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

 General Details

Title:
Peabody Developmental Motor Scale 2 Summary Score
Short Name:
PDMS2SummaryScore
Description:
The PDMS-2 is an early childhood motor development program that provides (in one package) both in-depth assessment and training or remediation of gross and fine motor skills. The assessment is composed of six subtests that measure interrelated motor abilities that develop early in life. It is designed to assess the motor skills of children from birth through 5 years of age. Infant Motor development: reflexes, balance, locomotor, object manipulation, grasping and visual motor integration. Copyright 2000, 1983 by PRO-ED Folio, M. R., Fewell, R. R. 2000. Peabody Developmental Motor Scales Second Edition examiner's manual. PRO-ED, Austin, Texas
Disease:
Traumatic Brain Injury , General (For all diseases)
Organization:
FITBIR
Required Program Form:
No
Standardization:
Standard NINDS CDE
Labels:
Form Type:
Clinical Assessment
Version:
1.0
Date Created:
2016-10-27
Owner:
Number of Data Elements:
48
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 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

PDMS2 Reflexes Summary Score (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 Peabody Developmental Motor Scales Second Edition (PDMS-2) - Reflex scale total raw scale  scale for raw total of test items belonging to the Reflex scale, as part of the Peabody Developmental Motor Scales Second Edition (PDMS-2) PDMS2ReflexScaleTotalRawScore Recommended CDE
2 Peabody Developmental Motor Scales Second Edition (PDMS-2) - Age equivalent score  Age equivalent score, as part of the Peabody Developmental Motor Scales Second Edition (PDMS-2) PDMS2AgeEquivalentScore Recommended CDE
3 Peabody Developmental Motor Scales Second Edition (PDMS-2) - Percentile value  Percentile value, as a part of the Peabody Developmental Motor Scales Second Edition (PDMS-2) PDMS2PercentileVal Recommended CDE

PDMS2 Stationary Summary Score (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 Peabody Developmental Motor Scales Second Edition (PDMS-2) - Stationary scale total raw score  Score for raw total of test items belonging to the Stationary scale, as part of the Peabody Developmental Motor Scales Second Edition (PDMS-2) PDMS2StatnryScaleTotlRawScore Recommended CDE
2 Peabody Developmental Motor Scales Second Edition (PDMS-2) - Age equivalent score  Age equivalent score, as part of the Peabody Developmental Motor Scales Second Edition (PDMS-2) PDMS2AgeEquivalentScore Recommended CDE
3 Peabody Developmental Motor Scales Second Edition (PDMS-2) - Percentile value  Percentile value, as a part of the Peabody Developmental Motor Scales Second Edition (PDMS-2) PDMS2PercentileVal Recommended CDE

PDMS2 Locomotion Summary Score (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 Peabody Developmental Motor Scales Second Edition (PDMS-2) - Locomotion scale total raw score  Scale for raw total of test items belonging to the Locomotion scale, as part of the Peabody Developmental Motor Scales Second Edition (PDMS-2) PDMS2LocomtnScaleTotalRawScore Recommended CDE
2 Peabody Developmental Motor Scales Second Edition (PDMS-2) - Age equivalent score  Age equivalent score, as part of the Peabody Developmental Motor Scales Second Edition (PDMS-2) PDMS2AgeEquivalentScore Recommended CDE
3 Peabody Developmental Motor Scales Second Edition (PDMS-2) - Percentile value  Percentile value, as a part of the Peabody Developmental Motor Scales Second Edition (PDMS-2) PDMS2PercentileVal Recommended CDE

PDMS2 Object Manipuln Summary Score (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 Peabody Developmental Motor Scales Second Edition (PDMS-2) - Object manipulation scale total raw score  Score for raw total of test items belonging to the Object Manipulation scale, as part of the Peabody Developmental Motor Scales Second Edition (PDMS-2) PDMS2ObjMnpltnScaleTotlRwScore Recommended CDE
2 Peabody Developmental Motor Scales Second Edition (PDMS-2) - Age equivalent score  Age equivalent score, as part of the Peabody Developmental Motor Scales Second Edition (PDMS-2) PDMS2AgeEquivalentScore Recommended CDE
3 Peabody Developmental Motor Scales Second Edition (PDMS-2) - Percentile value  Percentile value, as a part of the Peabody Developmental Motor Scales Second Edition (PDMS-2) PDMS2PercentileVal Recommended CDE

PDMS2 Grasping Summary Score (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 Peabody Developmental Motor Scales Second Edition (PDMS-2) - Grasp scale total raw score  Score for raw total of test items belonging to the Grasping scale, as part of the Peabody Developmental Motor Scales Second Edition (PDMS-2) PDMS2GraspScaleTotalRawScore Recommended CDE
2 Peabody Developmental Motor Scales Second Edition (PDMS-2) - Age equivalent score  Age equivalent score, as part of the Peabody Developmental Motor Scales Second Edition (PDMS-2) PDMS2AgeEquivalentScore Recommended CDE
3 Peabody Developmental Motor Scales Second Edition (PDMS-2) - Percentile value  Percentile value, as a part of the Peabody Developmental Motor Scales Second Edition (PDMS-2) PDMS2PercentileVal Recommended CDE

PDMS2 Visual Motor Intgr Summary Score (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 Peabody Developmental Motor Scales Second Edition (PDMS-2) - Visual motor integration scale total raw score  Score for raw total of test items belonging to the Visual-Motor Integration scale, as part of the Peabody Developmental Motor Scales Second Edition (PDMS-2) PDMS2VMIScaleTotalRawScore Recommended CDE
2 Peabody Developmental Motor Scales Second Edition (PDMS-2) - Age equivalent score  Age equivalent score, as part of the Peabody Developmental Motor Scales Second Edition (PDMS-2) PDMS2AgeEquivalentScore Recommended CDE
3 Peabody Developmental Motor Scales Second Edition (PDMS-2) - Percentile value  Percentile value, as a part of the Peabody Developmental Motor Scales Second Edition (PDMS-2) PDMS2PercentileVal Recommended CDE

PDMS2 Standard Score (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 Peabody Developmental Motor Scales Second Edition (PDMS-2) - Reflex scale standard score  Standard score for the child's reflexes scale total raw score , as part of the Peabody Developmental Motor Scales Second Edition (PDMS-2) PDMS2ReflexScaleStdScore Recommended CDE
2 Peabody Developmental Motor Scales Second Edition (PDMS-2) - Stationary scale standard score  Standard score for the child's stationary scale total raw score, as part of the Peabody Developmental Motor Scales Second Edition (PDMS-2) PDMS2StatnryScaleStdScore Recommended CDE
3 Peabody Developmental Motor Scales Second Edition (PDMS-2) - Locomotion scale standard score  Standard score for the child's locomotion scale total raw score , as part of the Peabody Developmental Motor Scales Second Edition (PDMS-2) PDMS2LocomtnScaleStdScore Recommended CDE
4 Peabody Developmental Motor Scales Second Edition (PDMS-2) - Object manipulation scale standard score  Standard score for the child's object manipulation scale total raw score, as part of the Peabody Developmental Motor Scales Second Edition (PDMS-2) PDMS2ObjMnpltnScaleStdScore Recommended CDE
5 Peabody Developmental Motor Scales Second Edition (PDMS-2) - Grasp scale standard score  Standard score for the child's grasping scale total raw score, as part of the Peabody Developmental Motor Scales Second Edition (PDMS-2) PDMS2GraspScaleStdScore Recommended CDE
6 Peabody Developmental Motor Scales Second Edition (PDMS-2) - Visual motor integration scale standard score  Standard score for the child's visual-motor Integration scale total raw score, as part of the Peabody Developmental Motor Scales Second Edition (PDMS-2) PDMS2VMIScaleStdScore Recommended CDE
7 Peabody Developmental Motor Scales Second Edition (PDMS-2) - Gross motor sum standard score  Standard score sum of the child's gross motor scales, as part of the Peabody Developmental Motor Scales Second Edition (PDMS-2) PDMS2GrossMotorSumStdScore Recommended CDE
8 Peabody Developmental Motor Scales Second Edition (PDMS-2) - Gross motor quotient score  Score of the child's gross motor quotient, as part of the Peabody Developmental Motor Scales Second Edition (PDMS-2) PDMS2GrossMotorQuotientScore Recommended CDE
9 Peabody Developmental Motor Scales Second Edition (PDMS-2) - Gross motor percentage value  Value of the percentile rank for the sum of the child's standard scale s for the gross motor scales, as part of the Peabody Developmental Motor Scales Second Edition (PDMS-2) PDMS2GrossMotorPerVal Recommended CDE
10 Peabody Developmental Motor Scales Second Edition (PDMS-2) - Fine motor scale sum standard score  Standard score sum of the child's fine motor scales, as part of the Peabody Developmental Motor Scales Second Edition (PDMS-2) PDMS2FineMotorSumStdScore Recommended CDE
11 Peabody Developmental Motor Scales Second Edition (PDMS-2) - Fine motor quotient score  Score of the child's fine motor quotient, as part of the Peabody Developmental Motor Scales Second Edition (PDMS-2) PDMS2FineMotorQuotientScore Recommended CDE
12 Peabody Developmental Motor Scales Second Edition (PDMS-2) - Fine motor percentage value  Value of the percentile rank for the sum of the child's standard scale s for the fine motor scales, as part of the Peabody Developmental Motor Scales Second Edition (PDMS-2) PDMS2FineMotorPerVal Recommended CDE
13 Peabody Developmental Motor Scales Second Edition (PDMS-2) - Total motor sum standard score  Standard score sum of the child's all motor scales, as part of the Peabody Developmental Motor Scales Second Edition (PDMS-2) PDMS2TotalMotorSumStdScore Recommended CDE
14 Peabody Developmental Motor Scales Second Edition (PDMS-2) - Total motor quotient score  Score of the child's total motor quotient, as part of the Peabody Developmental Motor Scales Second Edition (PDMS-2) PDMS2TotalMotorQuotientScore Recommended CDE
15 Peabody Developmental Motor Scales Second Edition (PDMS-2) - Total motor percentage value  Value of the percentile rank for the sum of the child's standard scale s for all motor scales, as part of the Peabody Developmental Motor Scales Second Edition (PDMS-2) PDMS2TotalMotorPerVal Recommended CDE

 Change History

 Administrative Change History