CDE Detailed Report

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.).

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.

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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).

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.

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.

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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.