CDE Detailed Report

Disease: system
Subdomain Name: Post-Concussive / Mild TBI-Related Symptoms
CRF: files

Displaying 101 - 114 of 114
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
C00023 Hand preference type HandPrefTyp Hand which the participant/subject uses predominantly, not necessarily the hand he/she writes with exclusively Hand which the participant/subject uses predominantly, not necessarily the hand he/she writes with exclusivel Dominant hand Left hand;Right hand Left hand;Right hand Alphanumeric 1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, Kvarnstr&Ouml;m J, Olsson M, Yd&Eacute;n T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. Adult;Pediatric Supplemental 3.00 2013-07-25 08:54:08.2 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

2180147
C52507 Standardized Assessment of Concussion (SAC) - Concentration digit backward 4 digit number score SACConcDB4DigitNumScore The score the subject received on Item 2 (default 3-8-1-4) of Concentration: Digits Backward section of the Standardized Assessment of Concussion (SAC) The score the subject received on Item 2 (default 3-8-1-4) of Concentration: Digits Backward section of the Standardized Assessment of Concussion (SAC 3-8-1-4 0;1 0;1 Numeric Values

I am going to read you a string of numbers and when I am done, you repeat them back to me backwards, in reverse order of how I read them to you. For example, if I say 7-1-9, you would say 9-1-7.

1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, Kvarnstr&Ouml;m J, Olsson M, Yd&Eacute;n T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. Adult;Pediatric Supplemental 1.00 2017-01-19 08:45:04.0 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C52443 Sport Concussion Assessment Tool (SCAT) - Past concussion count SCAT3PastConcussCt The count of how many times the subject believes he/she has had a concussion, as part of the Sport Concussion Assessment Tool (SCAT3) The count of how many times the subject believes he/she has had a concussion, as part of the Sport Concussion Assessment Tool (SCAT3 How many concussions do you think you have had in the past? Numeric Values 1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, Kvarnstr&Ouml;m J, Olsson M, Yd&Eacute;n T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. Adult;Pediatric Supplemental 1.00 2017-01-18 15:05:43.0 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Free-Form Entry

C52486 Standardized Assessment of Concussion (SAC) - Orientation total score SACOrientTotalScore The total score the subject received on the Orientation section of the Standardized Assessment of Concussion (SAC) The total score the subject received on the Orientation section of the Standardized Assessment of Concussion (SAC Orientation score Numeric Values 1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, Kvarnstr&Ouml;m J, Olsson M, Yd&Eacute;n T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. Adult;Pediatric Supplemental 1.00 2017-01-19 08:45:04.0 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Free-Form Entry

0 5
C20804 Balance Error Scoring System (BESS) - Foot tested anatomic site BESSFootTestAnatSite Anatomic site of non-dominant foot tested, as part of Balance Error Scoring System (BESS) Anatomic site of non-dominant foot tested, as part of Balance Error Scoring System (BESS Which foot was tested (i.e. which is the non-dominant foot) Left;Right Left;Right Alphanumeric 1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, Kvarnstr&Ouml;m J, Olsson M, Yd&Eacute;n T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. Adult;Pediatric Supplemental 1.00 2015-05-21 08:51:27.0 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C52524 Standardized Assessment of Concussion (SAC) - Delayed Recall score SACDelayRecallScore The score the subject received on the Delayed Recall portion of the Standardized Assessment of Coordination (SAC) The score the subject received on the Delayed Recall portion of the Standardized Assessment of Coordination (SAC Delayed recall score Numeric Values

Do you remember that list of words I read a few times earlier? Tell me as many words from the list as you can remember in any order.

1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, Kvarnstr&Ouml;m J, Olsson M, Yd&Eacute;n T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. Adult;Pediatric Supplemental 1.00 2017-01-19 08:45:04.0 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Free-Form Entry

0 5
C52454 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) - Symptom Evaluation pressure head score SCAT3SymptmEvalPresHeadScore The score pertaining to how much the subject feels "pressure in his/her head", as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3) The score pertaining to how much the subject feels "pressure in his/her head", as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3 "Pressure in head" 0;1;2;3;4;5;6 None;Mild;mild;Moderate;Moderate;Severe;Severe Numeric Values

You should score yourself on the following symptoms, based on how you feel now

1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, Kvarnstr&Ouml;m J, Olsson M, Yd&Eacute;n T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. Adult;Pediatric Supplemental 1.00 2017-01-19 08:45:04.0 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C52465 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) - Symptom Evaluation difficulty concentrating score SCAT3SymptmEvalDiffConcScore The score pertaining to how much the subject has difficulty concentrating, as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3) The score pertaining to how much the subject has difficulty concentrating, as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3 Difficulty concentrating 0;1;2;3;4;5;6 None;Mild;mild;Moderate;Moderate;Severe;Severe Numeric Values

You should score yourself on the following symptoms, based on how you feel now

1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, Kvarnstr&Ouml;m J, Olsson M, Yd&Eacute;n T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. Adult;Pediatric Supplemental 1.00 2017-01-19 08:45:04.0 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C52497 Standardized Assessment of Concussion (SAC) - Immediate memory Trial 3 Item 1 score SACImmMemT3Item1Score The score the subject received on Item 1 (default elbow) of Trial 3 of the Immediate section of the Standardized Assessment of Concussion (SAC) The score the subject received on Item 1 (default elbow) of Trial 3 of the Immediate section of the Standardized Assessment of Concussion (SAC elbow Trial 3 0;1 0;1 Numeric Values

I am going to repeat the same list again. Repeat back as many words as you can remember in any order, even if you said the word before.

1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, Kvarnstr&Ouml;m J, Olsson M, Yd&Eacute;n T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. Adult;Pediatric Supplemental 1.00 2017-01-19 08:45:04.0 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C52428 Sport Concussion Assessment Tool (SCAT) - Memory loss duration SCAT3MemLossDur The duration of how long the subject lost his or her memory due to his or her injury, as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3) The duration of how long the subject lost his or her memory due to his or her injury, as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3 "If so, how long?" Numeric Values 1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, Kvarnstr&Ouml;m J, Olsson M, Yd&Eacute;n T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. Adult;Pediatric Supplemental 1.00 2017-01-18 14:23:09.0 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Free-Form Entry

C52476 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) - Symptom Evaluation symptom severity score SCAT3SymptmEvalSymptmSevScore The score representing the severity of the symptoms the subject is experiencing, as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3) The score representing the severity of the symptoms the subject is experiencing, as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3 Symptom serverity score Numeric Values 1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, Kvarnstr&Ouml;m J, Olsson M, Yd&Eacute;n T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. Adult;Pediatric Supplemental 1.00 2017-01-19 08:45:04.0 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Free-Form Entry

0 132
C00035 Gender type GenderTyp Self-reported gender of the participant/subject Self-reported gender of the participant/subjec Gender Alphanumeric 1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, Kvarnstr&Ouml;m J, Olsson M, Yd&Eacute;n T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

2200604
C52508 Standardized Assessment of Concussion (SAC) - Concentration digit backward 5 digit number score SACConcDB5DigitNumScore The score the subject received on Item 3 (default 6-2-9-7-1) of Concentration: Digits Backward section of the Standardized Assessment of Concussion (SAC) The score the subject received on Item 3 (default 6-2-9-7-1) of Concentration: Digits Backward section of the Standardized Assessment of Concussion (SAC 6-2-9-7-1 0;1 0;1 Numeric Values

I am going to read you a string of numbers and when I am done, you repeat them back to me backwards, in reverse order of how I read them to you. For example, if I say 7-1-9, you would say 9-1-7

1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, Kvarnstr&Ouml;m J, Olsson M, Yd&Eacute;n T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. Adult;Pediatric Supplemental 1.00 2017-01-19 08:45:04.0 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points

Single Pre-Defined Value Selected

C52444 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) - Recent concussion text SCAT3RecntConcusTxt Text detailing when the subject experienced his/her most recent concussion, as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3) Text detailing when the subject experienced his/her most recent concussion, as part of the Sport Concussion Assessment Tool - 3rd Edition (SCAT3 When was the most recent concussion? Alphanumeric 1. This tool has been developed by a group of international experts at the 4th international Consensus meeting on Concussion in Sport held in Zurich, Switzerland in November 2012. The full details of the conference outcomes and the authors of the tool are published in the Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012: McCrory et al., Br J Sports Med 2013;47(5). The outcome paper will also be simultaneously co-published in other leading biomedical journals with the copyright held by the Concussion in Sport<br />Group, to allow unrestricted distribution, providing no alterations are made.<br />2. McCrory et al., Consensus Statement on Concussion in Sport - the 3rd international Conference on Concussion in Sport held in Zurich, november 2008. British Journal of Sports medicine 2009; 43: i76-89.<br />3. Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32-35. <br />4. McCrea M. Standardized mental status assessment of sports concussion. Clin J<br />Sport Med. 2001 Jul;11(3):176-81.<br />5. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24-30.<br />6. Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196-201.<br />7. Schneiders AG, Sullivan SJ, Kvarnstr&Ouml;m J, Olsson M, Yd&Eacute;n T, Marshall S. The effect of footwear and sports-surface on dynamic neurological screening for sport-related concussion. J Sci Med Sport. 2010 Jul;13(4):382-386. Adult;Pediatric Supplemental 1.00 2017-01-18 15:07:39.0 Sport Concussion Assessment Tool - 3rd Edition (SCAT3) Post-Concussive / Mild TBI-Related Symptoms Outcomes and End Points 255

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