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

 General Details

Title:
Wechsler Adult Intelligence Scale, Fourth Edition (WAIS-IV) Symbol Search
Short Name:
WAISIV_SymSear
Description:
Wechsler Adult Intelligence Scale Fourth Edition (WAIS-IV) is a test designed to measure intelligence in adults and older adolescents. The Symbol Search test is part of the Processing Speed Subtest and consists of two measured abilities, including visual perception/analysis, and scanning speed. References: Wechsler, David (1939). The Measurement of Adult Intelligence. Baltimore (MD): Williams & Witkins. Wechsler, David (1958). The Measurement and Appraisal of Adult Intelligence (4th ed.). Baltimore (MD): Williams & Witkins. Retrieved 4 June 2013. Copyright: Pearson Clinical, https://www.pearsonclinical.com/psychology/products/100000392/wechsler-adult-intelligence-scalefourth-edition-wais-iv.html Recommended by CDISC for TBI
Disease:
Traumatic Brain Injury
Organization:
NIH/CIT/BRICS
Required Program Form:
No
Standardization:
Standard NINDS CDE
Labels:
Form Type:
Clinical Assessment
Publication Date:
2015-09-18
Version:
1.1
Date Created:
2015-09-01
Owner:
Number of Data Elements:
16
eForms:
Y

 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 Visit date   Actual interview or visit date VisitDate Recommended CDE
5 Site name   The name of the site for the study SiteName Recommended CDE
6 Days since baseline   The number of days since baseline DaysSinceBaseline Optional CDE
7 Case control indicator   Indicator of whether subject is in the case or control arm of the study CaseContrlInd Optional CDE
8 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 Context type  The context to which the questions were answered ContextType Recommended CDE
2 Context type other text  The free-text related to ContextType specifying other text ContextTypeOTH Recommended CDE
3 Data source  Source of the data provided on the case report form DataSource Recommended CDE
4 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

Symbol Search (Repeat Infinitely)

# Title Short Description Variable Name Required? Type
1 WAIS-IV Symbol Search - Completion time duration  Time interval required to complete symbol search, as part of Wechsler Adult Intelligence Scale, Fourth Edition (WAIS-IV) Symbol Search subtest WAISIVSSTimeDur Recommended CDE
2 WAIS-IV Symbol Search - Number correct answers  Number of correct answers as part of Wechsler Adult Intelligence Scale, Fourth Edition (WAIS-IV) Symbol Search subtest WAISIVSSCorrectNum Recommended CDE
3 WAIS-IV Symbol Search - Number incorrect answers  Number of incorrect answers as part of Wechsler Adult Intelligence Scale, Fourth Edition (WAIS-IV) Symbol Search subtest WAISIVSSIncorrectNum Recommended CDE
4 WAIS-IV Symbol Search - Total raw score  Total raw score, as part of Wechsler Adult Intelligence Scale, Fourth Edition (WAIS-IV) Symbol Search subtest WAISIVSSTtlRawScore Recommended CDE

 Change History

 Administrative Change History