F2235-C54616
C54616
Brief Test of Executive Function Adult Version (BRIEF A) - Form version name
Name of the form version used, as part of the Brief Test of Executive Function Adult Version (BRIEF A)
Supplemental
Behavior Rating Inventory of Executive Function - Adult Version (BRIEF-A)
True
Cerebral Palsy
Cerebral Palsy
F2235-C54628
C54628
Brief Test of Executive Function Adult Version (BRIEF A) - Negativity scale protocol classification category
Category of the protocol classification for the value collected under 'Brief Test of Executive Function Adult Version (BRIEF A) - Negativity scale score', as part of the Brief Test of Executive Function Adult Version (BRIEF A)
Supplemental
Behavior Rating Inventory of Executive Function - Adult Version (BRIEF-A)
True
Cerebral Palsy
Cerebral Palsy
F2235-C00007
C00007
Birth date
Date (and time, if applicable and known) the participant was born
Supplemental
Behavior Rating Inventory of Executive Function - Adult Version (BRIEF-A)
True
Cerebral Palsy
Cerebral Palsy
F2235-C54617
C54617
Brief Test of Executive Function Adult Version (BRIEF A) - Scale index score name
Name of the scale or index being scored, as part of the Brief Test of Executive Function Adult Version (BRIEF A)
Supplemental
Behavior Rating Inventory of Executive Function - Adult Version (BRIEF-A)
True
Cerebral Palsy
Cerebral Palsy
F2235-C54629
C54629
Brief Test of Executive Function Adult Version (BRIEF A) - Infrequency scale score
Score for the Infrequency Scale, as part of the Brief Test of Executive Function Adult Version (BRIEF A)
Supplemental
Behavior Rating Inventory of Executive Function - Adult Version (BRIEF-A)
True
Cerebral Palsy
Cerebral Palsy
F2235-C00008
C00008
Age value
Value for participant's age, calculated as elapsed time since the birth of the participant
Supplemental
Behavior Rating Inventory of Executive Function - Adult Version (BRIEF-A)
True
Cerebral Palsy
Cerebral Palsy
F2235-C54618
C54618
Brief Test of Executive Function Adult Version (BRIEF A) - Scale index raw score
Raw score of the selected scale or index, as part of the Brief Test of Executive Function Adult Version (BRIEF A)
Supplemental
Behavior Rating Inventory of Executive Function - Adult Version (BRIEF-A)
True
Cerebral Palsy
Cerebral Palsy
F2235-C54630
C54630
Brief Test of Executive Function Adult Version (BRIEF A) - Infrequency scale protocol classification category
Category of the protocol classification for the value collected under 'Brief Test of Executive Function Adult Version (BRIEF A) - Infrequency scale score', as part of the Brief Test of Executive Function Adult Version (BRIEF A)
Supplemental
Behavior Rating Inventory of Executive Function - Adult Version (BRIEF-A)
True
Cerebral Palsy
Cerebral Palsy
F2235-C00035
C00035
Gender type
Self-reported gender of the participant/subject
Supplemental
Behavior Rating Inventory of Executive Function - Adult Version (BRIEF-A)
True
Cerebral Palsy
Cerebral Palsy
F2235-C54619
C54619
Brief Test of Executive Function Adult Version (BRIEF A) - Scale index result T score
T score of the result of the selected scale or index, as part of the Brief Test of Executive Function Adult Version (BRIEF A)
Supplemental
Behavior Rating Inventory of Executive Function - Adult Version (BRIEF-A)
True
Cerebral Palsy
Cerebral Palsy
F2235-C54631
C54631
Brief Test of Executive Function Adult Version (BRIEF A) - Inconsistency scale score
Score for the Inconsistency Scale, as part of the Brief Test of Executive Function Adult Version (BRIEF A)
Supplemental
Behavior Rating Inventory of Executive Function - Adult Version (BRIEF-A)
True
Cerebral Palsy
Cerebral Palsy
F2235-C08088
C08088
Age value unit of measure
Unit of measure used to initially record the age value
Supplemental
Behavior Rating Inventory of Executive Function - Adult Version (BRIEF-A)
True
Cerebral Palsy
Cerebral Palsy
F2235-C54620
C54620
Brief Test of Executive Function Adult Version (BRIEF A) - Scale index result percentage value
Percentile value of the result of the selected scale or index, as part of the Brief Test of Executive Function Adult Version (BRIEF A)
Supplemental
Behavior Rating Inventory of Executive Function - Adult Version (BRIEF-A)
True
Cerebral Palsy
Cerebral Palsy
F2235-C54632
C54632
Brief Test of Executive Function Adult Version (BRIEF A) - Inconsistency scale protocol classification category
Category of the protocol classification for the value collected under 'Brief Test of Executive Function Adult Version (BRIEF A) - Inconsistency scale score', as part of the Brief Test of Executive Function Adult Version (BRIEF A)
Supplemental
Behavior Rating Inventory of Executive Function - Adult Version (BRIEF-A)
True
Cerebral Palsy
Cerebral Palsy
F2235-C15910
C15910
Assessment date and time
The date of participant's injury
Supplemental
Behavior Rating Inventory of Executive Function - Adult Version (BRIEF-A)
True
Cerebral Palsy
Cerebral Palsy
F2235-C54622
C54622
Brief Test of Executive Function Adult Version (BRIEF A) - Scale index result 90 percent confidence interval low bound value
Value of the lower bound of the 90% confidence interval for the result of the selected scale or index, as part of the Brief Test of Executive Function Adult Version (BRIEF A)
Supplemental
Behavior Rating Inventory of Executive Function - Adult Version (BRIEF-A)
True
Cerebral Palsy
Cerebral Palsy
F2235-C17769
C17769
Rater name
Name of rater
Supplemental
Behavior Rating Inventory of Executive Function - Adult Version (BRIEF-A)
True
Cerebral Palsy
Cerebral Palsy
F2235-C54623
C54623
Brief Test of Executive Function Adult Version (BRIEF A) - Scale index 90 percent confidence interval up bound value
Value of the upper bound of the 90% confidence interval for the result of the selected scale or index, as part of the Brief Test of Executive Function Adult Version (BRIEF A)
Supplemental
Behavior Rating Inventory of Executive Function - Adult Version (BRIEF-A)
True
Cerebral Palsy
Cerebral Palsy
F2235-C21117
C21117
Subject name
Name of subject/participant
Supplemental
Behavior Rating Inventory of Executive Function - Adult Version (BRIEF-A)
True
Cerebral Palsy
Cerebral Palsy
F2235-C54627
C54627
Brief Test of Executive Function Adult Version (BRIEF A) - Negativity scale score
Score for the Negativity Scale, as part of the Brief Test of Executive Function Adult Version (BRIEF A)
Supplemental
Behavior Rating Inventory of Executive Function - Adult Version (BRIEF-A)
True
Cerebral Palsy
Cerebral Palsy
F2292-C00712
C00712
Subscribed drug or substance illicitly used category
Category of illegal drugs, prescription, or over-the-counter drugs subscribed by the participant/subject, and used for purposes other than those for which they are meant to be used, or in large amounts
Supplemental-Highly Recommended
Behavioral History
False
Cerebral Palsy
Cerebral Palsy
F2292-C00704
C00704
Alcohol drinking day average drinks consumed range
The counted number of drinks containing alcohol consumed by the participant/subject on a typical day when he/she is drinking. It is noted that the meaning of "drinks consumed" differs from one nation and culture to another, so the most common alcoholic beverages likely to be consumed will be defined as well as quantity of each that constitutes a drink (approximately 10 grams of pure ethanol). For example, one bottle of beer (330 ml at 5% ethanol), a glass of wine (140 ml at 12% ethanol), and a shot of spirits (40 ml at 40% ethanol) represent a standard drink of about 13 g of ethanol
Supplemental
Behavioral History
False
Cerebral Palsy
Cerebral Palsy
F2292-C00713
C00713
Drug or substance current illicit use indicator
Indicator of participant's/subject's use of illegal drugs, prescription or over-the-counter drugs in the past year for purposes other than those for which they are meant to be used, or in large amounts
Supplemental-Highly Recommended
Behavioral History
False
Cerebral Palsy
Cerebral Palsy
F2292-C00705
C00705
Alcohol current use indicator
Indicator of whether the participant/subject consumed at least one alcoholic drink within the past 12 months
Supplemental
Behavioral History
False
Cerebral Palsy
Cerebral Palsy
F2292-C00714
C00714
Behavioral history assessment date and time
Date (and time, if applicable and known) the participant/subject behavioral history was taken
Supplemental
Behavioral History
False
Cerebral Palsy
Cerebral Palsy