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
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| C21415 | Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS) - Sleep greater than normal duration score | ImPACTPCSSSlpMoreThnUsualScore | The subject's current sleep more than usual rating score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS) | The subject's current sleep more than usual rating score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS | Sleeping more than usual | 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 |
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| C21447 | Immediate Post-Concussion Assessment Testing (ImPACT) - X and O interference average correct reaction time duration | ImPACTXOInterAvgCorrRTDur | The interference average correct reaction time duration on the X's and O's module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT) | The interference average correct reaction time duration on the X's and O's module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT | Avg. correct RT (interference) | 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 |
Free-Form Entry |
0 | ||||||||||
| C21394 | Immediate Post-Concussion Assessment Testing (ImPACT) - Visual memory composite percentage value | ImPACTVisMemCompPercVal | The percentile of the subject's visual memory composite score (if available), as part of the Immediate Post-Concussion Assessment Testing (ImPACT) | The percentile of the subject's visual memory composite score (if available), as part of the Immediate Post-Concussion Assessment Testing (ImPACT | Memory composite (visual) | 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 |
Free-Form Entry |
0 | 100 | |||||||||
| C21426 | Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS) - Mental fog assessment score | ImPACTPCSSFeelMentFogScore | The subject's current feeling mentally foggy rating score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS) | The subject's current feeling mentally foggy rating score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS | Feeling mentally foggy | 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 |
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| C02014 | Medication prior or concomitant name | MedctnPriorConcomName | Name of the prior/concomitant agent or drug administered | Name of the prior/concomitant agent or drug administere | Prior or concomitant medication name | 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 | 3.00 | 2013-08-28 16:08:00.453 | Immediate Post-Concussion Assessment and Cognitive Testing (imPACT) | Cognitive Assessment | Outcomes and End Points | 4000 |
Free-Form Entry |
3162728 | |||||||||
| C21458 | Immediate Post-Concussion Assessment Testing (ImPACT) - Three letters total sequence correct count | ImPACTThreeLetTotSeqCorrCt | The number of total sequence items correct on the three letters module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT) | The number of total sequence items correct on the three letters module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT | Total sequence 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 |
Free-Form Entry |
0 | 5 | |||||||||
| C21405 | Immediate Post-Concussion Assessment Testing (ImPACT) - Total symptom Reliable Change Index (RCI) exceeded indicator | ImPACTTotalSymptomRCIExceedInd | Indicator of whether the subject's total symptom score exceeded the Reliable Change Index (RCI), as part of the Immediate Post-Concussion Assessment Testing (ImPACT) | Indicator of whether the subject's total symptom score exceeded the Reliable Change Index (RCI), as part of the Immediate Post-Concussion Assessment Testing (ImPACT | 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 |
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| C21437 | Immediate Post-Concussion Assessment Testing (ImPACT) - Word memory total percent correct percentage value | ImPACTWordMemTotCorrPercVal | The total percent correct on the word memory module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT) | The total percent correct on the word memory module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT | Total percent 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 |
Free-Form Entry |
0 | 100 | |||||||||
| C21373 | Immediate Post-Concussion Assessment Testing (ImPACT) - Confusion concussion result count | ImPACTConcussResultConfCt | Number of concussions that resulted in confusion, as part of the Immediate Post-Concussion Assessment Testing (ImPACT) | Number of concussions that resulted in confusion, as part of the Immediate Post-Concussion Assessment Testing (ImPACT | Concussions that resulted in confusion | 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 |
Free-Form Entry |
0 |
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