CDE Detailed Report

Disease: Traumatic Brain Injury
Sub-Domain: History of Disease/Injury Event
CRF: Screening for TBI in Military Personnel

Displaying 1 - 5 of 5
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
C05445 Screening for TBI in Military Personnel (STBIMP) - military deployment event type STBIMPMilDeplyEvntTyp Type of event(s) the participant/subject experienced during the military deployment, as a part of Screening for TBI in Military Personnel (STBIMP) Type of event(s) the participant/subject experienced during the military deployment, as a part of Screening for TBI in Military Personnel (STBIMP During this deployment, did you experience any of the following events? Blast or explosion (IED, RPG, land mine, grenade, etc.);Vehicular accident/crash (any vehicle, including aircraft);Fragment or bullet wound above your shoulders;Fall;Other event (for example, a sports injury to your head).Describe Blast or explosion (IED, RPG, land mine, grenade, etc.);Vehicular accident/crash (any vehicle, including aircraft);Fragment or bullet wound above your shoulders;Fall;Other event (for example, a sports injury to your head). Describe Alphanumeric

Mark all that apply

DoD Instruction 6490.03, "Deployment Health," August 11, 2006 Hoge CW, McGurk D, Thomas JL, et al. Mild traumatic brain injury in U.S. Soldiers returning from Iraq. New England Journal of Medicine. Jan 2008;358(5):453-63. Vasterling JJ, Proctor SP, Amoroso P, Kane R, Heeren T, White RF. Neuropsychological outcomes of Army personnel following deployment to the Iraq war. Journal of the American Medical Association. 2006;296(5):519-529. Schell TL, Marshall GN. Survey of Individuals Previously Deployed for OEF/OIF. In Tanidian T and Jaycox LH (Eds.) Invisible Wounds of War: Psychological and Cognitive Injuries, Their Consequences, and Services to Assist Recovery. Santa Monica, CA, Rand Corporation, 2008, 87-115. Schwab KA, Ivins B, Cramer G, Johnson W, Sluss-Tiller M, Kiley K, Lux W, Warden D, Screening for traumatic brain injury in troops returning from deployment in Afghanistan and Iraq: initial investigation of the usefulness of a short screening tool for traumatic brain injury. J Head Trauma Rehabil, 2007 (22): 377-89. Donnelly KT, Donnelly JP, Dunnam M, Warner GC, Kittleson CJ, Constance JE, Brandshaw CB, Alt M, Reliability, sensitivity, and specificity of the VA traumatic brain injury tool, J Head Trauma Rehabil, 2011 (26): 439-453. Adult Supplemental 3.00 2013-07-20 10:21:25.65 Screening for TBI in Military Personnel History of Disease/Injury Event Disease/Injury Related Events

Multiple Pre-Defined Values Selected

C05446 Screening for TBI in Military Personnel (STBIMP) - military deployment event result STBIMPMilDeplyEvntReslt Result(s) happened to the participant/subject immediately after the above event(s) noted during the deployment in the military, as a part of Screening for TBI in Military Personnel (STBIMP) Result(s) happened to the participant/subject immediately after the above event(s) noted during the deployment in the military, as a part of Screening for TBI in Military Personnel (STBIMP Did any of the following happen to you, or were you told happened to you, IMMEDIATELY after any of the event(s) you just noted? Felt dazed, confused or "saw starts";Didn't remember the event;Had a concussion;Had a head injury;Lost consciousness or got "knocked out" Felt dazed, confused or "saw starts";Didn't remember the event;Had a concussion;Had a head injury;Lost consciousness or got "knocked out" Alphanumeric

Mark all that apply

DoD Instruction 6490.03, "Deployment Health," August 11, 2006 Hoge CW, McGurk D, Thomas JL, et al. Mild traumatic brain injury in U.S. Soldiers returning from Iraq. New England Journal of Medicine. Jan 2008;358(5):453-63. Vasterling JJ, Proctor SP, Amoroso P, Kane R, Heeren T, White RF. Neuropsychological outcomes of Army personnel following deployment to the Iraq war. Journal of the American Medical Association. 2006;296(5):519-529. Schell TL, Marshall GN. Survey of Individuals Previously Deployed for OEF/OIF. In Tanidian T and Jaycox LH (Eds.) Invisible Wounds of War: Psychological and Cognitive Injuries, Their Consequences, and Services to Assist Recovery. Santa Monica, CA, Rand Corporation, 2008, 87-115. Schwab KA, Ivins B, Cramer G, Johnson W, Sluss-Tiller M, Kiley K, Lux W, Warden D, Screening for traumatic brain injury in troops returning from deployment in Afghanistan and Iraq: initial investigation of the usefulness of a short screening tool for traumatic brain injury. J Head Trauma Rehabil, 2007 (22): 377-89. Donnelly KT, Donnelly JP, Dunnam M, Warner GC, Kittleson CJ, Constance JE, Brandshaw CB, Alt M, Reliability, sensitivity, and specificity of the VA traumatic brain injury tool, J Head Trauma Rehabil, 2011 (26): 439-453. Adult Supplemental 3.00 2013-07-20 10:21:25.65 Screening for TBI in Military Personnel History of Disease/Injury Event Disease/Injury Related Events

Multiple Pre-Defined Values Selected

C05447 Screening for TBI in Military Personnel (STBIMP) - military deployment post-event worse symptom type STBIMPMilDeplyPstEvtWrsSympTyp Type of result that happened to the participant, or was told happened to the participant, immediately after any of those above events, as a part of Screening for TBI in Military Personnel (STBIMP) Type of result that happened to the participant, or was told happened to the participant, immediately after any of those above events, as a part of Screening for TBI in Military Personnel (STBIMP Did any of the following problems begin or get worse after the event(s) you noted? Memory problems or lapses;Balance problems or dizziness;Ringing in the ears;Sensitivity to bright light;Irritability;Headaches;Sleep problems Memory problems or lapses;Balance problems or dizziness;Ringing in the ears;Sensitivity to bright light;Irritability;Headaches;Sleep problems Alphanumeric

Mark all that apply

DoD Instruction 6490.03, "Deployment Health," August 11, 2006 Hoge CW, McGurk D, Thomas JL, et al. Mild traumatic brain injury in U.S. Soldiers returning from Iraq. New England Journal of Medicine. Jan 2008;358(5):453-63. Vasterling JJ, Proctor SP, Amoroso P, Kane R, Heeren T, White RF. Neuropsychological outcomes of Army personnel following deployment to the Iraq war. Journal of the American Medical Association. 2006;296(5):519-529. Schell TL, Marshall GN. Survey of Individuals Previously Deployed for OEF/OIF. In Tanidian T and Jaycox LH (Eds.) Invisible Wounds of War: Psychological and Cognitive Injuries, Their Consequences, and Services to Assist Recovery. Santa Monica, CA, Rand Corporation, 2008, 87-115. Schwab KA, Ivins B, Cramer G, Johnson W, Sluss-Tiller M, Kiley K, Lux W, Warden D, Screening for traumatic brain injury in troops returning from deployment in Afghanistan and Iraq: initial investigation of the usefulness of a short screening tool for traumatic brain injury. J Head Trauma Rehabil, 2007 (22): 377-89. Donnelly KT, Donnelly JP, Dunnam M, Warner GC, Kittleson CJ, Constance JE, Brandshaw CB, Alt M, Reliability, sensitivity, and specificity of the VA traumatic brain injury tool, J Head Trauma Rehabil, 2011 (26): 439-453. Adult Supplemental 3.00 2013-07-20 10:21:25.65 Screening for TBI in Military Personnel History of Disease/Injury Event Disease/Injury Related Events

Multiple Pre-Defined Values Selected

C05448 Screening for TBI in Military Personnel (STBIMP) - military deployment past week symptom type STBIMPMilDeplymtPastWkSympTyp Type of symptom that began or worsened after the events noted in question 9a, as a part of Screening for TBI in Military Personnel (STBIMP) Type of symptom that began or worsened after the events noted in question 9a, as a part of Screening for TBI in Military Personnel (STBIMP In the past week, have you had any of the symptoms you indicated? Memory problems or lapses;Balance problems or dizziness;Ringing in the ears;Sensitivity to bright light;Irritability;Headaches;Sleep problems Memory problems or lapses;Balance problems or dizziness;Ringing in the ears;Sensitivity to bright light;Irritability;Headaches;Sleep problems Alphanumeric

Mark all that apply

DoD Instruction 6490.03, "Deployment Health," August 11, 2006 Hoge CW, McGurk D, Thomas JL, et al. Mild traumatic brain injury in U.S. Soldiers returning from Iraq. New England Journal of Medicine. Jan 2008;358(5):453-63. Vasterling JJ, Proctor SP, Amoroso P, Kane R, Heeren T, White RF. Neuropsychological outcomes of Army personnel following deployment to the Iraq war. Journal of the American Medical Association. 2006;296(5):519-529. Schell TL, Marshall GN. Survey of Individuals Previously Deployed for OEF/OIF. In Tanidian T and Jaycox LH (Eds.) Invisible Wounds of War: Psychological and Cognitive Injuries, Their Consequences, and Services to Assist Recovery. Santa Monica, CA, Rand Corporation, 2008, 87-115. Schwab KA, Ivins B, Cramer G, Johnson W, Sluss-Tiller M, Kiley K, Lux W, Warden D, Screening for traumatic brain injury in troops returning from deployment in Afghanistan and Iraq: initial investigation of the usefulness of a short screening tool for traumatic brain injury. J Head Trauma Rehabil, 2007 (22): 377-89. Donnelly KT, Donnelly JP, Dunnam M, Warner GC, Kittleson CJ, Constance JE, Brandshaw CB, Alt M, Reliability, sensitivity, and specificity of the VA traumatic brain injury tool, J Head Trauma Rehabil, 2011 (26): 439-453. Adult Supplemental 3.00 2013-07-20 10:21:25.65 Screening for TBI in Military Personnel History of Disease/Injury Event Disease/Injury Related Events

Multiple Pre-Defined Values Selected

C18396 Screening for TBI in Military Personnel (STBIMP) - military deployment event other text STBIMPMilDeplyEvntOthrTxt Describe in text the event(s) ,other than those listed above, the participant/subject experienced during the military deployment, as a part of Screening for TBI in Military Personnel (STBIMP) Describe in text the event(s) ,other than those listed above, the participant/subject experienced during the military deployment, as a part of Screening for TBI in Military Personnel (STBIMP Other event (for example, a sports injury to your head). Describe: Alphanumeric DoD Instruction 6490.03, "Deployment Health," August 11, 2006 Hoge CW, McGurk D, Thomas JL, et al. Mild traumatic brain injury in U.S. Soldiers returning from Iraq. New England Journal of Medicine. Jan 2008;358(5):453-63. Vasterling JJ, Proctor SP, Amoroso P, Kane R, Heeren T, White RF. Neuropsychological outcomes of Army personnel following deployment to the Iraq war. Journal of the American Medical Association. 2006;296(5):519-529. Schell TL, Marshall GN. Survey of Individuals Previously Deployed for OEF/OIF. In Tanidian T and Jaycox LH (Eds.) Invisible Wounds of War: Psychological and Cognitive Injuries, Their Consequences, and Services to Assist Recovery. Santa Monica, CA, Rand Corporation, 2008, 87-115. Schwab KA, Ivins B, Cramer G, Johnson W, Sluss-Tiller M, Kiley K, Lux W, Warden D, Screening for traumatic brain injury in troops returning from deployment in Afghanistan and Iraq: initial investigation of the usefulness of a short screening tool for traumatic brain injury. J Head Trauma Rehabil, 2007 (22): 377-89. Donnelly KT, Donnelly JP, Dunnam M, Warner GC, Kittleson CJ, Constance JE, Brandshaw CB, Alt M, Reliability, sensitivity, and specificity of the VA traumatic brain injury tool, J Head Trauma Rehabil, 2011 (26): 439-453. Adult Supplemental 3.00 2013-07-20 10:21:25.65 Screening for TBI in Military Personnel History of Disease/Injury Event Disease/Injury Related Events 255

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