| # | Title | Short Description | Variable Name | Required? | Type |
|---|---|---|---|---|---|
| 1 | GUID | Global Unique ID which uniquely identifies a subject | GUID | Required | CDE |
| 2 | Subject identifier number | An identification number assigned to the participant/subject within a given protocol or a study. | SubjectIDNum | Optional | CDE |
| 3 | Age in years | Value for participant's subject age recorded in years. | AgeYrs | Recommended | CDE |
| 4 | Visit date | Actual interview or visit date | VisitDate | Recommended | CDE |
| 5 | Site name | The name of the site for the study | SiteName | Recommended | CDE |
| 6 | Days since baseline | The number of days since baseline | DaysSinceBaseline | Optional | CDE |
| 7 | Case control indicator | Indicator of whether subject is in the case or control arm of the study. | CaseContrlInd | Optional | CDE |
| 8 | General notes text | General notes | GeneralNotesTxt | Optional | CDE |
Listed below are your additional element groups.
| # | Title | Short Description | Variable Name | Required? | Type |
|---|---|---|---|---|---|
| 1 | Context type | The context to which the questions were answered | ContextType | Recommended | CDE |
| 2 | Context type other text | The free-text related to ContextType specifying other text | ContextTypeOTH | Recommended | CDE |
| 3 | Data source | Source of the data provided on the case report form | DataSource | Recommended | CDE |
| 4 | Data source other text | The free-text field related to Data source specifying other text. Source of the data provided on the case report form | DataSourceOTH | Recommended | CDE |
| # | Title | Short Description | Variable Name | Required? | Type |
|---|---|---|---|---|---|
| 1 | Hand preference type | Hand which the participant/subject uses predominantly, not necessarily the hand he/she writes with exclusively. | HandPrefTyp | Recommended | CDE |
| # | Title | Short Description | Variable Name | Required? | Type |
|---|---|---|---|---|---|
| 1 | Hand preference type | Hand which the participant/subject uses predominantly, not necessarily the hand he/she writes with exclusively. | HandPrefTyp | Recommended | CDE |
| 2 | Grooved Pegboard Test (GPT) - Hand time duration | Duration of time for hand to place pegs as part of Grooved Pegboard Test (GPT) | GPTHandTimDur | Recommended | CDE |
| 3 | Grooved Pegboard Test (GPT) - Hand time T-score | Hand time T-score to determine statistical significance for the hand time and pegs placed/dropped, as part of Grooved Pegboard Test (GPT) | GPTTimeTScore | Recommended | CDE |
| 4 | Grooved Pegboard Test (GPT) - Hand pegs dropped number | Number of pegs dropped during hand test, as part of Grooved Pegboard Test (GPT) | GPTHandPegDropNum | Recommended | CDE |
| 5 | Grooved Pegboard Test (GPT) - Hand pegs placed correctly number | Number of pegs placed correctly during hand test, as part of Grooved Pegboard Test (GPT) | GPTHandPegCorrectNum | Recommended | CDE |
| # | Title | Short Description | Variable Name | Required? | Type |
|---|---|---|---|---|---|
| 1 | Grooved Pegboard Test (GPT) - Hand time duration | Duration of time for hand to place pegs as part of Grooved Pegboard Test (GPT) | GPTHandTimDur | Recommended | CDE |
| 2 | Grooved Pegboard Test (GPT) - Hand time T-score | Hand time T-score to determine statistical significance for the hand time and pegs placed/dropped, as part of Grooved Pegboard Test (GPT) | GPTTimeTScore | Recommended | CDE |
| 3 | Grooved Pegboard Test (GPT) - Hand pegs dropped number | Number of pegs dropped during hand test, as part of Grooved Pegboard Test (GPT) | GPTHandPegDropNum | Recommended | CDE |
| 4 | Grooved Pegboard Test (GPT) - Hand pegs placed correctly number | Number of pegs placed correctly during hand test, as part of Grooved Pegboard Test (GPT) | GPTHandPegCorrectNum | Recommended | CDE |