CDE Detailed Report
Disease: Traumatic Brain Injury
Subdomain Name: History of Disease/Injury Event
CRF: Type, Place, Cause and Mechanism of Injury
Displaying 1 - 32 of 32
Subdomain Name: History of Disease/Injury Event
CRF: Type, Place, Cause and Mechanism of Injury
Displaying 1 - 32 of 32
| 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 / Guidance) | Subdomain Name | Domain Name | Size | Input Restrictions | Min Value | Max Value | Measurement Type | External Id Loinc | External Id Snomed | External Id caDSR | External Id CDISC |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| C05435 | Airbag deploy indicator | AirbagDplyInd | Indicator of an airbag deployed at the time of the participant's/subject's injury | Indicator of an airbag deployed at the time of the participant's/subject's injury | Airbag deployed indicator | Yes;No;Not applicable;Unknown | Yes;No;Not applicable;Unknown | Alphanumeric |
Choose one. Response is obtained from report by participant/subject (if able to provide reliable information), first responders, emergency department physicians, or medical record. |
No references available | Adult;Pediatric | Basic | 3.00 | 2013-07-20 10:21:25.65 | Type, Place, Cause and Mechanism of Injury | History of Disease/Injury Event | Disease/Injury Related Events |
Single Pre-Defined Value Selected |
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| C18663 | Abusive head trauma reporter other text | AbsvHdTrmaRprtrOTH | The free-text field related to 'Abusive head trauma reporter type' specifying other text. How the determination of abusive head trauma likelihood was made | The free-text field related to 'Abusive head trauma reporter type' specifying other text. How the determination of abusive head trauma likelihood was made | Alphanumeric |
Choose one |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2014-05-27 13:34:46.0 | Type, Place, Cause and Mechanism of Injury | History of Disease/Injury Event | Disease/Injury Related Events | 4000 |
Free-Form Entry |
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| C05425 | Abusive head trauma reporter type | AbsvHdTrmaRprtrTyp | How the determination of abusive head trauma likelihood was made | How the determination of abusive head trauma likelihood was made | Child Protection Team (CPT);Pediatric Intensive Care Unit (PICU) physician;Emergency Department (ED) physician;Police;Children, Youth and Families (CYF);Coroner;Other, specify | Child Protection Team (CPT);Pediatric Intensive Care Unit (PICU) physician;Emergency Department (ED) physician;Police;Children, Youth and Families (CYF);Coroner;Other, specify | Alphanumeric |
Choose one |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-07-20 10:21:25.65 | Type, Place, Cause and Mechanism of Injury | History of Disease/Injury Event | Disease/Injury Related Events |
Single Pre-Defined Value Selected |
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| C05437 | Blast injury device type | BlastInjDevTyp | Type of device which caused the blast injury | Type of device which caused the blast injury | Blast injury device type | Improvised Explosive Device (IED);Land mine;Grenade;Bomb;Mortar;Rocket Propelled Grenade (RPG);Other, specify;Unknown | Improvised Explosive Device (IED);Land mine;Grenade;Bomb;Mortar;Rocket Propelled Grenade (RPG);Other, specify;Unknown | Alphanumeric |
Choose one. Response is obtained from participant/subject (if possible), witnesses, first responders, family or medical records. |
No references available | Adult;Pediatric | Basic | 3.00 | 2013-07-20 10:21:25.65 | Type, Place, Cause and Mechanism of Injury | History of Disease/Injury Event | Disease/Injury Related Events |
Single Pre-Defined Value Selected |
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| C18665 | Blast injury device other text | BlastInjDevOTH | The free-text field related to 'Blast injury device type' specifying other text. Type of device which caused the blast injury | The free-text field related to 'Blast injury device type' specifying other text. Type of device which caused the blast injury | Other, specify | Alphanumeric |
Choose one. Response is obtained from participant/subject (if possible), witnesses, first responders, family or medical records. |
No references available | Adult;Pediatric | Basic | 1.00 | 2014-05-27 13:34:46.0 | Type, Place, Cause and Mechanism of Injury | History of Disease/Injury Event | Disease/Injury Related Events | 4000 |
Free-Form Entry |
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| C05426 | Injury place occurrence type | InjPlcOccncTyp | Classification of the place/setting at which the traumatic brain injury occurred | Classification of the place/setting at which the traumatic brain injury occurred | Injury place of occurrence type | Street/highway;Public location (e.g. bar, station, nightclub);Home/domestic;Work/school;Sport/recreation;Military deployment;Other, specify | Street/highway;Public location (e.g. bar, station, nightclub);Home/domestic;Work/school;Sport/recreation;Military deployment;Other, specify | Alphanumeric |
Choose one. The place of injury is particularly important from an epidemiologic perspective, but may also be related to mechanism of injury and consequently type and extent of brain damage. |
Butcher I, McHugh GS, Lu J, et al. Prognostic value of cause of injury in traumatic brain injury: results from the IMPACT study. J Neurotrauma. Feb 2007;24(2):281-286. See http://www.cdc.gov/nchs/icd/icd9cm.htm | Adult;Pediatric | Basic | 3.00 | 2013-07-20 10:21:25.65 | Type, Place, Cause and Mechanism of Injury | History of Disease/Injury Event | Disease/Injury Related Events |
Single Pre-Defined Value Selected |
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| C05438 | Blast direction type | BlastDirTyp | The location of the blast related to the location of the participant/subject | The location of The blast related to The location of The participant/subject | Blast direction type | Right;Above;Below;In front;Behind;Unknown;Left | Right;Above;Below;In front;Behind;Unknown;Left | Alphanumeric |
Choose one. Response is obtained from participant/subject (if possible), witnesses, first responders, family or medical records. |
No references available | Adult;Pediatric | Basic | 3.00 | 2013-07-20 10:21:25.65 | Type, Place, Cause and Mechanism of Injury | History of Disease/Injury Event | Disease/Injury Related Events |
Single Pre-Defined Value Selected |
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| C18724 | Injury place occurrence other text | InjPlcOccncOTH | The free-text field related to 'Injury place occurrence type' specifying other text. Classification of the place/setting at which the traumatic brain injury occurred | The free-text field related to 'Injury place occurrence type' specifying other text. Classification of the place/setting at which the traumatic brain injury occurred | Other, specify | Alphanumeric |
Choose one. The place of injury is particularly important from an epidemiologic perspective, but may also be related to mechanism of injury and consequently type and extent of brain damage. |
Butcher I, McHugh GS, Lu J, et al. Prognostic value of cause of injury in traumatic brain injury: results from the IMPACT study. J Neurotrauma. Feb 2007;24(2):281-286. See http://www.cdc.gov/nchs/icd/icd9cm.htm | Adult;Pediatric | Basic | 1.00 | 2014-05-27 13:34:46.0 | Type, Place, Cause and Mechanism of Injury | History of Disease/Injury Event | Disease/Injury Related Events | 4000 |
Free-Form Entry |
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| C05427 | Traffic accident self role type | TrffAccdntSelfRoleTyp | The participant's/subject's role in the traffic accident that resulted in the injury | The participant's/subject's role in The traffic accident that resulted in The injury | Traffic accident self role type | Pedestrian;Cyclist;Moped/scooter;Motorcycle/Motorbike;Other;Motor vehicle occupant | Pedestrian;Cyclist;Moped/scooter;Motorcycle/Motorbike;Other;Motor vehicle occupant | Alphanumeric |
Choose one. Response is obtained from report by participant/subject (if possible), witnesses, first responders, family and/or medical records. Information on the nature of the road traffic incident and the function of the victim is not only important from an epidemiological and prevention perspective, but also provides information on what type of intracranial and extracranial injuries might be expected. |
No references available | Adult;Pediatric | Basic | 3.00 | 2013-07-20 10:21:25.65 | Type, Place, Cause and Mechanism of Injury | History of Disease/Injury Event | Disease/Injury Related Events |
Single Pre-Defined Value Selected |
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| C05439 | Blast injury category | BlastInjCat | Category of blast-related injury | Category of blast-related injury | Blast injury category | Primary blast;Secondary blast;Tertiary blast;Quaternary blast;Unknown | direct effects of the detonation including the high pressure shock front and associated blast wave and any thermal components;effect of flying debris or bomb fragments;effect of participant/subject being thrown from the blast wind;explosion related injuries or illnesses that do not fall under primary, secondary, or tertiary blast; | Alphanumeric |
Choose all that apply. Response is obtained from participant/subject (if possible), witnesses, first responders, family or medical records. |
Born, CT. Blast Trauma: The Fourth Weapon of Mass Destruction. Scandinavian Journal of Surgery 94: 279-285, 2005 | Adult;Pediatric | Basic | 3.00 | 2013-07-20 10:21:25.65 | Type, Place, Cause and Mechanism of Injury | History of Disease/Injury Event | Disease/Injury Related Events |
Multiple Pre-Defined Values Selected |
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| C18772 | Vehicular protective device other text | VehclrPrtctvDevOTH | The free-text field related to 'Vehicular protective device type' specifying other text. Type of protective devices used by the participant/subject | The free-text field related to 'Vehicular protective device type' specifying other text. Type of protective devices used by the participant/subject | Other, specify | Alphanumeric |
Choose all that apply. Response is obtained from report by participant/subject (if able to provide reliable information), first responders, emergency department physicians, or medical record. This element is recommended for pediatric studies. |
Occupant Restraint Use in 2010. Results From the National Occupant Protection Use Survey Controlled Intersection Study. National Highway Traffic Safety Administration. November 2011. http://www-nrd.nhtsa.dot.gov/Pubs/811527.pdf | Adult;Pediatric | Basic | 1.00 | 2014-05-27 13:34:46.0 | Type, Place, Cause and Mechanism of Injury | History of Disease/Injury Event | Disease/Injury Related Events | 4000 |
Free-Form Entry |
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| C05428 | Traffic accident other party role type | TrffAccdntOthPrtyRoleTyp | The other party's role in the traffic accident that resulted in the participant's/subject's injury | The other party's role in The traffic accident that resulted in The participant's/subject's injury | Traffic accident other party role type | Motor vehicle;Pedestrian;Cyclist;Moped/scooter;Motorcycle/Motorbike;Tram/Bus;Train/Metro;Obstacle;No other party;Unknown | Motor vehicle;Pedestrian;Cyclist;Moped/scooter;Motorcycle/Motorbike;Tram/Bus;Train/Metro;Obstacle;No other party;Unknown | Alphanumeric |
Choose one. Response is obtained from participant/ subject (if possible), witnesses, first responders, family member or medical record. |
No references available | Adult;Pediatric | Basic | 3.00 | 2013-07-20 10:21:25.65 | Type, Place, Cause and Mechanism of Injury | History of Disease/Injury Event | Disease/Injury Related Events |
Single Pre-Defined Value Selected |
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| C05440 | Blast enclose space indicator | BlastEnclSpcInd | Indicator of blast occurring in enclosed space | Indicator of blast occurring in enclosed space | Blast enclosed space indicator | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric |
Choose one. Response is obtained from participant/subject (if possible), witnesses, first responders, family or medical records. |
No references available | Adult;Pediatric | Basic | 3.00 | 2013-07-20 10:21:25.65 | Type, Place, Cause and Mechanism of Injury | History of Disease/Injury Event | Disease/Injury Related Events |
Single Pre-Defined Value Selected |
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| C58469 | TBI cause type | TBICauseTyp | Broad classification of the type of traumatic brain injury experienced by participant/subject | Indicator of the type of traumatic brain injury experienced by participant/subject | Type of TBI | Closed;Penetrating;Blast;Crush;Unknown | Closed;Penetrating;Blast;Crush;Unknown | Alphanumeric |
Choose one |
Butcher I, McHugh GS, Lu J, et al. Prognostic value of cause of injury in traumatic brain injury: results from the IMPACT study. J Neurotrauma. Feb 2007;24(2):281-286. | Adult;Pediatric | Core | 3.00 | 2013-07-20 10:21:25.65 | Type, Place, Cause and Mechanism of Injury | History of Disease/Injury Event | Disease/Injury Related Events |
Single Pre-Defined Value Selected |
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| C05429 | Traffic accident self alcohol influence likelihood type | TrffAccdntSefAlcInfLkhdTyp | Likelihood of whether the participant/subject was under the influence of alcohol at the time of injury | Likelihood of whether the participant/subject was under the influence of alcohol at the time of injury | Traffic accident self drug influence likelihood type | Suspected;Confirmed;Unknown;None | Suspected;Confirmed;Unknown;None | Alphanumeric |
Choose one. Response is obtained from hospital reports. |
No references available | Adult;Pediatric | Basic | 3.00 | 2013-07-20 10:21:25.65 | Type, Place, Cause and Mechanism of Injury | History of Disease/Injury Event | Disease/Injury Related Events |
Single Pre-Defined Value Selected |
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| C05441 | Biological agent exposure likelihood type | BiolgclAgntExpsrLkhdTyp | Likelihood of whether a biological agent was encountered at the time of the injury | Likelihood of whether a biological agent was encountered at the time of the injur | Biological agent exposure likelihood type | Suspected;Confirmed;Unknown;None | Suspected;Confirmed;Unknown;None | Alphanumeric |
Choose one. Response is obtained from participant/subject (if possible), witnesses, first responders, family or medical records. Element recommended for the military population |
No references available | Adult;Pediatric | Basic | 3.00 | 2013-07-20 10:21:25.65 | Type, Place, Cause and Mechanism of Injury | History of Disease/Injury Event | Disease/Injury Related Events |
Single Pre-Defined Value Selected |
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| C00227 | Military deployment injury indicator | MilDplyInjInd | Indicator of whether the injury occurred during deployment | Indicator of whether the injury occurred during deployment | Military deployment injury indicator | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric |
Choose one. Response is obtained from report by participant/subject (interview, self report) or relatives. This element is intended for use in adult military populations. Severity of psychological problems has been shown to correlate with the 'severity' of combat experiences. |
Schell TL, Marshall GN. (2008). Survey of individuals previously deployed for OEF/OIF. In T. Tanielian and L. H. Jaycox (Eds.), Invisible wounds of war: Psychological and cognitive injuries, their consequences, and services to assist recovery, (pp 87-115) Santa Monica, Ca: RAND Center for Military Health Policy Research. | Adult | Basic | 3.00 | 2013-07-20 10:21:25.65 | Type, Place, Cause and Mechanism of Injury | History of Disease/Injury Event | Disease/Injury Related Events |
Single Pre-Defined Value Selected |
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| C05430 | Traffic accident other party alcohol influence likelihood type | TrffAccdntOthPrtyAlcInfLkhdTyp | Likelihood of whether the other involved party was under the influence of alcohol at the time of the participant's/subject's injury | Likelihood of whether the other involved party was under the influence of alcohol at the time of the participant's/subject's injury | Traffic accident other party alcohol influence likelihood type | Suspected;Confirmed;Unknown;None | Suspected;Confirmed;Unknown;None | Alphanumeric |
Choose one. Response is obtained from hospital reports. |
No references available | Adult;Pediatric | Basic | 3.00 | 2013-07-20 10:21:25.65 | Type, Place, Cause and Mechanism of Injury | History of Disease/Injury Event | Disease/Injury Related Events |
Single Pre-Defined Value Selected |
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| C05442 | Chemical agent exposure likelihood type | ChemAgntExpsrLkhdTyp | Likelihood of whether a chemical agent was encountered at the time of the injury | Likelihood of whether a chemical agent was encountered at the time of the injur | Chemical agent exposure likelihood type | Suspected;Confirmed;Unknown;None | Suspected;Confirmed;Unknown;None | Alphanumeric |
Choose one. Response is obtained from participant/subject (if possible), witnesses, first responders, family or medical records. Element recommended for the military population |
No references available | Adult;Pediatric | Basic | 3.00 | 2013-07-20 10:21:25.65 | Type, Place, Cause and Mechanism of Injury | History of Disease/Injury Event | Disease/Injury Related Events |
Single Pre-Defined Value Selected |
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| C05419 | Abusive head trauma likelihood type | AbsvHdTrmaLkhdTyp | Indicator to the extent of abusive head trauma is determined to be likely | Indicator to the extent of abusive head trauma is determined to be likely | Likelihood that injury was due to abusive head trauma? | No concern;Possible abuse;Probable abuse;Definite abuse | No concern;Possible abuse;Probable abuse;Definite abuse | Alphanumeric |
Choose one |
No references available | Adult;Pediatric | Basic | 3.00 | 2013-07-20 10:21:25.65 | Type, Place, Cause and Mechanism of Injury | History of Disease/Injury Event | Disease/Injury Related Events |
Single Pre-Defined Value Selected |
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| C05431 | Traffic accident self drug influence likelihood type | TrffAccdntSelfDrgIngLkhdTyp | Likelihood of whether the participant/subject was under the influence of drugs at the time of injury | Likelihood of whether the participant/subject was under the influence of drugs at the time of injury | Traffic accident self drug influence likelihood type | Suspected;Confirmed;Unknown;None | Suspected;Confirmed;Unknown;None | Alphanumeric |
Choose one. Response is obtained from hospital reports. |
No references available | Adult;Pediatric | Basic | 3.00 | 2013-07-20 10:21:25.65 | Type, Place, Cause and Mechanism of Injury | History of Disease/Injury Event | Disease/Injury Related Events |
Single Pre-Defined Value Selected |
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| C05443 | Body armor indicator | BodyArmInd | Indicator of whether body armor was worn at the time of the injury | Indicator of whether body armor was worn at the time of the injury | Body armor indicator (adult only) | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric |
Choose one. Response is obtained from participant/subject (if possible), witnesses, first responders, family or medical records. Element recommended for the military population |
No references available | Adult | Basic | 3.00 | 2013-07-20 10:21:25.65 | Type, Place, Cause and Mechanism of Injury | History of Disease/Injury Event | Disease/Injury Related Events |
Single Pre-Defined Value Selected |
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| C05421 | Injury ICD external cause code | InjICDExtCauseCode | Code to classify the external cause of the injury | Code to classify the external cause of the injury | and or ICD 9 CM e codes | Alphanumeric |
Record as many as needed; please refer to http://www.cdc.gov/nchs/icd.htm. Response is obtained from report by subject/participant (if possible), witnesses, first responders, family and/or medical records. The cause of injury is particularly important from an epidemiologic perspective, but may also be related to mechanism of injury and consequently type and extent of brain damage. |
Butcher I, McHugh GS, Lu J, et al. Prognostic value of cause of injury in traumatic brain injury: results from the IMPACT study. J Neurotrauma. Feb 2007;24(2):281-286. See http://www.icd9data.com | Adult;Pediatric | Core | 3.00 | 2013-07-20 10:21:25.65 | Type, Place, Cause and Mechanism of Injury | History of Disease/Injury Event | Disease/Injury Related Events | 255 |
Free-Form Entry |
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| C05432 | Traffic accident other party drug influence likelihood type | TrffAccdntOthPrtyDrgInfLkhdTyp | Likelihood of whether the other involved party was under the influence of drugs at the time of the participant's/subject's injury | Likelihood of whether the other involved party was under the influence of drugs at the time of the participant's/subject's injury | Traffic accident self drug influence likelihood type | Suspected;Confirmed;Unknown;None | Suspected;Confirmed;Unknown;None | Alphanumeric |
Choose one. Response is obtained from hospital reports. |
No references available | Adult;Pediatric | Basic | 3.00 | 2013-07-20 10:21:25.65 | Type, Place, Cause and Mechanism of Injury | History of Disease/Injury Event | Disease/Injury Related Events |
Single Pre-Defined Value Selected |
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| C05444 | Military combat helmet type | MilCmbtHelmtTyp | Type of combat helmet worn at the time of the injury | Type of combat helmet worn at the time of the injur | Military combat helmet type (adult only) | Advanced combat helmet;Other combat helmet;Unknown;No | Advanced combat helmet;Other combat helmet;Unknown;No | Alphanumeric |
Choose one. Response is obtained from participant/subject (if possible), witnesses, first responders, family or medical records. Element recommended for the military population |
No references available | Adult | Basic | 3.00 | 2013-07-20 10:21:25.65 | Type, Place, Cause and Mechanism of Injury | History of Disease/Injury Event | Disease/Injury Related Events |
Single Pre-Defined Value Selected |
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| C05422 | Injury cause type | InjCauseTyp | The type as related to the classification of the external cause of the injury | The type as related to the classification of the external cause of the injury | Cause of TBI | Railway accidents;Motor vehicle traffic accidents;Motor vehicle nontraffic accidents;Other road vehicle accidents;Water transport accidents;Air and space transport accidents;Vehicle accidents not elsewhere classifiable;Accidental poisoning by drugs, medicinal substances, and biologicals;Accidental poisoning by other solid and liquid substances, gases, and vapors;Misadventures to patients during surgical and medical care;Surgical and medical procedures as the cause of abnormal reaction of patient or later complication, without mention of misadventure at the time of procedure;Accidental falls;Accidents caused by fire and flames;Accidents due to natural and environmental factors (e900-e909);Accidents caused by submersion, suffocation, and foreign bodies;Other accidents;Late effects of accidental injury;Drugs, medicinal and biological substances causing adverse effects in therapeutic use;Suicide and self-inflicted injury;Homicide and injury purposely inflicted by other persons;Legal intervention;Terrorism;Injury undetermined whether accidentally or purposely inflicted;Injury resulting from operations of war;Railway accidents | Railway accidents (e800-e807);Motor vehicle traffic accidents (e810-e819);Motor vehicle nontraffic accidents (e820-e825);Other road vehicle accidents (e826-e829);Water transport accidents (e830-e838);Air and space transport accidents (e840-e845);Vehicle accidents not elsewhere classifiable (e846-e848);Accidental poisoning by drugs, medicinal substances, and biologicals (e850-e858);Accidental poisoning by other solid and liquid substances, gases, and vapors (e860-e869);Misadventures to patients during surgical and medical care (e870-e876);Surgical and medical procedures as the cause of abnormal reaction of patient or later complication, without mention of misadventure at the time of procedure (e878-e879);Accidental falls (e880-e888);Accidents caused by fire and flames (e890-e899);Accidents due to natural and environmental factors (e900-e909);Accidents caused by submersion, suffocation, and foreign bodies (e910-e915);Other accidents (e916-e928);Late effects of accidental injury (e929);Drugs, medicinal and biological substances causing adverse effects in therapeutic use (e930-e949);Suicide and self-inflicted injury (e950-e959);Homicide and injury purposely inflicted by other persons (e960-e969);Legal intervention (e970-e978);Terrorism (e979);Injury undetermined whether accidentally or purposely inflicted (e980-e989);Injury resulting from operations of war (e990-e999;Railway accidents (e800-e807) | Alphanumeric |
Choose all that apply from codelist and/or fill in appropriate ICD-9-CM e-codes below |
Butcher I, McHugh GS, Lu J, et al. Prognostic value of cause of injury in traumatic brain injury: results from the IMPACT study. J Neurotrauma. Feb 2007;24(2):281-286. See http://www.icd9data.com | Adult;Pediatric | Basic | 3.00 | 2013-07-20 10:21:25.65 | Type, Place, Cause and Mechanism of Injury | History of Disease/Injury Event | Disease/Injury Related Events |
Multiple Pre-Defined Values Selected |
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| C05433 | Protective devices use indicator | PrtctvDevcUseInd | Indicator of protective devices used by participant/subject (e.g., helmet, car seat, seat belt, etc.) | Indicator of protective devices used by participant/subject (e.g., helmet, car seat, seat belt, etc.) | Protective devices used indicator | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric |
Choose one. Response is obtained from report by participant/subject (if able to provide reliable information), first responders, emergency department physicians, or medical record. This element is recommended for pediatric studies. |
Occupant Restraint Use in 2010. Results From the National Occupant Protection Use Survey Controlled Intersection Study. National Highway Traffic Safety Administration. November 2011. http://www-nrd.nhtsa.dot.gov/Pubs/811527.pdf | Adult;Pediatric | Basic | 3.00 | 2013-07-20 10:21:25.65 | Type, Place, Cause and Mechanism of Injury | History of Disease/Injury Event | Disease/Injury Related Events |
Single Pre-Defined Value Selected |
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| C18397 | Influence alcohol likelihood type | InfAlcLkhdTyp | Indicator for the likelihood the subject was under the influence of alcohol | Indicator for the likelihood the subject was under the influence of alcoho | Likelihood that participant/subject was under the influence of alcohol? | None;Suspected;Confrimed;Unknown | None;Suspected;Confrimed;Unknown | Alphanumeric |
Choose one |
No references available | Adult;Pediatric | Basic | 3.00 | 2013-07-20 10:21:25.65 | Type, Place, Cause and Mechanism of Injury | History of Disease/Injury Event | Disease/Injury Related Events |
Single Pre-Defined Value Selected |
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| C05423 | Injury violent cause type | InjVlntCauseTyp | Type of the violence causing the injury | Type of the violence causing the injury | Injury violent cause type | Robbery/assault;Interpersonal violence (fight);Domestic assault;Child abuse;Gang violence;Military deployment;Other | Robbery/assault;Interpersonal violence (fight);Domestic assault;Child abuse;Gang violence;Military deployment;Other | Alphanumeric |
Choose one. Response is obtained from participant/ subject (if possible), witnesses, first responders, family member or medical record. |
No references available | Adult;Pediatric | Basic | 3.00 | 2013-07-20 10:21:25.65 | Type, Place, Cause and Mechanism of Injury | History of Disease/Injury Event | Disease/Injury Related Events |
Single Pre-Defined Value Selected |
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| C05434 | Vehicular protective device type | VehclrPrtctvDevTyp | Type of protective devices used by the participant/subject | Type of protective devices used by the participant/subject | Vehicular protective devices type | Helmet;Child safety restraint;Seat belt;Airbag;Other, specify | Helmet;Child safety restraint;Seat belt;Airbag;Other, specify | Alphanumeric |
Choose all that apply. Response is obtained from report by participant/subject (if able to provide reliable information), first responders, emergency department physicians, or medical record. This element is recommended for pediatric studies. |
Occupant Restraint Use in 2010. Results From the National Occupant Protection Use Survey Controlled Intersection Study. National Highway Traffic Safety Administration. November 2011. http://www-nrd.nhtsa.dot.gov/Pubs/811527.pdf | Adult;Pediatric | Basic | 3.00 | 2013-07-20 10:21:25.65 | Type, Place, Cause and Mechanism of Injury | History of Disease/Injury Event | Disease/Injury Related Events |
Multiple Pre-Defined Values Selected |
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| C18609 | ICD revision number | ICDRevNumber | Number of the International Classification of Diseases (ICD) used to obtain the code | Number of the International Classification of Diseases (ICD) used to obtain the code | 9;10;11 | ICD-9;ICD-10;ICD-11 | Numeric Values |
Choose one. |
Adult;Pediatric | Core | 1.00 | 2013-09-05 00:00:00.0 | Type, Place, Cause and Mechanism of Injury | History of Disease/Injury Event | Disease/Injury Related Events |
Single Pre-Defined Value Selected |
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| C05424 | TBI mechanism type | TBIMechTyp | Type of mechanism/forces causing the traumatic brain injury | Type of mechanism/forces causing the traumatic brain injury | Mechanism of TBI | Acceleration/Deceleration;Direct impact: blow to head;Direct impact: head against object;Crush;Blast;Ground level fall;Fall from height > 1 meter (3 ft);Gunshot wound;Fragment (incl. shell/shrapnel);Other penetrating brain injury | Acceleration/Deceleration;Direct impact: blow to head;Direct impact: head against object;Crush;Blast;Ground level fall;Fall from height > 1 meter (3 ft);Gunshot wound;Fragment (incl. shell/shrapnel);Other penetrating brain injury | Alphanumeric |
Choose all that apply |
No references available | Adult;Pediatric | Basic | 3.00 | 2013-07-20 10:21:25.65 | Type, Place, Cause and Mechanism of Injury | History of Disease/Injury Event | Disease/Injury Related Events |
Multiple Pre-Defined Values Selected |
