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

 General Details

Title:
Wechsler Intelligence Scale for Children -Fourth edition (WISC-IV)-Summary Scores
Short Name:
WISCIV
Description:
WISC-IV measures a child's intellectual ability. Wechsler, D. (2003). Wechsler Intelligence Scale for Children–Fourth Edition: Technical and interpretive manual. San Antonio, TX: Psychological Corporation. Copyright 2003 by The Psychological Corporation, a Harcourt Assessment Company http://www.pearsonclinical.com/
Disease:
Traumatic Brain Injury
Organization:
FITBIR
Required Program Form:
No
Standardization:
Standard NINDS CDE
Labels:
Form Type:
Clinical Assessment
Publication Date:
2016-12-29
Version:
1.0
Date Created:
2016-07-28
Owner:
Number of Data Elements:
67
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 (Appears Up To 1 Time)

# 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

WISC-IV- Raw scores (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV) Block Design Section - Total raw score  Total raw score, as part of the Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV) WISCIVBlockDesgnTotalRawScore Recommended CDE
2 Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV) Similarities Section- Total raw score  Similarities total raw score, as part of the Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV) WISCIVSITotalRawScore Recommended CDE
3 Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV) - Digit span total raw score  Digit Span total raw score, as part of Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV) WISCIVDSTtlRawScore Recommended CDE
4 Wechsler Intelligence Scale For Children - Fourth Edition (WISC - IV) Picture Concepts Section - PCn total raw score  Picture concepts (PCn) total score, as part of the Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV), Picture Concept subtest WISCIVPCnTtlRawScore Recommended CDE
5 Wechsler Intelligence Scale For Children - Fourth Edition (WISC - IV) Coding Section - Coding A total raw score  Coding A total raw score, as part of the Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV), Coding subtest WISCIVCDATtlRawScore Recommended CDE
6 Wechsler Intelligence Scale For Children - Fourth Edition (WISC - IV) Coding Section - Coding B total raw score  Coding B total raw score, as part of the Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV), Coding subtest WISCIVCDBTtlRawScore Recommended CDE
7 Wechsler Intelligence Scale For Children - Fourth Edition (WISC - IV) Vocabulary Section - Total raw score  Vocabulary total raw score, as part of the Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV), Vocabulary subtest WISCIVCTtlRawScore Recommended CDE
8 WAIS-IV Letter-Number Sequencing - Total raw score  Total score as part of Wechsler Adult Intelligence Scale, Fourth Edition (WAIS-IV) Letter-Number Sequencing subtest WAISIVLNSTtlScore Recommended CDE
9 Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV) Matrix Reasoning - Total raw score  Total raw score, as part of the Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV) Matrix Reasoning subtest WISCIVMRTtlRawScore Recommended CDE
10 Wechsler Intelligence Scale For Children - Fourth Edition (WISC - IV) Comprehension Section - Total raw score  Comprehension total raw score, as part of the Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV) WISCIVCOTtlRawScore Recommended CDE
11 Wechsler Intelligence Scale For Children - Fourth Edition (WISC-IV) Symbol Search Section - Total raw score  Symbol search total raw score, as part of the Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV), Symbol Search subtest WISCIVSSTtlRawScore Recommended CDE
12 Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV) Comprehension Section - Total raw score  Picture completion total raw score, as part of the Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV) WISCIVPCmTtlRawScore Recommended CDE
13 Wechsler Intelligence Scale For Children - Fourth Edition (WISC-IV) Cancellation - Total raw score  Total raw score, as part of the Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV) Cancellation subtest WISCIVCATtlRawScore Recommended CDE
14 Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV) Information Section - Total raw score  Information total raw score, as part of the Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV), Information subtest WISCIVINTtlRawScore Recommended CDE
15 Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV) Arithmetic Section - Total raw score  AR total raw score, as part of the Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV) WISCIVARTtlRawScore Recommended CDE
16 Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV) Word Reasoning - Total raw score  Total raw score, as part of Wechsler Adult Intelligence Scale, Fourth Edition (WAIS-IV) Word Reasoning subtest WISCIVWRTtlRawScore Recommended CDE

WISC-IV- Scaled scores (Appears Up To 15 Times)

# Title Short Description Variable Name Required? Type
1 Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV) - Subtest type  Subtest type, as part of the Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV) WISCIVSubtestTyp Recommended CDE
2 Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV) - Scaled score  Scale score, as part of the Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV) WISCIVSclScore Recommended CDE

WISC-IV- Statistical parameter (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV) - Statistical significance value  Alpha level, as part of the Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV) WISCIVStatSigVal Recommended CDE

WISC-IV- Verbal Comprehension (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV) - Verbal comprehension scaled score  Verbal comprehension score, as part of the Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV) WISCIVVerbalCompSclScore Recommended CDE
2 Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV) - Verbal comprehension composite score  Verbal comprehension index (VCI), as part of the Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV) WISCIVVerbalCompCompstScore Recommended CDE
3 Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV) - Percentile rank score  Percentile rank, as part of the Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV) WISCIVPerctlRankScore Recommended CDE
4 Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV) - Lower bound value  Lower bound of the confidence interval, as part of the Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV) WISCIVLowerBoundVal Recommended CDE
5 Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV) - Upper bound value  Upper bound of the confidence interval, as part of the Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV) WISCIVUpperBoundVal Recommended CDE

WISC-IV- Perceptual Reasoning (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV) - Perceptual reasoning scaled score  Perceptual reasoning score, as part of the Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV) WISCIVPercRsngSclScore Recommended CDE
2 Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV) - Perceptual reasoning composite score  Perceptual reasoning index (PRI), as part of the Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV) WISCIVPercRsngCompstScore Recommended CDE
3 Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV) - Percentile rank score  Percentile rank, as part of the Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV) WISCIVPerctlRankScore Recommended CDE
4 Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV) - Lower bound value  Lower bound of the confidence interval, as part of the Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV) WISCIVLowerBoundVal Recommended CDE
5 Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV) - Upper bound value  Upper bound of the confidence interval, as part of the Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV) WISCIVUpperBoundVal Recommended CDE

WISC-IV- Working Memory (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV) - Working memory scaled score  Working memory score, as part of the Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV) WISCIVWorkMemSclScore Recommended CDE
2 Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV) - Working memory composite score  Working memory index (WMI), as part of the Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV) WISCIVWorkMemCompstScore Recommended CDE
3 Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV) - Percentile rank score  Percentile rank, as part of the Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV) WISCIVPerctlRankScore Recommended CDE
4 Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV) - Lower bound value  Lower bound of the confidence interval, as part of the Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV) WISCIVLowerBoundVal Recommended CDE
5 Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV) - Upper bound value  Upper bound of the confidence interval, as part of the Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV) WISCIVUpperBoundVal Recommended CDE

WISC-IV- Processing Speed (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV) - Processing speed scaled score  Processing speed score, as part of the Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV) WISCIVProcSpeedSclScore Recommended CDE
2 Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV) - Processing speed composite score  Process speeding index (PSI), as part of the Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV) WISCIVProcSpeedCompstScore Recommended CDE
3 Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV) - Percentile rank score  Percentile rank, as part of the Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV) WISCIVPerctlRankScore Recommended CDE
4 Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV) - Lower bound value  Lower bound of the confidence interval, as part of the Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV) WISCIVLowerBoundVal Recommended CDE
5 Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV) - Upper bound value  Upper bound of the confidence interval, as part of the Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV) WISCIVUpperBoundVal Recommended CDE

WISC-IV- Full Scale (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV) - Scaled score  Scale score, as part of the Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV) WISCIVSclScore Recommended CDE
2 Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV) - Full scale score  Full scale score, as part of the Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV) WISCIVFullSclScore Recommended CDE
3 Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV) - Percentile rank score  Percentile rank, as part of the Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV) WISCIVPerctlRankScore Recommended CDE
4 Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV) - Lower bound value  Lower bound of the confidence interval, as part of the Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV) WISCIVLowerBoundVal Recommended CDE
5 Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV) - Upper bound value  Upper bound of the confidence interval, as part of the Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV) WISCIVUpperBoundVal Recommended CDE

WISC-IV- Subtest scaled score profile (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV) - Verbal comprehension scaled score  Verbal comprehension score, as part of the Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV) WISCIVVerbalCompSclScore Recommended CDE
2 Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV) - Perceptual reasoning scaled score  Perceptual reasoning score, as part of the Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV) WISCIVPercRsngSclScore Recommended CDE
3 Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV) - Working memory scaled score  Working memory score, as part of the Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV) WISCIVWorkMemSclScore Recommended CDE
4 Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV) - Processing speed scaled score  Processing speed score, as part of the Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV) WISCIVProcSpeedSclScore Recommended CDE
5 Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV) - Full scale score  Full scale score, as part of the Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV) WISCIVFullSclScore Recommended CDE

WISC-IV- Composite score profile (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV) - Verbal comprehension composite score  Verbal comprehension index (VCI), as part of the Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV) WISCIVVerbalCompCompstScore Recommended CDE
2 Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV) - Perceptual reasoning composite score  Perceptual reasoning index (PRI), as part of the Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV) WISCIVPercRsngCompstScore Recommended CDE
3 Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV) - Working memory composite score  Working memory index (WMI), as part of the Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV) WISCIVWorkMemCompstScore Recommended CDE
4 Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV) - Processing speed composite score  Process speeding index (PSI), as part of the Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV) WISCIVProcSpeedCompstScore Recommended CDE
5 Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV) - Full scale composite score  Full scale Intelligence Quotient (FSIQ), as part of the Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV) WISCIVFullSclCompstScore Recommended CDE

 Change History

 Administrative Change History