CDE Detailed Report

Disease: Sport-Related Concussion
Subdomain Name: Cognitive Assessment
CRF: Wechsler Adult Intelligence Scale - Fourth Edition (WAIS-IV)

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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 / Guidance) Subdomain Name Domain Name Size Input Restrictions Min Value Max Value Measurement Type External Id Loinc External Id Snomed External Id caDSR External Id CDISC
C21920 Wechsler Adult Intelligence Scale III (WAIS III) - Digit span backward subtest number series text WAISIIIDSBNumTxt Series of numbers, as part of Wechsler Adult Intelligence Scale III (WAIS III) Digit Span Backward subtest Series of numbers, as part of Wechsler Adult Intelligence Scale III (WAIS III) Digit Span Backward subtest Series of numbers text Numeric Values Wechsler D.A. WMS-III Administration and Scoring Manual.,San Antonio, TX: The Psychological Corporation. Harcourt Brace & Co; 1997b. Adult Supplemental-Highly Recommended 1.00 2016-06-06 13:52:24.0 Wechsler Adult Intelligence Scale - Fourth Edition (WAIS-IV) Cognitive Assessment Outcomes and End Points

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C21921 Wechsler Adult Intelligence Scale III (WAIS III) - Digit span backward subset response text WAISIIIDSBRespnsTxt Participant response, as part of Wechsler Adult Intelligence Scale III (WAIS III) Digit Span Backward subtest Participant response, as part of Wechsler Adult Intelligence Scale III (WAIS III) Digit Span Backward subtest Participant response Alphanumeric Wechsler D.A. WMS-III Administration and Scoring Manual.,San Antonio, TX: The Psychological Corporation. Harcourt Brace & Co; 1997b. Adult Supplemental-Highly Recommended 1.00 2016-06-06 14:01:53.0 Wechsler Adult Intelligence Scale - Fourth Edition (WAIS-IV) Cognitive Assessment Outcomes and End Points 4000

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C21922 Wechsler Adult Intelligence Scale III (WAIS III) - Digit span backward subtest trial score WAISIIIDSBTrialScore Trial score, as part of Wechsler Adult Intelligence Scale III (WAIS III) Digit Span Backward subtest Trial score, as part of Wechsler Adult Intelligence Scale III (WAIS III) Digit Span Backward subtest Trial score Numeric Values Wechsler D.A. WMS-III Administration and Scoring Manual.,San Antonio, TX: The Psychological Corporation. Harcourt Brace & Co; 1997b. Adult Supplemental-Highly Recommended 1.00 2016-06-06 14:04:49.0 Wechsler Adult Intelligence Scale - Fourth Edition (WAIS-IV) Cognitive Assessment Outcomes and End Points

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C21924 Wechsler Adult Intelligence Scale III (WAIS III) - Digit span backward subtest total raw score WAISIIIDSBTtlScore Total raw score, as part of Wechsler Adult Intelligence Scale III (WAIS III) Digit Span Backward subtest Total raw score, as part of Wechsler Adult Intelligence Scale III (WAIS III) Digit Span Backward subtest Total raw score Numeric Values Wechsler D.A. WMS-III Administration and Scoring Manual.,San Antonio, TX: The Psychological Corporation. Harcourt Brace & Co; 1997b. Adult Supplemental-Highly Recommended 1.00 2016-06-06 14:07:18.0 Wechsler Adult Intelligence Scale - Fourth Edition (WAIS-IV) Cognitive Assessment Outcomes and End Points

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C21899 Wechsler Adult Intelligence Scale III (WAIS III) - Digit span backward highest number score WAISIVDSBHghestNumScore Score is highest number of digits reached, as part of Wechsler Adult Intelligence Scale IV (WAIS IV) Digit Span Backward subtest Score is highest number of digits reached, as part of Wechsler Adult Intelligence Scale IV (WAIS IV) Digit Span Backward subtest Highest number of digits reached Numeric Values Wechsler D.A. WMS-III Administration and Scoring Manual.,San Antonio, TX: The Psychological Corporation. Harcourt Brace & Co; 1997b. Adult Supplemental-Highly Recommended 1.00 2016-06-06 12:52:04.0 Wechsler Adult Intelligence Scale - Fourth Edition (WAIS-IV) Cognitive Assessment Outcomes and End Points

Free-Form Entry

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C21901 Wechsler Adult Intelligence Scale III (WAIS III) - Digit span backward subtest item number WAISIIIDSBItemNum Item number, as part of Wechsler Adult Intelligence Scale III (WAIS III) Digit Span Backward subtest Item number, as part of Wechsler Adult Intelligence Scale III (WAIS III) Digit Span Backward subtest Subtest item number 1;2;3;4;5;6;7 1;2;3;4;5;6;7 Numeric Values Wechsler D.A. WMS-III Administration and Scoring Manual.,San Antonio, TX: The Psychological Corporation. Harcourt Brace & Co; 1997b. Adult Supplemental-Highly Recommended 1.00 2016-06-06 13:13:06.0 Wechsler Adult Intelligence Scale - Fourth Edition (WAIS-IV) Cognitive Assessment Outcomes and End Points

Single Pre-Defined Value Selected

C21910 Wechsler Adult Intelligence Scale III (WAIS III) - Digit span backward subtest item score WAISIIIDSBItemScore Item score calculated as a number of correct trials, as part of Wechsler Adult Intelligence Scale III (WAIS III) Digit Span Backward subtest Item score calculated as a number of correct trials, as part of Wechsler Adult Intelligence Scale III (WAIS III) Digit Span Backward subtest Number of correct trials Numeric Values Wechsler D.A. WMS-III Administration and Scoring Manual.,San Antonio, TX: The Psychological Corporation. Harcourt Brace & Co; 1997b. Adult Supplemental-Highly Recommended 1.00 2016-06-06 13:40:26.0 Wechsler Adult Intelligence Scale - Fourth Edition (WAIS-IV) Cognitive Assessment Outcomes and End Points

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C21917 Wechsler Adult Intelligence Scale III (WAIS III) - Digit span backward longest string score WAISIIIDSBLongstStrgScore Score is longest string that was repeated exactly in reverse order, as part of Wechsler Adult Intelligence Scale III (WAIS III) Digit Span Backward subtest Score is longest string that was repeated exactly in reverse order, as part of Wechsler Adult Intelligence Scale III (WAIS III) Digit Span Backward subtest Longest string score Numeric Values Wechsler D.A. WMS-III Administration and Scoring Manual.,San Antonio, TX: The Psychological Corporation. Harcourt Brace & Co; 1997b. Adult Supplemental-Highly Recommended 1.00 2016-06-06 13:45:49.0 Wechsler Adult Intelligence Scale - Fourth Edition (WAIS-IV) Cognitive Assessment Outcomes and End Points

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