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 |
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C21401 | Immediate Post-Concussion Assessment Testing (ImPACT) - Reaction time Reliable Change Index (RCI) exceeded indicator | ImPACTReactTimeRCIExceedInd | Indicator of whether the subject's composite score in reaction time 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 reaction time 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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C21433 | Immediate Post-Concussion Assessment Testing (ImPACT) - Word memory learning correct percentage value | ImPACTWordMemLearnCorrPercVal | The learning percent correct number on the word memory module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT) | The learning percent correct number on the word memory module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT | Learning 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 | |||||||||
C21444 | Immediate Post-Concussion Assessment Testing (ImPACT) - Design memory total correct percentage value | ImPACTDesignMemTotCorrPercVal | The total percent correct on the design memory module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT) | The total percent correct on the design 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 | |||||||||
C21380 | Immediate Post-Concussion Assessment Testing (ImPACT) - Epilepsy seizure treatment administered indicator | ImPACTTreatEpilepSeizInd | Indicator of whether the subject was treated for epilepsy/seizures, as part of the Immediate Post-Concussion Assessment Testing (ImPACT) | Indicator of whether the subject was treated for epilepsy/seizures, as part of the Immediate Post-Concussion Assessment Testing (ImPACT | Treatment for epilepsy/seizures: | 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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C21412 | Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS) - Dizziness score | ImPACTPCSSDizzinessScore | The subject's current dizziness rating score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS) | The subject's current dizziness rating score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS | Dizziness | 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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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 |
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C21455 | Immediate Post-Concussion Assessment Testing (ImPACT) - Color match average correct reaction time duration | ImPACTColorMatchAvgCorrRTDur | The average correct reaction time duration on the color match module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT) | The average correct reaction time duration on the color match module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT | Avg. correct RT | 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 | ||||||||||
C21391 | Immediate Post-Concussion Assessment Testing (ImPACT) - Verbal memory composite percentage value | ImPACTVerbMemCompPercVal | The percentile of the subject's verbal memory composite score (if available), as part of the Immediate Post-Concussion Assessment Testing (ImPACT) | The percentile of the subject's verbal memory composite score (if available), as part of the Immediate Post-Concussion Assessment Testing (ImPACT | Memory composite (verbal) | 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 | |||||||||
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 |
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