CDE Detailed Report

Disease: content
Subdomain Name: History of Disease/Injury Event
CRF: welcome

Displaying 1 - 32 of 32
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
C05438 Blast direction type BlastDirTyp The location of the blast related to the location of the participant/subject The location of The blast related to The location of The participant/subject Blast direction type Right;Above;Below;In front;Behind;Unknown;Left Right;Above;Below;In front;Behind;Unknown;Left Alphanumeric

Choose one. Response is obtained from participant/subject (if possible), witnesses, first responders, family or medical records.

No references available Adult;Pediatric Basic 3.00 2013-07-20 10:21:25.65 Type, Place, Cause and Mechanism of Injury History of Disease/Injury Event Disease/Injury Related Events

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 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 Basic 1.00 2014-05-27 13:34:46.0 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 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 Basic 3.00 2013-07-20 10:21:25.65 Type, Place, Cause and Mechanism of Injury History of Disease/Injury Event Disease/Injury Related Events

Single Pre-Defined Value Selected

C05439 Blast injury category BlastInjCat Category of blast-related injury Category of blast-related injury Blast injury category Primary blast;Secondary blast;Tertiary blast;Quaternary blast;Unknown direct effects of the detonation including the high pressure shock front and associated blast wave and any thermal components;effect of flying debris or bomb fragments;effect of participant/subject being thrown from the blast wind;explosion related injuries or illnesses that do not fall under primary, secondary, or tertiary blast; Alphanumeric

Choose all that apply. Response is obtained from participant/subject (if possible), witnesses, first responders, family or medical records.

Born, CT. Blast Trauma: The Fourth Weapon of Mass Destruction. Scandinavian Journal of Surgery 94: 279-285, 2005 Adult;Pediatric Basic 3.00 2013-07-20 10:21:25.65 Type, Place, Cause and Mechanism of Injury History of Disease/Injury Event Disease/Injury Related Events

Multiple Pre-Defined Values 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 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 Basic 1.00 2014-05-27 13:34:46.0 Type, Place, Cause and Mechanism of Injury History of Disease/Injury Event Disease/Injury Related Events 4000

Free-Form Entry

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 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 Basic 3.00 2013-07-20 10:21:25.65 Type, Place, Cause and Mechanism of Injury History of Disease/Injury Event Disease/Injury Related Events

Single Pre-Defined Value Selected

C05440 Blast enclose space indicator BlastEnclSpcInd Indicator of blast occurring in enclosed space Indicator of blast occurring in enclosed space Blast enclosed space indicator Yes;No;Unknown Yes;No;Unknown Alphanumeric

Choose one. Response is obtained from participant/subject (if possible), witnesses, first responders, family or medical records.

No references available Adult;Pediatric Basic 3.00 2013-07-20 10:21:25.65 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 Indicator 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 3.00 2013-07-20 10:21:25.65 Type, Place, Cause and Mechanism of Injury History of Disease/Injury Event Disease/Injury Related Events

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 Likelihood of whether the participant/subject was under the influence of alcohol 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 Basic 3.00 2013-07-20 10:21:25.65 Type, Place, Cause and Mechanism of Injury History of Disease/Injury Event Disease/Injury Related Events

Single Pre-Defined Value Selected

C05441 Biological agent exposure likelihood type BiolgclAgntExpsrLkhdTyp Likelihood of whether a biological agent was encountered at the time of the injury Likelihood of whether a biological agent was encountered at the time of the injur Biological agent exposure likelihood type Suspected;Confirmed;Unknown;None Suspected;Confirmed;Unknown;None Alphanumeric

Choose one. Response is obtained from participant/subject (if possible), witnesses, first responders, family or medical records. Element recommended for the military population

No references available Adult;Pediatric Basic 3.00 2013-07-20 10:21:25.65 Type, Place, Cause and Mechanism of Injury History of Disease/Injury Event Disease/Injury Related Events

Single Pre-Defined Value Selected

C00227 Military deployment injury indicator MilDplyInjInd Indicator of whether the injury occurred during deployment 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 Basic 3.00 2013-07-20 10:21:25.65 Type, Place, Cause and Mechanism of Injury History of Disease/Injury Event Disease/Injury Related Events

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 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 Basic 3.00 2013-07-20 10:21:25.65 Type, Place, Cause and Mechanism of Injury History of Disease/Injury Event Disease/Injury Related Events

Single Pre-Defined Value Selected

C05442 Chemical agent exposure likelihood type ChemAgntExpsrLkhdTyp Likelihood of whether a chemical agent was encountered at the time of the injury Likelihood of whether a chemical agent was encountered at the time of the injur Chemical agent exposure likelihood type Suspected;Confirmed;Unknown;None Suspected;Confirmed;Unknown;None Alphanumeric

Choose one. Response is obtained from participant/subject (if possible), witnesses, first responders, family or medical records. Element recommended for the military population

No references available Adult;Pediatric Basic 3.00 2013-07-20 10:21:25.65 Type, Place, Cause and Mechanism of Injury History of Disease/Injury Event Disease/Injury Related Events

Single Pre-Defined Value Selected

C05419 Abusive head trauma likelihood type AbsvHdTrmaLkhdTyp Indicator to the extent of abusive head trauma is determined to be likely 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 Basic 3.00 2013-07-20 10:21:25.65 Type, Place, Cause and Mechanism of Injury History of Disease/Injury Event Disease/Injury Related Events

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 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 Basic 3.00 2013-07-20 10:21:25.65 Type, Place, Cause and Mechanism of Injury History of Disease/Injury Event Disease/Injury Related Events

Single Pre-Defined Value Selected

C05443 Body armor indicator BodyArmInd Indicator of whether body armor was worn at the time of the injury Indicator of whether body armor was worn at the time of the injury Body armor indicator (adult only) Yes;No;Unknown Yes;No;Unknown Alphanumeric

Choose one. Response is obtained from participant/subject (if possible), witnesses, first responders, family or medical records. Element recommended for the military population

No references available Adult Basic 3.00 2013-07-20 10:21:25.65 Type, Place, Cause and Mechanism of Injury History of Disease/Injury Event Disease/Injury Related Events

Single Pre-Defined Value Selected

C05421 Injury ICD external cause code InjICDExtCauseCode Code to classify the external cause of the injury 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 3.00 2013-07-20 10:21:25.65 Type, Place, Cause and Mechanism of Injury History of Disease/Injury Event Disease/Injury Related Events 255

Free-Form Entry

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 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 Basic 3.00 2013-07-20 10:21:25.65 Type, Place, Cause and Mechanism of Injury History of Disease/Injury Event Disease/Injury Related Events

Single Pre-Defined Value Selected

C05444 Military combat helmet type MilCmbtHelmtTyp Type of combat helmet worn at the time of the injury Type of combat helmet worn at the time of the injur Military combat helmet type (adult only) Advanced combat helmet;Other combat helmet;Unknown;No Advanced combat helmet;Other combat helmet;Unknown;No Alphanumeric

Choose one. Response is obtained from participant/subject (if possible), witnesses, first responders, family or medical records. Element recommended for the military population

No references available Adult Basic 3.00 2013-07-20 10:21:25.65 Type, Place, Cause and Mechanism of Injury History of Disease/Injury Event Disease/Injury Related Events

Single Pre-Defined Value Selected

C05422 Injury cause type InjCauseTyp The type as related to the classification of the external cause of the injury 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 3.00 2013-07-20 10:21:25.65 Type, Place, Cause and Mechanism of Injury History of Disease/Injury Event Disease/Injury Related Events

Multiple Pre-Defined Values Selected

C05433 Protective devices use indicator PrtctvDevcUseInd Indicator of protective devices used by participant/subject (e.g., helmet, car seat, seat belt, etc.) 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 Basic 3.00 2013-07-20 10:21:25.65 Type, Place, Cause and Mechanism of Injury History of Disease/Injury Event Disease/Injury Related Events

Single Pre-Defined Value Selected

C18397 Influence alcohol likelihood type InfAlcLkhdTyp Indicator for the likelihood the subject was under the influence of alcohol Indicator for the likelihood the subject was under the influence of alcoho 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 3.00 2013-07-20 10:21:25.65 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 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 Basic 3.00 2013-07-20 10:21:25.65 Type, Place, Cause and Mechanism of Injury History of Disease/Injury Event Disease/Injury Related Events

Single Pre-Defined Value Selected

C05434 Vehicular protective device type VehclrPrtctvDevTyp Type of protective devices used by the participant/subject 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 Basic 3.00 2013-07-20 10:21:25.65 Type, Place, Cause and Mechanism of Injury History of Disease/Injury Event Disease/Injury Related Events

Multiple Pre-Defined Values Selected

C18609 ICD revision number ICDRevNumber Number of the International Classification of Diseases (ICD) used to obtain the code Number of the International Classification of Diseases (ICD) used to obtain the code 9;10;11 ICD-9;ICD-10;ICD-11 Numeric Values

Choose one.

Adult;Pediatric Core 1.00 2013-09-05 00:00:00.0 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 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 3.00 2013-07-20 10:21:25.65 Type, Place, Cause and Mechanism of Injury History of Disease/Injury Event Disease/Injury Related Events

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 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 Basic 3.00 2013-07-20 10:21:25.65 Type, Place, Cause and Mechanism of Injury History of Disease/Injury Event Disease/Injury Related Events

Single Pre-Defined Value Selected

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 The free-text field related to 'Abusive head trauma reporter type' specifying other text. How the determination of abusive head trauma likelihood was made Alphanumeric

Choose one

No references available Adult;Pediatric Supplemental 1.00 2014-05-27 13:34:46.0 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 How the determination of abusive head trauma likelihood was made 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 3.00 2013-07-20 10:21:25.65 Type, Place, Cause and Mechanism of Injury History of Disease/Injury Event Disease/Injury Related Events

Single Pre-Defined Value Selected

C05437 Blast injury device type BlastInjDevTyp Type of device which caused the blast injury 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 Basic 3.00 2013-07-20 10:21:25.65 Type, Place, Cause and Mechanism of Injury History of Disease/Injury Event Disease/Injury Related Events

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 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 Basic 1.00 2014-05-27 13:34:46.0 Type, Place, Cause and Mechanism of Injury History of Disease/Injury Event Disease/Injury Related Events 4000

Free-Form Entry

C05426 Injury place occurrence type InjPlcOccncTyp Classification of the place/setting at which the traumatic brain injury occurred 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 Basic 3.00 2013-07-20 10:21:25.65 Type, Place, Cause and Mechanism of Injury History of Disease/Injury Event Disease/Injury Related Events

Single Pre-Defined Value Selected

CSV