Form Structure: Clinical Dementia Rating (CDR) - use this one
This form structure is an organized set of data definitions for a copyrighted form
Resource:
FITBIR
Title:
Clinical Dementia Rating (CDR) - use this one
Short Name:
ClinicalDementiaRating
Description:
The Washington University Clinical Dementia Rating (CDR) is increasingly used in longitudinal studies and clinical trials for staging the severity of Alzheimers disease (AD). The CDR is derived from a semi-structured interview with the patient and an appropriate informant and rates impairment in each of six cognitive categories (Memory, Orientation, Judgment and Problem Solving, Community Affairs, Home and Hobbies, and Personal Care) on a five-point scale in which none = 0, question-able = 0 5, mild = 1, moderate 2, and severe = 3. (Note Personal Care has no questionable impairment level. Copyright 2001
Curator notes: This FS was created based on the information provided by CENC team
References: https://n.neurology.org/content/48/6/1508.short
Disease:
Traumatic Brain Injury
Organization:
NIH/CIT/BRICS
Required Program Form:
No
Standardization:
Standard
Labels:
Form Type:
Clinical Assessment
Publication Date:
2021-02-19
Version:
1.0
Date Created:
2020-08-11
Owner:
Number of Data Elements:
128
eForms:
N
Logically grouped data elements with defined frequency at which they repeat.
| # | 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 | Vital status | Status of participant/subject as alive or dead | VitStatus | Optional | CDE |
| 5 | Visit date | Actual interview or visit date | VisitDate | Recommended | CDE |
| 6 | Site name | The name of the site for the study | SiteName | Recommended | CDE |
| 7 | Days since baseline | The number of days since baseline | DaysSinceBaseline | Optional | CDE |
| 8 | Case control indicator | Indicator of whether subject is in the case or control arm of the study. | CaseContrlInd | Optional | CDE |
| 9 | General notes text | General notes | GeneralNotesTxt | Optional | CDE |
Additional Element Groups
Listed below are your additional element groups.
Form Administration (Appears Up To 1 Time)
| # | Title | Short Description | Variable Name | Required? | Type |
|---|---|---|---|---|---|
| 1 | Language form administration ISO code | Code (ISO 639-2) for the language that was used for CRF/instrument/scale/etc. administration | LangCRFAdministratISOCode | Recommended | CDE |
| 2 | Language form administration ISO code other text | The free-text field related to 'Language used for CRF/instrument/scale/etc. administration ISO code' specifying other text. | LangCRFAdministratISOCodeOTH | Recommended | CDE |
| 3 | Context type | The context to which the questions were answered | ContextType | Recommended | CDE |
| 4 | Context type other text | The free-text related to ContextType specifying other text | ContextTypeOTH | Recommended | CDE |
| 5 | Data source | Source of the data provided on the case report form | DataSource | Recommended | CDE |
| 6 | 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 |
Memory Questions for Informant (Appears Up To 1 Time)
| # | Title | Short Description | Variable Name | Required? | Type |
|---|---|---|---|---|---|
| 1 | Clinical Dementia Rating (CDR) Scale - Problem with memory or thinking indicator | Indication whether the subject has a problem with his/her memory or thinking from the informant's perspective, as a part of the Clinical Dementia Rating (CDR) Scale. | CDRProbWMemThinkInd | Recommended | CDE |
| 2 | Clinical Dementia Rating (CDR) Scale - Problem with memory or thinking consistent problem indicator | Indication whether the subject's problem with his/her memory or thinking is consistent as opposed to inconsistent from the informant's perspective, as a part of the Clinical Dementia Rating (CDR) Scale. | CDRProbWMemThinkConsProbInd | Recommended | CDE |
| 3 | Clinical Dementia Rating (CDR) Scale - Can recall events scale | Scale to rate whether the subject can recall events from the informant's perspective, as a part of the Clinical Dementia Rating (CDR) Scale. | CDRRecallEventsScl | Recommended | CDE |
| 4 | Clinical Dementia Rating (CDR) Scale - Can remember short list scale | Scale to rate whether the subject can remember a short list of items (shopping) from the informant's perspective, as a part of the Clinical Dementia Rating (CDR) Scale. | CDRRememberShortListScl | Recommended | CDE |
| 5 | Clinical Dementia Rating (CDR) Scale - Decline in memory during the past year indicator | Indication whether there has been a decline in the subject's memory during the past year from the informant's perspective, as a part of the Clinical Dementia Rating (CDR) Scale. | CDRDeclineInMemPastYrInd | Recommended | CDE |
| 6 | Clinical Dementia Rating (CDR) Scale - Memory impaired to a degree that it interferes with daily life indicator | Indication whether the subject's memory has been impaired to such a degree that it would have interfered with their activities of daily life a few years ago from the informant's perspective, as a part of the Clinical Dementia Rating (CDR) Scale. | CDRMemImpairInterfereWLifeInd | Recommended | CDE |
| 7 | Clinical Dementia Rating (CDR) Scale - Forget major event scale | Scale to rate whether the subject completely forgets a major event (e.g. a trip, a party, a family wedding) within a few weeks of the event from the informant's perspective, as a part of the Clinical Dementia Rating (CDR) Scale. | CDRForgetMajorEventScl | Recommended | CDE |
| 8 | Clinical Dementia Rating (CDR) Scale - Forget pertinent details about the major event scale | Scale to rate whether the subject forgets pertinent details about the major event from the informant's perspective, as a part of the Clinical Dementia Rating (CDR) Scale. | CDRForgetDetAbtMajorEventScl | Recommended | CDE |
| 9 | Clinical Dementia Rating (CDR) Scale - Forget important information of the distant past scale | Scale to rate whether the subject completely forgets important information of the distant past (e.g. date of birth, wedding date, place of employment) from the informant's perspective, as a part of the Clinical Dementia Rating (CDR) Scale. | CDRForgetInfoOfDistPastScl | Recommended | CDE |
| 10 | Clinical Dementia Rating (CDR) Scale - Subject's grade in last attended school from informant text | The subject's grade in the school they last attended according to the informant, as a part of the Clinical Dementia Rating (CDR) Scale. | CDRSubjLstSchlAttndGradeInfTxt | Recommended | CDE |
| 11 | Clinical Dementia Rating (CDR) Scale - Recent event subject should remember within one week text | Details about some recent event in the subject's life he/she should remember within one week from the informant's perspective, as a part of the Clinical Dementia Rating (CDR) Scale. | CDRRcntEvtSbjShldRemembr1WkTxt | Recommended | CDE |
| 12 | Clinical Dementia Rating (CDR) Scale - Recent event subject should remember within one month text | Details about some recent event in the subject's life he/she should remember within one month from the informant's perspective, as a part of the Clinical Dementia Rating (CDR) Scale. | CDRRcntEvtSbjShldRemembr1MoTxt | Recommended | CDE |
| 13 | Birth date | Date (and time, if applicable and known) the participant/subject was born | BirthDate | Recommended | CDE |
| 14 | Clinical Dementia Rating (CDR) Scale - Subject birth location | Subject's location of birth according to the informant, as a part of the Clinical Dementia Rating (CDR) Scale. | CDRSubjectBirthLoc | Recommended | CDE |
| 15 | Clinical Dementia Rating (CDR) Scale - Name of subject's last attended school from informant text | The name of the school the subject last attended according to the informant, as a part of the Clinical Dementia Rating (CDR) Scale. | CDRSubjLastSchoolAttndNmInfTxt | Recommended | CDE |
| 16 | Clinical Dementia Rating (CDR) Scale - Place of subject's last attended school from informant text | The place of the school the subject last attended according to the informant, as a part of the Clinical Dementia Rating (CDR) Scale. | CDRSubjLastSchlAttndPlInfTxt | Recommended | CDE |
| 17 | Clinical Dementia Rating (CDR) Scale - Subject's main occupation from informant text | The subject's main occupation/job (or spouse�s job if patient was not employed) according to the informant, as a part of the Clinical Dementia Rating (CDR) Scale. | CDRSubjMainOccupationInfTxt | Recommended | CDE |
| 18 | Clinical Dementia Rating (CDR) Scale - Subject's main job from informant text | The subject's main job (or spouse�s job if patient was not employed) according to the informant, as a part of the Clinical Dementia Rating (CDR) Scale. | CDRSubjMainJobInfTxt | Recommended | CDE |
| 19 | Clinical Dementia Rating (CDR) Scale - Subject's retirement date and why from informant text | The date the subject (or spouse) retired and why according to the informant, as a part of the Clinical Dementia Rating (CDR) Scale. | CDRSubjRetireDateAndWhyInfTxt | Recommended | CDE |
Orientation Questions for Informant (Appears Up To 1 Time)
| # | Title | Short Description | Variable Name | Required? | Type |
|---|---|---|---|---|---|
| 1 | Clinical Dementia Rating (CDR) Scale - Subject knows the exact date of the month scale | The category to describe how often the subject knows the exact date of the month from the informant's perspective, as a part of the Clinical Dementia Rating (CDR) Scale. | CDRSubjKnowExctDtOfTheMnthScl | Recommended | CDE |
| 2 | Clinical Dementia Rating (CDR) Scale - Subject knows the exact month scale | The category to describe how often the subject knows the exact month from the informant's perspective, as a part of the Clinical Dementia Rating (CDR) Scale. | CDRSubjKnowExctMonthScl | Recommended | CDE |
| 3 | Clinical Dementia Rating (CDR) Scale - Subject knows the exact year scale | The category to describe how often the subject knows the exact year from the informant's perspective, as a part of the Clinical Dementia Rating (CDR) Scale. | CDRSubjKnowExctYearScl | Recommended | CDE |
| 4 | Clinical Dementia Rating (CDR) Scale - Subject knows the exact day of the week scale | The category to describe how often the subject knows the exact day of the week from the informant's perspective, as a part of the Clinical Dementia Rating (CDR) Scale. | CDRSubjKnowExctDayOfTheWkScl | Recommended | CDE |
| 5 | Clinical Dementia Rating (CDR) Scale - Subject has difficulty with time relationships scale | The category to describe how often the subject has difficulty with time relationships (when events happened in relation to each other) from the informant's perspective, as a part of the Clinical Dementia Rating (CDR) Scale. | CDRSubjDiffWTimeRelatScl | Recommended | CDE |
| 6 | Clinical Dementia Rating (CDR) Scale - Subject can find way around familiar streets scale | The category to describe how often the subject can find his/her way around familiar streets from the informant's perspective, as a part of the Clinical Dementia Rating (CDR) Scale. | CDRSubjFindWayArndFamStrtsScl | Recommended | CDE |
| 7 | Clinical Dementia Rating (CDR) Scale - Subject get from place to place scale | The category to describe how often the subject knows how to get from one place to another outside his/her neighborhood from the informant's perspective, as a part of the Clinical Dementia Rating (CDR) Scale. | CDRSubjGetFromPlaceToPlaceScl | Recommended | CDE |
| 8 | Clinical Dementia Rating (CDR) Scale - Subject can find way around indoors scale | The category to describe how often the subject can find his/her way around indoors from the informant's perspective, as a part of the Clinical Dementia Rating (CDR) Scale. | CDRSubjFindWayAroundIndrsScl | Recommended | CDE |
Judgement and Problem Solving Questions for Informant (Appears Up To 1 Time)
| # | Title | Short Description | Variable Name | Required? | Type |
|---|---|---|---|---|---|
| 1 | Clinical Dementia Rating (CDR) Scale - Subject's ability to solve problems at present time scale | The category to describe the subject's ability to solve problems at the present time according to the informant, as a part of the Clinical Dementia Rating (CDR) Scale. | CDRSubjAbilityToSolveProbScl | Recommended | CDE |
| 2 | Clinical Dementia Rating (CDR) Scale - Subject's ability to cope with small sums of money scale | The category to describe the subject's ability to cope with small sums of money (e.g. calculate change, leave a small tip) according to the informant, as a part of the Clinical Dementia Rating (CDR) Scale. | CDRSubjAbilityToCopeWSmlMonScl | Recommended | CDE |
| 3 | Clinical Dementia Rating (CDR) Scale - Subject's ability to handle complicated financial or business transactions scale | The category to describe the subject's ability to handle complicated financial or business transactions (e.g. balance check book, pay bills) according to the informant, as a part of the Clinical Dementia Rating (CDR) Scale. | CDRSubjAbilityToHndlFinancScl | Recommended | CDE |
| 4 | Clinical Dementia Rating (CDR) Scale - Subject's ability to handle a household emergency scale | The category to describe the subject's ability to handle a household emergency (e.g. plumbing leak, small fire) according to the informant, as a part of the Clinical Dementia Rating (CDR) Scale. | CDRSubjAbilityToHndlEmrgncyScl | Recommended | CDE |
| 5 | Clinical Dementia Rating (CDR) Scale - Subject's ability to handle a household emergency worse than before for another reason text | Detail to describe why the subject's ability to handle a household emergency (e.g. plumbing leak, small fire) is worse than before for another reason, as a part of the Clinical Dementia Rating (CDR) Scale. | CDRSubjAbilityToHndlEmrgncyOth | Recommended | CDE |
| 6 | Clinical Dementia Rating (CDR) Scale - Subject understands situations or explanations scale | The category to describe how often the subject can understand situations or explanations, as a part of the Clinical Dementia Rating (CDR) Scale. | CDRSubjUndrstndSitOrExplanScl | Recommended | CDE |
| 7 | Clinical Dementia Rating (CDR) Scale - Subject behaves appropriately in social situations scale | The category to describe how often the subject behaves appropriately (i.e. in his/her usual (premorbid) manner) in social situations and interactions with other people according to the informant, as a part of the Clinical Dementia Rating (CDR) Scale. | CDRSubjBhvsAppropInSocSitScl | Recommended | CDE |
Community Affairs Questions for Informant (Appears Up To 1 Time)
| # | Title | Short Description | Variable Name | Required? | Type |
|---|---|---|---|---|---|
| 1 | Clinical Dementia Rating (CDR) Scale - Subject still working indicator | Indication whether the subject is still working according to the informant, as a part of the Clinical Dementia Rating (CDR) Scale. | CDRSubjStillWorkingInd | Recommended | CDE |
| 2 | Clinical Dementia Rating (CDR) Scale - Memory or thinking contributed to subject's decision to retire indicator | Indication whether memory or thinking problems contributed to the subject's decision to retire according to the informant, as a part of the Clinical Dementia Rating (CDR) Scale. | CDRMemThinkContrToSubjRetInd | Recommended | CDE |
| 3 | Clinical Dementia Rating (CDR) Scale - Significant difficulty in job because of problems with memory or thinking scale | The category to describe how often the subject has significant difficulty in his/her job because of problems with memory or thinking according to the informant, as a part of the Clinical Dementia Rating (CDR) Scale. | CDRSigDiffInJobPrbWMemThnkScl | Recommended | CDE |
| 4 | Clinical Dementia Rating (CDR) Scale - Subject ever drive car indicator | Indication whether the subject has ever driven a car according to the informant, as a part of the Clinical Dementia Rating (CDR) Scale. | CDRSubjEverDriveCarInd | Recommended | CDE |
| 5 | Clinical Dementia Rating (CDR) Scale - Subject drive car now indicator | Indication whether the subject drives a car now according to the informant, as a part of the Clinical Dementia Rating (CDR) Scale. | CDRSubjDriveCarNowInd | Recommended | CDE |
| 6 | Clinical Dementia Rating (CDR) Scale - Subject does not drive car now because of memory or thinking problems indicator | Indication whether the subject does not drive a car now because of memory or thinking problems according to the informant, as a part of the Clinical Dementia Rating (CDR) Scale. | CDRSubjNtDrvCrNwMemThnkProbInd | Recommended | CDE |
| 7 | Clinical Dementia Rating (CDR) Scale - Subject has problems or risks driving because of poor thinking indicator | Indication whether the subject has problems or risks driving because of poor thinking according to the informant, as a part of the Clinical Dementia Rating (CDR) Scale. | CDRStillDrivPrbRsksPrThinkInd | Recommended | CDE |
| 8 | Clinical Dementia Rating (CDR) Scale - Subject is able to shop independently for needs scale | The category to describe the subject's ability to shop independently for needs from the informant's perspective, as a part of the Clinical Dementia Rating (CDR) Scale. | CDRSubjAbleToIndepShopScl | Recommended | CDE |
| 9 | Clinical Dementia Rating (CDR) Scale - Subject is able to carry out activities independently outside the home scale | The category to describe the subject's ability to carry out activities independently outside the home from the informant's perspective, as a part of the Clinical Dementia Rating (CDR) Scale. | CDRSubjAbleToCarrOutActIndpScl | Recommended | CDE |
| 10 | Clinical Dementia Rating (CDR) Scale - Subject is taken to social functions outside of the family home indicator | Indication whether the subject is taken to social functions outside the family home according to the informant, as a part of the Clinical Dementia Rating (CDR) Scale. | CDRSubjTakenToSocFuncOutHmInd | Recommended | CDE |
| 11 | Clinical Dementia Rating (CDR) Scale - Subject is taken to social functions outside of the family home reason text | Explanation why the subject is not taken to social functions outside the family home according to the informant, as a part of the Clinical Dementia Rating (CDR) Scale. | CDRSubjTakenToSocFuncOutHmTxt | Recommended | CDE |
| 12 | Clinical Dementia Rating (CDR) Scale - Casual observer of the subject's behavior thinks the subject is ill indicator | Indication whether a casual observer of the subject�s behavior would think the subject was ill according to the informant, as a part of the Clinical Dementia Rating (CDR) Scale. | CDRCasObservThinkSubjIllInd | Recommended | CDE |
| 13 | Clinical Dementia Rating (CDR) Scale - In a nursing home subject participates well in social settings indicator | Indication whether if in a nursing home, does the subject participate well in social functions (thinking) from the informant's perspective, as a part of the Clinical Dementia Rating (CDR) Scale. | CDRNHsubjPrtcptWllInSocFxInd | Recommended | CDE |
| 14 | Clinical Dementia Rating (CDR) Scale - Community affairs text | Further probe for rating the subject's level of impairment in community affairs from the informant's perspective, as a part of the Clinical Dementia Rating (CDR) Scale. | CDRCommunityAffairsTxt | Recommended | CDE |
| 15 | Clinical Dementia Rating (CDR) Scale - Clarify subject's level of functioning text | Notes to clarify the subject's level of functioning according to the informant, as a part of the Clinical Dementia Rating (CDR) Scale. | CDRClarifySubjLvlOfFxTxt | Recommended | CDE |
Home and Hobbies Questions for Informant (Appears Up To 1 Time)
| # | Title | Short Description | Variable Name | Required? | Type |
|---|---|---|---|---|---|
| 1 | Clinical Dementia Rating (CDR) Scale - Changes in subject's ability to perform household tasks text | Description of what changes have occurred in the subject's abilities to perform household tasks according to the informant, as a part of the Clinical Dementia Rating (CDR) Scale. | CDRChngInSubjAblPerfHhTaskTxt | Recommended | CDE |
| 2 | Clinical Dementia Rating (CDR) Scale - Household tasks subject can still perform well text | Detail to specify what household tasks the subject can still perform well according to the informant, as a part of the Clinical Dementia Rating (CDR) Scale. | CDRHousehldTsksSubjStllPrfTxt | Recommended | CDE |
| 3 | Clinical Dementia Rating (CDR) Scale - Changes in subject's ability to perform hobbies text | Description of what changes have occurred in the subject's abilities to perform hobbies according to the informant, as a part of the Clinical Dementia Rating (CDR) Scale. | CDRChngInSubjAblPerfHobbiesTxt | Recommended | CDE |
| 4 | Clinical Dementia Rating (CDR) Scale - Hobbies subject can still perform well text | Detail to specify what hobbies the subject can still perform well from the informant's perspective, as a part of the Clinical Dementia Rating (CDR) Scale. | CDRHobbiesSubjStllPrfTxt | Recommended | CDE |
| 5 | Clinical Dementia Rating (CDR) Scale - In nursing home list of hobbies subject can no longer perform well text | Detail to specify what hobbies the subject can no longer perform well in a nursing home according to the informant, as a part of the Clinical Dementia Rating (CDR) Scale. | CDRNHHobbSubjNoLngPerfWellTxt | Recommended | CDE |
| 6 | Clinical Dementia Rating (CDR) Scale - Subject ability to perform household tasks scale | Scale to rate the subject's ability to perform household tasks from the informant's perspective, as a part of the Clinical Dementia Rating (CDR) Scale. | CDRSubjAbilityToPerfHHTasksScl | Recommended | CDE |
| 7 | Clinical Dementia Rating (CDR) Scale - Subject ability to perform household tasks text | Description of the subject's ability to perform household tasks as is relates to the informant's rating, as a part of the Clinical Dementia Rating (CDR) Scale. | CDRSubjAbilityToPerfHHTasksTxt | Recommended | CDE |
| 8 | Clinical Dementia Rating (CDR) Scale - Subject's level of ability to perform household tasksscale | The category to describe the subject's level of ability to perform household tasks from the informant's perspective, as a part of the Clinical Dementia Rating (CDR) Scale. | CDRSubjLvlAbilityPerfHHTsksScl | Recommended | CDE |
| 9 | Clinical Dementia Rating (CDR) Scale - Home hobbies text | Further probe for rating the subject's level of impairment in household tasks and hobbies from the informant's perspective, as a part of the Clinical Dementia Rating (CDR) Scale. | CDRHomeHobbiesTxt | Recommended | CDE |
Memory Questions for Patient (Appears Up To 1 Time)
| # | Title | Short Description | Variable Name | Required? | Type |
|---|---|---|---|---|---|
| 1 | Clinical Dementia Rating (CDR) Scale - Problems with memory or thinking indicator | Indication of whether the subject has problems with memory or thinking, as a part of the Clinical Dementia Rating (CDR) Scale. | CDRProbWMemOrThinkInd | Recommended | CDE |
| 2 | Clinical Dementia Rating (CDR) Scale - Recent experiences details within one week scale | Scale to rate how correct the subject remembers details of recent experiences within one week as described by their spouse, as a part of the Clinical Dementia Rating (CDR) Scale. | CDRRecentExpDet1WkScl | Recommended | CDE |
| 3 | Clinical Dementia Rating (CDR) Scale - Recent experiences details within one month scale | Scale to rate how correct the subject remembers details of recent experiences within one month as described by their spouse, as a part of the Clinical Dementia Rating (CDR) Scale. | CDRRecentExpDet1MoScl | Recommended | CDE |
| 4 | Clinical Dementia Rating (CDR) Scale - Repeated name and address correctly text type | Type of elements of the name and address the proctor read to the subject that the subject repeated correctly, as a part of the Clinical Dementia Rating (CDR) Scale. | CDRRepeatNameAddressCorrectTyp | Recommended | UDE |
| 5 | Birth date | Date (and time, if applicable and known) the participant/subject was born | BirthDate | Recommended | CDE |
| 6 | Clinical Dementia Rating (CDR) Scale - Subject birth location | Subject's location of birth, as a part of the Clinical Dementia Rating (CDR) Scale. | CDRBirthLoc | Recommended | CDE |
| 7 | Clinical Dementia Rating (CDR) Scale - Name of subject's last attended school text | The name of the school the subject last attended, as a part of the Clinical Dementia Rating (CDR) Scale. | CDRSubjLastSchoolAttndNameTxt | Recommended | CDE |
| 8 | Clinical Dementia Rating (CDR) Scale - Place of subject's last attended school text | The place of the school the subject last attended, as a part of the Clinical Dementia Rating (CDR) Scale. | CDRSubjLastSchoolAttndPlaceTxt | Recommended | CDE |
| 9 | Clinical Dementia Rating (CDR) Scale - Subject's grade in last attended school text | The subject's grade in the school they last attended, as a part of the Clinical Dementia Rating (CDR) Scale. | CDRSubjLastSchoolAttndGradeTxt | Recommended | CDE |
| 10 | Clinical Dementia Rating (CDR) Scale - Subject's main occupation text | The subject's main occupation/job (or spouse�s job if patient was not employed), as a part of the Clinical Dementia Rating (CDR) Scale. | CDRSubjMainOccupationTxt | Recommended | CDE |
| 11 | Clinical Dementia Rating (CDR) Scale - Subject's main job text | The subject's main job (or spouse�s job if patient was not employed), as a part of the Clinical Dementia Rating (CDR) Scale. | CDRSubjMainJobTxt | Recommended | CDE |
| 12 | Clinical Dementia Rating (CDR) Scale - Subject's retirement date and why text | The date the subject (or spouse) retired and why, as a part of the Clinical Dementia Rating (CDR) Scale. | CDRSubjectRetireDateAndWhyTxt | Recommended | CDE |
| 13 | Clinical Dementia Rating (CDR) Scale - Repeated name and address correctly recall text type | Type of the elements of the name and address the proctor read to the subject that the subject repeated correctly upon prompt to recall, as a part of the Clinical Dementia Rating (CDR) Scale. | CDRRepeatNmAddrCorrRecallTyp | Recommended | UDE |
Personal Care Questions for Informant (Appears Up To 1 Time)
| # | Title | Short Description | Variable Name | Required? | Type |
|---|---|---|---|---|---|
| 1 | Clinical Dementia Rating (CDR) Scale - Dressing (The Dementia Scale of Blessed) scale | Scale to rate the subject's mental ability to get dressed themselves (The Dementia Scale of Blessed) from the informant's perspective, as a part of the Clinical Dementia Rating (CDR) Scale. | CDRDressingScl | Recommended | CDE |
| 2 | Clinical Dementia Rating (CDR) Scale - Washing, grooming scale | Scale to rate the subject's mental ability to wash/groom themselves from the informant's perspective, as a part of the Clinical Dementia Rating (CDR) Scale. | CDRWashingGroomingScl | Recommended | CDE |
| 3 | Clinical Dementia Rating (CDR) Scale - Eating habits scale | Scale to rate the subject's mental ability to eat by themselves from the informant's perspective, as a part of the Clinical Dementia Rating (CDR) Scale. | CDREatingHabitsScl | Recommended | CDE |
| 4 | Clinical Dementia Rating (CDR) Scale - Sphincter control (The Dementia Scale of Blessed) scale | Scale to rate the subject's sphincter control (The Dementia Scale of Blessed) from the informant's perspective, as a part of the Clinical Dementia Rating (CDR) Scale. | CDRSphincterControlScl | Recommended | CDE |
Orientation Questions for Patient (Appears Up To 1 Time)
| # | Title | Short Description | Variable Name | Required? | Type |
|---|---|---|---|---|---|
| 1 | Clinical Dementia Rating (CDR) Scale - Today's date text | The subject's answer given when asked what is the date today, as a part of the Clinical Dementia Rating (CDR) Scale. | CDRTodaysDateTxt | Recommended | CDE |
| 2 | Clinical Dementia Rating (CDR) Scale - Today's date indicator | Indication whether the subject can tell the proctor today's date correctly, as a part of the Clinical Dementia Rating (CDR) Scale. | CDRTodaysDateInd | Recommended | CDE |
| 3 | Clinical Dementia Rating (CDR) Scale - Day of week text | The subject's answer given when asked what day of the week is it, as a part of the Clinical Dementia Rating (CDR) Scale. | CDRDayOfWeekTxt | Recommended | CDE |
| 4 | Clinical Dementia Rating (CDR) Scale - Day of week indicator | Indication whether the subject can tell the proctor what day of the week it is correctly, as a part of the Clinical Dementia Rating (CDR) Scale. | CDRDayOfWeekInd | Recommended | CDE |
| 5 | Clinical Dementia Rating (CDR) Scale - Month text | The subject's answer given when asked what is the month, as a part of the Clinical Dementia Rating (CDR) Scale. | CDRMonthTxt | Recommended | CDE |
| 6 | Clinical Dementia Rating (CDR) Scale - Month indicator | Indication whether the subject can tell the proctor what month it is correctly, as a part of the Clinical Dementia Rating (CDR) Scale. | CDRMonthInd | Recommended | CDE |
| 7 | Clinical Dementia Rating (CDR) Scale - Year text | The subject's answer given when asked what is the year, as a part of the Clinical Dementia Rating (CDR) Scale. | CDRYearTxt | Recommended | CDE |
| 8 | Clinical Dementia Rating (CDR) Scale - Year indicator | Indication whether the subject can tell the proctor what year it is correctly, as a part of the Clinical Dementia Rating (CDR) Scale. | CDRYearInd | Recommended | CDE |
| 9 | Clinical Dementia Rating (CDR) Scale - Name of place text | The subject's answer given when asked what is the name of this place, as a part of the Clinical Dementia Rating (CDR) Scale. | CDRNameOfPlaceTxt | Recommended | CDE |
| 10 | Clinical Dementia Rating (CDR) Scale - Name of place indicator | Indication whether the subject can tell the proctor what is the name of this place correctly, as a part of the Clinical Dementia Rating (CDR) Scale. | CDRNameOfPlaceInd | Recommended | CDE |
| 11 | Clinical Dementia Rating (CDR) Scale - Town or city text | The subject's answer given when asked what town or city are we in, as a part of the Clinical Dementia Rating (CDR) Scale. | CDRTownOrCityTxt | Recommended | CDE |
| 12 | Clinical Dementia Rating (CDR) Scale - Town or city indicator | Indication whether the subject can tell the proctor what town or city they are in correctly, as a part of the Clinical Dementia Rating (CDR) Scale. | CDRTownOrCityInd | Recommended | CDE |
| 13 | Clinical Dementia Rating (CDR) Scale - Time text | The subject's answer given when asked what time is it, as a part of the Clinical Dementia Rating (CDR) Scale. | CDRTimeTxt | Recommended | CDE |
| 14 | Clinical Dementia Rating (CDR) Scale - Time indicator | Indication whether the subject can tell the proctor what time it is correctly, as a part of the Clinical Dementia Rating (CDR) Scale. | CDRTimeInd | Recommended | CDE |
| 15 | Clinical Dementia Rating (CDR) Scale - Subject know informant indicator | Indication whether the subject knows the informant, as a part of the Clinical Dementia Rating (CDR) Scale. | CDRSubjKnowInformantInd | Recommended | CDE |
| 16 | Clinical Dementia Rating (CDR) Scale - Subject know informant text | The subject's answer given when asked does the subject know who the informant is (in your judgment), as a part of the Clinical Dementia Rating (CDR) Scale. | CDRSubjKnowInformantTxt | Recommended | CDE |
Judgement and Problem Solving Questions for the Patient (Appears Up To 1 Time)
| # | Title | Short Description | Variable Name | Required? | Type |
|---|---|---|---|---|---|
| 1 | Clinical Dementia Rating (CDR) Scale - Vegetable similarities judgment response text | The subject's answer given when asked how alike are a turnip and cauliflower, as a part of the Clinical Dementia Rating (CDR) Scale. | CDRVegSimJudgementResponseTxt | Recommended | CDE |
| 2 | Clinical Dementia Rating (CDR) Scale - Vegetable similarities judgment response scale | Scale to rate the subject's response to how similar turnips are to cauliflower, as a part of the Clinical Dementia Rating (CDR) Scale. | CDRVegSimJudgementResponseScl | Recommended | CDE |
| 3 | Clinical Dementia Rating (CDR) Scale - Furniture similarities judgment response text | The subject's answer given when asked how alike are a desk and bookcase, as a part of the Clinical Dementia Rating (CDR) Scale. | CDRFurnSimJudgementResponseTxt | Recommended | CDE |
| 4 | Clinical Dementia Rating (CDR) Scale - Furniture similarities judgment response scale | Scale to rate the subject's response to how similar a desk is to a bookshelf, as a part of the Clinical Dementia Rating (CDR) Scale. | CDRFurnSimJudgementResponseScl | Recommended | CDE |
| 5 | Clinical Dementia Rating (CDR) Scale - Deliberate differences Judgment Response Text | The subject's answer given when asked how different are a lie and a mistake, as a part of the Clinical Dementia Rating (CDR) Scale. | CDRDelibDifJudgemntResponseTxt | Recommended | CDE |
| 6 | Clinical Dementia Rating (CDR) Scale - Deliberate differences judgment response scale | Scale to rate the subject's response to how different are a lie and a mistake, as a part of the Clinical Dementia Rating (CDR) Scale. | CDRDelibJudgementResponseScl | Recommended | CDE |
| 7 | Clinical Dementia Rating (CDR) Scale - Natural differences Judgment Response Text | The subject's answer given when asked how different are a river and a canal, as a part of the Clinical Dementia Rating (CDR) Scale. | CDRNaturDifJudgemntResponseTxt | Recommended | CDE |
| 8 | Clinical Dementia Rating (CDR) Scale - Natural differences judgment response scale | Scale to rate the subject's response to how different are a river and a canal, as a part of the Clinical Dementia Rating (CDR) Scale. | CDRNaturDifJudgemntResponsScl | Recommended | UDE |
| 9 | Clinical Dementia Rating (CDR) Scale - Nickels calculation response text | The subject's answer given when asked how how many five cent pieces are in a dollar, as a part of the Clinical Dementia Rating (CDR) Scale. | CDRNickelsCalcResponseTxt | Recommended | CDE |
| 10 | Clinical Dementia Rating (CDR) Scale - Nickels calculation indicator | Indication whether the subject correctly calculated how many nickels there are in a dollar, as a part of the Clinical Dementia Rating (CDR) Scale. | CDRNickelsCalcInd | Recommended | CDE |
| 11 | Clinical Dementia Rating (CDR) Scale - Quarters there are in $6.75 calculation response text | The subject's answer given when asked how many quarters there are in $6.75, as a part of the Clinical Dementia Rating (CDR) Scale. | CDR675CentCalcResponseTxt | Recommended | UDE |
| 12 | Clinical Dementia Rating (CDR) Scale - Quarters there are in $6.75 calculation indicator | Indication whether the subject correctly calculated how many quarters there are in $6.75, as a part of the Clinical Dementia Rating (CDR) Scale. | CDR675CentCalcInd | Recommended | UDE |
| 13 | Clinical Dementia Rating (CDR) Scale - Subtraction calculation response text | The subject's answer given when asked to subtract 3 from 20 and keep subtracting 3 from each new number all the way down, as a part of the Clinical Dementia Rating (CDR) Scale. | CDRSubtractionCalcRespTxt | Recommended | CDE |
| 14 | Clinical Dementia Rating (CDR) Scale - Subtraction calculation indicator | Indication whether the subject correctly subtracted 3 from 20 and kept subtracting 3 from each new number all the way down, as a part of the Clinical Dementia Rating (CDR) Scale. | CDRSubtractionCalcInd | Recommended | CDE |
| 15 | Clinical Dementia Rating (CDR) Scale - Locate friend judgment scale | Scale to rate the subject's response to upon arriving in a strange city, how would they locate a friend that they wished to see, as a part of the Clinical Dementia Rating (CDR) Scale. | CDRLocateFriendJudgmntScl | Recommended | CDE |
| 16 | Clinical Dementia Rating (CDR) Scale - Why present judgment scale | The category to describe the subject's assessment of disability and station in life and understanding of why she/he is present at the examination, as a part of the Clinical Dementia Rating (CDR) Scale. | CDRWhyPresentJudgmentScl | Recommended | CDE |
CLINICAL DEMENTIA RATING (Appears Up To 1 Time)
| # | Title | Short Description | Variable Name | Required? | Type |
|---|---|---|---|---|---|
| 1 | Clinical Dementia Rating (CDR) Scale - Memory scale | Scale to rate the subject's memory, as a part of the Clinical Dementia Rating (CDR) Scale. | CDRMemoryScl | Recommended | CDE |
| 2 | Clinical Dementia Rating (CDR) Scale - Orientation scale | Scale to rate the subject's orientation, as a part of the Clinical Dementia Rating (CDR) Scale. | CDROrientationScl | Recommended | CDE |
| 3 | Clinical Dementia Rating (CDR) Scale - Judgment and problem solving scale | Scale to rate the subject's judgment and problem solving, as a part of the Clinical Dementia Rating (CDR) Scale. | CDRJudgmentProblemSolvingScl | Recommended | CDE |
| 4 | Clinical Dementia Rating (CDR) Scale - Community affairs scale | Scale to rate the subject's community affairs, as a part of the Clinical Dementia Rating (CDR) Scale. | CDRCommunityAffairsScl | Recommended | CDE |
| 5 | Clinical Dementia Rating (CDR) Scale - Home and hobbies scale | Scale to rate the subject's home and hobbies, as a part of the Clinical Dementia Rating (CDR) Scale. | CDRHomeAndHobbiessScl | Recommended | CDE |
| 6 | Clinical Dementia Rating (CDR) Scale - Personal care scale | Scale to rate the subject's personal care, as a part of the Clinical Dementia Rating (CDR) Scale. | CDRPersonalCareScl | Recommended | CDE |
Keywords
