ASSOCIATED INJURIES - ARCHIVE

BONE FRACTURE - ARCHIVE

Definition

A break of a bone including open and closed fractures occurring at the same time as the brain injury. Each of the fractures are coded individually.

Form

[X] Form 1
[ ] Form 2

Source

  • Abstraction (acute record)

Details

If fewer than seven fractures were reported, then code remaining fields with 88. Do not leave blanks.

Spinal fractures should be coded “8” - not applicable for laterality if vertebral body fracture only. If pedicle, lamina or transverse process fracture, use appropriate laterality code.

Hemotympanurn is considered equivalent to a basilar skull fracture even if there is no fracture detected on x-ray.

Metacarpal, carpal, wrist, metatarsals, scapula, and clavicle fractures should be coded as “77=other bones”

If there are no fractures, code all fracture fields and laterality fields with 1. If there are less than 7 fractures, code all remaining fracture fields and laterality fields which have no fractures with 8.

If there is any question regarding which code to use for a particular bone fracture, please consult your staff physiatrist. Do not code fractures which fall within the same code more than once.

*Code for facial fractures= 13 was added 4/19/99, previous to that time, facial fractures were coded 02 - calvarial or 77 - other. This data was not recoded.

Variables

Form Type

Variable

ID

Question

History

Form 1

Fracture1

3450

Bone Fracture 1

1989-10-01 - Variable Added
2003-01-01 - Variable Removed

Form 1

Fracture2

3451

Bone Fracture 2

1989-10-01 - Variable Added
2003-01-01 - Variable Removed

Form 1

Fracture3

3452

Bone Fracture 3

1989-10-01 - Variable Added
2003-01-01 - Variable Removed

Form 1

Fracture4

3453

Bone Fracture 4

1989-10-01 - Variable Added
2003-01-01 - Variable Removed

Form 1

Fracture5

3454

Bone Fracture 5

1989-10-01 - Variable Added
2003-01-01 - Variable Removed

Form 1

Fracture6

3455

Bone Fracture 6

1989-10-01 - Variable Added
2003-01-01 - Variable Removed

Form 1

Fracture7

3456

Bone Fracture 7

1989-10-01 - Variable Added
2003-01-01 - Variable Removed

Form 1

FractureS1

3457

Fracture Side 1

1989-10-01 - Variable Added
2003-01-01 - Variable Removed

Form 1

FractureS2

3458

Fracture Side 2

1989-10-01 - Variable Added
2003-01-01 - Variable Removed

Form 1

FractureS3

3459

Fracture Side 3

1989-10-01 - Variable Added
2003-01-01 - Variable Removed

Form 1

FractureS4

3460

Fracture Side 4

1989-10-01 - Variable Added
2003-01-01 - Variable Removed

Form 1

FractureS5

3461

Fracture Side 5

1989-10-01 - Variable Added
2003-01-01 - Variable Removed

Form 1

FractureS6

3462

Fracture Side 6

1989-10-01 - Variable Added
2003-01-01 - Variable Removed

Form 1

FractureS7

3463

Fracture Side 7

1989-10-01 - Variable Added
2003-01-01 - Variable Removed

Codes and Values

ID 3450

For Form: [Form 1]
For Variables: [Fracture1]

Code

Description

1

None at All

2

Calvarial ( Head, skull, excl. base of skull )

3

Basilar ( Including hemotympanum )

4

Maxillary ( Upper jaw )

5

Mandibular ( Lower jaw )

6

Ribs and/or Sternum ( Breastbone )

7

Pelvis ( Hip )

8

Humerus ( Upper arm )

9

Radius and/or Ulna ( Forearm )

10

Femur ( Thigh )

11

Tibia and/or Fibula ( Lower leg )

12

Spinal Column

13

Facial Fractures ( Includes: orbital, LeForte, nasal, zygomatic arch, sinus [ethmoid, frontal] )

77

Other Bones

88

Not Applicable ( No further fractures were reported )

99

Unknown

ID 3451

For Form: [Form 1]
For Variables: [Fracture2]

Code

Description

1

None at All

2

Calvarial ( Head, skull, excl. base of skull )

3

Basilar ( Including hemotympanum )

4

Maxillary ( Upper jaw )

5

Mandibular ( Lower jaw )

6

Ribs and/or Sternum ( Breastbone )

7

Pelvis ( Hip )

8

Humerus ( Upper arm )

9

Radius and/or Ulna ( Forearm )

10

Femur ( Thigh )

11

Tibia and/or Fibula ( Lower leg )

12

Spinal Column

13

Facial Fractures ( Includes: orbital, LeForte, nasal, zygomatic arch, sinus [ethmoid, frontal] )

77

Other Bones

88

Not Applicable ( No further fractures were reported )

99

Unknown

ID 3452

For Form: [Form 1]
For Variables: [Fracture3]

Code

Description

1

None at all

2

Calvarial ( Head, skull, excl. base of skull )

3

Basilar ( Including hemotympanum )

4

Maxillary ( Upper jaw )

5

Mandibular ( Lower jaw )

6

Ribs and/or Sternum ( Breastbone )

7

Pelvis ( Hip )

8

Humerus ( Upper arm )

9

Radius and/or Ulna ( Forearm )

10

Femur ( Thigh )

11

Tibia and/or Fibula ( Lower leg )

12

Spinal Column

13

Facial Fractures ( Includes: orbital, LeForte, nasal, zygomatic arch, sinus [ethmoid, frontal] )

77

Other Bones

88

Not Applicable ( No further fractures were reported )

99

Unknown

ID 3453

For Form: [Form 1]
For Variables: [Fracture4]

Code

Description

1

None at all

2

Calvarial ( Head, skull, excl. base of skull )

3

Basilar ( Including hemotympanum )

4

Maxillary ( Upper jaw )

5

Mandibular ( Lower jaw )

6

Ribs and/or Sternum ( Breastbone )

7

Pelvis ( Hip )

8

Humerus ( Upper arm )

9

Radius and/or Ulna ( Forearm )

10

Femur ( Thigh )

11

Tibia and/or Fibula ( Lower leg )

12

Spinal Column

13

Facial Fractures ( Includes: orbital, LeForte, nasal, zygomatic arch, sinus [ethmoid, frontal] )

77

Other Bones

88

Not Applicable ( No further fractures were reported )

99

Unknown

ID 3454

For Form: [Form 1]
For Variables: [Fracture5]

Code

Description

1

None at all

2

Calvarial ( Head, skull, excl. base of skull )

3

Basilar ( Including hemotympanum )

4

Maxillary ( Upper jaw )

5

Mandibular ( Lower jaw )

6

Ribs and/or Sternum ( Breastbone )

7

Pelvis ( Hip )

8

Humerus ( Upper arm )

9

Radius and/or Ulna ( Forearm )

10

Femur ( Thigh )

11

Tibia and/or Fibula ( Lower leg )

12

Spinal Column

13

Facial Fractures ( Includes: orbital, LeForte, nasal, zygomatic arch, sinus [ethmoid, frontal] )

77

Other Bones

88

Not Applicable ( No further fractures were reported )

99

Unknown

ID 3455

For Form: [Form 1]
For Variables: [Fracture6]

Code

Description

1

None at all

2

Calvarial ( Head, skull, excl. base of skull )

3

Basilar ( Including hemotympanum )

4

Maxillary ( Upper jaw )

5

Mandibular ( Lower jaw )

6

Ribs and/or Sternum ( Breastbone )

7

Pelvis ( Hip )

8

Humerus ( Upper arm )

9

Radius and/or Ulna ( Forearm )

10

Femur ( Thigh )

11

Tibia and/or Fibula ( Lower leg )

12

Spinal Column

13

Facial Fractures ( Includes: orbital, LeForte, nasal, zygomatic arch, sinus [ethmoid, frontal] )

77

Other Bones

88

Not Applicable ( No further fractures were reported )

99

Unknown

ID 3456

For Form: [Form 1]
For Variables: [Fracture7]

Code

Description

1

None at all

2

Calvarial ( Head, skull, excl. base of skull )

3

Basilar ( Including hemotympanum )

4

Maxillary ( Upper jaw )

5

Mandibular ( Lower jaw )

6

Ribs and/or Sternum ( Breastbone )

7

Pelvis ( Hip )

8

Humerus ( Upper arm )

9

Radius and/or Ulna ( Forearm )

10

Femur ( Thigh )

11

Tibia and/or Fibula ( Lower leg )

12

Spinal Column

13

Facial Fractures ( Includes: orbital, LeForte, nasal, zygomatic arch, sinus [ethmoid, frontal] )

77

Other Bones

88

Not Applicable ( No further fractures were reported )

99

Unknown

ID 3457

For Form: [Form 1]
For Variables: [FractureS1]

Code

Description

1

Neither

2

Left

3

Right

4

Bilateral

5

Not Specified

8

Not Applicable

9

Unknown

ID 3458

For Form: [Form 1]
For Variables: [FractureS2]

Code

Description

1

Neither

2

Left

3

Right

4

Bilateral

5

Not Specified

8

Not Applicable

9

Unknown

ID 3459

For Form: [Form 1]
For Variables: [FractureS3]

Code

Description

1

Neither

2

Left

3

Right

4

Bilateral

5

Not Specified

8

Not Applicable

9

Unknown

ID 3460

For Form: [Form 1]
For Variables: [FractureS4]

Code

Description

1

Neither

2

Left

3

Right

4

Bilateral

5

Not Specified

8

Not Applicable

9

Unknown

ID 3461

For Form: [Form 1]
For Variables: [FractureS5]

Code

Description

1

Neither

2

Left

3

Right

4

Bilateral

5

Not Specified

8

Not Applicable

9

Unknown

ID 3462

For Form: [Form 1]
For Variables: [FractureS6]

Code

Description

1

Neither

2

Left

3

Right

4

Bilateral

5

Not Specified

8

Not Applicable

9

Unknown

ID 3463

For Form: [Form 1]
For Variables: [FractureS7]

Code

Description

1

Neither

2

Left

3

Right

4

Bilateral

5

Not Specified

8

Not Applicable

9

Unknown

History

No history found for the Domain.

CRANIAL NERVE - ARCHIVE

Definition

Injury to a cranial nerve occurring at the same time as the brain injury assessed at any time during initial acute care or rehabilitation hospitalization. These include injuries to the cranial nerve nuclei and/or peripheral cranial nerves, resulting in a lower motor neuron lesion, with the following exceptions: 1) Cranial nerve I (olfaction) and II (vision) have direct central projections; 2) Cranial nerve VII (facial movements) can be damaged peripherally at the nerve nucleus of nerve, or facial movement can be paralyzed centrally as a result of cortical or subcortical injury. When Cranial nerve VII is damaged centrally, half the face is paralyzed but the half forehead is spared (i.e., still moves); when it is damaged peripherally, half the forehead is paralyzed along with half of the lower face.

Form

[X] Form 1
[ ] Form 2

Source

  • Abstraction - Acute and Rehabilitation Record
  • Pocket Smell Test used to assess Cranial Nerve I

Details

Cranial Nerve I: Enter #correct on Pocket Smell Test.

The Pocket Smell test should be used to test cranial nerve I, this test can be administered as part of the neuropsychological battery or during physical examination at anytime during initial acute care or rehab-ilitation hospitalization. The Pocket Smell test can be ordered from Sensonics, Inc. 609 547-7702 *(order from the internet at: http://www.smelltest.com/index.htm). The Pocket Smell Test 75–3 panel pocket smell tests. The changes for CN I and CN VII go into effect as of admissions to acute care beginning 7/1/99. The old data for Cranial Nerve I will be re-coded to unknown. The old data for Cranial Nerve VII will be coded under Cranial Nerve VII (unknown if central or peripheral).

Characteristics

Coding scheme revised and laterality dropped 9/13/1994.
Pocket Smell Test added 7/1/1999

Variables

Form Type

Variable

ID

Question

History

Form 1

Crainial10

3384

Cranial Nerve X

1989-10-01 - Variable Added
2003-01-01 - Variable Removed

Form 1

Crainial11

3385

Cranial Nerve XI

1989-10-01 - Variable Added
2003-01-01 - Variable Removed

Form 1

Crainial12

3386

Cranial Nerve XII

1989-10-01 - Variable Added
2003-01-01 - Variable Removed

Form 1

Crainial2

3387

Cranial Nerve II

1989-10-01 - Variable Added
2003-01-01 - Variable Removed

Form 1

Crainial3

3388

Cranial Nerve III

1989-10-01 - Variable Added
2003-01-01 - Variable Removed

Form 1

Crainial4

3389

Cranial Nerve IV

1989-10-01 - Variable Added
2003-01-01 - Variable Removed

Form 1

Crainial5

3390

Cranial Nerve V

1989-10-01 - Variable Added
2003-01-01 - Variable Removed

Form 1

Crainial6

3391

Cranial Nerve VI

1989-10-01 - Variable Added
2003-01-01 - Variable Removed

Form 1

Crainial7

3392

Cranial Nerve VII

1989-10-01 - Variable Added
2003-01-01 - Variable Removed

Form 1

Crainial7Cent

3393

Central CN VII

1989-10-01 - Variable Added
2003-01-01 - Variable Removed

Form 1

Crainial7Perip

3394

Peripheral CN VII

1989-10-01 - Variable Added
2003-01-01 - Variable Removed

Form 1

Crainial8

3395

Cranial Nerve VII

1989-10-01 - Variable Added
2003-01-01 - Variable Removed

Form 1

Crainial9

3396

Cranial Nerve IX

1989-10-01 - Variable Added
2003-01-01 - Variable Removed

Form 1

Cranial1

3397

Cranial Nerve I -Pocket Smell Test

1989-10-01 - Variable Added
2003-01-01 - Variable Removed

Codes and Values

ID 3384

For Form: [Form 1]
For Variables: [Crainial10]

Code

Description

0

Variable Did Not Exist

1

No Injury To Cranial Nerve

2

Yes, Injury To Cranial Nerve

7

Not Testable

9

Unknown

ID 3385

For Form: [Form 1]
For Variables: [Crainial11]

Code

Description

0

Variable Did Not Exist

1

No Injury To Cranial Nerve

2

Yes, Injury To Cranial Nerve

7

Not Testable

9

Unknown

ID 3386

For Form: [Form 1]
For Variables: [Crainial12]

Code

Description

0

Variable Did Not Exist

1

No Injury To Cranial Nerve

2

Yes, Injury To Cranial Nerve

7

Not Testable

9

Unknown

ID 3387

For Form: [Form 1]
For Variables: [Crainial2]

Code

Description

0

Variable Did Not Exist

1

No Injury To Cranial Nerve

2

Yes, Injury To Cranial Nerve

7

Not Testable

9

Unknown

ID 3388

For Form: [Form 1]
For Variables: [Crainial3]

Code

Description

0

Variable Did Not Exist

1

No Injury To Cranial Nerve

2

Yes, Injury To Cranial Nerve

7

Not Testable

9

Unknown

ID 3389

For Form: [Form 1]
For Variables: [Crainial4]

Code

Description

0

Variable Did Not Exist

1

No Injury To Cranial Nerve

2

Yes, Injury To Cranial Nerve

7

Not Testable

9

Unknown

ID 3390

For Form: [Form 1]
For Variables: [Crainial5]

Code

Description

0

Variable Did Not Exist

1

No Injury To Cranial Nerve

2

Yes, Injury To Cranial Nerve

7

Not Testable

9

Unknown

ID 3391

For Form: [Form 1]
For Variables: [Crainial6]

Code

Description

0

Variable Did Not Exist

1

No Injury To Cranial Nerve

2

Yes, Injury To Cranial Nerve

7

Not Testable

9

Unknown

ID 3392

For Form: [Form 1]
For Variables: [Crainial7]

Code

Description

0

Variable Did Not Exist

1

No Injury To Cranial Nerve

2

Yes, Injury To Cranial Nerve

7

Not Testable

9

Unknown

ID 3393

For Form: [Form 1]
For Variables: [Crainial7Cent]

Code

Description

0

Variable Did Not Exist

1

No Injury To Cranial Nerve

2

Yes, Injury To Cranial Nerve

7

Not Testable

9

Unknown

ID 3394

For Form: [Form 1]
For Variables: [Crainial7Perip]

Code

Description

0

Variable Did Not Exist

1

No Injury To Cranial Nerve

2

Yes, Injury To Cranial Nerve

7

Not Testable

9

Unknown

ID 3395

For Form: [Form 1]
For Variables: [Crainial8]

Code

Description

0

Variable Did Not Exist

1

No Injury To Cranial Nerve

2

Yes, Injury To Cranial Nerve

7

Not Testable

9

Unknown

ID 3396

For Form: [Form 1]
For Variables: [Crainial9]

Code

Description

0

Variable Did Not Exist

1

No Injury To Cranial Nerve

2

Yes, Injury To Cranial Nerve

7

Not Testable

9

Unknown

ID 3397

For Form: [Form 1]
For Variables: [Cranial1]

Code

Description

0

None

1

One

2

Two

3

Three

7

Not Testable

8

Variable Did Not Exist

9

Unknown

History

No history found for the Domain.

INTRA-ABDOMINAL - ARCHIVE

Definition

Trauma to the abdominal structures (e.g. liver, gall bladder, kidney, ureters, spleen, pancreas, uterus, ovaries, stomach, intestines, peritoneum and retroperitoneum).

Form

[X] Form 1
[ ] Form 2

Source

  • Acute Medical Record Abstraction

Details

Only intra-abdominal injuries that occur at the same time as the brain injury should be reported.

Include injuries to the peritoneum and retroperitoneum.

Variables

Form Type

Variable

ID

Question

History

Form 1

Abdom

3333

Intra-abdominal Injury

1989-10-01 - Variable Added
2003-01-01 - Variable Removed

Codes and Values

ID 3333

For Form: [Form 1]
For Variables: [Abdom]

Code

Description

2

Yes

9

Unknown

History

No history found for the Domain.

PNEUMOTHORAX - ARCHIVE

Definition

Traumatic pneumothorax and/or hemothorax: The occurrence of air and/or fluid within the pleural space that can be demonstrated radiographically and requiring chest tube intervention.

Form

[X] Form 1
[ ] Form 2

Source

  • Acute Medical Record Abstraction

Details

Only instances which are present at the time of admission to the Model System ED should be reported.

Variables

Form Type

Variable

ID

Question

History

Form 1

Pneumothorax

3501

Traumatic Pneumothorax and/or Hemothorax

1989-10-01 - Variable Added
2003-01-01 - Variable Removed

Codes and Values

ID 3501

For Form: [Form 1]
For Variables: [Pneumothorax]

Code

Description

1

No

2

Yes

9

Unknown

History

No history found for the Domain.