CDE Detailed Report
Disease: Traumatic Brain Injury
Subdomain Name: Biomechanical Devices
CRF: Blast Exposure Form
Displaying 1 - 50 of 60
Subdomain Name: Biomechanical Devices
CRF: Blast Exposure Form
Displaying 1 - 50 of 60
| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| C19247 | Subject ID | SubIDNam | Subject identification ID | Subject identification ID | Subject ID: | Alphanumeric | Adult | Supplemental | 1.00 | 2014-06-05 13:10:49.0 | Blast Exposure Form | Biomechanical Devices | Disease/Injury Related Events | 255 |
Free-Form Entry |
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| C56838 | Blast sensor gauge material personnel information text | BlastSensGauMatPersInfoTxt | Text describing information about the gauge material/personnel | Text describing information about the gauge material/personne | Material/Personnel: | Alphanumeric |
type of subject , if any (free field text) |
Adult | Supplemental | 1.00 | 2017-08-01 13:51:08.0 | Blast Exposure Form | Biomechanical Devices | Disease/Injury Related Events | 500 |
Free-Form Entry |
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| C56939 | Test setup diagrams text | TestSetupDiagramTxt | The free-text field related to test setup diagrams | The free-text field related to test setup diagram | Test Setup Diagrams: | Alphanumeric |
diagram/image/Topological Map of Area/Lidar XYZ Scan of Area and format (jpg, bmp, pdf, etc) |
Adult | Supplemental-Highly Recommended | 1.00 | 2017-08-04 11:19:32.0 | Blast Exposure Form | Biomechanical Devices | Disease/Injury Related Events | 4000 |
Free-Form Entry |
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| C56815 | Blast sensor test review documentation status | BlastSensTestRevDocStat | The status related to the blast sensor test review documentation | The status related to the blast sensor test review documentatio | Test Review Documentation: | Available;Not available | Available;Not available | Alphanumeric |
available/not available |
Adult | Supplemental | 1.00 | 2017-07-26 15:34:37.0 | Blast Exposure Form | Biomechanical Devices | Disease/Injury Related Events |
Single Pre-Defined Value Selected |
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| C57032 | Gauge manufacturer model number name | GgMnfMdlNumName | Names of the manufacturer, model and number | Names of the manufacturer, model and number | Gauge Manufacturer/Model/Number | Alphanumeric |
free field text |
Adult | Supplemental | 1.00 | 2017-12-13 13:18:09.0 | Blast Exposure Form | Biomechanical Devices | Disease/Injury Related Events | 255 |
Free-Form Entry |
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| C56826 | Blast sensor test shot acceleration data obtain indicator | BlastSensTestShotAccDatObtInd | The indicator relating to whether acceleration data was obtained from the blast sensor test shot | The indicator relating to whether acceleration data was obtained from the blast sensor test sho | Acceleration Data: | No;Yes | No;Yes | Alphanumeric | Adult | Supplemental | 1.00 | 2017-07-28 15:57:37.0 | Blast Exposure Form | Biomechanical Devices | Disease/Injury Related Events |
Single Pre-Defined Value Selected |
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| C56805 | Blast sensor test series number | BlastSensTestSerNum | The number in the blast sensor test series | The number in the blast sensor test serie | Test Series Number: | Numeric Values |
End state is a series numbering system that is centralized and spans across all labs doing relevant work, assigned prior to the conduct of each test series. However, there is not a sufficient mechanisms for that centralization of series numbering at present, so the recommended Test Series identifier is [PI or LAB text identifier] followed by a serial number for work conducted by that lab. |
Adult | Supplemental | 1.00 | 2017-07-26 14:27:09.0 | Blast Exposure Form | Biomechanical Devices | Disease/Injury Related Events |
Free-Form Entry |
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| C56839 | Blast sensor gauge height above ground value | BlastSensGauHtAboveGrndVal | The value representing the how high above the ground the blast sensor gauge is | The value representing the how high above the ground the blast sensor gauge i | Height Above Ground: | Numeric Values |
any standardized measure (measurement method not constrained) |
Adult | Supplemental | 1.00 | 2017-08-01 15:05:41.0 | Blast Exposure Form | Biomechanical Devices | Disease/Injury Related Events |
Free-Form Entry |
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| C56940 | Test setup images text | TestSetupImagesTxt | The free-text field related to test setup images | The free-text field related to test setup image | Test Setup Images: | Alphanumeric | Adult | Supplemental | 1.00 | 2017-08-04 11:19:32.0 | Blast Exposure Form | Biomechanical Devices | Disease/Injury Related Events | 4000 |
Free-Form Entry |
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| C56816 | Blast sensor document name | BlastSensDocName | The name of the document that is related to the blast sensor test | The name of the document that is related to the blast sensor tes | Document Name: | Alphanumeric |
single line free text |
Adult | Supplemental | 1.00 | 2017-07-26 15:37:09.0 | Blast Exposure Form | Biomechanical Devices | Disease/Injury Related Events | 255 |
Free-Form Entry |
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| C57033 | Summary data per shot use multiple sensor indicator | SmmDtPrShtUsMltSnsInd | Indication of use of multiple sensors per shot | Indication of use of multiple sensors per shot | Per shot use of multiple sensors? | No;Yes | No;Yes | Alphanumeric |
no/yes, integer for number of units |
Adult | Supplemental | 1.00 | 2017-12-13 14:01:33.0 | Blast Exposure Form | Biomechanical Devices | Disease/Injury Related Events |
Single Pre-Defined Value Selected |
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| C56828 | Blast sensor pressure tabular input pressure value | BlastSensPresTabInputPresVal | The pressure value obtained for the participant/subject's pressure tabular input | The pressure value obtained for the participant/subject's pressure tabular inpu | Pressure Tabular input: | Numeric Values |
Two columns, (time/Pressure) |
Adult | Supplemental | 1.00 | 2017-07-28 16:00:45.0 | Blast Exposure Form | Biomechanical Devices | Disease/Injury Related Events |
Free-Form Entry |
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| C56806 | Blast sensor charge describe text | BlastSensChrgDesTxt | Text describing the charge with respect to the blast sensor test | Text describing the charge with respect to the blast sensor tes | Charge Descriptions: | Alphanumeric |
single line free field text |
Adult | Supplemental-Highly Recommended | 1.00 | 2017-07-26 15:00:35.0 | Blast Exposure Form | Biomechanical Devices | Disease/Injury Related Events | 500 |
Free-Form Entry |
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| C56840 | Blast sensor gauge orientation angle measurement | BlastSensGaugeOriAngMeasr | The measurement of the blast sensor gauge orientation, angled from North | The measurement of the blast sensor gauge orientation, angled from Nort | Gauge Orientation Angled from North (approximate): | Numeric Values |
angle from North (approximate) (measurement method not constrained) |
Adult | Supplemental | 1.00 | 2017-08-01 15:07:26.0 | Blast Exposure Form | Biomechanical Devices | Disease/Injury Related Events |
Free-Form Entry |
degree | ||||||||||
| C56943 | Pre post shot image text | PrePostShotImageTxt | The free-text field related to the pre and post shot images | The free-text field related to the pre and post shot image | Pre and Post Shot Images: | Alphanumeric |
not available/available (and format) |
Adult | Supplemental | 1.00 | 2017-08-04 11:19:32.0 | Blast Exposure Form | Biomechanical Devices | Disease/Injury Related Events | 4000 |
Free-Form Entry |
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| C56817 | Blast sensor document category | BlastSensDocCat | The category of the blast sensor document in question | The category of the blast sensor document in questio | Document Category: | Image;Test Report;Pre-test review | Image;Test Report;Pre-test review | Alphanumeric |
image/Test Report/Pre-Test Review |
Adult | Supplemental | 1.00 | 2017-07-26 15:38:17.0 | Blast Exposure Form | Biomechanical Devices | Disease/Injury Related Events |
Single Pre-Defined Value Selected |
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| C57034 | Summary data per series exposure event number | SmmDtPrSrsExpEvNum | Number of exposure events per series | Number of exposure events per series | Per series number of exposure events | Numeric Values |
integer |
Adult | Supplemental | 1.00 | 2017-12-13 14:05:49.0 | Blast Exposure Form | Biomechanical Devices | Disease/Injury Related Events |
Free-Form Entry |
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| C56830 | Blast sensor acceleration tabular input acceleration value | BlastSensAccTabInputAccelVal | The acceleration value obtained from the participant/subject's acceleration tabular input | The acceleration value obtained from the participant/subject's acceleration tabular inpu | Acceleration Tabular input: | Numeric Values |
Two columns, (time/Acceleration (G's)) |
Adult | Supplemental | 1.00 | 2017-07-28 16:05:41.0 | Blast Exposure Form | Biomechanical Devices | Disease/Injury Related Events |
Free-Form Entry |
G's | ||||||||||
| C56807 | Test description text | TestDescTxt | The free-text field to describing the test | The free-text field to describing the tes | Test Description: | Alphanumeric |
single line free field text |
Adult | Supplemental-Highly Recommended | 1.00 | 2017-07-26 15:02:15.0 | Blast Exposure Form | Biomechanical Devices | Disease/Injury Related Events | 1000 |
Free-Form Entry |
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| C56841 | Blast sensor personnel stance text | BlastSensPersStanceTxt | Text describing the personnel stance | Text describing the personnel stanc | Personnel Stance: | Alphanumeric |
free field text entry |
Adult | Supplemental | 1.00 | 2017-08-01 15:08:22.0 | Blast Exposure Form | Biomechanical Devices | Disease/Injury Related Events | 500 |
Free-Form Entry |
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| C56944 | Summary data per shot Peak PSI value | SummaryDataPrShtPeakPSIVal | The value of the peak PSI summary data per shot | The value of the peak PSI summary data per sho | Per Shot Peak PSI: | Numeric Values |
real number in PSI |
Adult | Supplemental | 1.00 | 2017-08-04 11:54:40.0 | Blast Exposure Form | Biomechanical Devices | Disease/Injury Related Events |
Free-Form Entry |
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| C56818 | Blast sensor document description text | BlastSensDocDescTxt | Text describing the document containing information relevant to the participant/subject's blast sensor test | Text describing the document containing information relevant to the participant/subject's blast sensor tes | Document Description: | Alphanumeric |
single line free text |
Adult | Supplemental | 1.00 | 2017-07-26 15:40:10.0 | Blast Exposure Form | Biomechanical Devices | Disease/Injury Related Events | 200 |
Free-Form Entry |
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| C57035 | Other PPE type | OthPPETyp | Type of other PPE | Type of other PPE | Other PPE | Alphanumeric |
free text entry |
Adult | Supplemental | 1.00 | 2017-12-13 14:15:57.0 | Blast Exposure Form | Biomechanical Devices | Disease/Injury Related Events | 255 |
Free-Form Entry |
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| C56831 | Blast sensor test shot pressure source type | BlastSensTestShotPresSourceTyp | The type of pressure source used for the blast sensor test shot | The type of pressure source used for the blast sensor test sho | Pressure Source: gun/explosive: | Alphanumeric | Adult | Supplemental | 1.00 | 2017-07-28 16:06:41.0 | Blast Exposure Form | Biomechanical Devices | Disease/Injury Related Events | 255 |
Free-Form Entry |
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| C56808 | Blast sensor distribution code | BlastSensDistCode | The OPSEC determined distribution code for the blast sensor test series | The OPSEC determined distribution code for the blast sensor test serie | Distribution Code (OPSEC Determined): | A;B;C;D;E;F | A;B;C;D;E;F | Alphanumeric |
A, B, C, D, E, F [reference http://www.dtic.mil/dtic/pdf/distribution_statements_and_reasons.pdf] |
Adult | Supplemental | 1.00 | 2017-07-26 15:20:53.0 | Blast Exposure Form | Biomechanical Devices | Disease/Injury Related Events |
Single Pre-Defined Value Selected |
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| C56842 | Blast sensor personnel gauge anatomic site | BlastSenPersGaugeAnatSite | The location of the blast sensor gauge on the personnel | The location of the blast sensor gauge on the personne | Location on Personnel: | Alphanumeric |
free field text entry |
Adult | Supplemental-Highly Recommended | 1.00 | 2017-08-01 15:09:10.0 | Blast Exposure Form | Biomechanical Devices | Disease/Injury Related Events | 1000 |
Free-Form Entry |
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| C56945 | Summary data per shot impulse value | SummaryDataPrShtImpulseVal | The value of the impulse summary data per shot | The value of the impulse summary data per sho | Per Shot Impulse: | Numeric Values |
pounds per square inch times milliseconds, or psi-ms. |
Adult | Supplemental | 1.00 | 2017-08-04 11:55:42.0 | Blast Exposure Form | Biomechanical Devices | Disease/Injury Related Events |
Free-Form Entry |
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| C56819 | Blast sensor test series tag type | BlastSensTestSerTagTyp | The type of tag(s) that the document is associated with pertaining to the blast sensor test series | The type of tag(s) that the document is associated with pertaining to the blast sensor test serie | Tags: | Buried Explosive;Home Made Explosive;Metallized Explosive;Conventional Explosive;Interior;Exterior;Air Burst;120mm Mortar Muzzle Shock;120mm Tank Muzzle Shock;155mm Muzzle Shock;60mm Mortar Muzzle Shock;81mm Mortar Muzzle Shock;Ground Shock;Behind Armor Air Shock;Shoulder Fired Rocket Air Shock;Far Field;Medium Field;Near Field | Buried Explosive;Home Made Explosive;Metallized Explosive;Conventional Explosive;Interior;Exterior;Air Burst;120mm Mortar Muzzle Shock;120mm Tank Muzzle Shock;155mm Muzzle Shock;60mm Mortar Muzzle Shock;81mm Mortar Muzzle Shock;Ground Shock;Behind Armor Air Shock;Shoulder Fired Rocket Air Shock;Far Field;Medium Field;Near Field | Alphanumeric | Adult | Supplemental | 1.00 | 2017-07-26 16:09:54.0 | Blast Exposure Form | Biomechanical Devices | Disease/Injury Related Events |
Multiple Pre-Defined Values Selected |
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| C56832 | Blast sensor test shot pressure source orientation type | BlastSensTestShotPresSrcOriTyp | The orientation of the pressure source when it was used for the blast sensor test shot | The orientation of the pressure source when it was used for the blast sensor test sho | orientation | Alphanumeric | Adult | Supplemental | 1.00 | 2017-07-28 16:08:31.0 | Blast Exposure Form | Biomechanical Devices | Disease/Injury Related Events | 255 |
Free-Form Entry |
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| C56809 | Blast sensor air temperature value | BlastSensAirTempVal | The recorded value of the air temperature on the day of the test | The recorded value of the air temperature on the day of the tes | Air temperature: | Alphanumeric |
degrees Celsius measured at beginning of Test Series (measured method not constrained) |
Adult | Supplemental | 1.00 | 2017-07-26 15:27:58.0 | Blast Exposure Form | Biomechanical Devices | Disease/Injury Related Events | 255 |
Free-Form Entry |
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| C56843 | Blast sensor pressure time history text | BlastSensPresTimeHxTxt | Text describing the participant/subject's pressure time history | Text describing the participant/subject's pressure time histor | Pressure Time History: | Alphanumeric |
Two columns, (time/Pressure) |
Adult | Supplemental-Highly Recommended | 1.00 | 2017-08-01 15:10:01.0 | Blast Exposure Form | Biomechanical Devices | Disease/Injury Related Events | 500 |
Free-Form Entry |
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| C56946 | Summary data per shot peak number | SummaryDataPrShtPeakNum | The number of peaks in the summary data per shot | The number of peaks in the summary data per sho | Per Shot Number of Peaks: | Numeric Values |
integer, number of times during overpressure positive phase when pressure time history shows continuous increase across time |
Adult | Supplemental | 1.00 | 2017-08-04 11:56:27.0 | Blast Exposure Form | Biomechanical Devices | Disease/Injury Related Events |
Free-Form Entry |
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| C56820 | Blast sensor individual test shot number | BlastSensIndivestShotNum | Number representing an individual blast sensor test shot | Number representing an individual blast sensor test sho | Individual Test Shot Number: | Numeric Values |
serial number within Test series |
Adult | Supplemental | 1.00 | 2017-07-28 14:55:21.0 | Blast Exposure Form | Biomechanical Devices | Disease/Injury Related Events |
Free-Form Entry |
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| C56833 | Blast sensor test shot pressure source charge weight measurement | BlasSensTestShotPSrcChaWtMeasr | The measurement of the charge weight of the pressure source used for the blast sensor test shot | The measurement of the charge weight of the pressure source used for the blast sensor test sho | charge weight | Numeric Values | Adult | Supplemental | 1.00 | 2017-07-28 16:09:53.0 | Blast Exposure Form | Biomechanical Devices | Disease/Injury Related Events |
Free-Form Entry |
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| C56844 | Blast sensor pressure sampling rate | BlastSensPresSampRate | The participant/subject's blast sensor pressure sampling rate | The participant/subject's blast sensor pressure sampling rat | Pressure Sampling Rate: | Numeric Values |
standardized pressure measurement vs time, free field text entry |
Adult | Supplemental | 1.00 | 2017-08-01 15:12:40.0 | Blast Exposure Form | Biomechanical Devices | Disease/Injury Related Events |
Free-Form Entry |
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| C56810 | Blast sensor air pressure value | BlastSensAirPresVal | The recorded value of the air pressure on the day of the test | The recorded value of the air pressure on the day of the tes | Air Pressure: | Alphanumeric |
Any standardized measure at beginning of Test Series (measurement method not constrained) |
Adult | Supplemental | 1.00 | 2017-07-26 15:29:05.0 | Blast Exposure Form | Biomechanical Devices | Disease/Injury Related Events | 20 |
Free-Form Entry |
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| C56947 | Outcome information source type | OutcomeInfoSourceTyp | The type of source for outcome information | The type of source for outcome informatio | Source /type of information: | Alphanumeric |
free text entry |
Adult | Supplemental | 1.00 | 2017-08-04 11:59:23.0 | Blast Exposure Form | Biomechanical Devices | Disease/Injury Related Events | 255 |
Free-Form Entry |
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| C56821 | Blast sensor test shot distribution level text | BlastSensTestShotDistLvlTxt | Text representing the blast sensor test shot distribution level | Text representing the blast sensor test shot distribution leve | Test Shot Distribution Level: | A;B;C;D;E;F | A;B;C;D;E;F | Alphanumeric |
A, B, C, D, E, F |
Adult | Supplemental | 1.00 | 2017-07-28 14:56:55.0 | Blast Exposure Form | Biomechanical Devices | Disease/Injury Related Events |
Single Pre-Defined Value Selected |
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| C56834 | Blast sensor test shot target description text | BlastSensTestShotTarDescTxt | Text describing the target of the blast sensor test shot | Text describing the target of the blast sensor test sho | Target Description: | Alphanumeric |
single line free field text |
Adult | Supplemental | 1.00 | 2017-07-28 16:11:33.0 | Blast Exposure Form | Biomechanical Devices | Disease/Injury Related Events | 255 |
Free-Form Entry |
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| C56845 | Blast sensor acceleration time history text | BlastSensAccTimeHxTxt | Text describing the participant/subject's acceleration time history (G's vs. time) | Text describing the participant/subject's acceleration time history (G's vs. time) | Acceleration Time History (G's vs time): | Alphanumeric |
Two columns, (time/Acceleration (G's)) |
Adult | Supplemental | 1.00 | 2017-08-01 15:13:47.0 | Blast Exposure Form | Biomechanical Devices | Disease/Injury Related Events | 500 |
Free-Form Entry |
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| C56811 | Blast sensor air magnitude value | BlastSensAirMagVal | The recorded value of the air magnitude on the day of the test | The recorded value of the air magnitude on the day of the tes | Air Magnitude: | Alphanumeric | Adult | Supplemental | 1.00 | 2017-07-26 15:29:45.0 | Blast Exposure Form | Biomechanical Devices | Disease/Injury Related Events | 20 |
Free-Form Entry |
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| C56948 | Summary data event per shot duration | SummaryDataEventPrShtDur | The summary data for the duration of the event per shot | The summary data for the duration of the event per sho | Per Shot Duration (positive phase): | Numeric Values |
time duration of overpressure greater than pre-shot baseline |
Adult | Supplemental | 1.00 | 2017-08-04 12:00:43.0 | Blast Exposure Form | Biomechanical Devices | Disease/Injury Related Events |
Free-Form Entry |
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| C56822 | Blast sensor test shot designated FOUO level type | BlastSensTestShotDesFOUOLvlTyp | The FOUO level designated for the blast sensor test shot | The FOUO level designated for the blast sensor test sho | Test Shot Designated FOUO Level: | UNCLAS;FOUO;NOFORN;SECRET | UNCLAS;FOUO;NOFORN;SECRET | Alphanumeric | Adult | Supplemental | 1.00 | 2017-07-28 14:59:02.0 | Blast Exposure Form | Biomechanical Devices | Disease/Injury Related Events |
Single Pre-Defined Value Selected |
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| C56835 | Blast sensor gauge per shot count | BlastSensGaugePerShotCt | The number of gauges per test shot | The number of gauges per test sho | # of Gauges Per Shot: | Numeric Values |
integer |
Adult | Supplemental | 1.00 | 2017-07-28 16:16:42.0 | Blast Exposure Form | Biomechanical Devices | Disease/Injury Related Events |
Free-Form Entry |
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| C56846 | Blast sensor acceleration sampling rate | BlastSensAccSampRate | The participant/subject's blast sensor acceleration sampling rate | The participant/subject's blast sensor acceleration sampling rat | Acceleration Sampling Rate: | Numeric Values |
standardized acceleration measurement vs time, free field text entry |
Adult | Supplemental | 1.00 | 2017-08-01 15:15:17.0 | Blast Exposure Form | Biomechanical Devices | Disease/Injury Related Events |
Free-Form Entry |
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| C56812 | Blast sensor cross wind magnitude value | BlastSensCrossWindMagVal | The recorded value of the cross wind magnitude on the day of the test | The recorded value of the cross wind magnitude on the day of the tes | Cross Wind Magnitude: | Alphanumeric |
any standardized measure at beginning of Test Series (measurement method not constrained) |
Adult | Supplemental | 1.00 | 2017-07-26 15:30:42.0 | Blast Exposure Form | Biomechanical Devices | Disease/Injury Related Events | 20 |
Free-Form Entry |
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| C56949 | Helmet type | HelmetTyp | The type of helmet worn by the subject/participant | The type of helmet worn by the subject/participan | Helmet type: | Alphanumeric |
free text entry |
Adult | Supplemental | 1.00 | 2017-08-04 12:03:14.0 | Blast Exposure Form | Biomechanical Devices | Disease/Injury Related Events | 255 |
Free-Form Entry |
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| C56823 | Blast sensor test shot gauge number | BlastSensTestShotGaugeNum | The number of the gauge being used for the blast sensor test shot | The number of the gauge being used for the blast sensor test sho | Gauge #: | Numeric Values |
serial number(s) |
Adult | Supplemental | 1.00 | 2017-07-28 15:03:16.0 | Blast Exposure Form | Biomechanical Devices | Disease/Injury Related Events |
Free-Form Entry |
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| C06005 | Data collected date and time | DataCollDateTime | Date (and time, if applicable and known) the data were collected. This may be the date/time a particular examination or procedure was performed | Date (and time, if applicable and known) the data were collected. This may be the date/time a particular examination or procedure was performe | Test series date and time: | Date or Date & Time |
MM / DD / YYYY ; 24-hour _ H _ M____at start |
Adult | Supplemental | 3.00 | 2013-07-24 21:00:23.88 | Blast Exposure Form | Biomechanical Devices | Disease/Injury Related Events |
Free-Form Entry |
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| C56836 | Blast sensor test shot Z data text | BlastSensTestShotZDataTxt | Text describing the Z-data from the blast sensor test shot | Text describing the Z-data from the blast sensor test sho | Z-Data: | Alphanumeric | Adult | Supplemental | 1.00 | 2017-08-01 13:31:02.0 | Blast Exposure Form | Biomechanical Devices | Disease/Injury Related Events | 255 |
Free-Form Entry |
