CDE Detailed Report

Disease: content
Subdomain Name: Physical/Neurological Examination
CRF: welcome

Displaying 1 - 10 of 10
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
C01059 Traumatic brain injury symptom rating code TBISympRatingCode Code that describes overall how different the participant/subject is acting compared to his/her usual self Code that describes overall how different the participant/subject is acting compared to his/her usual self TBI symptom or sign rating code 1;2;3;4;5;6 1 (Normal);;;;;6 (Very different) Numeric Values

adult only

Menon DK, Schwab K, Wright DW, Maas AI; Demographics and Clinical Assessment Working Group of the International and Interagency Initiative toward Common Data Elements for Research on Traumatic Brain Injury and Psychological Health. Position statement: definition of traumatic brain injury. Arch Phys Med Rehabil. 2010 Nov;91(11):1637-40. [DOI: 10.1016/j.apmr.2010.05.017] Adult Supplemental 3.00 2013-07-20 10:21:25.65 Neurological Assessment: TBI Symptoms and Signs Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C01060 Traumatic brain injury worsen symptom cognitive indicator TBIWrsnSympCogntInd Indicator of whether the reported physical, sleep-related, cognitive and/or emotional symptom worsens with cognitive activity Indicator of whether the reported physical, sleep-related, cognitive and/or emotional symptom worsens with cognitive activity TBI symptom worsens with cognitive activity indicator Yes;No;Unknown Yes;No;Unknown Alphanumeric

Choose one. Recommend collection at admission to study hospital.

No references available Adult Supplemental 3.00 2013-07-20 10:21:25.65 Neurological Assessment: TBI Symptoms and Signs Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C01061 Traumatic brain injury worsen symptom physical indicator TBIWrsnSympPhysInd Indicator of whether the reported physical, sleep-related, cognitive and/or emotional symptom worsens with physical activity Indicator of whether the reported physical, sleep-related, cognitive and/or emotional symptom worsens with physical activity TBI symptom worsens with physical activity indicator Yes;No;Unknown Yes;No;Unknown Alphanumeric

adult only

No references available Adult Supplemental 3.00 2013-07-20 10:21:25.65 Neurological Assessment: TBI Symptoms and Signs Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C18771 Traumatic Brain Injury symptom other text TBISympOTH The free-text field related to 'Traumatic Brain Injury symptom type' specifying other text. The types of Traumatic Brain Injury (TBI) symptoms or signs displayed by the participant/subject The free-text field related to 'Traumatic Brain Injury symptom type' specifying other text. The types of Traumatic Brain Injury (TBI) symptoms or signs displayed by the participant/subject Other, specify Alphanumeric

Choose all that apply. Recommend collection at admission to study hospital.

Menon DK, Schwab K, Wright DW, Maas AI; Demographics and Clinical Assessment Working Group of the International and Interagency Initiative toward Common Data Elements for Research on Traumatic Brain Injury and Psychological Health. Position statement: definition of traumatic brain injury. Arch Phys Med Rehabil. 2010 Nov;91(11):1637-40. [DOI: 10.1016/j.apmr.2010.05.017] Adult;Pediatric Basic 1.00 2014-05-27 13:34:46.0 Neurological Assessment: TBI Symptoms and Signs Physical/Neurological Examination Assessments and Examinations 4000

Free-Form Entry

C01025 Orientation person result OrientPersonReslt Result of how the participant/subject responded to questions about himself/herself, such as name and birth date Result of how the participant/subject responded to questions about himself/herself, such as name and birth date Orientation to person result Abnormal;Normal Abnormal;Normal Alphanumeric

Choose one. Add date stamp for when assessed. Recommend collection at least on date of TBI. This element is recommended for pediatric studies.

Halstead M and Walter K for THE COUNCIL ON SPORTS MEDICINE AND FITNESS. (2010). Clinical report - sport-related concussion in children and adolescents. Pediatrics. 126:587-615. Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Neurological Assessment: TBI Symptoms and Signs Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C01026 Orientation place result OrientPlaceReslt Result of how the participant/subject responded to questions about his/her current location Result of how the participant/subject responded to questions about his/her current location Orientation to place result Abnormal;Normal Abnormal;Normal Alphanumeric

Choose one. Add date stamp for when assessed. Recommend collection at least on date of TBI. This element is recommended for pediatric studies.

Halstead M and Walter K for THE COUNCIL ON SPORTS MEDICINE AND FITNESS. (2010). Clinical report - sport-related concussion in children and adolescents. Pediatrics. 126:587-615. Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Neurological Assessment: TBI Symptoms and Signs Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C01027 Orientation time result OrientTimeReslt Result of how the participant/subject responded to questions about today's date (e.g., date, month, year, day of week, time of day, season of year) Result of how the participant/subject responded to questions about today's date (e.g., date, month, year, day of week, time of day, season of year) Orientation to time result Abnormal;Normal Abnormal;Normal Alphanumeric

Choose one

Halstead M and Walter K for THE COUNCIL ON SPORTS MEDICINE AND FITNESS. (2010). Clinical report - sport-related concussion in children and adolescents. Pediatrics. 126:587-615. Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Neurological Assessment: TBI Symptoms and Signs Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

C01056 Traumatic brain injury symptom category TBISympCat Category of traumatic brain injury symptom/sign displayed by the participant/subject Category of traumatic brain injury symptom/sign displayed by the participant/subject TBI symptom or sign category Physical;Sleep;Cognitive;Emotional;Other Physical;Sleep;Cognitive;Emotional;Other Alphanumeric

This additional supplemental element may be included if relevant to the study. For additional details like permissible values, see the data dictionary.

Menon DK, Schwab K, Wright DW, Maas AI; Demographics and Clinical Assessment Working Group of the International and Interagency Initiative toward Common Data Elements for Research on Traumatic Brain Injury and Psychological Health. Position statement: definition of traumatic brain injury. Arch Phys Med Rehabil. 2010 Nov;91(11):1637-40. [DOI: 10.1016/j.apmr.2010.05.017] Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Neurological Assessment: TBI Symptoms and Signs Physical/Neurological Examination Assessments and Examinations

Multiple Pre-Defined Values Selected

C01057 Traumatic Brain Injury symptom type TBISympTyp The types of Traumatic Brain Injury (TBI) symptoms or signs displayed by the participant/subject The types of Traumatic Brain Injury (TBI) symptoms or signs displayed by The participant/subject Does the participant subject display the following TBI symptom or sign? Headache;Nausea;Vomiting;Balance problems;Fatigue;Sensitive to light;Sensitive to noise;Numbness/tingling;Drowsiness;Sleeping less than usual;Sleeping more than usual;Difficulty falling asleep;Feeling mentally foggy;Feeling slowed down;Difficulty concentrating;Difficulty remembering;Irritability;Sadness;More emotional;Nervousness;Other, specify Headache;Nausea;Vomiting;Balance problems;Fatigue;Sensitive to light;Sensitive to noise;Numbness/tingling;Drowsiness;Sleeping less than usual;Sleeping more than usual;Difficulty falling asleep;Feeling mentally foggy;Feeling slowed down;Difficulty concentrating;Difficulty remembering;Irritability;Sadness;More emotional;Nervousness;Other, specify Alphanumeric

Choose all that apply. Recommend collection at admission to study hospital.

Menon DK, Schwab K, Wright DW, Maas AI; Demographics and Clinical Assessment Working Group of the International and Interagency Initiative toward Common Data Elements for Research on Traumatic Brain Injury and Psychological Health. Position statement: definition of traumatic brain injury. Arch Phys Med Rehabil. 2010 Nov;91(11):1637-40. [DOI: 10.1016/j.apmr.2010.05.017] Adult;Pediatric Basic 3.00 2013-07-20 10:21:25.65 Neurological Assessment: TBI Symptoms and Signs Physical/Neurological Examination Assessments and Examinations

Multiple Pre-Defined Values Selected

C01058 Traumatic Brain Injury symptom indicator TBISympInd Indicator of whether the participant/subject exhibited the specific TBI physical symptom/sign Indicator of whether the participant/subject displayed the specific TBI physical symptom or sign Does participant subject display the following TBI symptom or sign? Yes;No;Unknown Yes;No;Unknown Alphanumeric

Choose one for each symptom or sign. Add date and time stamp for when assessed.

Menon DK, Schwab K, Wright DW, Maas AI; Demographics and Clinical Assessment Working Group of the International and Interagency Initiative toward Common Data Elements for Research on Traumatic Brain Injury and Psychological Health. Position statement: definition of traumatic brain injury. Arch Phys Med Rehabil. 2010 Nov;91(11):1637-40. [DOI: 10.1016/j.apmr.2010.05.017] Adult;Pediatric Basic 3.00 2013-07-20 10:21:25.65 Neurological Assessment: TBI Symptoms and Signs Physical/Neurological Examination Assessments and Examinations

Single Pre-Defined Value Selected

CSV