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Form Structure: Wechsler Adult Intelligence Scale IV (WAIS-IV) Figure Weights

This form structure is an organized set of data definitions for a copyrighted form
Resource:
FITBIR
Title:
Wechsler Adult Intelligence Scale IV (WAIS-IV) Figure Weights
Short Name:
WAISIV_Figure_Weights
Description:
The Wechsler Adult Intelligence Scale, Fourth Edition (WAIS-IV) Perceptual Reasoning Index (PRI) Figure Weights subtest measures quantitative reasoning. Copyright Pearson Inc. (2008), (http://www.pearsonclinical.com/content/ani/clinicalassessments/us/en.html). References: Wechsler D. Wechsler Adult Intelligence Scale?Fourth Edition. Pearson; San Antonio, TX: 2008.
Disease:
Traumatic Brain Injury
Organization:
FITBIR
Required Program Form:
No
Standardization:
Standard NINDS CDE
Labels:
Form Type:
Clinical Assessment
Version:
1.0
Date Created:
2016-08-12
Owner:
Number of Data Elements:
27
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 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.

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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

Figure Weights-Demo and Sample (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 Wechsler Adult Intelligence Scale IV (WAIS-IV) Figure Weights - Demonstration Item A completion time duration  Time interval (in seconds) required for Demonstration Item A, as part of Wechsler Adult Intelligence Scale, Fourth Edition (WAIS-IV) Figure Weights subtest WAISIVFWDATimeDur Recommended CDE
2 Wechsler Adult Intelligence Scale IV (WAIS-IV) Figure Weights - Demonstration Item B completion time duration  Time interval (in seconds) required for Demonstration Item B, as part of Wechsler Adult Intelligence Scale, Fourth Edition (WAIS-IV) Figure Weights subtest WAISIVFWDBTimeDur Recommended CDE
3 Wechsler Adult Intelligence Scale IV (WAIS-IV) Figure Weights - Sample Item completion time duration  Time interval (in seconds) required for Sample Item, as part of Wechsler Adult Intelligence Scale, Fourth Edition (WAIS-IV) Figure Weights subtest WAISIVFWSTimeDur Recommended CDE

Figure Weights-Items 1-12 (Appears Up To 12 Times)

# Title Short Description Variable Name Required? Type
1 Test item number (numeric)  The test (or assessment) item number representing the sequence for the items/questions of each test/assessmet/questionnaire being asked TestItemNum Recommended CDE
2 Wechsler Adult Intelligence Scale IV (WAIS-IV) Figure Weights - Items 1-12 completion time duration  Time interval (in seconds) required for Items 1-12, as part of Wechsler Adult Intelligence Scale, Fourth Edition (WAIS-IV) Figure Weights subtest WAISIVFWItem1to12TimeDur Recommended CDE
3 Wechsler Adult Intelligence Scale IV (WAIS-IV) Figure Weights - Response number  Response, as part of Wechsler Adult Intelligence Scale, Fourth Edition (WAIS-IV) Figure Weights subtest WAISIVFWRespnsNum Recommended CDE
4 Wechsler Adult Intelligence Scale IV (WAIS-IV) Figure Weights - Item score  Item score, as part of Wechsler Adult Intelligence Scale, Fourth Edition (WAIS-IV) Figure Weights subtest WAISIVFWItemScore Recommended CDE

Figure Weights-Items 13-27 (Appears Up To 15 Times)

# Title Short Description Variable Name Required? Type
1 Test item number (numeric)  The test (or assessment) item number representing the sequence for the items/questions of each test/assessmet/questionnaire being asked TestItemNum Recommended CDE
2 Wechsler Adult Intelligence Scale IV (WAIS-IV) Figure Weights - Items 13-27 completion time duration  Time interval (in seconds) required for Items 13-27, as part of Wechsler Adult Intelligence Scale, Fourth Edition (WAIS-IV) Figure Weights subtest WAISIVFWItem13to27TimeDur Recommended CDE
3 Wechsler Adult Intelligence Scale IV (WAIS-IV) Figure Weights - Response number  Response, as part of Wechsler Adult Intelligence Scale, Fourth Edition (WAIS-IV) Figure Weights subtest WAISIVFWRespnsNum Recommended CDE
4 Wechsler Adult Intelligence Scale IV (WAIS-IV) Figure Weights - Item score  Item score, as part of Wechsler Adult Intelligence Scale, Fourth Edition (WAIS-IV) Figure Weights subtest WAISIVFWItemScore Recommended CDE

Figure Weights-Scoring (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 Wechsler Adult Intelligence Scale IV (WAIS-IV) Figure Weights - Total raw score  Total raw score, as part of Wechsler Adult Intelligence Scale, Fourth Edition (WAIS-IV) Verbal Comprehension Index (VCI) Figure Weights subtest WAISIVFWTtlRawScore Recommended CDE
Keywords