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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: Traumatic Brain Injury
SubDisease: Comprehensive
Sub-Domain: History of Disease/Injury Event
CRF: Type, Place, Cause and Mechanism of Injury
Item count: 32 (32 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
C18663
Abusive head trauma reporter other text
AbsvHdTrmaRprtrOTH
The free-text field related to 'Abusive head trauma reporter type' specifying other text. How the determination of abusive head trauma likelihood was made
Other, specify
  
Alphanumeric
Choose one
No references available
Adult;Pediatric
Supplemental
1.0
5/27/2014
Aliases for variable name not defined
Type, Place, Cause and Mechanism of Injury
History of Disease/Injury Event
Disease/Injury Related Events
 
4000
Free-Form Entry
       
C05425
Abusive head trauma reporter type
AbsvHdTrmaRprtrTyp
How the determination of abusive head trauma likelihood was made
Who has reported the head trauma from abuse?
Child Protection Team (CPT);Pediatric Intensive Care Unit (PICU) physician;Emergency Department (ED) physician;Police;Children, Youth and Families (CYF);Coroner;Other, specify;
Child Protection Team (CPT);Pediatric Intensive Care Unit (PICU) physician;Emergency Department (ED) physician;Police;Children, Youth and Families (CYF);Coroner;Other, specify;
Alphanumeric
Choose one
No references available
Adult;Pediatric
Supplemental
3.0
7/20/2013
Aliases for variable name not defined
Type, Place, Cause and Mechanism of Injury
History of Disease/Injury Event
Disease/Injury Related Events
Abusive head trauma reporter type
 
Single Pre-Defined Value Selected
       
C05421
Injury ICD external cause code
InjICDExtCauseCode
Code to classify the external cause of the injury
and/or ICD 9 CM e codes
  
Alphanumeric
Record as many as needed; please refer to http://www.cdc.gov/nchs/icd.htm. Response is obtained from report by subject/participant (if possible), witnesses, first responders, family and/or medical records. The cause of injury is particularly important from an epidemiologic perspective, but may also be related to mechanism of injury and consequently type and extent of brain damage.
Butcher I, McHugh GS, Lu J, et al. Prognostic value of cause of injury in traumatic brain injury: results from the IMPACT study. J Neurotrauma. Feb 2007;24(2):281-286. See http://www.icd9data.com
Adult;Pediatric
Core
3.0
7/20/2013
Aliases for variable name not defined
Type, Place, Cause and Mechanism of Injury
History of Disease/Injury Event
Disease/Injury Related Events
Injury ICD-9-CM external cause code
255
Free-Form Entry
       
C05422
Injury cause type
InjCauseTyp
The type as related to the classification of the external cause of the injury
Cause of TBI
Railway accidents;Motor vehicle traffic accidents;Motor vehicle nontraffic accidents;Other road vehicle accidents;Water transport accidents;Air and space transport accidents;Vehicle accidents not elsewhere classifiable;Accidental poisoning by drugs, medicinal substances, and biologicals;Accidental poisoning by other solid and liquid substances, gases, and vapors;Misadventures to patients during surgical and medical care;Surgical and medical procedures as the cause of abnormal reaction of patient or later complication, without mention of misadventure at the time of procedure;Accidental falls;Accidents caused by fire and flames;Accidents due to natural and environmental factors (e900-e909);Accidents caused by submersion, suffocation, and foreign bodies;Other accidents;Late effects of accidental injury;Drugs, medicinal and biological substances causing adverse effects in therapeutic use;Suicide and self-inflicted injury;Homicide and injury purposely inflicted by other persons;Legal intervention;Terrorism;Injury undetermined whether accidentally or purposely inflicted;Injury resulting from operations of war;Railway accidents;
Railway accidents (e800-e807);Motor vehicle traffic accidents (e810-e819);Motor vehicle nontraffic accidents (e820-e825);Other road vehicle accidents (e826-e829);Water transport accidents (e830-e838);Air and space transport accidents (e840-e845);Vehicle accidents not elsewhere classifiable (e846-e848);Accidental poisoning by drugs, medicinal substances, and biologicals (e850-e858);Accidental poisoning by other solid and liquid substances, gases, and vapors (e860-e869);Misadventures to patients during surgical and medical care (e870-e876);Surgical and medical procedures as the cause of abnormal reaction of patient or later complication, without mention of misadventure at the time of procedure (e878-e879);Accidental falls (e880-e888);Accidents caused by fire and flames (e890-e899);Accidents due to natural and environmental factors (e900-e909);Accidents caused by submersion, suffocation, and foreign bodies (e910-e915);Other accidents (e916-e928);Late effects of accidental injury (e929);Drugs, medicinal and biological substances causing adverse effects in therapeutic use (e930-e949);Suicide and self-inflicted injury (e950-e959);Homicide and injury purposely inflicted by other persons (e960-e969);Legal intervention (e970-e978);Terrorism (e979);Injury undetermined whether accidentally or purposely inflicted (e980-e989);Injury resulting from operations of war (e990-e999;Railway accidents (e800-e807);
Alphanumeric
Choose all that apply from codelist and/or fill in appropriate ICD-9-CM e-codes below
Butcher I, McHugh GS, Lu J, et al. Prognostic value of cause of injury in traumatic brain injury: results from the IMPACT study. J Neurotrauma. Feb 2007;24(2):281-286. See http://www.icd9data.com
Adult;Pediatric
Basic
3.0
7/20/2013
Aliases for variable name not defined
Type, Place, Cause and Mechanism of Injury
History of Disease/Injury Event
Disease/Injury Related Events
Injury cause type
 
Multiple Pre-Defined Values Selected
       
C18609
ICD revision number
ICDRevNumber
Number of the International Classification of Diseases (ICD) used to obtain the code
ICD version number
9;10;11;
ICD-9;ICD-10;ICD-11;
Numeric Values
Choose one.
No references available
Adult;Pediatric
Core
1.0
9/5/2013
Aliases for variable name not defined
Type, Place, Cause and Mechanism of Injury
History of Disease/Injury Event
Disease/Injury Related Events
  
Single Pre-Defined Value Selected
       
C58469
TBI cause type
TBICauseTyp
Broad classification of the type of traumatic brain injury experienced by participant/subject
Type of TBI
Closed;Penetrating;Blast;Crush;Unknown;
Closed;Penetrating;Blast;Crush;Unknown;
Alphanumeric
Choose one
Butcher I, McHugh GS, Lu J, et al. Prognostic value of cause of injury in traumatic brain injury: results from the IMPACT study. J Neurotrauma. Feb 2007;24(2):281-286.
Adult;Pediatric
Core
3.0
7/20/2013
Aliases for variable name not defined
Type, Place, Cause and Mechanism of Injury
History of Disease/Injury Event
Disease/Injury Related Events
  
Single Pre-Defined Value Selected
       
C05424
TBI mechanism type
TBIMechTyp
Type of mechanism/forces causing the traumatic brain injury
Mechanism of TBI
Acceleration/Deceleration;Direct impact: blow to head;Direct impact: head against object;Crush;Blast;Ground level fall;Fall from height > 1 meter (3 ft);Gunshot wound;Fragment (incl. shell/shrapnel);Other penetrating brain injury;
Acceleration/Deceleration;Direct impact: blow to head;Direct impact: head against object;Crush;Blast;Ground level fall;Fall from height > 1 meter (3 ft);Gunshot wound;Fragment (incl. shell/shrapnel);Other penetrating brain injury;
Alphanumeric
Choose all that apply
No references available
Adult;Pediatric
Basic
3.0
7/20/2013
Aliases for variable name not defined
Type, Place, Cause and Mechanism of Injury
History of Disease/Injury Event
Disease/Injury Related Events
TBI mechanism type
 
Multiple Pre-Defined Values Selected
       
C05419
Abusive head trauma likelihood type
AbsvHdTrmaLkhdTyp
Indicator to the extent of abusive head trauma is determined to be likely
Likelihood that injury was due to abusive head trauma?
No concern;Possible abuse;Probable abuse;Definite abuse;
No concern;Possible abuse;Probable abuse;Definite abuse;
Alphanumeric
Choose one
No references available
Adult;Pediatric
Supplemental
3.0
7/20/2013
Aliases for variable name not defined
Type, Place, Cause and Mechanism of Injury
History of Disease/Injury Event
Disease/Injury Related Events
Abusive head trauma likelihood type
 
Single Pre-Defined Value Selected
       
C18397
Influence alcohol likelihood type
InfAlcLkhdTyp
Indicator for the likelihood the subject was under the influence of alcohol.
Likelihood that participant/subject was under the influence of alcohol?
None;Suspected;Confrimed;Unknown;
None;Suspected;Confrimed;Unknown;
Alphanumeric
Choose one
No references available
Adult;Pediatric
Basic
3.0
7/20/2013
Aliases for variable name not defined
Type, Place, Cause and Mechanism of Injury
History of Disease/Injury Event
Disease/Injury Related Events
  
Single Pre-Defined Value Selected
       
C05423
Injury violent cause type
InjVlntCauseTyp
Type of the violence causing the injury
Injury violent cause type
Robbery/assault;Interpersonal violence (fight);Domestic assault;Child abuse;Gang violence;Military deployment;Other;
Robbery/assault;Interpersonal violence (fight);Domestic assault;Child abuse;Gang violence;Military deployment;Other;
Alphanumeric
Choose one. Response is obtained from participant/ subject (if possible), witnesses, first responders, family member or medical record.
No references available
Adult;Pediatric
Supplemental
3.0
7/20/2013
Aliases for variable name not defined
Type, Place, Cause and Mechanism of Injury
History of Disease/Injury Event
Disease/Injury Related Events
Injury violent cause type
 
Single Pre-Defined Value Selected
       
C05426
Injury place occurrence type
InjPlcOccncTyp
Classification of the place/setting at which the traumatic brain injury occurred
Injury place of occurrence type
Street/highway;Public location (e.g. bar, station, nightclub);Home/domestic;Work/school;Sport/recreation;Military deployment;Other, specify;
Street/highway;Public location (e.g. bar, station, nightclub);Home/domestic;Work/school;Sport/recreation;Military deployment;Other, specify;
Alphanumeric
Choose one. The place of injury is particularly important from an epidemiologic perspective, but may also be related to mechanism of injury and consequently type and extent of brain damage.
Butcher I, McHugh GS, Lu J, et al. Prognostic value of cause of injury in traumatic brain injury: results from the IMPACT study. J Neurotrauma. Feb 2007;24(2):281-286. See http://www.cdc.gov/nchs/icd/icd9cm.htm
Adult;Pediatric
Supplemental
3.0
7/20/2013
Aliases for variable name not defined
Type, Place, Cause and Mechanism of Injury
History of Disease/Injury Event
Disease/Injury Related Events
Injury place of occurrence type
 
Single Pre-Defined Value Selected
       
C18724
Injury place occurrence other text
InjPlcOccncOTH
The free-text field related to 'Injury place occurrence type' specifying other text. Classification of the place/setting at which the traumatic brain injury occurred
Other, specify
  
Alphanumeric
Choose one. The place of injury is particularly important from an epidemiologic perspective, but may also be related to mechanism of injury and consequently type and extent of brain damage.
Butcher I, McHugh GS, Lu J, et al. Prognostic value of cause of injury in traumatic brain injury: results from the IMPACT study. J Neurotrauma. Feb 2007;24(2):281-286. See http://www.cdc.gov/nchs/icd/icd9cm.htm
Adult;Pediatric
Supplemental
1.0
5/27/2014
Aliases for variable name not defined
Type, Place, Cause and Mechanism of Injury
History of Disease/Injury Event
Disease/Injury Related Events
 
4000
Free-Form Entry
       
C05427
Traffic accident self role type
TrffAccdntSelfRoleTyp
The participant's/subject's role in the traffic accident that resulted in the injury
Traffic accident self role type
Pedestrian;Cyclist;Moped/scooter;Motorcycle/Motorbike;Other;Motor vehicle occupant;
Pedestrian;Cyclist;Moped/scooter;Motorcycle/Motorbike;Other;Motor vehicle occupant;
Alphanumeric
Choose one. Response is obtained from report by participant/subject (if possible), witnesses, first responders, family and/or medical records. Information on the nature of the road traffic incident and the function of the victim is not only important from an epidemiological and prevention perspective, but also provides information on what type of intracranial and extracranial injuries might be expected.
No references available
Adult;Pediatric
Supplemental
3.0
7/20/2013
Aliases for variable name not defined
Type, Place, Cause and Mechanism of Injury
History of Disease/Injury Event
Disease/Injury Related Events
Traffic accident self role type
 
Single Pre-Defined Value Selected
       
C05428
Traffic accident other party role type
TrffAccdntOthPrtyRoleTyp
The other party's role in the traffic accident that resulted in the participant's/subject's injury
Traffic accident other party role type
Motor vehicle;Pedestrian;Cyclist;Moped/scooter;Motorcycle/Motorbike;Tram/Bus;Train/Metro;Obstacle;No other party;Unknown;
Motor vehicle;Pedestrian;Cyclist;Moped/scooter;Motorcycle/Motorbike;Tram/Bus;Train/Metro;Obstacle;No other party;Unknown;
Alphanumeric
Choose one. Response is obtained from participant/ subject (if possible), witnesses, first responders, family member or medical record.
No references available
Adult;Pediatric
Supplemental
3.0
7/20/2013
Aliases for variable name not defined
Type, Place, Cause and Mechanism of Injury
History of Disease/Injury Event
Disease/Injury Related Events
Traffic accident other party role type
 
Single Pre-Defined Value Selected
       
C05430
Traffic accident other party alcohol influence likelihood type
TrffAccdntOthPrtyAlcInfLkhdTyp
Likelihood of whether the other involved party was under the influence of alcohol at the time of the participant's/subject's injury
Traffic accident other party alcohol influence likelihood type
Suspected;Confirmed;Unknown;None;
Suspected;Confirmed;Unknown;None;
Alphanumeric
Choose one. Response is obtained from hospital reports.
No references available
Adult;Pediatric
Supplemental
3.0
7/20/2013
Aliases for variable name not defined
Type, Place, Cause and Mechanism of Injury
History of Disease/Injury Event
Disease/Injury Related Events
Traffic accident other party alcohol influence likelihood type
 
Single Pre-Defined Value Selected
       
C05431
Traffic accident self drug influence likelihood type
TrffAccdntSelfDrgIngLkhdTyp
Likelihood of whether the participant/subject was under the influence of drugs at the time of injury
Traffic accident self drug influence likelihood type
Suspected;Confirmed;Unknown;None;
Suspected;Confirmed;Unknown;None;
Alphanumeric
Choose one. Response is obtained from hospital reports.
No references available
Adult;Pediatric
Supplemental
3.0
7/20/2013
Aliases for variable name not defined
Type, Place, Cause and Mechanism of Injury
History of Disease/Injury Event
Disease/Injury Related Events
Traffic accident self drug influence likelihood type
 
Single Pre-Defined Value Selected
       
C05429
Traffic accident self alcohol influence likelihood type
TrffAccdntSefAlcInfLkhdTyp
Likelihood of whether the participant/subject was under the influence of alcohol at the time of injury
Traffic accident self alcohol influence likelihood type
Suspected;Confirmed;Unknown;None;
Suspected;Confirmed;Unknown;None;
Alphanumeric
Choose one. Response is obtained from hospital reports.
No references available
Adult;Pediatric
Supplemental
3.0
7/20/2013
Aliases for variable name not defined
Type, Place, Cause and Mechanism of Injury
History of Disease/Injury Event
Disease/Injury Related Events
Traffic accident self alcohol influence likelihood type
 
Single Pre-Defined Value Selected
       
C05432
Traffic accident other party drug influence likelihood type
TrffAccdntOthPrtyDrgInfLkhdTyp
Likelihood of whether the other involved party was under the influence of drugs at the time of the participant's/subject's injury
Traffic accident self drug influence likelihood type
Suspected;Confirmed;Unknown;None;
Suspected;Confirmed;Unknown;None;
Alphanumeric
Choose one. Response is obtained from hospital reports.
No references available
Adult;Pediatric
Supplemental
3.0
7/20/2013
Aliases for variable name not defined
Type, Place, Cause and Mechanism of Injury
History of Disease/Injury Event
Disease/Injury Related Events
Traffic accident other party drug influence likelihood type
 
Single Pre-Defined Value Selected
       
C05433
Protective devices use indicator
PrtctvDevcUseInd
Indicator of protective devices used by participant/subject (e.g., helmet, car seat, seat belt, etc.)
Protective devices used indicator
Yes;No;Unknown;
Yes;No;Unknown;
Alphanumeric
Choose one. Response is obtained from report by participant/subject (if able to provide reliable information), first responders, emergency department physicians, or medical record. This element is recommended for pediatric studies.
Occupant Restraint Use in 2010. Results From the National Occupant Protection Use Survey Controlled Intersection Study. National Highway Traffic Safety Administration. November 2011. http://www-nrd.nhtsa.dot.gov/Pubs/811527.pdf
Adult;Pediatric
Supplemental
3.0
7/20/2013
Aliases for variable name not defined
Type, Place, Cause and Mechanism of Injury
History of Disease/Injury Event
Disease/Injury Related Events
Protective devices used indicator
 
Single Pre-Defined Value Selected
       
C18772
Vehicular protective device other text
VehclrPrtctvDevOTH
The free-text field related to 'Vehicular protective device type' specifying other text. Type of protective devices used by the participant/subject
Other, specify
  
Alphanumeric
Choose all that apply. Response is obtained from report by participant/subject (if able to provide reliable information), first responders, emergency department physicians, or medical record. This element is recommended for pediatric studies.
Occupant Restraint Use in 2010. Results From the National Occupant Protection Use Survey Controlled Intersection Study. National Highway Traffic Safety Administration. November 2011. http://www-nrd.nhtsa.dot.gov/Pubs/811527.pdf
Adult;Pediatric
Supplemental
1.0
5/27/2014
Aliases for variable name not defined
Type, Place, Cause and Mechanism of Injury
History of Disease/Injury Event
Disease/Injury Related Events
 
4000
Free-Form Entry
       
C05434
Vehicular protective device type
VehclrPrtctvDevTyp
Type of protective devices used by the participant/subject
Vehicular protective devices type
Helmet;Child safety restraint;Seat belt;Airbag;Other, specify;
Helmet;Child safety restraint;Seat belt;Airbag;Other, specify;
Alphanumeric
Choose all that apply. Response is obtained from report by participant/subject (if able to provide reliable information), first responders, emergency department physicians, or medical record. This element is recommended for pediatric studies.
Occupant Restraint Use in 2010. Results From the National Occupant Protection Use Survey Controlled Intersection Study. National Highway Traffic Safety Administration. November 2011. http://www-nrd.nhtsa.dot.gov/Pubs/811527.pdf
Adult;Pediatric
Supplemental
3.0
7/20/2013
Aliases for variable name not defined
Type, Place, Cause and Mechanism of Injury
History of Disease/Injury Event
Disease/Injury Related Events
Vehicular protective devices type
 
Multiple Pre-Defined Values Selected
       
C05435
Airbag deploy indicator
AirbagDplyInd
Indicator of an airbag deployed at the time of the participant's/subject's injury
Airbag deployed indicator
Yes;No;Not applicable;Unknown;
Yes;No;Not applicable;Unknown;
Alphanumeric
Choose one. Response is obtained from report by participant/subject (if able to provide reliable information), first responders, emergency department physicians, or medical record.
No references available
Adult;Pediatric
Supplemental
3.0
7/20/2013
Aliases for variable name not defined
Type, Place, Cause and Mechanism of Injury
History of Disease/Injury Event
Disease/Injury Related Events
Airbag deployed indicator
 
Single Pre-Defined Value Selected
       
C00227
Military deployment injury indicator
MilDplyInjInd
Indicator of whether the injury occurred during deployment
Military deployment injury indicator
Yes;No;Unknown;
Yes;No;Unknown;
Alphanumeric
Choose one. Response is obtained from report by participant/subject (interview, self report) or relatives. This element is intended for use in adult military populations. Severity of psychological problems has been shown to correlate with the 'severity' of combat experiences.
Schell TL, Marshall GN. (2008). Survey of individuals previously deployed for OEF/OIF. In T. Tanielian and L. H. Jaycox (Eds.), Invisible wounds of war: Psychological and cognitive injuries, their consequences, and services to assist recovery, (pp 87-115) Santa Monica, Ca: RAND Center for Military Health Policy Research.
Adult
Supplemental
3.0
7/20/2013
Aliases for variable name not defined
Type, Place, Cause and Mechanism of Injury
History of Disease/Injury Event
Disease/Injury Related Events
Military deployment injury indicator
 
Single Pre-Defined Value Selected
       
C05437
Blast injury device type
BlastInjDevTyp
Type of device which caused the blast injury
Blast injury device type
Improvised Explosive Device (IED);Land mine;Grenade;Bomb;Mortar;Rocket Propelled Grenade (RPG);Other, specify;Unknown;
Improvised Explosive Device (IED);Land mine;Grenade;Bomb;Mortar;Rocket Propelled Grenade (RPG);Other, specify;Unknown;
Alphanumeric
Choose one. Response is obtained from participant/subject (if possible), witnesses, first responders, family or medical records.
No references available
Adult;Pediatric
Supplemental
3.0
7/20/2013
Aliases for variable name not defined
Type, Place, Cause and Mechanism of Injury
History of Disease/Injury Event
Disease/Injury Related Events
Blast injury device type
 
Single Pre-Defined Value Selected
       
C18665
Blast injury device other text
BlastInjDevOTH
The free-text field related to 'Blast injury device type' specifying other text. Type of device which caused the blast injury
Other, specify
  
Alphanumeric
Choose one. Response is obtained from participant/subject (if possible), witnesses, first responders, family or medical records.
No references available
Adult;Pediatric
Supplemental
1.0
5/27/2014
Aliases for variable name not defined
Type, Place, Cause and Mechanism of Injury
History of Disease/Injury Event
Disease/Injury Related Events
 
4000
Free-Form Entry
       
12-11-2018
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