National Data and Statistical Center

 

Traumatic Brain Injury Model Systems

Please select which Form Variables you would like to see. Form I variables are the variables asked about the initial rehabiliation stay. Form II variables are questions asked to an individual at follow-up. Once you select Form I or Form II you have a choice of viewing either the actual fields that the variable group has ("Show Fields"), or you can view the data dictionary page ("Select") for the selected variable group.

The citation for the TBIMS National Database is "Traumatic Brain Injury Model Systems National Database Syllabus. Traumatic Brain Injury Model Systems National Data and Statistical Center; 2009.Url: http://www.tbindsc.org."

Select which form you want to see

  Group IDTitleForm
001DATA KEYS1
01VERSION OF FORM BEING ENTERED1
100SYSTEM/SUBJECT ID1
101aDATES (AND TIMES)1
102SHORT TERM REHABILITATION INTERRUPTION1
103PATIENT BIRTHDATE1
104SEX1
105RACE1
106PRIMARY LANGUAGE1
107MARITAL STATUS1
108PRIMARY PERSON LIVING WITH1
109RESIDENCE1
109aZIP CODE1
110aYEARS OF EDUCATION1
110bGED1
111aEMPLOYMENT STATUS1
111bHOURS OF PAID COMPETITIVE EMPLOYMENT1
111dJOB STABILITY: WEEKS EMPLOYED1
111iANNUAL EARNINGS1
112CENSUS OCCUPATIONAL CATEGORY1
121HISTORY OF TBI1
122PREMORBID CONDITIONS1
123PREMORBID LIMITATIONS1
130aDATE ABLE TO FOLLOW COMMANDS1
131hASSOCIATED INJURY - SPINAL CORD INJURY1
133aCAUSE OF INJURY1
133bICD-9-CM EXTERNAL CAUSE OF INJURY CODE1
134ETOH BLOOD LEVEL AT INJURY1
135INTRACRANIAL CT DIAGNOSIS 1
137ICD-9-CM DIAGNOSIS CODES1
139GLASGOW COMA SCALE1
140REVISED TRAUMA SCORE1
144aDATE EMERGED FROM PTA1
144bMETHOD OF PTA DETERMINATION1
146CAUSE(S) OF DEATH1
148hCRANIAL COMPLICATIONS - INTRACRANIAL HYPERTENSION1
150NEUROPSYCHOLOGICAL BATTERY1
150qORIENTATION LOG (O-LOG)1
150rCALIFORNIA VERBAL LEARNING TEST (CVLT-II)1
150sREITAN TRAIL MAKING TEST1
151DISABILITY RATING SCALE1
152FIM1
170m1CRANIAL SURGERY - CRANIOTOMY/CRANIECTOMY1
176CHARGES1
178PAYOR SOURCE1
192a1PREMORBID DRUG USE 1
192a2PREMORBID ALCOHOL USE 1
192gPREMORBID PSYCHIATRIC HISTORY1
192hPREMORBID HISTORY OF PENAL INCARCERATIONS WITH CONVICTION FOR FELONY1
192iPREMORBID HISTORY OF LEARNING AND/OR BEHAVIOR PROBLEMS IN SCHOOL1
801Computed AGES1
802Computed DRS on Admission1
803Computed DRS at Discharge1
804Computed EDUCATION1
805Computed EMPLOYMENT1
806Computed COGNITIVE FIM on ADMISSION1
807Computed COGNITIVE FIM at DISCHARGE1
808Computed MOTOR FIM on ADMISSION1
809Computed MOTOR FIM at DISCHARGE1
810Computed TOTAL FIM on ADMISSION1
811Computed TOTAL FIM at DISCHARGE1
812Computed GCS TOTAL SCORE1
813Computed GCS GROUPS1
814Computed INJURY YEAR1
815Computed DAYS FROM INJURY to VARIOUS TIMEPOINTS1
820Computed DAYS FROM ACUTE ADMIT to ACUTE DISCHARGE1
821Computed LENGTH of REHAB STAY1
822Computed NEUROPSYCH TESTING in WINDOW1
823Computed ALCOHOL/DRUG PROBLEM USE1
824Computed DAYS in PTA1
825Computed REVISED TRAUMA SCORE1
826Computed DAYS of UNCONSCIOUSNESS1