CDE Detailed Report
Disease: Sport-Related Concussion
Subdomain Name: Vestibular and Oculo-Motor Function
CRF: Vestibular
Displaying 1 - 12 of 12
Subdomain Name: 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 / 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 |
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 | 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 |
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 | 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 |
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 | 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 |
Free-Form Entry |
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 |
Free-Form Entry |
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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 |
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 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 |
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 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 |
Free-Form Entry |
centimeter | ||||||||||
| 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 |
Free-Form Entry |
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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 |
Free-Form Entry |
centimeter | ||||||||||
| 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 |
Free-Form Entry |
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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 |
