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CDE Detailed Report
This report contains detailed information about the selected CDEs.
Note: If at least one CDE was selected from a copyright- or trademark-protected instrument/scale then all of the CDEs from that instrument/scale are included in this report.
Disease: Sport Related Concussion
SubDisease: Comprehensive
Sub-Domain: Vestibular and Oculo-Motor Function
CRF: Vestibular/Ocular Motor Screening (VOMS) for Concussion
Item count: 12 (12 distinct CDEs)
CDE ID
CDE Name
Variable Name
Definition / Description
Question Text
Permissible Value
Description
Data Type
Instructions
References
Population
Classification (e.g., Core)
Version #
Version Date
Aliases for Variable Name
CRF Module / Guideline
© or TM
Sub-Domain
Domain
Previous Title
Size
Input Restrictions
Min Value
Max Value
Measurement Type
LOINC ID
SNOMED
caDSR ID
CDISC ID
C54626
Vestibular/Ocular Motor Screening (VOMS) for Concussion - Baseline symptom type
VOMSBaslnSymptmTyp
The type related to baseline symptoms, as part of the Vestibular/Ocular Motor Screening (VOMS) for Concussion
Baseline Symptoms
Smooth Pursuits;Saccades-Horizontal;VOR-Horizontal;Saccades-Vertical;VOR-Vertical;Visual Motion Sensitivity;Convergence (Near Point in cm);
Smooth Pursuits;Saccades-Horizontal;VOR-Horizontal;Saccades-Vertical;VOR-Vertical;Visual Motion Sensitivity;Convergence (Near Point in cm);
Alphanumeric
No instructions available
Mucha A, Collins MW, Elbin RJ, Furman JM, Troutman-Enseki C, DeWolf RM, Marchetti G, Kontos AP. A Brief Vestibular/Ocular Motor Screening (VOMS) assessment to evaluate concussions: preliminary findings. Am J Sports Med. 2014;42(10):2479–2486.
Adult;Pediatric
Supplemental
1.0
3/22/2017
Aliases for variable name not defined
Vestibular/Ocular Motor Screening (VOMS) for Concussion
Vestibular and Oculo-Motor Function
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
C54637
Vestibular/Ocular Motor Screening (VOMS) for Concussion - Headache intensity scale
VOMSHeadacheIntScl
The scale related to headache intensity, as it related to the Vestibular/Ocular Motor Screening (VOMS) for Concussion
VOMS Test Item: Headache
  
Numeric Values
No instructions available
Mucha A, Collins MW, Elbin RJ, Furman JM, Troutman-Enseki C, DeWolf RM, Marchetti G, Kontos AP. A Brief Vestibular/Ocular Motor Screening (VOMS) assessment to evaluate concussions: preliminary findings. Am J Sports Med. 2014;42(10):2479–2486.
Adult;Pediatric
Supplemental
1.0
3/22/2017
Aliases for variable name not defined
Vestibular/Ocular Motor Screening (VOMS) for Concussion
Vestibular and Oculo-Motor Function
Outcomes and End Points
  
Free-Form Entry
0
10
     
C54638
Vestibular/Ocular Motor Screening (VOMS) for Concussion - Dizziness intensity scale
VOMSDizzinessIntensScl
The dizziness scale test item, as part of the Vestibular/Ocular Motor Screening Test
VOMS Test Item: Dizziness
  
Numeric Values
No instructions available
Mucha A, Collins MW, Elbin RJ, Furman JM, Troutman-Enseki C, DeWolf RM, Marchetti G, Kontos AP. A Brief Vestibular/Ocular Motor Screening (VOMS) assessment to evaluate concussions: preliminary findings. Am J Sports Med. 2014;42(10):2479–2486.
Adult;Pediatric
Supplemental
1.0
3/22/2017
Aliases for variable name not defined
Vestibular/Ocular Motor Screening (VOMS) for Concussion
Vestibular and Oculo-Motor Function
Outcomes and End Points
  
Free-Form Entry
0
10
     
C54639
Vestibular/Ocular Motor Screening (VOMS) for Concussion - Nausea intensity scale
VOMSNauseaIntenScl
The nausea intensity scale test item, as part of the Vestibular/Ocular Motor Screening Test
VOMS Test Item: Nausea
  
Numeric Values
No instructions available
Mucha A, Collins MW, Elbin RJ, Furman JM, Troutman-Enseki C, DeWolf RM, Marchetti G, Kontos AP. A Brief Vestibular/Ocular Motor Screening (VOMS) assessment to evaluate concussions: preliminary findings. Am J Sports Med. 2014;42(10):2479–2486.
Adult;Pediatric
Supplemental
1.0
3/22/2017
Aliases for variable name not defined
Vestibular/Ocular Motor Screening (VOMS) for Concussion
Vestibular and Oculo-Motor Function
Outcomes and End Points
  
Free-Form Entry
0
10
     
C54640
Vestibular/Ocular Motor Screening (VOMS) for Concussion - Fogginess intensity scale
VOMSFogginessIntenScl
The fogginess intensity scale test item, as part of the Vestibular/Ocular Motor Screening Test
VOMS Test Item: Fogginess
  
Numeric Values
No instructions available
Mucha A, Collins MW, Elbin RJ, Furman JM, Troutman-Enseki C, DeWolf RM, Marchetti G, Kontos AP. A Brief Vestibular/Ocular Motor Screening (VOMS) assessment to evaluate concussions: preliminary findings. Am J Sports Med. 2014;42(10):2479–2486.
Adult;Pediatric
Supplemental
1.0
3/22/2017
Aliases for variable name not defined
Vestibular/Ocular Motor Screening (VOMS) for Concussion
Vestibular and Oculo-Motor Function
Outcomes and End Points
  
Free-Form Entry
0
10
     
C54642
Vestibular/Ocular Motor Screening (VOMS) for Concussion - Convergence 1 near point centimeter value
VOMSConveg1NearPtCmVal
Convergence test 1 (near point in cm), as part of the Vestibular/Ocular Motor Screening Test
Convergence 1 Near Point in cm
  
Numeric Values
No instructions available
Mucha A, Collins MW, Elbin RJ, Furman JM, Troutman-Enseki C, DeWolf RM, Marchetti G, Kontos AP. A Brief Vestibular/Ocular Motor Screening (VOMS) assessment to evaluate concussions: preliminary findings. Am J Sports Med. 2014;42(10):2479–2486.
Adult;Pediatric
Supplemental
1.0
3/22/2017
Aliases for variable name not defined
Vestibular/Ocular Motor Screening (VOMS) for Concussion
Vestibular and Oculo-Motor Function
Outcomes and End Points
  
Free-Form Entry
  
centimeter
    
C54643
Vestibular/Ocular Motor Screening (VOMS) for Concussion - Convergence 2 near point centimeter value
VOMSConveg2NearPtCmVal
Convergence test 2 (near point in cm), as part of the Vestibular/Ocular Motor Screening Test
Convergence 2 Near Point in cm
  
Numeric Values
No instructions available
Mucha A, Collins MW, Elbin RJ, Furman JM, Troutman-Enseki C, DeWolf RM, Marchetti G, Kontos AP. A Brief Vestibular/Ocular Motor Screening (VOMS) assessment to evaluate concussions: preliminary findings. Am J Sports Med. 2014;42(10):2479–2486.
Adult;Pediatric
Supplemental
1.0
3/22/2017
Aliases for variable name not defined
Vestibular/Ocular Motor Screening (VOMS) for Concussion
Vestibular and Oculo-Motor Function
Outcomes and End Points
  
Free-Form Entry
  
centimeter
    
C54644
Vestibular/Ocular Motor Screening (VOMS) for Concussion - Convergence 3 near point centimeter value
VOMSConveg3NearPtCmVal
Convergence test 3 (near point in cm), as part of the Vestibular/Ocular Motor Screening Test
Convergence 3 Near point in cm
  
Numeric Values
No instructions available
Mucha A, Collins MW, Elbin RJ, Furman JM, Troutman-Enseki C, DeWolf RM, Marchetti G, Kontos AP. A Brief Vestibular/Ocular Motor Screening (VOMS) assessment to evaluate concussions: preliminary findings. Am J Sports Med. 2014;42(10):2479–2486.
Adult;Pediatric
Supplemental
1.0
3/22/2017
Aliases for variable name not defined
Vestibular/Ocular Motor Screening (VOMS) for Concussion
Vestibular and Oculo-Motor Function
Outcomes and End Points
  
Free-Form Entry
  
centimeter
    
C54645
Vestibular/Ocular Motor Screening (VOMS) for Concussion - Convergence average near point centimeter value
VOMSConvegAvgNearPtCmVal
Convergence test Average (near point in cm), as part of the Vestibular/Ocular Motor Screening Test
Convergence Average Near Point in cm
  
Numeric Values
No instructions available
Mucha A, Collins MW, Elbin RJ, Furman JM, Troutman-Enseki C, DeWolf RM, Marchetti G, Kontos AP. A Brief Vestibular/Ocular Motor Screening (VOMS) assessment to evaluate concussions: preliminary findings. Am J Sports Med. 2014;42(10):2479–2486.
Adult;Pediatric
Supplemental
1.0
3/22/2017
Aliases for variable name not defined
Vestibular/Ocular Motor Screening (VOMS) for Concussion
Vestibular and Oculo-Motor Function
Outcomes and End Points
  
Free-Form Entry
  
centimeter
    
C54641
Vestibular/Ocular Motor Screening (VOMS) for Concussion - Total score
VOMSTotalScore
The total score test item, as part of the Vestibular/Ocular Motor Screening Test
VOMS Test Item: Total
  
Numeric Values
No instructions available
Mucha A, Collins MW, Elbin RJ, Furman JM, Troutman-Enseki C, DeWolf RM, Marchetti G, Kontos AP. A Brief Vestibular/Ocular Motor Screening (VOMS) assessment to evaluate concussions: preliminary findings. Am J Sports Med. 2014;42(10):2479–2486.
Adult;Pediatric
Supplemental
1.0
3/22/2017
Aliases for variable name not defined
Vestibular/Ocular Motor Screening (VOMS) for Concussion
Vestibular and Oculo-Motor Function
Outcomes and End Points
  
Free-Form Entry
       
C17733
Person completing form name
PrsnCompletingFormName
Name of person completing the form
Name of Tester
  
Alphanumeric
No instructions available
Mucha A, Collins MW, Elbin RJ, Furman JM, Troutman-Enseki C, DeWolf RM, Marchetti G, Kontos AP. A Brief Vestibular/Ocular Motor Screening (VOMS) assessment to evaluate concussions: preliminary findings. Am J Sports Med. 2014;42(10):2479–2486.
Adult;Pediatric
Supplemental
3.0
8/30/2013
Aliases for variable name not defined
Vestibular/Ocular Motor Screening (VOMS) for Concussion
Vestibular and Oculo-Motor Function
Outcomes and End Points
 
255
Free-Form Entry
       
C15910
Assessment date and time
AssessDateTime
The date of participant's injury
Date of adminstration
  
Date or Date & Time
No instructions available
Mucha A, Collins MW, Elbin RJ, Furman JM, Troutman-Enseki C, DeWolf RM, Marchetti G, Kontos AP. A Brief Vestibular/Ocular Motor Screening (VOMS) assessment to evaluate concussions: preliminary findings. Am J Sports Med. 2014;42(10):2479–2486.
Adult;Pediatric
Supplemental
3.0
7/16/2013
Aliases for variable name not defined
Vestibular/Ocular Motor Screening (VOMS) for Concussion
Vestibular and Oculo-Motor Function
Outcomes and End Points
Assessment date and time
 
Free-Form Entry
       
12-15-2018
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