CDE Detailed Report
Disease: Parkinson's Disease
Subdomain Name: Cognitive
CRF: Short Portable Mental Status Questionnaire (SPMSQ)
Displaying 1 - 12 of 12
Subdomain Name: Cognitive
CRF: Short Portable Mental Status Questionnaire (SPMSQ)
Displaying 1 - 12 of 12
| CDE ID | CDE Name | Variable Name | Definition | Short Description | Question Text | Permissible Values | Description | Data Type | Disease Specific Instructions | Disease Specific Reference | Population | Classification (e.g., Core) | Version Number | Version Date | CRF Name (CRF Module / Guidance) | Subdomain Name | Domain Name | Size | Input Restrictions | Min Value | Max Value | Measurement Type | External Id Loinc | External Id Snomed | External Id caDSR | External Id CDISC |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| C09531 | Short Portable Mental Status Questionnaire (SPMSQ) - current president USA question text | SPMSQCurntUSAPresQuesText | Participant/subject's response to the name of the current president of the United States of America as part of the Short Portable Mental Status Questionnaire (SPMSQ) | Participant/subject's response to the name of the current president of the United States of America was taken as part of the Short Portable Mental Status Questionnaire (SPMSQ) | Who is the president of the United States now? | plus;minus | plus - correct;minus - incorrect | Alphanumeric |
Requires only the correct last name. |
Pfeiffer, E. A short portable mental status questionnaire for the assessment of organic brain deficit in elderly patients. J Am Geriatr Soc 1975; 23: 433-41. Short Portable Mental Status Questionnaire ( S P M Q ) in: Palmer RM, Meldon SW. Acute Care. In: Principles of Geriatric Medicine and Gerontology, 5th edition, 2003. Eds. Hazzard WR et al. McGraw-Hill Pub. pp 157-168. Geriatrics Review Syllabus: A Core Curriculum Geriatric Medicine, 5th Edition. Malden, MA: Backwell Publishing for the American Geriatric Society; 2002. pp 403-411. Carod-Artal F, Martinez-Martin P, Kummer W, da Silveira Ribeiro L. Psychometric properties of the SCOPA-COG Brazilian version. Mov Disord 2007;23:81-87. Parker C, Philip I. Screening for cognitive impairment among older people in black and minority ethnic groups. Age Ageing 2004;33:447-452. Erkinjuntti T, Sulkava R, WikstrÖm J, Autio L. Short Portable Mental Status Questionnaire as a screening test for dementia and delirium among the elderly. J Am Geriatr Soc 1987;35:412-6. | Adult | Supplemental | 3.00 | 2013-07-22 09:34:41.527 | Short Portable Mental Status Questionnaire (SPMSQ) | Cognitive | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C09532 | SPMSQ president before current question text | SPMSQPresBeforeCurntQuestText | Participant/subject's response to the name of the president before the current one as part of the Short Portable Mental Status Questionnaire (SPMSQ) | Participant/subject's response to the name of the president before the current one as part of the Short Portable Mental Status Questionnaire (SPMSQ) | Who was president just before him? | plus;minus | plus - correct;minus - incorrect | Alphanumeric |
Requires only the correct last name. |
Pfeiffer, E. A short portable mental status questionnaire for the assessment of organic brain deficit in elderly patients. J Am Geriatr Soc 1975; 23: 433-41. Short Portable Mental Status Questionnaire ( S P M Q ) in: Palmer RM, Meldon SW. Acute Care. In: Principles of Geriatric Medicine and Gerontology, 5th edition, 2003. Eds. Hazzard WR et al. McGraw-Hill Pub. pp 157-168. Geriatrics Review Syllabus: A Core Curriculum Geriatric Medicine, 5th Edition. Malden, MA: Backwell Publishing for the American Geriatric Society; 2002. pp 403-411. Carod-Artal F, Martinez-Martin P, Kummer W, da Silveira Ribeiro L. Psychometric properties of the SCOPA-COG Brazilian version. Mov Disord 2007;23:81-87. Parker C, Philip I. Screening for cognitive impairment among older people in black and minority ethnic groups. Age Ageing 2004;33:447-452. Erkinjuntti T, Sulkava R, WikstrÖm J, Autio L. Short Portable Mental Status Questionnaire as a screening test for dementia and delirium among the elderly. J Am Geriatr Soc 1987;35:412-6. | Adult | Supplemental | 3.00 | 2013-07-22 09:34:41.527 | Short Portable Mental Status Questionnaire (SPMSQ) | Cognitive | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C09533 | Short Portable Mental Status Questionnaire (SPMSQ) - mother maiden name status | SPMSQMotherMaidenNameStatus | Participant/subject's response to what their mother's maiden name was as part of the Short Portable Mental Status Questionnaire (SPMSQ) | Participant/subject's response to what their mother's maiden name was as part of the Short Portable Mental Status Questionnaire (SPMSQ) | What was your mother's maiden name? | plus;minus | plus - correct;minus - incorrect | Alphanumeric |
Needs no verification; it only requires a female first name plus a last name other than the subject's. |
Pfeiffer, E. A short portable mental status questionnaire for the assessment of organic brain deficit in elderly patients. J Am Geriatr Soc 1975; 23: 433-41. Short Portable Mental Status Questionnaire ( S P M Q ) in: Palmer RM, Meldon SW. Acute Care. In: Principles of Geriatric Medicine and Gerontology, 5th edition, 2003. Eds. Hazzard WR et al. McGraw-Hill Pub. pp 157-168. Geriatrics Review Syllabus: A Core Curriculum Geriatric Medicine, 5th Edition. Malden, MA: Backwell Publishing for the American Geriatric Society; 2002. pp 403-411. Carod-Artal F, Martinez-Martin P, Kummer W, da Silveira Ribeiro L. Psychometric properties of the SCOPA-COG Brazilian version. Mov Disord 2007;23:81-87. Parker C, Philip I. Screening for cognitive impairment among older people in black and minority ethnic groups. Age Ageing 2004;33:447-452. Erkinjuntti T, Sulkava R, WikstrÖm J, Autio L. Short Portable Mental Status Questionnaire as a screening test for dementia and delirium among the elderly. J Am Geriatr Soc 1987;35:412-6. | Adult | Supplemental | 3.00 | 2013-07-22 09:34:41.527 | Short Portable Mental Status Questionnaire (SPMSQ) | Cognitive | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C09523 | Short Portable Mental Status Questionnaire (SPMSQ) - current date result | SPMSQCurrentDateReslt | Participant/subject's response to the date the test was taken as part of the Short Portable Mental Status Questionnaire (SPMSQ) | Participant/subject's response to the date the test was taken as part of the Short Portable Mental Status Questionnaire (SPMSQ) | What is the date today? | plus;minus | plus - correct;minus - incorrect | Alphanumeric |
Correct only when the month, date, and year are all correct. |
Pfeiffer, E. A short portable mental status questionnaire for the assessment of organic brain deficit in elderly patients. J Am Geriatr Soc 1975; 23: 433-41. Short Portable Mental Status Questionnaire ( S P M Q ) in: Palmer RM, Meldon SW. Acute Care. In: Principles of Geriatric Medicine and Gerontology, 5th edition, 2003. Eds. Hazzard WR et al. McGraw-Hill Pub. pp 157-168. Geriatrics Review Syllabus: A Core Curriculum Geriatric Medicine, 5th Edition. Malden, MA: Backwell Publishing for the American Geriatric Society; 2002. pp 403-411. Carod-Artal F, Martinez-Martin P, Kummer W, da Silveira Ribeiro L. Psychometric properties of the SCOPA-COG Brazilian version. Mov Disord 2007;23:81-87. Parker C, Philip I. Screening for cognitive impairment among older people in black and minority ethnic groups. Age Ageing 2004;33:447-452. Erkinjuntti T, Sulkava R, WikstrÖm J, Autio L. Short Portable Mental Status Questionnaire as a screening test for dementia and delirium among the elderly. J Am Geriatr Soc 1987;35:412-6. | Adult | Supplemental | 3.00 | 2013-07-22 09:34:41.527 | Short Portable Mental Status Questionnaire (SPMSQ) | Cognitive | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C09534 | Short Portable Mental Status Questionnaire (SPMSQ) - total error score | SPMSQTotalErrorScore | Participant/subject's total errors on the test as part of the Short Portable Mental Status Questionnaire (SPMSQ) | Participant/subject's total errors on the test as part of the Short Portable Mental Status Questionnaire (SPMSQ) | Total number of errors | Numeric Values |
Scoring: Maximum = 10. 0-2 errors = Intact Intellectual Functioning; 3-4 errors = Mild Intellectual Impairment; 5-7 errors = Moderate Intellectual Impairment; 8-10 errors = Severe Intellectual Impairment Allow more than one error for a subject with one a grade school education. Allow one less error for a subject with education beyond high school. Allow one more error for African-American subjects, using identical educational criteria. |
Pfeiffer, E. A short portable mental status questionnaire for the assessment of organic brain deficit in elderly patients. J Am Geriatr Soc 1975; 23: 433-41. Short Portable Mental Status Questionnaire ( S P M Q ) in: Palmer RM, Meldon SW. Acute Care. In: Principles of Geriatric Medicine and Gerontology, 5th edition, 2003. Eds. Hazzard WR et al. McGraw-Hill Pub. pp 157-168. Geriatrics Review Syllabus: A Core Curriculum Geriatric Medicine, 5th Edition. Malden, MA: Backwell Publishing for the American Geriatric Society; 2002. pp 403-411. Carod-Artal F, Martinez-Martin P, Kummer W, da Silveira Ribeiro L. Psychometric properties of the SCOPA-COG Brazilian version. Mov Disord 2007;23:81-87. Parker C, Philip I. Screening for cognitive impairment among older people in black and minority ethnic groups. Age Ageing 2004;33:447-452. Erkinjuntti T, Sulkava R, WikstrÖm J, Autio L. Short Portable Mental Status Questionnaire as a screening test for dementia and delirium among the elderly. J Am Geriatr Soc 1987;35:412-6. | Adult | Supplemental | 3.00 | 2013-07-22 09:34:41.527 | Short Portable Mental Status Questionnaire (SPMSQ) | Cognitive | Outcomes and End Points |
Free-Form Entry |
0 | 10 | ||||||||
| C09524 | Short Portable Mental Status Questionnaire (SPMSQ) - subtract 3 status | SPMSQSubtract3Status | Participant/subject's response when subtracting 3 from 20 then subtracting 3 all the way down as part of the Short Portable Mental Status Questionnaire (SPMSQ) | Participant/subject's response when subtracting 3 from 20 then subtracting 3 all the way down as part of the Short Portable Mental Status Questionnaire (SPMSQ) | Subtract 3 from 20 and keep subtracting 3 from each new number, all the way down | plus;minus | plus - correct;minus - incorrect | Alphanumeric |
The entire series must be performed correctly to be scored as correct. Any error in the series-or an unwillingness to attempt the series-is scored as incorrect. |
Pfeiffer, E. A short portable mental status questionnaire for the assessment of organic brain deficit in elderly patients. J Am Geriatr Soc 1975; 23: 433-41. Short Portable Mental Status Questionnaire ( S P M Q ) in: Palmer RM, Meldon SW. Acute Care. In: Principles of Geriatric Medicine and Gerontology, 5th edition, 2003. Eds. Hazzard WR et al. McGraw-Hill Pub. pp 157-168. Geriatrics Review Syllabus: A Core Curriculum Geriatric Medicine, 5th Edition. Malden, MA: Backwell Publishing for the American Geriatric Society; 2002. pp 403-411. Carod-Artal F, Martinez-Martin P, Kummer W, da Silveira Ribeiro L. Psychometric properties of the SCOPA-COG Brazilian version. Mov Disord 2007;23:81-87. Parker C, Philip I. Screening for cognitive impairment among older people in black and minority ethnic groups. Age Ageing 2004;33:447-452. Erkinjuntti T, Sulkava R, WikstrÖm J, Autio L. Short Portable Mental Status Questionnaire as a screening test for dementia and delirium among the elderly. J Am Geriatr Soc 1987;35:412-6. | Adult | Supplemental | 3.00 | 2013-07-22 09:34:41.527 | Short Portable Mental Status Questionnaire (SPMSQ) | Cognitive | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C09525 | Short Portable Mental Status Questionnaire (SPMSQ) - day week question text | SPMSQDayWeekQuestTxt | Participant/subject's response of the day of the week the test was taken as part of the Short Portable Mental Status Questionnaire (SPMSQ) | Participant/subject's response of the day of the week the test was taken as part of the Short Portable Mental Status Questionnaire (SPMSQ) | What day of the week is it? | plus;minus | plus - correct;minus - incorrect | Alphanumeric |
Correct only when the day is correct. |
Pfeiffer, E. A short portable mental status questionnaire for the assessment of organic brain deficit in elderly patients. J Am Geriatr Soc 1975; 23: 433-41. Short Portable Mental Status Questionnaire ( S P M Q ) in: Palmer RM, Meldon SW. Acute Care. In: Principles of Geriatric Medicine and Gerontology, 5th edition, 2003. Eds. Hazzard WR et al. McGraw-Hill Pub. pp 157-168. Geriatrics Review Syllabus: A Core Curriculum Geriatric Medicine, 5th Edition. Malden, MA: Backwell Publishing for the American Geriatric Society; 2002. pp 403-411. Carod-Artal F, Martinez-Martin P, Kummer W, da Silveira Ribeiro L. Psychometric properties of the SCOPA-COG Brazilian version. Mov Disord 2007;23:81-87. Parker C, Philip I. Screening for cognitive impairment among older people in black and minority ethnic groups. Age Ageing 2004;33:447-452. Erkinjuntti T, Sulkava R, WikstrÖm J, Autio L. Short Portable Mental Status Questionnaire as a screening test for dementia and delirium among the elderly. J Am Geriatr Soc 1987;35:412-6. | Adult | Supplemental | 3.00 | 2013-07-22 09:34:41.527 | Short Portable Mental Status Questionnaire (SPMSQ) | Cognitive | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C09526 | Short Portable Mental Status Questionnaire (SPMSQ) - name place test taken question text | SPMSQNamePlaceTestTakeQuestTxt | Participant/subject's response to the name of the place the test was taken as part of the Short Portable Mental Status Questionnaire (SPMSQ) | Participant/subject's response to the name of the place the test was taken as part of the Short Portable Mental Status Questionnaire (SPMSQ) | What is the name of this place? | plus;minus | plus - correct;minus - incorrect | Alphanumeric |
Correct if any of the description of the location is given. "My home," the correct city/town, or the correct name of the hospital/institution are all acceptable |
Pfeiffer, E. A short portable mental status questionnaire for the assessment of organic brain deficit in elderly patients. J Am Geriatr Soc 1975; 23: 433-41. Short Portable Mental Status Questionnaire ( S P M Q ) in: Palmer RM, Meldon SW. Acute Care. In: Principles of Geriatric Medicine and Gerontology, 5th edition, 2003. Eds. Hazzard WR et al. McGraw-Hill Pub. pp 157-168. Geriatrics Review Syllabus: A Core Curriculum Geriatric Medicine, 5th Edition. Malden, MA: Backwell Publishing for the American Geriatric Society; 2002. pp 403-411. Carod-Artal F, Martinez-Martin P, Kummer W, da Silveira Ribeiro L. Psychometric properties of the SCOPA-COG Brazilian version. Mov Disord 2007;23:81-87. Parker C, Philip I. Screening for cognitive impairment among older people in black and minority ethnic groups. Age Ageing 2004;33:447-452. Erkinjuntti T, Sulkava R, WikstrÖm J, Autio L. Short Portable Mental Status Questionnaire as a screening test for dementia and delirium among the elderly. J Am Geriatr Soc 1987;35:412-6. | Adult | Supplemental | 3.00 | 2013-07-22 09:34:41.527 | Short Portable Mental Status Questionnaire (SPMSQ) | Cognitive | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C09527 | Short Portable Mental Status Questionnaire (SPMSQ) - telephone number | SPMSQTelephoneNum | Participant/subject's response to what their telephone number is as part of the Short Portable Mental Status Questionnaire (SPMSQ) | Participant/subject's response to what their telephone number is as part of the Short Portable Mental Status Questionnaire (SPMSQ) | What is your telephone number? | plus;minus | plus - correct;minus - incorrect | Alphanumeric |
Correct when the number can be verified or the subject can repeat the same number at a later time in the interview. |
Pfeiffer, E. A short portable mental status questionnaire for the assessment of organic brain deficit in elderly patients. J Am Geriatr Soc 1975; 23: 433-41. Short Portable Mental Status Questionnaire ( S P M Q ) in: Palmer RM, Meldon SW. Acute Care. In: Principles of Geriatric Medicine and Gerontology, 5th edition, 2003. Eds. Hazzard WR et al. McGraw-Hill Pub. pp 157-168. Geriatrics Review Syllabus: A Core Curriculum Geriatric Medicine, 5th Edition. Malden, MA: Backwell Publishing for the American Geriatric Society; 2002. pp 403-411. Carod-Artal F, Martinez-Martin P, Kummer W, da Silveira Ribeiro L. Psychometric properties of the SCOPA-COG Brazilian version. Mov Disord 2007;23:81-87. Parker C, Philip I. Screening for cognitive impairment among older people in black and minority ethnic groups. Age Ageing 2004;33:447-452. Erkinjuntti T, Sulkava R, WikstrÖm J, Autio L. Short Portable Mental Status Questionnaire as a screening test for dementia and delirium among the elderly. J Am Geriatr Soc 1987;35:412-6. | Adult | Supplemental | 3.00 | 2013-07-22 09:34:41.527 | Short Portable Mental Status Questionnaire (SPMSQ) | Cognitive | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C09528 | Short Portable Mental Status Questionnaire (SPMSQ) - address question text | SPMSQAddressQuestTxt | Participant/subject's response to what their address is as part of the Short Portable Mental Status Questionnaire (SPMSQ) | Participant/subject's response to what their address is as part of the Short Portable Mental Status Questionnaire (SPMSQ) | What is your street address? | plus;minus | plus - correct;minus - incorrect | Alphanumeric |
Ask only if the subject does not have a telephone. |
Pfeiffer, E. A short portable mental status questionnaire for the assessment of organic brain deficit in elderly patients. J Am Geriatr Soc 1975; 23: 433-41. Short Portable Mental Status Questionnaire ( S P M Q ) in: Palmer RM, Meldon SW. Acute Care. In: Principles of Geriatric Medicine and Gerontology, 5th edition, 2003. Eds. Hazzard WR et al. McGraw-Hill Pub. pp 157-168. Geriatrics Review Syllabus: A Core Curriculum Geriatric Medicine, 5th Edition. Malden, MA: Backwell Publishing for the American Geriatric Society; 2002. pp 403-411. Carod-Artal F, Martinez-Martin P, Kummer W, da Silveira Ribeiro L. Psychometric properties of the SCOPA-COG Brazilian version. Mov Disord 2007;23:81-87. Parker C, Philip I. Screening for cognitive impairment among older people in black and minority ethnic groups. Age Ageing 2004;33:447-452. Erkinjuntti T, Sulkava R, WikstrÖm J, Autio L. Short Portable Mental Status Questionnaire as a screening test for dementia and delirium among the elderly. J Am Geriatr Soc 1987;35:412-6. | Adult | Supplemental | 3.00 | 2013-07-22 09:34:41.527 | Short Portable Mental Status Questionnaire (SPMSQ) | Cognitive | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C09529 | Short Portable Mental Status Questionnaire (SPMSQ) - age value | SPMSQAgeVal | Participant/subject's response to what their age at the time of the test is as part of the Short Portable Mental Status Questionnaire (SPMSQ) | Participant/subject's response to what their age at the time of the test is as part of the Short Portable Mental Status Questionnaire (SPMSQ) | How old are you? | plus;minus | plus - correct;minus - incorrect | Alphanumeric |
Correct when the stated age corresponds to the date of birth. |
Pfeiffer, E. A short portable mental status questionnaire for the assessment of organic brain deficit in elderly patients. J Am Geriatr Soc 1975; 23: 433-41. Short Portable Mental Status Questionnaire ( S P M Q ) in: Palmer RM, Meldon SW. Acute Care. In: Principles of Geriatric Medicine and Gerontology, 5th edition, 2003. Eds. Hazzard WR et al. McGraw-Hill Pub. pp 157-168. Geriatrics Review Syllabus: A Core Curriculum Geriatric Medicine, 5th Edition. Malden, MA: Backwell Publishing for the American Geriatric Society; 2002. pp 403-411. Carod-Artal F, Martinez-Martin P, Kummer W, da Silveira Ribeiro L. Psychometric properties of the SCOPA-COG Brazilian version. Mov Disord 2007;23:81-87. Parker C, Philip I. Screening for cognitive impairment among older people in black and minority ethnic groups. Age Ageing 2004;33:447-452. Erkinjuntti T, Sulkava R, WikstrÖm J, Autio L. Short Portable Mental Status Questionnaire as a screening test for dementia and delirium among the elderly. J Am Geriatr Soc 1987;35:412-6. | Adult | Supplemental | 3.00 | 2013-07-22 09:34:41.527 | Short Portable Mental Status Questionnaire (SPMSQ) | Cognitive | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C09530 | Short Portable Mental Status Questionnaire (SPMSQ) - birth date result | SPMSQDateBirthDateReslt | Participant/subject's response to the date they were born as part of the Short Portable Mental Status Questionnaire (SPMSQ) | Participant/subject's response to the date he or she was born as part of the Short Portable Mental Status Questionnaire (SPMSQ) | When were you born? | plus;minus | plus - correct;minus - incorrect | Alphanumeric |
Correct only when the month, date, and year are correct. |
Pfeiffer, E. A short portable mental status questionnaire for the assessment of organic brain deficit in elderly patients. J Am Geriatr Soc 1975; 23: 433-41. Short Portable Mental Status Questionnaire ( S P M Q ) in: Palmer RM, Meldon SW. Acute Care. In: Principles of Geriatric Medicine and Gerontology, 5th edition, 2003. Eds. Hazzard WR et al. McGraw-Hill Pub. pp 157-168. Geriatrics Review Syllabus: A Core Curriculum Geriatric Medicine, 5th Edition. Malden, MA: Backwell Publishing for the American Geriatric Society; 2002. pp 403-411. Carod-Artal F, Martinez-Martin P, Kummer W, da Silveira Ribeiro L. Psychometric properties of the SCOPA-COG Brazilian version. Mov Disord 2007;23:81-87. Parker C, Philip I. Screening for cognitive impairment among older people in black and minority ethnic groups. Age Ageing 2004;33:447-452. Erkinjuntti T, Sulkava R, WikstrÖm J, Autio L. Short Portable Mental Status Questionnaire as a screening test for dementia and delirium among the elderly. J Am Geriatr Soc 1987;35:412-6. | Adult | Supplemental | 3.00 | 2013-07-22 09:34:41.527 | Short Portable Mental Status Questionnaire (SPMSQ) | Cognitive | Outcomes and End Points |
Single Pre-Defined Value Selected |
