CDE Detailed Report
Disease: content
Subdomain Name: Other Clinical Data
CRF: welcome
Displaying 101 - 109 of 109
Subdomain Name: Other Clinical Data
CRF: welcome
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| C21431 | Immediate Post-Concussion Assessment Testing (ImPACT) - Word memory immediate hit count | ImPACTWordMemImmedHitCt | The number of immediate hits on the word memory module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT) | The number of immediate hits on the word memory module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT | Hits (Immediate) | 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 | ||||||||||
| C21367 | Immediate Post-Concussion Assessment Testing (ImPACT) - Student performance type | ImPACTStudentPerfType | Type of student performance at school, as part of the Immediate Post-Concussion Assessment Testing (ImPACT) | Type of student performance at school, as part of the Immediate Post-Concussion Assessment Testing (ImPACT | Performance at school | Below Average;Average;Above Average | Below Average;Average;Above Average | 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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| C21463 | Immediate Post-Concussion Assessment Testing (ImPACT) - Three letter average correct count | ImPACTThreeLetAvCorrCt | The average number of correctly counted items on the three letters module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT) | The average number of correctly counted items on the three letters module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT | Avg. counted correctly | 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 | |||||||||||
| C21410 | Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS) - Vomiting score | ImPACTPCSSVomitingScore | The subject's current vomiting rating score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS) | The subject's current vomiting rating score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS | Vomiting | 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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| C21442 | Immediate Post-Concussion Assessment Testing (ImPACT) - Design memory delay correct distractor count | ImPACTDesignMemDelayCorrDisCt | The number of delayed correct distractors on the design memory module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT) | The number of delayed correct distractors on the design 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 | ||||||||||
| C21378 | Immediate Post-Concussion Assessment Testing (ImPACT) - Headache treatment physician administered indicator | ImPACTTreatHeadPhysicianInd | Indicator of whether the subject was treated for headaches by a physician, as part of the Immediate Post-Concussion Assessment Testing (ImPACT) | Indicator of whether the subject was treated for headaches by a physician, as part of the Immediate Post-Concussion Assessment Testing (ImPACT | Treatment for headaches by physician | 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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| C21421 | Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS) - Sadness score | ImPACTPCSSSadnessScore | The subject's current sadness rating score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS) | The subject's current sadness rating score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS | Sadness | 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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| C21453 | Immediate Post-Concussion Assessment Testing (ImPACT) - Symbol match hidden average correct reaction time duration | ImPACTSymbMatchHidAvgCorrRTDur | The hidden average reaction time total correct duration, as part of the Immediate Post-Concussion Assessment Testing (ImPACT) | The hidden average reaction time total correct duration, as part of the Immediate Post-Concussion Assessment Testing (ImPACT | Avg. correct RT (hidden) | 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 | |||||||||||
| C21389 | Immediate Post-Concussion Assessment Testing (ImPACT) - Test version type | ImPACTTestVersionType | Type of test version used for the exam, as part of the Immediate Post-Concussion Assessment Testing (ImPACT) | Type of test version used for the exam, as part of the Immediate Post-Concussion Assessment Testing (ImPACT | Test Version | 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 | 10 |
Free-Form Entry |
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