CDE Detailed Report
Disease: NeuroRehab
Subdomain Name: Other Clinical Data
CRF: Immediate Post-Concussion Assessment and Cognitive Testing (imPACT)
Displaying 101 - 109 of 109
Subdomain Name: Other Clinical Data
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| C21435 | Immediate Post-Concussion Assessment Testing (ImPACT) - Word memory delay correct distractor count | ImPACTWordMemDelayCorrDisCt | The number of delay correct distractors identified on the word memory module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT) | The number of delay correct distractors identified on the word memory module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT | Correct distractors (delay) | Numeric Values | Adult | NeuroRehab Sport Related Concussion Core | 1.00 | 2015-07-20 11:52:01.0 | Immediate Post-Concussion Assessment and Cognitive Testing (imPACT) | Other Clinical Data | Assessments and Examinations |
Free-Form Entry |
0 | 12 | ||||||||||
| C21371 | Immediate Post-Concussion Assessment Testing (ImPACT) - Current participation level year count | ImPACTYrsExpLevelCt | Number of years experience at current participation level, as part of the Immediate Post-Concussion Assessment Testing (ImPACT) | Number of years experience at current participation level, as part of the Immediate Post-Concussion Assessment Testing (ImPACT | Years of experience at this level | Numeric Values | Adult | NeuroRehab Sport Related Concussion Core | 1.00 | 2015-07-20 11:52:01.0 | Immediate Post-Concussion Assessment and Cognitive Testing (imPACT) | Other Clinical Data | Assessments and Examinations |
Free-Form Entry |
0 | |||||||||||
| C21414 | Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS) - Falling asleep trouble score | ImPACTPCSSTroubFallAsleepScore | The subject's current trouble falling asleep rating score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS) | The subject's current trouble falling asleep rating score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS | Trouble falling asleep | 1;2;3;4;5;6;0 | Minor;Minor;Moderate;Moderate;Severe;Severe;Not experiencing this symptom | Numeric Values | Adult | NeuroRehab Sport Related Concussion Core | 1.00 | 2015-07-20 11:52:01.0 | Immediate Post-Concussion Assessment and Cognitive Testing (imPACT) | Other Clinical Data | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C21446 | Immediate Post-Concussion Assessment Testing (ImPACT) - X and O interference total correct count | ImPACTXOInterTotCorrCt | The interference total correct on the X's and O's module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT) | The interference total correct on the X's and O's module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT | Total correct (interference) | Numeric Values | Adult | NeuroRehab Sport Related Concussion Core | 1.00 | 2015-07-20 11:52:01.0 | Immediate Post-Concussion Assessment and Cognitive Testing (imPACT) | Other Clinical Data | Assessments and Examinations |
Free-Form Entry |
0 | |||||||||||
| C21382 | Immediate Post-Concussion Assessment Testing (ImPACT) - Substance alcohol abuse treatment administered indicator | ImPACTTreatSubAlcoholAbusInd | Indicator of whether the subject has received treatment for substance or alcohol abuse, as part of the Immediate Post-Concussion Assessment Testing (ImPACT) | Indicator of whether the subject has received treatment for substance or alcohol abuse, as part of the Immediate Post-Concussion Assessment Testing (ImPACT | Treatment for substance/alcohol abuse | No;Yes | No;Yes | Alphanumeric | Adult | NeuroRehab Sport Related Concussion Core | 1.00 | 2015-07-20 11:52:01.0 | Immediate Post-Concussion Assessment and Cognitive Testing (imPACT) | Other Clinical Data | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C21425 | Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS) - Slowed down assessment score | ImPACTPCSSFeelSlowDownScore | The subject's current feeling slowed down rating score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS) | The subject's current feeling slowed down rating score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS | Feeling slowed down | 1;2;3;4;5;6;0 | Minor;Minor;Moderate;Moderate;Severe;Severe;Not experiencing this symptom | Numeric Values | Adult | NeuroRehab Sport Related Concussion Core | 1.00 | 2015-07-20 11:52:01.0 | Immediate Post-Concussion Assessment and Cognitive Testing (imPACT) | Other Clinical Data | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C00025 | Language primary text | LangPrimryTxt | Text for the language the participant/subject speaks most often | Text for the language the participant/subject speaks most often | Native language | eng;spa;sgn;chi;fre;ger;Other, specify | English;Spanish;Sign Languages;Chinese languages;French;German;Other, specify | Alphanumeric | Adult | NeuroRehab Sport Related Concussion Core | 3.00 | 2013-07-20 10:21:25.65 | Immediate Post-Concussion Assessment and Cognitive Testing (imPACT) | Other Clinical Data | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C21457 | Immediate Post-Concussion Assessment Testing (ImPACT) - Color match average commissions reaction time duration | ImPACTColorMatchAvgCommRTDur | The average commissions reaction time duration on the color match module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT) | The average commissions reaction time duration on the color match module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT | Avg. commissions RT | Numeric Values | Adult | NeuroRehab Sport Related Concussion Core | 1.00 | 2015-07-20 11:52:01.0 | Immediate Post-Concussion Assessment and Cognitive Testing (imPACT) | Other Clinical Data | Assessments and Examinations |
Free-Form Entry |
0 | |||||||||||
| C21393 | Immediate Post-Concussion Assessment Testing (ImPACT) - Visual memory composite score | ImPACTVisMemoryCompScore | Visual memory composite score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT) | Visual memory composite score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT | Memory composite (visual) | Numeric Values | Adult | NeuroRehab Sport Related Concussion Core | 1.00 | 2015-07-20 11:52:01.0 | Immediate Post-Concussion Assessment and Cognitive Testing (imPACT) | Other Clinical Data | Assessments and Examinations |
Free-Form Entry |
0 | 100 |
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