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CDE Detailed Report
This report contains detailed information about the selected CDEs.
Note: If at least one CDE was selected from a copyright- or trademark-protected instrument/scale then all of the CDEs from that instrument/scale are included in this report.
Disease: Huntington's Disease
Sub-Domain: History of Disease/Injury Event
CRF: Ohio State University TBI Identification Method Short Form
Item count: 24 (24 distinct CDEs)
CDE ID
CDE Name
Variable Name
Definition / Description
Question Text
Permissible Value
Description
Data Type
Instructions
References
Population
Classification (e.g., Core)
Version #
Version Date
Aliases for Variable Name
CRF Module / Guideline
© or TM
Sub-Domain
Domain
Previous Title
Size
Input Restrictions
Min Value
Max Value
Measurement Type
LOINC ID
SNOMED
caDSR ID
CDISC ID
C07454
Ohio State TBI Method Short Form (OSUTBIMS) - identification method hospitalization indicator
OSUTBIMSIdentMethHospInd
Number and cause of injuries to head or neck that which subject endured and had to go to a hospital or emergency room as part of Ohio State TBI Method Short Form (OSUTBIMS).
Have you ever been hospitalized or treated in an emergency room following an injury to your head or neck? Think about any childhood injuries you remember or were told about.
Yes;No;
Yes;No;
Alphanumeric
No instructions available
Adapted with permission from the Ohio State University TBI Identification Method [Corrigan JD, Bogner JA. Initial reliability and validity of the OSU TBI Identification Method. J Head Trauma Rehabil. Nov-Dec 2007;22(6):318-329. copyright reserved 2007, The Ohio Valley Center for Brain Injury Prevention and Rehabilitation]
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Ohio State University TBI Identification Method Short Form
History of Disease/Injury Event
Disease/Injury Related Events
OSU TBI ID SF Scoring Q1
 
Single Pre-Defined Value Selected
       
C07455
Ohio State TBI Method Short Form (OSUTBIMS) - identification method moving vehicle injury indicator
OSUTBIMSIdentMethMovVehInjInd
Number and cause of injuries to head or neck that which subject endured from a moving vehicle accident as part of Ohio State TBI Method Short Form (OSUTBIMS).
Have you ever injured your head or neck in a car accident or from some other moving vehicle accident motorcycle ATV?
Yes;No;
Yes;No;
Alphanumeric
No instructions available
Adapted with permission from the Ohio State University TBI Identification Method [Corrigan JD, Bogner JA. Initial reliability and validity of the OSU TBI Identification Method. J Head Trauma Rehabil. Nov-Dec 2007;22(6):318-329. copyright reserved 2007, The Ohio Valley Center for Brain Injury Prevention and Rehabilitation]
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Ohio State University TBI Identification Method Short Form
History of Disease/Injury Event
Disease/Injury Related Events
OSU TBI ID SF Scoring Q2
 
Single Pre-Defined Value Selected
       
C07456
Ohio State TBI Method Short Form (OSUTBIMS) - identification method object hit injury indicator
OSUTBIMSIdentMethObjHitInjInd
Number and cause of injuries to head or neck that which subject endured from being hit by something as part of Ohio State TBI Method Short Form (OSUTBIMS).
Have you ever injured your head or neck in a fall or from being hit by something e.g. falling from a bike horse or rollerblades falling on ice being hit by a rock? Have you ever injured your head or neck playing sports or on the playground?
Yes;No;
Yes;No;
Alphanumeric
No instructions available
Adapted with permission from the Ohio State University TBI Identification Method [Corrigan JD, Bogner JA. Initial reliability and validity of the OSU TBI Identification Method. J Head Trauma Rehabil. Nov-Dec 2007;22(6):318-329. copyright reserved 2007, The Ohio Valley Center for Brain Injury Prevention and Rehabilitation]
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Ohio State University TBI Identification Method Short Form
History of Disease/Injury Event
Disease/Injury Related Events
OSU TBI ID SF Scoring Q3
 
Single Pre-Defined Value Selected
       
C07457
Ohio State TBI Method Short Form (OSUTBIMS) - identification method person hit indicator
OSUTBIMSIdentMethPersHitInd
Number and cause of injuries to head or neck that which subject endured from a fight or from being hit by someone or from being shaken as part of Ohio State TBI Method Short Form (OSUTBIMS).
Have you ever injured your head or neck in a fight, from being hit by someone, or from being shaken violently? Have you ever been shot in the head?
Yes;No;
Yes;No;
Alphanumeric
No instructions available
Adapted with permission from the Ohio State University TBI Identification Method [Corrigan JD, Bogner JA. Initial reliability and validity of the OSU TBI Identification Method. J Head Trauma Rehabil. Nov-Dec 2007;22(6):318-329. copyright reserved 2007, The Ohio Valley Center for Brain Injury Prevention and Rehabilitation]
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Ohio State University TBI Identification Method Short Form
History of Disease/Injury Event
Disease/Injury Related Events
OSU TBI ID SF Scoring Q4
 
Single Pre-Defined Value Selected
       
C07458
Ohio State TBI Method Short Form (OSUTBIMS) - identification method explosion injury indicator
OSUTBIMSIdentMethExplInjInd
Number of times and cause for subject to come in close contact with an explosion or blast as part of Ohio State TBI Method Short Form (OSUTBIMS).
Have you ever been nearby when an explosion or a blast occurred? If you served in the military, think about any combat or training related incidents.
Yes;No;
Yes;No;
Alphanumeric
No instructions available
Adapted with permission from the Ohio State University TBI Identification Method [Corrigan JD, Bogner JA. Initial reliability and validity of the OSU TBI Identification Method. J Head Trauma Rehabil. Nov-Dec 2007;22(6):318-329. copyright reserved 2007, The Ohio Valley Center for Brain Injury Prevention and Rehabilitation]
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Ohio State University TBI Identification Method Short Form
History of Disease/Injury Event
Disease/Injury Related Events
OSU TBI ID SF Scoring Q5
 
Single Pre-Defined Value Selected
       
C07459
Ohio State TBI Method Short Form (OSUTBIMS) - ask question category
OSUTBIMSAskQuestionCat
Indicator of whether or not subject has lost consciousness and for how long and if not whether subject was dazed or has a gap in their memory from the injury. Also indicates how old the subject was as part of Ohio State TBI Method Short Form (OSUTBIMS).
If all above are no then proceed to question 7. If answered yes to any of the questions above ask the following for each injury Were you knocked or did you lose consciousness LOC? If yes how long? If no were you dazed or did you have a gap in your memory
  
Numeric Values
See instructions on form
Adapted with permission from the Ohio State University TBI Identification Method [Corrigan JD, Bogner JA. Initial reliability and validity of the OSU TBI Identification Method. J Head Trauma Rehabil. Nov-Dec 2007;22(6):318-329. copyright reserved 2007, The Ohio Valley Center for Brain Injury Prevention and Rehabilitation]
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Ohio State University TBI Identification Method Short Form
History of Disease/Injury Event
Disease/Injury Related Events
OSU TBI ID SF Scoring Q6
 
Free-Form Entry
       
C18063
Ohio State TBI Method Short Form (OSUTBIMS) - cause reason
OSUTBIMSCauseRsn
The cause of the subject's injury as part of Ohio State TBI Method Short Form (OSUTBIMS).
Cause
  
Alphanumeric
No instructions available
Adapted with permission from the Ohio State University TBI Identification Method [Corrigan JD, Bogner JA. Initial reliability and validity of the OSU TBI Identification Method. J Head Trauma Rehabil. Nov-Dec 2007;22(6):318-329. copyright reserved 2007, The Ohio Valley Center for Brain Injury Prevention and Rehabilitation]
Adult
Supplemental
3.0
7/20/2013
Aliases for variable name not defined
Ohio State University TBI Identification Method Short Form
History of Disease/Injury Event
Disease/Injury Related Events
 
255
Free-Form Entry
       
C18064
Ohio State TBI Method Short Form (OSUTBIMS) - no loss of consciousness result
OSUTBIMSNoLOCReslt
Whether the subject had a loss of consciousness or not as part of Ohio State TBI Method Short Form (OSUTBIMS)
No LOC
  
Alphanumeric
No instructions available
Adapted with permission from the Ohio State University TBI Identification Method [Corrigan JD, Bogner JA. Initial reliability and validity of the OSU TBI Identification Method. J Head Trauma Rehabil. Nov-Dec 2007;22(6):318-329. copyright reserved 2007, The Ohio Valley Center for Brain Injury Prevention and Rehabilitation]
Adult
Supplemental
3.0
7/20/2013
Aliases for variable name not defined
Ohio State University TBI Identification Method Short Form
History of Disease/Injury Event
Disease/Injury Related Events
 
255
Free-Form Entry
       
C18065
Ohio State TBI Method Short Form (OSUTBIMS) - less than 30 minutes result
OSUTBIMSLessthan30minReslt
Whether the subject was unconscious for less than 30 minutes as part of Ohio State TBI Method Short Form (OSUTBIMS).
Less than thirty min
  
Alphanumeric
No instructions available
Adapted with permission from the Ohio State University TBI Identification Method [Corrigan JD, Bogner JA. Initial reliability and validity of the OSU TBI Identification Method. J Head Trauma Rehabil. Nov-Dec 2007;22(6):318-329. copyright reserved 2007, The Ohio Valley Center for Brain Injury Prevention and Rehabilitation]
Adult
Supplemental
3.0
7/20/2013
Aliases for variable name not defined
Ohio State University TBI Identification Method Short Form
History of Disease/Injury Event
Disease/Injury Related Events
 
255
Free-Form Entry
       
C18066
Ohio State TBI Method Short Form (OSUTBIMS) - 30 mins 24 hours result
OSUTBIMS30min24hrsReslt
Whether the subject was unconscious for 30 mins to 24 hours as part of Ohio State TBI Method Short Form (OSUTBIMS).
Thirty min to twenty four hours
  
Alphanumeric
No instructions available
Adapted with permission from the Ohio State University TBI Identification Method [Corrigan JD, Bogner JA. Initial reliability and validity of the OSU TBI Identification Method. J Head Trauma Rehabil. Nov-Dec 2007;22(6):318-329. copyright reserved 2007, The Ohio Valley Center for Brain Injury Prevention and Rehabilitation]
Adult
Supplemental
3.0
7/20/2013
Aliases for variable name not defined
Ohio State University TBI Identification Method Short Form
History of Disease/Injury Event
Disease/Injury Related Events
 
255
Free-Form Entry
       
C18067
Ohio State TBI Method Short Form (OSUTBIMS) - greater than 24 hours result
OSUTBIMSGreaterThan24hrsReslt
Whether the subject was unconscious for greater than 24 hours as part of Ohio State TBI Method Short Form (OSUTBIMS).
Greater than twenty four hours
  
Alphanumeric
No instructions available
Adapted with permission from the Ohio State University TBI Identification Method [Corrigan JD, Bogner JA. Initial reliability and validity of the OSU TBI Identification Method. J Head Trauma Rehabil. Nov-Dec 2007;22(6):318-329. copyright reserved 2007, The Ohio Valley Center for Brain Injury Prevention and Rehabilitation]
Adult
Supplemental
3.0
7/20/2013
Aliases for variable name not defined
Ohio State University TBI Identification Method Short Form
History of Disease/Injury Event
Disease/Injury Related Events
 
255
Free-Form Entry
       
C18068
Ohio State TBI Method Short Form (OSUTBIMS) - dazed memory gap indicator
OSUTBIMSDazeMemryGapInd
Indicator whether the subject was dazed or has a memory gap as part of Ohio State TBI Method Short Form (OSUTBIMS).
Dazed Memory Gap
Yes;No;
Yes;No;
Alphanumeric
No instructions available
Adapted with permission from the Ohio State University TBI Identification Method [Corrigan JD, Bogner JA. Initial reliability and validity of the OSU TBI Identification Method. J Head Trauma Rehabil. Nov-Dec 2007;22(6):318-329. copyright reserved 2007, The Ohio Valley Center for Brain Injury Prevention and Rehabilitation]
Adult
Supplemental
3.0
7/20/2013
Aliases for variable name not defined
Ohio State University TBI Identification Method Short Form
History of Disease/Injury Event
Disease/Injury Related Events
  
Single Pre-Defined Value Selected
       
C18069
Ohio State TBI Method Short Form (OSUTBIMS) - age number
OSUTBIMSAgeNum
Age the subject was when he or she incurred the injury as part of Ohio State TBI Method Short Form (OSUTBIMS).
Age
  
Numeric Values
No instructions available
Adapted with permission from the Ohio State University TBI Identification Method [Corrigan JD, Bogner JA. Initial reliability and validity of the OSU TBI Identification Method. J Head Trauma Rehabil. Nov-Dec 2007;22(6):318-329. copyright reserved 2007, The Ohio Valley Center for Brain Injury Prevention and Rehabilitation]
Adult
Supplemental
3.0
7/20/2013
Aliases for variable name not defined
Ohio State University TBI Identification Method Short Form
History of Disease/Injury Event
Disease/Injury Related Events
  
Free-Form Entry
       
C18059
Ohio State TBI Method Short Form (OSUTBIMS) - more injuries loss of consciousness number
OSUTBIMSMoreInjLOCNum
Number of injuries past the amount that can be listed in the table that have to do with loss of consciousness as part of Ohio State TBI Method Short Form (OSUTBIMS).
How many more?
  
Numeric Values
No instructions available
Adapted with permission from the Ohio State University TBI Identification Method [Corrigan JD, Bogner JA. Initial reliability and validity of the OSU TBI Identification Method. J Head Trauma Rehabil. Nov-Dec 2007;22(6):318-329. copyright reserved 2007, The Ohio Valley Center for Brain Injury Prevention and Rehabilitation]
Adult
Supplemental
3.0
7/20/2013
Aliases for variable name not defined
Ohio State University TBI Identification Method Short Form
History of Disease/Injury Event
Disease/Injury Related Events
  
Free-Form Entry
       
C18060
Ohio State TBI Method Short Form (OSUTBIMS) - longest knock out time
OSUTBIMSLongKnockOutTime
Longest amount of time that the subject was knocked out for as part of Ohio State TBI Method Short Form (OSUTBIMS).
Longest knocked out?
  
Numeric Values
No instructions available
Adapted with permission from the Ohio State University TBI Identification Method [Corrigan JD, Bogner JA. Initial reliability and validity of the OSU TBI Identification Method. J Head Trauma Rehabil. Nov-Dec 2007;22(6):318-329. copyright reserved 2007, The Ohio Valley Center for Brain Injury Prevention and Rehabilitation]
Adult
Supplemental
3.0
7/20/2013
Aliases for variable name not defined
Ohio State University TBI Identification Method Short Form
History of Disease/Injury Event
Disease/Injury Related Events
  
Free-Form Entry
       
C18061
Ohio State TBI Method Short Form (OSUTBIMS) - greater than 30 minutes number
OSUTBIMSGreaternThan30MinNum
Number of injuries the subject incurred that lasted longer than 30 minutes as part of Ohio State TBI Method Short Form (OSUTBIMS).
How many greater than or equal to thirty minutes?
  
Numeric Values
No instructions available
Adapted with permission from the Ohio State University TBI Identification Method [Corrigan JD, Bogner JA. Initial reliability and validity of the OSU TBI Identification Method. J Head Trauma Rehabil. Nov-Dec 2007;22(6):318-329. copyright reserved 2007, The Ohio Valley Center for Brain Injury Prevention and Rehabilitation]
Adult
Supplemental
3.0
7/20/2013
Aliases for variable name not defined
Ohio State University TBI Identification Method Short Form
History of Disease/Injury Event
Disease/Injury Related Events
  
Free-Form Entry
       
C18062
Ohio State TBI Method Short Form (OSUTBIMS) - identification method loss of consciousness knocked out youngest age number
OSUTBIMSIdMethLOCKOYoungAgeNum
Number of times subject has lost consciousness. Number of times subject has been knocked out. Number of times subject has been knocked out for 30 or over minutes and the youngest age this has occurred as part of Ohio State TBI Method Short Form (OSUTBIMS).
If more injuries with LOC How many more? Longest knocked out? How many 30 mins? Youngest age?
  
Numeric Values
No instructions available
Adapted with permission from the Ohio State University TBI Identification Method [Corrigan JD, Bogner JA. Initial reliability and validity of the OSU TBI Identification Method. J Head Trauma Rehabil. Nov-Dec 2007;22(6):318-329. copyright reserved 2007, The Ohio Valley Center for Brain Injury Prevention and Rehabilitation]
Adult;Pediatric
Supplemental
3.0
7/20/2013
Aliases for variable name not defined
Ohio State University TBI Identification Method Short Form
History of Disease/Injury Event
Disease/Injury Related Events
  
Free-Form Entry
       
C18076
Ohio State TBI Method Short Form (OSUTBIMS) - identification method loss of consciousness drug overdose number
OSUTBIMSIdentMethLOCDrgOvrNum
Number of times subject has lost consciousness from a drug overdose as part of Ohio State TBI Method Short Form (OSUTBIMS).
Have you ever lost consciousness from a drug overdose?
  
Numeric Values
No instructions available
Adapted with permission from the Ohio State University TBI Identification Method [Corrigan JD, Bogner JA. Initial reliability and validity of the OSU TBI Identification Method. J Head Trauma Rehabil. Nov-Dec 2007;22(6):318-329. copyright reserved 2007, The Ohio Valley Center for Brain Injury Prevention and Rehabilitation]
Adult
Supplemental
3.0
7/20/2013
Aliases for variable name not defined
Ohio State University TBI Identification Method Short Form
History of Disease/Injury Event
Disease/Injury Related Events
  
Free-Form Entry
       
C18070
Ohio State TBI Method Short Form (OSUTBIMS) - loss of consciousness number
OSUTBIMSLOCNum
Number of injuries the subject incurred with loss of consciousness as part of Ohio State TBI Method Short Form (OSUTBIMS).
Number TBI LOC
  
Numeric Values
Number of TBI’s with loss of consciousness from #6a
Adapted with permission from the Ohio State University TBI Identification Method [Corrigan JD, Bogner JA. Initial reliability and validity of the OSU TBI Identification Method. J Head Trauma Rehabil. Nov-Dec 2007;22(6):318-329. copyright reserved 2007, The Ohio Valley Center for Brain Injury Prevention and Rehabilitation]
Adult
Supplemental
3.0
7/20/2013
Aliases for variable name not defined
Ohio State University TBI Identification Method Short Form
History of Disease/Injury Event
Disease/Injury Related Events
  
Free-Form Entry
       
C18071
Ohio State TBI Method Short Form (OSUTBIMS) - loss of consciousness greater than 30 number
OSUTBIMSLOCGreaterthan30Num
Number of injuries the subject incurred with a loss of consciousness for greater than 30 minutes as part of Ohio State TBI Method Short Form (OSUTBIMS).
Number TBI LOC greater than or equal to thirty
  
Numeric Values
Number of TBI’s with loss of consciousness = 30 minutes from #6a
Adapted with permission from the Ohio State University TBI Identification Method [Corrigan JD, Bogner JA. Initial reliability and validity of the OSU TBI Identification Method. J Head Trauma Rehabil. Nov-Dec 2007;22(6):318-329. copyright reserved 2007, The Ohio Valley Center for Brain Injury Prevention and Rehabilitation]
Adult
Supplemental
3.0
7/20/2013
Aliases for variable name not defined
Ohio State University TBI Identification Method Short Form
History of Disease/Injury Event
Disease/Injury Related Events
  
Free-Form Entry
       
C18072
Ohio State TBI Method Short Form (OSUTBIMS) - first loss of consciousness age number
OSUTBIMSFirstLOCAgeNum
The youngest age the subject incurred a loss of consciousness due to a traumatic brain injury as part of Ohio State TBI Method Short Form (OSUTBIMS).
age at first TBI LOC
  
Numeric Values
Youngest age from #6a
Adapted with permission from the Ohio State University TBI Identification Method [Corrigan JD, Bogner JA. Initial reliability and validity of the OSU TBI Identification Method. J Head Trauma Rehabil. Nov-Dec 2007;22(6):318-329. copyright reserved 2007, The Ohio Valley Center for Brain Injury Prevention and Rehabilitation]
Adult
Supplemental
3.0
7/20/2013
Aliases for variable name not defined
Ohio State University TBI Identification Method Short Form
History of Disease/Injury Event
Disease/Injury Related Events
  
Free-Form Entry
       
C18073
Ohio State TBI Method Short Form (OSUTBIMS) - loss of consciousness before age 15 result
OSUTBIMSLOCBeforeAge15Reslt
Result to whether the subject was younger than 15 or older or equal to 15 when he or she first lost consciousness due to her traumatic brain injury as part of Ohio State TBI Method Short Form (OSUTBIMS).
TBI LOC before age fifteen
  
Numeric Values
If youngest age from #7B < 15 then =1, if = 15 then = 0
Adapted with permission from the Ohio State University TBI Identification Method [Corrigan JD, Bogner JA. Initial reliability and validity of the OSU TBI Identification Method. J Head Trauma Rehabil. Nov-Dec 2007;22(6):318-329. copyright reserved 2007, The Ohio Valley Center for Brain Injury Prevention and Rehabilitation]
Adult
Supplemental
3.0
7/20/2013
Aliases for variable name not defined
Ohio State University TBI Identification Method Short Form
History of Disease/Injury Event
Disease/Injury Related Events
  
Free-Form Entry
       
C18074
Ohio State TBI Method Short Form (OSUTBIMS) - worst injury result
OSUTBIMSWorstInjReslt
Result to whether the subject has: 1 an "improbable TBI", 2 a "possible TBI", 3 a "mild TBI", 4 a "moderate TBI", or 5 a "severe TBI" as part of Ohio State TBI Method Short Form (OSUTBIMS).
Worst Injury
  
Numeric Values
If in response to #6a and 6b reports never having LOC, being dazed or having memory lapses classify as 1 “improbable TBI”. If in response to #6b reports being dazed or having a memory lapse classify as 2 “possible TBI”. If in response to #6a loss of consciousness (LOC) does not exceed 30 minutes for any injury classify as 3 “mild TBI”. If in response to #6a LOC for any one injury is between 30 minutes and 24 hours classify as 4 “moderate TBI”. If in response to #6a LOC for any one injury exceeds 24 hours classify as 5 “severe TBI”.
Adapted with permission from the Ohio State University TBI Identification Method [Corrigan JD, Bogner JA. Initial reliability and validity of the OSU TBI Identification Method. J Head Trauma Rehabil. Nov-Dec 2007;22(6):318-329. copyright reserved 2007, The Ohio Valley Center for Brain Injury Prevention and Rehabilitation]
Adult
Supplemental
3.0
7/20/2013
Aliases for variable name not defined
Ohio State University TBI Identification Method Short Form
History of Disease/Injury Event
Disease/Injury Related Events
  
Free-Form Entry
       
C18075
Ohio State TBI Method Short Form (OSUTBIMS) - anoxic injury number
OSUTBIMSAnoxicInjNum
Number of anoxic injuries (sum of incidents reported in #7) as part of Ohio State TBI Method Short Form (OSUTBIMS).
Number anoxic injuries
  
Numeric Values
Sum of incidents reported in #7
Adapted with permission from the Ohio State University TBI Identification Method [Corrigan JD, Bogner JA. Initial reliability and validity of the OSU TBI Identification Method. J Head Trauma Rehabil. Nov-Dec 2007;22(6):318-329. copyright reserved 2007, The Ohio Valley Center for Brain Injury Prevention and Rehabilitation]
Adult
Supplemental
3.0
7/20/2013
Aliases for variable name not defined
Ohio State University TBI Identification Method Short Form
History of Disease/Injury Event
Disease/Injury Related Events
  
Free-Form Entry
       
02-22-2017
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