EXT B4 CDR Form and Dictionary
| EXT B4 CDR Form | ||
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Download Dictionary: |
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| Variable / Field Name | Field Label | Choices, Calculations, OR Slider Labels |
|---|---|---|
| b4_adcid_ext | Site: 39 ADCID | b4_ptid_ext | Subject ID: PTID | b4_visitdate_ext | Form Date: (Y-M-D) | b4_visitnum_ext | Visit number: 1 (Initial visit), 2 and up (Follow up visit) VISITNUM | b4_initials_ext | Examiner's initials: INITIALS | ext_b4_ent_date | Data Entry Date: (Y-M-D) | ext_b4_ent_by | Data Entry By | b4_admin_st | Administered Status | 1, 1 Yes | 95, 95 - No, Physical problem | 96, 96 - No, Cognitive/behavior problem | 97, 97 - No, Other problem | 98, 98 - No, Verbal refusal | 99, 99 - Not Administered | b4_cdr_4_ext | PROFOUND (CDR 4) | 4, 4 Profound. Speech usually unintelligible or irrelevant; unable to follow simple instructions or comprehend commands; occasionally recognizes spouse or caregiver. Uses fingers more than utensils, requires much assistance. Frequently incontinent despite assistance or training. Able to walk a few steps with help; usually chair-bound; rarely out of home or residence; purposeless movements often present. | b4_cdr_5_ext | TERMINAL (CDR 5) | 5, 5 Terminal. No response or comprehension. No recognition. Needs to be fed, may have NG tube and/or swallowing difficulties. Total incontinence. Bedridden, unable to sit or stand, contractures. |