CDE Detailed Report

Disease: Sport-Related Concussion
Subdomain Name: Cognitive Assessment
CRF: Immediate Post-Concussion Assessment and Cognitive Testing (imPACT)

Displaying 101 - 109 of 109
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
C21427 Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS) - Concentration difficultly assessment score ImPACTPCSSDiffConcentrateScore The subject's current difficulty concentrating rating score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS) The subject's current difficulty concentrating rating score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS Difficulty concentrating 1;2;3;4;5;6;0 Minor;Minor;Moderate;Moderate;Severe;Severe;Not experiencing this symptom Numeric Values Iverson GL, Lovell MR, Collins MW. Validity of ImPACT for measuring processing speed<br />following sports-related concussion. J Clin Exper Neuropsychol. 2005;27(6):683-699. Adult;Pediatric Core 1.00 2015-07-20 11:52:01.0 Immediate Post-Concussion Assessment and Cognitive Testing (imPACT) Cognitive Assessment Outcomes and End Points

Single Pre-Defined Value Selected

C21363 Immediate Post-Concussion Assessment Testing (ImPACT) - Second language spoken year duration ImPACTSecondLanguageYrDur The count of years the subject spoke a language, as part of the Immediate Post-Concussion Assessment Testing (ImPACT) The count of years the subject spoke a language, as part of the Immediate Post-Concussion Assessment Testing (ImPACT Years speaking Numeric Values Iverson GL, Lovell MR, Collins MW. Validity of ImPACT for measuring processing speed<br />following sports-related concussion. J Clin Exper Neuropsychol. 2005;27(6):683-699. Adult;Pediatric Core 1.00 2015-07-20 11:52:01.0 Immediate Post-Concussion Assessment and Cognitive Testing (imPACT) Cognitive Assessment Outcomes and End Points

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0
C21459 Immediate Post-Concussion Assessment Testing (ImPACT) - Three letters total letters correct count ImPACTThreeLetTotLetCorrCt The number of total correct letters on the three letters module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT) The number of total correct letters on the three letters module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT Total letters correct Numeric Values Iverson GL, Lovell MR, Collins MW. Validity of ImPACT for measuring processing speed<br />following sports-related concussion. J Clin Exper Neuropsychol. 2005;27(6):683-699. Adult;Pediatric Core 1.00 2015-07-20 11:52:01.0 Immediate Post-Concussion Assessment and Cognitive Testing (imPACT) Cognitive Assessment Outcomes and End Points

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C21406 Immediate Post-Concussion Assessment Testing (ImPACT) - Cognitive efficiency index score ImPACTCogEfficiencyIndexScore Cognitive efficiency index score (CEI) is the subject's cognitive efficiency index score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT) Cognitive efficiency index score (CEI) is the subject's cognitive efficiency index score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT Cognitive Efficiency Index: Numeric Values Iverson GL, Lovell MR, Collins MW. Validity of ImPACT for measuring processing speed<br />following sports-related concussion. J Clin Exper Neuropsychol. 2005;27(6):683-699. Adult;Pediatric Core 1.00 2015-07-20 11:52:01.0 Immediate Post-Concussion Assessment and Cognitive Testing (imPACT) Cognitive Assessment Outcomes and End Points

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C21438 Immediate Post-Concussion Assessment Testing (ImPACT) - Design memory immediate hit count ImPACTDesignMemImmedHitCt The number of immediate hits on the design memory module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT) The number of immediate hits on the design memory module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT Hits (Immediate) Numeric Values Iverson GL, Lovell MR, Collins MW. Validity of ImPACT for measuring processing speed<br />following sports-related concussion. J Clin Exper Neuropsychol. 2005;27(6):683-699. Adult;Pediatric Core 1.00 2015-07-20 11:52:01.0 Immediate Post-Concussion Assessment and Cognitive Testing (imPACT) Cognitive Assessment Outcomes and End Points

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C21374 Immediate Post-Concussion Assessment Testing (ImPACT) - Memory loss post injury concussion result count ImPACTConcussResMemLossAftCt Number of concussions that resulted in loss of memory of events immediately after injury, as part of the Immediate Post-Concussion Assessment Testing (ImPACT) Number of concussions that resulted in loss of memory of events immediately after injury, as part of the Immediate Post-Concussion Assessment Testing (ImPACT Concussions that resulted in difficulty remembering events that occurred immediately after injury Numeric Values Iverson GL, Lovell MR, Collins MW. Validity of ImPACT for measuring processing speed<br />following sports-related concussion. J Clin Exper Neuropsychol. 2005;27(6):683-699. Adult;Pediatric Core 1.00 2015-07-20 11:52:01.0 Immediate Post-Concussion Assessment and Cognitive Testing (imPACT) Cognitive Assessment Outcomes and End Points

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C21417 Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS) - Drowsiness score ImPACTPCSSDrowsinessScore The subject's current drowsiness rating score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS) The subject's current drowsiness rating score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS Drowsiness 1;2;3;4;5;6;0 Minor;Minor;Moderate;Moderate;Severe;Severe;Not experiencing this symptom Numeric Values Iverson GL, Lovell MR, Collins MW. Validity of ImPACT for measuring processing speed<br />following sports-related concussion. J Clin Exper Neuropsychol. 2005;27(6):683-699. Adult;Pediatric Core 1.00 2015-07-20 11:52:01.0 Immediate Post-Concussion Assessment and Cognitive Testing (imPACT) Cognitive Assessment Outcomes and End Points

Single Pre-Defined Value Selected

C21449 Immediate Post-Concussion Assessment Testing (ImPACT) - X and O interference average incorrect reaction time duration ImPACTXOInterAvgIncorrRTDur The interference average incorrect reaction time duration on the X's and O's module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT) The interference average incorrect reaction time duration on the X's and O's module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT Avg. incorrect RT (interfer.) Numeric Values Iverson GL, Lovell MR, Collins MW. Validity of ImPACT for measuring processing speed<br />following sports-related concussion. J Clin Exper Neuropsychol. 2005;27(6):683-699. Adult;Pediatric Core 1.00 2015-07-20 11:52:01.0 Immediate Post-Concussion Assessment and Cognitive Testing (imPACT) Cognitive Assessment Outcomes and End Points

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0
C21385 Immediate Post-Concussion Assessment Testing (ImPACT) - Autism diagnosis indicator ImPACTDxAutismInd Indicator of whether the subject has been diagnosed with autism, as part of the Immediate Post-Concussion Assessment Testing (ImPACT) Indicator of whether the subject has been diagnosed with autism, as part of the Immediate Post-Concussion Assessment Testing (ImPACT Diagnosed with Autism No;Yes No;Yes Alphanumeric Iverson GL, Lovell MR, Collins MW. Validity of ImPACT for measuring processing speed<br />following sports-related concussion. J Clin Exper Neuropsychol. 2005;27(6):683-699. Adult;Pediatric Core 1.00 2015-07-20 11:52:01.0 Immediate Post-Concussion Assessment and Cognitive Testing (imPACT) Cognitive Assessment Outcomes and End Points

Single Pre-Defined Value Selected

CSV