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

 General Details

Title:
NIH ToolBox Cognition Domain Oral Reading Recognition Test (English)
Short Name:
NIHTBOralReadRecogTestEng
Description:
Cognition Domain: In the NIH Toolbox Oral Reading Recognition Test (Reading), the participant is asked to read and pronounce letters and words as accurately as possible. The test administrator scores them as right or wrong. For the youngest children, the initial items require them to identify letters (as opposed to symbols) and to identify a specific letter in an array of four symbols. The test is given via a computerized adaptive format and requires approximately three minutes. This test is recommended for ages 7-85, but is available for use as young as age 3, if desired. Separate but parallel reading tests have been developed in English and in Spanish.
Disease:
Traumatic Brain Injury
Organization:
NIH/CIT/DCB
Required Program Form:
No
Standardization:
Standard NINDS CDE
Labels:
Form Type:
Clinical Assessment
Publication Date:
2016-07-01
Version:
1.0
Date Created:
2016-05-19
Owner:
Number of Data Elements:
34
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 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

NIH Toolbox Administration (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 NIH Toolbox - Test domain battery type  Type of domain battery for the NIH Toolbox test being administered, as a part of the NIH Toolbox NIHTBTestDomainBatteryTyp Recommended CDE
2 NIH Toolbox - Test domain battery type other  The free-text related to NIHTBTestDomainBatteryTyp specifying other text, as part of the NIH Toolbox NIHTBTestDomainBatteryTypOTH Recommended CDE
3 NIH Toolbox - Test name type  Type of NIH Toolbox test being administered, as part of the NIH Toolbox NIHTBAdminTestNameTyp Recommended CDE
4 NIH Toolbox - Test name type other  The free-text related to NIHTBAdminTestNameTyp specifying other text, as part of the NIH Toolbox NIHTBAdminTestNameTypOTH Recommended CDE
5 NIH Toolbox - Test administration language type  Type of language for test being administrated, as part of the NIH Toolbox NIHTBTestAdminLanguageTyp Recommended CDE
6 NIH Toolbox - Test administration language type other  Free-text related to NIHTBTestAdminLanguageTyp specifying other text, as part of the NIH Toolbox NIHTBTestAdminLanguageTypOTH Recommended CDE
7 NIH Toolbox - Form administered type  Type of NIH Toolbox form being administered, as part of the NIH Toolbox NIHTBFormAdminTyp Recommended CDE
8 NIH Toolbox - Test administration flag type  Type of flag for the NIH Toolbox test being administered, as part of the NIH Toolbox NIHTBAdminTestFlagTyp Recommended CDE
9 NIH Toolbox - Test administration flag indicator  Indicator of a flag for the NIH Toolbox test being administered, as part of the NIH Toolbox NIHTBAdminTestFlagInd Recommended CDE

NIH Toolbox Oral Reading Recognition Test (Appears Up To 30 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 NIH Toolbox Cognition Oral Reading Recognition Test - Trial result type  Result type (correct or incorrect) of a given trial, as part of the NIH Toolbox Cognition Oral Reading Recognition Test NIHTBORRTTrialResultTyp Recommended CDE

NIH Toolbox Oral Reading Recognition Test Scoring (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 Patient-Reported Outcome Measure Information System (PROMIS) - theta value  The value of theta reported from the CAT PROMIS results, as part of the Patient-Reported Outcome Measurement Information System (PROMIS). PROMISTheta Recommended CDE
2 NIH Toolbox Cognition Oral Reading Recognition Test - Computed score  Computed score calculated, as part of the NIH Toolbox Cognition Oral Reading Recognition Test NIHTBORRTComputedScore Recommended CDE
3 NIH Toolbox Performance Measures - Age-adjusted scale score  Age-adjusted scale score, as part of the NIH Toolbox Performance Measures NIHTBPMAgeAdjSclScore Recommended CDE
4 NIH Toolbox Performance Measures - Age-adjusted national percentile value  Value of age-adjusted national percentile, as part of the NIH Toolbox Performance Measures NIHTBPMAgeAdjNationalPctVal Recommended CDE
5 NIH Toolbox Performance Measures - Fully-adjusted scale score  Fully-adjusted scale score, as part of the NIH Toolbox Performance Measures NIHTBPMFullyAdjSclScore Recommended CDE
6 NIH Toolbox Performance Measures - Unadjusted scale score  Unadjusted scale score, as part of the NIH Toolbox Performance Measures NIHTBPMUnadjSclScore Recommended CDE
7 NIH Toolbox - Standard error  Standard error (a statistical measure of variance that represents the margin of error for the Tscore), as part of the NIH Toolbox NIHTBStandardError Optional CDE

NIH Toolbox Cognition Composite Scores (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 NIH Toolbox Cognition Domain - Crystallized Cognition Composite Score  NIH Toolbox Fluid Cognition Composite Score,as a part of the cognition domain of NIH Toolbox NIHTBCrystalCognitionCompScore Recommended CDE
2 NIH Toolbox Cognition Domain - Cognitive Function Composite Score  NIH Toolbox Cognitive Function Composite Score, as a part of cognition domain of the NIH Toolbox NIHTBCognitFunctCompositeScore Recommended CDE
3 NIH Toolbox Cognition Domain - Early Childhood Composite Score  NIH Toolbox Early Childhood Composite Score, as a part of cognition domain of the NIH Toolbox NIHTBEarlyChildhdCompsiteScore Recommended CDE

 Change History

 Administrative Change History