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Form Structure: Symbol Digit Modalities Test (SDMT)

This form structure is an organized set of data definitions for a copyrighted form
Resource:
FITBIR
Title:
Symbol Digit Modalities Test (SDMT)
Short Name:
SDMT
Description:
The Symbol Digit Modalities Test is a neuropsychologic test of learning and other cerebral disorders. References: A. Smith, Symbol Digits Modalities Test, Western Psychological Services, Los Angeles (1982). Copyright 1982 by Western Psychological Services. http://www.wpspublish.com/store/p/2955/symbol-digit-modalities-test-sdmt
Disease:
Traumatic Brain Injury
Organization:
NIH/CIT/BRICS
Required Program Form:
No
Standardization:
Standard NINDS CDE
Labels:
Form Type:
Clinical Assessment
Publication Date:
2016-11-16
Version:
1.0
Date Created:
2015-07-20
Owner:
Number of Data Elements:
28
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 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

Test (Appears Up To 110 Times)

# Title Short Description Variable Name Required? Type
1 Symbol Digit Modalities Test (SDMT) - Test modality type  Test modality type (written, oral or computerized), as part of Symbol Digit Modalities Test (SDMT) SDMTTestModalityTyp Recommended CDE
2 Symbol Digit Modalities Test (SDMT) - Test type  Test type (practice or test) as part of Symbol Digit Modalities Test (SDMT) SDMTTestTyp Recommended CDE
3 Symbol Digit Modalities Test (SDMT) - Practice test omitted indicator  Indicator that the practice test was omitted, as part of Symbol Digit Modalities Test (SDMT) SDMTTestOmittedInd Recommended CDE
4 Trial number (numeric)  The number representing the sequence for any repeated measure test or assessment when it is performed multiple times. TrialNumber Recommended CDE
5 Symbol Digit Modalities Test (SDMT) - Symbol response number  The number related to the participant response for symbol as part of Symbol Digit Modalities Test (SDMT) SDMTSymboRespnsNum Recommended CDE
6 Symbol Digit Modalities Test (SDMT) - Symbol response value  The numeric value related to the subject response for a chosen symbol as part of Symbol Digit Modalities Test (SDMT) SDMTSymboRespnsVal Recommended CDE
7 Symbol Digit Modalities Test (SDMT) - Symbol correct response indicator  The yes/no indicator related to correct participant response for symbol as part of Symbol Digit Modalities Test (SDMT) SDMTSymbolCorrectResponseInd Recommended CDE

Scores (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 Symbol Digit Modalities Test (SDMT) - Total correct response count  Total count of correct responses given in 90 seconds interval, a as part of Symbol Digit Modalities Test (SDMT) SDMTTtlCorrectResponceCt Recommended CDE
2 Symbol Digit Modalities Test (SDMT) - Total incorrect response count  Total count of incorrect responses given in 90 seconds interval, a as part of Symbol Digit Modalities Test (SDMT) SDMTTtlIncorrectResponceCt Recommended CDE
3 Symbol Digit Modalities Test (SDMT) - Total response count  Total count of responses (both correct and incorrect) given in 90 seconds interval, a as part of Symbol Digit Modalities Test (SDMT) SDMTTtlResponceCt Recommended CDE
4 Symbol Digit Modalities Test (SDMT) - Mean total raw score  Mean total score calculated based on the population type and size, a as part of Symbol Digit Modalities Test (SDMT) SDMTMeanTtlScore Recommended CDE
5 Symbol Digit Modalities Test (SDMT) - Total raw score  Total raw score as part of Symbol Digit Modalities Test (SDMT) SDMTTtlRawScore Recommended CDE
6 Symbol Digit Modalities Test (SDMT) - Standard deviation  Standard deviation of the total score, calculated based on the population type and size, a as part of Symbol Digit Modalities Test (SDMT) SDMTStDev Recommended CDE
7 Symbol Digit Modalities Test (SDMT) - Z- score  Z-score, a as part of Symbol Digit Modalities Test (SDMT) SDMTzScore Recommended CDE
8 Symbol Digit Modalities Test (SDMT) - Total fraction raw score  Total raw score written as a fraction and calculated as number of correct responses to the total number of all responses given in 90 seconds interval (e.g.. 36/39), a as part of Symbol Digit Modalities Test (SDMT) SDMTTtlFracScore Optional CDE
Keywords