ID

17261

Description

Documentation part: Record 34 Cognitive Function The Cardiovascular Health Study (CHS) was initiated by the National Heart, Lung and Blood Institute (NHLBI) in 1987 to determine the risk factors for development and progression of cardiovascular disease (CVD) in older adults, with an emphasis on subclinical measures. The study recruited 5,888 adults aged 65 or older at entry in four U.S. communities and conducted extensive annual clinical exams between 1989-1999 along with semi-annual phone calls, events adjudication, and subsequent data analyses and publications. Additional data were collected by studies ancillary to CHS. With the exception of annual clinic visits, these activities are still ongoing. Data obtained from: https://chs-nhlbi.org/ Permission granted by: Erika Enright.

Link

https://chs-nhlbi.org/

Keywords

  1. 9/27/17 9/27/17 -
Uploaded on

September 27, 2017

DOI

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License

Creative Commons BY-NC 3.0

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Cognitive Function Cardiovascular Health Study (CHS)

Cognitive Function Cardiovascular Health Study (CHS)

Cognitive Function
Description

Cognitive Function

I would like to ask you a few questions that require concentration and memory. Some are a little bit more difficult than others. Some questions will be asked more than once. 1 When were you born?
Description

date of birth

Data type

date

Alias
UMLS CUI [1]
C0421451
Where were you born? d. city/town
Description

place of birth

Data type

text

Alias
UMLS CUI [1]
C0032040
d. city/town
Description

place of birth answer

Data type

integer

Alias
UMLS CUI [1,1]
C0032040
UMLS CUI [1,2]
C1706817
Where were you born? e. state/country
Description

place of birth state

Data type

text

Alias
UMLS CUI [1]
C1300001
e. state/country
Description

place of birth state answer

Data type

integer

Alias
UMLS CUI [1,1]
C1300001
UMLS CUI [1,2]
C1706817
2. I am going to say three words for you to remember. Repeat them after I have said all three words: shoes, brown, honestly. a. shoes
Description

repeat item

Data type

integer

Alias
UMLS CUI [1]
C1705914
b. brown
Description

repeat items 2

Data type

integer

Alias
UMLS CUI [1]
C1705914
c. honestly
Description

repeat items 3

Data type

integer

Alias
UMLS CUI [1]
C1705914
3 I would like you to count from 1 to 5. [...] Now I would like you to count backwards from 5 to 1.
Description

counting task

Data type

text

Alias
UMLS CUI [1]
C1882037
Record the responses in the order given: enter 99999 for no response
Description

counting number 5

Data type

text

Alias
UMLS CUI [1]
C1882037
Record the responses in the order given: enter 99999 for no response
Description

counting number 4

Data type

text

Alias
UMLS CUI [1]
C1882037
Record the responses in the order given: enter 99999 for no response
Description

counting number 3

Data type

text

Alias
UMLS CUI [1]
C1882037
Record the responses in the order given: enter 99999 for no response
Description

counting number 2

Data type

text

Alias
UMLS CUI [1]
C1882037
Record the responses in the order given: enter 99999 for no response
Description

counting number 1

Data type

text

Alias
UMLS CUI [1]
C1882037
4 Spell "world". [...] Now spell "world" backwards.
Description

spelling forward

Data type

text

Alias
UMLS CUI [1]
C0869025
Record letters in the order given (Enter xxxxx if no response) a. D
Description

spelling backwards

Data type

text

Alias
UMLS CUI [1]
C0869025
b. L
Description

spelling backwards 2

Data type

text

Alias
UMLS CUI [1]
C0869025
c. R
Description

spelling backwards 3

Data type

text

Alias
UMLS CUI [1]
C0869025
d. O
Description

spelling backwards 4

Data type

text

Alias
UMLS CUI [1]
C0869025
e. W
Description

spelling backwards 5

Data type

text

Alias
UMLS CUI [1]
C0869025
5 What three words did I ask you to remember earlier? a. shoes
Description

recalll items shoes

Data type

text

Alias
UMLS CUI [1]
C1705914
5 What three words did I ask you to remember earlier? b. brown
Description

recalll items brown

Data type

text

Alias
UMLS CUI [1]
C1705914
5 What three words did I ask you to remember earlier? c. honestly
Description

recalll items honestly

Data type

text

Alias
UMLS CUI [1]
C1705914
6a. a. What is today's date?
Description

cognitive q1 date

Data type

date

Alias
UMLS CUI [1]
C0563117
Record answer in error:
Description

q1 answer in error

Data type

text

b. What is the day of the week?
Description

cognitive q2 day

Data type

integer

Alias
UMLS CUI [1]
C0585023
Day:
Description

q2 answer in error

Data type

text

c. What season of the year is it?
Description

cognitive q3 season

Data type

integer

Alias
UMLS CUI [1]
C0036497
Season:
Description

q3 answer in error

Data type

text

7a. What state are we in?
Description

cognitive q7a state

Data type

integer

Alias
UMLS CUI [1]
C1301808
State:
Description

q7a answer in error

Data type

text

b. What country are you in?
Description

cognitive q7b country

Data type

integer

Alias
UMLS CUI [1]
C0454664
Country:
Description

q7b answer in error

Data type

text

c. What (city/town) are we in?
Description

cognitive q7c city

Data type

integer

Alias
UMLS CUI [1]
C0008848
City:
Description

q7c answer in error

Data type

text

d. Are we in a clinic, store, or at home?
Description

cognitive q7d address

Data type

integer

Alias
UMLS CUI [1]
C0442504
8 Point to the object or a part of your own body and ask the participant to name it. Score 0 if the participant cannot name it within 2 seconds or gives an incorrect name. Do not wait for the participant to mentally search for the name. a. pencil: What is this?
Description

naming objects

Data type

integer

Alias
UMLS CUI [1]
C0451342
b. watch: What is this?
Description

naming objects 2

Data type

integer

Alias
UMLS CUI [1]
C0451342
c. forehead: What do you call this part of the face?
Description

naming objects 3

Data type

integer

Alias
UMLS CUI [1]
C0451342
d. chin: ...And this part?
Description

naming objects 4

Data type

integer

Alias
UMLS CUI [1]
C0451342
e. shoulder: ...And this part of the body?
Description

naming objects 5

Data type

integer

Alias
UMLS CUI [1]
C0451342
f. elbow: ... And this part?
Description

naming objects 6

Data type

integer

Alias
UMLS CUI [1]
C0451342
g. knuckie: ... And this part of the hand?
Description

naming objects 7

Data type

integer

Alias
UMLS CUI [1]
C0451342
Score
Description

enumerate animals score

Data type

integer

Alias
UMLS CUI [1]
C0449820
10a. In what way are an arm and a leg alike?
Description

understand concepts

Data type

text

Alias
UMLS CUI [1]
C1273102
10b. In what way are laughing and crying alike?
Description

understand concepts 2

Data type

text

Alias
UMLS CUI [1]
C1273102
10c. In what way are eating and sleeping alike?
Description

understand concepts 3

Data type

text

Alias
UMLS CUI [1]
C1273102
12 Now repeat: No ifs, ands or buts. a. no ifs
Description

repeat phrase

Data type

integer

Alias
UMLS CUI [1]
C3828340
12 Now repeat: No ifs, ands or buts. b. ands
Description

repeat phrase 2

Data type

integer

Alias
UMLS CUI [1]
C3828340
12 Now repeat: No ifs, ands or buts. c. or buts
Description

repeat phrase 3

Data type

integer

Alias
UMLS CUI [1]
C3828340
13 Please do this:
Description

Hold card 11 and say:

Data type

text

Alias
UMLS CUI [1,1]
C1273101
UMLS CUI [1,2]
C1442085
14 I would like to have a sample of your handwritting. Please write: I would like to go out. a. would
Description

sample of handwritting

Data type

integer

Alias
UMLS CUI [1]
C0018582
14 I would like to have a sample of your handwritting. Please write: I would like to go out. b. like
Description

sample of handwritting 2

Data type

integer

Alias
UMLS CUI [1]
C0018582
14 I would like to have a sample of your handwritting. Please write: I would like to go out. c. to
Description

sample of handwritting 3

Data type

integer

Alias
UMLS CUI [1]
C0018582
14 I would like to have a sample of your handwritting. Please write: I would like to go out. d. go
Description

sample of handwritting 4

Data type

integer

Alias
UMLS CUI [1]
C0018582
14 I would like to have a sample of your handwritting. Please write: I would like to go out. e. out
Description

sample of handwritting 5

Data type

integer

Alias
UMLS CUI [1]
C0018582
Note which hand the participant uses to write. If this task is not done, ask participant if s/he is right or left-handed.
Description

handwritting handedness

Data type

text

Alias
UMLS CUI [1]
C0023114
15 Here is a drawing. Please copy the drawing onto this paper. a. pentagon 1
Description

drawing task

Data type

text

Alias
UMLS CUI [1,1]
C0699866
UMLS CUI [1,2]
C1709496
15 Here is a drawing. Please copy the drawing onto this paper. b. pentagon 2
Description

drawing task 2

Data type

text

Alias
UMLS CUI [1,1]
C0699866
UMLS CUI [1,2]
C1709496
15 Here is a drawing. Please copy the drawing onto this paper. c. intersection
Description

drawing task 3

Data type

text

Alias
UMLS CUI [1,1]
C0699866
UMLS CUI [1,2]
C1709496
16 Take this paper with your left (right for left-handed person) hand, fold it in half, and hand it back to me. a. takes paper in correct hand
Description

perform task

Data type

integer

Alias
UMLS CUI [1]
C0392334
16 Take this paper with your left (right for left-handed person) hand, fold it in half, and hand it back to me. c. hands paper back
Description

perform task 3

Data type

integer

17 What three words did I ask you to remember earlier? a. shoes
Description

recalll items shoes 2

Data type

text

Alias
UMLS CUI [1]
C1705914
17 What three words did I ask you to remember earlier? b. brown
Description

recalll items brown 2

Data type

text

Alias
UMLS CUI [1]
C1705914
17 What three words did I ask you to remember earlier? c. honestly
Description

recalll items honestly 2

Data type

text

Alias
UMLS CUI [1]
C1705914
18 Would you please tell me again where you were born? a. city/town
Description

place of birth

Data type

text

Alias
UMLS CUI [1]
C0032040
d. city/town
Description

place of birth answer

Data type

integer

Alias
UMLS CUI [1,1]
C0032040
UMLS CUI [1,2]
C1706817
b. state/country
Description

place of birth state 2

Data type

text

Alias
UMLS CUI [1]
C1300001
b. state/country
Description

place of birth state answer 2

Data type

integer

Alias
UMLS CUI [1,1]
C1300001
UMLS CUI [1,2]
C1706817
19 Special problems?
Description

special problems

Data type

boolean

Alias
UMLS CUI [1]
C1254481
Primary problem:
Description

primary problem

Data type

text

Alias
UMLS CUI [1]
C3258059
Other, specify:
Description

other primary problem

Data type

text

Alias
UMLS CUI [1,1]
C3258059
UMLS CUI [1,2]
C0205394
Secondary problem, specify:
Description

secondary problem

Data type

text

Alias
UMLS CUI [1]
C3258145
20 Please tell me which hand you would normally use to throw a ball to hit a target.
Description

hand to throw ball

Data type

text

Alias
UMLS CUI [1]
C2734046
21 Please tell me which hand you would normally use to hold a toothbrush while cleaning teeth.
Description

hand to hold toothbrush

Data type

text

Alias
UMLS CUI [1]
C2734038
22 Look at these boxes across the top of the page. On the top of each box are numbers from one through nine. On the bottom part of each box there is a symbol. Each symbol is paired with a number. -- Down here are boxes with numbers on the top, but the bottom part is blank. I want you to put the correct symbol in each box like this: -- Now I want you to fill in all boxes up to this line. -- When I tell you to begin, start here and fill in the boxes in these four rows. Do them in any order and don't skip any. Please try to work as quickly as possible. Let's begin. -- That's good. That completes this set of tasks. a. Test items:
Description

digit-symbol substitution task

Data type

integer

Alias
UMLS CUI [1]
C0814254
b. Number of symbols correctly coded:
Description

digit-symbol substitution task 2

Data type

integer

Alias
UMLS CUI [1]
C0814254
c. Number of symbols incorrectly coded:
Description

digit-symbol substitution task 3

Data type

integer

Alias
UMLS CUI [1]
C0814254
Cognitive Function: Naming animals
Description

Cognitive Function: Naming animals

9 What animals have four legs? Tell me as many as you can.
Description

name animals

Data type

text

Alias
UMLS CUI [1,1]
C1707927
UMLS CUI [1,2]
C0003062

Similar models

Cognitive Function Cardiovascular Health Study (CHS)

Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Cognitive Function
date of birth
Item
I would like to ask you a few questions that require concentration and memory. Some are a little bit more difficult than others. Some questions will be asked more than once. 1 When were you born?
date
C0421451 (UMLS CUI [1])
place of birth
Item
Where were you born? d. city/town
text
C0032040 (UMLS CUI [1])
Item
d. city/town
integer
C0032040 (UMLS CUI [1,1])
C1706817 (UMLS CUI [1,2])
Code List
d. city/town
CL Item
correct (0)
CL Item
error/refused (1)
CL Item
not att/disabled (9)
place of birth state
Item
Where were you born? e. state/country
text
C1300001 (UMLS CUI [1])
Item
e. state/country
integer
C1300001 (UMLS CUI [1,1])
C1706817 (UMLS CUI [1,2])
Code List
e. state/country
CL Item
correct (0)
CL Item
error/refused (1)
CL Item
not att/disabled (9)
Item
2. I am going to say three words for you to remember. Repeat them after I have said all three words: shoes, brown, honestly. a. shoes
integer
C1705914 (UMLS CUI [1])
Code List
2. I am going to say three words for you to remember. Repeat them after I have said all three words: shoes, brown, honestly. a. shoes
CL Item
correct (0)
CL Item
error/refused (1)
CL Item
not att/disabled (9)
Item
b. brown
integer
C1705914 (UMLS CUI [1])
Code List
b. brown
CL Item
correct (0)
CL Item
error/refused (1)
CL Item
not att/disabled (9)
Item
c. honestly
integer
C1705914 (UMLS CUI [1])
Code List
c. honestly
CL Item
correct (0)
CL Item
error/refused (1)
CL Item
not att/disabled (9)
Item
3 I would like you to count from 1 to 5. [...] Now I would like you to count backwards from 5 to 1.
text
C1882037 (UMLS CUI [1])
Code List
3 I would like you to count from 1 to 5. [...] Now I would like you to count backwards from 5 to 1.
CL Item
Able to count forward (Able to count forward)
CL Item
Unable to count forward (Unable to count forward)
counting number 5
Item
Record the responses in the order given: enter 99999 for no response
text
C1882037 (UMLS CUI [1])
counting number 4
Item
Record the responses in the order given: enter 99999 for no response
text
C1882037 (UMLS CUI [1])
counting number 3
Item
Record the responses in the order given: enter 99999 for no response
text
C1882037 (UMLS CUI [1])
counting number 2
Item
Record the responses in the order given: enter 99999 for no response
text
C1882037 (UMLS CUI [1])
counting number 1
Item
Record the responses in the order given: enter 99999 for no response
text
C1882037 (UMLS CUI [1])
Item
4 Spell "world". [...] Now spell "world" backwards.
text
C0869025 (UMLS CUI [1])
Code List
4 Spell "world". [...] Now spell "world" backwards.
CL Item
Able to spell (Able to spell)
CL Item
Unable to spell (Unable to spell)
spelling backwards
Item
Record letters in the order given (Enter xxxxx if no response) a. D
text
C0869025 (UMLS CUI [1])
spelling backwards 2
Item
b. L
text
C0869025 (UMLS CUI [1])
spelling backwards 3
Item
c. R
text
C0869025 (UMLS CUI [1])
spelling backwards 4
Item
d. O
text
C0869025 (UMLS CUI [1])
spelling backwards 5
Item
e. W
text
C0869025 (UMLS CUI [1])
Item
5 What three words did I ask you to remember earlier? a. shoes
text
C1705914 (UMLS CUI [1])
Code List
5 What three words did I ask you to remember earlier? a. shoes
CL Item
Spontaneous recall (Spontaneous recall)
CL Item
Correct word/incorrect form (Correct word/incorrect form)
CL Item
After "something to wear" (After "something to wear")
CL Item
After "Was it shirt, shoes or socks?" (After "Was it shirt, shoes or socks?")
CL Item
Unable to recall/refused (provide the correct answer) (Unable to recall/refused (provide the correct answer))
CL Item
Not attempted/disabled (Not attempted/disabled)
Item
5 What three words did I ask you to remember earlier? b. brown
text
C1705914 (UMLS CUI [1])
Code List
5 What three words did I ask you to remember earlier? b. brown
CL Item
Spontaneous recall (Spontaneous recall)
CL Item
Correct word/incorrect form (Correct word/incorrect form)
CL Item
After "A color" (After "A color")
CL Item
After "Was it blue, black, brown?" (After "Was it blue, black, brown?")
CL Item
Unable to recall/refused (provide correct answer) (Unable to recall/refused (provide correct answer))
CL Item
Not attempted/disabled (Not attempted/disabled)
Item
5 What three words did I ask you to remember earlier? c. honestly
text
C1705914 (UMLS CUI [1])
Code List
5 What three words did I ask you to remember earlier? c. honestly
CL Item
Spontaneous recall (Spontaneous recall)
CL Item
Correct word/incorrect form (Correct word/incorrect form)
CL Item
After "A good personal quality" (After "A good personal quality")
CL Item
After "Was it honestly, charity, modesty?" (After "Was it honestly, charity, modesty?")
CL Item
Unable to recall/refused (provide the correct answer) (Unable to recall/refused (provide the correct answer))
CL Item
Not attempted/disabled (Not attempted/disabled)
cognitive q1 date
Item
6a. a. What is today's date?
date
C0563117 (UMLS CUI [1])
q1 answer in error
Item
Record answer in error:
text
Item
b. What is the day of the week?
integer
C0585023 (UMLS CUI [1])
Code List
b. What is the day of the week?
CL Item
correct (0)
CL Item
error/refused (1)
CL Item
not att/disabled (9)
q2 answer in error
Item
Day:
text
Item
c. What season of the year is it?
integer
C0036497 (UMLS CUI [1])
Code List
c. What season of the year is it?
CL Item
correct (0)
CL Item
error/refused (1)
CL Item
not att/disabled (9)
q3 answer in error
Item
Season:
text
Item
7a. What state are we in?
integer
C1301808 (UMLS CUI [1])
Code List
7a. What state are we in?
CL Item
correct (0)
CL Item
error/refused (1)
CL Item
not att/disabled (9)
q7a answer in error
Item
State:
text
Item
b. What country are you in?
integer
C0454664 (UMLS CUI [1])
Code List
b. What country are you in?
CL Item
correct (0)
CL Item
error/refused (1)
CL Item
not att/disabled (9)
q7b answer in error
Item
Country:
text
Item
c. What (city/town) are we in?
integer
C0008848 (UMLS CUI [1])
Code List
c. What (city/town) are we in?
CL Item
correct (0)
CL Item
error/refused (1)
CL Item
not att/disabled (9)
q7c answer in error
Item
City:
text
Item
d. Are we in a clinic, store, or at home?
integer
C0442504 (UMLS CUI [1])
Code List
d. Are we in a clinic, store, or at home?
CL Item
correct (0)
CL Item
error/refused (1)
CL Item
not att/disabled (9)
Item
8 Point to the object or a part of your own body and ask the participant to name it. Score 0 if the participant cannot name it within 2 seconds or gives an incorrect name. Do not wait for the participant to mentally search for the name. a. pencil: What is this?
integer
C0451342 (UMLS CUI [1])
Code List
8 Point to the object or a part of your own body and ask the participant to name it. Score 0 if the participant cannot name it within 2 seconds or gives an incorrect name. Do not wait for the participant to mentally search for the name. a. pencil: What is this?
CL Item
correct (0)
CL Item
error/refused (1)
CL Item
not att/disabled (9)
Item
b. watch: What is this?
integer
C0451342 (UMLS CUI [1])
Code List
b. watch: What is this?
CL Item
correct (0)
CL Item
error/refused (1)
CL Item
not att/disabled (9)
Item
c. forehead: What do you call this part of the face?
integer
C0451342 (UMLS CUI [1])
Code List
c. forehead: What do you call this part of the face?
CL Item
correct (0)
CL Item
error/refused (1)
CL Item
not att/disabled (9)
Item
d. chin: ...And this part?
integer
C0451342 (UMLS CUI [1])
Code List
d. chin: ...And this part?
CL Item
correct (0)
CL Item
error/refused (1)
CL Item
not att/disabled (9)
Item
e. shoulder: ...And this part of the body?
integer
C0451342 (UMLS CUI [1])
Code List
e. shoulder: ...And this part of the body?
CL Item
correct (0)
CL Item
error/refused (1)
CL Item
not att/disabled (9)
Item
f. elbow: ... And this part?
integer
C0451342 (UMLS CUI [1])
Code List
f. elbow: ... And this part?
CL Item
correct (0)
CL Item
error/refused (1)
CL Item
not att/disabled (9)
Item
g. knuckie: ... And this part of the hand?
integer
C0451342 (UMLS CUI [1])
Code List
g. knuckie: ... And this part of the hand?
CL Item
correct (0)
CL Item
error/refused (1)
CL Item
not att/disabled (9)
enumerate animals score
Item
Score
integer
C0449820 (UMLS CUI [1])
Item
10a. In what way are an arm and a leg alike?
text
C1273102 (UMLS CUI [1])
Code List
10a. In what way are an arm and a leg alike?
CL Item
Limbs, extremeties (Limbs, extremeties)
CL Item
Lesser correct answer (e.g. body parts, both bend, have joints) (Lesser correct answer (e.g. body parts, both bend, have joints))
CL Item
Error (e.g. states differences, gives unrelated answer)/refuses (Error (e.g. states differences, gives unrelated answer)/refuses)
CL Item
Not attempted/disabled (Not attempted/disabled)
Item
10b. In what way are laughing and crying alike?
text
C1273102 (UMLS CUI [1])
Code List
10b. In what way are laughing and crying alike?
CL Item
Expression of feelings, emotions (Expression of feelings, emotions)
CL Item
Lesser correct answer (e.g. sounds, expressions) (Lesser correct answer (e.g. sounds, expressions))
CL Item
Error (e.g. states differences, gives unrelated answer)/refuses (Error (e.g. states differences, gives unrelated answer)/refuses)
CL Item
Not attempted/disabled (Not attempted/disabled)
Item
10c. In what way are eating and sleeping alike?
text
C1273102 (UMLS CUI [1])
Code List
10c. In what way are eating and sleeping alike?
CL Item
Necessary body functions, essential for life (Necessary body functions, essential for life)
CL Item
Lesser correct answer  (Lesser correct answer )
CL Item
Error (e.g. states differences, gives unrelated answer)/refuses (Error (e.g. states differences, gives unrelated answer)/refuses)
CL Item
Not attempted/disabled (Not attempted/disabled)
Item
12 Now repeat: No ifs, ands or buts. a. no ifs
integer
C3828340 (UMLS CUI [1])
Code List
12 Now repeat: No ifs, ands or buts. a. no ifs
CL Item
correct (0)
CL Item
error/refused (1)
CL Item
not att/disabled (9)
Item
12 Now repeat: No ifs, ands or buts. b. ands
integer
C3828340 (UMLS CUI [1])
Code List
12 Now repeat: No ifs, ands or buts. b. ands
CL Item
correct (0)
CL Item
error/refused (1)
CL Item
not att/disabled (9)
Item
12 Now repeat: No ifs, ands or buts. c. or buts
integer
C3828340 (UMLS CUI [1])
Code List
12 Now repeat: No ifs, ands or buts. c. or buts
CL Item
correct (0)
CL Item
error/refused (1)
CL Item
not att/disabled (9)
Item
13 Please do this:
text
C1273101 (UMLS CUI [1,1])
C1442085 (UMLS CUI [1,2])
Code List
13 Please do this:
CL Item
Closes eyes without prompting (Closes eyes without prompting)
CL Item
Closes eyes after prompting (Closes eyes after prompting)
CL Item
Reads aloud, but does not close eyes (Reads aloud, but does not close eyes)
CL Item
Does not read aloud or close eyes/refused (Does not read aloud or close eyes/refused)
CL Item
Not attempted/disabled (Not attempted/disabled)
Item
14 I would like to have a sample of your handwritting. Please write: I would like to go out. a. would
integer
C0018582 (UMLS CUI [1])
Code List
14 I would like to have a sample of your handwritting. Please write: I would like to go out. a. would
CL Item
correct (0)
CL Item
error/refused (1)
CL Item
not att/disabled (9)
Item
14 I would like to have a sample of your handwritting. Please write: I would like to go out. b. like
integer
C0018582 (UMLS CUI [1])
Code List
14 I would like to have a sample of your handwritting. Please write: I would like to go out. b. like
CL Item
correct (0)
CL Item
error/refused (1)
CL Item
not att/disabled (9)
Item
14 I would like to have a sample of your handwritting. Please write: I would like to go out. c. to
integer
C0018582 (UMLS CUI [1])
Code List
14 I would like to have a sample of your handwritting. Please write: I would like to go out. c. to
CL Item
correct (0)
CL Item
error/refused (1)
CL Item
not att/disabled (9)
Item
14 I would like to have a sample of your handwritting. Please write: I would like to go out. d. go
integer
C0018582 (UMLS CUI [1])
Code List
14 I would like to have a sample of your handwritting. Please write: I would like to go out. d. go
CL Item
correct (0)
CL Item
error/refused (1)
CL Item
not att/disabled (9)
Item
14 I would like to have a sample of your handwritting. Please write: I would like to go out. e. out
integer
C0018582 (UMLS CUI [1])
Code List
14 I would like to have a sample of your handwritting. Please write: I would like to go out. e. out
CL Item
correct (0)
CL Item
error/refused (1)
CL Item
not att/disabled (9)
Item
Note which hand the participant uses to write. If this task is not done, ask participant if s/he is right or left-handed.
text
C0023114 (UMLS CUI [1])
Code List
Note which hand the participant uses to write. If this task is not done, ask participant if s/he is right or left-handed.
CL Item
Right (Right)
CL Item
Left (Left)
CL Item
Unknown (Unknown)
Item
15 Here is a drawing. Please copy the drawing onto this paper. a. pentagon 1
text
C0699866 (UMLS CUI [1,1])
C1709496 (UMLS CUI [1,2])
Code List
15 Here is a drawing. Please copy the drawing onto this paper. a. pentagon 1
CL Item
5 approximately equal sized (5 approximately equal sized)
CL Item
5 slides, but longest:shortest >2:1 (5 slides, but longest:shortest >2:1)
CL Item
Nonpentagon enclosed figure (Nonpentagon enclosed figure)
CL Item
2 or more lines, not an enclosure (2 or more lines, not an enclosure)
CL Item
Less than 2 lines/refused (Less than 2 lines/refused)
CL Item
Not attempted/disabled (Not attempted/disabled)
Item
15 Here is a drawing. Please copy the drawing onto this paper. b. pentagon 2
text
C0699866 (UMLS CUI [1,1])
C1709496 (UMLS CUI [1,2])
Code List
15 Here is a drawing. Please copy the drawing onto this paper. b. pentagon 2
CL Item
5 approximately equal sized (5 approximately equal sized)
CL Item
5 slides, but longest:shortest >2:1 (5 slides, but longest:shortest >2:1)
CL Item
Nonpentagon enclosed figure (Nonpentagon enclosed figure)
CL Item
2 or more lines, not an enclosure (2 or more lines, not an enclosure)
CL Item
Less than 2 lines/refused (Less than 2 lines/refused)
CL Item
Not attempted/disabled (Not attempted/disabled)
drawing task 3
Item
15 Here is a drawing. Please copy the drawing onto this paper. c. intersection
text
C0699866 (UMLS CUI [1,1])
C1709496 (UMLS CUI [1,2])
Item
16 Take this paper with your left (right for left-handed person) hand, fold it in half, and hand it back to me. a. takes paper in correct hand
integer
C0392334 (UMLS CUI [1])
Code List
16 Take this paper with your left (right for left-handed person) hand, fold it in half, and hand it back to me. a. takes paper in correct hand
CL Item
correct (0)
CL Item
error/refused (1)
CL Item
not att/disabled (9)
Item
16 Take this paper with your left (right for left-handed person) hand, fold it in half, and hand it back to me. c. hands paper back
integer
Code List
16 Take this paper with your left (right for left-handed person) hand, fold it in half, and hand it back to me. c. hands paper back
CL Item
correct (0)
CL Item
error/refused (1)
CL Item
not att/disabled (9)
Item
17 What three words did I ask you to remember earlier? a. shoes
text
C1705914 (UMLS CUI [1])
Code List
17 What three words did I ask you to remember earlier? a. shoes
CL Item
Spontaneous recall (Spontaneous recall)
CL Item
Correct word/incorrect form (Correct word/incorrect form)
CL Item
After "something to wear" (After "something to wear")
CL Item
After "Was it shirt, shoes or socks?" (After "Was it shirt, shoes or socks?")
CL Item
Unable to recall/refused (provide the correct answer) (Unable to recall/refused (provide the correct answer))
CL Item
Not attempted/disabled (Not attempted/disabled)
Item
17 What three words did I ask you to remember earlier? b. brown
text
C1705914 (UMLS CUI [1])
Code List
17 What three words did I ask you to remember earlier? b. brown
CL Item
Spontaneous recall (Spontaneous recall)
CL Item
Correct word/incorrect form (Correct word/incorrect form)
CL Item
After "A color" (After "A color")
CL Item
After "Was it blue, black, brown?" (After "Was it blue, black, brown?")
CL Item
Unable to recall/refused (provide correct answer) (Unable to recall/refused (provide correct answer))
CL Item
Not attempted/disabled (Not attempted/disabled)
Item
17 What three words did I ask you to remember earlier? c. honestly
text
C1705914 (UMLS CUI [1])
Code List
17 What three words did I ask you to remember earlier? c. honestly
CL Item
Spontaneous recall (Spontaneous recall)
CL Item
Correct word/incorrect form (Correct word/incorrect form)
CL Item
After "A good personal quality" (After "A good personal quality")
CL Item
After "Was it honestly, charity, modesty?" (After "Was it honestly, charity, modesty?")
CL Item
Unable to recall/refused (provide the correct answer) (Unable to recall/refused (provide the correct answer))
CL Item
Not attempted/disabled (Not attempted/disabled)
place of birth
Item
18 Would you please tell me again where you were born? a. city/town
text
C0032040 (UMLS CUI [1])
Item
d. city/town
integer
C0032040 (UMLS CUI [1,1])
C1706817 (UMLS CUI [1,2])
Code List
d. city/town
CL Item
correct (0)
CL Item
error/refused (1)
CL Item
not att/disabled (9)
place of birth state 2
Item
b. state/country
text
C1300001 (UMLS CUI [1])
Item
b. state/country
integer
C1300001 (UMLS CUI [1,1])
C1706817 (UMLS CUI [1,2])
Code List
b. state/country
CL Item
correct (0)
CL Item
error/refused (1)
CL Item
not att/disabled (9)
special problems
Item
19 Special problems?
boolean
C1254481 (UMLS CUI [1])
Item
Primary problem:
text
C3258059 (UMLS CUI [1])
Code List
Primary problem:
CL Item
Vision (Vision)
CL Item
Hearing (Hearing)
CL Item
Inability to write due to injury/illness (Inability to write due to injury/illness)
CL Item
Illiteracy/lack of education (Illiteracy/lack of education)
CL Item
Language (difficulty speaking/understanding English) (Language (difficulty speaking/understanding English))
CL Item
Other (Other)
other primary problem
Item
Other, specify:
text
C3258059 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
secondary problem
Item
Secondary problem, specify:
text
C3258145 (UMLS CUI [1])
Item
20 Please tell me which hand you would normally use to throw a ball to hit a target.
text
C2734046 (UMLS CUI [1])
Code List
20 Please tell me which hand you would normally use to throw a ball to hit a target.
CL Item
Always left (Always left)
CL Item
Usually left (Usually left)
CL Item
No preference (No preference)
CL Item
Usually right (Usually right)
CL Item
Always right (Always right)
CL Item
Unknown (Unknown)
Item
21 Please tell me which hand you would normally use to hold a toothbrush while cleaning teeth.
text
C2734038 (UMLS CUI [1])
Code List
21 Please tell me which hand you would normally use to hold a toothbrush while cleaning teeth.
CL Item
Always left (Always left)
CL Item
Usually left (Usually left)
CL Item
No preference (No preference)
CL Item
Usually right (Usually right)
CL Item
Always right (Always right)
CL Item
Unknown (Unknown)
Item
22 Look at these boxes across the top of the page. On the top of each box are numbers from one through nine. On the bottom part of each box there is a symbol. Each symbol is paired with a number. -- Down here are boxes with numbers on the top, but the bottom part is blank. I want you to put the correct symbol in each box like this: -- Now I want you to fill in all boxes up to this line. -- When I tell you to begin, start here and fill in the boxes in these four rows. Do them in any order and don't skip any. Please try to work as quickly as possible. Let's begin. -- That's good. That completes this set of tasks. a. Test items:
integer
C0814254 (UMLS CUI [1])
Code List
22 Look at these boxes across the top of the page. On the top of each box are numbers from one through nine. On the bottom part of each box there is a symbol. Each symbol is paired with a number. -- Down here are boxes with numbers on the top, but the bottom part is blank. I want you to put the correct symbol in each box like this: -- Now I want you to fill in all boxes up to this line. -- When I tell you to begin, start here and fill in the boxes in these four rows. Do them in any order and don't skip any. Please try to work as quickly as possible. Let's begin. -- That's good. That completes this set of tasks. a. Test items:
CL Item
Done (1)
CL Item
Not done/refused (0)
CL Item
Not attempted/disabled (9)
digit-symbol substitution task 2
Item
b. Number of symbols correctly coded:
integer
C0814254 (UMLS CUI [1])
digit-symbol substitution task 3
Item
c. Number of symbols incorrectly coded:
integer
C0814254 (UMLS CUI [1])
Item Group
Cognitive Function: Naming animals
name animals
Item
9 What animals have four legs? Tell me as many as you can.
text
C1707927 (UMLS CUI [1,1])
C0003062 (UMLS CUI [1,2])

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