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

 General Details

Title:
Wechsler Preschool and Primary Scale of Intelligence Third Edition- Object Assembly subtest
Short Name:
WPPSI3OA
Description:
WPPSI-III is a measure of intelligence in young children that is more age-appropriate and user-friendly. In Object Assembly section, the child is presented with the pieces of a puzzle in a standard arrangement and fits the pieces together to form a meaningful whole within 90 seconds. Typical instances involve four different pieces to fit together. Wechsler, D. (2002). Wechsler Preschool and Primary Scale of IntelligenceĀ—third edition technical and interpretive manual. San Antonio, TX: Psychological Corporation. Copyright 2002 by NCS Pearson, Inc. http://www.pearsonclinical.com/
Disease:
Traumatic Brain Injury
Organization:
FITBIR
Required Program Form:
No
Standardization:
Standard NINDS CDE
Labels:
Form Type:
Clinical Assessment
Version:
1.0
Date Created:
2016-07-29
Owner:
Number of Data Elements:
52
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 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

WPPSI-III-Object Assembly Item1-2 (Appears Up To 4 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 Trial number (numeric)  The number representing the sequence for any repeated measure test or assessment when it is performed multiple times. TrialNumber Recommended CDE
3 Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) Object Assembly Section - Completion time  Object assembly completion time, as part of the Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) WPPSI3OACompletionTime Recommended CDE
4 Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) Object Assembly Section - Correct juncture range 1 number  Number of correct junctures for range 1, as part of the Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) WPPSI3OACorrectJunctrRange1Num Recommended CDE
5 Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) Object Assembly Section - Range 1 item score  Item score for range 1, as part of the Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) WPPSI3OARange1ItemScore Recommended CDE

WPPSI-III-Object Assembly Item 3 (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) Object Assembly Section - Completion time  Object assembly completion time, as part of the Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) WPPSI3OACompletionTime Recommended CDE
2 Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) Object Assembly Section - Correct juncture range 1 number  Number of correct junctures for range 1, as part of the Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) WPPSI3OACorrectJunctrRange1Num Recommended CDE
3 Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) Object Assembly Section - Range 1 item score  Item score for range 1, as part of the Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) WPPSI3OARange1ItemScore Recommended CDE

WPPSI-III-Object Assembly Item 4 (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) Object Assembly Section - Completion time  Object assembly completion time, as part of the Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) WPPSI3OACompletionTime Recommended CDE
2 Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) Object Assembly Section - Correct juncture range 3 number  Number of correct junctures for range 3, as part of the Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) WPPSI3OACorrectJunctrRange3Num Recommended CDE
3 Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) Object Assembly Section - Range 3 item score  Item score for range 3, as part of the Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) WPPSI3OARange3ItemScore Recommended CDE

WPPSI-III-Object Assembly Item 5-6 (Appears Up To 2 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 Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) Object Assembly Section - Completion time  Object assembly completion time, as part of the Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) WPPSI3OACompletionTime Recommended CDE
3 Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) Object Assembly Section - Correct juncture range 2 number  Number of correct junctures for range 2, as part of the Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) WPPSI3OACorrectJunctrRange2Num Recommended CDE
4 Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) Object Assembly Section - Range 2 item score  Item score for range 2, as part of the Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) WPPSI3OARange2ItemScore Recommended CDE

WPPSI-III-Object Assembly Item 7 (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) Object Assembly Section - Completion time  Object assembly completion time, as part of the Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) WPPSI3OACompletionTime Recommended CDE
2 Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) Object Assembly Section - Correct juncture range 3 number  Number of correct junctures for range 3, as part of the Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) WPPSI3OACorrectJunctrRange3Num Recommended CDE
3 Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) Object Assembly Section - Range 3 item score  Item score for range 3, as part of the Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) WPPSI3OARange3ItemScore Recommended CDE

WPPSI-III-Object Assembly Item 8 (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) Object Assembly Section - Completion time  Object assembly completion time, as part of the Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) WPPSI3OACompletionTime Recommended CDE
2 Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) Object Assembly Section - Correct juncture range 2 number  Number of correct junctures for range 2, as part of the Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) WPPSI3OACorrectJunctrRange2Num Recommended CDE
3 Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) Object Assembly Section - Range 2 item score  Item score for range 2, as part of the Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) WPPSI3OARange2ItemScore Recommended CDE

WPPSI-III-Object Assembly Item 9 (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) Object Assembly Section - Completion time  Object assembly completion time, as part of the Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) WPPSI3OACompletionTime Recommended CDE
2 Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) Object Assembly Section - Correct juncture range 3 number  Number of correct junctures for range 3, as part of the Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) WPPSI3OACorrectJunctrRange3Num Recommended CDE
3 Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) Object Assembly Section - Range 3 item score  Item score for range 3, as part of the Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) WPPSI3OARange3ItemScore Recommended CDE

WPPSI-III-Object Assembly Item 10 (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) Object Assembly Section - Completion time  Object assembly completion time, as part of the Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) WPPSI3OACompletionTime Recommended CDE
2 Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) Object Assembly Section - Correct juncture range 4 number  Number of correct junctures for range 4, as part of the Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) WPPSI3OACorrectJunctrRange4Num Recommended CDE
3 Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) Object Assembly Section - Range 4 item score  Item score for range 4, as part of the Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) WPPSI3OARange4ItemScore Recommended CDE

WPPSI-III-Object Assembly Item 11-12 (Appears Up To 2 Times)

# Title Short Description Variable Name Required? Type
1 Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) Object Assembly Section - Completion time  Object assembly completion time, as part of the Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) WPPSI3OACompletionTime Recommended CDE
2 Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) Object Assembly Section - Correct juncture range 3 number  Number of correct junctures for range 3, as part of the Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) WPPSI3OACorrectJunctrRange3Num Recommended CDE
3 Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) Object Assembly Section - Range 3 item score  Item score for range 3, as part of the Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) WPPSI3OARange3ItemScore Recommended CDE

WPPSI-III-Object Assembly Item 13 (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) Object Assembly Section - Completion time  Object assembly completion time, as part of the Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) WPPSI3OACompletionTime Recommended CDE
2 Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) Object Assembly Section - Correct juncture range 5 number  Number of correct junctures for range 5, as part of the Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) WPPSI3OACorrectJunctrRange5Num Recommended CDE
3 Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) Object Assembly Section - Range 3 item score  Item score for range 3, as part of the Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) WPPSI3OARange3ItemScore Recommended CDE

WPPSI-III-Object Assembly Item 14 (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) Object Assembly Section - Completion time  Object assembly completion time, as part of the Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) WPPSI3OACompletionTime Recommended CDE
2 Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) Object Assembly Section - Correct juncture range 6 number  Number of correct junctures for range 6, as part of the Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) WPPSI3OACorrectJunctrRange6Num Recommended CDE
3 Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) Object Assembly Section - Range 4 item score  Item score for range 4, as part of the Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) WPPSI3OARange4ItemScore Recommended CDE

WPPSI-III-Object Assembly- scoring (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) Object Assembly Section - Completion time  Object assembly total raw score, as part of the Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) WPPSI3OATtlRawScore Recommended CDE

 Change History

 Administrative Change History