CDE Detailed Report

Disease: Traumatic Brain Injury
Subdomain Name: Biomechanical Devices
CRF: Blast Exposure Form

Displaying 51 - 60 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 / 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
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

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

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

C56937 Companion security release form required type CompanSecurityReleaseFrmRqTyp Type indicating whether the companion security release form is required Type indicating whether the companion security release form is required Companion Security Release Form: Required;Not Required Required;Not Required Alphanumeric

required/not required

Adult Supplemental 2.00 2019-07-03 15:33:29.0 Blast Exposure Form Biomechanical Devices Disease/Injury Related Events

Single Pre-Defined Value Selected

C56813 Blast sensor cross wind direction text BlastSensCrossWindDirTxt Text describing the direction of the cross wind on the day of the test Text describing the direction of the cross wind on the day of the tes Cross Wind Direction: Alphanumeric

any standardized measure at beginning of Test Series, Direction is direction of flow angled from North (approximate) (measurement method not constrained)

Adult Supplemental 1.00 2017-07-26 15:31:35.0 Blast Exposure Form Biomechanical Devices Disease/Injury Related Events 20

Free-Form Entry

C56824 Blast sensor line of sight gauge target distance measurement BlastSensLinSigGauTarDisMeasr The measurement of the line of sight distance of the gauge to the target of the blast sensor test shot The measurement of the line of sight distance of the gauge to the target of the blast sensor test sho Line of Sight Distance of Gauge to the Target: Numeric Values

any standardized measure (measurement method not constrained)

Adult Supplemental-Highly Recommended 1.00 2017-07-28 15:53:40.0 Blast Exposure Form Biomechanical Devices Disease/Injury Related Events

Free-Form Entry

C57030 Air temperature value AirTempVal Value of air temperature Value of air temperature Air temperature Numeric Values

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

Adult Supplemental 1.00 2017-12-13 09:27:09.0 Blast Exposure Form Biomechanical Devices Disease/Injury Related Events

Free-Form Entry

C56837 Blast sensor test shot note text BlastSensTestShotNoteTxt Text describing any shot notes Text describing any shot note Shot Notes: Alphanumeric

multiple line free field text

Adult Supplemental 1.00 2017-08-01 13:42:18.0 Blast Exposure Form Biomechanical Devices Disease/Injury Related Events 4000

Free-Form Entry

C17402 Site name SiteName The name of the site for the study The name of the site for the study Site Name: Alphanumeric Adult Supplemental 3.00 2013-06-21 00:00:00.0 Blast Exposure Form Biomechanical Devices Disease/Injury Related Events 255

Free-Form Entry

CSV