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Form Structure: Wechsler Adult Intelligence Scale-IV Processing Speed Index

This form structure is an organized set of data definitions for a copyrighted form
Resource:
FITBIR
Title:
Wechsler Adult Intelligence Scale-IV Processing Speed Index
Short Name:
TRACKTBI_WAIS_IV
Description:
Wechsler Adult Intelligence Scale-IV Processing Speed Index. Wechsler Adult Intelligence Scale, Fourth Edition Now Available From Pearson (Press release). Pearson. 2008-08-28. Retrieved 2012-03-20. Copyright http://www.pearsonclinical.com/. This form was created for the TRACK TBI Pilot study, to accomodate theit specific dataset only. Please refer to WAISIV, WAISIV_Digit_Span, WAISIV_LN_Seq, WAISIV_Coding, WAISIV_SymSear, WMS_IV_LogMem FS to submit your WAIS IV data
Disease:
Traumatic Brain Injury
Organization:
NIH
Required Program Form:
No
Standardization:
Standard Modified
Labels:
Form Type:
Clinical Assessment
Publication Date:
2014-09-26
Version:
1.3
Date Created:
2014-08-22
Owner:
Number of Data Elements:
25
eForms:
Y
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 Visit date   Actual interview or visit date VisitDate Recommended CDE
5 Site name   The name of the site for the study SiteName Recommended CDE
6 Days since baseline   The number of days since baseline DaysSinceBaseline Optional CDE
7 Case control indicator   Indicator of whether subject is in the case or control arm of the study. CaseContrlInd Optional CDE
8 General notes text   General notes GeneralNotesTxt Optional CDE

Additional Element Groups

Listed below are your additional element groups.

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Scores (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 Wechsler Adult Intelligence Scale - IV (WAIS-IV) Age at test in years  Age at the time of Wechsler Adult Intelligence Scale - IV (WAIS-IV) test taken (in years) WAISAgeYrsAtTest Recommended CDE
2 Wechsler Adult Intelligence Scale - IV (WAIS-IV) Processing Speed Index, Coding Total Raw score  Raw total score for the coding subset of the Wechsler Adult Intelligence Scale- IV (WAIS-IV) WAISCodingTotRawScr Recommended CDE
3 Wechsler Adult Intelligence Scale - IV (WAIS-IV) Processing Speed Index, Coding Completion time  Completion time in seconds for the coding subset of the Wechsler Adult Intelligence Scale- IV (WAIS-IV) WAISCodingCompTime Recommended CDE
4 Wechsler Adult Intelligence Scale - IV (WAIS-IV) Processing Speed Index, Symbol Search- total correct  Total number of correct items as part of the Symbol Search subset of the Wechsler Adult Intelligence Scale- IV (WAIS-IV) WAISSymbolCorrect Recommended CDE
5 Wechsler Adult Intelligence Scale - IV (WAIS-IV) Processing Speed Index, Symbol Search- Total Incorrect  Total number of incorrect items as part of the Symbol Search subset of the Wechsler Adult Intelligence Scale- IV (WAIS-IV) WAISSymbolIncorrect Recommended CDE
6 Wechsler Adult Intelligence Scale - IV (WAIS-IV) Processing Speed Index, Symbol Search Total Raw Score  Total raw score for the symbol search subset of the Wechsler Adult Intelligence Scale- IV (WAIS-IV) WAISSymbolTotRawScr Recommended CDE
7 Wechsler Adult Intelligence Scale - IV (WAIS-IV) Processing Speed Index, Symbol Search completion time  Completion time in seconds for the symbol subset of the Wechsler Adult Intelligence Scale- IV (WAIS-IV) WAISSymbolCompTime Recommended CDE
8 Wechsler Adult Intelligence Scale - IV (WAIS-IV) Processing Speed Index, Sum of Scaled Scores  Sum of the scaled scores for the Coding and Symbol Search search subsets of the Wechsler Adult Intelligence Scale- IV (WAIS-IV) WAISSumScldScores Recommended CDE
9 Wechsler Adult Intelligence Scale - IV (WAIS-IV) Processing Speed Index, Coding Scaled Score  Scaled score for the Coding subsets of the Wechsler Adult Intelligence Scale- IV (WAIS-IV) WAISCodingScldScore Recommended CDE
10 Wechsler Adult Intelligence Scale - IV (WAIS-IV) Processing Speed Index, Symbol Search Scaled Score  Scaled score for the Symbol Search subset of the Wechsler Adult Intelligence Scale- IV (WAIS-IV) WAISSymbolScldScore Recommended CDE
11 Wechsler Adult Intelligence Scale - IV (WAIS-IV) Processing Speed Index, Composite Score  Composite Score for the processing speed index calculation of the Wechsler Adult Intelligence Scale- IV (WAIS-IV) WAISProcessSpdIndexCompScore Recommended CDE
12 Wechsler Adult Intelligence Scale - IV (WAIS-IV) Processing Speed Index, Percentile Rank  Percentile Rank for the processing speed index calculation of the Wechsler Adult Intelligence Scale- IV (WAIS-IV) WAISProcessSpdIndxPercntRank Recommended CDE
13 Wechsler Adult Intelligence Scale - IV (WAIS-IV) Processing Speed Index, Confidence Level Lower Limit 90 percentile  Lower limit value corresponding to the 90 percentile Confidence level of the WAIS-IV WAISProcessSpdCI90Lower Recommended CDE
14 Wechsler Adult Intelligence Scale - IV (WAIS-IV) Processing Speed Index, Confidence Level Upper Limit 90 percentile  Upper limit value corresponding to the 90 percentile Confidence level of the WAIS-IV WAISProcessSpdCI90Upper Recommended CDE
15 Wechsler Adult Intelligence Scale - IV (WAIS-IV) Processing Speed Index, Confidence Level Lower Limit 95 percentile  Lower limit value corresponding to the 95 percentile Confidence level of the WAIS-IV WAISProcessSpdCI95Lower Recommended CDE
16 Wechsler Adult Intelligence Scale - IV (WAIS-IV) Processing Speed Index, Confidence Level Upper Limit 95 percentile  Upper limit value corresponding to the 95 percentile Confidence level of the WAIS-IV WAISProcessSpdCI95Upper Recommended CDE

Image (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 Image response file  The image used to obtain the subject response. ImageResponse Recommended CDE
Keywords
TrackTBI , TRACKTBI_WAIS_IV , TRACK_TBI , TRACK