This form structure is an organized set of data definitions for a form that has not been copyrighted

 General Details

Title:
Combat Exposure Scale (CES)
Short Name:
CES
Description:
The Combat Exposure Scale (CES) is a 7 item self-report measure that assesses wartime stressors experienced by combatants. References: http://www.ptsd.va.gov/professional/assessment/te-measures/ces.asp From US Department of Veterans Affair: Information on measures is available to everyone. However, the assessment tools themselves can only be distributed to qualified mental health professionals and researchers. We maintain measures developed by affiliated staff of the National Center for PTSD.More from http://www.ptsd.va.gov/professional/assessment/te-measures/ces.asp
Disease:
General (For all diseases)
Organization:
NIH
Required Program Form:
No
Standardization:
Standard NINDS CDE
Labels:
Form Type:
Clinical Assessment
Publication Date:
2016-12-19
Version:
1.0
Date Created:
2015-04-07
Owner:
Number of Data Elements:
29
eForms:
N

 Documentation


 Groups & Attached Data Elements

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 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

Combat Exposure Scale (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 Combat Exposure Scale (CES) - Combat patrols dangerous duty scale  Scale of combat patrols or dangerous duty, as part of the Combat Exposure Scale (CES). CESDangerDutyScale Recommended CDE
2 Combat Exposure Scale (CES) - Under enemy fire code  Scale of number of months under enemy fire, as part of the Combat Exposure Scale (CES). CESUnderEnemyFireScale Recommended CDE
3 Combat Exposure Scale (CES) - Surrounded by enemy scale  Scale of number of times surrounded by enemy, as part of the Combat Exposure Scale (CES). CESSurrByEnemyScale Recommended CDE
4 Combat Exposure Scale (CES) - Killed wounded missing in action scale  Scale of percentage of unit killed, wounded, or missing in action, as part of the Combat Exposure Scale (CES). CESUnitKIAWMIAScale Recommended CDE
5 Combat Exposure Scale (CES) - Fired rounds at enemy frequency scale  Scale of number of times subject fired rounds at enemy, as part of the Combat Exposure Scale (CES). CESFireAtEnemyScale Recommended CDE
6 Combat Exposure Scale (CES) - See someone hit by rounds scale  Scale of number of times subject has seen someone hit by incoming or outgoing rounds, as part of the Combat Exposure Scale (CES). CESSeeSomeoneHitScale Recommended CDE
7 Combat Exposure Scale (CES) - Danger of injury or being killed scale  Scale of number of times subject was in danger of being injured or killed (pinned down, overrun, ambushed, near miss, etc.), as part of the Combat Exposure Scale (CES). CESInjuredKilledDangerScale Recommended CDE

Combat Exposure Scale Scoring (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 Combat Exposure Scale (CES) - Combat patrols dangerous duty score  Combat patrols dangerous duty' score, as part of the Combat Exposure Scale (CES). CESDangerDutyQ1Score Recommended CDE
2 Combat Exposure Scale (CES) - Under enemy fire score  Question 2 'Under enemy fire' score, as part of the Combat Exposure Scale (CES). CESUnderEnemyFireQ2Score Recommended CDE
3 Combat Exposure Scale (CES) - Surrounded by enemy score  Question 3 'Surrounded by enemy ' score , as part of the Combat Exposure Scale (CES). CESSurrByEnemyQ3Score Recommended CDE
4 Combat Exposure Scale (CES) - Killed wounded missing in action score  Question 4 'Killed in action, wounded or missing in action' score, as part of the Combat Exposure Scale (CES). CESUnitKIAWMIAQ4Score Recommended CDE
5 Combat Exposure Scale (CES) - Fired rounds at enemy frequency score  Question 5 'Fired rounds at enemy frequency' score, as part of the Combat Exposure Scale (CES). CESFireAtEnemyQ5Score Recommended CDE
6 Combat Exposure Scale (CES) - See someone hit by rounds score  Question 6 'See someone hit by rounds' score , as part of the Combat Exposure Scale (CES). CESSeeSomeoneHitQ6Score Recommended CDE
7 Combat Exposure Scale (CES) - Danger of injury or being killed score  Question 7 'Danger of injury or being killed' score, as part of the Combat Exposure Scale (CES). CESnjuredKilledDangerQ7Score Recommended CDE
8 Combat Exposure Scale (CES) - Total score  Combat Exposure Scale (CES) Total Score. CESTotalScore Recommended CDE
9 Combat Exposure Scale (CES) - Total description scale  Score category of the Combat Exposure Scale (CES). CESScore Recommended CDE

 Change History

 Administrative Change History