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Form Structure: Wechsler Adult Intelligence Scale Fourth Edition (WAIS-IV) Digit Span

This form structure is an organized set of data definitions for a copyrighted form
Title:
Wechsler Adult Intelligence Scale Fourth Edition (WAIS-IV) Digit Span
Short Name:
WAISIV_Digit_Span
Description:
Wechsler Adult Intelligence Scale Fourth Edition (WAIS-IV) is a test designed to measure intelligence in adults and older adolescents. The Digit Span test is part of the Working Memory Subtest and consists of three memory tasks that measure rote learning and memory, attention, auditory processing, mental manipulation, and working memory. Copyright © 2017 Pearson Education, Inc or its affiliate(s). All rights reserved,http://www.pearsonclinical.com/psychology/products/100000392/wechsler-adult-intelligence-scalefourth-edition-wais-iv.html Recommended by CDISC for TBI (TAUG 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:
1.4
Date Created:
2015-08-31
Owner:
Number of Data Elements:
37
eForms:
N
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.

Collapse All   Expand All

Form Administration Group (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

Forward (Repeat Infinitely)

# Title Short Description Variable Name Required? Type
1 Wechsler Adult Intelligence Scale IV (WAIS IV) - Digit span forward subtest item number  Item number, as part of Wechsler Adult Intelligence Scale IV (WAIS IV) Digit Span Forward subtest WAIS_IVDSFItemNum Recommended CDE
2 Wechsler Adult Intelligence Scale IV (WAIS IV) - Digit span forward subtest trial number  Trial number, as part of Wechsler Adult Intelligence Scale IV (WAIS IV) Digit Span Forward subtest WAIS_IVDSFTrialNum Recommended CDE
3 Wechsler Adult Intelligence Scale IV (WAIS IV) - Digit span forward subtest number series text  Series of numbers, as part of Wechsler Adult Intelligence Scale IV (WAIS IV) Digit Span Forward subtest WAIS_IVDSFNumTxt Recommended CDE
4 Wechsler Adult Intelligence Scale IV (WAIS IV) - Digit span forward subtest response text  Participant response, as part of Wechsler Adult Intelligence Scale IV (WAIS IV) Digit Span Forward subtest WAIS_IVDSFRespnsTxt Recommended CDE
5 Wechsler Adult Intelligence Scale IV (WAIS IV) - Digit span forward subtest item score  Item score, as part of Wechsler Adult Intelligence Scale IV (WAIS IV) Digit Span Forward subtest WAIS_IVDSFItemScore Recommended CDE
6 Wechsler Adult Intelligence Scale IV (WAIS IV) - Digit span forward subtest trial score  Trial score, as part of Wechsler Adult Intelligence Scale IV (WAIS IV) Digit Span Forward subtest WAIS_IVDSFTrialScore Recommended CDE
7 Wechsler Adult Intelligence Scale IV (WAIS IV) - Digit span forward subtest last trial correct digit score  Score for correctly recalled digits for the last trial, as part of Wechsler Adult Intelligence Scale IV (WAIS IV) Digit Span Forward subtest WAIS_IVLDSFScore Recommended CDE
8 Wechsler Adult Intelligence Scale IV (WAIS IV) - Digit span forward subtest total raw score  Total raw score, as part of Wechsler Adult Intelligence Scale IV (WAIS IV) Digit Span Forward subtest WAIS_IVDSFTtlScore Recommended CDE

Backward (Repeat Infinitely)

# Title Short Description Variable Name Required? Type
1 Wechsler Adult Intelligence Scale IV (WAIS IV) - Digit span backward subtest item number  Item number, as part of Wechsler Adult Intelligence Scale IV (WAIS IV) Digit Span Backward subtest WAIS_IVDSBItemNum Recommended CDE
2 Wechsler Adult Intelligence Scale IV (WAIS IV) - Digit span backward subtest trial number  Trial number, as part of Wechsler Adult Intelligence Scale IV (WAIS IV) Digit Span Backward subtest WAIS_IVDSBTrialNum Recommended CDE
3 Wechsler Adult Intelligence Scale IV (WAIS IV) - Digit span backward subtest number series text  Series of numbers, as part of Wechsler Adult Intelligence Scale IV (WAIS IV) Digit Span Backward subtest WAIS_IVDSBNumTxt Recommended CDE
4 Wechsler Adult Intelligence Scale IV (WAIS IV) - Digit span backward subset response text  Participant response, as part of Wechsler Adult Intelligence Scale IV (WAIS IV) Digit Span Backward subtest WAIS_IVDSBRespnsTxt Recommended CDE
5 Wechsler Adult Intelligence Scale IV (WAIS IV) - Digit span backward subtest trial score  Trial score, as part of Wechsler Adult Intelligence Scale IV (WAIS IV) Digit Span Backward subtest WAIS_IVDSBTrialScore Recommended CDE
6 Wechsler Adult Intelligence Scale IV (WAIS IV) - Digit span backward subtest item score  Item score, as part of Wechsler Adult Intelligence Scale IV (WAIS IV) Digit Span Backward subtest WAIS_IVDSBItemScore Recommended CDE
7 Wechsler Adult Intelligence Scale IV (WAIS IV) - Digit span backward subtest last trial correct digit score  Score for correctly recalled digits for the last trial, as part of Wechsler Adult Intelligence Scale IV (WAIS IV) Digit Span Backward subtest WAIS_IVLDSBScore Recommended CDE
8 Wechsler Adult Intelligence Scale IV (WAIS IV) - Digit span backward subtest total raw score  Total raw score, as part of Wechsler Adult Intelligence Scale IV (WAIS IV) Digit Span Backward subtest WAIS_IVDSBTtlScore Recommended CDE

Sequencing (Repeat Infinitely)

# Title Short Description Variable Name Required? Type
1 Wechsler Adult Intelligence Scale IV (WAIS IV) - Digit span sequencing subtest item number  Item number, as part of Wechsler Adult Intelligence Scale IV (WAIS IV) Digit Span Sequencing subtest WAIS_IVDSSItemNum Recommended CDE
2 Wechsler Adult Intelligence Scale IV (WAIS IV) - Digit span sequencing subtest trial number  Trial number, as part of Wechsler Adult Intelligence Scale IV (WAIS IV) Digit Span Sequencing subtest WAIS_IVDSSTrialNum Recommended CDE
3 Wechsler Adult Intelligence Scale IV (WAIS IV) - Digit span sequencing subtest number series text  Series of numbers, as part of Wechsler Adult Intelligence Scale IV (WAIS IV) Digit Span Sequencing subtest WAIS_IVDSSNumTxt Recommended CDE
4 Wechsler Adult Intelligence Scale IV (WAIS IV) - Digit span sequencing subtest response text  Participant response, as part of Wechsler Adult Intelligence Scale IV (WAIS IV) Digit Span Sequencing subtest WAIS_IVDSSRespnsTxt Recommended CDE
5 Wechsler Adult Intelligence Scale IV (WAIS IV) - Digit span sequencing subtest trial score  Trial score, as part of Wechsler Adult Intelligence Scale IV (WAIS IV) Digit Span Sequencing subtest WAIS_IVDSSTrialScore Recommended CDE
6 Wechsler Adult Intelligence Scale IV (WAIS IV) - Digit span sequencing subtest item score  Item score, as part of Wechsler Adult Intelligence Scale IV (WAIS IV) Digit Span Sequencing subtest WAIS_IVDSSItemScore Recommended CDE
7 Wechsler Adult Intelligence Scale IV (WAIS IV) - Digit span sequencing subtest last trial correct digit score  Score for correctly recalled digits for the last trial of the sequencing portion, as part of Wechsler Adult Intelligence Scale IV (WAIS IV) Digit Span subtest WAIS_IVLDSSScore Recommended CDE
8 Wechsler Adult Intelligence Scale IV (WAIS IV) - Digit span sequencing subtest total raw score  Total raw score, as part of Wechsler Adult Intelligence Scale IV (WAIS IV) Digit Span Sequencing subtest WAIS_IVDSSTtlScore Recommended CDE

Summary Statistics (Repeat Infinitely)

# Title Short Description Variable Name Required? Type
1 Wechsler Adult Intelligence Scale IV (WAIS IV) - Digit span subtest total raw score  Total score, as part of Wechsler Adult Intelligence Scale IV (WAIS IV) Digit Span subtest WAIS_IVDSTtlScore Recommended CDE
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Change History