CDE Detailed Report
Disease: Sport Related Concussion
Subdomain Name: Vestibular and Oculo-Motor Function
CRF: King-Devick Concussion Screening Test (K-D Test)
Displaying 1 - 12 of 12
Subdomain Name: 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 / 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
