CDE Detailed Report

Disease: Spinal Cord Injury
Sub-Domain: Epidemiology/Environmental History
CRF: Substance Use

Displaying 1 - 3 of 3
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
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. List of drugs Alphanumeric 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;Pediatric Supplemental 1.00 2014-05-27 13:34:46.0 Substance Use Epidemiology/Environmental History Participant History and Family History 4000

Free-Form Entry

C22777 Illicit drug indicator IllctDrgInd Indicator of subject's use of illicit or non-prescription drugs Indicator of subject's use of illicit or non-prescription drugs During the last 12 months (or during the time since your injury – if year 1 follow-up) did you use any illicit or non-prescription drugs? No;Refused;Unknown;Yes No;Refused;Unknown;Yes Numeric Values 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;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Substance Use Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

C22778 Illicit drugs used type IllcitDrgUseTyp Illicit or non-prescription drugs used by the subject. Illicit or non-prescription drugs used by the subject. If Yes above, please indicate the drugs used Crack/Cocaine;Pot/Marijuana;LSD/Hallucinogens;Heroin/Opiates;Speed/Stimulants;Unknown;List other drugs Crack/Cocaine;Pot/Marijuana;LSD/Hallucinogens;Heroin/Opiates;Speed/Stimulants;Unknown;List other drugs Alphanumeric 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;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Substance Use Epidemiology/Environmental History Participant History and Family History

Multiple Pre-Defined Values Selected

CSV