CDE Detailed Report

Disease: Sport Related Concussion
Sub-Domain: Post-Concussive / Mild TBI-Related Symptoms
CRF: Children's Orientation and Amnesia Test (COAT)

Displaying 1 - 34 of 34
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 / Guideline) Sub Domain Name Domain Name Size Input Restrictions Min Value Max Value Measurement Type External Id Loinc External Id Snomed External Id caDSR External Id CDISC
C52055 Childrens Orientation and Amnesia Test (COAT) - First name score COATFirstNameScore Scored ability to accurately identify first name, as part of the Children's Orientation and Amnesia Test (COAT). Scored ability to accurately identify first name, as part of the Children's Orientation and Amnesia Test (COAT). What is your name? 0;2 Error;No Error Numeric Values

Ask the question exactly as written on form.

"The Children's Orientation and Amnesia Test: relationship to severity of acute head injury and to recovery of memory" (Ewing-Cobbs et al., 1990, p. 684). Copyright 1994 by the Congress of Neurological Surgeons. Pediatric Supplemental-Highly Recommended 1.00 2016-12-21 11:41:02.0 Children's Orientation and Amnesia Test (COAT) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C52072 Childrens Orientation and Amnesia Test (COAT) - Day week score COATDayWeekScore Scored ability to identify current day of the week, as part of the Children's Orientation and Amnesia Test (COAT). Scored ability to identify current day of the week, as part of the Children's Orientation and Amnesia Test (COAT). What day of the week is it? 1;2;3;4;5 4 days off;3 days off;2 days off;1 day off;No Error Numeric Values

Ask the question exactly as written on form.

"The Children's Orientation and Amnesia Test: relationship to severity of acute head injury and to recovery of memory" (Ewing-Cobbs et al., 1990, p. 684). Copyright 1994 by the Congress of Neurological Surgeons. Pediatric Supplemental-Highly Recommended 1.00 2016-12-21 12:03:56.0 Children's Orientation and Amnesia Test (COAT) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C52044 Childrens Orientation and Amnesia Test (COAT) - Live city state location score COATLiveScore Scored ability to accurately identify the city and residence, as part of the Children's Orientation and Amnesia Test (COAT). Scored ability to accurately identify the city and residence, as part of the Children's Orientation and Amnesia Test (COAT). Where do you live? 0;5;2;3 Error;No Error;State Only;City Only Numeric Values "The Children's Orientation and Amnesia Test: relationship to severity of acute head injury and to recovery of memory" (Ewing-Cobbs et al., 1990, p. 684). Copyright 1994 by the Congress of Neurological Surgeons. Pediatric Supplemental-Highly Recommended 1.00 2016-12-21 09:42:07.0 Children's Orientation and Amnesia Test (COAT) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C52057 Childrens Orientation and Amnesia Test (COAT) - Television score COATTVScore Scored ability to accurately remember a character on a television show they watch, as part of the Children's Orientation and Amnesia Test (COAT). Scored ability to accurately remember a character on a television show they watch, as part of the Children's Orientation and Amnesia Test (COAT). What is on Sesame Street? (can substitute othe major television show) 10;0 No Error;Error Numeric Values

Ask the question exactly as written on form.

"The Children's Orientation and Amnesia Test: relationship to severity of acute head injury and to recovery of memory" (Ewing-Cobbs et al., 1990, p. 684). Copyright 1994 by the Congress of Neurological Surgeons. Pediatric Supplemental-Highly Recommended 1.00 2016-12-21 11:42:20.0 Children's Orientation and Amnesia Test (COAT) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C52074 Childrens Orientation and Amnesia Test (COAT) - Temporal orientation total score COATTemporalOrientTotalScore Subject's total score for temporal orientation questions, as part of the Children's Orientation and Amnesia Test (COAT). Subject's total score for temporal orientation questions, as part of the Children's Orientation and Amnesia Test (COAT). Temporal Orientation Score Numeric Values

Total score for the following variables: COATCurrentTimeScore, COATDayWeekScore, COATDayMonthScore, COATMonthScore, COATYearScore

"The Children's Orientation and Amnesia Test: relationship to severity of acute head injury and to recovery of memory" (Ewing-Cobbs et al., 1990, p. 684). Copyright 1994 by the Congress of Neurological Surgeons. Pediatric Supplemental-Highly Recommended 1.00 2016-12-21 12:06:00.0 Children's Orientation and Amnesia Test (COAT) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Free-Form Entry

0 40
C52045 Childrens Orientation and Amnesia Test (COAT) - General orientation total score COATGeneralOrientTotalScore Subject's total score for general orientation questions, as part of the Children's Orientation and Amnesia Test (COAT). Subject's total score for general orientation questions, as part of the Children's Orientation and Amnesia Test (COAT). General Orientation Total Numeric Values

Total score of the following variables: COATCurrentLocationScore, COATSchoolScore,COATParentNameScore, COATLiveScore, COATAgeBirthScore, COATNameScore,COATTimeOfDayScore

"The Children's Orientation and Amnesia Test: relationship to severity of acute head injury and to recovery of memory" (Ewing-Cobbs et al., 1990, p. 684). Copyright 1994 by the Congress of Neurological Surgeons. Pediatric Supplemental-Highly Recommended 1.00 2016-12-21 09:43:42.0 Children's Orientation and Amnesia Test (COAT) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Free-Form Entry

0 40
C52058 Childrens Orientation and Amnesia Test (COAT) - Interviewer score COATInterviewerScore Scored ability to accurately remember the Interview's name, as part of the Children's Orientation and Amnesia Test (COAT). Scored ability to accurately remember the Interview's name, as part of the Children's Orientation and Amnesia Test (COAT). What is my name? 10;0 No Error;Error Numeric Values

Ask the question exactly as written on form.

"The Children's Orientation and Amnesia Test: relationship to severity of acute head injury and to recovery of memory" (Ewing-Cobbs et al., 1990, p. 684). Copyright 1994 by the Congress of Neurological Surgeons. Pediatric Supplemental-Highly Recommended 1.00 2016-12-21 11:44:23.0 Children's Orientation and Amnesia Test (COAT) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C52076 Childrens Orientation and Amnesia Test (COAT) - Live city location score COATLiveCityScore Scored ability to accurately identify the city of residence, as part of the Children's Orientation and Amnesia Test (COAT). Scored ability to accurately identify the city of residence, as part of the Children's Orientation and Amnesia Test (COAT). Whre do you live? 0;3 Error;No Error Numeric Values

Ask the question exactly as written on form.

"The Children's Orientation and Amnesia Test: relationship to severity of acute head injury and to recovery of memory" (Ewing-Cobbs et al., 1990, p. 684). Copyright 1994 by the Congress of Neurological Surgeons. Pediatric Supplemental-Highly Recommended 1.00 2016-12-21 12:08:27.0 Children's Orientation and Amnesia Test (COAT) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C52046 Childrens Orientation and Amnesia Test (COAT) - Birth month score COATBirthMonthScore Scored ability to accurately identify birth month, as part of the Children's Orientation and Amnesia Test (COAT). Scored ability to accurately identify birth month, as part of the Children's Orientation and Amnesia Test (COAT). When is your birthday? 0;1 Error;No Error Numeric Values

Ask the question exactly as written on form.

"The Children's Orientation and Amnesia Test: relationship to severity of acute head injury and to recovery of memory" (Ewing-Cobbs et al., 1990, p. 684). Copyright 1994 by the Congress of Neurological Surgeons. Pediatric Supplemental-Highly Recommended 1.00 2016-12-21 09:44:49.0 Children's Orientation and Amnesia Test (COAT) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C52060 Childrens Orientation and Amnesia Test (COAT) - Father name score COATFatherNameScore Scored ability to accurately identify father's name, as part of the Children's Orientation and Amnesia Test (COAT). Scored ability to accurately identify father's name, as part of the Children's Orientation and Amnesia Test (COAT). What is your father's name? 0;5 Error;No Error Numeric Values

Ask the question exactly as written on form.

"The Children's Orientation and Amnesia Test: relationship to severity of acute head injury and to recovery of memory" (Ewing-Cobbs et al., 1990, p. 684). Copyright 1994 by the Congress of Neurological Surgeons. Pediatric Supplemental-Highly Recommended 1.00 2016-12-21 11:45:12.0 Children's Orientation and Amnesia Test (COAT) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C52077 Childrens Orientation and Amnesia Test (COAT) - Memory total score COATMemoryScore Total score for memory questions, as part of the Children's Orientation and Amnesia Test (COAT). Total score for memory questions, as part of the Children's Orientation and Amnesia Test (COAT). Memory Total Numeric Values

Total score for the following variables: COATNumberMemoryScore, COATNumberMemoryScore, COATTwoFingersScore, COATThreeFingersScore, COATTenFingersScore, COATFingerScore, COATTVScore, COATInterviewerScore

"The Children's Orientation and Amnesia Test: relationship to severity of acute head injury and to recovery of memory" (Ewing-Cobbs et al., 1990, p. 684). Copyright 1994 by the Congress of Neurological Surgeons. Pediatric Supplemental-Highly Recommended 1.00 2016-12-21 12:10:05.0 Children's Orientation and Amnesia Test (COAT) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Free-Form Entry

0 44
C52047 Childrens Orientation and Amnesia Test (COAT) - Birth day score COATBirthDayScore Scored ability to accurately identify birth day, as part of the Children's Orientation and Amnesia Test (COAT). Scored ability to accurately identify birth day, as part of the Children's Orientation and Amnesia Test (COAT). When is your birthday? 0;1 Error;No Error Numeric Values

Ask the question exactly as written on form.

"The Children's Orientation and Amnesia Test: relationship to severity of acute head injury and to recovery of memory" (Ewing-Cobbs et al., 1990, p. 684). Copyright 1994 by the Congress of Neurological Surgeons. Pediatric Supplemental-Highly Recommended 1.00 2016-12-21 09:44:49.0 Children's Orientation and Amnesia Test (COAT) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C52061 Childrens Orientation and Amnesia Test (COAT) - Fingers score COATFingerScore Scored ability to accurately identify two, three, and ten fingers being held up, as part of the Children's Orientation and Amnesia Test (COAT). Scored ability to accurately identify two, three, and ten fingers being held up, as part of the Children's Orientation and Amnesia Test (COAT). How many fingers am I holding up? 0;10;2;3;7;8 Error;No Error;2 fingers;3 fingers;10 and 2 fingers;10 and 3 fingers Numeric Values "The Children's Orientation and Amnesia Test: relationship to severity of acute head injury and to recovery of memory" (Ewing-Cobbs et al., 1990, p. 684). Copyright 1994 by the Congress of Neurological Surgeons. Pediatric Supplemental-Highly Recommended 1.00 2016-12-21 11:47:49.0 Children's Orientation and Amnesia Test (COAT) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C52078 Childrens Orientation and Amnesia Test (COAT) - Mother name score COATMotherNameScore Scored ability to accurately identify mother's name, as part of the Children's Orientation and Amnesia Test (COAT). Scored ability to accurately identify mother's name, as part of the Children's Orientation and Amnesia Test (COAT). What is your mother's name? 0;5 Error;No Error Numeric Values

Ask the question exactly as written on form.

"The Children's Orientation and Amnesia Test: relationship to severity of acute head injury and to recovery of memory" (Ewing-Cobbs et al., 1990, p. 684). Copyright 1994 by the Congress of Neurological Surgeons. Pediatric Supplemental-Highly Recommended 1.00 2016-12-21 12:11:22.0 Children's Orientation and Amnesia Test (COAT) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C52048 Childrens Orientation and Amnesia Test (COAT) - School name grade score COATSchoolScore Scored ability to accurately identify school name and grade, as part of the Children's Orientation and Amnesia Test (COAT). Scored ability to accurately identify school name and grade, as part of the Children's Orientation and Amnesia Test (COAT). What school do you go to? What grade are you in? 0;5;2;3 Error;No Error;Grade Only;School Name Only Numeric Values "The Children's Orientation and Amnesia Test: relationship to severity of acute head injury and to recovery of memory" (Ewing-Cobbs et al., 1990, p. 684). Copyright 1994 by the Congress of Neurological Surgeons. Pediatric Supplemental-Highly Recommended 1.00 2016-12-21 09:47:16.0 Children's Orientation and Amnesia Test (COAT) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C52063 Childrens Orientation and Amnesia Test (COAT) - Ten fingers score COATTenFingersScore Scored ability to accurately identify ten fingers being held up, as part of the Children's Orientation and Amnesia Test (COAT). Scored ability to accurately identify ten fingers being held up, as part of the Children's Orientation and Amnesia Test (COAT). How many fingers am I holding up? 0;5 Error;No Error Numeric Values

Hold up ten fingers.

"The Children's Orientation and Amnesia Test: relationship to severity of acute head injury and to recovery of memory" (Ewing-Cobbs et al., 1990, p. 684). Copyright 1994 by the Congress of Neurological Surgeons. Pediatric Supplemental-Highly Recommended 1.00 2016-12-21 11:50:29.0 Children's Orientation and Amnesia Test (COAT) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C52080 Childrens Orientation and Amnesia Test (COAT) - School name score COATSchoolNameScore Scored ability to accurately identify school name, as part of the Children's Orientation and Amnesia Test (COAT). Scored ability to accurately identify school name, as part of the Children's Orientation and Amnesia Test (COAT). What school do you go to? 0;3 Error;No Error Numeric Values

Ask the question exactly as written on form.

"The Children's Orientation and Amnesia Test: relationship to severity of acute head injury and to recovery of memory" (Ewing-Cobbs et al., 1990, p. 684). Copyright 1994 by the Congress of Neurological Surgeons. Pediatric Supplemental-Highly Recommended 1.00 2016-12-21 12:12:15.0 Children's Orientation and Amnesia Test (COAT) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C52049 Childrens Orientation and Amnesia Test (COAT) - Number sequence memory score COATNumberMemoryScore Scored ability to repeat numbers in order, as part of the Children's Orientation and Amnesia Test (COAT). Scored ability to repeat numbers in order, as part of the Children's Orientation and Amnesia Test (COAT). Say these numbers after me in the same order. 0;1;11;12;2;3;13;14;4;5;10;6;7;8;9 No correct answers;1 correct answer;11 correct answers;12 correct answers;2 correct answers;3 correct answers;13 correct answers;14 correct answers;4 correct answers;5 correct answers;10 correct answers;6 correct answers;7 correct answers;8 correct answers;9 correct answers Numeric Values

Count up to 14 aloud and have the participant repeat back the numbers in order.

"The Children's Orientation and Amnesia Test: relationship to severity of acute head injury and to recovery of memory" (Ewing-Cobbs et al., 1990, p. 684). Copyright 1994 by the Congress of Neurological Surgeons. Pediatric Supplemental-Highly Recommended 1.00 2016-12-21 09:48:56.0 Children's Orientation and Amnesia Test (COAT) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C52064 Childrens Orientation and Amnesia Test (COAT) - Current time score COATCurrentTimeScore Scored ability identify the current time, as part of the Children's Orientation and Amnesia Test (COAT). Scored ability identify the current time, as part of the Children's Orientation and Amnesia Test (COAT). What time is it now? 5;1;2;3;4 No Error;2 hours off;>1 hour off;1 hour off;<1 hour off Numeric Values

Ask the question exactly as written on form.

"The Children's Orientation and Amnesia Test: relationship to severity of acute head injury and to recovery of memory" (Ewing-Cobbs et al., 1990, p. 684). Copyright 1994 by the Congress of Neurological Surgeons. Pediatric Supplemental-Highly Recommended 1.00 2016-12-21 11:51:53.0 Children's Orientation and Amnesia Test (COAT) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C52081 Childrens Orientation and Amnesia Test (COAT) - Last name score COATLastNameScore Scored ability to accurately identify last name, as part of the Children's Orientation and Amnesia Test (COAT). Scored ability to accurately identify last name, as part of the Children's Orientation and Amnesia Test (COAT). What is your name? 0;3 Error;No Error Numeric Values

Ask the question exactly as written on form.

"The Children's Orientation and Amnesia Test: relationship to severity of acute head injury and to recovery of memory" (Ewing-Cobbs et al., 1990, p. 684). Copyright 1994 by the Congress of Neurological Surgeons. Pediatric Supplemental-Highly Recommended 1.00 2016-12-21 12:14:42.0 Children's Orientation and Amnesia Test (COAT) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C52050 Childrens Orientation and Amnesia Test (COAT) - Full name score COATFullNameScore Scored ability to accurately identify first and last name, as part of the Children's Orientation and Amnesia Test (COAT). Scored ability to accurately identify first and last name, as part of the Children's Orientation and Amnesia Test (COAT). What is your name? 0;5;2;3 Error;No Error;First Name Only;Last Name Only Numeric Values "The Children's Orientation and Amnesia Test: relationship to severity of acute head injury and to recovery of memory" (Ewing-Cobbs et al., 1990, p. 684). Copyright 1994 by the Congress of Neurological Surgeons. Pediatric Supplemental-Highly Recommended 1.00 2016-12-21 09:58:59.0 Children's Orientation and Amnesia Test (COAT) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C52066 Childrens Orientation and Amnesia Test (COAT) - Age score COATAgeScore Scored ability to accurately identify age, as part of the Children's Orientation and Amnesia Test (COAT). Scored ability to accurately identify age, as part of the Children's Orientation and Amnesia Test (COAT). How old are you? 0;3 Error;No Error Numeric Values

Ask the question exactly as written on form.

"The Children's Orientation and Amnesia Test: relationship to severity of acute head injury and to recovery of memory" (Ewing-Cobbs et al., 1990, p. 684). Copyright 1994 by the Congress of Neurological Surgeons. Pediatric Supplemental-Highly Recommended 1.00 2016-12-21 11:54:26.0 Children's Orientation and Amnesia Test (COAT) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C52040 Childrens Orientation and Amnesia Test (COAT) - Current location score COATCurrentLocationScore Scored ability to accurately identify current location, as part of the Children's Orientation and Amnesia Test (COAT). Scored ability to accurately identify current location, as part of the Children's Orientation and Amnesia Test (COAT). Where are you now? 0;5 Error;No Error Numeric Values

Ask the question exactly as written on form.

"The Children's Orientation and Amnesia Test: relationship to severity of acute head injury and to recovery of memory" (Ewing-Cobbs et al., 1990, p. 684). Copyright 1994 by the Congress of Neurological Surgeons. Pediatric Supplemental-Highly Recommended 1.00 2016-12-21 09:33:07.0 Children's Orientation and Amnesia Test (COAT) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C52082 Childrens Orientation and Amnesia Test (COAT) - Two fingers score COATTwoFingersScore Scored ability to accurately identify two fingers being held up, as part of the Children's Orientation and Amnesia Test (COAT). Scored ability to accurately identify two fingers being held up, as part of the Children's Orientation and Amnesia Test (COAT). How many fingers am I holding up? 0;2 Error;No Error Numeric Values

Hold up two fingers.

"The Children's Orientation and Amnesia Test: relationship to severity of acute head injury and to recovery of memory" (Ewing-Cobbs et al., 1990, p. 684). Copyright 1994 by the Congress of Neurological Surgeons. Pediatric Supplemental-Highly Recommended 1.00 2016-12-21 12:15:30.0 Children's Orientation and Amnesia Test (COAT) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C52051 Childrens Orientation and Amnesia Test (COAT) - Daytime nighttime distinction score COATTimeOfDayScore Scored ability to accurately identify if it is daytime or nighttime, as part of the Children's Orientation and Amnesia Test (COAT). Scored ability to accurately identify if it is daytime or nighttime, as part of the Children's Orientation and Amnesia Test (COAT). Is it daytime or nighttime? 0;5 Error;No Error Numeric Values

Ask the question exactly as written on form.

"The Children's Orientation and Amnesia Test: relationship to severity of acute head injury and to recovery of memory" (Ewing-Cobbs et al., 1990, p. 684). Copyright 1994 by the Congress of Neurological Surgeons. Pediatric Supplemental-Highly Recommended 1.00 2016-12-21 10:01:50.0 Children's Orientation and Amnesia Test (COAT) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C52068 Childrens Orientation and Amnesia Test (COAT) - Live state location score COATLiveStateScore Scored ability to accurately identify the state of residence, as part of the Children's Orientation and Amnesia Test (COAT). Scored ability to accurately identify the state of residence, as part of the Children's Orientation and Amnesia Test (COAT). Where do you live? 0;2 Error;No Error Numeric Values

Ask the question exactly as written on form.

"The Children's Orientation and Amnesia Test: relationship to severity of acute head injury and to recovery of memory" (Ewing-Cobbs et al., 1990, p. 684). Copyright 1994 by the Congress of Neurological Surgeons. Pediatric Supplemental-Highly Recommended 1.00 2016-12-21 11:55:46.0 Children's Orientation and Amnesia Test (COAT) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C52041 Childrens Orientation and Amnesia Test (COAT) - Month score COATMonthScore Scored ability to identify current month, as part of the Children's Orientation and Amnesia Test (COAT). Scored ability to identify current month, as part of the Children's Orientation and Amnesia Test (COAT). What is the month? 1;4;7;10 3 months off;2 months off;1 month off;No Error Numeric Values

Ask the question exactly as written on form.

"The Children's Orientation and Amnesia Test: relationship to severity of acute head injury and to recovery of memory" (Ewing-Cobbs et al., 1990, p. 684). Copyright 1994 by the Congress of Neurological Surgeons. Pediatric Supplemental-Highly Recommended 1.00 2016-12-21 09:35:47.0 Children's Orientation and Amnesia Test (COAT) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C52083 Childrens Orientation and Amnesia Test (COAT) - Overall Score COATOverallScore Overall score, as part of the Children's Orientation and Amnesia Test (COAT). Overall score, as part of the Children's Orientation and Amnesia Test (COAT). Overall Total Numeric Values "The Children's Orientation and Amnesia Test: relationship to severity of acute head injury and to recovery of memory" (Ewing-Cobbs et al., 1990, p. 684). Copyright 1994 by the Congress of Neurological Surgeons. Pediatric Supplemental-Highly Recommended 1.00 2016-12-21 12:16:39.0 Children's Orientation and Amnesia Test (COAT) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Free-Form Entry

0 124
C52052 Childrens Orientation and Amnesia Test (COAT) - Birth day month age score COATAgeBirthScore Scored ability to accurately identify birth day, month, and age, as part of the Children's Orientation and Amnesia Test (COAT). Scored ability to accurately identify birth day, month, and age, as part of the Children's Orientation and Amnesia Test (COAT). How old are you? When is your birthday? 0;5;1;2;3;4 Error;No Error;Month or Day Only;Month and Day Only;Age Only;Age and Month or Day Only Numeric Values "The Children's Orientation and Amnesia Test: relationship to severity of acute head injury and to recovery of memory" (Ewing-Cobbs et al., 1990, p. 684). Copyright 1994 by the Congress of Neurological Surgeons. Pediatric Supplemental-Highly Recommended 1.00 2016-12-21 11:21:55.0 Children's Orientation and Amnesia Test (COAT) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C52069 Childrens Orientation and Amnesia Test (COAT) - Parent name score COATParentNameScore Scored ability to accurately identify parent's names, as part of the Children's Orientation and Amnesia Test (COAT). Scored ability to accurately identify parent's names, as part of the Children's Orientation and Amnesia Test (COAT). What are your parents' names? 0;10;5 Error;No Error;One Parent Name Numeric Values "The Children's Orientation and Amnesia Test: relationship to severity of acute head injury and to recovery of memory" (Ewing-Cobbs et al., 1990, p. 684). Copyright 1994 by the Congress of Neurological Surgeons. Pediatric Supplemental-Highly Recommended 1.00 2016-12-21 11:58:35.0 Children's Orientation and Amnesia Test (COAT) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C52042 Childrens Orientation and Amnesia Test (COAT) - Day month score COATDayMonthScore Scored ability to identify current day of the month, as part of the Children's Orientation and Amnesia Test (COAT). Scored ability to identify current day of the month, as part of the Children's Orientation and Amnesia Test (COAT). What day of the month is it? 1;2;3;4;5 4 days off;3 days off;2 days off;1 day off;No Error Numeric Values

Ask the question exactly as written on form.

"The Children's Orientation and Amnesia Test: relationship to severity of acute head injury and to recovery of memory" (Ewing-Cobbs et al., 1990, p. 684). Copyright 1994 by the Congress of Neurological Surgeons. Pediatric Supplemental-Highly Recommended 1.00 2016-12-21 09:38:25.0 Children's Orientation and Amnesia Test (COAT) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C52054 Childrens Orientation and Amnesia Test (COAT) - School grade score COATGradeScore Scored ability to accurately identify grade in school, as part of the Children's Orientation and Amnesia Test (COAT). Scored ability to accurately identify grade in school, as part of the Children's Orientation and Amnesia Test (COAT). What grade are you in? 0;2 Error;No Error Numeric Values

Ask the question exactly as written on form.

"The Children's Orientation and Amnesia Test: relationship to severity of acute head injury and to recovery of memory" (Ewing-Cobbs et al., 1990, p. 684). Copyright 1994 by the Congress of Neurological Surgeons. Pediatric Supplemental-Highly Recommended 1.00 2016-12-21 11:38:40.0 Children's Orientation and Amnesia Test (COAT) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C52071 Childrens Orientation and Amnesia Test (COAT) - Year score COATYearScore Scored ability to identify current year, as part of the Children's Orientation and Amnesia Test (COAT). Scored ability to identify current year, as part of the Children's Orientation and Amnesia Test (COAT). What is the year? 0;10;5;15 3 years off;1 year off;2 years off;No Error Numeric Values

Ask the question exactly as written on form.

"The Children's Orientation and Amnesia Test: relationship to severity of acute head injury and to recovery of memory" (Ewing-Cobbs et al., 1990, p. 684). Copyright 1994 by the Congress of Neurological Surgeons. Pediatric Supplemental-Highly Recommended 1.00 2016-12-21 12:01:10.0 Children's Orientation and Amnesia Test (COAT) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C52043 Childrens Orientation and Amnesia Test (COAT) - Three fingers score COATThreeFingersScore Scored ability to accurately identify three fingers being held up, as part of the Children's Orientation and Amnesia Test (COAT). Scored ability to accurately identify three fingers being held up, as part of the Children's Orientation and Amnesia Test (COAT). How many fingers am I holding up? 0;3 Error;No Error Numeric Values

Hold up three fingers.

"The Children's Orientation and Amnesia Test: relationship to severity of acute head injury and to recovery of memory" (Ewing-Cobbs et al., 1990, p. 684). Copyright 1994 by the Congress of Neurological Surgeons. Pediatric Supplemental-Highly Recommended 1.00 2016-12-21 09:40:41.0 Children's Orientation and Amnesia Test (COAT) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

CSV