Versions Compared

Key

  • This line was added.
  • This line was removed.
  • Formatting was changed.

...

Page properties


Title

Mini-Mental State Examination 2 Standard Version (MMSE-2 STANDARD VERSION)

CDISC ReferenceFunctional Test Supplement to the Study Data Tabulation Model Implementation Guide for Human Clinical Trials
QRS Short Name

MMSE-2 STANDARD VERSION

QRS Permission StatusApproved
TeamCDISC Questionnaires, Ratings, and Scales (QRS) Subteam
Supplement Version1.0
StatusDRAFT
Date20202021-0907-2419
NotesThis 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.


...

Revision History

DateVersion
20202021-0907-24191.0 Draft

© 2020 2021 Clinical Data Interchange Standards Consortium, Inc. All rights reserved. 

...

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

...

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. 

Info
titleInformation for Reviewers

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.

...

  1.  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.

  2. 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.

    1. 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].

    2. If scores are received by the sponsor, it is recommended that they are submitted to SDTM and verified in ADaM.
  3. Terminology:
    1. FTCAT, FTTESTCD and FTTEST values are included in CDISC controlled terminology.

    2. A full list of value sets for result field is provided in Section 4, SDTM Mapping Strategy.

...

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
Nameft


Dataset2


RowSTUDYIDDOMAINUSUBJIDFTSEQFTTESTCDFTTESTFTCATFTSCATFTORRESFTSTRESCFTSTRESNFTSTATFTLOBXFLVISITNUMFTDTC
1STUDYXFT2324-P00011MMS201AMMS2-Repeat Word 1MMSE-2 STANDARD VERSIONREGISTRATIONCORRECT11
Y12015-05-15
2STUDYXFT2324-P00012MMS201BMMS2-Repeat Word 2MMSE-2 STANDARD VERSIONREGISTRATIONCORRECT11
Y12015-05-15
3STUDYXFT2324-P00013MMS201CMMS2-Repeat Word 3MMSE-2 STANDARD VERSIONREGISTRATIONCORRECT11
Y12015-05-15
4STUDYXFT2324-P00014MMS202AMMS2-What Is the YearMMSE-2 STANDARD VERSIONORIENTATION TO TIMECORRECT11
Y12015-05-15
5STUDYXFT2324-P00015MMS202BMMS2-What Is the SeasonMMSE-2 STANDARD VERSIONORIENTATION TO TIMECORRECT11
Y12015-05-15
6STUDYXFT2324-P00016MMS202CMMS2-What Is the Month of YearMMSE-2 STANDARD VERSIONORIENTATION TO TIMECORRECT11
Y12015-05-15
7STUDYXFT2324-P00017MMS202DMMS2-What Is the Day of WeekMMSE-2 STANDARD VERSIONORIENTATION TO TIMECORRECT11
Y12015-05-15
8STUDYXFT2324-P00018MMS202EMMS2-What Is the DateMMSE-2 STANDARD VERSIONORIENTATION TO TIMECORRECT11
Y12015-05-15
9STUDYXFT2324-P00019MMS203AMMS2-What Is the StateMMSE-2 STANDARD VERSIONORIENTATION TO PLACECORRECT11
Y12015-05-15
10STUDYXFT2324-P000110MMS203BMMS2-What Is the CountyMMSE-2 STANDARD VERSIONORIENTATION TO PLACECORRECT11
Y12015-05-15
11STUDYXFT2324-P000111MMS203CMMS2-What Is the City/TownMMSE-2 STANDARD VERSIONORIENTATION TO PLACECORRECT11
Y12015-05-15
12STUDYXFT2324-P000112MMS203DMMS2-What Is the BuildingMMSE-2 STANDARD VERSIONORIENTATION TO PLACECORRECT11
Y12015-05-15
13STUDYXFT2324-P000113MMS203EMMS2-What Is the FloorMMSE-2 STANDARD VERSIONORIENTATION TO PLACECORRECT11
Y12015-05-15
14STUDYXFT2324-P000114MMS204AMMS2-Recall Word 1MMSE-2 STANDARD VERSIONRECALLCORRECT11
Y12015-05-15
15STUDYXFT2324-P000115MMS204BMMS2-Recall Word 2MMSE-2 STANDARD VERSIONRECALLCORRECT11
Y12015-05-15
16STUDYXFT2324-P000116MMS204CMMS2-Recall Word 3MMSE-2 STANDARD VERSIONRECALLCORRECT11
Y12015-05-15
17STUDYXFT2324-P000117MMS205AMMS2-What is 100 Take Away 7MMSE-2 STANDARD VERSIONATTENTION AND CALCULATIONCORRECT11
Y12015-05-15
18STUDYXFT2324-P000118MMS205BMMS2-Keep Subtracting 7 Step 2MMSE-2 STANDARD VERSIONATTENTION AND CALCULATIONCORRECT11
Y12015-05-15
19STUDYXFT2324-P000119MMS205CMMS2-Keep Subtracting 7 Step 3MMSE-2 STANDARD VERSIONATTENTION AND CALCULATIONCORRECT11
Y12015-05-15
20STUDYXFT2324-P000120MMS205DMMS2-Keep Subtracting 7 Step 4MMSE-2 STANDARD VERSIONATTENTION AND CALCULATIONCORRECT11
Y12015-05-15
21STUDYXFT2324-P000121MMS205EMMS2-Keep Subtracting 7 Step 5MMSE-2 STANDARD VERSIONATTENTION AND CALCULATIONINCORRECT00
Y12015-05-15
22STUDYXFT2324-P000122MMS206AMMS2-Naming Object 1MMSE-2 STANDARD VERSIONNAMINGCORRECT11
Y12015-05-15
23STUDYXFT2324-P000123MMS206BMMS2-Naming Object 2MMSE-2 STANDARD VERSIONNAMINGCORRECT11
Y12015-05-15
24STUDYXFT2324-P000124MMS207MMS2-Repeat What I SayMMSE-2 STANDARD VERSIONREPETITIONINCORRECT00
Y12015-05-15
25STUDYXFT2324-P000125MMS208AMMS2-Point to the CircleMMSE-2 STANDARD VERSIONCOMPREHENSIONCORRECT11
Y12015-05-15
26STUDYXFT2324-P000126MMS208BMMS2-Point to the SquareMMSE-2 STANDARD VERSIONCOMPREHENSIONCORRECT11
Y12015-05-15
27STUDYXFT2324-P000127MMS208CMMS2-Point to the TriangleMMSE-2 STANDARD VERSIONCOMPREHENSIONCORRECT11
Y12015-05-15
28STUDYXFT2324-P000128MMS209MMS2- Do What This Says to DoMMSE-2 STANDARD VERSIONREADINGINCORRECT00
Y12015-05-15
29STUDYXFT2324-P000129MMS210MMS2-Write a SentenceMMSE-2 STANDARD VERSIONWRITINGCORRECT11
Y12015-05-15
30STUDYXFT2324-P000130MMS211MMS2-Copy This DesignMMSE-2 STANDARD VERSIONDRAWINGINCORRECT00
Y12015-05-15
31STUDYXFT2324-P000131MMS212MMS2-BV Total Raw ScoreMMSE-2 STANDARD VERSION
161616
Y12015-05-15
32STUDYXFT2324-P000132MMS213MMS2-SV Total Raw ScoreMMSE-2 STANDARD VERSION
262626
Y12015-05-15
33STUDYXFT2324-P000133MMS214MMS2-Level of ConsciousnessMMSE-2 STANDARD VERSION
Alert/ResponsiveAlert/Responsive

Y12015-05-15
34STUDYXFT2324-P00021MMS201AMMS2-Repeat Word 1MMSE-2 STANDARD VERSIONREGISTRATION


NOT DONEY
12015-05-15
35STUDYXFT2324-P00022MMS201BMMS2-Repeat Word 2MMSE-2 STANDARD VERSIONREGISTRATION


NOT DONEY
12015-05-15
36STUDYXFT2324-P00023MMS201CMMS2-Repeat Word 3MMSE-2 STANDARD VERSIONREGISTRATION


NOT DONEY
12015-05-15
37STUDYXFT2324-P00024MMS202AMMS2-What Is the YearMMSE-2 STANDARD VERSIONORIENTATION TO TIME


NOT DONEY
12015-05-15
38STUDYXFT2324-P00025MMS202BMMS2-What Is the SeasonMMSE-2 STANDARD VERSIONORIENTATION TO TIME


NOT DONEY
12015-05-15
39STUDYXFT2324-P00026MMS202CMMS2-What Is the Month of YearMMSE-2 STANDARD VERSIONORIENTATION TO TIME


NOT DONEY
12015-05-15
40STUDYXFT2324-P00027MMS202DMMS2-What Is the Day of WeekMMSE-2 STANDARD VERSIONORIENTATION TO TIME


NOT DONEY
12015-05-15
41STUDYXFT2324-P00028MMS202EMMS2-What Is the DateMMSE-2 STANDARD VERSIONORIENTATION TO TIME


NOT DONEY
12015-05-15
42STUDYXFT2324-P00029MMS203AMMS2-What Is the StateMMSE-2 STANDARD VERSIONORIENTATION TO PLACE


NOT DONEY
12015-05-15
43STUDYXFT2324-P000210MMS203BMMS2-What Is the CountyMMSE-2 STANDARD VERSIONORIENTATION TO PLACE


NOT DONEY
12015-05-15
44STUDYXFT2324-P000211MMS203CMMS2-What Is the City/TownMMSE-2 STANDARD VERSIONORIENTATION TO PLACE


NOT DONEY
12015-05-15
45STUDYXFT2324-P000212MMS203DMMS2-What Is the BuildingMMSE-2 STANDARD VERSIONORIENTATION TO PLACE


NOT DONEY
12015-05-15
46STUDYXFT2324-P000213MMS203EMMS2-What Is the FloorMMSE-2 STANDARD VERSIONORIENTATION TO PLACE


NOT DONEY
12015-05-15
47STUDYXFT2324-P000214MMS204AMMS2-Recall Word 1MMSE-2 STANDARD VERSIONRECALL


NOT DONEY
12015-05-15
48STUDYXFT2324-P000215MMS204BMMS2-Recall Word 2MMSE-2 STANDARD VERSIONRECALL


NOT DONEY
12015-05-15
49STUDYXFT2324-P000216MMS204CMMS2-Recall Word 3MMSE-2 STANDARD VERSIONRECALL


NOT DONEY
12015-05-15
50STUDYXFT2324-P000217MMS205AMMS2-What is 100 Take Away 7MMSE-2 STANDARD VERSIONATTENTION AND CALCULATION


NOT DONEY
12015-05-15
51STUDYXFT2324-P000218MMS205BMMS2-Keep Subtracting 7 Step 2MMSE-2 STANDARD VERSIONATTENTION AND CALCULATION


NOT DONEY
12015-05-15
52STUDYXFT2324-P000219MMS205CMMS2-Keep Subtracting 7 Step 3MMSE-2 STANDARD VERSIONATTENTION AND CALCULATION


NOT DONEY
12015-05-15
53STUDYXFT2324-P000220MMS205DMMS2-Keep Subtracting 7 Step 4MMSE-2 STANDARD VERSIONATTENTION AND CALCULATION


NOT DONEY
12015-05-15
54STUDYXFT2324-P000221MMS205EMMS2-Keep Subtracting 7 Step 5MMSE-2 STANDARD VERSIONATTENTION AND CALCULATION


NOT DONEY
12015-05-15
55STUDYXFT2324-P000222MMS206AMMS2-Naming Object 1MMSE-2 STANDARD VERSIONNAMING


NOT DONEY
12015-05-15
56STUDYXFT2324-P000223MMS206BMMS2-Naming Object 2MMSE-2 STANDARD VERSIONNAMING


NOT DONEY
12015-05-15
57STUDYXFT2324-P000224MMS207MMS2-Repeat What I SayMMSE-2 STANDARD VERSIONREPETITION


NOT DONEY
12015-05-15
58STUDYXFT2324-P000225MMS208AMMS2-Point to the CircleMMSE-2 STANDARD VERSIONCOMPREHENSION


NOT DONEY
12015-05-15
59STUDYXFT2324-P000226MMS208BMMS2-Point to the SquareMMSE-2 STANDARD VERSIONCOMPREHENSION


NOT DONEY
12015-05-15
60STUDYXFT2324-P000227MMS208CMMS2-Point to the TriangleMMSE-2 STANDARD VERSIONCOMPREHENSION


NOT DONEY
12015-05-15
61STUDYXFT2324-P000228MMS209MMS2- Do What This Says to DoMMSE-2 STANDARD VERSIONREADING


NOT DONEY
12015-05-15
62STUDYXFT2324-P000229MMS210MMS2-Write a SentenceMMSE-2 STANDARD VERSIONWRITING


NOT DONEY
12015-05-15
63STUDYXFT2324-P000230MMS211MMS2-Copy This DesignMMSE-2 STANDARD VERSIONDRAWING


NOT DONEY
12015-05-15
64STUDYXFT2324-P000231MMS212MMS2-BV Total Raw ScoreMMSE-2 STANDARD VERSION



NOT DONEY
12015-05-15
65STUDYXFT2324-P000232MMS213MMS2-SV Total Raw ScoreMMSE-2 STANDARD VERSION



NOT DONEY
12015-05-15
66STUDYXFT2324-P000233MMS214MMS2-Level of ConsciousnessMMSE-2 STANDARD VERSION



NOT DONEY
12015-05-15




4 SDTM Mapping Strategy

...