This form structure is an organized set of data definitions for a copyrighted form

 General Details

Title:
Delis-Kaplan Executive Functioning Systems (DKEFS) Design Fluency Test Scoring
Short Name:
DKEFSDS
Description:
Delis-Kaplan Executive Functioning Systems (DKEFS) Design Fluency Test Scoring includes the summary of scores for the DKEFS Design Fluency Test. The DKEFS Design Fluency Test instructs participants to generate novel designs by connecting dot arrays with 4 straight lines.Delis-Kaplan Executive Function System (D-KEFS) (TM). Pearson Copyright 2001 NCS Pearson, Inc. All rights reserved. Printed in the United States of America
Disease:
Traumatic Brain Injury
Organization:
NIH/CIT/BRICS
Required Program Form:
No
Standardization:
Standard NINDS CDE
Labels:
Form Type:
Clinical Assessment
Version:
1.0
Date Created:
2016-08-12
Owner:
Number of Data Elements:
43
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 (Repeat Infinitely)

# 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

Summary of Scores: Primary Measures (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 Delis-Kaplan Executive Function System (DKEFS) Design Fluency - Condition 1 filled dots total correct raw score  The condition 1 filled dots total correct raw score, as part of the Delis-Kaplan Executive Function System (DKEFS) Design Fluency. DKEFSDesgnFluCd1FdTtCrRawScore Recommended CDE
2 Delis-Kaplan Executive Function System (DKEFS) Design Fluency - Condition 1 filled dots total correct scaled score  The condition 1 filled dots total correct scaled score, as part of the Delis-Kaplan Executive Function System (DKEFS) Design Fluency. DKEFSDesgnFluCd1FdTtCrSclScore Recommended CDE
3 Delis-Kaplan Executive Function System (DKEFS) Design Fluency - Condition 2 empty dots only total correct raw score  The condition 2 empty dots only total correct raw score, as part of the Delis-Kaplan Executive Function System (DKEFS) Design Fluency. DKEFSDesgnFluCd2EpTtCrRawScore Recommended CDE
4 Delis-Kaplan Executive Function System (DKEFS) Design Fluency - Condition 2 empty dots only total correct scaled score  The condition 2 empty dots only total correct scaled score, as part of the Delis-Kaplan Executive Function System (DKEFS) Design Fluency. DKEFSDesgnFluCd2EpTtCrSclScore Recommended CDE
5 Delis-Kaplan Executive Function System (DKEFS) Design Fluency - Condition 3 switching total correct raw score  The condition 3 switching total correct raw score, as part of the Delis-Kaplan Executive Function System (DKEFS) Design Fluency. DKEFSDesgnFluCd3SwTtCrRawScore Recommended CDE
6 Delis-Kaplan Executive Function System (DKEFS) Design Fluency - Condition 3 switching total correct scaled score  The condition 3 switching total correct scaled score, as part of the Delis-Kaplan Executive Function System (DKEFS) Design Fluency. DKEFSDesgnFluCd3SwTtCrSclScore Recommended CDE
7 Delis-Kaplan Executive Function System (DKEFS) Design Fluency - Design fluency total correct raw score  The design fluency total correct raw score, as part of the Delis-Kaplan Executive Function System (DKEFS) Design Fluency. DKEFSDesgnFluTotCrRawScore Recommended CDE
8 Delis-Kaplan Executive Function System (DKEFS) Design Fluency - Design fluency total correct sum of scaled scores  The design fluency total correct sum of scaled scores, as part of the Delis-Kaplan Executive Function System (DKEFS) Design Fluency. DKEFSDesgnFluTotCrSmSclScore Recommended CDE
9 Delis-Kaplan Executive Function System (DKEFS) Design Fluency - Design fluency total correct composite scaled score  The design fluency total correct composite scaled score, as part of the Delis-Kaplan Executive Function System (DKEFS) Design Fluency. DKEFSDesgnFluTotCrCmpSclScore Recommended CDE

Summary of Scores: Primary Combined Measure (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 Delis-Kaplan Executive Function System (DKEFS) Design Fluency - Combined filled dots and empty dots total correct sum of scaled scores  The combined filled dots and empty dots total correct sum of scaled scores, as part of the Delis-Kaplan Executive Function System (DKEFS) Design Fluency. DKEFSDesgnFluCmbFdEpSmSclScore Recommended CDE
2 Delis-Kaplan Executive Function System (DKEFS) Design Fluency - Combined filled dots and empty dots total correct composite scaled score  The combined filled dots and empty dots total correct composite scaled score, as part of the Delis-Kaplan Executive Function System (DKEFS) Design Fluency. DKEFSDesgnFluCmbFdEpSclScore Recommended CDE

Summary of Scores: Primary Contrast Measure (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 Delis-Kaplan Executive Function System (DKEFS) Design Fluency - Switching versus combined filled dots and empty dots scaled score difference  The switching versus combined filled dots and empty dots scaled score difference, as part of the Delis-Kaplan Executive Function System (DKEFS) Design Fluency DKEFSDesgnFluSwCmbFdEpDffScore Recommended CDE
2 Delis-Kaplan Executive Function System (DKEFS) Design Fluency - Switching versus combined filled dots and empty dots contrast scaled score  The switching versus combined filled dots and empty dots contrast scaled score, as part of the Delis-Kaplan Executive Function System (DKEFS) Design Fluency DKEFSDesgnFluSwCmbFECnSclScore Recommended CDE

Summary of Scores: Optional Measures (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 Delis-Kaplan Executive Function System (DKEFS) Design Fluency - Condition 1 filled dots set loss designs raw score  The condition 1 filled dots set loss designs raw score, as part of the Delis-Kaplan Executive Function System (DKEFS) Design Fluency DKEFSDesgnFluCd1FdStLsRawScore Recommended CDE
2 Delis-Kaplan Executive Function System (DKEFS) Design Fluency - Condition 2 empty dots only set loss designs raw score  The condition 2 empty dots only set loss designs raw score, as part of the Delis-Kaplan Executive Function System (DKEFS) Design Fluency DKEFSDesgnFluCd2EpStLsRawScore Recommended CDE
3 Delis-Kaplan Executive Function System (DKEFS) Design Fluency - Condition 3 switching set loss designs raw score  The condition 3 switching set loss designs raw score, as part of the Delis-Kaplan Executive Function System (DKEFS) Design Fluency. DKEFSDesgnFluCd3SwStLsRawScore Recommended CDE
4 Delis-Kaplan Executive Function System (DKEFS) Design Fluency - Total set loss designs raw score  The total set loss designs raw score, as part of the Delis-Kaplan Executive Function System (DKEFS) Design Fluency. DKEFSDesgnFluTotStLsRawScore Recommended CDE
5 Delis-Kaplan Executive Function System (DKEFS) Design Fluency - Total set loss designs scaled score  The total set loss designs scaled score, as part of the Delis-Kaplan Executive Function System (DKEFS) Design Fluency. DKEFSDesgnFluTotStLsSclScore Recommended CDE
6 Delis-Kaplan Executive Function System (DKEFS) Design Fluency - Condition 1 filled dots repeated designs raw score  The condition 1 filled dots repeated designs raw score, as part of the Delis-Kaplan Executive Function System (DKEFS) Design Fluency DKEFSDesgnFluCd1FdRepRawScore Recommended CDE
7 Delis-Kaplan Executive Function System (DKEFS) Design Fluency - Condition 2 empty dots only attempted designs raw score  The condition 2 empty dots only attempted designs raw score, as part of the Delis-Kaplan Executive Function System (DKEFS) Design Fluency DKEFSDesgnFluCd2EpAtptRawScore Recommended CDE
8 Delis-Kaplan Executive Function System (DKEFS) Design Fluency - Condition 3 switching repeated designs raw score  The condition 3 switching repeated designs raw score, as part of the Delis-Kaplan Executive Function System (DKEFS) Design Fluency DKEFSDesgnFluCd3SwRepRawScore Recommended CDE
9 Delis-Kaplan Executive Function System (DKEFS) Design Fluency - Total repeated designs raw score  The total repeated designs raw score, as part of the Delis-Kaplan Executive Function System (DKEFS) Design Fluency DKEFSDesgnFluTotRepRawScore Recommended CDE
10 Delis-Kaplan Executive Function System (DKEFS) Design Fluency - Total repeated designs scaled score  The total repeated designs scaled score, as part of the Delis-Kaplan Executive Function System (DKEFS) Design Fluency DKEFSDesgnFluTotRepSclScore Recommended CDE
11 Delis-Kaplan Executive Function System (DKEFS) Design Fluency - Condition 1 filled dots attempted designs raw score  The condition 1 filled dots attempted designs raw score, as part of the Delis-Kaplan Executive Function System (DKEFS) Design Fluency DKEFSDesgnFluCd1FdAtptRawScore Recommended CDE
12 Delis-Kaplan Executive Function System (DKEFS) Design Fluency - Condition 2 empty dots only repeated designs raw score  The condition 2 empty dots only repeated designs raw score, as part of the Delis-Kaplan Executive Function System (DKEFS) Design Fluency DKEFSDesgnFluCd2EpRepRawScore Recommended CDE
13 Delis-Kaplan Executive Function System (DKEFS) Design Fluency - Condition 3 switching attempted designs raw score  The condition 3 switching attempted designs raw score, as part of the Delis-Kaplan Executive Function System (DKEFS) Design Fluency DKEFSDesgnFluCd3SwAtptRawScore Recommended CDE
14 Delis-Kaplan Executive Function System (DKEFS) Design Fluency - Total attempted designs raw score  The total attempted designs raw score, as part of the Delis-Kaplan Executive Function System (DKEFS) Design Fluency. DKEFSDesgnFluTotAtmptRawScore Recommended CDE
15 Delis-Kaplan Executive Function System (DKEFS) Design Fluency - Total attempted designs scaled score  The total attempted designs scaled score, as part of the Delis-Kaplan Executive Function System (DKEFS) Design Fluency DKEFSDesgnFluTotAtmptSclScore Recommended CDE

 Change History

 Administrative Change History