This form structure is an organized set of data definitions for a copyrighted form

 General Details

Title:
Immediate Post-Concussion Assessment Testing (ImPACT)
Short Name:
ImPACT
Description:
ImPACT test establishes a baseline for athletes prior to concussion. After concussion, the ImPACT test is re administered to assess the level of cognitive damage to the subject. COpyright https://impactconcussion.com/
Disease:
Traumatic Brain Injury
Organization:
ImPACT
Required Program Form:
No
Standardization:
Standard NINDS CDE
Labels:
Form Type:
Clinical Assessment
Publication Date:
2016-03-23
Version:
1.1
Date Created:
2015-07-17
Owner:
Number of Data Elements:
137
eForms:
N

 Documentation


 Groups & Attached Data Elements

Logically grouped data elements with defined frequency at which they repeat.

# Title Short Description Variable Name Required? Type
1 GUID   Global Unique ID which uniquely identifies a subject GUID Required CDE
2 Subject identifier number   An identification number assigned to the participant/subject within a given protocol or a study. SubjectIDNum Optional CDE
3 Age in years   Value for participant's subject age recorded in years. AgeYrs Recommended CDE
4 Vital status   Status of participant/subject as alive or dead VitStatus Optional CDE
5 Visit date   Actual interview or visit date VisitDate Recommended CDE
6 Case control indicator   Indicator of whether subject is in the case or control arm of the study CaseContrlInd Optional CDE
7 Site name   The name of the site for the study SiteName Recommended CDE
8 Days since baseline   The number of days since baseline DaysSinceBaseline Optional CDE
9 General notes text   General notes GeneralNotesTxt Optional CDE

Additional Element Groups

Listed below are your additional element groups.

Form Administration Group (Repeat Infinitely)

# Title Short Description Variable Name Required? Type
1 Context type  The context to which the questions were answered ContextType Recommended CDE
2 Context type other text  The free-text related to ContextType specifying other text ContextTypeOTH Recommended CDE
3 Data source  Source of the data provided on the case report form DataSource Recommended CDE
4 Data source other text  The free-text field related to Data source specifying other text. Source of the data provided on the case report form DataSourceOTH Recommended CDE

ImPACT Test Administration (Repeat Infinitely)

# Title Short Description Variable Name Required? Type
1 Immediate Post-Concussion Assessment Testing (ImPACT) - Exam type  Type of exam conducted, as part of the Immediate Post-Concussion Assessment Testing (ImPACT). ImPACTExamType Recommended CDE
2 Immediate Post-Concussion Assessment Testing (ImPACT) - Exam language type  Type of language the exam was conducted in, as part of the Immediate Post-Concussion Assessment Testing (ImPACT). ImPACTExamLanguageType Recommended CDE
3 Immediate Post-Concussion Assessment Testing (ImPACT) - Test version type  Type of test version used for the exam, as part of the Immediate Post-Concussion Assessment Testing (ImPACT). ImPACTTestVersionType Recommended CDE

ImPACT Demographics (Repeat Infinitely)

# Title Short Description Variable Name Required? Type
1 Birth date  Date (and time, if applicable and known) the participant/subject was born BirthDate Recommended CDE
2 Gender Type  Self-reported gender of the participant/subject. Gender is the socially constructed identity of sex. GenderTyp Recommended CDE
3 Hand preference type  Hand which the participant/subject uses predominantly, not necessarily the hand he/she writes with exclusively. HandPrefTyp Recommended CDE
4 Age value  Value for participant's subject age, calculated as elapsed time since the birth of the participant/subject. By default in months AgeVal Recommended CDE
5 Height measurement  Measurement of participant's/subject's height. HgtMeasr Recommended CDE
6 Height unit of measure  Unit of measure for the height numerical value for subject/participant HgtUOM Recommended CDE
7 Weight measurement  Measurement of participant's/subject's weight WgtMeasr Recommended CDE
8 Weight unit of measure  Unit of measure for the weight numerical value WgtUoM Recommended CDE
9 Immediate Post-Concussion Assessment Testing (ImPACT) - Native country region name  The subject's native country or region, as part of the Immediate Post-Concussion Assessment Testing (ImPACT). ImPACTNativeCountRegionName Recommended CDE
10 Immediate Post-Concussion Assessment Testing (ImPACT) - Native language type  The subject's native language, as part of the Immediate Post-Concussion Assessment Testing (ImPACT). ImPACTNativeLanguageTyp Recommended CDE
11 Immediate Post-Concussion Assessment Testing (ImPACT) - Second language type  The subject's second language, as part of the Immediate Post-Concussion Assessment Testing (ImPACT). ImPACTSecondLanguageTyp Recommended CDE
12 Immediate Post-Concussion Assessment Testing (ImPACT) - Second language spoken year duration  The count of years the subject spoke second language, as part of the Immediate Post-Concussion Assessment Testing (ImPACT). ImPACTSecondLanguageYrDur Recommended CDE
13 Race USA category  The subject self declared racial origination, independent of ethnic origination, using OMB approved categories. RaceUSACat Recommended CDE
14 Ethnicity USA category  Category of ethnicity the participant/subject most closely identifies with EthnUSACat Recommended CDE
15 Education year count  Number of years of education completed (age 5 and beyond) EduYrCt Recommended CDE

ImPACT Learning History (Repeat Infinitely)

# Title Short Description Variable Name Required? Type
1 Immediate Post-Concussion Assessment Testing (ImPACT) - Speech therapy receive indicator  Indicator of whether the subject received speech therapy. ImPACTReceivedSpeechTherInd Recommended CDE
2 Special education indicator  Indicator as to whether the participant/subject has or had special education SpecialEduInd Recommended CDE
3 Special education services describe text  The free-test related to "SpecialEduInd", specifying describe text. SpecialEduIndOTH Recommended UDE
4 Immediate Post-Concussion Assessment Testing (ImPACT) - School year repeat indicator  Indicator of whether the subject has to repeat one or more years of school, as part of the Immediate Post-Concussion Assessment Testing (ImPACT). ImPACTRepeatYrsSchoolInd Recommended CDE
5 Learning disability indicator  Indicator of whether there is a history of diagnosed learning disability. LearningDisabilityInd Recommended UDE
6 Immediate Post-Concussion Assessment Testing (ImPACT) - Attention deficit disorder hyperactivity problem indicator  Indicator of whether the subject has problems with ADD/hyperactivity, as part of the Immediate Post-Concussion Assessment Testing (ImPACT). ImPACTProbADDHyperInd Recommended CDE
7 Immediate Post-Concussion Assessment Testing (ImPACT) - Student performance type  Type of student performance at school, as part of the Immediate Post-Concussion Assessment Testing (ImPACT). ImPACTStudentPerfType Recommended CDE

ImPACT Sport Concussion and Health History (Repeat Infinitely)

# Title Short Description Variable Name Required? Type
1 Immediate Post-Concussion Assessment Testing (ImPACT) - Current sport type  Type of sport the subject participates currently, as part of the Immediate Post-Concussion Assessment Testing (ImPACT). ImPACTCurrentSportType Recommended CDE
2 Immediate Post-Concussion Assessment Testing (ImPACT) - Primary position event class text  Primary type of position/event/class, as part of the Immediate Post-Concussion Assessment Testing (ImPACT). ImPACTPrimPosEventClassText Recommended CDE
3 Immediate Post-Concussion Assessment Testing (ImPACT) - Current participation level type  Current type of level of participation in sports, as part of the Immediate Post-Concussion Assessment Testing (ImPACT). ImPACTCurrentPartLvlTyp Recommended CDE
4 Immediate Post-Concussion Assessment Testing (ImPACT) - Current participation level year count  Number of years experience at current participation level, as part of the Immediate Post-Concussion Assessment Testing (ImPACT). ImPACTYrsExpLevelCt Recommended CDE
5 Concussion diagnosed by medical provider number  Number of times subject has been diagnosed with a concussion by a medical provider (i.e. MD, ATC, EMT, PA, Nurse, etc.,) in the past (not including current concussion). ConcussionDxNumber Recommended UDE
6 Immediate Post-Concussion Assessment Testing (ImPACT) - Loss of consciousness concussion result count  Number of concussions that resulted in loss of consciousness (LOC), as part of the Immediate Post-Concussion Assessment Testing (ImPACT). ImPACTConcussResultLOCCt Recommended CDE
7 Immediate Post-Concussion Assessment Testing (ImPACT) - Confusion concussion result count  Number of concussions that resulted in confusion, as part of the Immediate Post-Concussion Assessment Testing (ImPACT). ImPACTConcussResultConfCt Recommended CDE
8 Immediate Post-Concussion Assessment Testing (ImPACT) - Memory loss post injury concussion result count  Number of concussions that resulted in loss of memory of events immediately after injury, as part of the Immediate Post-Concussion Assessment Testing (ImPACT). ImPACTConcussResMemLossAftCt Recommended CDE
9 Immediate Post-Concussion Assessment Testing (ImPACT) - Memory loss prior injury concussion result count  Number of concussions that resulted in a loss of memory of the events that occurred before injury, as part of the Immediate Post-Concussion Assessment Testing (ImPACT). ImPACTConcussResMemLossBefCt Recommended CDE
10 Immediate Post-Concussion Assessment Testing (ImPACT) - Game miss count  Total number of games missed as a result of concussions, as part of the Immediate Post-Concussion Assessment Testing (ImPACT). ImPACTGamesMissedCt Recommended CDE
11 Immediate Post-Concussion Assessment Testing (ImPACT) - Concussion five most recent month year text  The month/year text of the 5 most recent concussions, as part of the Immediate Post-Concussion Assessment Testing (ImPACT). ImPACT5MostRecentConcussTxt Recommended CDE
12 Immediate Post-Concussion Assessment Testing (ImPACT) - Headache treatment physician administered indicator  Indicator of whether the subject was treated for headaches by a physician, as part of the Immediate Post-Concussion Assessment Testing (ImPACT). ImPACTTreatHeadPhysicianInd Recommended CDE
13 Immediate Post-Concussion Assessment Testing (ImPACT) - Migraine treatment physician administered indicator  Indicator of whether the subject was treated for headaches by a physician, as part of the Immediate Post-Concussion Assessment Testing (ImPACT). ImPACTTreatMigPhysicianInd Recommended CDE
14 Immediate Post-Concussion Assessment Testing (ImPACT) - Epilepsy seizure treatment administered indicator  Indicator of whether the subject was treated for epilepsy/seizures, as part of the Immediate Post-Concussion Assessment Testing (ImPACT). ImPACTTreatEpilepSeizInd Recommended CDE
15 Immediate Post-Concussion Assessment Testing (ImPACT) - Brain surgery patient medical history indicator  Indicator of whether the subject has a history of brain surgery, as part of the Immediate Post-Concussion Assessment Testing (ImPACT). ImPACTHxBrainSurgInd Recommended CDE
16 Meningities indicator  Complications Neuro: Meningities Indicator MeningitisInd Recommended UDE
17 Immediate Post-Concussion Assessment Testing (ImPACT) - Substance alcohol abuse treatment administered indicator  Indicator of whether the subject has received treatment for substance or alcohol abuse, as part of the Immediate Post-Concussion Assessment Testing (ImPACT). ImPACTTreatSubAlcoholAbusInd Recommended CDE
18 Immediate Post-Concussion Assessment Testing (ImPACT) - Psychiatric condition treatment administered indicator  Indicator of whether the subject has received treatment for a psychiatric condition such as depression or anxiety, as part of the Immediate Post-Concussion Assessment Testing (ImPACT). ImPACTTreatPsychiatricCondInd Recommended CDE
19 Attention deficit disorder attention deficit hyperactivity disorder indicator  Indicator as to whether the participant/subject has or had attention deficit disorder (ADD) or attention deficit hyperactivity disorder (ADHD) AttentionDeficitADHDInd Recommended CDE
20 Immediate Post-Concussion Assessment Testing (ImPACT) - Dyslexia diagnosis indicator  Indicator of whether the subject has been diagnosed with dyslexia, as part of the Immediate Post-Concussion Assessment Testing (ImPACT). ImPACTDxDyslexiaInd Recommended CDE
21 Immediate Post-Concussion Assessment Testing (ImPACT) - Autism diagnosis indicator  Indicator of whether the subject has been diagnosed with autism, as part of the Immediate Post-Concussion Assessment Testing (ImPACT). ImPACTDxAutismInd Recommended CDE
22 Immediate Post-Concussion Assessment Testing (ImPACT) - Strenuous exercise 3 hour duration indicator  Indicator of whether the subject did strenuous exercise in the last 3 hours, as part of the Immediate Post-Concussion Assessment Testing (ImPACT). ImPACTStrenExerLst3HrInd Recommended CDE
23 Concussion diagnosed sustained date  Date concussion sustained by subject (month and year) ConcussionDxDate Recommended UDE

Post-Concussion Symptom Scale (PCSS) (Repeat Infinitely)

# Title Short Description Variable Name Required? Type
1 Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS) - Headache score  The subject's current headache rating score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS). ImPACTPCSSHeadacheScore Recommended CDE
2 Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS) - Nausea score  The subject's current nausea rating score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS). ImPACTPCSSNauseaScore Recommended CDE
3 Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS) - Vomiting score  The subject's current vomiting rating score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS). ImPACTPCSSVomitingScore Recommended CDE
4 Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS) - Balance problem score  The subject's current balance problems rating score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS). ImPACTPCSSBalanceProblemScore Recommended CDE
5 Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS) - Dizziness score  The subject's current dizziness rating score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS). ImPACTPCSSDizzinessScore Recommended CDE
6 Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS) - Fatigue score  The subject's current fatigue rating score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS). ImPACTPCSSFatigueScore Recommended CDE
7 Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS) - Falling asleep trouble score  The subject's current trouble falling asleep rating score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS). ImPACTPCSSTroubFallAsleepScore Recommended CDE
8 Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS) - Sleep greater than normal duration score  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). ImPACTPCSSSlpMoreThnUsualScore Recommended CDE
9 Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS) - Sleep less than normal duration score  The subject's current sleep less than usual rating score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS). ImPACTPCSSSlpLessThnUsualScore Recommended CDE
10 Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS) - Drowsiness score  The subject's current drowsiness rating score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS). ImPACTPCSSDrowsinessScore Recommended CDE
11 Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS) - Light sensitivity score  The subject's current sensitivity to light rating score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS). ImPACTPCSSSensitiveLightScore Recommended CDE
12 Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS) - Noise sensitivity score  The subject's current sensitivity to noise rating score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS). ImPACTPCSSSensitiveNoiseScore Recommended CDE
13 Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS) - Irritability score  The subject's current irritability rating score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS). ImPACTPCSSIrritabilityScore Recommended CDE
14 Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS) - Sadness score  The subject's current sadness rating score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS). ImPACTPCSSSadnessScore Recommended CDE
15 Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS) - Nervousness score  The subject's current nervousness rating score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS). ImPACTPCSSNervousnessScore Recommended CDE
16 Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS) - Emotional greater than normal score  The subject's current feeling more emotional rating score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS). ImPACTPCSSFeelEmotionalScore Recommended CDE
17 Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS) - Numbness tingling assessment score  The subject's current numbness or tingling rating score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS). ImPACTPCSSNumbTingleScore Recommended CDE
18 Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS) - Slowed down assessment score  The subject's current feeling slowed down rating score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS). ImPACTPCSSFeelSlowDownScore Recommended CDE
19 Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS) - Mental fog assessment score  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). ImPACTPCSSFeelMentFogScore Recommended CDE
20 Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS) - Concentration difficultly assessment score  The subject's current difficulty concentrating rating score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS). ImPACTPCSSDiffConcentrateScore Recommended CDE
21 Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS) - Memory difficulty assessment score  The subject's current difficulty remembering rating score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS). ImPACTPCSSDiffRemeberScore Recommended CDE
22 Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS) - Visual problem score  The subject's current visual problems rating score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS). ImPACTPCSSVisualProbScore Recommended CDE
23 Immediate Post-Concussion Assessment Testing (ImPACT) - Total symptom score  The subject's total symptom score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT). ImPACTTotalSymptomScore Recommended CDE

ImPACT Test (Repeat Infinitely)

# Title Short Description Variable Name Required? Type
1 Immediate Post-Concussion Assessment Testing (ImPACT) - Verbal memory composite score  Verbal memory composite score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT). ImPACTVerbMemoryCompScore Recommended CDE
2 Immediate Post-Concussion Assessment Testing (ImPACT) - Verbal memory composite percentile value  The percentile of the subject's verbal memory composite score (if available), as part of the Immediate Post-Concussion Assessment Testing (ImPACT). ImPACTVerbMemCompPercVal Recommended CDE
3 Immediate Post-Concussion Assessment Testing (ImPACT) - Verbal memory Reliable Change Index (RCI) exceed indicator  Indicator of whether the subject's composite score in verbal memory exceeded the Reliable Change Index (RCI), as part of the Immediate Post-Concussion Assessment Testing (ImPACT). ImPACTVerbMemRCIExceedInd Recommended CDE
4 Immediate Post-Concussion Assessment Testing (ImPACT) - Visual memory composite score  Visual memory composite score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT). ImPACTVisMemoryCompScore Recommended CDE
5 Immediate Post-Concussion Assessment Testing (ImPACT) - Visual memory composite percentile value  The percentile of the subject's visual memory composite score (if available), as part of the Immediate Post-Concussion Assessment Testing (ImPACT). ImPACTVisMemCompPercVal Recommended CDE
6 Immediate Post-Concussion Assessment Testing (ImPACT) - Visual memory Reliable Change Index (RCI) exceeded indicator  Indicator of whether the subject's composite score in visual memory exceeded the Reliable Change Index (RCI), as part of the Immediate Post-Concussion Assessment Testing (ImPACT). ImPACTVisMemRCIExceedInd Recommended CDE
7 Immediate Post-Concussion Assessment Testing (ImPACT) - Visual motor speed composite score  Visual motor speed composite score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT). ImPACTVisMotSpeedCompScore Recommended CDE
8 Immediate Post-Concussion Assessment Testing (ImPACT) - Visual motor speed composite percentile value  The percentile of the subject's visual motor speed composite score (if available), as part of the Immediate Post-Concussion Assessment Testing (ImPACT). ImPACTVisMotSpeedCompPercVal Recommended CDE
9 Immediate Post-Concussion Assessment Testing (ImPACT) - Visual motor speed Reliable Change Index (RCI) exceed indicator  Indicator of whether the subject's composite score in visual motor speed exceeded the Reliable Change Index (RCI), as part of the Immediate Post-Concussion Assessment Testing (ImPACT). ImPACTVisMotSpeedRCIExceedInd Recommended CDE
10 Immediate Post-Concussion Assessment Testing (ImPACT) - Reaction time composite score  Reaction time composite score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT). ImPACTReactTimeCompScore Recommended CDE
11 Immediate Post-Concussion Assessment Testing (ImPACT) - Reaction time composite percentile value  The percentile of the subject's reaction time composite score (if available), as part of the Immediate Post-Concussion Assessment Testing (ImPACT). ImPACTReactTimeCompPercVal Recommended CDE
12 Immediate Post-Concussion Assessment Testing (ImPACT) - Reaction time Reliable Change Index (RCI) exceeded indicator  Indicator of whether the subject's composite score in reaction time exceeded the Reliable Change Index (RCI), as part of the Immediate Post-Concussion Assessment Testing (ImPACT). ImPACTReactTimeRCIExceedInd Recommended CDE
13 Immediate Post-Concussion Assessment Testing (ImPACT) - Impulse control composite score  Impulse control composite score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT). ImPACTImplseCntrlCompScore Recommended CDE
14 Immediate Post-Concussion Assessment Testing (ImPACT) - Impulse control composite percentile value  The percentile of the subject's impulse control composite score (if available), as part of the Immediate Post-Concussion Assessment Testing (ImPACT). ImPACTImplseCntrlCompPercVal Recommended CDE
15 Immediate Post-Concussion Assessment Testing (ImPACT) - Impulse control Reliable Change Index (RCI) exceeded indicator  Indicator of whether the subject's composite score in impulse control exceeded the Reliable Change Index (RCI), as part of the Immediate Post-Concussion Assessment Testing (ImPACT). ImPACTImplseCntrlRCIExceedInd Recommended CDE
16 Immediate Post-Concussion Assessment Testing (ImPACT) - Total symptom Reliable Change Index (RCI) exceeded indicator  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). ImPACTTotalSymptomRCIExceedInd Recommended CDE
17 Immediate Post-Concussion Assessment Testing (ImPACT) - Cognitive efficiency index score  The subject's cognitive efficiency index score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT). ImPACTCogEfficiencyIndexScore Recommended CDE
18 Immediate Post-Concussion Assessment Testing (ImPACT) - Sleep last night hour duration  Duration (in hours) the subject slept last night, as part of the Immediate Post-Concussion Assessment Testing (ImPACT). ImPACTHoursSleptLstNghtDur Recommended CDE
19 Medication prior or concomitant name  Name of the prior/concomitant agent or drug administered. MedctnPriorConcomName Recommended CDE
20 Immediate Post-Concussion Assessment Testing (ImPACT) - Word memory immediate hit count  The number of immediate hits on the word memory module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT). ImPACTWordMemImmedHitCt Recommended CDE
21 Immediate Post-Concussion Assessment Testing (ImPACT) - Word memory immediate correct distractor count  The number of immediate correct distractors identified on the word memory module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT). ImPACTWordMemImmedCorrDisCt Recommended CDE
22 Immediate Post-Concussion Assessment Testing (ImPACT) - Word memory learning correct percentile value  The learning percent correct number on the word memory module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT). ImPACTWordMemLearnCorrPercVal Recommended CDE
23 Immediate Post-Concussion Assessment Testing (ImPACT) - Word memory delay hit count  The number of delayed hits on the word memory module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT). ImPACTWordMemDelayHitCt Recommended CDE
24 Immediate Post-Concussion Assessment Testing (ImPACT) - Word memory delay correct distractor count  The number of delay correct distractors identified on the word memory module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT). ImPACTWordMemDelayCorrDisCt Recommended CDE
25 Immediate Post-Concussion Assessment Testing (ImPACT) - Word memory delayed percent correct percentile value  The delayed memory percent correct number on the word memory module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT). ImPACTWordMemDelayCorrPercVal Recommended CDE
26 Immediate Post-Concussion Assessment Testing (ImPACT) - Word memory total percent correct percentile value  The total percent correct on the word memory module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT). ImPACTWordMemTotCorrPercVal Recommended CDE
27 Immediate Post-Concussion Assessment Testing (ImPACT) - Design memory immediate hit count  The number of immediate hits on the design memory module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT). ImPACTDesignMemImmedHitCt Recommended CDE
28 Immediate Post-Concussion Assessment Testing (ImPACT) - Design memory immediate correct distractor count  The number of immediate correct distractors identified on the design memory module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT). ImPACTDesignMemImmedCorrDisCt Recommended CDE
29 Immediate Post-Concussion Assessment Testing (ImPACT) - Design memory learning correct percentile value  The learning percent correct number on the design memory module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT). ImPACTDesignMemLrnCorrPercVal Recommended CDE
30 Immediate Post-Concussion Assessment Testing (ImPACT) - Design memory delay hit count  The number of delayed hits on the design memory module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT). ImPACTDesignMemDelayHitCt Recommended CDE
31 Immediate Post-Concussion Assessment Testing (ImPACT) - Design memory delay correct distractor count  The number of delayed correct distractors on the design memory module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT). ImPACTDesignMemDelayCorrDisCt Recommended CDE
32 Immediate Post-Concussion Assessment Testing (ImPACT) - Design memory delay percent correct percentile value  The delayed memory percent correct number on the design memory module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT). ImPACTDesignMemDelCorrPercVal Recommended CDE
33 Immediate Post-Concussion Assessment Testing (ImPACT) - Design memory total correct percentile value  The total percent correct on the design memory module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT). ImPACTDesignMemTotCorrPercVal Recommended CDE
34 Immediate Post-Concussion Assessment Testing (ImPACT) - X and O memory total correct count  The memory total correct on the X's and O's module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT). ImPACTXOMemTotCorrectCt Recommended CDE
35 Immediate Post-Concussion Assessment Testing (ImPACT) - X and O interference total correct count  The interference total correct on the X's and O's module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT). ImPACTXOInterTotCorrCt Recommended CDE
36 Immediate Post-Concussion Assessment Testing (ImPACT) - X and O interference average correct reaction time duration  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). ImPACTXOInterAvgCorrRTDur Recommended CDE
37 Immediate Post-Concussion Assessment Testing (ImPACT) - X and O interference total incorrect count  The interference total incorrect number on the X's and O's module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT). ImPACTXOInterTotIncorrCt Recommended CDE
38 Immediate Post-Concussion Assessment Testing (ImPACT) - X and O interference average incorrect reaction time duration  The interference average incorrect reaction time duration on the X's and O's module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT). ImPACTXOInterAvgIncorrRTDur Recommended CDE
39 Immediate Post-Concussion Assessment Testing (ImPACT) - Symbol match visible total correct count  The number of visible total correct responses on the symbol match module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT). ImPACTSymbMatchVisTotCorrCt Recommended CDE
40 Immediate Post-Concussion Assessment Testing (ImPACT) - Symbol match visible average correct reaction time duration  The visible average reaction time total correct duration, as part of the Immediate Post-Concussion Assessment Testing (ImPACT). ImPACTSymbMatchVisAvgCorrRTDur Recommended CDE
41 Immediate Post-Concussion Assessment Testing (ImPACT) - Symbol match hidden total correct count  The number of hidden total correct responses on the symbol match module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT). ImPACTSymbMatchHidTotCorrCt Recommended CDE
42 Immediate Post-Concussion Assessment Testing (ImPACT) - Symbol match hidden average correct reaction time duration  The hidden average reaction time total correct duration, as part of the Immediate Post-Concussion Assessment Testing (ImPACT). ImPACTSymbMatchHidAvgCorrRTDur Recommended CDE
43 Immediate Post-Concussion Assessment Testing (ImPACT) - Color match total correct count  The number of total correct on the color match module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT). ImPACTColorMatchTotCorrCt Recommended CDE
44 Immediate Post-Concussion Assessment Testing (ImPACT) - Color match average correct reaction time duration  The average correct reaction time duration on the color match module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT). ImPACTColorMatchAvgCorrRTDur Recommended CDE
45 Immediate Post-Concussion Assessment Testing (ImPACT) - Color match total commission count  The number of total commissions on the color match module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT). ImPACTColorMatchTotCommCt Recommended CDE
46 Immediate Post-Concussion Assessment Testing (ImPACT) - Color match average commissions reaction time duration  The average commissions reaction time duration on the color match module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT). ImPACTColorMatchAvgCommRTDur Recommended CDE
47 Immediate Post-Concussion Assessment Testing (ImPACT) - Three letters total sequence correct count  The number of total sequence items correct on the three letters module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT). ImPACTThreeLetTotSeqCorrCt Recommended CDE
48 Immediate Post-Concussion Assessment Testing (ImPACT) - Three letters total letters correct count  The number of total correct letters on the three letters module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT). ImPACTThreeLetTotLetCorrCt Recommended CDE
49 Immediate Post-Concussion Assessment Testing (ImPACT) - Three letters percent of total letters correct percentile value  The numeric percentage of total letters correct on the three letters module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT). ImPACTThreLetPctTotLetCorPVal Recommended CDE
50 Immediate Post-Concussion Assessment Testing (ImPACT) - Three letters average time to first click duration  The duration of average time to first click on the three letters module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT). ImPACTThreeLetAvgTmFstClickDur Recommended CDE
51 Immediate Post-Concussion Assessment Testing (ImPACT) - Three letter average count  The average number of counted items on the three letters module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT). ImPACTThreeLetAvgCt Recommended CDE
52 Immediate Post-Concussion Assessment Testing (ImPACT) - Three letter average correct count  The average number of correctly counted items on the three letters module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT). ImPACTThreeLetAvCorrCt Recommended CDE
53 Immediate Post-Concussion Assessment Testing (ImPACT) - Invalid assessment indicator  Indicator of whether the data is considered to be invalid, as part of the Immediate Post-Concussion Assessment Testing (ImPACT). ImPACTInvalidAssInd Recommended CDE

 Change History

 Administrative Change History