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This form structure is an organized set of data definitions for a copyrighted form
Title:
Wechsler Preschool and Primary Scale of Intelligence Third Edition- Picture Concepts subtest
Short Name:
WPPSI3PC
Description:
WPPSI-III is a measure of intelligence in young children that is more age-appropriate and user-friendly. 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. (2002). Wechsler Preschool and Primary Scale of IntelligenceĀ—third edition technical and interpretive manual. San Antonio, TX: Psychological Corporation. Copyright 2002 by NCS Pearson, Inc. 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:
2016-07-29
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.

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

WPSI-III Picture Concepts-Sample item A (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) Picture Concepts Section - Response sample and 1 to 11 number  Response numbers of picture concepts for sample items and items 1 to 11, as part of the Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) Picture Concepts subtest WPPSI3PCnRespnsSpAnd1to11Num Recommended CDE

WPPSI-III Picture Concepts-Sample item B (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) Picture Concepts Section - Response sample and 1 to 11 number  Response numbers of picture concepts for sample items and items 1 to 11, as part of the Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) Picture Concepts subtest WPPSI3PCnRespnsSpAnd1to11Num Recommended CDE

WPPSI-III Picture Concepts-Items 1 to 11 (Appears Up To 11 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 Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) Picture Concepts Section - Response sample and 1 to 11 number  Response numbers of picture concepts for sample items and items 1 to 11, as part of the Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) Picture Concepts subtest WPPSI3PCnRespnsSpAnd1to11Num Recommended CDE
3 Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) Picture Concepts Section - Item score  Item score, as part of the Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) Picture Concepts Section WPPSI3PCnItemScore Recommended CDE

WPPSI-III Picture Concepts-Items 12 to 26 (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 Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) Picture Concepts Section - Response 12 to 26 number  Response numbers of picture concepts for items 12 to 26, as part of the Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) Picture Concepts Section WPPSI3PCnRespns12to26Num Recommended CDE
3 Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) Picture Concepts Section - Item score  Item score, as part of the Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) Picture Concepts Section WPPSI3PCnItemScore Recommended CDE

WPPSI-III Picture Concepts-Items 27 to 28 (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 Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) Picture Concepts Section - Response 27 to 28 number  Response numbers of picture concepts for items 27 to 28, as part of the Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) Picture Concepts Section WPPSI3PCnRespns27to28Num Recommended CDE
3 Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) Picture Concepts Section - Item score  Item score, as part of the Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) Picture Concepts Section WPPSI3PCnItemScore Recommended CDE

WPPSI-III Picture Concepts-Scoring (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) Picture Concepts Section - PCn total raw score  Picture concepts (PCn) total score, as part of the Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) Picture Concepts Section WPPSI3PCnTtlRawScore Recommended CDE
Keywords

Change History