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Form Structure: Disability Rating Scale (DRS)

This form structure is an organized set of data definitions for a form that has not been copyrighted
Resource:
FITBIR
Title:
Disability Rating Scale (DRS)
Short Name:
DRS_TBI_FITBIR
Description:
The DRS contains 8 items. The first three items ("Eye Opening," "Communication Ability", and "Motor Response") are a modification of the Glasgow Coma Scale (scored in reverse), and reflect impairment and level of consciousness. Cognitive ability for "Feeding", "Toileting" and "Grooming" reflect level of disability. "Level of Functioning" and "Employability" reflect handicap. Recommended by CDISC for TBI (TAUG TBI) References: Rappaport, et al. (1982) Disability Rating Scale for Severe Head Trauma Patients: Coma to Community. Archives of Physical Medicine and Rehabilitation, 63:118-123.https://www.ncbi.nlm.nih.gov/pubmed/7073452 Wright (2000) The Disability Rating Scale. The Center for Outcome Measurement in Brain Injury. http://www.tbims.org/cmbi/drs.
Disease:
Traumatic Brain Injury
Organization:
NINDS
Required Program Form:
No
Standardization:
Standard NINDS CDE
Labels:
Form Type:
Clinical Assessment
Publication Date:
2015-02-20
Version:
1.3
Date Created:
2014-09-25
Owner:
Number of Data Elements:
17
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 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

Additional Element Groups

Listed below are your additional element groups.

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Arousability awareness and responsivity (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 Disability Rating Scale (DRS) - eye opening scale  Scale for the participant's ability to open the eye as part of the Disability Rating Scale (DRS) DRSEyeOpnngScale Recommended CDE
2 Disability Rating Scale (DRS) - communication ability scale  Scale for the participant's communication ability as part of the Disability Rating Scale (DRS) DRSCommnctnAbltyScale Recommended CDE
3 Disability Rating Scale (DRS) - Motor response disability scale  Motor response disability indicator, as part of the Disability Rating Scale (DRS) DRSMotrRespnsDisbltyScale Recommended CDE

Cognitive ability for self-care activities (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 Disability Rating Scale (DRS) - Feeding disability scale  Feeding (Cognitive ability only) disability indicator, as part of the Disability Rating Scale (DRS) DRSFdngDisbltyScale Recommended CDE
2 Disability Rating Scale (DRS) - Toileting disability scale  Toileting (Cognitive ability only) disability indicator, as part of the Disability Rating Scale (DRS) DRSToiltngDisbltyScale Recommended CDE
3 Disability Rating Scale (DRS) - Grooming disability scale  Grooming (Cognitive ability only) disability indicator, as part of the Disability Rating Scale (DRS) DRSGrmngDisbltyScale Recommended CDE

Dependence on Others (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 Disability Rating Scale (DRS) - Function level scale  Level of functioning (Physical, mental, emotional, or social function) disability indicator, as part of the Disability Rating Scale (DRS) DRSFunctnLvlScale Recommended CDE

Psychosocial Adaptibility (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 Disability Rating Scale (DRS) - Employability patient scale  Employability (as a full time worker, homemaker, or student) disability indicator, as part of the Disability Rating Scale (DRS) DRSEmplybltyPatScale Recommended CDE

DRS (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 DRS Total Score  Total Score (0-29) DRSTotalScore Recommended CDE
Keywords