This form structure is an organized set of data definitions for a copyrighted form

 General Details

Title:
Wechsler Adult Intelligence Scale IV (WAIS-IV) Comprehension
Short Name:
WAISIV_Comprehension
Description:
The Wechsler Adult Intelligence Scale, Fourth Edition (WAIS-IV) Verbal Comprehension Index (VCI) Comprehension subtest measures ability to express abstract social conventions, rules and expressions. Copyright Pearson Inc. (2008), (http://www.pearsonclinical.com/content/ani/clinicalassessments/us/en.html). References: Wechsler D. Wechsler Adult Intelligence ScaleĀ–Fourth Edition. Pearson; San Antonio, TX: 2008.
Disease:
General (For all diseases) , Traumatic Brain Injury
Organization:
FITBIR
Required Program Form:
No
Standardization:
Standard NINDS CDE
Labels:
Form Type:
Clinical Assessment
Version:
1.0
Date Created:
2016-08-12
Owner:
Number of Data Elements:
20
eForms:
N

 Documentation


 Groups & Attached Data Elements

Logically grouped data elements with defined frequency at which they repeat.

# Title Short Description Variable Name Required? Type
1 GUID   Global Unique ID which uniquely identifies a subject GUID Required CDE
2 Subject identifier number   An identification number assigned to the participant/subject within a given protocol or a study. SubjectIDNum Optional CDE
3 Age in years   Value for participant's subject age recorded in years. AgeYrs Recommended CDE
4 Vital status   Status of participant/subject as alive or dead VitStatus Optional CDE
5 Visit date   Actual interview or visit date VisitDate Recommended CDE
6 Site name   The name of the site for the study SiteName Recommended CDE
7 Days since baseline   The number of days since baseline DaysSinceBaseline Optional CDE
8 Case control indicator   Indicator of whether subject is in the case or control arm of the study CaseContrlInd Optional CDE
9 General notes text   General notes GeneralNotesTxt Optional CDE

Additional Element Groups

Listed below are your additional element groups.

Form Administration (Repeat Infinitely)

# Title Short Description Variable Name Required? Type
1 Language form administration ISO code  Code (ISO 639-2) for the language that was used for CRF/instrument/scale/etc. administration LangCRFAdministratISOCode Recommended CDE
2 Language form administration ISO code other text  The free-text field related to 'Language used for CRF/instrument/scale/etc. administration ISO code' specifying other text. LangCRFAdministratISOCodeOTH Recommended CDE
3 Context type  The context to which the questions were answered ContextType Recommended CDE
4 Context type other text  The free-text related to ContextType specifying other text ContextTypeOTH Recommended CDE
5 Data source  Source of the data provided on the case report form DataSource Recommended CDE
6 Data source other text  The free-text field related to Data source specifying other text. Source of the data provided on the case report form DataSourceOTH Recommended CDE

Comprehension (Appears Up To 18 Times)

# Title Short Description Variable Name Required? Type
1 Test item number (numeric)  The test (or assessment) item number representing the sequence for the items/questions of each test/assessmet/questionnaire being asked TestItemNum Recommended CDE
2 Wechsler Adult Intelligence Scale IV (WAIS-IV) Verbal Comprehension Index (VCI) Comprehension - Word text  Word per item, as part of Wechsler Adult Intelligence Scale, Fourth Edition (WAIS-IV) Verbal Comprehension Index (VCI) Comprehension subtest WAISIVVCICOWordTxt Recommended CDE
3 Wechsler Adult Intelligence Scale IV (WAIS-IV) Verbal Comprehension Index (VCI) Comprehension - Item response text  Response for Item, as part of Wechsler Adult Intelligence Scale, Fourth Edition (WAIS-IV) Verbal Comprehension Index (VCI) Comprehension subtest WAISIVVCICOItemRespnsTxt Recommended CDE
4 Wechsler Adult Intelligence Scale IV (WAIS-IV) Verbal Comprehension Index (VCI) Comprehension - Item score  Score for Item, as part of Wechsler Adult Intelligence Scale, Fourth Edition (WAIS-IV) Verbal Comprehension Index (VCI) Comprehension subtest WAISIVVCICOItemScore Recommended CDE

Comprehension-Scoring (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 Wechsler Adult Intelligence Scale IV (WAIS-IV) Verbal Comprehension Index (VCI) Comprehension - Total raw score  Total raw score, as part of Wechsler Adult Intelligence Scale, Fourth Edition (WAIS-IV) Verbal Comprehension Index (VCI) Comprehension subtest WAISIVVCICOTtlRawScore Recommended CDE

 Change History

 Administrative Change History