CDE Detailed Report
Disease: Sport-Related Concussion
Subdomain Name: Cognitive Assessment
CRF: Trail Making Test (TMT), Delis-Kaplan Executive Function System (D-KEFS)
Displaying 1 - 19 of 19
Subdomain Name: Cognitive Assessment
CRF: Trail Making Test (TMT), Delis-Kaplan Executive Function System (D-KEFS)
Displaying 1 - 19 of 19
| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| C52880 | Delis-Kaplan Executive Function System (DKEFS) Trail Making Test (TMT) - Part B follow trail complete time | TMTPartBFllwTrlComplTime | The element related to the time it takes the participant/subject to follow the trail in Part B as part of the Trail Making Test (TMT) | The element related to the time it takes the participant/subject to follow the trail in Part B as part of the Trail Making Test (TMT) | Trail Making Test Part B | Numeric Values |
Results for both TMT A and B are reported as the number of seconds required to complete the task; therefore, higher scores reveal greater impairment. |
Corrigan JD, Hinkeldey MS. Relationships between parts A and B of the Trail Making Test. J Clin Psychol. 1987;43(4):402-409. <br />Gaudino EA, Geisler MW, Squires NK. Construct validity in the Trail Making Test: what makes Part B harder? J Clin Exp Neuropsychol. 95;17(4):529-535. <br />Lezak MD, Howieson DB, Loring DW. Neuropsychological Assessment. 4th ed. New York: Oxford University Press; 2004. <br />Reitan RM. Validity of the Trail Making test as an indicator of organic brain damage. Percept Mot Skills. 1958;8:271-276. | Adult;Pediatric | Supplemental-Highly Recommended | 1.00 | 2017-02-01 10:54:10.0 | Trail Making Test (TMT), Delis-Kaplan Executive Function System (D-KEFS) | Cognitive Assessment | Outcomes and End Points |
Free-Form Entry |
0 | 300 | seconds | |||||||
| C54094 | Test assessment type | TestAssessmentTyp | Type of test procedure or assessment administered | Type of test procedure or assessment administered | Balance Error Scoring System (BESS);Blood Draw;Brief Symptom Inventory-18 (BSI-18);Demographics;Imaging;Immediate Post-Concussion Assessment and Cognitive Test (ImPACT);Neuropsych Questionnaires;Other, specify;Standardized Assessment of Concussion (SAC);Wechsler Adult Intelligence Scale (WAIS-IV);Wechsler Test of Adult Reading (WTAR);Trail Making Test (TMT) | Balance Error Scoring System (BESS);Blood Draw;Brief Symptom Inventory-18 (BSI-18);Demographics;Imaging;Immediate Post-Concussion Assessment and Cognitive Test (ImPACT);Neuropsych Questionnaires;Other, specify;Standardized Assessment of Concussion (SAC);Wechsler Adult Intelligence Scale (WAIS-IV);Wechsler Test of Adult Reading (WTAR);Trail Making Test (TMT) | Alphanumeric | Corrigan JD, Hinkeldey MS. Relationships between parts A and B of the Trail Making Test. J Clin Psychol. 1987;43(4):402-409. | Adult;Pediatric | Supplemental-Highly Recommended | 1.00 | 2017-02-13 00:00:00.0 | Trail Making Test (TMT), Delis-Kaplan Executive Function System (D-KEFS) | Cognitive Assessment | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C54081 | Delis-Kaplan Executive Function System (DKEFS) Trail Making Test (TMT) - Part B total time | DKEFSTMTPartBTime | The total time in seconds taken for the participant to complete Trail B, as part of the Delis-Kaplan Executive Function System (D-KEFS) Trail-Making Test (TMT) | The total time in seconds taken for the participant to complete Trail B, as part of the Delis-Kaplan Executive Function System (D-KEFS) Trail-Making Test (TMT) | Total time | Numeric Values |
Record total time to complete trial |
Corrigan JD, Hinkeldey MS. Relationships between parts A and B of the Trail Making Test. J Clin Psychol. 1987;43(4):402-409. | Adult | Supplemental-Highly Recommended | 1.00 | 2017-02-13 00:00:00.0 | Trail Making Test (TMT), Delis-Kaplan Executive Function System (D-KEFS) | Cognitive Assessment | Outcomes and End Points |
Free-Form Entry |
0 | 1000 | ||||||||
| C54095 | Delis-Kaplan Executive Function System (DKEFS) Trail Making Test (TMT) - Completion time scaled score | DKEFSTMTCompltnTimeSclScore | Complete time as a scaled score, as part of Delis-Kaplan Executive Function System Trail Making Test (DKEFS-TMT) | Complete time as a scaled score, as part of Delis-Kaplan Executive Function System Trail Making Test (DKEFS-TMT) | Numeric Values |
Enter completion time as a scaled score. For most of the measures provided by the D-KEFS tests, the raw scores are converted to scaled scores, with a mean of 10 and a standard deviation of 3, corrected for 16 separate age groups. Please refer to DKEFS scoring manual for more information (http://www.pearsonclinical.com/psychology/products/100000618/deliskaplan...) |
Copyright 2001, Pearson Inc. http://www.pearsonclinical.com/psychology/products/100000618/deliskaplan-executive-function-system-d-kefs.html. Delis, D. C., Kaplan, E., & Kramer, J. H. (2001a). Delis-Kaplan Executive Function System: Examiner's manual. Copy | Adult;Pediatric | Supplemental-Highly Recommended | 1.00 | 2017-02-13 00:00:00.0 | Trail Making Test (TMT), Delis-Kaplan Executive Function System (D-KEFS) | Cognitive Assessment | Outcomes and End Points |
Free-Form Entry |
1 | 19 | |||||||||
| C54082 | Delis-Kaplan Executive Function System (DKEFS) Trail Making Test (TMT) - Part B total error count | DKEFSTMTPartBErrors | The total number of errors made by the participant during their completion of Trail B, as part of the Delis-Kaplan Executive Function System (D-KEFS) Trail-Making Test (TMT) | The total number of errors made by the participant during their completion of Trail B, as part of the Delis-Kaplan Executive Function System (D-KEFS) Trail-Making Test (TMT) | Total numbers of errors | Numeric Values |
Record total number of errors during the completion of the trial |
Corrigan JD, Hinkeldey MS. Relationships between parts A and B of the Trail Making Test. J Clin Psychol. 1987;43(4):402-409. | Adult | Supplemental-Highly Recommended | 1.00 | 2017-02-13 00:00:00.0 | Trail Making Test (TMT), Delis-Kaplan Executive Function System (D-KEFS) | Cognitive Assessment | Outcomes and End Points |
Free-Form Entry |
0 | |||||||||
| C54096 | Delis-Kaplan Executive Function System (DKEFS) Trail Making Test (TMT) - Composite scaled score | DKEFSTMTCompstSclScore | Composite scaled scores of Number Sequencing and Letter Sequencing, as part of Delis-Kaplan Executive Function System Trail Making Test (DKEFS-TMT) | Composite scaled scores of Number Sequencing and Letter Sequencing, as part of Delis-Kaplan Executive Function System Trail Making Test (DKEFS-TMT) | Numeric Values |
Please refer to Number Sequencing and Letter Sequencing test from DKEFS battery for score values. For most of the measures provided by the D-KEFS tests, the raw scores are converted to scaled scores, with a mean of 10 and a standard deviation of 3, corrected for 16 separate age groups. Please refer to DKEFS scoring manual for more information (http://www.pearsonclinical.com/psychology/products/100000618/deliskaplan...) |
Copyright 2001, Pearson Inc. http://www.pearsonclinical.com/psychology/products/100000618/deliskaplan-executive-function-system-d-kefs.html. Delis, D. C., Kaplan, E., & Kramer, J. H. (2001a). Delis-Kaplan Executive Function System: Examiner's manual. Copy | Adult;Pediatric | Supplemental-Highly Recommended | 1.00 | 2017-02-13 00:00:00.0 | Trail Making Test (TMT), Delis-Kaplan Executive Function System (D-KEFS) | Cognitive Assessment | Outcomes and End Points |
Free-Form Entry |
1 | 19 | |||||||||
| C54083 | Delis-Kaplan Executive Function System (DKEFS) Trail Making Test (TMT) - Sum scaled score | DKEFSTMTSumSclScore | Sum of scaled scores of Number Sequencing and Letter Sequencing, as part of Delis-Kaplan Executive Function System Trail Making Test (DKEFS-TMT) | Sum of scaled scores of Number Sequencing and Letter Sequencing, as part of Delis-Kaplan Executive Function System Trail Making Test (DKEFS-TMT) | Sum scaled score | Numeric Values |
For most of the measures provided by the D-KEFS tests, the raw scores are converted to scaled scores, with a mean of 10 and a standard deviation of 3, corrected for 16 separate age groups. Please refer to DKEFS scoring manual for more information (http://www.pearsonclinical.com/psychology/products/100000618/deliskaplan...) |
Copyright 2001, Pearson Inc. http://www.pearsonclinical.com/psychology/products/100000618/deliskaplan-executive-function-system-d-kefs.html. Delis, D. C., Kaplan, E., & Kramer, J. H. (2001a). Delis-Kaplan Executive Function System: Examiner's manual. Copy | Adult;Pediatric | Supplemental-Highly Recommended | 1.00 | 2017-02-13 00:00:00.0 | Trail Making Test (TMT), Delis-Kaplan Executive Function System (D-KEFS) | Cognitive Assessment | Outcomes and End Points |
Free-Form Entry |
2 | 38 | ||||||||
| C54097 | Trail Making Test (TMT)- Part A image used source | DKEFSTMTPartAImageSource | Source of Part A image used, as part of the Delis-Kaplan Executive Function System (D-KEFS) Trail-Making Test (TMT) | Source of Part A image used, as part of the Delis-Kaplan Executive Function System (D-KEFS) Trail-Making Test (TMT) | File | Corrigan JD, Hinkeldey MS. Relationships between parts A and B of the Trail Making Test. J Clin Psychol. 1987;43(4):402-409. | Adult | Supplemental-Highly Recommended | 1.00 | 2017-02-13 00:00:00.0 | Trail Making Test (TMT), Delis-Kaplan Executive Function System (D-KEFS) | Cognitive Assessment | Outcomes and End Points |
Free-Form Entry |
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| C54084 | Delis-Kaplan Executive Function System (DKEFS) Trail Making Test (TMT) - Part A total error count | DKEFSTMTPartAErrors | The total number of errors made by the participant during their completion of Trail A, as part of the Delis-Kaplan Executive Function System (D-KEFS) Trail-Making Test (TMT) | The total number of errors made by the participant during their completion of Trail A, as part of the Delis-Kaplan Executive Function System (D-KEFS) Trail-Making Test (TMT) | Total number of errors | Numeric Values |
Record total number of errors during the completion of the trial |
Corrigan JD, Hinkeldey MS. Relationships between parts A and B of the Trail Making Test. J Clin Psychol. 1987;43(4):402-409. | Adult | Supplemental-Highly Recommended | 1.00 | 2017-02-13 00:00:00.0 | Trail Making Test (TMT), Delis-Kaplan Executive Function System (D-KEFS) | Cognitive Assessment | Outcomes and End Points |
Free-Form Entry |
0 | |||||||||
| C54100 | Delis-Kaplan Executive Function System (DKEFS) Trail Making Test (TMT) - Notes text | DKEFSTMTNotesTxt | Notes, as part of Delis-Kaplan Executive Function System Trail Making Test (DKEFS TMT) | Notes, as part of Delis-Kaplan Executive Function System Trail Making Test (DKEFS TMT) | Alphanumeric |
Enter notes text if any. |
Copyright 2001, Pearson Inc. http://www.pearsonclinical.com/psychology/products/100000618/deliskaplan-executive-function-system-d-kefs.html. Delis, D. C., Kaplan, E., & Kramer, J. H. (2001a). Delis-Kaplan Executive Function System: Examiners manual. Copyr | Adult;Pediatric | Supplemental-Highly Recommended | 1.00 | 2017-02-13 00:00:00.0 | Trail Making Test (TMT), Delis-Kaplan Executive Function System (D-KEFS) | Cognitive Assessment | Outcomes and End Points | 999 |
Free-Form Entry |
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| C54085 | Delis-Kaplan Executive Function System (DKEFS) Trail Making Test (TMT) - Part A total time | DKEFSTMTPartATime | The total time in seconds taken for the participant to complete Trail A, as part of the Delis-Kaplan Executive Function System (D-KEFS) Trail-Making Test (TMT) | The total time in seconds taken for the participant to complete Trail A, as part of the Delis-Kaplan Executive Function System (D-KEFS) Trail-Making Test (TMT) | Total time | Numeric Values |
Record total time to complete trial |
Corrigan JD, Hinkeldey MS. Relationships between parts A and B of the Trail Making Test. J Clin Psychol. 1987;43(4):402-409. | Adult | Supplemental-Highly Recommended | 1.00 | 2017-02-13 00:00:00.0 | Trail Making Test (TMT), Delis-Kaplan Executive Function System (D-KEFS) | Cognitive Assessment | Outcomes and End Points |
Free-Form Entry |
0 | 1000 | ||||||||
| C54086 | Delis-Kaplan Executive Function System (DKEFS) Trail Making Test (TMT) - Part A T score | DKEFSTMTPartATScr | Normalized T score for Trail A, as part of the Delis-Kaplan Executive Function System (D-KEFS) Trail-Making Test (TMT) | Normalized T score for Trail A, as part of the Delis-Kaplan Executive Function System (D-KEFS) Trail-Making Test (TMT) | T score | Numeric Values | Corrigan JD, Hinkeldey MS. Relationships between parts A and B of the Trail Making Test. J Clin Psychol. 1987;43(4):402-409. | Adult;Pediatric | Supplemental-Highly Recommended | 1.00 | 2017-02-13 00:00:00.0 | Trail Making Test (TMT), Delis-Kaplan Executive Function System (D-KEFS) | Cognitive Assessment | Outcomes and End Points |
Free-Form Entry |
0 | 100 | |||||||||
| C54087 | Delis-Kaplan Executive Function System (DKEFS) Trail Making Test (TMT) - Completion time raw score | DKEFSTMTCompltnTimeRawScore | Complete time as a raw score, as part of Delis-Kaplan Executive Function System Trail Making Test (DKEFS-TMT) | Complete time as a raw score, as part of Delis-Kaplan Executive Function System Trail Making Test (DKEFS-TMT) | Completion time | Numeric Values |
Enter completion time is seconds. Note: max time is not defined. |
Copyright 2001, Pearson Inc. http://www.pearsonclinical.com/psychology/products/100000618/deliskaplan-executive-function-system-d-kefs.html. Delis, D. C., Kaplan, E., & Kramer, J. H. (2001a). Delis-Kaplan Executive Function System: Examiner's manual. Copy | Adult;Pediatric | Supplemental-Highly Recommended | 1.00 | 2017-02-13 00:00:00.0 | Trail Making Test (TMT), Delis-Kaplan Executive Function System (D-KEFS) | Cognitive Assessment | Outcomes and End Points |
Free-Form Entry |
0 | Second | ||||||||
| C19500 | Assessment performed date | AssessmentPerformedDate | The date of assessment of the examination being performed | The date of assessment of the examination being performed | Date | Date or Date & Time | Corrigan JD, Hinkeldey MS. Relationships between parts A and B of the Trail Making Test. J Clin Psychol. 1987;43(4):402-409. | Adult;Pediatric | Supplemental-Highly Recommended | 1.00 | 2014-06-18 08:10:12.0 | Trail Making Test (TMT), Delis-Kaplan Executive Function System (D-KEFS) | Cognitive Assessment | Outcomes and End Points |
Free-Form Entry |
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| C54089 | Delis-Kaplan Executive Function System (DKEFS) Trail Making Test (TMT) - Contrast scaled score | DKEFSTMTContrastSclScore | Contrast scaled score, as part of Delis-Kaplan Executive Function System Trail Making Test (DKEFS-TMT) | Contrast scaled score, as part of Delis-Kaplan Executive Function System Trail Making Test (DKEFS-TMT) | Contrast scaled score | Numeric Values |
For most of the measures provided by the D-KEFS tests, the raw scores are converted to scaled scores, with a mean of 10 and a standard deviation of 3, corrected for 16 separate age groups. Please refer to DKEFS scoring manual for more information (http://www.pearsonclinical.com/psychology/products/100000618/deliskaplan...) |
Copyright 2001, Pearson Inc. http://www.pearsonclinical.com/psychology/products/100000618/deliskaplan-executive-function-system-d-kefs.html. Delis, D. C., Kaplan, E., & Kramer, J. H. (2001a). Delis-Kaplan Executive Function System: Examiner's manual. Copy | Adult;Pediatric | Supplemental-Highly Recommended | 1.00 | 2017-02-13 00:00:00.0 | Trail Making Test (TMT), Delis-Kaplan Executive Function System (D-KEFS) | Cognitive Assessment | Outcomes and End Points |
Free-Form Entry |
1 | 19 | ||||||||
| C21117 | Subject name | SubjectName | Name of subject/participant | Name of subject/participan | Patient's name | Alphanumeric | Corrigan JD, Hinkeldey MS. Relationships between parts A and B of the Trail Making Test. J Clin Psychol. 1987;43(4):402-409. | Adult;Pediatric | Supplemental-Highly Recommended | 1.00 | 2015-06-12 15:16:39.0 | Trail Making Test (TMT), Delis-Kaplan Executive Function System (D-KEFS) | Cognitive Assessment | Outcomes and End Points | 255 |
Free-Form Entry |
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| C54090 | Delis-Kaplan Executive Function System (D-KEFS) Trail-Making Test (TMT) - Part B T score | DKEFSTMTPartBTScr | Normalized T score for Trail B, as part of the Delis-Kaplan Executive Function System (D-KEFS) Trail-Making Test (TMT) | Normalized T score for Trail B, as part of the Delis-Kaplan Executive Function System (D-KEFS) Trail-Making Test (TMT) | T score | Numeric Values | Corrigan JD, Hinkeldey MS. Relationships between parts A and B of the Trail Making Test. J Clin Psychol. 1987;43(4):402-409. | Adult;Pediatric | Supplemental-Highly Recommended | 1.00 | 2017-02-13 00:00:00.0 | Trail Making Test (TMT), Delis-Kaplan Executive Function System (D-KEFS) | Cognitive Assessment | Outcomes and End Points |
Free-Form Entry |
0 | 100 | |||||||||
| C52879 | Delis-Kaplan Executive Function System (DKEFS) Trail Making Test (TMT) - Part A follow trail complete time | TMTPartAFllwTrlComplTime | The element related to the time it takes the participant/subject to follow the trail in Part A as part of the Trail Making Test (TMT) | The element related to the time it takes the participant/subject to follow the trail in Part A as part of the Trail Making Test (TMT | Trail Making Test Part A | Numeric Values |
Results for both TMT A and B are reported as the number of seconds required to complete the task; therefore, higher scores reveal greater impairment. |
Corrigan JD, Hinkeldey MS. Relationships between parts A and B of the Trail Making Test. J Clin Psychol. 1987;43(4):402-409. <br />Gaudino EA, Geisler MW, Squires NK. Construct validity in the Trail Making Test: what makes Part B harder? J Clin Exp Neuropsychol. 95;17(4):529-535. <br />Lezak MD, Howieson DB, Loring DW. Neuropsychological Assessment. 4th ed. New York: Oxford University Press; 2004. <br />Reitan RM. Validity of the Trail Making test as an indicator of organic brain damage. Percept Mot Skills. 1958;8:271-276. | Adult;Pediatric | Supplemental-Highly Recommended | 1.00 | 2017-02-01 10:54:10.0 | Trail Making Test (TMT), Delis-Kaplan Executive Function System (D-KEFS) | Cognitive Assessment | Outcomes and End Points |
Free-Form Entry |
0 | 300 | seconds | |||||||
| C54091 | Delis-Kaplan Executive Function System (DKEFS) Trail Making Test (TMT) - Difference scaled score | DKEFSTMTDiffSclScore | Scaled score difference, as part of Delis-Kaplan Executive Function System Trail Making Test (DKEFS-TMT) | Scaled score difference, as part of Delis-Kaplan Executive Function System Trail Making Test (DKEFS-TMT) | Scaled score difference | Numeric Values |
Enter scaled score difference. For most of the measures provided by the D-KEFS tests, the raw scores are converted to scaled scores, with a mean of 10 and a standard deviation of 3, corrected for 16 separate age groups. Please refer to DKEFS scoring manual for more information (http://www.pearsonclinical.com/psychology/products/100000618/deliskaplan...) |
Copyright 2001, Pearson Inc. http://www.pearsonclinical.com/psychology/products/100000618/deliskaplan-executive-function-system-d-kefs.html. Delis, D. C., Kaplan, E., & Kramer, J. H. (2001a). Delis-Kaplan Executive Function System: Examiner's manual. Copy | Adult;Pediatric | Supplemental-Highly Recommended | 1.00 | 2017-02-13 00:00:00.0 | Trail Making Test (TMT), Delis-Kaplan Executive Function System (D-KEFS) | Cognitive Assessment | Outcomes and End Points |
Free-Form Entry |
-18 | 18 |
