Name | Label | Folder | |
---|---|---|---|
fas10b
Processing start time for serum.
|
Processing start time for serum. | Clinical Data/Laboratory Tests/Administrative | |
fas11a1
Was vial processing done on vial 1?
|
Was vial processing done on vial 1?
Serum, red, 1.0mL |
Clinical Data/Laboratory Tests/Administrative | |
fas11a2
Vial processing comments on vial 1 (serum, clear, 1.0mL)
|
Vial processing comments on vial 1 (serum, clear, 1.0mL)
Serum, red, 1.0mL |
Clinical Data/Laboratory Tests/Administrative | |
fas11b1
Was vial processing done on vial 2?
|
Was vial processing done on vial 2?
Serum, red, 0.5mL |
Clinical Data/Laboratory Tests/Administrative | |
fas11b2
Vial processing comments on vial 2
|
Vial processing comments on vial 2
Serum, red, 0.5mL |
Clinical Data/Laboratory Tests/Administrative | |
fas11c1
Was vial processing done on vial 3?
|
Was vial processing done on vial 3?
Serum, red, 0.5mL |
Clinical Data/Laboratory Tests/Administrative | |
fas11c2
Vial processing comments on vial 3
|
Vial processing comments on vial 3
Serum, red, 0.5mL |
Clinical Data/Laboratory Tests/Administrative | |
fas11d1
Was vial processing done on vial 4?
|
Was vial processing done on vial 4?
Serum, red, 0.5mL |
Clinical Data/Laboratory Tests/Administrative | |
fas11d2
Vial processing comments on vial 4
|
Vial processing comments on vial 4
Serum, red, 0.5mL |
Clinical Data/Laboratory Tests/Administrative | |
fas11e1
Was vial processing done on vial 5?
|
Was vial processing done on vial 5?
Serum, red, 0.5mL |
Clinical Data/Laboratory Tests/Administrative | |
fas11e2
Vial processing comments on vial 5
|
Vial processing comments on vial 5
Serum, red, 0.5mL |
Clinical Data/Laboratory Tests/Administrative | |
fas11f1
Was vial processing done on vial 6?
|
Was vial processing done on vial 6?
Serum, red, 0.5mL |
Clinical Data/Laboratory Tests/Administrative | |
fas11f2
Vial processing comments on vial 6
|
Vial processing comments on vial 6
Serum, red, 0.5mL |
Clinical Data/Laboratory Tests/Administrative | |
fas11g1
Was vial processing done on vial 7?
|
Was vial processing done on vial 7?
Serum, red, 0.5mL |
Clinical Data/Laboratory Tests/Administrative | |
fas11g2
Vial processing comments on vial 7.
|
Vial processing comments on vial 7.
Serum, red, 0.5mL |
Clinical Data/Laboratory Tests/Administrative | |
fas11h1
Was vial processing done on vial 8?
|
Was vial processing done on vial 8?
Serum, red, 0.5mL |
Clinical Data/Laboratory Tests/Administrative | |
fas11h2
Vial processing comments on vial 8
|
Vial processing comments on vial 8
Serum, red, 0.5mL |
Clinical Data/Laboratory Tests/Administrative | |
fas11i1
Was vial processing done on vial 9?
|
Was vial processing done on vial 9?
Serum, red, 0.5mL |
Clinical Data/Laboratory Tests/Administrative | |
fas11i2
Vial processing comments on vial 9
|
Vial processing comments on vial 9
Serum, red, 0.5mL |
Clinical Data/Laboratory Tests/Administrative | |
fas11j1
Was vial processing done on vial 10?
|
Was vial processing done on vial 10?
ethylenediaminetetraacetic acid (EDTA), purple, 0.5mL |
Clinical Data/Laboratory Tests/Administrative | |
fas11j2
Vial processing comments on vial 10.
|
Vial processing comments on vial 10.
ethylenediaminetetraacetic acid (EDTA), purple, 0.5mL |
Clinical Data/Laboratory Tests/Administrative | |
fas11k1
Was vial processing done on vial 11?
|
Was vial processing done on vial 11?
ethylenediaminetetraacetic acid (EDTA), purple, 0.5mL |
Clinical Data/Laboratory Tests/Administrative | |
fas11k2
Vial processing comments on vial 11
|
Vial processing comments on vial 11
ethylenediaminetetraacetic acid (EDTA), purple, 0.5mL |
Clinical Data/Laboratory Tests/Administrative | |
fas11l1
Was vial processing done on vial 12?
|
Was vial processing done on vial 12?
ethylenediaminetetraacetic acid (EDTA), purple, 0.5mL |
Clinical Data/Laboratory Tests/Administrative | |
fas11l2
Vial processing comments on vial 12.
|
Vial processing comments on vial 12.
ethylenediaminetetraacetic acid (EDTA), purple, 0.5mL |
Clinical Data/Laboratory Tests/Administrative | |
fas11m1
Was vial processing done on vial 13?
|
Was vial processing done on vial 13?
ethylenediaminetetraacetic acid (EDTA), purple, 0.5mL |
Clinical Data/Laboratory Tests/Administrative | |
fas11m2
Vial processing comments on vial 13
|
Vial processing comments on vial 13
ethylenediaminetetraacetic acid (EDTA), purple, 0.5mL |
Clinical Data/Laboratory Tests/Administrative | |
fas11n1
Was vial processing done on vial 14?
|
Was vial processing done on vial 14?
ethylenediaminetetraacetic acid (EDTA), purple, 0.5mL |
Clinical Data/Laboratory Tests/Administrative | |
fas11n2
Vial processing comments on vial 14
|
Vial processing comments on vial 14
ethylenediaminetetraacetic acid (EDTA), purple, 0.5mL |
Clinical Data/Laboratory Tests/Administrative | |
fas11o1
Was vial processing done on vial 15?
|
Was vial processing done on vial 15?
ethylenediaminetetraacetic acid (EDTA), purple, 0.5mL |
Clinical Data/Laboratory Tests/Administrative | |
fas11o2
Vial processing comments on vial 15
|
Vial processing comments on vial 15
ethylenediaminetetraacetic acid (EDTA), purple, 0.5mL |
Clinical Data/Laboratory Tests/Administrative | |
fas11p1
Was vial processing done on vial 16?
|
Was vial processing done on vial 16?
ethylenediaminetetraacetic acid (EDTA), purple, 0.5mL |
Clinical Data/Laboratory Tests/Administrative | |
fas11p2
Vial processing comments on vial 16.
|
Vial processing comments on vial 16.
ethylenediaminetetraacetic acid (EDTA), purple, 0.5mL |
Clinical Data/Laboratory Tests/Administrative | |
fas11q1
Was vial processing done on vial 17?
|
Was vial processing done on vial 17?
ethylenediaminetetraacetic acid (EDTA), purple, 0.5mL |
Clinical Data/Laboratory Tests/Administrative | |
fas11q2
Vial processing comments on vial 17
|
Vial processing comments on vial 17
ethylenediaminetetraacetic acid (EDTA), purple, 0.5mL |
Clinical Data/Laboratory Tests/Administrative | |
fas11r1
Was vial processing done on vial 18?
|
Was vial processing done on vial 18?
ethylenediaminetetraacetic acid (EDTA), purple, 0.5mL |
Clinical Data/Laboratory Tests/Administrative | |
fas11r2
Vial processing comments on vial 18.
|
Vial processing comments on vial 18.
ethylenediaminetetraacetic acid (EDTA), purple, 0.5mL |
Clinical Data/Laboratory Tests/Administrative | |
fas11s1
Was vial processing done on vial 19?
|
Was vial processing done on vial 19?
ethylenediaminetetraacetic acid (EDTA), purple, 0.5mL |
Clinical Data/Laboratory Tests/Administrative | |
fas11s2
Vial processing comments on vial 19
|
Vial processing comments on vial 19
ethylenediaminetetraacetic acid (EDTA), purple, 0.5mL |
Clinical Data/Laboratory Tests/Administrative | |
fas11t1
Was vial processing done on vial 20?
|
Was vial processing done on vial 20?
Packed cells, white, 5.0mL |
Clinical Data/Laboratory Tests/Administrative | |
fas11t2
Vial processing comments on vial 20
|
Vial processing comments on vial 20
Packed cells, white, 5.0mL |
Clinical Data/Laboratory Tests/Administrative | |
fas12
Were samples frozen?
|
Were samples frozen? | Clinical Data/Laboratory Tests/Administrative | |
fas13
Date samples were sent to the Vermont Lab.
|
Date samples were sent to the Vermont Lab. | Clinical Data/Laboratory Tests/Administrative | |
fas2
Does the participant bleed or bruise easily?
|
Does the participant bleed or bruise easily? | Clinical Data/Laboratory Tests/Administrative | |
fas3
The participant has been told that they have a disorder related to blood clotting or coagulation
|
The participant has been told that they have a disorder related to blood clotting or coagulation | Clinical Data/Laboratory Tests/Administrative | |
fas4
Participant has experienced fainting spells while having blood drawn
|
Participant has experienced fainting spells while having blood drawn | Clinical Data/Laboratory Tests/Administrative | |
fas5
Time at start of venipuncture
|
Time at start of venipuncture | Clinical Data/Laboratory Tests/Administrative | |
fas6
Elapsed time until tourniquet released
|
Elapsed time until tourniquet released | Clinical Data/Laboratory Tests/Administrative | |
fas7
Time at end of venipuncture.
|
Time at end of venipuncture. | Clinical Data/Laboratory Tests/Administrative | |
fas8
Was any blood drawn?
|
Was any blood drawn? | Clinical Data/Laboratory Tests/Administrative | |
fas8a1
Amount in partial volume of serum.
|
Amount in partial volume of serum. | Clinical Data/Laboratory Tests/Administrative | |
fas8a2
Amount in partial volume of ethylenediaminetetraacetic acid (EDTA)
|
Amount in partial volume of ethylenediaminetetraacetic acid (EDTA) | Clinical Data/Laboratory Tests/Administrative | |
fas9
Quality of venipuncture.
|
Quality of venipuncture. | Clinical Data/Laboratory Tests/Administrative | |
fas9a1
If quality is traumatic, please check all that apply.
|
If quality is traumatic, please check all that apply. | Clinical Data/Laboratory Tests/Administrative | |
fas9a2
If quality is traumatic, please check all that apply.
|
If quality is traumatic, please check all that apply. | Clinical Data/Laboratory Tests/Administrative | |
fas9a3
If quality is traumatic, please check all that apply.
|
If quality is traumatic, please check all that apply. | Clinical Data/Laboratory Tests/Administrative | |
fas9a4
If quality is traumatic, please check all that apply.
|
If quality is traumatic, please check all that apply. | Clinical Data/Laboratory Tests/Administrative | |
fas9a5
If quality is traumatic, please check all that apply.
|
If quality is traumatic, please check all that apply. | Clinical Data/Laboratory Tests/Administrative | |
fas9a6
If quality is traumatic, please check all that apply.
|
If quality is traumatic, please check all that apply. | Clinical Data/Laboratory Tests/Administrative | |
vmi1
Was the Beery-Buktenica Developmental Test of Visual-Motor Integration (Beery VMI) performed?
|
Was the Beery-Buktenica Developmental Test of Visual-Motor Integration (Beery VMI) performed? | Clinical Data/Neurocognitive Testing/Beery-Buktenica Developmental Test of Visual-Motor Integration(Beery VMI) | |
vmi2
Please indicate the neuropsychological battery performed
|
Please indicate the neuropsychological battery performed | Clinical Data/Neurocognitive Testing/Beery-Buktenica Developmental Test of Visual-Motor Integration(Beery VMI) | |
vmi3
Please indicate the child's hand preference
|
Please indicate the child's hand preference | Clinical Data/Neurocognitive Testing/Beery-Buktenica Developmental Test of Visual-Motor Integration(Beery VMI) | |
vmi4
Raw Score
|
Raw Score | Clinical Data/Neurocognitive Testing/Beery-Buktenica Developmental Test of Visual-Motor Integration(Beery VMI) | |
vmi5
Standard Score
|
Standard Score | Clinical Data/Neurocognitive Testing/Beery-Buktenica Developmental Test of Visual-Motor Integration(Beery VMI) | |
vmi6
Percentile
|
Percentile | Clinical Data/Neurocognitive Testing/Beery-Buktenica Developmental Test of Visual-Motor Integration(Beery VMI) | |
bri1
Was the form completed?
|
Was the form completed?
From the Behavior Rating Inventory of Executive Function (BRIEF). Gioia G et al, 2010 |
Clinical Data/Neurocognitive Testing/Behavior Rating Inventory of Executive Function(BRIEF) | |
bri10a
Organization of Materials raw score
|
Organization of Materials raw score
From the Behavior Rating Inventory of Executive Function (BRIEF). Gioia G et al, 2010 |
Clinical Data/Neurocognitive Testing/Behavior Rating Inventory of Executive Function(BRIEF) | |
bri10b
Organization of Materials T score
|
Organization of Materials T score
From the Behavior Rating Inventory of Executive Function (BRIEF). Gioia G et al, 2010 |
Clinical Data/Neurocognitive Testing/Behavior Rating Inventory of Executive Function(BRIEF) | |
bri10c
Organization of Materials percentile
|
Organization of Materials percentile
From the Behavior Rating Inventory of Executive Function (BRIEF). Gioia G et al, 2010 |
Clinical Data/Neurocognitive Testing/Behavior Rating Inventory of Executive Function(BRIEF) | |
bri11a
Monitor raw score
|
Monitor raw score
From the Behavior Rating Inventory of Executive Function (BRIEF). Gioia G et al, 2010 |
Clinical Data/Neurocognitive Testing/Behavior Rating Inventory of Executive Function(BRIEF) | |
bri11b
Monitor T score
|
Monitor T score
From the Behavior Rating Inventory of Executive Function (BRIEF). Gioia G et al, 2010 |
Clinical Data/Neurocognitive Testing/Behavior Rating Inventory of Executive Function(BRIEF) | |
bri11c
Monitor percentile
|
Monitor percentile
From the Behavior Rating Inventory of Executive Function (BRIEF). Gioia G et al, 2010 |
Clinical Data/Neurocognitive Testing/Behavior Rating Inventory of Executive Function(BRIEF) | |
bri12a
MI raw score
|
MI raw score
From the Behavior Rating Inventory of Executive Function (BRIEF). Gioia G et al, 2010 |
Clinical Data/Neurocognitive Testing/Behavior Rating Inventory of Executive Function(BRIEF) | |
bri12b
MI T score
|
MI T score
From the Behavior Rating Inventory of Executive Function (BRIEF). Gioia G et al, 2010 |
Clinical Data/Neurocognitive Testing/Behavior Rating Inventory of Executive Function(BRIEF) | |
bri12c
MI percentile
|
MI percentile
From the Behavior Rating Inventory of Executive Function (BRIEF). Gioia G et al, 2010 |
Clinical Data/Neurocognitive Testing/Behavior Rating Inventory of Executive Function(BRIEF) | |
bri13a
GEC (BRI + MI) raw score
|
GEC (BRI + MI) raw score
From the Behavior Rating Inventory of Executive Function (BRIEF). Gioia G et al, 2010 |
Clinical Data/Neurocognitive Testing/Behavior Rating Inventory of Executive Function(BRIEF) | |
bri13c
GEC (BRI + MI) percentile
|
GEC (BRI + MI) percentile
From the Behavior Rating Inventory of Executive Function (BRIEF). Gioia G et al, 2010 |
Clinical Data/Neurocognitive Testing/Behavior Rating Inventory of Executive Function(BRIEF) | |
bri14
What is the negativity score?
|
What is the negativity score?
From the Behavior Rating Inventory of Executive Function (BRIEF). Gioia G et al, 2010 |
Clinical Data/Neurocognitive Testing/Behavior Rating Inventory of Executive Function(BRIEF) | |
bri14a
What is the negativity score?
|
What is the negativity score?
From the Behavior Rating Inventory of Executive Function (BRIEF). Gioia G et al, 2010 |
Clinical Data/Neurocognitive Testing/Behavior Rating Inventory of Executive Function(BRIEF) | |
bri15
What is the inconsistency score?
|
What is the inconsistency score?
From the Behavior Rating Inventory of Executive Function (BRIEF). Gioia G et al, 2010 |
Clinical Data/Neurocognitive Testing/Behavior Rating Inventory of Executive Function(BRIEF) | |
bri15a
What is the inconsistency score?
|
What is the inconsistency score?
From the Behavior Rating Inventory of Executive Function (BRIEF). Gioia G et al, 2010 |
Clinical Data/Neurocognitive Testing/Behavior Rating Inventory of Executive Function(BRIEF) | |
bri2
Who completed this form?
|
Who completed this form?
From the Behavior Rating Inventory of Executive Function (BRIEF). Gioia G et al, 2010 |
Clinical Data/Neurocognitive Testing/Behavior Rating Inventory of Executive Function(BRIEF) | |
bri3a
Inhibit raw score
|
Inhibit raw score
From the Behavior Rating Inventory of Executive Function (BRIEF). Gioia G et al, 2010 |
Clinical Data/Neurocognitive Testing/Behavior Rating Inventory of Executive Function(BRIEF) | |
bri3b
Inhibit T score
|
Inhibit T score
From the Behavior Rating Inventory of Executive Function (BRIEF). Gioia G et al, 2010 |
Clinical Data/Neurocognitive Testing/Behavior Rating Inventory of Executive Function(BRIEF) | |
bri3c
Inhibit percentile
|
Inhibit percentile
From the Behavior Rating Inventory of Executive Function (BRIEF). Gioia G et al, 2010 |
Clinical Data/Neurocognitive Testing/Behavior Rating Inventory of Executive Function(BRIEF) | |
bri4a
Shift raw score
|
Shift raw score
From the Behavior Rating Inventory of Executive Function (BRIEF). Gioia G et al, 2010 |
Clinical Data/Neurocognitive Testing/Behavior Rating Inventory of Executive Function(BRIEF) | |
bri4b
Shift T score
|
Shift T score
From the Behavior Rating Inventory of Executive Function (BRIEF). Gioia G et al, 2010 |
Clinical Data/Neurocognitive Testing/Behavior Rating Inventory of Executive Function(BRIEF) | |
bri4c
Shift percentile
|
Shift percentile
From the Behavior Rating Inventory of Executive Function (BRIEF). Gioia G et al, 2010 |
Clinical Data/Neurocognitive Testing/Behavior Rating Inventory of Executive Function(BRIEF) | |
bri5a
Emotional Control raw score
|
Emotional Control raw score
From the Behavior Rating Inventory of Executive Function (BRIEF). Gioia G et al, 2010 |
Clinical Data/Neurocognitive Testing/Behavior Rating Inventory of Executive Function(BRIEF) | |
bri5b
Emotional Control T score
|
Emotional Control T score
From the Behavior Rating Inventory of Executive Function (BRIEF). Gioia G et al, 2010 |
Clinical Data/Neurocognitive Testing/Behavior Rating Inventory of Executive Function(BRIEF) | |
bri5c
Emotional Control percentile
|
Emotional Control percentile
From the Behavior Rating Inventory of Executive Function (BRIEF). Gioia G et al, 2010 |
Clinical Data/Neurocognitive Testing/Behavior Rating Inventory of Executive Function(BRIEF) | |
bri6a
BRI raw score
|
BRI raw score
From the Behavior Rating Inventory of Executive Function (BRIEF). Gioia G et al, 2010 |
Clinical Data/Neurocognitive Testing/Behavior Rating Inventory of Executive Function(BRIEF) | |
bri6b
BRI T score
|
BRI T score
From the Behavior Rating Inventory of Executive Function (BRIEF). Gioia G et al, 2010 |
Clinical Data/Neurocognitive Testing/Behavior Rating Inventory of Executive Function(BRIEF) | |
bri6c
BRI percentile
|
BRI percentile
From the Behavior Rating Inventory of Executive Function (BRIEF). Gioia G et al, 2010 |
Clinical Data/Neurocognitive Testing/Behavior Rating Inventory of Executive Function(BRIEF) | |
bri7a
Initiate raw score
|
Initiate raw score
From the Behavior Rating Inventory of Executive Function (BRIEF). Gioia G et al, 2010 |
Clinical Data/Neurocognitive Testing/Behavior Rating Inventory of Executive Function(BRIEF) | |
bri7b
Initiate T score
|
Initiate T score
From the Behavior Rating Inventory of Executive Function (BRIEF). Gioia G et al, 2010 |
Clinical Data/Neurocognitive Testing/Behavior Rating Inventory of Executive Function(BRIEF) | |
bri7c
Initiate percentile
|
Initiate percentile
From the Behavior Rating Inventory of Executive Function (BRIEF). Gioia G et al, 2010 |
Clinical Data/Neurocognitive Testing/Behavior Rating Inventory of Executive Function(BRIEF) | |
bri8a
Working Memory raw score
|
Working Memory raw score
From the Behavior Rating Inventory of Executive Function (BRIEF). Gioia G et al, 2010 |
Clinical Data/Neurocognitive Testing/Behavior Rating Inventory of Executive Function(BRIEF) | |
bri8b
Working Memory T score
|
Working Memory T score
From the Behavior Rating Inventory of Executive Function (BRIEF). Gioia G et al, 2010 |
Clinical Data/Neurocognitive Testing/Behavior Rating Inventory of Executive Function(BRIEF) | |
bri8c
Working Memory percentile
|
Working Memory percentile
From the Behavior Rating Inventory of Executive Function (BRIEF). Gioia G et al, 2010 |
Clinical Data/Neurocognitive Testing/Behavior Rating Inventory of Executive Function(BRIEF) |