CDE Detailed Report

Disease: Sport Related Concussion
Sub-Domain: Vestibular and Oculo-Motor Function
CRF: King-Devick Concussion Screening Test (K-D Test)

Displaying 1 - 12 of 12
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 / Guideline) Sub Domain Name Domain Name Size Input Restrictions Min Value Max Value Measurement Type External Id Loinc External Id Snomed External Id caDSR External Id CDISC
C21466 King-Devick Concussion Screening Test (K-D Test) - Baseline first attempt three test card assessment error count KDTestBaselineFATTCAssErrCt The number of errors the subject makes on baseline first attempt with three card test assessment, as part of the King-Devick Concussion Screening (K-D Test) The number of errors the subject makes on baseline first attempt with three card test assessment, as part of the King-Devick Concussion Screening (K-D Test) Baseline Attempt Time #1 Total Errors Numeric Values

The tester should monitor and record any errors on the test score sheet in first attempt baseline.

King-Devick Test. 2012. Mayo Clinic. http://kingdevicktest.com/ Adult;Pediatric Supplemental 1.00 2015-07-21 15:42:24.0 King-Devick Concussion Screening Test (K-D Test) Vestibular and Oculo-Motor Function Outcomes and End Points

Free-Form Entry

0 40
C21467 King-Devick Concussion Screening Test (K-D Test) - Baseline first attempt three test card assessment evaluator name initial text KDTestBaselineFATTCAssEvIntNam The tester initials related to baseline first attempt with three card test assessment, as part of the King-Devick Concussion Screening (K-D Test) The tester initials related to baseline first attempt with three card test assessment, as part of the King-Devick Concussion Screening (K-D Test) Baseline Attempt Time #1 Tester Initials Alphanumeric

The tester initials need to be recorded for first attempt.

King-Devick Test. 2012. Mayo Clinic. http://kingdevicktest.com/ Adult;Pediatric Supplemental 1.00 2015-07-21 15:42:24.0 King-Devick Concussion Screening Test (K-D Test) Vestibular and Oculo-Motor Function Outcomes and End Points 10

Free-Form Entry

C21468 King-Devick Concussion Screening Test (K-D Test) - Baseline second attempt three test card assessment total duration KDTestBaselineSATTCAssTotDur The total time for baseline second attempt with three card test assessment, as part of the King-Devick Concussion Screening (K-D Test) The total time for baseline second attempt with three card test assessment, as part of the King-Devick Concussion Screening (K-D Test) Baseline Attempt Time #2 Total Time Numeric Values

The Subject's Baseline Attempt Time #2 (total of three test cards without time between completing individual test cards). The fastest of two attempts will be the Subject's Initial Baseline Time.

King-Devick Test. 2012. Mayo Clinic. http://kingdevicktest.com/ Adult;Pediatric Supplemental 1.00 2015-07-21 15:42:24.0 King-Devick Concussion Screening Test (K-D Test) Vestibular and Oculo-Motor Function Outcomes and End Points

Free-Form Entry

0 300 Seconds
C21469 King-Devick Concussion Screening Test (K-D Test) - Baseline second attempt three test card assessment error count KDTestBaselineSATTCAssErrCt The number of errors the subject makes on baseline second attempt with three card test assessment, as part of the King-Devick Concussion Screening (K-D Test) The number of errors the subject makes on baseline second attempt with three card test assessment, as part of the King-Devick Concussion Screening (K-D Test) Baseline Attempt Time #2 Total Errors Numeric Values

The tester should monitor and record any errors on the test score sheet in second attempt baseline.

King-Devick Test. 2012. Mayo Clinic. http://kingdevicktest.com/ Adult;Pediatric Supplemental 1.00 2015-07-21 15:42:24.0 King-Devick Concussion Screening Test (K-D Test) Vestibular and Oculo-Motor Function Outcomes and End Points

Free-Form Entry

0 40
C21470 King-Devick Concussion Screening Test (K-D Test) - Baseline second attempt three test card assessment evaluator name initial text KDTestBaselineSATTCAssEvIntNam The tester initials related to baseline second attempt with three card test assessment, as part of the King-Devick Concussion Screening (K-D Test) The tester initials related to baseline second attempt with three card test assessment, as part of the King-Devick Concussion Screening (K-D Test) Baseline Attempt Time #2 Tester Initials Alphanumeric

The tester initials need to be recorded for second attempt.

King-Devick Test. 2012. Mayo Clinic. http://kingdevicktest.com/ Adult;Pediatric Supplemental 1.00 2015-07-21 15:42:24.0 King-Devick Concussion Screening Test (K-D Test) Vestibular and Oculo-Motor Function Outcomes and End Points 10

Free-Form Entry

C21471 King-Devick Concussion Screening Test (K-D Test) - Post suspected head trauma three test card assessment date KDTestPSusHTTCarAssDate The date related to post suspected head trauma three card test assessment, as part of the King-Devick Concussion Screening (K-D Test) The date related to post suspected head trauma three card test assessment, as part of the King-Devick Concussion Screening (K-D Test) Testing After A Suspected Head Trauma Date Date or Date & Time

Data Sharing Instructions: When date/time data are prepared for aggregation or sharing they should be converted to the format specified by ISO 8601, YYYY-MM-DDThh:mm:ss.

King-Devick Test. 2012. Mayo Clinic. http://kingdevicktest.com/ Adult;Pediatric Supplemental 1.00 2015-07-21 15:42:24.0 King-Devick Concussion Screening Test (K-D Test) Vestibular and Oculo-Motor Function Outcomes and End Points

Free-Form Entry

C21472 King-Devick Concussion Screening Test (K-D Test) - Post suspected head trauma three test card assessment total duration KDTestPSusHTTCarAssTotDur The total time for post suspected head trauma three card test assessment, as part of the King-Devick Concussion Screening (K-D Test) The total time for post suspected head trauma three card test assessment, as part of the King-Devick Concussion Screening (K-D Test) Testing After A Suspected Head Trauma Total Time Numeric Values

Testing after a suspected head trauma. The test should be administered once. If the subject performs slower than his/her baseline or has increased errors, the subject should be removed from play and referred to a health care professional for additional evaluation. If the subject forms faster than his/her baseline without errors, the total time will become the subject's new baseline time.

King-Devick Test. 2012. Mayo Clinic. http://kingdevicktest.com/ Adult;Pediatric Supplemental 1.00 2015-07-21 15:42:24.0 King-Devick Concussion Screening Test (K-D Test) Vestibular and Oculo-Motor Function Outcomes and End Points

Free-Form Entry

0 300 Seconds
C21473 King-Devick Concussion Screening Test (K-D Test) - Post suspected head trauma three test card assessment error count KDTestPSusHTTCarAssErrCt The number of errors the subject makes on post suspected head trauma three test card assessment, as part of the King-Devick Concussion Screening (K-D Test) The number of errors the subject makes on post suspected head trauma three test card assessment, as part of the King-Devick Concussion Screening (K-D Test) Testing After A Suspected Head Trauma Total Errors Numeric Values

The tester should monitor and record any errors on the test score sheet in suspected head trauma.

King-Devick Test. 2012. Mayo Clinic. http://kingdevicktest.com/ Adult;Pediatric Supplemental 1.00 2015-07-21 15:42:24.0 King-Devick Concussion Screening Test (K-D Test) Vestibular and Oculo-Motor Function Outcomes and End Points

Free-Form Entry

0 40
C21474 King-Devick Concussion Screening Test (K-D Test) - Post suspected head trauma three test card assessment evaluator name initial text KDTestPSusHTTCarAssEvIntNam The tester initials related to post suspected head trauma three test card assessment, as part of the King-Devick Concussion Screening (K-D Test) The tester initials related to post suspected head trauma three test card assessment, as part of the King-Devick Concussion Screening (K-D Test) Testing After A Suspected Head Trauma Tester Initials Alphanumeric

The tester initials need to be recorded for suspected head trauma.

King-Devick Test. 2012. Mayo Clinic. http://kingdevicktest.com/ Adult;Pediatric Supplemental 1.00 2015-07-21 15:42:24.0 King-Devick Concussion Screening Test (K-D Test) Vestibular and Oculo-Motor Function Outcomes and End Points 10

Free-Form Entry

C18027 Comment text CmmntTxt Provide any additional information that pertains to the question. Provide any additional information that pertains to the question. Alphanumeric King-Devick Test. 2012. Mayo Clinic. http://kingdevicktest.com/ Adult;Pediatric Supplemental 3.00 2013-07-16 14:01:43.01 King-Devick Concussion Screening Test (K-D Test) Vestibular and Oculo-Motor Function Outcomes and End Points 4000

Free-Form Entry

C21526 King-Devick Concussion Screening Test (K-D Test) - Test card complete count KDTestCardCompletedNum The number of completed test cards, as part of the King-Devick Concussion Screening (K-D Test). The number of completed test cards, as part of the King-Devick Concussion Screening (K-D Test). Test card completed Numeric Values

IF a subject is under 10 years old and cannot complete the three tests without errors to establish baseline, only use two cards to complete test.

King-Devick Test. 2012. Mayo Clinic. http://kingdevicktest.com/ Adult;Pediatric Supplemental 1.00 2015-07-27 16:19:42.0 King-Devick Concussion Screening Test (K-D Test) Vestibular and Oculo-Motor Function Outcomes and End Points

Free-Form Entry

0 3
C21465 King-Devick Concussion Screening Test (K-D Test) - Baseline first attempt three test card assessment total duration KDTestBaselineFATTCAssTotDur The total time for baseline first attempt with three card test assessment, as part of the King-Devick Concussion Screening (K-D Test) The total time for baseline first attempt with three card test assessment, as part of the King-Devick Concussion Screening (K-D Test) Baseline Attempt Time #1 Total Time Numeric Values

The Subject's Baseline Attempt Time #1 (total of three test cards without time between completing individual test cards). The fastest of two attempts will be the Subject's Initial Baseline Time.

King-Devick Test. 2012. Mayo Clinic. http://kingdevicktest.com/ Adult;Pediatric Supplemental 1.00 2015-07-21 15:42:24.0 King-Devick Concussion Screening Test (K-D Test) Vestibular and Oculo-Motor Function Outcomes and End Points

Free-Form Entry

0 300 Seconds
CSV