CDE Detailed Report

Disease: Sport-Related Concussion
Subdomain Name: Post-Concussive / Mild TBI-Related Symptoms
CRF: Sport Concussion Assessment Tool - 3rd Edition (SCAT3)

Displaying 1 - 50 of 114
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
C20797 Balance Error Scoring System (BESS) - Tandem stance firm surface error count BESSTandemFirmErrorCt Number of errors during tandem stance with non-dominant foot in back on firm surface, as part of Balance Error Scoring System (BESS) Number of errors during tandem stance with non-dominant foot in back on firm surface, as part of Balance Error Scoring System (BESS Tandem stance (non-dominant foot at back) Numeric Values Adult;Pediatric Core 1.00 2015-05-21 08:51:27.0 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Free-Form Entry

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C52523 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) - Coordination Examination coordination score SCAT3CoordExamCoordScore The score the subject received on the Coordination Examination section, as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3) The score the subject received on the Coordination Examination section, as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3 Coordination score Numeric Values

I am going to test your coordination now. Please sit comfortably on the chair with your eyes open and your arm (either right or left) outstretched (shoulder flexed to 90 degrees and elbow
and fingers extended), pointing in front of you. When I give a start signal, I would like you to perform five successive finger to nose repetitions using your index finger to touch the tip of
the nose, and then return to the starting position, as quickly and as accurately as possible.

1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, Kvarnstr&Ouml;m J, Olsson M, Yd&Eacute;n T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. Adult;Pediatric Core 1.00 2017-01-19 08:45:04.0 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Free-Form Entry

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C52453 Sport Concussion Assessment Tool (SCAT) - Symptom Evaluation headache score SCATSymptmEvalHeadScore The score pertaining to how much the subject feels like he/she is having a headache, as part of the Sport Concussion Assessment Tool (SCAT) The score pertaining to how much the subject feels like he/she is having a headache, as part of the Sport Concussion Assessment Tool (SCAT Headache 0;1;2;3;4;5;6 None;Mild;mild;Moderate;Moderate;Severe;Severe Numeric Values

"You should score yourself on the following symptoms, based on how you feel now"

1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, Kvarnstr&Ouml;m J, Olsson M, Yd&Eacute;n T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. Adult;Pediatric Core 1.00 2017-01-19 08:45:04.0 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C52485 Standardized Assessment of Concussion (SAC) - Orientation time score SACOrientTimeScore The score of the fifth question (time question) of the Orientation section of the Standardized Assessment of Concussion (SAC) The score of the fifth question (time question) of the Orientation section of the Standardized Assessment of Concussion (SAC What time is it right now? (within 1 hour) 0;1 0;1 Numeric Values 1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, Kvarnstr&Ouml;m J, Olsson M, Yd&Eacute;n T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. Adult;Pediatric Core 1.00 2017-01-19 08:45:04.0 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C52427 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) - Memory loss indicator SCAT3MemLossInd The indicator relating to whether or not the subject has loss his or her memory due to his or her injury, as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3) The indicator relating to whether or not the subject has loss his or her memory due to his or her injury, as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3 Loss of memory: Y;N Yes;No Alphanumeric 1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, Kvarnstr&Ouml;m J, Olsson M, Yd&Eacute;n T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. Adult;Pediatric Core 1.00 2017-01-18 14:23:09.0 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C52464 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) - Symptom Evaluation not feel right score SCAT3SymptmEvalNotFeelRtScore The score pertaining to how much the subject "doesn't feel right", as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3) The score pertaining to how much the subject "doesn't feel right", as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3 "Don't feel right" 0;1;2;3;4;5;6 None;Mild;mild;Moderate;Moderate;Severe;Severe Numeric Values

You should score yourself on the following symptoms, based on how you feel now

1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, Kvarnstr&Ouml;m J, Olsson M, Yd&Eacute;n T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. Adult;Pediatric Core 1.00 2017-01-19 08:45:04.0 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C52496 Standardized Assessment of Concussion (SAC) - Immediate memory Trial 2 Item 5 score SACImmMemT2Item5Score The score the subject received on Item 5 (default bubble) of Trial 2 of the immediate module as part of the Standardized Assessment of Concussion (SAC) The score the subject received on Item 5 (default bubble) of Trial 2 of the immediate module as part of the Standardized Assessment of Concussion (SAC bubble Trial 2 0;1 0;1 Numeric Values

I am going to repeat the same list again. Repeat back as many words as you can remember in any order, even if you said the word before.

1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, Kvarnstr&Ouml;m J, Olsson M, Yd&Eacute;n T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. Adult;Pediatric Core 1.00 2017-01-19 08:45:04.0 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C52507 Standardized Assessment of Concussion (SAC) - Concentration digit backward 4 digit number score SACConcDB4DigitNumScore The score the subject received on Item 2 (default 3-8-1-4) of Concentration: Digits Backward section of the Standardized Assessment of Concussion (SAC) The score the subject received on Item 2 (default 3-8-1-4) of Concentration: Digits Backward section of the Standardized Assessment of Concussion (SAC 3-8-1-4 0;1 0;1 Numeric Values

I am going to read you a string of numbers and when I am done, you repeat them back to me backwards, in reverse order of how I read them to you. For example, if I say 7-1-9, you would say 9-1-7.

1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, Kvarnstr&Ouml;m J, Olsson M, Yd&Eacute;n T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. Adult;Pediatric Core 1.00 2017-01-19 08:45:04.0 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C52443 Sport Concussion Assessment Tool (SCAT) - Past concussion count SCAT3PastConcussCt The count of how many times the subject believes he/she has had a concussion, as part of the Sport Concussion Assessment Tool (SCAT3) The count of how many times the subject believes he/she has had a concussion, as part of the Sport Concussion Assessment Tool (SCAT3 How many concussions do you think you have had in the past? Numeric Values 1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, Kvarnstr&Ouml;m J, Olsson M, Yd&Eacute;n T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. Adult;Pediatric Core 1.00 2017-01-18 15:05:43.0 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Free-Form Entry

C52475 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) - Symptom Evaluation total symptom score SCAT3SymptmEvalTotSymptmScore The score representing the total number of symptoms the subject is experiencing, as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3) The score representing the total number of symptoms the subject is experiencing, as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3 Total number of symptoms Numeric Values 1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, Kvarnstr&Ouml;m J, Olsson M, Yd&Eacute;n T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. Adult;Pediatric Core 1.00 2017-01-19 08:45:04.0 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

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C00023 Hand preference type HandPrefTyp Hand which the participant/subject uses predominantly, not necessarily the hand he/she writes with exclusively Hand which the participant/subject uses predominantly, not necessarily the hand he/she writes with exclusivel Dominant hand Left hand;Right hand Left hand;Right hand Alphanumeric 1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, Kvarnstr&Ouml;m J, Olsson M, Yd&Eacute;n T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. Adult;Pediatric Core 3.00 2013-07-25 08:54:08.2 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

2180147
C20804 Balance Error Scoring System (BESS) - Foot tested anatomic site BESSFootTestAnatSite Anatomic site of non-dominant foot tested, as part of Balance Error Scoring System (BESS) Anatomic site of non-dominant foot tested, as part of Balance Error Scoring System (BESS Which foot was tested (i.e. which is the non-dominant foot) Left;Right Left;Right Alphanumeric Adult;Pediatric Core 1.00 2015-05-21 08:51:27.0 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C52524 Standardized Assessment of Concussion (SAC) - Delayed Recall score SACDelayRecallScore The score the subject received on the Delayed Recall portion of the Standardized Assessment of Coordination (SAC) The score the subject received on the Delayed Recall portion of the Standardized Assessment of Coordination (SAC Delayed recall score Numeric Values

Do you remember that list of words I read a few times earlier? Tell me as many words from the list as you can remember in any order.

1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, Kvarnstr&Ouml;m J, Olsson M, Yd&Eacute;n T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. Adult;Pediatric Core 1.00 2017-01-19 08:45:04.0 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

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C52454 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) - Symptom Evaluation pressure head score SCAT3SymptmEvalPresHeadScore The score pertaining to how much the subject feels "pressure in his/her head", as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3) The score pertaining to how much the subject feels "pressure in his/her head", as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3 "Pressure in head" 0;1;2;3;4;5;6 None;Mild;mild;Moderate;Moderate;Severe;Severe Numeric Values

You should score yourself on the following symptoms, based on how you feel now

1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, Kvarnstr&Ouml;m J, Olsson M, Yd&Eacute;n T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. Adult;Pediatric Core 1.00 2017-01-19 08:45:04.0 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C52486 Standardized Assessment of Concussion (SAC) - Orientation total score SACOrientTotalScore The total score the subject received on the Orientation section of the Standardized Assessment of Concussion (SAC) The total score the subject received on the Orientation section of the Standardized Assessment of Concussion (SAC Orientation score Numeric Values 1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, Kvarnstr&Ouml;m J, Olsson M, Yd&Eacute;n T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. Adult;Pediatric Core 1.00 2017-01-19 08:45:04.0 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Free-Form Entry

0 5
C52428 Sport Concussion Assessment Tool (SCAT) - Memory loss duration SCAT3MemLossDur The duration of how long the subject lost his or her memory due to his or her injury, as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3) The duration of how long the subject lost his or her memory due to his or her injury, as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3 "If so, how long?" Numeric Values 1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, Kvarnstr&Ouml;m J, Olsson M, Yd&Eacute;n T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. Adult;Pediatric Core 1.00 2017-01-18 14:23:09.0 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Free-Form Entry

C52465 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) - Symptom Evaluation difficulty concentrating score SCAT3SymptmEvalDiffConcScore The score pertaining to how much the subject has difficulty concentrating, as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3) The score pertaining to how much the subject has difficulty concentrating, as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3 Difficulty concentrating 0;1;2;3;4;5;6 None;Mild;mild;Moderate;Moderate;Severe;Severe Numeric Values

You should score yourself on the following symptoms, based on how you feel now

1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, Kvarnstr&Ouml;m J, Olsson M, Yd&Eacute;n T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. Adult;Pediatric Core 1.00 2017-01-19 08:45:04.0 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C52497 Standardized Assessment of Concussion (SAC) - Immediate memory Trial 3 Item 1 score SACImmMemT3Item1Score The score the subject received on Item 1 (default elbow) of Trial 3 of the Immediate section of the Standardized Assessment of Concussion (SAC) The score the subject received on Item 1 (default elbow) of Trial 3 of the Immediate section of the Standardized Assessment of Concussion (SAC elbow Trial 3 0;1 0;1 Numeric Values

I am going to repeat the same list again. Repeat back as many words as you can remember in any order, even if you said the word before.

1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, Kvarnstr&Ouml;m J, Olsson M, Yd&Eacute;n T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. Adult;Pediatric Core 1.00 2017-01-19 08:45:04.0 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C52508 Standardized Assessment of Concussion (SAC) - Concentration digit backward 5 digit number score SACConcDB5DigitNumScore The score the subject received on Item 3 (default 6-2-9-7-1) of Concentration: Digits Backward section of the Standardized Assessment of Concussion (SAC) The score the subject received on Item 3 (default 6-2-9-7-1) of Concentration: Digits Backward section of the Standardized Assessment of Concussion (SAC 6-2-9-7-1 0;1 0;1 Numeric Values

I am going to read you a string of numbers and when I am done, you repeat them back to me backwards, in reverse order of how I read them to you. For example, if I say 7-1-9, you would say 9-1-7

1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, Kvarnstr&Ouml;m J, Olsson M, Yd&Eacute;n T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. Adult;Pediatric Core 1.00 2017-01-19 08:45:04.0 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C52444 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) - Recent concussion text SCAT3RecntConcusTxt Text detailing when the subject experienced his/her most recent concussion, as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3) Text detailing when the subject experienced his/her most recent concussion, as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3 When was the most recent concussion? Alphanumeric 1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, Kvarnstr&Ouml;m J, Olsson M, Yd&Eacute;n T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. Adult;Pediatric Core 1.00 2017-01-18 15:07:39.0 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points 255

Free-Form Entry

C52476 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) - Symptom Evaluation symptom severity score SCAT3SymptmEvalSymptmSevScore The score representing the severity of the symptoms the subject is experiencing, as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3) The score representing the severity of the symptoms the subject is experiencing, as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3 Symptom serverity score Numeric Values 1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, Kvarnstr&Ouml;m J, Olsson M, Yd&Eacute;n T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. Adult;Pediatric Core 1.00 2017-01-19 08:45:04.0 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

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C00035 Gender type GenderTyp Self-reported gender of the participant/subject Self-reported gender of the participant/subjec Gender Alphanumeric 1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, Kvarnstr&Ouml;m J, Olsson M, Yd&Eacute;n T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. Adult;Pediatric Core 3.00 2013-08-28 16:08:00.453 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

2200604
C21117 Subject name SubjectName Name of subject/participant Name of subject/participan Name Alphanumeric 1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, Kvarnstr&Ouml;m J, Olsson M, Yd&Eacute;n T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. Adult;Pediatric Core 1.00 2015-06-12 15:16:39.0 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points 255

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C52525 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) - Standardized Assessment of Concussion total score SCAT3SACTotalScore The total score the subject received on the Standardized Assessment of Coordination (SAC), as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3) The total score the subject received on the Standardized Assessment of Coordination (SAC), as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3 SAC Total Numeric Values 1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, Kvarnstr&Ouml;m J, Olsson M, Yd&Eacute;n T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. Adult;Pediatric Core 1.00 2017-01-19 08:45:04.0 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Free-Form Entry

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C52455 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) - Symptom Evaluation neck pain score SCAT3SymptmEvalNeckPainScore The score pertaining to how much the subject feels neck pain, as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3) The score pertaining to how much the subject feels neck pain, as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3 Neck Pain 0;1;2;3;4;5;6 None;Mild;mild;Moderate;Moderate;Severe;Severe Numeric Values

You should score yourself on the following symptoms, based on how you feel now

1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, Kvarnstr&Ouml;m J, Olsson M, Yd&Eacute;n T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. Adult;Pediatric Core 1.00 2017-01-19 08:45:04.0 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C52487 Standardized Assessment of Concussion (SAC) - Immediate memory Trial 1 Item 1 score SACImmMemT1Item1Score The score the subject received on Item 1 (default elbow) of Trial 1 of the immediate module as part of the Standardized Assessment of Concussion (SAC) The score the subject received on Item 1 (default elbow) of Trial 1 of the immediate module as part of the Standardized Assessment of Concussion (SAC elbow Trial 1 0;1 0;1 Numeric Values

I am going to test your memory. I will read you a list of words and when I am done, repeat back as many words as you can remember, in any order.

1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, Kvarnstr&Ouml;m J, Olsson M, Yd&Eacute;n T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. Adult;Pediatric Core 1.00 2017-01-19 08:45:04.0 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C52498 Standardized Assessment of Concussion (SAC) - Immediate memory Trial 3 Item 2 score SACImmMemT3Item2Score The score the subject received on Item 2 (default apple) of Trial 3 of the Immediate section of the Standardized Assessment of Concussion (SAC) The score the subject received on Item 2 (default apple) of Trial 3 of the Immediate section of the Standardized Assessment of Concussion (SAC apple Trial 3 0;1 0;1 Numeric Values

I am going to repeat the same list again. Repeat back as many words as you can remember in any order, even if you said the word before.

1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, Kvarnstr&Ouml;m J, Olsson M, Yd&Eacute;n T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. Adult;Pediatric Core 1.00 2017-01-19 08:45:04.0 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C52429 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) - Memory loss duration text SCAT3MemLossDurTxt Text describing when the duration of how long the subject lost his or her memory due to his or her injury occurred, as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3) Text describing when the duration of how long the subject lost his or her memory due to his or her injury occurred, as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3 "Before or after the injury?" Alphanumeric 1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, Kvarnstr&Ouml;m J, Olsson M, Yd&Eacute;n T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. Adult;Pediatric Core 1.00 2017-01-18 14:23:09.0 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points 255

Free-Form Entry

C52466 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) - Symptom Evaluation difficulty remembering score SCAT3SymptmEvalDiffRemScore The score pertaining to how much the subject has difficulty remembering, as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3) The score pertaining to how much the subject has difficulty remembering, as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3 Difficulty remembering 0;1;2;3;4;5;6 None;Mild;mild;Moderate;Moderate;Severe;Severe Numeric Values

You should score yourself on the following symptoms, based on how you feel now

1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, Kvarnstr&Ouml;m J, Olsson M, Yd&Eacute;n T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. Adult;Pediatric Core 1.00 2017-01-19 08:45:04.0 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C52509 Standardized Assessment of Concussion (SAC) - Concentration digit backward 6 digit number score SACConcDB6DigitNumScore The score the subject received on Item 4 (default 7-1-8-4-6-2) of Concentration: Digits Backward section of the Standardized Assessment of Concussion (SAC) The score the subject received on Item 4 (default 7-1-8-4-6-2) of Concentration: Digits Backward section of the Standardized Assessment of Concussion (SAC 7-1-8-4-6-2 0;1 0;1 Numeric Values

I am going to read you a string of numbers and when I am done, you repeat them back to me backwards, in reverse order of how I read them to you. For example, if I say 7-1-9, you would say 9-1-7.

1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, Kvarnstr&Ouml;m J, Olsson M, Yd&Eacute;n T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. Adult;Pediatric Core 1.00 2017-01-19 08:45:04.0 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C52445 Sport COncusion Assessment Tool - 3rd Edition (SCAT3) - Recent concussion recovery text SCAT3RecntConcusRcvTxt Text detailing how long it too for the subject to recover from his/her most recent concussion, as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3) Text detailing how long it too for the subject to recover from his/her most recent concussion, as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3 How long was your recovery from the most recent concussion? Alphanumeric 1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, Kvarnstr&Ouml;m J, Olsson M, Yd&Eacute;n T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. Adult;Pediatric Core 1.00 2017-01-18 15:07:39.0 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points 255

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C52477 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) - Symptom Evaluation worse with physical activity indicator SCAT3SymptmEvalWorPhysActInd The indicator relating to whether or not the subject's symptoms get worse with physical activity, as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3) The indicator relating to whether or not the subject's symptoms get worse with physical activity, as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3 Do the symptoms get worse with physical activity? Y;N Yes;No Alphanumeric 1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, Kvarnstr&Ouml;m J, Olsson M, Yd&Eacute;n T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. Adult;Pediatric Core 1.00 2017-01-19 08:45:04.0 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C01000 Glasgow Coma Scale (GCS) - eye response scale GCSEyeRespnsScale Glasgow Coma Scale (GCS) - Best eye response (E). The GCS is a standardized instrument for assessing the level of consciousness. It evaluates three aspects of responsiveness: eye opening, motor response, verbal response Glasgow Coma Scale (GCS) - Best eye response (E). The GCS is a standardized instrument for assessing the level of consciousness. It evaluates three aspects of responsiveness: eye opening, motor response, verbal respons Best eye response (E) 1;2;3;4 No eye opening;Eye opening to pain;Eye opening to speech/verbal command;Eyes open spontaneously Numeric Values

GCS should be recoded for all athletes in case of subsequent deterioration

1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, Kvarnstr&Ouml;m J, Olsson M, Yd&Eacute;n T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. Adult;Pediatric Core 3.00 2013-07-20 10:21:25.65 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C124724
C21564 Ground surface type GroundSurfTyp The type of ground surface The type of ground surfac Testing surface (hard floor, field, etc.) Alphanumeric Adult;Pediatric Core 1.00 2015-07-28 11:23:36.0 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points 255

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C52526 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) - BESS total error count SCAT3BESSTotErrCt The sum of all of the errors the subject performed on the BESS portion of the Balance Examination section, as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3) The sum of all of the errors the subject performed on the BESS portion of the Balance Examination section, as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3) BESS (total errors) Numeric Values 1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, Kvarnstr&Ouml;m J, Olsson M, Yd&Eacute;n T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. Adult;Pediatric Core 1.00 2017-01-19 08:45:04.0 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Free-Form Entry

C52456 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) - Symptom Evaluation nausea vomiting score SCAT3SymptmEvalNausVomScore The score pertaining to how much the subject experiences nausea or vomiting, as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3) The score pertaining to how much the subject experiences nausea or vomiting, as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3 Nausea or vomiting 0;1;2;3;4;5;6 None;Mild;mild;Moderate;Moderate;Severe;Severe Numeric Values

You should score yourself on the following symptoms, based on how you feel now

1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, Kvarnstr&Ouml;m J, Olsson M, Yd&Eacute;n T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. Adult;Pediatric Core 1.00 2017-01-19 08:45:04.0 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C52488 Standardized Assessment of Concussion (SAC) - Immediate memory Trial 1 Item 2 score SACImmMemT1Item2Score The score the subject received on Item 2 (default apple) of Trial 1 of the Immediate section of the Standardized Assessment of Concussion (SAC) The score the subject received on Item 2 (default apple) of Trial 1 of the Immediate section of the Standardized Assessment of Concussion (SAC apple Trial 1 0;1 0;1 Numeric Values

I am going to test your memory. I will read you a list of words and when I am done, repeat back as many words as you can remember, in any order.

1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, Kvarnstr&Ouml;m J, Olsson M, Yd&Eacute;n T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. Adult;Pediatric Core 1.00 2017-01-19 08:45:04.0 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C52499 Standardized Assessment of Concussion (SAC) - Immediate memory Trial 3 Item 3 score SACImmMemT3Item3Score The score the subject received on Item 3 (default carpet) of Trial 3 of the Immediate section of the Standardized Assessment of Concussion (SAC) The score the subject received on Item 3 (default carpet) of Trial 3 of the Immediate section of the Standardized Assessment of Concussion (SAC carpet Trial 3 0;1 0;1 Numeric Values

I am going to repeat the same list again. Repeat back as many words as you can remember in any order, even if you said the word before.

1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, Kvarnstr&Ouml;m J, Olsson M, Yd&Eacute;n T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. Adult;Pediatric Core 1.00 2017-01-19 08:45:04.0 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C52430 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) - Blank vacant look indicator SCAT3BlankVacLookInd The indicator relating to whether or not the subject has a blank or vacant look on his or her face, as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3) The indicator relating to whether or not the subject has a blank or vacant look on his or her face, as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3 Blank or vacant look: Y;N Yes;No Alphanumeric 1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, Kvarnstr&Ouml;m J, Olsson M, Yd&Eacute;n T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. Adult;Pediatric Core 1.00 2017-01-18 14:23:09.0 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C52467 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) - Symptom Evaluation fatigue low energy score SCAT3SymptmEvalFatLowEngScore The score pertaining to how much the subject feels fatigued or like he/she has low energy, as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3) The score pertaining to how much the subject feels fatigued or like he/she has low energy, as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3 Fatigue or low energy 0;1;2;3;4;5;6 None;Mild;mild;Moderate;Moderate;Severe;Severe Numeric Values

You should score yourself on the following symptoms, based on how you feel now

1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, Kvarnstr&Ouml;m J, Olsson M, Yd&Eacute;n T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. Adult;Pediatric Core 1.00 2017-01-19 08:45:04.0 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C52510 Standardized Assessment of Concussion (SAC) - Concentration digit backward total score SACConcDBTotalScore The total score the subject received on the Concentration: Digits Backward section of the Standardized Assessment of Concussion (SAC) The total score the subject received on the Concentration: Digits Backward section of the Standardized Assessment of Concussion (SAC Total of 4 Numeric Values 1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, Kvarnstr&Ouml;m J, Olsson M, Yd&Eacute;n T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. Adult;Pediatric Core 1.00 2017-01-19 08:45:04.0 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

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C52446 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) - Headache migraine diagnosis indicator SCAT3HeadMigrDiagnsInd Indicator of whether the subject has ever been diagnosed with a headache or migraine, as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3) Indicator of whether the subject has ever been diagnosed with a headache or migraine, as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3 Have you ever been diagnosed with headaches or migraines? Y;N Yes;No Alphanumeric 1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, Kvarnstr&Ouml;m J, Olsson M, Yd&Eacute;n T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. Adult;Pediatric Core 3.00 2013-07-16 14:01:43.01 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C52478 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) - Symptom Evaluation worse with mental activity indicator SCAT3SymptmEvalWorMenActInd The indicator relating to whether or not the subject's symptoms get worse with mental activity, as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3) The indicator relating to whether or not the subject's symptoms get worse with mental activity, as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3 Do the symptoms get worse with mental activity? Y;N Yes;No Alphanumeric 1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, Kvarnstr&Ouml;m J, Olsson M, Yd&Eacute;n T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. Adult;Pediatric Core 1.00 2017-01-19 08:45:04.0 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C01001 Glasgow Coma Scale (GCS) - motor response scale GCSMotorRespnsScale Glasgow Coma Scale (GCS) - Best motor response (M). The GCS is a standardized instrument for assessing the level of consciousness. It evaluates three aspects of responsiveness: eye opening, motor response, verbal response Glasgow Coma Scale (GCS) - Best motor response (M). The GCS is a standardized instrument for assessing the level of consciousness. It evaluates three aspects of responsiveness: eye opening, motor response, verbal respons Best motor response (M) 1;2;3;4;5;6 No motor response;Abnormal extension/Extensor response;Abnormal flexion;Flexion withdrawal/withdraws from pain;Localizes pain;Obeys command Numeric Values 1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, Kvarnstr&Ouml;m J, Olsson M, Yd&Eacute;n T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. Adult;Pediatric Core 3.00 2013-07-20 10:21:25.65 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C124725
C21566 Footwear use type FootwearUseTyp The type related to footwear used The type related to footwear use Footwear (shoes, barefoot, braces, tape, etc.) Alphanumeric Adult;Pediatric Core 1.00 2015-07-28 11:30:40.0 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points 255

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C52527 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) - Scoring summary date SCAT3ScorSummDate The date on which the subject's scoring summary is recorded, as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3) The date on which the subject's scoring summary is recorded, as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3 Date Date or Date & Time 1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, Kvarnstr&Ouml;m J, Olsson M, Yd&Eacute;n T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. Adult;Pediatric Core 1.00 2017-01-19 08:45:04.0 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

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C52457 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) - Symptom Evaluation dizziness score SCAT3SymptmEvalDizzScore The score pertaining to how much the subject experiences dizziness, as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3) The score pertaining to how much the subject experiences dizziness, as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3 Dizziness 0;1;2;3;4;5;6 None;Mild;mild;Moderate;Moderate;Severe;Severe Numeric Values

You should score yourself on the following symptoms, based on how you feel now

1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, Kvarnstr&Ouml;m J, Olsson M, Yd&Eacute;n T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. Adult;Pediatric Core 1.00 2017-01-19 08:45:04.0 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C52489 Standardized Assessment of Concussion (SAC) - Immediate memory Trial 1 Item 3 score SACImmMemT1Item3Score The score the subject received on Item 3 (default carpet) of Trial 1 of the Immediate section of the Standardized Assessment of Concussion (SAC) The score the subject received on Item 3 (default carpet) of Trial 1 of the Immediate section of the Standardized Assessment of Concussion (SAC carpet Trial 1 0;1 0;1 Numeric Values

I am going to test your memory. I will read you a list of words and when I am done, repeat back as many words as you can remember, in any order.

1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, Kvarnstr&Ouml;m J, Olsson M, Yd&Eacute;n T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. Adult;Pediatric Core 1.00 2017-01-19 08:45:04.0 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C52500 Standardized Assessment of Concussion (SAC) - Immediate memory Trial 3 Item 4 score SACImmMemT3Item4Score The score the subject received on Item 4 (default saddle) of Trial 3 of the Immediate section of the Standardized Assessment of Concussion (SAC) The score the subject received on Item 4 (default saddle) of Trial 3 of the Immediate section of the Standardized Assessment of Concussion (SAC saddle Trial 3 0;1 0;1 Numeric Values

I am going to repeat the same list again. Repeat back as many words as you can remember in any order, even if you said the word before.

1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, Kvarnstr&Ouml;m J, Olsson M, Yd&Eacute;n T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. Adult;Pediatric Core 1.00 2017-01-19 08:45:04.0 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C52431 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) - Visible facial injury combination indicator SCAT3VisiFacInjComboInd The indicator relating to whether or not the subject has a visible facial injury in combination with any of the signs previously mentioned, as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3) The indicator relating to whether or not the subject has a visible facial injury in combination with any of the signs previously mentioned, as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3 Visible facial injury in combination with any of the above: Y;N Yes;No Alphanumeric 1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, Kvarnstr&Ouml;m J, Olsson M, Yd&Eacute;n T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. Adult;Pediatric Core 1.00 2017-01-18 14:23:09.0 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

CSV