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
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

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

C56814 Blast sensor pressure source description text BlastSensPresSrcDescTxt Text describing the pressure source with respect to the blast sensor test Text describing the pressure source with respect to the blast sensor tes Pressure Source Description: Alphanumeric

single line free field text

Adult Supplemental 1.00 2017-07-26 15:32:21.0 Blast Exposure Form Biomechanical Devices Disease/Injury Related Events 400

Free-Form Entry

C56938 Test after report availability type TestAfterReportAvailTyp Type denoting the availability of the test after report Type denoting the availability of the test after report Test After Report: Available;Not Available Available;Not Available Alphanumeric

available/not available

Adult Supplemental 2.00 2019-07-03 15:37:00.0 Blast Exposure Form Biomechanical Devices Disease/Injury Related Events

Single Pre-Defined Value Selected

C56825 Blast sensor test shot pressure data obtain indicator BlastSensTestShotPresDatObtInd The indicator relating to whether pressure data was obtained from the blast sensor test shot The indicator relating to whether pressure data was obtained from the blast sensor test sho Pressure Data: No;Yes No;Yes Alphanumeric Adult Supplemental 1.00 2017-07-28 15:55:09.0 Blast Exposure Form Biomechanical Devices Disease/Injury Related Events

Single Pre-Defined Value Selected

C57031 Cross wind magnitude direction value CrssWndMgDrVal Value of cross wind magnitude and direction Value of cross wind magnitude and direction Cross Wind Magnitude and Direction Numeric Values

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 2017-12-13 13:11:16.0 Blast Exposure Form Biomechanical Devices Disease/Injury Related Events

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

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

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

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

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