FOLLOW-UP DATE

Definition

Date of Follow-up Evaluation

Form

[ ] Form 1
[X] Form 2

Source

Data Collector

Details

For date of follow-up evaluation, enter date when first data are collected (if data collection is done with more than one contact) with patient or significant other. If no follow-up data are collected from patient or significant other, code the reason (05/05/5555, 07/07/7777, etc.).

If a completed mailout is returned but not dated, the date of follow-up should be coded as the date the mailout was postmarked.

Court ordered rehab is considered as a form of incarceration for the purposes of the TBIMS, and should be coded accordingly.

Characteristics

For historical purposes only, a date of “09/09/9999 - Unknown” was a valid code, however, going forward, cases that are coded as “Followed” should always have a valid date.

Variables

Form Type	Variable	ID	Question	History
Form 2	Followup	686	Follow-up evaluation date:	1989-10-01 - Variable Added

Codes and Values

ID 686

For Form: [Form 2]
For Variables: [Followup]

Code	Description
04/04/4444	Expired
05/05/5555	Withdrew authorization
07/07/7777	Not Applicable: Includes refused, incarcerated and lost
08/08/8888	Not Applicable: Other ( No follow-up evaluation. [DROPPED] )
09/09/9999	Unknown ( Collected via secondary source )

History

No history found for the Domain.

FOLLOW-UP DATE - CALCULATED

Variables

Form Type	Variable	ID	Question	History
Form 2	DAYStoFUF	3651	Days From Injury to Followup	1989-10-01 - Variable Added
Form 2	FUYearF		Year of the Follow-up interview

Codes and Values

ID 3651

For Form: [Form 2]
For Variables: [DAYStoFUF]

Code	Description
999999	Unknown

ID NA: No codes found.

History

No history found for the Domain.