CDE Detailed Report

Disease: Sport Related Concussion
Subdomain Name: Cognitive Assessment
CRF: Immediate Post-Concussion Assessment and Cognitive Testing (imPACT)

Displaying 101 - 109 of 109
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
C21449 Immediate Post-Concussion Assessment Testing (ImPACT) - X and O interference average incorrect reaction time duration ImPACTXOInterAvgIncorrRTDur The interference average incorrect reaction time duration on the X's and O's module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT) The interference average incorrect reaction time duration on the X's and O's module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT Avg. incorrect RT (interfer.) Numeric Values Iverson GL, Lovell MR, Collins MW. Validity of ImPACT for measuring processing speed<br />following sports-related concussion. J Clin Exper Neuropsychol. 2005;27(6):683-699. Adult;Pediatric Core 1.00 2015-07-20 11:52:01.0 Immediate Post-Concussion Assessment and Cognitive Testing (imPACT) Cognitive Assessment Outcomes and End Points

Free-Form Entry

0
C21385 Immediate Post-Concussion Assessment Testing (ImPACT) - Autism diagnosis indicator ImPACTDxAutismInd Indicator of whether the subject has been diagnosed with autism, as part of the Immediate Post-Concussion Assessment Testing (ImPACT) Indicator of whether the subject has been diagnosed with autism, as part of the Immediate Post-Concussion Assessment Testing (ImPACT Diagnosed with Autism No;Yes No;Yes Alphanumeric Iverson GL, Lovell MR, Collins MW. Validity of ImPACT for measuring processing speed<br />following sports-related concussion. J Clin Exper Neuropsychol. 2005;27(6):683-699. Adult;Pediatric Core 1.00 2015-07-20 11:52:01.0 Immediate Post-Concussion Assessment and Cognitive Testing (imPACT) Cognitive Assessment Outcomes and End Points

Single Pre-Defined Value Selected

C21428 Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS) - Memory difficulty assessment score ImPACTPCSSDiffRemeberScore The subject's current difficulty remembering rating score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS) The subject's current difficulty remembering rating score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS Difficulty remembering 1;2;3;4;5;6;0 Minor;Minor;Moderate;Moderate;Severe;Severe;Not experiencing this symptom Numeric Values Iverson GL, Lovell MR, Collins MW. Validity of ImPACT for measuring processing speed<br />following sports-related concussion. J Clin Exper Neuropsychol. 2005;27(6):683-699. Adult;Pediatric Core 1.00 2015-07-20 11:52:01.0 Immediate Post-Concussion Assessment and Cognitive Testing (imPACT) Cognitive Assessment Outcomes and End Points

Single Pre-Defined Value Selected

C21364 Immediate Post-Concussion Assessment Testing (ImPACT) - Speech therapy receive indicator ImPACTReceivedSpeechTherInd Indicator of whether the subject received speech therapy Indicator of whether the subject received speech therap Received speech therapy No;Yes No;Yes Alphanumeric

N/A

Iverson GL, Lovell MR, Collins MW. Validity of ImPACT for measuring processing speed<br />following sports-related concussion. J Clin Exper Neuropsychol. 2005;27(6):683-699. Adult;Pediatric Core 1.00 2015-07-20 11:52:01.0 Immediate Post-Concussion Assessment and Cognitive Testing (imPACT) Cognitive Assessment Outcomes and End Points

Single Pre-Defined Value Selected

C21460 Immediate Post-Concussion Assessment Testing (ImPACT) - Three letters percent of total letters correct percentage value ImPACTThreLetPctTotLetCorPVal The numeric percentage of total letters correct on the three letters module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT) The numeric percentage of total letters correct on the three letters module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT Pct. of total letters correct Numeric Values Iverson GL, Lovell MR, Collins MW. Validity of ImPACT for measuring processing speed<br />following sports-related concussion. J Clin Exper Neuropsychol. 2005;27(6):683-699. Adult;Pediatric Core 1.00 2015-07-20 11:52:01.0 Immediate Post-Concussion Assessment and Cognitive Testing (imPACT) Cognitive Assessment Outcomes and End Points

Free-Form Entry

0 100
C21396 Immediate Post-Concussion Assessment Testing (ImPACT) - Visual motor speed composite score ImPACTVisMotSpeedCompScore Visual motor speed composite score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT) Visual motor speed composite score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT Visual motor speed composite Numeric Values Iverson GL, Lovell MR, Collins MW. Validity of ImPACT for measuring processing speed<br />following sports-related concussion. J Clin Exper Neuropsychol. 2005;27(6):683-699. Adult;Pediatric Core 1.00 2015-07-20 11:52:01.0 Immediate Post-Concussion Assessment and Cognitive Testing (imPACT) Cognitive Assessment Outcomes and End Points

Free-Form Entry

0 100
C21439 Immediate Post-Concussion Assessment Testing (ImPACT) - Design memory immediate correct distractor count ImPACTDesignMemImmedCorrDisCt The number of immediate correct distractors identified on the design memory module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT) The number of immediate correct distractors identified on the design memory module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT Correct distractors (immed.) Numeric Values Iverson GL, Lovell MR, Collins MW. Validity of ImPACT for measuring processing speed<br />following sports-related concussion. J Clin Exper Neuropsychol. 2005;27(6):683-699. Adult;Pediatric Core 1.00 2015-07-20 11:52:01.0 Immediate Post-Concussion Assessment and Cognitive Testing (imPACT) Cognitive Assessment Outcomes and End Points

Free-Form Entry

0 12
C21375 Immediate Post-Concussion Assessment Testing (ImPACT) - Memory loss prior injury concussion result count ImPACTConcussResMemLossBefCt Number of concussions that resulted in a loss of memory of the events that occurred before injury, as part of the Immediate Post-Concussion Assessment Testing (ImPACT) Number of concussions that resulted in a loss of memory of the events that occurred before injury, as part of the Immediate Post-Concussion Assessment Testing (ImPACT Concussions that resulted in difficulty remembering events that occurred Numeric Values Iverson GL, Lovell MR, Collins MW. Validity of ImPACT for measuring processing speed<br />following sports-related concussion. J Clin Exper Neuropsychol. 2005;27(6):683-699. Adult;Pediatric Core 1.00 2015-07-20 11:52:01.0 Immediate Post-Concussion Assessment and Cognitive Testing (imPACT) Cognitive Assessment Outcomes and End Points

Free-Form Entry

0
C21407 Immediate Post-Concussion Assessment Testing (ImPACT) - Sleep last night hour duration ImPACTHoursSleptLstNghtDur Duration (in hours) the subject slept last night, as part of the Immediate Post-Concussion Assessment Testing (ImPACT) Duration (in hours) the subject slept last night, as part of the Immediate Post-Concussion Assessment Testing (ImPACT Hours slept last night Numeric Values Iverson GL, Lovell MR, Collins MW. Validity of ImPACT for measuring processing speed<br />following sports-related concussion. J Clin Exper Neuropsychol. 2005;27(6):683-699. Adult;Pediatric Core 1.00 2015-07-20 11:52:01.0 Immediate Post-Concussion Assessment and Cognitive Testing (imPACT) Cognitive Assessment Outcomes and End Points

Free-Form Entry

0 24
CSV