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• Traumatic Brain Injury Live Syllabus

1) Date of Follow-up Evaluation
2) Date of Death

1) Date of Follow-up Evaluation
MM/DD/YYYY

05/05/5555 N/A-withdrew authorization
06/06/6666 N/A-deceased
07/07/7777 N/A-other (including incarceration)
08/08/8888 Not applicable, no follow-up evaluation. [DROPPED]
09/09/9999 Unknown date of follow-up evaluation *, or data have been collected out of window from an in-window secondary source

2) Date of Death
MM/DD/YYYY

07/07/7777 Person expired but unknown date
08/08/8888 Not applicable, person alive
09/09/9999 Unknown if person expired

8 date

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, 06/06/6666, etc).

Follow-up evaluation was conducted on May 13, 1989.

Date of Follow-up Evaluation 05/13/1989
Date of Death 08/08/8888