CDE Detailed Report
Disease: system
Subdomain Name: Post-Concussive %2F Mild TBI-Related Symptoms
CRF: files
Displaying 101 - 109 of 109
Subdomain Name: Post-Concussive %2F Mild TBI-Related Symptoms
CRF: files
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| C21437 | Immediate Post-Concussion Assessment Testing (ImPACT) - Word memory total percent correct percentage value | ImPACTWordMemTotCorrPercVal | The total percent correct on the word memory module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT) | The total percent correct on the word memory module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT | Total percent 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) | Post-Concussive %2F Mild TBI-Related Symptoms | Outcomes and End Points |
Free-Form Entry |
0 | 100 | |||||||||
| C21373 | Immediate Post-Concussion Assessment Testing (ImPACT) - Confusion concussion result count | ImPACTConcussResultConfCt | Number of concussions that resulted in confusion, as part of the Immediate Post-Concussion Assessment Testing (ImPACT) | Number of concussions that resulted in confusion, as part of the Immediate Post-Concussion Assessment Testing (ImPACT | Concussions that resulted in confusion | 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 %2F Mild TBI-Related Symptoms | Outcomes and End Points |
Free-Form Entry |
0 | ||||||||||
| C21384 | Immediate Post-Concussion Assessment Testing (ImPACT) - Dyslexia diagnosis indicator | ImPACTDxDyslexiaInd | Indicator of whether the subject has been diagnosed with dyslexia, as part of the Immediate Post-Concussion Assessment Testing (ImPACT) | Indicator of whether the subject has been diagnosed with dyslexia, as part of the Immediate Post-Concussion Assessment Testing (ImPACT | Diagnosed with Dyslexia | 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 %2F Mild TBI-Related Symptoms | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C21416 | Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS) - Sleep less than normal duration score | ImPACTPCSSSlpLessThnUsualScore | The subject's current sleep less than usual rating score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS) | The subject's current sleep less than usual rating score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS | Sleeping less than usual | 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 %2F Mild TBI-Related Symptoms | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C21448 | Immediate Post-Concussion Assessment Testing (ImPACT) - X and O interference total incorrect count | ImPACTXOInterTotIncorrCt | The interference total incorrect number on the X's and O's module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT) | The interference total incorrect number on the X's and O's module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT | Total incorrect (interference) | 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 %2F Mild TBI-Related Symptoms | Outcomes and End Points |
Free-Form Entry |
0 | ||||||||||
| C21395 | Immediate Post-Concussion Assessment Testing (ImPACT) - Visual memory Reliable Change Index (RCI) exceeded indicator | ImPACTVisMemRCIExceedInd | Indicator of whether the subject's composite score in visual memory exceeded the Reliable Change Index (RCI), as part of the Immediate Post-Concussion Assessment Testing (ImPACT) | Indicator of whether the subject's composite score in visual memory exceeded the Reliable Change Index (RCI), as part of the Immediate Post-Concussion Assessment Testing (ImPACT | 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 %2F Mild TBI-Related Symptoms | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C21427 | Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS) - Concentration difficultly assessment score | ImPACTPCSSDiffConcentrateScore | The subject's current difficulty concentrating rating score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS) | The subject's current difficulty concentrating rating score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS | Difficulty concentrating | 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 %2F Mild TBI-Related Symptoms | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C21363 | Immediate Post-Concussion Assessment Testing (ImPACT) - Second language spoken year duration | ImPACTSecondLanguageYrDur | The count of years the subject spoke a language, as part of the Immediate Post-Concussion Assessment Testing (ImPACT) | The count of years the subject spoke a language, as part of the Immediate Post-Concussion Assessment Testing (ImPACT | Years speaking | 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 %2F Mild TBI-Related Symptoms | Outcomes and End Points |
Free-Form Entry |
0 | ||||||||||
| C21459 | Immediate Post-Concussion Assessment Testing (ImPACT) - Three letters total letters correct count | ImPACTThreeLetTotLetCorrCt | The number of total correct letters on the three letters module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT) | The number of total correct letters on the three letters module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT | 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) | Post-Concussive %2F Mild TBI-Related Symptoms | Outcomes and End Points |
Free-Form Entry |
0 | 15 |
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