CDE Detailed Report
Disease: Traumatic Brain Injury
Sub-Domain: History of Disease/Injury Event
CRF: Ohio State University TBI Identification Method Short Form
Displaying 1 - 24 of 24
Sub-Domain: History of Disease/Injury Event
CRF: Ohio State University TBI Identification Method Short Form
Displaying 1 - 24 of 24
| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| C07459 | Ohio State TBI Method Short Form (OSUTBIMS) - ask question category | OSUTBIMSAskQuestionCat | Indicator of whether or not subject has lost consciousness and for how long and if not whether subject was dazed or has a gap in their memory from the injury. Also indicates how old the subject was as part of Ohio State TBI Method Short Form (OSUTBIMS) | Indicator of whether or not subject has lost consciousness and for how long and if not whether subject was dazed or has a gap in their memory from the injury. Also indicates how old the subject was as part of Ohio State TBI Method Short Form (OSUTBIMS | If all above are no then proceed to question 7. If answered yes to any of the questions above ask the following for each injury Were you knocked or did you lose consciousness LOC? If yes how long? If no were you dazed or did you have a gap in your memory | Numeric Values |
See instructions on form |
Adapted with permission from the Ohio State University TBI Identification Method [Corrigan JD, Bogner JA. Initial reliability and validity of the OSU TBI Identification Method. J Head Trauma Rehabil. Nov-Dec 2007;22(6):318-329. copyright reserved 2007, The Ohio Valley Center for Brain Injury Prevention and Rehabilitation] | Adult | Basic | 3.00 | 2013-07-22 09:34:41.527 | Ohio State University TBI Identification Method Short Form | History of Disease/Injury Event | Disease/Injury Related Events |
Free-Form Entry |
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| C18069 | Ohio State TBI Method Short Form (OSUTBIMS) - age number | OSUTBIMSAgeNum | Age the subject was when he or she incurred the injury as part of Ohio State TBI Method Short Form (OSUTBIMS) | Age the subject was when he or she incurred the injury as part of Ohio State TBI Method Short Form (OSUTBIMS | Age | Numeric Values | Adapted with permission from the Ohio State University TBI Identification Method [Corrigan JD, Bogner JA. Initial reliability and validity of the OSU TBI Identification Method. J Head Trauma Rehabil. Nov-Dec 2007;22(6):318-329. copyright reserved 2007, The Ohio Valley Center for Brain Injury Prevention and Rehabilitation] | Adult | Supplemental | 3.00 | 2013-07-20 10:46:24.96 | Ohio State University TBI Identification Method Short Form | History of Disease/Injury Event | Disease/Injury Related Events |
Free-Form Entry |
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| C18059 | Ohio State TBI Method Short Form (OSUTBIMS) - more injuries loss of consciousness number | OSUTBIMSMoreInjLOCNum | Number of injuries past the amount that can be listed in the table that have to do with loss of consciousness as part of Ohio State TBI Method Short Form (OSUTBIMS) | Number of injuries past the amount that can be listed in the table that have to do with loss of consciousness as part of Ohio State TBI Method Short Form (OSUTBIMS | How many more? | Numeric Values | Adapted with permission from the Ohio State University TBI Identification Method [Corrigan JD, Bogner JA. Initial reliability and validity of the OSU TBI Identification Method. J Head Trauma Rehabil. Nov-Dec 2007;22(6):318-329. copyright reserved 2007, The Ohio Valley Center for Brain Injury Prevention and Rehabilitation] | Adult | Supplemental | 3.00 | 2013-07-20 10:46:24.96 | Ohio State University TBI Identification Method Short Form | History of Disease/Injury Event | Disease/Injury Related Events |
Free-Form Entry |
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| C18070 | Ohio State TBI Method Short Form (OSUTBIMS) - Loss of consciousness count | OSUTBIMSLOCCt | Number of injuries the subject incurred with loss of consciousness as part of Ohio State TBI Method Short Form (OSUTBIMS) | Number of injuries the subject incurred with loss of consciousness as part of Ohio State TBI Method Short Form (OSUTBIMS | Number TBI LOC | Numeric Values |
Number of TBI's with loss of consciousness from #6a |
Adapted with permission from the Ohio State University TBI Identification Method [Corrigan JD, Bogner JA. Initial reliability and validity of the OSU TBI Identification Method. J Head Trauma Rehabil. Nov-Dec 2007;22(6):318-329. copyright reserved 2007, The Ohio Valley Center for Brain Injury Prevention and Rehabilitation] | Adult | Supplemental | 3.00 | 2013-07-20 10:46:24.96 | Ohio State University TBI Identification Method Short Form | History of Disease/Injury Event | Disease/Injury Related Events |
Free-Form Entry |
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| C18060 | Ohio State TBI Method Short Form (OSUTBIMS) - longest knock out time | OSUTBIMSLongKnockOutTime | Longest amount of time that the subject was knocked out for as part of Ohio State TBI Method Short Form (OSUTBIMS) | Longest amount of time that the subject was knocked out for as part of Ohio State TBI Method Short Form (OSUTBIMS | Longest knocked out? | Numeric Values | Adapted with permission from the Ohio State University TBI Identification Method [Corrigan JD, Bogner JA. Initial reliability and validity of the OSU TBI Identification Method. J Head Trauma Rehabil. Nov-Dec 2007;22(6):318-329. copyright reserved 2007, The Ohio Valley Center for Brain Injury Prevention and Rehabilitation] | Adult | Supplemental | 3.00 | 2013-07-20 10:46:24.96 | Ohio State University TBI Identification Method Short Form | History of Disease/Injury Event | Disease/Injury Related Events |
Free-Form Entry |
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| C18071 | Ohio State TBI Method Short Form (OSUTBIMS) - loss of consciousness greater than 30 number | OSUTBIMSLOCGreaterthan30Num | Number of injuries the subject incurred with a loss of consciousness for greater than 30 minutes as part of Ohio State TBI Method Short Form (OSUTBIMS) | Number of injuries the subject incurred with a loss of consciousness for greater than 30 minutes as part of Ohio State TBI Method Short Form (OSUTBIMS | Number TBI LOC greater than or equal to thirty | Numeric Values |
Number of TBI's with loss of consciousness = 30 minutes from #6a |
Adapted with permission from the Ohio State University TBI Identification Method [Corrigan JD, Bogner JA. Initial reliability and validity of the OSU TBI Identification Method. J Head Trauma Rehabil. Nov-Dec 2007;22(6):318-329. copyright reserved 2007, The Ohio Valley Center for Brain Injury Prevention and Rehabilitation] | Adult | Supplemental | 3.00 | 2013-07-20 10:46:24.96 | Ohio State University TBI Identification Method Short Form | History of Disease/Injury Event | Disease/Injury Related Events |
Free-Form Entry |
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| C18061 | Ohio State TBI Method Short Form (OSUTBIMS) - greater than 30 minutes number | OSUTBIMSGreaternThan30MinNum | Number of injuries the subject incurred that lasted longer than 30 minutes as part of Ohio State TBI Method Short Form (OSUTBIMS) | Number of injuries the subject incurred that lasted longer than 30 minutes as part of Ohio State TBI Method Short Form (OSUTBIMS | How many greater than or equal to thirty minutes? | Numeric Values | Adapted with permission from the Ohio State University TBI Identification Method [Corrigan JD, Bogner JA. Initial reliability and validity of the OSU TBI Identification Method. J Head Trauma Rehabil. Nov-Dec 2007;22(6):318-329. copyright reserved 2007, The Ohio Valley Center for Brain Injury Prevention and Rehabilitation] | Adult | Supplemental | 3.00 | 2013-07-20 10:46:24.96 | Ohio State University TBI Identification Method Short Form | History of Disease/Injury Event | Disease/Injury Related Events |
Free-Form Entry |
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| C18072 | Ohio State TBI Method Short Form (OSUTBIMS) - First loss of consciousness age value | OSUTBIMSFirstLOCAgeVal | The youngest age the subject incurred a loss of consciousness due to a traumatic brain injury as part of Ohio State TBI Method Short Form (OSUTBIMS) | The youngest age the subject incurred a loss of consciousness due to a traumatic brain injury as part of Ohio State TBI Method Short Form (OSUTBIMS | age at first TBI LOC | Numeric Values |
Youngest age from #6a |
Adapted with permission from the Ohio State University TBI Identification Method [Corrigan JD, Bogner JA. Initial reliability and validity of the OSU TBI Identification Method. J Head Trauma Rehabil. Nov-Dec 2007;22(6):318-329. copyright reserved 2007, The Ohio Valley Center for Brain Injury Prevention and Rehabilitation] | Adult | Supplemental | 3.00 | 2013-07-20 10:46:24.96 | Ohio State University TBI Identification Method Short Form | History of Disease/Injury Event | Disease/Injury Related Events |
Free-Form Entry |
year | |||||||||
| C18062 | Ohio State TBI Method Short Form (OSUTBIMS) - Loss of consciousness knocked out youngest age count | OSUTBIMSLOCKOYoungAgeNum | Number of times subject has lost consciousness. Number of times subject has been knocked out. Number of times subject has been knocked out for 30 or over minutes and the youngest age this has occurred as part of Ohio State TBI Method Short Form (OSUTBIMS) | Number of times subject has lost consciousness. Number of times subject has been knocked out. Number of times subject has been knocked out for 30 or over minutes and the youngest age this has occurred as part of Ohio State TBI Method Short Form (OSUTBIMS) | If more injuries with LOC How many more? Longest knocked out? How many 30 mins? Youngest age? | Numeric Values | Adapted with permission from the Ohio State University TBI Identification Method [Corrigan JD, Bogner JA. Initial reliability and validity of the OSU TBI Identification Method. J Head Trauma Rehabil. Nov-Dec 2007;22(6):318-329. copyright reserved 2007, The Ohio Valley Center for Brain Injury Prevention and Rehabilitation] | Adult;Pediatric | Supplemental | 3.00 | 2013-07-20 10:46:24.96 | Ohio State University TBI Identification Method Short Form | History of Disease/Injury Event | Disease/Injury Related Events |
Free-Form Entry |
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| C18073 | Ohio State TBI Method Short Form (OSUTBIMS) - loss of consciousness before age 15 result | OSUTBIMSLOCBeforeAge15Reslt | Result to whether the subject was younger than 15 or older or equal to 15 when he or she first lost consciousness due to her traumatic brain injury as part of Ohio State TBI Method Short Form (OSUTBIMS) | Result to whether the subject was younger than 15 or older or equal to 15 when he or she first lost consciousness due to her traumatic brain injury as part of Ohio State TBI Method Short Form (OSUTBIMS | TBI LOC before age fifteen | Numeric Values |
If youngest age from #7B |
Adapted with permission from the Ohio State University TBI Identification Method [Corrigan JD, Bogner JA. Initial reliability and validity of the OSU TBI Identification Method. J Head Trauma Rehabil. Nov-Dec 2007;22(6):318-329. copyright reserved 2007, The Ohio Valley Center for Brain Injury Prevention and Rehabilitation] | Adult | Supplemental | 3.00 | 2013-07-20 10:46:24.96 | Ohio State University TBI Identification Method Short Form | History of Disease/Injury Event | Disease/Injury Related Events |
Free-Form Entry |
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| C18063 | Ohio State TBI Method Short Form (OSUTBIMS) - cause reason | OSUTBIMSCauseRsn | The cause of the subject's injury as part of Ohio State TBI Method Short Form (OSUTBIMS) | The cause of the subject's injury as part of Ohio State TBI Method Short Form (OSUTBIMS | Cause | Alphanumeric | Adapted with permission from the Ohio State University TBI Identification Method [Corrigan JD, Bogner JA. Initial reliability and validity of the OSU TBI Identification Method. J Head Trauma Rehabil. Nov-Dec 2007;22(6):318-329. copyright reserved 2007, The Ohio Valley Center for Brain Injury Prevention and Rehabilitation] | Adult | Supplemental | 3.00 | 2013-07-20 10:46:24.96 | Ohio State University TBI Identification Method Short Form | History of Disease/Injury Event | Disease/Injury Related Events | 255 |
Free-Form Entry |
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| C18074 | Ohio State TBI Method Short Form (OSUTBIMS) - worst injury result | OSUTBIMSWorstInjReslt | Result to whether the subject has: 1 an "improbable TBI", 2 a "possible TBI", 3 a "mild TBI", 4 a "moderate TBI", or 5 a "severe TBI" as part of Ohio State TBI Method Short Form (OSUTBIMS) | Result to whether the subject has: 1 an "improbable TBI", 2 a "possible TBI", 3 a "mild TBI", 4 a "moderate TBI", or 5 a "severe TBI" as part of Ohio State TBI Method Short Form (OSUTBIMS | Worst Injury | Numeric Values |
If in response to #6a and 6b reports never having LOC, being dazed or having memory lapses classify as 1 "improbable TBI". If in response to #6b reports being dazed or having a memory lapse classify as 2 "possible TBI". If in response to #6a loss of consciousness (LOC) does not exceed 30 minutes for any injury classify as 3 "mild TBI". If in response to #6a LOC for any one injury is between 30 minutes and 24 hours classify as 4 "moderate TBI". If in response to #6a LOC for any one injury exceeds 24 hours classify as 5 "severe TBI". |
Adapted with permission from the Ohio State University TBI Identification Method [Corrigan JD, Bogner JA. Initial reliability and validity of the OSU TBI Identification Method. J Head Trauma Rehabil. Nov-Dec 2007;22(6):318-329. copyright reserved 2007, The Ohio Valley Center for Brain Injury Prevention and Rehabilitation] | Adult | Supplemental | 3.00 | 2013-07-20 10:46:24.96 | Ohio State University TBI Identification Method Short Form | History of Disease/Injury Event | Disease/Injury Related Events |
Free-Form Entry |
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| C07454 | Ohio State TBI Method Short Form (OSUTBIMS) - identification method hospitalization indicator | OSUTBIMSIdentMethHospInd | Number and cause of injuries to head or neck that which subject endured and had to go to a hospital or emergency room as part of Ohio State TBI Method Short Form (OSUTBIMS) | Number and cause of injuries to head or neck that which subject endured and had to go to a hospital or emergency room as part of Ohio State TBI Method Short Form (OSUTBIMS | Have you ever been hospitalized or treated in an emergency room following an injury to your head or neck? Think about any childhood injuries you remember or were told about. | No;Yes | No;Yes | Alphanumeric | Adapted with permission from the Ohio State University TBI Identification Method [Corrigan JD, Bogner JA. Initial reliability and validity of the OSU TBI Identification Method. J Head Trauma Rehabil. Nov-Dec 2007;22(6):318-329. copyright reserved 2007, The Ohio Valley Center for Brain Injury Prevention and Rehabilitation] | Adult | Basic | 3.00 | 2013-07-22 09:34:41.527 | Ohio State University TBI Identification Method Short Form | History of Disease/Injury Event | Disease/Injury Related Events |
Single Pre-Defined Value Selected |
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| C18064 | Ohio State TBI Method Short Form (OSUTBIMS) - no loss of consciousness result | OSUTBIMSNoLOCReslt | Whether the subject had a loss of consciousness or not as part of Ohio State TBI Method Short Form (OSUTBIMS) | Whether the subject had a loss of consciousness or not as part of Ohio State TBI Method Short Form (OSUTBIMS) | No LOC | Alphanumeric | Adapted with permission from the Ohio State University TBI Identification Method [Corrigan JD, Bogner JA. Initial reliability and validity of the OSU TBI Identification Method. J Head Trauma Rehabil. Nov-Dec 2007;22(6):318-329. copyright reserved 2007, The Ohio Valley Center for Brain Injury Prevention and Rehabilitation] | Adult | Supplemental | 3.00 | 2013-07-20 10:46:24.96 | Ohio State University TBI Identification Method Short Form | History of Disease/Injury Event | Disease/Injury Related Events | 255 |
Free-Form Entry |
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| C18075 | Ohio State TBI Method Short Form (OSUTBIMS) - anoxic injury number | OSUTBIMSAnoxicInjNum | Number of anoxic injuries (sum of incidents reported in #7) as part of Ohio State TBI Method Short Form (OSUTBIMS) | Number of anoxic injuries (sum of incidents reported in #7) as part of Ohio State TBI Method Short Form (OSUTBIMS | Number anoxic injuries | Numeric Values |
Sum of incidents reported in #7 |
Adapted with permission from the Ohio State University TBI Identification Method [Corrigan JD, Bogner JA. Initial reliability and validity of the OSU TBI Identification Method. J Head Trauma Rehabil. Nov-Dec 2007;22(6):318-329. copyright reserved 2007, The Ohio Valley Center for Brain Injury Prevention and Rehabilitation] | Adult | Supplemental | 3.00 | 2013-07-20 10:46:24.96 | Ohio State University TBI Identification Method Short Form | History of Disease/Injury Event | Disease/Injury Related Events |
Free-Form Entry |
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| C07455 | Ohio State TBI Method Short Form (OSUTBIMS) - identification method moving vehicle injury indicator | OSUTBIMSIdentMethMovVehInjInd | Number and cause of injuries to head or neck that which subject endured from a moving vehicle accident as part of Ohio State TBI Method Short Form (OSUTBIMS) | Number and cause of injuries to head or neck that which subject endured from a moving vehicle accident as part of Ohio State TBI Method Short Form (OSUTBIMS | Have you ever injured your head or neck in a car accident or from some other moving vehicle accident motorcycle ATV? | No;Yes | No;Yes | Alphanumeric | Adapted with permission from the Ohio State University TBI Identification Method [Corrigan JD, Bogner JA. Initial reliability and validity of the OSU TBI Identification Method. J Head Trauma Rehabil. Nov-Dec 2007;22(6):318-329. copyright reserved 2007, The Ohio Valley Center for Brain Injury Prevention and Rehabilitation] | Adult | Basic | 3.00 | 2013-07-22 09:34:41.527 | Ohio State University TBI Identification Method Short Form | History of Disease/Injury Event | Disease/Injury Related Events |
Single Pre-Defined Value Selected |
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| C18065 | Ohio State TBI Method Short Form (OSUTBIMS) - less than 30 minutes result | OSUTBIMSLessthan30minReslt | Whether the subject was unconscious for less than 30 minutes as part of Ohio State TBI Method Short Form (OSUTBIMS) | Whether the subject was unconscious for less than 30 minutes as part of Ohio State TBI Method Short Form (OSUTBIMS | Less than thirty min | Alphanumeric | Adapted with permission from the Ohio State University TBI Identification Method [Corrigan JD, Bogner JA. Initial reliability and validity of the OSU TBI Identification Method. J Head Trauma Rehabil. Nov-Dec 2007;22(6):318-329. copyright reserved 2007, The Ohio Valley Center for Brain Injury Prevention and Rehabilitation] | Adult | Supplemental | 3.00 | 2013-07-20 10:46:24.96 | Ohio State University TBI Identification Method Short Form | History of Disease/Injury Event | Disease/Injury Related Events | 255 |
Free-Form Entry |
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| C18076 | Ohio State TBI Method Short Form (OSUTBIMS) - Loss of consciousness drug overdose count | OSUTBIMSLOCDrgOvrCt | Number of times subject has lost consciousness from a drug overdose as part of Ohio State TBI Method Short Form (OSUTBIMS) | Number of times subject has lost consciousness from a drug overdose as part of Ohio State TBI Method Short Form (OSUTBIMS | Have you ever lost consciousness from a drug overdose? | Numeric Values | Adapted with permission from the Ohio State University TBI Identification Method [Corrigan JD, Bogner JA. Initial reliability and validity of the OSU TBI Identification Method. J Head Trauma Rehabil. Nov-Dec 2007;22(6):318-329. copyright reserved 2007, The Ohio Valley Center for Brain Injury Prevention and Rehabilitation] | Adult | Supplemental | 3.00 | 2013-07-20 10:46:24.96 | Ohio State University TBI Identification Method Short Form | History of Disease/Injury Event | Disease/Injury Related Events |
Free-Form Entry |
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| C07456 | Ohio State TBI Method Short Form (OSUTBIMS) - identification method object hit injury indicator | OSUTBIMSIdentMethObjHitInjInd | Number and cause of injuries to head or neck that which subject endured from being hit by something as part of Ohio State TBI Method Short Form (OSUTBIMS) | Number and cause of injuries to head or neck that which subject endured from being hit by something as part of Ohio State TBI Method Short Form (OSUTBIMS | Have you ever injured your head or neck in a fall or from being hit by something e.g. falling from a bike horse or rollerblades falling on ice being hit by a rock? Have you ever injured your head or neck playing sports or on the playground? | No;Yes | No;Yes | Alphanumeric | Adapted with permission from the Ohio State University TBI Identification Method [Corrigan JD, Bogner JA. Initial reliability and validity of the OSU TBI Identification Method. J Head Trauma Rehabil. Nov-Dec 2007;22(6):318-329. copyright reserved 2007, The Ohio Valley Center for Brain Injury Prevention and Rehabilitation] | Adult | Basic | 3.00 | 2013-07-22 09:34:41.527 | Ohio State University TBI Identification Method Short Form | History of Disease/Injury Event | Disease/Injury Related Events |
Single Pre-Defined Value Selected |
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| C18066 | Ohio State TBI Method Short Form (OSUTBIMS) - 30 mins 24 hours result | OSUTBIMS30min24hrsReslt | Whether the subject was unconscious for 30 mins to 24 hours as part of Ohio State TBI Method Short Form (OSUTBIMS) | Whether the subject was unconscious for 30 mins to 24 hours as part of Ohio State TBI Method Short Form (OSUTBIMS | Thirty min to twenty four hours | Alphanumeric | Adapted with permission from the Ohio State University TBI Identification Method [Corrigan JD, Bogner JA. Initial reliability and validity of the OSU TBI Identification Method. J Head Trauma Rehabil. Nov-Dec 2007;22(6):318-329. copyright reserved 2007, The Ohio Valley Center for Brain Injury Prevention and Rehabilitation] | Adult | Supplemental | 3.00 | 2013-07-20 10:46:24.96 | Ohio State University TBI Identification Method Short Form | History of Disease/Injury Event | Disease/Injury Related Events | 255 |
Free-Form Entry |
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| C07457 | Ohio State TBI Method Short Form (OSUTBIMS) - identification method person hit indicator | OSUTBIMSIdentMethPersHitInd | Number and cause of injuries to head or neck that which subject endured from a fight or from being hit by someone or from being shaken as part of Ohio State TBI Method Short Form (OSUTBIMS) | Number and cause of injuries to head or neck that which subject endured from a fight or from being hit by someone or from being shaken as part of Ohio State TBI Method Short Form (OSUTBIMS | Have you ever injured your head or neck in a fight, from being hit by someone, or from being shaken violently? Have you ever been shot in the head? | No;Yes | No;Yes | Alphanumeric | Adapted with permission from the Ohio State University TBI Identification Method [Corrigan JD, Bogner JA. Initial reliability and validity of the OSU TBI Identification Method. J Head Trauma Rehabil. Nov-Dec 2007;22(6):318-329. copyright reserved 2007, The Ohio Valley Center for Brain Injury Prevention and Rehabilitation] | Adult | Basic | 3.00 | 2013-07-22 09:34:41.527 | Ohio State University TBI Identification Method Short Form | History of Disease/Injury Event | Disease/Injury Related Events |
Single Pre-Defined Value Selected |
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| C18067 | Ohio State TBI Method Short Form (OSUTBIMS) - greater than 24 hours result | OSUTBIMSGreaterThan24hrsReslt | Whether the subject was unconscious for greater than 24 hours as part of Ohio State TBI Method Short Form (OSUTBIMS) | Whether the subject was unconscious for greater than 24 hours as part of Ohio State TBI Method Short Form (OSUTBIMS | Greater than twenty four hours | Alphanumeric | Adapted with permission from the Ohio State University TBI Identification Method [Corrigan JD, Bogner JA. Initial reliability and validity of the OSU TBI Identification Method. J Head Trauma Rehabil. Nov-Dec 2007;22(6):318-329. copyright reserved 2007, The Ohio Valley Center for Brain Injury Prevention and Rehabilitation] | Adult | Supplemental | 3.00 | 2013-07-20 10:46:24.96 | Ohio State University TBI Identification Method Short Form | History of Disease/Injury Event | Disease/Injury Related Events | 255 |
Free-Form Entry |
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| C07458 | Ohio State TBI Method Short Form (OSUTBIMS) - identification method explosion injury indicator | OSUTBIMSIdentMethExplInjInd | Number of times and cause for subject to come in close contact with an explosion or blast as part of Ohio State TBI Method Short Form (OSUTBIMS) | Number of times and cause for subject to come in close contact with an explosion or blast as part of Ohio State TBI Method Short Form (OSUTBIMS | Have you ever been nearby when an explosion or a blast occurred? If you served in the military, think about any combat or training related incidents. | No;Yes | No;Yes | Alphanumeric | Adapted with permission from the Ohio State University TBI Identification Method [Corrigan JD, Bogner JA. Initial reliability and validity of the OSU TBI Identification Method. J Head Trauma Rehabil. Nov-Dec 2007;22(6):318-329. copyright reserved 2007, The Ohio Valley Center for Brain Injury Prevention and Rehabilitation] | Adult | Basic | 3.00 | 2013-07-22 09:34:41.527 | Ohio State University TBI Identification Method Short Form | History of Disease/Injury Event | Disease/Injury Related Events |
Single Pre-Defined Value Selected |
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| C18068 | Ohio State TBI Method Short Form (OSUTBIMS) - dazed memory gap indicator | OSUTBIMSDazeMemryGapInd | Indicator whether the subject was dazed or has a memory gap as part of Ohio State TBI Method Short Form (OSUTBIMS) | Indicator whether the subject was dazed or has a memory gap as part of Ohio State TBI Method Short Form (OSUTBIMS | Dazed Memory Gap | No;Yes | No;Yes | Alphanumeric | Adapted with permission from the Ohio State University TBI Identification Method [Corrigan JD, Bogner JA. Initial reliability and validity of the OSU TBI Identification Method. J Head Trauma Rehabil. Nov-Dec 2007;22(6):318-329. copyright reserved 2007, The Ohio Valley Center for Brain Injury Prevention and Rehabilitation] | Adult | Supplemental | 3.00 | 2013-07-20 10:46:24.96 | Ohio State University TBI Identification Method Short Form | History of Disease/Injury Event | Disease/Injury Related Events |
Single Pre-Defined Value Selected |
