Form Structure: Wechsler Intelligence Scale for Children -Fourth edition (WISC-IV) Picture Concepts section
This form structure is an organized set of data definitions for a copyrighted form
Title:
Wechsler Intelligence Scale for Children -Fourth edition (WISC-IV) Picture Concepts section
Short Name:
WISCIVPC
Description:
WISC-IV measures a child's intellectual ability. In the Picture Concepts subtest, from each of two or three rows of objects, the child selects objects that go together based on an underlying concept. Wechsler, D. (2003). Wechsler Intelligence Scale for Children–Fourth Edition: Technical and interpretive manual. San Antonio, TX: Psychological Corporation. Copyright 2003 by The Psychological Corporation, a Harcourt Assessment Company http://www.pearsonclinical.com/
Disease:
Traumatic Brain Injury
Organization:
FITBIR
Required Program Form:
No
Standardization:
Standard NINDS CDE
Labels:
Form Type:
Clinical Assessment
Version:
1.0
Date Created:
2016-07-25
Owner:
Number of Data Elements:
40
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 (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 |
WISC-IV Picture Concepts-Sample item A (Appears Up To 1 Time)
| # | Title | Short Description | Variable Name | Required? | Type |
|---|---|---|---|---|---|
| 1 | Wechsler Intelligence Scale For Children - Fourth Edition (WISC - IV) Picture Concepts Section - Response range 1 to 4 number | Picture concept range number ranging from 1 to 4, as part of the Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV), Picture Concept subtest | WISCIVPCnRespnsRange1to4Num | Recommended | CDE |
WISC-IV Picture Concepts-Sample item B (Appears Up To 1 Time)
| # | Title | Short Description | Variable Name | Required? | Type |
|---|---|---|---|---|---|
| 1 | Wechsler Intelligence Scale For Children - Fourth Edition (WISC - IV) Picture Concepts Section - Response range 1 to 4 number | Picture concept range number ranging from 1 to 4, as part of the Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV), Picture Concept subtest | WISCIVPCnRespnsRange1to4Num | Recommended | CDE |
WISC-IV Picture Concepts-Items 1 to 5 (Appears Up To 5 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 Intelligence Scale For Children - Fourth Edition (WISC - IV) Picture Concepts Section - Response range 1 to 4 number | Picture concept range number ranging from 1 to 4, as part of the Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV), Picture Concept subtest | WISCIVPCnRespnsRange1to4Num | Recommended | CDE |
| 3 | Wechsler Intelligence Scale For Children - Fourth Edition (WISC - IV) Picture Concepts Section - Item score | Item score, as part of the Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV), Picture Concept subtest | WISCIVPCnItemScore | Recommended | CDE |
WISC-IV Picture Concepts-Items 6 to 12 (Appears Up To 7 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 Intelligence Scale For Children - Fourth Edition (WISC - IV) Picture Concepts Section - Response 6 to 12 number | Picture concept range number ranging from 1 to 6, as part of the Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV), Picture Concept subtest | WISCIVPCnRespnsRange1to6Num | Recommended | CDE |
| 3 | Wechsler Intelligence Scale For Children - Fourth Edition (WISC - IV) Picture Concepts Section - Item score | Item score, as part of the Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV), Picture Concept subtest | WISCIVPCnItemScore | Recommended | CDE |
WISC-IV Picture Concepts-Items 13 to 17 (Appears Up To 5 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 Intelligence Scale For Children - Fourth Edition (WISC - IV) Picture Concepts Section - Response 13 to 17 number | Picture concept range number ranging from 1 to 9, as part of the Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV), Picture Concept subtest | WISCIVPCnRespnsRange1to9Num | Recommended | CDE |
| 3 | Wechsler Intelligence Scale For Children - Fourth Edition (WISC - IV) Picture Concepts Section - Item score | Item score, as part of the Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV), Picture Concept subtest | WISCIVPCnItemScore | Recommended | CDE |
WISC-IV Picture Concepts-Items 18 to 19 (Appears Up To 2 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 Intelligence Scale For Children - Fourth Edition (WISC - IV) Picture Concepts Section - Response 18 to 19 number | Picture concept range number ranging from 1 to 12, as part of the Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV), Picture Concept subtest | WISCIVPCnRespnsRange1to12Num | Recommended | CDE |
| 3 | Wechsler Intelligence Scale For Children - Fourth Edition (WISC - IV) Picture Concepts Section - Item score | Item score, as part of the Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV), Picture Concept subtest | WISCIVPCnItemScore | Recommended | CDE |
WISC-IV Picture Concepts-Items 20 to 21 (Appears Up To 2 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 Intelligence Scale For Children - Fourth Edition (WISC - IV) Picture Concepts Section - Response 13 to 17 number | Picture concept range number ranging from 1 to 9, as part of the Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV), Picture Concept subtest | WISCIVPCnRespnsRange1to9Num | Recommended | CDE |
| 3 | Wechsler Intelligence Scale For Children - Fourth Edition (WISC - IV) Picture Concepts Section - Item score | Item score, as part of the Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV), Picture Concept subtest | WISCIVPCnItemScore | Recommended | CDE |
WISC-IV Picture Concepts-Items 22 to 26 (Appears Up To 5 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 Intelligence Scale For Children - Fourth Edition (WISC - IV) Picture Concepts Section - Response 18 to 19 number | Picture concept range number ranging from 1 to 12, as part of the Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV), Picture Concept subtest | WISCIVPCnRespnsRange1to12Num | Recommended | CDE |
| 3 | Wechsler Intelligence Scale For Children - Fourth Edition (WISC - IV) Picture Concepts Section - Item score | Item score, as part of the Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV), Picture Concept subtest | WISCIVPCnItemScore | Recommended | CDE |
WISC-IV Picture Concepts-Item 27 (Appears Up To 1 Time)
| # | Title | Short Description | Variable Name | Required? | Type |
|---|---|---|---|---|---|
| 1 | Wechsler Intelligence Scale For Children - Fourth Edition (WISC - IV) Picture Concepts Section - Response 13 to 17 number | Picture concept range number ranging from 1 to 9, as part of the Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV), Picture Concept subtest | WISCIVPCnRespnsRange1to9Num | Recommended | CDE |
| 2 | Wechsler Intelligence Scale For Children - Fourth Edition (WISC - IV) Picture Concepts Section - Item score | Item score, as part of the Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV), Picture Concept subtest | WISCIVPCnItemScore | Recommended | CDE |
WISC-IV Picture Concepts-Item 28 (Appears Up To 1 Time)
| # | Title | Short Description | Variable Name | Required? | Type |
|---|---|---|---|---|---|
| 1 | Wechsler Intelligence Scale For Children - Fourth Edition (WISC - IV) Picture Concepts Section - Response 18 to 19 number | Picture concept range number ranging from 1 to 12, as part of the Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV), Picture Concept subtest | WISCIVPCnRespnsRange1to12Num | Recommended | CDE |
| 2 | Wechsler Intelligence Scale For Children - Fourth Edition (WISC - IV) Picture Concepts Section - Item score | Item score, as part of the Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV), Picture Concept subtest | WISCIVPCnItemScore | Recommended | CDE |
WISC-IV Picture Concepts-Scoring (Appears Up To 1 Time)
| # | Title | Short Description | Variable Name | Required? | Type |
|---|---|---|---|---|---|
| 1 | Wechsler Intelligence Scale For Children - Fourth Edition (WISC - IV) Picture Concepts Section - PCn total raw score | Picture concepts (PCn) total score, as part of the Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV), Picture Concept subtest | WISCIVPCnTtlRawScore | Recommended | CDE |
Keywords
