CDE Detailed Report

Disease: Epilepsy
Sub-Domain: Neuropsychological Testing
CRF: Neuropsychological Testing Background Information

Displaying 1 - 11 of 11
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 / Guideline) Sub Domain Name Domain Name Size Input Restrictions Min Value Max Value Measurement Type External Id Loinc External Id Snomed External Id caDSR External Id CDISC
C14118 Disability application status DisabilityApplicStatus People 5 years old and over are considered to have a disability if they have one or more of the following (a) blindness, deafness, or a severe vision or hearing impairment; (b) a substantial limitation in the ability to perform basic physical activities, such as walking, climbing stairs, reaching, lifting, or carrying; (c) difficulty learning, remembering, or concentrating; or (d)difficulty dressing, bathing, or getting around inside the home. Whether the participant has confirmed disability status or is applying for disability status. Disability status On disability;Applying for disability;Not applicable On disability;Applying for disability;Not applicable Alphanumeric

People 5 years old and over are considered to have a disability if they have one or more of the following (a) blindness, deafness, or a severe vision or hearing impairment; (b) a substantial limitation in the ability to perform basic physical activities, such as walking, climbing stairs, reaching, lifting, or carrying; (c) difficulty learning, remembering, or concentrating; or (d)difficulty dressing, bathing, or getting around inside the home.

No references available Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Neuropsychological Testing Background Information Neuropsychological Testing Outcomes and End Points

Single Pre-Defined Value Selected

C14119 Psychological/neuropsychological previous testing indicator PsychNeuropsychPreviousTestInd Whether previous psychological/neuropsychological testing was performed on the participant/subject. Whether previous psychological/neuropsychological testing was performed on the participant/subject. Previous psychological/neuropsychological testing Yes;No;Unknown Yes;No;Unknown Alphanumeric

Choose only one. If yes, indicate age.

No references available Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Neuropsychological Testing Background Information Neuropsychological Testing Outcomes and End Points

Single Pre-Defined Value Selected

C14120 Psychological/neuropsychological previous testing age value PyschNeuropsychPrevTestAgeVal Age at which previous psychological/neuropsychological testing was performed on the participant/subject. Age at which previous psychological/neuropsychological testing was performed on the participant/subject. Numeric Values

If previous psychological/neuropsychological testing was performed indicate the participant's/subject's age at the time of that testing in years

No references available Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Neuropsychological Testing Background Information Neuropsychological Testing Outcomes and End Points

Free-Form Entry

0 99 year
C14121 Language laterality indicator LanguageLatInd Presence or absence of established localization for language skills as indicated by fMRI or Wada Presence or absence of established localization for language skills as indicated by fMRI or Wada. Alphanumeric

Choose only one. If yes, indicate language.

No references available Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Neuropsychological Testing Background Information Neuropsychological Testing Outcomes and End Points 255

Free-Form Entry

C14122 Language laterality result LanguageLatReslt Result of language laterality testing by fMRI or Wada to identify localization of language skills Result of language laterality testing by fMRI or Wada to identify localization of language skills Alphanumeric

Indicate result of language laterality testing

No references available Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Neuropsychological Testing Background Information Neuropsychological Testing Outcomes and End Points 255

Free-Form Entry

C18801 Learning disability diagnosis other text LearningDisabilityDiagnosOTH The free-text field related to 'Learning disability diagnosis type' specifying other text. Type of learning disability with which the participant/subject was diagnosed. The free-text field related to 'Learning disability diagnosis type' specifying other text. Type of learning disability with which the participant/subject was diagnosed. Other, specify Alphanumeric

Choose all that apply

No references available Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Neuropsychological Testing Background Information Neuropsychological Testing Outcomes and End Points 4000

Free-Form Entry

C10478 Learning disability diagnosis type LearningDisabilityDiagnosTyp Type of learning disability with which the participant/subject was diagnosed. Type of learning disability with which the participant/subject was diagnosed. Type of learning disability diagnosed ADD;ADHD;Dyslexia;Dysgraphia;Dyscalculia;Other disability not specified;Other, specify ADD;ADHD;Dyslexia;Dysgraphia;Dyscalculia;Other disability not specified;Other, specify Alphanumeric

Choose all that apply

No references available Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Neuropsychological Testing Background Information Neuropsychological Testing Outcomes and End Points

Multiple Pre-Defined Values Selected

C10479 School special accommodation indicator SchoolSpecAccommodInd Whether the participant/subject ever received special accommodations for school coursework Whether the participant/subject ever received special accommodations for school coursework. Alphanumeric

Choose one

No references available Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Neuropsychological Testing Background Information Neuropsychological Testing Outcomes and End Points 255

Free-Form Entry

C14115 Family history sinistrality indicator FmlyHistSinistralityInd Whether the participant/subject has a family history of sinistrality, or left-handedness/preference for using the left hand Whether participant/subject has any first degree biological relatives who write left-handed or with both hands. Family History of Sinistrality Yes;No;Unknown Yes;No;Unknown Alphanumeric

Choose one only based on left hand preference amongst biological first degree relatives (mother, father, siblings, children). Do you have any first degree biological relatives (mother, father, siblings, children) who write left-handed or with both hands?

No references available Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Neuropsychological Testing Background Information Neuropsychological Testing Outcomes and End Points

Single Pre-Defined Value Selected

C14116 Learning disability or attention deficit diagnosis indicator LearnDisableADHDDiagnosInd Whether the participant/subject was ever given formal diagnosis of any learning disability or diagnosed with ADD/ADHD (Attention Deficit Disorder/Attention Deficit Hyperactivity Disorder) Whether the participant/subject was formally diagnosed with learning disability, attention deficit disorder, or attention deficit hyperactivity disorder. Formal Learning Disability or ADD/ADHD diagnosis Yes;No;Unknown Yes;No;Unknown Alphanumeric

Were you given formal diagnosis of any learning disability or diagnosed with attention deficit disorder (ADD) or attention deficit hyperactivity disorder (ADHD)?

No references available Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Neuropsychological Testing Background Information Neuropsychological Testing Outcomes and End Points

Single Pre-Defined Value Selected

C14117 School repeat grade indicator SchoolRepeatGradeInd Whether the participant/subject ever repeated a grade in school Whether the participant/subject ever repeated a grade in school Yes;No;Unknown Yes;No;Unknown Alphanumeric

Choose only one

No references available Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Neuropsychological Testing Background Information Neuropsychological Testing Outcomes and End Points

Single Pre-Defined Value Selected

CSV