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

 General Details

Title:
Rey Complex Figure Test and Recognition Trial (RCFT)
Short Name:
RCFT
Description:
The Rey Complex Figure Test is a neuropsychological instrument that can be employed in different cultural backgrounds. Meyers and Meyers (1995) proposed an extended test version including a Recognition Trial (RT), which permits an examination of test motivation through analyses of test profiles and rare recognition mistakes.
Disease:
General (For all diseases)
Organization:
NIH
Required Program Form:
No
Standardization:
Standard NINDS CDE
Labels:
Form Type:
Clinical Assessment
Publication Date:
2015-09-24
Version:
1.0
Date Created:
2015-05-29
Owner:
Number of Data Elements:
36
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 Visit date   Actual interview or visit date VisitDate Recommended CDE
5 Site name   The name of the site for the study SiteName Recommended CDE
6 Days since baseline   The number of days since baseline DaysSinceBaseline Optional CDE
7 Case control indicator   Indicator of whether subject is in the case or control arm of the study CaseContrlInd Optional CDE
8 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

Trial (Appears Up To 3 Times)

# Title Short Description Variable Name Required? Type
1 Rey Complex Figure Test and Recognition Trial (RCFT) - Trial type  Type of a given trial (e.g. copy, immediate recall, delayed recall), as part of Rey Complex Figure Test and Recognition Trial (RCFT). RCFTTrialTyp Recommended CDE
2 Rey Complex Figure Test and Recognition Trial (RCFT) - Trial start time  Time when the trial started (e.g. copy, immediate recall, delayed recall trial start time), as part of Rey Complex Figure Test and Recognition Trial (RCFT). RCFTTrialStartTime Recommended CDE
3 Rey Complex Figure Test and Recognition Trial (RCFT) - Trial completion time  Time (in seconds) required to complete a given trial (e.g. copy, immediate recall, delayed recall), as part of Rey Complex Figure Test and Recognition Trial (RCFT). RCFTTrialTimeVal Recommended CDE
4 Rey Complex Figure Test and Recognition Trial (RCFT) - Image code  Image code (e.g. 1,2, etc.), as part of Rey Complex Figure Test and Recognition Trial (RCFT). RCFTImageCode Recommended CDE
5 Rey Complex Figure Test and Recognition Trial (RCFT) - Individual image accuracy scale  Scale that represents accuracy of drawing of an individual image, as part of Rey Complex Figure Test and Recognition Trial (RCFT). RCFTImageAccuracyScale Recommended CDE
6 Rey Complex Figure Test and Recognition Trial (RCFT) - Individual image placement scale  Scale that represents accuracy of placement of an individual image, as part of Rey Complex Figure Test and Recognition Trial (RCFT). RCFTImagePlacementScale Recommended CDE
7 Rey Complex Figure Test and Recognition Trial (RCFT) - Individual image score  Score for individual image, as part of Rey Complex Figure Test and Recognition Trial (RCFT). RCFTImageScore Recommended CDE
8 Rey Complex Figure Test and Recognition Trial (RCFT) - Trial image  Image created by participant for a given trial (e.g. copy, immediate recall, delayed recall), as part of Rey Complex Figure Test and Recognition Trial (RCFT). RCFTTrialImg Recommended CDE
9 Rey Complex Figure Test and Recognition Trial (RCFT) - Participant response original figure indicator  Indicator of the participant response if image is part of original figure, as part of Rey Complex Figure Test and Recognition Trial (RCFT). RCFTRecogntionTrueImageInd Recommended CDE
10 Rey Complex Figure Test and Recognition Trial (RCFT) - Trial percentile  Percentile value for a given trial (e.g. copy, immediate recall, delayed recall), as part of Rey Complex Figure Test and Recognition Trial (RCFT). RCFTTrialPercentile Recommended CDE
11 Rey Complex Figure Test and Recognition Trial (RCFT) - Trial raw score  Raw score for a given trial (e.g. copy, immediate recall, delayed recall), as part of Rey Complex Figure Test and Recognition Trial (RCFT). RCFTTrialRawScore Recommended CDE
12 Rey Complex Figure Test and Recognition Trial (RCFT) - Trial t-score  T-score for a given trial (e.g. copy, immediate recall, delayed recall), as part of Rey Complex Figure Test and Recognition Trial (RCFT). RCFTTrialTScore Recommended CDE
13 Rey Complex Figure Test and Recognition Trial (RCFT) - Trial text  Notes taken for a given trial (e.g. copy, immediate recall, delayed recall), as part of Rey Complex Figure Test and Recognition Trial (RCFT). RCFTTrialTxt Recommended CDE

Recognition (Repeat Infinitely)

# Title Short Description Variable Name Required? Type
1 Rey Complex Figure Test and Recognition Trial (RCFT) - Recognition false negatives score  Score for recognition false negatives, as part of Rey Complex Figure Test and Recognition Trial (RCFT). RCFTRecogntionFalsNegativScore Recommended CDE
2 Rey Complex Figure Test and Recognition Trial (RCFT) - Recognition false positives score  Score for recognition false positives, as part of Rey Complex Figure Test and Recognition Trial (RCFT). RCFTRecogntionFalsPositivScore Recommended CDE
3 Rey Complex Figure Test and Recognition Trial (RCFT) - Recognition total correct score  Total score for recognition total correct, as part of Rey Complex Figure Test and Recognition Trial (RCFT). RCFTRecogntionTtlCorrectScore Recommended CDE
4 Rey Complex Figure Test and Recognition Trial (RCFT) - Recognition true negatives score  Score for recognition true negatives, as part of Rey Complex Figure Test and Recognition Trial (RCFT). RCFTRecogntionTrueNegativScore Recommended CDE
5 Rey Complex Figure Test and Recognition Trial (RCFT) - Recognition true positives score  Score for recognition true positives, as part of Rey Complex Figure Test and Recognition Trial (RCFT). RCFTRecogntionTruePositivScore Recommended CDE

SubjectAttitude (Repeat Infinitely)

# Title Short Description Variable Name Required? Type
1 Rey Complex Figure Test and Recognition Trial (RCFT) - Rapport status  Status of the participant's rapport, as part of Rey Complex Figure Test and Recognition Trial (RCFT). RCFTRapportStatus Recommended CDE
2 Rey Complex Figure Test and Recognition Trial (RCFT) - Cooperation status  Status of the participant's cooperation, as part of Rey Complex Figure Test and Recognition Trial (RCFT). RCFTCooperationStatus Recommended CDE
3 Rey Complex Figure Test and Recognition Trial (RCFT) - Test effort status  Status of the participant's effort on the tests, as part of Rey Complex Figure Test and Recognition Trial (RCFT). RCFTEffortOnTestsStatus Recommended CDE

Notes (Repeat Infinitely)

# Title Short Description Variable Name Required? Type
1 Rey Complex Figure Test and Recognition Trial (RCFT) - Referral question text  Notes on referral question, as part of Rey Complex Figure Test and Recognition Trial (RCFT). RCFTReferralQuestionTxt Recommended CDE
2 Rey Complex Figure Test and Recognition Trial (RCFT) - Background information complaint text  Notes on background information/presenting complaints, as part of Rey Complex Figure Test and Recognition Trial (RCFT). RCFTBackgroundInfoTxt Recommended CDE
3 Rey Complex Figure Test and Recognition Trial (RCFT) - Behavioral observation text  Notes on behavioural observations, as part of Rey Complex Figure Test and Recognition Trial (RCFT). RCFTBehavioralObservationsTxt Recommended CDE

 Change History

 Administrative Change History