CDE Detailed Report
Disease: content
Subdomain Name: Post-Concussive / Mild TBI-Related Symptoms
CRF: welcome
Displaying 101 - 109 of 109
Subdomain Name: Post-Concussive / Mild TBI-Related Symptoms
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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) | Post-Concussive / Mild TBI-Related Symptoms | 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) | Post-Concussive / Mild TBI-Related Symptoms | Outcomes and End Points |
Free-Form Entry |
0 | 24 | |||||||||
| C21450 | Immediate Post-Concussion Assessment Testing (ImPACT) - Symbol match visible total correct count | ImPACTSymbMatchVisTotCorrCt | The number of visible total correct responses on the symbol match module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT) | The number of visible total correct responses on the symbol match module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT | Total correct (visible) | 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) | Post-Concussive / Mild TBI-Related Symptoms | Outcomes and End Points |
Free-Form Entry |
0 | 27 | |||||||||
| C21386 | Immediate Post-Concussion Assessment Testing (ImPACT) - Strenuous exercise 3 hour duration indicator | ImPACTStrenExerLst3HrInd | Indicator of whether the subject did strenuous exercise in the last 3 hours, as part of the Immediate Post-Concussion Assessment Testing (ImPACT) | Indicator of whether the subject did strenuous exercise in the last 3 hours, as part of the Immediate Post-Concussion Assessment Testing (ImPACT | Strenuous exercise in the last 3 hours | 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) | Post-Concussive / Mild TBI-Related Symptoms | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C21418 | Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS) - Light sensitivity score | ImPACTPCSSSensitiveLightScore | The subject's current sensitivity to light rating score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS) | The subject's current sensitivity to light rating score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS | Sensitivity to light | 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) | Post-Concussive / Mild TBI-Related Symptoms | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C21429 | Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS) - Visual problem score | ImPACTPCSSVisualProbScore | The subject's current visual problems rating score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS) | The subject's current visual problems rating score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS | Visual 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) | Post-Concussive / Mild TBI-Related Symptoms | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C21365 | Immediate Post-Concussion Assessment Testing (ImPACT) - School year repeat indicator | ImPACTRepeatYrsSchoolInd | Indicator of whether the subject has to repeat one or more years of school, as part of the Immediate Post-Concussion Assessment Testing (ImPACT) | Indicator of whether the subject has to repeat one or more years of school, as part of the Immediate Post-Concussion Assessment Testing (ImPACT | Repeated one or more years of school | 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) | Post-Concussive / Mild TBI-Related Symptoms | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C21461 | Immediate Post-Concussion Assessment Testing (ImPACT) - Three letters average time to first click duration | ImPACTThreeLetAvgTmFstClickDur | The duration of average time to first click on the three letters module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT) | The duration of average time to first click on the three letters module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT | Avg. time to first click | 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) | Post-Concussive / Mild TBI-Related Symptoms | Outcomes and End Points |
Free-Form Entry |
0 | ||||||||||
| C21397 | Immediate Post-Concussion Assessment Testing (ImPACT) - Visual motor speed composite percentage value | ImPACTVisMotSpeedCompPercVal | The percentile of the subject's visual motor speed composite score (if available), as part of the Immediate Post-Concussion Assessment Testing (ImPACT) | The percentile of the subject's visual motor speed composite score (if available), 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) | Post-Concussive / Mild TBI-Related Symptoms | Outcomes and End Points |
Free-Form Entry |
0 | 100 |
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