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

 General Details

Title:
Wechsler Abbreviated Scale of Intelligence - Second Edition (WASI-II) - Similarities
Short Name:
WASIIISimilarities_FITBIR
Description:
The Wechsler Abbreviated Scale of Intelligence - Second Edition (WASI-II) - Similarities subtest is used to access problem abstract verbal reasoning.
Disease:
General (For all diseases) , Traumatic Brain Injury
Required Program Form:
No
Standardization:
Standard NINDS CDE
Labels:
Form Type:
Clinical Assessment
Publication Date:
2016-04-04
Version:
1.0
Date Created:
2015-12-29
Owner:
Number of Data Elements:
59
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 Group (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

Similarities (Repeat Infinitely)

# Title Short Description Variable Name Required? Type
1 Wechsler Abbreviated Scale of Intelligence II (WASI II) - Similarities picture question 1 score  Score for Similarities picture question 1, as part of the Wechsler Abbreviated Scale of Intelligence (WASI II). WASI_IISimPict1Score Recommended CDE
2 Wechsler Abbreviated Scale of Intelligence II (WASI II) - Similarities picture question 2 score  Score for Similarities picture question 2, as part of the Wechsler Abbreviated Scale of Intelligence (WASI II). WASI_IISimPict2Score Recommended CDE
3 Wechsler Abbreviated Scale of Intelligence II (WASI II) - Similarities picture question 3 score  Score for Similarities picture question 3, as part of the Wechsler Abbreviated Scale of Intelligence (WASI II). WASI_IISimPict3Score Recommended CDE
4 Wechsler Abbreviated Scale of Intelligence II (WASI II) - Similarities verbal items question 10 score  Score for Similarities verbal question 10, as part of the Wechsler Abbreviated Scale of Intelligence (WASI II). WASI_IISim10Score Recommended CDE
5 Wechsler Abbreviated Scale of Intelligence II (WASI II) - Similarities verbal items question 10 words used  Words used for Similarities verbal question 10, as part of the Wechsler Abbreviated Scale of Intelligence (WASI II). WASI_IISim10Words Recommended CDE
6 Wechsler Abbreviated Scale of Intelligence II (WASI II) - Similarities verbal items question 11 score  Score for Similarities verbal question 11, as part of the Wechsler Abbreviated Scale of Intelligence (WASI II). WASI_IISim11Score Recommended CDE
7 Wechsler Abbreviated Scale of Intelligence II (WASI II) - Similarities verbal items question 11 words used  Words used for Similarities verbal question 11, as part of the Wechsler Abbreviated Scale of Intelligence (WASI II). WASI_IISim11Words Recommended CDE
8 Wechsler Abbreviated Scale of Intelligence II (WASI II) - Similarities verbal items question 12 score  Score for Similarities verbal question 12, as part of the Wechsler Abbreviated Scale of Intelligence (WASI II). WASI_IISim12Score Recommended CDE
9 Wechsler Abbreviated Scale of Intelligence II (WASI II) - Similarities verbal items question 12 words used  Words used for Similarities verbal question 12, as part of the Wechsler Abbreviated Scale of Intelligence (WASI II). WASI_IISim12Words Recommended CDE
10 Wechsler Abbreviated Scale of Intelligence II (WASI II) - Similarities verbal items question 13 score  Score for Similarities verbal question 13, as part of the Wechsler Abbreviated Scale of Intelligence (WASI II). WASI_IISim13Score Recommended CDE
11 Wechsler Abbreviated Scale of Intelligence II (WASI II) - Similarities verbal items question 13 words used  Words used for Similarities verbal question 13, as part of the Wechsler Abbreviated Scale of Intelligence (WASI II). WASI_IISim13Words Recommended CDE
12 Wechsler Abbreviated Scale of Intelligence II (WASI II) - Similarities verbal items question 14 score  Score for Similarities verbal question 14, as part of the Wechsler Abbreviated Scale of Intelligence (WASI II). WASI_IISim14Score Recommended CDE
13 Wechsler Abbreviated Scale of Intelligence II (WASI II) - Similarities verbal items question 14 words used  Words used for Similarities verbal question 14, as part of the Wechsler Abbreviated Scale of Intelligence (WASI II). WASI_IISim14Words Recommended CDE
14 Wechsler Abbreviated Scale of Intelligence II (WASI II) - Similarities verbal items question 15 score  Score for Similarities verbal question 15, as part of the Wechsler Abbreviated Scale of Intelligence (WASI II). WASI_IISim15Score Recommended CDE
15 Wechsler Abbreviated Scale of Intelligence II (WASI II) - Similarities verbal items question 15 words used  Words used for Similarities verbal question 15, as part of the Wechsler Abbreviated Scale of Intelligence (WASI II). WASI_IISim15Words Recommended CDE
16 Wechsler Abbreviated Scale of Intelligence II (WASI II) - Similarities verbal items question 16 score  Score for Similarities verbal question 16, as part of the Wechsler Abbreviated Scale of Intelligence (WASI II). WASI_IISim16Score Recommended CDE
17 Wechsler Abbreviated Scale of Intelligence II (WASI II) - Similarities verbal items question 16 words used  Words used for Similarities verbal question 16, as part of the Wechsler Abbreviated Scale of Intelligence (WASI II). WASI_IISim16Words Recommended CDE
18 Wechsler Abbreviated Scale of Intelligence II (WASI II) - Similarities verbal items question 17 score  Score for Similarities verbal question 17, as part of the Wechsler Abbreviated Scale of Intelligence (WASI II). WASI_IISim17Score Recommended CDE
19 Wechsler Abbreviated Scale of Intelligence II (WASI II) - Similarities verbal items question 17 words used  Words used for Similarities verbal question 17, as part of the Wechsler Abbreviated Scale of Intelligence (WASI II). WASI_IISim17Words Recommended CDE
20 Wechsler Abbreviated Scale of Intelligence II (WASI II) - Similarities verbal items question 18 score  Score for Similarities verbal question 18, as part of the Wechsler Abbreviated Scale of Intelligence (WASI II). WASI_IISim18Score Recommended CDE
21 Wechsler Abbreviated Scale of Intelligence II (WASI II) - Similarities verbal items question 18 words used  Words used for Similarities verbal question 18, as part of the Wechsler Abbreviated Scale of Intelligence (WASI II). WASI_IISim18Words Recommended CDE
22 Wechsler Abbreviated Scale of Intelligence II (WASI II) - Similarities verbal items question 19 score  Score for Similarities verbal question 19, as part of the Wechsler Abbreviated Scale of Intelligence (WASI II). WASI_IISim19Score Recommended CDE
23 Wechsler Abbreviated Scale of Intelligence II (WASI II) - Similarities verbal items question 19 words used  Words used for Similarities verbal question 19, as part of the Wechsler Abbreviated Scale of Intelligence (WASI II). WASI_IISim19Words Recommended CDE
24 Wechsler Abbreviated Scale of Intelligence II (WASI II) - Similarities verbal items question 20 score  Score for Similarities verbal question 20, as part of the Wechsler Abbreviated Scale of Intelligence (WASI II). WASI_IISim20Score Recommended CDE
25 Wechsler Abbreviated Scale of Intelligence II (WASI II) - Similarities verbal items question 20 words used  Words used for Similarities verbal question 20, as part of the Wechsler Abbreviated Scale of Intelligence (WASI II). WASI_IISim20Words Recommended CDE
26 Wechsler Abbreviated Scale of Intelligence II (WASI II) - Similarities verbal items question 21 score  Score for Similarities verbal question 21, as part of the Wechsler Abbreviated Scale of Intelligence (WASI II). WASI_IISim21Score Recommended CDE
27 Wechsler Abbreviated Scale of Intelligence II (WASI II) - Similarities verbal items question 21 words used  Words used for Similarities verbal question 21, as part of the Wechsler Abbreviated Scale of Intelligence (WASI II). WASI_IISim21Words Recommended CDE
28 Wechsler Abbreviated Scale of Intelligence II (WASI II) - Similarities verbal items question 22 score  Score for Similarities verbal question 22, as part of the Wechsler Abbreviated Scale of Intelligence (WASI II). WASI_IISim22Score Recommended CDE
29 Wechsler Abbreviated Scale of Intelligence II (WASI II) - Similarities verbal items question 22 words used  Words used for Similarities verbal question 22, as part of the Wechsler Abbreviated Scale of Intelligence (WASI II). WASI_IISim22Words Recommended CDE
30 Wechsler Abbreviated Scale of Intelligence II (WASI II) - Similarities verbal items question 23 score  Score for Similarities verbal question 23, as part of the Wechsler Abbreviated Scale of Intelligence (WASI II). WASI_IISim23Score Recommended CDE
31 Wechsler Abbreviated Scale of Intelligence II (WASI II) - Similarities verbal items question 23 words used  Words used for Similarities verbal question 23, as part of the Wechsler Abbreviated Scale of Intelligence (WASI II). WASI_IISim23Words Recommended CDE
32 Wechsler Abbreviated Scale of Intelligence II (WASI II) - Similarities verbal items question 24 score  Score for Similarities verbal question 24, as part of the Wechsler Abbreviated Scale of Intelligence (WASI II). WASI_IISim24Score Recommended CDE
33 Wechsler Abbreviated Scale of Intelligence II (WASI II) - Similarities verbal items question 24 words used  Words used for Similarities verbal question 24, as part of the Wechsler Abbreviated Scale of Intelligence (WASI II). WASI_IISim24Words Recommended CDE
34 Wechsler Abbreviated Scale of Intelligence II (WASI II) - Similarities verbal items question 4 score  Score for Similarities verbal question 4, as part of the Wechsler Abbreviated Scale of Intelligence (WASI II). WASI_IISim4Score Recommended CDE
35 Wechsler Abbreviated Scale of Intelligence II (WASI II) - Similarities verbal items question 4 words used  Words used for Similarities verbal question 4, as part of the Wechsler Abbreviated Scale of Intelligence (WASI II). WASI_IISim4Words Recommended CDE
36 Wechsler Abbreviated Scale of Intelligence II (WASI II) - Similarities verbal items question 5 score  Score for Similarities verbal question 5, as part of the Wechsler Abbreviated Scale of Intelligence (WASI II). WASI_IISim5Score Recommended CDE
37 Wechsler Abbreviated Scale of Intelligence II (WASI II) - Similarities verbal items question 5 words used  Words used for Similarities verbal question 5, as part of the Wechsler Abbreviated Scale of Intelligence (WASI II). WASI_IISim5Words Recommended CDE
38 Wechsler Abbreviated Scale of Intelligence II (WASI II) - Similarities verbal items question 6 score  Score for Similarities verbal question 6 , as part of the Wechsler Abbreviated Scale of Intelligence (WASI II). WASI_IISim6Score Recommended CDE
39 Wechsler Abbreviated Scale of Intelligence II (WASI II) - Similarities verbal items question 6 words used  Words used for Similarities verbal question 6, as part of the Wechsler Abbreviated Scale of Intelligence (WASI II). WASI_IISim6Words Recommended CDE
40 Wechsler Abbreviated Scale of Intelligence II (WASI II) - Similarities verbal items question 7 score  Score for Similarities verbal question 7, as part of the Wechsler Abbreviated Scale of Intelligence (WASI II). WASI_IISim7Score Recommended CDE
41 Wechsler Abbreviated Scale of Intelligence II (WASI II) - Similarities verbal items question 7 words used  Words used for Similarities verbal question 7, as part of the Wechsler Abbreviated Scale of Intelligence (WASI II). WASI_IISim7Words Recommended CDE
42 Wechsler Abbreviated Scale of Intelligence II (WASI II) - Similarities verbal items question 8 score  Score for Similarities verbal question 8, as part of the Wechsler Abbreviated Scale of Intelligence (WASI II). WASI_IISim8Score Recommended CDE
43 Wechsler Abbreviated Scale of Intelligence II (WASI II) - Similarities verbal items question 8 words used  Words used for Similarities verbal question 8, as part of the Wechsler Abbreviated Scale of Intelligence (WASI II). WASI_IISim8Words Recommended CDE
44 Wechsler Abbreviated Scale of Intelligence II (WASI II) - Similarities verbal items question 9 score  Score for Similarities verbal question 9, as part of the Wechsler Abbreviated Scale of Intelligence (WASI II). WASI_IISim9Score Recommended CDE
45 Wechsler Abbreviated Scale of Intelligence II (WASI II) - Similarities verbal items question 9 words used  Words used for Similarities verbal question 9, as part of the Wechsler Abbreviated Scale of Intelligence (WASI II). WASI_IISim9Words Recommended CDE
46 Wechsler Abbreviated Scale of Intelligence II (WASI II) - Similarities total score  Total score for Similarities questions - as part of the Wechsler Abbreviated Scale of Intelligence (WASI II). WASI_IISimTotalScore Recommended CDE

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