45:04.0 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C20797 Balance Error Scoring System (BESS) - Tandem stance firm surface error count BESSTandemFirmErrorCt Number of errors during tandem stance with non-dominant foot in back on firm surface, as part of Balance Error Scoring System (BESS) Number of errors during tandem stance with non-dominant foot in back on firm surface, as part of Balance Error Scoring System (BESS Tandem stance (non-dominant foot at back) Numeric Values 1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, Kvarnstr&Ouml;m J, Olsson M, Yd&Eacute;n T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. Adult;Pediatric Supplemental 1.00 2015-05-21 08:51:27.0 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

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C52523 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) - Coordination Examination coordination score SCAT3CoordExamCoordScore The score the subject received on the Coordination Examination section, as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3) The score the subject received on the Coordination Examination section, as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3 Coordination score Numeric Values

I am going to test your coordination now. Please sit comfortably on the chair with your eyes open and your arm (either right or left) outstretched (shoulder flexed to 90 degrees and elbow
and fingers extended), pointing in front of you. When I give a start signal, I would like you to perform five successive finger to nose repetitions using your index finger to touch the tip of
the nose, and then return to the starting position, as quickly and as accurately as possible.

1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, Kvarnstr&Ouml;m J, Olsson M, Yd&Eacute;n T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. Adult;Pediatric Supplemental 1.00 2017-01-19 08:45:04.0 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

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C52453 Sport Concussion Assessment Tool (SCAT) - Symptom Evaluation headache score SCATSymptmEvalHeadScore The score pertaining to how much the subject feels like he/she is having a headache, as part of the Sport Concussion Assessment Tool (SCAT) The score pertaining to how much the subject feels like he/she is having a headache, as part of the Sport Concussion Assessment Tool (SCAT Headache 0;1;2;3;4;5;6 None;Mild;mild;Moderate;Moderate;Severe;Severe Numeric Values

"You should score yourself on the following symptoms, based on how you feel now"

1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, Kvarnstr&Ouml;m J, Olsson M, Yd&Eacute;n T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. Adult;Pediatric Supplemental 1.00 2017-01-19 08:45:04.0 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C52485 Standardized Assessment of Concussion (SAC) - Orientation time score SACOrientTimeScore The score of the fifth question (time question) of the Orientation section of the Standardized Assessment of Concussion (SAC) The score of the fifth question (time question) of the Orientation section of the Standardized Assessment of Concussion (SAC What time is it right now? (within 1 hour) 0;1 0;1 Numeric Values 1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, Kvarnstr&Ouml;m J, Olsson M, Yd&Eacute;n T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. Adult;Pediatric Supplemental 1.00 2017-01-19 08:45:04.0 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C52496 Standardized Assessment of Concussion (SAC) - Immediate memory Trial 2 Item 5 score SACImmMemT2Item5Score The score the subject received on Item 5 (default bubble) of Trial 2 of the immediate module as part of the Standardized Assessment of Concussion (SAC) The score the subject received on Item 5 (default bubble) of Trial 2 of the immediate module as part of the Standardized Assessment of Concussion (SAC bubble Trial 2 0;1 0;1 Numeric Values

I am going to repeat the same list again. Repeat back as many words as you can remember in any order, even if you said the word before.

1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, Kvarnstr&Ouml;m J, Olsson M, Yd&Eacute;n T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. Adult;Pediatric Supplemental 1.00 2017-01-19 08:45:04.0 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C52427 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) - Memory loss indicator SCAT3MemLossInd The indicator relating to whether or not the subject has loss his or her memory due to his or her injury, as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3) The indicator relating to whether or not the subject has loss his or her memory due to his or her injury, as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3 Loss of memory: Y;N Yes;No Alphanumeric 1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, Kvarnstr&Ouml;m J, Olsson M, Yd&Eacute;n T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. Adult;Pediatric Supplemental 1.00 2017-01-18 14:23:09.0 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C52464 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) - Symptom Evaluation not feel right score SCAT3SymptmEvalNotFeelRtScore The score pertaining to how much the subject "doesn't feel right", as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3) The score pertaining to how much the subject "doesn't feel right", as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3 "Don't feel right" 0;1;2;3;4;5;6 None;Mild;mild;Moderate;Moderate;Severe;Severe Numeric Values

You should score yourself on the following symptoms, based on how you feel now

1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, Kvarnstr&Ouml;m J, Olsson M, Yd&Eacute;n T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. Adult;Pediatric Supplemental 1.00 2017-01-19 08:45:04.0 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C00023 Hand preference type HandPrefTyp Hand which the participant/subject uses predominantly, not necessarily the hand he/she writes with exclusively Hand which the participant/subject uses predominantly, not necessarily the hand he/she writes with exclusivel Dominant hand Left hand;Right hand Left hand;Right hand Alphanumeric 1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, Kvarnstr&Ouml;m J, Olsson M, Yd&Eacute;n T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. Adult;Pediatric Supplemental 3.00 2013-07-25 08:54:08.2 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

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C52507 Standardized Assessment of Concussion (SAC) - Concentration digit backward 4 digit number score SACConcDB4DigitNumScore The score the subject received on Item 2 (default 3-8-1-4) of Concentration: Digits Backward section of the Standardized Assessment of Concussion (SAC) The score the subject received on Item 2 (default 3-8-1-4) of Concentration: Digits Backward section of the Standardized Assessment of Concussion (SAC 3-8-1-4 0;1 0;1 Numeric Values

I am going to read you a string of numbers and when I am done, you repeat them back to me backwards, in reverse order of how I read them to you. For example, if I say 7-1-9, you would say 9-1-7.

1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, Kvarnstr&Ouml;m J, Olsson M, Yd&Eacute;n T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. Adult;Pediatric Supplemental 1.00 2017-01-19 08:45:04.0 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C52443 Sport Concussion Assessment Tool (SCAT) - Past concussion count SCAT3PastConcussCt The count of how many times the subject believes he/she has had a concussion, as part of the Sport Concussion Assessment Tool (SCAT3) The count of how many times the subject believes he/she has had a concussion, as part of the Sport Concussion Assessment Tool (SCAT3 How many concussions do you think you have had in the past? Numeric Values 1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, Kvarnstr&Ouml;m J, Olsson M, Yd&Eacute;n T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. Adult;Pediatric Supplemental 1.00 2017-01-18 15:05:43.0 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

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C52475 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) - Symptom Evaluation total symptom score SCAT3SymptmEvalTotSymptmScore The score representing the total number of symptoms the subject is experiencing, as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3) The score representing the total number of symptoms the subject is experiencing, as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3 Total number of symptoms Numeric Values 1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, Kvarnstr&Ouml;m J, Olsson M, Yd&Eacute;n T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. Adult;Pediatric Supplemental 1.00 2017-01-19 08:45:04.0 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

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C20804 Balance Error Scoring System (BESS) - Foot tested anatomic site BESSFootTestAnatSite Anatomic site of non-dominant foot tested, as part of Balance Error Scoring System (BESS) Anatomic site of non-dominant foot tested, as part of Balance Error Scoring System (BESS Which foot was tested (i.e. which is the non-dominant foot) Left;Right Left;Right Alphanumeric 1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, Kvarnstr&Ouml;m J, Olsson M, Yd&Eacute;n T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. Adult;Pediatric Supplemental 1.00 2015-05-21 08:51:27.0 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C52524 Standardized Assessment of Concussion (SAC) - Delayed Recall score SACDelayRecallScore The score the subject received on the Delayed Recall portion of the Standardized Assessment of Coordination (SAC) The score the subject received on the Delayed Recall portion of the Standardized Assessment of Coordination (SAC Delayed recall score Numeric Values

Do you remember that list of words I read a few times earlier? Tell me as many words from the list as you can remember in any order.

1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, Kvarnstr&Ouml;m J, Olsson M, Yd&Eacute;n T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. Adult;Pediatric Supplemental 1.00 2017-01-19 08:45:04.0 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

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C52454 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) - Symptom Evaluation pressure head score SCAT3SymptmEvalPresHeadScore The score pertaining to how much the subject feels "pressure in his/her head", as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3) The score pertaining to how much the subject feels "pressure in his/her head", as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3 "Pressure in head" 0;1;2;3;4;5;6 None;Mild;mild;Moderate;Moderate;Severe;Severe Numeric Values

You should score yourself on the following symptoms, based on how you feel now

1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, Kvarnstr&Ouml;m J, Olsson M, Yd&Eacute;n T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. Adult;Pediatric Supplemental 1.00 2017-01-19 08:45:04.0 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C52486 Standardized Assessment of Concussion (SAC) - Orientation total score SACOrientTotalScore The total score the subject received on the Orientation section of the Standardized Assessment of Concussion (SAC) The total score the subject received on the Orientation section of the Standardized Assessment of Concussion (SAC Orientation score Numeric Values 1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, Kvarnstr&Ouml;m J, Olsson M, Yd&Eacute;n T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. Adult;Pediatric Supplemental 1.00 2017-01-19 08:45:04.0 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

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