CDE Detailed Report

Disease: Traumatic Brain Injury
Sub-Domain: Neuropsychological Impairment
CRF: Wechsler Block Design

Displaying 1 - 13 of 13
CDE ID CDE Name Variable Name Definition Short Description Question Text Permissible Values Description Data Type Disease Specific Instructions Disease Specific Reference Population Classification (e.g., Core) Version Number Version Date CRF Name (CRF Module / Guideline) Sub Domain Name Domain Name Size Input Restrictions Min Value Max Value Measurement Type External Id Loinc External Id Snomed External Id caDSR External Id CDISC
C53954 Language form administration ISO code other text LangFormAdministratISOCodeOTH The free-text field related to 'Language form administration ISO code' specifying other text The free-text field related to 'Language form administration ISO code' specifying other tex Other, specify Alphanumeric

Other text for form administration language ISO 639-2 code. Should be used only if 1) the ISO code is not available under LangCRFAdministratISOCode permissible values or 2) the ISO code is not available at all. If the language is not specified, the default value is 'eng'- English.

ISO 639-2 language codes (http: //www.loc.gov/standards/iso639-2/php/code_list.php) Adult;Pediatric Supplemental 1.00 2017-02-10 00:00:00.0 Wechsler Block Design Neuropsychological Impairment Outcomes and End Points 4000

Free-Form Entry

C54039 Wechsler Block Design (WBD) - Correct block design indicator WBDCorrInd Correct design number indicator, as part of the Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV) and the Wechsler Preschool and Primary Scale of Intelligence, third edition (WPPSI-III) Correct design number indicator, as part of the Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV) and the Wechsler Preschool and Primary Scale of Intelligence, third edition (WPPSI-III No;Yes No;Yes Alphanumeric

Start Point for Ages 6-7: Item 1. Start Point for Ages 8-16: Item 3. Ages 8-16: Score of 0 or 1 on either of the first two items given, administer preceding items in reverse order until two consecutive perfect scores are obtained. Discontinue after 3 consecutive scores of 0. BD Scoring Rules: Items 1-3: Score 0, 1, or 2 points; Items 4-8: Score 0, or 4 points; Items 9-14: Score 0, 4, 5, 6, or 7 points. BDN scoring rules: Items 1-3: Score 0, 1, or 2; Items 4-14: Score 0 or 4 points.

Wechsler, D. (2003). Wechsler Intelligence Scale for Children-Fourth Edition: Technical and interpretive manual. San Antonio, TX: Psychological Corporation. Copyright 2003 by The Psychological Corporation, a Harcourt Assessment Company http://www.pearsonc Pediatric Supplemental 1.00 2017-02-10 00:00:00.0 Wechsler Block Design Neuropsychological Impairment Outcomes and End Points

Single Pre-Defined Value Selected

C54040 Wechsler Block Design (WBD) - Design 1 score WBD1Score Score for Design 1, as part of the Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV) and the Wechsler Preschool and Primary Scale of Intelligence, third edition (WPPSI-III) Score for Design 1, as part of the Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV) and the Wechsler Preschool and Primary Scale of Intelligence, third edition (WPPSI-III 0;1;2 Incorrect design in Trials 1 & 2;Correct design in Trial 2;Correct design in Trial 1 Numeric Values

Start Point for Ages 6-7: Item 1. Start Point for Ages 8-16: Item 3. Ages 8-16: Score of 0 or 1 on either of the first two items given, administer preceding items in reverse order until two consecutive perfect scores are obtained. Discontinue after 3 consecutive scores of 0. BD Scoring Rules: Items 1-3: Score 0, 1, or 2 points; Items 4-8: Score 0, or 4 points; Items 9-14: Score 0, 4, 5, 6, or 7 points. BDN scoring rules: Items 1-3: Score 0, 1, or 2; Items 4-14: Score 0 or 4 points; The time limit for Design 1 is 30 seconds.

Wechsler, D. (2003). Wechsler Intelligence Scale for Children-Fourth Edition: Technical and interpretive manual. San Antonio, TX: Psychological Corporation. Copyright 2003 by The Psychological Corporation, a Harcourt Assessment Company http://www.pearsonc Pediatric Supplemental 1.00 2017-02-10 00:00:00.0 Wechsler Block Design Neuropsychological Impairment Outcomes and End Points

Single Pre-Defined Value Selected

C54041 Wechsler Block Design (WBD) - Completion time WBDCompltTime Time to complete, as part of the Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV) and the Wechsler Preschool and Primary Scale of Intelligence, third edition (WPPSI-III) Time to complete, as part of the Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV) and the Wechsler Preschool and Primary Scale of Intelligence, third edition (WPPSI-III Numeric Values

Start Point for Ages 6-7: Item 1. Start Point for Ages 8-16: Item 3. Ages 8-16: Score of 0 or 1 on either of the first two items given, administer preceding items in reverse order until two consecutive perfect scores are obtained. Discontinue after 3 consecutive scores of 0. BD Scoring Rules: Items 1-3: Score 0, 1, or 2 points; Items 4-8: Score 0, or 4 points; Items 9-14: Score 0, 4, 5, 6, or 7 points. BDN scoring rules: Items 1-3: Score 0, 1, or 2; Items 4-14: Score 0 or 4 points.

Wechsler, D. (2003). Wechsler Intelligence Scale for Children-Fourth Edition: Technical and interpretive manual. San Antonio, TX: Psychological Corporation. Copyright 2003 by The Psychological Corporation, a Harcourt Assessment Company http://www.pearsonc Pediatric Supplemental 1.00 2017-02-10 00:00:00.0 Wechsler Block Design Neuropsychological Impairment Outcomes and End Points

Free-Form Entry

0 120 Second
C54042 Wechsler Block Design (WBD) - Designs 2-3 score WBD2to3Score Score for Designs 2-3, as part of the Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV) and the Wechsler Preschool and Primary Scale of Intelligence, third edition (WPPSI-III) Score for Designs 2-3, as part of the Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV) and the Wechsler Preschool and Primary Scale of Intelligence, third edition (WPPSI-III 0;1;2 Incorrect design in Trials 1 & 2;Correct design in Trial 2;Correct design in Trial 1 Numeric Values

Start Point for Ages 6-7: Item 1. Start Point for Ages 8-16: Item 3. Ages 8-16: Score of 0 or 1 on either of the first two items given, administer preceding items in reverse order until two consecutive perfect scores are obtained. Discontinue after 3 consecutive scores of 0. BD Scoring Rules: Items 1-3: Score 0, 1, or 2 points; Items 4-8: Score 0, or 4 points; Items 9-14: Score 0, 4, 5, 6, or 7 points. BDN scoring rules: Items 1-3: Score 0, 1, or 2; Items 4-14: Score 0 or 4 points; The time limit for Designs 2-3 is 45 seconds.

Wechsler, D. (2003). Wechsler Intelligence Scale for Children-Fourth Edition: Technical and interpretive manual. San Antonio, TX: Psychological Corporation. Copyright 2003 by The Psychological Corporation, a Harcourt Assessment Company http://www.pearsonc Pediatric Supplemental 1.00 2017-02-10 00:00:00.0 Wechsler Block Design Neuropsychological Impairment Outcomes and End Points

Single Pre-Defined Value Selected

C54043 Wechsler Block Design (WBD) - Designs 4-5 score WBD4to5Score Score for Designs 4-5, as part of the Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV) and the Wechsler Preschool and Primary Scale of Intelligence, third edition (WPPSI-III) Score for Designs 4-5, as part of the Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV) and the Wechsler Preschool and Primary Scale of Intelligence, third edition (WPPSI-III 0;1;2;3;4 0;1;2;3;4 Numeric Values

Start Point for Ages 6-7: Item 1. Start Point for Ages 8-16: Item 3. Ages 8-16: Score of 0 or 1 on either of the first two items given, administer preceding items in reverse order until two consecutive perfect scores are obtained. Discontinue after 3 consecutive scores of 0. BD Scoring Rules: Items 1-3: Score 0, 1, or 2 points; Items 4-8: Score 0, or 4 points; Items 9-14: Score 0, 4, 5, 6, or 7 points. BDN scoring rules: Items 1-3: Score 0, 1, or 2; Items 4-14: Score 0 or 4 points; The time limit for Designs 4-5 is 45 seconds.

Wechsler, D. (2003). Wechsler Intelligence Scale for Children-Fourth Edition: Technical and interpretive manual. San Antonio, TX: Psychological Corporation. Copyright 2003 by The Psychological Corporation, a Harcourt Assessment Company http://www.pearsonc Pediatric Supplemental 1.00 2017-02-10 00:00:00.0 Wechsler Block Design Neuropsychological Impairment Outcomes and End Points

Single Pre-Defined Value Selected

C54044 Wechsler Block Design (WBD) - Designs 6-8 score WBD6to8Score Score for Design 6-8, as part of the Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV) and the Wechsler Preschool and Primary Scale of Intelligence, third edition (WPPSI-III) Score for Design 6-8, as part of the Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV) and the Wechsler Preschool and Primary Scale of Intelligence, third edition (WPPSI-III 0;1;2;3;4 0;1;2;3;4 Numeric Values

Start Point for Ages 6-7: Item 1. Start Point for Ages 8-16: Item 3. Ages 8-16: Score of 0 or 1 on either of the first two items given, administer preceding items in reverse order until two consecutive perfect scores are obtained. Discontinue after 3 consecutive scores of 0. BD Scoring Rules: Items 1-3: Score 0, 1, or 2 points; Items 4-8: Score 0, or 4 points; Items 9-14: Score 0, 4, 5, 6, or 7 points. BDN scoring rules: Items 1-3: Score 0, 1, or 2; Items 4-14: Score 0 or 4 points; The time limit for Designs 6-8 is 75 seconds.

Wechsler, D. (2003). Wechsler Intelligence Scale for Children-Fourth Edition: Technical and interpretive manual. San Antonio, TX: Psychological Corporation. Copyright 2003 by The Psychological Corporation, a Harcourt Assessment Company http://www.pearsonc Pediatric Supplemental 1.00 2017-02-10 00:00:00.0 Wechsler Block Design Neuropsychological Impairment Outcomes and End Points

Single Pre-Defined Value Selected

C54045 Wechsler Block Design (WBD) - Designs 9-10 score WBD9to10Score Score for Design 9-10, as part of the Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV) and the Wechsler Preschool and Primary Scale of Intelligence, third edition (WPPSI-III) Score for Design 9-10, as part of the Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV) and the Wechsler Preschool and Primary Scale of Intelligence, third edition (WPPSI-III 0;4;5;6;7 Incorrect;31-75 seconds;21-30 seconds;11-20 seconds;1-10 seconds Numeric Values

Start Point for Ages 6-7: Item 1. Start Point for Ages 8-16: Item 3. Ages 8-16: Score of 0 or 1 on either of the first two items given, administer preceding items in reverse order until two consecutive perfect scores are obtained. Discontinue after 3 consecutive scores of 0. BD Scoring Rules: Items 1-3: Score 0, 1, or 2 points; Items 4-8: Score 0, or 4 points; Items 9-14: Score 0, 4, 5, 6, or 7 points. BDN scoring rules: Items 1-3: Score 0, 1, or 2; Items 4-14: Score 0 or 4 points; The time limit for Designs 9-10 is 75 seconds.

Wechsler, D. (2003). Wechsler Intelligence Scale for Children-Fourth Edition: Technical and interpretive manual. San Antonio, TX: Psychological Corporation. Copyright 2003 by The Psychological Corporation, a Harcourt Assessment Company http://www.pearsonc Pediatric Supplemental 1.00 2017-02-10 00:00:00.0 Wechsler Block Design Neuropsychological Impairment Outcomes and End Points

Single Pre-Defined Value Selected

C54046 Wechsler Block Design (WBD) - Designs 11-14 score WBD11to14Score Score for Designs 11-14, as part of the Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV) and the Wechsler Preschool and Primary Scale of Intelligence, third edition (WPPSI-III) Score for Designs 11-14, as part of the Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV) and the Wechsler Preschool and Primary Scale of Intelligence, third edition (WPPSI-III 0;4;5;6;7 Incorrect;71-120 seconds;51-70 seconds;31-50 seconds;1-30 seconds Numeric Values

Start Point for Ages 6-7: Item 1. Start Point for Ages 8-16: Item 3. Ages 8-16: Score of 0 or 1 on either of the first two items given, administer preceding items in reverse order until two consecutive perfect scores are obtained. Discontinue after 3 consecutive scores of 0. BD Scoring Rules: Items 1-3: Score 0, 1, or 2 points; Items 4-8: Score 0, or 4 points; Items 9-14: Score 0, 4, 5, 6, or 7 points. BDN scoring rules: Items 1-3: Score 0, 1, or 2; Items 4-14: Score 0 or 4 points; The time limit for Designs 11-14 is 120 seconds.

Wechsler, D. (2003). Wechsler Intelligence Scale for Children-Fourth Edition: Technical and interpretive manual. San Antonio, TX: Psychological Corporation. Copyright 2003 by The Psychological Corporation, a Harcourt Assessment Company http://www.pearsonc Pediatric Supplemental 1.00 2017-02-10 00:00:00.0 Wechsler Block Design Neuropsychological Impairment Outcomes and End Points

Single Pre-Defined Value Selected

C53909 Trial numeric number TriaNumericNum The number representing the sequence for any repeated measure test or assessment when it is performed multiple times The number representing the sequence for any repeated measure test or assessment when it is performed multiple time Numeric Values No references available Adult;Pediatric Supplemental 1.00 2017-02-10 00:00:00.0 Wechsler Block Design Neuropsychological Impairment Outcomes and End Points

Free-Form Entry

1
C54047 Wechsler Block Design (WBD) - Total raw score WBDTotalRawScore Total raw score, as part of the Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV) and the Wechsler Preschool and Primary Scale of Intelligence, third edition (WPPSI-III) Total raw score, as part of the Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV) and the Wechsler Preschool and Primary Scale of Intelligence, third edition (WPPSI-III Numeric Values

Maximum Raw Scores: Age 6-7: 68; Age 8-16: 62.

Wechsler, D. (2003). Wechsler Intelligence Scale for Children-Fourth Edition: Technical and interpretive manual. San Antonio, TX: Psychological Corporation. Copyright 2003 by The Psychological Corporation, a Harcourt Assessment Company http://www.pearsonc Pediatric Supplemental 1.00 2017-02-10 00:00:00.0 Wechsler Block Design Neuropsychological Impairment Outcomes and End Points

Free-Form Entry

0 68
C53953 Language form administration ISO code LangFormAdministratISOCode Code (ISO 639-2) for the language that was used for CRF/instrument/scale/etc. administration Code (ISO 639-2) for the language that was used for CRF/instrument/scale/etc. administration What is the ISO 639 code for the language the form/instrument has been administrated? chi;cze;dan;dut;eng;fin;fre;ger;gre;heb;hin;hun;ira;ita;jpn;nor;Other, specify;por;rus;sgn;spa;vie Chinese;Czech;Danish;Dutch;English;Finnish;French;German;Greek;Hebrew;Hindi;Hungarian;Iranian languages;Italian;Japanese;Norwegian;Other specify;Portuguese;Russian;Sign language;Spanish;Vietnamese Alphanumeric

Data Sharing Instructions: The language data should be coded using the ISO 639-2 codes ( (https://www.loc.gov/standards/iso639-2/php/code_list.php) prior to aggregation or sharing. Enter ISO 639-2 code for the language used to administer the CRF/instrument/scale/test/etc. If the language is not specified, the default value is 'eng'- English.

ISO 639-2 language codes (http://www.loc.gov/standards/iso639-2/php/code_list.php) Adult;Pediatric Supplemental 1.00 2017-02-10 00:00:00.0 Wechsler Block Design Neuropsychological Impairment Outcomes and End Points

Single Pre-Defined Value Selected

C54048 Wechsler Block Design (WBD) - Block Design No Time Bonus (BDN) raw score WBDBDNRawScore Block Design No Time Bonus (BDN) raw score, as part of the Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV) and the Wechsler Preschool and Primary Scale of Intelligence, third edition (WPPSI-III) Block Design No Time Bonus (BDN) raw score, as part of the Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV) and the Wechsler Preschool and Primary Scale of Intelligence, third edition (WPPSI-III Numeric Values

BDN based on child's performance on Block Design without additional time bonus points for rapid completion

Wechsler, D. (2003). Wechsler Intelligence Scale for Children-Fourth Edition: Technical and interpretive manual. San Antonio, TX: Psychological Corporation. Copyright 2003 by The Psychological Corporation, a Harcourt Assessment Company http://www.pearsonc Pediatric Supplemental 1.00 2017-02-10 00:00:00.0 Wechsler Block Design Neuropsychological Impairment Outcomes and End Points

Free-Form Entry

0 50
CSV