CODE:
[It is not possible to display information in columns in the live syllabus, which is important for displaying the codes for V135. A more neatly formated display of the codes than below is available at:
Codes for v135.]
A. EXTENT OF INTRACRANIAL COMPRESSION - use only one of the following codes:
0 Variable did not exist when data collected for this case
1 No visible intracranial compression
2 Cisterns are present but midline shift is noted of 1-5 mm.
3 Cisterns compressed or absent with midline shift of 0-5 mm. compression
4 Midline shift of greater than 5 mm.
5 Extent not specified
8 CT not done
9 Unknown if intracranial
B. PATHOLOGY:
0 Variable did not exist when data collected for this case
1 No visible pathology
2 Yes, pathology exists
8 CT not done
9 Unknown if pathology
2. Punctate/petechial hemorrhages, with/without cerebral swelling:
1=No 2=Yes 8=CT not done *
9 Unknown if pathology
3. Subarachnoid hemorrhage:
1=No 2=Yes 8=CT not done *
9 Unknown if pathology
4. Intraventricular hemorrhage:
1=No 2=Yes 8=CT not done *
9 Unknown if pathology
5. Focal cortical parenchymal contusions (non-hemorrhagic/hemorrhagic) or hemorrhage in cerebral cortex; indicate all by laterality and location:
a1. Left, Frontal: 1=No 2=Yes 8=CT not done *
9 Unknown if pathology
a2. Right, Frontal: 1=No 2=Yes 8=CT not done *
9 Unknown if pathology
a3. Laterality not specified, Frontal: 1=No 2=Yes 8=CT not done *
9 Unknown if pathology
b1. Left, Temporal: 1=No 2=Yes 8=CT not done *
9 Unknown if pathology
b2. Right, Temporal: 1=No 2=Yes 8=CT not done *
9 Unknown if pathology
b3. Laterality not specified, Temporal: 1=No 2=Yes 8=CT not done *
9 Unknown if pathology
c1. Left, Parietal: 1=No 2=Yes 8=CT not done *
9 Unknown if pathology
c2. Right, Parietal: 1=No 2=Yes 8=CT not done *
9 Unknown if pathology
c3. Laterality not specified, Parietal: 1=No 2=Yes 8=CT not done *
9 Unknown if pathology
d1. Left, Occipital: 1=No 2=Yes 8=CT not done *
9 Unknown if pathology
d2. Right, Occipital: 1=No 2=Yes 8=CT not done *
9 Unknown if pathology
d3. Laterality not specified, Occipital: 1=No 2=Yes 8=CT not done *
9 Unknown if pathology
e1. Left, Location not specified: 1=No 2=Yes 8=CT not done *
9 Unknown if pathology
e2. Right, Location not specified: 1=No 2=Yes 8=CT not done *
9 Unknown if pathology
e3. Laterality and Location not specified: 1=No 2=Yes 8=CT not done *
9 Unknown if pathology
6. Focal noncortical parenchymal contusions (non-hemorrhagic/hemorrhagic) or hemorrhage; includes cerebellum, brainstem, pons, thalamus, basal ganglion and internal capsule: indicate laterality.
a. Left: 1=No 2=Yes 8=CT not done *
9 Unknown if pathology
b. Right: 1=No 2=Yes 8=CT not done *
9 Unknown if pathology
c. Laterality not specified: 1=No 2=Yes 8=CT not done *
9 Unknown if pathology
7. Presence of any extra-axial collection
a1. Left, Epidural: 1=No 2=Yes 8=CT not done *
9 Unknown if pathology
a2. Right, Epidural: 1=No 2=Yes 8=CT not done *
9 Unknown if pathology
a3. Laterality not specified, Epidural: 1=No 2=Yes 8=CT not done *
9 Unknown if pathology
b1. Left, Subdural: 1=No 2=Yes 8=CT not done *
9 Unknown if pathology
b2. Right, Subdural: 1=No 2=Yes 8=CT not done *
9 Unknown if pathology
b3. Laterality not specified, Subdural: 1=No 2=Yes 8=CT not done *
9 Unknown if pathology
c1. Left, location not specified: 1=No 2=Yes 8=CT not done *
9 Unknown if pathology
c2. Right, location not specified: 1=No 2=Yes 8=CT not done *
9 Unknown if pathology
c3. Laterality and location not specified: 1=No 2=Yes 8=CT not done *
9 Unknown if pathology
C. INTRAPARENCHYMAL FRAGMENTS:
1 No fragment(s)
2 Yes fragment(s)
8 No CT done
9 Unknown if fragments
0 Variable did not exist when data collected for this case
NOTE:
Do not use MRI findings to code this variable.
A properly trained person at the facility who has been certfied by TBIMS procedures may code this variable (see syllabus section 27a).
EXAMPLE:
Patient had a CT scan demonstrating no intracranial compression. There was a right subarachnoid hemorrhage and bone fragments present in the right temporal area.
A. EXTENT OF COMPRESSION:
1
B. PATHOLOGY:
1.
2
2.
1
3.
2
4.
1
5a1.
1
5a2.
1
5a3.
1
5b1.
1
5b2.
1
5b3.
1
5c1.
1
5c2.
1
5c3.
1
5d1.
1
5d2.
1
5d3.
1
5e1.
1
5e2.
1
5e3.
1
6a.
1
6b.
1
6c.
1
7a1.
1
7a2.
1
7a3.
1
7b1.
1
7b2.
1
7b3.
1
7c1.
1
7c2.
1
7c3.
1
C. INTRAPARENCHYMAL FRAGMENTS:
2