CDE Detailed Report

Disease: Parkinson's Disease
Sub-Domain: Cognitive
CRF: Short Portable Mental Status Questionnaire (SPMSQ)

Displaying 1 - 12 of 12
CDE ID CDE Name Variable Name Definition Short Description Additional Notes (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 / Guideline) Sub Domain Name Domain Name Size Input Restrictions Min Value Max Value Measurement Type External Id Loinc External Id Snomed External Id caDSR External Id CDISC
C09531 Short Portable Mental Status Questionnaire (SPMSQ) - current president USA question text SPMSQCurntUSAPresQuesText Participant/subject's response to the name of the current president of the United States of America as part of the Short Portable Mental Status Questionnaire (SPMSQ) Participant/subject's response to the name of the current president of the United States of America was taken as part of the Short Portable Mental Status Questionnaire (SPMSQ) Who is the president of the United States now? plus;minus plus - correct;minus - incorrect Alphanumeric

Requires only the correct last name.

Pfeiffer, E. A short portable mental status questionnaire for the assessment of organic brain deficit in elderly patients. J Am Geriatr Soc 1975; 23: 433-41. Short Portable Mental Status Questionnaire ( S P M Q ) in: Palmer RM, Meldon SW. Acute Care. In: Principles of Geriatric Medicine and Gerontology, 5th edition, 2003. Eds. Hazzard WR et al. McGraw-Hill Pub. pp 157-168. Geriatrics Review Syllabus: A Core Curriculum Geriatric Medicine, 5th Edition. Malden, MA: Backwell Publishing for the American Geriatric Society; 2002. pp 403-411. Carod-Artal F, Martinez-Martin P, Kummer W, da Silveira Ribeiro L. Psychometric properties of the SCOPA-COG Brazilian version. Mov Disord 2007;23:81-87. Parker C, Philip I. Screening for cognitive impairment among older people in black and minority ethnic groups. Age Ageing 2004;33:447-452. Erkinjuntti T, Sulkava R, WikstrÖm J, Autio L. Short Portable Mental Status Questionnaire as a screening test for dementia and delirium among the elderly. J Am Geriatr Soc 1987;35:412-6. Adult Supplemental 3.00 2013-07-22 09:34:41.527 Short Portable Mental Status Questionnaire (SPMSQ) Cognitive Outcomes and End Points

Single Pre-Defined Value Selected

C09532 SPMSQ president before current question text SPMSQPresBeforeCurntQuestText Participant/subject's response to the name of the president before the current one as part of the Short Portable Mental Status Questionnaire (SPMSQ) Participant/subject's response to the name of the president before the current one as part of the Short Portable Mental Status Questionnaire (SPMSQ) Who was president just before him? plus;minus plus - correct;minus - incorrect Alphanumeric

Requires only the correct last name.

Pfeiffer, E. A short portable mental status questionnaire for the assessment of organic brain deficit in elderly patients. J Am Geriatr Soc 1975; 23: 433-41. Short Portable Mental Status Questionnaire ( S P M Q ) in: Palmer RM, Meldon SW. Acute Care. In: Principles of Geriatric Medicine and Gerontology, 5th edition, 2003. Eds. Hazzard WR et al. McGraw-Hill Pub. pp 157-168. Geriatrics Review Syllabus: A Core Curriculum Geriatric Medicine, 5th Edition. Malden, MA: Backwell Publishing for the American Geriatric Society; 2002. pp 403-411. Carod-Artal F, Martinez-Martin P, Kummer W, da Silveira Ribeiro L. Psychometric properties of the SCOPA-COG Brazilian version. Mov Disord 2007;23:81-87. Parker C, Philip I. Screening for cognitive impairment among older people in black and minority ethnic groups. Age Ageing 2004;33:447-452. Erkinjuntti T, Sulkava R, WikstrÖm J, Autio L. Short Portable Mental Status Questionnaire as a screening test for dementia and delirium among the elderly. J Am Geriatr Soc 1987;35:412-6. Adult Supplemental 3.00 2013-07-22 09:34:41.527 Short Portable Mental Status Questionnaire (SPMSQ) Cognitive Outcomes and End Points

Single Pre-Defined Value Selected

C09533 Short Portable Mental Status Questionnaire (SPMSQ) - mother maiden name status SPMSQMotherMaidenNameStatus Participant/subject's response to what their mother's maiden name was as part of the Short Portable Mental Status Questionnaire (SPMSQ) Participant/subject's response to what their mother's maiden name was as part of the Short Portable Mental Status Questionnaire (SPMSQ) What was your mother's maiden name? plus;minus plus - correct;minus - incorrect Alphanumeric

Needs no verification; it only requires a female first name plus a last name other than the subject's.

Pfeiffer, E. A short portable mental status questionnaire for the assessment of organic brain deficit in elderly patients. J Am Geriatr Soc 1975; 23: 433-41. Short Portable Mental Status Questionnaire ( S P M Q ) in: Palmer RM, Meldon SW. Acute Care. In: Principles of Geriatric Medicine and Gerontology, 5th edition, 2003. Eds. Hazzard WR et al. McGraw-Hill Pub. pp 157-168. Geriatrics Review Syllabus: A Core Curriculum Geriatric Medicine, 5th Edition. Malden, MA: Backwell Publishing for the American Geriatric Society; 2002. pp 403-411. Carod-Artal F, Martinez-Martin P, Kummer W, da Silveira Ribeiro L. Psychometric properties of the SCOPA-COG Brazilian version. Mov Disord 2007;23:81-87. Parker C, Philip I. Screening for cognitive impairment among older people in black and minority ethnic groups. Age Ageing 2004;33:447-452. Erkinjuntti T, Sulkava R, WikstrÖm J, Autio L. Short Portable Mental Status Questionnaire as a screening test for dementia and delirium among the elderly. J Am Geriatr Soc 1987;35:412-6. Adult Supplemental 3.00 2013-07-22 09:34:41.527 Short Portable Mental Status Questionnaire (SPMSQ) Cognitive Outcomes and End Points

Single Pre-Defined Value Selected

C09523 Short Portable Mental Status Questionnaire (SPMSQ) - current date result SPMSQCurrentDateReslt Participant/subject's response to the date the test was taken as part of the Short Portable Mental Status Questionnaire (SPMSQ) Participant/subject's response to the date the test was taken as part of the Short Portable Mental Status Questionnaire (SPMSQ) What is the date today? plus;minus plus - correct;minus - incorrect Alphanumeric

Correct only when the month, date, and year are all correct.

Pfeiffer, E. A short portable mental status questionnaire for the assessment of organic brain deficit in elderly patients. J Am Geriatr Soc 1975; 23: 433-41. Short Portable Mental Status Questionnaire ( S P M Q ) in: Palmer RM, Meldon SW. Acute Care. In: Principles of Geriatric Medicine and Gerontology, 5th edition, 2003. Eds. Hazzard WR et al. McGraw-Hill Pub. pp 157-168. Geriatrics Review Syllabus: A Core Curriculum Geriatric Medicine, 5th Edition. Malden, MA: Backwell Publishing for the American Geriatric Society; 2002. pp 403-411. Carod-Artal F, Martinez-Martin P, Kummer W, da Silveira Ribeiro L. Psychometric properties of the SCOPA-COG Brazilian version. Mov Disord 2007;23:81-87. Parker C, Philip I. Screening for cognitive impairment among older people in black and minority ethnic groups. Age Ageing 2004;33:447-452. Erkinjuntti T, Sulkava R, WikstrÖm J, Autio L. Short Portable Mental Status Questionnaire as a screening test for dementia and delirium among the elderly. J Am Geriatr Soc 1987;35:412-6. Adult Supplemental 3.00 2013-07-22 09:34:41.527 Short Portable Mental Status Questionnaire (SPMSQ) Cognitive Outcomes and End Points

Single Pre-Defined Value Selected

C09534 Short Portable Mental Status Questionnaire (SPMSQ) - total error score SPMSQTotalErrorScore Participant/subject's total errors on the test as part of the Short Portable Mental Status Questionnaire (SPMSQ) Participant/subject's total errors on the test as part of the Short Portable Mental Status Questionnaire (SPMSQ) Total number of errors Numeric Values

Scoring: Maximum = 10. 0-2 errors = Intact Intellectual Functioning; 3-4 errors = Mild Intellectual Impairment; 5-7 errors = Moderate Intellectual Impairment; 8-10 errors = Severe Intellectual Impairment Allow more than one error for a subject with one a grade school education. Allow one less error for a subject with education beyond high school. Allow one more error for African-American subjects, using identical educational criteria.

Pfeiffer, E. A short portable mental status questionnaire for the assessment of organic brain deficit in elderly patients. J Am Geriatr Soc 1975; 23: 433-41. Short Portable Mental Status Questionnaire ( S P M Q ) in: Palmer RM, Meldon SW. Acute Care. In: Principles of Geriatric Medicine and Gerontology, 5th edition, 2003. Eds. Hazzard WR et al. McGraw-Hill Pub. pp 157-168. Geriatrics Review Syllabus: A Core Curriculum Geriatric Medicine, 5th Edition. Malden, MA: Backwell Publishing for the American Geriatric Society; 2002. pp 403-411. Carod-Artal F, Martinez-Martin P, Kummer W, da Silveira Ribeiro L. Psychometric properties of the SCOPA-COG Brazilian version. Mov Disord 2007;23:81-87. Parker C, Philip I. Screening for cognitive impairment among older people in black and minority ethnic groups. Age Ageing 2004;33:447-452. Erkinjuntti T, Sulkava R, WikstrÖm J, Autio L. Short Portable Mental Status Questionnaire as a screening test for dementia and delirium among the elderly. J Am Geriatr Soc 1987;35:412-6. Adult Supplemental 3.00 2013-07-22 09:34:41.527 Short Portable Mental Status Questionnaire (SPMSQ) Cognitive Outcomes and End Points

Free-Form Entry

0 10
C09524 Short Portable Mental Status Questionnaire (SPMSQ) - subtract 3 status SPMSQSubtract3Status Participant/subject's response when subtracting 3 from 20 then subtracting 3 all the way down as part of the Short Portable Mental Status Questionnaire (SPMSQ) Participant/subject's response when subtracting 3 from 20 then subtracting 3 all the way down as part of the Short Portable Mental Status Questionnaire (SPMSQ) Subtract 3 from 20 and keep subtracting 3 from each new number, all the way down plus;minus plus - correct;minus - incorrect Alphanumeric

The entire series must be performed correctly to be scored as correct. Any error in the series-or an unwillingness to attempt the series-is scored as incorrect.

Pfeiffer, E. A short portable mental status questionnaire for the assessment of organic brain deficit in elderly patients. J Am Geriatr Soc 1975; 23: 433-41. Short Portable Mental Status Questionnaire ( S P M Q ) in: Palmer RM, Meldon SW. Acute Care. In: Principles of Geriatric Medicine and Gerontology, 5th edition, 2003. Eds. Hazzard WR et al. McGraw-Hill Pub. pp 157-168. Geriatrics Review Syllabus: A Core Curriculum Geriatric Medicine, 5th Edition. Malden, MA: Backwell Publishing for the American Geriatric Society; 2002. pp 403-411. Carod-Artal F, Martinez-Martin P, Kummer W, da Silveira Ribeiro L. Psychometric properties of the SCOPA-COG Brazilian version. Mov Disord 2007;23:81-87. Parker C, Philip I. Screening for cognitive impairment among older people in black and minority ethnic groups. Age Ageing 2004;33:447-452. Erkinjuntti T, Sulkava R, WikstrÖm J, Autio L. Short Portable Mental Status Questionnaire as a screening test for dementia and delirium among the elderly. J Am Geriatr Soc 1987;35:412-6. Adult Supplemental 3.00 2013-07-22 09:34:41.527 Short Portable Mental Status Questionnaire (SPMSQ) Cognitive Outcomes and End Points

Single Pre-Defined Value Selected

C09525 Short Portable Mental Status Questionnaire (SPMSQ) - day week question text SPMSQDayWeekQuestTxt Participant/subject's response of the day of the week the test was taken as part of the Short Portable Mental Status Questionnaire (SPMSQ) Participant/subject's response of the day of the week the test was taken as part of the Short Portable Mental Status Questionnaire (SPMSQ) What day of the week is it? plus;minus plus - correct;minus - incorrect Alphanumeric

Correct only when the day is correct.

Pfeiffer, E. A short portable mental status questionnaire for the assessment of organic brain deficit in elderly patients. J Am Geriatr Soc 1975; 23: 433-41. Short Portable Mental Status Questionnaire ( S P M Q ) in: Palmer RM, Meldon SW. Acute Care. In: Principles of Geriatric Medicine and Gerontology, 5th edition, 2003. Eds. Hazzard WR et al. McGraw-Hill Pub. pp 157-168. Geriatrics Review Syllabus: A Core Curriculum Geriatric Medicine, 5th Edition. Malden, MA: Backwell Publishing for the American Geriatric Society; 2002. pp 403-411. Carod-Artal F, Martinez-Martin P, Kummer W, da Silveira Ribeiro L. Psychometric properties of the SCOPA-COG Brazilian version. Mov Disord 2007;23:81-87. Parker C, Philip I. Screening for cognitive impairment among older people in black and minority ethnic groups. Age Ageing 2004;33:447-452. Erkinjuntti T, Sulkava R, WikstrÖm J, Autio L. Short Portable Mental Status Questionnaire as a screening test for dementia and delirium among the elderly. J Am Geriatr Soc 1987;35:412-6. Adult Supplemental 3.00 2013-07-22 09:34:41.527 Short Portable Mental Status Questionnaire (SPMSQ) Cognitive Outcomes and End Points

Single Pre-Defined Value Selected

C09526 Short Portable Mental Status Questionnaire (SPMSQ) - name place test taken question text SPMSQNamePlaceTestTakeQuestTxt Participant/subject's response to the name of the place the test was taken as part of the Short Portable Mental Status Questionnaire (SPMSQ) Participant/subject's response to the name of the place the test was taken as part of the Short Portable Mental Status Questionnaire (SPMSQ) What is the name of this place? plus;minus plus - correct;minus - incorrect Alphanumeric

Correct if any of the description of the location is given. "My home," the correct city/town, or the correct name of the hospital/institution are all acceptable

Pfeiffer, E. A short portable mental status questionnaire for the assessment of organic brain deficit in elderly patients. J Am Geriatr Soc 1975; 23: 433-41. Short Portable Mental Status Questionnaire ( S P M Q ) in: Palmer RM, Meldon SW. Acute Care. In: Principles of Geriatric Medicine and Gerontology, 5th edition, 2003. Eds. Hazzard WR et al. McGraw-Hill Pub. pp 157-168. Geriatrics Review Syllabus: A Core Curriculum Geriatric Medicine, 5th Edition. Malden, MA: Backwell Publishing for the American Geriatric Society; 2002. pp 403-411. Carod-Artal F, Martinez-Martin P, Kummer W, da Silveira Ribeiro L. Psychometric properties of the SCOPA-COG Brazilian version. Mov Disord 2007;23:81-87. Parker C, Philip I. Screening for cognitive impairment among older people in black and minority ethnic groups. Age Ageing 2004;33:447-452. Erkinjuntti T, Sulkava R, WikstrÖm J, Autio L. Short Portable Mental Status Questionnaire as a screening test for dementia and delirium among the elderly. J Am Geriatr Soc 1987;35:412-6. Adult Supplemental 3.00 2013-07-22 09:34:41.527 Short Portable Mental Status Questionnaire (SPMSQ) Cognitive Outcomes and End Points

Single Pre-Defined Value Selected

C09527 Short Portable Mental Status Questionnaire (SPMSQ) - telephone number SPMSQTelephoneNum Participant/subject's response to what their telephone number is as part of the Short Portable Mental Status Questionnaire (SPMSQ) Participant/subject's response to what their telephone number is as part of the Short Portable Mental Status Questionnaire (SPMSQ) What is your telephone number? plus;minus plus - correct;minus - incorrect Alphanumeric

Correct when the number can be verified or the subject can repeat the same number at a later time in the interview.

Pfeiffer, E. A short portable mental status questionnaire for the assessment of organic brain deficit in elderly patients. J Am Geriatr Soc 1975; 23: 433-41. Short Portable Mental Status Questionnaire ( S P M Q ) in: Palmer RM, Meldon SW. Acute Care. In: Principles of Geriatric Medicine and Gerontology, 5th edition, 2003. Eds. Hazzard WR et al. McGraw-Hill Pub. pp 157-168. Geriatrics Review Syllabus: A Core Curriculum Geriatric Medicine, 5th Edition. Malden, MA: Backwell Publishing for the American Geriatric Society; 2002. pp 403-411. Carod-Artal F, Martinez-Martin P, Kummer W, da Silveira Ribeiro L. Psychometric properties of the SCOPA-COG Brazilian version. Mov Disord 2007;23:81-87. Parker C, Philip I. Screening for cognitive impairment among older people in black and minority ethnic groups. Age Ageing 2004;33:447-452. Erkinjuntti T, Sulkava R, WikstrÖm J, Autio L. Short Portable Mental Status Questionnaire as a screening test for dementia and delirium among the elderly. J Am Geriatr Soc 1987;35:412-6. Adult Supplemental 3.00 2013-07-22 09:34:41.527 Short Portable Mental Status Questionnaire (SPMSQ) Cognitive Outcomes and End Points

Single Pre-Defined Value Selected

C09528 Short Portable Mental Status Questionnaire (SPMSQ) - address question text SPMSQAddressQuestTxt Participant/subject's response to what their address is as part of the Short Portable Mental Status Questionnaire (SPMSQ) Participant/subject's response to what their address is as part of the Short Portable Mental Status Questionnaire (SPMSQ) What is your street address? plus;minus plus - correct;minus - incorrect Alphanumeric

Ask only if the subject does not have a telephone.

Pfeiffer, E. A short portable mental status questionnaire for the assessment of organic brain deficit in elderly patients. J Am Geriatr Soc 1975; 23: 433-41. Short Portable Mental Status Questionnaire ( S P M Q ) in: Palmer RM, Meldon SW. Acute Care. In: Principles of Geriatric Medicine and Gerontology, 5th edition, 2003. Eds. Hazzard WR et al. McGraw-Hill Pub. pp 157-168. Geriatrics Review Syllabus: A Core Curriculum Geriatric Medicine, 5th Edition. Malden, MA: Backwell Publishing for the American Geriatric Society; 2002. pp 403-411. Carod-Artal F, Martinez-Martin P, Kummer W, da Silveira Ribeiro L. Psychometric properties of the SCOPA-COG Brazilian version. Mov Disord 2007;23:81-87. Parker C, Philip I. Screening for cognitive impairment among older people in black and minority ethnic groups. Age Ageing 2004;33:447-452. Erkinjuntti T, Sulkava R, WikstrÖm J, Autio L. Short Portable Mental Status Questionnaire as a screening test for dementia and delirium among the elderly. J Am Geriatr Soc 1987;35:412-6. Adult Supplemental 3.00 2013-07-22 09:34:41.527 Short Portable Mental Status Questionnaire (SPMSQ) Cognitive Outcomes and End Points

Single Pre-Defined Value Selected

C09529 Short Portable Mental Status Questionnaire (SPMSQ) - age value SPMSQAgeVal Participant/subject's response to what their age at the time of the test is as part of the Short Portable Mental Status Questionnaire (SPMSQ) Participant/subject's response to what their age at the time of the test is as part of the Short Portable Mental Status Questionnaire (SPMSQ) How old are you? plus;minus plus - correct;minus - incorrect Alphanumeric

Correct when the stated age corresponds to the date of birth.

Pfeiffer, E. A short portable mental status questionnaire for the assessment of organic brain deficit in elderly patients. J Am Geriatr Soc 1975; 23: 433-41. Short Portable Mental Status Questionnaire ( S P M Q ) in: Palmer RM, Meldon SW. Acute Care. In: Principles of Geriatric Medicine and Gerontology, 5th edition, 2003. Eds. Hazzard WR et al. McGraw-Hill Pub. pp 157-168. Geriatrics Review Syllabus: A Core Curriculum Geriatric Medicine, 5th Edition. Malden, MA: Backwell Publishing for the American Geriatric Society; 2002. pp 403-411. Carod-Artal F, Martinez-Martin P, Kummer W, da Silveira Ribeiro L. Psychometric properties of the SCOPA-COG Brazilian version. Mov Disord 2007;23:81-87. Parker C, Philip I. Screening for cognitive impairment among older people in black and minority ethnic groups. Age Ageing 2004;33:447-452. Erkinjuntti T, Sulkava R, WikstrÖm J, Autio L. Short Portable Mental Status Questionnaire as a screening test for dementia and delirium among the elderly. J Am Geriatr Soc 1987;35:412-6. Adult Supplemental 3.00 2013-07-22 09:34:41.527 Short Portable Mental Status Questionnaire (SPMSQ) Cognitive Outcomes and End Points

Single Pre-Defined Value Selected

C09530 Short Portable Mental Status Questionnaire (SPMSQ) - birth date result SPMSQDateBirthDateReslt Participant/subject's response to the date they were born as part of the Short Portable Mental Status Questionnaire (SPMSQ) Participant/subject's response to the date he or she was born as part of the Short Portable Mental Status Questionnaire (SPMSQ) When were you born? plus;minus plus - correct;minus - incorrect Alphanumeric

Correct only when the month, date, and year are correct.

Pfeiffer, E. A short portable mental status questionnaire for the assessment of organic brain deficit in elderly patients. J Am Geriatr Soc 1975; 23: 433-41. Short Portable Mental Status Questionnaire ( S P M Q ) in: Palmer RM, Meldon SW. Acute Care. In: Principles of Geriatric Medicine and Gerontology, 5th edition, 2003. Eds. Hazzard WR et al. McGraw-Hill Pub. pp 157-168. Geriatrics Review Syllabus: A Core Curriculum Geriatric Medicine, 5th Edition. Malden, MA: Backwell Publishing for the American Geriatric Society; 2002. pp 403-411. Carod-Artal F, Martinez-Martin P, Kummer W, da Silveira Ribeiro L. Psychometric properties of the SCOPA-COG Brazilian version. Mov Disord 2007;23:81-87. Parker C, Philip I. Screening for cognitive impairment among older people in black and minority ethnic groups. Age Ageing 2004;33:447-452. Erkinjuntti T, Sulkava R, WikstrÖm J, Autio L. Short Portable Mental Status Questionnaire as a screening test for dementia and delirium among the elderly. J Am Geriatr Soc 1987;35:412-6. Adult Supplemental 3.00 2013-07-22 09:34:41.527 Short Portable Mental Status Questionnaire (SPMSQ) Cognitive Outcomes and End Points

Single Pre-Defined Value Selected

CSV