The NTRR specifies a limited set of trauma core Common Data Elements (CDEs) highly recommended to be collected in all trauma studies that will be submitted to the National Trauma Research Repository (NTRR). The NTRR additionally specifies sets of basic CDEs in four environments of care: epidemiology, prehospital, acute hospital, and outcomes & rehabilitation, as well as CDEs related to social determinants of health (SDOH).
Investigators conducting studies relevant to any of these environments are strongly encouraged to select appropriate CDEs from the data dictionary to ensure that the data collected are standardized and interoperable across studies. Standardized data collection enables data sharing and cross-study secondary analyses.
To review and download the complete sets of recommended core and basic CDEs, select the desired tab above.
The Trauma Core Common Data Elements are highly recommended to be collected for ALL subjects in EVERY trauma study.
| variable name | title | element type | version | definition | short description | datatype | maximum character quantity | input restriction | minimum value | maximum value | data element concept identifiers | data element concept names | data element terminology sources | permissible values | permissible value descriptions | permissible value output codes | permissible value concept identifiers | permissible value concept names | permissible value terminology sources | Item Response OID | Element OID | unit of measure | guidelines/instructions | notes | preferred question text | keywords | references | population.all | domain.general (for all diseases) | domain.traumatic brain injury | domain.Parkinson's disease | domain.Friedreich's ataxia | domain.stroke | domain.amyotrophic lateral sclerosis | domain.Huntington's disease | domain.multiple sclerosis | domain.neuromuscular diseases | domain.myasthenia gravis | domain.spinal muscular atrophy | domain.Duchenne muscular dystrophy/Becker muscular dystrophy | domain.congenital muscular dystrophy | domain.spinal cord injury | domain.headache | domain.epilepsy | domain.eye diseases | domain.trauma | classification.general (for all diseases) | classification.acute hospitalized | classification.concussion/mild TBI | classification.epidemiology | classification.moderate/severe TBI: rehabilitation | classification.Parkinson's disease | classification.Friedreich's ataxia | classification.stroke | classification.amyotrophic lateral sclerosis | classification.Huntington's disease | classification.multiple sclerosis | classification.neuromuscular diseases | classification.myasthenia gravis | classification.spinal muscular atrophy | classification.Duchenne muscular dystrophy/Becker muscular dystrophy | classification.congenital muscular dystrophy | classification.spinal cord injury | classification.headache | classification.epilepsy | classification.eye diseases | classification.trauma epidemiology | classification.trauma pre-hospital | classification.trauma acute hospital | classification.trauma rehabilitation/outcomes | historical notes | Label(s) | see also | submitting organization name | submitting contact name | submitting contact information | effective date | until date | steward organization name | steward contact name | steward contact information | creation date | last change date | administrative status |
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| AgeYrs | Age in years | Common Data Element | 1.22 | Value for participant's subject age, calculated as elapsed time since the birth of the participant/subject in years. The subjects age is typically recorded to the nearest full year completed, e.g. 11 years and 6 months should be recorded as 11 years. | Value for participant's subject age recorded in years. | Numeric Values | Free-Form Entry | 0 | 150 | C0001779|C1704791|C0679646/C1521970 | Age|Demographics domain|Participant/Characteristics | UMLS|UMLS|UMLS | The subject's age is typically recorded to the nearest full year completed, e.g. 11 years and 6 months should be recorded as 11 years. For subject's which are under 1 year old, use decimal points and use the following convention- record 1 month as 0.083 (1/12), 2 months as 0.166 (2/12), 3 months as 0.25 (3/12), 4 months as 0.333 (4/12), 5 months as 0.416 (5/12), 6 months as 0.5 (6/12), 7 months as 0.583 (7/12), 8 months as 0.666 (8/12), 9 months as 0.75 (9/12), 10 months as 0.833 (10/12), 11 months as 0.916 (11/12) and 12 months as 1 year. For the individuals 90 or older, in order to preserve PII, please submit 150 and make a note this in the general notes column. | cdRNS|eyeGene|FITBIR|NIA|PDBP;CDISC variables: QNAM=MHAGE, MHAGE=Age at MH Event, QVAL contains the age with the appropriate unit (years) | Subject's age (recorded in years): | CDISC | No references available | Adult and Pediatric | Participant/Subject Characteristics.Demographics | Participant/Subject Characteristics.Demographics | Trauma.N/A | Supplemental | Supplemental | Core | Core | Core | Core | NINDS_CDE | AgeRange;AgeVal;AgeYrs;AlcUseStopAgeVal;AlcUseStrtAgeVal | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 4/8/25 | Published | |||||||||||||||||||||||||||||||||||||||||||||||
| AISBodyRegionChapterCat | Abbreviated injury scale (AIS) - Body region category | Common Data Element | 1.3 | Category of body region assessed by Abbreviated Injury Scale (AIS) | Category of body region assessed by Abbreviated Injury Scale (AIS) | Alphanumeric | Single Pre-Defined Value Selected | C0000722|C0229962|C0005898 | Abbreviated Injury Scale|Body part|Body Regions | UMLS|UMLS|UMLS | Abdomen|External|Face|Head|Lower Extremity, Pelvis and Buttocks|Neck|Other Trauma|Spine|Thorax|Upper Extremity | 5-Abdomen|9-External|2-Face|1-Head|7-Lower Extremity, Pelvis and Buttocks|3- Neck|0-Other Trauma|6-Spine|4-Thorax|8-Upper Extremity | 5|9|2|1|7|3|0|6|4|8 | ||||||||| | ||||||||| | ||||||||| | Choose one. For each AISInjurySeverityScore value, select the corresponding body region chapter/category. Use the information from AIS dictionary (https://www.aaam.org/abbreviated-injury-scale-ais/) to choose the appropriate value. | AIS 2005, 2008, pre-dot code, position 1 | AIS body region/chapter | ISS|Injury_History|AIS|MaxAIS | Baker SP, O'Neill B, Haddon W Jr, et al. The injury severity score: a method for describing patients with multiple injuries and evaluating emergency care. J Trauma. Mar 1974;14(3): 187-196. Medicine Aft. The Abbreviated Injury Scale, 1990 Revision. Association for the Advancement of Automotive Medicine. 15-24. 1990. Des Plaines, IL. http: //www.sfar.org/scores2/triss2.html - ISS calculator Pediatric: Gennarelli TA, Wodzin A. AIS 2005: A contemporary injury scale. Injury 2006 37: 1083-1091. Copyright Association for the Advancement of Automotive Medicine - https://www.aaam.org/abbreviated-injury-scale-ais/ | Adult and Pediatric | Disease/Injury Related Events.Classification | Disease/Injury Related Events.Classification | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Core | Core | Core | Core | AbbrevInjryScalBodyRgnCat | AAAM | Gillich, Patrick | patrick.j.gillich.civ@mail.mil | NIH/CIT/BRICS | Olga Vovk | olga.vovk@nih.gov | 9/7/17 | 8/1/24 | Published | ||||||||||||||||||||||||||||||||||||||||
| AISCode | Abbreviated injury scale (AIS) - Code | Common Data Element | 1.1 | Abbreviated injury scale (AIS) code including pre-dot and post-dot numeric codes as recorded according to the specified version of AIS dictionary (AISDictionaryVersion) | Abbreviated injury scale (AIS) code | Alphanumeric | 16 | Free-Form Entry | For each injury (or each row of data) enter the corresponding AIS code. Use the corresponding version of AIS dictionary to specify the proper code. Recommend collection at least on date of TBI or at time of first medical treatment. For, AIS 2005, update 2008, AIS code comprises six values, a dot, a one-digit severity code, and eight optional values). The pre-dot code contains values indicating AIS body region injured, type of structure injured, specific anatomic structure injured, and level of injury. The post-dot code contains the severity score, and may also contain optional descriptors indicating location of injury, whether it was intentional or unintentional, cause of injury, etc. Use the information from AIS dictionary (https://www.aaam.org/abbreviated-injury-scale-ais/) to choose the appropriate value. Head - all codes begin with 1; Face - All codes begin with 2 ; Neck - All codes begin with 3; Thorax - All codes begin with 4; Abdomen - All codes begin with 5; Spine - All codes begin with 6; Upper extremities - All codes begin with 7; Lower extremities - All codes begin with 8; External, burns and other trauma - All codes begin with 9. | AIS code | ISS|Injury_History|AIS|MaxAIS | Baker SP, O'Neill B, Haddon W Jr, et al. The injury severity score: a method for describing patients with multiple injuries and evaluating emergency care. J Trauma. Mar 1974;14(3): 187-196. Medicine Aft. The Abbreviated Injury Scale, 1990 Revision. Association for the Advancement of Automotive Medicine. 15-24. 1990. Des Plaines, IL. http: //www.sfar.org/scores2/triss2.html - ISS calculator Pediatric: Gennarelli TA, Wodzin A. AIS 2005: A contemporary injury scale. Injury 2006 37: 1083-1091. Copyright Association for the Advancement of Automotive Medicine - https://www.aaam.org/abbreviated-injury-scale-ais/ | Adult and Pediatric | Disease/Injury Related Events.Classification | Disease/Injury Related Events.Classification | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Core | Core | Core | Core | AAAM | Gillich, Patrick | patrick.j.gillich.civ@mail.mil | NIH/CIT/BRICS | Olga Vovk | olga.vovk@nih.gov | 9/7/17 | 8/1/24 | Published | ||||||||||||||||||||||||||||||||||||||||||||||||||
| AISDictionaryVersionTyp | Abbreviated injury scale (AIS) - Dictionary version type | Common Data Element | 1.3 | A type/version of the Abbreviated Injury Scale (AIS) dictionary used to access the injury | A type/version of the Abbreviated Injury Scale (AIS) dictionary used to access the injury | Alphanumeric | Single Pre-Defined Value Selected | C0000722 | Abbreviated Injury Scale | UMLS | AIS Revision 1990|AIS Revision 1990 Update 1998|AIS Revision 2005|AIS Revision 2005 Update 2008|AIS Revision 2015 | AIS Revision 1990|AIS Revision 1990 Update 1998|AIS Revision 2005|AIS Revision 2005 Update 2008|AIS Revision 2015 | 5|4|3|2|1 | |||| | |||| | |||| | Choose one. Use AIS user manual to find out the version. Recommend using the most recent version. AIS dictionaries developed earlier than 1990 are not recommended for use in this data collection. | Version of Abbreviated injury scale (AIS) dictionary | ISS|Injury_History|AIS|MaxAIS | Baker SP, O'Neill B, Haddon W Jr, et al. The injury severity score: a method for describing patients with multiple injuries and evaluating emergency care. J Trauma. Mar 1974;14(3): 187-196. Medicine Aft. The Abbreviated Injury Scale, 1990 Revision. Association for the Advancement of Automotive Medicine. 15-24. 1990. Des Plaines, IL. http: //www.sfar.org/scores2/triss2.html - ISS calculator Pediatric: Gennarelli TA, Wodzin A. AIS 2005: A contemporary injury scale. Injury 2006 37: 1083-1091. Copyright Association for the Advancement of Automotive Medicine - https://www.aaam.org/abbreviated-injury-scale-ais/ | Adult and Pediatric | Disease/Injury Related Events.Classification | Disease/Injury Related Events.Classification | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Core | Core | Core | Core | AAAM | Gillich, Patrick | patrick.j.gillich.civ@mail.mil | NIH/CIT/BRICS | Olga Vovk | olga.vovk@nih.gov | 9/7/17 | 8/1/24 | Published | ||||||||||||||||||||||||||||||||||||||||||
| AISInjurySeverityScore | Abbreviated injury scale (AIS) - Injury severity score | Common Data Element | 1.3 | An injury severity score (AIS code), as part of Abbreviated injury scale (AIS) code | An injury severity score (AIS code), as part of Abbreviated injury scale (AIS) code | Numeric Values | Single Pre-Defined Value Selected | C0439793|C0000722 | Severities|Abbreviated Injury Scale | UMLS|UMLS | 1|2|3|4|5|6|9 | 1= minor|2= moderate|3=serious|4=severe|5=critical|6= maximal (currently untreatable)|9=unknown severity | 1|2|3|4|5|6|9 | |||||| | |||||| | |||||| | For each body region, select the corresponding injury severity score. AIS 2005, 2008, 2017 post-dot code, position 7.Use the information from the appropriate version of AIS dictionary (https://www.aaam.org/abbreviated-injury-scale-ais/) to choose the appropriate value. | AIS 2005, 2008, 2017 post-dot code, position 7. | AIS Injury severity | ISS|Injury_History|AIS|MaxAIS | Baker SP, O'Neill B, Haddon W Jr, et al. The injury severity score: a method for describing patients with multiple injuries and evaluating emergency care. J Trauma. Mar 1974;14(3): 187-196. Medicine Aft. The Abbreviated Injury Scale, 1990 Revision. Association for the Advancement of Automotive Medicine. 15-24. 1990. Des Plaines, IL. http: //www.sfar.org/scores2/triss2.html - ISS calculator Pediatric: Gennarelli TA, Wodzin A. AIS 2005: A contemporary injury scale. Injury 2006 37: 1083-1091. Copyright Association for the Advancement of Automotive Medicine - https://www.aaam.org/abbreviated-injury-scale-ais/ | Adult and Pediatric | Disease/Injury Related Events.Classification | Disease/Injury Related Events.Classification | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Core | Core | Core | Core | AISBodyRegionScore | AAAM | Gillich, Patrick | patrick.j.gillich.civ@mail.mil | NIH/CIT/BRICS | Olga Vovk | olga.vovk@nih.gov | 9/7/17 | 8/1/24 | Published | ||||||||||||||||||||||||||||||||||||||||
| EthnUSACat | Ethnicity USA category | Common Data Element | 1.17 | Category of ethnicity the participant/subject most closely identifies with | Category of ethnicity the participant/subject most closely identifies with | Alphanumeric | Single Pre-Defined Value Selected | C1704791|C0041703/C0015031|C0679646/C1521970 | Demographics Domain|United States/Ethnic group|Participant/Characteristics | UMLS|UMLS|UMLS | Hispanic or Latino|Not Hispanic or Latino|Not reported|Unknown | A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race. The term "Spanish origin" can also be used in addition to "Hispanic or Latino".|A person not meeting the definition for Hispanic or Latino.|Not provided or available|Could not be determined or unsure | 1|2|0|999 | C5441846|C5441846/C1518422|C0686905|C5552783 | Hispanic or Latino|Hispanic or Latino/Negation|Unavailability|Cannot Be Determined | UMLS|UMLS|UMLS|UMLS | Choose one. Response is obtained by report of the participant/subject or caretaker. If more detailed characterizations of ethnicity are collected to enhance data quality and consistency, it is recommended that they be collapsible up to the two categories for reportable ethnicity, as needed for reporting to FDA under its guidance. Other regulatory bodies may expect the reporting of ethnicity values which more appropriately reflect the population of their areas (e.g., Japanese ancestry for MHLW reporting to Japan). These may be collected as an extension to the suggested code list. The NIH Guidelines on Inclusion of Women and Minorities as Subjects in Clinical Research: The Office of Management and Budget Directive No. 15 defines the minimum standard of basic racial and ethnic categories. (http://grants.nih.gov/grants/funding/women_min/guidelines_update.htm) Collection of Race and Ethnicity Data in Clinical Trials (FDA, September 2005 - http://www.fda.gov/RegulatoryInformation/Guidances/ucm126340.htm) | cdRNS|eyeGene|FITBIR|NIA|PDBP; CDISC variables: DM=Demographics, SUPPDM= SUPPQUAL for Demographics, SC=Subject Characteristics, ETHNIC. For more information, refer to https://wiki.cdisc.org/pages/viewpage.action?pageId=32815150. Core CDEs from ONC SET OF DATA CLASSES TO SUPPORT NATIONWIDE INTEROPERABILITY | What is the subject's ethnic background? | COVID19 | The NIH Guidelines on Inclusion of Women and Minorities as Subjects in Clinical Research: The Office of Management and Budget (OMB) Directive No. 15 defines the minimum standard of Core racial and ethnic categories. (http://grants.nih.gov/grants/funding/women_min/guidelines_update.htm) Collection of Race and Ethnicity Data in Clinical Trials (FDA, September 2005 - http://www.fda.gov/RegulatoryInformation/Guidances/ucm126340.htm) Jorde LB and Wooding SP. Genetic variation, classification and race. Nature Genetics. 2004;36(11):S28-S33. Bhopal R and Donaldson L. White, European, Western, Caucasian, or What? Inappropriate labeling in Research on Race, Ethnicity, and Health. Amer J of Publ Health. 1998;88:1303-1307. | Adult and Pediatric | Participant/Subject Characteristics.Demographics | Participant/Subject Characteristics.Demographics | Participant/Subject Characteristics.Demographics | Participant/Subject Characteristics.Demographics | Participant/Subject Characteristics.Demographics | Participant/Subject Characteristics.Demographics | Participant/Subject Characteristics.Demographics | Participant/Subject Characteristics.Demographics | Participant/Subject Characteristics.Demographics | Participant/Subject Characteristics.Demographics | Participant/Subject Characteristics.Demographics | Participant/Subject Characteristics.Demographics | Participant/Subject Characteristics.Demographics | Trauma.N/A | Core | Core | Core | Core | Core | Core | Core | Core | Core | Core | Core | Core | Core | Core | Core | Core | Core | Core | Core | Core | Ethnicity USA category | NINDS_CDE | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 4/1/14 | 2/11/25 | Published | |||||||||||||||||
| GUID | GUID | Common Data Element | 1.1 | Global Unique ID (GUID) which uniquely identifies a subject | Global Unique ID which uniquely identifies a subject | GUID | Free-Form Entry | C2349022|C0600091|C5236152 | Identifier|Unique Identifier|Case Identifier | UMLS|UMLS|UMLS | Enter a unique GUID. CDISC variables: USUBJID. For more information, refer to https://wiki.cdisc.org/display/SDTMIG33/Subject+Visits | cdRNS|eyeGene|FITBIR|NIA; | Global Unique ID (GUID) which uniquely identifies the subject: | Johnson, S.B., Whitney, G., McAuliffe, M., Wang, H., McCreedy, E., Rozenblit, L., and Evans, C.C. (2010). Using Global Unique identifiers to link autism collections. J. Am. Med. Inform. Assoc., in press. Published online July 17, 2010. 10.1136/jamia.2009.002063. | Adult and Pediatric | Protocol Experience.Participant/Subject Identification, Eligibility, and Enrollment | Participant/Subject Characteristics.Demographics | Participant/Subject Characteristics.Demographics | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Core | Core | Core | Core | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 4/1/14 | 4/14/25 | Published | ||||||||||||||||||||||||||||||||||||||||||||||
| ICD10ExtCausCode | ICD-10 Place of Occurrence External Cause Code | Common Data Element | 1 | ICD-10 place of occurrence external cause code | ICD-10 place of occurrence external cause code used to descrbie the place/site/location of the injury (Y92.X) | Numeric Values | Free-Form Entry | Epidemiology|NTRR|NTDS | Adult and Pediatric | Trauma.N/A | Basic | Supplemental | Supplemental | Supplemental | NTRR | NTDS | 3/5/25 | 3/7/25 | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| InjElapsedTime | Injury elapsed time | Common Data Element | 1.1 | The elapsed time (in minutes) from the time of injury | The elapsed time (in minutes) from the time of injury | Numeric Values | Free-Form Entry | 0 | C0876926|C3263722/C2826303 | Traumatic brain injury|Traumatic AND OR non-traumatic injury/Elapsed Time | UMLS|UMLS | Minute | Indicate the time since injury occurred following definition provided per protocol. Note: Accurate determination of time since injury is critical for gauging patient progress and for assessing eligibility for acute phase studies. The need for TBI patients to be transferred from an initial receiving hospital to another hospital may delay definitive care and consequently impact outcome adversely, and longer transport times delay definitive treatment. | Core_TBI | No references available | Adult and Pediatric | Disease/Injury Related Events.History of Disease/Injury Event | Disease/Injury Related Events.History of Disease/Injury Event | Trauma.N/A | Supplemental | Core | Core | Core | Core | Core | Core | Core | Core | Injury elapsed time | NIH/CIT/BRICS | Olga Vovk | olga.vovk@nih.gov | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 1/23/25 | Published | |||||||||||||||||||||||||||||||||||||||||||||||
| RaceUSACat | Race USA category | Common Data Element | 1.18 | The subject self declared racial origination, independent of ethnic origination, using OMB approved categories. | The subject self declared racial origination, independent of ethnic origination, using OMB approved categories. | Alphanumeric | Multiple Pre-Defined Values Selected | C0679646/C1521970|C1704791|C3853635 | Participant/Characteristics|Demographics Domain|Race | UMLS|UMLS|UMLS | American Indian or Alaska Native|Asian|Black or African-American|Native Hawaiian or Other Pacific Islander|Not Reported|Other, specify|Unknown|White | American Indian or Alaska Native|Asian|Black or African-American|Native Hawaiian or Other Pacific Islander|Not Reported|Other, specify|Unknown|White | 1|2|3|4|0||999|5 | C1515945|C0078988|C5441680|C1513907|C1706613||C0439673|C0043157 | American Indian or Alaska Native|Asians|Black or African American|Native Hawaiian or Other Pacific Islander|Not Stated||Unknown|Caucasians | UMLS|UMLS|UMLS|UMLS|UMLS||UMLS|UMLS | Choose all that apply. Response is obtained by report of the participant/subject or caretaker. Collecting information on race may not be allowed in some countries for concerns related to discrimination. In other countries, however, these concerns are considered a reason for recording race in order to guarantee equal access to care. Investigators receiving funding from the US National Institutes of Health (NIH) are required to report the number of subjects enrolled on an annual basis using the racial categories listed.The Office of Management and Budget (OMB) Directive No. 15 (revised from 200) defines the minimum standard of basic racial and ethnic categories - https://nces.ed.gov/programs/handbook/data/pdf/Appendix_A.pdf). Final Guidance on Maintaining, Collecting and Reporting Racial and Ethnic Data to the U.S. Department of Education is available from the USED at the Federal Register web site at http://edocket.access.gpo.gov/2007/E7-20613.htm. | cdRNS|eyeGene|FITBIR|NIA|PDBP; Core CDEs from ONC SET OF DATA CLASSES TO SUPPORT NATIONWIDE INTEROPERABILITY | What is the subject's race (as defined by OMB)? | COVID19 | The NIH Guidelines on Inclusion of Women and Minorities as Subjects in Clinical Research: The Office of Management and Budget (OMB) Directive No. 15 defines the minimum standard of basic racial and ethnic categories. (http://grants.nih.gov/grants/funding/women_min/guidelines_update.htm) Collection of Race and Ethnicity Data in Clinical Trials (FDA, September 2005 - http://www.fda.gov/RegulatoryInformation/Guidances/ucm126340.htm) Jorde LB and Wooding SP. Genetic variation, classification and race. Nature Genetics. 2004;36(11):S28-S33. Bhopal R and Donaldson L. White, European, Western, Caucasian, or What? Inappropriate labeling in Research on Race, Ethnicity, and Health. Amer J of Publ Health. 1998;88:1303-1307. | Adult and Pediatric | Participant/Subject Characteristics.Demographics | Participant/Subject Characteristics.Demographics | Trauma.N/A | Core | Core | Core | Core | Core | Core | Core | Core | Core | Race USA category | RaceCat;RaceExpndCatPDBP;RaceUSAMatrnlCat;RaceUSAPatrnlCat | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 4/1/14 | 4/14/25 | Published |
| variable name | title | element type | version | definition | short description | datatype | maximum character quantity | input restriction | minimum value | maximum value | data element concept identifiers | data element concept names | data element terminology sources | permissible values | permissible value descriptions | permissible value output codes | permissible value concept identifiers | permissible value concept names | permissible value terminology sources | Item Response OID | Element OID | unit of measure | guidelines/instructions | notes | preferred question text | keywords | references | population.all | domain.general (for all diseases) | domain.traumatic brain injury | domain.Parkinson's disease | domain.Friedreich's ataxia | domain.stroke | domain.amyotrophic lateral sclerosis | domain.Huntington's disease | domain.multiple sclerosis | domain.neuromuscular diseases | domain.myasthenia gravis | domain.spinal muscular atrophy | domain.Duchenne muscular dystrophy/Becker muscular dystrophy | domain.congenital muscular dystrophy | domain.spinal cord injury | domain.headache | domain.epilepsy | domain.eye diseases | domain.trauma | classification.general (for all diseases) | classification.acute hospitalized | classification.concussion/mild TBI | classification.epidemiology | classification.moderate/severe TBI: rehabilitation | classification.Parkinson's disease | classification.Friedreich's ataxia | classification.stroke | classification.amyotrophic lateral sclerosis | classification.Huntington's disease | classification.multiple sclerosis | classification.neuromuscular diseases | classification.myasthenia gravis | classification.spinal muscular atrophy | classification.Duchenne muscular dystrophy/Becker muscular dystrophy | classification.congenital muscular dystrophy | classification.spinal cord injury | classification.headache | classification.epilepsy | classification.eye diseases | classification.trauma epidemiology | classification.trauma pre-hospital | classification.trauma acute hospital | classification.trauma rehabilitation/outcomes | historical notes | Label(s) | see also | submitting organization name | submitting contact name | submitting contact information | effective date | until date | steward organization name | steward contact name | steward contact information | creation date | last change date | administrative status |
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| AddressCityName | Address city name | Common Data Element | 1 | Name of the city or township for the address (to describe where a mail piece is intended to be delivered). | Address city name | Alphanumeric | 4000 | Free-Form Entry | C25407|C25160|C42614 | Address|City|Name | NCIT|NCIT|NCIT | Enter the name of the city. | City name | Demographics|SDOH|NTRR|COVID | NIH CDE Repository: https://cde.nlm.nih.gov/deView?tinyId=aQO0VmltMn; NLM ID: aQO0VmltMn | Adult and Pediatric | Participant/Subject Characteristics.Demographics | Participant/Subject Characteristics.Demographics | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Basic | Basic | Basic | Basic | NIH_CDE | NIH/CIT/BRICS/NTRR | NIH CDE Repository Project 5 (COVID-19) | 10/25/24 | 1/24/25 | Awaiting Publication | ||||||||||||||||||||||||||||||||||||||||||||||||||
| AddressStateCode | Address state code | Common Data Element | 1 | The state code for the address (to describe where a mail piece is intended to be delivered). | Address state code | Alphanumeric | Single Pre-Defined Value Selected | C87194|C25162|C25407 | Stae|Code|Address | NCIT|NCIT|NCIT | AK|AL|AR|AZ|CA|CO|CT|DC|DE|FL|GA|HI|IA|ID|IL|IN|KS|KY|LA|MA|MD|ME|MI|MN|MO|MS|MT|NC|ND|NE|NH|NJ|NM|NV|NY|OH|OK|OR|Other, specify|PA|RI|SC|SD|TN|TX|UT|VA|VT|WA|WI|WV|WY | AK|AL|AR|AZ|CA|CO|CT|DC|DE|FL|GA|HI|IA|ID|IL|IN|KS|KY|LA|MA|MD|ME|MI|MN|MO|MS|MT|NC|ND|NE|NH|NJ|NM|NV|NY|OH|OK|OR|Other, specify|PA|RI|SC|SD|TN|TX|UT|VA|VT|WA|WI|WV|WY | 1|2|3|4|5|6|7|8|9|10|11|12|13|14|15|16|17|18|19|20|21|22|23|24|25|26|27|28|29|30|31|32|33|34|35|36|37|38|444|39|40|41|42|43|44|45|46|47|48|49|50|51 | ||||||||||||||||||||||||||||||||||||||||||||||||||| | ||||||||||||||||||||||||||||||||||||||||||||||||||| | ||||||||||||||||||||||||||||||||||||||||||||||||||| | Enter the abbreviation for the state or province. The 2-letter postal abbreviation should be used for all U.S. states. | Enter the abbreviation for the state or province. The 2-letter postal abbreviation should be used for all U.S. states. | State / Province | Demographics|SDOH|NTRR|COVID | NIH CDE Repository: https://cde.nlm.nih.gov/deView?tinyId=6AT_JFxD1; NLM ID: 6AT_JFxD1 | Adult and Pediatric | Participant/Subject Characteristics.Demographics | Participant/Subject Characteristics.Demographics | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Basic | Basic | Basic | Basic | State or province of residence identifier | NIH_CDE | NIH/CIT/BRICS/NTRR | NIH CDE Repository Project 5 (COVID-19) | 10/25/24 | 3/17/25 | Draft | |||||||||||||||||||||||||||||||||||||||||||
| AddressStateCodeOTH | Address state other text | Common Data Element | 1 | A free-text field related to Address state code' specifying other text. | A free-text field related to Address state code' specifying other text. | Alphanumeric | 4000 | Free-Form Entry | C25704|C87194|C25407 | Text|Stae|Address | NCIT|NCIT|NCIT | Enter free text. | Other, specify | Demographics|SDOH|NTRR|COVID | Adult and Pediatric | Participant/Subject Characteristics.Demographics | Participant/Subject Characteristics.Demographics | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Basic | Basic | Basic | Basic | FITBIR_CDE | NIH/CIT/BRICS/NTRR | Olga Vovk | olga.vovk@nih.gov | NIH/CIT/BRICS/NTRR | Olga Vovk | olga.vovk@nih.com | 10/25/24 | 1/24/25 | Awaiting Publication | |||||||||||||||||||||||||||||||||||||||||||||||
| AGE | Age | Common Data Element | 1 | Age expressed in AGEU. May be derived as (RFSTDTC-BRTHDTC), but BRTHDTC may not be available in all cases (due to subject privacy concerns). | Record Qualifier | Numeric Values | Free-Form Entry | C0001779 | Age | UMLS | Age expressed in AGEU. May be derived as (RFSTDTC-BRTHDTC), but BRTHDTC may not be available in all cases (due to subject privacy concerns). | SDTM v1.7, Class= Special-Purpose, Dataset Name= DM | SDTM_V17|SDTM|CDISC | https://www.cdisc.org/standards | Adult and Pediatric | Participant/Subject Characteristics.Demographics | Supplemental | CDISC | NIH/CIT/BRICS | Olga Vovk | olga.vovk@nih.gov | NIH/CIT/BRICS | Olga Vovk | olga.vovk@nih.gov | 43767 | 45723 | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| AGEU | Age Units | Common Data Element | 1 | Units associated with AGE or AGETXT. | Variable Qualifier of AGE or AGETXT | Alphanumeric | Single Pre-Defined Value Selected | C0001779|C1519795 | Age|Unit of Measure | UMLS|UMLS | Days|Hours|Minutes|Months|Seconds|Weeks|Years | Days|Hours|Minutes|Months|Seconds|Weeks|Years | 1|2|3|4|5|6|7 | |||||| | |||||| | |||||| | Units associated with AGE or AGETXT. | SDTM v1.7, Class= Special-Purpose, Dataset Name= DM | SDTM_V17|SDTM|CDISC | https://www.cdisc.org/standards | Adult and Pediatric | Participant/Subject Characteristics.Demographics | Supplemental | CDISC | CDISC | CDISC | 10/29/19 | 3/7/25 | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
| AlcScreenRes | Alcohol screen results | Common Data Element | 1 | First recorded blood alcohol (BAC) results within 24 hours after first hospital encounter. | First recorded blood alcohol (BAC) results within 24 hours after first hospital encounter. | Numeric Values | Free-Form Entry | Epidemiology|NTRR|NTDS | Adult and Pediatric | Trauma.N/A | Basic | Supplemental | Supplemental | Supplemental | NTRR | NTDS | 3/5/25 | 3/7/25 | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| AlcScrInd | Alcohol screen indicator | Common Data Element | 1 | A blood alcohol concentration (BAC) test was performed on the patient within 24 hours after first hospital encounter | A blood alcohol concentration (BAC) test was performed on the patient within 24 hours after first hospital encounter | Alphanumeric | Single Pre-Defined Value Selected | No|Yes | No|Yes | 0|1 | | | | | | | Epidemiology|NTRR|NTDS | Adult and Pediatric | Trauma.N/A | Basic | Supplemental | Supplemental | Supplemental | NTRR | NTDS | 3/5/25 | 3/17/25 | Published | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| DeathCauseICD10CMCode | Death cause ICD-10-CM code | Common Data Element | 1.2 | ICD-10-CM code that describes the cause of participant/subject's death | ICD-10-CM code that describes the cause of participant/subject's death | Alphanumeric | 4000 | Free-Form Entry | C0007465/C5669790 | Cause of Death/ICD-10 Code | UMLS | Recommend 4 fields for coding primary cause and other underlying or contributing causes of death. Should use death certificate if available. | ICD-10-CM code that describes the cause of participant/subject's death | trauma|Death_Cause_ICD_10_CM_Code | http://www.icd10data.com/ICD10CM/Codes | Adult and Pediatric | Outcomes and End Points.Clinical Event End Points | Outcomes and End Points.End Points | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Basic | C21665 | NINDS_CDE | NIH/NINDS | NINDSCDE | NINDSCDE@EMMES.COM | NIH/NINDS | NINDSCDE | NINDSCDE@EMMES.COM | 9/22/16 | 3/17/25 | Published | |||||||||||||||||||||||||||||||||||||||||||||
| DrugScreenInd | Drug screen indicator | Common Data Element | 1.8 | Indicator of whether a drug screen was performed | Indicator of whether a drug screen was performed | Alphanumeric | Single Pre-Defined Value Selected | C5238744|C0679646/C0262926|C0086190 | llicit Drug Use History|Participant/Medical History|Illicit Drugs | UMLS|UMLS|UMLS | No|Yes | No|Yes | 0|1 | C1298908|C1705108 | No|Yes | UMLS|UMLS | No guidelines available | FITBIR|PDBP; | Whether a drug screen was performed? | Medical_History | No references available | Adult and Pediatric | Disease/Injury Related Events.History of Disease/Injury Event | Disease/Injury Related Events.History of Disease/Injury Event | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | NIH/NINDS | Malaika Schwartz | malaika@uw.edu | NIH/CIT/BRICS | Olga Vovk | olgav.vovk@nih.gov | 3/7/25 | Published | |||||||||||||||||||||||||||||||||||||||||||||||
| DrugScreenOTH | Drug screen other | Common Data Element | 1 | The free-text field related to 'Drug screen results' specifying other text. | The free-text field related to 'Drug screen results' specifying other text. | Alphanumeric | 4000 | Free-Form Entry | Epidemiology|NTRR|NTDS | Adult and Pediatric | Trauma.N/A | Basic | Supplemental | Supplemental | Supplemental | NTRR | NTRR Workgroup | 3/5/25 | 3/7/25 | Draft | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| DrugScreenRes | Drug screen results | Common Data Element | 1 | First recorded psoitive drug screen results within 24 hours after first hospital encounter. | First recorded psoitive drug screen results within 24 hours after first hospital encounter. | Alphanumeric | Multiple Pre-Defined Values Selected | AMP (Amphetamine)|BAR (Barbiturate)|BZO (Benzodiazepines)|COC (Cocaine)|mAMP (Methamphetamine)|MDMA (Ecstasy)|MTD (Methadone)|None|Not tested|OPI (Opioid)|Other|OXY (Oxycodone)|PCP (Phencyclidine)|TCA (Tricyclic Antidepressant)|THC (Cannabinoid) | AMP (Amphetamine)|BAR (Barbiturate)|BZO (Benzodiazepines)|COC (Cocaine)|mAMP (Methamphetamine)|MDMA (Ecstasy)|MTD (Methadone)|None|Not tested|OPI (Opioid)|Other|OXY (Oxycodone)|PCP (Phencyclidine)|TCA (Tricyclic Antidepressant)|THC (Cannabinoid) | |||||||||||||| | |||||||||||||| | |||||||||||||| | |||||||||||||| | Epidemiology|NTRR|NTDS | Adult and Pediatric | Trauma.N/A | Basic | Supplemental | Supplemental | Supplemental | NTRR | NTDS | 3/5/25 | 3/7/25 | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| EmplmtOTH | Employment other text | Common Data Element | 1.7 | The free-text field related to 'Employment status' specifying other text. Status of participant/subject's current employment | The free-text field related to 'Employment status' specifying other text. Status of participant/subject's current employment | Alphanumeric | 4000 | Free-Form Entry | C0014003 | Employment | UMLS | FA/NMD/SMA/EPILEPSY/MS/ STROKE: National Health and Nutrition Examination Survey (http://www.cdc.gov/nchs/nhanes.htm) GENERAL: For years completed, code the number of years attained (0-30 years), normed to someone moving full time at the usual pace, i.e. a year that was repeated counts as only 1 year and the usual single-year full-time load completed over several years counts as 1 year. Certificate and technical programs do NOT count no matter how specialized. The number of years of typical completion of the relevant program is counted. If the subject obtained their education outside the United States, ask about their educational system to estimate the correct coding - Internship, Residency, and Fellowship years are experiential training and do not count. Recommend collection at least on date of TBI. |
Return to work is a relevant outcome parameter in patients in paid workforce prior to injury. If post injury employment is an outcome, pre-injury employment is an important predictor. | Other, specify | trauma | EPILEPSY?FA/GENERAL/HEADASHE/MS/NMD/SMA/STROKE: National Health and Nutrition Examination Survey (http://www.cdc.gov/nchs/nhanes.htm) |
Adult and Pediatric | Participant/Subject Characteristics.Social Status|Participant/Subject Characteristics.Demographics | Participant/Subject Characteristics.Social Status|Participant/Subject Characteristics.Demographics | Participant/Subject Characteristics.Social Status | Participant/Subject Characteristics.Social Status | Participant/Subject Characteristics.Social Status | Participant/Subject Characteristics.Social Status | Participant/Subject Characteristics.Social Status | Participant/Subject Characteristics.Social Status | Participant/Subject Characteristics.Social Status | Trauma.N/A | Core | Core | Core | Core | Core | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Core | Supplemental | Basic | Supplemental | Supplemental | Basic | EmplmtStatu | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | NIH/CIT/BRICS | NINDSCDE | NINDSCDE@emmes.com | 6/5/14 | 3/17/25 | Published | |||||||||||||||||||||||||||||||
| EmplmtStatu | Employment status | Common Data Element | 1.12 | Status of participant/subject's current employment | Status of participant/subject's current employment | Alphanumeric | Single Pre-Defined Value Selected | C0014003 | Employment | UMLS | Disabled, permanently or temporarily|Keeping house|Looking for work, unemployed|Only temporarily laid off|Other, specify|Retired|Sick leave or maternity leave|Student|Unknown|Working Now | Disabled, permanently or temporarily|Keeping house|Looking for work, unemployed|Only temporarily laid off|Other, specify|Retired|Sick leave or maternity leave|Student|Unknown|Working Now | 1|2|3|4|444|6|7|8|999|10 | C1880351|C0020053|C0557369|C5447930|C3845569|C0035345|C0242807/C0086593|C0038492|C0439673|C0557351 | Disabled|Housekeeping|Seeking work|Temporary Leave|Specify Other|Retirement|Sick Leave/Maternity leave|student|Unknown|Employed | UMLS|UMLS|UMLS|UMLS|UMLS|UMLS|UMLS|UMLS|UMLS|UMLS | For years completed, code the number of years attained (0-30 years), normed to someone moving full time at the usual pace, i.e. a year that was repeated counts as only 1 year and the usual single-year full-time load completed over several years counts as 1 year. Certificate and technical programs do NOT count no matter how specialized. The number of years of typical completion of the relevant program is counted. If the subject obtained their education outside the United States, ask about their educational system to estimate the correct coding - Internship, Residency, and Fellowship years are experiential training and do not count. Recommend collection at least on date of TBI. | cdRNS|FITBIR|PDBP; | Employment status | trauma | No references available | Adult and Pediatric | Participant/Subject Characteristics.Social Status | Participant/Subject Characteristics.Social Status | Trauma.N/A | Core | Core | Core | Core | Core | Basic | Supplemental | Basic | Supplemental | NINDS_CDE | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 6/5/14 | 3/17/25 | Published | ||||||||||||||||||||||||||||||||||||||||
| EmrServOTH | Emergency service other text | Common Data Element | 1.2 | The free-text field related to 'Emergency service type' specifying other text. Branch of service involved at the accident scene | The free-text field related to 'Emergency service type' specifying other text. Branch of service involved at the accident scene | Alphanumeric | 4000 | Free-Form Entry | C0013969 | Emergency treatment | UMLS | Choose all that apply. | Other, specify | Injury_History | No references available | Adult and Pediatric | Disease/Injury Related Events.History of Disease/Injury Event | Disease/Injury Related Events.History of Disease/Injury Event | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 6/5/14 | 3/7/25 | Published | ||||||||||||||||||||||||||||||||||||||||||||||||||||
| EmrServTyp | Emergency service type | Common Data Element | 1.2 | Branch of service involved at the accident scene | Branch of service involved at the accident scene | Alphanumeric | Multiple Pre-Defined Values Selected | C0013969 | Emergency treatment | UMLS | Ambulance (Core, EMT-B)|Ambulance with specialized personnel (EMT-1)|Firefighter|Helicopter medical service|None|Other, specify|Police | Ambulance (Core, EMT-B)|Ambulance with specialized personnel (EMT-1)|Firefighter|Helicopter medical service|None|Other, specify|Police | 1|2|3|4|5|6|7 | |||||| | |||||| | |||||| | Choose all that apply. | Emergency service provided | Injury_History | No references available | Adult and Pediatric | Disease/Injury Related Events.History of Disease/Injury Event | Disease/Injury Related Events.History of Disease/Injury Event | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Emergency service type | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 4/1/14 | 3/7/25 | Published | ||||||||||||||||||||||||||||||||||||||||||||||
| GCSEyeRespnsScale | Glasgow Coma Scale (GCS) - eye response scale | Common Data Element | 1.14 | Glasgow Coma Scale (GCS) - Best eye response (E). The GCS is a standardized instrument for assessing the level of consciousness. It evaluates three aspects of responsiveness: eye opening, motor response, verbal response. | Glasgow Coma Scale (GCS) - Best eye response (E). The GCS is a standardized instrument for assessing the level of consciousness. It evaluates three aspects of responsiveness: eye opening, motor response, verbal response. | Alphanumeric | Single Pre-Defined Value Selected | C0578785/C0488481/C0559289 | Glasgow coma scale finding/Glasgow coma score.eye opening:Fcn:Pt:^Patient:Ord/Glasgow Coma Score eye opening subscore | UMLS | 1|2|3|4|Unknown|Untestable | No eye opening|Eye opening to pain|Eye opening to speech/verbal command|Eyes open spontaneously|Unknown|Untestable | 1|2|3|4|0|555 | C3840971/C2012045|C3840970/C2012047|C2012048|C3840968/C2012046|C0439673|C0442737 | No eye opening/Glasgow coma scale eyes never open (1)|Eye opening to pain/Glasgow coma scale eyes open to pain stimuli (2)|Glasgow coma scale eyes open to verbal stimuli (3)|Opens eyes spontaneously/Glasgow coma scale eyes open spontaneously (4)|Unknown|Not detected | UMLS|UMLS|UMLS|UMLS|UMLS|UMLS | Choose one. This element should be collected along with the other elements from the Glasgow Coma Scale (GCS). Intubation and severe facial/eye swelling or damage make it impossible to test the verbal and eye responses. In these circumstances, the score is given as 1 with a modifier attached e.g. 'E1s' where 's' = swollen, or 'V1t' where t = tube. A composite might be 'GCS 5ts'. This would mean, for example, eyes closed because of swelling = 1, intubated = 1, leaving a motor score of 3 for 'abnormal flexion'. Often the 1 is left out, so the scale reads ES or VT. | Best eye response | Core_TBI|trauma | Teasdale G, Jennett B. Assessment of coma and impaired consciousness. A practical scale. Lancet. Jul 1974;2(7872): 81-4. Marmarou A, Lu J, Butcher I, et al. Prognostic value of the Glasgow Coma Scale and pupil reactivity in traumatic brain injury assessed pre-hospital and on enrolment: an IMPACT analysis. J Neurotrauma. Feb 2007;24(2): 270-80. Stocchetti N, Pagan F, Calappi E, et al. Inaccurate early assessment of neurological severity in head injury. J Neurotrauma. Sep 2004: 21(9): 1131-40. Balestreri M, Czosnyka M, Chatfield DA, et al. Predictive value of Glasgow Coma Scale after brain trauma: change in trend over the past ten years. J Neurol Neurosurg Psychiatry. Jan 2004;75(1): 161-2. |
Adult and Pediatric | Disease/Injury Related Events.History of Disease/Injury Event|Assessments and Examinations.Physical/Neurological Examination | Assessments and Examinations.Physical/Neurological Examination | Trauma.N/A | Supplemental | Core | Core | Core | Core | Basic | Basic | Basic | Basic | GCS Eye response | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 3/17/25 | Published | ||||||||||||||||||||||||||||||||||||||||||
| HighestLvlEduPreInj | Highest level education pre-injury | Common Data Element | 1.8 | Highest level education pre-injury | Highest level education pre-injury | Alphanumeric | Single Pre-Defined Value Selected | C1704791|C0013658|C0679646/C1521970 | Demographics Domain|Educational Status|Participant/Characteristics | UMLS|UMLS|UMLS | None/basic primary=0-4yrs|Post Graduate=18-19yrs(e.g., Masters, Doctoral)|Primary/Intermediate Primary=5-8yrs|Secondary=12yrs|Tertiary=13-15yrs(e.g.,Teachers,Technicians)|University=16-17yrs|Unknown | None/basic primary=0-4yrs|Post Graduate=18-19yrs(e.g., Masters, Doctoral)|Primary/Intermediate Primary=5-8yrs|Secondary=12yrs|Tertiary=13-15yrs(e.g.,Teachers,Technicians)|University=16-17yrs|Unknown | 0|1|2|3|4|5|999 | |||||| | |||||| | |||||| | No instructions available | What is the highest level of education the subject received pre-injury? | No references available | Adult and Pediatric | Participant/Subject Characteristics.Social Status | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | EduLvlMaternalUSATyp;EduLvlPaternalUSATyp;EduLvlUSATyp;EduTyp;EduYrCt | NIH/CIT/BRICS | Olga Vovk | olgav.vovk@nih.gov | NIH/CIT/BRICS | Olga Vovk | olgav.vovk@nih.gov | 3/7/25 | Published | |||||||||||||||||||||||||||||||||||||||||||||
| HlthInsOTH | Health insurance other text | Common Data Element | 1 | The free-text field related to 'Health insurance type' specifying other text. Type of insurance that the participant/subject currently has providing coverage for medical, surgical or hospital care | The free-text field related to 'Health insurance type' specifying other text. Type of insurance that the participant/subject currently has providing coverage for medical, surgical or hospital care | Alphanumeric | 4000 | Free-Form Entry | TBI: Choose one. Document the date the history was obtained so it can be determined whether this information was obtained prior to study enrollment or later. Recommend collection at least on date of TBI and perhaps after all initial medical treatment. ----- NMD: Choose all that apply ----- SMA: Choose all that apply ----- HEADACHE: Choose one. Document the date the history was obtained so it can be determined whether this information was obtained prior to study enrollment or later. Recommend collection at least on date of TBI and perhaps after all initial medical treatment. ----- GENERAL: Choose one. ----- TBI (TBIACUTE): Choose one. Document the date the history was obtained so it can be determined whether this information was obtained prior to study enrollment or later. Recommend collection at least on date of TBI and perhaps after all initial medical treatment. ----- TBI (TBIMILD): Choose one. Document the date the history was obtained so it can be determined whether this information was obtained prior to study enrollment or later. Recommend collection at least on date of TBI and perhaps after all initial medical treatment. ----- TBI (TBIMOD): Choose one. Document the date the history was obtained so it can be determined whether this information was obtained prior to study enrollment or later. Recommend collection at least on date of TBI and perhaps after all initial medical treatment. ----- TBI (TBIEPID): Choose one. Document the date the history was obtained so it can be determined whether this information was obtained prior to study enrollment or later. Recommend collection at least on date of TBI and perhaps after all initial medical treatment. |
Other, specify | GENERAL: No references available ----- HEADACHE: NHLBI CDE from https://cdebrowser.nci.nih.gov/CDEBrowser/ ----- NMD: No references available ----- SMA: No references available ----- TBI: NHLBI CDE from https://cdebrowser.nci.nih.gov/CDEBrowser/ |
Adult and Pediatric | Participant/Subject Characteristics.Social Status | Participant/Subject Characteristics.Social Status | Participant/Subject Characteristics.Social Status | Participant/Subject Characteristics.Social Status | Participant/Subject Characteristics.Social Status | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Core | NTRR | FITBIR | 6/5/14 | 3/7/25 | Draft | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
| HlthInsTyp | Health insurance type | Common Data Element | 1 | Type of insurance that the participant/subject currently has providing coverage for medical, surgical or hospital care | Type of insurance that the participant/subject currently has providing coverage for medical, surgical or hospital care | Alphanumeric | Single Pre-Defined Value Selected | C0021682|C2347682 | Health Insurance|Private Health Insurance | UMLS|UMLS | Employer-sponsored disability insurance|Medicaid|Medicare|National Health Insurance|No Insurance/Self-pay|Other, specify|Private or group health insurance|Unknown|Veterans Affairs/Military | Employer-sponsored disability insurance|Medicaid|Medicare|National Health Insurance|No Insurance/Self-pay|Other, specify|Private or group health insurance|Unknown|Veterans Affairs/Military | 1|2|3|4|5|444|6|999|7 | |||||||| | |||||||| | |||||||| | TBI: Choose one. Document the date the history was obtained so it can be determined whether this information was obtained prior to study enrollment or later. Recommend collection at least on date of TBI and perhaps after all initial medical treatment. ----- NMD: Choose all that apply ----- SMA: Choose all that apply ----- HEADACHE: Choose one. Document the date the history was obtained so it can be determined whether this information was obtained prior to study enrollment or later. Recommend collection at least on date of TBI and perhaps after all initial medical treatment. ----- GENERAL: Choose one. ----- TBI (TBIACUTE): Choose one. Document the date the history was obtained so it can be determined whether this information was obtained prior to study enrollment or later. Recommend collection at least on date of TBI and perhaps after all initial medical treatment. ----- TBI (TBIMILD): Choose one. Document the date the history was obtained so it can be determined whether this information was obtained prior to study enrollment or later. Recommend collection at least on date of TBI and perhaps after all initial medical treatment. ----- TBI (TBIMOD): Choose one. Document the date the history was obtained so it can be determined whether this information was obtained prior to study enrollment or later. Recommend collection at least on date of TBI and perhaps after all initial medical treatment. ----- TBI (TBIEPID): Choose one. Document the date the history was obtained so it can be determined whether this information was obtained prior to study enrollment or later. Recommend collection at least on date of TBI and perhaps after all initial medical treatment. |
cdRNS|FITBIR|PDBP; | Type of health insurace | GENERAL: No references available ----- HEADACHE: NHLBI CDE from https://cdebrowser.nci.nih.gov/CDEBrowser/ ----- NMD: No references available ----- SMA: No references available ----- TBI: NHLBI CDE from https://cdebrowser.nci.nih.gov/CDEBrowser/ |
Adult and Pediatric | Participant/Subject Characteristics.Social Status | Participant/Subject Characteristics.Social Status | Participant/Subject Characteristics.Social Status | Participant/Subject Characteristics.Social Status | Participant/Subject Characteristics.Social Status | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Core | Health insurance type | NINDS_CDE | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 4/1/14 | 3/7/25 | Draft | |||||||||||||||||||||||||||||||||||||||
| ICD10ExtCausCode | ICD-10 Place of Occurrence External Cause Code | Common Data Element | 1 | ICD-10 place of occurrence external cause code | ICD-10 place of occurrence external cause code used to descrbie the place/site/location of the injury (Y92.X) | Numeric Values | Free-Form Entry | Epidemiology|NTRR|NTDS | Adult and Pediatric | Trauma.N/A | Basic | Supplemental | Supplemental | Supplemental | NTRR | NTDS | 3/5/25 | 3/7/25 | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| ICD10InjDiag | ICD-10 Injury Diagnosis | Common Data Element | 1 | Diagnosis related to all identified injuries | ICD-10 diagnosis related to all identified injuries | Numeric Values | Free-Form Entry | Epidemiology|NTRR|NTDS | Adult and Pediatric | Trauma.N/A | Basic | Supplemental | Supplemental | Supplemental | NTRR | NTDS | 3/5/25 | 3/7/25 | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| InciCountry | Incident Country | Common Data Element | 1 | The code of the country according to FIPS (2 digits) | The code of the country according to FIPS (2 digits) | Alphanumeric | 2 | Free-Form Entry | Epidemiology|NTRR|NTDS | Adult and Pediatric | Trauma.N/A | Basic | Supplemental | Supplemental | Supplemental | NTRR | NTDS | 3/5/25 | 3/7/25 | Draft | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| InjDateTime | Injury date time | Unique Data Element | 1.11 | Date (and time, if applicable and known) of injury | Date (and time, if applicable and known) of injury | Date or Date & Time | Free-Form Entry | C3263723|C0876926|C1264639 | Traumatic injury|Traumatic brain injury|Date and Time | UMLS|UMLS|UMLS | Injury date and time | Injury_History | GENERAL/TBI: No references available SCI: DeVivo M, Biering-Saarensen 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 and Pediatric | Disease/Injury Related Events.History of Disease/Injury Event | Basic | Basic | Basic | Basic | NINDS_CDE | BlastInjDevTyp;InjCauseTyp;InjCauseTypOTH;InjDateReliablTyp;InjDateTimeEstTyp;InjDescriptionText;InjElapsedTime;InjEventNum;InjICDExtCauseCode;InjPlcOccncTyp;InjPresentRsn;InjReliablTyp;InjSeverScore;InjVlntCauseTyp;SupportWithdrawnInjElapsedTime | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | NINDSCDE | NINDSCDE@emmes.com | 3/10/25 | Published | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| InjDescriptionText | Injury description text | Common Data Element | 1.7 | A text description of the injury event. | A text description of the injury event. | Alphanumeric | 4000 | Free-Form Entry | C0678257|C3263723 | Description|Traumatic injury | UMLS|UMLS | Description of the injury event | Injury_History | Adult and Pediatric | Disease/Injury Related Events.Classification | Supplemental | Supplemental | Supplemental | Supplemental | FITBIR_CDE | BlastInjDevTyp;InjCauseTyp;InjCauseTypOTH;InjDateReliablTyp;InjDateTime;InjDateTimeEstTyp;InjElapsedTime;InjEventNum;InjICDExtCauseCode;InjPlcOccncTyp;InjPresentRsn;InjReliablTyp;InjSeverScore;InjVlntCauseTyp;SupportWithdrawnInjElapsedTime | Temple University, Department of Physical Therapy | Olga Vovk | olga.vovk@nih.gov | 5/18/15 | 3/7/25 | Published | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| InjMechOTH | Mechanism of injury other text | Common Data Element | 1 | The free-text field related to 'Mechanism of injury type' specifying other text. | The free-text field related to 'Mechanism of injury type' specifying other text. | Alphanumeric | 4000 | Free-Form Entry | Adult and Pediatric | Trauma.N/A | Basic | Basic | Supplemental | Supplemental | NTRR | NTRR Workgroup | 3/5/25 | 3/12/25 | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| InjMechType | Mechanism of injury type | Common Data Element | 1 | Mechanism of injury type | Manner of injury type | Alphanumeric | Single Pre-Defined Value Selected | Blast|Blunt|Burn|Other , specify|Penetrating | Blast|Blunt|Burn|Other , specify|Penetrating | 1|2|3|5|4 | |||| | |||| | |||| | Epidemiology|NTRR|NTDS | Adult and Pediatric | Trauma.N/A | Basic | Basic | Basic | Supplemental | NTRR | NTRR Workgroup | 3/5/25 | 3/7/25 | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| InjSeverScore | Injury severity score | Common Data Element | 1.1 | Score measured by injury severity score (ISS) | Score measured by injury severity score (ISS) | Numeric Values | Free-Form Entry | Score of injury severity as measured by injury severity score (ISS) | Injury_History|trauma|TRACK_TBI | GENERAL/TBI: Baker SP, O'Neill B, Haddon W Jr, et al. The injury severity score: a method for describing patients with multiple injuries and evaluating emergency care. J Trauma. Mar 1974;14(3):187-196. Medicine AftAoA. The Abbreviated Injury Scale, 1990 Revision. Association for the Advancement of Automotive Medicine. 15-24. 1990. Des Plaines, IL. http://www.sfar.org/scores2/triss2.html - ISS calculator Pediatric: Gennarelli TA, Wodzin A. AIS 2005: A contemporary injury scale. Injury 2006 37:1083-1091. | Adult and Pediatric | Disease/Injury Related Events.Classification | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Basic | Supplemental | Basic | Supplemental | NIH/NINDS | NIH/NINDS | NIH/NINDS | NIH/NINDS | NIH/NINDS | 4/1/14 | 3/17/25 | Published | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
| InterfacTranInd | Inter-Facility Transfer Indicator | Common Data Element | 1 | Was the patient transferred to your facility from another acute care facility | Was the patient transferred to your facility from another acute care facility | Alphanumeric | Single Pre-Defined Value Selected | No|Yes | No|Yes | 0|1 | | | | | | | Epidemiology|NTRR|NTDS | Adult and Pediatric | Trauma.N/A | Basic | Supplemental | Supplemental | Supplemental | NTRR | NTDS | 3/5/25 | 3/7/25 | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| JobClassPreInj | Job classification pre-injury | Common Data Element | 1.9 | Job classification pre-injury | Job classification pre-injury | Alphanumeric | Single Pre-Defined Value Selected | C0679646/C1521970|C0028811|C1704791 | Participant/Characteristics|Occupations|Demographics Domain | UMLS|UMLS|UMLS | Agricultural or fishery worker (vegetable grower, livestock producer, etc)|Armed forces (government military)|Clerk (secretary, cashier, etc)|Craft or trades worker (carpenter, painter, jewelry worker, butcher, etc)|Elementary worker (street food vendor, shoe cleaner, etc)|Legislator, senior official or manager|Not applicable, (not working pre-injury/not working now)|Other, specify|Plant/machine operator or assembler (equipment assembler, sewing-machine operator, driver, etc)|Professional(engineer, doctor, teacher, clergy, etc)|Service or sales worker (cook,travel guide, shop salesperson, etc)|Technician or Associate Professional (inspector, finance dealer, etc)|Unknown | Agricultural or fishery worker (vegetable grower, livestock producer, etc)|Armed forces (government military)|Clerk (secretary, cashier, etc)|Craft or trades worker (carpenter, painter, jewelry worker, butcher, etc)|Elementary worker (street food vendor, shoe cleaner, etc)|Legislator, senior official or manager|Not applicable, (not working pre-injury/not working now)|Other, specify|Plant/machine operator or assembler (equipment assembler, sewing-machine operator, driver, etc)|Professional(engineer, doctor, teacher, clergy, etc)|Service or sales worker (cook,travel guide, shop salesperson, etc)|Technician or Associate Professional (inspector, finance dealer, etc)|Unknown | 1|2|3|4|5|6|777|444|7|8|9|10|999 | |||||||||||| | |||||||||||| | |||||||||||| | For detailed definitions go to: http://www.who.int/healthinfo/survey/whsshortversionguide.pdf | FITBIR | What was the subject's pre-injury job classification? | No references available | Adult and Pediatric | Participant/Subject Characteristics.Social Status | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Basic | Supplemental | Supplemental | Supplemental | NIH/CIT/BRICS | Olga Vovk | olga.vovk@nih.gov | NIH/CIT/BRICS | Olga Vovk | olga.vovk@nih.gov | 4/7/25 | Published | |||||||||||||||||||||||||||||||||||||||||||||
| JobClassPreInj | Job classification pre-injury | Common Data Element | 1.9 | Job classification pre-injury | Job classification pre-injury | Alphanumeric | Single Pre-Defined Value Selected | C0679646/C1521970|C0028811|C1704791 | Participant/Characteristics|Occupations|Demographics Domain | UMLS|UMLS|UMLS | Agricultural or fishery worker (vegetable grower, livestock producer, etc)|Armed forces (government military)|Clerk (secretary, cashier, etc)|Craft or trades worker (carpenter, painter, jewelry worker, butcher, etc)|Elementary worker (street food vendor, shoe cleaner, etc)|Legislator, senior official or manager|Not applicable, (not working pre-injury/not working now)|Other, specify|Plant/machine operator or assembler (equipment assembler, sewing-machine operator, driver, etc)|Professional(engineer, doctor, teacher, clergy, etc)|Service or sales worker (cook,travel guide, shop salesperson, etc)|Technician or Associate Professional (inspector, finance dealer, etc)|Unknown | Agricultural or fishery worker (vegetable grower, livestock producer, etc)|Armed forces (government military)|Clerk (secretary, cashier, etc)|Craft or trades worker (carpenter, painter, jewelry worker, butcher, etc)|Elementary worker (street food vendor, shoe cleaner, etc)|Legislator, senior official or manager|Not applicable, (not working pre-injury/not working now)|Other, specify|Plant/machine operator or assembler (equipment assembler, sewing-machine operator, driver, etc)|Professional(engineer, doctor, teacher, clergy, etc)|Service or sales worker (cook,travel guide, shop salesperson, etc)|Technician or Associate Professional (inspector, finance dealer, etc)|Unknown | 1|2|3|4|5|6|777|444|7|8|9|10|999 | |||||||||||| | |||||||||||| | |||||||||||| | For detailed definitions go to: http://www.who.int/healthinfo/survey/whsshortversionguide.pdf | FITBIR | What was the subject's pre-injury job classification? | No references available | Adult and Pediatric | Participant/Subject Characteristics.Social Status | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Basic | Supplemental | Supplemental | Supplemental | NIH/CIT/BRICS | Olga Vovk | olga.vovk@nih.gov | NIH/CIT/BRICS | Olga Vovk | olga.vovk@nih.gov | 4/7/25 | Published | |||||||||||||||||||||||||||||||||||||||||||||
| JobClassPreInjOTH | Job classification pre-injury other text | Common Data Element | 1.8 | The free-text field related to Job classification pre-injury specifying other text. | The free-text field related to Job classification pre-injury specifying other text. | Alphanumeric | 4000 | Free-Form Entry | C0028811|C0679646/C1521970|C1704791 | Occupations|Participant/Characteristics|Demographics Domain | UMLS|UMLS|UMLS | Enter other text. | FITBIR | Other, Specify | No references available | Adult and Pediatric | Participant/Subject Characteristics.Demographics | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | NIH/CIT/BRICS | Olga Vovk | olga.vovk@nih.com | NIH/CIT/BRICS | Olga Vovk | olga.vovk@nih.com | 3/7/25 | Published | |||||||||||||||||||||||||||||||||||||||||||||||||||||
| MedclHistCondSNOMEDCTCode | Medical history condition SNOMED CT code | Common Data Element | 1.15 | Systematized Nomenclature Of Medicine Clinical Terms (SNOMED CT) code for medical condition/disease reported by the participant/subject | Systematized Nomenclature Of Medicine Clinical Terms (SNOMED CT) code for medical condition/disease reported by the participant/subject | Alphanumeric | 255 | Free-Form Entry | C4745084|C1136257|C0679646/C0262926 | Medical Condition|Systematized Nomenclature of Medicine|Participant/Medical History | UMLS|UMLS|UMLS | Code each of the medical history conditions using SNOMED CT. Recommend collection at least during initial medical treatment. | FITBIR|NIA|PDBP | SNOMED CT code. Neuropath: Medical history condition SNOMED CT code | Medical_History|COVID | SNOMED CT Codes (https://www.nlm.nih.gov/healthit/snomedct/) | Adult and Pediatric | Participant/Subject History and Family History.General Health History | Participant/Subject History and Family History.General Health History | Participant/Subject History and Family History.General Health History | Core | Core | Core | Core | Core | Supplemental | Medical history condition SNOMED CT code. C00313. | NINDS_CDE | InjElapsedTime;InjICDExtCauseCode;LOCInd;MedclHistCondOngoingInd;MedclHistCondTxt;PstTraumtcAmnsInd;TBITyp | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 3/7/25 | Published | |||||||||||||||||||||||||||||||||||||||||||||||
| MilDplyInjInd | Military deployment injury indicator | Common Data Element | 1.4 | Indicator of whether the injury occurred during deployment | Indicator of whether the injury occurred during deployment | Alphanumeric | Single Pre-Defined Value Selected | C3263723|C2825812|C0026126 | Traumatic injury|Deploy|Military Personnel | UMLS|UMLS|UMLS | No|Unknown|Yes | No|Unknown|Yes | 0|9|1 | C1298908|C0439673|C1705108 | no|Unknown|Yes (indicator) | UMLS|UMLS|UMLS | TBI: 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. | (Indicator of) whether the injury occurred during deployment | Injury_History | TBI: 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 | Disease/Injury Related Events.History of Disease/Injury Event | Basic | Basic | Basic | Basic | Military deployment injury indicator | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 3/7/25 | Published | |||||||||||||||||||||||||||||||||||||||||||||||||
| PostalZipCode | Postal Zip code | Common Data Element | 1 | Postal information, the address number indicating a postal district (in the USA this is a 5 or 9 digit number (10 including the hyphen)). | Postal Zip code | Alphanumeric | 10 | Free-Form Entry | C25621|C5401085 | Postal Code|United States Postal Service (ZIP codes) | NCIT|UMLS | Enter postal code | Postal code | Demographics|NTRR|COVID | Census Data https://data.census.gov/advanced?text=zip+code; NIH CDE repository: https://cde.nlm.nih.gov/deView?tinyId=eT7V_ETn_6; NLM ID: eT7V_ETn_6 | Adult and Pediatric | Participant/Subject Characteristics.Demographics | Participant/Subject Characteristics.Demographics | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Basic | Basic | Basic | Basic | NIH_CDE | NIH/CIT/BRICS/NTRR | NIH CDE Repository Project 5 (COVID-19) | 10/25/24 | 1/24/25 | Awaiting Publication | ||||||||||||||||||||||||||||||||||||||||||||||||||
| PreExistCondOTH | Pre-existing conditions other type | Common Data Element | 1 | The free-text field related to 'Pre-existing conditions' specifying other text. | The free-text field related to 'Pre-existing conditions' specifying other text. | Alphanumeric | 4000 | Free-Form Entry | Epidemiology|NTRR|NTDS | Adult and Pediatric | Trauma.N/A | Basic | Supplemental | Supplemental | Supplemental | NTRR | NTRR Workgroup | 3/5/25 | 3/7/25 | Draft | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| PreExistCondType | Pre-existing conditions type | Common Data Element | 1 | A condition/disease(occuring prior to injury) reported by the participant/subject or documented in the medical record as part of medical history | A condition/disease(occuring prior to injury) reported by the participant/subject or documented in the medical record as part of medical history | Alphanumeric | Multiple Pre-Defined Values Selected | Advance Directive Limiting Care|Alcohol Use Disorder|Anticoagulant Therapy|Anxiety|Attention Deficit Disorder/Attention Deficit Hyperactivity Disorder (ADD/ADHD)|Bipolar I/II Disorder|Bleeding Disorder|Cerebral Vascular Accident (CVA)|Chronic Obstructive Pulmonary Disease (COPD)|Chronic Renal Failure|Cirrhosis|Congenital Anomalies|Congestive Heart Failure (CHF)|Currently Receiving Chemotherapy for Cancer|Current Smoker|Dementia|Diabetes Mellitus|Disseminated Cancer|Fuctionality Dependent Health Status|Hypertension|Major Depressive Disorder|Myocardial Infarction (MI)|Other Mental/personality Disorders|Other, Specify|Peripheral Arterial Disease (PAD)|Post-traumatic Stress Disorder|Pregnancy|Prematurity|Schizoaffective Disorder|Schizophrenia|Sleep disorder|Steroid Use|Substance Use Disorder | Advance Directive Limiting Care|Alcohol Use Disorder|Anticoagulant Therapy|Anxiety|Attention Deficit Disorder/Attention Deficit Hyperactivity Disorder (ADD/ADHD)|Bipolar I/II Disorder|Bleeding Disorder|Cerebral Vascular Accident (CVA)|Chronic Obstructive Pulmonary Disease (COPD)|Chronic Renal Failure|Cirrhosis|Congenital Anomalies|Congestive Heart Failure (CHF)|Currently Receiving Chemotherapy for Cancer|Current Smoker|Dementia|Diabetes Mellitus|Disseminated Cancer|Fuctionality Dependent Health Status|Hypertension|Major Depressive Disorder|Myocardial Infarction (MI)|Other Mental/personality Disorders|Other, Specify|Peripheral Arterial Disease (PAD)|Post-traumatic Stress Disorder|Pregnancy|Prematurity|Schizoaffective Disorder|Schizophrenia|Sleep disorder|Steroid Use|Substance Use Disorder | |||||||||||||||||||||||||||||||| | |||||||||||||||||||||||||||||||| | |||||||||||||||||||||||||||||||| | |||||||||||||||||||||||||||||||| | Epidemiology|NTRR|NTDS | Adult and Pediatric | Trauma.N/A | Basic | Supplemental | Basic | Basic | NTRR | NTRR Workgroup | 3/5/25 | 3/7/25 | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| ProtDevTyp | Protective device type | Common Data Element | 1 | Protective devices (safety equipment) in use or worn by the patient at the time of the injury | Protective devices (safety equipment) in use or worn by the patient at the time of the injury | Alphanumeric | Multiple Pre-Defined Values Selected | airbag present|child restraint|eye protection|helmet (e.g. bicycle, skiing, motorcycle)|lap belt|None|Other, specify|personal floatation device|protective clothing (e.g. padded leather pants)|protective non-clothing gear (e.g. shin guard)|shoulder belt | airbag present|child restraint|eye protection|helmet (e.g. bicycle, skiing, motorcycle)|lap belt|None|Other, specify|personal floatation device|protective clothing (e.g. padded leather pants)|protective non-clothing gear (e.g. shin guard)|shoulder belt | 8|6|5|7|2|1|11|3|9|4|10 | |||||||||| | |||||||||| | |||||||||| | Adult and Pediatric | Trauma.N/A | Basic | Basic | Supplemental | Supplemental | NTRR | NTDS | 3/5/25 | 3/12/25 | Draft | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| ProtDevTypOTH | Protective device type specify other | Common Data Element | 1 | The free-text field related to 'Protective device type' specifying other text | The free-text field related to 'Protective device type' specifying other text | Alphanumeric | 4000 | Free-Form Entry | Adult and Pediatric | Trauma.N/A | Basic | Basic | Supplemental | Supplemental | NTRR | NTDS | 3/5/25 | 3/12/25 | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| VitStatus | Vital status | Common Data Element | 1.12 | Status of participant/subject as alive or dead | Status of participant/subject as alive or dead | Alphanumeric | Single Pre-Defined Value Selected | C1148433 | Vital Status | UMLS | Alive|Dead|Unknown | Alive|Dead|Unknown | 40|30|999 | C4551704|C0011065|C0439673 | Alive|Cessation of life|Unknown | UMLS|UMLS|UMLS | Status of participant/subject as alive or dead. Choose one | cdRNS|FITBIR|NIA|PDBP; | What is the vital status of the subject? | TRACK_TBI | No references available | Adult and Pediatric | Disease/Injury Related Events.Discharge Information | Disease/Injury Related Events.Discharge Information|Outcomes and End Points.End Points | Trauma.N/A | Supplemental | Basic | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Vital status | VisitTyp;GlasgowOutcomeScalExtScore;InjElapsedTime;GCSTotalScore | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 3/7/25 | Published | ||||||||||||||||||||||||||||||||||||||||
| ZIPPartialCode | ZIP partial code | Common Data Element | 1.2 | First three digits of the zip code where the participant/subject currently lives. | First three digits of the zip code where the participant/subject currently lives. | Alphanumeric | 255 | Free-Form Entry | C25621 | Postal Code | NCIT | Enter first three digits of the zip code. Protected health information (PHI), under the Health Insurance Portability and Accountability Act (HIPAA), does allow collection of the initial three digits of a zip code if, according to the current publicly available data from the Bureau of the Census: the geographic unit formed by combining all zip codes with the same three initial digits contains more than 20,000 people. For CDUS reporting, the last four digits of the complete nine-digit Zip code should not be submitted to assure patient confidentiality. If the initial three digits of a zip code for all such geographic units containing 20,000 or fewer people is changed to 000. In addition, this is usually an optional field. Therefore, if not provided, also enter 000. | First three digits of the zip code | First three digits of the zip code | Demographics|NTRR|COVID | NINDS Genetics Repository, Required Clinical Data Elements for subjects with Cerebrovascular Disease - http://ccr.coriell.org/Sections/Collections/NINDS/Cerebrovascular.aspx?PgId=190&coll=ND | Adult and Pediatric | Participant/Subject Characteristics.Demographics | Participant/Subject Characteristics.Demographics | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Basic | Basic | Basic | Basic | Zip code | NINDS_CDE | NIH/NINDS | NIH/NINDS | 4/1/14 | 3/7/25 | Published |
| variable name | title | element type | version | definition | short description | datatype | maximum character quantity | input restriction | minimum value | maximum value | data element concept identifiers | data element concept names | data element terminology sources | permissible values | permissible value descriptions | permissible value output codes | permissible value concept identifiers | permissible value concept names | permissible value terminology sources | Item Response OID | Element OID | unit of measure | guidelines/instructions | notes | preferred question text | keywords | references | population.all | domain.general (for all diseases) | domain.traumatic brain injury | domain.Parkinson's disease | domain.Friedreich's ataxia | domain.stroke | domain.amyotrophic lateral sclerosis | domain.Huntington's disease | domain.multiple sclerosis | domain.neuromuscular diseases | domain.myasthenia gravis | domain.spinal muscular atrophy | domain.Duchenne muscular dystrophy/Becker muscular dystrophy | domain.congenital muscular dystrophy | domain.spinal cord injury | domain.headache | domain.epilepsy | domain.eye diseases | domain.trauma | classification.general (for all diseases) | classification.acute hospitalized | classification.concussion/mild TBI | classification.epidemiology | classification.moderate/severe TBI: rehabilitation | classification.Parkinson's disease | classification.Friedreich's ataxia | classification.stroke | classification.amyotrophic lateral sclerosis | classification.Huntington's disease | classification.multiple sclerosis | classification.neuromuscular diseases | classification.myasthenia gravis | classification.spinal muscular atrophy | classification.Duchenne muscular dystrophy/Becker muscular dystrophy | classification.congenital muscular dystrophy | classification.spinal cord injury | classification.headache | classification.epilepsy | classification.eye diseases | classification.trauma epidemiology | classification.trauma pre-hospital | classification.trauma acute hospital | classification.trauma rehabilitation/outcomes | historical notes | Label(s) | see also | submitting organization name | submitting contact name | submitting contact information | effective date | until date | steward organization name | steward contact name | steward contact information | creation date | last change date | administrative status |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| AddressCityName | Address city name | Common Data Element | 1 | Name of the city or township for the address (to describe where a mail piece is intended to be delivered). | Address city name | Alphanumeric | 4000 | Free-Form Entry | C25407|C25160|C42614 | Address|City|Name | NCIT|NCIT|NCIT | Enter the name of the city. | City name | Demographics|SDOH|NTRR|COVID | NIH CDE Repository: https://cde.nlm.nih.gov/deView?tinyId=aQO0VmltMn; NLM ID: aQO0VmltMn | Adult and Pediatric | Participant/Subject Characteristics.Demographics | Participant/Subject Characteristics.Demographics | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Basic | Basic | Basic | Basic | NIH_CDE | NIH/CIT/BRICS/NTRR | NIH CDE Repository Project 5 (COVID-19) | 10/25/24 | 1/24/25 | Awaiting Publication | ||||||||||||||||||||||||||||||||||||||||||||||||||
| AddressCountyName | Address County Name | Common Data Element | 1 | A region created by territorial division by a local government where mail piece is intended to be delivered (NIH endorsed CDE). | name of the county as part of the address | Alphanumeric | 1000 | Free-Form Entry | C5447202 | County of Permanent Address | UMLS | enter county name | Address County Name | NLM ZqxxvEdcmt. NIH CDE Repository: https://cde.nlm.nih.gov/deView?tinyId=ZqxxvEdcmt | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | NIH_CDE | NIH/CIT/BRICS | Project 5 (COVID-19) | 11/12/24 | 11/12/24 | Published | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| AddressStateCode | Address state code | Common Data Element | 1 | The state code for the address (to describe where a mail piece is intended to be delivered). | Address state code | Alphanumeric | Single Pre-Defined Value Selected | C87194|C25162|C25407 | Stae|Code|Address | NCIT|NCIT|NCIT | AK|AL|AR|AZ|CA|CO|CT|DC|DE|FL|GA|HI|IA|ID|IL|IN|KS|KY|LA|MA|MD|ME|MI|MN|MO|MS|MT|NC|ND|NE|NH|NJ|NM|NV|NY|OH|OK|OR|Other, specify|PA|RI|SC|SD|TN|TX|UT|VA|VT|WA|WI|WV|WY | AK|AL|AR|AZ|CA|CO|CT|DC|DE|FL|GA|HI|IA|ID|IL|IN|KS|KY|LA|MA|MD|ME|MI|MN|MO|MS|MT|NC|ND|NE|NH|NJ|NM|NV|NY|OH|OK|OR|Other, specify|PA|RI|SC|SD|TN|TX|UT|VA|VT|WA|WI|WV|WY | 1|2|3|4|5|6|7|8|9|10|11|12|13|14|15|16|17|18|19|20|21|22|23|24|25|26|27|28|29|30|31|32|33|34|35|36|37|38|444|39|40|41|42|43|44|45|46|47|48|49|50|51 | ||||||||||||||||||||||||||||||||||||||||||||||||||| | ||||||||||||||||||||||||||||||||||||||||||||||||||| | ||||||||||||||||||||||||||||||||||||||||||||||||||| | Enter the abbreviation for the state or province. The 2-letter postal abbreviation should be used for all U.S. states. | Enter the abbreviation for the state or province. The 2-letter postal abbreviation should be used for all U.S. states. | State / Province | Demographics|SDOH|NTRR|COVID | NIH CDE Repository: https://cde.nlm.nih.gov/deView?tinyId=6AT_JFxD1; NLM ID: 6AT_JFxD1 | Adult and Pediatric | Participant/Subject Characteristics.Demographics | Participant/Subject Characteristics.Demographics | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Basic | Basic | Basic | Basic | State or province of residence identifier | NIH_CDE | NIH/CIT/BRICS/NTRR | NIH CDE Repository Project 5 (COVID-19) | 10/25/24 | 3/17/25 | Draft | |||||||||||||||||||||||||||||||||||||||||||
| AddressStateCodeOTH | Address state other text | Common Data Element | 1 | A free-text field related to Address state code' specifying other text. | A free-text field related to Address state code' specifying other text. | Alphanumeric | 4000 | Free-Form Entry | C25704|C87194|C25407 | Text|Stae|Address | NCIT|NCIT|NCIT | Enter free text. | Other, specify | Demographics|SDOH|NTRR|COVID | Adult and Pediatric | Participant/Subject Characteristics.Demographics | Participant/Subject Characteristics.Demographics | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Basic | Basic | Basic | Basic | FITBIR_CDE | NIH/CIT/BRICS/NTRR | Olga Vovk | olga.vovk@nih.gov | NIH/CIT/BRICS/NTRR | Olga Vovk | olga.vovk@nih.com | 10/25/24 | 1/24/25 | Awaiting Publication | |||||||||||||||||||||||||||||||||||||||||||||||
| AGE | Age | Common Data Element | 1 | Age expressed in AGEU. May be derived as (RFSTDTC-BRTHDTC), but BRTHDTC may not be available in all cases (due to subject privacy concerns). | Record Qualifier | Numeric Values | Free-Form Entry | C0001779 | Age | UMLS | Age expressed in AGEU. May be derived as (RFSTDTC-BRTHDTC), but BRTHDTC may not be available in all cases (due to subject privacy concerns). | SDTM v1.7, Class= Special-Purpose, Dataset Name= DM | SDTM_V17|SDTM|CDISC | https://www.cdisc.org/standards | Adult and Pediatric | Participant/Subject Characteristics.Demographics | Supplemental | CDISC | NIH/CIT/BRICS | Olga Vovk | olga.vovk@nih.gov | NIH/CIT/BRICS | Olga Vovk | olga.vovk@nih.gov | 10/29/19 | 3/7/25 | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| AGEU | Age Units | Common Data Element | 1 | Units associated with AGE or AGETXT. | Variable Qualifier of AGE or AGETXT | Alphanumeric | Single Pre-Defined Value Selected | C0001779|C1519795 | Age|Unit of Measure | UMLS|UMLS | Days|Hours|Minutes|Months|Seconds|Weeks|Years | Days|Hours|Minutes|Months|Seconds|Weeks|Years | 1|2|3|4|5|6|7 | |||||| | |||||| | |||||| | Units associated with AGE or AGETXT. | SDTM v1.7, Class= Special-Purpose, Dataset Name= DM | SDTM_V17|SDTM|CDISC | https://www.cdisc.org/standards | Adult and Pediatric | Participant/Subject Characteristics.Demographics | Supplemental | CDISC | CDISC | CDISC | 10/29/19 | 3/7/25 | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
| AgeVal | Age value | Common Data Element | 1.7 | Value for participant/subject's age, calculated as elapsed time since the birth of the participant/subject. By default in months | Value for participant's subject age, calculated as elapsed time since the birth of the participant/subject. By default in months | Numeric Values | Free-Form Entry | 0 | 1800 | C0001779 | Age | UMLS | Month | GENERAL/TBI: For children younger than one year born at less than 36 weeks gestation, it is recommended to also collect gestational age. Recording date of birth will give the most detailed information required for calculation of age and is recommended as first choice. However, in some studies recording date of birth may elicit discussions on a potential violation of privacy legislation and specifically HIPAA regulations. In these cases, the calculated age should be recorded. MG/NMD/SMA: This is recorded for each brain MRI performed. This is a derived field from Date of Birth and Visit Date. HEADACHE: It is recommended that age be calculated from date of birth and the study enrollment date. However, if age needs to be collected (e.g., full date of birth is not allowed to be collected) then it should be recorded in months and years. This element is recommended as Core for pediatric headache studies. |
Age value in months. CDISC variables: DM=Demographics, SUPPDM= SUPPQUAL for Demographics, SC=Subject Characteristics, AGE, AGEU, AGETXT. For more information, refer to https://wiki.cdisc.org/pages/viewpage.action?pageId=32815150 | Age | Epidemiology|CDISC | No references available | Adult and Pediatric | Participant/Subject Characteristics.Demographics | Disease/Injury Related Events.Classification|Participant/Subject Characteristics.Demographics | Assessments and Examinations.Imaging Diagnostics | Assessments and Examinations.Imaging Diagnostics | Assessments and Examinations.Imaging Diagnostics | Participant/Subject Characteristics.Demographics | Assessments and Examinations.Non-Imaging Diagnostics | Supplemental | Basic | Basic | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Core | Supplemental | Age value | NIH/NINDS | Olga Vovk | olga.vovk@nih.gov | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 3/5/25 | Published | |||||||||||||||||||||||||||||||||||||||
| AgeValUoM | Age value unit of measure | Common Data Element | 1 | Unit of measure used to initially record the age value | Unit of measure used to initially record the age value | Alphanumeric | Single Pre-Defined Value Selected | C1519795|C0001779 | Unit of Measure|Age | UMLS|UMLS | Days|Months|Weeks|years | Days|Months|Weeks|years | 10|30|20|40 | ||| | ||| | ||| | HD: Answer only if oldest brother/sister is dead and age at death was recorded. Choose one unit. GENERAL: The recommended unit of measure for exchange of age is in month, but alternate units of measure are provided, and may be necessary for pediatric studies. |
Specify age units | trauma | No references available | Adult | Participant/Subject History and Family History.Epidemiology/Environmental History | Participant/Subject History and Family History.Epidemiology/Environmental History | Participant/Subject History and Family History.Epidemiology/Environmental History | Trauma.N/A | Supplemental | Supplemental | Supplemental | Basic | Supplemental | Supplemental | Supplemental | Age value unit of measure | NIH/CIT/BRICS | Olga Vovk | olga.vovk@nih.gov | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 4/9/25 | Draft | |||||||||||||||||||||||||||||||||||||||||||
| AgeYrs | Age in years | Common Data Element | 1.22 | Value for participant's subject age, calculated as elapsed time since the birth of the participant/subject in years. The subjects age is typically recorded to the nearest full year completed, e.g. 11 years and 6 months should be recorded as 11 years. | Value for participant's subject age recorded in years. | Numeric Values | Free-Form Entry | 0 | 150 | C0001779|C1704791|C0679646/C1521970 | Age|Demographics domain|Participant/Characteristics | UMLS|UMLS|UMLS | The subject's age is typically recorded to the nearest full year completed, e.g. 11 years and 6 months should be recorded as 11 years. For subject's which are under 1 year old, use decimal points and use the following convention- record 1 month as 0.083 (1/12), 2 months as 0.166 (2/12), 3 months as 0.25 (3/12), 4 months as 0.333 (4/12), 5 months as 0.416 (5/12), 6 months as 0.5 (6/12), 7 months as 0.583 (7/12), 8 months as 0.666 (8/12), 9 months as 0.75 (9/12), 10 months as 0.833 (10/12), 11 months as 0.916 (11/12) and 12 months as 1 year. For the individuals 90 or older, in order to preserve PII, please submit 150 and make a note this in the general notes column. | cdRNS|eyeGene|FITBIR|NIA|PDBP;CDISC variables: QNAM=MHAGE, MHAGE=Age at MH Event, QVAL contains the age with the appropriate unit (years) | Subject's age (recorded in years): | CDISC | No references available | Adult and Pediatric | Participant/Subject Characteristics.Demographics | Participant/Subject Characteristics.Demographics | Trauma.N/A | Supplemental | Supplemental | Core | Core | Core | Core | NINDS_CDE | AgeRange;AgeVal;AgeYrs;AlcUseStopAgeVal;AlcUseStrtAgeVal | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 4/8/25 | Published | |||||||||||||||||||||||||||||||||||||||||||||||
| AirwayComplications | Airway complications encountered | Common Data Element | 1 | The airway management complications encountered during the patient care episode | The airway management complications encountered during the patient care episode | Alphanumeric | Single Pre-Defined Value Selected | Adverse Event from Facilitating Drugs|Bradycardia (<50)|Cardiac Arrest|Esophageal Intubation-Delayed Detection (After Tube Secured)|Esophageal Intubation-Detected in Emergency Department|Failed Intubation Effort|Injury or Trauma to Patient from Airway Management Effort|Other|Oxygen Desaturation (<90%)|Patient Vomiting/Aspiration|Tube Dislodged During Transport/Patient Care|Tube was Not in Correct Position when EMS Crew/Team Assumed Care of the Patient | Adverse Event from Facilitating Drugs|Bradycardia (<50)|Cardiac Arrest|Esophageal Intubation-Delayed Detection (After Tube Secured)|Esophageal Intubation-Detected in Emergency Department|Failed Intubation Effort|Injury or Trauma to Patient from Airway Management Effort|Other|Oxygen Desaturation (<90%)|Patient Vomiting/Aspiration|Tube Dislodged During Transport/Patient Care|Tube was Not in Correct Position when EMS Crew/Team Assumed Care of the Patient | ||||||||||| | ||||||||||| | ||||||||||| | ||||||||||| | trauma | Adult and Pediatric | Trauma.N/A | Supplemental | Basic | Supplemental | Supplemental | NTRR | NEMSIS | 3/12/25 | 4/9/25 | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| AirwayDev | Airway device being confirmed | Common Data Element | 1 | The airway device in which placement is being confirmed | The airway device in which placement is being confirmed | Alphanumeric | Single Pre-Defined Value Selected | Cricothyrotomy Tube|Endotracheal Tube|Other Invasive Airway|SAD-Combitude|SAD-King|SAD-LMA|SAD-Other|Tracheostomy Tube | Cricothyrotomy Tube|Endotracheal Tube|Other Invasive Airway|SAD-Combitude|SAD-King|SAD-LMA|SAD-Other|Tracheostomy Tube | ||||||| | ||||||| | ||||||| | ||||||| | trauma | Adult and Pediatric | Trauma.N/A | Supplemental | Basic | Supplemental | Supplemental | NTRR | NEMSIS | 3/12/25 | 4/9/25 | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| AirwayDevPlaceDateTime | Airway device placement date/time | Common Data Element | 1 | The date/time the airway device placement was confirmed | The date/time the airway device placement was confirmed | Date or Date & Time | Free-Form Entry | trauma | Adult and Pediatric | Trauma.N/A | Supplemental | Basic | Supplemental | Supplemental | NTRR | NEMSIS | 3/12/25 | 4/9/25 | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| AirwayDevPlaceMethod | Airway device placement method | Common Data Element | 1 | The method used to confirm the airway device placement | The method used to confirm the airway device placement | Alphanumeric | Single Pre-Defined Value Selected | Auscultation|Bulb/Syringe Aspiration|Chest Rise|Colorimetric ETCO2|Condensation in Tube|Digital (Numeric) ETCO2|Direct Re-Visualization of Tube in Place|Endotracheal Tube Whistle (BAAM, etc)|Other|Visualization of Vocal Cords|Waveform ETCO2 | Auscultation|Bulb/Syringe Aspiration|Chest Rise|Colorimetric ETCO2|Condensation in Tube|Digital (Numeric) ETCO2|Direct Re-Visualization of Tube in Place|Endotracheal Tube Whistle (BAAM, etc)|Other|Visualization of Vocal Cords|Waveform ETCO2 | |||||||||| | |||||||||| | |||||||||| | |||||||||| | trauma | Adult and Pediatric | Trauma.N/A | Supplemental | Basic | Supplemental | Supplemental | NTRR | NEMSIS | 3/12/25 | 4/9/25 | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| AISBodyRegionChapterCat | Abbreviated injury scale (AIS) - Body region category | Common Data Element | 1.3 | Category of body region assessed by Abbreviated Injury Scale (AIS) | Category of body region assessed by Abbreviated Injury Scale (AIS) | Alphanumeric | Single Pre-Defined Value Selected | C0000722|C0229962|C0005898 | Abbreviated Injury Scale|Body part|Body Regions | UMLS|UMLS|UMLS | Abdomen|External|Face|Head|Lower Extremity, Pelvis and Buttocks|Neck|Other Trauma|Spine|Thorax|Upper Extremity | 5-Abdomen|9-External|2-Face|1-Head|7-Lower Extremity, Pelvis and Buttocks|3- Neck|0-Other Trauma|6-Spine|4-Thorax|8-Upper Extremity | 5|9|2|1|7|3|0|6|4|8 | ||||||||| | ||||||||| | ||||||||| | Choose one. For each AISInjurySeverityScore value, select the corresponding body region chapter/category. Use the information from AIS dictionary (https://www.aaam.org/abbreviated-injury-scale-ais/) to choose the appropriate value. | AIS 2005, 2008, pre-dot code, position 1 | AIS body region/chapter | ISS|Injury_History|AIS|MaxAIS | Baker SP, O'Neill B, Haddon W Jr, et al. The injury severity score: a method for describing patients with multiple injuries and evaluating emergency care. J Trauma. Mar 1974;14(3): 187-196. Medicine Aft. The Abbreviated Injury Scale, 1990 Revision. Association for the Advancement of Automotive Medicine. 15-24. 1990. Des Plaines, IL. http: //www.sfar.org/scores2/triss2.html - ISS calculator Pediatric: Gennarelli TA, Wodzin A. AIS 2005: A contemporary injury scale. Injury 2006 37: 1083-1091. Copyright Association for the Advancement of Automotive Medicine - https://www.aaam.org/abbreviated-injury-scale-ais/ | Adult and Pediatric | Disease/Injury Related Events.Classification | Disease/Injury Related Events.Classification | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Core | Core | Core | Core | AbbrevInjryScalBodyRgnCat | AAAM | Gillich, Patrick | patrick.j.gillich.civ@mail.mil | NIH/CIT/BRICS | Olga Vovk | olga.vovk@nih.gov | 9/7/17 | 8/1/24 | Published | ||||||||||||||||||||||||||||||||||||||||
| AISCode | Abbreviated injury scale (AIS) - Code | Common Data Element | 1.1 | Abbreviated injury scale (AIS) code including pre-dot and post-dot numeric codes as recorded according to the specified version of AIS dictionary (AISDictionaryVersion) | Abbreviated injury scale (AIS) code | Alphanumeric | 16 | Free-Form Entry | For each injury (or each row of data) enter the corresponding AIS code. Use the corresponding version of AIS dictionary to specify the proper code. Recommend collection at least on date of TBI or at time of first medical treatment. For, AIS 2005, update 2008, AIS code comprises six values, a dot, a one-digit severity code, and eight optional values). The pre-dot code contains values indicating AIS body region injured, type of structure injured, specific anatomic structure injured, and level of injury. The post-dot code contains the severity score, and may also contain optional descriptors indicating location of injury, whether it was intentional or unintentional, cause of injury, etc. Use the information from AIS dictionary (https://www.aaam.org/abbreviated-injury-scale-ais/) to choose the appropriate value. Head - all codes begin with 1; Face - All codes begin with 2 ; Neck - All codes begin with 3; Thorax - All codes begin with 4; Abdomen - All codes begin with 5; Spine - All codes begin with 6; Upper extremities - All codes begin with 7; Lower extremities - All codes begin with 8; External, burns and other trauma - All codes begin with 9. | AIS code | ISS|Injury_History|AIS|MaxAIS | Baker SP, O'Neill B, Haddon W Jr, et al. The injury severity score: a method for describing patients with multiple injuries and evaluating emergency care. J Trauma. Mar 1974;14(3): 187-196. Medicine Aft. The Abbreviated Injury Scale, 1990 Revision. Association for the Advancement of Automotive Medicine. 15-24. 1990. Des Plaines, IL. http: //www.sfar.org/scores2/triss2.html - ISS calculator Pediatric: Gennarelli TA, Wodzin A. AIS 2005: A contemporary injury scale. Injury 2006 37: 1083-1091. Copyright Association for the Advancement of Automotive Medicine - https://www.aaam.org/abbreviated-injury-scale-ais/ | Adult and Pediatric | Disease/Injury Related Events.Classification | Disease/Injury Related Events.Classification | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Core | Core | Core | Core | AAAM | Gillich, Patrick | patrick.j.gillich.civ@mail.mil | NIH/CIT/BRICS | Olga Vovk | olga.vovk@nih.gov | 9/7/17 | 8/1/24 | Published | ||||||||||||||||||||||||||||||||||||||||||||||||||
| AISDictionaryVersionTyp | Abbreviated injury scale (AIS) - Dictionary version type | Common Data Element | 1.3 | A type/version of the Abbreviated Injury Scale (AIS) dictionary used to access the injury | A type/version of the Abbreviated Injury Scale (AIS) dictionary used to access the injury | Alphanumeric | Single Pre-Defined Value Selected | C0000722 | Abbreviated Injury Scale | UMLS | AIS Revision 1990|AIS Revision 1990 Update 1998|AIS Revision 2005|AIS Revision 2005 Update 2008|AIS Revision 2015 | AIS Revision 1990|AIS Revision 1990 Update 1998|AIS Revision 2005|AIS Revision 2005 Update 2008|AIS Revision 2015 | 5|4|3|2|1 | |||| | |||| | |||| | Choose one. Use AIS user manual to find out the version. Recommend using the most recent version. AIS dictionaries developed earlier than 1990 are not recommended for use in this data collection. | Version of Abbreviated injury scale (AIS) dictionary | ISS|Injury_History|AIS|MaxAIS | Baker SP, O'Neill B, Haddon W Jr, et al. The injury severity score: a method for describing patients with multiple injuries and evaluating emergency care. J Trauma. Mar 1974;14(3): 187-196. Medicine Aft. The Abbreviated Injury Scale, 1990 Revision. Association for the Advancement of Automotive Medicine. 15-24. 1990. Des Plaines, IL. http: //www.sfar.org/scores2/triss2.html - ISS calculator Pediatric: Gennarelli TA, Wodzin A. AIS 2005: A contemporary injury scale. Injury 2006 37: 1083-1091. Copyright Association for the Advancement of Automotive Medicine - https://www.aaam.org/abbreviated-injury-scale-ais/ | Adult and Pediatric | Disease/Injury Related Events.Classification | Disease/Injury Related Events.Classification | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Core | Core | Core | Core | AAAM | Gillich, Patrick | patrick.j.gillich.civ@mail.mil | NIH/CIT/BRICS | Olga Vovk | olga.vovk@nih.gov | 9/7/17 | 8/1/24 | Published | ||||||||||||||||||||||||||||||||||||||||||
| AISInjurySeverityScore | Abbreviated injury scale (AIS) - Injury severity score | Common Data Element | 1.3 | An injury severity score (AIS code), as part of Abbreviated injury scale (AIS) code | An injury severity score (AIS code), as part of Abbreviated injury scale (AIS) code | Numeric Values | Single Pre-Defined Value Selected | C0439793|C0000722 | Severities|Abbreviated Injury Scale | UMLS|UMLS | 1|2|3|4|5|6|9 | 1= minor|2= moderate|3=serious|4=severe|5=critical|6= maximal (currently untreatable)|9=unknown severity | 1|2|3|4|5|6|9 | |||||| | |||||| | |||||| | For each body region, select the corresponding injury severity score. AIS 2005, 2008, 2017 post-dot code, position 7.Use the information from the appropriate version of AIS dictionary (https://www.aaam.org/abbreviated-injury-scale-ais/) to choose the appropriate value. | AIS 2005, 2008, 2017 post-dot code, position 7. | AIS Injury severity | ISS|Injury_History|AIS|MaxAIS | Baker SP, O'Neill B, Haddon W Jr, et al. The injury severity score: a method for describing patients with multiple injuries and evaluating emergency care. J Trauma. Mar 1974;14(3): 187-196. Medicine Aft. The Abbreviated Injury Scale, 1990 Revision. Association for the Advancement of Automotive Medicine. 15-24. 1990. Des Plaines, IL. http: //www.sfar.org/scores2/triss2.html - ISS calculator Pediatric: Gennarelli TA, Wodzin A. AIS 2005: A contemporary injury scale. Injury 2006 37: 1083-1091. Copyright Association for the Advancement of Automotive Medicine - https://www.aaam.org/abbreviated-injury-scale-ais/ | Adult and Pediatric | Disease/Injury Related Events.Classification | Disease/Injury Related Events.Classification | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Core | Core | Core | Core | AISBodyRegionScore | AAAM | Gillich, Patrick | patrick.j.gillich.civ@mail.mil | NIH/CIT/BRICS | Olga Vovk | olga.vovk@nih.gov | 9/7/17 | 8/1/24 | Published | ||||||||||||||||||||||||||||||||||||||||
| AlcConsume6MoreDrinkFreq | Alcohol consume six or more drinks frequency | Common Data Element | 1.7 | The rate of occurrence for when the participant/subject consumes six or more drinks containing alcohol on one occasion. It is noted that the meaning of 'drinks consumed' differs from one nation and culture to another, so the most common alcoholic beverages likely to be consumed will be defined as well as quantity of each that constitutes a drink (approximately 10 grams of pure ethanol). For example, one bottle of beer (330 ml at 5% ethanol), a glass of wine (140 ml at 12% ethanol), and a shot of spirits (40 ml at 40% ethanol) represent a standard drink of about 13 g of ethanol. | The rate of occurrence for when the participant/subject consumes six or more drinks containing alcohol on one occasion. It is noted that the meaning of 'drinks consumed' differs from one nation and culture to another. | Alphanumeric | Single Pre-Defined Value Selected | C0439603|C0001948 | Frequencies (time pattern)|Alcohol consumption | UMLS|UMLS | Daily or almost daily|Less than monthly|Monthly|Never|Unknown|Weekly | Daily or almost daily|Less than monthly|Monthly|Never|Unknown|Weekly | 1|2|3|0|999|4 | ||||| | ||||| | ||||| | GENERAL: Choose one. Response is obtained from participant/ subject, family member, friend, or chart/ medical record. FA: Choose one. Response is obtained from participant/ subject, family member, friend, or chart/ medical record. STROKE: History can be obtained from participant/ subject, family member, friend, or chart/ medical record. MS: Choose one. Response is obtained from participant/ subject, family member, friend, or chart/ medical record. Unknown includes the scenario where information is not documented in the medical record. Current Guidelines for MS is incorrect: Choose one if currently drinks |
FITBIR, NIA, PDBP;Note: This question asks about 'drinks consumed'. The meaning of this word differs from one nation and culture to another. It is important therefore to mention the most common alcoholic beverages likely to be consumed and how much of each constitutes a drink (approximately 10 grams of pure ethanol). For example, one bottle of beer (330 ml at 5% ethanol), a glass of wine (140 ml at 12% ethanol), and a shot of spirits (40 ml at 40% ethanol) represent a standard drink of about 13 g of ethanol. | trauma | No references available | Adult and Pediatric | Participant/Subject History and Family History.General Health History | Participant/Subject History and Family History.General Health History | Participant/Subject History and Family History.General Health History | Participant/Subject History and Family History.General Health History | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Basic | Alcohol consume six or more drinks frequency | NINDS_CDE | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 3/17/25 | Published | ||||||||||||||||||||||||||||||||||||||||
| AlcScreenRes | Alcohol screen results | Common Data Element | 1 | First recorded blood alcohol (BAC) results within 24 hours after first hospital encounter. | First recorded blood alcohol (BAC) results within 24 hours after first hospital encounter. | Numeric Values | Free-Form Entry | Epidemiology|NTRR|NTDS | Adult and Pediatric | Trauma.N/A | Basic | Supplemental | Supplemental | Supplemental | NTRR | NTDS | 3/5/25 | 3/7/25 | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| AlcScrInd | Alcohol screen indicator | Common Data Element | 1 | A blood alcohol concentration (BAC) test was performed on the patient within 24 hours after first hospital encounter | A blood alcohol concentration (BAC) test was performed on the patient within 24 hours after first hospital encounter | Alphanumeric | Single Pre-Defined Value Selected | No|Yes | No|Yes | 0|1 | | | | | | | Epidemiology|NTRR|NTDS | Adult and Pediatric | Trauma.N/A | Basic | Supplemental | Supplemental | Supplemental | NTRR | NTDS | 3/5/25 | 3/17/25 | Published | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| AnticoagAgentTyp | Anticoagulant agent type | Common Data Element | 1 | The type of anticoaglant | The type of anticoaglant | Alphanumeric | Multiple Pre-Defined Values Selected | Direct thrombin inhibitors|Factor Xa inhibitors|Low molecular weight heparins|Vitamin K antogonists | Direct thrombin inhibitors|Factor Xa inhibitors|Low molecular weight heparins|Vitamin K antogonists | 3|4|2|1 | ||| | ||| | ||| | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Basic | Supplemental | NTRR | Acute Workgroup | 4/9/25 | 4/9/25 | Draft | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| AntiplatAgentType | Antiplatelet agent type | Common Data Element | 1 | The type of antiplatelet | The type of antiplatelet | Alphanumeric | Multiple Pre-Defined Values Selected | Adenosine dephosphate (ADP receptor inhibitors|Adenosine reuptake inhibitors|Anti Thrombin III inhibitors|Glycoprotein platelet inhibitors|Phosphodiesterase inhibitos|Platelet aggregation inhibitors|Protease-activated receptor 1 antogonists | Adenosine dephosphate (ADP receptor inhibitors|Adenosine reuptake inhibitors|Anti Thrombin III inhibitors|Glycoprotein platelet inhibitors|Phosphodiesterase inhibitos|Platelet aggregation inhibitors|Protease-activated receptor 1 antogonists | 4|5|7|2|6|1|3 | |||||| | |||||| | |||||| | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Basic | Supplemental | NTRR | Acute Workgroup | 4/9/25 | 4/9/25 | Draft | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| ArrivalIntubationInd | Arrival intubation indicator | Common Data Element | 1 | Indicator for intubation on arrival | Indicator for intubation on arrival | Alphanumeric | Single Pre-Defined Value Selected | No|Unknown|Yes | No|Unknown|Yes | 2|3|1 | || | || | || | Adult and Pediatric | Trauma.N/A | Supplemental | Basic | Supplemental | Supplemental | NTRR | NINDS | 4/9/25 | 4/9/25 | Draft | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| BlastInjDevOTH | Blast injury device other text | Common Data Element | 1.3 | 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 | Alphanumeric | 4000 | Free-Form Entry | C0005700 | Blast Injuries | UMLS | Enter the other text | Other, specify | Injury_History|trauma | No references available | Adult and Pediatric | Disease/Injury Related Events.History of Disease/Injury Event | Trauma.N/A | Basic | Basic | Basic | Basic | Supplemental | Basic | Basic | Supplemental | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 3/17/25 | Published | ||||||||||||||||||||||||||||||||||||||||||||||||||
| BlastInjDevTyp | Blast injury device type | Common Data Element | 1.7 | Type of device which caused the blast injury | Type of device which caused the blast injury | Alphanumeric | Single Pre-Defined Value Selected | C0005700 | Blast Injuries | UMLS | Artillery|Bomb|Fireworks|Grenade|Improvised Explosive Device (IED)|Land mine|Mortar|Other, specify|Rocket|Rocket Propelled Grenade (RPG)|Suicide vest/bomb|Unknown | Artillery|Bomb|Fireworks|Grenade|Improvised Explosive Device (IED)|Land mine|Mortar|Other, specify|Rocket|Rocket Propelled Grenade (RPG)|Suicide vest/bomb|Unknown | 10|1|11|2|3|4|5|444|7|8|9|999 | ||||||||||| | ||||||||||| | ||||||||||| | Choose one | Blast injury device type | Injury_History|trauma | No references available | Adult and Pediatric | Disease/Injury Related Events.History of Disease/Injury Event | Trauma.N/A | Basic | Basic | Basic | Basic | Supplemental | Basic | Basic | Supplemental | InjCauseTyp;InjCauseTypOTH;InjDateReliablTyp;InjDateTime;InjDateTimeEstTyp;InjDescriptionText;InjElapsedTime;InjEventNum;InjICDExtCauseCode;InjPlcOccncTyp;InjPresentRsn;InjReliablTyp;InjSeverScore;InjVlntCauseTyp;SupportWithdrawnInjElapsedTime | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | NINDSCDE | NINDSCDE@emmes.com | 3/17/25 | Published | |||||||||||||||||||||||||||||||||||||||||||||
| BldPressrDiastlMeasr | Blood pressure diastolic measurement | Common Data Element | 1.9 | Measurement of pressure of the participant's/subject's blood against the artery walls during diastole (the relaxation phase) in millimeters of mercury (mmHg) | Measurement of pressure of the participant's/subject's blood against the artery walls during diastole (the relaxation phase) in millimeters of mercury (mmHg) | Numeric Values | Free-Form Entry | 0 | 300 | C1305849|C0428883 | Diastolic blood pressure measurement|Diastolic blood pressure | UMLS|UMLS | Millimeters of Mercury | GENERAL/ALS/MG/NMD/SMA/EPILEPSY/STROKE/DMD: Record the diastolic blood pressure of the participant/ subject. The standard unit for measuring blood pressure is mmHg, which is approximately equivalent to Torr. TBI/TBIACUTE/TBIEPID/TBIMILD/TBIMOD/MS: Record blood pressure from the blood pressure monitor or measure manually by sphygmanometry. The suggested range is 0-300 mmHg. Add date stamp for when assessed.When hourly values are documented, we recommend to take readings at a fixed time point, for example the last minute of the hour. Exclude values which may be influenced by artifacts. Add date stamp for when assessed. The injured brain is often not able to pressure autoregulate normally, adequate perfusion may be more dependent on perfusion pressure; lower blood pressure and low perfusion pressure can aggravate ischemic damage to the injured brain whilst conversely a high blood pressure may lead to increased intracranial pressure and carries an increased risk of neurogenic lung edema. Hypotensive episodes before and after admission adversely affect outcome. In patients with severe traumatic brain injury, routine calculation of the cerebral perfusion pressure on an hourly basis is recommended. Pediatric-specific notes: As a minimum, vital signs should be recorded on admission and further, on a daily basis during the acute phase after injury. For the Core datasets, we recommend recording the average and lowest blood pressure over a given period. In the ICU environment, recording blood pressure on an hourly basis is recommended, especially when intracranial pressure (ICP) is monitored in order to permit determination of CPP, calculated as mean arterial blood pressure (MABP) - ICP (intermediate data set). SCI: Answer for the past week. Record the patient's blood pressure, height and weight on the scoring form. FA: Record the systolic and diastolic blood pressure (systolic / diastolic) of the participant/ subject. HEADACHE: Measure in mmHg. The preferred position for measuring blood pressure is sitting. Blood pressure is the ratio of systolic to diastolic. It is recommended that standard operating procedures be developed for measuring blood pressure in your study. The Atherosclerosis Risk in Communities (ARIC) and Multi-Ethnic Study of Atherosclerosis (MESA) studies offer examples on their Websites of the procedures they used for measuring blood pressure. Both of these studies measured blood pressure more than once (e.g., three times) at a given study visit. Please refer to the manuals posted on http: //www.cscc.unc.edu/aric and http: //www.mesa-nhbi.org/ |
cdRNS|FITBIR|NIA|PDBP; CDISC variable: Vital Signs Test Code (VSTESTCD), Units for Vital Signs Results (VSRESU), Vital Signs Test Name (VSTEST), DIABP | Diastolic blood pressure | trauma|Vital_Signs | No references available | Adult and Pediatric | Assessments and Examinations.Vital Signs and Other Body Measures | Trauma.N/A | Supplemental | Supplemental | Basic | Basic | Supplemental | Blood pressure diastolic measurement | NINDS_CDE | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 3/17/25 | Published | ||||||||||||||||||||||||||||||||||||||||||||||||
| BldPressrSystMeasr | Blood pressure systolic measurement | Common Data Element | 1.9 | Measurement of pressure of the participant's/subject's blood against the artery walls during systole (the contraction phase) in millimeters of mercury (mmHg) | Measurement of pressure of the participant's/subject's blood against the artery walls during systole (the contraction phase) in millimeters of mercury (mmHg) | Numeric Values | Free-Form Entry | 0 | 300 | C0871470|C1306620 | Systolic Pressure|Systolic blood pressure measurement | UMLS|UMLS | Millimeters of Mercury | GENERAL/ALS/MG/NMD/SMA/EPILEPSY/STROKE/DMD: Record the diastolic blood pressure of the participant/ subject. The standard unit for measuring blood pressure is mmHg, which is approximately equivalent to Torr. TBI/TBIACUTE/TBIEPID/TBIMILD/TBIMOD/MS: Record blood pressure from the blood pressure monitor or measure manually by sphygmanometry. The suggested range is 0-300 mmHg. Add date stamp for when assessed.When hourly values are documented, we recommend to take readings at a fixed time point, for example the last minute of the hour. Exclude values which may be influenced by artifacts. Add date stamp for when assessed. The injured brain is often not able to pressure autoregulate normally, adequate perfusion may be more dependent on perfusion pressure; lower blood pressure and low perfusion pressure can aggravate ischemic damage to the injured brain whilst conversely a high blood pressure may lead to increased intracranial pressure and carries an increased risk of neurogenic lung edema. Hypotensive episodes before and after admission adversely affect outcome. In patients with severe traumatic brain injury, routine calculation of the cerebral perfusion pressure on an hourly basis is recommended. Pediatric-specific notes: As a minimum, vital signs should be recorded on admission and further, on a daily basis during the acute phase after injury. For the Core datasets, we recommend recording the average and lowest blood pressure over a given period. In the ICU environment, recording blood pressure on an hourly basis is recommended, especially when intracranial pressure (ICP) is monitored in order to permit determination of CPP, calculated as mean arterial blood pressure (MABP) - ICP (intermediate data set). SCI: Answer for the past week. Record the patient's blood pressure, height and weight on the scoring form. FA: Record the systolic and diastolic blood pressure (systolic / diastolic) of the participant/ subject. HEADACHE: Measure in mmHg. The preferred position for measuring blood pressure is sitting. Blood pressure is the ratio of systolic to diastolic. It is recommended that standard operating procedures be developed for measuring blood pressure in your study. The Atherosclerosis Risk in Communities (ARIC) and Multi-Ethnic Study of Atherosclerosis (MESA) studies offer examples on their Websites of the procedures they used for measuring blood pressure. Both of these studies measured blood pressure more than once (e.g., three times) at a given study visit. Please refer to the manuals posted on http: //www.cscc.unc.edu/aric and http: //www.mesa-nhbi.org/ |
cdRNS|FITBIR|NIA|PDBP; CDISC variable: Vital Signs Test Code (VSTESTCD), Units for Vital Signs Results (VSRESU), Vital Signs Test Name (VSTEST), SYSBP | Systolic blood pressure | trauma|Vital_Signs | No references available | Adult and Pediatric | Assessments and Examinations.Vital Signs and Other Body Measures | Trauma.N/A | Supplemental | Supplemental | Basic | Basic | Supplemental | Blood pressure systolic measurement | NINDS_CDE | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 3/17/25 | Published | ||||||||||||||||||||||||||||||||||||||||||||||||
| BloodProductAmt | Blood product amount | Common Data Element | 1.2 | Blood product amount | Blood product amount | Numeric Values | Free-Form Entry | Adult and Pediatric | Treatment/Intervention Data.Drugs | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | University of Texas Health Science Center at Houston | Yidao Cai | DOD | 8/26/19 | 3/17/25 | Published | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| BloodProductAmtUoM | Blood product amount unit of measure | Common Data Element | 1.2 | Blood product amount unit of measure | Blood product amount unit of measure | Alphanumeric | Single Pre-Defined Value Selected | mL|Units | mL|Units | 2|1 | | | | | | | Adult and Pediatric | Treatment/Intervention Data.Drugs | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | University of Texas Health Science Center at Houston | Yidao Cai | DOD | 8/26/19 | 3/17/25 | Published | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| BloodUnitDef | Blood unit definition | Common Data Element | 1 | The volume of blood product given per unit | The volume of blood product given per unit | Numeric Values | Free-Form Entry | 0 | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Basic | Supplemental | NTRR | Acute Workgroup | 4/9/25 | 4/9/25 | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| BluntMechInjTyp | Blunt mechanism of injury type | Common Data Element | 1.2 | Type of blunt mechanism of injury | Type of blunt mechanism of injury | Alphanumeric | Multiple Pre-Defined Values Selected | Bicycle, specify|Fall|Machinery|MVC - Cyclist|MVC - Driver|MVC - Motorcyclist|MVC - Occupant|MVC - Pedestrian|MVC - Unknown|Not Applicable|Other, specify|Struck by or against|Unknown | Bicycle, specify|Fall|Machinery|MVC - Cyclist|MVC - Driver|MVC - Motorcyclist|MVC - Occupant|MVC - Pedestrian|MVC - Unknown|Not Applicable|Other, specify|Struck by or against|Unknown | |||||||||||| | |||||||||||| | |||||||||||| | |||||||||||| | trauma | https://ntrr.nih.gov/ | Adult and Pediatric | Disease/Injury Related Events.History of Disease/Injury Event | Disease/Injury Related Events.History of Disease/Injury Event | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Basic | Basic | Supplemental | 2025-03-17 promoted to NTRR CDE as requested by NTRR WG | University of Washington | Malaika Schwartz | malaika@uw.edu | N/A | 6/11/15 | 3/17/25 | Published | ||||||||||||||||||||||||||||||||||||||||||||||||
| BluntMechInjTypOTH | Blunt mechanism of injury other text | Common Data Element | 1.2 | The free-text related to BluntMechInjTyp specifying other mechanism | The free-text related to BluntMechInjTyp specifying other mechanism | Alphanumeric | 4000 | Free-Form Entry | trauma | https://ntrr.nih.gov/ | Adult and Pediatric | Disease/Injury Related Events.History of Disease/Injury Event | Disease/Injury Related Events.History of Disease/Injury Event | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Basic | Basic | Supplemental | 2025-03-17 promoted to NTRR CDE by a request from NTRR WG | University of Washington | Malaika Schwartz | malaika@uw.edu | N/A | 6/11/15 | 3/17/25 | Published | |||||||||||||||||||||||||||||||||||||||||||||||||||||
| BMIVal | Body mass index value | Common Data Element | 1.5 | Value of the participant/subject's body mass index, calculated from height and weight. | Value of the participant/subject's body mass index, calculated from height and weight. | Numeric Values | Free-Form Entry | 0 | 99 | C1305855|C0578022 | Body mass index|Finding of body mass index | UMLS|UMLS | FA: Indicate whether body mass index was measured in pounds per square inch (lb/in2) or kilogram per square meter (kg/m2). ALS/STROKE: : BMI. This is a derived field that should be calculated using the height and weight measurements. DMD/MG/NMD/SMA: This value should be derived/calculated using the height and weight measurements. Formula: weight (kg) / [height (m)]2 OR weight (lb) / [height (in)]2 x 703 BMI is derived using the height and weight data recorded above and can be automatically calculated by a database/data system |
FITBIR|NIA|PDBP; | Body Mass Index (BMI) | trauma | No references available | Adult and Pediatric | Assessments and Examinations.Vital Signs and Other Body Measures | Assessments and Examinations.Vital Signs and Other Body Measures | Assessments and Examinations.Vital Signs and Other Body Measures | Assessments and Examinations.Vital Signs and Other Body Measures | Assessments and Examinations.Vital Signs and Other Body Measures | Assessments and Examinations.Vital Signs and Other Body Measures | Assessments and Examinations.Vital Signs and Other Body Measures | Assessments and Examinations.Vital Signs and Other Body Measures | Assessments and Examinations.Vital Signs and Other Body Measures | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Core | Core | Core | Core | Supplemental | Supplemental | Supplemental | Basic | Supplemental | Body mass index value | NIH/CIT/BRICS | Olga Vovk | olga.vovk@nih.gov | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 3/17/25 | Published | ||||||||||||||||||||||||||||||||||
| BurnMech | Etiology of burn injury | Common Data Element | 1 | This field should characterize as completely as possible the etiology of the burn injury. Choose the term that most closely approximates the circumstances, as you know them | This field should characterize as completely as possible the etiology of the burn injury. | Alphanumeric | Single Pre-Defined Value Selected | Chemical/Corrosion|Contact|Electrical|Flame|Flash|Other|Radiant/Laser Burn|Scald | Chemical/Corrosion|Contact|Electrical|Flame|Flash|Other|Radiant/Laser Burn|Scald | ||||||| | ||||||| | ||||||| | ||||||| | trauma | Adult and Pediatric | Trauma.N/A | Supplemental | Basic | Supplemental | Supplemental | NTRR | ABA | 3/12/25 | 4/9/25 | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| CircSuppBldTyp | Circulatory support blood type | Common Data Element | 1 | Type of blood produc administered to the subject. | Type of blood produc administered to the subject. | Alphanumeric | Single Pre-Defined Value Selected | Autologous blood|Cell sve|Cryoprecipitate|Fibrinogen|Fibrinogen concentrate|Freeze dried plasma|Other blood product|Plasma FP24|Plasma fresh frozen|Plasma liquid|Plasma thawed|Platelets|Platelets apheresis|Platelets pooled|Prothrombin complex concentrate|Red blood cells|Whole blood | Autologous blood|Cell sve|Cryoprecipitate|Fibrinogen|Fibrinogen concentrate|Freeze dried plasma|Other blood product|Plasma FP24|Plasma fresh frozen|Plasma liquid|Plasma thawed|Platelets|Platelets apheresis|Platelets pooled|Prothrombin complex concentrate|Red blood cells|Whole blood | |||||||||||||||| | |||||||||||||||| | |||||||||||||||| | |||||||||||||||| | trauma | Adult and Pediatric | Trauma.N/A | Supplemental | Basic | Supplemental | Supplemental | NTRR | NTRR Workgroup | 3/12/25 | 4/9/25 | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| CircSuppBloodTyp | Circulatory support blood type | Common Data Element | 1 | Type of blood product administered | Type of blood product administered | Alphanumeric | Single Pre-Defined Value Selected | Autologous Blood|Cell Saver|Cryoprecipitate|Fibrinogen|Fibrinogen Concentrate|Freeze Dried Plasma|Liquid Plasma|Other Blood Product|Plasma 24|Plasma Fresh Frozen|Plasma Liquid|Plasma Thawed|Platelets|Platelets Apheresis|Platelets Pooled|Prothrombin Complex Concentrate|Red Blood Cells|Whole Blood | Autologous Blood|Cell Saver|Cryoprecipitate|Fibrinogen|Fibrinogen Concentrate|Freeze Dried Plasma|Liquid Plasma|Other Blood Product|Plasma 24|Plasma Fresh Frozen|Plasma Liquid|Plasma Thawed|Platelets|Platelets Apheresis|Platelets Pooled|Prothrombin Complex Concentrate|Red Blood Cells|Whole Blood | 1|2|3|14|17|7|15|4|5|6|8|9|10|11|12|18|13|16 | ||||||||||||||||| | ||||||||||||||||| | ||||||||||||||||| | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Basic | Supplemental | NTRR | Acute Workgroup | 4/9/25 | 4/9/25 | Draft | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| CircSuppBloodTypOTH | Circulatory support blood other type | Common Data Element | 1 | The free-text field related to 'Circulatory support blood type' specifying other text. | The free-text field related to 'Circulatory support blood type' specifying other text. | Alphanumeric | 4000 | Free-Form Entry | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Basic | Supplemental | NTRR | Acute Workgroup | 4/9/25 | 4/9/25 | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| CircSuppBloodUoM | Blood unit of measure | Common Data Element | 1 | Blood product unit of measure administered to the patient/subject | Blood product unit of measure administered to the patient/subject | Alphanumeric | Single Pre-Defined Value Selected | grams|mL|units | grams|mL|units | 3|1|2 | || | || | || | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Basic | Supplemental | NTRR | Acute Workgroup | 4/9/25 | 4/9/25 | Draft | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| CircSuppBloodVol | Circulatory support blood volume | Common Data Element | 1 | Volume of blood product administered to the patient/subject | Volume of blood product administered to the patient/subject | Numeric Values | Free-Form Entry | 0 | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Basic | Supplemental | NTRR | Acute Workgroup | 4/9/25 | 4/9/25 | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| CircSuppFluidUoM | Circulatory support fluid unit of measure | Common Data Element | 1 | Unit of measure of fluid administered to the patient/subject | Unit of measure of fluid administered to the patient/subject | Alphanumeric | Single Pre-Defined Value Selected | cc|gm | cc|gm | 1|2 | | | | | | | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Basic | Supplemental | NTRR | Acute Workgroup | 4/9/25 | 4/9/25 | Draft | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| CircSuppFluidVol | Circulatory support fluid volume | Common Data Element | 1 | Volume of fluid administered to the patient/subject | Volume of fluid administered to the patient/subject | Numeric Values | Free-Form Entry | 0 | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Basic | Supplemental | NTRR | Acute Workgroup | 4/9/25 | 4/9/25 | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| CircSuppTyp | Circulation support type | Common Data Element | 1.8 | Therapies or procedures the participant/subject received to support circulation | Therapies or procedures the participant/subject received to support circulation | Alphanumeric | Multiple Pre-Defined Values Selected | C0005775|C1521721 | Blood Circulation|Supportive assistance | UMLS|UMLS | CPR|ECMO|HBOC|IABP|IV fluids - Blood|IV fluids - Colloids|IV fluids - Crystalloids|IV fluids - Hypertonic saline|No specific therapy|Other|REBOA|Unknown|Vasopressors|Ventricular assistive device | CPR|Extracorporeal Membrane Oxygenation|Hemoglobin-Based Oxygen Carriers|Intra-Aortic Balloon Pump|IV fluids - Blood|IV fluids - Colloids|IV fluids - Crystalloids|IV fluids - Hypertonic saline|No specific therapy|Other|Resuscitative Endovascular Balloon Occlusion of the Aorta|Unknown|Vasopressors|Ventricular assistive device | 1|2|3|4|5|6|7|8|9|444|11|12|13|14 | ||||||||||||| | ||||||||||||| | ||||||||||||| | Choose all that apply. Assess (and document later) the ABC status immediately upon arrival in the ER, prior to resuscitation therapy. Problems with the ABC status may cause substantial second insults (hypoxia and hypotension), exacerbating the brain injury in TBI. | FITBIR|NIA|PDBP; | Type of circulation support | trauma | No references available | Adult and Pediatric | Assessments and Examinations.Vital Signs and Other Body Measures | Assessments and Examinations.Vital Signs and Other Body Measures | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Basic | Supplemental | Circulation support type | NINDS_CDE | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 3/17/25 | Published | ||||||||||||||||||||||||||||||||||||||||
| ClavDindoCompIndex | Clavien Dindo Complication Index | Common Data Element | 1 | Metric used to rank the severity of a surgical complication | Metric used to rank the severity of a surgical complication | Alphanumeric | Single Pre-Defined Value Selected | Grade I|Grade II|Grade IIIa|Grade IIIb|GradeIVa|GradeIVb|Grade V | Grade I|Grade II|Grade IIIa|Grade IIIb|GradeIVa|GradeIVb|Grade V | 1|2|3|4|5|6|7 | |||||| | |||||| | |||||| | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Basic | Supplemental | NTRR | Acute Workgroup | 4/9/25 | 4/9/25 | Draft | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| CompreCompIndex | Comprehensive Comlication Index | Common Data Element | 1 | Metric used to assess the overall morbidity experienced by patients after an intervention | Metric used to assess the overall morbidity experienced by patients after an intervention | Alphanumeric | Single Pre-Defined Value Selected | Grade I|Grade II|Grade IIIa|Grade IIIb|GradeIVa|GradeIVb | Grade I|Grade II|Grade IIIa|Grade IIIb|GradeIVa|GradeIVb | 1|2|3|4|5|6 | ||||| | ||||| | ||||| | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Basic | Supplemental | NTRR | Acute Workgroup | 4/9/25 | 4/9/25 | Draft | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| CurrentMed | Current medication | Common Data Element | 1 | The medications the patient currently takes. List of medications based on RxNorm (RXCUI) code. | The medications the patient currently takes. List of medications based on RxNorm (RXCUI) code. | Alphanumeric | 4000 | Free-Form Entry | trauma | Adult and Pediatric | Trauma.N/A | Supplemental | Basic | Supplemental | Supplemental | NTRR | NEMSIS | 3/12/25 | 4/9/25 | Draft | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| DataAcquisitionLocationOTH | Data acquisition location type other text | Common Data Element | 1.9 | The free-text field related to Data acquisition location type, specifying other text. Type of location where the subject data were taken | The free-text field related to Data acquisition location type, specifying other text. Type of location where the subject data were taken | Alphanumeric | 4000 | Free-Form Entry | C0450429|C4684616 | Location|Data Acquisition | UMLS|UMLS | Enter other text | FITBIR|PDBP; | Other, specify | Injury_History|COVID19 | No references available | Adult and Pediatric | Disease/Injury Related Events.History of Disease/Injury Event | Disease/Injury Related Events.History of Disease/Injury Event | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | NIH/CIT/BRICS | Olga Vovk | olga.vovk@nih.gov | NIH/CIT/BRICS | Olga Vovk | olga.vovk@nih.gov | 9/18/24 | Published | |||||||||||||||||||||||||||||||||||||||||||||||
| DataAcquisitionLocationTyp | Data acquisition location type | Common Data Element | 1.8 | Type of location where the subject data were taken (clinical, imaging, genomics, etc.) | Type of location where subject data were taken | Alphanumeric | Single Pre-Defined Value Selected | C0450429|C4684616 | Location|Data Acquisition | UMLS|UMLS | Acute Care Unit|Ambulatory|Assisted Living|Central Lab|Clinic/MD Office|Critical Access Hospital|Critical Care Unit|CT-Angio|Discharge Lounge|ED arrival|ED discharge|ED-Non-trauma Center|ED post-resuscitation|ED-Trauma Center|Follow-up visit|High Care Unit|Home|Hospice|ICU|Imaging Diagnostic Department|Injury scene|Inpatient Epilepsy Monitoring Unit|Inpatient Rehab|Intermediate Care Unit|Long Term Care Hospital|Nursing Home|Observation Unit|OR|Other Hospital|Other, specify|Outpatient Clinic|Outpatient EEG lab|Pre-hospital|Pre-hospital Best|Pre-hospital Worst|Referring Hospital|Rehabilitation Unit|Site Lab|Step-Down Unit|Supervised Living|Unknown|Urgent Care|Ward | Acute Care Unit|Ambulatory|Assisted Living|Central Lab|Clinic/MD Office|Critical Access Hospital|Critical Care Unit|CT-Angio|Discharge Lounge|ED arrival|ED discharge|ED-Non-trauma Center|ED post-resuscitation|ED-Trauma Center|Follow-up visit|High Care Unit|Home|Hospice|ICU|Imaging Diagnostic Department|Injury scene|Inpatient Epilepsy Monitoring Unit|Inpatient Rehab|Intermediate Care Unit|Long Term Care Hospital|Nursing Home|Observation Unit|OR|Other Hospital|Other, specify|Outpatient Clinic|Outpatient EEG lab|Pre-hospital|Pre-hospital Best|Pre-hospital Worst|Referring Hospital|Rehabilitation Unit|Site Lab|Step-Down Unit|Supervised Living|Unknown|Urgent Care|Ward | 1|2|3|4|5|6|7|8|9|10|11|13|12|14|15|16|17|18|19|20|21|22|23|24|25|26|27|28|29|444|31|32|35|33|34|36|37|38|39|40|41|42|43 | |||||||||||||||||||||||||||||||||||||||||| | |||||||||||||||||||||||||||||||||||||||||| | |||||||||||||||||||||||||||||||||||||||||| | Choose one. | FITBIR|PDBP; | Type of location where the data were taken/recorded. | Injury_History|COVID19 | No references available | Adult and Pediatric | Disease/Injury Related Events.History of Disease/Injury Event | Disease/Injury Related Events.History of Disease/Injury Event | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | NIH/CIT/BRICS | Olga Vovk | olga.vovk@nih.gov | NIH/CIT/BRICS | Olga Vovk | olga.vovk@nih.gov | 9/18/24 | Published | ||||||||||||||||||||||||||||||||||||||||||
| DeathCauseICD10CMCode | Death cause ICD-10-CM code | Common Data Element | 1.2 | ICD-10-CM code that describes the cause of participant/subject's death | ICD-10-CM code that describes the cause of participant/subject's death | Alphanumeric | 4000 | Free-Form Entry | C0007465/C5669790 | Cause of Death/ICD-10 Code | UMLS | Recommend 4 fields for coding primary cause and other underlying or contributing causes of death. Should use death certificate if available. | ICD-10-CM code that describes the cause of participant/subject's death | trauma|Death_Cause_ICD_10_CM_Code | http://www.icd10data.com/ICD10CM/Codes | Adult and Pediatric | Outcomes and End Points.Clinical Event End Points | Outcomes and End Points.End Points | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Basic | C21665 | NINDS_CDE | NIH/NINDS | NINDSCDE | NINDSCDE@EMMES.COM | NIH/NINDS | NINDSCDE | NINDSCDE@EMMES.COM | 9/22/16 | 3/17/25 | Published | |||||||||||||||||||||||||||||||||||||||||||||
| DeathDateTime | Death date and time | Common Data Element | 1.6 | Date (and time, if known) of participant's/subject's death | Date (and time, if known) of participant's/subject's death | Date or Date & Time | Free-Form Entry | C0011065|C1306577 | Cessation of life|Death (finding) | UMLS|UMLS | GENERAL/HD/MG/NMD/SMA/TBI: 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.). PD: (DD/MMM/YYYY) |
CDISC variables: stored in DM.DTHDTC | Date and time of death | Neuropathology|CTE|Imaging|Imaging_Pathology | GENERAL/MG/NMD/SMA: No references available HD/PD: ISO 8601 - http: //www.iso.org/iso/iso_catalogue.htm TBI: Harrison-Felix C, Whiteneck G, DeVivo M, et al. Causes of Death after 1 Year Post injury among Individuals with Traumatic Brain Injury. J Head Trauma Rehabil. Jan-Feb 2006;21(1): 22-33. Harrison-Felix C, Whiteneck G, DeVivo M, et al. Mortality Following Rehabilitation in the Traumatic Brain Injury Model Systems of Care. NeuroRehabilitation. 2004;19(1): 45-54. |
Adult and Pediatric | Outcomes and End Points.Clinical Event End Points | Outcomes and End Points.End Points | Assessments and Examinations.Other Clinical Data | Assessments and Examinations.Other Clinical Data | Outcomes and End Points.End Points | Outcomes and End Points.End Points | Outcomes and End Points.End Points | Supplemental | Basic | Supplemental | Supplemental | Basic | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | C04802 | NINDS_CDE | NIH/NINDS | NINDSCDE | NINDSCDE@EMMES.COM | NIH/NINDS | NINDSCDE | NINDSCDE@EMMES.COM | 3/10/25 | Published | |||||||||||||||||||||||||||||||||||||||||
| DestinationTyp | Type of destination | Common Data Element | 1 | The type of destination the patient was delivered or transferred to. | The type of destination the patient was delivered or transferred to. | Alphanumeric | Single Pre-Defined Value Selected | Assisted Living Facility|Clinic|Diagnostic Services|Dialysis Center|Drug and/or Alcohol Rehabilitation Facility|Freestanding Emergency Department|Home|Hospital-Emergency Department|Hospital-Non-Emergency Department Bed|Mental Health Facility|Morgue/Mortuary|Nursing Home|Other|Other EMS Responder (air)|Other EMS Responder (ground)|Other Recurring Care Center|Physical Rehabilitation Facility|Police/Jail|Skilled Nursing Facility|Urgent Care | Assisted Living Facility|Clinic|Diagnostic Services|Dialysis Center|Drug and/or Alcohol Rehabilitation Facility|Freestanding Emergency Department|Home|Hospital-Emergency Department|Hospital-Non-Emergency Department Bed|Mental Health Facility|Morgue/Mortuary|Nursing Home|Other|Other EMS Responder (air)|Other EMS Responder (ground)|Other Recurring Care Center|Physical Rehabilitation Facility|Police/Jail|Skilled Nursing Facility|Urgent Care | ||||||||||||||||||| | ||||||||||||||||||| | ||||||||||||||||||| | ||||||||||||||||||| | trauma | Adult and Pediatric | Trauma.N/A | Supplemental | Basic | Supplemental | Supplemental | NTRR | NEMSIS | 3/12/25 | 4/9/25 | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| DestinationTypOTH | Type of destination other text | Common Data Element | 1 | The free-text related to 'Type of destination' specifying other text. | The free-text related to 'Type of destination' specifying other text. | Alphanumeric | 4000 | Free-Form Entry | trauma | Adult and Pediatric | Trauma.N/A | Supplemental | Basic | Supplemental | Supplemental | NTRR | NTRR Workgroup | 3/12/25 | 4/9/25 | Draft | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| DrgSubstCurrntIllicitUseCat | Drug or substance current illicit use indicator | Common Data Element | 1.14 | Indicator of participant's/subject's use of illegal drugs, prescription or over-the-counter drugs in the past year for purposes other than those for which they are meant to be used, or in large amounts | Indicator of participant's/subject's use of illegal drugs, prescription or over-the-counter drugs in the past year for purposes other than those for which they are meant to be used, or in large amounts | Alphanumeric | Single Pre-Defined Value Selected | C0679646/C0262926|C0086190|C5238744 | Participant/Medical History|Illicit Drugs|llicit Drug Use History | UMLS|UMLS|UMLS | No|Unknown|Yes | No|Unknown|Yes | 0|9|1 | C1298908|C0439673|C1705108 | no|Unknown|Yes (indicator) | UMLS|UMLS|UMLS | Choose one. Response is obtained by report of the participant/subject or proxy as soon as possible after visit/admission. Do not record medications that are prescribed for medical purposes. Collect information on substances and medications taken for reasons other than prescription, or taken more frequently or at higher doses than prescribed. Do not record medications that are prescribed for medical purposes (these should be entered in the element 'medical history'.) Collect information on substances and medications taken for reasons other than prescription, or taken more frequently or at higher doses than prescribed. Assure participant/subject that information on such use will be treated as strictly confidential. Recommend collection as soon as possible after visit/admission. Substance abuse directly before injury may have contributed to the incident causing injury. In general, substance abuse may indicate increased risk taking behavior. | FITBIR|NIA|PDBP; | Indicator of participant's/subject's use of illegal drugs, prescription or over-the-counter drugs in the past year for purposes other than those for which they are meant to be used, or in large amounts | trauma|Medical_History | Corrigan JD, Bogner J, Holloman C. Lifetime history of traumatic brain injury among persons with substance use disorders. Brain Inj. 2012;26(2):139-50. | Adult and Pediatric | Participant/Subject History and Family History.General Health History | Participant/Subject History and Family History.General Health History | Participant/Subject History and Family History.General Health History | Participant/Subject History and Family History.General Health History | Participant/Subject History and Family History.General Health History | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Core | Core | Supplemental | Supplemental | Supplemental | Supplemental | Basic | Drug or substance current illicit use indicator | NINDS_CDE | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 4/1/14 | 3/17/25 | Published | |||||||||||||||||||||||||||||||||
| DrugScreenInd | Drug screen indicator | Common Data Element | 1.8 | Indicator of whether a drug screen was performed | Indicator of whether a drug screen was performed | Alphanumeric | Single Pre-Defined Value Selected | C5238744|C0679646/C0262926|C0086190 | llicit Drug Use History|Participant/Medical History|Illicit Drugs | UMLS|UMLS|UMLS | No|Yes | No|Yes | 0|1 | C1298908|C1705108 | No|Yes | UMLS|UMLS | No guidelines available | FITBIR|PDBP; | Whether a drug screen was performed? | Medical_History | No references available | Adult and Pediatric | Disease/Injury Related Events.History of Disease/Injury Event | Disease/Injury Related Events.History of Disease/Injury Event | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | NIH/NINDS | Malaika Schwartz | malaika@uw.edu | NIH/CIT/BRICS | Olga Vovk | olgav.vovk@nih.gov | 3/7/25 | Published | |||||||||||||||||||||||||||||||||||||||||||||||
| DrugScreenOTH | Drug screen other | Common Data Element | 1 | The free-text field related to 'Drug screen results' specifying other text. | The free-text field related to 'Drug screen results' specifying other text. | Alphanumeric | 4000 | Free-Form Entry | Epidemiology|NTRR|NTDS | Adult and Pediatric | Trauma.N/A | Basic | Supplemental | Supplemental | Supplemental | NTRR | NTRR Workgroup | 3/5/25 | 3/7/25 | Draft | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| DrugScreenRes | Drug screen results | Common Data Element | 1 | First recorded psoitive drug screen results within 24 hours after first hospital encounter. | First recorded psoitive drug screen results within 24 hours after first hospital encounter. | Alphanumeric | Multiple Pre-Defined Values Selected | AMP (Amphetamine)|BAR (Barbiturate)|BZO (Benzodiazepines)|COC (Cocaine)|mAMP (Methamphetamine)|MDMA (Ecstasy)|MTD (Methadone)|None|Not tested|OPI (Opioid)|Other|OXY (Oxycodone)|PCP (Phencyclidine)|TCA (Tricyclic Antidepressant)|THC (Cannabinoid) | AMP (Amphetamine)|BAR (Barbiturate)|BZO (Benzodiazepines)|COC (Cocaine)|mAMP (Methamphetamine)|MDMA (Ecstasy)|MTD (Methadone)|None|Not tested|OPI (Opioid)|Other|OXY (Oxycodone)|PCP (Phencyclidine)|TCA (Tricyclic Antidepressant)|THC (Cannabinoid) | |||||||||||||| | |||||||||||||| | |||||||||||||| | |||||||||||||| | Epidemiology|NTRR|NTDS | Adult and Pediatric | Trauma.N/A | Basic | Supplemental | Supplemental | Supplemental | NTRR | NTDS | 3/5/25 | 3/7/25 | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| EduLvlUSATyp | Education level USA type | Common Data Element | 1.13 | Highest grade or level of school participant/subject has completed or the highest degree received | Highest grade or level of school participant/subject has completed or the highest degree received | Alphanumeric | Single Pre-Defined Value Selected | C0679646/C1521970|C0013658/C0041703|C1704791 | Participant/Characteristics|Educational Status/United States|Demographics Domain | UMLS|UMLS|UMLS | 10th Grade|11th Grade|12th Grade, no diploma|1st Grade|2nd Grade|3rd Grade|4th Grade|5th Grade|6th Grade|7th Grade|8th Grade|9th Grade|Associate degree: academic program|Associate degree: occupational/technical/vocational program|Bachelor's degree (e.g., BA, AB, BS, BBA)|Doctoral degree (e.g., PhD, EdD)|GED or equivalent|High school graduate|Master's degree (e.g., MA, MS, MEng, MEd, MBA)|Never attended/Kindergarten only|Other, specify|Professional school degree (e.g., MD, DDS, DVM, JD)|Some college, no degree|Unknown | 10th Grade|11th Grade|12th Grade, no diploma|1st Grade|2nd Grade|3rd Grade|4th Grade|5th Grade|6th Grade|7th Grade|8th Grade|9th Grade|Associate degree: academic program|Associate degree: occupational/technical/vocational program|Bachelor's degree (e.g., BA, AB, BS, BBA)|Doctoral degree (e.g., PhD, EdD)|GED or equivalent|High school graduate|Master's degree (e.g., MA, MS, MEng, MEd, MBA)|Never attended/Kindergarten only|Other, specify|Professional school degree (e.g., MD, DDS, DVM, JD)|Some college, no degree|Unknown | 10|11|12|1|2|3|4|5|6|7|8|9|13|14|15|16|17|18|19|20|444|21|22|999 | ||||||||||||||||||||||| | ||||||||||||||||||||||| | ||||||||||||||||||||||| | Choose the highest level attained by the participant/subject. | cdRNS|FITBIR|NIA|PDBP; | What is the subject's highest grade or level of school completed? | trauma|COVID19 | National Health and Nutrition Examination Survey (NHANES); National Health Interview Survey (NHIS); PhenX Toolkit Current Educational Attainment #011001 (https: //www.phenxtoolkit.org) | Adult and Pediatric | Participant/Subject Characteristics.Social Status | Participant/Subject Characteristics.Social Status | Participant/Subject Characteristics.Demographics | Participant/Subject Characteristics.Social Status | Participant/Subject Characteristics.Social Status | Participant/Subject Characteristics.Social Status | Participant/Subject Characteristics.Social Status | Participant/Subject Characteristics.Social Status | Participant/Subject Characteristics.Social Status | Participant/Subject Characteristics.Social Status | Participant/Subject Characteristics.Social Status | Participant/Subject Characteristics.Social Status | Trauma.N/A | Supplemental | Basic | Basic | Basic | Basic | Core | Supplemental | Supplemental | Core | Supplemental | Core | Core | Core | Core | Supplemental | Supplemental | Supplemental | Supplemental | Basic | EduLvlMaternalUSATyp;EduLvlPaternalUSATyp;EduPerfStatus;EduSchoolParticipStatus;EduTyp;EduYrCt;s0:EduLvlUSATypOTH | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 4/1/25 | Published | |||||||||||||||||||||
| EmerDeptDischDisp | ED Discharge Disposition | Common Data Element | 1 | The disposition unit the order was written for the patient to be discharged from the ED. | The disposition unit the order was written for the patient to be discharged from the ED. | Alphanumeric | Single Pre-Defined Value Selected | Deceased/expired|Floor bed (general admission, non-specialty unit bed|Home without services|Home with services|Intensive Care Unit (ICU)|Left against medical advice|Observation unit|Operating Room|Other (jail, institutional care, mental health, etc.)|Telemetry/step-down unit (less acuity than ICU|Transferred to another hospital | Deceased/expired|Floor bed (general admission, non-specialty unit bed|Home without services|Home with services|Intensive Care Unit (ICU)|Left against medical advice|Observation unit|Operating Room|Other (jail, institutional care, mental health, etc.)|Telemetry/step-down unit (less acuity than ICU|Transferred to another hospital | 5|1|9|4|8|10|2|7|6|3|11 | |||||||||| | |||||||||| | |||||||||| | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Basic | Supplemental | NTRR | NTDS | 4/9/25 | 4/9/25 | Draft | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| EmplmtOTH | Employment other text | Common Data Element | 1.7 | The free-text field related to 'Employment status' specifying other text. Status of participant/subject's current employment | The free-text field related to 'Employment status' specifying other text. Status of participant/subject's current employment | Alphanumeric | 4000 | Free-Form Entry | C0014003 | Employment | UMLS | FA/NMD/SMA/EPILEPSY/MS/ STROKE: National Health and Nutrition Examination Survey (http://www.cdc.gov/nchs/nhanes.htm) GENERAL: For years completed, code the number of years attained (0-30 years), normed to someone moving full time at the usual pace, i.e. a year that was repeated counts as only 1 year and the usual single-year full-time load completed over several years counts as 1 year. Certificate and technical programs do NOT count no matter how specialized. The number of years of typical completion of the relevant program is counted. If the subject obtained their education outside the United States, ask about their educational system to estimate the correct coding - Internship, Residency, and Fellowship years are experiential training and do not count. Recommend collection at least on date of TBI. |
Return to work is a relevant outcome parameter in patients in paid workforce prior to injury. If post injury employment is an outcome, pre-injury employment is an important predictor. | Other, specify | trauma | EPILEPSY?FA/GENERAL/HEADASHE/MS/NMD/SMA/STROKE: National Health and Nutrition Examination Survey (http://www.cdc.gov/nchs/nhanes.htm) |
Adult and Pediatric | Participant/Subject Characteristics.Social Status|Participant/Subject Characteristics.Demographics | Participant/Subject Characteristics.Social Status|Participant/Subject Characteristics.Demographics | Participant/Subject Characteristics.Social Status | Participant/Subject Characteristics.Social Status | Participant/Subject Characteristics.Social Status | Participant/Subject Characteristics.Social Status | Participant/Subject Characteristics.Social Status | Participant/Subject Characteristics.Social Status | Participant/Subject Characteristics.Social Status | Trauma.N/A | Core | Core | Core | Core | Core | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Core | Supplemental | Basic | Supplemental | Supplemental | Basic | EmplmtStatu | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | NIH/CIT/BRICS | NINDSCDE | NINDSCDE@emmes.com | 6/5/14 | 3/17/25 | Published | |||||||||||||||||||||||||||||||
| EmplmtStatu | Employment status | Common Data Element | 1.12 | Status of participant/subject's current employment | Status of participant/subject's current employment | Alphanumeric | Single Pre-Defined Value Selected | C0014003 | Employment | UMLS | Disabled, permanently or temporarily|Keeping house|Looking for work, unemployed|Only temporarily laid off|Other, specify|Retired|Sick leave or maternity leave|Student|Unknown|Working Now | Disabled, permanently or temporarily|Keeping house|Looking for work, unemployed|Only temporarily laid off|Other, specify|Retired|Sick leave or maternity leave|Student|Unknown|Working Now | 1|2|3|4|444|6|7|8|999|10 | C1880351|C0020053|C0557369|C5447930|C3845569|C0035345|C0242807/C0086593|C0038492|C0439673|C0557351 | Disabled|Housekeeping|Seeking work|Temporary Leave|Specify Other|Retirement|Sick Leave/Maternity leave|student|Unknown|Employed | UMLS|UMLS|UMLS|UMLS|UMLS|UMLS|UMLS|UMLS|UMLS|UMLS | For years completed, code the number of years attained (0-30 years), normed to someone moving full time at the usual pace, i.e. a year that was repeated counts as only 1 year and the usual single-year full-time load completed over several years counts as 1 year. Certificate and technical programs do NOT count no matter how specialized. The number of years of typical completion of the relevant program is counted. If the subject obtained their education outside the United States, ask about their educational system to estimate the correct coding - Internship, Residency, and Fellowship years are experiential training and do not count. Recommend collection at least on date of TBI. | cdRNS|FITBIR|PDBP; | Employment status | trauma | No references available | Adult and Pediatric | Participant/Subject Characteristics.Social Status | Participant/Subject Characteristics.Social Status | Trauma.N/A | Core | Core | Core | Core | Core | Basic | Supplemental | Basic | Supplemental | NINDS_CDE | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 6/5/14 | 3/17/25 | Published | ||||||||||||||||||||||||||||||||||||||||
| EmrServOTH | Emergency service other text | Common Data Element | 1.2 | The free-text field related to 'Emergency service type' specifying other text. Branch of service involved at the accident scene | The free-text field related to 'Emergency service type' specifying other text. Branch of service involved at the accident scene | Alphanumeric | 4000 | Free-Form Entry | C0013969 | Emergency treatment | UMLS | Choose all that apply. | Other, specify | Injury_History | No references available | Adult and Pediatric | Disease/Injury Related Events.History of Disease/Injury Event | Disease/Injury Related Events.History of Disease/Injury Event | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 6/5/14 | 3/7/25 | Published | ||||||||||||||||||||||||||||||||||||||||||||||||||||
| EmrServTyp | Emergency service type | Common Data Element | 1.2 | Branch of service involved at the accident scene | Branch of service involved at the accident scene | Alphanumeric | Multiple Pre-Defined Values Selected | C0013969 | Emergency treatment | UMLS | Ambulance (Core, EMT-B)|Ambulance with specialized personnel (EMT-1)|Firefighter|Helicopter medical service|None|Other, specify|Police | Ambulance (Core, EMT-B)|Ambulance with specialized personnel (EMT-1)|Firefighter|Helicopter medical service|None|Other, specify|Police | 1|2|3|4|5|6|7 | |||||| | |||||| | |||||| | Choose all that apply. | Emergency service provided | Injury_History | No references available | Adult and Pediatric | Disease/Injury Related Events.History of Disease/Injury Event | Disease/Injury Related Events.History of Disease/Injury Event | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Emergency service type | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 4/1/14 | 3/7/25 | Published | ||||||||||||||||||||||||||||||||||||||||||||||
| FluidsInd | Fluids indicator | Common Data Element | 1.2 | Indicates whether participant/subject was given fluids. | Indicates whether participant/subject was given fluids. | Alphanumeric | Single Pre-Defined Value Selected | No|Unknown|Yes | No|Unknown|Yes | || | || | || | || | trauma | Adult and Pediatric | Trauma.N/A | Supplemental | Basic | Supplemental | Supplemental | NTRR | NTRR Workgroup | 6/19/14 | 4/9/25 | Published | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| GCSEyeRespnsScale | Glasgow Coma Scale (GCS) - eye response scale | Common Data Element | 1.14 | Glasgow Coma Scale (GCS) - Best eye response (E). The GCS is a standardized instrument for assessing the level of consciousness. It evaluates three aspects of responsiveness: eye opening, motor response, verbal response. | Glasgow Coma Scale (GCS) - Best eye response (E). The GCS is a standardized instrument for assessing the level of consciousness. It evaluates three aspects of responsiveness: eye opening, motor response, verbal response. | Alphanumeric | Single Pre-Defined Value Selected | C0578785/C0488481/C0559289 | Glasgow coma scale finding/Glasgow coma score.eye opening:Fcn:Pt:^Patient:Ord/Glasgow Coma Score eye opening subscore | UMLS | 1|2|3|4|Unknown|Untestable | No eye opening|Eye opening to pain|Eye opening to speech/verbal command|Eyes open spontaneously|Unknown|Untestable | 1|2|3|4|0|555 | C3840971/C2012045|C3840970/C2012047|C2012048|C3840968/C2012046|C0439673|C0442737 | No eye opening/Glasgow coma scale eyes never open (1)|Eye opening to pain/Glasgow coma scale eyes open to pain stimuli (2)|Glasgow coma scale eyes open to verbal stimuli (3)|Opens eyes spontaneously/Glasgow coma scale eyes open spontaneously (4)|Unknown|Not detected | UMLS|UMLS|UMLS|UMLS|UMLS|UMLS | Choose one. This element should be collected along with the other elements from the Glasgow Coma Scale (GCS). Intubation and severe facial/eye swelling or damage make it impossible to test the verbal and eye responses. In these circumstances, the score is given as 1 with a modifier attached e.g. 'E1s' where 's' = swollen, or 'V1t' where t = tube. A composite might be 'GCS 5ts'. This would mean, for example, eyes closed because of swelling = 1, intubated = 1, leaving a motor score of 3 for 'abnormal flexion'. Often the 1 is left out, so the scale reads ES or VT. | Best eye response | Core_TBI|trauma | Teasdale G, Jennett B. Assessment of coma and impaired consciousness. A practical scale. Lancet. Jul 1974;2(7872): 81-4. Marmarou A, Lu J, Butcher I, et al. Prognostic value of the Glasgow Coma Scale and pupil reactivity in traumatic brain injury assessed pre-hospital and on enrolment: an IMPACT analysis. J Neurotrauma. Feb 2007;24(2): 270-80. Stocchetti N, Pagan F, Calappi E, et al. Inaccurate early assessment of neurological severity in head injury. J Neurotrauma. Sep 2004: 21(9): 1131-40. Balestreri M, Czosnyka M, Chatfield DA, et al. Predictive value of Glasgow Coma Scale after brain trauma: change in trend over the past ten years. J Neurol Neurosurg Psychiatry. Jan 2004;75(1): 161-2. |
Adult and Pediatric | Disease/Injury Related Events.History of Disease/Injury Event|Assessments and Examinations.Physical/Neurological Examination | Assessments and Examinations.Physical/Neurological Examination | Trauma.N/A | Supplemental | Core | Core | Core | Core | Basic | Basic | Basic | Basic | GCS Eye response | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 3/17/25 | Published | ||||||||||||||||||||||||||||||||||||||||||
| GCSMotorRespnsScale | Glasgow Coma Scale (GCS) - motor response scale | Common Data Element | 1.18 | Glasgow Coma Scale (GCS) - Best motor response (M). The GCS is a standardized instrument for assessing the level of consciousness. It evaluates three aspects of responsiveness: eye opening, motor response, verbal response. | Glasgow Coma Scale (GCS) - Best motor response (M). The GCS is a standardized instrument for assessing the level of consciousness. It evaluates three aspects of responsiveness: eye opening, motor response, verbal response. | Alphanumeric | Single Pre-Defined Value Selected | C0578785/C0488482/C1285623 | Glasgow coma scale finding/Glasgow coma score.motor:Fcn:Pt:^Patient:Ord/Motor response | UMLS | 1|2|3|4|5|6|Unknown|Untestable | No motor response|Abnormal extension/Extensor response|Abnormal flexion|Flexion withdrawal/withdraws from pain|Localizes pain|Obeys command|Unknown|Untestable | 1|2|3|4|5|6|999|555 | C3648958|C3648958|C3648958|C3648958|C2830428/C2012053|C0517994/C3648958|C0439673|C0442737 | Glasgow coma scale: best motor response|Glasgow coma scale: best motor response|Glasgow coma scale: best motor response|Glasgow coma scale: best motor response|Coma scale, best motor response, localizes pain/Glasgow coma scale best motor response: localizes pain (5)|Obeys commands/Glasgow coma scale: best motor response|Unknown|Not detected | UMLS|UMLS|UMLS|UMLS|UMLS|UMLS|UMLS|UMLS | Choose one. This element should be collected along with the other elements from the Glasgow Coma Scale (GCS). | Best motor response | Core_TBI|trauma | Teasdale G, Jennett B. Assessment of coma and impaired consciousness. A practical scale. Lancet. Jul 1974;2(7872): 81-4. Marmarou A, Lu J, Butcher I, et al. Prognostic value of the Glasgow Coma Scale and pupil reactivity in traumatic brain injury assessed pre-hospital and on enrolment: an IMPACT analysis. J Neurotrauma. Feb 2007;24(2): 270-80. Stocchetti N, Pagan F, Calappi E, et al. Inaccurate early assessment of neurological severity in head injury. J Neurotrauma. Sep 2004: 21(9): 1131-40. Balestreri M, Czosnyka M, Chatfield DA, et al. Predictive value of Glasgow Coma Scale after brain trauma: change in trend over the past ten years. J Neurol Neurosurg Psychiatry. Jan 2004;75(1): 161-2. |
Adult and Pediatric | Disease/Injury Related Events.History of Disease/Injury Event|Assessments and Examinations.Physical/Neurological Examination | Assessments and Examinations.Physical/Neurological Examination|Disease/Injury Related Events.Classification | Trauma.N/A | Supplemental | Core | Core | Core | Core | Supplemental | Basic | Basic | Supplemental | GCS Motor response | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 3/17/25 | Published | ||||||||||||||||||||||||||||||||||||||||||
| GCSTotalScore | Glasgow Coma Scale (GCS) - total score | Common Data Element | 1.18 | Glasgow Coma Scale (GCS) - Total Score. The GCS is a standardized instrument for assessing the level of consciousness. It evaluates three aspects of responsiveness: eye opening, motor response, verbal response. The total score is the sum of the scores for the three response types. (3-15) | Glasgow Coma Scale (GCS) - Total Score. The GCS is a standardized instrument for assessing the level of consciousness. | Alphanumeric | Single Pre-Defined Value Selected | C0578785/C0439810 | Glasgow coma scale finding/Total | UMLS | 10|11|12|13|14|15|3|4|5|6|7|8|9|Unknown|Untestable | 10|11|12|13|14|15|3|4|5|6|7|8|9|Unknown|Untestable | 10|11|12|13|14|15|3|4|5|6|7|8|9|999|555 | C2012049/C3648959|C2012049/C3648959|C2012049/C3648959|C2012049/C3648961|C2012049/C3648961|C2012049/C3648961|C2012049/C3648960/C4540911|C2012049/C3648960/C4540911|C2012049/C3648960/C4540911|C2012049/C3648960|C2012049/C3648960|C2012049/C3648960|C2012049|C0439673|C0442737 | Glasgow coma scale total score/Glasgow coma scale: total score 9-12|Glasgow coma scale total score/Glasgow coma scale: total score 9-12|Glasgow coma scale total score/Glasgow coma scale: total score 9-12|Glasgow coma scale total score/Glasgow coma scale: total score 13-15|Glasgow coma scale total score/Glasgow coma scale: total score 13-15|Glasgow coma scale total score/Glasgow coma scale: total score 13-15|Glasgow coma scale total score/Glasgow coma scale: total score 3-8/Glasgow Coma Scale score < 6|Glasgow coma scale total score/Glasgow coma scale: total score 3-8/Glasgow Coma Scale score < 6|Glasgow coma scale total score/Glasgow coma scale: total score 3-8/Glasgow Coma Scale score < 6|Glasgow coma scale total score/Glasgow coma scale: total score 3-8|Glasgow coma scale total score/Glasgow coma scale: total score 3-8|Glasgow coma scale total score/Glasgow coma scale: total score 3-8|Glasgow coma scale total score|Unknown|Not detected | UMLS|UMLS|UMLS|UMLS|UMLS|UMLS|UMLS|UMLS|UMLS|UMLS|UMLS|UMLS|UMLS|UMLS|UMLS | This element should be collected along with the other elements from the Glasgow Coma Scale (GCS). The minimum possible score on the GCS is 3 and the maximum possible score is 15. http: //www.glasgowcomascale.org/faq/ Dealing with missing information: There are various different strategies for dealing with information that is missing because of factors interfering with assessment such as those described above. 1. Assess, communicate and make decisions using the remaining components. Although guidelines are often expressed in terms of a total GCS score, the trend in whichever of the components (eye, motor or verbal) can be assessed is still valuable. 2. Do not use number to record missing component; use Not testable . 3. Do not report a total score when a component is Not Testable because the score will be low and this could be confusing to medical colleagues. This may also imply that the patient is more unwell than they actually are. 4. It is possible using statistical methods to estimate a missing component from the findings in the other components. This is probably more relevant to research than clinical practice. | GCS Total Score | Core_TBI|trauma | Teasdale G, Jennett B. Assessment of coma and impaired consciousness. A practical scale. Lancet. Jul 1974;2(7872): 81-4. Marmarou A, Lu J, Butcher I, et al. Prognostic value of the Glasgow Coma Scale and pupil reactivity in traumatic brain injury assessed pre-hospital and on enrolment: an IMPACT analysis. J Neurotrauma. Feb 2007;24(2): 270-80. Stocchetti N, Pagan F, Calappi E, et al. Inaccurate early assessment of neurological severity in head injury. J Neurotrauma. Sep 2004: 21(9): 1131-40. Balestreri M, Czosnyka M, Chatfield DA, et al. Predictive value of Glasgow Coma Scale after brain trauma: change in trend over the past ten years. J Neurol Neurosurg Psychiatry. Jan 2004;75(1): 161-2. |
Adult and Pediatric | Disease/Injury Related Events.History of Disease/Injury Event|Assessments and Examinations.Physical/Neurological Examination | Assessments and Examinations.Physical/Neurological Examination | Trauma.N/A | Supplemental | Core | Core | Core | Core | Supplemental | Basic | Basic | Supplemental | GCS Total score | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 3/17/25 | Published | ||||||||||||||||||||||||||||||||||||||||||
| GCSVerbalRspnsScale | Glasgow Coma Scale (GCS) - verbal response scale | Common Data Element | 1.17 | Score that describes the participant's verbal response according to the Glasgow Coma Scale (GCS) | Score that describes the participant's verbal response according to the Glasgow Coma Scale (GCS) | Alphanumeric | Single Pre-Defined Value Selected | C0578785/C0488484/C3846697 | Glasgow coma scale finding/Glasgow coma score.verbal:Fcn:Pt:^Patient:Ord/Verbal response | UMLS | 1|2|3|4|5|Unknown|Untestable | No verbal response/sounds|Incomprehensible sound|Inappropriate words|Confused|Oriented|Unknown|Untestable | 1|2|3|4|5|0|555 | C3648957/C1298908/C3846697|C2012057|C2012057|C2012057|C2012057|C0439673|C0442737 | Glasgow coma scale: best verbal response/no/Verbal response|Glasgow coma scale: best verbal response|Glasgow coma scale: best verbal response|Glasgow coma scale: best verbal response|Glasgow coma scale: best verbal response|Unknown|Not detected | UMLS|UMLS|UMLS|UMLS|UMLS|UMLS|UMLS | Choose one. This element should be collected along with the other elements from the Glasgow Coma Scale (GCS). Intubation and severe facial/eye swelling or damage make it impossible to test the verbal and eye responses. In these circumstances, the score is given as 1 with a modifier attached e.g. 'E1S' where 's' = swollen, or 'V1t' where t = tube. A composite might be 'GCS 5tc'. This would mean, for example, eyes closed because of swelling = 1, intubated = 1, leaving a motor score of 3 for 'abnormal flexion'. Often the 1 is left out, so the scale reads Es or Vt. | When date/time data are prepared for aggregation or sharing they should be converted to the format specified by ISO 8601, YYYY-MM-DDThh:mm:ss. | Best verbal response | Core_TBI|trauma | Teasdale G, Jennett B. Assessment of coma and impaired consciousness. A practical scale. Lancet. Jul 1974;2(7872): 81-4. Marmarou A, Lu J, Butcher I, et al. Prognostic value of the Glasgow Coma Scale and pupil reactivity in traumatic brain injury assessed pre-hospital and on enrolment: an IMPACT analysis. J Neurotrauma. Feb 2007;24(2): 270-80. Stocchetti N, Pagan F, Calappi E, et al. Inaccurate early assessment of neurological severity in head injury. J Neurotrauma. Sep 2004: 21(9): 1131-40. Balestreri M, Czosnyka M, Chatfield DA, et al. Predictive value of Glasgow Coma Scale after brain trauma: change in trend over the past ten years. J Neurol Neurosurg Psychiatry. Jan 2004;75(1): 161-2. |
Adult and Pediatric | Disease/Injury Related Events.History of Disease/Injury Event|Assessments and Examinations.Physical/Neurological Examination | Assessments and Examinations.Physical/Neurological Examination | Trauma.N/A | Supplemental | Core | Core | Core | Core | Supplemental | Basic | Basic | Supplemental | GCS Verbal response | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 3/17/25 | Published | |||||||||||||||||||||||||||||||||||||||||
| GenderTyp | Sex type | Common Data Element | 1.21 | Self-reported sex of the participant/subject. Consistent with Executive Order 14168, _gender_ should not be used as a replacement for the element _sex_ | Self-reported sex of the participant/subject. | Alphanumeric | Single Pre-Defined Value Selected | C1522384|C1704791|C0679646/C1521970 | sex|Demographics Domain|Participant/Characteristics | UMLS|UMLS|UMLS | Female|Male|Not reported|Unknown|Unspecified | Female|Male|Not Reported|Unknown|Undifferentiated/Indeterminant/Intersex | 1|2|222|999|555 | C0086287|C0086582|C1706613|C0439673|C0205370 | Females|Males|Not Stated|Unknown|Unspecified | UMLS|UMLS|UMLS|UMLS|UMLS | Choose one. Response is obtained by report of the participant/subject or caretaker. | BRICS disclaimer: Consistent with Executive Order 14168. | What is the subject's sex | Demographics|Sex | NIH CDE repository Sex type (https://cde.nlm.nih.gov/deView?tinyId=gtqOBUXBf). Executive Order 14168: https://www.whitehouse.gov/presidential-actions/2025/01/defending-women-from-gender-ideology-extremism-and-restoring-biological-truth-to-the-federal-government/. Consistent with Executive Order 14168, _gender_ should not be used as a replacement for the element _sex_. | Adult and Pediatric | Participant/Subject Characteristics.Demographics | Participant/Subject Characteristics.Demographics | Participant/Subject Characteristics.Demographics | Trauma.N/A | Core | Core | Core | Core | Core | Supplemental | Core | Core | Core | Core | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 3/26/25 | Published | ||||||||||||||||||||||||||||||||||||||||
| GlasgowOutcomeScalExtScore | Glasgow Outcome Scale Extended (GOS-E) - Score | Common Data Element | 1.25 | Glasgow Outcome Scale Extended (1-8) | Glasgow Outcome Scale Extended (1-8) | Numeric Values | Single Pre-Defined Value Selected | C2964552|C2348867/C1274040|C0086749/C2349179 | Total score|Global/Result|Outcome Measures/End Point | UMLS|UMLS|UMLS | 1|2|3|4|5|6|7|8 | (D)-Death|(VS)-Vegetative State|(SD-)-Lower Severe Disability|(SD+)-Upper Severe Disability|(MD-)-Lower Moderate Disability|(MD+)-Upper Moderate Disability|(GR-)-Lower Good Recovery|(GR+)-Upper Good Recovery | 1|2|3|4|5|6|7|8 | C1306577|C0751700|C4699054|C4699055|C4699056|C4700029|C4699057|C4699058 | Death|Permanent Vegetative State|Lower severe disability|Upper severe disability|Lower moderate disability|Upper moderate disability|Lower good recovery|Upper good recovery | UMLS|UMLS|UMLS|UMLS|UMLS|UMLS|UMLS|UMLS | Scoring: The patient's overall rating is based on the lowest outcome category indicated on the scale. Refer to Wilson (1998) for further information concerning administration and scoring | NINDS: C07194 | Glasgow Outcome Scale Extended (GOS-E) Score | Injury_History|Global_Outcome|trauma|See_also|TAUG_TBI|Knowledge_graph|GOSE | Wilson JTL, Pettigrew LEL, Teasdale GM. Structured interviews for the Glasgow Outcome Scale and the Extended Glasgow Outcome Scale: Guidelines for their use. Journal of Neurotrauma 1998;15: 573-585. | Adult | Outcomes and End Points.Activities of Daily Living/Performance|Outcomes and End Points.Other Clinical Data | Outcomes and End Points.Global Outcome | Trauma.N/A | Supplemental | Core | Core | Core | Core | Supplemental | Supplemental | Basic | Supplemental | Glasgow Outcome Scale Extended | NINDS_CDE | AUDITTotalScore;BSI18GSIScoreRaw;COWATRawTotalScore;DRSTotalScore;FIMInstrTotalScore;GCSTotalScore;GOATTotalScore;InjElapsedTime;LOCInd;PGCSTotalScore;PHQ9TotalScore;RPQTotalScore;SF36V2SFTotalRawScore;SWLSTotalScore;TBITyp;TMTPartATime | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 3/17/25 | Published | |||||||||||||||||||||||||||||||||||||||
| GonioAnkleMeasureAct | Goniometry ankle measurement (active) | Common Data Element | 1 | Measurement in degrees of the active range of motion for ankle | Measurement in degrees of the active range of motion for ankle | Alphanumeric | 3 | Free-Form Entry | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Supplemental | Basic | NTRR | Workgroup | 4/9/25 | 4/9/25 | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| GonioElbowMeasureAct | Goniometry elbow measurement (active) | Common Data Element | 1 | Measurement in degrees of the active range of motion for elbow | Measurement in degrees of the active range of motion for elbow | Alphanumeric | 3 | Free-Form Entry | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Supplemental | Basic | NTRR | Workgroup | 4/9/25 | 4/9/25 | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| GonioHipMeasureAct | Goniometry hip measurement (active) | Common Data Element | 1 | Measurement in degrees of the active range of motion for hip | Measurement in degrees of the active range of motion for hip | Alphanumeric | 3 | Free-Form Entry | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Supplemental | Basic | NTRR | Workgroup | 4/9/25 | 4/9/25 | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| GonioKneeMeasureAct | Goniometry knee measurement (active) | Common Data Element | 1 | Measurement in degrees of the active range of motion for knee | Measurement in degrees of the active range of motion for knee | Alphanumeric | 3 | Free-Form Entry | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Supplemental | Basic | NTRR | Workgroup | 4/9/25 | 4/9/25 | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| GoniomAnkleMeasr | Goniometry ankle measurement | Common Data Element | 1 | Measurement in degrees of the passive range of motion for ankle | Measurement in degrees of the passive range of motion for ankl | Numeric Values | Free-Form Entry | -360 | 360 | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Supplemental | Basic | NTRR | NINDS | 4/9/25 | 4/9/25 | Draft | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| GoniomElbowMeasr | Goniometry elbow measurement | Common Data Element | 1 | Measurement in degrees of the passive range of motion for elbow | Measurement in degrees of the passive range of motion for elbo | Numeric Values | Free-Form Entry | -360 | 360 | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Supplemental | Basic | NTRR | NINDS | 4/9/25 | 4/9/25 | Draft | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| GoniomHipMeasr | Goniometry hip measurement | Common Data Element | 1 | Measurement in degrees of the passive range of motion for hip | Measurement in degrees of the passive range of motion for hi | Numeric Values | Free-Form Entry | -360 | 360 | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Supplemental | Basic | NTRR | NINDS | 4/9/25 | 4/9/25 | Draft | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| GoniomKneeMeasr | Goniometry knee measurement | Common Data Element | 1 | Measurement in degrees of the passive range of motion for knee | Measurement in degrees of the passive range of motion for kne | Numeric Values | Free-Form Entry | -360 | 360 | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Supplemental | Basic | NTRR | NINDS | 4/9/25 | 4/9/25 | Draft | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| GoniomNeckMeasr | Goniometry neck measurement | Common Data Element | 1 | Measurement in degrees of the passive range of motion for neck | Measurement in degrees of the passive range of motion for nec | Numeric Values | Free-Form Entry | -360 | 360 | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Supplemental | Basic | NTRR | NINDS | 4/9/25 | 4/9/25 | Draft | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| GoniomShouldAbductMeasr | Goniometry shoulder abduct measurement | Common Data Element | 1 | Measurement in degrees of the passive range of motion for shoulder abduction | Measurement in degrees of the passive range of motion for shoulder abductio | Numeric Values | Free-Form Entry | -360 | 360 | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Supplemental | Basic | NTRR | NINDS | 4/9/25 | 4/9/25 | Draft | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| GoniomShouldMeasr | Goniometry shoulder measurement | Common Data Element | 1 | Measurement in degrees of the passive range of motion for shoulder abduction | Measurement in degrees of the passive range of motion for shoulder abductio | Numeric Values | Free-Form Entry | -360 | 360 | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Supplemental | Basic | NTRR | NINDS | 4/9/25 | 4/9/25 | Draft | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| GoniomTorsoMeasr | Goniometry torso measurement | Common Data Element | 1 | Measurement in degrees of the passive range of motion for torso | Measurement in degrees of the passive range of motion for tors | Numeric Values | Free-Form Entry | -360 | 360 | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Supplemental | Basic | NTRR | NINDS | 4/9/25 | 4/9/25 | Draft | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| GoniomWristMeasr | Goniometry wrist measurement | Common Data Element | 1 | Measurement in degrees of the passive range of motion for wrist | Measurement in degrees of the passive range of motion for wris | Numeric Values | Free-Form Entry | -360 | 360 | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Supplemental | Basic | NTRR | NINDS | 4/9/25 | 4/9/25 | Draft | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| GonioNeckMeasureAct | Goniometry neck measurement (active) | Common Data Element | 1 | Measurement in degrees of the active range of motion for neck | Measurement in degrees of the active range of motion for neck | Alphanumeric | 3 | Free-Form Entry | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Supplemental | Basic | NTRR | Workgroup | 4/9/25 | 4/9/25 | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| GonioShouldAbdMeasureAct | Goniometry shoulder abduct measurement (active) | Common Data Element | 1 | Measurement in degrees of the active range of motion for shoulder abduction | Measurement in degrees of the active range of motion for shoulder abduction | Alphanumeric | 3 | Free-Form Entry | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Supplemental | Basic | NTRR | Workgroup | 4/9/25 | 4/9/25 | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| GonioShoulderMeasureAct | Goniometry shoulder measurement (active) | Common Data Element | 1 | Measurement in degrees of the active range of motion for shoulder abduction | Measurement in degrees of the active range of motion for shoulder abduction | Alphanumeric | 3 | Free-Form Entry | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Supplemental | Basic | NTRR | Workgroup | 4/9/25 | 4/9/25 | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| GonioShouldForFlexMeasureAct | Goniometry shoulder forward flexion measurement (active) | Common Data Element | 1 | Measurement in degrees of the active range of motion for shoulder forward flexion | Measurement in degrees of the active range of motion for shoulder forward flexion | Alphanumeric | 3 | Free-Form Entry | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Supplemental | Basic | NTRR | Workgroup | 4/9/25 | 4/9/25 | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| GonioTorsoMeasureAct | Goniometry torso measurement (active) | Common Data Element | 1 | Measurement in degrees of the active range of motion for torso | Measurement in degrees of the active range of motion for torso | Alphanumeric | 3 | Free-Form Entry | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Supplemental | Basic | NTRR | Workgroup | 4/9/25 | 4/9/25 | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| GonioWristMeasureAct | Goniometry wrist measurement (active) | Common Data Element | 1 | Measurement in degrees of the active range of motion for wrist | Measurement in degrees of the active range of motion for wrist | Alphanumeric | 3 | Free-Form Entry | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Supplemental | Basic | NTRR | Workgroup | 4/9/25 | 4/9/25 | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| GonShoulbductFwdFlexnMeasr | Goniometry shoulder forward flexion measurement | Common Data Element | 1 | Measurement in degrees of the passive range of motion for shoulder forward flexion | Measurement in degrees of the passive range of motion for shoulder forward flexio | Numeric Values | Free-Form Entry | -360 | 360 | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Supplemental | Basic | NTRR | NINDS | 4/9/25 | 4/9/25 | Draft | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| HealthcareServiceVisitCount | Patient other healthcare service visit count | Common Data Element | 1 | The count or number related to the patients visits to other health care services. | The count or number related to the patients visits to other health care services. | Alphanumeric | 3 | Free-Form Entry | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Supplemental | Basic | NTRR | CaDSR | 4/9/25 | 4/9/25 | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| HeartRate | Heart rate | Common Data Element | 1.7 | The participant/subject's pulse or number of contractions (heart beats) per minute | The participant/subject's pulse or number of contractions (heart beats) per minute | Numeric Values | Free-Form Entry | 0 | 300 | C0018810 | heart rate | UMLS | Beats per minute | GENERAL/FA/MG/NMD/SMA/EPILEPSY/STROKE/DMD: Record the pulse of the participant/subject in beats per minute. ----- TBI/TBIACUTE/TBIEPID/TBIMILD/TBIMOD: Record heart rate from monitor or by counting pulse rate. The suggested range is 0-300. Add date stamp for when assessed. Heart rate may be altered by trauma in a couple of ways. Tachycardia may indicate volume depletion, pain or stress, and higher heart rates have been found in patients that do not survive traumatic injuries. Bradycardia may be seen with elevated intracranial pressure. Pediatric-specific notes: As a minimum, vital signs should be recorded on admission and further, on a daily basis during the acute phase after injury. For the basic datasets, we recommend recording the average and lowest blood pressure over a given period. In the ICU environment, recording blood pressure on an hourly basis is recommended, especially when intracranial pressure (ICP) is monitored in order to permit determination of CPP, calculated as mean arterial blood pressure (MABP) - ICP (intermediate data set). ----- SCI: Resting BP and HR should be obtained following empting of the bladder and 5 minutes of resting period. Both physical activities and full urinary bladder could affect these parameters. ----- ALS: This value should be taken from the Vital Signs CRF to prevent capturing duplicate data in different places. Results should be recoreded in beats per minute (bpm). ----- SMA: Record the pulse of the participant/ subject in beats per minute. ----- MS: Record the pulse of the participant/ subject in beats per minute. Record heart rate from monitor or by counting pulse rate. The suggested range is 0-300. Add date stamp for when assessed. Heart rate may be altered by trauma in a couple of ways. Tachycardia may indicate volume depletion, pain or stress, and higher heart rates have been found in patients that do not survive traumatic injuries. Bradycardia may be seen with elevated intracranial pressure. Pediatric-specific notes: As a minimum, vital signs should be recorded on admission and further, on a daily basis during the acute phase after injury. For the basic datasets, we recommend recording the average and lowest blood pressure over a given period. In the ICU environment, recording blood pressure on an hourly basis is recommended, especially when intracranial pressure (ICP) is monitored in order to permit determination of CPP, calculated as mean arterial blood pressure (MABP) � ICP (intermediate data set). Resting BP and HR should be obtained following empting of the bladder and 5 minutes of resting period. Both physical activities and full urinary bladder could affect these parameters. ----- HEADACHE: Measure in beats per minute (bpm). |
cdRNS|FITBIR; CDISC variable: Vital Signs Test Code (VSTESTCD), Units for Vital Signs Results (VSRESU), Vital Signs Test Name (VSTEST), HR | Heart rate/pulse | NTRR|Vital_Signs | Refer to NINDS CDE repository for the full list of references. | Adult and Pediatric | Assessments and Examinations.Vital Signs and Other Body Measures | Trauma.N/A | Supplemental | Supplemental | Basic | Basic | Supplemental | Heart rate | NINDS_CDE | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 3/12/25 | Published | ||||||||||||||||||||||||||||||||||||||||||||||||
| HgtMeasr | Height measurement | Common Data Element | 1.7 | Measurement of participant's/subject's height. | Measurement of participant's/subject's height. | Numeric Values | Free-Form Entry | 0 | 400 | C0005890 | Body Height | UMLS | Centimeter | GENERAL/TBI: Record the height (or length for the very young) of the participant/ subject. To be collected at the visit, not self-reported. Also, indicate whether height was measured in inches (in) or centimeters (cm). The suggested range is 0-400 cm or 0-150 inches. Height and weight can be measured or estimated upon admission, or alternatively information may be obtained from relatives. Add date stamp for when assessed if possible. Documentation of height and weight is motivated by two reasons: 1. the risk of (systemic) complications is greater in the presence of obesity; 2. body weight is important for calculating required doses of (study) medications. | cdRNS|FITBIR|NIA|PDBP; | Height measurement | Injury_History|trauma|TRACK_TBI | No references available | Adult and Pediatric | Assessments and Examinations.Vital Signs and Other Body Measures | Assessments and Examinations.Vital Signs and Other Body Measures | Assessments and Examinations.Vital Signs and Other Body Measures | Assessments and Examinations.Vital Signs and Other Body Measures | Assessments and Examinations.Vital Signs and Other Body Measures | Assessments and Examinations.Vital Signs and Other Body Measures | Assessments and Examinations.Vital Signs and Other Body Measures | Assessments and Examinations.Vital Signs and Other Body Measures | Assessments and Examinations.Vital Signs and Other Body Measures | Assessments and Examinations.Vital Signs and Other Body Measures | N/A.N/A | Assessments and Examinations.Vital Signs and Other Body Measures | Assessments and Examinations.Vital Signs and Other Body Measures|Outcomes and End Points.Assessing Comorbidities | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Core | Core | Core | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Core | Supplemental | Supplemental | Supplemental | Basic | Supplemental | Height measurement | NINDS_CDE | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 4/1/14 | 3/17/25 | Published | ||||||||||||||||||||
| HighestLvlEduPreInj | Highest level education pre-injury | Common Data Element | 1.8 | Highest level education pre-injury | Highest level education pre-injury | Alphanumeric | Single Pre-Defined Value Selected | C1704791|C0013658|C0679646/C1521970 | Demographics Domain|Educational Status|Participant/Characteristics | UMLS|UMLS|UMLS | None/basic primary=0-4yrs|Post Graduate=18-19yrs(e.g., Masters, Doctoral)|Primary/Intermediate Primary=5-8yrs|Secondary=12yrs|Tertiary=13-15yrs(e.g.,Teachers,Technicians)|University=16-17yrs|Unknown | None/basic primary=0-4yrs|Post Graduate=18-19yrs(e.g., Masters, Doctoral)|Primary/Intermediate Primary=5-8yrs|Secondary=12yrs|Tertiary=13-15yrs(e.g.,Teachers,Technicians)|University=16-17yrs|Unknown | 0|1|2|3|4|5|999 | |||||| | |||||| | |||||| | No instructions available | What is the highest level of education the subject received pre-injury? | No references available | Adult and Pediatric | Participant/Subject Characteristics.Social Status | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | EduLvlMaternalUSATyp;EduLvlPaternalUSATyp;EduLvlUSATyp;EduTyp;EduYrCt | NIH/CIT/BRICS | Olga Vovk | olgav.vovk@nih.gov | NIH/CIT/BRICS | Olga Vovk | olgav.vovk@nih.gov | 3/7/25 | Published | |||||||||||||||||||||||||||||||||||||||||||||
| HlthInsOTH | Health insurance other text | Common Data Element | 1 | The free-text field related to 'Health insurance type' specifying other text. Type of insurance that the participant/subject currently has providing coverage for medical, surgical or hospital care | The free-text field related to 'Health insurance type' specifying other text. Type of insurance that the participant/subject currently has providing coverage for medical, surgical or hospital care | Alphanumeric | 4000 | Free-Form Entry | TBI: Choose one. Document the date the history was obtained so it can be determined whether this information was obtained prior to study enrollment or later. Recommend collection at least on date of TBI and perhaps after all initial medical treatment. ----- NMD: Choose all that apply ----- SMA: Choose all that apply ----- HEADACHE: Choose one. Document the date the history was obtained so it can be determined whether this information was obtained prior to study enrollment or later. Recommend collection at least on date of TBI and perhaps after all initial medical treatment. ----- GENERAL: Choose one. ----- TBI (TBIACUTE): Choose one. Document the date the history was obtained so it can be determined whether this information was obtained prior to study enrollment or later. Recommend collection at least on date of TBI and perhaps after all initial medical treatment. ----- TBI (TBIMILD): Choose one. Document the date the history was obtained so it can be determined whether this information was obtained prior to study enrollment or later. Recommend collection at least on date of TBI and perhaps after all initial medical treatment. ----- TBI (TBIMOD): Choose one. Document the date the history was obtained so it can be determined whether this information was obtained prior to study enrollment or later. Recommend collection at least on date of TBI and perhaps after all initial medical treatment. ----- TBI (TBIEPID): Choose one. Document the date the history was obtained so it can be determined whether this information was obtained prior to study enrollment or later. Recommend collection at least on date of TBI and perhaps after all initial medical treatment. |
Other, specify | GENERAL: No references available ----- HEADACHE: NHLBI CDE from https://cdebrowser.nci.nih.gov/CDEBrowser/ ----- NMD: No references available ----- SMA: No references available ----- TBI: NHLBI CDE from https://cdebrowser.nci.nih.gov/CDEBrowser/ |
Adult and Pediatric | Participant/Subject Characteristics.Social Status | Participant/Subject Characteristics.Social Status | Participant/Subject Characteristics.Social Status | Participant/Subject Characteristics.Social Status | Participant/Subject Characteristics.Social Status | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Core | NTRR | FITBIR | 6/5/14 | 3/7/25 | Draft | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
| HlthInsTyp | Health insurance type | Common Data Element | 1 | Type of insurance that the participant/subject currently has providing coverage for medical, surgical or hospital care | Type of insurance that the participant/subject currently has providing coverage for medical, surgical or hospital care | Alphanumeric | Single Pre-Defined Value Selected | C0021682|C2347682 | Health Insurance|Private Health Insurance | UMLS|UMLS | Employer-sponsored disability insurance|Medicaid|Medicare|National Health Insurance|No Insurance/Self-pay|Other, specify|Private or group health insurance|Unknown|Veterans Affairs/Military | Employer-sponsored disability insurance|Medicaid|Medicare|National Health Insurance|No Insurance/Self-pay|Other, specify|Private or group health insurance|Unknown|Veterans Affairs/Military | 1|2|3|4|5|444|6|999|7 | |||||||| | |||||||| | |||||||| | TBI: Choose one. Document the date the history was obtained so it can be determined whether this information was obtained prior to study enrollment or later. Recommend collection at least on date of TBI and perhaps after all initial medical treatment. ----- NMD: Choose all that apply ----- SMA: Choose all that apply ----- HEADACHE: Choose one. Document the date the history was obtained so it can be determined whether this information was obtained prior to study enrollment or later. Recommend collection at least on date of TBI and perhaps after all initial medical treatment. ----- GENERAL: Choose one. ----- TBI (TBIACUTE): Choose one. Document the date the history was obtained so it can be determined whether this information was obtained prior to study enrollment or later. Recommend collection at least on date of TBI and perhaps after all initial medical treatment. ----- TBI (TBIMILD): Choose one. Document the date the history was obtained so it can be determined whether this information was obtained prior to study enrollment or later. Recommend collection at least on date of TBI and perhaps after all initial medical treatment. ----- TBI (TBIMOD): Choose one. Document the date the history was obtained so it can be determined whether this information was obtained prior to study enrollment or later. Recommend collection at least on date of TBI and perhaps after all initial medical treatment. ----- TBI (TBIEPID): Choose one. Document the date the history was obtained so it can be determined whether this information was obtained prior to study enrollment or later. Recommend collection at least on date of TBI and perhaps after all initial medical treatment. |
cdRNS|FITBIR|PDBP; | Type of health insurace | GENERAL: No references available ----- HEADACHE: NHLBI CDE from https://cdebrowser.nci.nih.gov/CDEBrowser/ ----- NMD: No references available ----- SMA: No references available ----- TBI: NHLBI CDE from https://cdebrowser.nci.nih.gov/CDEBrowser/ |
Adult and Pediatric | Participant/Subject Characteristics.Social Status | Participant/Subject Characteristics.Social Status | Participant/Subject Characteristics.Social Status | Participant/Subject Characteristics.Social Status | Participant/Subject Characteristics.Social Status | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Core | Health insurance type | NINDS_CDE | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 4/1/14 | 3/7/25 | Draft | |||||||||||||||||||||||||||||||||||||||
| HospArrivDateTime | Hospital arrival date and time | Common Data Element | 1 | Date (and time, if applicable and known) the participant/subject arrived at the hospital | Date (and time, if applicable and known) the participant/subject arrived at the hospital | Date or Date & Time | Free-Form Entry | STROKE: 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.). |
Data Sharing Instructions: When date/time data are prepared for aggregation or sharing they should be converted to the format specified by ISO 8601, YYYY-MM-DDThh:mm:ss. | Date of hospital admission | trauma | STROKE: Get With The Guidelines (GWTG) Stroke Patient Management Tool Coding Instructions (Updated on 11/4/2009) |
Adult and Pediatric | Disease/Injury Related Events.History of Disease/Injury Event | Trauma.N/A | Core | Supplemental | Supplemental | Basic | Supplemental | Hospital arrival date and time | NTRR | NINDS | 4/1/14 | 4/9/25 | Draft | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| HospComplicationsCategory | Hospital Complications | Common Data Element | 1 | Category of the in hospital event/complication experience by the particpant/subject. | Category of the in hospital event/complication experience by the particpant/subject. | Alphanumeric | Multiple Pre-Defined Values Selected | Acute Kidney Injury|Acute Respiratory Distress Syndrome (ARDS)|Alcohol withdrawal Syndrome|Cardiac Arrest with CPR|Catheter-Associated Urinary Tract Infection (CAUTI)|Central Line-Associated Bloodstream Infection (CLABSI)|Deep Surgical Site Infection|Deep Vein Thrombosis (DVT)|Delirium|Myocardial Infarction (MI)|Organ/Space Surgical Site Infection|Osteomyelitis|Pressure Ulcer|Pulmonary Embolism (PE)|Severe Sepsis|Stroke/CVA|Superficial Incisional Surgical Site Infection|Unplanned Admission to the ICU|Unplanned Intubation|Unplanned Visit to the Operating Room|Ventilator-Associated Pneumonia (VAP) | Acute Kidney Injury|Acute Respiratory Distress Syndrome (ARDS)|Alcohol withdrawal Syndrome|Cardiac Arrest with CPR|Catheter-Associated Urinary Tract Infection (CAUTI)|Central Line-Associated Bloodstream Infection (CLABSI)|Deep Surgical Site Infection|Deep Vein Thrombosis (DVT)|Delirium|Myocardial Infarction (MI)|Organ/Space Surgical Site Infection|Osteomyelitis|Pressure Ulcer|Pulmonary Embolism (PE)|Severe Sepsis|Stroke/CVA|Superficial Incisional Surgical Site Infection|Unplanned Admission to the ICU|Unplanned Intubation|Unplanned Visit to the Operating Room|Ventilator-Associated Pneumonia (VAP) | 1|2|3|4|5|6|7|8|9|10|11|12|13|14|15|16|17|18|19|20|21 | |||||||||||||||||||| | |||||||||||||||||||| | |||||||||||||||||||| | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Basic | Supplemental | NTRR | NTDS | 4/9/25 | 4/9/25 | Draft | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| HospDischDisp | Hospital discharge disposition type | Common Data Element | 1 | The disposition of the patient when discharged from the hospital | The disposition of the patient when discharged from the hospital | Alphanumeric | Single Pre-Defined Value Selected | Deceased/Expired|Discharged to home or self-care (routine discharge)|Discharged/Transferred to an Intermediate Care Facility (ICF)|Discharged/Transferred to another type of institution not defined elsewhere|Discharged/Transferred to a psychiatric hospital or psychiatric distinct part unit of a hospital|Discharged/Transferred to a short-term general hospital for inpatient care|Discharged/Transferred to court/law enforcement.|Discharged/Transferred to home under care of organized home health service|Discharged/Transferred to hospice care|Discharged/Transferred to inpatient rehab or designated unit|Discharged/Transferred to Long Term Care Hospital (LTCH)|Discharged/Transferred to Skilled Nursing Facility (SNF)|Left against medical advice or discontinued care | Deceased/Expired|Discharged to home or self-care (routine discharge)|Discharged/Transferred to an Intermediate Care Facility (ICF)|Discharged/Transferred to another type of institution not defined elsewhere|Discharged/Transferred to a psychiatric hospital or psychiatric distinct part unit of a hospital|Discharged/Transferred to a short-term general hospital for inpatient care|Discharged/Transferred to court/law enforcement.|Discharged/Transferred to home under care of organized home health service|Discharged/Transferred to hospice care|Discharged/Transferred to inpatient rehab or designated unit|Discharged/Transferred to Long Term Care Hospital (LTCH)|Discharged/Transferred to Skilled Nursing Facility (SNF)|Left against medical advice or discontinued care | 5|6|2|13|12|1|9|3|8|10|11|7|4 | |||||||||||| | |||||||||||| | |||||||||||| | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Supplemental | Basic | NTRR | NTDS | 4/9/25 | 4/9/25 | Draft | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| HospitDischgDateTime | Hospital discharge date and time | Common Data Element | 1.7 | Date (and time, if applicable and known) the participant/subject was discharged from the hospital | Date (and time, if applicable and known) the participant/subject was discharged from the hospital | Date or Date & Time | Free-Form Entry | C0019994|C0030685 | Hospitals|Patient Discharge | UMLS|UMLS | TBI/STROKE: 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.). GENERAL: 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.). Data Sharing Instructions: When date/time data are prepared for aggregation or sharing they should be converted to the format specified by ISO 8601, YYYY-MM-DDThh: mm: ss. |
Data Sharing Instructions: When date/time data are prepared for aggregation or sharing they should be converted to the format specified by ISO 8601, YYYY-MM-DDThh:mm:ss. | Hospital discharge date and time | Injury_History|trauma|TRACK_TBI | GENERAL/SMA/TBI: No references available STROKE: Get With The Guidelines (GWTG) Stroke Patient Management Tool Coding Instructions (Updated on 11/4/2009); Paul Coverdell National Acute Stroke Registry |
Adult and Pediatric | Disease/Injury Related Events.Discharge Information | Disease/Injury Related Events.Discharge Information | Disease/Injury Related Events.Discharge Information | Participant/Subject History and Family History.General Health History | Trauma.N/A | Supplemental | Basic | Supplemental | Supplemental | Basic | Core | Supplemental | Supplemental | Supplemental | Basic | Basic | Hospital discharge date and time | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 3/17/25 | Published | |||||||||||||||||||||||||||||||||||||||||||
| HospitlAdmissStartDate | Hospital admission start date | Common Data Element | 1 | Date the participant/subject was admitted to the hospital | Date the participant/subject was admitted to the hospital | Date or Date & Time | Free-Form Entry | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Basic | Supplemental | NTRR | NINDS | 4/9/25 | 4/9/25 | Draft | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| HospitOTH | Hospitalization other text | Common Data Element | 1.6 | The free-text field related to 'Hospitalization reason' specifying other text. Reason why the participant/subject was hospitalized, excluding all surgeries | The free-text field related to 'Hospitalization reason' specifying other text. Reason why the participant/subject was hospitalized, excluding all surgeries | Alphanumeric | 4000 | Free-Form Entry | C0019993|C0679646/C0262926 | Hospitalization|Participant/Medical History | UMLS|UMLS | Record the reason for each hospitalization within the past year. | FITBIR|NIA|PDBP; | Other, specify | trauma|Medical_History|COVID | No references available | Adult and Pediatric | Participant/Subject History and Family History.General Health History | Participant/Subject History and Family History.General Health History | Participant/Subject History and Family History.General Health History | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Basic | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 8/4/14 | 3/17/25 | Published | ||||||||||||||||||||||||||||||||||||||||||||
| HospitRsn | Hospitalization reason | Common Data Element | 1.6 | Reason why the participant/subject was hospitalized, excluding all surgeries | Reason why the participant/subject was hospitalized, excluding all surgeries | Alphanumeric | Multiple Pre-Defined Values Selected | C0679646/C0262926|C0392360|C0019993 | Participant/Medical History|Indication of (contextual qualifier)|Hospitalization | UMLS|UMLS|UMLS | Cardiomyopathy/Arrhythmia|Dehydration|Failure to Thrive|Fracture|Infection other than pneumonia|Other, specify|Pneumonia or Respiratory|Seizures|Trauma | Cardiomyopathy/Arrhythmia|Dehydration|Failure to Thrive|Fracture|Infection other than pneumonia|Other, specify|Pneumonia or Respiratory|Seizures|Trauma | 1|2|3|4|444|6|7|8|9 | |||||||| | |||||||| | |||||||| | Record the reason for each hospitalization within the past year. | FITBIR|NIA|PDBP; | Indicate cause for hospitalization | trauma|Medical_History|COVID | No references available | Adult and Pediatric | Participant/Subject History and Family History.General Health History | Participant/Subject History and Family History.General Health History | Participant/Subject History and Family History.General Health History | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Basic | Hospitalization reason | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 4/1/14 | 3/17/25 | Published | ||||||||||||||||||||||||||||||||||||||
| ICD10ExtCausCode | ICD-10 Place of Occurrence External Cause Code | Common Data Element | 1 | ICD-10 place of occurrence external cause code | ICD-10 place of occurrence external cause code used to descrbie the place/site/location of the injury (Y92.X) | Numeric Values | Free-Form Entry | Epidemiology|NTRR|NTDS | Adult and Pediatric | Trauma.N/A | Basic | Supplemental | Supplemental | Supplemental | NTRR | NTDS | 3/5/25 | 3/7/25 | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| ICD10InjDiag | ICD-10 Injury Diagnosis | Common Data Element | 1 | Diagnosis related to all identified injuries | ICD-10 diagnosis related to all identified injuries | Numeric Values | Free-Form Entry | Epidemiology|NTRR|NTDS | Adult and Pediatric | Trauma.N/A | Basic | Supplemental | Supplemental | Supplemental | NTRR | NTDS | 3/5/25 | 3/7/25 | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| ICULOS | Total ICU length of stay | Common Data Element | 1 | The cumulative amount of time spent in the ICU. Each partial or full day should be measured as one calendar day. | The cumulative amount of time spent in the ICU. Each partial or full day should be measured as one calendar day. | Numeric Values | Free-Form Entry | 0 | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Basic | Supplemental | NTRR | NTDS | 4/9/25 | 4/9/25 | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| InciCountry | Incident Country | Common Data Element | 1 | The code of the country according to FIPS (2 digits) | The code of the country according to FIPS (2 digits) | Alphanumeric | 2 | Free-Form Entry | Epidemiology|NTRR|NTDS | Adult and Pediatric | Trauma.N/A | Basic | Supplemental | Supplemental | Supplemental | NTRR | NTDS | 3/5/25 | 3/7/25 | Draft | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| InjCauseTyp | Injury cause type | Common Data Element | 1.6 | 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 | Alphanumeric | Multiple Pre-Defined Values Selected | C3263723 | Traumatic injury | UMLS | Accidental falls|Accidental poisoning by drugs, medicinal substances, and biologicals|Accidental poisoning by other solid and liquid substances, gases, and vapors|Accidents caused by fire and flames|Accidents caused by submersion, suffocation, and foreign bodies|Accidents due to natural and environmental factors (e900-e909)|Air and space transport accidents|Drugs, medicinal and biological substances causing adverse effects in therapeutic use|Homicide and injury purposely inflicted by other persons|Injury resulting from operations of war|Injury undetermined whether accidentally or purposely inflicted|Late effects of accidental injury|Legal intervention|Misadventures to patients during surgical and medical care|Motor vehicle nontraffic accidents|Motor vehicle traffic accidents|Other accidents|Other road vehicle accidents|Railway accidents|Suicide and self-inflicted injury|Surgical and medical procedures as the cause of abnormal reaction of patient or later complication, without mention of misadventure at the time of procedure|Terrorism|Vehicle accidents not elsewhere classifiable|Water transport accidents | Accidental falls (e880-e888)|Accidental poisoning by drugs, medicinal substances, and biologicals (e850-e858)|Accidental poisoning by other solid and liquid substances, gases, and vapors (e860-e869)|Accidents caused by fire and flames (e890-e899)|Accidents caused by submersion, suffocation, and foreign bodies (e910-e915)|Accidents due to natural and environmental factors (e900-e909)|Air and space transport accidents (e840-e845)|Drugs, medicinal and biological substances causing adverse effects in therapeutic use (e930-e949)|Homicide and injury purposely inflicted by other persons (e960-e969)|Injury resulting from operations of war (e990-e999|Injury undetermined whether accidentally or purposely inflicted (e980-e989)|Late effects of accidental injury (e929)|Legal intervention (e970-e978)|Misadventures to patients during surgical and medical care (e870-e876)|Motor vehicle nontraffic accidents (e820-e825)|Motor vehicle traffic accidents (e810-e819)|Other accidents (e916-e928)|Other road vehicle accidents (e826-e829)|Railway accidents (e800-e807)|Suicide and self-inflicted injury (e950-e959)|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)|Terrorism (e979)|Vehicle accidents not elsewhere classifiable (e846-e848)|Water transport accidents (e830-e838) | 880|850|860|890|910|900|840|930|960|990|980|929|970|870|820|810|916|826|800|950|878|979|846|830 | ||||||||||||||||||||||| | ||||||||||||||||||||||| | ||||||||||||||||||||||| | Select all that apply | Cause of injury | Injury_History | GENERAL/TBI: 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 and Pediatric | Disease/Injury Related Events.History of Disease/Injury Event | Basic | Basic | Basic | Basic | BlastInjDevTyp;InjCauseTypOTH;InjDateReliablTyp;InjDateTime;InjDateTimeEstTyp;InjDescriptionText;InjElapsedTime;InjEventNum;InjICDExtCauseCode;InjPlcOccncTyp;InjPresentRsn;InjReliablTyp;InjSeverScore;InjVlntCauseTyp;SupportWithdrawnInjElapsedTime | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | NINDSCDE | NINDSCDE@emmes.com | 3/7/25 | Published | ||||||||||||||||||||||||||||||||||||||||||||||||||
| InjCauseTypOTH | Injury cause other text | Common Data Element | 1.7 | The free-text field related to 'Injury cause type' specifying other text. | Alphanumeric | 4000 | Free-Form Entry | C3263723 | Traumatic injury | UMLS | Enter other text | Other, specify | Injury_History|ADAPT | No references available | Adult and Pediatric | Participant/Subject Characteristics.Demographics | Supplemental | Supplemental | Supplemental | Supplemental | BlastInjDevTyp;InjCauseTyp;InjDateReliablTyp;InjDateTime;InjDateTimeEstTyp;InjDescriptionText;InjElapsedTime;InjEventNum;InjICDExtCauseCode;InjPlcOccncTyp;InjPresentRsn;InjReliablTyp;InjSeverScore;InjVlntCauseTyp;SupportWithdrawnInjElapsedTime | NIH/CIT/BRICS | Olga Vovk | olga.vovk@nih.gov | Olga Vovk | olga.vovk@nih.gov | 6/30/14 | 3/10/25 | Published | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
| InjDateTime | Injury date time | Unique Data Element | 1.11 | Date (and time, if applicable and known) of injury | Date (and time, if applicable and known) of injury | Date or Date & Time | Free-Form Entry | C3263723|C0876926|C1264639 | Traumatic injury|Traumatic brain injury|Date and Time | UMLS|UMLS|UMLS | Injury date and time | Injury_History | GENERAL/TBI: No references available SCI: DeVivo M, Biering-Saarensen 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 and Pediatric | Disease/Injury Related Events.History of Disease/Injury Event | Basic | Basic | Basic | Basic | NINDS_CDE | BlastInjDevTyp;InjCauseTyp;InjCauseTypOTH;InjDateReliablTyp;InjDateTimeEstTyp;InjDescriptionText;InjElapsedTime;InjEventNum;InjICDExtCauseCode;InjPlcOccncTyp;InjPresentRsn;InjReliablTyp;InjSeverScore;InjVlntCauseTyp;SupportWithdrawnInjElapsedTime | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | NINDSCDE | NINDSCDE@emmes.com | 3/10/25 | Published | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| InjDescriptionText | Injury description text | Common Data Element | 1.7 | A text description of the injury event. | A text description of the injury event. | Alphanumeric | 4000 | Free-Form Entry | C0678257|C3263723 | Description|Traumatic injury | UMLS|UMLS | Description of the injury event | Injury_History | Adult and Pediatric | Disease/Injury Related Events.Classification | Supplemental | Supplemental | Supplemental | Supplemental | FITBIR_CDE | BlastInjDevTyp;InjCauseTyp;InjCauseTypOTH;InjDateReliablTyp;InjDateTime;InjDateTimeEstTyp;InjElapsedTime;InjEventNum;InjICDExtCauseCode;InjPlcOccncTyp;InjPresentRsn;InjReliablTyp;InjSeverScore;InjVlntCauseTyp;SupportWithdrawnInjElapsedTime | Temple University, Department of Physical Therapy | Olga Vovk | olga.vovk@nih.gov | 5/18/15 | 3/7/25 | Published | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| InjElapsedTime | Injury elapsed time | Common Data Element | 1.1 | The elapsed time (in minutes) from the time of injury | The elapsed time (in minutes) from the time of injury | Numeric Values | Free-Form Entry | 0 | C0876926|C3263722/C2826303 | Traumatic brain injury|Traumatic AND OR non-traumatic injury/Elapsed Time | UMLS|UMLS | Minute | Indicate the time since injury occurred following definition provided per protocol. Note: Accurate determination of time since injury is critical for gauging patient progress and for assessing eligibility for acute phase studies. The need for TBI patients to be transferred from an initial receiving hospital to another hospital may delay definitive care and consequently impact outcome adversely, and longer transport times delay definitive treatment. | Core_TBI | No references available | Adult and Pediatric | Disease/Injury Related Events.History of Disease/Injury Event | Disease/Injury Related Events.History of Disease/Injury Event | Trauma.N/A | Supplemental | Core | Core | Core | Core | Core | Core | Core | Core | Injury elapsed time | NIH/CIT/BRICS | Olga Vovk | olga.vovk@nih.gov | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 1/23/25 | Published | |||||||||||||||||||||||||||||||||||||||||||||||
| InjMechOTH | Mechanism of injury other text | Common Data Element | 1 | The free-text field related to 'Mechanism of injury type' specifying other text. | The free-text field related to 'Mechanism of injury type' specifying other text. | Alphanumeric | 4000 | Free-Form Entry | Adult and Pediatric | Trauma.N/A | Basic | Basic | Supplemental | Supplemental | NTRR | NTRR Workgroup | 3/5/25 | 3/12/25 | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| InjMechType | Mechanism of injury type | Common Data Element | 1 | Mechanism of injury type | Manner of injury type | Alphanumeric | Single Pre-Defined Value Selected | Blast|Blunt|Burn|Other , specify|Penetrating | Blast|Blunt|Burn|Other , specify|Penetrating | 1|2|3|5|4 | |||| | |||| | |||| | Epidemiology|NTRR|NTDS | Adult and Pediatric | Trauma.N/A | Basic | Basic | Basic | Supplemental | NTRR | NTRR Workgroup | 3/5/25 | 3/7/25 | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| InjSeverScore | Injury severity score | Common Data Element | 1.1 | Score measured by injury severity score (ISS) | Score measured by injury severity score (ISS) | Numeric Values | Free-Form Entry | Score of injury severity as measured by injury severity score (ISS) | Injury_History|trauma|TRACK_TBI | GENERAL/TBI: Baker SP, O'Neill B, Haddon W Jr, et al. The injury severity score: a method for describing patients with multiple injuries and evaluating emergency care. J Trauma. Mar 1974;14(3):187-196. Medicine AftAoA. The Abbreviated Injury Scale, 1990 Revision. Association for the Advancement of Automotive Medicine. 15-24. 1990. Des Plaines, IL. http://www.sfar.org/scores2/triss2.html - ISS calculator Pediatric: Gennarelli TA, Wodzin A. AIS 2005: A contemporary injury scale. Injury 2006 37:1083-1091. | Adult and Pediatric | Disease/Injury Related Events.Classification | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Basic | Supplemental | Basic | Supplemental | NIH/NINDS | NIH/NINDS | NIH/NINDS | NIH/NINDS | NIH/NINDS | 4/1/14 | 3/17/25 | Published | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
| InstLevel | Institution level | Common Data Element | 1 | The primary hospital capability associated with the patient's condition for transport (e.g., trauma, STEMI, Peds, etc.). | The primary hospital capability associated with the patient's condition for transport (e.g., trauma, STEMI, Peds, etc.). | Alphanumeric | Single Pre-Defined Value Selected | Behavioral Health|Burn Center|Cardiac-STEMI/Non-PCI Capable|Cardiac-STEMI/PCI Capable|Cardiac-STEMI/PCI Capable (24/7)|Critical Access Hospital|Hospital (General)|Neonatal Center|Pediatric Center|Rehab Center|Stroke-Acute Stroke Ready Hospital (ASRH)|Trauma Center Level 1|Trauma Center Level 2|Trauma Center Level 3|Trauma Center Level 4|Trauma Center Level 5 | Behavioral Health|Burn Center|Cardiac-STEMI/Non-PCI Capable|Cardiac-STEMI/PCI Capable|Cardiac-STEMI/PCI Capable (24/7)|Critical Access Hospital|Hospital (General)|Neonatal Center|Pediatric Center|Rehab Center|Stroke-Acute Stroke Ready Hospital (ASRH)|Trauma Center Level 1|Trauma Center Level 2|Trauma Center Level 3|Trauma Center Level 4|Trauma Center Level 5 | ||||||||||||||| | ||||||||||||||| | ||||||||||||||| | ||||||||||||||| | trauma | Adult and Pediatric | Trauma.N/A | Supplemental | Basic | Supplemental | Supplemental | NTRR | NEMSIS | 3/12/25 | 4/9/25 | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| InterfacTranInd | Inter-Facility Transfer Indicator | Common Data Element | 1 | Was the patient transferred to your facility from another acute care facility | Was the patient transferred to your facility from another acute care facility | Alphanumeric | Single Pre-Defined Value Selected | No|Yes | No|Yes | 0|1 | | | | | | | Epidemiology|NTRR|NTDS | Adult and Pediatric | Trauma.N/A | Basic | Supplemental | Supplemental | Supplemental | NTRR | NTDS | 3/5/25 | 3/7/25 | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| IntervProcedDate | Intervention procedure date | Common Data Element | 1.2 | Date (and time if applicable and known) intervention/procedure was performed | Date (and time if applicable and known) intervention/procedure was performed | Date or Date & Time | Free-Form Entry | Adult and Pediatric | Trauma.N/A | Supplemental | Basic | Supplemental | Supplemental | NTRR | NINDS | 8/4/14 | 3/12/25 | Published | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| JobClassPreInj | Job classification pre-injury | Common Data Element | 1.9 | Job classification pre-injury | Job classification pre-injury | Alphanumeric | Single Pre-Defined Value Selected | C0679646/C1521970|C0028811|C1704791 | Participant/Characteristics|Occupations|Demographics Domain | UMLS|UMLS|UMLS | Agricultural or fishery worker (vegetable grower, livestock producer, etc)|Armed forces (government military)|Clerk (secretary, cashier, etc)|Craft or trades worker (carpenter, painter, jewelry worker, butcher, etc)|Elementary worker (street food vendor, shoe cleaner, etc)|Legislator, senior official or manager|Not applicable, (not working pre-injury/not working now)|Other, specify|Plant/machine operator or assembler (equipment assembler, sewing-machine operator, driver, etc)|Professional(engineer, doctor, teacher, clergy, etc)|Service or sales worker (cook,travel guide, shop salesperson, etc)|Technician or Associate Professional (inspector, finance dealer, etc)|Unknown | Agricultural or fishery worker (vegetable grower, livestock producer, etc)|Armed forces (government military)|Clerk (secretary, cashier, etc)|Craft or trades worker (carpenter, painter, jewelry worker, butcher, etc)|Elementary worker (street food vendor, shoe cleaner, etc)|Legislator, senior official or manager|Not applicable, (not working pre-injury/not working now)|Other, specify|Plant/machine operator or assembler (equipment assembler, sewing-machine operator, driver, etc)|Professional(engineer, doctor, teacher, clergy, etc)|Service or sales worker (cook,travel guide, shop salesperson, etc)|Technician or Associate Professional (inspector, finance dealer, etc)|Unknown | 1|2|3|4|5|6|777|444|7|8|9|10|999 | |||||||||||| | |||||||||||| | |||||||||||| | For detailed definitions go to: http://www.who.int/healthinfo/survey/whsshortversionguide.pdf | FITBIR | What was the subject's pre-injury job classification? | No references available | Adult and Pediatric | Participant/Subject Characteristics.Social Status | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Basic | Supplemental | Supplemental | Supplemental | NIH/CIT/BRICS | Olga Vovk | olga.vovk@nih.gov | NIH/CIT/BRICS | Olga Vovk | olga.vovk@nih.gov | 4/7/25 | Published | |||||||||||||||||||||||||||||||||||||||||||||
| JobClassPreInjOTH | Job classification pre-injury other text | Common Data Element | 1.8 | The free-text field related to Job classification pre-injury specifying other text. | The free-text field related to Job classification pre-injury specifying other text. | Alphanumeric | 4000 | Free-Form Entry | C0028811|C0679646/C1521970|C1704791 | Occupations|Participant/Characteristics|Demographics Domain | UMLS|UMLS|UMLS | Enter other text. | FITBIR | Other, Specify | No references available | Adult and Pediatric | Participant/Subject Characteristics.Demographics | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | NIH/CIT/BRICS | Olga Vovk | olga.vovk@nih.com | NIH/CIT/BRICS | Olga Vovk | olga.vovk@nih.com | 3/7/25 | Published | |||||||||||||||||||||||||||||||||||||||||||||||||||||
| LabTestName | Lab test name | Common Data Element | 1.8 | Name representing the lab test performed on body fluid(s) and tissues. Test names are typically comprised of the analyte name, properties (%, Ratio, etc.), the type of body fluid tested, and any special instructions. | Name representing the lab test performed on body fluid(s) and tissues. Test names are typically comprised of the analyte name, properties (%, Ratio, etc.), the type of body fluid tested, and any special instructions. | Alphanumeric | Single Pre-Defined Value Selected | C0022885|C0587081 | Laboratory Procedures|Laboratory test finding | UMLS|UMLS | 8-isoprostanes|8-OH-2-deoxyguanosine|Activated PTT (aPTT)|Alanine Aminotransferase (ALT/ALAT/SGPT)|Albumin|Albumin:globulin (A:G) ratio|Alcohol|Alkaline Phosphatase|Amylase|Anion Gap|Apolipoprotein B (apo B)|Apolipoprotein E (apo E)|Apolipoprotein-I (apo A1)|Arterial blood gas bicarbonate (HCO3)|Arterial blood gas fraction of inspired oxygen (FiO2)|Arterial blood gas Oxygen saturation (SaO2)|Arterial blood gas partial pressure carbon dioxide (pCO2)|Arterial blood gas partial pressure oxygen (pO2)|Arterial blood gas pH (pH)|Arterial Blood Temperature|Aspartate Aminotransferase (AST/ASAT/SGOT)|Base Excess (BE)|Basophils|Basophils count|Bicarbonate (HCO3)|Blood Urea Nitrogen (BUN)|B-type natriuretic peptide (BNP)|BUN:creatinine ratio|Calcium (Ca)|Carbon Dioxide (CO2)|Chloride (Cl)|Cortisol|C-Reactive Protein|Creatine Kinase|Creatine Kinase-Myocardial Bands (CK-MB)|Creatinine|D-dimer|Direct Bilirubin|eGFR calculation|Eosinophil Count|Eosinophils|Fasting Glucose|Fasting Insulin|Ferritin|Fibrinogen|Frataxin Level|GAA repeat-expansion mutation|Gamma-glutamyl transpeptidase (GGT)|Globulin, total|Glucose|Glucose D-stick|Glucose serum|Glycosylated Hemoglobin (HgBA1C)|Hematocrit (HCT)|Hemoglobin Electrophoresis|Hemoglobin (HB)|High Density Lipoprotein (HDL)|HIV test|International Normalized Ratio (INR)|Ionized Calcium|Iron|Lactate|Lactate Dehydrogenase (LDH)|Lipase|Lipoprotein (a) [Lp(a)]|Low Density Lipoprotein (LDL)|Lymphocyte Count|Lymphocytes|Magnesium (Mg)|Mean corpuscular hemoglobin concentration (MCHC)|Mean corpuscular hemoglobin (MCH)|Mean corpuscular volume (MCV)|Monocyte Count|Monocytes|Neutrophil|Neutrophil Count|Oral glucose tolerance|Osmolality, serum|Other, specify|Oxygen saturation|Partial Thromboplastin Time (PTT)|Phenobarb|Phenytoin|Phosphate (PO4)|pH value|Plasma malondialdehyde|Platelet Count|Potassium (K)|Pre-Albumin|Prothrombin Time (PT)|Red cell count (RBC)|Red cell distribution width (RDW)|Serum N-terminal atrial natriuretic peptide (ANP-N)|Sodium (Na)|Specific Gravity (Urine)|Sulfur Dioxide (SO2)|Total Bilirubin|Total Cholesterol (TCHOL)|Total Iron Binding Capacity(TIBC)|Total Protein|Triglycerides (TGs)|Troponin I|Troponin T|Urea|Urine 8-OH-2-deoxyguanosine/creatinine ratio|Urine Creatinine|Urine Nitrite|Urine pH|Venous blood gas bicarbonate (HCO3)|Venous blood gas fraction of inspired oxygen (FiO2)|Venous blood gas partial pressure carbon dioxide (pCO2)|Venous blood gas partial pressure oxygen (pO2)|Venous blood gas pH (pH)|Venous Blood Temperature|Very Low Density Lipoprotein (VLDL)|Vitamin B12|Vitamin E|White Blood Cell Count (WBC)|Whole Blood Temperature | 8-isoprostanes|8-OH-2-deoxyguanosine|Activated PTT (aPTT)|Alanine Aminotransferase (ALT/ALAT/SGPT)|Albumin|Albumin:globulin (A:G) ratio|Alcohol|Alkaline Phosphatase|Amylase|Anion Gap|Apolipoprotein B (apo B)|Apolipoprotein E (apo E)|Apolipoprotein-I (apo A1)|Arterial blood gas bicarbonate (HCO3)|Arterial blood gas fraction of inspired oxygen (FiO2)|Arterial blood gas Oxygen saturation (SaO2)|Arterial blood gas partial pressure carbon dioxide (pCO2)|Arterial blood gas partial pressure oxygen (pO2)|Arterial blood gas pH (pH)|Arterial Blood Temperature|Aspartate Aminotransferase (AST/ASAT/SGOT)|Base Excess (BE)|Basophils|Basophils count|Bicarbonate (HCO3)|Blood Urea Nitrogen (BUN)|B-type natriuretic peptide (BNP)|BUN:creatinine ratio|Calcium (Ca)|Carbon Dioxide (CO2)|Chloride (Cl)|Cortisol|C-Reactive Protein|Creatine Kinase|Creatine Kinase-Myocardial Bands (CK-MB)|Creatinine|D-dimer|Direct Bilirubin|eGFR calculation|Eosinophil Count|Eosinophils|Fasting Glucose|Fasting Insulin|Ferritin|Fibrinogen|Frataxin Level|GAA repeat-expansion mutation|Gamma-glutamyl transpeptidase (GGT)|Globulin, total|Glucose|Glucose D-stick|Glucose serum|Glycosylated Hemoglobin (HgBA1C)|Hematocrit (HCT)|Hemoglobin Electrophoresis|Hemoglobin (HB)|High Density Lipoprotein (HDL)|HIV test|International Normalized Ratio (INR)|Ionized Calcium|Iron|Lactate|Lactate Dehydrogenase (LDH)|Lipase|Lipoprotein (a) [Lp(a)]|Low Density Lipoprotein (LDL)|Lymphocyte Count|Lymphocytes|Magnesium (Mg)|Mean corpuscular hemoglobin concentration (MCHC)|Mean corpuscular hemoglobin (MCH)|Mean corpuscular volume (MCV)|Monocyte Count|Monocytes|Neutrophil|Neutrophil Count|Oral glucose tolerance|Osmolality, serum|Other, specify|Oxygen saturation (SO2)|Partial Thromboplastin Time (PTT)|Phenobarb|Phenytoin|Phosphate (PO4)|pH value|Plasma malondialdehyde|Platelet Count|Potassium (K)|Pre-Albumin|Prothrombin Time (PT)|Red cell count (RBC)|Red cell distribution width (RDW)|Serum N-terminal atrial natriuretic peptide (ANP-N)|Sodium (Na)|Specific Gravity (Urine)|Sulfur Dioxide (SO2)|Total Bilirubin|Total Cholesterol (TCHOL)|Total Iron Binding Capacity(TIBC)|Total Protein|Triglycerides (TGs)|Troponin I|Troponin T|Urea|Urine 8-OH-2-deoxyguanosine/creatinine ratio|Urine Creatinine|Urine Nitrite|Urine pH|Venous blood gas bicarbonate (HCO3)|Venous blood gas fraction of inspired oxygen (FiO2)|Venous blood gas partial pressure carbon dioxide (pCO2)|Venous blood gas partial pressure oxygen (pO2)|Venous blood gas pH (pH)|Venous Blood Temperature|Very Low Density Lipoprotein (VLDL)|Vitamin B12|Vitamin E|White Blood Cell Count (WBC)|Whole Blood Temperature | 1|2|118|3|4|90|117|5|6|7|8|9|10|105|101|119|99|97|103|110|11|107|89|88|12|13|14|91|15|16|17|18|19|20|21|22|95|119|92|23|87|24|25|26|94|27|28|29|93|30|31|32|33|34|35|36|37|108|38|39|40|41|42|116|43|44|45|85|46|81|80|79|47|86|84|48|49|50|444|51|52|53|54|55|96|56|57|58|59|60|83|82|61|62|113|78|63|64|65|114|66|67|68|69|70|71|72|73|106|102|100|98|104|111|74|75|76|77|112 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||| | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||| | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||| | Indicate the name of each laboratory test that is run on the specimen. See the data dictionary for additional information on coding the test name using Logical Observation Identifiers Names and Codes (LOINC). | FITBIR|PDBP; | Test Name | trauma|COVID19 | Logical Observation Identifiers Names and Codes (LOINC) - www.loinc.org | Adult and Pediatric | Assessments and Examinations.Laboratory Tests and Biospecimens/Biomarkers | Assessments and Examinations.Laboratory Tests and Biospecimens/Biomarkers | Assessments and Examinations.Laboratory Tests and Biospecimens/Biomarkers | Assessments and Examinations.Laboratory Tests and Biospecimens/Biomarkers | Assessments and Examinations.Laboratory Tests and Biospecimens/Biomarkers | Assessments and Examinations.Laboratory Tests and Biospecimens/Biomarkers | Assessments and Examinations.Laboratory Tests and Biospecimens/Biomarkers | Assessments and Examinations.Laboratory Tests and Biospecimens/Biomarkers | N/A.N/A | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Core | Supplemental | Core | Core | Core | Core | Supplemental | Supplemental | Supplemental | Basic | Supplemental | Lab test name | NINDS_CDE | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 4/1/14 | 3/17/25 | Published | |||||||||||||||||||||||||
| LangCRFAdministratISOCode | Language form administration ISO code | Common Data Element | 1.9 | Code (ISO 639-2) for the language that was used for CRF/instrument/scale/etc. administration | Code (ISO 639-2) for the language that was used for CRF/instrument/scale/etc. administration | Alphanumeric | Single Pre-Defined Value Selected | C0023008 | Languages | UMLS | chi|cze|dan|dut|eng|fin|fre|ger|gre|heb|hin|hun|ira|ita|jpn|nor|Other, specify|por|rus|sgn|spa|vie | Chinese|Czech|Danish|Dutch|English|Finnish|French|German|Greek|Hebrew|Hindi|Hungarian|Iranian languages|Italian|Japanese|Norwegian|Other specify|Portuguese|Russian|Sign language|Spanish|Vietnamese | 1|2|3|4|5|6|7|8|9|10|11|12|13|14|15|16|444|17|18|19|20|21 | ||||||||||||||||||||| | ||||||||||||||||||||| | ||||||||||||||||||||| | Data Sharing Instructions: The language data should be coded using the ISO 639-2 codes ( (https://www.loc.gov/standards/iso639-2/php/code_list.php) prior to aggregation or sharing. Enter ISO 639-2 code for the language used to administer the CRF/instrument/scale/test/etc. If the language is not specified, the default value is 'eng'- English. | cdRNS|FITBIR|NIA|PDBP; | What is the ISO 639 code for the language the form/instrument has been administrated? | ISO 639-2 language codes (http://www.loc.gov/standards/iso639-2/php/code_list.php) | Adult and Pediatric | Participant/Subject Characteristics.Demographics | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | NIH/CIT/BRICS | Olga Vovk | olga.vovk@nih.gov | NIH/CIT/BRICS | Olga Vovk | olga.vovk@nih.gov | 1/11/17 | 9/11/24 | Published | |||||||||||||||||||||||||||||||||||||||||||||||
| LangCRFAdministratISOCodeOTH | Language form administration ISO code other text | Common Data Element | 1.8 | The free-text field related to 'Language used for CRF/instrument/scale/etc. administration ISO code' specifying other text. | The free-text field related to 'Language used for CRF/instrument/scale/etc. administration ISO code' specifying other text. | Alphanumeric | 4000 | Free-Form Entry | C0023008 | Languages | UMLS | Other text for form administration language ISO 639-2 code. Should be used only if 1) the ISO code is not available under LangCRFAdministratISOCode permissible values or 2) the ISO code is not available at all. If the language is not specified, the default value is 'eng'- English. | cdRNS|FITBIR|NIA|PDBP; | Other, specify | ISO 639-2 language codes (http: //www.loc.gov/standards/iso639-2/php/code_list.php) | Adult and Pediatric | Participant/Subject Characteristics.Demographics | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | NIH/CIT/BRICS | Olga Vovk | olga.vovk@nih.gov | NIH/CIT/BRICS | Olga Vovk | olga.vovk@nih.gov | 1/11/17 | 9/11/24 | Published | ||||||||||||||||||||||||||||||||||||||||||||||||||||
| LateralityTyp | Laterality type | Common Data Element | 1 | Laterality type relative to the anatomic site of the body examined or affected | Laterality type relative to the anatomic site of the body examined or affected | Alphanumeric | Single Pre-Defined Value Selected | Left|Right | Left|Right | 1|2 | | | | | | | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Supplemental | Basic | NTRR | NINDS | 4/9/25 | 4/9/25 | Draft | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| LivingSituationPreInjTyp | Living situation before injury type | Common Data Element | 1.9 | Living situation of the participant/subject before injury. | Living situation of the participant/subject before injury. | Alphanumeric | Single Pre-Defined Value Selected | C2184149|C1704791|C0679646/C1521970 | living situation|Demographics Domain|Participant/Characteristics | UMLS|UMLS|UMLS | Data Missing/Unknown/Refused|Homeless/Lives in shelter|Lives alone|Lives in a group home/assisted living|Lives with friend(s) or roommate(s) or co-habitating|Lives with spouse and/or other family member(s)|Other, specify | Data Missing/Unknown/Refused|Homeless/Lives in shelter|Lives alone|Lives in a group home/assisted living|Lives with friend(s) or roommate(s) or co-habitating|Lives with spouse and/or other family member(s)|Other, specify | 0|1|2|3|4|5|6 | |||||| | |||||| | |||||| | No instructions available | What was the subject's living situation before injury? | trauma | No references available | Adult and Pediatric | Participant/Subject Characteristics.Demographics | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | NIH/CIT/BRICS | Olga Vovk | olgav.vovk@nih.gov | NIH/CIT/BRICS | Olga Vovk | olgav.vovk@nih.gov | 3/26/25 | Published | |||||||||||||||||||||||||||||||||||||||||||||
| LivPrsnRltnshpTyp | Living with person relationship type | Common Data Element | 1 | Type(s) of relationship(s) that obtain between the participant/subject and all people with whom she or he currently lives, cohabits, or stays | Type(s) of relationship(s) that obtain between the participant/subject and all people with whom she or he currently lives, cohabits, or stays | Alphanumeric | Multiple Pre-Defined Values Selected | Adopted son or daughter|Biological son or daughter|Brother or sister|Father or mother|Foster child|Grandchild|Grandparent|Housemate or roommate|Husband or wife|Military unit member|N/A - Alone|N/A - Homeless|Other nonrelative|Other patient/ resident in care facility|Other relative|Parent-in-law|Personal care attendant|Roomer or boarder|Son-in-law or daughter-in-law|Stepfather or stepmother|Stepson or stepdaughter|Unknown|Unmarried partner | Adopted son or daughter|Biological son or daughter|Brother or sister|Father or mother|Foster child|Grandchild|Grandparent|Housemate or roommate|Husband or wife|Military unit member|N/A - Alone|N/A - Homeless|Other nonrelative|Other patient/ resident in care facility|Other relative|Parent-in-law|Personal care attendant|Roomer or boarder|Son-in-law or daughter-in-law|Stepfather or stepmother|Stepson or stepdaughter|Unknown|Unmarried partner | 1|2|3|4|5|6|7|8|9|10|11|12|13|14|15|16|17|18|19|20|21|999|22 | |||||||||||||||||||||| | |||||||||||||||||||||| | |||||||||||||||||||||| | TBI: Choose all that apply. Add date stamp for when assessed. Recommend collection at least on date of TBI and perhaps after all initial medical treatment. ----- FA: Skip this data element if the participant/ subject lives alone. If he/she lives with one or more people, choose all that apply. ----- NMD: Choose all that apply ----- SMA: Choose all that apply ----- STROKE: Skip this data element if the participant/ subject lives alone. If he/she lives with one or more people, choose all that apply. ----- HEADACHE: Skip this data element if the participant/ subject lives alone. If he/she lives with one or more people, choose all that apply. Household and Income. ----- GENERAL: Text for participant's/subject's primary language. It may be easier to record the full name of the language and code the data later using the ISO 639-2 codes. ----- TBI (TBIACUTE): Choose all that apply. Add date stamp for when assessed. Recommend collection at least on date of TBI and perhaps after all initial medical treatment. ----- TBI (TBIMILD): Choose all that apply. Add date stamp for when assessed. Recommend collection at least on date of TBI and perhaps after all initial medical treatment. ----- TBI (TBIMOD): Choose all that apply. Add date stamp for when assessed. Recommend collection at least on date of TBI and perhaps after all initial medical treatment. ----- TBI (TBIEPID): Choose all that apply. Add date stamp for when assessed. Recommend collection at least on date of TBI and perhaps after all initial medical treatment. |
Living with persons relationsip type | trauma | FA: American Community Survey questionnaire. U.S. Department of Commerce, U.S. Census Bureau, http://www.census.gov/acs/www/Downloads/questionnaires/2012/Quest12.pdf Four additional permissible values were added on for FA. ----- GENERAL: No references available ----- HEADACHE: American Community Survey questionnaire. U.S. Department of Commerce, U.S. Census Bureau, http://www.census.gov/acs/www/Downloads/questionnaires/2012/Quest12.pdf Four additional permissible values were added on for FA. ----- NMD: American Community Survey questionnaire. U.S. Department of Commerce, U.S. Census Bureau. http://www.census.gov/acs/www/Downloads/questionnaires/2012/Quest12.pdf ----- SMA: American Community Survey questionnaire. U.S. Department of Commerce, U.S. Census Bureau. http://www.census.gov/acs/www/Downloads/questionnaires/2012/Quest12.pdf ----- STROKE: Code values taken from PhenX Toolkit (https://www.phenxtoolkit.org) Household Roster-Relationships #011401 American Community Survey questionnaire. U.S. Department of Commerce, U.S. Census Bureau. http://www.census.gov/acs/www/Downloads/questionnaires/2012/Quest12.pdf ----- TBI: American Community Survey questionnaire. U.S. Department of Commerce, U.S. Census Bureau. http://www.census.gov/acs/www/Downloads/questionnaires/2012/Quest12.pdf |
Adult and Pediatric | Participant/Subject Characteristics.Social Status | Participant/Subject Characteristics.Social Status | Participant/Subject Characteristics.Social Status | Participant/Subject Characteristics.Social Status | Participant/Subject Characteristics.Social Status | Participant/Subject Characteristics.Social Status | Participant/Subject Characteristics.Social Status | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Core | Supplemental | Supplemental | Supplemental | Basic | Living with person relationship type | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 4/1/14 | 3/17/25 | Published | ||||||||||||||||||||||||||||||||||
| MedAdmin | Medication administered | Common Data Element | 1 | The medication administered to the patient. List of medications based on RxNorm (RXCUI) code and SNOMET-CT codes for blood products. | The medication administered to the patient. List of medications based on RxNorm (RXCUI) code and SNOMET-CT codes for blood products. | Alphanumeric | 4000 | Free-Form Entry | trauma | Adult and Pediatric | Trauma.N/A | Supplemental | Basic | Supplemental | Supplemental | NTRR | NEMSIS | 3/12/25 | 4/9/25 | Draft | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| MedAdminDateTime | Medication administered date/time | Common Data Element | 1 | The date/time medication was administered to the patient | The date/time medication was administered to the patient | Date or Date & Time | Free-Form Entry | trauma | Adult and Pediatric | Trauma.N/A | Supplemental | Basic | Supplemental | Supplemental | NTRR | NEMSIS | 3/12/25 | 4/9/25 | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| MedclHistCondSNOMEDCTCode | Medical history condition SNOMED CT code | Common Data Element | 1.15 | Systematized Nomenclature Of Medicine Clinical Terms (SNOMED CT) code for medical condition/disease reported by the participant/subject | Systematized Nomenclature Of Medicine Clinical Terms (SNOMED CT) code for medical condition/disease reported by the participant/subject | Alphanumeric | 255 | Free-Form Entry | C4745084|C1136257|C0679646/C0262926 | Medical Condition|Systematized Nomenclature of Medicine|Participant/Medical History | UMLS|UMLS|UMLS | Code each of the medical history conditions using SNOMED CT. Recommend collection at least during initial medical treatment. | FITBIR|NIA|PDBP | SNOMED CT code. Neuropath: Medical history condition SNOMED CT code | Medical_History|COVID | SNOMED CT Codes (https://www.nlm.nih.gov/healthit/snomedct/) | Adult and Pediatric | Participant/Subject History and Family History.General Health History | Participant/Subject History and Family History.General Health History | Participant/Subject History and Family History.General Health History | Core | Core | Core | Core | Core | Supplemental | Medical history condition SNOMED CT code. C00313. | NINDS_CDE | InjElapsedTime;InjICDExtCauseCode;LOCInd;MedclHistCondOngoingInd;MedclHistCondTxt;PstTraumtcAmnsInd;TBITyp | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 3/7/25 | Published | |||||||||||||||||||||||||||||||||||||||||||||||
| MedHistPsychiatricOTH | Participant/Medical History psychiatric category other text | Common Data Element | 1.1 | Participant/Medical History psychiatric category other text | Participant/Medical History psychiatric category other text | Alphanumeric | 4000 | Free-Form Entry | C0552595|C0679646/C0262926 | Psychiatric findings|Participant/Medical History | UMLS|UMLS | Record the other Participant/Medical History category (if any). | Other, specify | TBI_IMPACT|trauma|TRACK_TBI|Medical_History|COVID19 | TBI IMPACT SIGNIFICANT Participant/Medical History : http://www.tbi-impact.org/cde/mod_templates/02_01_Significant_medical_history.pdf | Adult and Pediatric | Participant/Subject History and Family History.General Health History | Participant/Subject History and Family History.General Health History | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Basic | FITBIR_CDE | NIH/CIT/BRICS | Olga Vovk | olga.vovk@nih.gov | NIH/CIT/BRICS | Olga Vovk | 8/5/14 | 3/17/25 | Published | |||||||||||||||||||||||||||||||||||||||||||||||
| MilDplyInjInd | Military deployment injury indicator | Common Data Element | 1.4 | Indicator of whether the injury occurred during deployment | Indicator of whether the injury occurred during deployment | Alphanumeric | Single Pre-Defined Value Selected | C3263723|C2825812|C0026126 | Traumatic injury|Deploy|Military Personnel | UMLS|UMLS|UMLS | No|Unknown|Yes | No|Unknown|Yes | 0|9|1 | C1298908|C0439673|C1705108 | no|Unknown|Yes (indicator) | UMLS|UMLS|UMLS | TBI: 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. | (Indicator of) whether the injury occurred during deployment | Injury_History | TBI: 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 | Disease/Injury Related Events.History of Disease/Injury Event | Basic | Basic | Basic | Basic | Military deployment injury indicator | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 3/7/25 | Published | |||||||||||||||||||||||||||||||||||||||||||||||||
| MobilityDvcTyp | Mobility device type | Common Data Element | 1 | Type for all mobility devices currently used by the participant/subject | Type for all mobility devices currently used by the participant/subject | Alphanumeric | 255 | Free-Form Entry | SMA: For each mobility device type record if it is used ----- STROKE: Choose all that apply |
Type(s) of mobility devices | trauma | DMD: No references available ----- GENERAL: No references available ----- SMA: No references available ----- STROKE: No references available |
Adult and Pediatric | Treatment/Intervention Data.Therapies | Treatment/Intervention Data.Therapies | Treatment/Intervention Data.Devices | Treatment/Intervention Data.Devices | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Basic | Mobility device type | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 4/1/14 | 4/9/25 | Draft | ||||||||||||||||||||||||||||||||||||||||||||||||
| NemsisUUID | Nemsis UUID | Common Data Element | 1 | National Emergency Medical Services Information System Universally Unique Identifiers (UUIDS) | National Emergency Medical Services Information System Universally Unique Identifiers (UUIDS) | Alphanumeric | 50 | Free-Form Entry | trauma | Adult and Pediatric | Trauma.N/A | Supplemental | Basic | Supplemental | Supplemental | NTRR | NEMSIS | 3/12/25 | 4/9/25 | Draft | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| NoRehabFUNotInterestedReasTyp | No rehab follow up not interested reason type other | Common Data Element | 1.3 | The reasons the subject is not interested in follow-up care when they did not receive any rehabilitation treatment to address problems related to their brain injury following their ED/visit/discharge from the hospital. | The reasons the subject is not interested in follow-up care when they did not receive any rehabilitation treatment to address problems related to their brain injury following their ED/visit/discharge from the hospital. | Alphanumeric | Multiple Pre-Defined Values Selected | because I believe I can manage the problems caused by my injury on my own|because I did not think I needed it (e.g., Dr. said I didn't need it and/or didn't need a referral for that reason)|because I was dissatisfied with the treatment I received at the ED/hospital | because I believe I can manage the problems caused by my injury on my own|because I did not think I needed it (e.g., Dr. said I didn't need it and/or didn't need a referral for that reason)|because I was dissatisfied with the treatment I received at the ED/hospital | || | || | || | || | Not Interested in follow-up care, please check any/all of the reasons that apply | NTRR|trauma | https://ntrr.nih.gov/ | Adult and Pediatric | Disease/Injury Related Events.History of Disease/Injury Event | Disease/Injury Related Events.History of Disease/Injury Event | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Basic | 2025-03-17 promoted to a NTRR CDE by a request from NTRR WG | NIH/CIT/BRICS | LeVon Greer | levon.greer@nih.gov | NIH/CIT/BRICS | Olga Vovk | olga.vovk@nih.gov | 8/2/17 | 3/17/25 | Published | |||||||||||||||||||||||||||||||||||||||||||||
| PainDayPstWkNum | Pain day past week number | Common Data Element | 1.2 | Number of days with pain over the last seven days including today. | Number of days with pain over the last seven days including today. | Numeric Values | Single Pre-Defined Value Selected | 0|1|2|3|4|5|6|7|9 | None|One day|Two days|Three days|Four days|Five days|Six days|Seven days|Unknown | 0|1|2|3|4|5|6|7|9 | |||||||| | |||||||| | |||||||| | SCI: Choose one. "Today" is the day the subject answers the question regardless time of day. The duration of pain during the day does not matter in answering this question. |
SCI Variable: PNDAYNO | Number of days with pain in the last seven days including today | trauma | SCI:Widerstr-Noga E, Biering-Sirensen F, Bryce T, Cardenas DD, Finnerup NB, Jensen MP, Richards JS, Siddall PJ. The international spinal cord injury pain basic data set. Spinal Cord. 2008 Dec;46(12):818-23. | Adult | N/A.N/A | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Basic | Pain days with past week number | NIh/NINDS | NIH/NINDS | 4/1/14 | 3/20/25 | Published | ||||||||||||||||||||||||||||||||||||||||||||||||||||
| PatientVisitSiteTyp | Patient visit site type | Common Data Element | 1 | Information related to the site of visit by a patient to a medical professional. | Information related to the site of visit by a patient to a medical professional. | Alphanumeric | Single Pre-Defined Value Selected | Email to provider|Emergency Department|Hospital Inpatient Department|Hospital Outpatient Department|Intensive Care Unit (ICU) Hospital Inpatient Department|Other|Phone call to provider|Provider�s Office|Telemedicine | Email to provider|Emergency Department|Hospital Inpatient Department|Hospital Outpatient Department|Intensive Care Unit (ICU) Hospital Inpatient Department|Other|Phone call to provider|Provider�s Office|Telemedicine | 1|2|3|4|5|6|7|8|9 | |||||||| | |||||||| | |||||||| | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Supplemental | Basic | NTRR | CaDSR | 4/9/25 | 4/9/25 | Draft | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| PatientVisitSiteTypOTH | Patient visit site type other text | Common Data Element | 1 | The free-text field related to 'Patient visit site type' specifying other text. | The free-text field related to 'Patient visit site type' specifying other text. | Alphanumeric | 4000 | Free-Form Entry | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Supplemental | Basic | NTRR | Workgroup | 4/9/25 | 4/9/25 | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| PdAsstPerDayHrsCt | Paid assistance per day hours number | Common Data Element | 1.1 | How many hours in a typical 24-hour day do you have someone with you - paid assistance to provide physical assistance for personal care activities such as eating, bathing, dressing, toileting and mobility? | The number of hours per day the subject/participant utilizes a paid assistant | Numeric Values | Free-Form Entry | FA: Record the number of hours of paid assistance the participant/subject receives in a 24-hour day. |
How many hours in a typical 24-hour day do you have someone with you (paid assistance) to provide physical assistance for personal care activities such as eating, bathing, dressing, toileting and mobility? | trauma | FA:No references available | Adult and Pediatric | Participant/Subject Characteristics.Social Status | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Basic | Paid assistance per day hours number. NTRR_CDE | NIH/NINDS | NIH/NINDS | 4/1/14 | 3/20/25 | Published | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| PenetratingInjuryMechTyp | Penetrating injury mechanism type | Common Data Element | 1.7 | Type of mechanism causing the penetrating injury | Type of mechanism causing the penetrating injury | Alphanumeric | Multiple Pre-Defined Values Selected | C0043254|C0876926|C3263723 | Wounds, Penetrating|Traumatic Brain Injury|Traumatic injury | UMLS|UMLS|UMLS | Blast|Crush|Direct impact|Fragment (incl. shell/shrapnel)|Gunshot wound|Missile|Other, specify|Projectile|Stab wound | Blast injury -The result of physical trauma sustained in an explosion.|Crush injury - Traumatic compression of the body or a part of the body.|Direct impact- occurs when the body is struck by a forceful blow or external force|Fragment (incl. shell/shrapnel)- a wound caused by the immediate impact of metal fragments (shrapnel) propelled from an exploding device|Gunshot wound caused when a bullet or other projectile is shot into or through the body|Missile wound - a wound caused by an external object, such as a bullet, that penetrates the skin, skull, meninges, or brain|Other, specify|Projectile injury caused by a fast-moving object, like a bullet, arrow, or shrapnel, that is propelled through the air and strikes a persons body|Stab wound- penetrating wounds caused by a pointed object. | 1|2|3|4|5|6|7|8|9 | C0005700|C0332679|C2585067|C2729071|C0043252|C1265682|C3845569|C0418725|C0043255 | Blast injury|Crush injury|Traumatic injury due to assault|Shell/shrapnel injury|Gunshot wound|Missile wound|Specify, Other|Injury due to projectile|Stab wound | UMLS|UMLS|UMLS|UMLS|UMLS|UMLS|UMLS|UMLS|UMLS | Select all that apply | Mechanism of penetrating injury. | Imaging_Read|trauma|Imaging | Duhaime AC, Gean AD, Haacke EM, Hicks R, Wintermark M, Mukherjee P, Brody D, Latour L, Riedy G; Common Data Elements Neuroimaging Working Group Members, Pediatric Working Group Members. Common data elements in radiologic imaging of traumatic brain injury. Arch Phys Med Rehabil. 2010 Nov;91(11): 1661-6. DOI: 10.1016/j.apmr.2010.07.238 Haacke, E.M., Duhaime, A.C., Gean, A.D., Riedy, G., Wintermark, M., Mukherjee, P., Brody, D.L., DeGraba, T., Duncan, T.D., and Elovic, E. (2010). Common data elements in radiologic imaging of traumatic brain injury. Journal of Magnetic Resonance Imaging 32, 516-543, DOI: 10.1002/jmri.22259 | Adult and Pediatric | Assessments and Examinations.Imaging Diagnostics | Assessments and Examinations.Imaging Diagnostics | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Basic | Basic | Supplemental | NIH/CIT/BRICS | Olga Vovk | olga.vovk@nih.gov | NIH/CIT/BRICS | Olga Vovk | olga.vovk@nih.gov | 3/17/25 | Published | |||||||||||||||||||||||||||||||||||||||||||
| PenetratingInjuryMechTypOTH | Penetrating injury mechanism other text | Common Data Element | 1.6 | The free-text field related to Penetrating Injury Mechanism Type specifying other text. | The free-text field related to Penetrating Injury Mechanism Type specifying other text. | Alphanumeric | 4000 | Free-Form Entry | C0876926|C3263723|C0043254 | Traumatic Brain Injury|Traumatic injury|Wounds, Penetrating | UMLS|UMLS|UMLS | Specify other penetrating injury | Other, specify | Imaging_Read|trauma|Imaging | Duhaime AC, Gean AD, Haacke EM, Hicks R, Wintermark M, Mukherjee P, Brody D, Latour L, Riedy G; Common Data Elements Neuroimaging Working Group Members, Pediatric Working Group Members. Common data elements in radiologic imaging of traumatic brain injury. Arch Phys Med Rehabil. 2010 Nov;91(11): 1661-6. DOI: 10.1016/j.apmr.2010.07.238 Haacke, E.M., Duhaime, A.C., Gean, A.D., Riedy, G., Wintermark, M., Mukherjee, P., Brody, D.L., DeGraba, T., Duncan, T.D., and Elovic, E. (2010). Common data elements in radiologic imaging of traumatic brain injury. Journal of Magnetic Resonance Imaging 32, 516-543, DOI: 10.1002/jmri.22259 |
Adult and Pediatric | Assessments and Examinations.Imaging Diagnostics | Assessments and Examinations.Imaging Diagnostics | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Basic | Basic | Supplemental | NIH/CIT/BRICS | Olga Vovk | olga.vovk@nih.gov | NIH/CIT/BRICS | Olga Vovk | olga.vovk@nih.gov | 3/17/25 | Published | ||||||||||||||||||||||||||||||||||||||||||||||||
| PhyscialProblems | Physical problems at follow-up | Common Data Element | 1 | Do you currently have any physical problems, such as mobility impairment (difficulty moving your arms, legs, or body)? | Do you currently have any physical problems, such as mobility impairment (difficulty moving your arms, legs, or body)? | Alphanumeric | Single Pre-Defined Value Selected | Declined to answer/Refused|Missing/Unknown|No|Yes | Declined to answer/Refused|Missing/Unknown|No|Yes | 3|4|2|1 | ||| | ||| | ||| | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Supplemental | Basic | NTRR | BurnModelSystem | 4/9/25 | 4/9/25 | Draft | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| PostalZipCode | Postal Zip code | Common Data Element | 1 | Postal information, the address number indicating a postal district (in the USA this is a 5 or 9 digit number (10 including the hyphen)). | Postal Zip code | Alphanumeric | 10 | Free-Form Entry | C25621|C5401085 | Postal Code|United States Postal Service (ZIP codes) | NCIT|UMLS | Enter postal code | Postal code | Demographics|NTRR|COVID | Census Data https://data.census.gov/advanced?text=zip+code; NIH CDE repository: https://cde.nlm.nih.gov/deView?tinyId=eT7V_ETn_6; NLM ID: eT7V_ETn_6 | Adult and Pediatric | Participant/Subject Characteristics.Demographics | Participant/Subject Characteristics.Demographics | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Basic | Basic | Basic | Basic | NIH_CDE | NIH/CIT/BRICS/NTRR | NIH CDE Repository Project 5 (COVID-19) | 10/25/24 | 1/24/25 | Awaiting Publication | ||||||||||||||||||||||||||||||||||||||||||||||||||
| PreExistCondOTH | Pre-existing conditions other type | Common Data Element | 1 | The free-text field related to 'Pre-existing conditions' specifying other text. | The free-text field related to 'Pre-existing conditions' specifying other text. | Alphanumeric | 4000 | Free-Form Entry | Epidemiology|NTRR|NTDS | Adult and Pediatric | Trauma.N/A | Basic | Supplemental | Supplemental | Supplemental | NTRR | NTRR Workgroup | 3/5/25 | 3/7/25 | Draft | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| PreExistCondType | Pre-existing conditions type | Common Data Element | 1 | A condition/disease(occuring prior to injury) reported by the participant/subject or documented in the medical record as part of medical history | A condition/disease(occuring prior to injury) reported by the participant/subject or documented in the medical record as part of medical history | Alphanumeric | Multiple Pre-Defined Values Selected | Advance Directive Limiting Care|Alcohol Use Disorder|Anticoagulant Therapy|Anxiety|Attention Deficit Disorder/Attention Deficit Hyperactivity Disorder (ADD/ADHD)|Bipolar I/II Disorder|Bleeding Disorder|Cerebral Vascular Accident (CVA)|Chronic Obstructive Pulmonary Disease (COPD)|Chronic Renal Failure|Cirrhosis|Congenital Anomalies|Congestive Heart Failure (CHF)|Currently Receiving Chemotherapy for Cancer|Current Smoker|Dementia|Diabetes Mellitus|Disseminated Cancer|Fuctionality Dependent Health Status|Hypertension|Major Depressive Disorder|Myocardial Infarction (MI)|Other Mental/personality Disorders|Other, Specify|Peripheral Arterial Disease (PAD)|Post-traumatic Stress Disorder|Pregnancy|Prematurity|Schizoaffective Disorder|Schizophrenia|Sleep disorder|Steroid Use|Substance Use Disorder | Advance Directive Limiting Care|Alcohol Use Disorder|Anticoagulant Therapy|Anxiety|Attention Deficit Disorder/Attention Deficit Hyperactivity Disorder (ADD/ADHD)|Bipolar I/II Disorder|Bleeding Disorder|Cerebral Vascular Accident (CVA)|Chronic Obstructive Pulmonary Disease (COPD)|Chronic Renal Failure|Cirrhosis|Congenital Anomalies|Congestive Heart Failure (CHF)|Currently Receiving Chemotherapy for Cancer|Current Smoker|Dementia|Diabetes Mellitus|Disseminated Cancer|Fuctionality Dependent Health Status|Hypertension|Major Depressive Disorder|Myocardial Infarction (MI)|Other Mental/personality Disorders|Other, Specify|Peripheral Arterial Disease (PAD)|Post-traumatic Stress Disorder|Pregnancy|Prematurity|Schizoaffective Disorder|Schizophrenia|Sleep disorder|Steroid Use|Substance Use Disorder | |||||||||||||||||||||||||||||||| | |||||||||||||||||||||||||||||||| | |||||||||||||||||||||||||||||||| | |||||||||||||||||||||||||||||||| | Epidemiology|NTRR|NTDS | Adult and Pediatric | Trauma.N/A | Basic | Supplemental | Basic | Basic | NTRR | NTRR Workgroup | 3/5/25 | 3/7/25 | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| PregTestQualResltVal | Pregnancy test qualitative result value | Common Data Element | 1.6 | Result of the pregnancy test | Result of the pregnancy test | Alphanumeric | Single Pre-Defined Value Selected | C0456984/C0205556|C0032976 | Test Result/Qualitative|Pregnancy Tests | UMLS|UMLS | Negative|Positive | Negative|Positive | 50|60 | C1513916|C1514241 | Negative Finding|Positive Finding | UMLS|UMLS | ALS/FA/GENERAL/MG/NMD/SMA/STROKE/TBIACUTE/TBIEPID/TBIMILD/TBIMOD: Choose one. | FITBIR PDBP; | Pregnancy test qualitative result | TRACK_TBI | ALS/FA/GENERAL/MG/NMD/SMA: No references available STROKE/TBI: Logical Observation Identifiers Names and Codes (LOINC) - www.loinc.org |
Adult and Pediatric | Assessments and Examinations.Laboratory Tests and Biospecimens/Biomarkers | Assessments and Examinations.Laboratory Tests and Biospecimens/Biomarkers | Assessments and Examinations.Laboratory Tests and Biospecimens/Biomarkers | Assessments and Examinations.Laboratory Tests and Biospecimens/Biomarkers | Assessments and Examinations.Laboratory Tests and Biospecimens/Biomarkers | Assessments and Examinations.Laboratory Tests and Biospecimens/Biomarkers | Assessments and Examinations.Laboratory Tests and Biospecimens/Biomarkers | Assessments and Examinations.Laboratory Tests and Biospecimens/Biomarkers | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Core | Core | Core | Core | Pregnancy test qualitative result | NINDS_CDE | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 4/1/14 | 3/10/25 | Published | ||||||||||||||||||||||||||||||||
| ProtDevTyp | Protective device type | Common Data Element | 1 | Protective devices (safety equipment) in use or worn by the patient at the time of the injury | Protective devices (safety equipment) in use or worn by the patient at the time of the injury | Alphanumeric | Multiple Pre-Defined Values Selected | airbag present|child restraint|eye protection|helmet (e.g. bicycle, skiing, motorcycle)|lap belt|None|Other, specify|personal floatation device|protective clothing (e.g. padded leather pants)|protective non-clothing gear (e.g. shin guard)|shoulder belt | airbag present|child restraint|eye protection|helmet (e.g. bicycle, skiing, motorcycle)|lap belt|None|Other, specify|personal floatation device|protective clothing (e.g. padded leather pants)|protective non-clothing gear (e.g. shin guard)|shoulder belt | 8|6|5|7|2|1|11|3|9|4|10 | |||||||||| | |||||||||| | |||||||||| | Adult and Pediatric | Trauma.N/A | Basic | Basic | Supplemental | Supplemental | NTRR | NTDS | 3/5/25 | 3/12/25 | Draft | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| ProtDevTypOTH | Protective device type specify other | Common Data Element | 1 | The free-text field related to 'Protective device type' specifying other text | The free-text field related to 'Protective device type' specifying other text | Alphanumeric | 4000 | Free-Form Entry | Adult and Pediatric | Trauma.N/A | Basic | Basic | Supplemental | Supplemental | NTRR | NTDS | 3/5/25 | 3/12/25 | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| PtArrivDestDateTime | Patient arrived at destination date/time | Common Data Element | 1 | The date/time the responding unit arrived with the patient at the destination or transfer point. | The date/time the responding unit arrived with the patient at the destination or transfer point. | Date or Date & Time | Free-Form Entry | trauma | Adult and Pediatric | Trauma.N/A | Supplemental | Basic | Supplemental | Supplemental | NTRR | NEMSIS | 3/12/25 | 4/9/25 | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| QualifierTyp | Qualifier Type | Common Data Element | 1 | Modifier data element that provide additional qualifier to values reported. | Modifier data element that provide additional qualifier to values reported. | Alphanumeric | Single Pre-Defined Value Selected | First|Highest|Last|Lowest | First|Highest|Last|Lowest | 3|1|4|2 | ||| | ||| | ||| | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Basic | Supplemental | NTRR | Acute Workgroup | 4/9/25 | 4/9/25 | Draft | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| RecvdBloodProdInd | Subject received blood products indicator | Common Data Element | 1.1 | Indicator if the participant/subject received a blood product(s) | Indicator if the participant/subject received a blood product(s) | Alphanumeric | Single Pre-Defined Value Selected | No|Unknown|Yes | No|Unknown|Yes | 0|2|1 | || | || | || | NTRR | Adult and Pediatric | Treatment/Intervention Data.Drugs | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | 2025-03-17 promoted to a CDE by a request from NTRR WG | University of Texas Health Science Center at Houston | Yidao Cai | DOD | 8/26/19 | 3/17/25 | Published | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
| RehabFacilityDays | Person Rehbailitation Facility length day county | Common Data Element | 1 | Number of days spent in a rehabilitation facility | Number of days spent in a rehabilitation facility | Numeric Values | Free-Form Entry | 0 | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Supplemental | Basic | NTRR | CaDSR | 4/9/25 | 4/9/25 | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| ResdncTyp | Residence type | Common Data Element | 1.8 | Type of residence where the participant/subject is currently living | Type of residence where the participant/subject is currently living | Alphanumeric | Single Pre-Defined Value Selected | C0237096 | residence | UMLS | Home|Hospital|N/A - patient died|Nursing home|Other, specify|Rehabilitation center|Unknown | Home|Hospital|N/A - patient died|Nursing home|Other, specify|Rehabilitation center|Unknown | 1|2|777|3|444|4|999 | |||||| | |||||| | |||||| | Choose one. Add date and time stamp for when assessed. | FITBIR|NIA|PDBP; | What type of residence does the subject currently live in? | Demographics|trauma|COVID | No references available | Adult and Pediatric | Participant/Subject Characteristics.Demographics | Participant/Subject Characteristics.Demographics | Participant/Subject Characteristics.Demographics | Trauma.N/A | Supplemental | Supplemental | Supplemental | Basic | Basic | Supplemental | Supplemental | Supplemental | Supplemental | Basic | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 3/17/25 | Published | ||||||||||||||||||||||||||||||||||||||||
| RespRate | Respiratory rate | Common Data Element | 1.6 | Rate of the participant/subject's breathing (inhalation and exhalation). | Rate of the participant/subject's breathing (inhalation and exhalation). | Numeric Values | Free-Form Entry | 0 | 150 | C0035203|C0231832|C0425442 | Respiration|Respiratory rate|Respiratory System Finding | UMLS|UMLS|UMLS | Breaths per minute | ALS/DMD/EPILEPSY/FA/GENERAL/HEADACHE/MG/MS/NMD/SMA/STROKE: Record the respiratory rate of the participant/subject in breaths per minute. NMD/SMA:Respiratory Support/Assisted Ventilation Devices MS/TBI: Add date stamp for when assessed. Hypoxia, hypercapnia, and hypocapnia have all been associated with poor outcome. |
FITBIR|NIA; | Respiratory rate | trauma|TRACK_TBI | ALS/DMD/EPILEPSY/FA/GENERAL/HEADACHE/MG/NMD/SMA/STROKE/: No references available MS/TBI: Davis, DP. Early ventilation in traumatic brain injury. Resuscitation. Mar 2008;76(3):333-340. Guidelines for the management of severe traumatic brain injury. XIV. Hyperventilation. J Neurotrauma. 2008;25:276-8. Murray GD, Butcher I, McHugh GS, et al. Multivariable prognostic analysis in traumatic brain injury: results from the IMPACT study. J Neurotrauma. Feb 2007;24(2):329-337. |
Adult and Pediatric | Assessments and Examinations.Vital Signs and Other Body Measures | Assessments and Examinations.Vital Signs and Other Body Measures | Assessments and Examinations.Vital Signs and Other Body Measures | Assessments and Examinations.Vital Signs and Other Body Measures | Assessments and Examinations.Vital Signs and Other Body Measures | Assessments and Examinations.Vital Signs and Other Body Measures | Assessments and Examinations.Vital Signs and Other Body Measures|Treatment/Intervention Data.Therapies | Assessments and Examinations.Vital Signs and Other Body Measures|Treatment/Intervention Data.Therapies | Treatment/Intervention Data.Therapies|Assessments and Examinations.Vital Signs and Other Body Measures | Assessments and Examinations.Vital Signs and Other Body Measures | Assessments and Examinations.Vital Signs and Other Body Measures | Assessments and Examinations.Vital Signs and Other Body Measures | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Core | Core | Core | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Basic | Basic | Supplemental | Respiratory rate | NINDS_CDE | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 4/1/14 | 3/17/25 | Published | ||||||||||||||||||||||
| ResusAttemptEMS | Resuscitation attempted by EMS | Common Data Element | 1 | Indication of an attempt to resuscitate the patient who is in cardiac arrest (attempted, not attempted due to DNR, etc.) | Indication of an attempt to resuscitate the patient who is in cardiac arrest (attempted, not attempted due to DNR, etc.) | Alphanumeric | Single Pre-Defined Value Selected | Attempted Defibrillation|Attempted Ventilation|Initiated Chest Compressions|Not Applicable|Not Attempted-Considered Futile|Not Attempted -DNR Orders|Not Attempted-Signs of Circulation|Not Recorded | Attempted Defibrillation|Attempted Ventilation|Initiated Chest Compressions|Not Applicable|Not Attempted-Considered Futile|Not Attempted -DNR Orders|Not Attempted-Signs of Circulation|Not Recorded | ||||||| | ||||||| | ||||||| | ||||||| | trauma | Adult and Pediatric | Trauma.N/A | Supplemental | Basic | Supplemental | Supplemental | NTRR | NEMSIS | 3/12/25 | 4/9/25 | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| ReturnToWorkDate | Return to work date | Unique Data Element | 1.1 | Date the participant returned to work following their injury | Date the participant returned to work following their injury | Date or Date & Time | Free-Form Entry | trauma | Adult and Pediatric | Participant/Subject Characteristics.Demographics | Participant/Subject Characteristics.Demographics | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Basic | Craig Hospital | Chris Cusick | CCusick@CraigHospital.org | NIH/CIT/BRICS | Miranda Osterheld | Miranda.Osterheld@nih.gov | 9/22/17 | 3/17/25 | Published | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
| RotThrombAssayResultTyp | Rotational Thromboelastometry assay result type | Common Data Element | 1 | Result type of assay performed using a rotational Thrombelestometry assay machine (ROTEM) | Result type of assay performed using a rotational Thrombelestometry assay machine (ROTEM) | Alphanumeric | Single Pre-Defined Value Selected | A5|Alpha Angle|CFT-time|CT-time|LI30|MCF|ML | A5|Alpha Angle|CFT-time|CT-time|LI30|MCF|ML | 4|3|2|1|7|5|6 | |||||| | |||||| | |||||| | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Basic | Supplemental | NTRR | Acute Workgroup | 4/9/25 | 4/9/25 | Draft | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| RotThrombAssayResultUoM | Rotational Thromboelastometry assay result unit of measure | Common Data Element | 1 | Unit of measure for the assay result using a rotational Thromboelastometry assay machine | Unit of measure for the assay result using a rotational Thromboelastometry assay machine | Alphanumeric | Single Pre-Defined Value Selected | degrees|mm|percentage|seconds | degrees|mm|percentage|seconds | 2|3|4|1 | ||| | ||| | ||| | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Basic | Supplemental | NTRR | Acute Workgroup | 4/9/25 | 4/9/25 | Draft | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| RotThrombAssayTyp | Rotational Thromboelastometry assay type | Common Data Element | 1 | Assay type performed using the rotational Thromboelastometry assay machine (ROTEM) | Assay type performed using the rotational Thromboelastometry assay machine (ROTEM) | Alphanumeric | Single Pre-Defined Value Selected | APTEM|EXTEM|FibTEM|INTEM | APTEM|EXTEM|FibTEM|INTEM | 4|2|3|1 | ||| | ||| | ||| | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Basic | Supplemental | NTRR | Acute Workgroup | 4/9/25 | 4/9/25 | Draft | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| RtrnWrkSchlStatus | Return work school status | Common Data Element | 1 | Status of participant's/subject's return to work and/or school | Status of participant's/subject's return to work and/or school | Alphanumeric | Single Pre-Defined Value Selected | Did not return to work or school|Different work or school|N/A|Only in sheltered environment|Returned to previous level|Same work or school, reduced level|Unknown | Did not return to work or school|Different work or school|N/A|Only in sheltered environment|Returned to previous level|Same work or school, reduced level|Unknown | 1|2|777|3|4|5|6 | |||||| | |||||| | |||||| | TBI: Choose one. Recommend collection at least at end of initial medical care. Add date stamp for when assessed. | Return to work or school (choose one): | trauma | No references available | Adult and Pediatric | Outcomes and End Points.Other Clinical Data | Outcomes and End Points.End Points | Trauma.N/A | Supplemental | Supplemental | Supplemental | Basic | Supplemental | Supplemental | Supplemental | Supplemental | Basic | Return to work or school status | NIH/CIT/BRICS | Olga Vovk | olga.vovk@nih.gov | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 3/17/25 | Draft | |||||||||||||||||||||||||||||||||||||||||||||
| SelfReportHealth | Self-reported health | Common Data Element | 1 | Self-reported health, also described as self-related health or self-assessed health, is an individual appraisal of health status based upon individual perpectives | Self-reported health, also described as self-related health or self-assessed health, is an individual appraisal of health status based upon individual perpectives | Alphanumeric | Single Pre-Defined Value Selected | Excellent|Fair|Good|Poor|Very Good | Excellent|Fair|Good|Poor|Very Good | 1|4|3|5|2 | |||| | |||| | |||| | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Supplemental | Basic | NTRR | NIH | 4/9/25 | 4/9/25 | Draft | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| SexAtBirthBiologicTyp | Biological sex assigned at birth type | Common Data Element | 1 | The physical sexual characteristics of the neonate at birth. A textual description of a person's sex at birth. | The physical sexual characteristics of the neonate at birth. A textual description of a person's sex at birth. | Alphanumeric | Single Pre-Defined Value Selected | C1704791|C0679646/C1521970|C1522384 | Demographics|Participant/Characteristics|Sex | UMLS|UMLS|UMLS | Femal|Male | A person who belongs to the sex that normally produces ova. The term is used to indicate biological sex distinctions, or cultural gender role distinctions, or both.|A person who belongs to the sex that normally produces sperm. The term is used to indicate biological sex distinctions, cultural gender role distinctions, or both. | 1|2 | C0086287|C0086582 | Females|Males | UMLS|UMLS | Choose one. | NIH CDE repository endorsed CDE: Sex at Birth. BRICS disclaimer: Consistent with Executive Order 14168, gender should not be used as a replacement for the element sex in the BRICS repository. | What was your biological sex assigned at birth (on your original birth certificate)? | NIH CDE repository endorsed CDE (rGEh0ckdmr). NLM disclaimer: Consistent with Executive Order 14168 (https://www.whitehouse.gov/presidential-actions/2025/01/defending-women-from-gender-ideology-extremism-and-restoring-biological-truth-to-the-federal-government/), gender should not be used as a replacement for the element sex in the NIH and BRICS CDE repositories. | Adult and Pediatric | Participant/Subject Characteristics.Demographics | Participant/Subject Characteristics.Demographics | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | NIH CDE Repository ScHARe | NIH CDE Repository ScHARe | NIH CDE Repository ScHARe | 2/12/25 | 2/12/25 | Draft | |||||||||||||||||||||||||||||||||||||||||||||
| SonorAssayResultTyp | Sonorheometry assay result type | Common Data Element | 1 | Result type of assay performed using a sonorheometry assay machine | Result type of assay performed using a sonorheometry assay machine | Alphanumeric | Single Pre-Defined Value Selected | CS|CT|CTH|CTR|FCS|PCS | CS|CT|CTH|CTR|FCS|PCS | 4|1|2|3|6|5 | ||||| | ||||| | ||||| | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Basic | Supplemental | NTRR | Acute Workgroup | 4/9/25 | 4/9/25 | Draft | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| SonorAssayResultUoM | Sonorheometry assay result unit of measure | Common Data Element | 1 | Unit of measure for the assay result using a sonorheometry assay machine | Unit of measure for the assay result using a sonorheometry assay machine | Alphanumeric | Single Pre-Defined Value Selected | hPa|ratio|seconds | hPa|ratio|seconds | 3|2|1 | || | || | || | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Basic | Supplemental | NTRR | Acute Workgroup | 4/9/25 | 4/9/25 | Draft | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| SonorAssayTyp | Sonorheometry assay type | Common Data Element | 1 | Assay type performed using the sonorheometry assay machine | Assay type performed using the sonorheometry assay machine | Alphanumeric | Single Pre-Defined Value Selected | Oplus|Ostat | Oplus|Ostat | 1|2 | | | | | | | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Basic | Supplemental | NTRR | Acute Workgroup | 4/9/25 | 4/9/25 | Draft | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| StateResidenceISOCode | State or residence, federal district and/or US territory ISOCode | Common Data Element | 1 | ISOCode (and the name in PV description) of the subject state or residence, federal district and/or US territory | ISOCode of the subject state or residence, federal district and/or US territory | Alphanumeric | Single Pre-Defined Value Selected | C25162|C87194|C25407 | Code|Stae|Address | NCIT|NCIT|NCIT | AK|AL|AR|AS|AZ|CA|CO|CT|DC|DE|FL|GA|GU|HI|IA|ID|IL|IN|KS|KY|LA|MA|MD|ME|MI|MN|MO|MP|MS|MT|NC|ND|NE|NH|NJ|NM|NV|NY|OH|OK|OR|PA|PR|RI|SC|SD|TN|TX|UT|VA|VI|VT|WA|WI|WV|WY | Alaska|Alabama|Arkansas|American Samoa|Arizona|California|Colorado|Connecticut|District of Columbia|Delaware|Florida|Georgia|Guam|Hawaii|Iowa|Idaho|Illinois|Indiana|Kansas|Kentucky[E]|Louisiana|Massachusetts|Maryland|Maine|Michigan|Minnesota|Missouri|Northern Mariana Islands|Mississippi|Montana|North Carolina|North Dakota|Nebraska|New Hampshire|New Jersey|New Mexico|Nevada|New York|Ohio|Oklahoma|Oregon|Pennsylvania|Puerto Rico|Rhode Island[F]|South Carolina|South Dakota|Tennessee|Texas|Utah|Virginia|U.S. Virgin Islands|Vermont|Washington|Wisconsin|West Virginia|Wyoming | 2|1|5|3|4|6|7|8|56|9|10|11|12|13|17|14|15|16|18|19|20|23|22|21|24|25|27|37|26|28|35|36|29|31|32|33|30|34|38|39|40|41|42|43|44|45|46|47|49|51|48|50|52|54|53|55 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||| | ||||||||||||||||||||||||||||||||||||||||||||||||||||||| | ||||||||||||||||||||||||||||||||||||||||||||||||||||||| | Choose one. | State or residence, federal district and/or US territory ISOCode | Demographics|NTRR|COVID | https://en.wikipedia.org/wiki/List_of_states_and_territories_of_the_United_States | Adult and Pediatric | Participant/Subject Characteristics.Demographics | Participant/Subject Characteristics.Demographics | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | NINDS_CDE | NIH/NINDS | NIH/NINDS | 5/20/20 | 10/25/24 | Awaiting Publication | |||||||||||||||||||||||||||||||||||||||||||||
| SubjectIDNum | Subject identifier number | Common Data Element | 1.19 | An identification number assigned to the participant/subject within a given protocol or a study. | An identification number assigned to the participant/subject within a given protocol or a study. | Alphanumeric | 4000 | Free-Form Entry | C0030705/C2349022|C0681850/C0600091 | Patients/Identifier|Study Subject/Unique Identifier | UMLS|UMLS | The participant or subject identifiers or IDs should be assigned by the study. | cdRNS|eyeGene|FITBIR|NIA|PDBP; CDISC variables: SUBJID | Subject ID number: | Alexander MS, Biering-Sorensen F, Elliott S, Kreuter M, Saanksen J. International Spinal Cord Injury Female Sexual and Reproductive Function Basic Data Set. Spinal Cord. 2011 Jul;49(7):787-90. Alexander MS, Biering-Sorensen F, Elliott S, Kreuter M, Saanksen J. International Spinal Cord Injury Male Sexual Function Basic Data Set. Spinal Cord. 2011 Jul;49(7):795-8. Bauman WA, Biering-Sorensen F, Krassioukov A. International spinal cord injury endocrine and metabolic function basic data set. Spinal Cord. 2011 Oct;49(10):1068-72. Biering-Sorensen F, Craggs M, Kennelly M, Schick E, Wyndaele JJ. International Lower Urinary Tract Function Basic Spinal Cord Injury Data Set. Spinal Cord 2008 May;46(5):325-30. Krogh K, Perkash I, Stiens SA, Biering-Sorensen F. International bowel function extended spinal cord injury data set. Spinal Cord. 2009 Mar;47(3):235-41. Widerstraam-Noga E, Biering-Sorensen F, Bryce T, Cardenas DD, Finnerup NB, Jensen MP, Richards JS, Siddall PJ. The international spinal cord injury pain basic data set. Spinal Cord. 2008 Dec;46(12):818-23. |
Adult and Pediatric | Outcomes and End Points.Other Clinical Data | Assessments and Examinations.Other Clinical Data | N/A.N/A | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Participant or subject identifier | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 9/11/24 | Published | |||||||||||||||||||||||||||||||||||||||||||||||||
| TempMeasr | Temperature measurement | Common Data Element | 1.8 | Measurement of the participant's/subject's body temperature. | Measurement of the participant's/subject's body temperature. | Numeric Values | Free-Form Entry | 0 | 50 | C0886414 | Body temperature measurement | UMLS | Degree Celsius | Record the temperature of the participant/ subject. All temperature measurements should be converted to degrees Celsius (C) prior to aggregation or sharing. TBI: Response is measured in Celsius. Add date stamp for when assessed. Pediatric-specific notes: As a minimum, vital signs should be recorded on admission and further, on a daily basis during the acute phase after injury. For the basic datasets, we recommend recording the average and lowest blood pressure over a given period. In the ICU environment, recording blood pressure on an hourly basis is recommended, especially when intracranial pressure (ICP) is monitored in order to permit determination of CPP, calculated as mean arterial blood pressure (MABP) - ICP (intermediate data set). SCI Var: TEMPMEAS |
FITBIR|NIA|PDBP; All temperature measurements should be converted to degrees Celsius (C) prior to aggregation or sharing. | Temperature | trauma|Vital_Signs | Karlsson AK, Krassioukov A, Alexander MS, Donovan W, Biering-Saarensen F. International Spinal Cord Injury Skin and Thermoregulation Function Basic Data Set. Spinal Cord. 2012; 50(7):512-6. Sund-Levander M, Forsberg C, Wahren LK : Normal oral, rectal, tympanic and axillary body temperature in adult men and women: a systematic literature review. Scand J Caring Sci. 2002 Jun;16: 122-8. | Adult and Pediatric | Assessments and Examinations.Vital Signs and Other Body Measures | Trauma.N/A | Supplemental | Supplemental | Supplemental | Basic | Supplemental | Temperature measurement | NINDS_CDE | NIH/NINDS | NINDSCDE | NINDSCDE@EMMES.COM | NIH/NINDS | NINDSCDE | NINDSCDE@EMMES.COM | 3/17/25 | Published | ||||||||||||||||||||||||||||||||||||||||||||||||
| TherapyParticipantOTH | Therapy participant other text | Common Data Element | 1 | Text describing the any other people participating in the therapy session. | Text describing the any other people participating in the therapy session. | Alphanumeric | 4000 | Free-Form Entry | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Supplemental | Basic | NTRR | NINDS | 4/9/25 | 4/9/25 | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| TherpyRehabEndDateTime | Therapy rehabilitation end date time | Common Data Element | 1.3 | Date (and time, if applicable and known) on which the therapy or rehabilitation ended | Date (and time, if applicable and known) on which the therapy or rehabilitation ended | Date or Date & Time | Free-Form Entry | GENERAL/TBI: 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.). | Data Sharing Instructions: When date/time data are prepared for aggregation or sharing they should be converted to the format specified by ISO 8601, YYYY-MM-DDThh:mm:ss. | Date Time of Discontinuation | trauma|TRACK_TBI | No references available | Adult and Pediatric | Treatment/Intervention Data.Therapies | Treatment/Intervention Data.Therapies | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Basic | Supplemental | Supplemental | Supplemental | Basic | Therapy or rehabilitation end date and time | NIH/CIT/BRICS | Olga Vovk | olga.vovk@nih.gov | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 3/17/25 | Published | ||||||||||||||||||||||||||||||||||||||||||||||||||
| TherpyRehabFreq | Therapy or rehabilitation frequency | Common Data Element | 1 | Identified describing the frequency the participant/subject received the therapy or rehabilitation | Identified describing the frequency the participant/subject received the therapy or rehabilitation | Numeric Values | Free-Form Entry | GENERAL: Provide frequency for therapy or rehabilitation. STROKE: Choose one. Frequency data should be coded using the CDISC SDTM Frequency Terminology prior to aggregation or sharing. TBI: Choose one. |
Frequency data should be coded using the CDISC SDTM Frequency Terminology prior to aggregation or sharing. | Frequency of rehabilitation therapy | trauma | GENERAL: No references available STROKE: CDISC SDTM Frequency Terminology (http: //www.cancer.gov/cancertopics/cancerlibrary/terminologyresources/cdisc) TBI: CDISC SDTM Frequency Terminology (Code C71113) (http: //www.cancer.gov/cancertopics/cancerlibrary/terminologyresources/cdisc) - http: //evs.nci.nih.gov/ftp1/CDISC/SDTM/ |
Adult and Pediatric | Treatment/Intervention Data.Therapies | Treatment/Intervention Data.Therapies | Treatment/Intervention Data.Therapies | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Basic | Supplemental | Supplemental | Supplemental | Supplemental | Basic | Therapy or rehabilitation frequency | NIH/CIT/BRICS | Olga Vovk | olga.vovk@nih.gov | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 3/17/25 | Published | ||||||||||||||||||||||||||||||||||||||||||||||||
| TherpyRehabOngngInd | Therapy rehabilitation ongoing indicator | Common Data Element | 1.1 | Indicator of whether the therapy or rehabilitation is ongoing | Indicator of whether the therapy or rehabilitation is ongoing | Alphanumeric | Single Pre-Defined Value Selected | No|Unknown|Yes | No|Unknown|Yes | 0|9|1 | || | || | || | TBI: Choose one. Add date and time stamp for when assessed. | Therapy or Rehabilitation Ongoing? | trauma | No references available | Adult and Pediatric | Treatment/Intervention Data.Therapies | Treatment/Intervention Data.Therapies | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Basic | Supplemental | Supplemental | Supplemental | Basic | Therapy or rehabilitation ongoing indicator | NIH/CIT/BRICS | Olga Vovk | olga.vovk@nih.gov | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 3/17/25 | Published | |||||||||||||||||||||||||||||||||||||||||||||
| TherpyRehabOTH | Therapy or rehabilitation other text | Common Data Element | 1.1 | The free-text field related to 'Therapy or rehabilitation type' specifying other text. Type of therapy or rehabilitation services received by the participant/subject | The free-text field related to 'Therapy or rehabilitation type' specifying other text. Type of therapy or rehabilitation services received by the participant/subject | Alphanumeric | 4000 | Free-Form Entry | FA: Choose all that the participant/ subject receives GENERAL/TBI: Choose all that apply. Response is obtained from report by the participant/subject, a reliable proxy or medical records. Add date stamp for when assessed. Recommend collection at end of initial medical care. Service provision post-TBI is important to track as it is an indicator of health care resource utilization. STROKE: Choose all that apply. This element can be collected to describe the participant/ subject prior to the stroke event and also to assess the participant/ subject at subsequent time points after the stroke event. |
The therapy or rehabilitation service received should be coded using ICD-9-CM codes prior to aggregation or sharing. | Other, specify | trauma | FA/GENERAL: No references available STROKE/TBI: International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM): http: //www.cdc.gov/nchs/icd/icd9cm.htm |
Adult and Pediatric | Treatment/Intervention Data.Therapies | Treatment/Intervention Data.Therapies | Participant/Subject History and Family History.General Health History | Participant/Subject History and Family History.Prior Health Status|Treatment/Intervention Data.Therapies | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Basic | Exploratory | Supplemental | Supplemental | Supplemental | Supplemental | Basic | NIH/CIT/BRICS | Olga Vovk | olga.vovk@nih.gov | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 3/17/25 | Published | ||||||||||||||||||||||||||||||||||||||||||||||
| TherpyRehabStrtDateTime | Therapy rehabilitation start date time | Common Data Element | 1.3 | Date (and time, if applicable and known) on which the therapy or rehabilitation started | Date (and time, if applicable and known) on which the therapy or rehabilitation started | Date or Date & Time | Free-Form Entry | GENERAL/TBI: 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.). | Data Sharing Instructions: When date/time data are prepared for aggregation or sharing they should be converted to the format specified by ISO 8601, YYYY-MM-DDThh:mm:ss. | Date Time of Initiation | trauma|TRACK_TBI | No references available | Adult and Pediatric | Treatment/Intervention Data.Therapies | Treatment/Intervention Data.Therapies | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Basic | Supplemental | Supplemental | Supplemental | Basic | Therapy or rehabilitation start date and time | NIH/CIT/BRICS | Olga Vovk | olga.vovk@nih.gov | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 3/17/25 | Published | ||||||||||||||||||||||||||||||||||||||||||||||||||
| TherpyRehabTyp | Therapy or rehabilitation type | Common Data Element | 1.5 | Type of therapy or rehabilitation services received by the participant/subject | Type of therapy or rehabilitation services received by the participant/subject | Alphanumeric | Multiple Pre-Defined Values Selected | Adaptive physical education|Behavior support plan|Crisis management plan|Dietary|Occupational therapy|Other, specify|Physical therapy|Psychological|Recreational|Sensory integration therapy|Social skills training|Speech therapy|Vocational | Adaptive physical education|Behavior support plan|Crisis management plan|Dietary|Occupational therapy|Other, specify|Physical therapy|Psychological|Recreational|Sensory integration therapy|Social skills training|Speech therapy|Vocational | 1|2|3|4|5|444|7|8|9|10|11|12|13 | |||||||||||| | |||||||||||| | |||||||||||| | FA: Choose all that the participant/ subject receives GENERAL/TBI: Choose all that apply. Response is obtained from report by the participant/subject, a reliable proxy or medical records. Add date stamp for when assessed. Recommend collection at end of initial medical care. Service provision post-TBI is important to track as it is an indicator of health care resource utilization. STROKE: Choose all that apply. This element can be collected to describe the participant/ subject prior to the stroke event and also to assess the participant/ subject at subsequent time points after the stroke event. |
The therapy or rehabilitation service received should be coded using ICD-9-CM codes prior to aggregation or sharing. | Type of therapy or rehabilitation | trauma | No references available | Adult and Pediatric | Treatment/Intervention Data.Therapies | Treatment/Intervention Data.Therapies | Participant/Subject History and Family History.General Health History | Participant/Subject History and Family History.Prior Health Status|Treatment/Intervention Data.Therapies | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Basic | Exploratory | Supplemental | Supplemental | Supplemental | Supplemental | Basic | Therapy or rehabilitation type | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 3/17/25 | Published | ||||||||||||||||||||||||||||||||||||||||
| ThrombAssayResultTyp | Thromboelastography assay result type | Common Data Element | 1 | Result type of assay performed using a Thromboelastography assay machine | Result type of assay performed using a Thromboelastography assay machine | Alphanumeric | Single Pre-Defined Value Selected | Alpha Angle|K-time|Ly30|MA|MA-AA|MA-ADP|R-time | Alpha Angle|K-time|Ly30|MA|MA-AA|MA-ADP|R-time | 3|2|5|4|7|6|1 | |||||| | |||||| | |||||| | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Basic | Supplemental | NTRR | Acute Workgroup | 4/9/25 | 4/9/25 | Draft | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| ThrombAssayResultUoM | Thromboelastography assay result unit of measure | Common Data Element | 1 | Unit of measure for the assay result using a Thromboelastography assay machine | Unit of measure for the assay result using a Thromboelastography assay machine | Alphanumeric | Single Pre-Defined Value Selected | degrees|minutes|MM|percentage | degrees|minutes|MM|percentage | 2|1|3|4 | ||| | ||| | ||| | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Basic | Supplemental | NTRR | Acute Workgroup | 4/9/25 | 4/9/25 | Draft | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| ThrombAssayTyp | Thromboelastography assay type | Common Data Element | 1 | Assay type performed using the Thromboelastography assay machine (TEG) | Assay type performed using the Thromboelastography assay machine (TEG) | Alphanumeric | Single Pre-Defined Value Selected | Functional Fibrinogen|Heparinase|Kaolin|Other|Platelet Mapping|Raid TEG | Functional Fibrinogen|Heparinase|Kaolin|Other|Platelet Mapping|Raid TEG | 4|3|1|6|5|2 | ||||| | ||||| | ||||| | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Basic | Supplemental | NTRR | Acute Workgroup | 4/9/25 | 4/9/25 | Draft | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| TimeFrameContext | Time frame context | Common Data Element | 1 | Type of time frame context to which data was collected. | Type of time frame context to which data was collected. | Alphanumeric | Single Pre-Defined Value Selected | At discharge|Initial hospital/ED(first 30 minutes)|Within first 24 hours after hospital/ED arrival|Within first 4 hours after hospital/ED arrival | At discharge|Initial hospital/ED(first 30 minutes)|Within first 24 hours after hospital/ED arrival|Within first 4 hours after hospital/ED arrival | 4|1|3|2 | ||| | ||| | ||| | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Basic | Supplemental | NTRR | Acute Workgroup | 4/9/25 | 4/9/25 | Draft | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| TotalVentDays | Total ventilator days | Common Data Element | 1 | The cumulative amount of time spent on the ventilator. Each partial or full day must be measured as one calendar day. | The cumulative amount of time spent on the ventilator. Each partial or full day must be measured as one calendar day. | Numeric Values | Free-Form Entry | 0 | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Basic | Supplemental | NTRR | NTDS | 4/9/25 | 4/9/25 | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| TransportMode | Transport mode | Common Data Element | 1 | The mode of transport delivering the patient to your hospital. | The mode of transport delivering the patient to your hospital. | Alphanumeric | Single Pre-Defined Value Selected | Fixed-wing Ambulance|Ground Ambulance|Helicopter Ambulance|Other|Police|Private/Public Vehicle/Walk-in | Fixed-wing Ambulance|Ground Ambulance|Helicopter Ambulance|Other|Police|Private/Public Vehicle/Walk-in | ||||| | ||||| | ||||| | ||||| | trauma | Adult and Pediatric | Trauma.N/A | Supplemental | Basic | Supplemental | Supplemental | NTRR | NTDS | 3/12/25 | 4/9/25 | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| TransportModeOTH | Transport mode other text | Common Data Element | 1 | The free-text field related to 'Transport mode' specifying other text. | The free-text field related to 'Transport mode' specifying other text. | Alphanumeric | 4000 | Free-Form Entry | trauma | Adult and Pediatric | Trauma.N/A | Supplemental | Basic | Supplemental | Supplemental | NTRR | NTDS | 3/12/25 | 4/9/25 | Draft | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| UntArrivPtDateTime | Unit arrived at patient date/time | Common Data Element | 1 | The date/time the responding unit arrived at the patient's side. | The date/time the responding unit arrived at the patient's side. | Date or Date & Time | Free-Form Entry | trauma | Adult and Pediatric | Trauma.N/A | Supplemental | Basic | Supplemental | Supplemental | NTRR | NEMSIS | 3/12/25 | 4/9/25 | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| UntArrivSceneDateTime | Unit arrived on scene date/time | Common Data Element | 1 | The date/time the responding unit arrived on the scene; that is the vehicle stopped moving at the scene. | The date/time the responding unit arrived on the scene; that is the vehicle stopped moving at the scene. | Date or Date & Time | Free-Form Entry | trauma | Adult and Pediatric | Trauma.N/A | Supplemental | Basic | Supplemental | Supplemental | NTRR | NEMSIS | 3/12/25 | 4/9/25 | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| UntLeftSceneDateTime | Unit left scene date/time | Common Data Element | 1 | The date/time the responding unit left the scene (started moving). | The date/time the responding unit left the scene (started moving). | Date or Date & Time | Free-Form Entry | trauma | Adult and Pediatric | Trauma.N/A | Supplemental | Basic | Supplemental | Supplemental | NTRR | NEMSIS | 3/12/25 | 4/9/25 | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| VentFreeDays | Total ventilator free days | Common Data Element | 1 | The cumulative amount of time spent NOT on the ventilator. Each full day must be measured as one calendar day. | The cumulative amount of time spent NOT on the ventilator. Each full day must be measured as one calendar day. | Numeric Values | Free-Form Entry | 0 | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Basic | Supplemental | NTRR | Acute Workgroup | 4/9/25 | 4/9/25 | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| VentilatorAssistUtilznInd | Ventilator Assistance Utilization Indicator | Common Data Element | 1.2 | Indicator whether patient was artificially ventilated | Indicator whether patient was artificially ventilated | Alphanumeric | Single Pre-Defined Value Selected | No|Unknown|Yes | No|Unknown|Yes | 0|999|1 | || | || | || | EPO|trauma|Ventilator | Adult and Pediatric | Treatment/Intervention Data.Surgeries and Other Procedures | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Basic | NTRR_CDE | VentilatorAssistanceUtilznInd | Baylor College of Medicine | Jose-Miguel Yamal | Jose-Miguel.Yamal@uth.tmc.edu | NIH/CIT/BRICS | Kate Burdekin | kate.burdekin@nih.gov | 2/29/16 | 3/19/25 | Published | ||||||||||||||||||||||||||||||||||||||||||||||||
| ViscAssayDevTyp | Viscoelastic assay device type | Common Data Element | 1 | Type of device used to measure viscoelasticity | Type of device used to measure viscoelasticity | Alphanumeric | Single Pre-Defined Value Selected | Other|Rotational Thromboelastometry|Sonorheometry|Thromboelastography | Other|Rotational Thromboelastometry|Sonorheometry|Thromboelastography | 4|2|3|1 | ||| | ||| | ||| | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Basic | Supplemental | NTRR | Acute Workgroup | 4/9/25 | 4/9/25 | Draft | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| VitalSgnDateTime | Vital signs date and time | Common Data Element | 1.3 | Date (and time, if applicable and known) the vital signs and other body measurements were taken by indicating the month, day, and year for the date and am, pm, or 24 hour clock for time | Date (and time, if applicable and known) the vital signs and other body measurements were taken by indicating the month, day, and year for the date and am, pm, or 24 hour clock for time | Date or Date & Time | Free-Form Entry | C1146895|C1264639|C1148433 | Vital status:Type:Point in time:^Patient:Nominal|Date Time|Vital Status | UMLS|UMLS|UMLS | GENERAL/HEADACHE: Record the date vital signs are taken. 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.) and in the format acceptable to the study database. Not every study will need to collect time and this field should be removed if not applicable ----- SCI/MG/NMD/SMA/MS: 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.). ----- FA: Record the date vital signs are taken. If the exact month/day is not known, some "unknown" convention should be used. Record the time vital signs are taken. If the exact time is not known, some "unknown" convention should be used. From study inception, specify the manner in which time will be collected. If a twelve hour clock is used, then AM or PM must be designated. If it is your institution's custom to use military time (24-hour clock), that designation will not be necessary. 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.). ----- ALS: 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.). Record the date vital signs are taken. If the exact month/day is not known, some "unknown" convention should be used. Record the time vital signs are taken. If the exact time is not known, some "unknown" convention should be used. From study inception, specify the manner in which time will be collected. If a twelve hour clock is used, then AM or PM must be designated. If it is your institution's custom to use military time (24-hour clock), that designation will not be necessary. ----- EPILEPSY: Record the date vital signs are taken. 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.). ----- STROKE: 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.). Record the date vital signs are taken. ----- DMD: Record the date vital signs are taken. If the exact month/day is not known, some "unknown" convention should be used. Record the time vital signs are taken. If the exact time is not known, some "unknown" convention should be used. From study inception, specify the manner in which time will be collected. If a twelve hour clock is used, then AM or PM must be designated. If it is your institution's custom to use military time (24-hour clock), that designation will not be necessary. |
FITBIR|NIA|PDBP; | Vital signs taken date and time | MS Karlsson AK, Krassioukov A, Alexander MS, Donovan W, Biering-Sirensen F. International Spinal Cord Injury Skin and Thermoregulation Function Basic Data Set. Spinal Cord. 2012; 50 7:512-6. |
Adult and Pediatric | Assessments and Examinations.Vital Signs and Other Body Measures | Assessments and Examinations.Vital Signs and Other Body Measures | Assessments and Examinations.Vital Signs and Other Body Measures | Assessments and Examinations.Vital Signs and Other Body Measures | Assessments and Examinations.Vital Signs and Other Body Measures | Assessments and Examinations.Vital Signs and Other Body Measures | Assessments and Examinations.Vital Signs and Other Body Measures | Assessments and Examinations.Vital Signs and Other Body Measures | Assessments and Examinations.Vital Signs and Other Body Measures | N/A.N/A | Assessments and Examinations.Vital Signs and Other Body Measures | Assessments and Examinations.Vital Signs and Other Body Measures | Supplemental | Core | Core | Core | Supplemental | Core | Core | Core | Core | Supplemental | Supplemental | Supplemental | Vital signs date and time | NINDS_CDE | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 4/1/14 | 3/10/25 | Published | ||||||||||||||||||||||||||||||||||
| VitStatus | Vital status | Common Data Element | 1.12 | Status of participant/subject as alive or dead | Status of participant/subject as alive or dead | Alphanumeric | Single Pre-Defined Value Selected | C1148433 | Vital Status | UMLS | Alive|Dead|Unknown | Alive|Dead|Unknown | 40|30|999 | C4551704|C0011065|C0439673 | Alive|Cessation of life|Unknown | UMLS|UMLS|UMLS | Status of participant/subject as alive or dead. Choose one | cdRNS|FITBIR|NIA|PDBP; | What is the vital status of the subject? | TRACK_TBI | No references available | Adult and Pediatric | Disease/Injury Related Events.Discharge Information | Disease/Injury Related Events.Discharge Information|Outcomes and End Points.End Points | Trauma.N/A | Supplemental | Basic | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Vital status | VisitTyp;GlasgowOutcomeScalExtScore;InjElapsedTime;GCSTotalScore | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 3/7/25 | Published | ||||||||||||||||||||||||||||||||||||||||
| WgtMeasr | Weight measurement | Common Data Element | 1.9 | Measurement of participant's/subject's weight | Measurement of participant's/subject's weight | Numeric Values | Free-Form Entry | 0 | 1000 | C0005910|C0242485 | Body Weight|Measurement | UMLS|UMLS | Kilogram | ALS/GENERAL/TBI/SCI/STROKE: Record the weight of the participant/subject. To be collected at the visit, not self-reported. Indicate whether weight was measured in kilograms (kg) preferably, or pounds (lbs.). Height and weight are commonly collected at the baseline visit. Depending on the study population and study intervention it may be appropriate to collect height and weight at subsequent study visits. The suggested range is 0-500 kg or 0-1000 lbs. Add date stamp for when assessed. Recommend collection at least on date of TBI. Documentation of height and weight is motivated by two reasons: 1. the risk of (systemic) complications is greater in the presence of obesity; 2. body weight is important for calculating required doses of (study) medications. | cdRNS|FITBIR|NIA|PDBP; | Weight measurement | Injury_History|trauma|CDISC|TRACK_TBI | No references available | Adult and Pediatric | Assessments and Examinations.Vital Signs and Other Body Measures | Assessments and Examinations.Vital Signs and Other Body Measures | Assessments and Examinations.Imaging Diagnostics | Assessments and Examinations.Vital Signs and Other Body Measures | Assessments and Examinations.Vital Signs and Other Body Measures | Assessments and Examinations.Vital Signs and Other Body Measures | Assessments and Examinations.Vital Signs and Other Body Measures | Assessments and Examinations.Vital Signs and Other Body Measures | Assessments and Examinations.Vital Signs and Other Body Measures | Assessments and Examinations.Vital Signs and Other Body Measures | Assessments and Examinations.Vital Signs and Other Body Measures | N/A.N/A | Assessments and Examinations.Vital Signs and Other Body Measures | Assessments and Examinations.Vital Signs and Other Body Measures|Outcomes and End Points.Assessing Comorbidities | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Core | Core | Core | Supplemental | Core | Core | Core | Core | Supplemental | Core | Supplemental | Supplemental | Supplemental | Basic | Supplemental | Weight measurement. SCI Variable: WEIGHT | NINDS_CDE | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 4/1/14 | 3/17/25 | Published | ||||||||||||||||||
| WorkAccomodationInd | Work accomodation indicator | Common Data Element | 1 | Indicator related to whether patient received some type of work accommodation | Indicator related to whether patient received some type of work accommodation | Alphanumeric | Single Pre-Defined Value Selected | No|Yes | No|Yes | 1|2 | | | | | | | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Supplemental | Basic | NTRR | NINDS | 4/9/25 | 4/9/25 | Draft | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| WorkRelated | Work related | Common Data Element | 1 | Indication of whether the injury occurred during paid employment | Indication of whether the injury occurred during paid employment | Alphanumeric | Single Pre-Defined Value Selected | No|Yes | No|Yes | | | | | | | | | trauma | Adult and Pediatric | Trauma.N/A | Supplemental | Basic | Supplemental | Supplemental | NTRR | NTDS | 3/12/25 | 4/9/25 | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| ZIPPartialCode | ZIP partial code | Common Data Element | 1.2 | First three digits of the zip code where the participant/subject currently lives. | First three digits of the zip code where the participant/subject currently lives. | Alphanumeric | 255 | Free-Form Entry | C25621 | Postal Code | NCIT | Enter first three digits of the zip code. Protected health information (PHI), under the Health Insurance Portability and Accountability Act (HIPAA), does allow collection of the initial three digits of a zip code if, according to the current publicly available data from the Bureau of the Census: the geographic unit formed by combining all zip codes with the same three initial digits contains more than 20,000 people. For CDUS reporting, the last four digits of the complete nine-digit Zip code should not be submitted to assure patient confidentiality. If the initial three digits of a zip code for all such geographic units containing 20,000 or fewer people is changed to 000. In addition, this is usually an optional field. Therefore, if not provided, also enter 000. | First three digits of the zip code | First three digits of the zip code | Demographics|NTRR|COVID | NINDS Genetics Repository, Required Clinical Data Elements for subjects with Cerebrovascular Disease - http://ccr.coriell.org/Sections/Collections/NINDS/Cerebrovascular.aspx?PgId=190&coll=ND | Adult and Pediatric | Participant/Subject Characteristics.Demographics | Participant/Subject Characteristics.Demographics | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Basic | Basic | Basic | Basic | Zip code | NINDS_CDE | NIH/NINDS | NIH/NINDS | 4/1/14 | 3/7/25 | Published | ||||||||||||||||||||||||||||||||||||||||||||||||
| VitalSgnDateTime | Vital signs date and time | Common Data Element | 1.3 | Date (and time, if applicable and known) the vital signs and other body measurements were taken by indicating the month, day, and year for the date and am, pm, or 24 hour clock for time | Date (and time, if applicable and known) the vital signs and other body measurements were taken by indicating the month, day, and year for the date and am, pm, or 24 hour clock for time | Date or Date & Time | Free-Form Entry | C1146895|C1264639|C1148433 | Vital status:Type:Point in time:^Patient:Nominal|Date Time|Vital Status | UMLS|UMLS|UMLS | GENERAL/HEADACHE: Record the date vital signs are taken. 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.) and in the format acceptable to the study database. Not every study will need to collect time and this field should be removed if not applicable ----- SCI/MG/NMD/SMA/MS: 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.). ----- FA: Record the date vital signs are taken. If the exact month/day is not known, some "unknown" convention should be used. Record the time vital signs are taken. If the exact time is not known, some "unknown" convention should be used. From study inception, specify the manner in which time will be collected. If a twelve hour clock is used, then AM or PM must be designated. If it is your institution's custom to use military time (24-hour clock), that designation will not be necessary. 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.). ----- ALS: 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.). Record the date vital signs are taken. If the exact month/day is not known, some "unknown" convention should be used. Record the time vital signs are taken. If the exact time is not known, some "unknown" convention should be used. From study inception, specify the manner in which time will be collected. If a twelve hour clock is used, then AM or PM must be designated. If it is your institution's custom to use military time (24-hour clock), that designation will not be necessary. ----- EPILEPSY: Record the date vital signs are taken. 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.). ----- STROKE: 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.). Record the date vital signs are taken. ----- DMD: Record the date vital signs are taken. If the exact month/day is not known, some "unknown" convention should be used. Record the time vital signs are taken. If the exact time is not known, some "unknown" convention should be used. From study inception, specify the manner in which time will be collected. If a twelve hour clock is used, then AM or PM must be designated. If it is your institution's custom to use military time (24-hour clock), that designation will not be necessary. |
FITBIR|NIA|PDBP; | Vital signs taken date and time | MS Karlsson AK, Krassioukov A, Alexander MS, Donovan W, Biering-Sirensen F. International Spinal Cord Injury Skin and Thermoregulation Function Basic Data Set. Spinal Cord. 2012; 50 7:512-6. |
Adult and Pediatric | Assessments and Examinations.Vital Signs and Other Body Measures | Assessments and Examinations.Vital Signs and Other Body Measures | Assessments and Examinations.Vital Signs and Other Body Measures | Assessments and Examinations.Vital Signs and Other Body Measures | Assessments and Examinations.Vital Signs and Other Body Measures | Assessments and Examinations.Vital Signs and Other Body Measures | Assessments and Examinations.Vital Signs and Other Body Measures | Assessments and Examinations.Vital Signs and Other Body Measures | Assessments and Examinations.Vital Signs and Other Body Measures | N/A.N/A | Assessments and Examinations.Vital Signs and Other Body Measures | Assessments and Examinations.Vital Signs and Other Body Measures | Supplemental | Core | Core | Core | Supplemental | Core | Core | Core | Core | Supplemental | Supplemental | Supplemental | Vital signs date and time | NINDS_CDE | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 4/1/14 | 3/10/25 | Published | ||||||||||||||||||||||||||||||||||
| PregTestQualResltVal | Pregnancy test qualitative result value | Common Data Element | 1.6 | Result of the pregnancy test | Result of the pregnancy test | Alphanumeric | Single Pre-Defined Value Selected | C0456984/C0205556|C0032976 | Test Result/Qualitative|Pregnancy Tests | UMLS|UMLS | Negative|Positive | Negative|Positive | 50|60 | C1513916|C1514241 | Negative Finding|Positive Finding | UMLS|UMLS | ALS/FA/GENERAL/MG/NMD/SMA/STROKE/TBIACUTE/TBIEPID/TBIMILD/TBIMOD: Choose one. | FITBIR PDBP; | Pregnancy test qualitative result | TRACK_TBI | ALS/FA/GENERAL/MG/NMD/SMA: No references available STROKE/TBI: Logical Observation Identifiers Names and Codes (LOINC) - www.loinc.org |
Adult and Pediatric | Assessments and Examinations.Laboratory Tests and Biospecimens/Biomarkers | Assessments and Examinations.Laboratory Tests and Biospecimens/Biomarkers | Assessments and Examinations.Laboratory Tests and Biospecimens/Biomarkers | Assessments and Examinations.Laboratory Tests and Biospecimens/Biomarkers | Assessments and Examinations.Laboratory Tests and Biospecimens/Biomarkers | Assessments and Examinations.Laboratory Tests and Biospecimens/Biomarkers | Assessments and Examinations.Laboratory Tests and Biospecimens/Biomarkers | Assessments and Examinations.Laboratory Tests and Biospecimens/Biomarkers | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Core | Core | Core | Core | Pregnancy test qualitative result | NINDS_CDE | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 4/1/14 | 3/10/25 | Published | ||||||||||||||||||||||||||||||||
| DeathDateTime | Death date and time | Common Data Element | 1.6 | Date (and time, if known) of participant's/subject's death | Date (and time, if known) of participant's/subject's death | Date or Date & Time | Free-Form Entry | C0011065|C1306577 | Cessation of life|Death (finding) | UMLS|UMLS | GENERAL/HD/MG/NMD/SMA/TBI: 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.). PD: (DD/MMM/YYYY) |
CDISC variables: stored in DM.DTHDTC | Date and time of death | Neuropathology|CTE|Imaging|Imaging_Pathology | GENERAL/MG/NMD/SMA: No references available HD/PD: ISO 8601 - http: //www.iso.org/iso/iso_catalogue.htm TBI: Harrison-Felix C, Whiteneck G, DeVivo M, et al. Causes of Death after 1 Year Post injury among Individuals with Traumatic Brain Injury. J Head Trauma Rehabil. Jan-Feb 2006;21(1): 22-33. Harrison-Felix C, Whiteneck G, DeVivo M, et al. Mortality Following Rehabilitation in the Traumatic Brain Injury Model Systems of Care. NeuroRehabilitation. 2004;19(1): 45-54. |
Adult and Pediatric | Outcomes and End Points.Clinical Event End Points | Outcomes and End Points.End Points | Assessments and Examinations.Other Clinical Data | Assessments and Examinations.Other Clinical Data | Outcomes and End Points.End Points | Outcomes and End Points.End Points | Outcomes and End Points.End Points | Supplemental | Basic | Supplemental | Supplemental | Basic | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | C04802 | NINDS_CDE | NIH/NINDS | NINDSCDE | NINDSCDE@EMMES.COM | NIH/NINDS | NINDSCDE | NINDSCDE@EMMES.COM | 3/10/25 | Published | |||||||||||||||||||||||||||||||||||||||||
| InjDateTime | Injury date time | Unique Data Element | 1.11 | Date (and time, if applicable and known) of injury | Date (and time, if applicable and known) of injury | Date or Date & Time | Free-Form Entry | C3263723|C0876926|C1264639 | Traumatic injury|Traumatic brain injury|Date and Time | UMLS|UMLS|UMLS | Injury date and time | Injury_History | GENERAL/TBI: No references available SCI: DeVivo M, Biering-Saarensen 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 and Pediatric | Disease/Injury Related Events.History of Disease/Injury Event | Basic | Basic | Basic | Basic | NINDS_CDE | BlastInjDevTyp;InjCauseTyp;InjCauseTypOTH;InjDateReliablTyp;InjDateTimeEstTyp;InjDescriptionText;InjElapsedTime;InjEventNum;InjICDExtCauseCode;InjPlcOccncTyp;InjPresentRsn;InjReliablTyp;InjSeverScore;InjVlntCauseTyp;SupportWithdrawnInjElapsedTime | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | NINDSCDE | NINDSCDE@emmes.com | 3/10/25 | Published | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| InjCauseTyp | Injury cause type | Common Data Element | 1.6 | 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 | Alphanumeric | Multiple Pre-Defined Values Selected | C3263723 | Traumatic injury | UMLS | Accidental falls|Accidental poisoning by drugs, medicinal substances, and biologicals|Accidental poisoning by other solid and liquid substances, gases, and vapors|Accidents caused by fire and flames|Accidents caused by submersion, suffocation, and foreign bodies|Accidents due to natural and environmental factors (e900-e909)|Air and space transport accidents|Drugs, medicinal and biological substances causing adverse effects in therapeutic use|Homicide and injury purposely inflicted by other persons|Injury resulting from operations of war|Injury undetermined whether accidentally or purposely inflicted|Late effects of accidental injury|Legal intervention|Misadventures to patients during surgical and medical care|Motor vehicle nontraffic accidents|Motor vehicle traffic accidents|Other accidents|Other road vehicle accidents|Railway accidents|Suicide and self-inflicted injury|Surgical and medical procedures as the cause of abnormal reaction of patient or later complication, without mention of misadventure at the time of procedure|Terrorism|Vehicle accidents not elsewhere classifiable|Water transport accidents | Accidental falls (e880-e888)|Accidental poisoning by drugs, medicinal substances, and biologicals (e850-e858)|Accidental poisoning by other solid and liquid substances, gases, and vapors (e860-e869)|Accidents caused by fire and flames (e890-e899)|Accidents caused by submersion, suffocation, and foreign bodies (e910-e915)|Accidents due to natural and environmental factors (e900-e909)|Air and space transport accidents (e840-e845)|Drugs, medicinal and biological substances causing adverse effects in therapeutic use (e930-e949)|Homicide and injury purposely inflicted by other persons (e960-e969)|Injury resulting from operations of war (e990-e999|Injury undetermined whether accidentally or purposely inflicted (e980-e989)|Late effects of accidental injury (e929)|Legal intervention (e970-e978)|Misadventures to patients during surgical and medical care (e870-e876)|Motor vehicle nontraffic accidents (e820-e825)|Motor vehicle traffic accidents (e810-e819)|Other accidents (e916-e928)|Other road vehicle accidents (e826-e829)|Railway accidents (e800-e807)|Suicide and self-inflicted injury (e950-e959)|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)|Terrorism (e979)|Vehicle accidents not elsewhere classifiable (e846-e848)|Water transport accidents (e830-e838) | 880|850|860|890|910|900|840|930|960|990|980|929|970|870|820|810|916|826|800|950|878|979|846|830 | ||||||||||||||||||||||| | ||||||||||||||||||||||| | ||||||||||||||||||||||| | Select all that apply | Cause of injury | Injury_History | GENERAL/TBI: 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 and Pediatric | Disease/Injury Related Events.History of Disease/Injury Event | Basic | Basic | Basic | Basic | BlastInjDevTyp;InjCauseTypOTH;InjDateReliablTyp;InjDateTime;InjDateTimeEstTyp;InjDescriptionText;InjElapsedTime;InjEventNum;InjICDExtCauseCode;InjPlcOccncTyp;InjPresentRsn;InjReliablTyp;InjSeverScore;InjVlntCauseTyp;SupportWithdrawnInjElapsedTime | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | NINDSCDE | NINDSCDE@emmes.com | 3/7/25 | Published | ||||||||||||||||||||||||||||||||||||||||||||||||||
| AddressCountyName | Address County Name | Common Data Element | 1 | A region created by territorial division by a local government where mail piece is intended to be delivered (NIH endorsed CDE). | name of the county as part of the address | Alphanumeric | 1000 | Free-Form Entry | C5447202 | County of Permanent Address | UMLS | enter county name | Address County Name | NLM ZqxxvEdcmt. NIH CDE Repository: https://cde.nlm.nih.gov/deView?tinyId=ZqxxvEdcmt | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | NIH_CDE | NIH/CIT/BRICS | Project 5 (COVID-19) | 11/12/24 | 11/12/24 | Published | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| CircSuppTyp | Circulation support type | Common Data Element | 1.8 | Therapies or procedures the participant/subject received to support circulation | Therapies or procedures the participant/subject received to support circulation | Alphanumeric | Multiple Pre-Defined Values Selected | C0005775|C1521721 | Blood Circulation|Supportive assistance | UMLS|UMLS | CPR|ECMO|HBOC|IABP|IV fluids - Blood|IV fluids - Colloids|IV fluids - Crystalloids|IV fluids - Hypertonic saline|No specific therapy|Other|REBOA|Unknown|Vasopressors|Ventricular assistive device | CPR|Extracorporeal Membrane Oxygenation|Hemoglobin-Based Oxygen Carriers|Intra-Aortic Balloon Pump|IV fluids - Blood|IV fluids - Colloids|IV fluids - Crystalloids|IV fluids - Hypertonic saline|No specific therapy|Other|Resuscitative Endovascular Balloon Occlusion of the Aorta|Unknown|Vasopressors|Ventricular assistive device | 1|2|3|4|5|6|7|8|9|444|11|12|13|14 | ||||||||||||| | ||||||||||||| | ||||||||||||| | Choose all that apply. Assess (and document later) the ABC status immediately upon arrival in the ER, prior to resuscitation therapy. Problems with the ABC status may cause substantial second insults (hypoxia and hypotension), exacerbating the brain injury in TBI. | FITBIR|NIA|PDBP; | Type of circulation support | trauma | No references available | Adult and Pediatric | Assessments and Examinations.Vital Signs and Other Body Measures | Assessments and Examinations.Vital Signs and Other Body Measures | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Basic | Supplemental | Circulation support type | NINDS_CDE | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 3/17/25 | Published | ||||||||||||||||||||||||||||||||||||||||
| CircSuppTypeOTH | Circulation support type other text | Common Data Element | 1 | The free-text field related to 'Circulation support type' specifying other text. | The free-text field related to 'Circulation support type' specifying other text. | Alphanumeric | 4000 | Free-Form Entry | Adult and Pediatric | Trauma.N/A | Supplemental | Basic | Supplemental | Supplemental | NTRR | NTRR Workgroup | 3/12/25 | 4/14/25 | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| CircSuppBloodTypOTH | Circulatory support blood other type | Common Data Element | 1 | The free-text field related to 'Circulatory support blood type' specifying other text. | The free-text field related to 'Circulatory support blood type' specifying other text. | Alphanumeric | 4000 | Free-Form Entry | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Basic | Supplemental | NTRR | Acute Workgroup | 4/9/25 | 4/9/25 | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| BloodProductAmt | Blood product amount | Common Data Element | 1.2 | Blood product amount | Blood product amount | Numeric Values | Free-Form Entry | Adult and Pediatric | Treatment/Intervention Data.Drugs | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | University of Texas Health Science Center at Houston | Yidao Cai | DOD | 8/26/19 | 3/17/25 | Published | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| BloodProductAmtUoM | Blood product amount unit of measure | Common Data Element | 1.2 | Blood product amount unit of measure | Blood product amount unit of measure | Alphanumeric | Single Pre-Defined Value Selected | mL|Units | mL|Units | 2|1 | | | | | | | Adult and Pediatric | Treatment/Intervention Data.Drugs | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | University of Texas Health Science Center at Houston | Yidao Cai | DOD | 8/26/19 | 3/17/25 | Published | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| BloodUnitDef | Blood unit definition | Common Data Element | 1 | The volume of blood product given per unit | The volume of blood product given per unit | Numeric Values | Free-Form Entry | 0 | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Basic | Supplemental | NTRR | Acute Workgroup | 4/9/25 | 4/9/25 | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| BloodProductRecInd | Subject received blood products indicator | Common Data Element | 1 | Indicator if the participant/subject received a blood product(s) | Indicator if the participant/subject received a blood product(s) | Alphanumeric | Single Pre-Defined Value Selected | No|Unknown|Yes | No|Unknown|Yes | 0|2|1 | || | || | || | NTRR | Adult and Pediatric | Treatment/Intervention Data.Drugs | Trauma.N/A | Supplemental | Supplemental | Basic | Supplemental | Supplemental | 2025-03-17 promoted to a CDE by a request from NTRR WG | University of Texas Health Science Center at Houston | Yidao Cai | DOD | 4/14/25 | 4/14/25 | Draft |
| variable name | title | element type | version | definition | short description | datatype | maximum character quantity | input restriction | minimum value | maximum value | data element concept identifiers | data element concept names | data element terminology sources | permissible values | permissible value descriptions | permissible value output codes | permissible value concept identifiers | permissible value concept names | permissible value terminology sources | Item Response OID | Element OID | unit of measure | guidelines/instructions | notes | preferred question text | keywords | references | population.all | domain.general (for all diseases) | domain.traumatic brain injury | domain.Parkinson's disease | domain.Friedreich's ataxia | domain.stroke | domain.amyotrophic lateral sclerosis | domain.Huntington's disease | domain.multiple sclerosis | domain.neuromuscular diseases | domain.myasthenia gravis | domain.spinal muscular atrophy | domain.Duchenne muscular dystrophy/Becker muscular dystrophy | domain.congenital muscular dystrophy | domain.spinal cord injury | domain.headache | domain.epilepsy | domain.eye diseases | domain.trauma | classification.general (for all diseases) | classification.acute hospitalized | classification.concussion/mild TBI | classification.epidemiology | classification.moderate/severe TBI: rehabilitation | classification.Parkinson's disease | classification.Friedreich's ataxia | classification.stroke | classification.amyotrophic lateral sclerosis | classification.Huntington's disease | classification.multiple sclerosis | classification.neuromuscular diseases | classification.myasthenia gravis | classification.spinal muscular atrophy | classification.Duchenne muscular dystrophy/Becker muscular dystrophy | classification.congenital muscular dystrophy | classification.spinal cord injury | classification.headache | classification.epilepsy | classification.eye diseases | classification.trauma epidemiology | classification.trauma pre-hospital | classification.trauma acute hospital | classification.trauma rehabilitation/outcomes | historical notes | Label(s) | see also | submitting organization name | submitting contact name | submitting contact information | effective date | until date | steward organization name | steward contact name | steward contact information | creation date | last change date | administrative status |
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| AddressCityName | Address city name | Common Data Element | 1 | Name of the city or township for the address (to describe where a mail piece is intended to be delivered). | Address city name | Alphanumeric | 4000 | Free-Form Entry | C25407|C25160|C42614 | Address|City|Name | NCIT|NCIT|NCIT | Enter the name of the city. | City name | Demographics|SDOH|NTRR|COVID | NIH CDE Repository: https://cde.nlm.nih.gov/deView?tinyId=aQO0VmltMn; NLM ID: aQO0VmltMn | Adult and Pediatric | Participant/Subject Characteristics.Demographics | Participant/Subject Characteristics.Demographics | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Basic | Basic | Basic | Basic | NIH_CDE | NIH/CIT/BRICS/NTRR | NIH CDE Repository Project 5 (COVID-19) | 10/25/24 | 1/24/25 | Awaiting Publication | ||||||||||||||||||||||||||||||||||||||||||||||||||
| StateResidenceISOCode | State or residence, federal district and/or US territory ISOCode | Common Data Element | 1 | ISOCode (and the name in PV description) of the subject state or residence, federal district and/or US territory | ISOCode of the subject state or residence, federal district and/or US territory | Alphanumeric | Single Pre-Defined Value Selected | C25162|C87194|C25407 | Code|Stae|Address | NCIT|NCIT|NCIT | AK|AL|AR|AS|AZ|CA|CO|CT|DC|DE|FL|GA|GU|HI|IA|ID|IL|IN|KS|KY|LA|MA|MD|ME|MI|MN|MO|MP|MS|MT|NC|ND|NE|NH|NJ|NM|NV|NY|OH|OK|OR|PA|PR|RI|SC|SD|TN|TX|UT|VA|VI|VT|WA|WI|WV|WY | Alaska|Alabama|Arkansas|American Samoa|Arizona|California|Colorado|Connecticut|District of Columbia|Delaware|Florida|Georgia|Guam|Hawaii|Iowa|Idaho|Illinois|Indiana|Kansas|Kentucky[E]|Louisiana|Massachusetts|Maryland|Maine|Michigan|Minnesota|Missouri|Northern Mariana Islands|Mississippi|Montana|North Carolina|North Dakota|Nebraska|New Hampshire|New Jersey|New Mexico|Nevada|New York|Ohio|Oklahoma|Oregon|Pennsylvania|Puerto Rico|Rhode Island[F]|South Carolina|South Dakota|Tennessee|Texas|Utah|Virginia|U.S. Virgin Islands|Vermont|Washington|Wisconsin|West Virginia|Wyoming | 2|1|5|3|4|6|7|8|56|9|10|11|12|13|17|14|15|16|18|19|20|23|22|21|24|25|27|37|26|28|35|36|29|31|32|33|30|34|38|39|40|41|42|43|44|45|46|47|49|51|48|50|52|54|53|55 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||| | ||||||||||||||||||||||||||||||||||||||||||||||||||||||| | ||||||||||||||||||||||||||||||||||||||||||||||||||||||| | Choose one. | State or residence, federal district and/or US territory ISOCode | Demographics|NTRR|COVID | https://en.wikipedia.org/wiki/List_of_states_and_territories_of_the_United_States | Adult and Pediatric | Participant/Subject Characteristics.Demographics | Participant/Subject Characteristics.Demographics | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | NINDS_CDE | NIH/NINDS | NIH/NINDS | 5/20/20 | 10/25/24 | Awaiting Publication | |||||||||||||||||||||||||||||||||||||||||||||
| TherpyRehabTyp | Therapy or rehabilitation type | Common Data Element | 1.5 | Type of therapy or rehabilitation services received by the participant/subject | Type of therapy or rehabilitation services received by the participant/subject | Alphanumeric | Multiple Pre-Defined Values Selected | Adaptive physical education|Behavior support plan|Crisis management plan|Dietary|Occupational therapy|Other, specify|Physical therapy|Psychological|Recreational|Sensory integration therapy|Social skills training|Speech therapy|Vocational | Adaptive physical education|Behavior support plan|Crisis management plan|Dietary|Occupational therapy|Other, specify|Physical therapy|Psychological|Recreational|Sensory integration therapy|Social skills training|Speech therapy|Vocational | 1|2|3|4|5|444|7|8|9|10|11|12|13 | |||||||||||| | |||||||||||| | |||||||||||| | FA: Choose all that the participant/ subject receives GENERAL/TBI: Choose all that apply. Response is obtained from report by the participant/subject, a reliable proxy or medical records. Add date stamp for when assessed. Recommend collection at end of initial medical care. Service provision post-TBI is important to track as it is an indicator of health care resource utilization. STROKE: Choose all that apply. This element can be collected to describe the participant/ subject prior to the stroke event and also to assess the participant/ subject at subsequent time points after the stroke event. |
The therapy or rehabilitation service received should be coded using ICD-9-CM codes prior to aggregation or sharing. | Type of therapy or rehabilitation | trauma | No references available | Adult and Pediatric | Treatment/Intervention Data.Therapies | Treatment/Intervention Data.Therapies | Participant/Subject History and Family History.General Health History | Participant/Subject History and Family History.Prior Health Status|Treatment/Intervention Data.Therapies | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Basic | Exploratory | Supplemental | Supplemental | Supplemental | Supplemental | Basic | Therapy or rehabilitation type | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 3/17/25 | Published | ||||||||||||||||||||||||||||||||||||||||
| AddressStateCode | Address state code | Common Data Element | 1 | The state code for the address (to describe where a mail piece is intended to be delivered). | Address state code | Alphanumeric | Single Pre-Defined Value Selected | C87194|C25162|C25407 | Stae|Code|Address | NCIT|NCIT|NCIT | AK|AL|AR|AZ|CA|CO|CT|DC|DE|FL|GA|HI|IA|ID|IL|IN|KS|KY|LA|MA|MD|ME|MI|MN|MO|MS|MT|NC|ND|NE|NH|NJ|NM|NV|NY|OH|OK|OR|Other, specify|PA|RI|SC|SD|TN|TX|UT|VA|VT|WA|WI|WV|WY | AK|AL|AR|AZ|CA|CO|CT|DC|DE|FL|GA|HI|IA|ID|IL|IN|KS|KY|LA|MA|MD|ME|MI|MN|MO|MS|MT|NC|ND|NE|NH|NJ|NM|NV|NY|OH|OK|OR|Other, specify|PA|RI|SC|SD|TN|TX|UT|VA|VT|WA|WI|WV|WY | 1|2|3|4|5|6|7|8|9|10|11|12|13|14|15|16|17|18|19|20|21|22|23|24|25|26|27|28|29|30|31|32|33|34|35|36|37|38|444|39|40|41|42|43|44|45|46|47|48|49|50|51 | ||||||||||||||||||||||||||||||||||||||||||||||||||| | ||||||||||||||||||||||||||||||||||||||||||||||||||| | ||||||||||||||||||||||||||||||||||||||||||||||||||| | Enter the abbreviation for the state or province. The 2-letter postal abbreviation should be used for all U.S. states. | Enter the abbreviation for the state or province. The 2-letter postal abbreviation should be used for all U.S. states. | State / Province | Demographics|SDOH|NTRR|COVID | NIH CDE Repository: https://cde.nlm.nih.gov/deView?tinyId=6AT_JFxD1; NLM ID: 6AT_JFxD1 | Adult and Pediatric | Participant/Subject Characteristics.Demographics | Participant/Subject Characteristics.Demographics | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Basic | Basic | Basic | Basic | State or province of residence identifier | NIH_CDE | NIH/CIT/BRICS/NTRR | NIH CDE Repository Project 5 (COVID-19) | 10/25/24 | 3/17/25 | Draft | |||||||||||||||||||||||||||||||||||||||||||
| AddressStateCodeOTH | Address state other text | Common Data Element | 1 | A free-text field related to Address state code' specifying other text. | A free-text field related to Address state code' specifying other text. | Alphanumeric | 4000 | Free-Form Entry | C25704|C87194|C25407 | Text|Stae|Address | NCIT|NCIT|NCIT | Enter free text. | Other, specify | Demographics|SDOH|NTRR|COVID | Adult and Pediatric | Participant/Subject Characteristics.Demographics | Participant/Subject Characteristics.Demographics | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Basic | Basic | Basic | Basic | FITBIR_CDE | NIH/CIT/BRICS/NTRR | Olga Vovk | olga.vovk@nih.gov | NIH/CIT/BRICS/NTRR | Olga Vovk | olga.vovk@nih.com | 10/25/24 | 1/24/25 | Awaiting Publication | |||||||||||||||||||||||||||||||||||||||||||||||
| LivPrsnRltnshpTyp | Living with person relationship type | Common Data Element | 1 | Type(s) of relationship(s) that obtain between the participant/subject and all people with whom she or he currently lives, cohabits, or stays | Type(s) of relationship(s) that obtain between the participant/subject and all people with whom she or he currently lives, cohabits, or stays | Alphanumeric | Multiple Pre-Defined Values Selected | Adopted son or daughter|Biological son or daughter|Brother or sister|Father or mother|Foster child|Grandchild|Grandparent|Housemate or roommate|Husband or wife|Military unit member|N/A - Alone|N/A - Homeless|Other nonrelative|Other patient/ resident in care facility|Other relative|Parent-in-law|Personal care attendant|Roomer or boarder|Son-in-law or daughter-in-law|Stepfather or stepmother|Stepson or stepdaughter|Unknown|Unmarried partner | Adopted son or daughter|Biological son or daughter|Brother or sister|Father or mother|Foster child|Grandchild|Grandparent|Housemate or roommate|Husband or wife|Military unit member|N/A - Alone|N/A - Homeless|Other nonrelative|Other patient/ resident in care facility|Other relative|Parent-in-law|Personal care attendant|Roomer or boarder|Son-in-law or daughter-in-law|Stepfather or stepmother|Stepson or stepdaughter|Unknown|Unmarried partner | 1|2|3|4|5|6|7|8|9|10|11|12|13|14|15|16|17|18|19|20|21|999|22 | |||||||||||||||||||||| | |||||||||||||||||||||| | |||||||||||||||||||||| | TBI: Choose all that apply. Add date stamp for when assessed. Recommend collection at least on date of TBI and perhaps after all initial medical treatment. ----- FA: Skip this data element if the participant/ subject lives alone. If he/she lives with one or more people, choose all that apply. ----- NMD: Choose all that apply ----- SMA: Choose all that apply ----- STROKE: Skip this data element if the participant/ subject lives alone. If he/she lives with one or more people, choose all that apply. ----- HEADACHE: Skip this data element if the participant/ subject lives alone. If he/she lives with one or more people, choose all that apply. Household and Income. ----- GENERAL: Text for participant's/subject's primary language. It may be easier to record the full name of the language and code the data later using the ISO 639-2 codes. ----- TBI (TBIACUTE): Choose all that apply. Add date stamp for when assessed. Recommend collection at least on date of TBI and perhaps after all initial medical treatment. ----- TBI (TBIMILD): Choose all that apply. Add date stamp for when assessed. Recommend collection at least on date of TBI and perhaps after all initial medical treatment. ----- TBI (TBIMOD): Choose all that apply. Add date stamp for when assessed. Recommend collection at least on date of TBI and perhaps after all initial medical treatment. ----- TBI (TBIEPID): Choose all that apply. Add date stamp for when assessed. Recommend collection at least on date of TBI and perhaps after all initial medical treatment. |
Living with persons relationsip type | trauma | FA: American Community Survey questionnaire. U.S. Department of Commerce, U.S. Census Bureau, http://www.census.gov/acs/www/Downloads/questionnaires/2012/Quest12.pdf Four additional permissible values were added on for FA. ----- GENERAL: No references available ----- HEADACHE: American Community Survey questionnaire. U.S. Department of Commerce, U.S. Census Bureau, http://www.census.gov/acs/www/Downloads/questionnaires/2012/Quest12.pdf Four additional permissible values were added on for FA. ----- NMD: American Community Survey questionnaire. U.S. Department of Commerce, U.S. Census Bureau. http://www.census.gov/acs/www/Downloads/questionnaires/2012/Quest12.pdf ----- SMA: American Community Survey questionnaire. U.S. Department of Commerce, U.S. Census Bureau. http://www.census.gov/acs/www/Downloads/questionnaires/2012/Quest12.pdf ----- STROKE: Code values taken from PhenX Toolkit (https://www.phenxtoolkit.org) Household Roster-Relationships #011401 American Community Survey questionnaire. U.S. Department of Commerce, U.S. Census Bureau. http://www.census.gov/acs/www/Downloads/questionnaires/2012/Quest12.pdf ----- TBI: American Community Survey questionnaire. U.S. Department of Commerce, U.S. Census Bureau. http://www.census.gov/acs/www/Downloads/questionnaires/2012/Quest12.pdf |
Adult and Pediatric | Participant/Subject Characteristics.Social Status | Participant/Subject Characteristics.Social Status | Participant/Subject Characteristics.Social Status | Participant/Subject Characteristics.Social Status | Participant/Subject Characteristics.Social Status | Participant/Subject Characteristics.Social Status | Participant/Subject Characteristics.Social Status | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Core | Supplemental | Supplemental | Supplemental | Basic | Living with person relationship type | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 4/1/14 | 3/17/25 | Published | ||||||||||||||||||||||||||||||||||
| DeathCauseICD10CMCode | Death cause ICD-10-CM code | Common Data Element | 1.2 | ICD-10-CM code that describes the cause of participant/subject's death | ICD-10-CM code that describes the cause of participant/subject's death | Alphanumeric | 4000 | Free-Form Entry | C0007465/C5669790 | Cause of Death/ICD-10 Code | UMLS | Recommend 4 fields for coding primary cause and other underlying or contributing causes of death. Should use death certificate if available. | ICD-10-CM code that describes the cause of participant/subject's death | trauma|Death_Cause_ICD_10_CM_Code | http://www.icd10data.com/ICD10CM/Codes | Adult and Pediatric | Outcomes and End Points.Clinical Event End Points | Outcomes and End Points.End Points | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Basic | C21665 | NINDS_CDE | NIH/NINDS | NINDSCDE | NINDSCDE@EMMES.COM | NIH/NINDS | NINDSCDE | NINDSCDE@EMMES.COM | 9/22/16 | 3/17/25 | Published | |||||||||||||||||||||||||||||||||||||||||||||
| AISInjurySeverityScore | Abbreviated injury scale (AIS) - Injury severity score | Common Data Element | 1.3 | An injury severity score (AIS code), as part of Abbreviated injury scale (AIS) code | An injury severity score (AIS code), as part of Abbreviated injury scale (AIS) code | Numeric Values | Single Pre-Defined Value Selected | C0439793|C0000722 | Severities|Abbreviated Injury Scale | UMLS|UMLS | 1|2|3|4|5|6|9 | 1= minor|2= moderate|3=serious|4=severe|5=critical|6= maximal (currently untreatable)|9=unknown severity | 1|2|3|4|5|6|9 | |||||| | |||||| | |||||| | For each body region, select the corresponding injury severity score. AIS 2005, 2008, 2017 post-dot code, position 7.Use the information from the appropriate version of AIS dictionary (https://www.aaam.org/abbreviated-injury-scale-ais/) to choose the appropriate value. | AIS 2005, 2008, 2017 post-dot code, position 7. | AIS Injury severity | ISS|Injury_History|AIS|MaxAIS | Baker SP, O'Neill B, Haddon W Jr, et al. The injury severity score: a method for describing patients with multiple injuries and evaluating emergency care. J Trauma. Mar 1974;14(3): 187-196. Medicine Aft. The Abbreviated Injury Scale, 1990 Revision. Association for the Advancement of Automotive Medicine. 15-24. 1990. Des Plaines, IL. http: //www.sfar.org/scores2/triss2.html - ISS calculator Pediatric: Gennarelli TA, Wodzin A. AIS 2005: A contemporary injury scale. Injury 2006 37: 1083-1091. Copyright Association for the Advancement of Automotive Medicine - https://www.aaam.org/abbreviated-injury-scale-ais/ | Adult and Pediatric | Disease/Injury Related Events.Classification | Disease/Injury Related Events.Classification | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Core | Core | Core | Core | AISBodyRegionScore | AAAM | Gillich, Patrick | patrick.j.gillich.civ@mail.mil | NIH/CIT/BRICS | Olga Vovk | olga.vovk@nih.gov | 9/7/17 | 8/1/24 | Published | ||||||||||||||||||||||||||||||||||||||||
| UntArrivPtDateTime | Unit arrived at patient date/time | Common Data Element | 1 | The date/time the responding unit arrived at the patient's side. | The date/time the responding unit arrived at the patient's side. | Date or Date & Time | Free-Form Entry | trauma | Adult and Pediatric | Trauma.N/A | Supplemental | Basic | Supplemental | Supplemental | NTRR | NEMSIS | 3/12/25 | 4/9/25 | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| AnticoagAgentTyp | Anticoagulant agent type | Common Data Element | 1 | The type of anticoaglant | The type of anticoaglant | Alphanumeric | Multiple Pre-Defined Values Selected | Direct thrombin inhibitors|Factor Xa inhibitors|Low molecular weight heparins|Vitamin K antogonists | Direct thrombin inhibitors|Factor Xa inhibitors|Low molecular weight heparins|Vitamin K antogonists | 3|4|2|1 | ||| | ||| | ||| | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Basic | Supplemental | NTRR | Acute Workgroup | 4/9/25 | 4/9/25 | Draft | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| HospitRsn | Hospitalization reason | Common Data Element | 1.6 | Reason why the participant/subject was hospitalized, excluding all surgeries | Reason why the participant/subject was hospitalized, excluding all surgeries | Alphanumeric | Multiple Pre-Defined Values Selected | C0679646/C0262926|C0392360|C0019993 | Participant/Medical History|Indication of (contextual qualifier)|Hospitalization | UMLS|UMLS|UMLS | Cardiomyopathy/Arrhythmia|Dehydration|Failure to Thrive|Fracture|Infection other than pneumonia|Other, specify|Pneumonia or Respiratory|Seizures|Trauma | Cardiomyopathy/Arrhythmia|Dehydration|Failure to Thrive|Fracture|Infection other than pneumonia|Other, specify|Pneumonia or Respiratory|Seizures|Trauma | 1|2|3|4|444|6|7|8|9 | |||||||| | |||||||| | |||||||| | Record the reason for each hospitalization within the past year. | FITBIR|NIA|PDBP; | Indicate cause for hospitalization | trauma|Medical_History|COVID | No references available | Adult and Pediatric | Participant/Subject History and Family History.General Health History | Participant/Subject History and Family History.General Health History | Participant/Subject History and Family History.General Health History | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Basic | Hospitalization reason | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 4/1/14 | 3/17/25 | Published | ||||||||||||||||||||||||||||||||||||||
| ResusAttemptEMS | Resuscitation attempted by EMS | Common Data Element | 1 | Indication of an attempt to resuscitate the patient who is in cardiac arrest (attempted, not attempted due to DNR, etc.) | Indication of an attempt to resuscitate the patient who is in cardiac arrest (attempted, not attempted due to DNR, etc.) | Alphanumeric | Single Pre-Defined Value Selected | Attempted Defibrillation|Attempted Ventilation|Initiated Chest Compressions|Not Applicable|Not Attempted-Considered Futile|Not Attempted -DNR Orders|Not Attempted-Signs of Circulation|Not Recorded | Attempted Defibrillation|Attempted Ventilation|Initiated Chest Compressions|Not Applicable|Not Attempted-Considered Futile|Not Attempted -DNR Orders|Not Attempted-Signs of Circulation|Not Recorded | ||||||| | ||||||| | ||||||| | ||||||| | trauma | Adult and Pediatric | Trauma.N/A | Supplemental | Basic | Supplemental | Supplemental | NTRR | NEMSIS | 3/12/25 | 4/9/25 | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| ProtDevTyp | Protective device type | Common Data Element | 1 | Protective devices (safety equipment) in use or worn by the patient at the time of the injury | Protective devices (safety equipment) in use or worn by the patient at the time of the injury | Alphanumeric | Multiple Pre-Defined Values Selected | airbag present|child restraint|eye protection|helmet (e.g. bicycle, skiing, motorcycle)|lap belt|None|Other, specify|personal floatation device|protective clothing (e.g. padded leather pants)|protective non-clothing gear (e.g. shin guard)|shoulder belt | airbag present|child restraint|eye protection|helmet (e.g. bicycle, skiing, motorcycle)|lap belt|None|Other, specify|personal floatation device|protective clothing (e.g. padded leather pants)|protective non-clothing gear (e.g. shin guard)|shoulder belt | 8|6|5|7|2|1|11|3|9|4|10 | |||||||||| | |||||||||| | |||||||||| | Adult and Pediatric | Trauma.N/A | Basic | Basic | Supplemental | Supplemental | NTRR | NTDS | 3/5/25 | 3/12/25 | Draft | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| AntiplatAgentType | Antiplatelet agent type | Common Data Element | 1 | The type of antiplatelet | The type of antiplatelet | Alphanumeric | Multiple Pre-Defined Values Selected | Adenosine dephosphate (ADP receptor inhibitors|Adenosine reuptake inhibitors|Anti Thrombin III inhibitors|Glycoprotein platelet inhibitors|Phosphodiesterase inhibitos|Platelet aggregation inhibitors|Protease-activated receptor 1 antogonists | Adenosine dephosphate (ADP receptor inhibitors|Adenosine reuptake inhibitors|Anti Thrombin III inhibitors|Glycoprotein platelet inhibitors|Phosphodiesterase inhibitos|Platelet aggregation inhibitors|Protease-activated receptor 1 antogonists | 4|5|7|2|6|1|3 | |||||| | |||||| | |||||| | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Basic | Supplemental | NTRR | Acute Workgroup | 4/9/25 | 4/9/25 | Draft | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| BlastInjDevOTH | Blast injury device other text | Common Data Element | 1.3 | 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 | Alphanumeric | 4000 | Free-Form Entry | C0005700 | Blast Injuries | UMLS | Enter the other text | Other, specify | Injury_History|trauma | No references available | Adult and Pediatric | Disease/Injury Related Events.History of Disease/Injury Event | Trauma.N/A | Basic | Basic | Basic | Basic | Supplemental | Basic | Basic | Supplemental | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 3/17/25 | Published | ||||||||||||||||||||||||||||||||||||||||||||||||||
| BlastInjDevTyp | Blast injury device type | Common Data Element | 1.7 | Type of device which caused the blast injury | Type of device which caused the blast injury | Alphanumeric | Single Pre-Defined Value Selected | C0005700 | Blast Injuries | UMLS | Artillery|Bomb|Fireworks|Grenade|Improvised Explosive Device (IED)|Land mine|Mortar|Other, specify|Rocket|Rocket Propelled Grenade (RPG)|Suicide vest/bomb|Unknown | Artillery|Bomb|Fireworks|Grenade|Improvised Explosive Device (IED)|Land mine|Mortar|Other, specify|Rocket|Rocket Propelled Grenade (RPG)|Suicide vest/bomb|Unknown | 10|1|11|2|3|4|5|444|7|8|9|999 | ||||||||||| | ||||||||||| | ||||||||||| | Choose one | Blast injury device type | Injury_History|trauma | No references available | Adult and Pediatric | Disease/Injury Related Events.History of Disease/Injury Event | Trauma.N/A | Basic | Basic | Basic | Basic | Supplemental | Basic | Basic | Supplemental | InjCauseTyp;InjCauseTypOTH;InjDateReliablTyp;InjDateTime;InjDateTimeEstTyp;InjDescriptionText;InjElapsedTime;InjEventNum;InjICDExtCauseCode;InjPlcOccncTyp;InjPresentRsn;InjReliablTyp;InjSeverScore;InjVlntCauseTyp;SupportWithdrawnInjElapsedTime | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | NINDSCDE | NINDSCDE@emmes.com | 3/17/25 | Published | |||||||||||||||||||||||||||||||||||||||||||||
| SelfReportHealth | Self-reported health | Common Data Element | 1 | Self-reported health, also described as self-related health or self-assessed health, is an individual appraisal of health status based upon individual perpectives | Self-reported health, also described as self-related health or self-assessed health, is an individual appraisal of health status based upon individual perpectives | Alphanumeric | Single Pre-Defined Value Selected | Excellent|Fair|Good|Poor|Very Good | Excellent|Fair|Good|Poor|Very Good | 1|4|3|5|2 | |||| | |||| | |||| | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Supplemental | Basic | NTRR | NIH | 4/9/25 | 4/9/25 | Draft | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| AirwayDevPlaceMethod | Airway device placement method | Common Data Element | 1 | The method used to confirm the airway device placement | The method used to confirm the airway device placement | Alphanumeric | Single Pre-Defined Value Selected | Auscultation|Bulb/Syringe Aspiration|Chest Rise|Colorimetric ETCO2|Condensation in Tube|Digital (Numeric) ETCO2|Direct Re-Visualization of Tube in Place|Endotracheal Tube Whistle (BAAM, etc)|Other|Visualization of Vocal Cords|Waveform ETCO2 | Auscultation|Bulb/Syringe Aspiration|Chest Rise|Colorimetric ETCO2|Condensation in Tube|Digital (Numeric) ETCO2|Direct Re-Visualization of Tube in Place|Endotracheal Tube Whistle (BAAM, etc)|Other|Visualization of Vocal Cords|Waveform ETCO2 | |||||||||| | |||||||||| | |||||||||| | |||||||||| | trauma | Adult and Pediatric | Trauma.N/A | Supplemental | Basic | Supplemental | Supplemental | NTRR | NEMSIS | 3/12/25 | 4/9/25 | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| ResdncTyp | Residence type | Common Data Element | 1.8 | Type of residence where the participant/subject is currently living | Type of residence where the participant/subject is currently living | Alphanumeric | Single Pre-Defined Value Selected | C0237096 | residence | UMLS | Home|Hospital|N/A - patient died|Nursing home|Other, specify|Rehabilitation center|Unknown | Home|Hospital|N/A - patient died|Nursing home|Other, specify|Rehabilitation center|Unknown | 1|2|777|3|444|4|999 | |||||| | |||||| | |||||| | Choose one. Add date and time stamp for when assessed. | FITBIR|NIA|PDBP; | What type of residence does the subject currently live in? | Demographics|trauma|COVID | No references available | Adult and Pediatric | Participant/Subject Characteristics.Demographics | Participant/Subject Characteristics.Demographics | Participant/Subject Characteristics.Demographics | Trauma.N/A | Supplemental | Supplemental | Supplemental | Basic | Basic | Supplemental | Supplemental | Supplemental | Supplemental | Basic | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 3/17/25 | Published | ||||||||||||||||||||||||||||||||||||||||
| GoniomAnkleMeasr | Goniometry ankle measurement | Common Data Element | 1 | Measurement in degrees of the passive range of motion for ankle | Measurement in degrees of the passive range of motion for ankl | Numeric Values | Free-Form Entry | -360 | 360 | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Supplemental | Basic | NTRR | NINDS | 4/9/25 | 4/9/25 | Draft | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| UntLeftSceneDateTime | Unit left scene date/time | Common Data Element | 1 | The date/time the responding unit left the scene (started moving). | The date/time the responding unit left the scene (started moving). | Date or Date & Time | Free-Form Entry | trauma | Adult and Pediatric | Trauma.N/A | Supplemental | Basic | Supplemental | Supplemental | NTRR | NEMSIS | 3/12/25 | 4/9/25 | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| HighestLvlEduPreInj | Highest level education pre-injury | Common Data Element | 1.8 | Highest level education pre-injury | Highest level education pre-injury | Alphanumeric | Single Pre-Defined Value Selected | C1704791|C0013658|C0679646/C1521970 | Demographics Domain|Educational Status|Participant/Characteristics | UMLS|UMLS|UMLS | None/basic primary=0-4yrs|Post Graduate=18-19yrs(e.g., Masters, Doctoral)|Primary/Intermediate Primary=5-8yrs|Secondary=12yrs|Tertiary=13-15yrs(e.g.,Teachers,Technicians)|University=16-17yrs|Unknown | None/basic primary=0-4yrs|Post Graduate=18-19yrs(e.g., Masters, Doctoral)|Primary/Intermediate Primary=5-8yrs|Secondary=12yrs|Tertiary=13-15yrs(e.g.,Teachers,Technicians)|University=16-17yrs|Unknown | 0|1|2|3|4|5|999 | |||||| | |||||| | |||||| | No instructions available | What is the highest level of education the subject received pre-injury? | No references available | Adult and Pediatric | Participant/Subject Characteristics.Social Status | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | EduLvlMaternalUSATyp;EduLvlPaternalUSATyp;EduLvlUSATyp;EduTyp;EduYrCt | NIH/CIT/BRICS | Olga Vovk | olgav.vovk@nih.gov | NIH/CIT/BRICS | Olga Vovk | olgav.vovk@nih.gov | 3/7/25 | Published | |||||||||||||||||||||||||||||||||||||||||||||
| BldPressrDiastlMeasr | Blood pressure diastolic measurement | Common Data Element | 1.9 | Measurement of pressure of the participant's/subject's blood against the artery walls during diastole (the relaxation phase) in millimeters of mercury (mmHg) | Measurement of pressure of the participant's/subject's blood against the artery walls during diastole (the relaxation phase) in millimeters of mercury (mmHg) | Numeric Values | Free-Form Entry | 0 | 300 | C1305849|C0428883 | Diastolic blood pressure measurement|Diastolic blood pressure | UMLS|UMLS | Millimeters of Mercury | GENERAL/ALS/MG/NMD/SMA/EPILEPSY/STROKE/DMD: Record the diastolic blood pressure of the participant/ subject. The standard unit for measuring blood pressure is mmHg, which is approximately equivalent to Torr. TBI/TBIACUTE/TBIEPID/TBIMILD/TBIMOD/MS: Record blood pressure from the blood pressure monitor or measure manually by sphygmanometry. The suggested range is 0-300 mmHg. Add date stamp for when assessed.When hourly values are documented, we recommend to take readings at a fixed time point, for example the last minute of the hour. Exclude values which may be influenced by artifacts. Add date stamp for when assessed. The injured brain is often not able to pressure autoregulate normally, adequate perfusion may be more dependent on perfusion pressure; lower blood pressure and low perfusion pressure can aggravate ischemic damage to the injured brain whilst conversely a high blood pressure may lead to increased intracranial pressure and carries an increased risk of neurogenic lung edema. Hypotensive episodes before and after admission adversely affect outcome. In patients with severe traumatic brain injury, routine calculation of the cerebral perfusion pressure on an hourly basis is recommended. Pediatric-specific notes: As a minimum, vital signs should be recorded on admission and further, on a daily basis during the acute phase after injury. For the Core datasets, we recommend recording the average and lowest blood pressure over a given period. In the ICU environment, recording blood pressure on an hourly basis is recommended, especially when intracranial pressure (ICP) is monitored in order to permit determination of CPP, calculated as mean arterial blood pressure (MABP) - ICP (intermediate data set). SCI: Answer for the past week. Record the patient's blood pressure, height and weight on the scoring form. FA: Record the systolic and diastolic blood pressure (systolic / diastolic) of the participant/ subject. HEADACHE: Measure in mmHg. The preferred position for measuring blood pressure is sitting. Blood pressure is the ratio of systolic to diastolic. It is recommended that standard operating procedures be developed for measuring blood pressure in your study. The Atherosclerosis Risk in Communities (ARIC) and Multi-Ethnic Study of Atherosclerosis (MESA) studies offer examples on their Websites of the procedures they used for measuring blood pressure. Both of these studies measured blood pressure more than once (e.g., three times) at a given study visit. Please refer to the manuals posted on http: //www.cscc.unc.edu/aric and http: //www.mesa-nhbi.org/ |
cdRNS|FITBIR|NIA|PDBP; CDISC variable: Vital Signs Test Code (VSTESTCD), Units for Vital Signs Results (VSRESU), Vital Signs Test Name (VSTEST), DIABP | Diastolic blood pressure | trauma|Vital_Signs | No references available | Adult and Pediatric | Assessments and Examinations.Vital Signs and Other Body Measures | Trauma.N/A | Supplemental | Supplemental | Basic | Basic | Supplemental | Blood pressure diastolic measurement | NINDS_CDE | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 3/17/25 | Published | ||||||||||||||||||||||||||||||||||||||||||||||||
| BldPressrSystMeasr | Blood pressure systolic measurement | Common Data Element | 1.9 | Measurement of pressure of the participant's/subject's blood against the artery walls during systole (the contraction phase) in millimeters of mercury (mmHg) | Measurement of pressure of the participant's/subject's blood against the artery walls during systole (the contraction phase) in millimeters of mercury (mmHg) | Numeric Values | Free-Form Entry | 0 | 300 | C0871470|C1306620 | Systolic Pressure|Systolic blood pressure measurement | UMLS|UMLS | Millimeters of Mercury | GENERAL/ALS/MG/NMD/SMA/EPILEPSY/STROKE/DMD: Record the diastolic blood pressure of the participant/ subject. The standard unit for measuring blood pressure is mmHg, which is approximately equivalent to Torr. TBI/TBIACUTE/TBIEPID/TBIMILD/TBIMOD/MS: Record blood pressure from the blood pressure monitor or measure manually by sphygmanometry. The suggested range is 0-300 mmHg. Add date stamp for when assessed.When hourly values are documented, we recommend to take readings at a fixed time point, for example the last minute of the hour. Exclude values which may be influenced by artifacts. Add date stamp for when assessed. The injured brain is often not able to pressure autoregulate normally, adequate perfusion may be more dependent on perfusion pressure; lower blood pressure and low perfusion pressure can aggravate ischemic damage to the injured brain whilst conversely a high blood pressure may lead to increased intracranial pressure and carries an increased risk of neurogenic lung edema. Hypotensive episodes before and after admission adversely affect outcome. In patients with severe traumatic brain injury, routine calculation of the cerebral perfusion pressure on an hourly basis is recommended. Pediatric-specific notes: As a minimum, vital signs should be recorded on admission and further, on a daily basis during the acute phase after injury. For the Core datasets, we recommend recording the average and lowest blood pressure over a given period. In the ICU environment, recording blood pressure on an hourly basis is recommended, especially when intracranial pressure (ICP) is monitored in order to permit determination of CPP, calculated as mean arterial blood pressure (MABP) - ICP (intermediate data set). SCI: Answer for the past week. Record the patient's blood pressure, height and weight on the scoring form. FA: Record the systolic and diastolic blood pressure (systolic / diastolic) of the participant/ subject. HEADACHE: Measure in mmHg. The preferred position for measuring blood pressure is sitting. Blood pressure is the ratio of systolic to diastolic. It is recommended that standard operating procedures be developed for measuring blood pressure in your study. The Atherosclerosis Risk in Communities (ARIC) and Multi-Ethnic Study of Atherosclerosis (MESA) studies offer examples on their Websites of the procedures they used for measuring blood pressure. Both of these studies measured blood pressure more than once (e.g., three times) at a given study visit. Please refer to the manuals posted on http: //www.cscc.unc.edu/aric and http: //www.mesa-nhbi.org/ |
cdRNS|FITBIR|NIA|PDBP; CDISC variable: Vital Signs Test Code (VSTESTCD), Units for Vital Signs Results (VSRESU), Vital Signs Test Name (VSTEST), SYSBP | Systolic blood pressure | trauma|Vital_Signs | No references available | Adult and Pediatric | Assessments and Examinations.Vital Signs and Other Body Measures | Trauma.N/A | Supplemental | Supplemental | Basic | Basic | Supplemental | Blood pressure systolic measurement | NINDS_CDE | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 3/17/25 | Published | ||||||||||||||||||||||||||||||||||||||||||||||||
| BloodUnitDef | Blood unit definition | Common Data Element | 1 | The volume of blood product given per unit | The volume of blood product given per unit | Numeric Values | Free-Form Entry | 0 | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Basic | Supplemental | NTRR | Acute Workgroup | 4/9/25 | 4/9/25 | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| BluntMechInjTyp | Blunt mechanism of injury type | Common Data Element | 1.2 | Type of blunt mechanism of injury | Type of blunt mechanism of injury | Alphanumeric | Multiple Pre-Defined Values Selected | Bicycle, specify|Fall|Machinery|MVC - Cyclist|MVC - Driver|MVC - Motorcyclist|MVC - Occupant|MVC - Pedestrian|MVC - Unknown|Not Applicable|Other, specify|Struck by or against|Unknown | Bicycle, specify|Fall|Machinery|MVC - Cyclist|MVC - Driver|MVC - Motorcyclist|MVC - Occupant|MVC - Pedestrian|MVC - Unknown|Not Applicable|Other, specify|Struck by or against|Unknown | |||||||||||| | |||||||||||| | |||||||||||| | |||||||||||| | trauma | https://ntrr.nih.gov/ | Adult and Pediatric | Disease/Injury Related Events.History of Disease/Injury Event | Disease/Injury Related Events.History of Disease/Injury Event | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Basic | Basic | Supplemental | 2025-03-17 promoted to NTRR CDE as requested by NTRR WG | University of Washington | Malaika Schwartz | malaika@uw.edu | N/A | 6/11/15 | 3/17/25 | Published | ||||||||||||||||||||||||||||||||||||||||||||||||
| GenderTyp | Sex type | Common Data Element | 1.21 | Self-reported sex of the participant/subject. Consistent with Executive Order 14168, _gender_ should not be used as a replacement for the element _sex_ | Self-reported sex of the participant/subject. | Alphanumeric | Single Pre-Defined Value Selected | C1522384|C1704791|C0679646/C1521970 | sex|Demographics Domain|Participant/Characteristics | UMLS|UMLS|UMLS | Female|Male|Not reported|Unknown|Unspecified | Female|Male|Not Reported|Unknown|Undifferentiated/Indeterminant/Intersex | 1|2|222|999|555 | C0086287|C0086582|C1706613|C0439673|C0205370 | Females|Males|Not Stated|Unknown|Unspecified | UMLS|UMLS|UMLS|UMLS|UMLS | Choose one. Response is obtained by report of the participant/subject or caretaker. | BRICS disclaimer: Consistent with Executive Order 14168. | What is the subject's sex | Demographics|Sex | NIH CDE repository Sex type (https://cde.nlm.nih.gov/deView?tinyId=gtqOBUXBf). Executive Order 14168: https://www.whitehouse.gov/presidential-actions/2025/01/defending-women-from-gender-ideology-extremism-and-restoring-biological-truth-to-the-federal-government/. Consistent with Executive Order 14168, _gender_ should not be used as a replacement for the element _sex_. | Adult and Pediatric | Participant/Subject Characteristics.Demographics | Participant/Subject Characteristics.Demographics | Participant/Subject Characteristics.Demographics | Trauma.N/A | Core | Core | Core | Core | Core | Supplemental | Core | Core | Core | Core | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 3/26/25 | Published | ||||||||||||||||||||||||||||||||||||||||
| BluntMechInjTypOTH | Blunt mechanism of injury other text | Common Data Element | 1.2 | The free-text related to BluntMechInjTyp specifying other mechanism | The free-text related to BluntMechInjTyp specifying other mechanism | Alphanumeric | 4000 | Free-Form Entry | trauma | https://ntrr.nih.gov/ | Adult and Pediatric | Disease/Injury Related Events.History of Disease/Injury Event | Disease/Injury Related Events.History of Disease/Injury Event | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Basic | Basic | Supplemental | 2025-03-17 promoted to NTRR CDE by a request from NTRR WG | University of Washington | Malaika Schwartz | malaika@uw.edu | N/A | 6/11/15 | 3/17/25 | Published | |||||||||||||||||||||||||||||||||||||||||||||||||||||
| GonioShouldAbdMeasureAct | Goniometry shoulder abduct measurement (active) | Common Data Element | 1 | Measurement in degrees of the active range of motion for shoulder abduction | Measurement in degrees of the active range of motion for shoulder abduction | Alphanumeric | 3 | Free-Form Entry | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Supplemental | Basic | NTRR | Workgroup | 4/9/25 | 4/9/25 | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| GoniomShouldAbductMeasr | Goniometry shoulder abduct measurement | Common Data Element | 1 | Measurement in degrees of the passive range of motion for shoulder abduction | Measurement in degrees of the passive range of motion for shoulder abductio | Numeric Values | Free-Form Entry | -360 | 360 | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Supplemental | Basic | NTRR | NINDS | 4/9/25 | 4/9/25 | Draft | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| BMIVal | Body mass index value | Common Data Element | 1.5 | Value of the participant/subject's body mass index, calculated from height and weight. | Value of the participant/subject's body mass index, calculated from height and weight. | Numeric Values | Free-Form Entry | 0 | 99 | C1305855|C0578022 | Body mass index|Finding of body mass index | UMLS|UMLS | FA: Indicate whether body mass index was measured in pounds per square inch (lb/in2) or kilogram per square meter (kg/m2). ALS/STROKE: : BMI. This is a derived field that should be calculated using the height and weight measurements. DMD/MG/NMD/SMA: This value should be derived/calculated using the height and weight measurements. Formula: weight (kg) / [height (m)]2 OR weight (lb) / [height (in)]2 x 703 BMI is derived using the height and weight data recorded above and can be automatically calculated by a database/data system |
FITBIR|NIA|PDBP; | Body Mass Index (BMI) | trauma | No references available | Adult and Pediatric | Assessments and Examinations.Vital Signs and Other Body Measures | Assessments and Examinations.Vital Signs and Other Body Measures | Assessments and Examinations.Vital Signs and Other Body Measures | Assessments and Examinations.Vital Signs and Other Body Measures | Assessments and Examinations.Vital Signs and Other Body Measures | Assessments and Examinations.Vital Signs and Other Body Measures | Assessments and Examinations.Vital Signs and Other Body Measures | Assessments and Examinations.Vital Signs and Other Body Measures | Assessments and Examinations.Vital Signs and Other Body Measures | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Core | Core | Core | Core | Supplemental | Supplemental | Supplemental | Basic | Supplemental | Body mass index value | NIH/CIT/BRICS | Olga Vovk | olga.vovk@nih.gov | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 3/17/25 | Published | ||||||||||||||||||||||||||||||||||
| CircSuppBloodTyp | Circulatory support blood type | Common Data Element | 1 | Type of blood product administered | Type of blood product administered | Alphanumeric | Single Pre-Defined Value Selected | Autologous Blood|Cell Saver|Cryoprecipitate|Fibrinogen|Fibrinogen Concentrate|Freeze Dried Plasma|Liquid Plasma|Other Blood Product|Plasma 24|Plasma Fresh Frozen|Plasma Liquid|Plasma Thawed|Platelets|Platelets Apheresis|Platelets Pooled|Prothrombin Complex Concentrate|Red Blood Cells|Whole Blood | Autologous Blood|Cell Saver|Cryoprecipitate|Fibrinogen|Fibrinogen Concentrate|Freeze Dried Plasma|Liquid Plasma|Other Blood Product|Plasma 24|Plasma Fresh Frozen|Plasma Liquid|Plasma Thawed|Platelets|Platelets Apheresis|Platelets Pooled|Prothrombin Complex Concentrate|Red Blood Cells|Whole Blood | 1|2|3|14|17|7|15|4|5|6|8|9|10|11|12|18|13|16 | ||||||||||||||||| | ||||||||||||||||| | ||||||||||||||||| | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Basic | Supplemental | NTRR | Acute Workgroup | 4/9/25 | 4/9/25 | Draft | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| CircSuppBloodTypOTH | Circulatory support blood other type | Common Data Element | 1 | The free-text field related to 'Circulatory support blood type' specifying other text. | The free-text field related to 'Circulatory support blood type' specifying other text. | Alphanumeric | 4000 | Free-Form Entry | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Basic | Supplemental | NTRR | Acute Workgroup | 4/9/25 | 4/9/25 | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| HealthcareServiceVisitCount | Patient other healthcare service visit count | Common Data Element | 1 | The count or number related to the patients visits to other health care services. | The count or number related to the patients visits to other health care services. | Alphanumeric | 3 | Free-Form Entry | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Supplemental | Basic | NTRR | CaDSR | 4/9/25 | 4/9/25 | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| LateralityTyp | Laterality type | Common Data Element | 1 | Laterality type relative to the anatomic site of the body examined or affected | Laterality type relative to the anatomic site of the body examined or affected | Alphanumeric | Single Pre-Defined Value Selected | Left|Right | Left|Right | 1|2 | | | | | | | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Supplemental | Basic | NTRR | NINDS | 4/9/25 | 4/9/25 | Draft | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| ZIPcode | Zip code | Common Data Element | 1 | First five digit of the ZIP code | First five digit of the ZIP code | Alphanumeric | 5 | Free-Form Entry | Adult and Pediatric | Trauma.N/A | Supplemental | Basic | Supplemental | Supplemental | NTRR | NTRR Workgroup | 4/9/25 | 4/9/25 | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| EmrServOTH | Emergency service other text | Common Data Element | 1.2 | The free-text field related to 'Emergency service type' specifying other text. Branch of service involved at the accident scene | The free-text field related to 'Emergency service type' specifying other text. Branch of service involved at the accident scene | Alphanumeric | 4000 | Free-Form Entry | C0013969 | Emergency treatment | UMLS | Choose all that apply. | Other, specify | Injury_History | No references available | Adult and Pediatric | Disease/Injury Related Events.History of Disease/Injury Event | Disease/Injury Related Events.History of Disease/Injury Event | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 6/5/14 | 3/7/25 | Published | ||||||||||||||||||||||||||||||||||||||||||||||||||||
| MedAdmin | Medication administered | Common Data Element | 1 | The medication administered to the patient. List of medications based on RxNorm (RXCUI) code and SNOMET-CT codes for blood products. | The medication administered to the patient. List of medications based on RxNorm (RXCUI) code and SNOMET-CT codes for blood products. | Alphanumeric | 4000 | Free-Form Entry | trauma | Adult and Pediatric | Trauma.N/A | Supplemental | Basic | Supplemental | Supplemental | NTRR | NEMSIS | 3/12/25 | 4/9/25 | Draft | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| CircSuppBloodUoM | Blood unit of measure | Common Data Element | 1 | Blood product unit of measure administered to the patient/subject | Blood product unit of measure administered to the patient/subject | Alphanumeric | Single Pre-Defined Value Selected | grams|mL|units | grams|mL|units | 3|1|2 | || | || | || | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Basic | Supplemental | NTRR | Acute Workgroup | 4/9/25 | 4/9/25 | Draft | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| MilDplyInjInd | Military deployment injury indicator | Common Data Element | 1.4 | Indicator of whether the injury occurred during deployment | Indicator of whether the injury occurred during deployment | Alphanumeric | Single Pre-Defined Value Selected | C3263723|C2825812|C0026126 | Traumatic injury|Deploy|Military Personnel | UMLS|UMLS|UMLS | No|Unknown|Yes | No|Unknown|Yes | 0|9|1 | C1298908|C0439673|C1705108 | no|Unknown|Yes (indicator) | UMLS|UMLS|UMLS | TBI: 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. | (Indicator of) whether the injury occurred during deployment | Injury_History | TBI: 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 | Disease/Injury Related Events.History of Disease/Injury Event | Basic | Basic | Basic | Basic | Military deployment injury indicator | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 3/7/25 | Published | |||||||||||||||||||||||||||||||||||||||||||||||||
| UntArrivSceneDateTime | Unit arrived on scene date/time | Common Data Element | 1 | The date/time the responding unit arrived on the scene; that is the vehicle stopped moving at the scene. | The date/time the responding unit arrived on the scene; that is the vehicle stopped moving at the scene. | Date or Date & Time | Free-Form Entry | trauma | Adult and Pediatric | Trauma.N/A | Supplemental | Basic | Supplemental | Supplemental | NTRR | NEMSIS | 3/12/25 | 4/9/25 | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| AGEU | Age Units | Common Data Element | 1 | Units associated with AGE or AGETXT. | Variable Qualifier of AGE or AGETXT | Alphanumeric | Single Pre-Defined Value Selected | C0001779|C1519795 | Age|Unit of Measure | UMLS|UMLS | Days|Hours|Minutes|Months|Seconds|Weeks|Years | Days|Hours|Minutes|Months|Seconds|Weeks|Years | 1|2|3|4|5|6|7 | |||||| | |||||| | |||||| | Units associated with AGE or AGETXT. | SDTM v1.7, Class= Special-Purpose, Dataset Name= DM | SDTM_V17|SDTM|CDISC | https://www.cdisc.org/standards | Adult and Pediatric | Participant/Subject Characteristics.Demographics | Supplemental | CDISC | CDISC | CDISC | 10/29/19 | 3/7/25 | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
| CircSuppBloodVol | Circulatory support blood volume | Common Data Element | 1 | Volume of blood product administered to the patient/subject | Volume of blood product administered to the patient/subject | Numeric Values | Free-Form Entry | 0 | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Basic | Supplemental | NTRR | Acute Workgroup | 4/9/25 | 4/9/25 | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| GoniomWristMeasr | Goniometry wrist measurement | Common Data Element | 1 | Measurement in degrees of the passive range of motion for wrist | Measurement in degrees of the passive range of motion for wris | Numeric Values | Free-Form Entry | -360 | 360 | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Supplemental | Basic | NTRR | NINDS | 4/9/25 | 4/9/25 | Draft | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| PreExistCondOTH | Pre-existing conditions other type | Common Data Element | 1 | The free-text field related to 'Pre-existing conditions' specifying other text. | The free-text field related to 'Pre-existing conditions' specifying other text. | Alphanumeric | 4000 | Free-Form Entry | Epidemiology|NTRR|NTDS | Adult and Pediatric | Trauma.N/A | Basic | Supplemental | Supplemental | Supplemental | NTRR | NTRR Workgroup | 3/5/25 | 3/7/25 | Draft | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| DestinationTyp | Type of destination | Common Data Element | 1 | The type of destination the patient was delivered or transferred to. | The type of destination the patient was delivered or transferred to. | Alphanumeric | Single Pre-Defined Value Selected | Assisted Living Facility|Clinic|Diagnostic Services|Dialysis Center|Drug and/or Alcohol Rehabilitation Facility|Freestanding Emergency Department|Home|Hospital-Emergency Department|Hospital-Non-Emergency Department Bed|Mental Health Facility|Morgue/Mortuary|Nursing Home|Other|Other EMS Responder (air)|Other EMS Responder (ground)|Other Recurring Care Center|Physical Rehabilitation Facility|Police/Jail|Skilled Nursing Facility|Urgent Care | Assisted Living Facility|Clinic|Diagnostic Services|Dialysis Center|Drug and/or Alcohol Rehabilitation Facility|Freestanding Emergency Department|Home|Hospital-Emergency Department|Hospital-Non-Emergency Department Bed|Mental Health Facility|Morgue/Mortuary|Nursing Home|Other|Other EMS Responder (air)|Other EMS Responder (ground)|Other Recurring Care Center|Physical Rehabilitation Facility|Police/Jail|Skilled Nursing Facility|Urgent Care | ||||||||||||||||||| | ||||||||||||||||||| | ||||||||||||||||||| | ||||||||||||||||||| | trauma | Adult and Pediatric | Trauma.N/A | Supplemental | Basic | Supplemental | Supplemental | NTRR | NEMSIS | 3/12/25 | 4/9/25 | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| CircSuppFluidUoM | Circulatory support fluid unit of measure | Common Data Element | 1 | Unit of measure of fluid administered to the patient/subject | Unit of measure of fluid administered to the patient/subject | Alphanumeric | Single Pre-Defined Value Selected | cc|gm | cc|gm | 1|2 | | | | | | | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Basic | Supplemental | NTRR | Acute Workgroup | 4/9/25 | 4/9/25 | Draft | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| BloodProductAmtUoM | Blood product amount unit of measure | Common Data Element | 1.2 | Blood product amount unit of measure | Blood product amount unit of measure | Alphanumeric | Single Pre-Defined Value Selected | mL|Units | mL|Units | 2|1 | | | | | | | Adult and Pediatric | Treatment/Intervention Data.Drugs | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | University of Texas Health Science Center at Houston | Yidao Cai | DOD | 8/26/19 | 3/17/25 | Published | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| CircSuppFluidVol | Circulatory support fluid volume | Common Data Element | 1 | Volume of fluid administered to the patient/subject | Volume of fluid administered to the patient/subject | Numeric Values | Free-Form Entry | 0 | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Basic | Supplemental | NTRR | Acute Workgroup | 4/9/25 | 4/9/25 | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| WorkRelated | Work related | Common Data Element | 1 | Indication of whether the injury occurred during paid employment | Indication of whether the injury occurred during paid employment | Alphanumeric | Single Pre-Defined Value Selected | No|Yes | No|Yes | | | | | | | | | trauma | Adult and Pediatric | Trauma.N/A | Supplemental | Basic | Supplemental | Supplemental | NTRR | NTDS | 3/12/25 | 4/9/25 | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| AddressCountyName | Address County Name | Common Data Element | 1 | A region created by territorial division by a local government where mail piece is intended to be delivered (NIH endorsed CDE). | name of the county as part of the address | Alphanumeric | 1000 | Free-Form Entry | C5447202 | County of Permanent Address | UMLS | enter county name | Address County Name | NLM ZqxxvEdcmt. NIH CDE Repository: https://cde.nlm.nih.gov/deView?tinyId=ZqxxvEdcmt | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | NIH_CDE | NIH/CIT/BRICS | Project 5 (COVID-19) | 11/12/24 | 11/12/24 | Published | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| RecvdBloodProdInd | Subject received blood products indicator | Common Data Element | 1.1 | Indicator if the participant/subject received a blood product(s) | Indicator if the participant/subject received a blood product(s) | Alphanumeric | Single Pre-Defined Value Selected | No|Unknown|Yes | No|Unknown|Yes | 0|2|1 | || | || | || | NTRR | Adult and Pediatric | Treatment/Intervention Data.Drugs | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | 2025-03-17 promoted to a CDE by a request from NTRR WG | University of Texas Health Science Center at Houston | Yidao Cai | DOD | 8/26/19 | 3/17/25 | Published | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
| AlcConsume6MoreDrinkFreq | Alcohol consume six or more drinks frequency | Common Data Element | 1.7 | The rate of occurrence for when the participant/subject consumes six or more drinks containing alcohol on one occasion. It is noted that the meaning of 'drinks consumed' differs from one nation and culture to another, so the most common alcoholic beverages likely to be consumed will be defined as well as quantity of each that constitutes a drink (approximately 10 grams of pure ethanol). For example, one bottle of beer (330 ml at 5% ethanol), a glass of wine (140 ml at 12% ethanol), and a shot of spirits (40 ml at 40% ethanol) represent a standard drink of about 13 g of ethanol. | The rate of occurrence for when the participant/subject consumes six or more drinks containing alcohol on one occasion. It is noted that the meaning of 'drinks consumed' differs from one nation and culture to another. | Alphanumeric | Single Pre-Defined Value Selected | C0439603|C0001948 | Frequencies (time pattern)|Alcohol consumption | UMLS|UMLS | Daily or almost daily|Less than monthly|Monthly|Never|Unknown|Weekly | Daily or almost daily|Less than monthly|Monthly|Never|Unknown|Weekly | 1|2|3|0|999|4 | ||||| | ||||| | ||||| | GENERAL: Choose one. Response is obtained from participant/ subject, family member, friend, or chart/ medical record. FA: Choose one. Response is obtained from participant/ subject, family member, friend, or chart/ medical record. STROKE: History can be obtained from participant/ subject, family member, friend, or chart/ medical record. MS: Choose one. Response is obtained from participant/ subject, family member, friend, or chart/ medical record. Unknown includes the scenario where information is not documented in the medical record. Current Guidelines for MS is incorrect: Choose one if currently drinks |
FITBIR, NIA, PDBP;Note: This question asks about 'drinks consumed'. The meaning of this word differs from one nation and culture to another. It is important therefore to mention the most common alcoholic beverages likely to be consumed and how much of each constitutes a drink (approximately 10 grams of pure ethanol). For example, one bottle of beer (330 ml at 5% ethanol), a glass of wine (140 ml at 12% ethanol), and a shot of spirits (40 ml at 40% ethanol) represent a standard drink of about 13 g of ethanol. | trauma | No references available | Adult and Pediatric | Participant/Subject History and Family History.General Health History | Participant/Subject History and Family History.General Health History | Participant/Subject History and Family History.General Health History | Participant/Subject History and Family History.General Health History | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Basic | Alcohol consume six or more drinks frequency | NINDS_CDE | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 3/17/25 | Published | ||||||||||||||||||||||||||||||||||||||||
| AISBodyRegionChapterCat | Abbreviated injury scale (AIS) - Body region category | Common Data Element | 1.3 | Category of body region assessed by Abbreviated Injury Scale (AIS) | Category of body region assessed by Abbreviated Injury Scale (AIS) | Alphanumeric | Single Pre-Defined Value Selected | C0000722|C0229962|C0005898 | Abbreviated Injury Scale|Body part|Body Regions | UMLS|UMLS|UMLS | Abdomen|External|Face|Head|Lower Extremity, Pelvis and Buttocks|Neck|Other Trauma|Spine|Thorax|Upper Extremity | 5-Abdomen|9-External|2-Face|1-Head|7-Lower Extremity, Pelvis and Buttocks|3- Neck|0-Other Trauma|6-Spine|4-Thorax|8-Upper Extremity | 5|9|2|1|7|3|0|6|4|8 | ||||||||| | ||||||||| | ||||||||| | Choose one. For each AISInjurySeverityScore value, select the corresponding body region chapter/category. Use the information from AIS dictionary (https://www.aaam.org/abbreviated-injury-scale-ais/) to choose the appropriate value. | AIS 2005, 2008, pre-dot code, position 1 | AIS body region/chapter | ISS|Injury_History|AIS|MaxAIS | Baker SP, O'Neill B, Haddon W Jr, et al. The injury severity score: a method for describing patients with multiple injuries and evaluating emergency care. J Trauma. Mar 1974;14(3): 187-196. Medicine Aft. The Abbreviated Injury Scale, 1990 Revision. Association for the Advancement of Automotive Medicine. 15-24. 1990. Des Plaines, IL. http: //www.sfar.org/scores2/triss2.html - ISS calculator Pediatric: Gennarelli TA, Wodzin A. AIS 2005: A contemporary injury scale. Injury 2006 37: 1083-1091. Copyright Association for the Advancement of Automotive Medicine - https://www.aaam.org/abbreviated-injury-scale-ais/ | Adult and Pediatric | Disease/Injury Related Events.Classification | Disease/Injury Related Events.Classification | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Core | Core | Core | Core | AbbrevInjryScalBodyRgnCat | AAAM | Gillich, Patrick | patrick.j.gillich.civ@mail.mil | NIH/CIT/BRICS | Olga Vovk | olga.vovk@nih.gov | 9/7/17 | 8/1/24 | Published | ||||||||||||||||||||||||||||||||||||||||
| DrugScreenRes | Drug screen results | Common Data Element | 1 | First recorded psoitive drug screen results within 24 hours after first hospital encounter. | First recorded psoitive drug screen results within 24 hours after first hospital encounter. | Alphanumeric | Multiple Pre-Defined Values Selected | AMP (Amphetamine)|BAR (Barbiturate)|BZO (Benzodiazepines)|COC (Cocaine)|mAMP (Methamphetamine)|MDMA (Ecstasy)|MTD (Methadone)|None|Not tested|OPI (Opioid)|Other|OXY (Oxycodone)|PCP (Phencyclidine)|TCA (Tricyclic Antidepressant)|THC (Cannabinoid) | AMP (Amphetamine)|BAR (Barbiturate)|BZO (Benzodiazepines)|COC (Cocaine)|mAMP (Methamphetamine)|MDMA (Ecstasy)|MTD (Methadone)|None|Not tested|OPI (Opioid)|Other|OXY (Oxycodone)|PCP (Phencyclidine)|TCA (Tricyclic Antidepressant)|THC (Cannabinoid) | |||||||||||||| | |||||||||||||| | |||||||||||||| | |||||||||||||| | Epidemiology|NTRR|NTDS | Adult and Pediatric | Trauma.N/A | Basic | Supplemental | Supplemental | Supplemental | NTRR | NTDS | 3/5/25 | 3/7/25 | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| PainDayPstWkNum | Pain day past week number | Common Data Element | 1.2 | Number of days with pain over the last seven days including today. | Number of days with pain over the last seven days including today. | Numeric Values | Single Pre-Defined Value Selected | 0|1|2|3|4|5|6|7|9 | None|One day|Two days|Three days|Four days|Five days|Six days|Seven days|Unknown | 0|1|2|3|4|5|6|7|9 | |||||||| | |||||||| | |||||||| | SCI: Choose one. "Today" is the day the subject answers the question regardless time of day. The duration of pain during the day does not matter in answering this question. |
SCI Variable: PNDAYNO | Number of days with pain in the last seven days including today | trauma | SCI:Widerstr-Noga E, Biering-Sirensen F, Bryce T, Cardenas DD, Finnerup NB, Jensen MP, Richards JS, Siddall PJ. The international spinal cord injury pain basic data set. Spinal Cord. 2008 Dec;46(12):818-23. | Adult | N/A.N/A | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Basic | Pain days with past week number | NIh/NINDS | NIH/NINDS | 4/1/14 | 3/20/25 | Published | ||||||||||||||||||||||||||||||||||||||||||||||||||||
| CircSuppTyp | Circulation support type | Common Data Element | 1.8 | Therapies or procedures the participant/subject received to support circulation | Therapies or procedures the participant/subject received to support circulation | Alphanumeric | Multiple Pre-Defined Values Selected | C0005775|C1521721 | Blood Circulation|Supportive assistance | UMLS|UMLS | CPR|ECMO|HBOC|IABP|IV fluids - Blood|IV fluids - Colloids|IV fluids - Crystalloids|IV fluids - Hypertonic saline|No specific therapy|Other|REBOA|Unknown|Vasopressors|Ventricular assistive device | CPR|Extracorporeal Membrane Oxygenation|Hemoglobin-Based Oxygen Carriers|Intra-Aortic Balloon Pump|IV fluids - Blood|IV fluids - Colloids|IV fluids - Crystalloids|IV fluids - Hypertonic saline|No specific therapy|Other|Resuscitative Endovascular Balloon Occlusion of the Aorta|Unknown|Vasopressors|Ventricular assistive device | 1|2|3|4|5|6|7|8|9|444|11|12|13|14 | ||||||||||||| | ||||||||||||| | ||||||||||||| | Choose all that apply. Assess (and document later) the ABC status immediately upon arrival in the ER, prior to resuscitation therapy. Problems with the ABC status may cause substantial second insults (hypoxia and hypotension), exacerbating the brain injury in TBI. | FITBIR|NIA|PDBP; | Type of circulation support | trauma | No references available | Adult and Pediatric | Assessments and Examinations.Vital Signs and Other Body Measures | Assessments and Examinations.Vital Signs and Other Body Measures | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Basic | Supplemental | Circulation support type | NINDS_CDE | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 3/17/25 | Published | ||||||||||||||||||||||||||||||||||||||||
| WorkAccomodationInd | Work accomodation indicator | Common Data Element | 1 | Indicator related to whether patient received some type of work accommodation | Indicator related to whether patient received some type of work accommodation | Alphanumeric | Single Pre-Defined Value Selected | No|Yes | No|Yes | 1|2 | | | | | | | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Supplemental | Basic | NTRR | NINDS | 4/9/25 | 4/9/25 | Draft | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| TransportMode | Transport mode | Common Data Element | 1 | The mode of transport delivering the patient to your hospital. | The mode of transport delivering the patient to your hospital. | Alphanumeric | Single Pre-Defined Value Selected | Fixed-wing Ambulance|Ground Ambulance|Helicopter Ambulance|Other|Police|Private/Public Vehicle/Walk-in | Fixed-wing Ambulance|Ground Ambulance|Helicopter Ambulance|Other|Police|Private/Public Vehicle/Walk-in | ||||| | ||||| | ||||| | ||||| | trauma | Adult and Pediatric | Trauma.N/A | Supplemental | Basic | Supplemental | Supplemental | NTRR | NTDS | 3/12/25 | 4/9/25 | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| ClavDindoCompIndex | Clavien Dindo Complication Index | Common Data Element | 1 | Metric used to rank the severity of a surgical complication | Metric used to rank the severity of a surgical complication | Alphanumeric | Single Pre-Defined Value Selected | Grade I|Grade II|Grade IIIa|Grade IIIb|GradeIVa|GradeIVb|Grade V | Grade I|Grade II|Grade IIIa|Grade IIIb|GradeIVa|GradeIVb|Grade V | 1|2|3|4|5|6|7 | |||||| | |||||| | |||||| | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Basic | Supplemental | NTRR | Acute Workgroup | 4/9/25 | 4/9/25 | Draft | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| EmplmtOTH | Employment other text | Common Data Element | 1.7 | The free-text field related to 'Employment status' specifying other text. Status of participant/subject's current employment | The free-text field related to 'Employment status' specifying other text. Status of participant/subject's current employment | Alphanumeric | 4000 | Free-Form Entry | C0014003 | Employment | UMLS | FA/NMD/SMA/EPILEPSY/MS/ STROKE: National Health and Nutrition Examination Survey (http://www.cdc.gov/nchs/nhanes.htm) GENERAL: For years completed, code the number of years attained (0-30 years), normed to someone moving full time at the usual pace, i.e. a year that was repeated counts as only 1 year and the usual single-year full-time load completed over several years counts as 1 year. Certificate and technical programs do NOT count no matter how specialized. The number of years of typical completion of the relevant program is counted. If the subject obtained their education outside the United States, ask about their educational system to estimate the correct coding - Internship, Residency, and Fellowship years are experiential training and do not count. Recommend collection at least on date of TBI. |
Return to work is a relevant outcome parameter in patients in paid workforce prior to injury. If post injury employment is an outcome, pre-injury employment is an important predictor. | Other, specify | trauma | EPILEPSY?FA/GENERAL/HEADASHE/MS/NMD/SMA/STROKE: National Health and Nutrition Examination Survey (http://www.cdc.gov/nchs/nhanes.htm) |
Adult and Pediatric | Participant/Subject Characteristics.Social Status|Participant/Subject Characteristics.Demographics | Participant/Subject Characteristics.Social Status|Participant/Subject Characteristics.Demographics | Participant/Subject Characteristics.Social Status | Participant/Subject Characteristics.Social Status | Participant/Subject Characteristics.Social Status | Participant/Subject Characteristics.Social Status | Participant/Subject Characteristics.Social Status | Participant/Subject Characteristics.Social Status | Participant/Subject Characteristics.Social Status | Trauma.N/A | Core | Core | Core | Core | Core | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Core | Supplemental | Basic | Supplemental | Supplemental | Basic | EmplmtStatu | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | NIH/CIT/BRICS | NINDSCDE | NINDSCDE@emmes.com | 6/5/14 | 3/17/25 | Published | |||||||||||||||||||||||||||||||
| BloodProductAmt | Blood product amount | Common Data Element | 1.2 | Blood product amount | Blood product amount | Numeric Values | Free-Form Entry | Adult and Pediatric | Treatment/Intervention Data.Drugs | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | University of Texas Health Science Center at Houston | Yidao Cai | DOD | 8/26/19 | 3/17/25 | Published | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| CircSuppBldTyp | Circulatory support blood type | Common Data Element | 1 | Type of blood produc administered to the subject. | Type of blood produc administered to the subject. | Alphanumeric | Single Pre-Defined Value Selected | Autologous blood|Cell sve|Cryoprecipitate|Fibrinogen|Fibrinogen concentrate|Freeze dried plasma|Other blood product|Plasma FP24|Plasma fresh frozen|Plasma liquid|Plasma thawed|Platelets|Platelets apheresis|Platelets pooled|Prothrombin complex concentrate|Red blood cells|Whole blood | Autologous blood|Cell sve|Cryoprecipitate|Fibrinogen|Fibrinogen concentrate|Freeze dried plasma|Other blood product|Plasma FP24|Plasma fresh frozen|Plasma liquid|Plasma thawed|Platelets|Platelets apheresis|Platelets pooled|Prothrombin complex concentrate|Red blood cells|Whole blood | |||||||||||||||| | |||||||||||||||| | |||||||||||||||| | |||||||||||||||| | trauma | Adult and Pediatric | Trauma.N/A | Supplemental | Basic | Supplemental | Supplemental | NTRR | NTRR Workgroup | 3/12/25 | 4/9/25 | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| CompreCompIndex | Comprehensive Comlication Index | Common Data Element | 1 | Metric used to assess the overall morbidity experienced by patients after an intervention | Metric used to assess the overall morbidity experienced by patients after an intervention | Alphanumeric | Single Pre-Defined Value Selected | Grade I|Grade II|Grade IIIa|Grade IIIb|GradeIVa|GradeIVb | Grade I|Grade II|Grade IIIa|Grade IIIb|GradeIVa|GradeIVb | 1|2|3|4|5|6 | ||||| | ||||| | ||||| | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Basic | Supplemental | NTRR | Acute Workgroup | 4/9/25 | 4/9/25 | Draft | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| AlcScreenRes | Alcohol screen results | Common Data Element | 1 | First recorded blood alcohol (BAC) results within 24 hours after first hospital encounter. | First recorded blood alcohol (BAC) results within 24 hours after first hospital encounter. | Numeric Values | Free-Form Entry | Epidemiology|NTRR|NTDS | Adult and Pediatric | Trauma.N/A | Basic | Supplemental | Supplemental | Supplemental | NTRR | NTDS | 3/5/25 | 3/7/25 | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| InjCauseTypOTH | Injury cause other text | Common Data Element | 1.7 | The free-text field related to 'Injury cause type' specifying other text. | Alphanumeric | 4000 | Free-Form Entry | C3263723 | Traumatic injury | UMLS | Enter other text | Other, specify | Injury_History|ADAPT | No references available | Adult and Pediatric | Participant/Subject Characteristics.Demographics | Supplemental | Supplemental | Supplemental | Supplemental | BlastInjDevTyp;InjCauseTyp;InjDateReliablTyp;InjDateTime;InjDateTimeEstTyp;InjDescriptionText;InjElapsedTime;InjEventNum;InjICDExtCauseCode;InjPlcOccncTyp;InjPresentRsn;InjReliablTyp;InjSeverScore;InjVlntCauseTyp;SupportWithdrawnInjElapsedTime | NIH/CIT/BRICS | Olga Vovk | olga.vovk@nih.gov | Olga Vovk | olga.vovk@nih.gov | 6/30/14 | 3/10/25 | Published | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
| InjElapsedTime | Injury elapsed time | Common Data Element | 1.1 | The elapsed time (in minutes) from the time of injury | The elapsed time (in minutes) from the time of injury | Numeric Values | Free-Form Entry | 0 | C0876926|C3263722/C2826303 | Traumatic brain injury|Traumatic AND OR non-traumatic injury/Elapsed Time | UMLS|UMLS | Minute | Indicate the time since injury occurred following definition provided per protocol. Note: Accurate determination of time since injury is critical for gauging patient progress and for assessing eligibility for acute phase studies. The need for TBI patients to be transferred from an initial receiving hospital to another hospital may delay definitive care and consequently impact outcome adversely, and longer transport times delay definitive treatment. | Core_TBI | No references available | Adult and Pediatric | Disease/Injury Related Events.History of Disease/Injury Event | Disease/Injury Related Events.History of Disease/Injury Event | Trauma.N/A | Supplemental | Core | Core | Core | Core | Core | Core | Core | Core | Injury elapsed time | NIH/CIT/BRICS | Olga Vovk | olga.vovk@nih.gov | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 1/23/25 | Published | |||||||||||||||||||||||||||||||||||||||||||||||
| GonShoulbductFwdFlexnMeasr | Goniometry shoulder forward flexion measurement | Common Data Element | 1 | Measurement in degrees of the passive range of motion for shoulder forward flexion | Measurement in degrees of the passive range of motion for shoulder forward flexio | Numeric Values | Free-Form Entry | -360 | 360 | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Supplemental | Basic | NTRR | NINDS | 4/9/25 | 4/9/25 | Draft | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| HlthInsOTH | Health insurance other text | Common Data Element | 1 | The free-text field related to 'Health insurance type' specifying other text. Type of insurance that the participant/subject currently has providing coverage for medical, surgical or hospital care | The free-text field related to 'Health insurance type' specifying other text. Type of insurance that the participant/subject currently has providing coverage for medical, surgical or hospital care | Alphanumeric | 4000 | Free-Form Entry | TBI: Choose one. Document the date the history was obtained so it can be determined whether this information was obtained prior to study enrollment or later. Recommend collection at least on date of TBI and perhaps after all initial medical treatment. ----- NMD: Choose all that apply ----- SMA: Choose all that apply ----- HEADACHE: Choose one. Document the date the history was obtained so it can be determined whether this information was obtained prior to study enrollment or later. Recommend collection at least on date of TBI and perhaps after all initial medical treatment. ----- GENERAL: Choose one. ----- TBI (TBIACUTE): Choose one. Document the date the history was obtained so it can be determined whether this information was obtained prior to study enrollment or later. Recommend collection at least on date of TBI and perhaps after all initial medical treatment. ----- TBI (TBIMILD): Choose one. Document the date the history was obtained so it can be determined whether this information was obtained prior to study enrollment or later. Recommend collection at least on date of TBI and perhaps after all initial medical treatment. ----- TBI (TBIMOD): Choose one. Document the date the history was obtained so it can be determined whether this information was obtained prior to study enrollment or later. Recommend collection at least on date of TBI and perhaps after all initial medical treatment. ----- TBI (TBIEPID): Choose one. Document the date the history was obtained so it can be determined whether this information was obtained prior to study enrollment or later. Recommend collection at least on date of TBI and perhaps after all initial medical treatment. |
Other, specify | GENERAL: No references available ----- HEADACHE: NHLBI CDE from https://cdebrowser.nci.nih.gov/CDEBrowser/ ----- NMD: No references available ----- SMA: No references available ----- TBI: NHLBI CDE from https://cdebrowser.nci.nih.gov/CDEBrowser/ |
Adult and Pediatric | Participant/Subject Characteristics.Social Status | Participant/Subject Characteristics.Social Status | Participant/Subject Characteristics.Social Status | Participant/Subject Characteristics.Social Status | Participant/Subject Characteristics.Social Status | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Core | NTRR | FITBIR | 6/5/14 | 3/7/25 | Draft | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
| GonioKneeMeasureAct | Goniometry knee measurement (active) | Common Data Element | 1 | Measurement in degrees of the active range of motion for knee | Measurement in degrees of the active range of motion for knee | Alphanumeric | 3 | Free-Form Entry | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Supplemental | Basic | NTRR | Workgroup | 4/9/25 | 4/9/25 | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| DrugScreenOTH | Drug screen other | Common Data Element | 1 | The free-text field related to 'Drug screen results' specifying other text. | The free-text field related to 'Drug screen results' specifying other text. | Alphanumeric | 4000 | Free-Form Entry | Epidemiology|NTRR|NTDS | Adult and Pediatric | Trauma.N/A | Basic | Supplemental | Supplemental | Supplemental | NTRR | NTRR Workgroup | 3/5/25 | 3/7/25 | Draft | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| GonioAnkleMeasureAct | Goniometry ankle measurement (active) | Common Data Element | 1 | Measurement in degrees of the active range of motion for ankle | Measurement in degrees of the active range of motion for ankle | Alphanumeric | 3 | Free-Form Entry | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Supplemental | Basic | NTRR | Workgroup | 4/9/25 | 4/9/25 | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| HospDischDisp | Hospital discharge disposition type | Common Data Element | 1 | The disposition of the patient when discharged from the hospital | The disposition of the patient when discharged from the hospital | Alphanumeric | Single Pre-Defined Value Selected | Deceased/Expired|Discharged to home or self-care (routine discharge)|Discharged/Transferred to an Intermediate Care Facility (ICF)|Discharged/Transferred to another type of institution not defined elsewhere|Discharged/Transferred to a psychiatric hospital or psychiatric distinct part unit of a hospital|Discharged/Transferred to a short-term general hospital for inpatient care|Discharged/Transferred to court/law enforcement.|Discharged/Transferred to home under care of organized home health service|Discharged/Transferred to hospice care|Discharged/Transferred to inpatient rehab or designated unit|Discharged/Transferred to Long Term Care Hospital (LTCH)|Discharged/Transferred to Skilled Nursing Facility (SNF)|Left against medical advice or discontinued care | Deceased/Expired|Discharged to home or self-care (routine discharge)|Discharged/Transferred to an Intermediate Care Facility (ICF)|Discharged/Transferred to another type of institution not defined elsewhere|Discharged/Transferred to a psychiatric hospital or psychiatric distinct part unit of a hospital|Discharged/Transferred to a short-term general hospital for inpatient care|Discharged/Transferred to court/law enforcement.|Discharged/Transferred to home under care of organized home health service|Discharged/Transferred to hospice care|Discharged/Transferred to inpatient rehab or designated unit|Discharged/Transferred to Long Term Care Hospital (LTCH)|Discharged/Transferred to Skilled Nursing Facility (SNF)|Left against medical advice or discontinued care | 5|6|2|13|12|1|9|3|8|10|11|7|4 | |||||||||||| | |||||||||||| | |||||||||||| | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Supplemental | Basic | NTRR | NTDS | 4/9/25 | 4/9/25 | Draft | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| InjCauseTyp | Injury cause type | Common Data Element | 1.6 | 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 | Alphanumeric | Multiple Pre-Defined Values Selected | C3263723 | Traumatic injury | UMLS | Accidental falls|Accidental poisoning by drugs, medicinal substances, and biologicals|Accidental poisoning by other solid and liquid substances, gases, and vapors|Accidents caused by fire and flames|Accidents caused by submersion, suffocation, and foreign bodies|Accidents due to natural and environmental factors (e900-e909)|Air and space transport accidents|Drugs, medicinal and biological substances causing adverse effects in therapeutic use|Homicide and injury purposely inflicted by other persons|Injury resulting from operations of war|Injury undetermined whether accidentally or purposely inflicted|Late effects of accidental injury|Legal intervention|Misadventures to patients during surgical and medical care|Motor vehicle nontraffic accidents|Motor vehicle traffic accidents|Other accidents|Other road vehicle accidents|Railway accidents|Suicide and self-inflicted injury|Surgical and medical procedures as the cause of abnormal reaction of patient or later complication, without mention of misadventure at the time of procedure|Terrorism|Vehicle accidents not elsewhere classifiable|Water transport accidents | Accidental falls (e880-e888)|Accidental poisoning by drugs, medicinal substances, and biologicals (e850-e858)|Accidental poisoning by other solid and liquid substances, gases, and vapors (e860-e869)|Accidents caused by fire and flames (e890-e899)|Accidents caused by submersion, suffocation, and foreign bodies (e910-e915)|Accidents due to natural and environmental factors (e900-e909)|Air and space transport accidents (e840-e845)|Drugs, medicinal and biological substances causing adverse effects in therapeutic use (e930-e949)|Homicide and injury purposely inflicted by other persons (e960-e969)|Injury resulting from operations of war (e990-e999|Injury undetermined whether accidentally or purposely inflicted (e980-e989)|Late effects of accidental injury (e929)|Legal intervention (e970-e978)|Misadventures to patients during surgical and medical care (e870-e876)|Motor vehicle nontraffic accidents (e820-e825)|Motor vehicle traffic accidents (e810-e819)|Other accidents (e916-e928)|Other road vehicle accidents (e826-e829)|Railway accidents (e800-e807)|Suicide and self-inflicted injury (e950-e959)|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)|Terrorism (e979)|Vehicle accidents not elsewhere classifiable (e846-e848)|Water transport accidents (e830-e838) | 880|850|860|890|910|900|840|930|960|990|980|929|970|870|820|810|916|826|800|950|878|979|846|830 | ||||||||||||||||||||||| | ||||||||||||||||||||||| | ||||||||||||||||||||||| | Select all that apply | Cause of injury | Injury_History | GENERAL/TBI: 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 and Pediatric | Disease/Injury Related Events.History of Disease/Injury Event | Basic | Basic | Basic | Basic | BlastInjDevTyp;InjCauseTypOTH;InjDateReliablTyp;InjDateTime;InjDateTimeEstTyp;InjDescriptionText;InjElapsedTime;InjEventNum;InjICDExtCauseCode;InjPlcOccncTyp;InjPresentRsn;InjReliablTyp;InjSeverScore;InjVlntCauseTyp;SupportWithdrawnInjElapsedTime | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | NINDSCDE | NINDSCDE@emmes.com | 3/7/25 | Published | ||||||||||||||||||||||||||||||||||||||||||||||||||
| AgeVal | Age value | Common Data Element | 1.7 | Value for participant/subject's age, calculated as elapsed time since the birth of the participant/subject. By default in months | Value for participant's subject age, calculated as elapsed time since the birth of the participant/subject. By default in months | Numeric Values | Free-Form Entry | 0 | 1800 | C0001779 | Age | UMLS | Month | GENERAL/TBI: For children younger than one year born at less than 36 weeks gestation, it is recommended to also collect gestational age. Recording date of birth will give the most detailed information required for calculation of age and is recommended as first choice. However, in some studies recording date of birth may elicit discussions on a potential violation of privacy legislation and specifically HIPAA regulations. In these cases, the calculated age should be recorded. MG/NMD/SMA: This is recorded for each brain MRI performed. This is a derived field from Date of Birth and Visit Date. HEADACHE: It is recommended that age be calculated from date of birth and the study enrollment date. However, if age needs to be collected (e.g., full date of birth is not allowed to be collected) then it should be recorded in months and years. This element is recommended as Core for pediatric headache studies. |
Age value in months. CDISC variables: DM=Demographics, SUPPDM= SUPPQUAL for Demographics, SC=Subject Characteristics, AGE, AGEU, AGETXT. For more information, refer to https://wiki.cdisc.org/pages/viewpage.action?pageId=32815150 | Age | Epidemiology|CDISC | No references available | Adult and Pediatric | Participant/Subject Characteristics.Demographics | Disease/Injury Related Events.Classification|Participant/Subject Characteristics.Demographics | Assessments and Examinations.Imaging Diagnostics | Assessments and Examinations.Imaging Diagnostics | Assessments and Examinations.Imaging Diagnostics | Participant/Subject Characteristics.Demographics | Assessments and Examinations.Non-Imaging Diagnostics | Supplemental | Basic | Basic | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Core | Supplemental | Age value | NIH/NINDS | Olga Vovk | olga.vovk@nih.gov | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 3/5/25 | Published | |||||||||||||||||||||||||||||||||||||||
| VentilatorAssistUtilznInd | Ventilator Assistance Utilization Indicator | Common Data Element | 1.2 | Indicator whether patient was artificially ventilated | Indicator whether patient was artificially ventilated | Alphanumeric | Single Pre-Defined Value Selected | No|Unknown|Yes | No|Unknown|Yes | 0|999|1 | || | || | || | EPO|trauma|Ventilator | Adult and Pediatric | Treatment/Intervention Data.Surgeries and Other Procedures | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Basic | NTRR_CDE | VentilatorAssistanceUtilznInd | Baylor College of Medicine | Jose-Miguel Yamal | Jose-Miguel.Yamal@uth.tmc.edu | NIH/CIT/BRICS | Kate Burdekin | kate.burdekin@nih.gov | 2/29/16 | 3/19/25 | Published | ||||||||||||||||||||||||||||||||||||||||||||||||
| FluidsInd | Fluids indicator | Common Data Element | 1.2 | Indicates whether participant/subject was given fluids. | Indicates whether participant/subject was given fluids. | Alphanumeric | Single Pre-Defined Value Selected | No|Unknown|Yes | No|Unknown|Yes | || | || | || | || | trauma | Adult and Pediatric | Trauma.N/A | Supplemental | Basic | Supplemental | Supplemental | NTRR | NTRR Workgroup | 6/19/14 | 4/9/25 | Published | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| TransportModeOTH | Transport mode other text | Common Data Element | 1 | The free-text field related to 'Transport mode' specifying other text. | The free-text field related to 'Transport mode' specifying other text. | Alphanumeric | 4000 | Free-Form Entry | trauma | Adult and Pediatric | Trauma.N/A | Supplemental | Basic | Supplemental | Supplemental | NTRR | NTDS | 3/12/25 | 4/9/25 | Draft | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| EmerDeptDischDisp | ED Discharge Disposition | Common Data Element | 1 | The disposition unit the order was written for the patient to be discharged from the ED. | The disposition unit the order was written for the patient to be discharged from the ED. | Alphanumeric | Single Pre-Defined Value Selected | Deceased/expired|Floor bed (general admission, non-specialty unit bed|Home without services|Home with services|Intensive Care Unit (ICU)|Left against medical advice|Observation unit|Operating Room|Other (jail, institutional care, mental health, etc.)|Telemetry/step-down unit (less acuity than ICU|Transferred to another hospital | Deceased/expired|Floor bed (general admission, non-specialty unit bed|Home without services|Home with services|Intensive Care Unit (ICU)|Left against medical advice|Observation unit|Operating Room|Other (jail, institutional care, mental health, etc.)|Telemetry/step-down unit (less acuity than ICU|Transferred to another hospital | 5|1|9|4|8|10|2|7|6|3|11 | |||||||||| | |||||||||| | |||||||||| | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Basic | Supplemental | NTRR | NTDS | 4/9/25 | 4/9/25 | Draft | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| EmrServTyp | Emergency service type | Common Data Element | 1.2 | Branch of service involved at the accident scene | Branch of service involved at the accident scene | Alphanumeric | Multiple Pre-Defined Values Selected | C0013969 | Emergency treatment | UMLS | Ambulance (Core, EMT-B)|Ambulance with specialized personnel (EMT-1)|Firefighter|Helicopter medical service|None|Other, specify|Police | Ambulance (Core, EMT-B)|Ambulance with specialized personnel (EMT-1)|Firefighter|Helicopter medical service|None|Other, specify|Police | 1|2|3|4|5|6|7 | |||||| | |||||| | |||||| | Choose all that apply. | Emergency service provided | Injury_History | No references available | Adult and Pediatric | Disease/Injury Related Events.History of Disease/Injury Event | Disease/Injury Related Events.History of Disease/Injury Event | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Emergency service type | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 4/1/14 | 3/7/25 | Published | ||||||||||||||||||||||||||||||||||||||||||||||
| ProtDevTypOTH | Protective device type specify other | Common Data Element | 1 | The free-text field related to 'Protective device type' specifying other text | The free-text field related to 'Protective device type' specifying other text | Alphanumeric | 4000 | Free-Form Entry | Adult and Pediatric | Trauma.N/A | Basic | Basic | Supplemental | Supplemental | NTRR | NTDS | 3/5/25 | 3/12/25 | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| DestinationTypOTH | Type of destination other text | Common Data Element | 1 | The free-text related to 'Type of destination' specifying other text. | The free-text related to 'Type of destination' specifying other text. | Alphanumeric | 4000 | Free-Form Entry | trauma | Adult and Pediatric | Trauma.N/A | Supplemental | Basic | Supplemental | Supplemental | NTRR | NTRR Workgroup | 3/12/25 | 4/9/25 | Draft | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| EmplmtStatu | Employment status | Common Data Element | 1.12 | Status of participant/subject's current employment | Status of participant/subject's current employment | Alphanumeric | Single Pre-Defined Value Selected | C0014003 | Employment | UMLS | Disabled, permanently or temporarily|Keeping house|Looking for work, unemployed|Only temporarily laid off|Other, specify|Retired|Sick leave or maternity leave|Student|Unknown|Working Now | Disabled, permanently or temporarily|Keeping house|Looking for work, unemployed|Only temporarily laid off|Other, specify|Retired|Sick leave or maternity leave|Student|Unknown|Working Now | 1|2|3|4|444|6|7|8|999|10 | C1880351|C0020053|C0557369|C5447930|C3845569|C0035345|C0242807/C0086593|C0038492|C0439673|C0557351 | Disabled|Housekeeping|Seeking work|Temporary Leave|Specify Other|Retirement|Sick Leave/Maternity leave|student|Unknown|Employed | UMLS|UMLS|UMLS|UMLS|UMLS|UMLS|UMLS|UMLS|UMLS|UMLS | For years completed, code the number of years attained (0-30 years), normed to someone moving full time at the usual pace, i.e. a year that was repeated counts as only 1 year and the usual single-year full-time load completed over several years counts as 1 year. Certificate and technical programs do NOT count no matter how specialized. The number of years of typical completion of the relevant program is counted. If the subject obtained their education outside the United States, ask about their educational system to estimate the correct coding - Internship, Residency, and Fellowship years are experiential training and do not count. Recommend collection at least on date of TBI. | cdRNS|FITBIR|PDBP; | Employment status | trauma | No references available | Adult and Pediatric | Participant/Subject Characteristics.Social Status | Participant/Subject Characteristics.Social Status | Trauma.N/A | Core | Core | Core | Core | Core | Basic | Supplemental | Basic | Supplemental | NINDS_CDE | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 6/5/14 | 3/17/25 | Published | ||||||||||||||||||||||||||||||||||||||||
| GCSEyeRespnsScale | Glasgow Coma Scale (GCS) - eye response scale | Common Data Element | 1.14 | Glasgow Coma Scale (GCS) - Best eye response (E). The GCS is a standardized instrument for assessing the level of consciousness. It evaluates three aspects of responsiveness: eye opening, motor response, verbal response. | Glasgow Coma Scale (GCS) - Best eye response (E). The GCS is a standardized instrument for assessing the level of consciousness. It evaluates three aspects of responsiveness: eye opening, motor response, verbal response. | Alphanumeric | Single Pre-Defined Value Selected | C0578785/C0488481/C0559289 | Glasgow coma scale finding/Glasgow coma score.eye opening:Fcn:Pt:^Patient:Ord/Glasgow Coma Score eye opening subscore | UMLS | 1|2|3|4|Unknown|Untestable | No eye opening|Eye opening to pain|Eye opening to speech/verbal command|Eyes open spontaneously|Unknown|Untestable | 1|2|3|4|0|555 | C3840971/C2012045|C3840970/C2012047|C2012048|C3840968/C2012046|C0439673|C0442737 | No eye opening/Glasgow coma scale eyes never open (1)|Eye opening to pain/Glasgow coma scale eyes open to pain stimuli (2)|Glasgow coma scale eyes open to verbal stimuli (3)|Opens eyes spontaneously/Glasgow coma scale eyes open spontaneously (4)|Unknown|Not detected | UMLS|UMLS|UMLS|UMLS|UMLS|UMLS | Choose one. This element should be collected along with the other elements from the Glasgow Coma Scale (GCS). Intubation and severe facial/eye swelling or damage make it impossible to test the verbal and eye responses. In these circumstances, the score is given as 1 with a modifier attached e.g. 'E1s' where 's' = swollen, or 'V1t' where t = tube. A composite might be 'GCS 5ts'. This would mean, for example, eyes closed because of swelling = 1, intubated = 1, leaving a motor score of 3 for 'abnormal flexion'. Often the 1 is left out, so the scale reads ES or VT. | Best eye response | Core_TBI|trauma | Teasdale G, Jennett B. Assessment of coma and impaired consciousness. A practical scale. Lancet. Jul 1974;2(7872): 81-4. Marmarou A, Lu J, Butcher I, et al. Prognostic value of the Glasgow Coma Scale and pupil reactivity in traumatic brain injury assessed pre-hospital and on enrolment: an IMPACT analysis. J Neurotrauma. Feb 2007;24(2): 270-80. Stocchetti N, Pagan F, Calappi E, et al. Inaccurate early assessment of neurological severity in head injury. J Neurotrauma. Sep 2004: 21(9): 1131-40. Balestreri M, Czosnyka M, Chatfield DA, et al. Predictive value of Glasgow Coma Scale after brain trauma: change in trend over the past ten years. J Neurol Neurosurg Psychiatry. Jan 2004;75(1): 161-2. |
Adult and Pediatric | Disease/Injury Related Events.History of Disease/Injury Event|Assessments and Examinations.Physical/Neurological Examination | Assessments and Examinations.Physical/Neurological Examination | Trauma.N/A | Supplemental | Core | Core | Core | Core | Basic | Basic | Basic | Basic | GCS Eye response | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 3/17/25 | Published | ||||||||||||||||||||||||||||||||||||||||||
| BurnMech | Etiology of burn injury | Common Data Element | 1 | This field should characterize as completely as possible the etiology of the burn injury. Choose the term that most closely approximates the circumstances, as you know them | This field should characterize as completely as possible the etiology of the burn injury. | Alphanumeric | Single Pre-Defined Value Selected | Chemical/Corrosion|Contact|Electrical|Flame|Flash|Other|Radiant/Laser Burn|Scald | Chemical/Corrosion|Contact|Electrical|Flame|Flash|Other|Radiant/Laser Burn|Scald | ||||||| | ||||||| | ||||||| | ||||||| | trauma | Adult and Pediatric | Trauma.N/A | Supplemental | Basic | Supplemental | Supplemental | NTRR | ABA | 3/12/25 | 4/9/25 | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| GCSMotorRespnsScale | Glasgow Coma Scale (GCS) - motor response scale | Common Data Element | 1.18 | Glasgow Coma Scale (GCS) - Best motor response (M). The GCS is a standardized instrument for assessing the level of consciousness. It evaluates three aspects of responsiveness: eye opening, motor response, verbal response. | Glasgow Coma Scale (GCS) - Best motor response (M). The GCS is a standardized instrument for assessing the level of consciousness. It evaluates three aspects of responsiveness: eye opening, motor response, verbal response. | Alphanumeric | Single Pre-Defined Value Selected | C0578785/C0488482/C1285623 | Glasgow coma scale finding/Glasgow coma score.motor:Fcn:Pt:^Patient:Ord/Motor response | UMLS | 1|2|3|4|5|6|Unknown|Untestable | No motor response|Abnormal extension/Extensor response|Abnormal flexion|Flexion withdrawal/withdraws from pain|Localizes pain|Obeys command|Unknown|Untestable | 1|2|3|4|5|6|999|555 | C3648958|C3648958|C3648958|C3648958|C2830428/C2012053|C0517994/C3648958|C0439673|C0442737 | Glasgow coma scale: best motor response|Glasgow coma scale: best motor response|Glasgow coma scale: best motor response|Glasgow coma scale: best motor response|Coma scale, best motor response, localizes pain/Glasgow coma scale best motor response: localizes pain (5)|Obeys commands/Glasgow coma scale: best motor response|Unknown|Not detected | UMLS|UMLS|UMLS|UMLS|UMLS|UMLS|UMLS|UMLS | Choose one. This element should be collected along with the other elements from the Glasgow Coma Scale (GCS). | Best motor response | Core_TBI|trauma | Teasdale G, Jennett B. Assessment of coma and impaired consciousness. A practical scale. Lancet. Jul 1974;2(7872): 81-4. Marmarou A, Lu J, Butcher I, et al. Prognostic value of the Glasgow Coma Scale and pupil reactivity in traumatic brain injury assessed pre-hospital and on enrolment: an IMPACT analysis. J Neurotrauma. Feb 2007;24(2): 270-80. Stocchetti N, Pagan F, Calappi E, et al. Inaccurate early assessment of neurological severity in head injury. J Neurotrauma. Sep 2004: 21(9): 1131-40. Balestreri M, Czosnyka M, Chatfield DA, et al. Predictive value of Glasgow Coma Scale after brain trauma: change in trend over the past ten years. J Neurol Neurosurg Psychiatry. Jan 2004;75(1): 161-2. |
Adult and Pediatric | Disease/Injury Related Events.History of Disease/Injury Event|Assessments and Examinations.Physical/Neurological Examination | Assessments and Examinations.Physical/Neurological Examination|Disease/Injury Related Events.Classification | Trauma.N/A | Supplemental | Core | Core | Core | Core | Supplemental | Basic | Basic | Supplemental | GCS Motor response | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 3/17/25 | Published | ||||||||||||||||||||||||||||||||||||||||||
| GCSTotalScore | Glasgow Coma Scale (GCS) - total score | Common Data Element | 1.18 | Glasgow Coma Scale (GCS) - Total Score. The GCS is a standardized instrument for assessing the level of consciousness. It evaluates three aspects of responsiveness: eye opening, motor response, verbal response. The total score is the sum of the scores for the three response types. (3-15) | Glasgow Coma Scale (GCS) - Total Score. The GCS is a standardized instrument for assessing the level of consciousness. | Alphanumeric | Single Pre-Defined Value Selected | C0578785/C0439810 | Glasgow coma scale finding/Total | UMLS | 10|11|12|13|14|15|3|4|5|6|7|8|9|Unknown|Untestable | 10|11|12|13|14|15|3|4|5|6|7|8|9|Unknown|Untestable | 10|11|12|13|14|15|3|4|5|6|7|8|9|999|555 | C2012049/C3648959|C2012049/C3648959|C2012049/C3648959|C2012049/C3648961|C2012049/C3648961|C2012049/C3648961|C2012049/C3648960/C4540911|C2012049/C3648960/C4540911|C2012049/C3648960/C4540911|C2012049/C3648960|C2012049/C3648960|C2012049/C3648960|C2012049|C0439673|C0442737 | Glasgow coma scale total score/Glasgow coma scale: total score 9-12|Glasgow coma scale total score/Glasgow coma scale: total score 9-12|Glasgow coma scale total score/Glasgow coma scale: total score 9-12|Glasgow coma scale total score/Glasgow coma scale: total score 13-15|Glasgow coma scale total score/Glasgow coma scale: total score 13-15|Glasgow coma scale total score/Glasgow coma scale: total score 13-15|Glasgow coma scale total score/Glasgow coma scale: total score 3-8/Glasgow Coma Scale score < 6|Glasgow coma scale total score/Glasgow coma scale: total score 3-8/Glasgow Coma Scale score < 6|Glasgow coma scale total score/Glasgow coma scale: total score 3-8/Glasgow Coma Scale score < 6|Glasgow coma scale total score/Glasgow coma scale: total score 3-8|Glasgow coma scale total score/Glasgow coma scale: total score 3-8|Glasgow coma scale total score/Glasgow coma scale: total score 3-8|Glasgow coma scale total score|Unknown|Not detected | UMLS|UMLS|UMLS|UMLS|UMLS|UMLS|UMLS|UMLS|UMLS|UMLS|UMLS|UMLS|UMLS|UMLS|UMLS | This element should be collected along with the other elements from the Glasgow Coma Scale (GCS). The minimum possible score on the GCS is 3 and the maximum possible score is 15. http: //www.glasgowcomascale.org/faq/ Dealing with missing information: There are various different strategies for dealing with information that is missing because of factors interfering with assessment such as those described above. 1. Assess, communicate and make decisions using the remaining components. Although guidelines are often expressed in terms of a total GCS score, the trend in whichever of the components (eye, motor or verbal) can be assessed is still valuable. 2. Do not use number to record missing component; use Not testable . 3. Do not report a total score when a component is Not Testable because the score will be low and this could be confusing to medical colleagues. This may also imply that the patient is more unwell than they actually are. 4. It is possible using statistical methods to estimate a missing component from the findings in the other components. This is probably more relevant to research than clinical practice. | GCS Total Score | Core_TBI|trauma | Teasdale G, Jennett B. Assessment of coma and impaired consciousness. A practical scale. Lancet. Jul 1974;2(7872): 81-4. Marmarou A, Lu J, Butcher I, et al. Prognostic value of the Glasgow Coma Scale and pupil reactivity in traumatic brain injury assessed pre-hospital and on enrolment: an IMPACT analysis. J Neurotrauma. Feb 2007;24(2): 270-80. Stocchetti N, Pagan F, Calappi E, et al. Inaccurate early assessment of neurological severity in head injury. J Neurotrauma. Sep 2004: 21(9): 1131-40. Balestreri M, Czosnyka M, Chatfield DA, et al. Predictive value of Glasgow Coma Scale after brain trauma: change in trend over the past ten years. J Neurol Neurosurg Psychiatry. Jan 2004;75(1): 161-2. |
Adult and Pediatric | Disease/Injury Related Events.History of Disease/Injury Event|Assessments and Examinations.Physical/Neurological Examination | Assessments and Examinations.Physical/Neurological Examination | Trauma.N/A | Supplemental | Core | Core | Core | Core | Supplemental | Basic | Basic | Supplemental | GCS Total score | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 3/17/25 | Published | ||||||||||||||||||||||||||||||||||||||||||
| GoniomNeckMeasr | Goniometry neck measurement | Common Data Element | 1 | Measurement in degrees of the passive range of motion for neck | Measurement in degrees of the passive range of motion for nec | Numeric Values | Free-Form Entry | -360 | 360 | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Supplemental | Basic | NTRR | NINDS | 4/9/25 | 4/9/25 | Draft | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| PatientVisitSiteTyp | Patient visit site type | Common Data Element | 1 | Information related to the site of visit by a patient to a medical professional. | Information related to the site of visit by a patient to a medical professional. | Alphanumeric | Single Pre-Defined Value Selected | Email to provider|Emergency Department|Hospital Inpatient Department|Hospital Outpatient Department|Intensive Care Unit (ICU) Hospital Inpatient Department|Other|Phone call to provider|Provider�s Office|Telemedicine | Email to provider|Emergency Department|Hospital Inpatient Department|Hospital Outpatient Department|Intensive Care Unit (ICU) Hospital Inpatient Department|Other|Phone call to provider|Provider�s Office|Telemedicine | 1|2|3|4|5|6|7|8|9 | |||||||| | |||||||| | |||||||| | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Supplemental | Basic | NTRR | CaDSR | 4/9/25 | 4/9/25 | Draft | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| GoniomElbowMeasr | Goniometry elbow measurement | Common Data Element | 1 | Measurement in degrees of the passive range of motion for elbow | Measurement in degrees of the passive range of motion for elbo | Numeric Values | Free-Form Entry | -360 | 360 | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Supplemental | Basic | NTRR | NINDS | 4/9/25 | 4/9/25 | Draft | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| GCSVerbalRspnsScale | Glasgow Coma Scale (GCS) - verbal response scale | Common Data Element | 1.17 | Score that describes the participant's verbal response according to the Glasgow Coma Scale (GCS) | Score that describes the participant's verbal response according to the Glasgow Coma Scale (GCS) | Alphanumeric | Single Pre-Defined Value Selected | C0578785/C0488484/C3846697 | Glasgow coma scale finding/Glasgow coma score.verbal:Fcn:Pt:^Patient:Ord/Verbal response | UMLS | 1|2|3|4|5|Unknown|Untestable | No verbal response/sounds|Incomprehensible sound|Inappropriate words|Confused|Oriented|Unknown|Untestable | 1|2|3|4|5|0|555 | C3648957/C1298908/C3846697|C2012057|C2012057|C2012057|C2012057|C0439673|C0442737 | Glasgow coma scale: best verbal response/no/Verbal response|Glasgow coma scale: best verbal response|Glasgow coma scale: best verbal response|Glasgow coma scale: best verbal response|Glasgow coma scale: best verbal response|Unknown|Not detected | UMLS|UMLS|UMLS|UMLS|UMLS|UMLS|UMLS | Choose one. This element should be collected along with the other elements from the Glasgow Coma Scale (GCS). Intubation and severe facial/eye swelling or damage make it impossible to test the verbal and eye responses. In these circumstances, the score is given as 1 with a modifier attached e.g. 'E1S' where 's' = swollen, or 'V1t' where t = tube. A composite might be 'GCS 5tc'. This would mean, for example, eyes closed because of swelling = 1, intubated = 1, leaving a motor score of 3 for 'abnormal flexion'. Often the 1 is left out, so the scale reads Es or Vt. | When date/time data are prepared for aggregation or sharing they should be converted to the format specified by ISO 8601, YYYY-MM-DDThh:mm:ss. | Best verbal response | Core_TBI|trauma | Teasdale G, Jennett B. Assessment of coma and impaired consciousness. A practical scale. Lancet. Jul 1974;2(7872): 81-4. Marmarou A, Lu J, Butcher I, et al. Prognostic value of the Glasgow Coma Scale and pupil reactivity in traumatic brain injury assessed pre-hospital and on enrolment: an IMPACT analysis. J Neurotrauma. Feb 2007;24(2): 270-80. Stocchetti N, Pagan F, Calappi E, et al. Inaccurate early assessment of neurological severity in head injury. J Neurotrauma. Sep 2004: 21(9): 1131-40. Balestreri M, Czosnyka M, Chatfield DA, et al. Predictive value of Glasgow Coma Scale after brain trauma: change in trend over the past ten years. J Neurol Neurosurg Psychiatry. Jan 2004;75(1): 161-2. |
Adult and Pediatric | Disease/Injury Related Events.History of Disease/Injury Event|Assessments and Examinations.Physical/Neurological Examination | Assessments and Examinations.Physical/Neurological Examination | Trauma.N/A | Supplemental | Core | Core | Core | Core | Supplemental | Basic | Basic | Supplemental | GCS Verbal response | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 3/17/25 | Published | |||||||||||||||||||||||||||||||||||||||||
| GlasgowOutcomeScalExtScore | Glasgow Outcome Scale Extended (GOS-E) - Score | Common Data Element | 1.25 | Glasgow Outcome Scale Extended (1-8) | Glasgow Outcome Scale Extended (1-8) | Numeric Values | Single Pre-Defined Value Selected | C2964552|C2348867/C1274040|C0086749/C2349179 | Total score|Global/Result|Outcome Measures/End Point | UMLS|UMLS|UMLS | 1|2|3|4|5|6|7|8 | (D)-Death|(VS)-Vegetative State|(SD-)-Lower Severe Disability|(SD+)-Upper Severe Disability|(MD-)-Lower Moderate Disability|(MD+)-Upper Moderate Disability|(GR-)-Lower Good Recovery|(GR+)-Upper Good Recovery | 1|2|3|4|5|6|7|8 | C1306577|C0751700|C4699054|C4699055|C4699056|C4700029|C4699057|C4699058 | Death|Permanent Vegetative State|Lower severe disability|Upper severe disability|Lower moderate disability|Upper moderate disability|Lower good recovery|Upper good recovery | UMLS|UMLS|UMLS|UMLS|UMLS|UMLS|UMLS|UMLS | Scoring: The patient's overall rating is based on the lowest outcome category indicated on the scale. Refer to Wilson (1998) for further information concerning administration and scoring | NINDS: C07194 | Glasgow Outcome Scale Extended (GOS-E) Score | Injury_History|Global_Outcome|trauma|See_also|TAUG_TBI|Knowledge_graph|GOSE | Wilson JTL, Pettigrew LEL, Teasdale GM. Structured interviews for the Glasgow Outcome Scale and the Extended Glasgow Outcome Scale: Guidelines for their use. Journal of Neurotrauma 1998;15: 573-585. | Adult | Outcomes and End Points.Activities of Daily Living/Performance|Outcomes and End Points.Other Clinical Data | Outcomes and End Points.Global Outcome | Trauma.N/A | Supplemental | Core | Core | Core | Core | Supplemental | Supplemental | Basic | Supplemental | Glasgow Outcome Scale Extended | NINDS_CDE | AUDITTotalScore;BSI18GSIScoreRaw;COWATRawTotalScore;DRSTotalScore;FIMInstrTotalScore;GCSTotalScore;GOATTotalScore;InjElapsedTime;LOCInd;PGCSTotalScore;PHQ9TotalScore;RPQTotalScore;SF36V2SFTotalRawScore;SWLSTotalScore;TBITyp;TMTPartATime | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 3/17/25 | Published | |||||||||||||||||||||||||||||||||||||||
| LangCRFAdministratISOCodeOTH | Language form administration ISO code other text | Common Data Element | 1.8 | The free-text field related to 'Language used for CRF/instrument/scale/etc. administration ISO code' specifying other text. | The free-text field related to 'Language used for CRF/instrument/scale/etc. administration ISO code' specifying other text. | Alphanumeric | 4000 | Free-Form Entry | C0023008 | Languages | UMLS | Other text for form administration language ISO 639-2 code. Should be used only if 1) the ISO code is not available under LangCRFAdministratISOCode permissible values or 2) the ISO code is not available at all. If the language is not specified, the default value is 'eng'- English. | cdRNS|FITBIR|NIA|PDBP; | Other, specify | ISO 639-2 language codes (http: //www.loc.gov/standards/iso639-2/php/code_list.php) | Adult and Pediatric | Participant/Subject Characteristics.Demographics | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | NIH/CIT/BRICS | Olga Vovk | olga.vovk@nih.gov | NIH/CIT/BRICS | Olga Vovk | olga.vovk@nih.gov | 1/11/17 | 9/11/24 | Published | ||||||||||||||||||||||||||||||||||||||||||||||||||||
| HeartRate | Heart rate | Common Data Element | 1.7 | The participant/subject's pulse or number of contractions (heart beats) per minute | The participant/subject's pulse or number of contractions (heart beats) per minute | Numeric Values | Free-Form Entry | 0 | 300 | C0018810 | heart rate | UMLS | Beats per minute | GENERAL/FA/MG/NMD/SMA/EPILEPSY/STROKE/DMD: Record the pulse of the participant/subject in beats per minute. ----- TBI/TBIACUTE/TBIEPID/TBIMILD/TBIMOD: Record heart rate from monitor or by counting pulse rate. The suggested range is 0-300. Add date stamp for when assessed. Heart rate may be altered by trauma in a couple of ways. Tachycardia may indicate volume depletion, pain or stress, and higher heart rates have been found in patients that do not survive traumatic injuries. Bradycardia may be seen with elevated intracranial pressure. Pediatric-specific notes: As a minimum, vital signs should be recorded on admission and further, on a daily basis during the acute phase after injury. For the basic datasets, we recommend recording the average and lowest blood pressure over a given period. In the ICU environment, recording blood pressure on an hourly basis is recommended, especially when intracranial pressure (ICP) is monitored in order to permit determination of CPP, calculated as mean arterial blood pressure (MABP) - ICP (intermediate data set). ----- SCI: Resting BP and HR should be obtained following empting of the bladder and 5 minutes of resting period. Both physical activities and full urinary bladder could affect these parameters. ----- ALS: This value should be taken from the Vital Signs CRF to prevent capturing duplicate data in different places. Results should be recoreded in beats per minute (bpm). ----- SMA: Record the pulse of the participant/ subject in beats per minute. ----- MS: Record the pulse of the participant/ subject in beats per minute. Record heart rate from monitor or by counting pulse rate. The suggested range is 0-300. Add date stamp for when assessed. Heart rate may be altered by trauma in a couple of ways. Tachycardia may indicate volume depletion, pain or stress, and higher heart rates have been found in patients that do not survive traumatic injuries. Bradycardia may be seen with elevated intracranial pressure. Pediatric-specific notes: As a minimum, vital signs should be recorded on admission and further, on a daily basis during the acute phase after injury. For the basic datasets, we recommend recording the average and lowest blood pressure over a given period. In the ICU environment, recording blood pressure on an hourly basis is recommended, especially when intracranial pressure (ICP) is monitored in order to permit determination of CPP, calculated as mean arterial blood pressure (MABP) � ICP (intermediate data set). Resting BP and HR should be obtained following empting of the bladder and 5 minutes of resting period. Both physical activities and full urinary bladder could affect these parameters. ----- HEADACHE: Measure in beats per minute (bpm). |
cdRNS|FITBIR; CDISC variable: Vital Signs Test Code (VSTESTCD), Units for Vital Signs Results (VSRESU), Vital Signs Test Name (VSTEST), HR | Heart rate/pulse | NTRR|Vital_Signs | Refer to NINDS CDE repository for the full list of references. | Adult and Pediatric | Assessments and Examinations.Vital Signs and Other Body Measures | Trauma.N/A | Supplemental | Supplemental | Basic | Basic | Supplemental | Heart rate | NINDS_CDE | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 3/12/25 | Published | ||||||||||||||||||||||||||||||||||||||||||||||||
| HgtMeasr | Height measurement | Common Data Element | 1.7 | Measurement of participant's/subject's height. | Measurement of participant's/subject's height. | Numeric Values | Free-Form Entry | 0 | 400 | C0005890 | Body Height | UMLS | Centimeter | GENERAL/TBI: Record the height (or length for the very young) of the participant/ subject. To be collected at the visit, not self-reported. Also, indicate whether height was measured in inches (in) or centimeters (cm). The suggested range is 0-400 cm or 0-150 inches. Height and weight can be measured or estimated upon admission, or alternatively information may be obtained from relatives. Add date stamp for when assessed if possible. Documentation of height and weight is motivated by two reasons: 1. the risk of (systemic) complications is greater in the presence of obesity; 2. body weight is important for calculating required doses of (study) medications. | cdRNS|FITBIR|NIA|PDBP; | Height measurement | Injury_History|trauma|TRACK_TBI | No references available | Adult and Pediatric | Assessments and Examinations.Vital Signs and Other Body Measures | Assessments and Examinations.Vital Signs and Other Body Measures | Assessments and Examinations.Vital Signs and Other Body Measures | Assessments and Examinations.Vital Signs and Other Body Measures | Assessments and Examinations.Vital Signs and Other Body Measures | Assessments and Examinations.Vital Signs and Other Body Measures | Assessments and Examinations.Vital Signs and Other Body Measures | Assessments and Examinations.Vital Signs and Other Body Measures | Assessments and Examinations.Vital Signs and Other Body Measures | Assessments and Examinations.Vital Signs and Other Body Measures | N/A.N/A | Assessments and Examinations.Vital Signs and Other Body Measures | Assessments and Examinations.Vital Signs and Other Body Measures|Outcomes and End Points.Assessing Comorbidities | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Core | Core | Core | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Core | Supplemental | Supplemental | Supplemental | Basic | Supplemental | Height measurement | NINDS_CDE | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 4/1/14 | 3/17/25 | Published | ||||||||||||||||||||
| NemsisUUID | Nemsis UUID | Common Data Element | 1 | National Emergency Medical Services Information System Universally Unique Identifiers (UUIDS) | National Emergency Medical Services Information System Universally Unique Identifiers (UUIDS) | Alphanumeric | 50 | Free-Form Entry | trauma | Adult and Pediatric | Trauma.N/A | Supplemental | Basic | Supplemental | Supplemental | NTRR | NEMSIS | 3/12/25 | 4/9/25 | Draft | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| GoniomTorsoMeasr | Goniometry torso measurement | Common Data Element | 1 | Measurement in degrees of the passive range of motion for torso | Measurement in degrees of the passive range of motion for tors | Numeric Values | Free-Form Entry | -360 | 360 | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Supplemental | Basic | NTRR | NINDS | 4/9/25 | 4/9/25 | Draft | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| ICD10ExtCausCode | ICD-10 Place of Occurrence External Cause Code | Common Data Element | 1 | ICD-10 place of occurrence external cause code | ICD-10 place of occurrence external cause code used to descrbie the place/site/location of the injury (Y92.X) | Numeric Values | Free-Form Entry | Epidemiology|NTRR|NTDS | Adult and Pediatric | Trauma.N/A | Basic | Supplemental | Supplemental | Supplemental | NTRR | NTDS | 3/5/25 | 3/7/25 | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| HospitOTH | Hospitalization other text | Common Data Element | 1.6 | The free-text field related to 'Hospitalization reason' specifying other text. Reason why the participant/subject was hospitalized, excluding all surgeries | The free-text field related to 'Hospitalization reason' specifying other text. Reason why the participant/subject was hospitalized, excluding all surgeries | Alphanumeric | 4000 | Free-Form Entry | C0019993|C0679646/C0262926 | Hospitalization|Participant/Medical History | UMLS|UMLS | Record the reason for each hospitalization within the past year. | FITBIR|NIA|PDBP; | Other, specify | trauma|Medical_History|COVID | No references available | Adult and Pediatric | Participant/Subject History and Family History.General Health History | Participant/Subject History and Family History.General Health History | Participant/Subject History and Family History.General Health History | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Basic | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 8/4/14 | 3/17/25 | Published | ||||||||||||||||||||||||||||||||||||||||||||
| HospArrivDateTime | Hospital arrival date and time | Common Data Element | 1 | Date (and time, if applicable and known) the participant/subject arrived at the hospital | Date (and time, if applicable and known) the participant/subject arrived at the hospital | Date or Date & Time | Free-Form Entry | STROKE: 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.). |
Data Sharing Instructions: When date/time data are prepared for aggregation or sharing they should be converted to the format specified by ISO 8601, YYYY-MM-DDThh:mm:ss. | Date of hospital admission | trauma | STROKE: Get With The Guidelines (GWTG) Stroke Patient Management Tool Coding Instructions (Updated on 11/4/2009) |
Adult and Pediatric | Disease/Injury Related Events.History of Disease/Injury Event | Trauma.N/A | Core | Supplemental | Supplemental | Basic | Supplemental | Hospital arrival date and time | NTRR | NINDS | 4/1/14 | 4/9/25 | Draft | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| PhyscialProblems | Physical problems at follow-up | Common Data Element | 1 | Do you currently have any physical problems, such as mobility impairment (difficulty moving your arms, legs, or body)? | Do you currently have any physical problems, such as mobility impairment (difficulty moving your arms, legs, or body)? | Alphanumeric | Single Pre-Defined Value Selected | Declined to answer/Refused|Missing/Unknown|No|Yes | Declined to answer/Refused|Missing/Unknown|No|Yes | 3|4|2|1 | ||| | ||| | ||| | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Supplemental | Basic | NTRR | BurnModelSystem | 4/9/25 | 4/9/25 | Draft | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| TherpyRehabOngngInd | Therapy rehabilitation ongoing indicator | Common Data Element | 1.1 | Indicator of whether the therapy or rehabilitation is ongoing | Indicator of whether the therapy or rehabilitation is ongoing | Alphanumeric | Single Pre-Defined Value Selected | No|Unknown|Yes | No|Unknown|Yes | 0|9|1 | || | || | || | TBI: Choose one. Add date and time stamp for when assessed. | Therapy or Rehabilitation Ongoing? | trauma | No references available | Adult and Pediatric | Treatment/Intervention Data.Therapies | Treatment/Intervention Data.Therapies | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Basic | Supplemental | Supplemental | Supplemental | Basic | Therapy or rehabilitation ongoing indicator | NIH/CIT/BRICS | Olga Vovk | olga.vovk@nih.gov | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 3/17/25 | Published | |||||||||||||||||||||||||||||||||||||||||||||
| HospComplicationsCategory | Hospital Complications | Common Data Element | 1 | Category of the in hospital event/complication experience by the particpant/subject. | Category of the in hospital event/complication experience by the particpant/subject. | Alphanumeric | Multiple Pre-Defined Values Selected | Acute Kidney Injury|Acute Respiratory Distress Syndrome (ARDS)|Alcohol withdrawal Syndrome|Cardiac Arrest with CPR|Catheter-Associated Urinary Tract Infection (CAUTI)|Central Line-Associated Bloodstream Infection (CLABSI)|Deep Surgical Site Infection|Deep Vein Thrombosis (DVT)|Delirium|Myocardial Infarction (MI)|Organ/Space Surgical Site Infection|Osteomyelitis|Pressure Ulcer|Pulmonary Embolism (PE)|Severe Sepsis|Stroke/CVA|Superficial Incisional Surgical Site Infection|Unplanned Admission to the ICU|Unplanned Intubation|Unplanned Visit to the Operating Room|Ventilator-Associated Pneumonia (VAP) | Acute Kidney Injury|Acute Respiratory Distress Syndrome (ARDS)|Alcohol withdrawal Syndrome|Cardiac Arrest with CPR|Catheter-Associated Urinary Tract Infection (CAUTI)|Central Line-Associated Bloodstream Infection (CLABSI)|Deep Surgical Site Infection|Deep Vein Thrombosis (DVT)|Delirium|Myocardial Infarction (MI)|Organ/Space Surgical Site Infection|Osteomyelitis|Pressure Ulcer|Pulmonary Embolism (PE)|Severe Sepsis|Stroke/CVA|Superficial Incisional Surgical Site Infection|Unplanned Admission to the ICU|Unplanned Intubation|Unplanned Visit to the Operating Room|Ventilator-Associated Pneumonia (VAP) | 1|2|3|4|5|6|7|8|9|10|11|12|13|14|15|16|17|18|19|20|21 | |||||||||||||||||||| | |||||||||||||||||||| | |||||||||||||||||||| | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Basic | Supplemental | NTRR | NTDS | 4/9/25 | 4/9/25 | Draft | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| HospitDischgDateTime | Hospital discharge date and time | Common Data Element | 1.7 | Date (and time, if applicable and known) the participant/subject was discharged from the hospital | Date (and time, if applicable and known) the participant/subject was discharged from the hospital | Date or Date & Time | Free-Form Entry | C0019994|C0030685 | Hospitals|Patient Discharge | UMLS|UMLS | TBI/STROKE: 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.). GENERAL: 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.). Data Sharing Instructions: When date/time data are prepared for aggregation or sharing they should be converted to the format specified by ISO 8601, YYYY-MM-DDThh: mm: ss. |
Data Sharing Instructions: When date/time data are prepared for aggregation or sharing they should be converted to the format specified by ISO 8601, YYYY-MM-DDThh:mm:ss. | Hospital discharge date and time | Injury_History|trauma|TRACK_TBI | GENERAL/SMA/TBI: No references available STROKE: Get With The Guidelines (GWTG) Stroke Patient Management Tool Coding Instructions (Updated on 11/4/2009); Paul Coverdell National Acute Stroke Registry |
Adult and Pediatric | Disease/Injury Related Events.Discharge Information | Disease/Injury Related Events.Discharge Information | Disease/Injury Related Events.Discharge Information | Participant/Subject History and Family History.General Health History | Trauma.N/A | Supplemental | Basic | Supplemental | Supplemental | Basic | Core | Supplemental | Supplemental | Supplemental | Basic | Basic | Hospital discharge date and time | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 3/17/25 | Published | |||||||||||||||||||||||||||||||||||||||||||
| VitStatus | Vital status | Common Data Element | 1.12 | Status of participant/subject as alive or dead | Status of participant/subject as alive or dead | Alphanumeric | Single Pre-Defined Value Selected | C1148433 | Vital Status | UMLS | Alive|Dead|Unknown | Alive|Dead|Unknown | 40|30|999 | C4551704|C0011065|C0439673 | Alive|Cessation of life|Unknown | UMLS|UMLS|UMLS | Status of participant/subject as alive or dead. Choose one | cdRNS|FITBIR|NIA|PDBP; | What is the vital status of the subject? | TRACK_TBI | No references available | Adult and Pediatric | Disease/Injury Related Events.Discharge Information | Disease/Injury Related Events.Discharge Information|Outcomes and End Points.End Points | Trauma.N/A | Supplemental | Basic | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Vital status | VisitTyp;GlasgowOutcomeScalExtScore;InjElapsedTime;GCSTotalScore | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 3/7/25 | Published | ||||||||||||||||||||||||||||||||||||||||
| InstLevel | Institution level | Common Data Element | 1 | The primary hospital capability associated with the patient's condition for transport (e.g., trauma, STEMI, Peds, etc.). | The primary hospital capability associated with the patient's condition for transport (e.g., trauma, STEMI, Peds, etc.). | Alphanumeric | Single Pre-Defined Value Selected | Behavioral Health|Burn Center|Cardiac-STEMI/Non-PCI Capable|Cardiac-STEMI/PCI Capable|Cardiac-STEMI/PCI Capable (24/7)|Critical Access Hospital|Hospital (General)|Neonatal Center|Pediatric Center|Rehab Center|Stroke-Acute Stroke Ready Hospital (ASRH)|Trauma Center Level 1|Trauma Center Level 2|Trauma Center Level 3|Trauma Center Level 4|Trauma Center Level 5 | Behavioral Health|Burn Center|Cardiac-STEMI/Non-PCI Capable|Cardiac-STEMI/PCI Capable|Cardiac-STEMI/PCI Capable (24/7)|Critical Access Hospital|Hospital (General)|Neonatal Center|Pediatric Center|Rehab Center|Stroke-Acute Stroke Ready Hospital (ASRH)|Trauma Center Level 1|Trauma Center Level 2|Trauma Center Level 3|Trauma Center Level 4|Trauma Center Level 5 | ||||||||||||||| | ||||||||||||||| | ||||||||||||||| | ||||||||||||||| | trauma | Adult and Pediatric | Trauma.N/A | Supplemental | Basic | Supplemental | Supplemental | NTRR | NEMSIS | 3/12/25 | 4/9/25 | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| LivingSituationPreInjTyp | Living situation before injury type | Common Data Element | 1.9 | Living situation of the participant/subject before injury. | Living situation of the participant/subject before injury. | Alphanumeric | Single Pre-Defined Value Selected | C2184149|C1704791|C0679646/C1521970 | living situation|Demographics Domain|Participant/Characteristics | UMLS|UMLS|UMLS | Data Missing/Unknown/Refused|Homeless/Lives in shelter|Lives alone|Lives in a group home/assisted living|Lives with friend(s) or roommate(s) or co-habitating|Lives with spouse and/or other family member(s)|Other, specify | Data Missing/Unknown/Refused|Homeless/Lives in shelter|Lives alone|Lives in a group home/assisted living|Lives with friend(s) or roommate(s) or co-habitating|Lives with spouse and/or other family member(s)|Other, specify | 0|1|2|3|4|5|6 | |||||| | |||||| | |||||| | No instructions available | What was the subject's living situation before injury? | trauma | No references available | Adult and Pediatric | Participant/Subject Characteristics.Demographics | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | NIH/CIT/BRICS | Olga Vovk | olgav.vovk@nih.gov | NIH/CIT/BRICS | Olga Vovk | olgav.vovk@nih.gov | 3/26/25 | Published | |||||||||||||||||||||||||||||||||||||||||||||
| AgeYrs | Age in years | Common Data Element | 1.22 | Value for participant's subject age, calculated as elapsed time since the birth of the participant/subject in years. The subjects age is typically recorded to the nearest full year completed, e.g. 11 years and 6 months should be recorded as 11 years. | Value for participant's subject age recorded in years. | Numeric Values | Free-Form Entry | 0 | 150 | C0001779|C1704791|C0679646/C1521970 | Age|Demographics domain|Participant/Characteristics | UMLS|UMLS|UMLS | The subject's age is typically recorded to the nearest full year completed, e.g. 11 years and 6 months should be recorded as 11 years. For subject's which are under 1 year old, use decimal points and use the following convention- record 1 month as 0.083 (1/12), 2 months as 0.166 (2/12), 3 months as 0.25 (3/12), 4 months as 0.333 (4/12), 5 months as 0.416 (5/12), 6 months as 0.5 (6/12), 7 months as 0.583 (7/12), 8 months as 0.666 (8/12), 9 months as 0.75 (9/12), 10 months as 0.833 (10/12), 11 months as 0.916 (11/12) and 12 months as 1 year. For the individuals 90 or older, in order to preserve PII, please submit 150 and make a note this in the general notes column. | cdRNS|eyeGene|FITBIR|NIA|PDBP;CDISC variables: QNAM=MHAGE, MHAGE=Age at MH Event, QVAL contains the age with the appropriate unit (years) | Subject's age (recorded in years): | CDISC | No references available | Adult and Pediatric | Participant/Subject Characteristics.Demographics | Participant/Subject Characteristics.Demographics | Trauma.N/A | Supplemental | Supplemental | Core | Core | Core | Core | NINDS_CDE | AgeRange;AgeVal;AgeYrs;AlcUseStopAgeVal;AlcUseStrtAgeVal | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 4/8/25 | Published | |||||||||||||||||||||||||||||||||||||||||||||||
| HospitlAdmissStartDate | Hospital admission start date | Common Data Element | 1 | Date the participant/subject was admitted to the hospital | Date the participant/subject was admitted to the hospital | Date or Date & Time | Free-Form Entry | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Basic | Supplemental | NTRR | NINDS | 4/9/25 | 4/9/25 | Draft | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| TherapyParticipantOTH | Therapy participant other text | Common Data Element | 1 | Text describing the any other people participating in the therapy session. | Text describing the any other people participating in the therapy session. | Alphanumeric | 4000 | Free-Form Entry | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Supplemental | Basic | NTRR | NINDS | 4/9/25 | 4/9/25 | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| ICULOS | Total ICU length of stay | Common Data Element | 1 | The cumulative amount of time spent in the ICU. Each partial or full day should be measured as one calendar day. | The cumulative amount of time spent in the ICU. Each partial or full day should be measured as one calendar day. | Numeric Values | Free-Form Entry | 0 | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Basic | Supplemental | NTRR | NTDS | 4/9/25 | 4/9/25 | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| InjMechType | Mechanism of injury type | Common Data Element | 1 | Mechanism of injury type | Manner of injury type | Alphanumeric | Single Pre-Defined Value Selected | Blast|Blunt|Burn|Other , specify|Penetrating | Blast|Blunt|Burn|Other , specify|Penetrating | 1|2|3|5|4 | |||| | |||| | |||| | Epidemiology|NTRR|NTDS | Adult and Pediatric | Trauma.N/A | Basic | Basic | Basic | Supplemental | NTRR | NTRR Workgroup | 3/5/25 | 3/7/25 | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| InjSeverScore | Injury severity score | Common Data Element | 1.1 | Score measured by injury severity score (ISS) | Score measured by injury severity score (ISS) | Numeric Values | Free-Form Entry | Score of injury severity as measured by injury severity score (ISS) | Injury_History|trauma|TRACK_TBI | GENERAL/TBI: Baker SP, O'Neill B, Haddon W Jr, et al. The injury severity score: a method for describing patients with multiple injuries and evaluating emergency care. J Trauma. Mar 1974;14(3):187-196. Medicine AftAoA. The Abbreviated Injury Scale, 1990 Revision. Association for the Advancement of Automotive Medicine. 15-24. 1990. Des Plaines, IL. http://www.sfar.org/scores2/triss2.html - ISS calculator Pediatric: Gennarelli TA, Wodzin A. AIS 2005: A contemporary injury scale. Injury 2006 37:1083-1091. | Adult and Pediatric | Disease/Injury Related Events.Classification | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Basic | Supplemental | Basic | Supplemental | NIH/NINDS | NIH/NINDS | NIH/NINDS | NIH/NINDS | NIH/NINDS | 4/1/14 | 3/17/25 | Published | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
| LabTestName | Lab test name | Common Data Element | 1.8 | Name representing the lab test performed on body fluid(s) and tissues. Test names are typically comprised of the analyte name, properties (%, Ratio, etc.), the type of body fluid tested, and any special instructions. | Name representing the lab test performed on body fluid(s) and tissues. Test names are typically comprised of the analyte name, properties (%, Ratio, etc.), the type of body fluid tested, and any special instructions. | Alphanumeric | Single Pre-Defined Value Selected | C0022885|C0587081 | Laboratory Procedures|Laboratory test finding | UMLS|UMLS | 8-isoprostanes|8-OH-2-deoxyguanosine|Activated PTT (aPTT)|Alanine Aminotransferase (ALT/ALAT/SGPT)|Albumin|Albumin:globulin (A:G) ratio|Alcohol|Alkaline Phosphatase|Amylase|Anion Gap|Apolipoprotein B (apo B)|Apolipoprotein E (apo E)|Apolipoprotein-I (apo A1)|Arterial blood gas bicarbonate (HCO3)|Arterial blood gas fraction of inspired oxygen (FiO2)|Arterial blood gas Oxygen saturation (SaO2)|Arterial blood gas partial pressure carbon dioxide (pCO2)|Arterial blood gas partial pressure oxygen (pO2)|Arterial blood gas pH (pH)|Arterial Blood Temperature|Aspartate Aminotransferase (AST/ASAT/SGOT)|Base Excess (BE)|Basophils|Basophils count|Bicarbonate (HCO3)|Blood Urea Nitrogen (BUN)|B-type natriuretic peptide (BNP)|BUN:creatinine ratio|Calcium (Ca)|Carbon Dioxide (CO2)|Chloride (Cl)|Cortisol|C-Reactive Protein|Creatine Kinase|Creatine Kinase-Myocardial Bands (CK-MB)|Creatinine|D-dimer|Direct Bilirubin|eGFR calculation|Eosinophil Count|Eosinophils|Fasting Glucose|Fasting Insulin|Ferritin|Fibrinogen|Frataxin Level|GAA repeat-expansion mutation|Gamma-glutamyl transpeptidase (GGT)|Globulin, total|Glucose|Glucose D-stick|Glucose serum|Glycosylated Hemoglobin (HgBA1C)|Hematocrit (HCT)|Hemoglobin Electrophoresis|Hemoglobin (HB)|High Density Lipoprotein (HDL)|HIV test|International Normalized Ratio (INR)|Ionized Calcium|Iron|Lactate|Lactate Dehydrogenase (LDH)|Lipase|Lipoprotein (a) [Lp(a)]|Low Density Lipoprotein (LDL)|Lymphocyte Count|Lymphocytes|Magnesium (Mg)|Mean corpuscular hemoglobin concentration (MCHC)|Mean corpuscular hemoglobin (MCH)|Mean corpuscular volume (MCV)|Monocyte Count|Monocytes|Neutrophil|Neutrophil Count|Oral glucose tolerance|Osmolality, serum|Other, specify|Oxygen saturation|Partial Thromboplastin Time (PTT)|Phenobarb|Phenytoin|Phosphate (PO4)|pH value|Plasma malondialdehyde|Platelet Count|Potassium (K)|Pre-Albumin|Prothrombin Time (PT)|Red cell count (RBC)|Red cell distribution width (RDW)|Serum N-terminal atrial natriuretic peptide (ANP-N)|Sodium (Na)|Specific Gravity (Urine)|Sulfur Dioxide (SO2)|Total Bilirubin|Total Cholesterol (TCHOL)|Total Iron Binding Capacity(TIBC)|Total Protein|Triglycerides (TGs)|Troponin I|Troponin T|Urea|Urine 8-OH-2-deoxyguanosine/creatinine ratio|Urine Creatinine|Urine Nitrite|Urine pH|Venous blood gas bicarbonate (HCO3)|Venous blood gas fraction of inspired oxygen (FiO2)|Venous blood gas partial pressure carbon dioxide (pCO2)|Venous blood gas partial pressure oxygen (pO2)|Venous blood gas pH (pH)|Venous Blood Temperature|Very Low Density Lipoprotein (VLDL)|Vitamin B12|Vitamin E|White Blood Cell Count (WBC)|Whole Blood Temperature | 8-isoprostanes|8-OH-2-deoxyguanosine|Activated PTT (aPTT)|Alanine Aminotransferase (ALT/ALAT/SGPT)|Albumin|Albumin:globulin (A:G) ratio|Alcohol|Alkaline Phosphatase|Amylase|Anion Gap|Apolipoprotein B (apo B)|Apolipoprotein E (apo E)|Apolipoprotein-I (apo A1)|Arterial blood gas bicarbonate (HCO3)|Arterial blood gas fraction of inspired oxygen (FiO2)|Arterial blood gas Oxygen saturation (SaO2)|Arterial blood gas partial pressure carbon dioxide (pCO2)|Arterial blood gas partial pressure oxygen (pO2)|Arterial blood gas pH (pH)|Arterial Blood Temperature|Aspartate Aminotransferase (AST/ASAT/SGOT)|Base Excess (BE)|Basophils|Basophils count|Bicarbonate (HCO3)|Blood Urea Nitrogen (BUN)|B-type natriuretic peptide (BNP)|BUN:creatinine ratio|Calcium (Ca)|Carbon Dioxide (CO2)|Chloride (Cl)|Cortisol|C-Reactive Protein|Creatine Kinase|Creatine Kinase-Myocardial Bands (CK-MB)|Creatinine|D-dimer|Direct Bilirubin|eGFR calculation|Eosinophil Count|Eosinophils|Fasting Glucose|Fasting Insulin|Ferritin|Fibrinogen|Frataxin Level|GAA repeat-expansion mutation|Gamma-glutamyl transpeptidase (GGT)|Globulin, total|Glucose|Glucose D-stick|Glucose serum|Glycosylated Hemoglobin (HgBA1C)|Hematocrit (HCT)|Hemoglobin Electrophoresis|Hemoglobin (HB)|High Density Lipoprotein (HDL)|HIV test|International Normalized Ratio (INR)|Ionized Calcium|Iron|Lactate|Lactate Dehydrogenase (LDH)|Lipase|Lipoprotein (a) [Lp(a)]|Low Density Lipoprotein (LDL)|Lymphocyte Count|Lymphocytes|Magnesium (Mg)|Mean corpuscular hemoglobin concentration (MCHC)|Mean corpuscular hemoglobin (MCH)|Mean corpuscular volume (MCV)|Monocyte Count|Monocytes|Neutrophil|Neutrophil Count|Oral glucose tolerance|Osmolality, serum|Other, specify|Oxygen saturation (SO2)|Partial Thromboplastin Time (PTT)|Phenobarb|Phenytoin|Phosphate (PO4)|pH value|Plasma malondialdehyde|Platelet Count|Potassium (K)|Pre-Albumin|Prothrombin Time (PT)|Red cell count (RBC)|Red cell distribution width (RDW)|Serum N-terminal atrial natriuretic peptide (ANP-N)|Sodium (Na)|Specific Gravity (Urine)|Sulfur Dioxide (SO2)|Total Bilirubin|Total Cholesterol (TCHOL)|Total Iron Binding Capacity(TIBC)|Total Protein|Triglycerides (TGs)|Troponin I|Troponin T|Urea|Urine 8-OH-2-deoxyguanosine/creatinine ratio|Urine Creatinine|Urine Nitrite|Urine pH|Venous blood gas bicarbonate (HCO3)|Venous blood gas fraction of inspired oxygen (FiO2)|Venous blood gas partial pressure carbon dioxide (pCO2)|Venous blood gas partial pressure oxygen (pO2)|Venous blood gas pH (pH)|Venous Blood Temperature|Very Low Density Lipoprotein (VLDL)|Vitamin B12|Vitamin E|White Blood Cell Count (WBC)|Whole Blood Temperature | 1|2|118|3|4|90|117|5|6|7|8|9|10|105|101|119|99|97|103|110|11|107|89|88|12|13|14|91|15|16|17|18|19|20|21|22|95|119|92|23|87|24|25|26|94|27|28|29|93|30|31|32|33|34|35|36|37|108|38|39|40|41|42|116|43|44|45|85|46|81|80|79|47|86|84|48|49|50|444|51|52|53|54|55|96|56|57|58|59|60|83|82|61|62|113|78|63|64|65|114|66|67|68|69|70|71|72|73|106|102|100|98|104|111|74|75|76|77|112 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||| | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||| | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||| | Indicate the name of each laboratory test that is run on the specimen. See the data dictionary for additional information on coding the test name using Logical Observation Identifiers Names and Codes (LOINC). | FITBIR|PDBP; | Test Name | trauma|COVID19 | Logical Observation Identifiers Names and Codes (LOINC) - www.loinc.org | Adult and Pediatric | Assessments and Examinations.Laboratory Tests and Biospecimens/Biomarkers | Assessments and Examinations.Laboratory Tests and Biospecimens/Biomarkers | Assessments and Examinations.Laboratory Tests and Biospecimens/Biomarkers | Assessments and Examinations.Laboratory Tests and Biospecimens/Biomarkers | Assessments and Examinations.Laboratory Tests and Biospecimens/Biomarkers | Assessments and Examinations.Laboratory Tests and Biospecimens/Biomarkers | Assessments and Examinations.Laboratory Tests and Biospecimens/Biomarkers | Assessments and Examinations.Laboratory Tests and Biospecimens/Biomarkers | N/A.N/A | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Core | Supplemental | Core | Core | Core | Core | Supplemental | Supplemental | Supplemental | Basic | Supplemental | Lab test name | NINDS_CDE | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 4/1/14 | 3/17/25 | Published | |||||||||||||||||||||||||
| AirwayComplications | Airway complications encountered | Common Data Element | 1 | The airway management complications encountered during the patient care episode | The airway management complications encountered during the patient care episode | Alphanumeric | Single Pre-Defined Value Selected | Adverse Event from Facilitating Drugs|Bradycardia (<50)|Cardiac Arrest|Esophageal Intubation-Delayed Detection (After Tube Secured)|Esophageal Intubation-Detected in Emergency Department|Failed Intubation Effort|Injury or Trauma to Patient from Airway Management Effort|Other|Oxygen Desaturation (<90%)|Patient Vomiting/Aspiration|Tube Dislodged During Transport/Patient Care|Tube was Not in Correct Position when EMS Crew/Team Assumed Care of the Patient | Adverse Event from Facilitating Drugs|Bradycardia (<50)|Cardiac Arrest|Esophageal Intubation-Delayed Detection (After Tube Secured)|Esophageal Intubation-Detected in Emergency Department|Failed Intubation Effort|Injury or Trauma to Patient from Airway Management Effort|Other|Oxygen Desaturation (<90%)|Patient Vomiting/Aspiration|Tube Dislodged During Transport/Patient Care|Tube was Not in Correct Position when EMS Crew/Team Assumed Care of the Patient | ||||||||||| | ||||||||||| | ||||||||||| | ||||||||||| | trauma | Adult and Pediatric | Trauma.N/A | Supplemental | Basic | Supplemental | Supplemental | NTRR | NEMSIS | 3/12/25 | 4/9/25 | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| PenetratingInjuryMechTyp | Penetrating injury mechanism type | Common Data Element | 1.7 | Type of mechanism causing the penetrating injury | Type of mechanism causing the penetrating injury | Alphanumeric | Multiple Pre-Defined Values Selected | C0043254|C0876926|C3263723 | Wounds, Penetrating|Traumatic Brain Injury|Traumatic injury | UMLS|UMLS|UMLS | Blast|Crush|Direct impact|Fragment (incl. shell/shrapnel)|Gunshot wound|Missile|Other, specify|Projectile|Stab wound | Blast injury -The result of physical trauma sustained in an explosion.|Crush injury - Traumatic compression of the body or a part of the body.|Direct impact- occurs when the body is struck by a forceful blow or external force|Fragment (incl. shell/shrapnel)- a wound caused by the immediate impact of metal fragments (shrapnel) propelled from an exploding device|Gunshot wound caused when a bullet or other projectile is shot into or through the body|Missile wound - a wound caused by an external object, such as a bullet, that penetrates the skin, skull, meninges, or brain|Other, specify|Projectile injury caused by a fast-moving object, like a bullet, arrow, or shrapnel, that is propelled through the air and strikes a persons body|Stab wound- penetrating wounds caused by a pointed object. | 1|2|3|4|5|6|7|8|9 | C0005700|C0332679|C2585067|C2729071|C0043252|C1265682|C3845569|C0418725|C0043255 | Blast injury|Crush injury|Traumatic injury due to assault|Shell/shrapnel injury|Gunshot wound|Missile wound|Specify, Other|Injury due to projectile|Stab wound | UMLS|UMLS|UMLS|UMLS|UMLS|UMLS|UMLS|UMLS|UMLS | Select all that apply | Mechanism of penetrating injury. | Imaging_Read|trauma|Imaging | Duhaime AC, Gean AD, Haacke EM, Hicks R, Wintermark M, Mukherjee P, Brody D, Latour L, Riedy G; Common Data Elements Neuroimaging Working Group Members, Pediatric Working Group Members. Common data elements in radiologic imaging of traumatic brain injury. Arch Phys Med Rehabil. 2010 Nov;91(11): 1661-6. DOI: 10.1016/j.apmr.2010.07.238 Haacke, E.M., Duhaime, A.C., Gean, A.D., Riedy, G., Wintermark, M., Mukherjee, P., Brody, D.L., DeGraba, T., Duncan, T.D., and Elovic, E. (2010). Common data elements in radiologic imaging of traumatic brain injury. Journal of Magnetic Resonance Imaging 32, 516-543, DOI: 10.1002/jmri.22259 | Adult and Pediatric | Assessments and Examinations.Imaging Diagnostics | Assessments and Examinations.Imaging Diagnostics | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Basic | Basic | Supplemental | NIH/CIT/BRICS | Olga Vovk | olga.vovk@nih.gov | NIH/CIT/BRICS | Olga Vovk | olga.vovk@nih.gov | 3/17/25 | Published | |||||||||||||||||||||||||||||||||||||||||||
| IntervProcedDate | Intervention procedure date | Common Data Element | 1.2 | Date (and time if applicable and known) intervention/procedure was performed | Date (and time if applicable and known) intervention/procedure was performed | Date or Date & Time | Free-Form Entry | Adult and Pediatric | Trauma.N/A | Supplemental | Basic | Supplemental | Supplemental | NTRR | NINDS | 8/4/14 | 3/12/25 | Published | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| TherpyRehabFreq | Therapy or rehabilitation frequency | Common Data Element | 1 | Identified describing the frequency the participant/subject received the therapy or rehabilitation | Identified describing the frequency the participant/subject received the therapy or rehabilitation | Numeric Values | Free-Form Entry | GENERAL: Provide frequency for therapy or rehabilitation. STROKE: Choose one. Frequency data should be coded using the CDISC SDTM Frequency Terminology prior to aggregation or sharing. TBI: Choose one. |
Frequency data should be coded using the CDISC SDTM Frequency Terminology prior to aggregation or sharing. | Frequency of rehabilitation therapy | trauma | GENERAL: No references available STROKE: CDISC SDTM Frequency Terminology (http: //www.cancer.gov/cancertopics/cancerlibrary/terminologyresources/cdisc) TBI: CDISC SDTM Frequency Terminology (Code C71113) (http: //www.cancer.gov/cancertopics/cancerlibrary/terminologyresources/cdisc) - http: //evs.nci.nih.gov/ftp1/CDISC/SDTM/ |
Adult and Pediatric | Treatment/Intervention Data.Therapies | Treatment/Intervention Data.Therapies | Treatment/Intervention Data.Therapies | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Basic | Supplemental | Supplemental | Supplemental | Supplemental | Basic | Therapy or rehabilitation frequency | NIH/CIT/BRICS | Olga Vovk | olga.vovk@nih.gov | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 3/17/25 | Published | ||||||||||||||||||||||||||||||||||||||||||||||||
| PenetratingInjuryMechTypOTH | Penetrating injury mechanism other text | Common Data Element | 1.6 | The free-text field related to Penetrating Injury Mechanism Type specifying other text. | The free-text field related to Penetrating Injury Mechanism Type specifying other text. | Alphanumeric | 4000 | Free-Form Entry | C0876926|C3263723|C0043254 | Traumatic Brain Injury|Traumatic injury|Wounds, Penetrating | UMLS|UMLS|UMLS | Specify other penetrating injury | Other, specify | Imaging_Read|trauma|Imaging | Duhaime AC, Gean AD, Haacke EM, Hicks R, Wintermark M, Mukherjee P, Brody D, Latour L, Riedy G; Common Data Elements Neuroimaging Working Group Members, Pediatric Working Group Members. Common data elements in radiologic imaging of traumatic brain injury. Arch Phys Med Rehabil. 2010 Nov;91(11): 1661-6. DOI: 10.1016/j.apmr.2010.07.238 Haacke, E.M., Duhaime, A.C., Gean, A.D., Riedy, G., Wintermark, M., Mukherjee, P., Brody, D.L., DeGraba, T., Duncan, T.D., and Elovic, E. (2010). Common data elements in radiologic imaging of traumatic brain injury. Journal of Magnetic Resonance Imaging 32, 516-543, DOI: 10.1002/jmri.22259 |
Adult and Pediatric | Assessments and Examinations.Imaging Diagnostics | Assessments and Examinations.Imaging Diagnostics | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Basic | Basic | Supplemental | NIH/CIT/BRICS | Olga Vovk | olga.vovk@nih.gov | NIH/CIT/BRICS | Olga Vovk | olga.vovk@nih.gov | 3/17/25 | Published | ||||||||||||||||||||||||||||||||||||||||||||||||
| DrugScreenInd | Drug screen indicator | Common Data Element | 1.8 | Indicator of whether a drug screen was performed | Indicator of whether a drug screen was performed | Alphanumeric | Single Pre-Defined Value Selected | C5238744|C0679646/C0262926|C0086190 | llicit Drug Use History|Participant/Medical History|Illicit Drugs | UMLS|UMLS|UMLS | No|Yes | No|Yes | 0|1 | C1298908|C1705108 | No|Yes | UMLS|UMLS | No guidelines available | FITBIR|PDBP; | Whether a drug screen was performed? | Medical_History | No references available | Adult and Pediatric | Disease/Injury Related Events.History of Disease/Injury Event | Disease/Injury Related Events.History of Disease/Injury Event | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | NIH/NINDS | Malaika Schwartz | malaika@uw.edu | NIH/CIT/BRICS | Olga Vovk | olgav.vovk@nih.gov | 3/7/25 | Published | |||||||||||||||||||||||||||||||||||||||||||||||
| GoniomKneeMeasr | Goniometry knee measurement | Common Data Element | 1 | Measurement in degrees of the passive range of motion for knee | Measurement in degrees of the passive range of motion for kne | Numeric Values | Free-Form Entry | -360 | 360 | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Supplemental | Basic | NTRR | NINDS | 4/9/25 | 4/9/25 | Draft | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| DrgSubstCurrntIllicitUseCat | Drug or substance current illicit use indicator | Common Data Element | 1.14 | Indicator of participant's/subject's use of illegal drugs, prescription or over-the-counter drugs in the past year for purposes other than those for which they are meant to be used, or in large amounts | Indicator of participant's/subject's use of illegal drugs, prescription or over-the-counter drugs in the past year for purposes other than those for which they are meant to be used, or in large amounts | Alphanumeric | Single Pre-Defined Value Selected | C0679646/C0262926|C0086190|C5238744 | Participant/Medical History|Illicit Drugs|llicit Drug Use History | UMLS|UMLS|UMLS | No|Unknown|Yes | No|Unknown|Yes | 0|9|1 | C1298908|C0439673|C1705108 | no|Unknown|Yes (indicator) | UMLS|UMLS|UMLS | Choose one. Response is obtained by report of the participant/subject or proxy as soon as possible after visit/admission. Do not record medications that are prescribed for medical purposes. Collect information on substances and medications taken for reasons other than prescription, or taken more frequently or at higher doses than prescribed. Do not record medications that are prescribed for medical purposes (these should be entered in the element 'medical history'.) Collect information on substances and medications taken for reasons other than prescription, or taken more frequently or at higher doses than prescribed. Assure participant/subject that information on such use will be treated as strictly confidential. Recommend collection as soon as possible after visit/admission. Substance abuse directly before injury may have contributed to the incident causing injury. In general, substance abuse may indicate increased risk taking behavior. | FITBIR|NIA|PDBP; | Indicator of participant's/subject's use of illegal drugs, prescription or over-the-counter drugs in the past year for purposes other than those for which they are meant to be used, or in large amounts | trauma|Medical_History | Corrigan JD, Bogner J, Holloman C. Lifetime history of traumatic brain injury among persons with substance use disorders. Brain Inj. 2012;26(2):139-50. | Adult and Pediatric | Participant/Subject History and Family History.General Health History | Participant/Subject History and Family History.General Health History | Participant/Subject History and Family History.General Health History | Participant/Subject History and Family History.General Health History | Participant/Subject History and Family History.General Health History | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Core | Core | Supplemental | Supplemental | Supplemental | Supplemental | Basic | Drug or substance current illicit use indicator | NINDS_CDE | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 4/1/14 | 3/17/25 | Published | |||||||||||||||||||||||||||||||||
| AgeValUoM | Age value unit of measure | Common Data Element | 1 | Unit of measure used to initially record the age value | Unit of measure used to initially record the age value | Alphanumeric | Single Pre-Defined Value Selected | C1519795|C0001779 | Unit of Measure|Age | UMLS|UMLS | Days|Months|Weeks|years | Days|Months|Weeks|years | 10|30|20|40 | ||| | ||| | ||| | HD: Answer only if oldest brother/sister is dead and age at death was recorded. Choose one unit. GENERAL: The recommended unit of measure for exchange of age is in month, but alternate units of measure are provided, and may be necessary for pediatric studies. |
Specify age units | trauma | No references available | Adult | Participant/Subject History and Family History.Epidemiology/Environmental History | Participant/Subject History and Family History.Epidemiology/Environmental History | Participant/Subject History and Family History.Epidemiology/Environmental History | Trauma.N/A | Supplemental | Supplemental | Supplemental | Basic | Supplemental | Supplemental | Supplemental | Age value unit of measure | NIH/CIT/BRICS | Olga Vovk | olga.vovk@nih.gov | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 4/9/25 | Draft | |||||||||||||||||||||||||||||||||||||||||||
| AGE | Age | Common Data Element | 1 | Age expressed in AGEU. May be derived as (RFSTDTC-BRTHDTC), but BRTHDTC may not be available in all cases (due to subject privacy concerns). | Record Qualifier | Numeric Values | Free-Form Entry | C0001779 | Age | UMLS | Age expressed in AGEU. May be derived as (RFSTDTC-BRTHDTC), but BRTHDTC may not be available in all cases (due to subject privacy concerns). | SDTM v1.7, Class= Special-Purpose, Dataset Name= DM | SDTM_V17|SDTM|CDISC | https://www.cdisc.org/standards | Adult and Pediatric | Participant/Subject Characteristics.Demographics | Supplemental | CDISC | NIH/CIT/BRICS | Olga Vovk | olga.vovk@nih.gov | NIH/CIT/BRICS | Olga Vovk | olga.vovk@nih.gov | 10/29/19 | 3/7/25 | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| RtrnWrkSchlStatus | Return work school status | Common Data Element | 1 | Status of participant's/subject's return to work and/or school | Status of participant's/subject's return to work and/or school | Alphanumeric | Single Pre-Defined Value Selected | Did not return to work or school|Different work or school|N/A|Only in sheltered environment|Returned to previous level|Same work or school, reduced level|Unknown | Did not return to work or school|Different work or school|N/A|Only in sheltered environment|Returned to previous level|Same work or school, reduced level|Unknown | 1|2|777|3|4|5|6 | |||||| | |||||| | |||||| | TBI: Choose one. Recommend collection at least at end of initial medical care. Add date stamp for when assessed. | Return to work or school (choose one): | trauma | No references available | Adult and Pediatric | Outcomes and End Points.Other Clinical Data | Outcomes and End Points.End Points | Trauma.N/A | Supplemental | Supplemental | Supplemental | Basic | Supplemental | Supplemental | Supplemental | Supplemental | Basic | Return to work or school status | NIH/CIT/BRICS | Olga Vovk | olga.vovk@nih.gov | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 3/17/25 | Draft | |||||||||||||||||||||||||||||||||||||||||||||
| VitalSgnDateTime | Vital signs date and time | Common Data Element | 1.3 | Date (and time, if applicable and known) the vital signs and other body measurements were taken by indicating the month, day, and year for the date and am, pm, or 24 hour clock for time | Date (and time, if applicable and known) the vital signs and other body measurements were taken by indicating the month, day, and year for the date and am, pm, or 24 hour clock for time | Date or Date & Time | Free-Form Entry | C1146895|C1264639|C1148433 | Vital status:Type:Point in time:^Patient:Nominal|Date Time|Vital Status | UMLS|UMLS|UMLS | GENERAL/HEADACHE: Record the date vital signs are taken. 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.) and in the format acceptable to the study database. Not every study will need to collect time and this field should be removed if not applicable ----- SCI/MG/NMD/SMA/MS: 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.). ----- FA: Record the date vital signs are taken. If the exact month/day is not known, some "unknown" convention should be used. Record the time vital signs are taken. If the exact time is not known, some "unknown" convention should be used. From study inception, specify the manner in which time will be collected. If a twelve hour clock is used, then AM or PM must be designated. If it is your institution's custom to use military time (24-hour clock), that designation will not be necessary. 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.). ----- ALS: 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.). Record the date vital signs are taken. If the exact month/day is not known, some "unknown" convention should be used. Record the time vital signs are taken. If the exact time is not known, some "unknown" convention should be used. From study inception, specify the manner in which time will be collected. If a twelve hour clock is used, then AM or PM must be designated. If it is your institution's custom to use military time (24-hour clock), that designation will not be necessary. ----- EPILEPSY: Record the date vital signs are taken. 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.). ----- STROKE: 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.). Record the date vital signs are taken. ----- DMD: Record the date vital signs are taken. If the exact month/day is not known, some "unknown" convention should be used. Record the time vital signs are taken. If the exact time is not known, some "unknown" convention should be used. From study inception, specify the manner in which time will be collected. If a twelve hour clock is used, then AM or PM must be designated. If it is your institution's custom to use military time (24-hour clock), that designation will not be necessary. |
FITBIR|NIA|PDBP; | Vital signs taken date and time | MS Karlsson AK, Krassioukov A, Alexander MS, Donovan W, Biering-Sirensen F. International Spinal Cord Injury Skin and Thermoregulation Function Basic Data Set. Spinal Cord. 2012; 50 7:512-6. |
Adult and Pediatric | Assessments and Examinations.Vital Signs and Other Body Measures | Assessments and Examinations.Vital Signs and Other Body Measures | Assessments and Examinations.Vital Signs and Other Body Measures | Assessments and Examinations.Vital Signs and Other Body Measures | Assessments and Examinations.Vital Signs and Other Body Measures | Assessments and Examinations.Vital Signs and Other Body Measures | Assessments and Examinations.Vital Signs and Other Body Measures | Assessments and Examinations.Vital Signs and Other Body Measures | Assessments and Examinations.Vital Signs and Other Body Measures | N/A.N/A | Assessments and Examinations.Vital Signs and Other Body Measures | Assessments and Examinations.Vital Signs and Other Body Measures | Supplemental | Core | Core | Core | Supplemental | Core | Core | Core | Core | Supplemental | Supplemental | Supplemental | Vital signs date and time | NINDS_CDE | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 4/1/14 | 3/10/25 | Published | ||||||||||||||||||||||||||||||||||
| GonioShoulderMeasureAct | Goniometry shoulder measurement (active) | Common Data Element | 1 | Measurement in degrees of the active range of motion for shoulder abduction | Measurement in degrees of the active range of motion for shoulder abduction | Alphanumeric | 3 | Free-Form Entry | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Supplemental | Basic | NTRR | Workgroup | 4/9/25 | 4/9/25 | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| PostalZipCode | Postal Zip code | Common Data Element | 1 | Postal information, the address number indicating a postal district (in the USA this is a 5 or 9 digit number (10 including the hyphen)). | Postal Zip code | Alphanumeric | 10 | Free-Form Entry | C25621|C5401085 | Postal Code|United States Postal Service (ZIP codes) | NCIT|UMLS | Enter postal code | Postal code | Demographics|NTRR|COVID | Census Data https://data.census.gov/advanced?text=zip+code; NIH CDE repository: https://cde.nlm.nih.gov/deView?tinyId=eT7V_ETn_6; NLM ID: eT7V_ETn_6 | Adult and Pediatric | Participant/Subject Characteristics.Demographics | Participant/Subject Characteristics.Demographics | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Basic | Basic | Basic | Basic | NIH_CDE | NIH/CIT/BRICS/NTRR | NIH CDE Repository Project 5 (COVID-19) | 10/25/24 | 1/24/25 | Awaiting Publication | ||||||||||||||||||||||||||||||||||||||||||||||||||
| PreExistCondType | Pre-existing conditions type | Common Data Element | 1 | A condition/disease(occuring prior to injury) reported by the participant/subject or documented in the medical record as part of medical history | A condition/disease(occuring prior to injury) reported by the participant/subject or documented in the medical record as part of medical history | Alphanumeric | Multiple Pre-Defined Values Selected | Advance Directive Limiting Care|Alcohol Use Disorder|Anticoagulant Therapy|Anxiety|Attention Deficit Disorder/Attention Deficit Hyperactivity Disorder (ADD/ADHD)|Bipolar I/II Disorder|Bleeding Disorder|Cerebral Vascular Accident (CVA)|Chronic Obstructive Pulmonary Disease (COPD)|Chronic Renal Failure|Cirrhosis|Congenital Anomalies|Congestive Heart Failure (CHF)|Currently Receiving Chemotherapy for Cancer|Current Smoker|Dementia|Diabetes Mellitus|Disseminated Cancer|Fuctionality Dependent Health Status|Hypertension|Major Depressive Disorder|Myocardial Infarction (MI)|Other Mental/personality Disorders|Other, Specify|Peripheral Arterial Disease (PAD)|Post-traumatic Stress Disorder|Pregnancy|Prematurity|Schizoaffective Disorder|Schizophrenia|Sleep disorder|Steroid Use|Substance Use Disorder | Advance Directive Limiting Care|Alcohol Use Disorder|Anticoagulant Therapy|Anxiety|Attention Deficit Disorder/Attention Deficit Hyperactivity Disorder (ADD/ADHD)|Bipolar I/II Disorder|Bleeding Disorder|Cerebral Vascular Accident (CVA)|Chronic Obstructive Pulmonary Disease (COPD)|Chronic Renal Failure|Cirrhosis|Congenital Anomalies|Congestive Heart Failure (CHF)|Currently Receiving Chemotherapy for Cancer|Current Smoker|Dementia|Diabetes Mellitus|Disseminated Cancer|Fuctionality Dependent Health Status|Hypertension|Major Depressive Disorder|Myocardial Infarction (MI)|Other Mental/personality Disorders|Other, Specify|Peripheral Arterial Disease (PAD)|Post-traumatic Stress Disorder|Pregnancy|Prematurity|Schizoaffective Disorder|Schizophrenia|Sleep disorder|Steroid Use|Substance Use Disorder | |||||||||||||||||||||||||||||||| | |||||||||||||||||||||||||||||||| | |||||||||||||||||||||||||||||||| | |||||||||||||||||||||||||||||||| | Epidemiology|NTRR|NTDS | Adult and Pediatric | Trauma.N/A | Basic | Supplemental | Basic | Basic | NTRR | NTRR Workgroup | 3/5/25 | 3/7/25 | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| DataAcquisitionLocationOTH | Data acquisition location type other text | Common Data Element | 1.9 | The free-text field related to Data acquisition location type, specifying other text. Type of location where the subject data were taken | The free-text field related to Data acquisition location type, specifying other text. Type of location where the subject data were taken | Alphanumeric | 4000 | Free-Form Entry | C0450429|C4684616 | Location|Data Acquisition | UMLS|UMLS | Enter other text | FITBIR|PDBP; | Other, specify | Injury_History|COVID19 | No references available | Adult and Pediatric | Disease/Injury Related Events.History of Disease/Injury Event | Disease/Injury Related Events.History of Disease/Injury Event | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | NIH/CIT/BRICS | Olga Vovk | olga.vovk@nih.gov | NIH/CIT/BRICS | Olga Vovk | olga.vovk@nih.gov | 9/18/24 | Published | |||||||||||||||||||||||||||||||||||||||||||||||
| TherpyRehabOTH | Therapy or rehabilitation other text | Common Data Element | 1.1 | The free-text field related to 'Therapy or rehabilitation type' specifying other text. Type of therapy or rehabilitation services received by the participant/subject | The free-text field related to 'Therapy or rehabilitation type' specifying other text. Type of therapy or rehabilitation services received by the participant/subject | Alphanumeric | 4000 | Free-Form Entry | FA: Choose all that the participant/ subject receives GENERAL/TBI: Choose all that apply. Response is obtained from report by the participant/subject, a reliable proxy or medical records. Add date stamp for when assessed. Recommend collection at end of initial medical care. Service provision post-TBI is important to track as it is an indicator of health care resource utilization. STROKE: Choose all that apply. This element can be collected to describe the participant/ subject prior to the stroke event and also to assess the participant/ subject at subsequent time points after the stroke event. |
The therapy or rehabilitation service received should be coded using ICD-9-CM codes prior to aggregation or sharing. | Other, specify | trauma | FA/GENERAL: No references available STROKE/TBI: International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM): http: //www.cdc.gov/nchs/icd/icd9cm.htm |
Adult and Pediatric | Treatment/Intervention Data.Therapies | Treatment/Intervention Data.Therapies | Participant/Subject History and Family History.General Health History | Participant/Subject History and Family History.Prior Health Status|Treatment/Intervention Data.Therapies | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Basic | Exploratory | Supplemental | Supplemental | Supplemental | Supplemental | Basic | NIH/CIT/BRICS | Olga Vovk | olga.vovk@nih.gov | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 3/17/25 | Published | ||||||||||||||||||||||||||||||||||||||||||||||
| TherpyRehabEndDateTime | Therapy rehabilitation end date time | Common Data Element | 1.3 | Date (and time, if applicable and known) on which the therapy or rehabilitation ended | Date (and time, if applicable and known) on which the therapy or rehabilitation ended | Date or Date & Time | Free-Form Entry | GENERAL/TBI: 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.). | Data Sharing Instructions: When date/time data are prepared for aggregation or sharing they should be converted to the format specified by ISO 8601, YYYY-MM-DDThh:mm:ss. | Date Time of Discontinuation | trauma|TRACK_TBI | No references available | Adult and Pediatric | Treatment/Intervention Data.Therapies | Treatment/Intervention Data.Therapies | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Basic | Supplemental | Supplemental | Supplemental | Basic | Therapy or rehabilitation end date and time | NIH/CIT/BRICS | Olga Vovk | olga.vovk@nih.gov | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 3/17/25 | Published | ||||||||||||||||||||||||||||||||||||||||||||||||||
| NoRehabFUNotInterestedReasTyp | No rehab follow up not interested reason type other | Common Data Element | 1.3 | The reasons the subject is not interested in follow-up care when they did not receive any rehabilitation treatment to address problems related to their brain injury following their ED/visit/discharge from the hospital. | The reasons the subject is not interested in follow-up care when they did not receive any rehabilitation treatment to address problems related to their brain injury following their ED/visit/discharge from the hospital. | Alphanumeric | Multiple Pre-Defined Values Selected | because I believe I can manage the problems caused by my injury on my own|because I did not think I needed it (e.g., Dr. said I didn't need it and/or didn't need a referral for that reason)|because I was dissatisfied with the treatment I received at the ED/hospital | because I believe I can manage the problems caused by my injury on my own|because I did not think I needed it (e.g., Dr. said I didn't need it and/or didn't need a referral for that reason)|because I was dissatisfied with the treatment I received at the ED/hospital | || | || | || | || | Not Interested in follow-up care, please check any/all of the reasons that apply | NTRR|trauma | https://ntrr.nih.gov/ | Adult and Pediatric | Disease/Injury Related Events.History of Disease/Injury Event | Disease/Injury Related Events.History of Disease/Injury Event | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Basic | 2025-03-17 promoted to a NTRR CDE by a request from NTRR WG | NIH/CIT/BRICS | LeVon Greer | levon.greer@nih.gov | NIH/CIT/BRICS | Olga Vovk | olga.vovk@nih.gov | 8/2/17 | 3/17/25 | Published | |||||||||||||||||||||||||||||||||||||||||||||
| AISDictionaryVersionTyp | Abbreviated injury scale (AIS) - Dictionary version type | Common Data Element | 1.3 | A type/version of the Abbreviated Injury Scale (AIS) dictionary used to access the injury | A type/version of the Abbreviated Injury Scale (AIS) dictionary used to access the injury | Alphanumeric | Single Pre-Defined Value Selected | C0000722 | Abbreviated Injury Scale | UMLS | AIS Revision 1990|AIS Revision 1990 Update 1998|AIS Revision 2005|AIS Revision 2005 Update 2008|AIS Revision 2015 | AIS Revision 1990|AIS Revision 1990 Update 1998|AIS Revision 2005|AIS Revision 2005 Update 2008|AIS Revision 2015 | 5|4|3|2|1 | |||| | |||| | |||| | Choose one. Use AIS user manual to find out the version. Recommend using the most recent version. AIS dictionaries developed earlier than 1990 are not recommended for use in this data collection. | Version of Abbreviated injury scale (AIS) dictionary | ISS|Injury_History|AIS|MaxAIS | Baker SP, O'Neill B, Haddon W Jr, et al. The injury severity score: a method for describing patients with multiple injuries and evaluating emergency care. J Trauma. Mar 1974;14(3): 187-196. Medicine Aft. The Abbreviated Injury Scale, 1990 Revision. Association for the Advancement of Automotive Medicine. 15-24. 1990. Des Plaines, IL. http: //www.sfar.org/scores2/triss2.html - ISS calculator Pediatric: Gennarelli TA, Wodzin A. AIS 2005: A contemporary injury scale. Injury 2006 37: 1083-1091. Copyright Association for the Advancement of Automotive Medicine - https://www.aaam.org/abbreviated-injury-scale-ais/ | Adult and Pediatric | Disease/Injury Related Events.Classification | Disease/Injury Related Events.Classification | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Core | Core | Core | Core | AAAM | Gillich, Patrick | patrick.j.gillich.civ@mail.mil | NIH/CIT/BRICS | Olga Vovk | olga.vovk@nih.gov | 9/7/17 | 8/1/24 | Published | ||||||||||||||||||||||||||||||||||||||||||
| InjMechOTH | Mechanism of injury other text | Common Data Element | 1 | The free-text field related to 'Mechanism of injury type' specifying other text. | The free-text field related to 'Mechanism of injury type' specifying other text. | Alphanumeric | 4000 | Free-Form Entry | Adult and Pediatric | Trauma.N/A | Basic | Basic | Supplemental | Supplemental | NTRR | NTRR Workgroup | 3/5/25 | 3/12/25 | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| AlcScrInd | Alcohol screen indicator | Common Data Element | 1 | A blood alcohol concentration (BAC) test was performed on the patient within 24 hours after first hospital encounter | A blood alcohol concentration (BAC) test was performed on the patient within 24 hours after first hospital encounter | Alphanumeric | Single Pre-Defined Value Selected | No|Yes | No|Yes | 0|1 | | | | | | | Epidemiology|NTRR|NTDS | Adult and Pediatric | Trauma.N/A | Basic | Supplemental | Supplemental | Supplemental | NTRR | NTDS | 3/5/25 | 3/17/25 | Published | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| GonioWristMeasureAct | Goniometry wrist measurement (active) | Common Data Element | 1 | Measurement in degrees of the active range of motion for wrist | Measurement in degrees of the active range of motion for wrist | Alphanumeric | 3 | Free-Form Entry | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Supplemental | Basic | NTRR | Workgroup | 4/9/25 | 4/9/25 | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| QualifierTyp | Qualifier Type | Common Data Element | 1 | Modifier data element that provide additional qualifier to values reported. | Modifier data element that provide additional qualifier to values reported. | Alphanumeric | Single Pre-Defined Value Selected | First|Highest|Last|Lowest | First|Highest|Last|Lowest | 3|1|4|2 | ||| | ||| | ||| | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Basic | Supplemental | NTRR | Acute Workgroup | 4/9/25 | 4/9/25 | Draft | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| GoniomShouldMeasr | Goniometry shoulder measurement | Common Data Element | 1 | Measurement in degrees of the passive range of motion for shoulder abduction | Measurement in degrees of the passive range of motion for shoulder abductio | Numeric Values | Free-Form Entry | -360 | 360 | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Supplemental | Basic | NTRR | NINDS | 4/9/25 | 4/9/25 | Draft | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| RespRate | Respiratory rate | Common Data Element | 1.6 | Rate of the participant/subject's breathing (inhalation and exhalation). | Rate of the participant/subject's breathing (inhalation and exhalation). | Numeric Values | Free-Form Entry | 0 | 150 | C0035203|C0231832|C0425442 | Respiration|Respiratory rate|Respiratory System Finding | UMLS|UMLS|UMLS | Breaths per minute | ALS/DMD/EPILEPSY/FA/GENERAL/HEADACHE/MG/MS/NMD/SMA/STROKE: Record the respiratory rate of the participant/subject in breaths per minute. NMD/SMA:Respiratory Support/Assisted Ventilation Devices MS/TBI: Add date stamp for when assessed. Hypoxia, hypercapnia, and hypocapnia have all been associated with poor outcome. |
FITBIR|NIA; | Respiratory rate | trauma|TRACK_TBI | ALS/DMD/EPILEPSY/FA/GENERAL/HEADACHE/MG/NMD/SMA/STROKE/: No references available MS/TBI: Davis, DP. Early ventilation in traumatic brain injury. Resuscitation. Mar 2008;76(3):333-340. Guidelines for the management of severe traumatic brain injury. XIV. Hyperventilation. J Neurotrauma. 2008;25:276-8. Murray GD, Butcher I, McHugh GS, et al. Multivariable prognostic analysis in traumatic brain injury: results from the IMPACT study. J Neurotrauma. Feb 2007;24(2):329-337. |
Adult and Pediatric | Assessments and Examinations.Vital Signs and Other Body Measures | Assessments and Examinations.Vital Signs and Other Body Measures | Assessments and Examinations.Vital Signs and Other Body Measures | Assessments and Examinations.Vital Signs and Other Body Measures | Assessments and Examinations.Vital Signs and Other Body Measures | Assessments and Examinations.Vital Signs and Other Body Measures | Assessments and Examinations.Vital Signs and Other Body Measures|Treatment/Intervention Data.Therapies | Assessments and Examinations.Vital Signs and Other Body Measures|Treatment/Intervention Data.Therapies | Treatment/Intervention Data.Therapies|Assessments and Examinations.Vital Signs and Other Body Measures | Assessments and Examinations.Vital Signs and Other Body Measures | Assessments and Examinations.Vital Signs and Other Body Measures | Assessments and Examinations.Vital Signs and Other Body Measures | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Core | Core | Core | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Basic | Basic | Supplemental | Respiratory rate | NINDS_CDE | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 4/1/14 | 3/17/25 | Published | ||||||||||||||||||||||
| InjDateTime | Injury date time | Unique Data Element | 1.11 | Date (and time, if applicable and known) of injury | Date (and time, if applicable and known) of injury | Date or Date & Time | Free-Form Entry | C3263723|C0876926|C1264639 | Traumatic injury|Traumatic brain injury|Date and Time | UMLS|UMLS|UMLS | Injury date and time | Injury_History | GENERAL/TBI: No references available SCI: DeVivo M, Biering-Saarensen 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 and Pediatric | Disease/Injury Related Events.History of Disease/Injury Event | Basic | Basic | Basic | Basic | NINDS_CDE | BlastInjDevTyp;InjCauseTyp;InjCauseTypOTH;InjDateReliablTyp;InjDateTimeEstTyp;InjDescriptionText;InjElapsedTime;InjEventNum;InjICDExtCauseCode;InjPlcOccncTyp;InjPresentRsn;InjReliablTyp;InjSeverScore;InjVlntCauseTyp;SupportWithdrawnInjElapsedTime | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | NINDSCDE | NINDSCDE@emmes.com | 3/10/25 | Published | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| GonioNeckMeasureAct | Goniometry neck measurement (active) | Common Data Element | 1 | Measurement in degrees of the active range of motion for neck | Measurement in degrees of the active range of motion for neck | Alphanumeric | 3 | Free-Form Entry | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Supplemental | Basic | NTRR | Workgroup | 4/9/25 | 4/9/25 | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| PregTestQualResltVal | Pregnancy test qualitative result value | Common Data Element | 1.6 | Result of the pregnancy test | Result of the pregnancy test | Alphanumeric | Single Pre-Defined Value Selected | C0456984/C0205556|C0032976 | Test Result/Qualitative|Pregnancy Tests | UMLS|UMLS | Negative|Positive | Negative|Positive | 50|60 | C1513916|C1514241 | Negative Finding|Positive Finding | UMLS|UMLS | ALS/FA/GENERAL/MG/NMD/SMA/STROKE/TBIACUTE/TBIEPID/TBIMILD/TBIMOD: Choose one. | FITBIR PDBP; | Pregnancy test qualitative result | TRACK_TBI | ALS/FA/GENERAL/MG/NMD/SMA: No references available STROKE/TBI: Logical Observation Identifiers Names and Codes (LOINC) - www.loinc.org |
Adult and Pediatric | Assessments and Examinations.Laboratory Tests and Biospecimens/Biomarkers | Assessments and Examinations.Laboratory Tests and Biospecimens/Biomarkers | Assessments and Examinations.Laboratory Tests and Biospecimens/Biomarkers | Assessments and Examinations.Laboratory Tests and Biospecimens/Biomarkers | Assessments and Examinations.Laboratory Tests and Biospecimens/Biomarkers | Assessments and Examinations.Laboratory Tests and Biospecimens/Biomarkers | Assessments and Examinations.Laboratory Tests and Biospecimens/Biomarkers | Assessments and Examinations.Laboratory Tests and Biospecimens/Biomarkers | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Core | Core | Core | Core | Pregnancy test qualitative result | NINDS_CDE | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 4/1/14 | 3/10/25 | Published | ||||||||||||||||||||||||||||||||
| GoniomHipMeasr | Goniometry hip measurement | Common Data Element | 1 | Measurement in degrees of the passive range of motion for hip | Measurement in degrees of the passive range of motion for hi | Numeric Values | Free-Form Entry | -360 | 360 | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Supplemental | Basic | NTRR | NINDS | 4/9/25 | 4/9/25 | Draft | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| InjDescriptionText | Injury description text | Common Data Element | 1.7 | A text description of the injury event. | A text description of the injury event. | Alphanumeric | 4000 | Free-Form Entry | C0678257|C3263723 | Description|Traumatic injury | UMLS|UMLS | Description of the injury event | Injury_History | Adult and Pediatric | Disease/Injury Related Events.Classification | Supplemental | Supplemental | Supplemental | Supplemental | FITBIR_CDE | BlastInjDevTyp;InjCauseTyp;InjCauseTypOTH;InjDateReliablTyp;InjDateTime;InjDateTimeEstTyp;InjElapsedTime;InjEventNum;InjICDExtCauseCode;InjPlcOccncTyp;InjPresentRsn;InjReliablTyp;InjSeverScore;InjVlntCauseTyp;SupportWithdrawnInjElapsedTime | Temple University, Department of Physical Therapy | Olga Vovk | olga.vovk@nih.gov | 5/18/15 | 3/7/25 | Published | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| RotThrombAssayResultTyp | Rotational Thromboelastometry assay result type | Common Data Element | 1 | Result type of assay performed using a rotational Thrombelestometry assay machine (ROTEM) | Result type of assay performed using a rotational Thrombelestometry assay machine (ROTEM) | Alphanumeric | Single Pre-Defined Value Selected | A5|Alpha Angle|CFT-time|CT-time|LI30|MCF|ML | A5|Alpha Angle|CFT-time|CT-time|LI30|MCF|ML | 4|3|2|1|7|5|6 | |||||| | |||||| | |||||| | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Basic | Supplemental | NTRR | Acute Workgroup | 4/9/25 | 4/9/25 | Draft | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| CurrentMed | Current medication | Common Data Element | 1 | The medications the patient currently takes. List of medications based on RxNorm (RXCUI) code. | The medications the patient currently takes. List of medications based on RxNorm (RXCUI) code. | Alphanumeric | 4000 | Free-Form Entry | trauma | Adult and Pediatric | Trauma.N/A | Supplemental | Basic | Supplemental | Supplemental | NTRR | NEMSIS | 3/12/25 | 4/9/25 | Draft | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| RotThrombAssayResultUoM | Rotational Thromboelastometry assay result unit of measure | Common Data Element | 1 | Unit of measure for the assay result using a rotational Thromboelastometry assay machine | Unit of measure for the assay result using a rotational Thromboelastometry assay machine | Alphanumeric | Single Pre-Defined Value Selected | degrees|mm|percentage|seconds | degrees|mm|percentage|seconds | 2|3|4|1 | ||| | ||| | ||| | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Basic | Supplemental | NTRR | Acute Workgroup | 4/9/25 | 4/9/25 | Draft | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| SubjectIDNum | Subject identifier number | Common Data Element | 1.19 | An identification number assigned to the participant/subject within a given protocol or a study. | An identification number assigned to the participant/subject within a given protocol or a study. | Alphanumeric | 4000 | Free-Form Entry | C0030705/C2349022|C0681850/C0600091 | Patients/Identifier|Study Subject/Unique Identifier | UMLS|UMLS | The participant or subject identifiers or IDs should be assigned by the study. | cdRNS|eyeGene|FITBIR|NIA|PDBP; CDISC variables: SUBJID | Subject ID number: | Alexander MS, Biering-Sorensen F, Elliott S, Kreuter M, Saanksen J. International Spinal Cord Injury Female Sexual and Reproductive Function Basic Data Set. Spinal Cord. 2011 Jul;49(7):787-90. Alexander MS, Biering-Sorensen F, Elliott S, Kreuter M, Saanksen J. International Spinal Cord Injury Male Sexual Function Basic Data Set. Spinal Cord. 2011 Jul;49(7):795-8. Bauman WA, Biering-Sorensen F, Krassioukov A. International spinal cord injury endocrine and metabolic function basic data set. Spinal Cord. 2011 Oct;49(10):1068-72. Biering-Sorensen F, Craggs M, Kennelly M, Schick E, Wyndaele JJ. International Lower Urinary Tract Function Basic Spinal Cord Injury Data Set. Spinal Cord 2008 May;46(5):325-30. Krogh K, Perkash I, Stiens SA, Biering-Sorensen F. International bowel function extended spinal cord injury data set. Spinal Cord. 2009 Mar;47(3):235-41. Widerstraam-Noga E, Biering-Sorensen F, Bryce T, Cardenas DD, Finnerup NB, Jensen MP, Richards JS, Siddall PJ. The international spinal cord injury pain basic data set. Spinal Cord. 2008 Dec;46(12):818-23. |
Adult and Pediatric | Outcomes and End Points.Other Clinical Data | Assessments and Examinations.Other Clinical Data | N/A.N/A | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Participant or subject identifier | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 9/11/24 | Published | |||||||||||||||||||||||||||||||||||||||||||||||||
| MedclHistCondSNOMEDCTCode | Medical history condition SNOMED CT code | Common Data Element | 1.15 | Systematized Nomenclature Of Medicine Clinical Terms (SNOMED CT) code for medical condition/disease reported by the participant/subject | Systematized Nomenclature Of Medicine Clinical Terms (SNOMED CT) code for medical condition/disease reported by the participant/subject | Alphanumeric | 255 | Free-Form Entry | C4745084|C1136257|C0679646/C0262926 | Medical Condition|Systematized Nomenclature of Medicine|Participant/Medical History | UMLS|UMLS|UMLS | Code each of the medical history conditions using SNOMED CT. Recommend collection at least during initial medical treatment. | FITBIR|NIA|PDBP | SNOMED CT code. Neuropath: Medical history condition SNOMED CT code | Medical_History|COVID | SNOMED CT Codes (https://www.nlm.nih.gov/healthit/snomedct/) | Adult and Pediatric | Participant/Subject History and Family History.General Health History | Participant/Subject History and Family History.General Health History | Participant/Subject History and Family History.General Health History | Core | Core | Core | Core | Core | Supplemental | Medical history condition SNOMED CT code. C00313. | NINDS_CDE | InjElapsedTime;InjICDExtCauseCode;LOCInd;MedclHistCondOngoingInd;MedclHistCondTxt;PstTraumtcAmnsInd;TBITyp | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 3/7/25 | Published | |||||||||||||||||||||||||||||||||||||||||||||||
| SexAtBirthBiologicTyp | Biological sex assigned at birth type | Common Data Element | 1 | The physical sexual characteristics of the neonate at birth. A textual description of a person's sex at birth. | The physical sexual characteristics of the neonate at birth. A textual description of a person's sex at birth. | Alphanumeric | Single Pre-Defined Value Selected | C1704791|C0679646/C1521970|C1522384 | Demographics|Participant/Characteristics|Sex | UMLS|UMLS|UMLS | Femal|Male | A person who belongs to the sex that normally produces ova. The term is used to indicate biological sex distinctions, or cultural gender role distinctions, or both.|A person who belongs to the sex that normally produces sperm. The term is used to indicate biological sex distinctions, cultural gender role distinctions, or both. | 1|2 | C0086287|C0086582 | Females|Males | UMLS|UMLS | Choose one. | NIH CDE repository endorsed CDE: Sex at Birth. BRICS disclaimer: Consistent with Executive Order 14168, gender should not be used as a replacement for the element sex in the BRICS repository. | What was your biological sex assigned at birth (on your original birth certificate)? | NIH CDE repository endorsed CDE (rGEh0ckdmr). NLM disclaimer: Consistent with Executive Order 14168 (https://www.whitehouse.gov/presidential-actions/2025/01/defending-women-from-gender-ideology-extremism-and-restoring-biological-truth-to-the-federal-government/), gender should not be used as a replacement for the element sex in the NIH and BRICS CDE repositories. | Adult and Pediatric | Participant/Subject Characteristics.Demographics | Participant/Subject Characteristics.Demographics | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | NIH CDE Repository ScHARe | NIH CDE Repository ScHARe | NIH CDE Repository ScHARe | 2/12/25 | 2/12/25 | Draft | |||||||||||||||||||||||||||||||||||||||||||||
| RotThrombAssayTyp | Rotational Thromboelastometry assay type | Common Data Element | 1 | Assay type performed using the rotational Thromboelastometry assay machine (ROTEM) | Assay type performed using the rotational Thromboelastometry assay machine (ROTEM) | Alphanumeric | Single Pre-Defined Value Selected | APTEM|EXTEM|FibTEM|INTEM | APTEM|EXTEM|FibTEM|INTEM | 4|2|3|1 | ||| | ||| | ||| | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Basic | Supplemental | NTRR | Acute Workgroup | 4/9/25 | 4/9/25 | Draft | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| SonorAssayResultTyp | Sonorheometry assay result type | Common Data Element | 1 | Result type of assay performed using a sonorheometry assay machine | Result type of assay performed using a sonorheometry assay machine | Alphanumeric | Single Pre-Defined Value Selected | CS|CT|CTH|CTR|FCS|PCS | CS|CT|CTH|CTR|FCS|PCS | 4|1|2|3|6|5 | ||||| | ||||| | ||||| | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Basic | Supplemental | NTRR | Acute Workgroup | 4/9/25 | 4/9/25 | Draft | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| MobilityDvcTyp | Mobility device type | Common Data Element | 1 | Type for all mobility devices currently used by the participant/subject | Type for all mobility devices currently used by the participant/subject | Alphanumeric | 255 | Free-Form Entry | SMA: For each mobility device type record if it is used ----- STROKE: Choose all that apply |
Type(s) of mobility devices | trauma | DMD: No references available ----- GENERAL: No references available ----- SMA: No references available ----- STROKE: No references available |
Adult and Pediatric | Treatment/Intervention Data.Therapies | Treatment/Intervention Data.Therapies | Treatment/Intervention Data.Devices | Treatment/Intervention Data.Devices | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Basic | Mobility device type | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 4/1/14 | 4/9/25 | Draft | ||||||||||||||||||||||||||||||||||||||||||||||||
| SonorAssayResultUoM | Sonorheometry assay result unit of measure | Common Data Element | 1 | Unit of measure for the assay result using a sonorheometry assay machine | Unit of measure for the assay result using a sonorheometry assay machine | Alphanumeric | Single Pre-Defined Value Selected | hPa|ratio|seconds | hPa|ratio|seconds | 3|2|1 | || | || | || | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Basic | Supplemental | NTRR | Acute Workgroup | 4/9/25 | 4/9/25 | Draft | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| SonorAssayTyp | Sonorheometry assay type | Common Data Element | 1 | Assay type performed using the sonorheometry assay machine | Assay type performed using the sonorheometry assay machine | Alphanumeric | Single Pre-Defined Value Selected | Oplus|Ostat | Oplus|Ostat | 1|2 | | | | | | | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Basic | Supplemental | NTRR | Acute Workgroup | 4/9/25 | 4/9/25 | Draft | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| EduLvlUSATyp | Education level USA type | Common Data Element | 1.13 | Highest grade or level of school participant/subject has completed or the highest degree received | Highest grade or level of school participant/subject has completed or the highest degree received | Alphanumeric | Single Pre-Defined Value Selected | C0679646/C1521970|C0013658/C0041703|C1704791 | Participant/Characteristics|Educational Status/United States|Demographics Domain | UMLS|UMLS|UMLS | 10th Grade|11th Grade|12th Grade, no diploma|1st Grade|2nd Grade|3rd Grade|4th Grade|5th Grade|6th Grade|7th Grade|8th Grade|9th Grade|Associate degree: academic program|Associate degree: occupational/technical/vocational program|Bachelor's degree (e.g., BA, AB, BS, BBA)|Doctoral degree (e.g., PhD, EdD)|GED or equivalent|High school graduate|Master's degree (e.g., MA, MS, MEng, MEd, MBA)|Never attended/Kindergarten only|Other, specify|Professional school degree (e.g., MD, DDS, DVM, JD)|Some college, no degree|Unknown | 10th Grade|11th Grade|12th Grade, no diploma|1st Grade|2nd Grade|3rd Grade|4th Grade|5th Grade|6th Grade|7th Grade|8th Grade|9th Grade|Associate degree: academic program|Associate degree: occupational/technical/vocational program|Bachelor's degree (e.g., BA, AB, BS, BBA)|Doctoral degree (e.g., PhD, EdD)|GED or equivalent|High school graduate|Master's degree (e.g., MA, MS, MEng, MEd, MBA)|Never attended/Kindergarten only|Other, specify|Professional school degree (e.g., MD, DDS, DVM, JD)|Some college, no degree|Unknown | 10|11|12|1|2|3|4|5|6|7|8|9|13|14|15|16|17|18|19|20|444|21|22|999 | ||||||||||||||||||||||| | ||||||||||||||||||||||| | ||||||||||||||||||||||| | Choose the highest level attained by the participant/subject. | cdRNS|FITBIR|NIA|PDBP; | What is the subject's highest grade or level of school completed? | trauma|COVID19 | National Health and Nutrition Examination Survey (NHANES); National Health Interview Survey (NHIS); PhenX Toolkit Current Educational Attainment #011001 (https: //www.phenxtoolkit.org) | Adult and Pediatric | Participant/Subject Characteristics.Social Status | Participant/Subject Characteristics.Social Status | Participant/Subject Characteristics.Demographics | Participant/Subject Characteristics.Social Status | Participant/Subject Characteristics.Social Status | Participant/Subject Characteristics.Social Status | Participant/Subject Characteristics.Social Status | Participant/Subject Characteristics.Social Status | Participant/Subject Characteristics.Social Status | Participant/Subject Characteristics.Social Status | Participant/Subject Characteristics.Social Status | Participant/Subject Characteristics.Social Status | Trauma.N/A | Supplemental | Basic | Basic | Basic | Basic | Core | Supplemental | Supplemental | Core | Supplemental | Core | Core | Core | Core | Supplemental | Supplemental | Supplemental | Supplemental | Basic | EduLvlMaternalUSATyp;EduLvlPaternalUSATyp;EduPerfStatus;EduSchoolParticipStatus;EduTyp;EduYrCt;s0:EduLvlUSATypOTH | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 4/1/25 | Published | |||||||||||||||||||||
| PdAsstPerDayHrsCt | Paid assistance per day hours number | Common Data Element | 1.1 | How many hours in a typical 24-hour day do you have someone with you - paid assistance to provide physical assistance for personal care activities such as eating, bathing, dressing, toileting and mobility? | The number of hours per day the subject/participant utilizes a paid assistant | Numeric Values | Free-Form Entry | FA: Record the number of hours of paid assistance the participant/subject receives in a 24-hour day. |
How many hours in a typical 24-hour day do you have someone with you (paid assistance) to provide physical assistance for personal care activities such as eating, bathing, dressing, toileting and mobility? | trauma | FA:No references available | Adult and Pediatric | Participant/Subject Characteristics.Social Status | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Basic | Paid assistance per day hours number. NTRR_CDE | NIH/NINDS | NIH/NINDS | 4/1/14 | 3/20/25 | Published | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| TempMeasr | Temperature measurement | Common Data Element | 1.8 | Measurement of the participant's/subject's body temperature. | Measurement of the participant's/subject's body temperature. | Numeric Values | Free-Form Entry | 0 | 50 | C0886414 | Body temperature measurement | UMLS | Degree Celsius | Record the temperature of the participant/ subject. All temperature measurements should be converted to degrees Celsius (C) prior to aggregation or sharing. TBI: Response is measured in Celsius. Add date stamp for when assessed. Pediatric-specific notes: As a minimum, vital signs should be recorded on admission and further, on a daily basis during the acute phase after injury. For the basic datasets, we recommend recording the average and lowest blood pressure over a given period. In the ICU environment, recording blood pressure on an hourly basis is recommended, especially when intracranial pressure (ICP) is monitored in order to permit determination of CPP, calculated as mean arterial blood pressure (MABP) - ICP (intermediate data set). SCI Var: TEMPMEAS |
FITBIR|NIA|PDBP; All temperature measurements should be converted to degrees Celsius (C) prior to aggregation or sharing. | Temperature | trauma|Vital_Signs | Karlsson AK, Krassioukov A, Alexander MS, Donovan W, Biering-Saarensen F. International Spinal Cord Injury Skin and Thermoregulation Function Basic Data Set. Spinal Cord. 2012; 50(7):512-6. Sund-Levander M, Forsberg C, Wahren LK : Normal oral, rectal, tympanic and axillary body temperature in adult men and women: a systematic literature review. Scand J Caring Sci. 2002 Jun;16: 122-8. | Adult and Pediatric | Assessments and Examinations.Vital Signs and Other Body Measures | Trauma.N/A | Supplemental | Supplemental | Supplemental | Basic | Supplemental | Temperature measurement | NINDS_CDE | NIH/NINDS | NINDSCDE | NINDSCDE@EMMES.COM | NIH/NINDS | NINDSCDE | NINDSCDE@EMMES.COM | 3/17/25 | Published | ||||||||||||||||||||||||||||||||||||||||||||||||
| MedHistPsychiatricOTH | Participant/Medical History psychiatric category other text | Common Data Element | 1.1 | Participant/Medical History psychiatric category other text | Participant/Medical History psychiatric category other text | Alphanumeric | 4000 | Free-Form Entry | C0552595|C0679646/C0262926 | Psychiatric findings|Participant/Medical History | UMLS|UMLS | Record the other Participant/Medical History category (if any). | Other, specify | TBI_IMPACT|trauma|TRACK_TBI|Medical_History|COVID19 | TBI IMPACT SIGNIFICANT Participant/Medical History : http://www.tbi-impact.org/cde/mod_templates/02_01_Significant_medical_history.pdf | Adult and Pediatric | Participant/Subject History and Family History.General Health History | Participant/Subject History and Family History.General Health History | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Basic | FITBIR_CDE | NIH/CIT/BRICS | Olga Vovk | olga.vovk@nih.gov | NIH/CIT/BRICS | Olga Vovk | 8/5/14 | 3/17/25 | Published | |||||||||||||||||||||||||||||||||||||||||||||||
| ThrombAssayResultTyp | Thromboelastography assay result type | Common Data Element | 1 | Result type of assay performed using a Thromboelastography assay machine | Result type of assay performed using a Thromboelastography assay machine | Alphanumeric | Single Pre-Defined Value Selected | Alpha Angle|K-time|Ly30|MA|MA-AA|MA-ADP|R-time | Alpha Angle|K-time|Ly30|MA|MA-AA|MA-ADP|R-time | 3|2|5|4|7|6|1 | |||||| | |||||| | |||||| | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Basic | Supplemental | NTRR | Acute Workgroup | 4/9/25 | 4/9/25 | Draft | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| ThrombAssayResultUoM | Thromboelastography assay result unit of measure | Common Data Element | 1 | Unit of measure for the assay result using a Thromboelastography assay machine | Unit of measure for the assay result using a Thromboelastography assay machine | Alphanumeric | Single Pre-Defined Value Selected | degrees|minutes|MM|percentage | degrees|minutes|MM|percentage | 2|1|3|4 | ||| | ||| | ||| | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Basic | Supplemental | NTRR | Acute Workgroup | 4/9/25 | 4/9/25 | Draft | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| ThrombAssayTyp | Thromboelastography assay type | Common Data Element | 1 | Assay type performed using the Thromboelastography assay machine (TEG) | Assay type performed using the Thromboelastography assay machine (TEG) | Alphanumeric | Single Pre-Defined Value Selected | Functional Fibrinogen|Heparinase|Kaolin|Other|Platelet Mapping|Raid TEG | Functional Fibrinogen|Heparinase|Kaolin|Other|Platelet Mapping|Raid TEG | 4|3|1|6|5|2 | ||||| | ||||| | ||||| | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Basic | Supplemental | NTRR | Acute Workgroup | 4/9/25 | 4/9/25 | Draft | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| DataAcquisitionLocationTyp | Data acquisition location type | Common Data Element | 1.8 | Type of location where the subject data were taken (clinical, imaging, genomics, etc.) | Type of location where subject data were taken | Alphanumeric | Single Pre-Defined Value Selected | C0450429|C4684616 | Location|Data Acquisition | UMLS|UMLS | Acute Care Unit|Ambulatory|Assisted Living|Central Lab|Clinic/MD Office|Critical Access Hospital|Critical Care Unit|CT-Angio|Discharge Lounge|ED arrival|ED discharge|ED-Non-trauma Center|ED post-resuscitation|ED-Trauma Center|Follow-up visit|High Care Unit|Home|Hospice|ICU|Imaging Diagnostic Department|Injury scene|Inpatient Epilepsy Monitoring Unit|Inpatient Rehab|Intermediate Care Unit|Long Term Care Hospital|Nursing Home|Observation Unit|OR|Other Hospital|Other, specify|Outpatient Clinic|Outpatient EEG lab|Pre-hospital|Pre-hospital Best|Pre-hospital Worst|Referring Hospital|Rehabilitation Unit|Site Lab|Step-Down Unit|Supervised Living|Unknown|Urgent Care|Ward | Acute Care Unit|Ambulatory|Assisted Living|Central Lab|Clinic/MD Office|Critical Access Hospital|Critical Care Unit|CT-Angio|Discharge Lounge|ED arrival|ED discharge|ED-Non-trauma Center|ED post-resuscitation|ED-Trauma Center|Follow-up visit|High Care Unit|Home|Hospice|ICU|Imaging Diagnostic Department|Injury scene|Inpatient Epilepsy Monitoring Unit|Inpatient Rehab|Intermediate Care Unit|Long Term Care Hospital|Nursing Home|Observation Unit|OR|Other Hospital|Other, specify|Outpatient Clinic|Outpatient EEG lab|Pre-hospital|Pre-hospital Best|Pre-hospital Worst|Referring Hospital|Rehabilitation Unit|Site Lab|Step-Down Unit|Supervised Living|Unknown|Urgent Care|Ward | 1|2|3|4|5|6|7|8|9|10|11|13|12|14|15|16|17|18|19|20|21|22|23|24|25|26|27|28|29|444|31|32|35|33|34|36|37|38|39|40|41|42|43 | |||||||||||||||||||||||||||||||||||||||||| | |||||||||||||||||||||||||||||||||||||||||| | |||||||||||||||||||||||||||||||||||||||||| | Choose one. | FITBIR|PDBP; | Type of location where the data were taken/recorded. | Injury_History|COVID19 | No references available | Adult and Pediatric | Disease/Injury Related Events.History of Disease/Injury Event | Disease/Injury Related Events.History of Disease/Injury Event | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | NIH/CIT/BRICS | Olga Vovk | olga.vovk@nih.gov | NIH/CIT/BRICS | Olga Vovk | olga.vovk@nih.gov | 9/18/24 | Published | ||||||||||||||||||||||||||||||||||||||||||
| TimeFrameContext | Time frame context | Common Data Element | 1 | Type of time frame context to which data was collected. | Type of time frame context to which data was collected. | Alphanumeric | Single Pre-Defined Value Selected | At discharge|Initial hospital/ED(first 30 minutes)|Within first 24 hours after hospital/ED arrival|Within first 4 hours after hospital/ED arrival | At discharge|Initial hospital/ED(first 30 minutes)|Within first 24 hours after hospital/ED arrival|Within first 4 hours after hospital/ED arrival | 4|1|3|2 | ||| | ||| | ||| | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Basic | Supplemental | NTRR | Acute Workgroup | 4/9/25 | 4/9/25 | Draft | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| AirwayDev | Airway device being confirmed | Common Data Element | 1 | The airway device in which placement is being confirmed | The airway device in which placement is being confirmed | Alphanumeric | Single Pre-Defined Value Selected | Cricothyrotomy Tube|Endotracheal Tube|Other Invasive Airway|SAD-Combitude|SAD-King|SAD-LMA|SAD-Other|Tracheostomy Tube | Cricothyrotomy Tube|Endotracheal Tube|Other Invasive Airway|SAD-Combitude|SAD-King|SAD-LMA|SAD-Other|Tracheostomy Tube | ||||||| | ||||||| | ||||||| | ||||||| | trauma | Adult and Pediatric | Trauma.N/A | Supplemental | Basic | Supplemental | Supplemental | NTRR | NEMSIS | 3/12/25 | 4/9/25 | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| JobClassPreInj | Job classification pre-injury | Common Data Element | 1.9 | Job classification pre-injury | Job classification pre-injury | Alphanumeric | Single Pre-Defined Value Selected | C0679646/C1521970|C0028811|C1704791 | Participant/Characteristics|Occupations|Demographics Domain | UMLS|UMLS|UMLS | Agricultural or fishery worker (vegetable grower, livestock producer, etc)|Armed forces (government military)|Clerk (secretary, cashier, etc)|Craft or trades worker (carpenter, painter, jewelry worker, butcher, etc)|Elementary worker (street food vendor, shoe cleaner, etc)|Legislator, senior official or manager|Not applicable, (not working pre-injury/not working now)|Other, specify|Plant/machine operator or assembler (equipment assembler, sewing-machine operator, driver, etc)|Professional(engineer, doctor, teacher, clergy, etc)|Service or sales worker (cook,travel guide, shop salesperson, etc)|Technician or Associate Professional (inspector, finance dealer, etc)|Unknown | Agricultural or fishery worker (vegetable grower, livestock producer, etc)|Armed forces (government military)|Clerk (secretary, cashier, etc)|Craft or trades worker (carpenter, painter, jewelry worker, butcher, etc)|Elementary worker (street food vendor, shoe cleaner, etc)|Legislator, senior official or manager|Not applicable, (not working pre-injury/not working now)|Other, specify|Plant/machine operator or assembler (equipment assembler, sewing-machine operator, driver, etc)|Professional(engineer, doctor, teacher, clergy, etc)|Service or sales worker (cook,travel guide, shop salesperson, etc)|Technician or Associate Professional (inspector, finance dealer, etc)|Unknown | 1|2|3|4|5|6|777|444|7|8|9|10|999 | |||||||||||| | |||||||||||| | |||||||||||| | For detailed definitions go to: http://www.who.int/healthinfo/survey/whsshortversionguide.pdf | FITBIR | What was the subject's pre-injury job classification? | No references available | Adult and Pediatric | Participant/Subject Characteristics.Social Status | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Basic | Supplemental | Supplemental | Supplemental | NIH/CIT/BRICS | Olga Vovk | olga.vovk@nih.gov | NIH/CIT/BRICS | Olga Vovk | olga.vovk@nih.gov | 4/7/25 | Published | |||||||||||||||||||||||||||||||||||||||||||||
| TotalVentDays | Total ventilator days | Common Data Element | 1 | The cumulative amount of time spent on the ventilator. Each partial or full day must be measured as one calendar day. | The cumulative amount of time spent on the ventilator. Each partial or full day must be measured as one calendar day. | Numeric Values | Free-Form Entry | 0 | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Basic | Supplemental | NTRR | NTDS | 4/9/25 | 4/9/25 | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| RehabFacilityDays | Person Rehbailitation Facility length day county | Common Data Element | 1 | Number of days spent in a rehabilitation facility | Number of days spent in a rehabilitation facility | Numeric Values | Free-Form Entry | 0 | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Supplemental | Basic | NTRR | CaDSR | 4/9/25 | 4/9/25 | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| InciCountry | Incident Country | Common Data Element | 1 | The code of the country according to FIPS (2 digits) | The code of the country according to FIPS (2 digits) | Alphanumeric | 2 | Free-Form Entry | Epidemiology|NTRR|NTDS | Adult and Pediatric | Trauma.N/A | Basic | Supplemental | Supplemental | Supplemental | NTRR | NTDS | 3/5/25 | 3/7/25 | Draft | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| InterfacTranInd | Inter-Facility Transfer Indicator | Common Data Element | 1 | Was the patient transferred to your facility from another acute care facility | Was the patient transferred to your facility from another acute care facility | Alphanumeric | Single Pre-Defined Value Selected | No|Yes | No|Yes | 0|1 | | | | | | | Epidemiology|NTRR|NTDS | Adult and Pediatric | Trauma.N/A | Basic | Supplemental | Supplemental | Supplemental | NTRR | NTDS | 3/5/25 | 3/7/25 | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| HlthInsTyp | Health insurance type | Common Data Element | 1 | Type of insurance that the participant/subject currently has providing coverage for medical, surgical or hospital care | Type of insurance that the participant/subject currently has providing coverage for medical, surgical or hospital care | Alphanumeric | Single Pre-Defined Value Selected | C0021682|C2347682 | Health Insurance|Private Health Insurance | UMLS|UMLS | Employer-sponsored disability insurance|Medicaid|Medicare|National Health Insurance|No Insurance/Self-pay|Other, specify|Private or group health insurance|Unknown|Veterans Affairs/Military | Employer-sponsored disability insurance|Medicaid|Medicare|National Health Insurance|No Insurance/Self-pay|Other, specify|Private or group health insurance|Unknown|Veterans Affairs/Military | 1|2|3|4|5|444|6|999|7 | |||||||| | |||||||| | |||||||| | TBI: Choose one. Document the date the history was obtained so it can be determined whether this information was obtained prior to study enrollment or later. Recommend collection at least on date of TBI and perhaps after all initial medical treatment. ----- NMD: Choose all that apply ----- SMA: Choose all that apply ----- HEADACHE: Choose one. Document the date the history was obtained so it can be determined whether this information was obtained prior to study enrollment or later. Recommend collection at least on date of TBI and perhaps after all initial medical treatment. ----- GENERAL: Choose one. ----- TBI (TBIACUTE): Choose one. Document the date the history was obtained so it can be determined whether this information was obtained prior to study enrollment or later. Recommend collection at least on date of TBI and perhaps after all initial medical treatment. ----- TBI (TBIMILD): Choose one. Document the date the history was obtained so it can be determined whether this information was obtained prior to study enrollment or later. Recommend collection at least on date of TBI and perhaps after all initial medical treatment. ----- TBI (TBIMOD): Choose one. Document the date the history was obtained so it can be determined whether this information was obtained prior to study enrollment or later. Recommend collection at least on date of TBI and perhaps after all initial medical treatment. ----- TBI (TBIEPID): Choose one. Document the date the history was obtained so it can be determined whether this information was obtained prior to study enrollment or later. Recommend collection at least on date of TBI and perhaps after all initial medical treatment. |
cdRNS|FITBIR|PDBP; | Type of health insurace | GENERAL: No references available ----- HEADACHE: NHLBI CDE from https://cdebrowser.nci.nih.gov/CDEBrowser/ ----- NMD: No references available ----- SMA: No references available ----- TBI: NHLBI CDE from https://cdebrowser.nci.nih.gov/CDEBrowser/ |
Adult and Pediatric | Participant/Subject Characteristics.Social Status | Participant/Subject Characteristics.Social Status | Participant/Subject Characteristics.Social Status | Participant/Subject Characteristics.Social Status | Participant/Subject Characteristics.Social Status | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Core | Health insurance type | NINDS_CDE | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 4/1/14 | 3/7/25 | Draft | |||||||||||||||||||||||||||||||||||||||
| AISCode | Abbreviated injury scale (AIS) - Code | Common Data Element | 1.1 | Abbreviated injury scale (AIS) code including pre-dot and post-dot numeric codes as recorded according to the specified version of AIS dictionary (AISDictionaryVersion) | Abbreviated injury scale (AIS) code | Alphanumeric | 16 | Free-Form Entry | For each injury (or each row of data) enter the corresponding AIS code. Use the corresponding version of AIS dictionary to specify the proper code. Recommend collection at least on date of TBI or at time of first medical treatment. For, AIS 2005, update 2008, AIS code comprises six values, a dot, a one-digit severity code, and eight optional values). The pre-dot code contains values indicating AIS body region injured, type of structure injured, specific anatomic structure injured, and level of injury. The post-dot code contains the severity score, and may also contain optional descriptors indicating location of injury, whether it was intentional or unintentional, cause of injury, etc. Use the information from AIS dictionary (https://www.aaam.org/abbreviated-injury-scale-ais/) to choose the appropriate value. Head - all codes begin with 1; Face - All codes begin with 2 ; Neck - All codes begin with 3; Thorax - All codes begin with 4; Abdomen - All codes begin with 5; Spine - All codes begin with 6; Upper extremities - All codes begin with 7; Lower extremities - All codes begin with 8; External, burns and other trauma - All codes begin with 9. | AIS code | ISS|Injury_History|AIS|MaxAIS | Baker SP, O'Neill B, Haddon W Jr, et al. The injury severity score: a method for describing patients with multiple injuries and evaluating emergency care. J Trauma. Mar 1974;14(3): 187-196. Medicine Aft. The Abbreviated Injury Scale, 1990 Revision. Association for the Advancement of Automotive Medicine. 15-24. 1990. Des Plaines, IL. http: //www.sfar.org/scores2/triss2.html - ISS calculator Pediatric: Gennarelli TA, Wodzin A. AIS 2005: A contemporary injury scale. Injury 2006 37: 1083-1091. Copyright Association for the Advancement of Automotive Medicine - https://www.aaam.org/abbreviated-injury-scale-ais/ | Adult and Pediatric | Disease/Injury Related Events.Classification | Disease/Injury Related Events.Classification | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Core | Core | Core | Core | AAAM | Gillich, Patrick | patrick.j.gillich.civ@mail.mil | NIH/CIT/BRICS | Olga Vovk | olga.vovk@nih.gov | 9/7/17 | 8/1/24 | Published | ||||||||||||||||||||||||||||||||||||||||||||||||||
| VentFreeDays | Total ventilator free days | Common Data Element | 1 | The cumulative amount of time spent NOT on the ventilator. Each full day must be measured as one calendar day. | The cumulative amount of time spent NOT on the ventilator. Each full day must be measured as one calendar day. | Numeric Values | Free-Form Entry | 0 | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Basic | Supplemental | NTRR | Acute Workgroup | 4/9/25 | 4/9/25 | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| PatientVisitSiteTypOTH | Patient visit site type other text | Common Data Element | 1 | The free-text field related to 'Patient visit site type' specifying other text. | The free-text field related to 'Patient visit site type' specifying other text. | Alphanumeric | 4000 | Free-Form Entry | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Supplemental | Basic | NTRR | Workgroup | 4/9/25 | 4/9/25 | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| DeathDateTime | Death date and time | Common Data Element | 1.6 | Date (and time, if known) of participant's/subject's death | Date (and time, if known) of participant's/subject's death | Date or Date & Time | Free-Form Entry | C0011065|C1306577 | Cessation of life|Death (finding) | UMLS|UMLS | GENERAL/HD/MG/NMD/SMA/TBI: 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.). PD: (DD/MMM/YYYY) |
CDISC variables: stored in DM.DTHDTC | Date and time of death | Neuropathology|CTE|Imaging|Imaging_Pathology | GENERAL/MG/NMD/SMA: No references available HD/PD: ISO 8601 - http: //www.iso.org/iso/iso_catalogue.htm TBI: Harrison-Felix C, Whiteneck G, DeVivo M, et al. Causes of Death after 1 Year Post injury among Individuals with Traumatic Brain Injury. J Head Trauma Rehabil. Jan-Feb 2006;21(1): 22-33. Harrison-Felix C, Whiteneck G, DeVivo M, et al. Mortality Following Rehabilitation in the Traumatic Brain Injury Model Systems of Care. NeuroRehabilitation. 2004;19(1): 45-54. |
Adult and Pediatric | Outcomes and End Points.Clinical Event End Points | Outcomes and End Points.End Points | Assessments and Examinations.Other Clinical Data | Assessments and Examinations.Other Clinical Data | Outcomes and End Points.End Points | Outcomes and End Points.End Points | Outcomes and End Points.End Points | Supplemental | Basic | Supplemental | Supplemental | Basic | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | C04802 | NINDS_CDE | NIH/NINDS | NINDSCDE | NINDSCDE@EMMES.COM | NIH/NINDS | NINDSCDE | NINDSCDE@EMMES.COM | 3/10/25 | Published | |||||||||||||||||||||||||||||||||||||||||
| LangCRFAdministratISOCode | Language form administration ISO code | Common Data Element | 1.9 | Code (ISO 639-2) for the language that was used for CRF/instrument/scale/etc. administration | Code (ISO 639-2) for the language that was used for CRF/instrument/scale/etc. administration | Alphanumeric | Single Pre-Defined Value Selected | C0023008 | Languages | UMLS | chi|cze|dan|dut|eng|fin|fre|ger|gre|heb|hin|hun|ira|ita|jpn|nor|Other, specify|por|rus|sgn|spa|vie | Chinese|Czech|Danish|Dutch|English|Finnish|French|German|Greek|Hebrew|Hindi|Hungarian|Iranian languages|Italian|Japanese|Norwegian|Other specify|Portuguese|Russian|Sign language|Spanish|Vietnamese | 1|2|3|4|5|6|7|8|9|10|11|12|13|14|15|16|444|17|18|19|20|21 | ||||||||||||||||||||| | ||||||||||||||||||||| | ||||||||||||||||||||| | Data Sharing Instructions: The language data should be coded using the ISO 639-2 codes ( (https://www.loc.gov/standards/iso639-2/php/code_list.php) prior to aggregation or sharing. Enter ISO 639-2 code for the language used to administer the CRF/instrument/scale/test/etc. If the language is not specified, the default value is 'eng'- English. | cdRNS|FITBIR|NIA|PDBP; | What is the ISO 639 code for the language the form/instrument has been administrated? | ISO 639-2 language codes (http://www.loc.gov/standards/iso639-2/php/code_list.php) | Adult and Pediatric | Participant/Subject Characteristics.Demographics | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | NIH/CIT/BRICS | Olga Vovk | olga.vovk@nih.gov | NIH/CIT/BRICS | Olga Vovk | olga.vovk@nih.gov | 1/11/17 | 9/11/24 | Published | |||||||||||||||||||||||||||||||||||||||||||||||
| ViscAssayDevTyp | Viscoelastic assay device type | Common Data Element | 1 | Type of device used to measure viscoelasticity | Type of device used to measure viscoelasticity | Alphanumeric | Single Pre-Defined Value Selected | Other|Rotational Thromboelastometry|Sonorheometry|Thromboelastography | Other|Rotational Thromboelastometry|Sonorheometry|Thromboelastography | 4|2|3|1 | ||| | ||| | ||| | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Basic | Supplemental | NTRR | Acute Workgroup | 4/9/25 | 4/9/25 | Draft | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| PtArrivDestDateTime | Patient arrived at destination date/time | Common Data Element | 1 | The date/time the responding unit arrived with the patient at the destination or transfer point. | The date/time the responding unit arrived with the patient at the destination or transfer point. | Date or Date & Time | Free-Form Entry | trauma | Adult and Pediatric | Trauma.N/A | Supplemental | Basic | Supplemental | Supplemental | NTRR | NEMSIS | 3/12/25 | 4/9/25 | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| GonioTorsoMeasureAct | Goniometry torso measurement (active) | Common Data Element | 1 | Measurement in degrees of the active range of motion for torso | Measurement in degrees of the active range of motion for torso | Alphanumeric | 3 | Free-Form Entry | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Supplemental | Basic | NTRR | Workgroup | 4/9/25 | 4/9/25 | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| ICD10InjDiag | ICD-10 Injury Diagnosis | Common Data Element | 1 | Diagnosis related to all identified injuries | ICD-10 diagnosis related to all identified injuries | Numeric Values | Free-Form Entry | Epidemiology|NTRR|NTDS | Adult and Pediatric | Trauma.N/A | Basic | Supplemental | Supplemental | Supplemental | NTRR | NTDS | 3/5/25 | 3/7/25 | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| GonioShouldForFlexMeasureAct | Goniometry shoulder forward flexion measurement (active) | Common Data Element | 1 | Measurement in degrees of the active range of motion for shoulder forward flexion | Measurement in degrees of the active range of motion for shoulder forward flexion | Alphanumeric | 3 | Free-Form Entry | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Supplemental | Basic | NTRR | Workgroup | 4/9/25 | 4/9/25 | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| ReturnToWorkDate | Return to work date | Unique Data Element | 1.1 | Date the participant returned to work following their injury | Date the participant returned to work following their injury | Date or Date & Time | Free-Form Entry | trauma | Adult and Pediatric | Participant/Subject Characteristics.Demographics | Participant/Subject Characteristics.Demographics | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Basic | Craig Hospital | Chris Cusick | CCusick@CraigHospital.org | NIH/CIT/BRICS | Miranda Osterheld | Miranda.Osterheld@nih.gov | 9/22/17 | 3/17/25 | Published | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
| TherpyRehabStrtDateTime | Therapy rehabilitation start date time | Common Data Element | 1.3 | Date (and time, if applicable and known) on which the therapy or rehabilitation started | Date (and time, if applicable and known) on which the therapy or rehabilitation started | Date or Date & Time | Free-Form Entry | GENERAL/TBI: 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.). | Data Sharing Instructions: When date/time data are prepared for aggregation or sharing they should be converted to the format specified by ISO 8601, YYYY-MM-DDThh:mm:ss. | Date Time of Initiation | trauma|TRACK_TBI | No references available | Adult and Pediatric | Treatment/Intervention Data.Therapies | Treatment/Intervention Data.Therapies | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Basic | Supplemental | Supplemental | Supplemental | Basic | Therapy or rehabilitation start date and time | NIH/CIT/BRICS | Olga Vovk | olga.vovk@nih.gov | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 3/17/25 | Published | ||||||||||||||||||||||||||||||||||||||||||||||||||
| MedAdminDateTime | Medication administered date/time | Common Data Element | 1 | The date/time medication was administered to the patient | The date/time medication was administered to the patient | Date or Date & Time | Free-Form Entry | trauma | Adult and Pediatric | Trauma.N/A | Supplemental | Basic | Supplemental | Supplemental | NTRR | NEMSIS | 3/12/25 | 4/9/25 | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| JobClassPreInjOTH | Job classification pre-injury other text | Common Data Element | 1.8 | The free-text field related to Job classification pre-injury specifying other text. | The free-text field related to Job classification pre-injury specifying other text. | Alphanumeric | 4000 | Free-Form Entry | C0028811|C0679646/C1521970|C1704791 | Occupations|Participant/Characteristics|Demographics Domain | UMLS|UMLS|UMLS | Enter other text. | FITBIR | Other, Specify | No references available | Adult and Pediatric | Participant/Subject Characteristics.Demographics | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | NIH/CIT/BRICS | Olga Vovk | olga.vovk@nih.com | NIH/CIT/BRICS | Olga Vovk | olga.vovk@nih.com | 3/7/25 | Published | |||||||||||||||||||||||||||||||||||||||||||||||||||||
| ArrivalIntubationInd | Arrival intubation indicator | Common Data Element | 1 | Indicator for intubation on arrival | Indicator for intubation on arrival | Alphanumeric | Single Pre-Defined Value Selected | No|Unknown|Yes | No|Unknown|Yes | 2|3|1 | || | || | || | Adult and Pediatric | Trauma.N/A | Supplemental | Basic | Supplemental | Supplemental | NTRR | NINDS | 4/9/25 | 4/9/25 | Draft | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| GonioHipMeasureAct | Goniometry hip measurement (active) | Common Data Element | 1 | Measurement in degrees of the active range of motion for hip | Measurement in degrees of the active range of motion for hip | Alphanumeric | 3 | Free-Form Entry | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Supplemental | Basic | NTRR | Workgroup | 4/9/25 | 4/9/25 | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| WgtMeasr | Weight measurement | Common Data Element | 1.9 | Measurement of participant's/subject's weight | Measurement of participant's/subject's weight | Numeric Values | Free-Form Entry | 0 | 1000 | C0005910|C0242485 | Body Weight|Measurement | UMLS|UMLS | Kilogram | ALS/GENERAL/TBI/SCI/STROKE: Record the weight of the participant/subject. To be collected at the visit, not self-reported. Indicate whether weight was measured in kilograms (kg) preferably, or pounds (lbs.). Height and weight are commonly collected at the baseline visit. Depending on the study population and study intervention it may be appropriate to collect height and weight at subsequent study visits. The suggested range is 0-500 kg or 0-1000 lbs. Add date stamp for when assessed. Recommend collection at least on date of TBI. Documentation of height and weight is motivated by two reasons: 1. the risk of (systemic) complications is greater in the presence of obesity; 2. body weight is important for calculating required doses of (study) medications. | cdRNS|FITBIR|NIA|PDBP; | Weight measurement | Injury_History|trauma|CDISC|TRACK_TBI | No references available | Adult and Pediatric | Assessments and Examinations.Vital Signs and Other Body Measures | Assessments and Examinations.Vital Signs and Other Body Measures | Assessments and Examinations.Imaging Diagnostics | Assessments and Examinations.Vital Signs and Other Body Measures | Assessments and Examinations.Vital Signs and Other Body Measures | Assessments and Examinations.Vital Signs and Other Body Measures | Assessments and Examinations.Vital Signs and Other Body Measures | Assessments and Examinations.Vital Signs and Other Body Measures | Assessments and Examinations.Vital Signs and Other Body Measures | Assessments and Examinations.Vital Signs and Other Body Measures | Assessments and Examinations.Vital Signs and Other Body Measures | N/A.N/A | Assessments and Examinations.Vital Signs and Other Body Measures | Assessments and Examinations.Vital Signs and Other Body Measures|Outcomes and End Points.Assessing Comorbidities | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Core | Core | Core | Supplemental | Core | Core | Core | Core | Supplemental | Core | Supplemental | Supplemental | Supplemental | Basic | Supplemental | Weight measurement. SCI Variable: WEIGHT | NINDS_CDE | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 4/1/14 | 3/17/25 | Published | ||||||||||||||||||
| ZIPPartialCode | ZIP partial code | Common Data Element | 1.2 | First three digits of the zip code where the participant/subject currently lives. | First three digits of the zip code where the participant/subject currently lives. | Alphanumeric | 255 | Free-Form Entry | C25621 | Postal Code | NCIT | Enter first three digits of the zip code. Protected health information (PHI), under the Health Insurance Portability and Accountability Act (HIPAA), does allow collection of the initial three digits of a zip code if, according to the current publicly available data from the Bureau of the Census: the geographic unit formed by combining all zip codes with the same three initial digits contains more than 20,000 people. For CDUS reporting, the last four digits of the complete nine-digit Zip code should not be submitted to assure patient confidentiality. If the initial three digits of a zip code for all such geographic units containing 20,000 or fewer people is changed to 000. In addition, this is usually an optional field. Therefore, if not provided, also enter 000. | First three digits of the zip code | First three digits of the zip code | Demographics|NTRR|COVID | NINDS Genetics Repository, Required Clinical Data Elements for subjects with Cerebrovascular Disease - http://ccr.coriell.org/Sections/Collections/NINDS/Cerebrovascular.aspx?PgId=190&coll=ND | Adult and Pediatric | Participant/Subject Characteristics.Demographics | Participant/Subject Characteristics.Demographics | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Basic | Basic | Basic | Basic | Zip code | NINDS_CDE | NIH/NINDS | NIH/NINDS | 4/1/14 | 3/7/25 | Published | ||||||||||||||||||||||||||||||||||||||||||||||||
| GonioElbowMeasureAct | Goniometry elbow measurement (active) | Common Data Element | 1 | Measurement in degrees of the active range of motion for elbow | Measurement in degrees of the active range of motion for elbow | Alphanumeric | 3 | Free-Form Entry | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Supplemental | Basic | NTRR | Workgroup | 4/9/25 | 4/9/25 | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| AirwayDevPlaceDateTime | Airway device placement date/time | Common Data Element | 1 | The date/time the airway device placement was confirmed | The date/time the airway device placement was confirmed | Date or Date & Time | Free-Form Entry | trauma | Adult and Pediatric | Trauma.N/A | Supplemental | Basic | Supplemental | Supplemental | NTRR | NEMSIS | 3/12/25 | 4/9/25 | Draft |
Download Outcomes and Rehabilitation CDEs
| variable name | title | element type | version | definition | short description | datatype | maximum character quantity | input restriction | minimum value | maximum value | data element concept identifiers | data element concept names | data element terminology sources | permissible values | permissible value descriptions | permissible value output codes | permissible value concept identifiers | permissible value concept names | permissible value terminology sources | Item Response OID | Element OID | unit of measure | guidelines/instructions | notes | preferred question text | keywords | references | population.all | domain.general (for all diseases) | domain.traumatic brain injury | domain.Parkinson's disease | domain.Friedreich's ataxia | domain.stroke | domain.amyotrophic lateral sclerosis | domain.Huntington's disease | domain.multiple sclerosis | domain.neuromuscular diseases | domain.myasthenia gravis | domain.spinal muscular atrophy | domain.Duchenne muscular dystrophy/Becker muscular dystrophy | domain.congenital muscular dystrophy | domain.spinal cord injury | domain.headache | domain.epilepsy | domain.eye diseases | domain.trauma | classification.general (for all diseases) | classification.acute hospitalized | classification.concussion/mild TBI | classification.epidemiology | classification.moderate/severe TBI: rehabilitation | classification.Parkinson's disease | classification.Friedreich's ataxia | classification.stroke | classification.amyotrophic lateral sclerosis | classification.Huntington's disease | classification.multiple sclerosis | classification.neuromuscular diseases | classification.myasthenia gravis | classification.spinal muscular atrophy | classification.Duchenne muscular dystrophy/Becker muscular dystrophy | classification.congenital muscular dystrophy | classification.spinal cord injury | classification.headache | classification.epilepsy | classification.eye diseases | classification.trauma epidemiology | classification.trauma pre-hospital | classification.trauma acute hospital | classification.trauma rehabilitation/outcomes | historical notes | Label(s) | see also | submitting organization name | submitting contact name | submitting contact information | effective date | until date | steward organization name | steward contact name | steward contact information | creation date | last change date | administrative status |
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| AlcConsume6MoreDrinkFreq | Alcohol consume six or more drinks frequency | Common Data Element | 1.7 | The rate of occurrence for when the participant/subject consumes six or more drinks containing alcohol on one occasion. It is noted that the meaning of 'drinks consumed' differs from one nation and culture to another, so the most common alcoholic beverages likely to be consumed will be defined as well as quantity of each that constitutes a drink (approximately 10 grams of pure ethanol). For example, one bottle of beer (330 ml at 5% ethanol), a glass of wine (140 ml at 12% ethanol), and a shot of spirits (40 ml at 40% ethanol) represent a standard drink of about 13 g of ethanol. | The rate of occurrence for when the participant/subject consumes six or more drinks containing alcohol on one occasion. It is noted that the meaning of 'drinks consumed' differs from one nation and culture to another. | Alphanumeric | Single Pre-Defined Value Selected | C0439603|C0001948 | Frequencies (time pattern)|Alcohol consumption | UMLS|UMLS | Daily or almost daily|Less than monthly|Monthly|Never|Unknown|Weekly | Daily or almost daily|Less than monthly|Monthly|Never|Unknown|Weekly | 1|2|3|0|999|4 | ||||| | ||||| | ||||| | GENERAL: Choose one. Response is obtained from participant/ subject, family member, friend, or chart/ medical record. FA: Choose one. Response is obtained from participant/ subject, family member, friend, or chart/ medical record. STROKE: History can be obtained from participant/ subject, family member, friend, or chart/ medical record. MS: Choose one. Response is obtained from participant/ subject, family member, friend, or chart/ medical record. Unknown includes the scenario where information is not documented in the medical record. Current Guidelines for MS is incorrect: Choose one if currently drinks |
FITBIR, NIA, PDBP;Note: This question asks about 'drinks consumed'. The meaning of this word differs from one nation and culture to another. It is important therefore to mention the most common alcoholic beverages likely to be consumed and how much of each constitutes a drink (approximately 10 grams of pure ethanol). For example, one bottle of beer (330 ml at 5% ethanol), a glass of wine (140 ml at 12% ethanol), and a shot of spirits (40 ml at 40% ethanol) represent a standard drink of about 13 g of ethanol. | trauma | No references available | Adult and Pediatric | Participant/Subject History and Family History.General Health History | Participant/Subject History and Family History.General Health History | Participant/Subject History and Family History.General Health History | Participant/Subject History and Family History.General Health History | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Basic | Alcohol consume six or more drinks frequency | NINDS_CDE | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 45733 | Published | ||||||||||||||||||||||||||||||||||||||||
| DeathCauseICD10CMCode | Death cause ICD-10-CM code | Common Data Element | 1.2 | ICD-10-CM code that describes the cause of participant/subject's death | ICD-10-CM code that describes the cause of participant/subject's death | Alphanumeric | 4000 | Free-Form Entry | C0007465/C5669790 | Cause of Death/ICD-10 Code | UMLS | Recommend 4 fields for coding primary cause and other underlying or contributing causes of death. Should use death certificate if available. | ICD-10-CM code that describes the cause of participant/subject's death | trauma|Death_Cause_ICD_10_CM_Code | http://www.icd10data.com/ICD10CM/Codes | Adult and Pediatric | Outcomes and End Points.Clinical Event End Points | Outcomes and End Points.End Points | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Basic | C21665 | NINDS_CDE | NIH/NINDS | NINDSCDE | NINDSCDE@EMMES.COM | NIH/NINDS | NINDSCDE | NINDSCDE@EMMES.COM | 42635 | 45733 | Published | |||||||||||||||||||||||||||||||||||||||||||||
| DrgSubstCurrntIllicitUseCat | Drug or substance current illicit use indicator | Common Data Element | 1.14 | Indicator of participant's/subject's use of illegal drugs, prescription or over-the-counter drugs in the past year for purposes other than those for which they are meant to be used, or in large amounts | Indicator of participant's/subject's use of illegal drugs, prescription or over-the-counter drugs in the past year for purposes other than those for which they are meant to be used, or in large amounts | Alphanumeric | Single Pre-Defined Value Selected | C0679646/C0262926|C0086190|C5238744 | Participant/Medical History|Illicit Drugs|llicit Drug Use History | UMLS|UMLS|UMLS | No|Unknown|Yes | No|Unknown|Yes | 0|9|1 | C1298908|C0439673|C1705108 | no|Unknown|Yes (indicator) | UMLS|UMLS|UMLS | Choose one. Response is obtained by report of the participant/subject or proxy as soon as possible after visit/admission. Do not record medications that are prescribed for medical purposes. Collect information on substances and medications taken for reasons other than prescription, or taken more frequently or at higher doses than prescribed. Do not record medications that are prescribed for medical purposes (these should be entered in the element 'medical history'.) Collect information on substances and medications taken for reasons other than prescription, or taken more frequently or at higher doses than prescribed. Assure participant/subject that information on such use will be treated as strictly confidential. Recommend collection as soon as possible after visit/admission. Substance abuse directly before injury may have contributed to the incident causing injury. In general, substance abuse may indicate increased risk taking behavior. | FITBIR|NIA|PDBP; | Indicator of participant's/subject's use of illegal drugs, prescription or over-the-counter drugs in the past year for purposes other than those for which they are meant to be used, or in large amounts | trauma|Medical_History | Corrigan JD, Bogner J, Holloman C. Lifetime history of traumatic brain injury among persons with substance use disorders. Brain Inj. 2012;26(2):139-50. | Adult and Pediatric | Participant/Subject History and Family History.General Health History | Participant/Subject History and Family History.General Health History | Participant/Subject History and Family History.General Health History | Participant/Subject History and Family History.General Health History | Participant/Subject History and Family History.General Health History | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Core | Core | Supplemental | Supplemental | Supplemental | Supplemental | Basic | Drug or substance current illicit use indicator | NINDS_CDE | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 41730 | 45733 | Published | |||||||||||||||||||||||||||||||||
| EduLvlUSATyp | Education level USA type | Common Data Element | 1.13 | Highest grade or level of school participant/subject has completed or the highest degree received | Highest grade or level of school participant/subject has completed or the highest degree received | Alphanumeric | Single Pre-Defined Value Selected | C0679646/C1521970|C0013658/C0041703|C1704791 | Participant/Characteristics|Educational Status/United States|Demographics Domain | UMLS|UMLS|UMLS | 10th Grade|11th Grade|12th Grade, no diploma|1st Grade|2nd Grade|3rd Grade|4th Grade|5th Grade|6th Grade|7th Grade|8th Grade|9th Grade|Associate degree: academic program|Associate degree: occupational/technical/vocational program|Bachelor's degree (e.g., BA, AB, BS, BBA)|Doctoral degree (e.g., PhD, EdD)|GED or equivalent|High school graduate|Master's degree (e.g., MA, MS, MEng, MEd, MBA)|Never attended/Kindergarten only|Other, specify|Professional school degree (e.g., MD, DDS, DVM, JD)|Some college, no degree|Unknown | 10th Grade|11th Grade|12th Grade, no diploma|1st Grade|2nd Grade|3rd Grade|4th Grade|5th Grade|6th Grade|7th Grade|8th Grade|9th Grade|Associate degree: academic program|Associate degree: occupational/technical/vocational program|Bachelor's degree (e.g., BA, AB, BS, BBA)|Doctoral degree (e.g., PhD, EdD)|GED or equivalent|High school graduate|Master's degree (e.g., MA, MS, MEng, MEd, MBA)|Never attended/Kindergarten only|Other, specify|Professional school degree (e.g., MD, DDS, DVM, JD)|Some college, no degree|Unknown | 10|11|12|1|2|3|4|5|6|7|8|9|13|14|15|16|17|18|19|20|444|21|22|999 | ||||||||||||||||||||||| | ||||||||||||||||||||||| | ||||||||||||||||||||||| | Choose the highest level attained by the participant/subject. | cdRNS|FITBIR|NIA|PDBP; | What is the subject's highest grade or level of school completed? | trauma|COVID19 | National Health and Nutrition Examination Survey (NHANES); National Health Interview Survey (NHIS); PhenX Toolkit Current Educational Attainment #011001 (https: //www.phenxtoolkit.org) | Adult and Pediatric | Participant/Subject Characteristics.Social Status | Participant/Subject Characteristics.Social Status | Participant/Subject Characteristics.Demographics | Participant/Subject Characteristics.Social Status | Participant/Subject Characteristics.Social Status | Participant/Subject Characteristics.Social Status | Participant/Subject Characteristics.Social Status | Participant/Subject Characteristics.Social Status | Participant/Subject Characteristics.Social Status | Participant/Subject Characteristics.Social Status | Participant/Subject Characteristics.Social Status | Participant/Subject Characteristics.Social Status | Trauma.N/A | Supplemental | Basic | Basic | Basic | Basic | Core | Supplemental | Supplemental | Core | Supplemental | Core | Core | Core | Core | Supplemental | Supplemental | Supplemental | Supplemental | Basic | EduLvlMaternalUSATyp;EduLvlPaternalUSATyp;EduPerfStatus;EduSchoolParticipStatus;EduTyp;EduYrCt;s0:EduLvlUSATypOTH | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 45748 | Published | |||||||||||||||||||||
| EmplmtOTH | Employment other text | Common Data Element | 1.7 | The free-text field related to 'Employment status' specifying other text. Status of participant/subject's current employment | The free-text field related to 'Employment status' specifying other text. Status of participant/subject's current employment | Alphanumeric | 4000 | Free-Form Entry | C0014003 | Employment | UMLS | FA/NMD/SMA/EPILEPSY/MS/ STROKE: National Health and Nutrition Examination Survey (http://www.cdc.gov/nchs/nhanes.htm) GENERAL: For years completed, code the number of years attained (0-30 years), normed to someone moving full time at the usual pace, i.e. a year that was repeated counts as only 1 year and the usual single-year full-time load completed over several years counts as 1 year. Certificate and technical programs do NOT count no matter how specialized. The number of years of typical completion of the relevant program is counted. If the subject obtained their education outside the United States, ask about their educational system to estimate the correct coding - Internship, Residency, and Fellowship years are experiential training and do not count. Recommend collection at least on date of TBI. |
Return to work is a relevant outcome parameter in patients in paid workforce prior to injury. If post injury employment is an outcome, pre-injury employment is an important predictor. | Other, specify | trauma | EPILEPSY?FA/GENERAL/HEADASHE/MS/NMD/SMA/STROKE: National Health and Nutrition Examination Survey (http://www.cdc.gov/nchs/nhanes.htm) |
Adult and Pediatric | Participant/Subject Characteristics.Social Status|Participant/Subject Characteristics.Demographics | Participant/Subject Characteristics.Social Status|Participant/Subject Characteristics.Demographics | Participant/Subject Characteristics.Social Status | Participant/Subject Characteristics.Social Status | Participant/Subject Characteristics.Social Status | Participant/Subject Characteristics.Social Status | Participant/Subject Characteristics.Social Status | Participant/Subject Characteristics.Social Status | Participant/Subject Characteristics.Social Status | Trauma.N/A | Core | Core | Core | Core | Core | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Core | Supplemental | Basic | Supplemental | Supplemental | Basic | EmplmtStatu | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | NIH/CIT/BRICS | NINDSCDE | NINDSCDE@emmes.com | 41795 | 45733 | Published | |||||||||||||||||||||||||||||||
| GCSEyeRespnsScale | Glasgow Coma Scale (GCS) - eye response scale | Common Data Element | 1.14 | Glasgow Coma Scale (GCS) - Best eye response (E). The GCS is a standardized instrument for assessing the level of consciousness. It evaluates three aspects of responsiveness: eye opening, motor response, verbal response. | Glasgow Coma Scale (GCS) - Best eye response (E). The GCS is a standardized instrument for assessing the level of consciousness. It evaluates three aspects of responsiveness: eye opening, motor response, verbal response. | Alphanumeric | Single Pre-Defined Value Selected | C0578785/C0488481/C0559289 | Glasgow coma scale finding/Glasgow coma score.eye opening:Fcn:Pt:^Patient:Ord/Glasgow Coma Score eye opening subscore | UMLS | 1|2|3|4|Unknown|Untestable | No eye opening|Eye opening to pain|Eye opening to speech/verbal command|Eyes open spontaneously|Unknown|Untestable | 1|2|3|4|0|555 | C3840971/C2012045|C3840970/C2012047|C2012048|C3840968/C2012046|C0439673|C0442737 | No eye opening/Glasgow coma scale eyes never open (1)|Eye opening to pain/Glasgow coma scale eyes open to pain stimuli (2)|Glasgow coma scale eyes open to verbal stimuli (3)|Opens eyes spontaneously/Glasgow coma scale eyes open spontaneously (4)|Unknown|Not detected | UMLS|UMLS|UMLS|UMLS|UMLS|UMLS | Choose one. This element should be collected along with the other elements from the Glasgow Coma Scale (GCS). Intubation and severe facial/eye swelling or damage make it impossible to test the verbal and eye responses. In these circumstances, the score is given as 1 with a modifier attached e.g. 'E1s' where 's' = swollen, or 'V1t' where t = tube. A composite might be 'GCS 5ts'. This would mean, for example, eyes closed because of swelling = 1, intubated = 1, leaving a motor score of 3 for 'abnormal flexion'. Often the 1 is left out, so the scale reads ES or VT. | Best eye response | Core_TBI|trauma | Teasdale G, Jennett B. Assessment of coma and impaired consciousness. A practical scale. Lancet. Jul 1974;2(7872): 81-4. Marmarou A, Lu J, Butcher I, et al. Prognostic value of the Glasgow Coma Scale and pupil reactivity in traumatic brain injury assessed pre-hospital and on enrolment: an IMPACT analysis. J Neurotrauma. Feb 2007;24(2): 270-80. Stocchetti N, Pagan F, Calappi E, et al. Inaccurate early assessment of neurological severity in head injury. J Neurotrauma. Sep 2004: 21(9): 1131-40. Balestreri M, Czosnyka M, Chatfield DA, et al. Predictive value of Glasgow Coma Scale after brain trauma: change in trend over the past ten years. J Neurol Neurosurg Psychiatry. Jan 2004;75(1): 161-2. |
Adult and Pediatric | Disease/Injury Related Events.History of Disease/Injury Event|Assessments and Examinations.Physical/Neurological Examination | Assessments and Examinations.Physical/Neurological Examination | Trauma.N/A | Supplemental | Core | Core | Core | Core | Basic | Basic | Basic | Basic | GCS Eye response | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 45733 | Published | ||||||||||||||||||||||||||||||||||||||||||
| GonioAnkleMeasureAct | Goniometry ankle measurement (active) | Common Data Element | 1 | Measurement in degrees of the active range of motion for ankle | Measurement in degrees of the active range of motion for ankle | Alphanumeric | 3 | Free-Form Entry | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Supplemental | Basic | NTRR | Workgroup | 45756 | 45756 | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| GonioElbowMeasureAct | Goniometry elbow measurement (active) | Common Data Element | 1 | Measurement in degrees of the active range of motion for elbow | Measurement in degrees of the active range of motion for elbow | Alphanumeric | 3 | Free-Form Entry | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Supplemental | Basic | NTRR | Workgroup | 45756 | 45756 | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| GonioHipMeasureAct | Goniometry hip measurement (active) | Common Data Element | 1 | Measurement in degrees of the active range of motion for hip | Measurement in degrees of the active range of motion for hip | Alphanumeric | 3 | Free-Form Entry | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Supplemental | Basic | NTRR | Workgroup | 45756 | 45756 | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| GonioKneeMeasureAct | Goniometry knee measurement (active) | Common Data Element | 1 | Measurement in degrees of the active range of motion for knee | Measurement in degrees of the active range of motion for knee | Alphanumeric | 3 | Free-Form Entry | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Supplemental | Basic | NTRR | Workgroup | 45756 | 45756 | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| GoniomAnkleMeasr | Goniometry ankle measurement | Common Data Element | 1 | Measurement in degrees of the passive range of motion for ankle | Measurement in degrees of the passive range of motion for ankl | Numeric Values | Free-Form Entry | -360 | 360 | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Supplemental | Basic | NTRR | NINDS | 45756 | 45756 | Draft | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| GoniomElbowMeasr | Goniometry elbow measurement | Common Data Element | 1 | Measurement in degrees of the passive range of motion for elbow | Measurement in degrees of the passive range of motion for elbo | Numeric Values | Free-Form Entry | -360 | 360 | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Supplemental | Basic | NTRR | NINDS | 45756 | 45756 | Draft | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| GoniomHipMeasr | Goniometry hip measurement | Common Data Element | 1 | Measurement in degrees of the passive range of motion for hip | Measurement in degrees of the passive range of motion for hi | Numeric Values | Free-Form Entry | -360 | 360 | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Supplemental | Basic | NTRR | NINDS | 45756 | 45756 | Draft | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| GoniomKneeMeasr | Goniometry knee measurement | Common Data Element | 1 | Measurement in degrees of the passive range of motion for knee | Measurement in degrees of the passive range of motion for kne | Numeric Values | Free-Form Entry | -360 | 360 | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Supplemental | Basic | NTRR | NINDS | 45756 | 45756 | Draft | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| GoniomNeckMeasr | Goniometry neck measurement | Common Data Element | 1 | Measurement in degrees of the passive range of motion for neck | Measurement in degrees of the passive range of motion for nec | Numeric Values | Free-Form Entry | -360 | 360 | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Supplemental | Basic | NTRR | NINDS | 45756 | 45756 | Draft | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| GoniomShouldAbductMeasr | Goniometry shoulder abduct measurement | Common Data Element | 1 | Measurement in degrees of the passive range of motion for shoulder abduction | Measurement in degrees of the passive range of motion for shoulder abductio | Numeric Values | Free-Form Entry | -360 | 360 | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Supplemental | Basic | NTRR | NINDS | 45756 | 45756 | Draft | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| GoniomShouldMeasr | Goniometry shoulder measurement | Common Data Element | 1 | Measurement in degrees of the passive range of motion for shoulder abduction | Measurement in degrees of the passive range of motion for shoulder abductio | Numeric Values | Free-Form Entry | -360 | 360 | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Supplemental | Basic | NTRR | NINDS | 45756 | 45756 | Draft | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| GoniomTorsoMeasr | Goniometry torso measurement | Common Data Element | 1 | Measurement in degrees of the passive range of motion for torso | Measurement in degrees of the passive range of motion for tors | Numeric Values | Free-Form Entry | -360 | 360 | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Supplemental | Basic | NTRR | NINDS | 45756 | 45756 | Draft | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| GoniomWristMeasr | Goniometry wrist measurement | Common Data Element | 1 | Measurement in degrees of the passive range of motion for wrist | Measurement in degrees of the passive range of motion for wris | Numeric Values | Free-Form Entry | -360 | 360 | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Supplemental | Basic | NTRR | NINDS | 45756 | 45756 | Draft | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| GonioNeckMeasureAct | Goniometry neck measurement (active) | Common Data Element | 1 | Measurement in degrees of the active range of motion for neck | Measurement in degrees of the active range of motion for neck | Alphanumeric | 3 | Free-Form Entry | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Supplemental | Basic | NTRR | Workgroup | 45756 | 45756 | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| GonioShouldAbdMeasureAct | Goniometry shoulder abduct measurement (active) | Common Data Element | 1 | Measurement in degrees of the active range of motion for shoulder abduction | Measurement in degrees of the active range of motion for shoulder abduction | Alphanumeric | 3 | Free-Form Entry | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Supplemental | Basic | NTRR | Workgroup | 45756 | 45756 | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| GonioShoulderMeasureAct | Goniometry shoulder measurement (active) | Common Data Element | 1 | Measurement in degrees of the active range of motion for shoulder abduction | Measurement in degrees of the active range of motion for shoulder abduction | Alphanumeric | 3 | Free-Form Entry | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Supplemental | Basic | NTRR | Workgroup | 45756 | 45756 | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| GonioShouldForFlexMeasureAct | Goniometry shoulder forward flexion measurement (active) | Common Data Element | 1 | Measurement in degrees of the active range of motion for shoulder forward flexion | Measurement in degrees of the active range of motion for shoulder forward flexion | Alphanumeric | 3 | Free-Form Entry | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Supplemental | Basic | NTRR | Workgroup | 45756 | 45756 | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| GonioTorsoMeasureAct | Goniometry torso measurement (active) | Common Data Element | 1 | Measurement in degrees of the active range of motion for torso | Measurement in degrees of the active range of motion for torso | Alphanumeric | 3 | Free-Form Entry | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Supplemental | Basic | NTRR | Workgroup | 45756 | 45756 | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| GonioWristMeasureAct | Goniometry wrist measurement (active) | Common Data Element | 1 | Measurement in degrees of the active range of motion for wrist | Measurement in degrees of the active range of motion for wrist | Alphanumeric | 3 | Free-Form Entry | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Supplemental | Basic | NTRR | Workgroup | 45756 | 45756 | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| GonShoulbductFwdFlexnMeasr | Goniometry shoulder forward flexion measurement | Common Data Element | 1 | Measurement in degrees of the passive range of motion for shoulder forward flexion | Measurement in degrees of the passive range of motion for shoulder forward flexio | Numeric Values | Free-Form Entry | -360 | 360 | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Supplemental | Basic | NTRR | NINDS | 45756 | 45756 | Draft | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| HealthcareServiceVisitCount | Patient other healthcare service visit count | Common Data Element | 1 | The count or number related to the patients visits to other health care services. | The count or number related to the patients visits to other health care services. | Alphanumeric | 3 | Free-Form Entry | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Supplemental | Basic | NTRR | CaDSR | 45756 | 45756 | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| HospDischDisp | Hospital discharge disposition type | Common Data Element | 1 | The disposition of the patient when discharged from the hospital | The disposition of the patient when discharged from the hospital | Alphanumeric | Single Pre-Defined Value Selected | Deceased/Expired|Discharged to home or self-care (routine discharge)|Discharged/Transferred to an Intermediate Care Facility (ICF)|Discharged/Transferred to another type of institution not defined elsewhere|Discharged/Transferred to a psychiatric hospital or psychiatric distinct part unit of a hospital|Discharged/Transferred to a short-term general hospital for inpatient care|Discharged/Transferred to court/law enforcement.|Discharged/Transferred to home under care of organized home health service|Discharged/Transferred to hospice care|Discharged/Transferred to inpatient rehab or designated unit|Discharged/Transferred to Long Term Care Hospital (LTCH)|Discharged/Transferred to Skilled Nursing Facility (SNF)|Left against medical advice or discontinued care | Deceased/Expired|Discharged to home or self-care (routine discharge)|Discharged/Transferred to an Intermediate Care Facility (ICF)|Discharged/Transferred to another type of institution not defined elsewhere|Discharged/Transferred to a psychiatric hospital or psychiatric distinct part unit of a hospital|Discharged/Transferred to a short-term general hospital for inpatient care|Discharged/Transferred to court/law enforcement.|Discharged/Transferred to home under care of organized home health service|Discharged/Transferred to hospice care|Discharged/Transferred to inpatient rehab or designated unit|Discharged/Transferred to Long Term Care Hospital (LTCH)|Discharged/Transferred to Skilled Nursing Facility (SNF)|Left against medical advice or discontinued care | 5|6|2|13|12|1|9|3|8|10|11|7|4 | |||||||||||| | |||||||||||| | |||||||||||| | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Supplemental | Basic | NTRR | NTDS | 45756 | 45756 | Draft | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| HospitDischgDateTime | Hospital discharge date and time | Common Data Element | 1.7 | Date (and time, if applicable and known) the participant/subject was discharged from the hospital | Date (and time, if applicable and known) the participant/subject was discharged from the hospital | Date or Date & Time | Free-Form Entry | C0019994|C0030685 | Hospitals|Patient Discharge | UMLS|UMLS | TBI/STROKE: 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.). GENERAL: 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.). Data Sharing Instructions: When date/time data are prepared for aggregation or sharing they should be converted to the format specified by ISO 8601, YYYY-MM-DDThh: mm: ss. |
Data Sharing Instructions: When date/time data are prepared for aggregation or sharing they should be converted to the format specified by ISO 8601, YYYY-MM-DDThh:mm:ss. | Hospital discharge date and time | Injury_History|trauma|TRACK_TBI | GENERAL/SMA/TBI: No references available STROKE: Get With The Guidelines (GWTG) Stroke Patient Management Tool Coding Instructions (Updated on 11/4/2009); Paul Coverdell National Acute Stroke Registry |
Adult and Pediatric | Disease/Injury Related Events.Discharge Information | Disease/Injury Related Events.Discharge Information | Disease/Injury Related Events.Discharge Information | Participant/Subject History and Family History.General Health History | Trauma.N/A | Supplemental | Basic | Supplemental | Supplemental | Basic | Core | Supplemental | Supplemental | Supplemental | Basic | Basic | Hospital discharge date and time | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 45733 | Published | |||||||||||||||||||||||||||||||||||||||||||
| HospitOTH | Hospitalization other text | Common Data Element | 1.6 | The free-text field related to 'Hospitalization reason' specifying other text. Reason why the participant/subject was hospitalized, excluding all surgeries | The free-text field related to 'Hospitalization reason' specifying other text. Reason why the participant/subject was hospitalized, excluding all surgeries | Alphanumeric | 4000 | Free-Form Entry | C0019993|C0679646/C0262926 | Hospitalization|Participant/Medical History | UMLS|UMLS | Record the reason for each hospitalization within the past year. | FITBIR|NIA|PDBP; | Other, specify | trauma|Medical_History|COVID | No references available | Adult and Pediatric | Participant/Subject History and Family History.General Health History | Participant/Subject History and Family History.General Health History | Participant/Subject History and Family History.General Health History | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Basic | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 41855 | 45733 | Published | ||||||||||||||||||||||||||||||||||||||||||||
| HospitRsn | Hospitalization reason | Common Data Element | 1.6 | Reason why the participant/subject was hospitalized, excluding all surgeries | Reason why the participant/subject was hospitalized, excluding all surgeries | Alphanumeric | Multiple Pre-Defined Values Selected | C0679646/C0262926|C0392360|C0019993 | Participant/Medical History|Indication of (contextual qualifier)|Hospitalization | UMLS|UMLS|UMLS | Cardiomyopathy/Arrhythmia|Dehydration|Failure to Thrive|Fracture|Infection other than pneumonia|Other, specify|Pneumonia or Respiratory|Seizures|Trauma | Cardiomyopathy/Arrhythmia|Dehydration|Failure to Thrive|Fracture|Infection other than pneumonia|Other, specify|Pneumonia or Respiratory|Seizures|Trauma | 1|2|3|4|444|6|7|8|9 | |||||||| | |||||||| | |||||||| | Record the reason for each hospitalization within the past year. | FITBIR|NIA|PDBP; | Indicate cause for hospitalization | trauma|Medical_History|COVID | No references available | Adult and Pediatric | Participant/Subject History and Family History.General Health History | Participant/Subject History and Family History.General Health History | Participant/Subject History and Family History.General Health History | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Basic | Hospitalization reason | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 41730 | 45733 | Published | ||||||||||||||||||||||||||||||||||||||
| LateralityTyp | Laterality type | Common Data Element | 1 | Laterality type relative to the anatomic site of the body examined or affected | Laterality type relative to the anatomic site of the body examined or affected | Alphanumeric | Single Pre-Defined Value Selected | Left|Right | Left|Right | 1|2 | | | | | | | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Supplemental | Basic | NTRR | NINDS | 45756 | 45756 | Draft | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| LivPrsnRltnshpTyp | Living with person relationship type | Common Data Element | 1 | Type(s) of relationship(s) that obtain between the participant/subject and all people with whom she or he currently lives, cohabits, or stays | Type(s) of relationship(s) that obtain between the participant/subject and all people with whom she or he currently lives, cohabits, or stays | Alphanumeric | Multiple Pre-Defined Values Selected | Adopted son or daughter|Biological son or daughter|Brother or sister|Father or mother|Foster child|Grandchild|Grandparent|Housemate or roommate|Husband or wife|Military unit member|N/A - Alone|N/A - Homeless|Other nonrelative|Other patient/ resident in care facility|Other relative|Parent-in-law|Personal care attendant|Roomer or boarder|Son-in-law or daughter-in-law|Stepfather or stepmother|Stepson or stepdaughter|Unknown|Unmarried partner | Adopted son or daughter|Biological son or daughter|Brother or sister|Father or mother|Foster child|Grandchild|Grandparent|Housemate or roommate|Husband or wife|Military unit member|N/A - Alone|N/A - Homeless|Other nonrelative|Other patient/ resident in care facility|Other relative|Parent-in-law|Personal care attendant|Roomer or boarder|Son-in-law or daughter-in-law|Stepfather or stepmother|Stepson or stepdaughter|Unknown|Unmarried partner | 1|2|3|4|5|6|7|8|9|10|11|12|13|14|15|16|17|18|19|20|21|999|22 | |||||||||||||||||||||| | |||||||||||||||||||||| | |||||||||||||||||||||| | TBI: Choose all that apply. Add date stamp for when assessed. Recommend collection at least on date of TBI and perhaps after all initial medical treatment. ----- FA: Skip this data element if the participant/ subject lives alone. If he/she lives with one or more people, choose all that apply. ----- NMD: Choose all that apply ----- SMA: Choose all that apply ----- STROKE: Skip this data element if the participant/ subject lives alone. If he/she lives with one or more people, choose all that apply. ----- HEADACHE: Skip this data element if the participant/ subject lives alone. If he/she lives with one or more people, choose all that apply. Household and Income. ----- GENERAL: Text for participant's/subject's primary language. It may be easier to record the full name of the language and code the data later using the ISO 639-2 codes. ----- TBI (TBIACUTE): Choose all that apply. Add date stamp for when assessed. Recommend collection at least on date of TBI and perhaps after all initial medical treatment. ----- TBI (TBIMILD): Choose all that apply. Add date stamp for when assessed. Recommend collection at least on date of TBI and perhaps after all initial medical treatment. ----- TBI (TBIMOD): Choose all that apply. Add date stamp for when assessed. Recommend collection at least on date of TBI and perhaps after all initial medical treatment. ----- TBI (TBIEPID): Choose all that apply. Add date stamp for when assessed. Recommend collection at least on date of TBI and perhaps after all initial medical treatment. |
Living with persons relationsip type | trauma | FA: American Community Survey questionnaire. U.S. Department of Commerce, U.S. Census Bureau, http://www.census.gov/acs/www/Downloads/questionnaires/2012/Quest12.pdf Four additional permissible values were added on for FA. ----- GENERAL: No references available ----- HEADACHE: American Community Survey questionnaire. U.S. Department of Commerce, U.S. Census Bureau, http://www.census.gov/acs/www/Downloads/questionnaires/2012/Quest12.pdf Four additional permissible values were added on for FA. ----- NMD: American Community Survey questionnaire. U.S. Department of Commerce, U.S. Census Bureau. http://www.census.gov/acs/www/Downloads/questionnaires/2012/Quest12.pdf ----- SMA: American Community Survey questionnaire. U.S. Department of Commerce, U.S. Census Bureau. http://www.census.gov/acs/www/Downloads/questionnaires/2012/Quest12.pdf ----- STROKE: Code values taken from PhenX Toolkit (https://www.phenxtoolkit.org) Household Roster-Relationships #011401 American Community Survey questionnaire. U.S. Department of Commerce, U.S. Census Bureau. http://www.census.gov/acs/www/Downloads/questionnaires/2012/Quest12.pdf ----- TBI: American Community Survey questionnaire. U.S. Department of Commerce, U.S. Census Bureau. http://www.census.gov/acs/www/Downloads/questionnaires/2012/Quest12.pdf |
Adult and Pediatric | Participant/Subject Characteristics.Social Status | Participant/Subject Characteristics.Social Status | Participant/Subject Characteristics.Social Status | Participant/Subject Characteristics.Social Status | Participant/Subject Characteristics.Social Status | Participant/Subject Characteristics.Social Status | Participant/Subject Characteristics.Social Status | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Core | Supplemental | Supplemental | Supplemental | Basic | Living with person relationship type | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 41730 | 45733 | Published | ||||||||||||||||||||||||||||||||||
| MedHistPsychiatricOTH | Participant/Medical History psychiatric category other text | Common Data Element | 1.1 | Participant/Medical History psychiatric category other text | Participant/Medical History psychiatric category other text | Alphanumeric | 4000 | Free-Form Entry | C0552595|C0679646/C0262926 | Psychiatric findings|Participant/Medical History | UMLS|UMLS | Record the other Participant/Medical History category (if any). | Other, specify | TBI_IMPACT|trauma|TRACK_TBI|Medical_History|COVID19 | TBI IMPACT SIGNIFICANT Participant/Medical History : http://www.tbi-impact.org/cde/mod_templates/02_01_Significant_medical_history.pdf | Adult and Pediatric | Participant/Subject History and Family History.General Health History | Participant/Subject History and Family History.General Health History | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Basic | FITBIR_CDE | NIH/CIT/BRICS | Olga Vovk | olga.vovk@nih.gov | NIH/CIT/BRICS | Olga Vovk | 41856 | 45733 | Published | |||||||||||||||||||||||||||||||||||||||||||||||
| MobilityDvcTyp | Mobility device type | Common Data Element | 1 | Type for all mobility devices currently used by the participant/subject | Type for all mobility devices currently used by the participant/subject | Alphanumeric | 255 | Free-Form Entry | SMA: For each mobility device type record if it is used ----- STROKE: Choose all that apply |
Type(s) of mobility devices | trauma | DMD: No references available ----- GENERAL: No references available ----- SMA: No references available ----- STROKE: No references available |
Adult and Pediatric | Treatment/Intervention Data.Therapies | Treatment/Intervention Data.Therapies | Treatment/Intervention Data.Devices | Treatment/Intervention Data.Devices | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Basic | Mobility device type | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 41730 | 45756 | Draft | ||||||||||||||||||||||||||||||||||||||||||||||||
| NoRehabFUNotInterestedReasTyp | No rehab follow up not interested reason type other | Common Data Element | 1.3 | The reasons the subject is not interested in follow-up care when they did not receive any rehabilitation treatment to address problems related to their brain injury following their ED/visit/discharge from the hospital. | The reasons the subject is not interested in follow-up care when they did not receive any rehabilitation treatment to address problems related to their brain injury following their ED/visit/discharge from the hospital. | Alphanumeric | Multiple Pre-Defined Values Selected | because I believe I can manage the problems caused by my injury on my own|because I did not think I needed it (e.g., Dr. said I didn't need it and/or didn't need a referral for that reason)|because I was dissatisfied with the treatment I received at the ED/hospital | because I believe I can manage the problems caused by my injury on my own|because I did not think I needed it (e.g., Dr. said I didn't need it and/or didn't need a referral for that reason)|because I was dissatisfied with the treatment I received at the ED/hospital | || | || | || | || | Not Interested in follow-up care, please check any/all of the reasons that apply | NTRR|trauma | https://ntrr.nih.gov/ | Adult and Pediatric | Disease/Injury Related Events.History of Disease/Injury Event | Disease/Injury Related Events.History of Disease/Injury Event | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Basic | 2025-03-17 promoted to a NTRR CDE by a request from NTRR WG | NIH/CIT/BRICS | LeVon Greer | levon.greer@nih.gov | NIH/CIT/BRICS | Olga Vovk | olga.vovk@nih.gov | 42949 | 45733 | Published | |||||||||||||||||||||||||||||||||||||||||||||
| PainDayPstWkNum | Pain day past week number | Common Data Element | 1.2 | Number of days with pain over the last seven days including today. | Number of days with pain over the last seven days including today. | Numeric Values | Single Pre-Defined Value Selected | 0|1|2|3|4|5|6|7|9 | None|One day|Two days|Three days|Four days|Five days|Six days|Seven days|Unknown | 0|1|2|3|4|5|6|7|9 | |||||||| | |||||||| | |||||||| | SCI: Choose one. "Today" is the day the subject answers the question regardless time of day. The duration of pain during the day does not matter in answering this question. |
SCI Variable: PNDAYNO | Number of days with pain in the last seven days including today | trauma | SCI:Widerstr-Noga E, Biering-Sirensen F, Bryce T, Cardenas DD, Finnerup NB, Jensen MP, Richards JS, Siddall PJ. The international spinal cord injury pain basic data set. Spinal Cord. 2008 Dec;46(12):818-23. | Adult | N/A.N/A | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Basic | Pain days with past week number | NIh/NINDS | NIH/NINDS | 41730 | 45736 | Published | ||||||||||||||||||||||||||||||||||||||||||||||||||||
| PatientVisitSiteTyp | Patient visit site type | Common Data Element | 1 | Information related to the site of visit by a patient to a medical professional. | Information related to the site of visit by a patient to a medical professional. | Alphanumeric | Single Pre-Defined Value Selected | Email to provider|Emergency Department|Hospital Inpatient Department|Hospital Outpatient Department|Intensive Care Unit (ICU) Hospital Inpatient Department|Other|Phone call to provider|Provider�s Office|Telemedicine | Email to provider|Emergency Department|Hospital Inpatient Department|Hospital Outpatient Department|Intensive Care Unit (ICU) Hospital Inpatient Department|Other|Phone call to provider|Provider�s Office|Telemedicine | 1|2|3|4|5|6|7|8|9 | |||||||| | |||||||| | |||||||| | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Supplemental | Basic | NTRR | CaDSR | 45756 | 45756 | Draft | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| PatientVisitSiteTypOTH | Patient visit site type other text | Common Data Element | 1 | The free-text field related to 'Patient visit site type' specifying other text. | The free-text field related to 'Patient visit site type' specifying other text. | Alphanumeric | 4000 | Free-Form Entry | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Supplemental | Basic | NTRR | Workgroup | 45756 | 45756 | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| PdAsstPerDayHrsCt | Paid assistance per day hours number | Common Data Element | 1.1 | How many hours in a typical 24-hour day do you have someone with you - paid assistance to provide physical assistance for personal care activities such as eating, bathing, dressing, toileting and mobility? | The number of hours per day the subject/participant utilizes a paid assistant | Numeric Values | Free-Form Entry | FA: Record the number of hours of paid assistance the participant/subject receives in a 24-hour day. |
How many hours in a typical 24-hour day do you have someone with you (paid assistance) to provide physical assistance for personal care activities such as eating, bathing, dressing, toileting and mobility? | trauma | FA:No references available | Adult and Pediatric | Participant/Subject Characteristics.Social Status | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Basic | Paid assistance per day hours number. NTRR_CDE | NIH/NINDS | NIH/NINDS | 41730 | 45736 | Published | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| PhyscialProblems | Physical problems at follow-up | Common Data Element | 1 | Do you currently have any physical problems, such as mobility impairment (difficulty moving your arms, legs, or body)? | Do you currently have any physical problems, such as mobility impairment (difficulty moving your arms, legs, or body)? | Alphanumeric | Single Pre-Defined Value Selected | Declined to answer/Refused|Missing/Unknown|No|Yes | Declined to answer/Refused|Missing/Unknown|No|Yes | 3|4|2|1 | ||| | ||| | ||| | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Supplemental | Basic | NTRR | BurnModelSystem | 45756 | 45756 | Draft | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| PreExistCondType | Pre-existing conditions type | Common Data Element | 1 | A condition/disease(occuring prior to injury) reported by the participant/subject or documented in the medical record as part of medical history | A condition/disease(occuring prior to injury) reported by the participant/subject or documented in the medical record as part of medical history | Alphanumeric | Multiple Pre-Defined Values Selected | Advance Directive Limiting Care|Alcohol Use Disorder|Anticoagulant Therapy|Anxiety|Attention Deficit Disorder/Attention Deficit Hyperactivity Disorder (ADD/ADHD)|Bipolar I/II Disorder|Bleeding Disorder|Cerebral Vascular Accident (CVA)|Chronic Obstructive Pulmonary Disease (COPD)|Chronic Renal Failure|Cirrhosis|Congenital Anomalies|Congestive Heart Failure (CHF)|Currently Receiving Chemotherapy for Cancer|Current Smoker|Dementia|Diabetes Mellitus|Disseminated Cancer|Fuctionality Dependent Health Status|Hypertension|Major Depressive Disorder|Myocardial Infarction (MI)|Other Mental/personality Disorders|Other, Specify|Peripheral Arterial Disease (PAD)|Post-traumatic Stress Disorder|Pregnancy|Prematurity|Schizoaffective Disorder|Schizophrenia|Sleep disorder|Steroid Use|Substance Use Disorder | Advance Directive Limiting Care|Alcohol Use Disorder|Anticoagulant Therapy|Anxiety|Attention Deficit Disorder/Attention Deficit Hyperactivity Disorder (ADD/ADHD)|Bipolar I/II Disorder|Bleeding Disorder|Cerebral Vascular Accident (CVA)|Chronic Obstructive Pulmonary Disease (COPD)|Chronic Renal Failure|Cirrhosis|Congenital Anomalies|Congestive Heart Failure (CHF)|Currently Receiving Chemotherapy for Cancer|Current Smoker|Dementia|Diabetes Mellitus|Disseminated Cancer|Fuctionality Dependent Health Status|Hypertension|Major Depressive Disorder|Myocardial Infarction (MI)|Other Mental/personality Disorders|Other, Specify|Peripheral Arterial Disease (PAD)|Post-traumatic Stress Disorder|Pregnancy|Prematurity|Schizoaffective Disorder|Schizophrenia|Sleep disorder|Steroid Use|Substance Use Disorder | |||||||||||||||||||||||||||||||| | |||||||||||||||||||||||||||||||| | |||||||||||||||||||||||||||||||| | |||||||||||||||||||||||||||||||| | Epidemiology|NTRR|NTDS | Adult and Pediatric | Trauma.N/A | Basic | Supplemental | Basic | Basic | NTRR | NTRR Workgroup | 45721 | 45723 | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| RehabFacilityDays | Person Rehabilitation Facility length day county | Common Data Element | 1 | Number of days spent in a rehabilitation facility | Number of days spent in a rehabilitation facility | Numeric Values | Free-Form Entry | 0 | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Supplemental | Basic | NTRR | CaDSR | 45756 | 45756 | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| ResdncTyp | Residence type | Common Data Element | 1.8 | Type of residence where the participant/subject is currently living | Type of residence where the participant/subject is currently living | Alphanumeric | Single Pre-Defined Value Selected | C0237096 | residence | UMLS | Home|Hospital|N/A - patient died|Nursing home|Other, specify|Rehabilitation center|Unknown | Home|Hospital|N/A - patient died|Nursing home|Other, specify|Rehabilitation center|Unknown | 1|2|777|3|444|4|999 | |||||| | |||||| | |||||| | Choose one. Add date and time stamp for when assessed. | FITBIR|NIA|PDBP; | What type of residence does the subject currently live in? | Demographics|trauma|COVID | No references available | Adult and Pediatric | Participant/Subject Characteristics.Demographics | Participant/Subject Characteristics.Demographics | Participant/Subject Characteristics.Demographics | Trauma.N/A | Supplemental | Supplemental | Supplemental | Basic | Basic | Supplemental | Supplemental | Supplemental | Supplemental | Basic | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 45733 | Published | ||||||||||||||||||||||||||||||||||||||||
| ReturnToWorkDate | Return to work date | Unique Data Element | 1.1 | Date the participant returned to work following their injury | Date the participant returned to work following their injury | Date or Date & Time | Free-Form Entry | trauma | Adult and Pediatric | Participant/Subject Characteristics.Demographics | Participant/Subject Characteristics.Demographics | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Basic | Craig Hospital | Chris Cusick | CCusick@CraigHospital.org | NIH/CIT/BRICS | Miranda Osterheld | Miranda.Osterheld@nih.gov | 43000 | 45733 | Published | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
| RtrnWrkSchlStatus | Return work school status | Common Data Element | 1 | Status of participant's/subject's return to work and/or school | Status of participant's/subject's return to work and/or school | Alphanumeric | Single Pre-Defined Value Selected | Did not return to work or school|Different work or school|N/A|Only in sheltered environment|Returned to previous level|Same work or school, reduced level|Unknown | Did not return to work or school|Different work or school|N/A|Only in sheltered environment|Returned to previous level|Same work or school, reduced level|Unknown | 1|2|777|3|4|5|6 | |||||| | |||||| | |||||| | TBI: Choose one. Recommend collection at least at end of initial medical care. Add date stamp for when assessed. | Return to work or school (choose one): | trauma | No references available | Adult and Pediatric | Outcomes and End Points.Other Clinical Data | Outcomes and End Points.End Points | Trauma.N/A | Supplemental | Supplemental | Supplemental | Basic | Supplemental | Supplemental | Supplemental | Supplemental | Basic | Return to work or school status | NIH/CIT/BRICS | Olga Vovk | olga.vovk@nih.gov | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 45733 | Draft | |||||||||||||||||||||||||||||||||||||||||||||
| SelfReportHealth | Self-reported health | Common Data Element | 1 | Self-reported health, also described as self-related health or self-assessed health, is an individual appraisal of health status based upon individual perpectives | Self-reported health, also described as self-related health or self-assessed health, is an individual appraisal of health status based upon individual perpectives | Alphanumeric | Single Pre-Defined Value Selected | Excellent|Fair|Good|Poor|Very Good | Excellent|Fair|Good|Poor|Very Good | 1|4|3|5|2 | |||| | |||| | |||| | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Supplemental | Basic | NTRR | NIH | 45756 | 45756 | Draft | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| TherapyParticipantOTH | Therapy participant other text | Common Data Element | 1 | Text describing the any other people participating in the therapy session. | Text describing the any other people participating in the therapy session. | Alphanumeric | 4000 | Free-Form Entry | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Supplemental | Basic | NTRR | NINDS | 45756 | 45756 | Draft | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| TherpyRehabEndDateTime | Therapy rehabilitation end date time | Common Data Element | 1.3 | Date (and time, if applicable and known) on which the therapy or rehabilitation ended | Date (and time, if applicable and known) on which the therapy or rehabilitation ended | Date or Date & Time | Free-Form Entry | GENERAL/TBI: 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.). | Data Sharing Instructions: When date/time data are prepared for aggregation or sharing they should be converted to the format specified by ISO 8601, YYYY-MM-DDThh:mm:ss. | Date Time of Discontinuation | trauma|TRACK_TBI | No references available | Adult and Pediatric | Treatment/Intervention Data.Therapies | Treatment/Intervention Data.Therapies | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Basic | Supplemental | Supplemental | Supplemental | Basic | Therapy or rehabilitation end date and time | NIH/CIT/BRICS | Olga Vovk | olga.vovk@nih.gov | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 45733 | Published | ||||||||||||||||||||||||||||||||||||||||||||||||||
| TherpyRehabFreq | Therapy or rehabilitation frequency | Common Data Element | 1 | Identified describing the frequency the participant/subject received the therapy or rehabilitation | Identified describing the frequency the participant/subject received the therapy or rehabilitation | Numeric Values | Free-Form Entry | GENERAL: Provide frequency for therapy or rehabilitation. STROKE: Choose one. Frequency data should be coded using the CDISC SDTM Frequency Terminology prior to aggregation or sharing. TBI: Choose one. |
Frequency data should be coded using the CDISC SDTM Frequency Terminology prior to aggregation or sharing. | Frequency of rehabilitation therapy | trauma | GENERAL: No references available STROKE: CDISC SDTM Frequency Terminology (http: //www.cancer.gov/cancertopics/cancerlibrary/terminologyresources/cdisc) TBI: CDISC SDTM Frequency Terminology (Code C71113) (http: //www.cancer.gov/cancertopics/cancerlibrary/terminologyresources/cdisc) - http: //evs.nci.nih.gov/ftp1/CDISC/SDTM/ |
Adult and Pediatric | Treatment/Intervention Data.Therapies | Treatment/Intervention Data.Therapies | Treatment/Intervention Data.Therapies | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Basic | Supplemental | Supplemental | Supplemental | Supplemental | Basic | Therapy or rehabilitation frequency | NIH/CIT/BRICS | Olga Vovk | olga.vovk@nih.gov | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 45733 | Published | ||||||||||||||||||||||||||||||||||||||||||||||||
| TherpyRehabOngngInd | Therapy rehabilitation ongoing indicator | Common Data Element | 1.1 | Indicator of whether the therapy or rehabilitation is ongoing | Indicator of whether the therapy or rehabilitation is ongoing | Alphanumeric | Single Pre-Defined Value Selected | No|Unknown|Yes | No|Unknown|Yes | 0|9|1 | || | || | || | TBI: Choose one. Add date and time stamp for when assessed. | Therapy or Rehabilitation Ongoing? | trauma | No references available | Adult and Pediatric | Treatment/Intervention Data.Therapies | Treatment/Intervention Data.Therapies | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Basic | Supplemental | Supplemental | Supplemental | Basic | Therapy or rehabilitation ongoing indicator | NIH/CIT/BRICS | Olga Vovk | olga.vovk@nih.gov | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 45733 | Published | |||||||||||||||||||||||||||||||||||||||||||||
| TherpyRehabOTH | Therapy or rehabilitation other text | Common Data Element | 1.1 | The free-text field related to 'Therapy or rehabilitation type' specifying other text. Type of therapy or rehabilitation services received by the participant/subject | The free-text field related to 'Therapy or rehabilitation type' specifying other text. Type of therapy or rehabilitation services received by the participant/subject | Alphanumeric | 4000 | Free-Form Entry | FA: Choose all that the participant/ subject receives GENERAL/TBI: Choose all that apply. Response is obtained from report by the participant/subject, a reliable proxy or medical records. Add date stamp for when assessed. Recommend collection at end of initial medical care. Service provision post-TBI is important to track as it is an indicator of health care resource utilization. STROKE: Choose all that apply. This element can be collected to describe the participant/ subject prior to the stroke event and also to assess the participant/ subject at subsequent time points after the stroke event. |
The therapy or rehabilitation service received should be coded using ICD-9-CM codes prior to aggregation or sharing. | Other, specify | trauma | FA/GENERAL: No references available STROKE/TBI: International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM): http: //www.cdc.gov/nchs/icd/icd9cm.htm |
Adult and Pediatric | Treatment/Intervention Data.Therapies | Treatment/Intervention Data.Therapies | Participant/Subject History and Family History.General Health History | Participant/Subject History and Family History.Prior Health Status|Treatment/Intervention Data.Therapies | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Basic | Exploratory | Supplemental | Supplemental | Supplemental | Supplemental | Basic | NIH/CIT/BRICS | Olga Vovk | olga.vovk@nih.gov | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 45733 | Published | ||||||||||||||||||||||||||||||||||||||||||||||
| TherpyRehabStrtDateTime | Therapy rehabilitation start date time | Common Data Element | 1.3 | Date (and time, if applicable and known) on which the therapy or rehabilitation started | Date (and time, if applicable and known) on which the therapy or rehabilitation started | Date or Date & Time | Free-Form Entry | GENERAL/TBI: 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.). | Data Sharing Instructions: When date/time data are prepared for aggregation or sharing they should be converted to the format specified by ISO 8601, YYYY-MM-DDThh:mm:ss. | Date Time of Initiation | trauma|TRACK_TBI | No references available | Adult and Pediatric | Treatment/Intervention Data.Therapies | Treatment/Intervention Data.Therapies | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Basic | Supplemental | Supplemental | Supplemental | Basic | Therapy or rehabilitation start date and time | NIH/CIT/BRICS | Olga Vovk | olga.vovk@nih.gov | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 45733 | Published | ||||||||||||||||||||||||||||||||||||||||||||||||||
| TherpyRehabTyp | Therapy or rehabilitation type | Common Data Element | 1.5 | Type of therapy or rehabilitation services received by the participant/subject | Type of therapy or rehabilitation services received by the participant/subject | Alphanumeric | Multiple Pre-Defined Values Selected | Adaptive physical education|Behavior support plan|Crisis management plan|Dietary|Occupational therapy|Other, specify|Physical therapy|Psychological|Recreational|Sensory integration therapy|Social skills training|Speech therapy|Vocational | Adaptive physical education|Behavior support plan|Crisis management plan|Dietary|Occupational therapy|Other, specify|Physical therapy|Psychological|Recreational|Sensory integration therapy|Social skills training|Speech therapy|Vocational | 1|2|3|4|5|444|7|8|9|10|11|12|13 | |||||||||||| | |||||||||||| | |||||||||||| | FA: Choose all that the participant/ subject receives GENERAL/TBI: Choose all that apply. Response is obtained from report by the participant/subject, a reliable proxy or medical records. Add date stamp for when assessed. Recommend collection at end of initial medical care. Service provision post-TBI is important to track as it is an indicator of health care resource utilization. STROKE: Choose all that apply. This element can be collected to describe the participant/ subject prior to the stroke event and also to assess the participant/ subject at subsequent time points after the stroke event. |
The therapy or rehabilitation service received should be coded using ICD-9-CM codes prior to aggregation or sharing. | Type of therapy or rehabilitation | trauma | No references available | Adult and Pediatric | Treatment/Intervention Data.Therapies | Treatment/Intervention Data.Therapies | Participant/Subject History and Family History.General Health History | Participant/Subject History and Family History.Prior Health Status|Treatment/Intervention Data.Therapies | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Basic | Exploratory | Supplemental | Supplemental | Supplemental | Supplemental | Basic | Therapy or rehabilitation type | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 45733 | Published | ||||||||||||||||||||||||||||||||||||||||
| VentilatorAssistUtilznInd | Ventilator Assistance Utilization Indicator | Common Data Element | 1.2 | Indicator whether patient was artificially ventilated | Indicator whether patient was artificially ventilated | Alphanumeric | Single Pre-Defined Value Selected | No|Unknown|Yes | No|Unknown|Yes | 0|999|1 | || | || | || | EPO|trauma|Ventilator | Adult and Pediatric | Treatment/Intervention Data.Surgeries and Other Procedures | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Basic | NTRR_CDE | VentilatorAssistanceUtilznInd | Baylor College of Medicine | Jose-Miguel Yamal | Jose-Miguel.Yamal@uth.tmc.edu | NIH/CIT/BRICS | Kate Burdekin | kate.burdekin@nih.gov | 42429 | 45735 | Published | ||||||||||||||||||||||||||||||||||||||||||||||||
| VitStatus | Vital status | Common Data Element | 1.12 | Status of participant/subject as alive or dead | Status of participant/subject as alive or dead | Alphanumeric | Single Pre-Defined Value Selected | C1148433 | Vital Status | UMLS | Alive|Dead|Unknown | Alive|Dead|Unknown | 40|30|999 | C4551704|C0011065|C0439673 | Alive|Cessation of life|Unknown | UMLS|UMLS|UMLS | Status of participant/subject as alive or dead. Choose one | cdRNS|FITBIR|NIA|PDBP; | What is the vital status of the subject? | TRACK_TBI | No references available | Adult and Pediatric | Disease/Injury Related Events.Discharge Information | Disease/Injury Related Events.Discharge Information|Outcomes and End Points.End Points | Trauma.N/A | Supplemental | Basic | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Vital status | VisitTyp;GlasgowOutcomeScalExtScore;InjElapsedTime;GCSTotalScore | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 45723 | Published | ||||||||||||||||||||||||||||||||||||||||
| WorkAccomodationInd | Work accomodation indicator | Common Data Element | 1 | Indicator related to whether patient received some type of work accommodation | Indicator related to whether patient received some type of work accommodation | Alphanumeric | Single Pre-Defined Value Selected | No|Yes | No|Yes | 1|2 | | | | | | | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Supplemental | Basic | NTRR | NINDS | 45756 | 45756 | Draft | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| ActvityTyp | Activity type | Common Data Element | 1 | The types of activities related to rehabilitation services | The types of activities related to rehabilitation services | Alphanumeric | Single Pre-Defined Value Selected | Airway/respiratory management|Aquatic exercises/hydrotherapy|Assessment/evaluation|Assistive technology|Balance|Bathing|Bed mobility|Bladder management|Bowel management|Caregiver/attendant education|Cognitive-communication interventions|Communication interventions|Community re-integration outing|Community/in-house services|Complementary approaches|Complications (education)|Discharge planning|Discharge services|Dressing- lower body|Dressing- upper body|Education not covered by other activities|Endurance|Equipment evaluation|Equipment evaluation/provision/education|Financial planning|Gait|Grooming|Hippotherapy|Home management skills|Leisure skills in center|Leisure skills in outing|Leisure/play education and counseling|Medication (education)|Modalities|Motor speech and/or voice disorder interventions|Musculoskeletal treatments/modalities|Nutrition|Other therapeutic activities|Other, specify|Pain education|Peer/advocacy groups|Pre-gait|Psychoeducation intervention|Psychosocial support|Psychotherapeutic intervention|Range of motion/stretching|Safety (education)|School/educational reintegration outing|Self-feeding|Serial casting|Skin management|Social activity|Splint/cast fabrication|Strengthening|Supportive counseling|Swallowing interventions/exercises|Swallowing interventions/feeding trials|Team and patient/family conferences|Team process (interdisciplinary team interactions/planning)|Toileting for clothing management and hygiene|Tracheostomoy tube and/or ventilator support interventions|Transfers|Upright activities|Wheelchair mobility- manual|Wheelchair mobility- power|Wound care | Airway/respiratory management|Aquatic exercises/hydrotherapy|Assessment/evaluation|Assistive technology|Balance|Bathing|Bed mobility|Bladder management (includes education)|Bowel management (includes education)|Caregiver/attendant education|Cognitive-communication interventions|Communication interventions|Community re-integration outing (community outing)|Community/in-house services|Complementary approaches|Complications (education)|Discharge planning|Discharge services|Dressing- lower body|Dressing- upper body|Education not covered by other activites|Endurance|Equipment evaluation|Equipment evaluation/provision/education|Financial planning|Gait|Grooming|Hippotherapy (therapeutic horseback riding)|Home management skills|Leisure skills in center|Leisure skills in outing|Leisure/play education and counseling|Medication (education)|Modalities|Motor speech and/or voice disorder interventions|Musculoskeletal treatments/modalities|Nutrition (education)|Other therapeutic activities (e.g. tenodesis training)|Other, specify|Pain education|Peer/advocacy groups|Pre-gait|Psychoeducation intervention|Psychosocial support|Psychotherapeutic intervention|Range of motion/stretching|Safety (education)|School/educational reintegration outing|Self-feeding|Serial casting|Skin management|Social activity|Splint/cast fabrication|Strengthening|Supportive counseling|Swallowing interventions/exercises|Swallowing interventions/feeding trials|Team and patient/family conferences|Team process (interdisciplinary team interactions/planning)|Toileting for clothing management and hygiene|Tracheostomoy tube and/or ventilator support interventions|Transfers|Upright activites (e.g. tilt tables)|Wheelchair mobility- manual|Wheelchair mobility- power|Wound care | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Supplemental | Basic | NTRR | NINDS | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| MobilityDvcOTH | Mobility device other text | Common Data Element | 1 | The free-text field related to 'Mobility device type' specifying other text. Type for all mobility devices currently used by the participant/subject | The free-text field related to 'Mobility device type' specifying other text. Type for all mobility devices currently used by the participant/subject | Alphanumeric | 4000 | Free-Form Entry | SMA: For each mobility device type record if it is used ----- STROKE: Choose all that apply |
Other, specify | DMD: No references available ----- GENERAL: No references available ----- SMA: No references available ----- STROKE: No references available |
Adult and Pediatric | Treatment/Intervention Data.Therapies | Treatment/Intervention Data.Therapies | Treatment/Intervention Data.Devices | Treatment/Intervention Data.Devices | Trauma.N/A | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Supplemental | Basic | NTRR | NINDS | 41855 | 45762 | Draft | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
| HospitPastYrCt | Hospitalization past year count | Common Data Element | 1.3 | Count of all hospitalizations the participant had within the past year for any reason | Count of all hospitalizations the participant had within the past year for any reason | Numeric Values | Free-Form Entry | C0679646/C0262926|C0019993/C0750480/C4086728 | Participant/Medical History|Hospitalization/Count/Past Year | UMLS|UMLS | Record the total number of hospitalizations for the past year | FITBIR|NIA|PDBP; | Indicate the number of hospitalizations the participant had in the past year | Medical_History | No references available | Adult and Pediatric | Outcomes and End Points.Clinical Event End Points | Core | Supplemental | Supplemental | Supplemental | Basic | Hospitalizations within past year number | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 41730 | 45715 | Published | ||||||||||||||||||||||||||||||||||||||||||||||||||||
| EmplmtStatu | Employment status | Common Data Element | 1.12 | Status of participant/subject's current employment | Status of participant/subject's current employment | Alphanumeric | Single Pre-Defined Value Selected | C0014003 | Employment | UMLS | Disabled, permanently or temporarily|Keeping house|Looking for work, unemployed|Only temporarily laid off|Other, specify|Retired|Sick leave or maternity leave|Student|Unknown|Working Now | Disabled, permanently or temporarily|Keeping house|Looking for work, unemployed|Only temporarily laid off|Other, specify|Retired|Sick leave or maternity leave|Student|Unknown|Working Now | 1|2|3|4|444|6|7|8|999|10 | C1880351|C0020053|C0557369|C5447930|C3845569|C0035345|C0242807/C0086593|C0038492|C0439673|C0557351 | Disabled|Housekeeping|Seeking work|Temporary Leave|Specify Other|Retirement|Sick Leave/Maternity leave|student|Unknown|Employed | UMLS|UMLS|UMLS|UMLS|UMLS|UMLS|UMLS|UMLS|UMLS|UMLS | For years completed, code the number of years attained (0-30 years), normed to someone moving full time at the usual pace, i.e. a year that was repeated counts as only 1 year and the usual single-year full-time load completed over several years counts as 1 year. Certificate and technical programs do NOT count no matter how specialized. The number of years of typical completion of the relevant program is counted. If the subject obtained their education outside the United States, ask about their educational system to estimate the correct coding - Internship, Residency, and Fellowship years are experiential training and do not count. Recommend collection at least on date of TBI. | cdRNS|FITBIR|PDBP; | Employment status | trauma | No references available | Adult and Pediatric | Participant/Subject Characteristics.Social Status | Participant/Subject Characteristics.Social Status | Trauma.N/A | Core | Core | Core | Core | Core | Basic | Supplemental | Basic | Supplemental | NINDS_CDE | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | NIH/NINDS | NINDSCDE | NINDSCDE@emmes.com | 41795 | 45733 | Published | ||||||||||||||||||||||||||||||||||||||||
| ReadmissionInd | Readmission indicator | Common Data Element | 1 | Indication of if the hospital stay was related to a readmission | Indication of if the hospital stay was related to a readmission | Alphanumeric | Single Pre-Defined Value Selected | N/A|No|Unknown|Yes | N/A|No|Unknown|Yes | 4|1|3|2 | ||| | ||| | ||| | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Supplemental | Basic | NTRR | Outcomes Workgroup | 45762 | 45762 | Draft | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| TotActiveMotion | Total Active Motion (TAM) | Common Data Element | 1 | Measurements of the distal interphalangeal (DIP), proximal interphalangeal (PIP), and metatarsophalangeal (MCP) joints maximally flexed. The total amount of flexion is added, and one sum is used as total active flexion of that digit. If the joints lack full extension, the deficit is subtracted from the total active flexion yielding the total active motion or TAM. | Measurements of the distal interphalangeal (DIP), proximal interphalangeal (PIP), and metatarsophalangeal (MCP) joints maximally flexed. | Alphanumeric | 4 | Free-Form Entry | Adult and Pediatric | Trauma.N/A | Supplemental | Supplemental | Supplemental | Basic | NTRR | Outcomes Workgroup | 45762 | 45762 | Draft |
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