CDE Detailed Report
Disease: content
Subdomain Name: Cognitive Assessment
CRF: welcome
Displaying 51 - 59 of 59
Subdomain Name: Cognitive Assessment
CRF: welcome
Displaying 51 - 59 of 59
| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| C54378 | Acute Concussion Evaluation (ACE) - Risk factors protracted recovery comorbid medical disorders medication usage text | ACERskFcPtrctRcvComrdDisMedTxt | Text for other comorbid medical disorders or medication usage as a risk factor that may protract the subject/participant recovery process since injury as related to the Acute Concussion Evaluation (ACE) | Text for other comorbid medical disorders or medication usage as a risk factor that may protract the subject/participant recovery process since injury as related to the Acute Concussion Evaluation (ACE | List other comorbid medical disorders or medication usage (e.g., hypothyroid, seizures) | Alphanumeric | Centers for the Disease Control and Prevention. Heads Up: Brain Injury in Your Practice Tool Kit, 2006. | Adult;Pediatric | Supplemental | 1.00 | 2017-02-27 20:22:56.0 | Acute Concussion Evaluation (ACE) | Cognitive Assessment | Outcomes and End Points | 255 |
Free-Form Entry |
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| C54354 | Acute Concussion Evaluation (ACE) - Symptom check list emotional indicator | ACESymptomChkLstEmotnlInd | Indicator of whether subject/participant has experienced emotional symptoms since injury as related to the Acute Concussion Evaluation (ACE) | Indicator of whether subject/participant has experienced emotional symptoms since injury as related to the Acute Concussion Evaluation (ACE | EMOTIONAL (4) | 0;1 | 0=No;1=Yes | Alphanumeric |
Indicate presence of each symptom (0=No 1=Yes). |
Centers for the Disease Control and Prevention. Heads Up: Brain Injury in Your Practice Tool Kit, 2006. | Adult;Pediatric | Supplemental | 1.00 | 2017-02-27 20:29:51.0 | Acute Concussion Evaluation (ACE) | Cognitive Assessment | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C54365 | Acute Concussion Evaluation (ACE) - Risk factors protracted recovery concussion history duration type | ACERskFacPrtrctRcvConcHxDurTyp | Type of duration of longest symptom regarding concussion history as a risk factor that may protract the subject/participant recovery process since injury as related to the Acute Concussion Evaluation (ACE) | Type of duration of longest symptom regarding concussion history as a risk factor that may protract the subject/participant recovery process since injury as related to the Acute Concussion Evaluation (ACE | Longest symptom duration | Days;Weeks;Months;years | Days;Weeks;Months;years | Alphanumeric |
Assess the number and date(s) of prior concussions, duration of symptoms for each injury, and whether less biomechanical force resulted in re-injury. |
Centers for the Disease Control and Prevention. Heads Up: Brain Injury in Your Practice Tool Kit, 2006. | Adult;Pediatric | Supplemental | 1.00 | 2017-02-27 20:22:56.0 | Acute Concussion Evaluation (ACE) | Cognitive Assessment | Outcomes and End Points |
Multiple Pre-Defined Values Selected |
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| C54333 | Acute Concussion Evaluation (ACE) ? Injury description text | ACEInjuryDescriptnTxt | Text of injury description as related to the Acute Concussion Evaluation (ACE) | Text of injury description as related to the Acute Concussion Evaluation (ACE) | Injury Description | Alphanumeric |
Obtain description of the injury. |
Centers for the Disease Control and Prevention. Heads Up: Brain Injury in Your Practice Tool Kit, 2006. | Adult;Pediatric | Supplemental | 1.00 | 2017-02-27 19:20:57.0 | Acute Concussion Evaluation (ACE) | Cognitive Assessment | Outcomes and End Points | 255 |
Free-Form Entry |
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| C54344 | Acute Concussion Evaluation (ACE) - Loss of consciousness indicator | ACELossConsciousnessInd | Indicator of whether subject/participant had loss of consciousness as related to the Acute Concussion Evaluation (ACE) | Indicator of whether subject/participant had loss of consciousness as related to the Acute Concussion Evaluation (ACE | Loss of consciousness: Did you/ person lose consciousness? | No;Yes | No;Yes | Alphanumeric | Centers for the Disease Control and Prevention. Heads Up: Brain Injury in Your Practice Tool Kit, 2006. | Adult;Pediatric | Supplemental | 1.00 | 2017-02-27 20:29:51.0 | Acute Concussion Evaluation (ACE) | Cognitive Assessment | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C54380 | Acute Concussion Evaluation (ACE) - Red flags acute emergency management type | ACERedFlagAcuteEmergMgmtTyp | Type of red flags for acute emergency management as related to the Acute Concussion Evaluation (ACE) | Type of red flags for acute emergency management as related to the Acute Concussion Evaluation (ACE | RED FLAGS for acute emergency management: | Can't recognize people or places;Change in state of consciousness;Focal neurologic signs;Headaches that worsen;Increasing confusion or irritability;Looks very drowsy/ can't be awakened;Neck pain;Repeated vomiting;Seizures;Unusual behavioral change;Weakness or numbness in arms/legs | Can't recognize people or places;Change in state of consciousness;Focal neurologic signs;Headaches that worsen;Increasing confusion or irritability;Looks very drowsy/ can't be awakened;Neck pain;Repeated vomiting;Seizures;Unusual behavioral change;Weakness or numbness in arms/legs | Alphanumeric |
Refer to the emergency department with sudden onset of any of the following: |
Centers for the Disease Control and Prevention. Heads Up: Brain Injury in Your Practice Tool Kit, 2006. | Adult;Pediatric | Supplemental | 1.00 | 2017-02-27 20:22:56.0 | Acute Concussion Evaluation (ACE) | Cognitive Assessment | Outcomes and End Points |
Multiple Pre-Defined Values Selected |
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| C54355 | Acute Concussion Evaluation (ACE) - Symptom check list emotional total count | ACESymptomChkLstEmotnlTotCt | Total count of emotional symptoms subject/participant has experienced since injury as related to the Acute Concussion Evaluation (ACE) | Total count of emotional symptoms subject/participant has experienced since injury as related to the Acute Concussion Evaluation (ACE | EMOTIONAL Total (0-4) | Numeric Values |
Sum total number of symptoms present per area, and sum all four areas into a Total Symptom Score (score range 0–22)(Note: most sleep symptoms are only applicable after a night has passed since the injury. |
Centers for the Disease Control and Prevention. Heads Up: Brain Injury in Your Practice Tool Kit, 2006. | Adult;Pediatric | Supplemental | 1.00 | 2017-02-27 20:29:51.0 | Acute Concussion Evaluation (ACE) | Cognitive Assessment | Outcomes and End Points |
Free-Form Entry |
0 | 4 | ||||||||
| C54366 | Acute Concussion Evaluation (ACE) - Risk factors protracted recovery multiple concussion force reinjury indicator | ACERskFcPtrcRcvMltCncFrcRnjInd | Indicator of whether multiple concussions occur with less force caused reinjury is a risk factor that may protract the subject/participant recovery process since injury as related to the Acute Concussion Evaluation (ACE) | Indicator of whether multiple concussions occur with less force caused reinjury is a risk factor that may protract the subject/participant recovery process since injury as related to the Acute Concussion Evaluation (ACE | If multiple concussions, less force caused reinjury? | No;Yes | No;Yes | Alphanumeric |
Assess the number and date(s) of prior concussions, duration of symptoms for each injury, and whether less biomechanical force resulted in re-injury. |
Centers for the Disease Control and Prevention. Heads Up: Brain Injury in Your Practice Tool Kit, 2006. | Adult;Pediatric | Supplemental | 1.00 | 2017-02-27 20:22:56.0 | Acute Concussion Evaluation (ACE) | Cognitive Assessment | Outcomes and End Points |
Multiple Pre-Defined Values Selected |
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| C54334 | Acute Concussion Evaluation (ACE) - Evidence direct blow head indicator | ACEEvidnceDirctBlowHeadInd | Indicator whether injury is due to a blow to the head as related to the Acute Concussion Evaluation (ACE) | Indicator whether injury is due to a blow to the head as related to the Acute Concussion Evaluation (ACE | Is there evidence of a forcible blow to the head (direct or indirect)? | No;Yes;Unknown | No;Yes;Unknown | Alphanumeric | Centers for the Disease Control and Prevention. Heads Up: Brain Injury in Your Practice Tool Kit, 2006. | Adult;Pediatric | Supplemental | 1.00 | 2017-02-27 20:02:13.0 | Acute Concussion Evaluation (ACE) | Cognitive Assessment | Outcomes and End Points |
Single Pre-Defined Value Selected |
