Form Structure: Wide Range Achievement Test 4 (WRAT4) - Score Summary Table
This form structure is an organized set of data definitions for a copyrighted form
Title:
Wide Range Achievement Test 4 (WRAT4) - Score Summary Table
Short Name:
WRAT4ScoreSummaryTable
Description:
The Wide Range Achievement Test (WRAT4) Summary Score form collects the summary scores for Blue form, Green form and Combined form. Copyright 2006 by Wide Range, Inc. All rights reserved. No reproduction is allowed without the express written permission of NCS Pearson, Inc. Published and distributed exclusively under license from Wide Range, Inc. NCS Pearson, Inc., 5601 Green Valley Drive, Bloomington, MN 55437. www.PearsonCIInlcal.com References: Wilkinson, G. S., & Robertson, G. J. (2006). Wide Range Achievement Test–Fourth Edition. Lutz, FL: Psychological Assessment Resources.
Disease:
Traumatic Brain Injury
General (For all diseases)
Organization:
NIH/CIT/BRICS
Required Program Form:
No
Standardization:
Standard NINDS CDE
Labels:
Form Type:
Clinical Assessment
Publication Date:
2017-03-30
Version:
1.0
Date Created:
2016-08-22
Owner:
Number of Data Elements:
72
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 |
WRAT4 Form administration (Appears Up To 3 Times)
| # | Title | Short Description | Variable Name | Required? | Type |
|---|---|---|---|---|---|
| 1 | Wide Range Achievement Test 4 (WRAT-4) - Word reading test type | The type of sub-test performed, as part of the Wide Range Achievement Test 4 (WRAT-4). | WRAT4WrdRdngTestTyp | Recommended | CDE |
| 2 | Wide Range Achievement Test 4 (WRAT-4) - Word region text | Text to describe the region where the subject took the test, as part of the Wide Range Achievement Test 4 (WRAT-4). | WRAT4WrdRdngRegionTxt | Recommended | CDE |
WRAT4 Word Reading Summary Score (Appears Up To 3 Times)
| # | Title | Short Description | Variable Name | Required? | Type |
|---|---|---|---|---|---|
| 1 | Wide Range Achievement Test 4 Revision 4 (WRAT) - total raw score | Word reading total raw score for the Wide Range Achievement Test Revision 4 (WRAT). | WRAT_TotalRawScore | Recommended | CDE |
| 2 | Wide Range Achievement Test 4 (WRAT-4) - Standard score | The subject's standardized score, as part of the Wide Range Achievement Test 4 (WRAT-4). | WRAT4StdScore | Recommended | CDE |
| 3 | Wide Range Achievement Test 4 (WRAT-4) - Standard score grade semester type | Type of grade semester, the standard score was assessed, as part of the Wide Range Achievement Test 4 (WRAT-4). | WRAT4StdScoreGradeSemTyp | Recommended | CDE |
| 4 | Wide Range Achievement Test 4 (WRAT-4) - 85 percent confidence interval score | The subject's confidence interval is at 85 percent score, as part of the Wide Range Achievement Test 4 (WRAT-4). | WRAT4CnfIntrvl85PtScore | Recommended | CDE |
| 5 | Wide Range Achievement Test 4 (WRAT-4) - 90 percent confidence interval score | The subject's confidence interval is at 90 percent score, as part of the Wide Range Achievement Test 4 (WRAT-4). | WRAT4CnfIntrvl90PtScore | Recommended | CDE |
| 6 | Wide Range Achievement Test 4 (WRAT-4) - 95 percent confidence interval score | The subject's confidence interval is at 95 percent score, as part of the Wide Range Achievement Test 4 (WRAT-4). | WRAT4CnfIntrvl95PtScore | Recommended | CDE |
| 7 | Wide Range Achievement Test 4 (WRAT-4) - Percentile rank number | The subject's percentile rank of performance, as part of the Wide Range Achievement Test 4 (WRAT-4). | WRAT4WrdRdngPercentileRnkNum | Recommended | CDE |
| 8 | Wide Range Achievement Test 4 (WRAT-4) - Grade equivalence score | The subject's grade equivalence score, as part of the Wide Range Achievement Test 4 (WRAT-4). | WRAT4WrdRdngGradeEquivScore | Recommended | CDE |
| 9 | Wide Range Achievement Test 4 (WRAT-4) - Normal curve equivalents score | The subject's normal curve equivalents score, as part of the Wide Range Achievement Test 4 (WRAT-4). | WRAT4WrdRdngNormCurvEqScore | Recommended | CDE |
| 10 | Wide Range Achievement Test 4 (WRAT-4) - Stanine score | The subject's scaled score on a nine point standard scale (with a mean of five and a standard deviation of two), as part of the Wide Range Achievement Test 4 (WRAT-4). | WRAT4WrdRdngStanineScore | Recommended | CDE |
| 11 | Wide Range Achievement Test 4 (WRAT-4) - Performance level category | The category to describe the subject's performance, as part of the Wide Range Achievement Test 4 (WRAT-4). | WRAT4PerfLvlCat | Recommended | CDE |
WRAT4 Sentence Comprehension Summary Score (Appears Up To 3 Times)
| # | Title | Short Description | Variable Name | Required? | Type |
|---|---|---|---|---|---|
| 1 | Wide Range Achievement Test (WRAT-4) - Sentence comprehension raw score | Raw score for the sentence comprehension subtest given, as a part of the Wide Range Achievement Test (WRAT-4) | WRAT4SentenceCompRawScore | Recommended | CDE |
| 2 | Wide Range Achievement Test (WRAT)- Standard Score | WRAT Standard Score | WRAT_StandardScore | Recommended | UDE |
| 3 | Wide Range Achievement Test 4 (WRAT-4) - Standard score grade semester type | Type of grade semester, the standard score was assessed, as part of the Wide Range Achievement Test 4 (WRAT-4). | WRAT4StdScoreGradeSemTyp | Recommended | CDE |
| 4 | Wide Range Achievement Test 4 (WRAT-4) - 85 percent confidence interval score | The subject's confidence interval is at 85 percent score, as part of the Wide Range Achievement Test 4 (WRAT-4). | WRAT4CnfIntrvl85PtScore | Recommended | CDE |
| 5 | Wide Range Achievement Test 4 (WRAT-4) - 90 percent confidence interval score | The subject's confidence interval is at 90 percent score, as part of the Wide Range Achievement Test 4 (WRAT-4). | WRAT4CnfIntrvl90PtScore | Recommended | CDE |
| 6 | Wide Range Achievement Test 4 (WRAT-4) - 95 percent confidence interval score | The subject's confidence interval is at 95 percent score, as part of the Wide Range Achievement Test 4 (WRAT-4). | WRAT4CnfIntrvl95PtScore | Recommended | CDE |
| 7 | Wide Range Achievement Test 4 (WRAT-4) - Percentile rank number | The subject's percentile rank of performance, as part of the Wide Range Achievement Test 4 (WRAT-4). | WRAT4PercentileRnkNum | Recommended | CDE |
| 8 | Wide Range Achievement Test 4 (WRAT-4) - Grade equivalence score | The subject's grade equivalence score, as part of the Wide Range Achievement Test 4 (WRAT-4). | WRAT4GradeEquivScore | Recommended | CDE |
| 9 | Wide Range Achievement Test 4 (WRAT-4) - Normal curve equivalents score | The subject's normal curve equivalents score, as part of the Wide Range Achievement Test 4 (WRAT-4). | WRAT4NormCurvEqScore | Recommended | CDE |
| 10 | Wide Range Achievement Test 4 (WRAT-4) - Stanine score | The subject's scaled score on a nine point standard scale (with a mean of five and a standard deviation of two), as part of the Wide Range Achievement Test 4 (WRAT-4). | WRAT4StanineScore | Recommended | CDE |
| 11 | Wide Range Achievement Test 4 (WRAT-4) - Performance level category | The category to describe the subject's performance, as part of the Wide Range Achievement Test 4 (WRAT-4). | WRAT4PerfLvlCat | Recommended | CDE |
WRAT4 Spelling Summary Score (Appears Up To 3 Times)
| # | Title | Short Description | Variable Name | Required? | Type |
|---|---|---|---|---|---|
| 1 | Wide Range Achievement Test (WRAT-4) - Spelling total raw score | Total raw score for part 2 of the spelling test, as a part of Wide Range Achievement Test (WRAT-4) | WRAT4SpellingTotalRawScore | Recommended | CDE |
| 2 | Wide Range Achievement Test (WRAT)- Standard Score | WRAT Standard Score | WRAT_StandardScore | Recommended | UDE |
| 3 | Wide Range Achievement Test 4 (WRAT-4) - Standard score grade semester type | Type of grade semester, the standard score was assessed, as part of the Wide Range Achievement Test 4 (WRAT-4). | WRAT4StdScoreGradeSemTyp | Recommended | CDE |
| 4 | Wide Range Achievement Test 4 (WRAT-4) - 85 percent confidence interval score | The subject's confidence interval is at 85 percent score, as part of the Wide Range Achievement Test 4 (WRAT-4). | WRAT4CnfIntrvl85PtScore | Recommended | CDE |
| 5 | Wide Range Achievement Test 4 (WRAT-4) - 90 percent confidence interval score | The subject's confidence interval is at 90 percent score, as part of the Wide Range Achievement Test 4 (WRAT-4). | WRAT4CnfIntrvl90PtScore | Recommended | CDE |
| 6 | Wide Range Achievement Test 4 (WRAT-4) - 95 percent confidence interval score | The subject's confidence interval is at 95 percent score, as part of the Wide Range Achievement Test 4 (WRAT-4). | WRAT4CnfIntrvl95PtScore | Recommended | CDE |
| 7 | Wide Range Achievement Test 4 (WRAT-4) - Percentile rank number | The subject's percentile rank of performance, as part of the Wide Range Achievement Test 4 (WRAT-4). | WRAT4PercentileRnkNum | Recommended | CDE |
| 8 | Wide Range Achievement Test 4 (WRAT-4) - Grade equivalence score | The subject's grade equivalence score, as part of the Wide Range Achievement Test 4 (WRAT-4). | WRAT4GradeEquivScore | Recommended | CDE |
| 9 | Wide Range Achievement Test 4 (WRAT-4) - Normal curve equivalents score | The subject's normal curve equivalents score, as part of the Wide Range Achievement Test 4 (WRAT-4). | WRAT4NormCurvEqScore | Recommended | CDE |
| 10 | Wide Range Achievement Test 4 (WRAT-4) - Stanine score | The subject's scaled score on a nine point standard scale (with a mean of five and a standard deviation of two), as part of the Wide Range Achievement Test 4 (WRAT-4). | WRAT4StanineScore | Recommended | CDE |
| 11 | Wide Range Achievement Test 4 (WRAT-4) - Performance level category | The category to describe the subject's performance, as part of the Wide Range Achievement Test 4 (WRAT-4). | WRAT4PerfLvlCat | Recommended | CDE |
WRAT4 Math Computation Summary Score (Appears Up To 3 Times)
| # | Title | Short Description | Variable Name | Required? | Type |
|---|---|---|---|---|---|
| 1 | Wide Range Achievement Test (WRAT-4) - Math computation total raw score | Total raw score of the math computation test given, as a part of Wide Range Achievement Test (WRAT-4) | WRAT4MathComputnTotalRawScore | Recommended | CDE |
| 2 | Wide Range Achievement Test (WRAT)- Standard Score | WRAT Standard Score | WRAT_StandardScore | Recommended | UDE |
| 3 | Wide Range Achievement Test 4 (WRAT-4) - Standard score grade semester type | Type of grade semester, the standard score was assessed, as part of the Wide Range Achievement Test 4 (WRAT-4). | WRAT4StdScoreGradeSemTyp | Recommended | CDE |
| 4 | Wide Range Achievement Test 4 (WRAT-4) - 85 percent confidence interval score | The subject's confidence interval is at 85 percent score, as part of the Wide Range Achievement Test 4 (WRAT-4). | WRAT4CnfIntrvl85PtScore | Recommended | CDE |
| 5 | Wide Range Achievement Test 4 (WRAT-4) - 90 percent confidence interval score | The subject's confidence interval is at 90 percent score, as part of the Wide Range Achievement Test 4 (WRAT-4). | WRAT4CnfIntrvl90PtScore | Recommended | CDE |
| 6 | Wide Range Achievement Test 4 (WRAT-4) - 95 percent confidence interval score | The subject's confidence interval is at 95 percent score, as part of the Wide Range Achievement Test 4 (WRAT-4). | WRAT4CnfIntrvl95PtScore | Recommended | CDE |
| 7 | Wide Range Achievement Test 4 (WRAT-4) - Percentile rank number | The subject's percentile rank of performance, as part of the Wide Range Achievement Test 4 (WRAT-4). | WRAT4PercentileRnkNum | Recommended | CDE |
| 8 | Wide Range Achievement Test 4 (WRAT-4) - Grade equivalence score | The subject's grade equivalence score, as part of the Wide Range Achievement Test 4 (WRAT-4). | WRAT4GradeEquivScore | Recommended | CDE |
| 9 | Wide Range Achievement Test 4 (WRAT-4) - Normal curve equivalents score | The subject's normal curve equivalents score, as part of the Wide Range Achievement Test 4 (WRAT-4). | WRAT4NormCurvEqScore | Recommended | CDE |
| 10 | Wide Range Achievement Test 4 (WRAT-4) - Stanine score | The subject's scaled score on a nine point standard scale (with a mean of five and a standard deviation of two), as part of the Wide Range Achievement Test 4 (WRAT-4). | WRAT4StanineScore | Recommended | CDE |
| 11 | Wide Range Achievement Test 4 (WRAT-4) - Performance level category | The category to describe the subject's performance, as part of the Wide Range Achievement Test 4 (WRAT-4). | WRAT4PerfLvlCat | Recommended | CDE |
WRAT4 Reading Composite Summary Score (Appears Up To 3 Times)
| # | Title | Short Description | Variable Name | Required? | Type |
|---|---|---|---|---|---|
| 1 | Wide Range Achievement Test 4 (WRAT- 4) - Reading composite raw score | Raw score for the reading composite, as a part of the Wide Range of Achievement Test 4 (WRAT- 4) | WRAT4ReadingCompositeRawScore | Recommended | CDE |
| 2 | Wide Range Achievement Test (WRAT)- Standard Score | WRAT Standard Score | WRAT_StandardScore | Recommended | UDE |
| 3 | Wide Range Achievement Test 4 (WRAT-4) - Standard score grade semester type | Type of grade semester, the standard score was assessed, as part of the Wide Range Achievement Test 4 (WRAT-4). | WRAT4StdScoreGradeSemTyp | Recommended | CDE |
| 4 | Wide Range Achievement Test 4 (WRAT-4) - 85 percent confidence interval score | The subject's confidence interval is at 85 percent score, as part of the Wide Range Achievement Test 4 (WRAT-4). | WRAT4CnfIntrvl85PtScore | Recommended | CDE |
| 5 | Wide Range Achievement Test 4 (WRAT-4) - 90 percent confidence interval score | The subject's confidence interval is at 90 percent score, as part of the Wide Range Achievement Test 4 (WRAT-4). | WRAT4CnfIntrvl90PtScore | Recommended | CDE |
| 6 | Wide Range Achievement Test 4 (WRAT-4) - 95 percent confidence interval score | The subject's confidence interval is at 95 percent score, as part of the Wide Range Achievement Test 4 (WRAT-4). | WRAT4CnfIntrvl95PtScore | Recommended | CDE |
| 7 | Wide Range Achievement Test 4 (WRAT-4) - Percentile rank number | The subject's percentile rank of performance, as part of the Wide Range Achievement Test 4 (WRAT-4). | WRAT4PercentileRnkNum | Recommended | CDE |
| 8 | Wide Range Achievement Test 4 (WRAT-4) - Grade equivalence score | The subject's grade equivalence score, as part of the Wide Range Achievement Test 4 (WRAT-4). | WRAT4GradeEquivScore | Recommended | CDE |
| 9 | Wide Range Achievement Test 4 (WRAT-4) - Normal curve equivalents score | The subject's normal curve equivalents score, as part of the Wide Range Achievement Test 4 (WRAT-4). | WRAT4NormCurvEqScore | Recommended | CDE |
| 10 | Wide Range Achievement Test 4 (WRAT-4) - Stanine score | The subject's scaled score on a nine point standard scale (with a mean of five and a standard deviation of two), as part of the Wide Range Achievement Test 4 (WRAT-4). | WRAT4StanineScore | Recommended | CDE |
| 11 | Wide Range Achievement Test 4 (WRAT-4) - Performance level category | The category to describe the subject's performance, as part of the Wide Range Achievement Test 4 (WRAT-4). | WRAT4PerfLvlCat | Recommended | CDE |
Keywords
