CDE Detailed Report

Disease: Sport Related Concussion
Subdomain Name: Cognitive Assessment
CRF: Standardized Assessment of Concussion (SAC)

Displaying 1 - 32 of 32
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
C52511 Standardized Assessment of Concussion (SAC) - Concentration month reverse order score SACConcMoRevOrderScore The score the subject received on the Concentration: Month in Reverse Order section of the Standardized Assessment of Concussion (SAC) The score the subject received on the Concentration: Month in Reverse Order section of the Standardized Assessment of Concussion (SAC Dec-Nov-Oct-Sept-Aug-Jul-Jun-May-Apr-Mar-Feb-Jan 0;1 0;1 Numeric Values McCrea M, Kelly JP, Kluge J, Ackley B, Randolph C. Standardized assessment of concussion in football players. Neurology. 1997;48(3):586–588. Adult;Pediatric Core 1.00 2017-01-19 08:45:04.0 Standardized Assessment of Concussion (SAC) Cognitive Assessment Outcomes and End Points

Single Pre-Defined Value Selected

C52490 Standardized Assessment of Concussion (SAC) - Immediate memory Trial 1 Item 4 score SACImmMemT1Item4Score The score the subject received on Item 4 (default saddle) of Trial 1 of the Immediate section of the Standardized Assessment of Concussion (SAC) The score the subject received on Item 4 (default saddle) of Trial 1 of the Immediate section of the Standardized Assessment of Concussion (SAC Saddle Trial 1 0;1 0;1 Numeric Values McCrea M, Kelly JP, Kluge J, Ackley B, Randolph C. Standardized assessment of concussion in football players. Neurology. 1997;48(3):586–588. Adult;Pediatric Core 1.00 2017-01-19 08:45:04.0 Standardized Assessment of Concussion (SAC) Cognitive Assessment Outcomes and End Points

Single Pre-Defined Value Selected

C52501 Standardized Assessment of Concussion (SAC) - Immediate memory Trial 3 Item 5 score SACImmMemT3Item5Score The score the subject received on Item 5 (default bubble) of Trial 3 of the Immediate section of the Standardized Assessment of Concussion (SAC) The score the subject received on Item 5 (default bubble) of Trial 3 of the Immediate section of the Standardized Assessment of Concussion (SAC Bubble Trial 3 0;1 0;1 Numeric Values McCrea M, Kelly JP, Kluge J, Ackley B, Randolph C. Standardized assessment of concussion in football players. Neurology. 1997;48(3):586–588. Adult;Pediatric Core 1.00 2017-01-19 08:45:04.0 Standardized Assessment of Concussion (SAC) Cognitive Assessment Outcomes and End Points

Single Pre-Defined Value Selected

C52512 Standardized Assessment of Concussion (SAC) - Concentration total score SACConcTotalScore The total score the subject received on the Concentration section of the Standardized Assessment of Concussion (SAC) The total score the subject received on the Concentration section of the Standardized Assessment of Concussion (SAC Concentration Total Score Numeric Values McCrea M, Kelly JP, Kluge J, Ackley B, Randolph C. Standardized assessment of concussion in football players. Neurology. 1997;48(3):586–588. Adult;Pediatric Core 1.00 2017-01-19 08:45:04.0 Standardized Assessment of Concussion (SAC) Cognitive Assessment Outcomes and End Points

Free-Form Entry

0 5
C52491 Standardized Assessment of Concussion (SAC) - Immediate memory Trial 1 Item 5 score SACImmMemT1Item5Score The score the subject received on Item 5 (default bubble) of Trial 1 of the Immediate section of the Standardized Assessment of Concussion (SAC) The score the subject received on Item 5 (default bubble) of Trial 1 of the Immediate section of the Standardized Assessment of Concussion (SAC Bubble Trial 1 0;1 0;1 Numeric Values McCrea M, Kelly JP, Kluge J, Ackley B, Randolph C. Standardized assessment of concussion in football players. Neurology. 1997;48(3):586–588. Adult;Pediatric Core 1.00 2017-01-19 08:45:04.0 Standardized Assessment of Concussion (SAC) Cognitive Assessment Outcomes and End Points

Single Pre-Defined Value Selected

C52502 Standardized Assessment of Concussion (SAC) - Immediate memory Trial 1 total score SACImmMemT1TotalScore The total score the subject received on Trial 1 of the Immediate section of the Standardized Assessment of Concussion (SAC) The total score the subject received on Trial 1 of the Immediate section of the Standardized Assessment of Concussion (SAC Immediate Memory Trial 1 Total Numeric Values McCrea M, Kelly JP, Kluge J, Ackley B, Randolph C. Standardized assessment of concussion in football players. Neurology. 1997;48(3):586–588. Adult;Pediatric Core 1.00 2017-01-19 08:45:04.0 Standardized Assessment of Concussion (SAC) Cognitive Assessment Outcomes and End Points

Free-Form Entry

0 5
C52481 Standardized Assessment of Concussion (SAC) - Orientation month score SACOrientMnthScore The score of the first question (month question) of the Orientation section of the Standardized Assessment of Concussion (SAC) The score of the first question (month question) of the Orientation section of the Standardized Assessment of Concussion (SAC What month is it? 0;1 0;1 Numeric Values McCrea M, Kelly JP, Kluge J, Ackley B, Randolph C. Standardized assessment of concussion in football players. Neurology. 1997;48(3):586–588. Adult;Pediatric Core 1.00 2017-01-19 08:45:04.0 Standardized Assessment of Concussion (SAC) Cognitive Assessment Outcomes and End Points

Single Pre-Defined Value Selected

C52492 Standardized Assessment of Concussion (SAC) - Immediate memory Trial 2 Item 1 score SACImmMemT2Item1Score The score the subject received on Item 1 (default elbow) of Trial 2 of the Immediate section of the Standardized Assessment of Concussion (SAC) The score the subject received on Item 1 (default elbow) of Trial 2 of the Immediate section of the Standardized Assessment of Concussion (SAC Elbow Trial 2 0;1 0;1 Numeric Values McCrea M, Kelly JP, Kluge J, Ackley B, Randolph C. Standardized assessment of concussion in football players. Neurology. 1997;48(3):586–588. Adult;Pediatric Core 1.00 2017-01-19 08:45:04.0 Standardized Assessment of Concussion (SAC) Cognitive Assessment Outcomes and End Points

Single Pre-Defined Value Selected

C52503 Standardized Assessment of Concussion (SAC) - Immediate memory Trial 2 total score SACImmMemT2TotalScore The total score the subject received on Trial 2 of the Immediate section of the Standardized Assessment of Concussion (SAC) The total score the subject received on Trial 2 of the Immediate section of the Standardized Assessment of Concussion (SAC Immediate Memory Trial 2 Total Score Numeric Values McCrea M, Kelly JP, Kluge J, Ackley B, Randolph C. Standardized assessment of concussion in football players. Neurology. 1997;48(3):586–588. Adult;Pediatric Core 1.00 2017-01-19 08:45:04.0 Standardized Assessment of Concussion (SAC) Cognitive Assessment Outcomes and End Points

Free-Form Entry

0 5
C52482 Standardized Assessment of Concussion (SAC) - Orientation date score SACOrientDateScore The score of the second question (date question) of the Orientation section of the Standardized Assessment of Concussion (SAC) The score of the second question (date question) of the Orientation section of the Standardized Assessment of Concussion (SAC What is the date today? 0;1 0;1 Numeric Values McCrea M, Kelly JP, Kluge J, Ackley B, Randolph C. Standardized assessment of concussion in football players. Neurology. 1997;48(3):586–588. Adult;Pediatric Core 1.00 2017-01-19 08:45:04.0 Standardized Assessment of Concussion (SAC) Cognitive Assessment Outcomes and End Points

Single Pre-Defined Value Selected

C52493 Standardized Assessment of Concussion (SAC) - Immediate memory Trial 2 Item 2 score SACImmMemT2Item2Score The score the subject received on Item 2 (default apple) of Trial 2 of the Immediate section of the Standardized Assessment of Concussion (SAC) The score the subject received on Item 2 (default apple) of Trial 2 of the Immediate section of the Standardized Assessment of Concussion (SAC Apple Trial 2 0;1 0;1 Numeric Values McCrea M, Kelly JP, Kluge J, Ackley B, Randolph C. Standardized assessment of concussion in football players. Neurology. 1997;48(3):586–588. Adult;Pediatric Core 1.00 2017-01-19 08:45:04.0 Standardized Assessment of Concussion (SAC) Cognitive Assessment Outcomes and End Points

Single Pre-Defined Value Selected

C52504 Standardized Assessment of Concussion (SAC) - Immediate memory Trial 3 total score SACImmMemT3TotalScore The total score the subject received on Trial 3 of the Immediate section of the Standardized Assessment of Concussion (SAC) The total score the subject received on Trial 3 of the Immediate section of the Standardized Assessment of Concussion (SAC Immediate Memory Total Score Numeric Values McCrea M, Kelly JP, Kluge J, Ackley B, Randolph C. Standardized assessment of concussion in football players. Neurology. 1997;48(3):586–588. Adult;Pediatric Core 1.00 2017-01-19 08:45:04.0 Standardized Assessment of Concussion (SAC) Cognitive Assessment Outcomes and End Points

Free-Form Entry

0 5
C52483 Standardized Assessment of Concussion (SAC) - Orientation day score SACOrientDayScore The score of the third question (day question) of the Orientation section of the Standardized Assessment of Concussion (SAC) The score of the third question (day question) of the Orientation section of the Standardized Assessment of Concussion (SAC What is the day of the week? 0;1 0;1 Numeric Values McCrea M, Kelly JP, Kluge J, Ackley B, Randolph C. Standardized assessment of concussion in football players. Neurology. 1997;48(3):586–588. Adult;Pediatric Core 1.00 2017-01-19 08:45:04.0 Standardized Assessment of Concussion (SAC) Cognitive Assessment Outcomes and End Points

Single Pre-Defined Value Selected

C52494 Standardized Assessment of Concussion (SAC) - Immediate memory Trial 2 Item 3 score SACImmMemT2Item3Score The score the subject received on Item 3 (default carpet) of Trial 2 of the Immediate section of the Standardized Assessment of Concussion (SAC) The score the subject received on Item 3 (default carpet) of Trial 2 of the Immediate section of the Standardized Assessment of Concussion (SAC Carpet Trial 2 0;1 0;1 Numeric Values McCrea M, Kelly JP, Kluge J, Ackley B, Randolph C. Standardized assessment of concussion in football players. Neurology. 1997;48(3):586–588. Adult;Pediatric Core 1.00 2017-01-19 08:45:04.0 Standardized Assessment of Concussion (SAC) Cognitive Assessment Outcomes and End Points

Single Pre-Defined Value Selected

C52505 Standardized Assessment of Concussion (SAC) - Immediate memory total score SACImmMemTotalScore The total score the subject received on the Immediate memory section of the Standardized Assessment of Concussion (SAC) The total score the subject received on the Immediate memory section of the Standardized Assessment of Concussion (SAC Immediate Memory Trial 3 Total Score Numeric Values McCrea M, Kelly JP, Kluge J, Ackley B, Randolph C. Standardized assessment of concussion in football players. Neurology. 1997;48(3):586–588. Adult;Pediatric Core 1.00 2017-01-19 08:45:04.0 Standardized Assessment of Concussion (SAC) Cognitive Assessment Outcomes and End Points

Free-Form Entry

0 15
C52484 Standardized Assessment of Concussion (SAC) - Orientation year score SACOrientYrScore The score of the fourth question (year question) of the Orientation section of the Standardized Assessment of Concussion (SAC) The score of the fourth question (year question) of the Orientation section of the Standardized Assessment of Concussion (SAC What year is it? 0;1 0;1 Numeric Values McCrea M, Kelly JP, Kluge J, Ackley B, Randolph C. Standardized assessment of concussion in football players. Neurology. 1997;48(3):586–588. Adult;Pediatric Core 1.00 2017-01-19 08:45:04.0 Standardized Assessment of Concussion (SAC) Cognitive Assessment Outcomes and End Points

Single Pre-Defined Value Selected

C52495 Standardized Assessment of Concussion (SAC) - Immediate memory Trial 2 Item 4 score SACImmMemT2Item4Score The score the subject received on Item 4 (default saddle) of Trial 2 of the Immediate section of the Standardized Assessment of Concussion (SAC) The score the subject received on Item 4 (default saddle) of Trial 2 of the Immediate section of the Standardized Assessment of Concussion (SAC Saddle Trial 2 0;1 0;1 Numeric Values McCrea M, Kelly JP, Kluge J, Ackley B, Randolph C. Standardized assessment of concussion in football players. Neurology. 1997;48(3):586–588. Adult;Pediatric Core 1.00 2017-01-19 08:45:04.0 Standardized Assessment of Concussion (SAC) Cognitive Assessment Outcomes and End Points

Single Pre-Defined Value Selected

C52506 Standardized Assessment of Concussion (SAC) - Concentration digit backward 3 digit number score SACConcDB3DigitNumScore The score the subject received on Item 1 (default 4-9-3) of Concentration: Digits Backward section of the Standardized Assessment of Concussion (SAC) The score the subject received on Item 1 (default 4-9-3) of Concentration: Digits Backward section of the Standardized Assessment of Concussion (SAC 4-9-3 0;1 0;1 Numeric Values McCrea M, Kelly JP, Kluge J, Ackley B, Randolph C. Standardized assessment of concussion in football players. Neurology. 1997;48(3):586–588. Adult;Pediatric Core 1.00 2017-01-19 08:45:04.0 Standardized Assessment of Concussion (SAC) Cognitive Assessment 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 McCrea M, Kelly JP, Kluge J, Ackley B, Randolph C. Standardized assessment of concussion in football players. Neurology. 1997;48(3):586–588. Adult;Pediatric Core 1.00 2017-01-19 08:45:04.0 Standardized Assessment of Concussion (SAC) Cognitive Assessment 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 McCrea M, Kelly JP, Kluge J, Ackley B, Randolph C. Standardized assessment of concussion in football players. Neurology. 1997;48(3):586–588. Adult;Pediatric Core 1.00 2017-01-19 08:45:04.0 Standardized Assessment of Concussion (SAC) Cognitive Assessment 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 McCrea M, Kelly JP, Kluge J, Ackley B, Randolph C. Standardized assessment of concussion in football players. Neurology. 1997;48(3):586–588. Adult;Pediatric Core 1.00 2017-01-19 08:45:04.0 Standardized Assessment of Concussion (SAC) Cognitive Assessment 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 Total Score Numeric Values McCrea M, Kelly JP, Kluge J, Ackley B, Randolph C. Standardized assessment of concussion in football players. Neurology. 1997;48(3):586–588. Adult;Pediatric Core 1.00 2017-01-19 08:45:04.0 Standardized Assessment of Concussion (SAC) Cognitive Assessment Outcomes and End Points

Free-Form Entry

0 5
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 McCrea M, Kelly JP, Kluge J, Ackley B, Randolph C. Standardized assessment of concussion in football players. Neurology. 1997;48(3):586–588. Adult;Pediatric Core 1.00 2017-01-19 08:45:04.0 Standardized Assessment of Concussion (SAC) Cognitive Assessment 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 McCrea M, Kelly JP, Kluge J, Ackley B, Randolph C. Standardized assessment of concussion in football players. Neurology. 1997;48(3):586–588. Adult;Pediatric Core 1.00 2017-01-19 08:45:04.0 Standardized Assessment of Concussion (SAC) Cognitive Assessment 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 McCrea M, Kelly JP, Kluge J, Ackley B, Randolph C. Standardized assessment of concussion in football players. Neurology. 1997;48(3):586–588. Adult;Pediatric Core 1.00 2017-01-19 08:45:04.0 Standardized Assessment of Concussion (SAC) Cognitive Assessment 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 McCrea M, Kelly JP, Kluge J, Ackley B, Randolph C. Standardized assessment of concussion in football players. Neurology. 1997;48(3):586–588. Adult;Pediatric Core 1.00 2017-01-19 08:45:04.0 Standardized Assessment of Concussion (SAC) Cognitive Assessment 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 McCrea M, Kelly JP, Kluge J, Ackley B, Randolph C. Standardized assessment of concussion in football players. Neurology. 1997;48(3):586–588. Adult;Pediatric Core 1.00 2017-01-19 08:45:04.0 Standardized Assessment of Concussion (SAC) Cognitive Assessment 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 McCrea M, Kelly JP, Kluge J, Ackley B, Randolph C. Standardized assessment of concussion in football players. Neurology. 1997;48(3):586–588. Adult;Pediatric Core 1.00 2017-01-19 08:45:04.0 Standardized Assessment of Concussion (SAC) Cognitive Assessment 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 McCrea M, Kelly JP, Kluge J, Ackley B, Randolph C. Standardized assessment of concussion in football players. Neurology. 1997;48(3):586–588. Adult;Pediatric Core 1.00 2017-01-19 08:45:04.0 Standardized Assessment of Concussion (SAC) Cognitive Assessment 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 Concentration Digits Backward Total Score Numeric Values McCrea M, Kelly JP, Kluge J, Ackley B, Randolph C. Standardized assessment of concussion in football players. Neurology. 1997;48(3):586–588. Adult;Pediatric Core 1.00 2017-01-19 08:45:04.0 Standardized Assessment of Concussion (SAC) Cognitive Assessment Outcomes and End Points

Free-Form Entry

0 4
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 McCrea M, Kelly JP, Kluge J, Ackley B, Randolph C. Standardized assessment of concussion in football players. Neurology. 1997;48(3):586–588. Adult;Pediatric Core 1.00 2017-01-19 08:45:04.0 Standardized Assessment of Concussion (SAC) Cognitive Assessment 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 McCrea M, Kelly JP, Kluge J, Ackley B, Randolph C. Standardized assessment of concussion in football players. Neurology. 1997;48(3):586–588. Adult;Pediatric Core 1.00 2017-01-19 08:45:04.0 Standardized Assessment of Concussion (SAC) Cognitive Assessment Outcomes and End Points

Single Pre-Defined Value Selected

CSV