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- Similarities subtest
Short Name:
WPPSI3SI
Description:
WPPSI-III is a measure of intelligence in young children that is more age-appropriate and user-friendly. Similarities subtest measures Lexical Knowledge (VL), Language Development (LD), and to some extent, Fluid Reasoning. 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:
25
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 Similarities- Item 1 (Appears Up To 2 Times)

# Title Short Description Variable Name Required? Type
1 Trial number (numeric)  The number representing the sequence for any repeated measure test or assessment when it is performed multiple times. TrialNumber Recommended CDE
2 Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) Similarities section - Item response text  Response for the item, as part of theWechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) Similarities subtest WPPSI3SIItemRespnsTxt Recommended CDE

WPPSI-III Similarities- Item 1 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) Similarities section - Item 1 to 2 score  Score for items 1-2, as part of the Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) Similarities subtest WPPSI3SIItem1to2Score Recommended CDE

WPPSI-III Similarities- Item 2 (Appears Up To 2 Times)

# Title Short Description Variable Name Required? Type
1 Trial number (numeric)  The number representing the sequence for any repeated measure test or assessment when it is performed multiple times. TrialNumber Recommended CDE
2 Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) Similarities section - Item response text  Response for the item, as part of theWechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) Similarities subtest WPPSI3SIItemRespnsTxt Recommended CDE

WPPSI-III Similarities- Item 2 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) Similarities section - Item 1 to 2 score  Score for items 1-2, as part of the Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) Similarities subtest WPPSI3SIItem1to2Score Recommended CDE

WPPSI-III Similarities- Items 3-24 (Appears Up To 22 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) Similarities section - Item response text  Response for the item, as part of theWechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) Similarities subtest WPPSI3SIItemRespnsTxt Recommended CDE
3 Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) Similarities section - Item 3 to 24 score  Score for items 3-24, as part of the Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) Similarities subtest WPPSI3SIItem3to24Score Recommended CDE

WPPSI-III Similarities- 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) Similarities section - Total raw score  Similarities total raw score, as part of the Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) WPPSI3SITotalRawScore Recommended CDE

 Change History

 Administrative Change History