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Dataset2


RowSTUDYIDDOMAINUSUBJIDFTSEQFTTESTCDFTTESTFTCATFTSCATFTORRESFTSTRESCFTSTRESNFTSTATFTREASNDFTLOBXFLVISITNUMFTDTC
1STUDYXFT2324-P00011MMS101AMMS1-What Is the YearMMSEORIENTATION TO TIMECORRECT11

Y12015-05-15
2STUDYXFT2324-P00012MMS101BMMS1-What Is the SeasonMMSEORIENTATION TO TIMECORRECT11

Y12015-05-15
3STUDYXFT2324-P00013MMS101CMMS1-What Is the Month of YearMMSEORIENTATION TO TIMECORRECT11

Y12015-05-15
4STUDYXFT2324-P00014MMS101DMMS1-What Is the Day of WeekMMSEORIENTATION TO TIMECORRECT11

Y12015-05-15
5STUDYXFT2324-P00015MMS101EMMS1-What Is the DateMMSEORIENTATION TO TIMECORRECT11

Y12015-05-15
6STUDYXFT2324-P00016MMS102AMMS1-What Is the StateMMSEORIENTATION TO PLACECORRECT11

Y12015-05-15
7STUDYXFT2324-P00017MMS102BMMS1-What Is the CountyMMSEORIENTATION TO PLACECORRECT11

Y12015-05-15
8STUDYXFT2324-P00018MMS102CMMS1-What Is the City/TownMMSEORIENTATION TO PLACECORRECT11

Y12015-05-15
9STUDYXFT2324-P00019MMS102DMMS1-What Is the BuildingMMSEORIENTATION TO PLACECORRECT11

Y12015-05-15
10STUDYXFT2324-P000110MMS102EMMS1-What Is the FloorMMSEORIENTATION TO PLACECORRECT11

Y12015-05-15
11STUDYXFT2324-P000111MMS103AMMS1-Repeat Word 1MMSEREGISTRATIONCORRECT11

Y12015-05-15
12STUDYXFT2324-P000112MMS103BMMS1-Repeat Word 2MMSEREGISTRATIONCORRECT11

Y12015-05-15
13STUDYXFT2324-P000113MMS103CMMS1-Repeat Word 3MMSEREGISTRATIONCORRECT11

Y12015-05-15
14STUDYXFT2324-P000114MMS104AAMMS1-What is 100 Take Away 7MMSEATTENTION AND CALCULATIONCORRECT11

Y12015-05-15
15STUDYXFT2324-P000115MMS104ABMMS1-Keep Subtracting 7 Step 2MMSEATTENTION AND CALCULATIONCORRECT11

Y12015-05-15
16STUDYXFT2324-P000116MMS104ACMMS1-Keep Subtracting Step 3MMSEATTENTION AND CALCULATIONCORRECT11

Y12015-05-15
17STUDYXFT2324-P000117MMS104ADMMS1-Keep Subtracting Step 4MMSEATTENTION AND CALCULATIONINCORRECT00

Y12015-05-15
18STUDYXFT2324-P000118MMS104AEMMS1-Keep Subtracting Step 5MMSEATTENTION AND CALCULATIONINCORRECT00

Y12015-05-15
19STUDYXFT2324-P000119MMS104BAMMS1-Spell Backward Letter 1MMSEATTENTION AND CALCULATION


NOT DONELOGICALLY SKIPPED ITEMY12015-05-15
20STUDYXFT2324-P000120MMS104BBMMS1-Spell Backward Letter 2MMSEATTENTION AND CALCULATION


NOT DONELOGICALLY SKIPPED ITEMY12015-05-15
21STUDYXFT2324-P000121MMS104BCMMS1-Spell Backward Letter 3MMSEATTENTION AND CALCULATION


NOT DONELOGICALLY SKIPPED ITEMY12015-05-15
22STUDYXFT2324-P000122MMS104BDMMS1-Spell Backward Letter 4MMSEATTENTION AND CALCULATION


NOT DONELOGICALLY SKIPPED ITEMY12015-05-15
23STUDYXFT2324-P000123MMS104BEMMS1-Spell Backward Letter 5MMSEATTENTION AND CALCULATION


NOT DONELOGICALLY SKIPPED ITEMY12015-05-15
24STUDYXFT2324-P000124MMS104MMS1-Attention and Calculation SubtotalMMSEATTENTION AND CALCULATION333

Y12015-05-15
25STUDYXFT2324-P000125MMS105AMMS1-Recall Word 1MMSERECALLCORRECT11

Y12015-05-15
26STUDYXFT2324-P000126MMS105BMMS1-Recall Word 2MMSERECALLCORRECT11

Y12015-05-15
27STUDYXFT2324-P000127MMS105CMMS1-Recall Word 3MMSERECALLCORRECT11

Y12015-05-15
28STUDYXFT2324-P000128MMS106AMMS1-Naming Object 1MMSENAMINGCORRECT11

Y12015-05-15
29STUDYXFT2324-P000129MMS106BMMS1-Naming Object 2MMSENAMINGINCORRECT00

Y12015-05-15
30STUDYXFT2324-P000130MMS107MMS1-Repeat What I SayMMSEREPETITIONCORRECT11

Y12015-05-15
31STUDYXFT2324-P000131MMS108AMMS1-Take in Right HandMMSECOMPREHENSIONCORRECT11

Y12015-05-15
32STUDYXFT2324-P000132MMS108BMMS1-Fold in HalfMMSECOMPREHENSIONCORRECT11

Y12015-05-15
33STUDYXFT2324-P000133MMS108CMMS1-Put on Floor (or Table)MMSECOMPREHENSIONCORRECT11

Y12015-05-15
34STUDYXFT2324-P000134MMS109MMS1-Read This and Do What It SaysMMSEREADINGINCORRECT00

Y12015-05-15
35STUDYXFT2324-P000135MMS110MMS1-Write a SentenceMMSEWRITINGCORRECT11

Y12015-05-15
36STUDYXFT2324-P000136MMS111MMS1-Copy This DesignMMSEDRAWINGINCORRECT00

Y12015-05-15
37STUDYXFT2324-P000137MMS112MMS1-Total ScoreMMSE
252525

Y12015-05-15
38STUDYXFT2324-P000138MMS113MMS1-Level of ConsciousnessMMSE
Alert/ResponsiveAlert/Responsive.

Y12015-05-15
39STUDYXFT2324-P00021MMS101AMMS1-What Is the YearMMSEORIENTATION TO TIMECORRECT11

Y12015-05-15
40STUDYXFT2324-P00022MMS101BMMS1-What Is the SeasonMMSEORIENTATION TO TIMECORRECT11

Y12015-05-15
41STUDYXFT2324-P00023MMS101CMMS1-What Is the Month of YearMMSEORIENTATION TO TIMECORRECT11

Y12015-05-15
42STUDYXFT2324-P00024MMS101CMMS1-What Is the Month of YearMMSEORIENTATION TO TIMECORRECT11

Y12015-05-15
43STUDYXFT2324-P00025MMS101DMMS1-What Is the Day of WeekMMSEORIENTATION TO TIMECORRECT11

Y12015-05-15
44STUDYXFT2324-P00026MMS101EMMS1-What Is the DateMMSEORIENTATION TO TIMECORRECT11

Y12015-05-15
45STUDYXFT2324-P00027MMS102AMMS1-What Is the StateMMSEORIENTATION TO PLACECORRECT11

Y12015-05-15
46STUDYXFT2324-P00028MMS102BMMS1-What Is the CountyMMSEORIENTATION TO PLACECORRECT11

Y12015-05-15
47STUDYXFT2324-P00029MMS102CMMS1-What Is the City/TownMMSEORIENTATION TO PLACECORRECT11

Y12015-05-15
48STUDYXFT2324-P000210MMS102DMMS1-What Is the BuildingMMSEORIENTATION TO PLACECORRECT11

Y12015-05-15
49STUDYXFT2324-P000211MMS102EMMS1-What Is the FloorMMSEORIENTATION TO PLACECORRECT11

Y12015-05-15
50STUDYXFT2324-P000212MMS103AMMS1-Repeat Word 1MMSEREGISTRATIONCORRECT11

Y12015-05-15
51STUDYXFT2324-P000213MMS103BMMS1-Repeat Word 2MMSEREGISTRATIONCORRECT11

Y12015-05-15
52STUDYXFT2324-P000214MMS103CMMS1-Repeat Word 3MMSEREGISTRATIONCORRECT11

Y12015-05-15
53STUDYXFT2324-P000215MMS104AAMMS1-What is 100 Take Away 7MMSEATTENTION AND CALCULATION


NOT DONELOGICALLY SKIPPED ITEMY12015-05-15
54STUDYXFT2324-P000216MMS104ABMMS1-Keep Subtracting 7 Step 2MMSEATTENTION AND CALCULATION


NOT DONELOGICALLY SKIPPED ITEMY12015-05-15
55STUDYXFT2324-P000217MMS104ACMMS1-Keep Subtracting Step 3MMSEATTENTION AND CALCULATION


NOT DONELOGICALLY SKIPPED ITEMY12015-05-15
56STUDYXFT2324-P000218MMS104ADMMS1-Keep Subtracting Step 4MMSEATTENTION AND CALCULATION


NOT DONELOGICALLY SKIPPED ITEMY12015-05-15
57STUDYXFT2324-P000219MMS104AEMMS1-Keep Subtracting Step 5MMSEATTENTION AND CALCULATION


NOT DONELOGICALLY SKIPPED ITEMY12015-05-15
58STUDYXFT2324-P000220MMS104BAMMS1-Spell Backward Letter 1MMSEATTENTION AND CALCULATIONCORRECT11

Y12015-05-15
59STUDYXFT2324-P000221MMS104BBMMS1-Spell Backward Letter 2MMSEATTENTION AND CALCULATIONCORRECT11

Y12015-05-15
60STUDYXFT2324-P000222MMS104BCMMS1-Spell Backward Letter 3MMSEATTENTION AND CALCULATIONINCORRECT00

Y12015-05-15
61STUDYXFT2324-P000223MMS104BDMMS1-Spell Backward Letter 4MMSEATTENTION AND CALCULATIONINCORRECT00

Y12015-05-15
62STUDYXFT2324-P000224MMS104BEMMS1-Spell Backward Letter 5MMSEATTENTION AND CALCULATIONCORRECT11

Y12015-05-15
63STUDYXFT2324-P000225MMS104MMS1-Attention and Calculation SubtotalMMSEATTENTION AND CALCULATION333

Y12015-05-15
64STUDYXFT2324-P000226MMS105AMMS1-Recall Word 1MMSERECALLCORRECT11

Y12015-05-15
65STUDYXFT2324-P000227MMS105BMMS1-Recall Word 2MMSERECALLCORRECT11

Y12015-05-15
66STUDYXFT2324-P000228MMS105CMMS1-Recall Word 3MMSERECALLCORRECT11

Y12015-05-15
67STUDYXFT2324-P000229MMS106AMMS1-Naming Object 1MMSENAMINGCORRECT11

Y12015-05-15
68STUDYXFT2324-P000230MMS106BMMS1-Naming Object 2MMSENAMINGINCORRECT00

Y12015-05-15
69STUDYXFT2324-P000231MMS107MMS1-Repeat What I SayMMSEREPETITIONCORRECT11

Y12015-05-15
70STUDYXFT2324-P000232MMS108AMMS1-Take in Right HandMMSECOMPREHENSIONCORRECT11

Y12015-05-15
71STUDYXFT2324-P000233MMS108BMMS1-Fold in HalfMMSECOMPREHENSIONCORRECT11

Y12015-05-15
72STUDYXFT2324-P000234MMS108CMMS1-Put on Floor (or Table)MMSECOMPREHENSIONCORRECT11

Y12015-05-15
73STUDYXFT2324-P000235MMS109MMS1-Read This and Do What It SaysMMSEREADINGINCORRECT00

Y12015-05-15
74STUDYXFT2324-P000236MMS110MMS1-Write a SentenceMMSEWRITINGCORRECT11

Y12015-05-15
75STUDYXFT2324-P000237MMS111MMS1-Copy This DesignMMSEDRAWINGINCORRECT00

Y12015-05-15
76STUDYXFT2324-P000238MMS112MMS1-Total ScoreMMSE
262626

Y12015-05-15
77STUDYXFT2324-P000239MMS113MMS1-Level of ConsciousnessMMSE
DrowsyDrowsy.

Y12015-05-15
78STUDYXFT2324-P00031MMS101AMMS1-What Is the YearMMSEORIENTATION TO TIME


NOT DONE

12015-05-15
79STUDYXFT2324-P00032MMS101BMMS1-What Is the SeasonMMSEORIENTATION TO TIME


NOT DONE

12015-05-15
80STUDYXFT2324-P00033MMS101CMMS1-What Is the Month of YearMMSEORIENTATION TO TIME


NOT DONE

12015-05-15
81STUDYXFT2324-P00034MMS101DMMS1-What Is the Day of WeekMMSEORIENTATION TO TIME


NOT DONE

12015-05-15
82STUDYXFT2324-P00035MMS101EMMS1-What Is the DateMMSEORIENTATION TO TIME


NOT DONE

12015-05-15
83STUDYXFT2324-P00036MMS102AMMS1-What Is the StateMMSEORIENTATION TO PLACE


NOT DONE

12015-05-15
84STUDYXFT2324-P00037MMS102BMMS1-What Is the CountyMMSEORIENTATION TO PLACE


NOT DONE

12015-05-15
85STUDYXFT2324-P00038MMS102CMMS1-What Is the City/TownMMSEORIENTATION TO PLACE


NOT DONE

12015-05-15
86STUDYXFT2324-P00039MMS102DMMS1-What Is the BuildingMMSEORIENTATION TO PLACE


NOT DONE

12015-05-15
87STUDYXFT2324-P000310MMS102EMMS1-What Is the FloorMMSEORIENTATION TO PLACE


NOT DONE

12015-05-15
88STUDYXFT2324-P000311MMS103AMMS1-Repeat Word 1MMSEREGISTRATION


NOT DONE

12015-05-15
89STUDYXFT2324-P000312MMS103BMMS1-Repeat Word 2MMSEREGISTRATION


NOT DONE

12015-05-15
90STUDYXFT2324-P000313MMS103CMMS1-Repeat Word 3MMSEREGISTRATION


NOT DONE

12015-05-15
91STUDYXFT2324-P000314MMS104AAMMS1-What is 100 Take Away 7MMSEATTENTION AND CALCULATION


NOT DONE

12015-05-15
92STUDYXFT2324-P000315MMS104ABMMS1-Keep Subtracting 7 Step 2MMSEATTENTION AND CALCULATION


NOT DONE

12015-05-15
93STUDYXFT2324-P000316MMS104ACMMS1-Keep Subtracting Step 3MMSEATTENTION AND CALCULATION


NOT DONE

12015-05-15
94STUDYXFT2324-P000317MMS104ADMMS1-Keep Subtracting Step 4MMSEATTENTION AND CALCULATION


NOT DONE

12015-05-15
95STUDYXFT2324-P000318MMS104AEMMS1-Keep Subtracting Step 5MMSEATTENTION AND CALCULATION


NOT DONE

12015-05-15
96STUDYXFT2324-P000319MMS104BAMMS1-Spell Backward Letter 1MMSEATTENTION AND CALCULATION


NOT DONE

12015-05-15
97STUDYXFT2324-P000320MMS104BBMMS1-Spell Backward Letter 2MMSEATTENTION AND CALCULATION


NOT DONE

12015-05-15
98STUDYXFT2324-P000321MMS104BCMMS1-Spell Backward Letter 3MMSEATTENTION AND CALCULATION


NOT DONE

12015-05-15
99STUDYXFT2324-P000322MMS104BDMMS1-Spell Backward Letter 4MMSEATTENTION AND CALCULATION


NOT DONE

12015-05-15
100STUDYXFT2324-P000323MMS104BEMMS1-Spell Backward Letter 5MMSEATTENTION AND CALCULATION


NOT DONE

12015-05-15
101STUDYXFT2324-P000324MMS104MMS1-Attention and Calculation SubtotalMMSEATTENTION AND CALCULATION


NOT DONE

12015-05-15
102STUDYXFT2324-P000325MMS105AMMS1-Recall Word 1MMSERECALL


NOT DONE

12015-05-15
103STUDYXFT2324-P000326MMS105BMMS1-Recall Word 2MMSERECALL


NOT DONE

12015-05-15
104STUDYXFT2324-P000327MMS105CMMS1-Recall Word 3MMSERECALL


NOT DONE

12015-05-15
105STUDYXFT2324-P000328MMS106AMMS1-Naming Object 1MMSENAMING


NOT DONE

12015-05-15
106STUDYXFT2324-P000329MMS106BMMS1-Naming Object 2MMSENAMING


NOT DONE

12015-05-15
107STUDYXFT2324-P000330MMS107MMS1-Repeat What I SayMMSEREPETITION


NOT DONE

12015-05-15
108STUDYXFT2324-P000331MMS108AMMS1-Take in Right HandMMSECOMPREHENSION


NOT DONE

12015-05-15
109STUDYXFT2324-P000332MMS108BMMS1-Fold in HalfMMSECOMPREHENSION


NOT DONE

12015-05-15
110STUDYXFT2324-P000333MMS108CMMS1-Put on Floor (or Table)MMSECOMPREHENSION


NOT DONE

12015-05-15
111STUDYXFT2324-P000334MMS109MMS1-Read This and Do What It SaysMMSEREADING


NOT DONE

12015-05-15
112STUDYXFT2324-P000335MMS110MMS1-Write a SentenceMMSEWRITING


NOT DONE

12015-05-15
113STUDYXFT2324-P000336MMS111MMS1-Copy This DesignMMSEDRAWING


NOT DONE

12015-05-15
114STUDYXFT2324-P000337MMS112MMS1-Total ScoreMMSE



NOT DONE

12015-05-15
115STUDYXFT2324-P000338MMS113MMS1-Level of ConsciousnessMMSE



NOT DONE

12015-05-15



The preprinted and collected administrator information is represented in the SUPPFT domain.

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tableidsuppft.xpt


STUDYIDRDOMAINUSUBJIDIDVARIDVARVALQNAMQLABELQVALQORIG
STUDYXFT2324-P0003FTCATMMSEFTPPRAIDPreprinted Administrator IdentifierEXAMINERCRF
STUDYXFT2324-P0003FTCATMMSEFTCOLAIDCollected Administrator IdentifierADM1CRF





4 SDTM Mapping Strategy

This section is used for reference regarding the CRF data capture and to understand the alignment of the instrument to the SDTM FT domain. It also provides guidance on how the subcategories (FTSCAT) and the result variables (FTORRES, FTSTRESC and FTSTRESN) should be populated.

...

FTORRESFTSTRESC
Alert/Responsive
Alert/Responsive
Drowsy
Drowsy
Stuporous
Stuporous
Comatose/UnresponsiveComatose/Unresponsive


5 Supplemental Qualifier Name Codes

The following table contains additional standard name codes for use in the Supplement Qualifiers for Functional Tests (SUPPFT) special purpose dataset.

Dataset wrap
Namesupprs


QNAMQLABELQVAL
FTPPRAIDPreprinted Administrator IdentifierEXAMINER
FTCOLAIDCollected Administrator IdentifierADM1



End of Document