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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| C21423 | Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS) - Emotional greater than normal score | ImPACTPCSSFeelEmotionalScore | The subject's current feeling more emotional rating score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS) | The subject's current feeling more emotional rating score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS | Feeling more emotional | 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 |
|||||||||
| C00005 | Birth country name | BirthCntryName | Name for country where the participant/subject was born | Name for country where the participant/subject was born | Native country/region | 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 | 3.00 | 2013-07-24 21:00:23.88 | Immediate Post-Concussion Assessment and Cognitive Testing (imPACT) | Post-Concussive %2F Mild TBI-Related Symptoms | Outcomes and End Points | 255 |
Free-Form Entry |
||||||||||
| C21525 | Language secondary ISO code | LangSecondaryCode | Code (ISO 639-2) for the language the participant/subject speaks second-most often | Code (ISO 639-2) for the language the participant/subject speaks second-most often | Secondary language ISO code | 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 | 3.00 | 2013-07-20 10:21:25.65 | Immediate Post-Concussion Assessment and Cognitive Testing (imPACT) | Post-Concussive %2F Mild TBI-Related Symptoms | Outcomes and End Points | 255 |
Free-Form Entry |
||||||||||
| C21402 | Immediate Post-Concussion Assessment Testing (ImPACT) - Impulse control composite score | ImPACTImplseCntrlCompScore | Impulse control composite score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT) | Impulse control composite score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT | Impulse control 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 %2F Mild TBI-Related Symptoms | Outcomes and End Points |
Free-Form Entry |
0 | ||||||||||
| C21434 | Immediate Post-Concussion Assessment Testing (ImPACT) - Word memory delay hit count | ImPACTWordMemDelayHitCt | The number of delayed hits on the word memory module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT) | The number of delayed hits on the word memory module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT | Hits (delay) | 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 | 12 | |||||||||
| C21370 | Immediate Post-Concussion Assessment Testing (ImPACT) - Current participation level type | ImPACTCurrentPartLvlTyp | Current type of level of participation in sports, as part of the Immediate Post-Concussion Assessment Testing (ImPACT) | Current type of level of participation in sports, as part of the Immediate Post-Concussion Assessment Testing (ImPACT | Current level of participation | Pro;Semi-Pro;Collegiate;HS;JHS | Pro;Semi-Pro;Collegiate;HS;JHS | 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 |
|||||||||
| C21381 | Immediate Post-Concussion Assessment Testing (ImPACT) - Brain surgery patient medical history indicator | ImPACTHxBrainSurgInd | Indicator of whether the subject has a history of brain surgery, as part of the Immediate Post-Concussion Assessment Testing (ImPACT) | Indicator of whether the subject has a history of brain surgery, as part of the Immediate Post-Concussion Assessment Testing (ImPACT | History of brain surgery | 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 |
|||||||||
| C21413 | Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS) - Fatigue score | ImPACTPCSSFatigueScore | The subject's current fatigue rating score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS) | The subject's current fatigue rating score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS | Fatigue | 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 |
|||||||||
| C21445 | Immediate Post-Concussion Assessment Testing (ImPACT) - X and O memory total correct count | ImPACTXOMemTotCorrectCt | The memory total correct on the X's and O's module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT) | The memory total correct on the X's and O's module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT | Total correct (memory) | 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 | 12 |
- « first
- ‹ previous
- 1
- 2
- 3
