CDE Detailed Report

Disease: Traumatic Brain Injury
Sub-Domain: Biomechanical Devices
CRF: Blast Exposure Form

Displaying 1 - 50 of 60
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
C56838 Blast sensor gauge material personnel information text BlastSensGauMatPersInfoTxt Text describing information about the gauge material/personnel Text describing information about the gauge material/personne Material/Personnel: Alphanumeric

type of subject , if any (free field text)

Adult Supplemental 1.00 2017-08-01 13:51:08.0 Blast Exposure Form Biomechanical Devices Disease/Injury Related Events 500

Free-Form Entry

C19247 Subject ID SubIDNam Subject identification ID Subject identification ID Subject ID: Alphanumeric Adult Supplemental 1.00 2014-06-05 13:10:49.0 Blast Exposure Form Biomechanical Devices Disease/Injury Related Events 255

Free-Form Entry

C56939 Test setup diagrams text TestSetupDiagramTxt The free-text field related to test setup diagrams The free-text field related to test setup diagram Test Setup Diagrams: Alphanumeric

diagram/image/Topological Map of Area/Lidar XYZ Scan of Area and format (jpg, bmp, pdf, etc)

Adult Supplemental-Highly Recommended 1.00 2017-08-04 11:19:32.0 Blast Exposure Form Biomechanical Devices Disease/Injury Related Events 4000

Free-Form Entry

C56815 Blast sensor test review documentation status BlastSensTestRevDocStat The status related to the blast sensor test review documentation The status related to the blast sensor test review documentatio Test Review Documentation: Available;Not available Available;Not available Alphanumeric

available/not available

Adult Supplemental 1.00 2017-07-26 15:34:37.0 Blast Exposure Form Biomechanical Devices Disease/Injury Related Events

Single Pre-Defined Value Selected

C56826 Blast sensor test shot acceleration data obtain indicator BlastSensTestShotAccDatObtInd The indicator relating to whether acceleration data was obtained from the blast sensor test shot The indicator relating to whether acceleration data was obtained from the blast sensor test sho Acceleration Data: No;Yes No;Yes Alphanumeric Adult Supplemental 1.00 2017-07-28 15:57:37.0 Blast Exposure Form Biomechanical Devices Disease/Injury Related Events

Single Pre-Defined Value Selected

C57032 Gauge manufacturer model number name GgMnfMdlNumName Names of the manufacturer, model and number Names of the manufacturer, model and number Gauge Manufacturer/Model/Number Alphanumeric

free field text

Adult Supplemental 1.00 2017-12-13 13:18:09.0 Blast Exposure Form Biomechanical Devices Disease/Injury Related Events 255

Free-Form Entry

C56839 Blast sensor gauge height above ground value BlastSensGauHtAboveGrndVal The value representing the how high above the ground the blast sensor gauge is The value representing the how high above the ground the blast sensor gauge i Height Above Ground: Numeric Values

any standardized measure (measurement method not constrained)

Adult Supplemental 1.00 2017-08-01 15:05:41.0 Blast Exposure Form Biomechanical Devices Disease/Injury Related Events

Free-Form Entry

C56805 Blast sensor test series number BlastSensTestSerNum The number in the blast sensor test series The number in the blast sensor test serie Test Series Number: Numeric Values

End state is a series numbering system that is centralized and spans across all labs doing relevant work, assigned prior to the conduct of each test series. However, there is not a sufficient mechanisms for that centralization of series numbering at present, so the recommended Test Series identifier is [PI or LAB text identifier] followed by a serial number for work conducted by that lab.

Adult Supplemental 1.00 2017-07-26 14:27:09.0 Blast Exposure Form Biomechanical Devices Disease/Injury Related Events

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C56940 Test setup images text TestSetupImagesTxt The free-text field related to test setup images The free-text field related to test setup image Test Setup Images: Alphanumeric Adult Supplemental 1.00 2017-08-04 11:19:32.0 Blast Exposure Form Biomechanical Devices Disease/Injury Related Events 4000

Free-Form Entry

C56816 Blast sensor document name BlastSensDocName The name of the document that is related to the blast sensor test The name of the document that is related to the blast sensor tes Document Name: Alphanumeric

single line free text

Adult Supplemental 1.00 2017-07-26 15:37:09.0 Blast Exposure Form Biomechanical Devices Disease/Injury Related Events 255

Free-Form Entry

C56828 Blast sensor pressure tabular input pressure value BlastSensPresTabInputPresVal The pressure value obtained for the participant/subject's pressure tabular input The pressure value obtained for the participant/subject's pressure tabular inpu Pressure Tabular input: Numeric Values

Two columns, (time/Pressure)

Adult Supplemental 1.00 2017-07-28 16:00:45.0 Blast Exposure Form Biomechanical Devices Disease/Injury Related Events

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C57033 Summary data per shot use multiple sensor indicator SmmDtPrShtUsMltSnsInd Indication of use of multiple sensors per shot Indication of use of multiple sensors per shot Per shot use of multiple sensors? No;Yes No;Yes Alphanumeric

no/yes, integer for number of units

Adult Supplemental 1.00 2017-12-13 14:01:33.0 Blast Exposure Form Biomechanical Devices Disease/Injury Related Events

Single Pre-Defined Value Selected

C56840 Blast sensor gauge orientation angle measurement BlastSensGaugeOriAngMeasr The measurement of the blast sensor gauge orientation, angled from North The measurement of the blast sensor gauge orientation, angled from Nort Gauge Orientation Angled from North (approximate): Numeric Values

angle from North (approximate) (measurement method not constrained)

Adult Supplemental 1.00 2017-08-01 15:07:26.0 Blast Exposure Form Biomechanical Devices Disease/Injury Related Events

Free-Form Entry

degree
C56806 Blast sensor charge describe text BlastSensChrgDesTxt Text describing the charge with respect to the blast sensor test Text describing the charge with respect to the blast sensor tes Charge Descriptions: Alphanumeric

single line free field text

Adult Supplemental-Highly Recommended 1.00 2017-07-26 15:00:35.0 Blast Exposure Form Biomechanical Devices Disease/Injury Related Events 500

Free-Form Entry

C56943 Pre post shot image text PrePostShotImageTxt The free-text field related to the pre and post shot images The free-text field related to the pre and post shot image Pre and Post Shot Images: Alphanumeric

not available/available (and format)

Adult Supplemental 1.00 2017-08-04 11:19:32.0 Blast Exposure Form Biomechanical Devices Disease/Injury Related Events 4000

Free-Form Entry

C56817 Blast sensor document category BlastSensDocCat The category of the blast sensor document in question The category of the blast sensor document in questio Document Category: Image;Test Report;Pre-test review Image;Test Report;Pre-test review Alphanumeric

image/Test Report/Pre-Test Review

Adult Supplemental 1.00 2017-07-26 15:38:17.0 Blast Exposure Form Biomechanical Devices Disease/Injury Related Events

Single Pre-Defined Value Selected

C56830 Blast sensor acceleration tabular input acceleration value BlastSensAccTabInputAccelVal The acceleration value obtained from the participant/subject's acceleration tabular input The acceleration value obtained from the participant/subject's acceleration tabular inpu Acceleration Tabular input: Numeric Values

Two columns, (time/Acceleration (G's))

Adult Supplemental 1.00 2017-07-28 16:05:41.0 Blast Exposure Form Biomechanical Devices Disease/Injury Related Events

Free-Form Entry

G's
C57034 Summary data per series exposure event number SmmDtPrSrsExpEvNum Number of exposure events per series Number of exposure events per series Per series number of exposure events Numeric Values

integer

Adult Supplemental 1.00 2017-12-13 14:05:49.0 Blast Exposure Form Biomechanical Devices Disease/Injury Related Events

Free-Form Entry

C56841 Blast sensor personnel stance text BlastSensPersStanceTxt Text describing the personnel stance Text describing the personnel stanc Personnel Stance: Alphanumeric

free field text entry

Adult Supplemental 1.00 2017-08-01 15:08:22.0 Blast Exposure Form Biomechanical Devices Disease/Injury Related Events 500

Free-Form Entry

C56807 Test description text TestDescTxt The free-text field to describing the test The free-text field to describing the tes Test Description: Alphanumeric

single line free field text

Adult Supplemental-Highly Recommended 1.00 2017-07-26 15:02:15.0 Blast Exposure Form Biomechanical Devices Disease/Injury Related Events 1000

Free-Form Entry

C56944 Summary data per shot Peak PSI value SummaryDataPrShtPeakPSIVal The value of the peak PSI summary data per shot The value of the peak PSI summary data per sho Per Shot Peak PSI: Numeric Values

real number in PSI

Adult Supplemental 1.00 2017-08-04 11:54:40.0 Blast Exposure Form Biomechanical Devices Disease/Injury Related Events

Free-Form Entry

C56818 Blast sensor document description text BlastSensDocDescTxt Text describing the document containing information relevant to the participant/subject's blast sensor test Text describing the document containing information relevant to the participant/subject's blast sensor tes Document Description: Alphanumeric

single line free text

Adult Supplemental 1.00 2017-07-26 15:40:10.0 Blast Exposure Form Biomechanical Devices Disease/Injury Related Events 200

Free-Form Entry

C56831 Blast sensor test shot pressure source type BlastSensTestShotPresSourceTyp The type of pressure source used for the blast sensor test shot The type of pressure source used for the blast sensor test sho Pressure Source: gun/explosive: Alphanumeric Adult Supplemental 1.00 2017-07-28 16:06:41.0 Blast Exposure Form Biomechanical Devices Disease/Injury Related Events 255

Free-Form Entry

C57035 Other PPE type OthPPETyp Type of other PPE Type of other PPE Other PPE Alphanumeric

free text entry

Adult Supplemental 1.00 2017-12-13 14:15:57.0 Blast Exposure Form Biomechanical Devices Disease/Injury Related Events 255

Free-Form Entry

C56842 Blast sensor personnel gauge anatomic site BlastSenPersGaugeAnatSite The location of the blast sensor gauge on the personnel The location of the blast sensor gauge on the personne Location on Personnel: Alphanumeric

free field text entry

Adult Supplemental-Highly Recommended 1.00 2017-08-01 15:09:10.0 Blast Exposure Form Biomechanical Devices Disease/Injury Related Events 1000

Free-Form Entry

C56808 Blast sensor distribution code BlastSensDistCode The OPSEC determined distribution code for the blast sensor test series The OPSEC determined distribution code for the blast sensor test serie Distribution Code (OPSEC Determined): A;B;C;D;E;F A;B;C;D;E;F Alphanumeric

A, B, C, D, E, F [reference http://www.dtic.mil/dtic/pdf/distribution_statements_and_reasons.pdf]

Adult Supplemental 1.00 2017-07-26 15:20:53.0 Blast Exposure Form Biomechanical Devices Disease/Injury Related Events

Single Pre-Defined Value Selected

C56945 Summary data per shot impulse value SummaryDataPrShtImpulseVal The value of the impulse summary data per shot The value of the impulse summary data per sho Per Shot Impulse: Numeric Values

pounds per square inch times milliseconds, or psi-ms.

Adult Supplemental 1.00 2017-08-04 11:55:42.0 Blast Exposure Form Biomechanical Devices Disease/Injury Related Events

Free-Form Entry

C56819 Blast sensor test series tag type BlastSensTestSerTagTyp The type of tag(s) that the document is associated with pertaining to the blast sensor test series The type of tag(s) that the document is associated with pertaining to the blast sensor test serie Tags: Buried Explosive;Home Made Explosive;Metallized Explosive;Conventional Explosive;Interior;Exterior;Air Burst;120mm Mortar Muzzle Shock;120mm Tank Muzzle Shock;155mm Muzzle Shock;60mm Mortar Muzzle Shock;81mm Mortar Muzzle Shock;Ground Shock;Behind Armor Air Shock;Shoulder Fired Rocket Air Shock;Far Field;Medium Field;Near Field Buried Explosive;Home Made Explosive;Metallized Explosive;Conventional Explosive;Interior;Exterior;Air Burst;120mm Mortar Muzzle Shock;120mm Tank Muzzle Shock;155mm Muzzle Shock;60mm Mortar Muzzle Shock;81mm Mortar Muzzle Shock;Ground Shock;Behind Armor Air Shock;Shoulder Fired Rocket Air Shock;Far Field;Medium Field;Near Field Alphanumeric Adult Supplemental 1.00 2017-07-26 16:09:54.0 Blast Exposure Form Biomechanical Devices Disease/Injury Related Events

Multiple Pre-Defined Values Selected

C56832 Blast sensor test shot pressure source orientation type BlastSensTestShotPresSrcOriTyp The orientation of the pressure source when it was used for the blast sensor test shot The orientation of the pressure source when it was used for the blast sensor test sho orientation Alphanumeric Adult Supplemental 1.00 2017-07-28 16:08:31.0 Blast Exposure Form Biomechanical Devices Disease/Injury Related Events 255

Free-Form Entry

C56843 Blast sensor pressure time history text BlastSensPresTimeHxTxt Text describing the participant/subject's pressure time history Text describing the participant/subject's pressure time histor Pressure Time History: Alphanumeric

Two columns, (time/Pressure)

Adult Supplemental-Highly Recommended 1.00 2017-08-01 15:10:01.0 Blast Exposure Form Biomechanical Devices Disease/Injury Related Events 500

Free-Form Entry

C56809 Blast sensor air temperature value BlastSensAirTempVal The recorded value of the air temperature on the day of the test The recorded value of the air temperature on the day of the tes Air temperature: Alphanumeric

degrees Celsius measured at beginning of Test Series (measured method not constrained)

Adult Supplemental 1.00 2017-07-26 15:27:58.0 Blast Exposure Form Biomechanical Devices Disease/Injury Related Events 255

Free-Form Entry

C56946 Summary data per shot peak number SummaryDataPrShtPeakNum The number of peaks in the summary data per shot The number of peaks in the summary data per sho Per Shot Number of Peaks: Numeric Values

integer, number of times during overpressure positive phase when pressure time history shows continuous increase across time

Adult Supplemental 1.00 2017-08-04 11:56:27.0 Blast Exposure Form Biomechanical Devices Disease/Injury Related Events

Free-Form Entry

C56820 Blast sensor individual test shot number BlastSensIndivestShotNum Number representing an individual blast sensor test shot Number representing an individual blast sensor test sho Individual Test Shot Number: Numeric Values

serial number within Test series

Adult Supplemental 1.00 2017-07-28 14:55:21.0 Blast Exposure Form Biomechanical Devices Disease/Injury Related Events

Free-Form Entry

C56833 Blast sensor test shot pressure source charge weight measurement BlasSensTestShotPSrcChaWtMeasr The measurement of the charge weight of the pressure source used for the blast sensor test shot The measurement of the charge weight of the pressure source used for the blast sensor test sho charge weight Numeric Values Adult Supplemental 1.00 2017-07-28 16:09:53.0 Blast Exposure Form Biomechanical Devices Disease/Injury Related Events

Free-Form Entry

C56844 Blast sensor pressure sampling rate BlastSensPresSampRate The participant/subject's blast sensor pressure sampling rate The participant/subject's blast sensor pressure sampling rat Pressure Sampling Rate: Numeric Values

standardized pressure measurement vs time, free field text entry

Adult Supplemental 1.00 2017-08-01 15:12:40.0 Blast Exposure Form Biomechanical Devices Disease/Injury Related Events

Free-Form Entry

C56810 Blast sensor air pressure value BlastSensAirPresVal The recorded value of the air pressure on the day of the test The recorded value of the air pressure on the day of the tes Air Pressure: Alphanumeric

Any standardized measure at beginning of Test Series (measurement method not constrained)

Adult Supplemental 1.00 2017-07-26 15:29:05.0 Blast Exposure Form Biomechanical Devices Disease/Injury Related Events 20

Free-Form Entry

C56947 Outcome information source type OutcomeInfoSourceTyp The type of source for outcome information The type of source for outcome informatio Source /type of information: Alphanumeric

free text entry

Adult Supplemental 1.00 2017-08-04 11:59:23.0 Blast Exposure Form Biomechanical Devices Disease/Injury Related Events 255

Free-Form Entry

C56821 Blast sensor test shot distribution level text BlastSensTestShotDistLvlTxt Text representing the blast sensor test shot distribution level Text representing the blast sensor test shot distribution leve Test Shot Distribution Level: A;B;C;D;E;F A;B;C;D;E;F Alphanumeric

A, B, C, D, E, F

Adult Supplemental 1.00 2017-07-28 14:56:55.0 Blast Exposure Form Biomechanical Devices Disease/Injury Related Events

Single Pre-Defined Value Selected

C56834 Blast sensor test shot target description text BlastSensTestShotTarDescTxt Text describing the target of the blast sensor test shot Text describing the target of the blast sensor test sho Target Description: Alphanumeric

single line free field text

Adult Supplemental 1.00 2017-07-28 16:11:33.0 Blast Exposure Form Biomechanical Devices Disease/Injury Related Events 255

Free-Form Entry

C56845 Blast sensor acceleration time history text BlastSensAccTimeHxTxt Text describing the participant/subject's acceleration time history (G's vs. time) Text describing the participant/subject's acceleration time history (G's vs. time) Acceleration Time History (G's vs time): Alphanumeric

Two columns, (time/Acceleration (G's))

Adult Supplemental 1.00 2017-08-01 15:13:47.0 Blast Exposure Form Biomechanical Devices Disease/Injury Related Events 500

Free-Form Entry

C56811 Blast sensor air magnitude value BlastSensAirMagVal The recorded value of the air magnitude on the day of the test The recorded value of the air magnitude on the day of the tes Air Magnitude: Alphanumeric Adult Supplemental 1.00 2017-07-26 15:29:45.0 Blast Exposure Form Biomechanical Devices Disease/Injury Related Events 20

Free-Form Entry

C56948 Summary data event per shot duration SummaryDataEventPrShtDur The summary data for the duration of the event per shot The summary data for the duration of the event per sho Per Shot Duration (positive phase): Numeric Values

time duration of overpressure greater than pre-shot baseline

Adult Supplemental 1.00 2017-08-04 12:00:43.0 Blast Exposure Form Biomechanical Devices Disease/Injury Related Events

Free-Form Entry

C56822 Blast sensor test shot designated FOUO level type BlastSensTestShotDesFOUOLvlTyp The FOUO level designated for the blast sensor test shot The FOUO level designated for the blast sensor test sho Test Shot Designated FOUO Level: UNCLAS;FOUO;NOFORN;SECRET UNCLAS;FOUO;NOFORN;SECRET Alphanumeric Adult Supplemental 1.00 2017-07-28 14:59:02.0 Blast Exposure Form Biomechanical Devices Disease/Injury Related Events

Single Pre-Defined Value Selected

C56835 Blast sensor gauge per shot count BlastSensGaugePerShotCt The number of gauges per test shot The number of gauges per test sho # of Gauges Per Shot: Numeric Values

integer

Adult Supplemental 1.00 2017-07-28 16:16:42.0 Blast Exposure Form Biomechanical Devices Disease/Injury Related Events

Free-Form Entry

C56846 Blast sensor acceleration sampling rate BlastSensAccSampRate The participant/subject's blast sensor acceleration sampling rate The participant/subject's blast sensor acceleration sampling rat Acceleration Sampling Rate: Numeric Values

standardized acceleration measurement vs time, free field text entry

Adult Supplemental 1.00 2017-08-01 15:15:17.0 Blast Exposure Form Biomechanical Devices Disease/Injury Related Events

Free-Form Entry

C56812 Blast sensor cross wind magnitude value BlastSensCrossWindMagVal The recorded value of the cross wind magnitude on the day of the test The recorded value of the cross wind magnitude on the day of the tes Cross Wind Magnitude: Alphanumeric

any standardized measure at beginning of Test Series (measurement method not constrained)

Adult Supplemental 1.00 2017-07-26 15:30:42.0 Blast Exposure Form Biomechanical Devices Disease/Injury Related Events 20

Free-Form Entry

C56949 Helmet type HelmetTyp The type of helmet worn by the subject/participant The type of helmet worn by the subject/participan Helmet type: Alphanumeric

free text entry

Adult Supplemental 1.00 2017-08-04 12:03:14.0 Blast Exposure Form Biomechanical Devices Disease/Injury Related Events 255

Free-Form Entry

C56823 Blast sensor test shot gauge number BlastSensTestShotGaugeNum The number of the gauge being used for the blast sensor test shot The number of the gauge being used for the blast sensor test sho Gauge #: Numeric Values

serial number(s)

Adult Supplemental 1.00 2017-07-28 15:03:16.0 Blast Exposure Form Biomechanical Devices Disease/Injury Related Events

Free-Form Entry

C56836 Blast sensor test shot Z data text BlastSensTestShotZDataTxt Text describing the Z-data from the blast sensor test shot Text describing the Z-data from the blast sensor test sho Z-Data: Alphanumeric Adult Supplemental 1.00 2017-08-01 13:31:02.0 Blast Exposure Form Biomechanical Devices Disease/Injury Related Events 255

Free-Form Entry

C06005 Data collected date and time DataCollDateTime Date (and time, if applicable and known) the data were collected. This may be the date/time a particular examination or procedure was performed Date (and time, if applicable and known) the data were collected. This may be the date/time a particular examination or procedure was performe Test series date and time: Date or Date & Time

MM / DD / YYYY ; 24-hour _ H _ M____at start

Adult Supplemental 3.00 2013-07-24 21:00:23.88 Blast Exposure Form Biomechanical Devices Disease/Injury Related Events

Free-Form Entry

CSV