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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: Traumatic Brain Injury
SubDisease: Comprehensive
Sub-Domain: Effort/Symptom Validity
CRF: Word Memory Test
Item count: 308 (28 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;Pediatric
Supplemental
3.0
7/18/2013
Aliases for variable name not defined
Word Memory Test
Effort/Symptom Validity
Outcomes and End Points
GUID
255
Free-Form Entry
       
C19247
Subject ID
SubIDNam
Subject identification ID
Subject ID Number
  
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;Pediatric
Supplemental
1.0
6/5/2014
Aliases for variable name not defined
Word Memory Test
Effort/Symptom Validity
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;Pediatric
Supplemental
3.0
8/28/2013
Aliases for variable name not defined
Word Memory Test
Effort/Symptom Validity
Outcomes and End Points
Age value
 
Free-Form Entry
0
1800
month
    
C04807
Vital status
VitStatus
Status of participant/subject as alive or dead
What is the vital status of the subject?
Alive;Dead;Unknown;
Alive;Dead;Unknown;
Alphanumeric
Status of participant/subject as alive or dead. Choose one.
No references available
Adult;Pediatric
Supplemental
3.0
7/20/2013
Aliases for variable name not defined
Word Memory Test
Effort/Symptom Validity
Outcomes and End Points
Vital status
 
Single Pre-Defined Value Selected
       
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
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.
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;Pediatric
Supplemental
3.0
6/21/2013
Aliases for variable name not defined
Word Memory Test
Effort/Symptom Validity
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;Pediatric
Supplemental
3.0
6/21/2013
Aliases for variable name not defined
Word Memory Test
Effort/Symptom Validity
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;Pediatric
Supplemental
1.0
6/12/2015
Aliases for variable name not defined
Word Memory Test
Effort/Symptom Validity
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
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
7/27/2016
Aliases for variable name not defined
Word Memory Test
Effort/Symptom Validity
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
Use this field to capture additional information
No references available
Adult;Pediatric
Supplemental
1.0
12/15/2016
Aliases for variable name not defined
Word Memory Test
Effort/Symptom Validity
Outcomes and End Points
 
255
Free-Form Entry
       
C53953
Language form administration ISO code
LangFormAdministratISOCode
Code (ISO 639-2) for the language that was used for CRF/instrument/scale/etc. administration
What is the ISO 639 code for the language the form/instrument has been administrated?
chi;cze;dan;dut;eng;fin;fre;ger;gre;heb;hin;hun;ira;ita;jpn;nor;por;rus;sgn;spa;vie;Other, specify;
Chinese;Czech;Danish;Dutch;English;Finnish;French;German;Greek;Hebrew;Hindi;Hungarian;Iranian languages;Italian;Japanese;Norwegian;Portuguese;Russian;Sign language;Spanish;Vietnamese;Other specify;
Alphanumeric
Data Sharing Instructions: The language data should be coded using the ISO 639-2 codes ( (https://www.loc.gov/standards/iso639-2/php/code_list.php) prior to aggregation or sharing. Enter ISO 639-2 code for the language used to administer the CRF/instrument/scale/test/etc. If the language is not specified, the default value is 'eng'- English.
ISO 639-2 language codes (http://www.loc.gov/standards/iso639-2/php/code_list.php)
Adult;Pediatric
Supplemental
1.0
2/10/2017
Aliases for variable name not defined
Word Memory Test
Effort/Symptom Validity
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
C53954
Language form administration ISO code other text
LangFormAdministratISOCodeOTH
The free-text field related to 'Language form administration ISO code' specifying other text.
Other, specify
  
Alphanumeric
"Other text for form administration language ISO 639-2 code. Should be used only if 1) the ISO code is not available under LangCRFAdministratISOCode permissible values or 2) the ISO code is not available at all. If the language is not specified, the default value is 'eng'- English.
"
"ISO 639-2 language codes (http: //www.loc.gov/standards/iso639-2/php/code_list.php)
"
Adult;Pediatric
Supplemental
1.0
2/10/2017
Aliases for variable name not defined
Word Memory Test
Effort/Symptom Validity
Outcomes and End Points
 
4000
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;Pediatric
Supplemental
1.0
7/29/2016
Aliases for variable name not defined
Word Memory Test
Effort/Symptom Validity
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
Enter other text
No references available
Adult;Pediatric
Supplemental
1.0
8/1/2016
Aliases for variable name not defined
Word Memory Test
Effort/Symptom Validity
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;Pediatric
Supplemental
3.0
7/20/2013
Aliases for variable name not defined
Word Memory Test
Effort/Symptom Validity
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;Pediatric
Supplemental
1.0
5/27/2014
Aliases for variable name not defined
Word Memory Test
Effort/Symptom Validity
Outcomes and End Points
 
4000
Free-Form Entry
       
C56521
Word Memory Test (WMT) - Diagnosis text
WMTDiagnosisTxt
Text describing the subject's diagnosis, as part of the Word Memory Test (WMT).
Diagnosis
  
Alphanumeric
Indicate diagnosis for participant
Green, P. (2003). Green's Word Memory Test for Windows User's Manual. Edmonton, Alberta, Canada:Green's Publishing;Green, P., Allen L., & Astner, K. (1996). Manual for computerized Word Memory Test.Durham, NC:CogniSyst; Armistead-Jehle, P., Green, P., Gervais, R. O., & Hungerford, L. D. (2015). An examination of the Word Memory Test as a measure of memory. Applied Neuropsychology: Adult, 22(6), 415-426.
Adult;Pediatric
Supplemental
1.0
6/14/2017
Aliases for variable name not defined
Word Memory Test
Effort/Symptom Validity
Outcomes and End Points
 
4000
Free-Form Entry
       
C56522
Word Memory Test (WMT) - Diagnosis comment text
WMTDiagnosisCommentTxt
Text describing any comments about the subject's diagnosis, as part of the Word Memory Test (WMT).
Other(please specify)
  
Alphanumeric
Use for other category reasons or diagnosis not specified
Green, P. (2003). Green's Word Memory Test for Windows User's Manual. Edmonton, Alberta, Canada:Green's Publishing;Green, P., Allen L., & Astner, K. (1996). Manual for computerized Word Memory Test.Durham, NC:CogniSyst; Armistead-Jehle, P., Green, P., Gervais, R. O., & Hungerford, L. D. (2015). An examination of the Word Memory Test as a measure of memory. Applied Neuropsychology: Adult, 22(6), 415-426.
Adult;Pediatric
Supplemental
1.0
6/14/2017
Aliases for variable name not defined
Word Memory Test
Effort/Symptom Validity
Outcomes and End Points
 
4000
Free-Form Entry
       
C56523
Word Memory Test (WMT) - Diagnosis subcategory text
WMTDiagnosisSubcategoryTxt
Text describing the subcategory of diagnosis, as part of the Word Memory Test (WMT).
Subcategory
  
Alphanumeric
Subcategory of diagnosis
Green, P. (2003). Green's Word Memory Test for Windows User's Manual. Edmonton, Alberta, Canada:Green's Publishing;Green, P., Allen L., & Astner, K. (1996). Manual for computerized Word Memory Test.Durham, NC:CogniSyst; Armistead-Jehle, P., Green, P., Gervais, R. O., & Hungerford, L. D. (2015). An examination of the Word Memory Test as a measure of memory. Applied Neuropsychology: Adult, 22(6), 415-426.
Adult;Pediatric
Supplemental
1.0
6/14/2017
Aliases for variable name not defined
Word Memory Test
Effort/Symptom Validity
Outcomes and End Points
 
4000
Free-Form Entry
       
C56524
Word Memory Test (WMT) - Immediate recognition percentage value
WMTImmedRecogPerVal
The percent of correct answers on the Immediate Recall subtest, as part of the Word Memory Test (WMT).
Immediate Recognition Score
  
Numeric Values
Percentage of words correctly recalled.
Green, P. (2003). Green's Word Memory Test for Windows User's Manual. Edmonton, Alberta, Canada:Green's Publishing;Green, P., Allen L., & Astner, K. (1996). Manual for computerized Word Memory Test.Durham, NC:CogniSyst; Armistead-Jehle, P., Green, P., Gervais, R. O., & Hungerford, L. D. (2015). An examination of the Word Memory Test as a measure of memory. Applied Neuropsychology: Adult, 22(6), 415-426.
Adult;Pediatric
Supplemental
1.0
6/14/2017
Aliases for variable name not defined
Word Memory Test
Effort/Symptom Validity
Outcomes and End Points
  
Free-Form Entry
0
100
     
C56525
Word Memory Test (WMT) - Delay recognition percentage value
WMTDelayRecogPerVal
The percent of correct answers on the Delay Recognition subtest, as part of the Word Memory Test (WMT).
Delay Recognition Score
  
Numeric Values
Percentage of words correctly recalled.
Green, P. (2003). Green's Word Memory Test for Windows User's Manual. Edmonton, Alberta, Canada:Green's Publishing;Green, P., Allen L., & Astner, K. (1996). Manual for computerized Word Memory Test.Durham, NC:CogniSyst; Armistead-Jehle, P., Green, P., Gervais, R. O., & Hungerford, L. D. (2015). An examination of the Word Memory Test as a measure of memory. Applied Neuropsychology: Adult, 22(6), 415-426.
Adult;Pediatric
Supplemental
1.0
6/14/2017
Aliases for variable name not defined
Word Memory Test
Effort/Symptom Validity
Outcomes and End Points
  
Free-Form Entry
0
100
percent
    
C56526
Word Memory Test (WMT) - Consistency percentage value
WMTConsisPerVal
The consistency value, as part of the Word Memory Test (WMT).
Consistency Score
  
Numeric Values
Percentage of words correctly recalled.
Green, P. (2003). Green's Word Memory Test for Windows User's Manual. Edmonton, Alberta, Canada:Green's Publishing;Green, P., Allen L., & Astner, K. (1996). Manual for computerized Word Memory Test.Durham, NC:CogniSyst; Armistead-Jehle, P., Green, P., Gervais, R. O., & Hungerford, L. D. (2015). An examination of the Word Memory Test as a measure of memory. Applied Neuropsychology: Adult, 22(6), 415-426.
Adult;Pediatric
Supplemental
1.0
6/14/2017
Aliases for variable name not defined
Word Memory Test
Effort/Symptom Validity
Outcomes and End Points
  
Free-Form Entry
0
100
percent
    
C56527
Word Memory Test (WMT) - Multiple choice percentage value
WMTMultChoicePerVal
The percent of correct answers on the Multiple Choice portion, as part of the Word Memory Test (WMT).
Multiple Choice Score
  
Numeric Values
Percentage of words correctly recalled.
Green, P. (2003). Green's Word Memory Test for Windows User's Manual. Edmonton, Alberta, Canada:Green's Publishing;Green, P., Allen L., & Astner, K. (1996). Manual for computerized Word Memory Test.Durham, NC:CogniSyst; Armistead-Jehle, P., Green, P., Gervais, R. O., & Hungerford, L. D. (2015). An examination of the Word Memory Test as a measure of memory. Applied Neuropsychology: Adult, 22(6), 415-426.
Adult;Pediatric
Supplemental
1.0
6/14/2017
Aliases for variable name not defined
Word Memory Test
Effort/Symptom Validity
Outcomes and End Points
  
Free-Form Entry
0
100
percent
    
C56528
Word Memory Test (WMT) -Paired associate percentage value
WMTPairAssocPerVal
The percent of correct answers on the Paired Associates subtest, as part of the Word Memory Test (WMT).
Paired Associates Score
  
Numeric Values
Percentage of words correctly recalled.
Green, P. (2003). Green's Word Memory Test for Windows User's Manual. Edmonton, Alberta, Canada:Green's Publishing;Green, P., Allen L., & Astner, K. (1996). Manual for computerized Word Memory Test.Durham, NC:CogniSyst; Armistead-Jehle, P., Green, P., Gervais, R. O., & Hungerford, L. D. (2015). An examination of the Word Memory Test as a measure of memory. Applied Neuropsychology: Adult, 22(6), 415-426.
Adult;Pediatric
Supplemental
1.0
6/14/2017
Aliases for variable name not defined
Word Memory Test
Effort/Symptom Validity
Outcomes and End Points
  
Free-Form Entry
0
100
percent
    
C56529
Word Memory Test (WMT) -Free recall percentage value
WMTFreeRecalPerVal
The percent of correct answers on the Free Recall subtest, as part of the Word Memory Test (WMT).
Free Recall Score
  
Numeric Values
Percentage of words correctly recalled.
Green, P. (2003). Green's Word Memory Test for Windows User's Manual. Edmonton, Alberta, Canada:Green's Publishing;Green, P., Allen L., & Astner, K. (1996). Manual for computerized Word Memory Test.Durham, NC:CogniSyst; Armistead-Jehle, P., Green, P., Gervais, R. O., & Hungerford, L. D. (2015). An examination of the Word Memory Test as a measure of memory. Applied Neuropsychology: Adult, 22(6), 415-426.
Adult;Pediatric
Supplemental
1.0
6/14/2017
Aliases for variable name not defined
Word Memory Test
Effort/Symptom Validity
Outcomes and End Points
  
Free-Form Entry
0
100
percent
    
C56530
Word Memory Test (WMT) -Delay free recall percentage value
WMTLonDelayFreeRecalPerVal
The percent of correct answers on the Delay Free Recall subtest, as part of the Word Memory Test (WMT).
Delay Free Recall Score
  
Numeric Values
Percentage of words correctly recalled.
Green, P. (2003). Green's Word Memory Test for Windows User's Manual. Edmonton, Alberta, Canada:Green's Publishing;Green, P., Allen L., & Astner, K. (1996). Manual for computerized Word Memory Test.Durham, NC:CogniSyst; Armistead-Jehle, P., Green, P., Gervais, R. O., & Hungerford, L. D. (2015). An examination of the Word Memory Test as a measure of memory. Applied Neuropsychology: Adult, 22(6), 415-426.
Adult;Pediatric
Supplemental
1.0
6/14/2017
Aliases for variable name not defined
Word Memory Test
Effort/Symptom Validity
Outcomes and End Points
  
Free-Form Entry
0
100
percent
    
12-14-2018
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