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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 Age 2 to 3
Short Name:
WPPSI3_2_3
Description:
WPPSI-III is a measure of intelligence in young children that is more age-appropriate and user-friendly. 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:
79
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

WPPSI3 Age 2-3- Raw scores (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
2 Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI - III) Block Design Section - Total raw score  Total raw score, as part of Wechsler Preschool and Primary Scale of Intelligence - Third Edition (WPPSI - III) WPPSI3BlockDesgnTotalRawScore Recommended CDE
3 Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) Information Section - Total raw score  Information total raw score, as part of the Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) WPPSI3INTtlRawScore Recommended CDE
4 Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) Object Assembly Section - Completion time  Object assembly total raw score, as part of the Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) WPPSI3OATtlRawScore Recommended CDE
5 Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) Picture Naming Section - Total raw score  Picture naming total raw score, as part of the Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) WPPSI3PNTtlRawScore Recommended CDE

WPPSI3 Age 2-3- Scaled scores (Appears Up To 5 Times)

# Title Short Description Variable Name Required? Type
1 Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) - Subtest type  Subtest type, as part of the Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) WPPSI3SubtestTyp Recommended CDE
2 Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) - Scaled score  Scale score, as part of the Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) WPPSI3SclScore Recommended CDE

WPPSI3 Age 2-3- Statistical parameter (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) - Statistical significance value  Alpha level, as part of the Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) WPPSI3StatSigVal Recommended CDE

WPPSI3 Age 2-3- Verbal (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) - Age 2 to 3 verbal scaled score  Verbal scaled score for age 2-3, as part of the Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) WPPSI3Age2to3VerbalSclScore Recommended CDE
2 Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) - Verbal composite score  VIQ, as part of the Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) WPPSI3VerbalCompstScore Recommended CDE
3 Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) - Percentile rank score  Percentile rank, as part of the Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) WPPSI3PerctlRankScore Recommended CDE
4 Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) - Lower bound value  Lower bound of the confidence interval, as part of the Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) WPPSI3LowerBoundVal Recommended CDE
5 Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) - Upper bound value  Upper bound of the confidence interval, as part of the Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) WPPSI3UpperBoundVal Recommended CDE

WPPSI3 Age 2-3- Performance (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) - Age 2 to 3 performance scaled score  Performance scaled score for age 2-3, as part of the Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) WPPSI3Age2to3PerformncSclScore Recommended CDE
2 Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) - Performance composite score  PIQ, as part of the Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) WPPSI3PerformanceCompstScore Recommended CDE
3 Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) - Percentile rank score  Percentile rank, as part of the Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) WPPSI3PerctlRankScore Recommended CDE
4 Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) - Lower bound value  Lower bound of the confidence interval, as part of the Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) WPPSI3LowerBoundVal Recommended CDE
5 Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) - Upper bound value  Upper bound of the confidence interval, as part of the Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) WPPSI3UpperBoundVal Recommended CDE

WPPSI3 Age 2-3- Full scale (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) - Age 2 to 3 full scale score  Full scale score for age 2-3, as part of the Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) WPPSI3Age2to3FullSclScore Recommended CDE
2 Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) - Full scale composite score  FSIQ, as part of the Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) WPPSI3FullSclCompstScore Recommended CDE
3 Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) - Percentile rank score  Percentile rank, as part of the Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) WPPSI3PerctlRankScore Recommended CDE
4 Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) - Lower bound value  Lower bound of the confidence interval, as part of the Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) WPPSI3LowerBoundVal Recommended CDE
5 Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) - Upper bound value  Upper bound of the confidence interval, as part of the Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) WPPSI3UpperBoundVal Recommended CDE

WPPSI3 Age 2-3- General language (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) - General language scaled score  General language scaled score, as part of the Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) WPPSI3GenLangSclScore Recommended CDE
2 Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) - General language composite score  GLC, as part of the Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) WPPSI3GenLanguageCompstScore Recommended CDE
3 Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) - Percentile rank score  Percentile rank, as part of the Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) WPPSI3PerctlRankScore Recommended CDE
4 Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) - Lower bound value  Lower bound of the confidence interval, as part of the Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) WPPSI3LowerBoundVal Recommended CDE
5 Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) - Upper bound value  Upper bound of the confidence interval, as part of the Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) WPPSI3UpperBoundVal Recommended CDE

Discrepancy comparisons-Composite level: VIQ-PIQ (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) - Composite difference score  Composite difference score, as part of the Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) WPPSI3CompstDiffScore Recommended CDE
2 Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) - Critical value  Critical value, as part of the Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) WPPSI3CritVal Recommended CDE
3 Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) - Significant difference indicator  Significant difference indicator, as part of the Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) WPPSI3SigDiffInd Recommended CDE
4 Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) - Base rate value  Base rate value, as part of the Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) WPPSI3BaseRtVal Recommended CDE

Discrepancy comparisons-Subtest level: IN vs. RV (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) - Subtest difference score  Subtest difference score, as part of the Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) WPPSI3SubtestDiffScore Recommended CDE
2 Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) - Critical value  Critical value, as part of the Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) WPPSI3CritVal Recommended CDE
3 Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) - Significant difference indicator  Significant difference indicator, as part of the Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) WPPSI3SigDiffInd Recommended CDE
4 Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) - Base rate value  Base rate value, as part of the Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) WPPSI3BaseRtVal Recommended CDE

Discrepancy comparisons-Subtest level: OA vs. BD (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) - Subtest difference score  Subtest difference score, as part of the Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) WPPSI3SubtestDiffScore Recommended CDE
2 Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) - Critical value  Critical value, as part of the Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) WPPSI3CritVal Recommended CDE
3 Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) - Significant difference indicator  Significant difference indicator, as part of the Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) WPPSI3SigDiffInd Recommended CDE
4 Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) - Base rate value  Base rate value, as part of the Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) WPPSI3BaseRtVal Recommended CDE

Discrepancy comparisons-Subtest level: RV vs. PN (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) - Subtest difference score  Subtest difference score, as part of the Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) WPPSI3SubtestDiffScore Recommended CDE
2 Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) - Critical value  Critical value, as part of the Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) WPPSI3CritVal Recommended CDE
3 Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) - Significant difference indicator  Significant difference indicator, as part of the Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) WPPSI3SigDiffInd Recommended CDE
4 Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) - Base rate value  Base rate value, as part of the Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) WPPSI3BaseRtVal Recommended CDE

Discrepancy comparisons-Basis for comparison (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) - Comparison group status  Comparison group, as part of the Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) WPPSI3ComprsnGrpStat Recommended CDE
2 Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) - Statistical significance level  Statistical significance level, as part of the Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) WPPSI3StatSigLevel Recommended CDE

Determining strengths and weaknesses (Appears Up To 4 Times)

# Title Short Description Variable Name Required? Type
1 Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) - Subtest type  Subtest type, as part of the Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) WPPSI3SubtestTyp Recommended CDE
2 Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) - Scaled score  Scale score, as part of the Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) WPPSI3SclScore Recommended CDE
3 Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) - Difference from the mean score  Difference from the mean, as part of the Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) WPPSI3DiffFmMeanScore Recommended CDE
4 Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) - Critical value  Critical value, as part of the Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) WPPSI3CritVal Recommended CDE
5 Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) - Strength weakness indicator  Strength or weakness, as part of the Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) WPPSI3StrengthWeaknessStat Recommended CDE
6 Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) - Base rate value  Base rate value, as part of the Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) WPPSI3BaseRtVal Recommended CDE

Determining strengths and weaknesses-Basis (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) - Statistical significance level  Statistical significance level, as part of the Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) WPPSI3StatSigLevel Recommended CDE

All 4 subtests (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) - Sum 4 scaled score  Sum of four scaled scores, as part of the Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) WPPSI3Sum4SclScore Recommended CDE
2 Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) - Mean scaled score  Mean scaled score, as part of the Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) WPPSI3MeanSclScore Recommended CDE

Behavioral observations (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 Wechsler instruments - Referral source text  Description of referral source/reason for referral/presenting complaints, as part of the Wechsler instruments WechslerReferralSourceTxt Recommended CDE
2 Wechsler instruments - Language text  Language description, as part of the Wechsler instruments WechslerLanguageTxt Recommended CDE
3 Wechsler instruments - Physical appearance text  Description of physical appearance, as part of the Wechsler instruments WechslerPhysAppearnceTxt Recommended CDE
4 Wechsler instruments - VAM problems text  Description of visual/auditory/motor problems, as part of the Wechsler instruments WechslerVAMProbTxt Recommended CDE
5 Wechsler instruments - Attention concentration text  Description of attention and concentration, as part of the Wechsler instruments WechslerAttnConcntratnTxt Recommended CDE
6 Wechsler instruments - Attitude toward testing text  Description of attention and concentration, as part of the Wechsler instruments WechslerAttdeTwdTestingTxt Recommended CDE
7 Wechsler instruments - Affect mood text  Description of affect/mood, as part of the Wechsler instruments WechslerAffectMoodTxt Recommended CDE
8 Wechsler instruments - Unusual behaviors text  Description of unusual behaviors/verbalizations, as part of the Wechsler instruments WechslerUnusualBehrsTxt Recommended CDE
9 Wechsler instruments - Other notes text  Other notes text, as part of the Wechsler instruments WechslerOtherNotesTxt Recommended CDE
Keywords

Change History