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Form Structure: Wechsler Preschool and Primary Scale of Intelligence Third Edition- Receptive Vocabulary subtest

This form structure is an organized set of data definitions for a copyrighted form
Title:
Wechsler Preschool and Primary Scale of Intelligence Third Edition- Receptive Vocabulary subtest
Short Name:
WPPSI3RV
Description:
WPPSI-III is a measure of intelligence in young children that is more age-appropriate and user-friendly. In Receptive Vocabulary section, the child looks at a group of four pictures and points to the one the examiner names aloud. 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:
22
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

WPPSI-III-Receptive Vocabulary-all items except for Q23 (Appears Up To 37 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) Receptive vocabulary section - Word text  Word text, as part of Wechsler Preschool and Primary Scale of Intelligence - Third Edition (WPPSI - III) WPPSI3RVWordTxt Recommended CDE
3 Wechsler Preschool and Primary Scale of Intelligence - Third Edition (WPPSI-III) Receptive vocabulary section - Response text  Receptive vocabulary response, as part of Wechsler Preschool and Primary Scale of Intelligence - Third Edition (WPPSI - III) WPPSI3RVRespnsNum Recommended CDE
4 Wechsler Preschool and Primary Scale of Intelligence - Third Edition (WPPSI-III) Receptive vocabulary section - Item score  Receptive vocabulary item score, as part of Wechsler Preschool and Primary Scale of Intelligence - Third Edition (WPPSI - III) WPPSI3RVItemScore Recommended CDE

WPPSI-III-Receptive Vocabulary-Item 23 (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 Wechsler Preschool and Primary Scale of Intelligence - Third Edition (WPPSI-III) Receptive vocabulary section - Bird beneath the tree text  Response to question 23 " the bird beneath the tree" of the Receptive vocabulary section, as part of Wechsler Preschool and Primary Scale of Intelligence - Third Edition (WPPSI - III) WPPSI3RVBirdBeneathTreeTxt Recommended CDE
2 Wechsler Preschool and Primary Scale of Intelligence - Third Edition (WPPSI-III) Receptive vocabulary section - Item score  Receptive vocabulary item score, as part of Wechsler Preschool and Primary Scale of Intelligence - Third Edition (WPPSI - III) WPPSI3RVItemScore Recommended CDE

WPPSI-III-Receptive Vocabulary-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) Receptive vocabulary section - Total raw score  Receptive vocabulary total raw score, as part of Wechsler Preschool and Primary Scale of Intelligence - Third Edition (WPPSI - III) WPPSI3RVTtlRawScore Recommended CDE
Keywords

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