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

 General Details

Title:
Wide Range Achievement Test 4 (WRAT4) - Score Summary Table
Short Name:
WRAT4ScoreSummaryTable
Description:
The Wide Range Achievement Test (WRAT4) Summary Score form collects the summary scores for Blue form, Green form and Combined form. Copyright 2006 by Wide Range, Inc. All rights reserved. No reproduction is allowed without the express written permission of NCS Pearson, Inc. Published and distributed exclusively under license from Wide Range, Inc. NCS Pearson, Inc., 5601 Green Valley Drive, Bloomington, MN 55437. www.PearsonCIInlcal.com References: Wilkinson, G. S., & Robertson, G. J. (2006). Wide Range Achievement Test–Fourth Edition. Lutz, FL: Psychological Assessment Resources.
Disease:
General (For all diseases) , Traumatic Brain Injury
Organization:
NIH/CIT/BRICS
Required Program Form:
No
Standardization:
Standard NINDS CDE
Labels:
Form Type:
Clinical Assessment
Publication Date:
2017-03-30
Version:
1.0
Date Created:
2016-08-22
Owner:
Number of Data Elements:
72
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

WRAT4 Form administration (Appears Up To 3 Times)

# Title Short Description Variable Name Required? Type
1 Wide Range Achievement Test 4 (WRAT-4) - Word reading test type  The type of sub-test performed, as part of the Wide Range Achievement Test 4 (WRAT-4). WRAT4WrdRdngTestTyp Recommended CDE
2 Wide Range Achievement Test 4 (WRAT-4) - Word region text  Text to describe the region where the subject took the test, as part of the Wide Range Achievement Test 4 (WRAT-4). WRAT4WrdRdngRegionTxt Recommended CDE

WRAT4 Word Reading Summary Score (Appears Up To 3 Times)

# Title Short Description Variable Name Required? Type
1 Wide Range Achievement Test 4 Revision 4 (WRAT) - total raw score  Word reading total raw score for the Wide Range Achievement Test Revision 4 (WRAT). WRAT_TotalRawScore Recommended CDE
2 Wide Range Achievement Test 4 (WRAT-4) - Standard score  The subject's standardized score, as part of the Wide Range Achievement Test 4 (WRAT-4). WRAT4StdScore Recommended CDE
3 Wide Range Achievement Test 4 (WRAT-4) - Standard score grade semester type  Type of grade semester, the standard score was assessed, as part of the Wide Range Achievement Test 4 (WRAT-4). WRAT4StdScoreGradeSemTyp Recommended CDE
4 Wide Range Achievement Test 4 (WRAT-4) - 85 percent confidence interval score  The subject's confidence interval is at 85 percent score, as part of the Wide Range Achievement Test 4 (WRAT-4). WRAT4CnfIntrvl85PtScore Recommended CDE
5 Wide Range Achievement Test 4 (WRAT-4) - 90 percent confidence interval score  The subject's confidence interval is at 90 percent score, as part of the Wide Range Achievement Test 4 (WRAT-4). WRAT4CnfIntrvl90PtScore Recommended CDE
6 Wide Range Achievement Test 4 (WRAT-4) - 95 percent confidence interval score  The subject's confidence interval is at 95 percent score, as part of the Wide Range Achievement Test 4 (WRAT-4). WRAT4CnfIntrvl95PtScore Recommended CDE
7 Wide Range Achievement Test 4 (WRAT-4) - Percentile rank number  The subject's percentile rank of performance, as part of the Wide Range Achievement Test 4 (WRAT-4). WRAT4WrdRdngPercentileRnkNum Recommended CDE
8 Wide Range Achievement Test 4 (WRAT-4) - Grade equivalence score  The subject's grade equivalence score, as part of the Wide Range Achievement Test 4 (WRAT-4). WRAT4WrdRdngGradeEquivScore Recommended CDE
9 Wide Range Achievement Test 4 (WRAT-4) - Normal curve equivalents score  The subject's normal curve equivalents score, as part of the Wide Range Achievement Test 4 (WRAT-4). WRAT4WrdRdngNormCurvEqScore Recommended CDE
10 Wide Range Achievement Test 4 (WRAT-4) - Stanine score  The subject's scaled score on a nine point standard scale (with a mean of five and a standard deviation of two), as part of the Wide Range Achievement Test 4 (WRAT-4). WRAT4WrdRdngStanineScore Recommended CDE
11 Wide Range Achievement Test 4 (WRAT-4) - Performance level category  The category to describe the subject's performance, as part of the Wide Range Achievement Test 4 (WRAT-4). WRAT4PerfLvlCat Recommended CDE

WRAT4 Sentence Comprehension Summary Score (Appears Up To 3 Times)

# Title Short Description Variable Name Required? Type
1 Wide Range Achievement Test (WRAT-4) - Sentence comprehension raw score  Raw score for the sentence comprehension subtest given, as a part of the Wide Range Achievement Test (WRAT-4) WRAT4SentenceCompRawScore Recommended CDE
2 Wide Range Achievement Test (WRAT)- Standard Score  WRAT Standard Score WRAT_StandardScore Recommended UDE
3 Wide Range Achievement Test 4 (WRAT-4) - Standard score grade semester type  Type of grade semester, the standard score was assessed, as part of the Wide Range Achievement Test 4 (WRAT-4). WRAT4StdScoreGradeSemTyp Recommended CDE
4 Wide Range Achievement Test 4 (WRAT-4) - 85 percent confidence interval score  The subject's confidence interval is at 85 percent score, as part of the Wide Range Achievement Test 4 (WRAT-4). WRAT4CnfIntrvl85PtScore Recommended CDE
5 Wide Range Achievement Test 4 (WRAT-4) - 90 percent confidence interval score  The subject's confidence interval is at 90 percent score, as part of the Wide Range Achievement Test 4 (WRAT-4). WRAT4CnfIntrvl90PtScore Recommended CDE
6 Wide Range Achievement Test 4 (WRAT-4) - 95 percent confidence interval score  The subject's confidence interval is at 95 percent score, as part of the Wide Range Achievement Test 4 (WRAT-4). WRAT4CnfIntrvl95PtScore Recommended CDE
7 Wide Range Achievement Test 4 (WRAT-4) - Percentile rank number  The subject's percentile rank of performance, as part of the Wide Range Achievement Test 4 (WRAT-4). WRAT4PercentileRnkNum Recommended CDE
8 Wide Range Achievement Test 4 (WRAT-4) - Grade equivalence score  The subject's grade equivalence score, as part of the Wide Range Achievement Test 4 (WRAT-4). WRAT4GradeEquivScore Recommended CDE
9 Wide Range Achievement Test 4 (WRAT-4) - Normal curve equivalents score  The subject's normal curve equivalents score, as part of the Wide Range Achievement Test 4 (WRAT-4). WRAT4NormCurvEqScore Recommended CDE
10 Wide Range Achievement Test 4 (WRAT-4) - Stanine score  The subject's scaled score on a nine point standard scale (with a mean of five and a standard deviation of two), as part of the Wide Range Achievement Test 4 (WRAT-4). WRAT4StanineScore Recommended CDE
11 Wide Range Achievement Test 4 (WRAT-4) - Performance level category  The category to describe the subject's performance, as part of the Wide Range Achievement Test 4 (WRAT-4). WRAT4PerfLvlCat Recommended CDE

WRAT4 Spelling Summary Score (Appears Up To 3 Times)

# Title Short Description Variable Name Required? Type
1 Wide Range Achievement Test (WRAT-4) - Spelling total raw score  Total raw score for part 2 of the spelling test, as a part of Wide Range Achievement Test (WRAT-4) WRAT4SpellingTotalRawScore Recommended CDE
2 Wide Range Achievement Test (WRAT)- Standard Score  WRAT Standard Score WRAT_StandardScore Recommended UDE
3 Wide Range Achievement Test 4 (WRAT-4) - Standard score grade semester type  Type of grade semester, the standard score was assessed, as part of the Wide Range Achievement Test 4 (WRAT-4). WRAT4StdScoreGradeSemTyp Recommended CDE
4 Wide Range Achievement Test 4 (WRAT-4) - 85 percent confidence interval score  The subject's confidence interval is at 85 percent score, as part of the Wide Range Achievement Test 4 (WRAT-4). WRAT4CnfIntrvl85PtScore Recommended CDE
5 Wide Range Achievement Test 4 (WRAT-4) - 90 percent confidence interval score  The subject's confidence interval is at 90 percent score, as part of the Wide Range Achievement Test 4 (WRAT-4). WRAT4CnfIntrvl90PtScore Recommended CDE
6 Wide Range Achievement Test 4 (WRAT-4) - 95 percent confidence interval score  The subject's confidence interval is at 95 percent score, as part of the Wide Range Achievement Test 4 (WRAT-4). WRAT4CnfIntrvl95PtScore Recommended CDE
7 Wide Range Achievement Test 4 (WRAT-4) - Percentile rank number  The subject's percentile rank of performance, as part of the Wide Range Achievement Test 4 (WRAT-4). WRAT4PercentileRnkNum Recommended CDE
8 Wide Range Achievement Test 4 (WRAT-4) - Grade equivalence score  The subject's grade equivalence score, as part of the Wide Range Achievement Test 4 (WRAT-4). WRAT4GradeEquivScore Recommended CDE
9 Wide Range Achievement Test 4 (WRAT-4) - Normal curve equivalents score  The subject's normal curve equivalents score, as part of the Wide Range Achievement Test 4 (WRAT-4). WRAT4NormCurvEqScore Recommended CDE
10 Wide Range Achievement Test 4 (WRAT-4) - Stanine score  The subject's scaled score on a nine point standard scale (with a mean of five and a standard deviation of two), as part of the Wide Range Achievement Test 4 (WRAT-4). WRAT4StanineScore Recommended CDE
11 Wide Range Achievement Test 4 (WRAT-4) - Performance level category  The category to describe the subject's performance, as part of the Wide Range Achievement Test 4 (WRAT-4). WRAT4PerfLvlCat Recommended CDE

WRAT4 Math Computation Summary Score (Appears Up To 3 Times)

# Title Short Description Variable Name Required? Type
1 Wide Range Achievement Test (WRAT-4) - Math computation total raw score  Total raw score of the math computation test given, as a part of Wide Range Achievement Test (WRAT-4) WRAT4MathComputnTotalRawScore Recommended CDE
2 Wide Range Achievement Test (WRAT)- Standard Score  WRAT Standard Score WRAT_StandardScore Recommended UDE
3 Wide Range Achievement Test 4 (WRAT-4) - Standard score grade semester type  Type of grade semester, the standard score was assessed, as part of the Wide Range Achievement Test 4 (WRAT-4). WRAT4StdScoreGradeSemTyp Recommended CDE
4 Wide Range Achievement Test 4 (WRAT-4) - 85 percent confidence interval score  The subject's confidence interval is at 85 percent score, as part of the Wide Range Achievement Test 4 (WRAT-4). WRAT4CnfIntrvl85PtScore Recommended CDE
5 Wide Range Achievement Test 4 (WRAT-4) - 90 percent confidence interval score  The subject's confidence interval is at 90 percent score, as part of the Wide Range Achievement Test 4 (WRAT-4). WRAT4CnfIntrvl90PtScore Recommended CDE
6 Wide Range Achievement Test 4 (WRAT-4) - 95 percent confidence interval score  The subject's confidence interval is at 95 percent score, as part of the Wide Range Achievement Test 4 (WRAT-4). WRAT4CnfIntrvl95PtScore Recommended CDE
7 Wide Range Achievement Test 4 (WRAT-4) - Percentile rank number  The subject's percentile rank of performance, as part of the Wide Range Achievement Test 4 (WRAT-4). WRAT4PercentileRnkNum Recommended CDE
8 Wide Range Achievement Test 4 (WRAT-4) - Grade equivalence score  The subject's grade equivalence score, as part of the Wide Range Achievement Test 4 (WRAT-4). WRAT4GradeEquivScore Recommended CDE
9 Wide Range Achievement Test 4 (WRAT-4) - Normal curve equivalents score  The subject's normal curve equivalents score, as part of the Wide Range Achievement Test 4 (WRAT-4). WRAT4NormCurvEqScore Recommended CDE
10 Wide Range Achievement Test 4 (WRAT-4) - Stanine score  The subject's scaled score on a nine point standard scale (with a mean of five and a standard deviation of two), as part of the Wide Range Achievement Test 4 (WRAT-4). WRAT4StanineScore Recommended CDE
11 Wide Range Achievement Test 4 (WRAT-4) - Performance level category  The category to describe the subject's performance, as part of the Wide Range Achievement Test 4 (WRAT-4). WRAT4PerfLvlCat Recommended CDE

WRAT4 Reading Composite Summary Score (Appears Up To 3 Times)

# Title Short Description Variable Name Required? Type
1 Wide Range Achievement Test 4 (WRAT- 4) - Reading composite raw score  Raw score for the reading composite, as a part of the Wide Range of Achievement Test 4 (WRAT- 4) WRAT4ReadingCompositeRawScore Recommended CDE
2 Wide Range Achievement Test (WRAT)- Standard Score  WRAT Standard Score WRAT_StandardScore Recommended UDE
3 Wide Range Achievement Test 4 (WRAT-4) - Standard score grade semester type  Type of grade semester, the standard score was assessed, as part of the Wide Range Achievement Test 4 (WRAT-4). WRAT4StdScoreGradeSemTyp Recommended CDE
4 Wide Range Achievement Test 4 (WRAT-4) - 85 percent confidence interval score  The subject's confidence interval is at 85 percent score, as part of the Wide Range Achievement Test 4 (WRAT-4). WRAT4CnfIntrvl85PtScore Recommended CDE
5 Wide Range Achievement Test 4 (WRAT-4) - 90 percent confidence interval score  The subject's confidence interval is at 90 percent score, as part of the Wide Range Achievement Test 4 (WRAT-4). WRAT4CnfIntrvl90PtScore Recommended CDE
6 Wide Range Achievement Test 4 (WRAT-4) - 95 percent confidence interval score  The subject's confidence interval is at 95 percent score, as part of the Wide Range Achievement Test 4 (WRAT-4). WRAT4CnfIntrvl95PtScore Recommended CDE
7 Wide Range Achievement Test 4 (WRAT-4) - Percentile rank number  The subject's percentile rank of performance, as part of the Wide Range Achievement Test 4 (WRAT-4). WRAT4PercentileRnkNum Recommended CDE
8 Wide Range Achievement Test 4 (WRAT-4) - Grade equivalence score  The subject's grade equivalence score, as part of the Wide Range Achievement Test 4 (WRAT-4). WRAT4GradeEquivScore Recommended CDE
9 Wide Range Achievement Test 4 (WRAT-4) - Normal curve equivalents score  The subject's normal curve equivalents score, as part of the Wide Range Achievement Test 4 (WRAT-4). WRAT4NormCurvEqScore Recommended CDE
10 Wide Range Achievement Test 4 (WRAT-4) - Stanine score  The subject's scaled score on a nine point standard scale (with a mean of five and a standard deviation of two), as part of the Wide Range Achievement Test 4 (WRAT-4). WRAT4StanineScore Recommended CDE
11 Wide Range Achievement Test 4 (WRAT-4) - Performance level category  The category to describe the subject's performance, as part of the Wide Range Achievement Test 4 (WRAT-4). WRAT4PerfLvlCat Recommended CDE

 Change History

 Administrative Change History