CDE Detailed Report

Disease: content
Subdomain Name: Cognitive Assessment
CRF: welcome

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
C21389 Immediate Post-Concussion Assessment Testing (ImPACT) - Test version type ImPACTTestVersionType Type of test version used for the exam, as part of the Immediate Post-Concussion Assessment Testing (ImPACT) Type of test version used for the exam, as part of the Immediate Post-Concussion Assessment Testing (ImPACT Test Version 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 10

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C21421 Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS) - Sadness score ImPACTPCSSSadnessScore The subject's current sadness rating score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS) The subject's current sadness rating score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS Sadness 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

C21368 Immediate Post-Concussion Assessment Testing (ImPACT) - Current sport type ImPACTCurrentSportType Type of sport the subject participates currently, as part of the Immediate Post-Concussion Assessment Testing (ImPACT) Type of sport the subject participates currently, as part of the Immediate Post-Concussion Assessment Testing (ImPACT Current sport 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 100

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C21464 Immediate Post-Concussion Assessment Testing (ImPACT) - Invalid assessment indicator ImPACTInvalidAssInd Indicator of whether the data is considered to be invalid, as part of the Immediate Post-Concussion Assessment Testing (ImPACT) Indicator of whether the data is considered to be invalid, as part of the Immediate Post-Concussion Assessment Testing (ImPACT No;Yes;Unknown No;Yes;Unknown 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

C21400 Immediate Post-Concussion Assessment Testing (ImPACT) - Reaction time composite percentage value ImPACTReactTimeCompPercVal The percentile of the subject's reaction time composite score (if available), as part of the Immediate Post-Concussion Assessment Testing (ImPACT) The percentile of the subject's reaction time composite score (if available), as part of the Immediate Post-Concussion Assessment Testing (ImPACT Reaction time 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
C21432 Immediate Post-Concussion Assessment Testing (ImPACT) - Word memory immediate correct distractor count ImPACTWordMemImmedCorrDisCt The number of immediate correct distractors identified on the word memory module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT) The number of immediate correct distractors identified on the word 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
C21443 Immediate Post-Concussion Assessment Testing (ImPACT) - Design memory delay percent correct percentage value ImPACTDesignMemDelCorrPercVal The delayed memory percent correct number on the design memory module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT) The delayed memory percent correct number on the design memory module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT Delayed memory pct. 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
C21379 Immediate Post-Concussion Assessment Testing (ImPACT) - Migraine treatment physician administered indicator ImPACTTreatMigPhysicianInd Indicator of whether the subject was treated for migraine by a physician, as part of the Immediate Post-Concussion Assessment Testing (ImPACT) Indicator of whether the subject was treated for migraine by a physician, as part of the Immediate Post-Concussion Assessment Testing (ImPACT Treatment for migraine headaches by physician 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

C21411 Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS) - Balance problem score ImPACTPCSSBalanceProblemScore The subject's current balance problems rating score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS) The subject's current balance problems rating score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS Balance problems 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

CSV