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Title | Mini-Mental State Examination 2 Standard Version (MMSE-2 STANDARD VERSION) |
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CDISC Reference | Functional Test Supplement to the Study Data Tabulation Model Implementation Guide for Human Clinical Trials
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QRS Short Name | |
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QRS Permission Status | Approved |
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Team | CDISC Questionnaires, Ratings, and Scales (QRS) Subteam |
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Supplement Version | 1.0 |
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Status | DRAFT
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Date | 20202021-0907-2419 |
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Notes | This supplement is intended to be used with other CDISC user guides for specific therapeutic/disease areas and follows the CDISC Study Data Tabulation Model Implementation Guide for Human Clinical Trials. |
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Revision History
Date | Version |
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20202021-0907-2419 | 1.0 Draft |
© 2020 2021 Clinical Data Interchange Standards Consortium, Inc. All rights reserved.
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The representation of data collected for this instrument is based on the Study Data Tabulation Model Implementation Guide (SDTMIG) Functional Tests (FT) domain model, which can be found at the CDISC website at: ( https://www.cdisc.org/standards/foundational/sdtmig).
These specific implementation details for this instrument are meant to be used in conjunction with the SDTMIG. All CDISC QRS documentation packages can be found on the CDISC web site at: ( https://www.cdisc.org/standards/foundational/qrs).
The CDISC Intellectual Property Policy can be found on the CDISC web site at: (https://www.cdisc.org/about/bylaws).
1.1 Representations and Warranties, Limitations of Liability, and Disclaimers
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Psychological Assessment Resources, Inc. (PAR) owns owns the copyright for the MMSEthe MMSE-2 STANDARD VERSION instrument VERSION instrument and has granted CDISC permission to include this supplement in the CDISC library of QRS data standards supplements. PAR will distribute the CDISC supplement package to sponsors when they are approved to use this instrument. Hence, CDISC developed QSTESTCD and QSTEST for each item based on the actual text on the functional test.
The CDISC documentation of this instrument consists of: (1) controlled terminology, (2) standard database structure with examples, and (3) case report form(s) annotated with the CDISC SDTMIG variables with submission values.
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title | Information for Reviewers |
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The CRF is attached at the top of the Wiki. When you click the paperclip image, you will find the file for the annotated CRF. |
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The scale points include a numeric rating (0-1) and a description of what is represented by the rating (e.g., 0 = "INCORRECT", 1 = "CORRECT"). For the MMSE-2 STANDARD VERSION, FTORRES is populated with the text description of "INCORRECT" or "CORRECT". The numeric rating is represented in FTSTRESC and FTSTRESN. The actual result answers to each question are not represented in the dataset, only whether the answer is "CORRECT" or "INCORRECT" is represented.
The MMSE-2 STANDARD VERSION instrument includes a brief version total score and a standard version total score that are considered as captured data on the CRF and are not considered as derived in the example below. These scores may be submitted in SDTM or derived in the Analysis Data Model (ADaM) per scoring instructions from the CRF.
If operationally defined by the sponsor, it is the sponsor's responsibility to set the --DRVFL flag based on their eCRF process to derive subtotal and total scores. An investigator derived score will be considered a captured score and not flagged. When subtotal and total scores are derived by the sponsor, the derived flag (--DRVFL) is set to Y. However, when the subtotal and total scores are received from a central provider or vendor, the value would go into --ORRES and --DRVFL would be null [See SDTMIG Section 4.1.8.1, Origin Metadata for Variables].
- If scores are received by the sponsor, it is recommended that they are submitted to SDTM and verified in ADaM.
- Terminology:
FTCAT, FTTESTCD and FTTEST values are included in CDISC controlled terminology.
A full list of value sets for result field is provided in Section 4, SDTM Mapping Strategy.
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The table represents the questions from the MMSE-2 STANDARD VERSION instrument. Rows 31 and 32 show the brief and standard total raw scores for USUBJID = "2324-P0001". USUBJID="2324-P0002" did not perform the MMSEthe MMSE-2 STANDARD VERSION.
Dataset wrap |
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Dataset2 |
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Row | STUDYID | DOMAIN | USUBJID | FTSEQ | FTTESTCD | FTTEST | FTCAT | FTSCAT | FTORRES | FTSTRESC | FTSTRESN | FTSTAT | FTLOBXFL | VISITNUM | FTDTC |
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1 | STUDYX | FT | 2324-P0001 | 1 | MMS201A | MMS2-Repeat Word 1 | MMSE-2 STANDARD VERSION | REGISTRATION | CORRECT | 1 | 1 |
| Y | 1 | 2015-05-15 | 2 | STUDYX | FT | 2324-P0001 | 2 | MMS201B | MMS2-Repeat Word 2 | MMSE-2 STANDARD VERSION | REGISTRATION | CORRECT | 1 | 1 |
| Y | 1 | 2015-05-15 | 3 | STUDYX | FT | 2324-P0001 | 3 | MMS201C | MMS2-Repeat Word 3 | MMSE-2 STANDARD VERSION | REGISTRATION | CORRECT | 1 | 1 |
| Y | 1 | 2015-05-15 | 4 | STUDYX | FT | 2324-P0001 | 4 | MMS202A | MMS2-What Is the Year | MMSE-2 STANDARD VERSION | ORIENTATION TO TIME | CORRECT | 1 | 1 |
| Y | 1 | 2015-05-15 | 5 | STUDYX | FT | 2324-P0001 | 5 | MMS202B | MMS2-What Is the Season | MMSE-2 STANDARD VERSION | ORIENTATION TO TIME | CORRECT | 1 | 1 |
| Y | 1 | 2015-05-15 | 6 | STUDYX | FT | 2324-P0001 | 6 | MMS202C | MMS2-What Is the Month of Year | MMSE-2 STANDARD VERSION | ORIENTATION TO TIME | CORRECT | 1 | 1 |
| Y | 1 | 2015-05-15 | 7 | STUDYX | FT | 2324-P0001 | 7 | MMS202D | MMS2-What Is the Day of Week | MMSE-2 STANDARD VERSION | ORIENTATION TO TIME | CORRECT | 1 | 1 |
| Y | 1 | 2015-05-15 | 8 | STUDYX | FT | 2324-P0001 | 8 | MMS202E | MMS2-What Is the Date | MMSE-2 STANDARD VERSION | ORIENTATION TO TIME | CORRECT | 1 | 1 |
| Y | 1 | 2015-05-15 | 9 | STUDYX | FT | 2324-P0001 | 9 | MMS203A | MMS2-What Is the State | MMSE-2 STANDARD VERSION | ORIENTATION TO PLACE | CORRECT | 1 | 1 |
| Y | 1 | 2015-05-15 | 10 | STUDYX | FT | 2324-P0001 | 10 | MMS203B | MMS2-What Is the County | MMSE-2 STANDARD VERSION | ORIENTATION TO PLACE | CORRECT | 1 | 1 |
| Y | 1 | 2015-05-15 | 11 | STUDYX | FT | 2324-P0001 | 11 | MMS203C | MMS2-What Is the City/Town | MMSE-2 STANDARD VERSION | ORIENTATION TO PLACE | CORRECT | 1 | 1 |
| Y | 1 | 2015-05-15 | 12 | STUDYX | FT | 2324-P0001 | 12 | MMS203D | MMS2-What Is the Building | MMSE-2 STANDARD VERSION | ORIENTATION TO PLACE | CORRECT | 1 | 1 |
| Y | 1 | 2015-05-15 | 13 | STUDYX | FT | 2324-P0001 | 13 | MMS203E | MMS2-What Is the Floor | MMSE-2 STANDARD VERSION | ORIENTATION TO PLACE | CORRECT | 1 | 1 |
| Y | 1 | 2015-05-15 | 14 | STUDYX | FT | 2324-P0001 | 14 | MMS204A | MMS2-Recall Word 1 | MMSE-2 STANDARD VERSION | RECALL | CORRECT | 1 | 1 |
| Y | 1 | 2015-05-15 | 15 | STUDYX | FT | 2324-P0001 | 15 | MMS204B | MMS2-Recall Word 2 | MMSE-2 STANDARD VERSION | RECALL | CORRECT | 1 | 1 |
| Y | 1 | 2015-05-15 | 16 | STUDYX | FT | 2324-P0001 | 16 | MMS204C | MMS2-Recall Word 3 | MMSE-2 STANDARD VERSION | RECALL | CORRECT | 1 | 1 |
| Y | 1 | 2015-05-15 | 17 | STUDYX | FT | 2324-P0001 | 17 | MMS205A | MMS2-What is 100 Take Away 7 | MMSE-2 STANDARD VERSION | ATTENTION AND CALCULATION | CORRECT | 1 | 1 |
| Y | 1 | 2015-05-15 | 18 | STUDYX | FT | 2324-P0001 | 18 | MMS205B | MMS2-Keep Subtracting 7 Step 2 | MMSE-2 STANDARD VERSION | ATTENTION AND CALCULATION | CORRECT | 1 | 1 |
| Y | 1 | 2015-05-15 | 19 | STUDYX | FT | 2324-P0001 | 19 | MMS205C | MMS2-Keep Subtracting 7 Step 3 | MMSE-2 STANDARD VERSION | ATTENTION AND CALCULATION | CORRECT | 1 | 1 |
| Y | 1 | 2015-05-15 | 20 | STUDYX | FT | 2324-P0001 | 20 | MMS205D | MMS2-Keep Subtracting 7 Step 4 | MMSE-2 STANDARD VERSION | ATTENTION AND CALCULATION | CORRECT | 1 | 1 |
| Y | 1 | 2015-05-15 | 21 | STUDYX | FT | 2324-P0001 | 21 | MMS205E | MMS2-Keep Subtracting 7 Step 5 | MMSE-2 STANDARD VERSION | ATTENTION AND CALCULATION | INCORRECT | 0 | 0 |
| Y | 1 | 2015-05-15 | 22 | STUDYX | FT | 2324-P0001 | 22 | MMS206A | MMS2-Naming Object 1 | MMSE-2 STANDARD VERSION | NAMING | CORRECT | 1 | 1 |
| Y | 1 | 2015-05-15 | 23 | STUDYX | FT | 2324-P0001 | 23 | MMS206B | MMS2-Naming Object 2 | MMSE-2 STANDARD VERSION | NAMING | CORRECT | 1 | 1 |
| Y | 1 | 2015-05-15 | 24 | STUDYX | FT | 2324-P0001 | 24 | MMS207 | MMS2-Repeat What I Say | MMSE-2 STANDARD VERSION | REPETITION | INCORRECT | 0 | 0 |
| Y | 1 | 2015-05-15 | 25 | STUDYX | FT | 2324-P0001 | 25 | MMS208A | MMS2-Point to the Circle | MMSE-2 STANDARD VERSION | COMPREHENSION | CORRECT | 1 | 1 |
| Y | 1 | 2015-05-15 | 26 | STUDYX | FT | 2324-P0001 | 26 | MMS208B | MMS2-Point to the Square | MMSE-2 STANDARD VERSION | COMPREHENSION | CORRECT | 1 | 1 |
| Y | 1 | 2015-05-15 | 27 | STUDYX | FT | 2324-P0001 | 27 | MMS208C | MMS2-Point to the Triangle | MMSE-2 STANDARD VERSION | COMPREHENSION | CORRECT | 1 | 1 |
| Y | 1 | 2015-05-15 | 28 | STUDYX | FT | 2324-P0001 | 28 | MMS209 | MMS2- Do What This Says to Do | MMSE-2 STANDARD VERSION | READING | INCORRECT | 0 | 0 |
| Y | 1 | 2015-05-15 | 29 | STUDYX | FT | 2324-P0001 | 29 | MMS210 | MMS2-Write a Sentence | MMSE-2 STANDARD VERSION | WRITING | CORRECT | 1 | 1 |
| Y | 1 | 2015-05-15 | 30 | STUDYX | FT | 2324-P0001 | 30 | MMS211 | MMS2-Copy This Design | MMSE-2 STANDARD VERSION | DRAWING | INCORRECT | 0 | 0 |
| Y | 1 | 2015-05-15 | 31 | STUDYX | FT | 2324-P0001 | 31 | MMS212 | MMS2-BV Total Raw Score | MMSE-2 STANDARD VERSION |
| 16 | 16 | 16 |
| Y | 1 | 2015-05-15 | 32 | STUDYX | FT | 2324-P0001 | 32 | MMS213 | MMS2-SV Total Raw Score | MMSE-2 STANDARD VERSION |
| 26 | 26 | 26 |
| Y | 1 | 2015-05-15 | 33 | STUDYX | FT | 2324-P0001 | 33 | MMS214 | MMS2-Level of Consciousness | MMSE-2 STANDARD VERSION |
| Alert/Responsive | Alert/Responsive |
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| Y | 1 | 2015-05-15 | 34 | STUDYX | FT | 2324-P0002 | 1 | MMS201A | MMS2-Repeat Word 1 | MMSE-2 STANDARD VERSION | REGISTRATION |
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| NOT DONE | Y |
| 1 | 2015-05-15 | 35 | STUDYX | FT | 2324-P0002 | 2 | MMS201B | MMS2-Repeat Word 2 | MMSE-2 STANDARD VERSION | REGISTRATION |
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| NOT DONE | Y |
| 1 | 2015-05-15 | 36 | STUDYX | FT | 2324-P0002 | 3 | MMS201C | MMS2-Repeat Word 3 | MMSE-2 STANDARD VERSION | REGISTRATION |
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| NOT DONEY |
| 1 | 2015-05-15 | 37 | STUDYX | FT | 2324-P0002 | 4 | MMS202A | MMS2-What Is the Year | MMSE-2 STANDARD VERSION | ORIENTATION TO TIME |
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| NOT DONEY |
| 1 | 2015-05-15 | 38 | STUDYX | FT | 2324-P0002 | 5 | MMS202B | MMS2-What Is the Season | MMSE-2 STANDARD VERSION | ORIENTATION TO TIME |
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| NOT DONE | Y |
| 1 | 2015-05-15 | 39 | STUDYX | FT | 2324-P0002 | 6 | MMS202C | MMS2-What Is the Month of Year | MMSE-2 STANDARD VERSION | ORIENTATION TO TIME |
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| NOT DONE | Y |
| 1 | 2015-05-15 | 40 | STUDYX | FT | 2324-P0002 | 7 | MMS202D | MMS2-What Is the Day of Week | MMSE-2 STANDARD VERSION | ORIENTATION TO TIME |
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| NOT DONEY |
| 1 | 2015-05-15 | 41 | STUDYX | FT | 2324-P0002 | 8 | MMS202E | MMS2-What Is the Date | MMSE-2 STANDARD VERSION | ORIENTATION TO TIME |
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| NOT DONE | Y |
| 1 | 2015-05-15 | 42 | STUDYX | FT | 2324-P0002 | 9 | MMS203A | MMS2-What Is the State | MMSE-2 STANDARD VERSION | ORIENTATION TO PLACE |
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| NOT DONE | Y |
| 1 | 2015-05-15 | 43 | STUDYX | FT | 2324-P0002 | 10 | MMS203B | MMS2-What Is the County | MMSE-2 STANDARD VERSION | ORIENTATION TO PLACE |
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| NOT DONE | Y |
| 1 | 2015-05-15 | 44 | STUDYX | FT | 2324-P0002 | 11 | MMS203C | MMS2-What Is the City/Town | MMSE-2 STANDARD VERSION | ORIENTATION TO PLACE |
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| NOT DONE | Y |
| 1 | 2015-05-15 | 45 | STUDYX | FT | 2324-P0002 | 12 | MMS203D | MMS2-What Is the Building | MMSE-2 STANDARD VERSION | ORIENTATION TO PLACE |
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| NOT DONEY |
| 1 | 2015-05-15 | 46 | STUDYX | FT | 2324-P0002 | 13 | MMS203E | MMS2-What Is the Floor | MMSE-2 STANDARD VERSION | ORIENTATION TO PLACE |
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| NOT DONE | Y |
| 1 | 2015-05-15 | 47 | STUDYX | FT | 2324-P0002 | 14 | MMS204A | MMS2-Recall Word 1 | MMSE-2 STANDARD VERSION | RECALL |
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| NOT DONEY |
| 1 | 2015-05-15 | 48 | STUDYX | FT | 2324-P0002 | 15 | MMS204B | MMS2-Recall Word 2 | MMSE-2 STANDARD VERSION | RECALL |
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| NOT DONEY |
| 1 | 2015-05-15 | 49 | STUDYX | FT | 2324-P0002 | 16 | MMS204C | MMS2-Recall Word 3 | MMSE-2 STANDARD VERSION | RECALL |
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| NOT DONEY |
| 1 | 2015-05-15 | 50 | STUDYX | FT | 2324-P0002 | 17 | MMS205A | MMS2-What is 100 Take Away 7 | MMSE-2 STANDARD VERSION | ATTENTION AND CALCULATION |
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| NOT DONE | Y |
| 1 | 2015-05-15 | 51 | STUDYX | FT | 2324-P0002 | 18 | MMS205B | MMS2-Keep Subtracting 7 Step 2 | MMSE-2 STANDARD VERSION | ATTENTION AND CALCULATION |
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| NOT DONE | Y |
| 1 | 2015-05-15 | 52 | STUDYX | FT | 2324-P0002 | 19 | MMS205C | MMS2-Keep Subtracting 7 Step 3 | MMSE-2 STANDARD VERSION | ATTENTION AND CALCULATION |
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| NOT DONE | Y |
| 1 | 2015-05-15 | 53 | STUDYX | FT | 2324-P0002 | 20 | MMS205D | MMS2-Keep Subtracting 7 Step 4 | MMSE-2 STANDARD VERSION | ATTENTION AND CALCULATION |
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| NOT DONEY |
| 1 | 2015-05-15 | 54 | STUDYX | FT | 2324-P0002 | 21 | MMS205E | MMS2-Keep Subtracting 7 Step 5 | MMSE-2 STANDARD VERSION | ATTENTION AND CALCULATION |
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| NOT DONE | Y |
| 1 | 2015-05-15 | 55 | STUDYX | FT | 2324-P0002 | 22 | MMS206A | MMS2-Naming Object 1 | MMSE-2 STANDARD VERSION | NAMING |
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| NOT DONEY |
| 1 | 2015-05-15 | 56 | STUDYX | FT | 2324-P0002 | 23 | MMS206B | MMS2-Naming Object 2 | MMSE-2 STANDARD VERSION | NAMING |
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| NOT DONEY |
| 1 | 2015-05-15 | 57 | STUDYX | FT | 2324-P0002 | 24 | MMS207 | MMS2-Repeat What I Say | MMSE-2 STANDARD VERSION | REPETITION |
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| NOT DONEY |
| 1 | 2015-05-15 | 58 | STUDYX | FT | 2324-P0002 | 25 | MMS208A | MMS2-Point to the Circle | MMSE-2 STANDARD VERSION | COMPREHENSION |
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| NOT DONEY |
| 1 | 2015-05-15 | 59 | STUDYX | FT | 2324-P0002 | 26 | MMS208B | MMS2-Point to the Square | MMSE-2 STANDARD VERSION | COMPREHENSION |
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| NOT DONE | Y |
| 1 | 2015-05-15 | 60 | STUDYX | FT | 2324-P0002 | 27 | MMS208C | MMS2-Point to the Triangle | MMSE-2 STANDARD VERSION | COMPREHENSION |
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| NOT DONE | Y |
| 1 | 2015-05-15 | 61 | STUDYX | FT | 2324-P0002 | 28 | MMS209 | MMS2- Do What This Says to Do | MMSE-2 STANDARD VERSION | READING |
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| NOT DONE | Y |
| 1 | 2015-05-15 | 62 | STUDYX | FT | 2324-P0002 | 29 | MMS210 | MMS2-Write a Sentence | MMSE-2 STANDARD VERSION | WRITING |
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| NOT DONEY |
| 1 | 2015-05-15 | 63 | STUDYX | FT | 2324-P0002 | 30 | MMS211 | MMS2-Copy This Design | MMSE-2 STANDARD VERSION | DRAWING |
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| NOT DONE | Y |
| 1 | 2015-05-15 | 64 | STUDYX | FT | 2324-P0002 | 31 | MMS212 | MMS2-BV Total Raw Score | MMSE-2 STANDARD VERSION |
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| NOT DONEY |
| 1 | 2015-05-15 | 65 | STUDYX | FT | 2324-P0002 | 32 | MMS213 | MMS2-SV Total Raw Score | MMSE-2 STANDARD VERSION |
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| NOT DONEY |
| 1 | 2015-05-15 | 66 | STUDYX | FT | 2324-P0002 | 33 | MMS214 | MMS2-Level of Consciousness | MMSE-2 STANDARD VERSION |
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| NOT DONEY |
| 1 | 2015-05-15 |
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4 SDTM Mapping Strategy
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