CDE Detailed Report

Disease: Sport Related Concussion
Sub-Domain: Vestibular and Oculo-Motor Function
CRF: Vestibular

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
C17733 Person completing form name PrsnCompletingFormName Name of person completing the form Name of person completing the form Name of Tester Alphanumeric 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 3.00 2013-08-30 17:06:52.8 Vestibular/Ocular Motor Screening (VOMS) for Concussion Vestibular and Oculo-Motor Function Outcomes and End Points 255

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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 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 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 1.00 2017-03-22 11:22:22.0 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 The scale related to headache intensity, as it related to the Vestibular/Ocular Motor Screening (VOMS) for Concussion VOMS Test Item: Headache Numeric Values 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 1.00 2017-03-22 12:30:46.0 Vestibular/Ocular Motor Screening (VOMS) for Concussion Vestibular and Oculo-Motor Function Outcomes and End Points

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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 The dizziness scale test item, as part of the Vestibular/Ocular Motor Screening Test VOMS Test Item: Dizziness Numeric Values 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 1.00 2017-03-22 13:55:34.0 Vestibular/Ocular Motor Screening (VOMS) for Concussion Vestibular and Oculo-Motor Function Outcomes and End Points

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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 The nausea intensity scale test item, as part of the Vestibular/Ocular Motor Screening Test VOMS Test Item: Nausea Numeric Values 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 1.00 2017-03-22 14:01:26.0 Vestibular/Ocular Motor Screening (VOMS) for Concussion Vestibular and Oculo-Motor Function Outcomes and End Points

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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 The fogginess intensity scale test item, as part of the Vestibular/Ocular Motor Screening Test VOMS Test Item: Fogginess Numeric Values 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 1.00 2017-03-22 14:04:41.0 Vestibular/Ocular Motor Screening (VOMS) for Concussion Vestibular and Oculo-Motor Function Outcomes and End Points

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0 10
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 The total score test item, as part of the Vestibular/Ocular Motor Screening Test VOMS Test Item: Total Numeric Values 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 1.00 2017-03-22 14:06:36.0 Vestibular/Ocular Motor Screening (VOMS) for Concussion Vestibular and Oculo-Motor Function Outcomes and End Points

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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 test 1 (near point in cm), as part of the Vestibular/Ocular Motor Screening Test Convergence 1 Near Point in cm Numeric Values 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 1.00 2017-03-22 14:13:30.0 Vestibular/Ocular Motor Screening (VOMS) for Concussion Vestibular and Oculo-Motor Function Outcomes and End Points

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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 test 2 (near point in cm), as part of the Vestibular/Ocular Motor Screening Test Convergence 2 Near Point in cm Numeric Values 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 1.00 2017-03-22 14:17:44.0 Vestibular/Ocular Motor Screening (VOMS) for Concussion Vestibular and Oculo-Motor Function Outcomes and End Points

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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 test 3 (near point in cm), as part of the Vestibular/Ocular Motor Screening Test Convergence 3 Near point in cm Numeric Values 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 1.00 2017-03-22 14:21:16.0 Vestibular/Ocular Motor Screening (VOMS) for Concussion Vestibular and Oculo-Motor Function Outcomes and End Points

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C15910 Assessment date and time AssessDateTime The date of participant's injury The date of participant's injury Date of adminstration Date or Date & Time 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 3.00 2013-07-16 14:01:43.01 Vestibular/Ocular Motor Screening (VOMS) for Concussion Vestibular and Oculo-Motor Function Outcomes and End Points

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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 test Average (near point in cm), as part of the Vestibular/Ocular Motor Screening Test Convergence Average Near Point in cm Numeric Values 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 1.00 2017-03-22 14:25:15.0 Vestibular/Ocular Motor Screening (VOMS) for Concussion Vestibular and Oculo-Motor Function Outcomes and End Points

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