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Common Data Element: Ohio State University TBI Identification Method Interview Form (OSUTBIMI) - Dazed or memory gap from repeated head injuries indicator

Listed below are the details for the data element.

FITBIR
1.3
Element Type
Common Data Element
Ohio State University TBI Identification Method Interview Form (OSUTBIMI) - Dazed or memory gap from repeated head injuries indicator
OSUTBIMIDazeMemGapRepeatInjInd
Short Description
Indicator of the subject being dazed or having a gap in their memory from the multiple, repeated impacts to their head, as part of the Ohio State University TBI Identification Method Interview Form (OSUTBIMI)
Definition
Indicator of the subject being dazed or having a gap in their memory from the multiple, repeated impacts to their head, as part of the Ohio State University TBI Identification Method Interview Form (OSUTBIMI)
 
Notes
Step 3 - Question 3
Creation Date
2016-03-18
Historical Notes
References
Adapted with permission from the Ohio State University TBI Identification Method (Corrigan, J.D., Bogner, J.A. (2007). Initial reliability and validity of the OSU TBI Identification Method. J Head Trauma Rehabil, 22(6):318-329. Copyright 2007, The Ohio Valley Center for Brain Injury Prevention and Rehabilitation

Data Type
Alphanumeric
Input Restrictions
Single Pre-Defined Value Selected
External Schema Permissible Value Mapping
Population
Adult and Pediatric
Guidelines/Instructions
Interviewer instruction: Ask the following questions to help identify a history that may include multiple mild TBIs and complete the chart below.
Preferred Question Text
If no, were you dazed or did you have a gap in your memory from the injury?
Category Groups and Classifications
DiseaseDomainSub-Domain
General (For all diseases) Disease/Injury Related Events History of Disease/Injury Event
Traumatic Brain Injury Disease/Injury Related Events History of Disease/Injury Event

Classification

Traumatic Brain Injury:
Supplemental
Concussion/Mild TBI
Epidemiology
Moderate/Severe TBI: Rehabilitation
Acute Hospitalized
General (For all diseases):
Supplemental
Keywords
Labels
FITBIR_CDE   FS_CDE