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This form structure is an organized set of data definitions for a copyrighted form
Resource:
FITBIR
Title:
Tests for Auditory Processing Disorders for Children (SCAN-3:C)- Score Summary
Short Name:
SCAN3Cscoring
Description:
SCAN3-C is designed to identify auditory processing disorders in children. Keith, R. W. (2009). SCAN-3 for Children: Test for Auditory Processing Disorders. Pearson. Copyright 2009, 2000 NCS Pearson, Inc. http://www.pearsonclinical.com/
Disease:
Traumatic Brain Injury
Organization:
FITBIR
Required Program Form:
No
Standardization:
Standard NINDS CDE
Labels:
Form Type:
Clinical Assessment
Version:
1.0
Date Created:
2016-08-24
Owner:
Number of Data Elements:
68
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

SCAN-3C Diagnostic Score Summary (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 SCAN-3:C Tests for Auditory Processing Disorders for Children - Statistical significance value  Alpha level, as part of the Tests for Auditory Processing Disorders for Children-II) SCAN3CStatSigVal Recommended CDE

SCAN-3C Diagnostic Score Summary Sum of Scores (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 SCAN-3:C Tests for Auditory Processing Disorders for Children - Sum scaled score  Raw score calculated as the sum of scaled scores, as part of the SCAN-3 for children (SCAN-3C) SCAN3CSumSclScore Recommended CDE

SCAN-3C Diagnostic Score Summary Composite (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 SCAN-3:C Tests for Auditory Processing Disorders for Children - Auditory processing composite score  Auditory processing composite score, as part of the SCAN-3 for children (SCAN-3C) SCAN3CAuditoryProcCompstScore Recommended CDE
2 SCAN-3:C Tests for Auditory Processing Disorders for Children - Composite score lower bound value  Lower bound of the confidence interval for a composite score, as part of the SCAN-3 for children (SCAN-3C) SCAN3CCompstScoreLowerBoundVal Recommended CDE
3 SCAN-3:C Tests for Auditory Processing Disorders for Children - Composite score upper bound value  Upper bound of the confidence interval for a composite score, as part of the SCAN-3 for children (SCAN-3C) SCAN3CCompstScoreUpperBoundVal Recommended CDE
4 SCAN-3:C Tests for Auditory Processing Disorders for Children - Percentile rank score  Percentile rank, as part of the SCAN-3 for children (SCAN-3C) SCAN3CPerctlRankScore Recommended CDE

SCAN-3C Scaled Score Chart (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 SCAN-3:C Tests for Auditory Processing Disorders for Children - Auditory Figure - Ground + 8 dB scaled score  AFG+8 scaled score, as part of the SCAN-3 for children (SCAN-3C) SCAN3CAFG8SclScore Recommended CDE
2 SCAN-3:C Tests for Auditory Processing Disorders for Children - Filtered Words scaled score  FW scaled score, as part of the SCAN-3 for children (SCAN-3C) SCAN3CFWSclScore Recommended CDE
3 SCAN-3:C Tests for Auditory Processing Disorders for Children - Competing Words - Directed Ear total scaled score  CW-DE total scaled score, as part of the SCAN-3 for children (SCAN-3C) SCAN3CCWDETtlSclScore Recommended CDE
4 SCAN-3:C Tests for Auditory Processing Disorders for Children - Competing Sentences scaled score  CS scaled score, as part of the SCAN-3 for children (SCAN-3C) SCAN3CCSSclScore Recommended CDE
5 SCAN-3:C Tests for Auditory Processing Disorders for Children - Competing Words - Free Recall scaled score  CW-FR scaled score, as part of the SCAN-3 for children (SCAN-3C) SCAN3CCWFRSclScore Recommended CDE
6 SCAN-3:C Tests for Auditory Processing Disorders for Children - Auditory Figure - Ground + 12 dB scaled score  AFG12 scaled score, as part of the SCAN-3 for children (SCAN-3C) SCAN3CAFG12SclScore Recommended CDE
7 SCAN-3:C Tests for Auditory Processing Disorders for Children - Auditory Figure - Ground + 0 dB scaled score  AFG0 scaled score, as part of the SCAN-3 for children (SCAN-3C) SCAN3CAFG0SclScore Recommended CDE
8 SCAN-3:C Tests for Auditory Processing Disorders for Children - Time Compressed Sentences scaled score  TCS scaled score, as part of the SCAN-3 for children (SCAN-3C) SCAN3CTCSSclScore Recommended CDE

SCAN-3C Scaled Score Chart-Category (Appears Up To 8 Times)

# Title Short Description Variable Name Required? Type
1 SCAN-3:C Tests for Auditory Processing Disorders for Children - Subtest type  Subtest type, as part of SCAN-3 for children (SCAN-3C) SCAN3CSubtestTyp Recommended CDE
2 SCAN-3:C Tests for Auditory Processing Disorders for Children - Scaled score category  Scaled score category, as part of SCAN-3 for children (SCAN-3C) SCAN3CSclScoreCat Recommended CDE

SCAN-3C Supplementary Score Summary (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 SCAN-3:C Tests for Auditory Processing Disorders for Children - Statistical significance value  Alpha level, as part of the Tests for Auditory Processing Disorders for Children-II) SCAN3CStatSigVal Recommended CDE

SCAN-3C Supplementary Score Summary CW-FR (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 SCAN-3:C Tests for Auditory Processing Disorders for Children - Competing Words - Free Recall total raw score  CW-FR total score, as part of the SCAN-3 for children (SCAN-3C) SCAN3CCWFRTtlRawScore Recommended CDE
2 SCAN-3:C Tests for Auditory Processing Disorders for Children - Competing Words - Free Recall scaled score  CW-FR scaled score, as part of the SCAN-3 for children (SCAN-3C) SCAN3CCWFRSclScore Recommended CDE
3 SCAN-3:C Tests for Auditory Processing Disorders for Children - Scaled score category  Scaled score points category, as part of SCAN-3 for children (SCAN-3C) SCAN3CSclScorePtCat Recommended CDE
4 SCAN-3:C Tests for Auditory Processing Disorders for Children - Scaled score lower bound value  Lower bound of the confidence interval for a scaled score, as part of the SCAN-3 for children (SCAN-3C) SCAN3CSclScoreLowerBoundVal Recommended CDE
5 SCAN-3:C Tests for Auditory Processing Disorders for Children - Scaled score upper bound value  Upper bound of the confidence interval for a scaled score, as part of the SCAN-3 for children (SCAN-3C) SCAN3CSclScoreUpperBoundVal Recommended CDE
6 SCAN-3:C Tests for Auditory Processing Disorders for Children - Percentile rank score  Percentile rank, as part of the SCAN-3 for children (SCAN-3C) SCAN3CPerctlRankScore Recommended CDE

SCAN-3C Supplementary Score Summary AFG+12 (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 SCAN-3:C Tests for Auditory Processing Disorders for Children - Auditory Figure - Ground + 12 dB total raw score  AFG+12 total score, as part of the SCAN-3 for children (SCAN-3C) SCAN3CAFG12TtlRawScore Recommended CDE
2 SCAN-3:C Tests for Auditory Processing Disorders for Children - Auditory Figure - Ground + 12 dB scaled score  AFG12 scaled score, as part of the SCAN-3 for children (SCAN-3C) SCAN3CAFG12SclScore Recommended CDE
3 SCAN-3:C Tests for Auditory Processing Disorders for Children - Scaled score category  Scaled score points category, as part of SCAN-3 for children (SCAN-3C) SCAN3CSclScorePtCat Recommended CDE
4 SCAN-3:C Tests for Auditory Processing Disorders for Children - Scaled score lower bound value  Lower bound of the confidence interval for a scaled score, as part of the SCAN-3 for children (SCAN-3C) SCAN3CSclScoreLowerBoundVal Recommended CDE
5 SCAN-3:C Tests for Auditory Processing Disorders for Children - Scaled score upper bound value  Upper bound of the confidence interval for a scaled score, as part of the SCAN-3 for children (SCAN-3C) SCAN3CSclScoreUpperBoundVal Recommended CDE
6 SCAN-3:C Tests for Auditory Processing Disorders for Children - Percentile rank score  Percentile rank, as part of the SCAN-3 for children (SCAN-3C) SCAN3CPerctlRankScore Recommended CDE

SCAN-3C Supplementary Score Summary AFG0 (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 SCAN-3:C Tests for Auditory Processing Disorders for Children - Auditory Figure - Ground 0 dB total raw score  AFG0 total score, as part of the SCAN-3 for children (SCAN-3C) SCAN3CAFG0TtlRawScore Recommended CDE
2 SCAN-3:C Tests for Auditory Processing Disorders for Children - Auditory Figure - Ground + 0 dB scaled score  AFG0 scaled score, as part of the SCAN-3 for children (SCAN-3C) SCAN3CAFG0SclScore Recommended CDE
3 SCAN-3:C Tests for Auditory Processing Disorders for Children - Scaled score category  Scaled score points category, as part of SCAN-3 for children (SCAN-3C) SCAN3CSclScorePtCat Recommended CDE
4 SCAN-3:C Tests for Auditory Processing Disorders for Children - Scaled score lower bound value  Lower bound of the confidence interval for a scaled score, as part of the SCAN-3 for children (SCAN-3C) SCAN3CSclScoreLowerBoundVal Recommended CDE
5 SCAN-3:C Tests for Auditory Processing Disorders for Children - Scaled score upper bound value  Upper bound of the confidence interval for a scaled score, as part of the SCAN-3 for children (SCAN-3C) SCAN3CSclScoreUpperBoundVal Recommended CDE
6 SCAN-3:C Tests for Auditory Processing Disorders for Children - Percentile rank score  Percentile rank, as part of the SCAN-3 for children (SCAN-3C) SCAN3CPerctlRankScore Recommended CDE

SCAN-3C Supplementary Score Summary TCS (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 SCAN-3:C Tests for Auditory Processing Disorders for Children - Time Compressed Sentences total raw score  TCS total score, as part of the SCAN-3 for children (SCAN-3C) SCAN3CTCSTtlRawScore Recommended CDE
2 SCAN-3:C Tests for Auditory Processing Disorders for Children - Time Compressed Sentences scaled score  TCS scaled score, as part of the SCAN-3 for children (SCAN-3C) SCAN3CTCSSclScore Recommended CDE
3 SCAN-3:C Tests for Auditory Processing Disorders for Children - Scaled score category  Scaled score points category, as part of SCAN-3 for children (SCAN-3C) SCAN3CSclScorePtCat Recommended CDE
4 SCAN-3:C Tests for Auditory Processing Disorders for Children - Scaled score lower bound value  Lower bound of the confidence interval for a scaled score, as part of the SCAN-3 for children (SCAN-3C) SCAN3CSclScoreLowerBoundVal Recommended CDE
5 SCAN-3:C Tests for Auditory Processing Disorders for Children - Scaled score upper bound value  Upper bound of the confidence interval for a scaled score, as part of the SCAN-3 for children (SCAN-3C) SCAN3CSclScoreUpperBoundVal Recommended CDE
6 SCAN-3:C Tests for Auditory Processing Disorders for Children - Percentile rank score  Percentile rank, as part of the SCAN-3 for children (SCAN-3C) SCAN3CPerctlRankScore Recommended CDE

SCAN-3C Ear advantage scores (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 SCAN-3:C Tests for Auditory Processing Disorders for Children - AFG8 ear advantage score  AFG8 ear advantage score, as part of the SCAN-3 for children (SCAN-3C) SCAN3CAFG8EAScore Recommended CDE
2 SCAN-3:C Tests for Auditory Processing Disorders for Children - CWFR ear advantage score  CWFR ear advantage score, as part of the SCAN-3 for children (SCAN-3C) SCAN3CCWFREAScore Recommended CDE
3 SCAN-3:C Tests for Auditory Processing Disorders for Children - FW ear advantage score  FW ear advantage score, as part of the SCAN-3 for children (SCAN-3C) SCAN3CFWEAScore Recommended CDE
4 SCAN-3:C Tests for Auditory Processing Disorders for Children - CWDRE ear advantage score  CW-DE Directed RE ear advantage score, as part of the SCAN-3 for children (SCAN-3C) SCAN3CCWDREEAScore Recommended CDE
5 SCAN-3:C Tests for Auditory Processing Disorders for Children - CWDLE ear advantage score  CW-DE Directed LE ear advantage score, as part of the SCAN-3 for children (SCAN-3C) SCAN3CCWDLEEAScore Recommended CDE
6 SCAN-3:C Tests for Auditory Processing Disorders for Children - CS ear advantage score  CS ear advantage score, as part of the SCAN-3 for children (SCAN-3C) SCAN3CCSEAScore Recommended CDE
7 SCAN-3:C Tests for Auditory Processing Disorders for Children - AFG12 ear advantage score  AFG12 ear advantage score, as part of the SCAN-3 for children (SCAN-3C) SCAN3CAFG12EAScore Recommended CDE
8 SCAN-3:C Tests for Auditory Processing Disorders for Children - AFG0 ear advantage score  AFG0 ear advantage score, as part of the SCAN-3 for children (SCAN-3C) SCAN3CAFG0EAScore Recommended CDE
9 SCAN-3:C Tests for Auditory Processing Disorders for Children - TCS ear advantage score  TCS ear advantage score, as part of the SCAN-3 for children (SCAN-3C) SCAN3CTCSEAScore Recommended CDE

SCAN-3C Ear advantage summary (Appears Up To 8 Times)

# Title Short Description Variable Name Required? Type
1 SCAN-3:C Tests for Auditory Processing Disorders for Children - Subtest type  Subtest type, as part of SCAN-3 for children (SCAN-3C) SCAN3CSubtestTyp Recommended CDE
2 Tests for Auditory Processing Disorders - Typical ear advantage indicator 

(Draft)

Indicates whether the ear advantage status per test is typical, as part of SCAN-3 for children (SCAN-3C), A Test for Auditory Processing Disorders in Adolescents and Adults (SCAN-A) and Test for Auditory Processing Disorders in Children-revised (SCAN-C) SCANTypicalEAInd Recommended UDE
3 Tests for Auditory Processing Disorders- Cumulative prevalence score 

(Draft)

Cumulative prevalence, as part of the SCAN-3 for children (SCAN-3C), A Test for Auditory Processing Disorders in Adolescents and Adults (SCAN-A) and Test for Auditory Processing Disorders in Children-revised (SCAN-C) SCANCumultvPrevalnceScore Recommended UDE
Keywords