Sub-Domain: Additional Proposed Instruments
CRF: Behavior Rating Inventory of Executive Function (BRIEF) - Second Edition (BRIEF-2)
CDE ID | CDE Name | Variable Name | Definition | Short Description | Additional Notes (Question Text) | Permissible Values | Description | Data Type | Disease Specific Instructions | Disease Specific Reference | Population | Classification (e.g., Core) | Version Number | Version Date | CRF Name (CRF Module / Guideline) | Sub Domain Name | Domain Name | Size | Input Restrictions | Min Value | Max Value | Measurement Type | Source | Form Set | Form | Field | Domain | CDASH Variable | CDASH Definition | CDASH Label | Controlled Terminology | Prompt | Essentiality | Question Text | CDASH imp guidance | SDTM IG target | csDSR | PhenX | Data Type | CRF Completion Inst | SDTMIG Target Var | SDTMIG Target Map | Codelist Name | PVs | Pre Pop Value | Query Display | List Style |
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C17499 | Special education indicator | SpecialEduInd | Indicator as to whether the participant/subject has or had special education | Indicator as to whether the participant/subject has or had special education | Does this student receive special education services? | Yes;No | Yes;No | Alphanumeric |
Teacher form only |
Gioia G, Isquith P, Guy S, and Kenworthy L. (2015). Behavior Rating Inventory of Executive Function, Second Edition (BRIEF 2). Psychological Assessment Resources, Lutz, Florida. | Pediatric | Proposed | 3.00 | 2013-07-15 16:08:48.687 | Behavior Rating Inventory of Executive Function (BRIEF) - Second Edition (BRIEF-2) | Additional Proposed Instruments | Other |
Single Pre-Defined Value Selected |
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C54609 | Brief Test of Executive Function Second Edition (BRIEF 2) - Emotional control total raw scale score | BRIEF2EmtnlCntrlTtlRwSclScore | Total score of the raw scale for the emotional control function, as part of the Brief Test of Executive Function Second Edition (BRIEF 2) | Total score of the raw scale for the emotional control function, as part of the Brief Test of Executive Function Second Edition (BRIEF 2) | Emotional Control | Numeric Values | Gioia G, Isquith P, Guy S, and Kenworthy L. (2015). Behavior Rating Inventory of Executive Function, Second Edition (BRIEF 2). Psychological Assessment Resources, Lutz, Florida. | Pediatric | Proposed | 1.00 | 2017-03-22 09:57:02.0 | Behavior Rating Inventory of Executive Function (BRIEF) - Second Edition (BRIEF-2) | Additional Proposed Instruments | Other |
Free-Form Entry |
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C17738 | Informant participant relationship type | InformantPartcpntRelateTyp | The relationship of the informant to participant/subject | The relationship of the informant to participant/subject | Relationship | Mother;Father;Stepfather;Stepmother;Guardian;Teacher;Counselor;Other, specify: | Mother;Father;Stepfather;Stepmother;Guardian;Teacher;Counselor;Other, specify: | Alphanumeric |
Parent and Teacher forms only. Parent form question text: Relationship to child; Teacher form question text: Relationship to student. |
Gioia G, Isquith P, Guy S, and Kenworthy L. (2015). Behavior Rating Inventory of Executive Function, Second Edition (BRIEF 2). Psychological Assessment Resources, Lutz, Florida. | Pediatric | Proposed | 3.00 | 2013-08-30 17:06:52.8 | Behavior Rating Inventory of Executive Function (BRIEF) - Second Edition (BRIEF-2) | Additional Proposed Instruments | Other |
Single Pre-Defined Value Selected |
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C54610 | Brief Test of Executive Function Second Edition (BRIEF 2) - Task completion total raw scale score | BRIEF2TskCmpltnTtlRwSclScore | Total score of the raw scale for the task completion function, as part of the Brief Test of Executive Function Second Edition (BRIEF 2) | Total score of the raw scale for the task completion function, as part of the Brief Test of Executive Function Second Edition (BRIEF 2) | Task Completion | Numeric Values |
Self form only |
Gioia G, Isquith P, Guy S, and Kenworthy L. (2015). Behavior Rating Inventory of Executive Function, Second Edition (BRIEF 2). Psychological Assessment Resources, Lutz, Florida. | Pediatric | Proposed | 1.00 | 2017-03-22 09:57:02.0 | Behavior Rating Inventory of Executive Function (BRIEF) - Second Edition (BRIEF-2) | Additional Proposed Instruments | Other |
Free-Form Entry |
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C19059 | Informant participant relationship other text | InformantPartcpntRelateOTH | The free-text field related to 'Informant participant relationship type' specifying other text. The relationship of the informant to participant/subject | The free-text field related to 'Informant participant relationship type' specifying other text. The relationship of the informant to participant/subject | Other relationship to student | Alphanumeric |
Teacher form only |
Gioia G, Isquith P, Guy S, and Kenworthy L. (2015). Behavior Rating Inventory of Executive Function, Second Edition (BRIEF 2). Psychological Assessment Resources, Lutz, Florida. | Pediatric | Proposed | 3.00 | 2013-08-30 17:06:52.8 | Behavior Rating Inventory of Executive Function (BRIEF) - Second Edition (BRIEF-2) | Additional Proposed Instruments | Other | 4000 |
Free-Form Entry |
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C54611 | Brief Test of Executive Function Second Edition (BRIEF 2) - Initiate total raw scale score | BRIEF2IntiatTtlRwSclScore | Total score of the raw scale for the initiate function, as part of the Brief Test of Executive Function Second Edition (BRIEF 2) | Total score of the raw scale for the initiate function, as part of the Brief Test of Executive Function Second Edition (BRIEF 2) | Initiate | Numeric Values |
Parent and Teacher forms only |
Gioia G, Isquith P, Guy S, and Kenworthy L. (2015). Behavior Rating Inventory of Executive Function, Second Edition (BRIEF 2). Psychological Assessment Resources, Lutz, Florida. | Pediatric | Proposed | 1.00 | 2017-03-22 09:57:02.0 | Behavior Rating Inventory of Executive Function (BRIEF) - Second Edition (BRIEF-2) | Additional Proposed Instruments | Other |
Free-Form Entry |
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C21117 | Subject name | SubjectName | Name of subject/participant. | Name of subject/participant. | Name | Alphanumeric |
Parent form question text: Child's name; Teacher form question text: Student's name |
Gioia G, Isquith P, Guy S, and Kenworthy L. (2015). Behavior Rating Inventory of Executive Function, Second Edition (BRIEF 2). Psychological Assessment Resources, Lutz, Florida. | Pediatric | Proposed | 1.00 | 2015-06-12 15:16:39.0 | Behavior Rating Inventory of Executive Function (BRIEF) - Second Edition (BRIEF-2) | Additional Proposed Instruments | Other | 255 |
Free-Form Entry |
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C54612 | Brief Test of Executive Function Second Edition (BRIEF 2) - Working memory total raw scale score | BRIEF2WrkngMmryTtlRwSclScore | Total score of the raw scale for the working memory function, as part of the Brief Test of Executive Function Second Edition (BRIEF 2) | Total score of the raw scale for the working memory function, as part of the Brief Test of Executive Function Second Edition (BRIEF 2) | Working Memory | Numeric Values | Gioia G, Isquith P, Guy S, and Kenworthy L. (2015). Behavior Rating Inventory of Executive Function, Second Edition (BRIEF 2). Psychological Assessment Resources, Lutz, Florida. | Pediatric | Proposed | 1.00 | 2017-03-22 09:57:02.0 | Behavior Rating Inventory of Executive Function (BRIEF) - Second Edition (BRIEF-2) | Additional Proposed Instruments | Other |
Free-Form Entry |
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C54602 | Behavior Rating Inventory of Executive Function 2nd Edition (BRIEF 2) - Form version name | BRIEF2FormVersionName | Name of the version of the form, as part of the Behavior Rating Inventory of Executive Function 2nd Edition (BRIEF 2) | Name of the version of the form, as part of the Behavior Rating Inventory of Executive Function 2nd Edition (BRIEF 2) | Form | Parent form;Self form;Teacher form | Parent form;Self form;Teacher form | Alphanumeric | Gioia G, Isquith P, Guy S, and Kenworthy L. (2015). Behavior Rating Inventory of Executive Function, Second Edition (BRIEF 2). Psychological Assessment Resources, Lutz, Florida. | Pediatric | Proposed | 1.00 | 2017-03-20 15:13:56.0 | Behavior Rating Inventory of Executive Function (BRIEF) - Second Edition (BRIEF-2) | Additional Proposed Instruments | Other |
Single Pre-Defined Value Selected |
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C54613 | Brief Test of Executive Function Second Edition (BRIEF 2) - Plan organize total raw scale score | BRIEF2PlnOrgnzTtlRwSclScore | Total score of the raw scale for the plan/organize function, as part of the Brief Test of Executive Function Second Edition (BRIEF 2) | Total score of the raw scale for the plan/organize function, as part of the Brief Test of Executive Function Second Edition (BRIEF 2) | Plan/Organize | Numeric Values | Gioia G, Isquith P, Guy S, and Kenworthy L. (2015). Behavior Rating Inventory of Executive Function, Second Edition (BRIEF 2). Psychological Assessment Resources, Lutz, Florida. | Pediatric | Proposed | 1.00 | 2017-03-22 09:57:02.0 | Behavior Rating Inventory of Executive Function (BRIEF) - Second Edition (BRIEF-2) | Additional Proposed Instruments | Other |
Free-Form Entry |
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C00007 | Birth date | BirthDate | Date (and time, if applicable and known) the participant/subject was born | Date (and time, if applicable and known) the participant/subject was born | Date of birth | Date or Date & Time | Gioia G, Isquith P, Guy S, and Kenworthy L. (2015). Behavior Rating Inventory of Executive Function, Second Edition (BRIEF 2). Psychological Assessment Resources, Lutz, Florida. | Pediatric | Proposed | 3.00 | 2013-07-25 08:54:08.2 | Behavior Rating Inventory of Executive Function (BRIEF) - Second Edition (BRIEF-2) | Additional Proposed Instruments | Other |
Free-Form Entry |
793 | DeBaun Forms | ||||||||||||||||||||||||||||||
C54603 | Informant participant familiar grade | InfrmntPrtcpntFmlrGrade | Grade denoting the degree to which the informant knows the subject/participant | Grade denoting the degree to which the informant knows the subject/participant | How well do you know this student? | Very well;Moderately well;Not well | Very well;Moderately well;Not well | Alphanumeric |
Teacher form only |
Gioia G, Isquith P, Guy S, and Kenworthy L. (2015). Behavior Rating Inventory of Executive Function, Second Edition (BRIEF 2). Psychological Assessment Resources, Lutz, Florida. | Pediatric | Proposed | 1.00 | 2017-03-22 09:39:15.0 | Behavior Rating Inventory of Executive Function (BRIEF) - Second Edition (BRIEF-2) | Additional Proposed Instruments | Other |
Single Pre-Defined Value Selected |
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C54614 | Brief Test of Executive Function Second Edition (BRIEF 2) - Task monitor total raw scale score | BRIEF2TskMntrTtlRwSclScore | Total score of the raw scale for the task-monitor function, as part of the Brief Test of Executive Function Second Edition (BRIEF 2) | Total score of the raw scale for the task-monitor function, as part of the Brief Test of Executive Function Second Edition (BRIEF 2) | Task-Monitor | Numeric Values |
Parent and Teacher forms only |
Gioia G, Isquith P, Guy S, and Kenworthy L. (2015). Behavior Rating Inventory of Executive Function, Second Edition (BRIEF 2). Psychological Assessment Resources, Lutz, Florida. | Pediatric | Proposed | 1.00 | 2017-03-22 09:57:02.0 | Behavior Rating Inventory of Executive Function (BRIEF) - Second Edition (BRIEF-2) | Additional Proposed Instruments | Other |
Free-Form Entry |
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C00008 | Age value | AgeVal | Value for participant/subject's age, calculated as elapsed time since the birth of the participant/subject. | Value for participant/subject's age, calculated as elapsed time since the birth of the participant/subject. | Age | Numeric Values |
The preferred unit for sharing age data is months. |
Gioia G, Isquith P, Guy S, and Kenworthy L. (2015). Behavior Rating Inventory of Executive Function, Second Edition (BRIEF 2). Psychological Assessment Resources, Lutz, Florida. | Pediatric | Proposed | 3.00 | 2013-08-28 16:08:00.453 | Behavior Rating Inventory of Executive Function (BRIEF) - Second Edition (BRIEF-2) | Additional Proposed Instruments | Other |
Free-Form Entry |
0 | 1800 | month | DeBaun Forms | |||||||||||||||||||||||||||
C54604 | Informant participant relationship duration | InfrmntPrtcpntRltnshpDur | Duration for which the informant has known the subject/participant | Duration for which the informant has known the subject/participant | How long have you known this student? | Numeric Values |
Teacher form only. Record value in months. |
Gioia G, Isquith P, Guy S, and Kenworthy L. (2015). Behavior Rating Inventory of Executive Function, Second Edition (BRIEF 2). Psychological Assessment Resources, Lutz, Florida. | Pediatric | Proposed | 1.00 | 2017-03-22 09:46:35.0 | Behavior Rating Inventory of Executive Function (BRIEF) - Second Edition (BRIEF-2) | Additional Proposed Instruments | Other |
Free-Form Entry |
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C54615 | Brief Test of Executive Function Second Edition (BRIEF 2) - Organize material total raw scale score | BRIEF2OrgnzMtrlTtlRwSclScore | Total score of the raw scale for the organization of materials function, as part of the Brief Test of Executive Function Second Edition (BRIEF 2) | Total score of the raw scale for the organization of materials function, as part of the Brief Test of Executive Function Second Edition (BRIEF 2) | Organization of Materials | Numeric Values |
Parent and Teacher forms only |
Gioia G, Isquith P, Guy S, and Kenworthy L. (2015). Behavior Rating Inventory of Executive Function, Second Edition (BRIEF 2). Psychological Assessment Resources, Lutz, Florida. | Pediatric | Proposed | 1.00 | 2017-03-22 09:57:02.0 | Behavior Rating Inventory of Executive Function (BRIEF) - Second Edition (BRIEF-2) | Additional Proposed Instruments | Other |
Free-Form Entry |
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C00012 | Education level USA type | EduLvlUSATyp | Highest grade or level of school participant/subject has completed or the highest degree received | Highest grade or level of school participant/subject has completed or the highest degree received | Grade | Never attended/Kindergarten only;1st Grade;2nd Grade;3rd Grade;4th Grade;5th Grade;6th Grade;7th Grade;8th Grade;9th Grade;10th Grade;11th Grade;12th Grade, no diploma;High school graduate;GED or equivalent;Some college, no degree;Associate degree: occupational/technical/vocational program;Associate degree: academic program;Bachelor's degree (e.g., BA, AB, BS, BBA);Master's degree (e.g., MA, MS, MEng, MEd, MBA);Professional school degree (e.g., MD, DDS, DVM, JD);Doctoral degree (e.g., PhD, EdD);Unknown | Never attended/Kindergarten only;1st Grade;2nd Grade;3rd Grade;4th Grade;5th Grade;6th Grade;7th Grade;8th Grade;9th Grade;10th Grade;11th Grade;12th Grade, no diploma;High school graduate;GED or equivalent;Some college, no degree;Associate degree: occupational/technical/vocational program;Associate degree: academic program;Bachelor's degree (e.g., BA, AB, BS, BBA);Master's degree (e.g., MA, MS, MEng, MEd, MBA);Professional school degree (e.g., MD, DDS, DVM, JD);Doctoral degree (e.g., PhD, EdD);Unknown | Alphanumeric | Gioia G, Isquith P, Guy S, and Kenworthy L. (2015). Behavior Rating Inventory of Executive Function, Second Edition (BRIEF 2). Psychological Assessment Resources, Lutz, Florida. | Pediatric | Proposed | 3.00 | 2013-07-25 08:54:08.2 | Behavior Rating Inventory of Executive Function (BRIEF) - Second Edition (BRIEF-2) | Additional Proposed Instruments | Other |
Single Pre-Defined Value Selected |
3134878 | |||||||||||||||||||||||||||||
C54605 | Informant participant relationship duration unit of measure | InfrmntPrtcpntRltnshpDurUOM | Field related to 'Informant participant relationship duration' specifying the unit of measure of the duration for which the informant has known the participant | Field related to 'Informant participant relationship duration' specifying the unit of measure of the duration for which the informant has known the participant | How long have you known this student? | Months | Months | Alphanumeric |
Teacher form only |
Gioia G, Isquith P, Guy S, and Kenworthy L. (2015). Behavior Rating Inventory of Executive Function, Second Edition (BRIEF 2). Psychological Assessment Resources, Lutz, Florida. | Pediatric | Proposed | 1.00 | 2017-03-22 09:46:35.0 | Behavior Rating Inventory of Executive Function (BRIEF) - Second Edition (BRIEF-2) | Additional Proposed Instruments | Other |
Single Pre-Defined Value Selected |
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C00035 | Gender Type | GenderTyp | Self-reported gender of the participant/subject. Gender is the socially constructed identity of sex. Gender is equated with phenotypic sex. Gender may differ from the sex of an individual determined genetically. | Self-reported gender of the participant/subject. Gender is the socially constructed identity of sex. | Gender | Female;Male;Unknown;Unspecified;Not reported | Female;Male;Unknown;Undifferentiated/Indeterminant/Intersex;Not reported | Alphanumeric | Gioia G, Isquith P, Guy S, and Kenworthy L. (2015). Behavior Rating Inventory of Executive Function, Second Edition (BRIEF 2). Psychological Assessment Resources, Lutz, Florida. | Pediatric | Proposed | 3.00 | 2013-08-28 16:08:00.453 | Behavior Rating Inventory of Executive Function (BRIEF) - Second Edition (BRIEF-2) | Additional Proposed Instruments | Other |
Single Pre-Defined Value Selected |
2200604 | DeBaun Forms | ||||||||||||||||||||||||||||
C54606 | Brief Test of Executive Function Second Edition (BRIEF 2) - Inhibit total raw scale score | BRIEF2InhbtTtlRwSclScore | Total score of the raw scale for the inhibit function, as part of the Brief Test of Executive Function Second Edition (BRIEF 2) | Total score of the raw scale for the inhibit function, as part of the Brief Test of Executive Function Second Edition (BRIEF 2) | Inhibit | Numeric Values | Gioia G, Isquith P, Guy S, and Kenworthy L. (2015). Behavior Rating Inventory of Executive Function, Second Edition (BRIEF 2). Psychological Assessment Resources, Lutz, Florida. | Pediatric | Proposed | 1.00 | 2017-03-22 09:57:02.0 | Behavior Rating Inventory of Executive Function (BRIEF) - Second Edition (BRIEF-2) | Additional Proposed Instruments | Other |
Free-Form Entry |
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C08088 | Age value unit of measure | AgeValUoM | Unit of measure used to initially record the age value | Unit of measure used to initially record the age value | Age | Months;Years | Months;Years | Alphanumeric |
The preferred unit for sharing age data is months. |
Gioia G, Isquith P, Guy S, and Kenworthy L. (2015). Behavior Rating Inventory of Executive Function, Second Edition (BRIEF 2). Psychological Assessment Resources, Lutz, Florida. | Pediatric | Proposed | 3.00 | 2013-07-22 09:34:41.527 | Behavior Rating Inventory of Executive Function (BRIEF) - Second Edition (BRIEF-2) | Additional Proposed Instruments | Other |
Single Pre-Defined Value Selected |
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C54607 | Brief Test of Executive Function Second Edition (BRIEF 2) - Self monitor total raw scale score | BRIEF2SlfMntrTtlRwSclScore | Total score of the raw scale for the self monitor function, as part of the Brief Test of Executive Function Second Edition (BRIEF 2) | Total score of the raw scale for the self monitor function, as part of the Brief Test of Executive Function Second Edition (BRIEF 2) | Self-Monitor | Numeric Values | Gioia G, Isquith P, Guy S, and Kenworthy L. (2015). Behavior Rating Inventory of Executive Function, Second Edition (BRIEF 2). Psychological Assessment Resources, Lutz, Florida. | Pediatric | Proposed | 1.00 | 2017-03-22 09:57:02.0 | Behavior Rating Inventory of Executive Function (BRIEF) - Second Edition (BRIEF-2) | Additional Proposed Instruments | Other |
Free-Form Entry |
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C15910 | Assessment date and time | AssessDateTime | The date of participant's injury | The date of participant's injury | Today's date | Date or Date & Time | Gioia G, Isquith P, Guy S, and Kenworthy L. (2015). Behavior Rating Inventory of Executive Function, Second Edition (BRIEF 2). Psychological Assessment Resources, Lutz, Florida. | Pediatric | Proposed | 3.00 | 2013-07-16 14:01:43.01 | Behavior Rating Inventory of Executive Function (BRIEF) - Second Edition (BRIEF-2) | Additional Proposed Instruments | Other |
Free-Form Entry |
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C54608 | Brief Test of Executive Function Second Edition (BRIEF 2) - Shift total raw scale score | BRIEF2ShftTtlRwSclScore | Total score of the raw scale for the shift function, as part of the Brief Test of Executive Function Second Edition (BRIEF 2) | Total score of the raw scale for the shift function, as part of the Brief Test of Executive Function Second Edition (BRIEF 2) | Shift | Numeric Values | Gioia G, Isquith P, Guy S, and Kenworthy L. (2015). Behavior Rating Inventory of Executive Function, Second Edition (BRIEF 2). Psychological Assessment Resources, Lutz, Florida. | Pediatric | Proposed | 1.00 | 2017-03-22 09:57:02.0 | Behavior Rating Inventory of Executive Function (BRIEF) - Second Edition (BRIEF-2) | Additional Proposed Instruments | Other |
Free-Form Entry |