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
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.
Trail B: Average (75 seconds)
Deficient (> 273 seconds)
Most complete in 3 minutes

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

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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

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

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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

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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

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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

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

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

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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

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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

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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

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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.
Trail A: Average (29 seconds)
Deficient (> 78 seconds)
Most complete in 90 seconds

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

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