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

 General Details

Title:
Random Gap Detection Test (RGDT)
Short Name:
RGDT
Description:
The Random-Gap Detection Test (RGDT) is a component of Central Auditory Processing testing and tests the patientÂ’s ability to detect gaps in tonal and click stimuli. Copyright 2000 NCS Pearson,Inc. Copyright Auditec, Inc. Reference: Steyerberg EW, Mushkudiani N, Perel P, et al. Predicting outcome after traumatic brain injury: development and international validation of prognostic scores based on admission characteristics. PLoS Med. Aug 2008;5(8):e165. MRC CRASH Trial.
Disease:
General (For all diseases) , 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:
2016-10-13
Owner:
Number of Data Elements:
42
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

Random Gap Detection Test Info (RGDT) (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 Gender Type Extended  Self-reported gender of the participant/subject. GenderTypExt Recommended CDE
2 Random Gap Detection Test (RGDT)-Pretest indicator 

(Draft)

Indicator if the pretest was administered, as part of Random Gap Detection Test (RGDT) RGDTPretestInd Recommended UDE

Tones Subtest1: Screening/Practice (Appears Up To 9 Times)

# Title Short Description Variable Name Required? Type
1 Random Gap Detection Test (RGDT)-Subtest type 

(Draft)

Type of subtest, as part of Random Gap Detection Test (RGDT) RGDTSubtestTyp Recommended UDE
2 Random Gap Detection Test (RGDT)-Frequency type 

(Draft)

Type of frequency used in the practice and subtests, as part of Random Gap Detection Test (RGDT) RGDTFrequencyTyp Recommended UDE
3 Random Gap Detection Test (RGDT)-Inter stimulus interval 

(Draft)

IntervaI for inter-stimuli used, as part of Random Gap Detection Test (RGDT) RGDTInterstimulIntrvl Recommended UDE
4 Random Gap Detection Test (RGDT)-Stimuli type 

(Draft)

Type of stimuli noted, as part of Random Gap Detection Test (RGDT) RGDTStimuliTyp Recommended UDE
5 Random Gap Detection Test (RGDT)-Lowest gap threshold value 

(Draft)

Value for the lowest gap noted, as part of Random Gap Detection Test (RGDT) RGDTLowestGapThresVal Recommended UDE
6 Random Gap Detection Test (RGDT)-Gap detection threshold value 

(Draft)

Value for gap detection threshold noted, as part of Random Gap Detection Test (RGDT) RGDTGapDetectThresVal Recommended UDE

Tones Subtest2: Standard (Appears Up To 9 Times)

# Title Short Description Variable Name Required? Type
1 Random Gap Detection Test (RGDT)-Subtest type 

(Draft)

Type of subtest, as part of Random Gap Detection Test (RGDT) RGDTSubtestTyp Recommended UDE
2 Random Gap Detection Test (RGDT)-Frequency type 

(Draft)

Type of frequency used in the practice and subtests, as part of Random Gap Detection Test (RGDT) RGDTFrequencyTyp Recommended UDE
3 Random Gap Detection Test (RGDT)-Inter stimulus interval 

(Draft)

IntervaI for inter-stimuli used, as part of Random Gap Detection Test (RGDT) RGDTInterstimulIntrvl Recommended UDE
4 Random Gap Detection Test (RGDT)-Stimuli type 

(Draft)

Type of stimuli noted, as part of Random Gap Detection Test (RGDT) RGDTStimuliTyp Recommended UDE
5 Random Gap Detection Test (RGDT)-Lowest gap threshold value 

(Draft)

Value for the lowest gap noted, as part of Random Gap Detection Test (RGDT) RGDTLowestGapThresVal Recommended UDE
6 Random Gap Detection Test (RGDT)-Gap detection threshold value 

(Draft)

Value for gap detection threshold noted, as part of Random Gap Detection Test (RGDT) RGDTGapDetectThresVal Recommended UDE

Clicks Subtest3:Screening/Practice Clicks (Appears Up To 9 Times)

# Title Short Description Variable Name Required? Type
1 Random Gap Detection Test (RGDT)-Subtest type 

(Draft)

Type of subtest, as part of Random Gap Detection Test (RGDT) RGDTSubtestTyp Recommended UDE
2 Random Gap Detection Test (RGDT)-Frequency type 

(Draft)

Type of frequency used in the practice and subtests, as part of Random Gap Detection Test (RGDT) RGDTFrequencyTyp Recommended UDE
3 Random Gap Detection Test (RGDT)-Inter stimulus interval 

(Draft)

IntervaI for inter-stimuli used, as part of Random Gap Detection Test (RGDT) RGDTInterstimulIntrvl Recommended UDE
4 Random Gap Detection Test (RGDT)-Stimuli type 

(Draft)

Type of stimuli noted, as part of Random Gap Detection Test (RGDT) RGDTStimuliTyp Recommended UDE
5 Random Gap Detection Test (RGDT)-Lowest gap threshold value 

(Draft)

Value for the lowest gap noted, as part of Random Gap Detection Test (RGDT) RGDTLowestGapThresVal Recommended UDE
6 Random Gap Detection Test (RGDT)-Gap detection threshold value 

(Draft)

Value for gap detection threshold noted, as part of Random Gap Detection Test (RGDT) RGDTGapDetectThresVal Recommended UDE

Clicks Subtest4 (Appears Up To 9 Times)

# Title Short Description Variable Name Required? Type
1 Random Gap Detection Test (RGDT)-Gap detection threshold value 

(Draft)

Value for gap detection threshold noted, as part of Random Gap Detection Test (RGDT) RGDTGapDetectThresVal Recommended UDE
2 Random Gap Detection Test (RGDT)-Subtest type 

(Draft)

Type of subtest, as part of Random Gap Detection Test (RGDT) RGDTSubtestTyp Recommended UDE
3 Random Gap Detection Test (RGDT)-Frequency type 

(Draft)

Type of frequency used in the practice and subtests, as part of Random Gap Detection Test (RGDT) RGDTFrequencyTyp Recommended UDE
4 Random Gap Detection Test (RGDT)-Stimuli type 

(Draft)

Type of stimuli noted, as part of Random Gap Detection Test (RGDT) RGDTStimuliTyp Recommended UDE
5 Random Gap Detection Test (RGDT)-Inter stimulus interval 

(Draft)

IntervaI for inter-stimuli used, as part of Random Gap Detection Test (RGDT) RGDTInterstimulIntrvl Recommended UDE
6 Random Gap Detection Test (RGDT)-Lowest gap threshold value 

(Draft)

Value for the lowest gap noted, as part of Random Gap Detection Test (RGDT) RGDTLowestGapThresVal Recommended UDE

RGDT Composite (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 Random Gap Detection Test (RGDT)-Composite gap detection threshold value 

(Draft)

Value of composite gap detection threshold calculated, as part of Random Gap Detection Test (RGDT) RGDTCompGapDetectThresVal Recommended UDE

 Change History

 Administrative Change History