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Form Structure: National Alzheimer's Coordinating Center Uniform Dataset Set (NACC-UDS) Number Span Test

This form structure is an organized set of data definitions for a copyrighted form
Resource:
FITBIR
Title:
National Alzheimer's Coordinating Center Uniform Dataset Set (NACC-UDS) Number Span Test
Short Name:
NACCUDSNumSpanTest
Description:
National Alzheimer's Coordinating Center Uniform Dataset Set (NACC-UDS) Number Span Test contains both backward and forward number sequences. From National Alzheimer's Coordinating Center (NACC)
Disease:
Traumatic Brain Injury
Organization:
FITBIR
Required Program Form:
No
Standardization:
Standard
Labels:
Form Type:
Clinical Assessment
Publication Date:
2017-09-20
Version:
1.1
Date Created:
2016-10-04
Owner:
Number of Data Elements:
29
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.

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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

NACC-UDS Number Span Test Forward (Appears Up To 14 Times)

# Title Short Description Variable Name Required? Type
1 National Alzheimer's Coordinating Center Uniform Dataset Set (NACC-UDS) Number Span Test Forward-Span length number  Span length number, as part of National Alzheimer's Coordinating Center Uniform Dataset Set (NACC-UDS) Number Span Test Forward NACCUDSNSTFSpanLengthNum Recommended CDE
2 Trial number (numeric)  The number representing the sequence for any repeated measure test or assessment when it is performed multiple times. TrialNumber Recommended CDE
3 National Alzheimer's Coordinating Center Uniform Dataset Set (NACC-UDS) Number Span Test-Response text  Response text, as part of National Alzheimer's Coordinating Center Uniform Dataset Set (NACC-UDS) Number Span Test NACCUDSNSTRespnsTxt Recommended CDE
4 National Alzheimer's Coordinating Center Uniform Dataset Set (NACC-UDS) Number Span Test-Trial score  Trial score, as part of National Alzheimer's Coordinating Center Uniform Dataset Set (NACC-UDS) Number Span Test NACCUDSNSTTrialScore Recommended CDE
5 National Alzheimer's Coordinating Center Uniform Dataset Set (NACC-UDS) - test not complete reason type  A type of reason why the test wasn't complete, as part of National Alzheimer's Coordinating Center Uniform Dataset Set (NACC-UDS) test(s) NACCUDSTestNotCompleteReasnTyp Optional CDE

NACC-UDS Number Span Test Forward-scoring (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 National Alzheimer's Coordinating Center Uniform Dataset Set (NACC-UDS) Number Span Test Forward-Total correct count  Total correct count, as part of National Alzheimer's Coordinating Center Uniform Dataset Set (NACC-UDS) Number Span Test Forward NACCUDSNSTFTtlCorrectCt Recommended CDE
2 National Alzheimer's Coordinating Center Uniform Dataset Set (NACC-UDS) Number Span Test Forward-Length of longest correct series score  Length of longest correct series score, as part of National Alzheimer's Coordinating Center Uniform Dataset Set (NACC-UDS) Number Span Test Forward NACCUDSNSTFLLCSScore Recommended CDE

NACC-UDS Number Span Test Backward (Appears Up To 14 Times)

# Title Short Description Variable Name Required? Type
1 National Alzheimer's Coordinating Center Uniform Dataset Set (NACC-UDS) Number Span Test Backward-Span length number  Span length number, as part of National Alzheimer's Coordinating Center Uniform Dataset Set (NACC-UDS) Number Span Test Backward NACCUDSNSTBSpanLengthNum Recommended CDE
2 Trial number (numeric)  The number representing the sequence for any repeated measure test or assessment when it is performed multiple times. TrialNumber Recommended CDE
3 National Alzheimer's Coordinating Center Uniform Dataset Set (NACC-UDS) Number Span Test-Response text  Response text, as part of National Alzheimer's Coordinating Center Uniform Dataset Set (NACC-UDS) Number Span Test NACCUDSNSTRespnsTxt Recommended CDE
4 National Alzheimer's Coordinating Center Uniform Dataset Set (NACC-UDS) Number Span Test-Trial score  Trial score, as part of National Alzheimer's Coordinating Center Uniform Dataset Set (NACC-UDS) Number Span Test NACCUDSNSTTrialScore Recommended CDE
5 National Alzheimer's Coordinating Center Uniform Dataset Set (NACC-UDS) - test not complete reason type  A type of reason why the test wasn't complete, as part of National Alzheimer's Coordinating Center Uniform Dataset Set (NACC-UDS) test(s) NACCUDSTestNotCompleteReasnTyp Optional CDE

NACC-UDS Number Span Test Backward-scoring (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 National Alzheimer's Coordinating Center Uniform Dataset Set (NACC-UDS) Number Span Test Backward-Total correct count  Total correct count, as part of National Alzheimer's Coordinating Center Uniform Dataset Set (NACC-UDS) Number Span Test Backward NACCUDSNSTBTtlCorrectCt Recommended CDE
2 National Alzheimer's Coordinating Center Uniform Dataset Set (NACC-UDS) Number Span Test Backward-Length of longest correct series score  Length of longest correct series score, as part of National Alzheimer's Coordinating Center Uniform Dataset Set (NACC-UDS) Number Span Test Backward NACCUDSNSTBLLCSScore Recommended CDE
Keywords