CDE Detailed Report

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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
C21080 Frontal Systems Behavior Scale (FrSBE) - Disinhibition subscale T score FrSBeDisinhibitionTScore T score for Disinhibition subscale as part of Frontal Systems Behavior Scale (FrSBE) T score for Disinhibition subscale as part of Frontal Systems Behavior Scale (FrSBE) Disinhibition subscale T score Numeric Values

To plot an individual's FrSBe profile, one must first convert the raw scores to T scores using the normative tables located in the appendixes of this manual. Identify the appropriate normative tables according to the rating form used (Self-Rating or Family Rating Form), the gender, age, and education level of the rated individual, and the Total scale or subscale needed. Locate the specific raw score for the Total scale in the Total scale appendix table. Then, locate the corresponding T score for the selected raw score for the Total scale. Enter the T score in the space provided just below the corresponding raw score on the bottom of the profile form. Use the same procedure to convert the subscale raw scores to T scores.

Adult;Pediatric Supplemental 1.00 2015-05-26 09:55:58.0 Frontal Systems Behavioral Scale (FrSBe) [php] [php_1]

Free-Form Entry

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C21010 Frontal Systems Behavior Scale (FrSBE) - Law authority difficulty frequency scale FrSBeTroubleWithAuthorityFreq Frequency of getting in trouble with the law or authorities as part of Frontal Systems Behavior Scale (FrSBE) - Disinhibition subscale Frequency of getting in trouble with the law or authorities as part of Frontal Systems Behavior Scale (FrSBE) - Disinhibition subscale Gets in trouble with the law or authorities 1;2;3;4;5 Almost never;seldom;Sometimes;Frequently;Almost always Numeric Values

As part of (your or your family member's) evaluation, it would be helpful to have your observations about (your or his/her) behavior. This questionnaire will allow us to better understand (your or your relative's) behavior. You will be asked to rate the frequency of (your or his/her) behavior on a scale of 1 to 5 where 1 is Almost never, 2 is Seldom, 3 is Sometimes, 4 is Frequently, and 5 is Almost always. You will be asked to rate (your or his/her) behavior at two points in time: before (your or his/her) illness, injury, or problems began and at the present time, or after the illness or injury occurred. Be sure you complete both columns on the form since they are both important for measuring changes in (your or your relative's) behavior. Please read each of the phrases on the form that are used to describe a person's behavior. The questionnaire asks, "How often (do you or does your relative) engage in the behavior described at each point in time?'' Circle the number in each column, Before illness or injury and After illness or injury, that corresponds to your rating for the behavior described.

Grace J, Malloy PF. Frontal Systems Behavior Scale professional manual. Lutz, FL: Psychological Assessment Resources, Inc.; 2001. Copyright 2001 by PAR, (http://www4.parinc.com/) Adult;Pediatric Supplemental 1.00 2015-05-26 09:55:58.0 Frontal Systems Behavioral Scale (FrSBe) [php] [php_1]

Single Pre-Defined Value Selected

C21105 Frontal Systems Behavior Scale (FrSBE) - Invalid score indicator FrSBeInvalidInd Indicator if Frontal Systems Behavior Scale (FrSBE) is invalid (has more than 5 questions missing) Indicator if Frontal Systems Behavior Scale (FrSBE) is invalid (has more than 5 questions missing) Frontal Systems Behavior Scale (FrSBE) is invalid indicator No;Yes;Unknown No;Yes;Unknown Numeric Values

If the total number of missing items is 6 or more, the FrSBe can? not be appropriately scored or interpreted and should therefore be considered invalid. Otherwise, assign an item raw score value of "1" for each of the 5 or fewer items with missing responses on the scoring sheet. If there are 3 or more items with missing responses on a particular subscale (A, D, or E), that subscale should be considered invalid and should not be interpreted. However, BEFORE and AFTER raw scores for that subscale should still be calculated (by assigning item raw score values of "1" to the missing items) and used in the calculation of the FrSBe Total score, as long as the total number of missing items on the rating form does not exceed 5.

Adult;Pediatric Supplemental 1.00 2015-05-26 09:55:58.0 Frontal Systems Behavioral Scale (FrSBe) [php] [php_1]

Single Pre-Defined Value Selected

C21036 Frontal Systems Behavior Scale (FrSBE) - Planning ability frequency scale FrSBeAblePlanAheadFreq Frequency of being able to plan ahead as part of Frontal Systems Behavior Scale (FrSBE) - Executive Dysfunction subscale Frequency of being able to plan ahead as part of Frontal Systems Behavior Scale (FrSBE) - Executive Dysfunction subscale Is able to plan ahead 5;4;3;2;1 Almost never;Seldom;Sometimes;Frequently;Almost always Numeric Values

Reverse scoring. The instructions may be simplified or repeated as often as necessary until the rater fully understands them. As noted earlier, the examiner should remain available to answer any questions the patient or rater may have (regardless of any cognitive limitations they may have) as they complete the appropriate rating form. It should be noted that there is a visual break on the second page of each rating form between Items 32 and 33, along with the instruction "Read each of the following items carefully before responding." This is to ensure that the rater is alert to the shift in item content, namely from items reflecting negative or maladaptive behaviors (Items 1-32) to items reflecting more positive or adaptive behaviors (Items 33-46). It is recommended that the examiner visually inspect the rater's responses to Items 33-46 to confirm that the pattern of ratings has changed in the appropriate direction. If it appears that the rater has not responded to these items in the expected direction, then the examiner should review with the rater his or her individual responses to these items.

Adult;Pediatric Supplemental 1.00 2015-05-26 09:55:58.0 Frontal Systems Behavioral Scale (FrSBe) [php] [php_1]

Single Pre-Defined Value Selected

C21058 Frontal Systems Behavior Scale (FrSBE) - Action sequence error frequency scale FrSBeMixesUpSequencesFreq Frequency of mixing up a sequence, getting confused when doing several things in a row as part of Frontal Systems Behavior Scale (FrSBE) - Executive Dysfunction subscale Frequency of mixing up a sequence, getting confused when doing several things in a row as part of Frontal Systems Behavior Scale (FrSBE) - Executive Dysfunction subscale Mixes up a sequence, gets confused when doing several things in a row 1;2;3;4;5 Almost never;seldom;Sometimes;Frequently;Almost always Numeric Values

As part of (your or your family member's) evaluation, it would be helpful to have your observations about (your or his/her) behavior. This questionnaire will allow us to better understand (your or your relative's) behavior. You will be asked to rate the frequency of (your or his/her) behavior on a scale of 1 to 5 where 1 is Almost never, 2 is Seldom, 3 is Sometimes, 4 is Frequently, and 5 is Almost always. You will be asked to rate (your or his/her) behavior at two points in time: before (your or his/her) illness, injury, or problems began and at the present time, or after the illness or injury occurred. Be sure you complete both columns on the form since they are both important for measuring changes in (your or your relative's) behavior. Please read each of the phrases on the form that are used to describe a person's behavior. The questionnaire asks, "How often (do you or does your relative) engage in the behavior described at each point in time?'' Circle the number in each column, Before illness or injury and After illness or injury, that corresponds to your rating for the behavior described.

Grace J, Malloy PF. Frontal Systems Behavior Scale professional manual. Lutz, FL: Psychological Assessment Resources, Inc.; 2001. Copyright 2001 by PAR, (http://www4.parinc.com/) Adult;Pediatric Supplemental 1.00 2015-05-26 09:55:58.0 Frontal Systems Behavioral Scale (FrSBe) [php] [php_1]

Single Pre-Defined Value Selected

C20982 Frontal Systems Behavior Scale (FrSBE) - Interrupt conversation frequency scale FrSBeTalkOutOfTurnFreq Frequency of talking out of turn, interrupts others in conversations as part of Frontal Systems Behavior Scale (FrSBE) - Disinhibition subscale Frequency of talking out of turn, interrupts others in conversations as part of Frontal Systems Behavior Scale (FrSBE) - Disinhibition subscale Talks out of turn, interrupts others in conversations 1;2;3;4;5 Almost never;seldom;Sometimes;Frequently;Almost always Numeric Values

As part of (your or your family member's) evaluation, it would be helpful to have your observations about (your or his/her) behavior. This questionnaire will allow us to better understand (your or your relative's) behavior. You will be asked to rate the frequency of (your or his/her) behavior on a scale of 1 to 5 where 1 is Almost never, 2 is Seldom, 3 is Sometimes, 4 is Frequently, and 5 is Almost always. You will be asked to rate (your or his/her) behavior at two points in time: before (your or his/her) illness, injury, or problems began and at the present time, or after the illness or injury occurred. Be sure you complete both columns on the form since they are both important for measuring changes in (your or your relative's) behavior. Please read each of the phrases on the form that are used to describe a person's behavior. The questionnaire asks, "How often (do you or does your relative) engage in the behavior described at each point in time?'' Circle the number in each column, Before illness or injury and After illness or injury, that corresponds to your rating for the behavior described.

Grace J, Malloy PF. Frontal Systems Behavior Scale professional manual. Lutz, FL: Psychological Assessment Resources, Inc.; 2001. Copyright 2001 by PAR, (http://www4.parinc.com/) Adult;Pediatric Supplemental 1.00 2015-05-26 09:55:58.0 Frontal Systems Behavioral Scale (FrSBe) [php] [php_1]

Single Pre-Defined Value Selected

C21082 Frontal Systems Behavior Scale (FrSBE) - Executive Dysfunction subscale T score FrSBeExecutiveDysfunctTScore T score for Executive Dysfunction subscale as part of Frontal Systems Behavior Scale (FrSBE) T score for Executive Dysfunction subscale as part of Frontal Systems Behavior Scale (FrSBE) Executive Dysfunction subscale T score Numeric Values

To plot an individual's FrSBe profile, one must first convert the raw scores to T scores using the normative tables located in the appendixes of this manual. Identify the appropriate normative tables according to the rating form used (Self-Rating or Family Rating Form), the gender, age, and education level of the rated individual, and the Total scale or subscale needed. Locate the specific raw score for the Total scale in the Total scale appendix table. Then, locate the corresponding T score for the selected raw score for the Total scale. Enter the T score in the space provided just below the corresponding raw score on the bottom of the profile form. Use the same procedure to convert the subscale raw scores to T scores.

Adult;Pediatric Supplemental 1.00 2015-05-26 09:55:58.0 Frontal Systems Behavioral Scale (FrSBe) [php] [php_1]

Free-Form Entry

27 150
C21012 Frontal Systems Behavior Scale (FrSBE) - Risk-taker frequency scale FrSBeDoesRecklessThingsFreq Frequency of doing risky things just for the heck of it as part of Frontal Systems Behavior Scale (FrSBE) - Disinhibition subscale Frequency of doing risky things just for the heck of it as part of Frontal Systems Behavior Scale (FrSBE) - Disinhibition subscale Does risky things just for the heck of it 1;2;3;4;5 Almost never;seldom;Sometimes;Frequently;Almost always Numeric Values

As part of (your or your family member's) evaluation, it would be helpful to have your observations about (your or his/her) behavior. This questionnaire will allow us to better understand (your or your relative's) behavior. You will be asked to rate the frequency of (your or his/her) behavior on a scale of 1 to 5 where 1 is Almost never, 2 is Seldom, 3 is Sometimes, 4 is Frequently, and 5 is Almost always. You will be asked to rate (your or his/her) behavior at two points in time: before (your or his/her) illness, injury, or problems began and at the present time, or after the illness or injury occurred. Be sure you complete both columns on the form since they are both important for measuring changes in (your or your relative's) behavior. Please read each of the phrases on the form that are used to describe a person's behavior. The questionnaire asks, "How often (do you or does your relative) engage in the behavior described at each point in time?'' Circle the number in each column, Before illness or injury and After illness or injury, that corresponds to your rating for the behavior described.

Grace J, Malloy PF. Frontal Systems Behavior Scale professional manual. Lutz, FL: Psychological Assessment Resources, Inc.; 2001. Copyright 2001 by PAR, (http://www4.parinc.com/) Adult;Pediatric Supplemental 1.00 2015-05-26 09:55:58.0 Frontal Systems Behavioral Scale (FrSBe) [php] [php_1]

Single Pre-Defined Value Selected

C21037 Frontal Systems Behavior Scale (FrSBE) - Sexual intimacy interest frequency scale FrSBeInterestedInSexFreq Frequency of being interested in sex as part of Frontal Systems Behavior Scale (FrSBE) - Apathy subscale Frequency of being interested in sex as part of Frontal Systems Behavior Scale (FrSBE) - Apathy subscale Is interested in sex 5;4;3;2;1 Almost never;Seldom;Sometimes;Frequently;Almost always Numeric Values

Reverse scoring. The instructions may be simplified or repeated as often as necessary until the rater fully understands them. As noted earlier, the examiner should remain available to answer any questions the patient or rater may have (regardless of any cognitive limitations they may have) as they complete the appropriate rating form. It should be noted that there is a visual break on the second page of each rating form between Items 32 and 33, along with the instruction "Read each of the following items carefully before responding." This is to ensure that the rater is alert to the shift in item content, namely from items reflecting negative or maladaptive behaviors (Items 1-32) to items reflecting more positive or adaptive behaviors (Items 33-46). It is recommended that the examiner visually inspect the rater's responses to Items 33-46 to confirm that the pattern of ratings has changed in the appropriate direction. If it appears that the rater has not responded to these items in the expected direction, then the examiner should review with the rater his or her individual responses to these items.

Adult;Pediatric Supplemental 1.00 2015-05-26 09:55:58.0 Frontal Systems Behavioral Scale (FrSBe) [php] [php_1]

Single Pre-Defined Value Selected

C21060 Frontal Systems Behavior Scale (FrSBE) - Laugh or cry easily frequency scale FrSBeCriesLaughsTooEasilyFreq Frequency of laughing or crying too easily as part of Frontal Systems Behavior Scale (FrSBE) - Disinhibition subscale Frequency of laughing or crying too easily as part of Frontal Systems Behavior Scale (FrSBE) - Disinhibition subscale Laughs or cries too easily 1;2;3;4;5 Almost never;seldom;Sometimes;Frequently;Almost always Numeric Values

As part of (your or your family member's) evaluation, it would be helpful to have your observations about (your or his/her) behavior. This questionnaire will allow us to better understand (your or your relative's) behavior. You will be asked to rate the frequency of (your or his/her) behavior on a scale of 1 to 5 where 1 is Almost never, 2 is Seldom, 3 is Sometimes, 4 is Frequently, and 5 is Almost always. You will be asked to rate (your or his/her) behavior at two points in time: before (your or his/her) illness, injury, or problems began and at the present time, or after the illness or injury occurred. Be sure you complete both columns on the form since they are both important for measuring changes in (your or your relative's) behavior. Please read each of the phrases on the form that are used to describe a person's behavior. The questionnaire asks, "How often (do you or does your relative) engage in the behavior described at each point in time?'' Circle the number in each column, Before illness or injury and After illness or injury, that corresponds to your rating for the behavior described.

Grace J, Malloy PF. Frontal Systems Behavior Scale professional manual. Lutz, FL: Psychological Assessment Resources, Inc.; 2001. Copyright 2001 by PAR, (http://www4.parinc.com/) Adult;Pediatric Supplemental 1.00 2015-05-26 09:55:58.0 Frontal Systems Behavioral Scale (FrSBe) [php] [php_1]

Single Pre-Defined Value Selected

C20985 Frontal Systems Behavior Scale (FrSBE) - Poor judgment problem solver frequency scale FrSBePoorJudgementFreq Frequency of showing poor judgment, is a poor problem solver as part of Frontal Systems Behavior Scale (FrSBE) - Executive Dysfunction subscale Frequency of showing poor judgment, is a poor problem solver as part of Frontal Systems Behavior Scale (FrSBE) - Executive Dysfunction subscale Shows poor judgment, is a poor problem solver 1;2;3;4;5 Almost never;seldom;Sometimes;Frequently;Almost always Numeric Values

As part of (your or your family member's) evaluation, it would be helpful to have your observations about (your or his/her) behavior. This questionnaire will allow us to better understand (your or your relative's) behavior. You will be asked to rate the frequency of (your or his/her) behavior on a scale of 1 to 5 where 1 is Almost never, 2 is Seldom, 3 is Sometimes, 4 is Frequently, and 5 is Almost always. You will be asked to rate (your or his/her) behavior at two points in time: before (your or his/her) illness, injury, or problems began and at the present time, or after the illness or injury occurred. Be sure you complete both columns on the form since they are both important for measuring changes in (your or your relative's) behavior. Please read each of the phrases on the form that are used to describe a person's behavior. The questionnaire asks, "How often (do you or does your relative) engage in the behavior described at each point in time?'' Circle the number in each column, Before illness or injury and After illness or injury, that corresponds to your rating for the behavior described.

Grace J, Malloy PF. Frontal Systems Behavior Scale professional manual. Lutz, FL: Psychological Assessment Resources, Inc.; 2001. Copyright 2001 by PAR, (http://www4.parinc.com/) Adult;Pediatric Supplemental 1.00 2015-05-26 09:55:58.0 Frontal Systems Behavioral Scale (FrSBe) [php] [php_1]

Single Pre-Defined Value Selected

C21084 Frontal Systems Behavior Scale (FrSBE) - Total T score FrSBeTotalTScore T score for all scales as part of Frontal Systems Behavior Scale (FrSBE) T score for all scales as part of Frontal Systems Behavior Scale (FrSBE) T score for all scales Numeric Values

To plot an individual's FrSBe profile, one must first convert the raw scores to T scores using the normative tables located in the appendixes of this manual. Identify the appropriate normative tables according to the rating form used (Self-Rating or Family Rating Form), the gender, age, and education level of the rated individual, and the Total scale or subscale needed. Locate the specific raw score for the Total scale in the Total scale appendix table. Then, locate the corresponding T score for the selected raw score for the Total scale. Enter the T score in the space provided just below the corresponding raw score on the bottom of the profile form. Use the same procedure to convert the subscale raw scores to T scores.

Adult;Pediatric Supplemental 1.00 2015-05-26 09:55:58.0 Frontal Systems Behavioral Scale (FrSBe) [php] [php_1]

Free-Form Entry

20 165
C21015 Frontal Systems Behavior Scale (FrSBE) - Inactive lack energy frequency scale FrSBeSlowMoveLackEnergyFreq Frequency of being slow moving, lacking energy, inactive as part of Frontal Systems Behavior Scale (FrSBE) - Apathy subscale Frequency of being slow moving, lacking energy, inactive as part of Frontal Systems Behavior Scale (FrSBE) - Apathy subscale Is slow moving, lacks energy, inactive 1;2;3;4;5 Almost never;seldom;Sometimes;Frequently;Almost always Numeric Values

As part of (your or your family member's) evaluation, it would be helpful to have your observations about (your or his/her) behavior. This questionnaire will allow us to better understand (your or your relative's) behavior. You will be asked to rate the frequency of (your or his/her) behavior on a scale of 1 to 5 where 1 is Almost never, 2 is Seldom, 3 is Sometimes, 4 is Frequently, and 5 is Almost always. You will be asked to rate (your or his/her) behavior at two points in time: before (your or his/her) illness, injury, or problems began and at the present time, or after the illness or injury occurred. Be sure you complete both columns on the form since they are both important for measuring changes in (your or your relative's) behavior. Please read each of the phrases on the form that are used to describe a person's behavior. The questionnaire asks, "How often (do you or does your relative) engage in the behavior described at each point in time?'' Circle the number in each column, Before illness or injury and After illness or injury, that corresponds to your rating for the behavior described.

Grace J, Malloy PF. Frontal Systems Behavior Scale professional manual. Lutz, FL: Psychological Assessment Resources, Inc.; 2001. Copyright 2001 by PAR, (http://www4.parinc.com/) Adult;Pediatric Supplemental 1.00 2015-05-26 09:55:58.0 Frontal Systems Behavioral Scale (FrSBe) [php] [php_1]

Single Pre-Defined Value Selected

CSV