Form Structure: Wechsler Abbreviated Scale of Intelligence - Second Edition (WASI-II) - Similarities
This form structure is an organized set of data definitions for a copyrighted form
Title:
Wechsler Abbreviated Scale of Intelligence - Second Edition (WASI-II) - Similarities
Short Name:
WASIIISimilarities_FITBIR
Description:
The Wechsler Abbreviated Scale of Intelligence - Second Edition (WASI-II) - Similarities subtest is used to access problem abstract verbal reasoning.
Disease:
General (For all diseases)
Traumatic Brain Injury
Required Program Form:
No
Standardization:
Standard NINDS CDE
Labels:
Form Type:
Clinical Assessment
Publication Date:
2016-04-04
Version:
1.0
Date Created:
2015-12-29
Owner:
Number of Data Elements:
59
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.
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 |
Similarities (Repeat Infinitely)
| # | Title | Short Description | Variable Name | Required? | Type |
|---|---|---|---|---|---|
| 1 | Wechsler Abbreviated Scale of Intelligence II (WASI II) - Similarities picture question 1 score | Score for Similarities picture question 1, as part of the Wechsler Abbreviated Scale of Intelligence (WASI II). | WASI_IISimPict1Score | Recommended | CDE |
| 2 | Wechsler Abbreviated Scale of Intelligence II (WASI II) - Similarities picture question 2 score | Score for Similarities picture question 2, as part of the Wechsler Abbreviated Scale of Intelligence (WASI II). | WASI_IISimPict2Score | Recommended | CDE |
| 3 | Wechsler Abbreviated Scale of Intelligence II (WASI II) - Similarities picture question 3 score | Score for Similarities picture question 3, as part of the Wechsler Abbreviated Scale of Intelligence (WASI II). | WASI_IISimPict3Score | Recommended | CDE |
| 4 | Wechsler Abbreviated Scale of Intelligence II (WASI II) - Similarities verbal items question 10 score | Score for Similarities verbal question 10, as part of the Wechsler Abbreviated Scale of Intelligence (WASI II). | WASI_IISim10Score | Recommended | CDE |
| 5 | Wechsler Abbreviated Scale of Intelligence II (WASI II) - Similarities verbal items question 10 words used | Words used for Similarities verbal question 10, as part of the Wechsler Abbreviated Scale of Intelligence (WASI II). | WASI_IISim10Words | Recommended | CDE |
| 6 | Wechsler Abbreviated Scale of Intelligence II (WASI II) - Similarities verbal items question 11 score | Score for Similarities verbal question 11, as part of the Wechsler Abbreviated Scale of Intelligence (WASI II). | WASI_IISim11Score | Recommended | CDE |
| 7 | Wechsler Abbreviated Scale of Intelligence II (WASI II) - Similarities verbal items question 11 words used | Words used for Similarities verbal question 11, as part of the Wechsler Abbreviated Scale of Intelligence (WASI II). | WASI_IISim11Words | Recommended | CDE |
| 8 | Wechsler Abbreviated Scale of Intelligence II (WASI II) - Similarities verbal items question 12 score | Score for Similarities verbal question 12, as part of the Wechsler Abbreviated Scale of Intelligence (WASI II). | WASI_IISim12Score | Recommended | CDE |
| 9 | Wechsler Abbreviated Scale of Intelligence II (WASI II) - Similarities verbal items question 12 words used | Words used for Similarities verbal question 12, as part of the Wechsler Abbreviated Scale of Intelligence (WASI II). | WASI_IISim12Words | Recommended | CDE |
| 10 | Wechsler Abbreviated Scale of Intelligence II (WASI II) - Similarities verbal items question 13 score | Score for Similarities verbal question 13, as part of the Wechsler Abbreviated Scale of Intelligence (WASI II). | WASI_IISim13Score | Recommended | CDE |
| 11 | Wechsler Abbreviated Scale of Intelligence II (WASI II) - Similarities verbal items question 13 words used | Words used for Similarities verbal question 13, as part of the Wechsler Abbreviated Scale of Intelligence (WASI II). | WASI_IISim13Words | Recommended | CDE |
| 12 | Wechsler Abbreviated Scale of Intelligence II (WASI II) - Similarities verbal items question 14 score | Score for Similarities verbal question 14, as part of the Wechsler Abbreviated Scale of Intelligence (WASI II). | WASI_IISim14Score | Recommended | CDE |
| 13 | Wechsler Abbreviated Scale of Intelligence II (WASI II) - Similarities verbal items question 14 words used | Words used for Similarities verbal question 14, as part of the Wechsler Abbreviated Scale of Intelligence (WASI II). | WASI_IISim14Words | Recommended | CDE |
| 14 | Wechsler Abbreviated Scale of Intelligence II (WASI II) - Similarities verbal items question 15 score | Score for Similarities verbal question 15, as part of the Wechsler Abbreviated Scale of Intelligence (WASI II). | WASI_IISim15Score | Recommended | CDE |
| 15 | Wechsler Abbreviated Scale of Intelligence II (WASI II) - Similarities verbal items question 15 words used | Words used for Similarities verbal question 15, as part of the Wechsler Abbreviated Scale of Intelligence (WASI II). | WASI_IISim15Words | Recommended | CDE |
| 16 | Wechsler Abbreviated Scale of Intelligence II (WASI II) - Similarities verbal items question 16 score | Score for Similarities verbal question 16, as part of the Wechsler Abbreviated Scale of Intelligence (WASI II). | WASI_IISim16Score | Recommended | CDE |
| 17 | Wechsler Abbreviated Scale of Intelligence II (WASI II) - Similarities verbal items question 16 words used | Words used for Similarities verbal question 16, as part of the Wechsler Abbreviated Scale of Intelligence (WASI II). | WASI_IISim16Words | Recommended | CDE |
| 18 | Wechsler Abbreviated Scale of Intelligence II (WASI II) - Similarities verbal items question 17 score | Score for Similarities verbal question 17, as part of the Wechsler Abbreviated Scale of Intelligence (WASI II). | WASI_IISim17Score | Recommended | CDE |
| 19 | Wechsler Abbreviated Scale of Intelligence II (WASI II) - Similarities verbal items question 17 words used | Words used for Similarities verbal question 17, as part of the Wechsler Abbreviated Scale of Intelligence (WASI II). | WASI_IISim17Words | Recommended | CDE |
| 20 | Wechsler Abbreviated Scale of Intelligence II (WASI II) - Similarities verbal items question 18 score | Score for Similarities verbal question 18, as part of the Wechsler Abbreviated Scale of Intelligence (WASI II). | WASI_IISim18Score | Recommended | CDE |
| 21 | Wechsler Abbreviated Scale of Intelligence II (WASI II) - Similarities verbal items question 18 words used | Words used for Similarities verbal question 18, as part of the Wechsler Abbreviated Scale of Intelligence (WASI II). | WASI_IISim18Words | Recommended | CDE |
| 22 | Wechsler Abbreviated Scale of Intelligence II (WASI II) - Similarities verbal items question 19 score | Score for Similarities verbal question 19, as part of the Wechsler Abbreviated Scale of Intelligence (WASI II). | WASI_IISim19Score | Recommended | CDE |
| 23 | Wechsler Abbreviated Scale of Intelligence II (WASI II) - Similarities verbal items question 19 words used | Words used for Similarities verbal question 19, as part of the Wechsler Abbreviated Scale of Intelligence (WASI II). | WASI_IISim19Words | Recommended | CDE |
| 24 | Wechsler Abbreviated Scale of Intelligence II (WASI II) - Similarities verbal items question 20 score | Score for Similarities verbal question 20, as part of the Wechsler Abbreviated Scale of Intelligence (WASI II). | WASI_IISim20Score | Recommended | CDE |
| 25 | Wechsler Abbreviated Scale of Intelligence II (WASI II) - Similarities verbal items question 20 words used | Words used for Similarities verbal question 20, as part of the Wechsler Abbreviated Scale of Intelligence (WASI II). | WASI_IISim20Words | Recommended | CDE |
| 26 | Wechsler Abbreviated Scale of Intelligence II (WASI II) - Similarities verbal items question 21 score | Score for Similarities verbal question 21, as part of the Wechsler Abbreviated Scale of Intelligence (WASI II). | WASI_IISim21Score | Recommended | CDE |
| 27 | Wechsler Abbreviated Scale of Intelligence II (WASI II) - Similarities verbal items question 21 words used | Words used for Similarities verbal question 21, as part of the Wechsler Abbreviated Scale of Intelligence (WASI II). | WASI_IISim21Words | Recommended | CDE |
| 28 | Wechsler Abbreviated Scale of Intelligence II (WASI II) - Similarities verbal items question 22 score | Score for Similarities verbal question 22, as part of the Wechsler Abbreviated Scale of Intelligence (WASI II). | WASI_IISim22Score | Recommended | CDE |
| 29 | Wechsler Abbreviated Scale of Intelligence II (WASI II) - Similarities verbal items question 22 words used | Words used for Similarities verbal question 22, as part of the Wechsler Abbreviated Scale of Intelligence (WASI II). | WASI_IISim22Words | Recommended | CDE |
| 30 | Wechsler Abbreviated Scale of Intelligence II (WASI II) - Similarities verbal items question 23 score | Score for Similarities verbal question 23, as part of the Wechsler Abbreviated Scale of Intelligence (WASI II). | WASI_IISim23Score | Recommended | CDE |
| 31 | Wechsler Abbreviated Scale of Intelligence II (WASI II) - Similarities verbal items question 23 words used | Words used for Similarities verbal question 23, as part of the Wechsler Abbreviated Scale of Intelligence (WASI II). | WASI_IISim23Words | Recommended | CDE |
| 32 | Wechsler Abbreviated Scale of Intelligence II (WASI II) - Similarities verbal items question 24 score | Score for Similarities verbal question 24, as part of the Wechsler Abbreviated Scale of Intelligence (WASI II). | WASI_IISim24Score | Recommended | CDE |
| 33 | Wechsler Abbreviated Scale of Intelligence II (WASI II) - Similarities verbal items question 24 words used | Words used for Similarities verbal question 24, as part of the Wechsler Abbreviated Scale of Intelligence (WASI II). | WASI_IISim24Words | Recommended | CDE |
| 34 | Wechsler Abbreviated Scale of Intelligence II (WASI II) - Similarities verbal items question 4 score | Score for Similarities verbal question 4, as part of the Wechsler Abbreviated Scale of Intelligence (WASI II). | WASI_IISim4Score | Recommended | CDE |
| 35 | Wechsler Abbreviated Scale of Intelligence II (WASI II) - Similarities verbal items question 4 words used | Words used for Similarities verbal question 4, as part of the Wechsler Abbreviated Scale of Intelligence (WASI II). | WASI_IISim4Words | Recommended | CDE |
| 36 | Wechsler Abbreviated Scale of Intelligence II (WASI II) - Similarities verbal items question 5 score | Score for Similarities verbal question 5, as part of the Wechsler Abbreviated Scale of Intelligence (WASI II). | WASI_IISim5Score | Recommended | CDE |
| 37 | Wechsler Abbreviated Scale of Intelligence II (WASI II) - Similarities verbal items question 5 words used | Words used for Similarities verbal question 5, as part of the Wechsler Abbreviated Scale of Intelligence (WASI II). | WASI_IISim5Words | Recommended | CDE |
| 38 | Wechsler Abbreviated Scale of Intelligence II (WASI II) - Similarities verbal items question 6 score | Score for Similarities verbal question 6 , as part of the Wechsler Abbreviated Scale of Intelligence (WASI II). | WASI_IISim6Score | Recommended | CDE |
| 39 | Wechsler Abbreviated Scale of Intelligence II (WASI II) - Similarities verbal items question 6 words used | Words used for Similarities verbal question 6, as part of the Wechsler Abbreviated Scale of Intelligence (WASI II). | WASI_IISim6Words | Recommended | CDE |
| 40 | Wechsler Abbreviated Scale of Intelligence II (WASI II) - Similarities verbal items question 7 score | Score for Similarities verbal question 7, as part of the Wechsler Abbreviated Scale of Intelligence (WASI II). | WASI_IISim7Score | Recommended | CDE |
| 41 | Wechsler Abbreviated Scale of Intelligence II (WASI II) - Similarities verbal items question 7 words used | Words used for Similarities verbal question 7, as part of the Wechsler Abbreviated Scale of Intelligence (WASI II). | WASI_IISim7Words | Recommended | CDE |
| 42 | Wechsler Abbreviated Scale of Intelligence II (WASI II) - Similarities verbal items question 8 score | Score for Similarities verbal question 8, as part of the Wechsler Abbreviated Scale of Intelligence (WASI II). | WASI_IISim8Score | Recommended | CDE |
| 43 | Wechsler Abbreviated Scale of Intelligence II (WASI II) - Similarities verbal items question 8 words used | Words used for Similarities verbal question 8, as part of the Wechsler Abbreviated Scale of Intelligence (WASI II). | WASI_IISim8Words | Recommended | CDE |
| 44 | Wechsler Abbreviated Scale of Intelligence II (WASI II) - Similarities verbal items question 9 score | Score for Similarities verbal question 9, as part of the Wechsler Abbreviated Scale of Intelligence (WASI II). | WASI_IISim9Score | Recommended | CDE |
| 45 | Wechsler Abbreviated Scale of Intelligence II (WASI II) - Similarities verbal items question 9 words used | Words used for Similarities verbal question 9, as part of the Wechsler Abbreviated Scale of Intelligence (WASI II). | WASI_IISim9Words | Recommended | CDE |
| 46 | Wechsler Abbreviated Scale of Intelligence II (WASI II) - Similarities total score | Total score for Similarities questions - as part of the Wechsler Abbreviated Scale of Intelligence (WASI II). | WASI_IISimTotalScore | Recommended | CDE |
Keywords
