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Form Structure: Wechsler Preschool and Primary Scale of Intelligence Third Edition- 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- Vocabulary subtest
Short Name:
WPPSI3VC
Description:
WPPSI-III is a measure of intelligence in young children that is more age-appropriate and user-friendly. Vocabulary subtest measures verbal knowledge and concept formation. 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:
25
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 Vocabulary-Picture item (Appears Up To 4 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) Vocabulary Section - Item range 1 score  Item range 1 score, as part of the Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) Vocabulary subtest WPPSI3VCItemRange1Score Recommended CDE
3 Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV) Vocabulary Section - Response text  Vocabulary response text, as part of the Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) WPPSI3VCRespnsTxt Recommended CDE

WPPSI-III Vocabulary-Verbal item 6-7 (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) Vocabulary Section - Item range 1 score  Item range 1 score, as part of the Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) Vocabulary subtest WPPSI3VCItemRange1Score Recommended CDE
3 Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV) Vocabulary Section - Response text  Vocabulary response text, as part of the Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) WPPSI3VCRespnsTxt Recommended CDE

WPPSI-III Vocabulary-Verbal item 8-25 (Appears Up To 18 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) Vocabulary Section - Item range 2 score  Item range 2 score, as part of the Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) Vocabulary subtest WPPSI3VCItemRange2Score Recommended CDE
3 Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV) Vocabulary Section - Response text  Vocabulary response text, as part of the Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) WPPSI3VCRespnsTxt Recommended CDE

WPPSI-III Vocabulary-Scoring (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV) Vocabulary Section - Total raw score  Vocabulary total raw score, as part of the Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) WPPSI3VCTtlRawScore Recommended CDE
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