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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: Sport Related Concussion
SubDisease: Comprehensive
Sub-Domain: Psychological Other
CRF: Substance Abuse Questions from the TBI Model Systems Database
Item count: 14 (7 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
C07448
Substance Abuse Questions from the TBI Model Systems Database (SAQTBIMSD) - Illicit drugs indicator
SAQTBIMSDillctDrgInd
Indicator of subject's use of illicit drugs as part of the Substance Abuse Questions from the TBI Model Systems Database (SAQTBIMSD).
During the last twelve months or during the time since your injury if year one follow up did you use any illicit or non-prescription drugs?
1;2;7;9;
No;Yes;This variable not due this year;Unknown;
Numeric Values
See instructions on form
Corrigan, J.D., Bogner, J., Lamb-Hart, G., & Sivak-Sears, N. Technical report on problematic substance use identified in the TBI Model Systems National Dataset. The Center For Outcome Measurement in Brain Injury. http://www.tbims.org/combi/subst/index.
Adult
Supplemental
3.0
7/20/2013
TBIMSDrugUse
Substance Abuse Questions from the TBI Model Systems Database
Psychological Other
Outcomes and End Points
TBIMS Q1
 
Single Pre-Defined Value Selected
       
C18756
Substance Abuse Questions from the TBI Model Systems Database (SAQTBIMSD) - Drugs used other text
SAQTBIMSDDrgUsdOTH
The free-text field related to 'Substance Abuse Questions from the TBI Model Systems Database (SAQTBIMSD) - Drugs used indicator' specifying other text. Indicator of illicit drugs used by the subject as part of the Substance Abuse Questions from the TBI Model Systems Database (SAQTBIMSD).
Other, specify
  
Alphanumeric
See instructions on form
Corrigan, J.D., Bogner, J., Lamb-Hart, G., & Sivak-Sears, N. Technical report on problematic substance use identified in the TBI Model Systems National Dataset. The Center For Outcome Measurement in Brain Injury. http://www.tbims.org/combi/subst/index.
Adult
Supplemental
1.0
5/27/2014
TBIMS Q2
Substance Abuse Questions from the TBI Model Systems Database
Psychological Other
Outcomes and End Points
 
4000
Free-Form Entry
       
C07449
Substance Abuse Questions from the TBI Model Systems Database (SAQTBIMSD) - Drugs used indicator
SAQTBIMSDDrgUsdInd
Indicator of illicit drugs used by the subject as part of the Substance Abuse Questions from the TBI Model Systems Database (SAQTBIMSD).
If yes to number one please indicate the drugs used.
1;2;3;4;5;6;7;8;0;9;Other, specify;
No drug use;Crack/cocaine;Pot/Marijuana;LSD/Hallucinogens;Heroin/Opiates;Speed/Stimulants;This variable not collected this year;N/A, no other drug use;Variable not in existence when data collected on this case;Unknown;;
Alphanumeric
See instructions on form
Corrigan, J.D., Bogner, J., Lamb-Hart, G., & Sivak-Sears, N. Technical report on problematic substance use identified in the TBI Model Systems National Dataset. The Center For Outcome Measurement in Brain Injury. http://www.tbims.org/combi/subst/index.
Adult
Supplemental
3.0
7/20/2013
TBIMSDrugsUsed
Substance Abuse Questions from the TBI Model Systems Database
Psychological Other
Outcomes and End Points
TBIMS Q2
 
Multiple Pre-Defined Values Selected
       
C07450
Substance Abuse Questions from the TBI Model Systems Database (SAQTBIMSD) - Alcoholic beverage consumption status
SAQTBIMSDAlcBevConsumpStatus
Checking alcohol consumption status of the subject as part of the Substance Abuse Questions from the TBI Model Systems Database (SAQTBIMSD).
During the past month have you had at least one drink of any alcoholic beverage such as beer wine, wine coolers or liquor?
Yes;No;
Yes;No;
Alphanumeric
See instructions on form
Corrigan, J.D., Bogner, J., Lamb-Hart, G., & Sivak-Sears, N. Technical report on problematic substance use identified in the TBI Model Systems National Dataset. The Center For Outcome Measurement in Brain Injury. http://www.tbims.org/combi/subst/index.
Adult
Supplemental
3.0
7/20/2013
TBIMSAlcoholUse
Substance Abuse Questions from the TBI Model Systems Database
Psychological Other
Outcomes and End Points
TBIMS Q3
 
Single Pre-Defined Value Selected
       
C07451
Substance Abuse Questions from the TBI Model Systems Database (SAQTBIMSD) - Alcoholic beverage consumption day week frequency
SAQTBIMSDAlcBevConsumpDyWkFreq
Frequency of days subject consumes alcohol as part of the Substance Abuse Questions from the TBI Model Systems Database (SAQTBIMSD).
During the past month how many days per week or per month did you drink any alcoholic beverages, on the average?
  
Alphanumeric
Specify days per week or days per month.
Corrigan, J.D., Bogner, J., Lamb-Hart, G., & Sivak-Sears, N. Technical report on problematic substance use identified in the TBI Model Systems National Dataset. The Center For Outcome Measurement in Brain Injury. http://www.tbims.org/combi/subst/index.
Adult
Supplemental
3.0
7/20/2013
TBIMSAlcoholUseFrequencyPerWeek
Substance Abuse Questions from the TBI Model Systems Database
Psychological Other
Outcomes and End Points
TBIMS Q4
255
Free-Form Entry
       
C07452
Substance Abuse Questions from the TBI Model Systems Database (SAQTBIMSD) - Alcoholic beverage consumption average value
SAQTBIMSDAlcBevConsumpAvgVal
Number of alcoholic beverages the subject consumes on average on the days he/she drank as part of the Substance Abuse Questions from the TBI Model Systems Database (SAQTBIMSD).
A drink is one can or bottle of beer one glass of wine one can or bottle of wine cooler one cocktail or one shot of liquor. On the days when you drank about how many drinks did you drink on average?
  
Numeric Values
See instructions on form
Corrigan, J.D., Bogner, J., Lamb-Hart, G., & Sivak-Sears, N. Technical report on problematic substance use identified in the TBI Model Systems National Dataset. The Center For Outcome Measurement in Brain Injury. http://www.tbims.org/combi/subst/index.
Adult
Supplemental
3.0
7/20/2013
TBIMSAlcoholUseQuantity
Substance Abuse Questions from the TBI Model Systems Database
Psychological Other
Outcomes and End Points
TBIMS Q5
 
Free-Form Entry
       
C07453
Substance Abuse Questions from the TBI Model Systems Database (SAQTBIMSD) - Alcoholic beverage consumption month five frequency
SAQTBIMSDAlcBevConsumpMth5Freq
Frequency of days the subject drank more than 5 drinks on an occasion as part of the Substance Abuse Questions from the TBI Model Systems Database (SAQTBIMSD).
Considering all types of alcoholic beverages how many times during the past month did you have five or more drinks on an occasion?
  
Numeric Values
See instructions on form
Corrigan, J.D., Bogner, J., Lamb-Hart, G., & Sivak-Sears, N. Technical report on problematic substance use identified in the TBI Model Systems National Dataset. The Center For Outcome Measurement in Brain Injury. http://www.tbims.org/combi/subst/index.
Adult
Supplemental
3.0
7/20/2013
TBIMSAlcoholUseBinge
Substance Abuse Questions from the TBI Model Systems Database
Psychological Other
Outcomes and End Points
TBIMS Q6
 
Free-Form Entry
       
12-19-2018
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