Patient'sName
Item
Patient's Name
text
ParticipatingGroup
Item
Participating Group
text
C17005 (NCI Thesaurus ObjectClass)
C1257890 (UMLS 2011AA ObjectClass)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
PatientHospitalNumber
Item
Patient Hospital Number
text
ParticipatingGroupProtocolNo.
Item
Participating Group Protocol No.
text
MainMemberInstitution/Adjunct
Item
Main Member Institution/Adjunct
text
ParticipatingGroupPatientNo.
Item
Participating Group Patient No.
text
CompletedBy
Item
Completed By (Print or Type Name)
text
AssessmentNumber
Item
Assessment Number (1.)
double
Whatyearisitnow?
Item
What year is it now? (Patient's Response)
double
PerQuestionScore
Item
Score (Weight)
double
PerQuestionScore
Item
Score (Weight)
double
PerQuestionScore
Item
Score (Weight)
double
PerQuestionScore
Item
Score (Weight)
double
PerQuestionScore
Item
Score (Weight)
double
PerQuestionScore
Item
Score (Weight)
double
WeightedScore
Item
Final Score
double
WeightedScore
Item
Final Score
double
WeightedScore
Item
Final Score
double
WeightedScore
Item
Final Score
double
WeightedScore
Item
Final Score
double
WeightedScore
Item
Final Score
double
Whatmonthisitnow?
Item
What month is it now? (Patient's Response)
double
Aboutwhattimeisit?
Item
About what time is it? ([within 1 hour])
text