Form Structure: Test of Premorbid Functioning (TOPF)
This form structure is an organized set of data definitions for a copyrighted form
Resource:
FITBIR
Title:
Test of Premorbid Functioning (TOPF)
Short Name:
TOPF
Description:
The Test of Premorbid Functioning (TOPF) (Delis, Kaplan, & Kramer, 2009) was administered to assess individualsÃÂ premorbid verbal intelligence. It is a word reading test that can be administered to individuals ages 20-90 and consists of 70 words that are unique in their phonic pronunciation. Copyright 2010 NCS Pearson, Inc. All rights reserved. The Test of Premorbid Functioning (TOPF) (Delis, Kaplan, & Kramer, 2009)
Disease:
General (For all diseases)
Traumatic Brain Injury
Organization:
NIH/CIT/BRICS
Required Program Form:
No
Standardization:
Standard
Labels:
Form Type:
Clinical Assessment
Publication Date:
2018-12-07
Version:
1.0
Date Created:
2016-10-24
Owner:
Number of Data Elements:
27
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 |
| 7 | Assessment completion status | Status of completion of an assessment, such as a case report from (CRF), instrument, scale, computer assessment, etc. | AssessmentCompletionStat | Recommended | CDE |
| 8 | Assessment completion status text | A free text related to Assessment completion status specifying completion details. This data element should be used along with AssessmenttCompletionStat to further describe the status of assessment completion | AssessmentCompletionStatTxt | Recommended | CDE |
Test of Premorbid Functioning (Appears Up To 70 Times)
| # | Title | Short Description | Variable Name | Required? | Type |
|---|---|---|---|---|---|
| 1 | Trial number (numeric) | The number representing the sequence for any repeated measure test or assessment when it is performed multiple times. | TrialNumber | Recommended | CDE |
| 2 | Test of Premorbid Functioning (TOPF)-Word text | Word text , as part of Test of Premorbid Functioning (TOPF) | TOPFWordTxt | Recommended | UDE |
| 3 | Test of Premorbid Functioning (TOPF)-Word indicator | Word indicator , as part of Test of Premorbid Functioning (TOPF) | TOPFWordInd | Recommended | UDE |
TOPF Scoring (Appears Up To 1 Time)
| # | Title | Short Description | Variable Name | Required? | Type |
|---|---|---|---|---|---|
| 1 | Test of Premorbid Functioning (TOPF)-Raw Score | Raw Score , as part of Test of Premorbid Functioning (TOPF) | TOPFRawScore | Recommended | UDE |
| 2 | Test of Premorbid Functioning (TOPF)-Standard Score | Standard Score , as part of Test of Premorbid Functioning (TOPF) | TOPFStandardScore | Recommended | UDE |
| 3 | Test of Premorbid Functioning (TOPF)-Percentile rank value | Percentile rank value , as part of Test of Premorbid Functioning (TOPF) | TOPFPercentileRankVal | Recommended | UDE |
| 4 | Test of Premorbid Functioning (TOPF)-SEM value | SEM value, as part of Test of Premorbid Functioning (TOPF) | TOPFSEMVal | Recommended | UDE |
| 5 | Test of Premorbid Functioning (TOPF)-Qualitative description category | Qualitative description category , as part of Test of Premorbid Functioning (TOPF) | TOPFQualitativeDescCat | Recommended | UDE |
| 6 | Test of Premorbid Functioning (TOPF)-Function IQ demographic estimate equivalent score | Function IQ demographic estimate equivalent score , as part of Test of Premorbid Functioning (TOPF) | TOPFFunIQDemEstEqScore | Recommended | UDE |
| 7 | Test of Premorbid Functioning (TOPF)-Function IQ reading estimate equivalent score | Function IQ reading estimate equivalent score , as part of Test of Premorbid Functioning (TOPF) | TOPFFuncIQReadingEstEqScore | Recommended | UDE |
Keywords
