CDE Detailed Report

Disease: Sport Related Concussion
Sub-Domain: Psychological Other
CRF: Substance Abuse Questions from the TBI Model Systems Database

Displaying 1 - 7 of 7
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
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). 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 3.00 2013-07-20 10:21:25.65 Substance Abuse Questions from the TBI Model Systems Database Psychological Other Outcomes and End Points 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). 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

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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 3.00 2013-07-20 10:21:25.65 Substance Abuse Questions from the TBI Model Systems Database Psychological Other Outcomes and End Points

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). 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

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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 3.00 2013-07-20 10:21:25.65 Substance Abuse Questions from the TBI Model Systems Database Psychological Other Outcomes and End Points

Free-Form Entry

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). 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. Other, specify Alphanumeric

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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 1.00 2014-05-27 13:34:46.0 Substance Abuse Questions from the TBI Model Systems Database Psychological Other Outcomes and End Points 4000

Free-Form Entry

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). 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

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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 3.00 2013-07-20 10:21:25.65 Substance Abuse Questions from the TBI Model Systems Database Psychological Other Outcomes and End Points

Single Pre-Defined Value Selected

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). 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 3.00 2013-07-20 10:21:25.65 Substance Abuse Questions from the TBI Model Systems Database Psychological Other Outcomes and End Points

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). 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? No;Yes No;Yes 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 3.00 2013-07-20 10:21:25.65 Substance Abuse Questions from the TBI Model Systems Database Psychological Other Outcomes and End Points

Single Pre-Defined Value Selected

CSV