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
C21377 Immediate Post-Concussion Assessment Testing (ImPACT) - Concussion five most recent month year text ImPACT5MostRecentConcussTxt The month/year text of the 5 most recent concussions, as part of the Immediate Post-Concussion Assessment Testing (ImPACT) The month/year text of the 5 most recent concussions, as part of the Immediate Post-Concussion Assessment Testing (ImPACT Concussion history 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

Free-Form Entry

C21409 Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS) - Nausea score ImPACTPCSSNauseaScore The subject's current nausea rating score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS) The subject's current nausea rating score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS Nauseau 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

C21420 Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS) - Irritability score ImPACTPCSSIrritabilityScore The subject's current irritability rating score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS) The subject's current irritability rating score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS Irritability 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

C21452 Immediate Post-Concussion Assessment Testing (ImPACT) - Symbol match hidden total correct count ImPACTSymbMatchHidTotCorrCt The number of hidden total correct responses on the symbol match module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT) The number of hidden total correct responses on the symbol match module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT Total correct (hidden) 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 27
C21388 Immediate Post-Concussion Assessment Testing (ImPACT) - Exam language type ImPACTExamLanguageType Type of language the exam was conducted in, as part of the Immediate Post-Concussion Assessment Testing (ImPACT) Type of language the exam was conducted in, as part of the Immediate Post-Concussion Assessment Testing (ImPACT Exam Language 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

Free-Form Entry

C21431 Immediate Post-Concussion Assessment Testing (ImPACT) - Word memory immediate hit count ImPACTWordMemImmedHitCt The number of immediate hits on the word memory module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT) The number of immediate hits on the word memory module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT Hits (Immediate) 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
C21367 Immediate Post-Concussion Assessment Testing (ImPACT) - Student performance type ImPACTStudentPerfType Type of student performance at school, as part of the Immediate Post-Concussion Assessment Testing (ImPACT) Type of student performance at school, as part of the Immediate Post-Concussion Assessment Testing (ImPACT Performance at school Below Average;Average;Above Average Below Average;Average;Above Average 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

C21463 Immediate Post-Concussion Assessment Testing (ImPACT) - Three letter average correct count ImPACTThreeLetAvCorrCt The average number of correctly counted items on the three letters module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT) The average number of correctly counted items on the three letters module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT Avg. counted correctly 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
C21399 Immediate Post-Concussion Assessment Testing (ImPACT) - Reaction time composite score ImPACTReactTimeCompScore Reaction time composite score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT) Reaction time composite score, 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
CSV