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Form Structure: Wechsler Adult Intelligence Scale, Fourth Edition (WAIS-IV) Coding

This form structure is an organized set of data definitions for a copyrighted form
Resource:
FITBIR
Title:
Wechsler Adult Intelligence Scale, Fourth Edition (WAIS-IV) Coding
Short Name:
WAISIV_Coding
Description:
Wechsler Adult Intelligence Scale Fourth Edition (WAIS-IV) is a test designed to measure intelligence in adults and older adolescents. The Coding test is part of the Processing Speed Subtest and consists of three measured abilities, including visual-motor coordination, motor and mental speed, and visual working memory. References: Wechsler, David (1939). The Measurement of Adult Intelligence. Baltimore (MD): Williams & Witkins. Wechsler, David (1958). The Measurement and Appraisal of Adult Intelligence (4th ed.). Baltimore (MD): Williams & Witkins. Retrieved 4 June 2013. Copyright: Pearson Clinical, https://www.pearsonclinical.com/psychology/products/100000392/wechsler-adult-intelligence-scalefourth-edition-wais-iv.html Recommended by CDISC for TBI
Disease:
Traumatic Brain Injury
Organization:
NIH/CIT/BRICS
Required Program Form:
No
Standardization:
Standard NINDS CDE
Labels:
Form Type:
Clinical Assessment
Publication Date:
2015-09-18
Version:
1.1
Date Created:
2015-09-11
Owner:
Number of Data Elements:
14
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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Form Administration (Repeat Infinitely)

# Title Short Description Variable Name Required? Type
1 Context type  The context to which the questions were answered ContextType Recommended CDE
2 Context type other text  The free-text related to ContextType specifying other text ContextTypeOTH Recommended CDE
3 Data source  Source of the data provided on the case report form DataSource Recommended CDE
4 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

Coding (Repeat Infinitely)

# Title Short Description Variable Name Required? Type
1 Wechsler Adult Intelligence Scale IV (WAIS IV) Coding - Completion time  Time to complete Wechsler Adult Intelligence Scale IV (WAIS IV) Coding subtest WAIS_IVCodingCompletionTime Recommended CDE
2 Wechsler Adult Intelligence Scale IV (WAIS IV) Coding - Total raw score  Total score for Wechsler Adult Intelligence Scale IV (WAIS IV) Coding subtest WAIS_IVCodingTtlScore Recommended CDE
Keywords