CDE Detailed Report

Disease: Spinal Cord Injury
Sub-Domain: History of Disease/Injury Event
CRF: History of Injury

Displaying 1 - 15 of 15
CDE ID CDE Name Variable Name Definition Short Description Additional Notes (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
C06461 Non traumatic spinal cord injury etiology classification axis 1 level 2 category NTSCIEtioAx1LevTwoClassCat The category of level 2 of axis 1 to classify the cause of non-traumatic spinal cord injury The category of level 2 of axis 1 to classify the cause of non-traumatic spinal cord injury Classification of etiology of Non- Traumatic Spinal Cord Injury (NTSCI)- Axis 1- Level 2 Spinal Dysraphism;Arnold-Chiari Malformation;Skeletal malformations;Other congenital;Hereditary spastic paraparesis;Spino-cerebellar ataxias;Adreno-myeloneuropathy;Other leukodystrophies;Spinal muscular atrophies;Genetic - other;Vertebral column degenerative disorders;Metabolic Disorders;Vascular Disorders;Inflammatory and Auto-immune Diseases;Radiation Related;Toxic;Neoplastic;Infection;Miscellaneous;Not applicable Spinal Dysraphism;Arnold-Chiari Malformation;Skeletal malformations;Other congenital;Hereditary spastic paraparesis;Spino-cerebellar ataxias;Adreno-myeloneuropathy;Other leukodystrophies;Spinal muscular atrophies;Genetic - other;Vertebral column degenerative disorders;Metabolic Disorders;Vascular Disorders;Inflammatory and Auto-immune Diseases;Radiation Related;Toxic;Neoplastic;Infection;Miscellaneous;Not applicable Alphanumeric

Refer to the Classification Principles and the other extensive instructions in the data set documentation. If the etiology is being classified in a project to a level of detail that does not have any corresponding item in the table for that etiology then 'N/A' (not applicable) should be entered to indicate that the detail is not missing.

New PW, Marshall R. International Spinal Cord Injury Data Sets for non-traumatic spinal cord injury. Spinal Cord. 2014 Feb;52(2):123-32. doi: 10.1038/sc.2012.160. Adult;Pediatric Exploratory 3.00 2013-07-17 09:26:36.973 History of Injury History of Disease/Injury Event Disease/Injury Related Events

Single Pre-Defined Value Selected

C06462 Non traumatic spinal cord injury onset type NTSCIOnsetTyp The type of onset timeframe over which the non-traumatic spinal cord injury developed The type of onset timeframe over which the non-traumatic spinal cord injury developed. Timeframe of onset of NTSCI Acute;Sub-acute;Prolonged;Lengthy Less than or equal to 1 day;More than 1 day but less than or equal to 7 days;More than or equal to 7 days but less than or equal to a month;More than a month Alphanumeric

Choose one. This element does not relate to the timeframe associated with the period following diagnosis of NTSCI.

New PW, Marshall R. International Spinal Cord Injury Data Sets for non-traumatic spinal cord injury. Spinal Cord. 2014 Feb;52(2):123-32. doi: 10.1038/sc.2012.160. Adult;Pediatric Supplemental 3.00 2013-07-17 09:26:36.973 History of Injury History of Disease/Injury Event Disease/Injury Related Events

Single Pre-Defined Value Selected

C06463 Non traumatic spinal cord injury iatrogenic indicator NTSCIIatrogInd Indicate whether there was any iatrogenic role in the etiology of the non-traumatic spinal cord injury Indicate whether there was any iatrogenic role in the etiology of the non-traumatic spinal cord injury. Iatrogenic role in the etiology Yes;No;Unknown Yes;No;Unknown Alphanumeric

Choose one
In using this dataset classification the ICECI be used as the overall guiding framework but clinicians make the final decision regarding whether they consider the SCI to be traumatic or non-traumatic. It is suggested that when the iatrogenic component is a direct 'cause' involving an 'unintentional cut, puncture, perforation during a surgical intervention (ICECI 20.4), the case should be considered a traumatic SCI. If the iatrogenic component involves medication (i.e. iatrogenic but no direct external force), or is only a factor in an already established clinical case of NTSCI even if there is some progression in severity of SCI as a result of the iatrogenic component, then these should be classified as NTSCI and the iatrogenic component is indicated as being present.

New PW, Marshall R. International Spinal Cord Injury Data Sets for non-traumatic spinal cord injury. Spinal Cord. 2014 Feb;52(2):123-32. doi: 10.1038/sc.2012.160. Adult;Pediatric Supplemental 3.00 2013-07-17 09:26:36.973 History of Injury History of Disease/Injury Event Disease/Injury Related Events

Single Pre-Defined Value Selected

C06464 Non traumatic spinal cord injury etiology axis 1 level 3 category NTSCIEtioAx1LevThreeClassCat The category of level 3 of axis 1 to classify the cause of non-traumatic spinal cord injury The category of level 3 of axis 1 to classify the cause of non-traumatic spinal cord injury Classification of etiology of Non- Traumatic Spinal Cord Injury (NTSCI)- Axis 1- Level 3 Spina bifida occulta;Myelomeningocoele;Tethered cord syndrome;Spinal dysraphism - other;Type 1: Abnormal extension of the cerebellar tonsils below the foramen magnum;Type 2: Plus caudal displacement of the medulla and the 4th ventricle;Type 3: Displaced cerebellar and brainstem tissue extends into an infra - tentorial meningoencephalocoele;Type 4: Cerebellar and brainstem hypoplasia - variant of Dandy Walker Malformation;Atlanto-axial dislocation;Atlanto-axial instability (Down's Syndrome);Achondroplasia;Muco-polysaccharididosis;Klippel-Feil syndrome;Osteogenesis Imperfecta;Lumbosacral agenesis;Other congenital skeletal malformations;Congenital Syringomyelia;HSP pure;HSP complicated;Dominant;Recessive;Disc prolapsed;Ligamentum flavum hypertrophy;Ossification of the posterior longitudinal ligament;Spinal osteophytosis;Spondylolisthesis;Spondylosis;Spinal stenosis;Spinal cord compression due to combination of multiple developmental and/or acquired factors listed above;Other vertebral column degenerative disorders;Deficiency;Osteoporosis;Paget's Disease;Osteomalacia;Other metabolic;Hemorrhage;Vascular malformations;Ischemia;Demyelination;Collagen Vascular Disease;Sarcoidosis;Paraneoplastic;Arachnoiditis;Other inflammatory-immune;Radiation Myelitis;Organophosphates;Konzo;Lathyrism;Pharmacological agents;Chronic liver disease;Other toxic;Benign;Malignant;Viral;Bacterial;Spirochaetal;Fungal;Parasitic;Motor Neurone Disease;Syringomyelia;Other miscellaneous diseases not otherwise specified;Not applicable Spina bifida occulta;Myelomeningocoele;Tethered cord syndrome;Spinal dysraphism - other;Type 1: Abnormal extension of the cerebellar tonsils below the foramen magnum;Type 2: Plus caudal displacement of the medulla and the 4th ventricle;Type 3: Displaced cerebellar and brainstem tissue extends into an infra - tentorial meningoencephalocoele;Type 4: Cerebellar and brainstem hypoplasia - variant of Dandy Walker Malformation;Atlanto-axial dislocation;Atlanto-axial instability (Down's Syndrome);Achondroplasia;Muco-polysaccharididosis;Klippel-Feil syndrome;Osteogenesis Imperfecta;Lumbosacral agenesis;Other congenital skeletal malformations;Congenital Syringomyelia;HSP pure;HSP complicated;Dominant;Recessive;Disc prolapsed;Ligamentum flavum hypertrophy;Ossification of the posterior longitudinal ligament;Spinal osteophytosis;Spondylolisthesis;Spondylosis;Spinal stenosis;Spinal cord compression due to combination of multiple developmental and/or acquired factors listed above;Other vertebral column degenerative disorders;Deficiency;Osteoporosis;Paget's Disease;Osteomalacia;Other metabolic;Hemorrhage;Vascular malformations;Ischemia;Demyelination;Collagen Vascular Disease;Sarcoidosis;Paraneoplastic;Arachnoiditis;Other inflammatory-immune;Radiation Myelitis;Organophosphates;Konzo;Lathyrism;Pharmacological agents;Chronic liver disease;Other toxic;Benign;Malignant;Viral;Bacterial;Spirochaetal;Fungal;Parasitic;Motor Neurone Disease;Syringomyelia;Other miscellaneous diseases not otherwise specified;Not applicable Alphanumeric

Refer to the Classification Principles and the other extensive instructions in the data set documentation. If the etiology is being classified in a project to a level of detail that does not have any corresponding item in the table for that etiology then 'N/A' (not applicable) should be entered to indicate that the detail is not missing.

New PW, Marshall R. International Spinal Cord Injury Data Sets for non-traumatic spinal cord injury. Spinal Cord. 2014 Feb;52(2):123-32. doi: 10.1038/sc.2012.160. Adult;Pediatric Exploratory 3.00 2013-07-17 09:26:36.973 History of Injury History of Disease/Injury Event Disease/Injury Related Events

Single Pre-Defined Value Selected

C06465 Non traumatic spinal cord injury etiology axis 1 level 4 category NTSCIEtioAx1LevFourClassCat The category of level 4 of axis 1 to classify the cause of non-traumatic spinal cord injury The category of level 4 of axis 1 to classify the cause of non-traumatic spinal cord injury Classification of etiology of Non- Traumatic Spinal Cord Injury (NTSCI)- Axis 1- Level 4 Lipomeningocoele;Anterior sacral meningocoele;Diastometamyelia;Hypertrophied filum terminale;Os odontoideum;Hypoplastic dens;Laxity of transverse atlantal - ligament;Specified;Unspecified;Friedreich's;Other recessive spinocerebellar ataxias - genetically confirmed/identified;Presumed recessive spinocerebellar ataxias - genetic type undetermined;Specific genetic types;Unspecified genetic subtype;Idiopathic;Acromegaly;Fluorosis;Lipomatosis;Vitamin B12 deficiency;Folate deficiency;Copper deficiency;Rickets;Other deficiency;Epidural Hematoma;Other hemorrhage;Dural arterio-venous (AV) fistula;Arterio-venous malformation (AVM) with or without hemorrhage;Atherosclerosis;Aortic Dissection;Takayasu's arteritis;Atheromatous emboli;Thromboemboli;Fibrocartilaginous emboli;Decompression sickness;Venous Infarction;Hypotensive-hypoperfusion;Fat embolism;Other ischemic;Transverse Myelitis - idiopathic;Multiple sclerosis;Neuromyelitis Optical;Systemic lupus erythematosis;Sjogren's disease;Rheumatoid arthritis;Ankylosing Spondylitis;Vasculitis;Other inflammatory;Nitrous Oxide;Other, specify;Primary vertebral lesions;Extradural space;Intradural (extramedullary);Intramedullary;Other benign;Neural;Leptomeningeal disease (not associated with other spinal cord lesions);Secondary vertebral lesions;Hematological;Other malignant;Herpes group;Retrovirus;Enterovirus;Polyomavirus;Other viruses;S aureus;Strep;Other pyogenic;Mycobacterium tuberculosis (TB);Brucellosis;Melioidosis;Borreliosis;Treponema pallidum;Cryptococcal;Actinomycosis;Other fungal;Cysticercosis;Hydatid;Toxoplasmosis;Schistosomiasis;Other parasitic;Amyotrophic lateral sclerosis;Primary lateral sclerosis;Progressive muscular atrophy;Communicating;Non-communicating;Not applicable Lipomeningocoele;Anterior sacral meningocoele;Diastometamyelia;Hypertrophied filum terminale;Os odontoideum;Hypoplastic dens;Laxity of transverse atlantal - ligament;Specified;Unspecified;Friedreich's;Other recessive spinocerebellar ataxias - genetically confirmed/identified;Presumed recessive spinocerebellar ataxias - genetic type undetermined;Specific genetic types;Unspecified genetic subtype;Idiopathic;Acromegaly;Fluorosis;Lipomatosis;Vitamin B12 deficiency;Folate deficiency;Copper deficiency;Rickets;Other deficiency;Epidural Hematoma;Other hemorrhage;Dural arterio-venous (AV) fistula;Arterio-venous malformation (AVM) with or without hemorrhage;Atherosclerosis;Aortic Dissection;Takayasu's arteritis;Atheromatous emboli;Thromboemboli;Fibrocartilaginous emboli;Decompression sickness;Venous Infarction;Hypotensive-hypoperfusion;Fat embolism;Other ischemic;Transverse Myelitis - idiopathic;Multiple sclerosis;Neuromyelitis Optical;Systemic lupus erythematosis;Sjogren's disease;Rheumatoid arthritis;Ankylosing Spondylitis;Vasculitis;Other inflammatory;Nitrous Oxide;Other, specify;Primary vertebral lesions;Extradural space;Intradural (extramedullary);Intramedullary;Other benign;Neural;Leptomeningeal disease (not associated with other spinal cord lesions);Secondary vertebral lesions;Hematological;Other malignant;Herpes group;Retrovirus;Enterovirus;Polyomavirus;Other viruses;S aureus;Strep;Other pyogenic;Mycobacterium tuberculosis (TB);Brucellosis;Melioidosis;Borreliosis;Treponema pallidum;Cryptococcal;Actinomycosis;Other fungal;Cysticercosis;Hydatid;Toxoplasmosis;Schistosomiasis;Other parasitic;Amyotrophic lateral sclerosis;Primary lateral sclerosis;Progressive muscular atrophy;Communicating;Non-communicating;Not applicable Alphanumeric

Refer to the Classification Principles and the other extensive instructions in the data set documentation. If the etiology is being classified in a project to a level of detail that does not have any corresponding item in the table for that etiology then 'N/A' (not applicable) should be entered to indicate that the detail is not missing.

No references availableNew PW, Marshall R. International Spinal Cord Injury Data Sets for non-traumatic spinal cord injury. Spinal Cord. 2014 Feb;52(2):123-32. doi: 10.1038/sc.2012.160. Adult;Pediatric Exploratory 3.00 2013-07-17 09:26:36.973 History of Injury History of Disease/Injury Event Disease/Injury Related Events

Multiple Pre-Defined Values Selected

C06466 Non traumatic spinal cord injury etiology axis 1 level 5 category NTSCIEtioAx1LevFiveClassCat The category of level 5 of axis 1 to classify the cause of non-traumatic spinal cord injury The category of level 5 of axis 1 to classify the cause of non-traumatic spinal cord injury Classification of etiology of Non- Traumatic Spinal Cord Injury (NTSCI)- Axis 1- Level 5 Bleeding Diathesis;Medication;Atlanto-axial instability;Osteoma;Osteochondroma;Osteoid osteoma;Hemangioma;Aneurysmal bone cyst;Lipoma;Neurofibroma;Meningioma;Schwannomas;Chordoma - benign;Astrocytoma - benign;Oligodendroglioma;Ependymoma;Cavernoma;Chordoma - malignant;Astrocytoma - malignant;Osteosarcoma;Breast;Bronchus;Lung;Prostate;Renal;Thyroid;Ewing's sarcoma;Melanoma;Other, specify;Myeloma;Leukemia;Non-Hodgkins Lymphoma;Hodgkin's Lymphoma;Herpes simplex;Herpes zoster;Cytomegalovirus (CMV);Epstein Barr;Human Immunodeficiency Virus;Human T-cell Leukemia Virus Type1;Polio virus;Coxsackievirus;Other enterovirus;John Cunningham virus;Extradural abscess;Vertebral ostemyelitis with septic discitis;Extradural disease;Spinal arachnoiditis;Intramedullary tuberculoma;Brucella spondylitis;Meningomyelitis;Vasculitis;Gumma;Tabes dorsalis;Basilar arachnoiditis;Post infectious;Post inflammatory;Tumor associated;Idiopathic;Not applicable Bleeding Diathesis;Medication;Atlanto-axial instability;Osteoma;Osteochondroma;Osteoid osteoma;Hemangioma;Aneurysmal bone cyst;Lipoma;Neurofibroma;Meningioma;Schwannomas;Chordoma - benign;Astrocytoma - benign;Oligodendroglioma;Ependymoma;Cavernoma;Chordoma - malignant;Astrocytoma - malignant;Osteosarcoma;Breast;Bronchus;Lung;Prostate;Renal;Thyroid;Ewing's sarcoma;Melanoma;Other;Myeloma;Leukemia;Non-Hodgkins Lymphoma;Hodgkin's Lymphoma;Herpes simplex;Herpes zoster;Cytomegalovirus (CMV);Epstein Barr;Human Immunodeficiency Virus;Human T-cell Leukemia Virus Type1;Polio virus;Coxsackievirus;Other enterovirus;John Cunningham virus;Extradural abscess;Vertebral ostemyelitis with septic discitis;Extradural disease;Spinal arachnoiditis;Intramedullary tuberculoma;Brucella spondylitis;Meningomyelitis;Vasculitis;Gumma;Tabes dorsalis;Basilar arachnoiditis;Post infectious;Post inflammatory;Tumor associated;Idiopathic;Not applicable Alphanumeric

Refer to the Classification Principles and the other extensive instructions in the data set documentation. If the etiology is being classified in a project to a level of detail that does not have any corresponding item in the table for that etiology then 'N/A' (not applicable) should be entered to indicate that the detail is not missing.

New PW, Marshall R. International Spinal Cord Injury Data Sets for non-traumatic spinal cord injury. Spinal Cord. 2014 Feb;52(2):123-32. doi: 10.1038/sc.2012.160. Adult;Pediatric Exploratory 3.00 2013-07-17 09:26:36.973 History of Injury History of Disease/Injury Event Disease/Injury Related Events

Multiple Pre-Defined Values Selected

C06467 Non traumatic spinal cord injury axis 2 ICD version number NTSCAx2ICDVerNum ICD version used to classify the etiology of non-traumatic spinal cord injury ICD version used to classify the etiology of non-traumatic spinal cord injury Classification of etiology of NTSCI: Axis 2- ICD version 09;10;11;00 Used to indicate that the 9th edition of the ICD was used to code etiology of the NTSCI;Used to indicate that the 10th edition of the ICD was used to code etiology of the NTSCI;Used to indicate that the 11th edition of the ICD was used to code etiology of the NTSCI (when it is finalised);Used to indicate that no coding of triggering diseases or processes was undertaken Alphanumeric

This coding is only used where the axis 1 classification does not include relevant detail regarding processes or diseases that had a role in the etiology.

New PW, Marshall R. International Spinal Cord Injury Data Sets for non-traumatic spinal cord injury. Spinal Cord. 2014 Feb;52(2):123-32. doi: 10.1038/sc.2012.160. Adult;Pediatric Exploratory 3.00 2013-07-17 09:26:36.973 History of Injury History of Disease/Injury Event Disease/Injury Related Events

Single Pre-Defined Value Selected

C05400 Injury date time InjDateTime Date (and time, if applicable and known) of injury Date (and time, if applicable and known) of injury Date/Time of Injury Date or Date & Time

Record the date/time according to the ISO 8601, the International Standard for the representation of dates and times (http://www.iso.org/iso/home.html). The date/time should be recorded to the level of granularity known (e.g., year, year and month, complete date plus hours and minutes, etc.).

DeVivo M, Biering-SØrensen F, Charlifue S, Noonan V, Post M, Stripling T, Wing P. International Spinal Cord Injury Core Data Set. Spinal Cord 2006 Sep;44(9):535-40. Adult;Pediatric Core 3.00 2013-07-20 10:21:25.65 History of Injury History of Disease/Injury Event Disease/Injury Related Events

Free-Form Entry

C06468 Non traumatic spinal cord injury axis 2 ICD code NTSCAx2ICDCode ICD codes are used to classify the etiology of non-traumatic spinal cord injury ICD codes are used to classify the etiology of non-traumatic spinal cord injury Classification of etiology of NTSCI: ICD codes Alphanumeric

Letter followed by up to 5 numbers. Up to 3 ICD codes are recorded.

New PW, Marshall R. International Spinal Cord Injury Data Sets for non-traumatic spinal cord injury. Spinal Cord. 2014 Feb;52(2):123-32. doi: 10.1038/sc.2012.160. Adult;Pediatric Exploratory 3.00 2013-07-17 09:26:36.973 History of Injury History of Disease/Injury Event Disease/Injury Related Events 6

Free-Form Entry

C06414 Spinal cord injury etiology type SpnalCrdInjEtlgyTyp Etiology of the spinal cord injury. Traumatic spinal cord injury is impairment of the spinal cord or cauda equina function resulting from the application of an external force of any magnitude. Etiology of the spinal cord injury. Traumatic spinal cord injury is impairment of the spinal cord or cauda equina function resulting from the application of an external force of any magnitude. Traumatic Injury etiology 1;2;3;4;Other traumatic causes;Unspecified or Unknown;Not applicable 1 = Sports/leisure;2 = Assault;3 = Transport;4 = Fall;Other traumatic causes;Unspecified or Unknown;Not applicable Alphanumeric

Because it is possible that an injury event may be classifiable into more than one of these categories, the following prioritization has been established for assigning codes: First coding priority is given to sports. If the injury event involved sports it should be coded as a 1 (Sports) regardless of whether it involved assault, transport or a fall. Code 1 would be appropriate whenever the ICECI Injury Activity Axis would be coded as "sports and exercise during leisure time" (ICECI Injury Activity code 4) regardless of coding on other ICECI Axes. Second priority is given to Assault. If the event did not involve sports but it did involve an assault, then the event should be coded as a 2 (Assault) regardless of whether it involved transport or a fall. Code 2 would be appropriate whenever the ICECI Intent of Injury Axis would be coded as "assault" (ICECI Intent of Injury code 3) and the ICECI Injury Activity Axis would not be coded as "sports and exercise during leisure time" (ICECI Injury Activity code 4) regardless of other ICECI Axes. Third priority is given to Transport. If the event was neither sports nor assault related but it involved transport, then the event should be coded as 3 (Transport) regardless of whether it involved a fall. Code 3 would be appropriate whenever the ICECI External Cause of Injury Axis would be coded as "transport injury event" (ICECI External Cause of Injury code 1.1) and ICECI Intent of Injury Axis would not be coded as "assault" (ICECI Intent of Injury code 3) and ICECI Injury Activity Axis would not be coded as "sports and exercise during leisure time" (ICECI Injury Activity code 4). Fourth priority is given to Fall. If the event was neither sports, assault nor transport related and it involved a fall then it should be coded as 4 (Fall). Code 4 would be appropriate whenever the ICECI External Cause of Injury Axis would be coded as "falling, stumbling, or jumping" (ICECI External Cause of Injury code 1.5) and ICECI Intent of Injury Axis would not be coded as "assault" (ICECI Intent of Injury code 3) and ICECI Injury Activity Axis would not be coded as "sports and exercise during leisure time" (ICECI Injury Activity code 4). Use code 5 (other traumatic cause) for all other known (specified) traumatic causes whenever codes 1 through 4 of this etiology variable do not apply. Paralysis secondary to surgical procedures when the patient does not have a neurological deficit prior to surgery would be coded in this category. Use code 6 (non-traumatic cause) if there is impairment of the spinal cord or cauda equina function that is not caused either directly or indirectly by an external event.

DeVivo M, Biering-SØrensen F, Charlifue S, Noonan V, Post M, Stripling T, Wing P. International Spinal Cord Injury Core Data Set. Spinal Cord 2006 Sep;44(9):535-40. Adult;Pediatric Core 3.10 2018-07-27 00:00:00.0 History of Injury History of Disease/Injury Event Disease/Injury Related Events

Single Pre-Defined Value Selected

C17409 Visit date VisitDate Date of interview or visit (actually the date when data in the form were captured) Date of interview or visit Date of Visit Date or Date & Time Adult;Pediatric Core 3.00 2013-06-21 00:00:00.0 History of Injury History of Disease/Injury Event Disease/Injury Related Events

Free-Form Entry

C06426 Spinal cord injury type SpnlCrdInjTyp The mechanism of spinal cord injury The mechanism of spinal cord injury Traumatic injury-Penetrating/blunt injury Blunt;Penetrating;Unknown Blunt;Penetrating;Unknown Alphanumeric

Choose one
Blunt injury is defined as an injury where damage to the neural elements is caused by an impact that was transferred through the patient's tissues without penetratingthe skin and thus potentially penetrating the underlying spine. Penetrating injury is defined as an injury where damage to the neural elements was caused by a piercing object or projectile (such as a knife, bullet or shrapnel).

Dvorak MF, Wing PC, Fehlings MG, Vaccaro AR, Itshayek E, Biering-Sorensen F, Noonan VK. International spinal cord injury spinal column injury basic data set. Spinal Cord. 2012 Nov;50(11):817-21. doi: 10.1038/sc.2012.60. Adult;Pediatric Supplemental 3.00 2013-07-17 09:26:36.973 History of Injury History of Disease/Injury Event Disease/Injury Related Events

Single Pre-Defined Value Selected

C18153 Data unknown text DataUnknwnTxt The free-text field to Mark an "X" in to record if data are unknown or not available. The free-text field to Mark an "X" in to record if data are unknown or not available. Or data. Date/time of injury unknown Alphanumeric

Check box for Unknown

No references available Adult;Pediatric Supplemental 3.00 2013-07-17 09:26:36.973 History of Injury History of Disease/Injury Event Disease/Injury Related Events 20

Free-Form Entry

C06460 Non traumatic spinal cord injury etiology classification axis 1 level 1 category NTSCIEtioAx1LevOneClassCat The category of level 1 of axis 1 to classify the cause of non-traumatic spinal cord injury The category of level 1 of axis 1 to classify the cause of non-traumatic spinal cord injury Classification of etiology of Non- Traumatic Spinal Cord Injury (NTSCI)- Axis 1- Level 1 Congenital;Genetic Disorders;Acquired Abnormalities;Not applicable Congenital;Genetic Disorders;Acquired Abnormalities;Not applicable Alphanumeric

Refer to the Classification Principles and the other extensive instructions in the data set documentation. If the etiology is being classified in a project to a level of detail that does not have any corresponding item in the table for that etiology then 'N/A' (not applicable) should be entered to indicate that the detail is not missing.

New PW, Marshall R. International Spinal Cord Injury Data Sets for non-traumatic spinal cord injury. Spinal Cord. 2014 Feb;52(2):123-32. doi: 10.1038/sc.2012.160. Adult;Pediatric Exploratory 3.00 2013-07-17 09:26:36.973 History of Injury History of Disease/Injury Event Disease/Injury Related Events

Single Pre-Defined Value Selected

C22645 Spinal cord injury non traumatic etiology type SpnalCrdInjNonTraumEtlgyTyp Etiology of the spinal cord injury. Traumatic spinal cord injury is impairment of the spinal cord or cauda equina function resulting from the application of an external force of any magnitude. Etiology of the spinal cord injury. Traumatic spinal cord injury is impairment of the spinal cord or cauda equina function resulting from the application of an external force of any magnitude. Non-traumatic Injury etiology Congenital or genetic etiology;Degenerative;Infection etiology;Not applicable;Other non-traumatic spinal cord dysfunction;Tumor- malignant;Tumor-benign;Unspecified or Unknown;Vascular etiology Congenital or genetic etiology (e.g., spinal bifida);Degenrative;Infection etiology (e.g., bacterial, viral);Not applicable;Other non-traumatic spinal cord dysfunction;Tumor- malignant;Tumor-benign;Unspecified or Unknown;Vascular etiology (e.g., ischemia, hemorrhagic, malformations) Alphanumeric

Because it is possible that an injury event may be classifiable into more than one of these categories, the following prioritization has been established for assigning codes: First coding priority is given to sports. If the injury event involved sports it should be coded as a 1 (Sports) regardless of whether it involved assault, transport or a fall. Code 1 would be appropriate whenever the ICECI Injury Activity Axis would be coded as "sports and exercise during leisure time" (ICECI Injury Activity code 4) regardless of coding on other ICECI Axes. Second priority is given to Assault. If the event did not involve sports but it did involve an assault, then the event should be coded as a 2 (Assault) regardless of whether it involved transport or a fall. Code 2 would be appropriate whenever the ICECI Intent of Injury Axis would be coded as "assault" (ICECI Intent of Injury code 3) and the ICECI Injury Activity Axis would not be coded as "sports and exercise during leisure time" (ICECI Injury Activity code 4) regardless of other ICECI Axes. Third priority is given to Transport. If the event was neither sports nor assault related but it involved transport, then the event should be coded as 3 (Transport) regardless of whether it involved a fall. Code 3 would be appropriate whenever the ICECI External Cause of Injury Axis would be coded as "transport injury event" (ICECI External Cause of Injury code 1.1) and ICECI Intent of Injury Axis would not be coded as "assault" (ICECI Intent of Injury code 3) and ICECI Injury Activity Axis would not be coded as "sports and exercise during leisure time" (ICECI Injury Activity code 4). Fourth priority is given to Fall. If the event was neither sports, assault nor transport related and it involved a fall then it should be coded as 4 (Fall). Code 4 would be appropriate whenever the ICECI External Cause of Injury Axis would be coded as "falling, stumbling, or jumping" (ICECI External Cause of Injury code 1.5) and ICECI Intent of Injury Axis would not be coded as "assault" (ICECI Intent of Injury code 3) and ICECI Injury Activity Axis would not be coded as "sports and exercise during leisure time" (ICECI Injury Activity code 4). Use code 5 (other traumatic cause) for all other known (specified) traumatic causes whenever codes 1 through 4 of this etiology variable do not apply. Paralysis secondary to surgical procedures when the patient does not have a neurological deficit prior to surgery would be coded in this category. Use code 6 (non-traumatic cause) if there is impairment of the spinal cord or cauda equina function that is not caused either directly or indirectly by an external event.

DeVivo M, Biering-SØrensen F, Charlifue S, Noonan V, Post M, Stripling T, Wing P. International Spinal Cord Injury Core Data Set. Spinal Cord 2006 Sep;44(9):535-40. Adult;Pediatric Core 3.00 2013-07-17 09:26:36.973 History of Injury History of Disease/Injury Event Disease/Injury Related Events

Single Pre-Defined Value Selected

CSV