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CDE Detailed Report
This report contains detailed information about the selected CDEs.
Note: If at least one CDE was selected from a copyright- or trademark-protected instrument/scale then all of the CDEs from that instrument/scale are included in this report.
Disease: Sport Related Concussion
SubDisease: Comprehensive
Sub-Domain: Cognitive Assessment
CRF: California Verbal Learning Test - Second Edition (CVLT-II)
Item count: 790 (79 distinct CDEs)
CDE ID
CDE Name
Variable Name
Definition / Description
Question Text
Permissible Value
Description
Data Type
Instructions
References
Population
Classification (e.g., Core)
Version #
Version Date
Aliases for Variable Name
CRF Module / Guideline
© or TM
Sub-Domain
Domain
Previous Title
Size
Input Restrictions
Min Value
Max Value
Measurement Type
LOINC ID
SNOMED
caDSR ID
CDISC ID
C17399
Global unique identifier number
GlobalUniqueIdNum
Global Unique ID (GUID) which uniquely identifies a subject
Global Unique ID (GUID) which uniquely identifies the subject:
  
Alphanumeric
No instructions available
Johnson, S.B., Whitney, G., McAuliffe, M., Wang, H., McCreedy, E., Rozenblit, L., and Evans, C.C. (2010). Using Global Unique identifiers to link autism collections. J. Am. Med. Inform. Assoc., in press. Published online July 17, 2010. 10.1136/jamia.2009.002063.
Adult
Supplemental
3.0
7/18/2013
Aliases for variable name not defined
California Verbal Learning Test - Second Edition (CVLT-II)
Cognitive Assessment
Outcomes and End Points
GUID
255
Free-Form Entry
       
C21117
Subject name
SubjectName
Name of subject/participant.
Subject name
  
Alphanumeric
The participant or subject identifiers or IDs should be assigned by the study.
"Alexander MS, Biering-Sorensen F, Elliott S, Kreuter M, Saanksen J. International Spinal Cord Injury Female Sexual and Reproductive Function Basic Data Set. Spinal Cord. 2011 Jul;49(7):787-90. Alexander MS, Biering-Sorensen F, Elliott S, Kreuter M, Saanksen J. International Spinal Cord Injury Male Sexual Function Basic Data Set. Spinal Cord. 2011 Jul;49(7):795-8.
Bauman WA, Biering-Sorensen F, Krassioukov A. International spinal cord injury endocrine and metabolic function basic data set. Spinal Cord. 2011 Oct;49(10):1068-72.
Biering-Sorensen F, Craggs M, Kennelly M, Schick E, Wyndaele JJ. International Lower Urinary Tract Function Basic Spinal Cord Injury Data Set. Spinal Cord 2008 May;46(5):325-30.
Krogh K, Perkash I, Stiens SA, Biering-Sorensen F. International bowel function extended spinal cord injury data set. Spinal Cord. 2009 Mar;47(3):235-41.
Widerstraam-Noga E, Biering-Sorensen F, Bryce T, Cardenas DD, Finnerup NB, Jensen MP, Richards JS, Siddall PJ. The international spinal cord injury pain basic data set. Spinal Cord. 2008 Dec;46(12):818-23."
Adult
Supplemental
1.0
6/12/2015
Aliases for variable name not defined
California Verbal Learning Test - Second Edition (CVLT-II)
Cognitive Assessment
Outcomes and End Points
 
255
Free-Form Entry
       
C00008
Age value
AgeVal
Value for participant/subject's age, calculated as elapsed time since the birth of the participant/subject.
Subject's age (recorded in years):
  
Numeric Values
The subject's age is typically recorded to the nearest full year completed, e.g. 11 years and 6 months should be recorded as 11 years. For subject's which are under 1 year old, use decimal points and use the following convention- record 1 month as 0.083 (1/12), 2 months as 0.166 (2/12), 3 months as 0.25 (3/12), 4 months as 0.333 (4/12), 5 months as 0.416 (5/12), 6 months as 0.5 (6/12), 7 months as 0.583 (7/12), 8 months as 0.666 (8/12), 9 months as 0.75 (9/12), 10 months as 0.833 (10/12), 11 months as 0.916 (11/12) and 12 months as 1 year. For the individuals 90 or older, in order to preserve PII, please submit "150" and make a note this in the "general notes" column.
No references available
Adult
Supplemental
3.0
8/28/2013
Aliases for variable name not defined
California Verbal Learning Test - Second Edition (CVLT-II)
Cognitive Assessment
Outcomes and End Points
Age value
 
Free-Form Entry
0
1800
month
    
C17409
Visit date
VisitDate
Date of interview or visit (actually the date when data in the form were captured)
Visit Date
  
Date or Date & Time
Record the date/time according to the ISO 8601, the International Standard for the representation of dates and times (http://www.iso.org/iso/home.html). The date/time should be recorded to the level of granularity known (e.g., year, year and month, complete date plus hours and minutes, etc.).
21 CFR 50.20 General requirements for informed consent A Guide to Informed Consent - Information Sheet: Guidance for Institutional Review Boards and Clinical Investigators Contents (http://www.fda.gov/RegulatoryInformation/Guidances/ucm126431.htm#general)
Adult
Supplemental
3.0
6/21/2013
Aliases for variable name not defined
California Verbal Learning Test - Second Edition (CVLT-II)
Cognitive Assessment
Outcomes and End Points
Visit date
 
Free-Form Entry
       
C17402
Site name
SiteName
The name of the site for the study
Name of the site:
  
Alphanumeric
Enter the name of the study site
No references available
Adult
Supplemental
3.0
6/21/2013
Aliases for variable name not defined
California Verbal Learning Test - Second Edition (CVLT-II)
Cognitive Assessment
Outcomes and End Points
Site name
255
Free-Form Entry
       
C21114
Visit post baseline day count
VisitPostBaselineDayCt
The number of days since baseline visit.
The number of days since baseline:
  
Numeric Values
Enter the number of days passed since the baseline visit
No references available
Adult
Supplemental
1.0
6/12/2015
Aliases for variable name not defined
California Verbal Learning Test - Second Edition (CVLT-II)
Cognitive Assessment
Outcomes and End Points
  
Free-Form Entry
  
day
    
C22682
Case Control Indicator
CaseContrlInd
The response related to whether subject is in the case or control arm of the study
Is the subject in the case or control arm of the study?
Case;Control;Unknown;
Case;Control;Unknown;
Alphanumeric
Other, specify
No references available
Adult
Supplemental
1.0
7/27/2016
Aliases for variable name not defined
California Verbal Learning Test - Second Edition (CVLT-II)
Cognitive Assessment
Outcomes and End Points
  
Multiple Pre-Defined Values Selected
       
C56000
General note text
GenNtTxt
The free-field related to general notes.
Additional information (if any):
  
Alphanumeric
No instructions available
No references available
Adult
Supplemental
1.0
12/15/2016
Aliases for variable name not defined
California Verbal Learning Test - Second Edition (CVLT-II)
Cognitive Assessment
Outcomes and End Points
 
255
Free-Form Entry
       
C22683
Context type
ContextType
The context to which the questions were answered, e.g., since the last interview or after the injury.
Time frame related context (if any) to which the questions were answered:
After injury;At time of assessment;Before injury;Last 2 weeks;Last 6 months;Last 24 hours;Last month;Last week;Last year;Prior to death;Since last interview;Time of injury;Other, specify;
After injury;At time of assessment;Before injury;Last 2 weeks;Last 6 months;Last 24 hours;Last month;Last week;Last year;Prior to death;Since last interview;Time of injury;Other, specify;
Alphanumeric
Provide the time frame related context (if any) to which the questions were answered.
No references available
Adult
Supplemental
1.0
7/29/2016
Aliases for variable name not defined
California Verbal Learning Test - Second Edition (CVLT-II)
Cognitive Assessment
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
C22685
Context type other text
ContextTypOTH
The free-text related to Context type specifying other text.
Other, specify
  
Alphanumeric
No instructions available
No references available
Adult
Supplemental
1.0
8/1/2016
Aliases for variable name not defined
California Verbal Learning Test - Second Edition (CVLT-II)
Cognitive Assessment
Outcomes and End Points
 
4000
Free-Form Entry
       
C08147
Data source
DataSource
Source of the data provided on the case report form
Who is the source of this information in relation to the subject?
Participant/subject;Mother;Father;Sister;Brother;Son;Daughter;Family, specify relation;Friend;Physician;Chart/Medical record;Unknown;Spouse;Other, specify;
Participant/subject;Mother;Father;Sister;Brother;Son;Daughter;Family, specify relation;Friend;Physician;Chart/Medical record;Unknown;Spouse;Other, specify;
Alphanumeric
"Select all that apply.
"
No references available
Adult
Supplemental
3.0
7/20/2013
Aliases for variable name not defined
California Verbal Learning Test - Second Edition (CVLT-II)
Cognitive Assessment
Outcomes and End Points
Data source
 
Multiple Pre-Defined Values Selected
       
C18667
Data source other text
DataSourcOTH
The free-text field related to 'Data source' specifying other text. Source of the data provided on the case report form
Other, specify
  
Alphanumeric
Enter other data source text
No references available
Adult
Supplemental
1.0
5/27/2014
Aliases for variable name not defined
California Verbal Learning Test - Second Edition (CVLT-II)
Cognitive Assessment
Outcomes and End Points
 
4000
Free-Form Entry
       
C55909
California Verbal Learning Test - Second Edition (CVLT-II) - Short delay cue recall time
CVLT2ShrtDelayRecallTime
Time at the completion of the short delay cued recall portion, as part of California Verbal Learning Test- Second Edition (CVLT-II).
   
Date or Date & Time
Record the date/time according to the ISO 8601, the International Standard for the representation of dates and times (http://www.iso.org/iso/home.html). The date/time should be recorded to the level of granularity known (e.g., year, year and month, complete date plus hours and minutes, etc.).
D.C. Delis, J.H. Kramer, E. Kaplan, B.A. Ober. California Verbal Learning Test second edition. Adult version. Manual, Psychological Corporation, San Antonio, TX (2000)
Adult
Supplemental
1.0
6/2/2017
Aliases for variable name not defined
California Verbal Learning Test - Second Edition (CVLT-II)
Cognitive Assessment
Outcomes and End Points
  
Free-Form Entry
       
C55910
California Verbal Learning Test - Second Edition (CVLT-II) - Long delay free recall start time
CVLT2LngDelayFrRecallStartTime
Time at the start of the long delay free recall portion, as part of California Verbal Learning Test- Second Edition (CVLT-II).
   
Date or Date & Time
Record the date/time according to the ISO 8601, the International Standard for the representation of dates and times (http://www.iso.org/iso/home.html). The date/time should be recorded to the level of granularity known (e.g., year, year and month, complete date plus hours and minutes, etc.).
D.C. Delis, J.H. Kramer, E. Kaplan, B.A. Ober. California Verbal Learning Test second edition. Adult version. Manual, Psychological Corporation, San Antonio, TX (2000)
Adult
Supplemental
1.0
6/2/2017
Aliases for variable name not defined
California Verbal Learning Test - Second Edition (CVLT-II)
Cognitive Assessment
Outcomes and End Points
  
Free-Form Entry
       
C55911
California Verbal Learning Test - Second Edition (CVLT-II) - Delay time total value
CVLT2DelayTimeTotVal
Delay time (in minutes) between the end of the short delay cued recall and the start of the long delay free recall sections , as part of California Verbal Learning Test- Second Edition (CVLT-II).
   
Numeric Values
Total delay time should be about 20 minutes
D.C. Delis, J.H. Kramer, E. Kaplan, B.A. Ober. California Verbal Learning Test second edition. Adult version. Manual, Psychological Corporation, San Antonio, TX (2000)
Adult
Supplemental
1.0
6/2/2017
Aliases for variable name not defined
California Verbal Learning Test - Second Edition (CVLT-II)
Cognitive Assessment
Outcomes and End Points
  
Free-Form Entry
0
30
     
C53909
Trial numeric number
TriaNumericNum
The number representing the sequence for any repeated measure test or assessment when it is performed multiple times.
Trial number
  
Numeric Values
No instructions available
No references available
Adult
Supplemental
1.0
2/10/2017
Aliases for variable name not defined
California Verbal Learning Test - Second Edition (CVLT-II)
Cognitive Assessment
Outcomes and End Points
  
Free-Form Entry
1
      
C55912
California Verbal Learning Test - Second Edition (CVLT - II) - Trial correct word count
CVLT2TrialCorrWordCt
Number of correct words recited by the subject, as part of California Verbal Learning Test- Second Edition (CVLT-II).
Now I want you to tell me all the words you can from the first list (list A), the one I read you several times. Don't tell me words from the second list, just the first list. Go ahead.
  
Numeric Values
Record number of correct responses
D.C. Delis, J.H. Kramer, E. Kaplan, B.A. Ober. California Verbal Learning Test second edition. Adult version. Manual, Psychological Corporation, San Antonio, TX (2000)
Adult
Supplemental
1.0
6/2/2017
Aliases for variable name not defined
California Verbal Learning Test - Second Edition (CVLT-II)
Cognitive Assessment
Outcomes and End Points
  
Free-Form Entry
0
16
     
C55913
California Verbal Learning Test - Second Edition (CVLT - II) - Trial intrusion count
CVLT2TrialIntrCt
Number of intrusions recited by the subject, as part of California Verbal Learning Test- Second Edition (CVLT-II) .
Now I want you to tell me all the words you can from the first list (list A), the one I read you several times. Don't tell me words from the second list, just the first list. Go ahead.
  
Numeric Values
Record the total number of intrusions
D.C. Delis, J.H. Kramer, E. Kaplan, B.A. Ober. California Verbal Learning Test second edition. Adult version. Manual, Psychological Corporation, San Antonio, TX (2000)
Adult
Supplemental
1.0
6/2/2017
Aliases for variable name not defined
California Verbal Learning Test - Second Edition (CVLT-II)
Cognitive Assessment
Outcomes and End Points
  
Free-Form Entry
0
      
C55914
California Verbal Learning Test - Second Edition (CVLT - II) - Trial repetition count
CVLT2TrialRepCt
Number of repetitions recited by the subject, as part of California Verbal Learning Test- Second Edition (CVLT-II) .
Now I want you to tell me all the words you can from the first list (list A), the one I read you several times. Don't tell me words from the second list, just the first list. Go ahead.
  
Numeric Values
Record number of repeated words
D.C. Delis, J.H. Kramer, E. Kaplan, B.A. Ober. California Verbal Learning Test second edition. Adult version. Manual, Psychological Corporation, San Antonio, TX (2000)
Adult
Supplemental
1.0
6/2/2017
Aliases for variable name not defined
California Verbal Learning Test - Second Edition (CVLT-II)
Cognitive Assessment
Outcomes and End Points
  
Free-Form Entry
0
      
C55915
California Verbal Learning Test - Second Edition (CVLT - II) - Trial raw score
CVLT2TrialRawScore
Raw score for a given trial, as part of California Verbal Learning Test- Second Edition (CVLT-II).
   
Numeric Values
Record the raw score
Copyright Pearson, Inc. 2000, (http://www.pearsonclinical.com). P.O. Box 599700, San Antonio, TX 78259. D.C. Delis, J.H. Kramer, E. Kaplan, B.A. Ober. California Verbal Learning Test second edition. Adult version. Manual, Psychological Corporation, San Antonio, TX (2000)
Adult
Supplemental
1.0
6/2/2017
Aliases for variable name not defined
California Verbal Learning Test - Second Edition (CVLT-II)
Cognitive Assessment
Outcomes and End Points
  
Free-Form Entry
0
16
     
C55916
California Verbal Learning Test - Second Edition (CVLT - II) - Trial standard score
CVLT2TrialStndrdScore
Standard score for a given trial, as part of California Verbal Learning Test- Second Edition (CVLT-II).
   
Numeric Values
Record the standard score
Copyright Pearson, Inc. 2000, (http://www.pearsonclinical.com). P.O. Box 599700, San Antonio, TX 78259. D.C. Delis, J.H. Kramer, E. Kaplan, B.A. Ober. California Verbal Learning Test second edition. Adult version. Manual, Psychological Corporation, San Antonio, TX (2000)
Adult
Supplemental
1.0
6/2/2017
Aliases for variable name not defined
California Verbal Learning Test - Second Edition (CVLT-II)
Cognitive Assessment
Outcomes and End Points
  
Free-Form Entry
-5
5
     
C55917
California Verbal Learning Test - Second Edition (CVLT-II) - Semantic clustering chance adjusted score
CVLT2SemClustChncAdjScr
Score of the semantic clustering chance adjusted, as part of the California Verbal Learning Test (CVLT-II).
   
Numeric Values
Follow instructions in scoring manual for details on scores
Copyright Pearson, Inc. 2000, (http://www.pearsonclinical.com). P.O. Box 599700, San Antonio, TX 78259. D.C. Delis, J.H. Kramer, E. Kaplan, B.A. Ober. California Verbal Learning Test second edition. Adult version. Manual, Psychological Corporation, San Antonio, TX (2000)
Adult
Supplemental
1.0
6/2/2017
Aliases for variable name not defined
California Verbal Learning Test - Second Edition (CVLT-II)
Cognitive Assessment
Outcomes and End Points
  
Free-Form Entry
-3
9
     
C55918
California Verbal Learning Test - Second Edition (CVLT-II) - Recall discriminability score
CVLT2RecDiscrScr
Recall discriminability score, as part of the California Verbal Learning Test (CVLT-II).
   
Numeric Values
Follow instructions in scoring manual for details on scores
Copyright Pearson, Inc. 2000, (http://www.pearsonclinical.com). P.O. Box 599700, San Antonio, TX 78259. D.C. Delis, J.H. Kramer, E. Kaplan, B.A. Ober. California Verbal Learning Test second edition. Adult version. Manual, Psychological Corporation, San Antonio, TX (2000)
Adult
Supplemental
1.0
6/2/2017
Aliases for variable name not defined
California Verbal Learning Test - Second Edition (CVLT-II)
Cognitive Assessment
Outcomes and End Points
  
Free-Form Entry
-4
4
     
C55919
California Verbal Learning Test - Second Edition (CVLT-II) - Recall type
CVLT2RecallTyp
Type of recall, e.g. cued or free, as part of the California Verbal Learning Test (CVLT-II).
 
Cued;Free;
Cued;Free;
Alphanumeric
Select one
Copyright Pearson, Inc. 2000, (http://www.pearsonclinical.com). P.O. Box 599700, San Antonio, TX 78259. D.C. Delis, J.H. Kramer, E. Kaplan, B.A. Ober. California Verbal Learning Test second edition. Adult version. Manual, Psychological Corporation, San Antonio, TX (2000)
Adult
Supplemental
1.0
6/2/2017
Aliases for variable name not defined
California Verbal Learning Test - Second Edition (CVLT-II)
Cognitive Assessment
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
C55920
California Verbal Learning Test - Second Edition (CVLT - II) - Cued recall animal correct word count
CVLT2CueAnimalCorrWordCt
Number of correct words recited by the subject from List A that belong to the category animals , as part of California Verbal Learning Test- Second Edition (CVLT-II).
Tell me all the words from the list A that are animals.
  
Numeric Values
Record number of correct responses for cued recall.
Copyright Pearson, Inc. 2000, (http://www.pearsonclinical.com). P.O. Box 599700, San Antonio, TX 78259. D.C. Delis, J.H. Kramer, E. Kaplan, B.A. Ober. California Verbal Learning Test second edition. Adult version. Manual, Psychological Corporation, San Antonio, TX (2000)
Adult
Supplemental
1.0
6/2/2017
Aliases for variable name not defined
California Verbal Learning Test - Second Edition (CVLT-II)
Cognitive Assessment
Outcomes and End Points
  
Free-Form Entry
0
8
     
12-19-2018
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