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

 General Details

Title:
Wide Range Achievement Test 4 (WRAT4) - Spelling Subtest
Short Name:
WRAT4SpellingSubtest
Description:
The Wide Range Achievement Test 4 (WRAT4) is a norm-referenced test that measures the basic academic skills of word reading, sentence comprehension, spelling, and math computation. It was standardized on a representative national sample of over 3,000 individuals ranging in age from 5-94 years. 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
Version:
1.0
Date Created:
2016-08-22
Owner:
Number of Data Elements:
30
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

WRAT-4 Word Reading Form Administration (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 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
2 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

WRAT 4 Part 1 Letter Writing Spelling Test (Appears Up To 15 Times)

# Title Short Description Variable Name Required? Type
1 Wide Range Achievement Test (WRAT-4) - Letter writing item text  Text for the letter writing item dictated, as a part of Wide Range Achievement Test (WRAT-4) WRAT4LetterWritingItemTxt Recommended CDE
2 Wide Range Achievement Test (WRAT-4) - Letter writing item score  Score for the letter writing item dictated, as a part of part 1 of the spelling subtest for Wide Range Achievement Test (WRAT-4) WRAT4LetterWritingItemScore Recommended CDE
3 Wide Range Achievement Test (WRAT-4) - Letter writing item raw score  Raw score for the part 1, letter writing item dictated, as a part of the spelling subtest for Wide Range Achievement Test (WRAT-4) WRAT4LetterWritingItemRawScore Recommended CDE

WRAT 4 Part 2 Spelling Test (Appears Up To 42 Times)

# Title Short Description Variable Name Required? Type
1 Wide Range Achievement Test (WRAT-4) - Spelling item text  Text for part 2, spelling test item, as a part of Wide Range Achievement Test (WRAT-4) WRAT4SpellingItemTxt Recommended CDE
2 Wide Range Achievement Test (WRAT-4) - Spelling item score  Score for part 2, spelling test item, as a part of Wide Range Achievement Test (WRAT-4) WRAT4SpellingItemScore Recommended CDE
3 Wide Range Achievement Test (WRAT-4) - 5 basal rule indicator  Indicator for the 5 basal rule, as a part of part 1 of the spelling subtest for Wide Range Achievement Test (WRAT-4) WRAT45BasalRuleInd Recommended CDE
4 Wide Range Achievement Test (WRAT-4) - 10 ceiling rule indicator  Indicator for the 10 ceiling rule, as a part of part 1 of the spelling subtest for Wide Range Achievement Test (WRAT-4) WRAT410RuleInd Recommended CDE
5 Wide Range Achievement Test (WRAT-4) - Spelling raw score  Raw score for part 2 of the spelling test, as a part of Wide Range Achievement Test (WRAT-4) WRAT4SpellingRawScore Recommended CDE
6 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

WRAT4 Spelling Test Combined Scoring (Appears Up To 6 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) - Combined form part 1 letter writing score  Score of the part 1 combined form for the letter writing subtest, as a part of the Wide Range Achievement Test 4 (WRAT-4) WRAT4CFPart1LettrWrtingScore Recommended CDE
3 Wide Range Achievement Test (WRAT-4) - Spelling raw score  Raw score for part 2 of the spelling test, as a part of Wide Range Achievement Test (WRAT-4) WRAT4SpellingRawScore Recommended CDE
4 Wide Range Achievement Test 4 (WRAT- 4) - Combined form spelling raw score  Raw score for the combined form for the spelling subtest, as a part of the Wide Range of Achievement Test 4 (WRAT- 4) WRAT4CFSpellingRawScore Recommended CDE

 Change History

 Administrative Change History