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Protocol - Fracture History

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Protocol Name from Source:

The Expert Review Panel has not reviewed this measure yet.

Availability:

Publicly available

Description:

This protocol is divided into two parts. Part I consists of the Study of Osteoporotic Fractures (SOF) Fractures and Falls History: History of Fractures Questionnaire, which is a self-administered questionnaire to assess the location of the respondent's broken bone(s) and the age(s) at which the break(s) occurred. Part II contains the Framingham Osteoporosis Study Fracture Assessment form to confirm the respondent's self-reported fracture history.

Protocol:

Part I: Study of Osteoporotic Fractures (SOF) Fractures and Falls History: History of Fractures Questionnaire

FAMILY HISTORY OF BROKEN BONES AND FRACTURES

Clinic use only

ID

Date

1. Has a doctor ever said that you had a broken or fractured bone? (MARK ONE BOX.)

[ ] Yes

[ ] No PLEASE GO TO QUESTION 2

[ ] Don't Know PLEASE GO TO QUESTION 2

IF YES, please write down the names of all the bones you have broken (for example, "wrist" or "spine") and your age when you broke that bone.

Broken Bone

Age When Broken

  
  
  
  
  

HAS A DOCTOR EVER TOLD YOU THAT YOU HAD:

2. Osteoporosis, sometimes called thin or brittle bones?

[ ] Yes

[ ] No PLEASE GO TO QUESTION 3

[ ] Don't Know PLEASE GO TO QUESTION 3

IF YES, how old were you when a doctor first told you this? I was___years old.

3. Fracture of the spine or fracture of the vertebrae?

[ ] Yes

[ ] No

[ ] Don't Know

IF YES, how old were you when a doctor first told you this? I was____years old.

© 2010 SOF Online, produced by the Coordinating Center, University of California San Francisco

Part II: Framingham Osteoporosis Study Fracture Assessment Form

Note: The PhenX Skin, Bone, Muscle and Joint Working Group recommends that this form be completed by personnel trained in performing medical records review.

HIP FRACTURE FORM

DATE HIP FRACTURE OCCURRED: ____/____/____ (Month/Day/Year)

1. SOURCE(S) OF HIP FRACTURE CONFIRMATION:

1.1. Orthopedic notes

[ ] 0 No

[ ] 1 Yes

1.2. X-ray report

[ ] 0 No

[ ] 1 Yes

1.3. Discharge summary

[ ] 0 No

[ ] 1 Yes

1.4. OR report

[ ] 0 No

[ ] 1 Yes

1.5. ER notes

[ ] 0 No

[ ] 1 Yes

1.6. Other ________________________

[ ] 0 No

[ ] 1 Yes

2. HIP FACTURE SIDE:

[ ] 1 Right

[ ] 2 Left

[ ] 9 Unknown

3. HIP FRACTURE LOCATION:

1.0
[ ]
Unknown
1.1
[ ]
Intertrochanteric
1.2
[ ]
Femoral neck (subcapital)
1.3
[ ]
Other ___________________________

4. HIP FRACTURE TREATMENT:

[ ] 1 Open Reduction Internal Fixation (ORIF or pinning)

[ ] 2 Arthroplasty/hemiarthroplasty (femoral head replacement)

[ ] 3 Other ___________________________

[ ] 4 Cast or other immobilization

[ ] 5 None

[ ] 9 Unknown

5. OTHER FRACTURE(S) OCCURED AT SAME TIME:

[ ] 0 No

[ ] 1 Yes

[ ] 9 Unknown

6. CIRCUMSTANCES OF HIP FRACTURE:

[ ] 1 Fall from standing height or less

[ ] 2 Motor vehicle accident or fall from greater than standing height

[ ] 3 Other

[ ] 9 Unknown

7. LOCATION OF FALL OR TRAUMA:

[ ] 1 Outside

[ ] 2 Inside

[ ] 3 Other _______________________

[ ] 8 n/a _______________________

[ ] 9 Unknown

8. TIME OF DAY FRACTURE OCCURRED:

[ ] 1 Daytime (6am-6pm)

[ ] 2 Night (6:01pm to 5:59am)

[ ] 3 Other _______________

[ ] 9 Unknown

9. DEATH OCCURED DURING HIP FRACTURE HOSPITALIZATION:

[ ] 0 No

[ ] 1 Yes

[ ] 8 n/a (no hospitalization)

[ ] 9 Unknown

10. DETAILED CIRCUMSTANCES OF HIP FRACTURE:

[ ] 1 Fall from standing height or less-includes most injuries due to tripping over something, slips in the shower or bathtub, or falling out of a chair or bed (unless standing on it), in which the participant lands on the surface at the same height as the surface he/she was standing on

[ ] 2 Falls on stairs, steps or curbs-includes all falls during change of level, such as stepping up or down stairs, steps, or curbs

[ ] 3 Fall from more than standing height, but NOT on stairs-includes falls from heights such as off a ladder or while standing on a table or chair, off a porch, out of a window, etc.

[ ] 4 Minimal trauma other than a fall-includes vertebral fractures associated with coughing, stepping down a step, etc., and rib or other fractures associated with turning over in bed, etc.

[ ] 5 Moderate trauma other than a fall-includes collisions with objects during normal activities (e.g. stub toe, hit hand against door frame, walking into door), twisting or turning ankle (or ankle fractures).

[ ] 6 Severe trauma other than a fall-includes motor vehicle accidents, struck by a car, hit by rapidly moving projectile (golf ball, golf club), assault

[ ] 7 Pathologic fracture-usually associated with cancer in bone

[ ] 8 Unknown/Don't know

11. DATE DATA RETRIEVAL COMPLETED: ____/____/____ (Month/Day/Year)

12. DATE OF ADJUDICATION BY MD FRACTURE COORDINATOR: ____/____/____ (Month/Day/Year)

13. FINAL ADJUDICATION BY ENDPOINTS COMMITTEE REQUIRED:

[ ] 0 No

[ ] 1 Yes

14. DATE OF ADJUDICATION BY ENDPOINTS COMMITTEE: ____/____/____ (Month/Day/Year)

15. Comments (not for data entry):

________________________________________________________________

________________________________________________________________

________________________________________________________________

________________________________________________________________

________________________________________________________________

NON-HIP FRACTURE FORM

DATE FRACTURE OCCURRED: ____/____/____ (Month/Day/Year)

16. SOURCE(S) OF FRACTURE CONFIRMATION:

16.1. Orthopedic notes

[ ] 0 No

[ ] 1 Yes

16.2. X-ray report

[ ] 0 No

[ ] 1 Yes

16.3. Discharge summary

[ ] 0 No

[ ] 1 Yes

16.4. OR report

[ ] 0 No

[ ] 1 Yes

16.5. ER notes

[ ] 0 No

[ ] 1 Yes

16.6. Other ________________________

[ ] 0 No

[ ] 1 Yes

17. FRACTURE SIDE:

[ ] 1 Right

[ ] 2 Left

[ ] 3 Axial (vertebral, pelvis, nasal, sacrum, sternum, skull)

[ ] 9 Unknown

18. FRACTURE LOCATION:

(see fracture location codes, write in) ________________________________

19. FRACTURE TREATMENT:

[ ] 1 Open Reduction Internal Fixation (ORIF or pinning)

[ ] 2 Arthroplasty/hemiarthroplasty (femoral head replacement)

[ ] 3 Other ___________________________

[ ] 4 Cast or other immobilization

[ ] 5 None

[ ] 9 Unknown

20. OTHER FRACTURE(S) OCCURED AT SAME TIME:

[ ] 0 No

[ ] 1 Yes

[ ] 9 Unknown

21. CIRCUMSTANCES OF FRACTURE:

[ ] 1 Fall from standing height or less

[ ] 2 Motor vehicle accident or fall from greater than standing height

[ ] 3 Other

[ ] 9 Unknown

22. LOCATION OF FALL OR TRAUMA:

[ ] 1 Outside

[ ] 2 Inside

[ ] 3 Other _______________________

[ ] 8 n/a _______________________

[ ] 9 Unknown

23. TIME OF DAY FRACTURE OCCURRED:

[ ] 1 Daytime (6am-6pm)

[ ] 2 Night (6:01pm to 5:59am)

[ ] 3 Other _______________

[ ] 9 Unknown

24. DEATH OCCURRED DURING FRACTURE HOSPITALIZATION:

[ ] 0 No

[ ] 1 Yes

[ ] 8 n/a (no hospitalization)

[ ] 9 Unknown

25. DETAILED CIRCUMSTANCES OF FRACTURE:

[ ] 1 Fall from standing height or less-includes most injuries due to tripping over something, slips in the shower or bathtub, or falling out of a chair or bed (unless standing on it), in which the participant lands on the surface at the same height as the surface he/she was standing on

[ ] 2 Falls on stairs, steps or curbs-includes all falls during change of level, such as stepping up or down stairs, steps, or curbs

[ ] 3 Fall from more than standing height, but NOT on stairs-includes falls from heights such as off a ladder or while standing on a table or chair, off a porch, out of a window, etc.

[ ] 4 Minimal trauma other than a fall-includes vertebral fractures associated with coughing, stepping down a step, etc., and rib or other fractures associated with turning over in bed, etc.

[ ] 5 Moderate trauma other than a fall-includes collisions with objects during normal activities (e.g. stub toe, hit hand against door frame, walking into door), twisting or turning ankle (or ankle fractures).

[ ] 6 Severe trauma other than a fall-includes motor vehicle accidents, struck by a car, hit by rapidly moving projectile (golf ball, golf club), assault

[ ] 7 Pathologic fracture-usually associated with cancer in bone

[ ] 8 Unknown/Don't know

26. DATE DATA RETRIEVAL COMPLETED: ____/____/____ (Month/Day/Year)

27. DATE OF ADJUDICATION BY MD FRACTURE COORDINATOR: ____/____/____ (Month/Day/Year)

28. FINAL ADJUDICATION BY ENDPOINTS COMMITTEE REQUIRED:

[ ] 0 No

[ ] 1 Yes

29. DATE OF ADJUDICATION BY ENDPOINTS COMMITTEE: ____/____/____ (Month/Day/Year)

30. Comments (not for data entry):

________________________________________________________________

________________________________________________________________

________________________________________________________________

________________________________________________________________

________________________________________________________________

FRACTURE LOCATION CODES

  • 1.0 - Hip (USE HIP FRACTURE FORM)
    • 1.1 - femoral neck
    • 1.2 - intertrochanteric
    • 1.3 – other
  • 2.0 - Wrist (unspecified)
    • 2.1 - distal radius (Colles'; Smith)
    • 2.2 - distal ulna
    • 2.3 - both distal radius and ulna
  • 3.0 – Skull
  • 4.0 - Facial bones (includes jaw, nose, cheek)
  • 5.0 - Neck
    • 5.1 - first cervical vertebra
    • 5.2 - second cervical vertebra
    • 5.3 - thrid cervical vertebra
    • 5.4 - fourth cervical vertebra
    • 5.5 - fifth cervical vertebra
    • 5.6 - sixth cervical vertebra
    • 5.7 - seventh cervical vertebra
    • 5.8 - multiple cervical vertebrae
  • 6.0 - Shoulder
    • 6.1 - clavicle or collar bone
    • 6.2 - scapula (shoulder blade)
  • 7.0 - Arm (unspecified)
    • 7.1 - humerus (upper arm)
    • 7.2 - elbow
    • 7.3 - radius a/o ulna, proximal or mid shaft
  • 8.0 – Hand
  • 9.0 – Fingers
  • 10.0 - Other small bones in wrist
  • 11.0 – Ribs
  • 12.0 - Chest/Sternum
  • 13.0 - Thoracic Spine (unspecified)
    • 13.1 - first thoracic vertebra
    • 13.2 - second thoracic vertebra
    • 13.3 - third thoracic vertebra
    • 13.4 - fourth thoracic vertebra
    • 13.5 - fifth thoracic vertebra
    • 13.6 - sixth thoracic vertebra
    • 13.7 - seventh thoracic vertebra
    • 13.8 - eighth thoracic vertebra
    • 13.9 - ninth thoracic vertebra
    • 13.10 - tenth thoracic vertebra
    • 13.11 - eleventh thoracic vertebra
    • 13.12 - twelfth thoracic vertebra
    • 13.13 - multiple thoracic vertebrae
  • 14.0 - Lumbar Spine (unspecified)
    • 14.1 - first lumbar vertebra
    • 14.2 - second lumbar vertebra
    • 14.3 - third lumbar vertebra
    • 14.4 - fourth lumbar vertebra
    • 14.5 - fifth lumbar vertebra
    • 14.6 - multiple lumbar vertebrae
  • 15.0 – Pelvis
  • 16.0 - Tailbone/Coccyx/Sacrum
  • 17.0 - Leg (unspecified)
    • 17.1 - femur (not hip)
    • 17.2 - patella
    • 17.3 - tibia
    • 17.4 - fibula
    • 17.5 - both tibia/fibula
  • 18.0 - Ankle (includes distal tibia and fibula)
  • 19.0 - Foot/Metatarsal
  • 20.0 – Toes
  • 21.0 - Heel/Os Calcis

Fracture Adjudication

When data retrieval for a reported fracture has been completed, the individual investigating the reported fracture will attach all relevant materials to the fracture form and complete the form. The packet will then be passed on to Dr. (FILL IN NAME) for review and fracture adjudication. Dr. (FILL IN NAME) will decide if the reported fracture should be coded as a "fracture" or a "non-fracture". Dr. (FILL IN NAME) may determine there is not sufficient evidence to determine fracture status. In this case, the packet will be returned to the field coordinator for further investigation.

If Dr. (FILL IN NAME) decides an additional opinion on fracture status is warranted, he/she may send the fracture in question to the Endpoints Committee for final adjudication. The Committee, comprised of Drs. (FILL IN NAME OF PHYSICIAN, FILL IN NAME OF SECOND PHYSICIAN) and a consulting orthopedic surgeon, will review the fracture information and come to a final decision on the status of the reported fracture.

If a reported fracture is deemed a true "fracture" by Dr. (FILL IN NAME) or the Endpoints Committee, the fracture form will be sent to be entered into the official fracture database. Those coded as a "non-fracture" will be stored in the field coordinator's office.

Personnel and Training Required

The Study of Osteoporotic Fractures (SOF) Fractures and Falls History: History of Fractures Questionnaire: None

Framingham Osteoporosis Study Fracture Ascertainment Form: Personnel should be trained in performing medical records review

Equipment Needs

The Study of Osteoporotic Fractures (SOF) Fractures and Falls History: History of Fractures Questionnaire: None

Framingham Osteoporosis Study Fracture Ascertainment Form:None

Requirements

Requirement CategoryRequired
Average time of greater than 15 minutes in an unaffected individualNo
Major equipmentNo
Specialized requirements for biospecimen collectionNo
Specialized trainingYes

Mode of Administration

Self-administered

Life Stage:

Adult, Senior

Specific Instructions:

Although the Fractures and Falls History: History of Fractures Questionnaire was originally developed for women ages 65 and older, the PhenX Skin, Bone, Muscle and Joint Working Group recommends that it could be used on adults of all ages.

Self-report questionnaires have been found to have variable rates of false positives. These rates are decreased when self-reports are coupled with confirmation/adjudication. Therefore, the Working Group recommends that the Fractures and Falls History: History of Fractures Questionnaire be corroborated with a medical record confirmation and adjudication from the Framingham Osteoporosis Study. This study also includes a fracture index to classify fracture locations.

Research Domain Information

Release Date:

January 21, 2010

Definition

This measure contains a questionnaire to determine the respondent's history of bone fractures and follow up confirmation by medical record abstraction.

Purpose

Fractures are a disabling, painful, and may be a life-threatening consequence of osteoporosis.

Selection Rationale

The Fractures and Falls History: History of Fractures Questionnaire was selected because it was used in a large prospective multisite study focusing on osteoporosis.

The Framingham Osteoporosis Study Fracture Assessment Questionnaire was vetted against other protocols and selected because it was used in a large longitudinal study involving hip and non-hip fractures of men and women.

Language

English

Standards

StandardNameIDSource
Common Data Elements (CDE)Bone Fracture History Assessment Description Text3158250CDE Browser
Logical Observation Identifiers Names and Codes (LOINC)Fracture hx proto64390-8LOINC

Process and Review

The Expert Review Panel has not reviewed this measure yet.

Source

The Study of Osteoporotic Fractures (SOF) Fractures and Falls History: History of Fractures Questionnaire:

Question numbers 18, 38, and 39.

San Francisco Coordinating Center
185 Berry St.
Lobby 4, Suite 5700
San Francisco, CA 94107
(415) 514-8000

© 2010 SOF Online, produced by the Coordinating Center, University of California San Francisco

Framingham Osteoporosis Study Fracture Assessment Form:

The Framingham Osteoporosis Study Fracture Assessment Questionnaire was developed as part of the Framingham Osteoporosis Study. Questions Offspring Hip Fracture Form Q1A-E (1.1-1.5), Q1I (1.6), Q2-Q9 (2-9), and Q12-Q17 (10-15). Questions Offspring Non-Hip Fracture Form Q1A-E (16.1-16.5), Q1I (16.6), Q2-Q9, (17-24), and Q12-Q17 (25-30).

General References

None

Protocol ID:

170901

Variables:

Export Variables
Variable NameVariable IDVariable DescriptionVersiondbGaP Mapping
PX170901_Doctor_Diagnosed_Fractured_BonePX170901010000Has a doctor ever said that you had a broken or fractured bone? (MARK ONE BOX.)4N/A
PX170901_Broken_Bone_1PX170901010101IF YES, please write down the names of all the bones you have broken (for example, "wrist" or "spine") and your age when you broke that bone. Broken Bone4N/A
PX170901_Age_When_Broken_1PX170901010102IF YES, please write down the names of all the bones you have broken (for example, "wrist" or "spine") and your age when you broke that bone. Age When Broken4N/A
PX170901_Broken_Bone_2PX170901010201IF YES, please write down the names of all the bones you have broken (for example, "wrist" or "spine") and your age when you broke that bone. Broken Bone4N/A
PX170901_Age_When_Broken_2PX170901010202IF YES, please write down the names of all the bones you have broken (for example, "wrist" or "spine") and your age when you broke that bone. Age When Broken4N/A
PX170901_Broken_Bone_3PX170901010301IF YES, please write down the names of all the bones you have broken (for example, "wrist" or "spine") and your age when you broke that bone. Broken Bone4N/A
PX170901_Age_When_Broken_3PX170901010302IF YES, please write down the names of all the bones you have broken (for example, "wrist" or "spine") and your age when you broke that bone. Age When Broken4N/A
PX170901_Broken_Bone_4PX170901010401IF YES, please write down the names of all the bones you have broken (for example, "wrist" or "spine") and your age when you broke that bone. Broken Bone4N/A
PX170901_Age_When_Broken_4PX170901010402IF YES, please write down the names of all the bones you have broken (for example, "wrist" or "spine") and your age when you broke that bone. Age When Broken4N/A
PX170901_Broken_Bone_5PX170901010501IF YES, please write down the names of all the bones you have broken (for example, "wrist" or "spine") and your age when you broke that bone. Broken Bone4N/A
PX170901_Age_When_Broken_5PX170901010502IF YES, please write down the names of all the bones you have broken (for example, "wrist" or "spine") and your age when you broke that bone. Age When Broken4N/A
PX170901_OsteoporosisPX170901020000HAS A DOCTOR EVER TOLD YOU THAT YOU HAD: Osteoporosis, sometimes called thin or brittle bones?4N/A
PX170901_Osteoporosis_AgePX170901020100IF YES, how old were you when a doctor first told you this? I was___years old.4N/A
PX170901_Fractured_Spine_Or_VertebraePX170901030000HAS A DOCTOR EVER TOLD YOU THAT YOU HAD: Fracture of the spine or fracture of the vertebrae?4N/A
PX170901_Fractured_Spine_Or_Vertebrae_AgePX170901030100IF YES, how old were you when a doctor first told you this? I was____years old.4N/A
PX170901_Date_Hip_Fracture_Occurred_MonthPX170901040100DATE HIP FRACTURE OCCURRED - Month4N/A
PX170901_Date_Hip_Fracture_Occurred_DayPX170901040200DATE HIP FRACTURE OCCURRED - Day4N/A
PX170901_Date_Hip_Fracture_Occurred_YearPX170901040300DATE HIP FRACTURE OCCURRED - Year4N/A
PX170901_Hip_Fracture_Confirmation_Orthopedic_NotesPX170901050100SOURCE(S) OF HIP FRACTURE CONFIRMATION: Orthopedic notes4N/A
PX170901_Hip_Fracture_Confirmation_Xray_ReportPX170901050200SOURCE(S) OF HIP FRACTURE CONFIRMATION: X-ray report4N/A
PX170901_Hip_Fracture_Confirmation_Discharge_SummaryPX170901050300SOURCE(S) OF HIP FRACTURE CONFIRMATION: Discharge summary4N/A
PX170901_Hip_Fracture_Confirmation_OR_ReportPX170901050400SOURCE(S) OF HIP FRACTURE CONFIRMATION: OR report4N/A
PX170901_Hip_Fracture_Confirmation_ER_NotesPX170901050500SOURCE(S) OF HIP FRACTURE CONFIRMATION: ER notes4N/A
PX170901_Hip_Fracture_Confirmation_OtherPX170901050600SOURCE(S) OF HIP FRACTURE CONFIRMATION: Other4N/A
PX170901_Hip_Fracture_Confirmation_Other_SpecifyPX170901050601SOURCE(S) OF HIP FRACTURE CONFIRMATION: Other, specify4N/A
PX170901_Hip_Facture_SidePX170901060000HIP FACTURE SIDE:4N/A
PX170901_Hip_Fracture_LocationPX170901070000HIP FRACTURE LOCATION:4N/A
PX170901_Hip_Fracture_Location_Other_SpecifyPX170901070100HIP FRACTURE LOCATION: Other, specify4N/A
PX170901_Hip_Fracture_TreatmentPX170901080000HIP FRACTURE TREATMENT:4N/A
PX170901_Hip_Fracture_Treatment_Other_SpecifyPX170901080100HIP FRACTURE TREATMENT: Other, specify4N/A
PX170901_Circumstances_Of_Hip_FracturePX170901100000CIRCUMSTANCES OF HIP FRACTURE:4N/A
PX170901_Hip_Fracture_Location_Fall_TraumaPX170901110000LOCATION OF FALL OR TRAUMA:4N/A
PX170901_Hip_Location_Fall_Trauma_SpecifyPX170901110100LOCATION OF FALL OR TRAUMA: Other, specify4N/A
PX170901_Time_Hip_Fracture_OccurredPX170901120000TIME OF DAY FRACTURE OCCURRED:4N/A
PX170901_Time_Hip_Fracture_Occurred_SpecifyPX170901120100TIME OF DAY FRACTURE OCCURRED: Other, specify4N/A
PX170901_Hip_Fracture_Death_During_HospitalizationPX170901130000DEATH OCCURED DURING HIP FRACTURE HOSPITALIZATION:4N/A
PX170901_Detailed_Circumstances_Of_Hip_FracturePX170901140000DETAILED CIRCUMSTANCES OF HIP FRACTURE:4N/A
PX170901_Hip_Fracture_Retrieval_Completed_MonthPX170901150100DATE DATA RETRIEVAL COMPLETED: Month4N/A
PX170901_Hip_Fracture_Retrieval_Completed_DayPX170901150200DATE DATA RETRIEVAL COMPLETED: Day4N/A
PX170901_Hip_Fracture_Retrieval_Completed_YearPX170901150300DATE DATA RETRIEVAL COMPLETED: Year4N/A
PX170901_Hip_Fracture_Date_Adjudication_MonthPX170901160100DATE OF ADJUDICATION BY MD FRACTURE COORDINATOR: Month4N/A
PX170901_Hip_Fracture_Date_Adjudication_DayPX170901160200DATE OF ADJUDICATION BY MD FRACTURE COORDINATOR: Day4N/A
PX170901_Hip_Fracture_Date_Adjudication_YearPX170901160300DATE OF ADJUDICATION BY MD FRACTURE COORDINATOR: Year4N/A
PX170901_Hip_Fracture_Final_Adjudication_RequiredPX170901170000FINAL ADJUDICATION BY ENDPOINTS COMMITTEE REQUIRED:4N/A
PX170901_Hip_Fracture_Committee_Ajudication_MonthPX170901180100DATE OF ADJUDICATION BY ENDPOINTS COMMITTEE: Month4N/A
PX170901_Hip_Fracture_Committee_Ajudication_DayPX170901180200DATE OF ADJUDICATION BY ENDPOINTS COMMITTEE: Day4N/A
PX170901_Hip_Fracture_Committee_Ajudication_YearPX170901180300DATE OF ADJUDICATION BY ENDPOINTS COMMITTEE: Year4N/A
PX170901_Hip_Fracture_CommentsPX170901190000Comments (not for data entry):4N/A
PX170901_Date_Fracture_Occurred_MonthPX170901200100DATE FRACTURE OCCURRED - Month4N/A
PX170901_Date_Fracture_Occurred_DayPX170901200200DATE FRACTURE OCCURRED - Day4N/A
PX170901_Date_Fracture_Occurred_YearPX170901200300DATE FRACTURE OCCURRED - Year4N/A
PX170901_Fracture_Confirmation_Orthopedic_NotesPX170901200400SOURCE(S) OF FRACTURE CONFIRMATION: Orthopedic notes4N/A
PX170901_Fracture_Confirmation_Xray_ReportPX170901200500SOURCE(S) OF FRACTURE CONFIRMATION: X-ray report4N/A
PX170901_Fracture_Confirmation_Discharge_SummaryPX170901200600SOURCE(S) OF FRACTURE CONFIRMATION: Discharge summary4N/A
PX170901_Fracture_Confirmation_OR_ReportPX170901200700SOURCE(S) OF FRACTURE CONFIRMATION: OR report4N/A
PX170901_Fracture_Confirmation_ER_NotesPX170901200800SOURCE(S) OF FRACTURE CONFIRMATION: ER notes4N/A
PX170901_Fracture_Confirmation_OtherPX170901200900SOURCE(S) OF FRACTURE CONFIRMATION: Other4N/A
PX170901_Fracture_Confirmation_Other_SpecifyPX170901200901Other, specify4N/A
PX170901_Fracture_SidePX170901210000FRACTURE SIDE4N/A
PX170901_Fracture_LocationPX170901220000FRACTURE LOCATION:4N/A
PX170901_Fracture_TreatmentPX170901230000FRACTURE TREATMENT:4N/A
PX170901_Hip_Fracture_Other_FracturePX170901090000OTHER FRACTURE(S) OCCURED AT SAME TIME:4N/A
PX170901_Fracture_Treatment_Other_SpecifyPX170901230100FRACTURE TREATMENT: Other, specify4N/A
PX170901_Other_Fracture_Occured_At_Same_TimePX170901240000OTHER FRACTURE(S) OCCURED AT SAME TIME:4N/A
PX170901_Circumstances_Of_FracturePX170901250000CIRCUMSTANCES OF FRACTURE:4N/A
PX170901_FractureLocation_Fall_TraumaPX170901260000LOCATION OF FALL OR TRAUMA:4N/A
PX170901_Fracture_Location_Fall_Trauma_SpecifyPX170901260100LOCATION OF FALL OR TRAUMA: Other, specify4N/A
PX170901_Time_Fracture_OccurredPX170901270000TIME OF DAY FRACTURE OCCURRED:4N/A
PX170901_Time_Fracture_Occurred_Other_SpecifyPX170901270100TIME OF DAY FRACTURE OCCURRED: Other, specify4N/A
PX170901_Fracture_Death_During_HospitalizationPX170901280000DEATH OCCURRED DURING FRACTURE HOSPITALIZATION:4N/A
PX170901_Detailed_Circumstances_Of_FracturePX170901290000DETAILED CIRCUMSTANCES OF FRACTURE:4N/A
PX170901_Fracture_Data_Retrieval_Completed_MonthPX170901300100DATE DATA RETRIEVAL COMPLETED: Month4N/A
PX170901_Fracture_Data_Retrieval_Completed_DayPX170901300200DATE DATA RETRIEVAL COMPLETED: Day4N/A
PX170901_Fracture_Data_Retrieval_Completed_YearPX170901300300DATE DATA RETRIEVAL COMPLETED: Year4N/A
PX170901_Fracture_Date_Of_Adjudication_MonthPX170901310100DATE OF ADJUDICATION BY MD FRACTURE COORDINATOR: Month4N/A
PX170901_Fracture_Date_Of_Adjudication_DayPX170901310200DATE OF ADJUDICATION BY MD FRACTURE COORDINATOR: Day4N/A
PX170901_Fracture_Date_Of_Adjudication_YearPX170901310300DATE OF ADJUDICATION BY MD FRACTURE COORDINATOR: Year4N/A
PX170901_Fracture_Final_Adjudication_RequiredPX170901320000FINAL ADJUDICATION BY ENDPOINTS COMMITTEE REQUIRED:4N/A
PX170901_Fracture_Date_Committee_MonthPX170901330100DATE OF ADJUDICATION BY ENDPOINTS COMMITTEE: Month4N/A
PX170901_Fracture_Date_Committee_DayPX170901330200DATE OF ADJUDICATION BY ENDPOINTS COMMITTEE: Day4N/A
PX170901_Fracture_Date_Committee_YearPX170901330300DATE OF ADJUDICATION BY ENDPOINTS COMMITTEE: Year4N/A
PX170901_Fracture_CommentsPX170901340000Comments (not for data entry):4N/A