Presentation title
Working together to make Europe a safer place
IDB – CODING GUIDE
V. 1.0, March 2007
TRAINING TOOL
FOR THE IDB – CODING MANUAL,
VERSION 1.1.; June 2005
Working together to make Europe a safer place
Context
• From 2007 onwards the whole IDB Network (“old” and “new”IDB MS) will have fully or partly implemented the all injuries data collection system or started the pilot data collection
• Change from V.2000 to IDB Coding Manual, Version 1.1., June 2005
• It is part of a quality management tool package provided by the Coding Helpdesk:
• Collection of IDB – Coding Manual national versions
• Conversion tool � V.2000 – IDB – CM
• Data entry software
• Quality Control (QC) Software
• Developed in accordance with the IDB – Coding task force
Aim of the Coding Guide
• To provide a comprehensive teaching tool for the practical use of the IDB – Coding Manual (IDB – CM)
• To provide an extended user guide, complementary to the IDB –CM but it does not replace the IDB-CM
• To give guidelines for the coding of specific, difficult coding aspects
• To increase and maintain data quality
• To provide feedback to the ICECI expert group
• To enable further development and improval of the IDB-Coding Manual
Structure of the Coding Guide
PART I: Coding Principles– Coding of IDB data by data element
– Recommendations for the coding of specific
and difficult cases
PART II: Training Examples
PART I: Coding Principles• I.1 Inclusion/Exclusion of cases:
Disease/Injury
• I.2 Core data set: Administrative
variables/Injury event variables
• I.3 Modules
• I.4 General coding principles
Part I.1:
Inclusion/Exclusion of Cases
Part I.1: Inclusion/Exclusion of Cases
• Cases are coded if the reason for the
attendance to the emergency department
(ED) is:
– any injury OR
– an event that might have produced an injury
– not already coded cases -> avoid double
coding
• Inclusion: The reason for attendance to
the ED is related to an injury
• Exclusion: The reason for attendance to the ED are symptoms of acute illness or
disease or a medical check-up
Part I.1: Inclusion/Exclusion of Cases
Definition of Injury (ICECI):…a bodily lesion at organic level resulting from acute exposure to energy interacting with the body in amounts or rates that exceed the threshold of physiological tolerance. The energy can be mechanical, thermal, electrical, chemical, or radiant. In some cases an injury results from an insufficiency of any of the vital elements (in drowning, strangulation or freezing).
Part I.1: Inclusion/Exclusion of Cases
• Definition of Disease/Illness (ICECI):
…cough or fever attributed to a cold or other
viral infection, epilepsy, heart attack, diabetes,
pulmonary embolism, mental injury, migraine
attack, chronic back pain, repetitive strain
injuries, anxiety or chronic depression, chronic
alcoholism or drug abuse, pain with no
evidence of acute injury, aspiration of vomitus
or mucous.
Part I.1: Inclusion/Exclusion of Cases
A 20 year old woman tried to commit sucide by slitting her wrists.
A drug addict with a psychosis was found at the ed.
A child fell off the chair at home and complained aboutpain in her wrist.
A person complained aboutheadache without anyspecific cause or exposure.
While riding a bike on the way to his work a man was hit by a car and broke his leg.
EXCLUSIONINCLUSION
Part I: Inclusion/Exclusion of Cases
Attendances due to the
effects of medical
treatment
should not be included.
Iatrogenic
injury
Adverse effect to a
medication, poisoning
due to error in dose,
effects of surgery.
Cases otherwise
satisfying the case
definition should not be
excluded simply
because the patient has
not 'first presented' until
some time after the
injury occurred.
Delayed
presentation
A welder presents with
a long-standing eye
irritation. On
investigation, this is
found to be due to a
fragment of metal in
his eye. He has not
been treated for this
before.
RecommendationType of case
Example
General guideline: If you are uncertain include the case!!
Part I.1: Inclusion/Exclusion of Cases
Include:
Injury mechanism:
02.35 Bitten or stung by
venomous insect or
other vertebrate
Or 06.80 Other specified
effect of exposure to
chemical or other
substance
Toxic
reaction
Contact reaction
(jellyfish, bushes or
nettles)
Include:
Injury mechanism:
02.35 Bitten or stung by
venomous insect or
other vertebrate
PoisoningSevere poisoning due
to insect or other
animal/ bite sting
RecommendationType of case
Example
Part I.1: Inclusion/Exclusion of Cases
Exclude: Symptom of a diseaseA patient with severe asthma
who has reacted to
environmental smoke or pollen
Include
The patient has suffererd an
injury and is being included
A patient who was brought in
for a heart attack and
collapsed and was also injured
Exclude: Symptom of a diseaseBacteriological poisoning such
as salmonella or botulism
Exclude: Symptom of a diseaseContact allergy (e.g. nickel)
Exclude: Symptom of a diseaseSevere allergy to foods such
as peanuts
RecommendationExample
Part I.1: Inclusion/Exclusion of Cases
Include only if the result of this
complication or misadventures of
medical/surgical care is an injury
for example cut, open wound,
fracture or poisoning etc.
Complications and
Misadventures of Medical
Care
Include:
Code as Undetermined Intent
Event of undetermined intent
Include:
Only the suspicion of having
sustained an injury implies the
inclusion of the case.
A patient shows up at the
emergency department with no
obvious injury.
RecommendationExample
Part I.1: Inclusion/Exclusion of Cases
Part I.2:
IDB core data set
Part I.2: IDB core data set
• Type 1:
Administrative
variables
• Type 2:
Injury event
variables
Part I.2: Administrative Variables
• Recording country
• Unique national record number
• Age of patient
• Sex of patient
• Country of permanent residence
• Date of injury, Time of injury
• Date of attendance, Time of attendance
• Treatment and follow-up -> if 05 or 08 ->
Admission Module
Recording country
• Definition
– Country that provides the data
• Context
– Information about the country that delivers the
data to the central Injury Data Base
Part I.2: Administrative Variables
Unique national record number
• Definition
– Artificial national record number of the
emergency department case or record
• Context
– Enables to track the specific emergency
department case for national use
Part I.2: Administrative Variables
Age of patient
• Definition
– Person´s age at the time of injury
Sex of patient
• Definition
– Person´s sex at the time of injury
Part I.2: Administrative Variables
Date of injury• Definition
– The date the injury was sustained
• Context
– Selection and comparison of cases within a certain period of time
Time of injury• Definition
– The time the injury was sustained
• Context
– Selection and comparison of cases within a certain period of theday
Part I.2: Administrative Variables
Date of attendance• Definition
– The date the injured person attended the ED
• Context
– Selection and comparison of cases within a certain period of time
Time of attendance• Definition
– The time the injured person attended the ED
• Context
– Selection and comparison of cases within a certain period of theday
Part I.2: Administrative Variables
Treatment and follow up
• Definition
– Status of treatment after attendance at the ED
• Context
– A simple indication of severity of the injury
• Guide for use
– If the patient is admitted to hospital (codes 05
and 08) � Admission module
Part I.2: Administrative Variables
Part I.2: Administrative Variables
Coding Examples:
Age of patient: 3 years � code 003
Date of Injury: 28.10.2005 � code
20051028
Correct coding format structure:
- Prerequisite for the delivery of the standardised IDB
data set to DG Sanco
Core data set:
Part I.2: Injury event variables
Part I.2: Injury event variables
Intent
• Definition– The role of human purpose in the injury event
• Context– Can affect patient care and guide efforts to prevent
injury recurrence
– Different clinical and preventive approach to persons who harmed themselves intentional or unintentional and whether it is self-inflicted or inflicted by another person
– Personal, social, and legal sensitivities often apply to intentional conceptual reasons, determination of the intent of injury cases is often difficult
Part I.2: Injury event variables
Intent
• Guide for use
– In general, intent is primarily determined by the incident and not by the resulting injury
– Select the code that best describes the intent of the injury event
– Animal attacks are to be coded as unintentional injuries (exception: animal used as weapon)
– Children age < 5 hurting themselves -> unintentional injury, UNLESS available information specifies intent = self-harm
– Violence acts among children: for children age < 5 code as unintentional injuries (“play”), UNLESS available information specifies intent = violence
• Modules
– For code 2 (Intentional self-harm) apply the Intentional self-harm module
– For code 3 (Assault) and code 4 (Other violence) apply the Violence module
Part I.2: Injury event variables
Transport injury event
• Definition
– Any incident involving a transport device and
resulting in injury �transport injury event ≠
traffic injury event
• Context
– Trigger function
• Modules
– If transport injury is 1 (yes) -> Transport Module
Part I.2: Injury event variables
Place of occurrence
• Definition
– Where the injured person was when the injury event started
• Context
– Insight into injury aetiology
– Helps to group injuries by areas of responsibility
– The sector of responsibility can be effectively
identified when combining the place of occurence with the activity
Part I.2: Injury event variables
Place of occurrenceGuide for use
– Select the place where things started to go wrong instead of where they ended.
– Code the whole entity within which an injury occurred, rather than a category referring to only a part of such an entity.
• Examples
– If an injury occurs while being in a swimming pool in a holiday park; code Place of Occurrence as Holiday park (10.5), rather than Swimming pool (05.3)
– If a person gets injured while slipping on the stairs of the Swimming pool code Swimming pool (05.30) and not stairs, indoors (01.40)
Part I.2: Injury event variables
Mechanism of injury
• Definition– The way in which the injury was sustained (ie., how the person was
hurt)
• Context– The mechanism of injuries serves to describe how the person was hurt.
– Injuries are often the result of a sequence of events. Different types of mechanisms are usually involved in the injury:
• Underlying mechanisms—those involved at the start of the injury event
• Direct mechanisms—those producing the actual physical harm
• Intermediate mechanisms—others mechanisms involved in the injury event
Part I.2: Injury event variables
Mechanism of injury
• Guide for use
���� General guideline: Always code the underlying
mechanism.
– Often more than one mechanism of injury can beidentified � code the underlying mechanism first.
– If direct and underlying mechanism are the same (e.g. cutting with a knife) � code the underlying
mechanism.
Part I.2: Injury event variables
Activity when injured
• Definition
– The type of activity the injured person was engaged in when the injury occurred
• Context
– Categories that correspond to areas of responsibility
for injury prevention
– Activity data are especially useful when combined
with Place of occurrence data
– The major areas of responsibility are not mutually
exclusive
Part I.2: Injury event variables
Activity when injured
• Guide for use– General guideline: Use the inclusion/exclusion criteria
under the detailed code descriptions
– Select the category that best describes the activity the injured person was engaged in when the injury occurred
– For children < 5 years the purpose of the activity should be questioned (under the auspices of a sports federation, club or similar organisation � use the Sport Module; but a child just curving around with his bicycle � play or leisure)
– If two or more activity codes are judged to be equally appropriate, select the one that comes first in the code list
Part I.2: Injury event variables
Activity when injured
• Examples– A person got hurt while taking lunch at work� code paid work because of being the firstin the code list
• Modules– If Activity when injured is 03.1 (Physical
education class, school sports) or 04 (Sports and exercise during leisure time), apply the Sports module.
Part I.2: Injury event variables
Object/Substance producing injury• Definition
– Matter, material or thing being involved in the injury event
• Context
– An object or substance conveys the mechanism of an injury. The aim of this data element is to provide specific categories for objects/substances commonly involved in producing injury, and broader categories for almost all objects/substances.
– Three types of objects/substances may be involved in the injury event:
• Underlying involved at the start of the injury event
• Direct object/substance—the object/substance producing the actual physical harm
• Intermediate objects/substances—other objects/substances involved in the injury event
Part I.2: Injury event variables
Object/Substance producing injury
• Guide for use– Select up to three objects/substances, first ordered by object,
then by severity of injury: 1. underlying object/substance = Object/ substance No. 1 involved at the start
of the injury event
2. direct object/substance = Object/ substance No. 2 producing the actual physical harm
3. intermediate object/substance = Other Object/ substance No. 3 involved in the injury event
- If only one product is involved in the injury event always code the underlying object/substance!!
• Example– A boy went sledding and collied with a tree -> first
code the sled as underlying object and then the tree as direct object causing the injury
Part I.2: Injury event variables
Type of injury• Definition
– Type of injury sustained• Context
– The main purpose of this data element (in combination with the data element body part injured) is to enable cases to be grouped into diagnosis categories
• Guide for use– Code first the severest injury– If you code two injuries, you must always be careful
to code the corresponding body parts with the type of injury coded
– In case of a multitrauma patient code 97 (multiple injuries)
Part I.2: Injury event variables
Part of the body injured• Definition
– Region or part of the body where the injury is located
• Context
– The main purpose of this data element (in combination with the data element type of injury) is to enable cases to be grouped into diagnosis categories
• Guide for use
– Code first the severest injury
– In case of two injuries, be careful to code the corresponding body parts with the type of injury coded
– In case of a multitrauma patient code 7 (multiple body parts)
Part I.2: Injury event variables
Narrative part• Definition
– Description of the event leading to the (suspected) injury
• Context– A very important element useful in more detailed analysis of the
injury event
– A description of the injury event in plain language, concentrating on describing “what went wrong?”
• Guide for use– What was the person doing?
– Where was the person doing it?
– What went wrong?
– How was the person hurt?
– Which objects/substances/products were involved?
– What was the injury?
Core data set:
Part I.2: Injury event variables
Part I.3:
Modules
Part I.3: Modules– Admission Module
• Introduction– Detailed information about intentional injuries, excluding
intentional self-harm (see Module Intentional self-harm). The module consists of three data elements and should be used if Intent is coded 3 (Assault) or 4 (Other Violence).
• Context– Uniform code sets to better describe injuries related to violence
– Identify circumstances which lead to violence related injuries
– Establish violence prevention strategies
• Guide for use– To enhance quantity and quality of cases -> link to other sources
(law enforcement agencies, victims´crisis centre….
– Be very careful, sensitive and confidential
Part I.3: Modules– Violence Module
• Introduction– Detailed information about intentional injuries, excluding
intentional self-harm (see Module Intentional self-harm). The module consists of three data elements and should be used if Intent is coded 3 (Assault) or 4 (Other Violence).
• Context– Uniform code sets to better describe injuries related to violence
– Identify circumstances which lead to violence related injuries
– Establish violence prevention strategies
• Guide for use– To enhance quantity and quality of cases -> link to other sources
(law enforcement agencies, victims´crisis centre….
– Be very careful, sensitive and confidential
• Victim Perpetrator relationship
– The relationship of the person committing
the violent act to the injured person
– To make the type of violence more
understandable, define type of violence and to get information about the social
environment of the person
– Guide for use
• Best description of relationship at the time of the incident
• Code the perpetrator who contributed most to the injury
Part I.3: Modules– Violence Module
Part I.3: Modules– Violence Module
• Sex and Age of perpetrator
– The sex of the perpetrator
– The age of the person who inflicted the injury
in 4 age groups
– Additional information about the person who
caused the violent injury
Part I.3: Modules– Violence Module
• Context of assault
– The circumstances surrounding the violent
injury event
– To collect detailed information about the
circumstances in which injury-causing
assaults occur
– Guide for use
• Code the most recent contextual factor, thatdescribes the reason for assault in the best way
Part I.3: Modules
– Self harm Module
• Introduction– Detailed information about self-inflicted injuries. The module
consists of two data elements and should be used if Intent is coded 2 (Intentional self-harm)
• Examples for Exclusion– If the injury is sustained by a bystander or another person ->
Assault -> Violence Module
• Context– Uniform code sets to better describe intentional self-harm
– Identify circumstances which lead to intentional self-harm
– Establish self-harm prevention strategies
• Guide for use– To enhance quantity and quality of cases -> link to other sources
(law enforcement agencies, victims´crisis centre….)
– Be extreme careful, sensitive and confidential
Part I.3: Modules– Self harm Module
• Proximal risk factor
– The most recent crisis that lead to the self-
harm incident
– Select factor most recent to the incident
• Previous intentional self-harm- Filter question:„first timers“ and the „repeat
attempters“
Part I.3: Modules– Transport Module
• Introduction– Basic information about transport-related injuries. It has three
data elements: Mode of transport, Role of the injured person, and Counterpart (if there is a counterpart involved).
• Context– Circumstances in which these injuries occur
– Guide specific prevention strategies
• Guide for use– Apply if Transport injury event = 1 (Yes)
– Use for all devices (pedestrians alone are excluded) conveyingpersons or goods from one place to another (landtransportvehicles, aircraft, watercraft)
– Exclude cases when there is no involvement of a transportdevice
Part I.3: Modules– Transport Module
• Mode of transport
– Definiton
• The means by which the injured person was
travelling from one place to another.
– Guide for use
• Select the code that best characterises how the person was travelling
• Include persons boarding or alighting from a vehicle
Part I.3: Modules– Transport Module
• Mode of transport
• Role of the injured person
– How the injured person was involved in the transport injury event
– Guide for use
• Select the code that best characterises the role of the injured person, with respect to the Mode of transport already coded
Part I.3: Modules– Transport Module
• Counterpart
– Definition
– The other vehicle, object, person, or animal (if any) with which the injured person, or the vehicle in which
the injured person was travelling, collided.
– Note that in some events there is no counterpart (only
in case of no collision)
– Guide for use
• Select the code that best characterises the role of the
injured person, with respect to the Mode of transport already
coded
• If there is no counterpart code 15 (no counterpart)
Part I.3: Modules– Sports Module
Type of sports activity
• Provides additional information about the
activity at the time of injury
• Consists of one data element and shall be
coded when the activity = 04 (sports and exercise during leisure time) or 03.1.
(physical education class, school, sports)
Core data set:
Part I.3: Modules
Part I.4:
General coding principles
I. ALL variables should be
collected and coded.
Part I.4: General coding principles
II. Select most adequate codes
• Always select the code that describes best
what happened.
• If you are in doubt of which code to choose, select the code that comes first in
the hierarchy.
• If the person sustained more injuries,
select the code that is directly related to the severer injury.
Part I.4: General coding principles
III. Focus on the start of the injury eventsequence
• Concentrate on the codes that are involved at the start of the injury event rather then on the end!
Example Case description: A person slipped over a toy in the living
room and fell against a chair in the kitchen.
Coding of place of occurrence: Code 01.20. Living room, bedroom as the injury event
started in the living room.
Part I.4: General coding principles
III. Avoid the „unspecified“ and „other specifiedcategories“
• The usage of these codes results in a loss of information.
• All variables include “unspecified” or “other specified” codes. In very few cases it might not be possible to allocate the exact code to a variable and then, and only then, the “other specified” respectively “unspecified” categories can be selected.
• If “other specified” or “unspecified” categories are used – the injury should be described in the narrative in a detailed way!
Part I.4: General coding principles
IV. Code the deepest level of detail for
each data element
• Select for each variable the most detailed level of information available. The upper levels help
to categorize the codes and facilitate the
detection of codes on the deepest level. But to achieve the best and most detailed information,
code the deepest level for each variable.
Part I.4: General coding principles
Part I.4: General coding principles
V. If you are incertain whether to include the case or not, pleasecontact your National Data Administrator!
• A general guideline is to INCLUDE
the case if you have doubts.
VI. Do not make assumptions!
• Please pay attention to the patient‘s
description of the injury.
Part I.4: General coding principles
Part I.4: General coding principles
• E.g. A pedal cyclist gets hit by a car.
• A swimmer who was hit by a boat.
• A person wants to commit suicide and drove with the car against a tree.
• A bus driver collided with a tree while driving his bus on public road.
VII. Code as many modules as necessary!
• Sports & Transport injury
• Intentional self-harm and
transport injury etc.
• Occupational and transport
injury
To avoid double counting of the cases if more than 1 module is coded,
please use markers to indicate if a module is used or not:
1 = yes, 0 = no
The various combinations indicate what combinations of modules
(which are labeled) are used.
Pay attention to this fact when analysing the data!
Part I.4: General coding principles
VIII. Data entry
• Incoherence in the current version of the
IDB Coding Manual:
– Some codes do not exist at the most detailed level
E.g. 06.98 Other specified infant or child product
�but the required format of nn.nnnn
– Recommendation for missing codes:
Fill in with zeros („0“)
� 06.9800 Other specified infant or child product
PART II: Training Session andIDB – Coding Standard
Goals of the Training Session:
• The classification of identified injury cases according to important aspects of their causes and the circumstances in which they occur
• To identify all those cases that meet a standard definition as 'injury' (and only those cases); and will classify the causes and circumstances of these cases correctly and consistently
• To have a practical training tool for the national coders
Part II: Training Session
Part II: Examples
• Place of occurrence
Code place of
occurrence as
holiday park (10.5),
rather than
Swimming pool
(05.3)
An injury occurs
while being in a
swimming pool in a
holiday park
Recommendation
Part II: Examples
• Object/ substance producing injury
Code as 19.0130 „AlcoholicBeverage“ as the underlyingproduct
If a person is drunk and sustains an injury due to limited perception.
Product 1(involved in the accident) = appliance cord
Product 2 (causing the physical harm) = counter
A woman trips over a an appliance cord and hit her head on a counter.
Product 1(involved in the accident) = Knife
Product 2 (causing the physical harm) = Knife
A person cuts his or her finger with a knife whilepreparing food.
Recommendation
Part II: Examples
• Transport module
Yes
The injured personmay be:
•a pedestrian, including user of a pedestrian conveyance (eg., baby carriage or stroller, In-line skates, wheelchair)
•a user of a transport device
Recommendation
Part II: Examples
• Transport module
YES
The injured person does not have to be a user of a transport device or a pedestrian:
•a person at a sidewalk café
who was hit by a car that went
out of control
• a swimmer who was hit
by a boat
• a person on the ground
who was injured when a plane
crashed
Recommendation
Part II: Examples
• Transport module
YES
Falls in or from the following
transport devices when they
were not involved in a
derailment, collision, or crash:
•railway trains or rail vehicles
and streetcars
• watercraft
• aircraft (including
injuries to parachutists)
Recommendation
Part II: Examples
• Transport module
YES
•poisoning from exhaust gas
generated by a vehicle in motion
• injury from being thrown
against some part of, or object in, a
vehicle in motion
• injury from a moving part
of a vehicle in motion (eg., catching
one’s hand or neck in a moving car
window)
• injuries associated with
machinery on board watercraft
Recommendation
Part II: Examples
• Transport module
NO
Events in which pedestrians, or
persons using pedestrian
conveyances, are injured but there
is no involvement of a transport
device:
• a pedestrian who fell on
a sidewalk
• an in-line skater who
collided with a utility pole
• a person in a wheelchair
who collided with a pedestrian
Recommendation
Part II: Examples
• Transport module
NO
Events due to cataclysm
(earthquake, volcanic eruption,
avalanche, landslide or other earth
movement, cataclysmic storm,
flood):
• injury due to a vehicle being
caught in an avalanche or landslide
• injury to a motorcyclist
swept off the road by a sudden flood
Recommendation
Part II: Examples
• Transport module
NOEvents involving land transport
devices not in use for transport at
the time (eg., injury due to a vehicle
under repair in a garage or driveway
falling on the person repairing it)
NO
Events unrelated to the movement
or operation of a transport device:
• a child putting a bean in
her ear while riding in a car
• being stung by a bee
while riding in a car (as long as it did
not result in loss of control and a
collision or crash)
Recommendation
Part II: Examples
To be considered as a user of the vehicle
A person boarding or alightingfrom a vehicle
RecommendationRole of the injured person
Code no counterpart (15)Loss of control of the vehicle resulted in a rollover; Injury was due to a sudden stop orswerving; if the injury was directly due to thrown, droppedor falling object
RecommendationCounterpart
• Transport module
Part II: Examples
Code as either 1.21 (contact with moving object) or 1.24 (struck by a moving transport device)
Mechanism of transport injury events
RecommendationMechanism
• Transport module
Part II: Examples
• Sports module
Code as the team sport
Code sport as basketball (1.01)
Individual participation in an activity
related to a team sport
e.g. shooting basketball alone
Code the training as that sport
Code Soccer (1.xx) rather than
Strenght training/ body building
(13.03)
Training for a particular sport
e.g. Soccer training
RecommendationType of sports
Part II: Coding Standard
Case 1:
While riding a bicycle on the way to
work, a man was hit by a car on the
street and sustained a fracture to
his lower leg. He was brought to
the ED by an ambulance.
Part II: Coding Standard
Data element Code Comments / Notes
Activity when injured X X X X .
If code = 3.1 or 4:
Sports
Type of sports/exercise X X X .
Place of occurence X X X .
Transport injury event X X X X X X X
If code = 1:
Transport Module
Mode of transport X X X X .
Role of injured person X X X X X X X
Counterpart X X X X .
Mechanism of injury X X X .
Intent X X X X X X X
If code = 3:
Violence Module
Relation victim/perpetrator X X X X X X X
Sex of perpetrator X X X X X X X
Age of perpetrator X X X X X X X
Context of assault X X X X X X X
If code = 2:
Intentional self-harm Module
Proximal risk factor X X X X X X X
Previous intentional self-harm X X X X X X X
Object/substance producing injury
Underlying object/substance producing injury X .
Direct object/substance producing injury X .
Intermediate object/substance producing injury X .
Type 1 of injury X X X X X X
Type 2 of injury X X X X X X
Part 1 of the body injured X X X X .
Part 2 of the body injured X X X X .
Narrative description (limited lenght = 120):
Fill in!
Part II: Coding Standard
Case 1: SolutionData element Code Comments / Notes
Activity when injured X X X X 0 1 . 1 travelling to/from paid work
If code = 3.1 or 4:
Sports not applicable
Type of sports/exercise X X X .
Place of occurence X X X 0 6 . 1 0 roadway
Transport injury event X X X X X X X 1 yes
If code = 1:
Transport Module
Mode of transport X X X X 0 2 . 0 pedal cycle
Role of injured person X X X X X X X 2 driver, rider or operator
Counterpart X X X X 0 6 . 1 motor car, station wagon,..
Mechanism of injury X X X 0 1 . 2 1 contact with moving object
Intent X X X X X X X 1 untintentional injury
If code = 3:
Violence Module not applicable
Relation victim/perpetrator X X X X X X X
Sex of perpetrator X X X X X X X
Age of perpetrator X X X X X X X
Context of assault X X X X X X X
If code = 2:
Intentional self-harm Module not applicable
Proximal risk factor X X X X X X X
Previous intentional self-harm X X X X X X X
Object/substance producing injury
Underlying object/substance producing injury X 0 1 . 0 4 0 1 passenger car
Direct object/substance producing injury X 9 9 . 9 9 9 9 unspecified
Intermediate object/substance producing injury X 1 6 . 0 2 0 5 processed surface, outdoor
Type 1 of injury X X X X X X 0 5 fracture
Type 2 of injury X X X X X X 0 0
Part 1 of the body injured X X X X 5 . 4 0 lower extremities
Part 2 of the body injured X X X X 0 . 0 0
Narrative description (limited lenght = 120):
Part II: Coding Standard
Case 2:
A woman, playing an official outdoor volleyball game, sprained her ankle when she hit the surface after she jumped. She went to the General Practitioner, who sent her to the ED.
Part II: Coding Standard
Case 2: SolutionData element Code Comments / Notes
Activity when injured X X X X 0 4 . 1 organised sports d. leisure time
If code = 3.1 or 4:
Sports
Type of sports/exercise X X X 0 1 . 1 2 volleyball
Place of occurence X X X 0 5 . 1 0 sporting ground (outside)
Transport injury event X X X X X X X 2 no
If code = 1:
Transport Module not applicable
Mode of transport X X X X .
Role of injured person X X X X X X X
Counterpart X X X X .
Mechanism of injury X X X 0 1 . 5 3 other falling jumping
Intent X X X X X X X 1 unintentional injury
If code = 3:
Violence Module not applicable
Relation victim/perpetrator X X X X X X X
Sex of perpetrator X X X X X X X
Age of perpetrator X X X X X X X
Context of assault X X X X X X X
If code = 2:
Intentional self-harm Module not applicable
Proximal risk factor X X X X X X X
Previous intentional self-harm X X X X X X X
Object/substance producing injury
Underlying object/substance producing injury X .
Direct object/substance producing injury X 1 5 . 0 1 9 9 u.s. ground/surface
Intermediate object/substance producing injury X .
Type 1 of injury X X X X X X 0 7 distorsion, sprain
Type 2 of injury X X X X X X 0 0
Part 1 of the body injured X X X X 5 . 5 0 ankle
Part 2 of the body injured X X X X 0 . 0 0
Narrative description (limited lenght = 120):
Part II: Coding Standard
Case 3:
A woman was beaten by her ex-boyfriend using a baseball bat, outside her home on the street. The man was angry because she had left him. She was brought to the ED with a severe head injury by her neighbour. It the man had been drinking, but the woman had not used any alcohol.
Part II: Coding Standard
Case 3: SolutionData element Code Comments / Notes
Activity when injured X X X X 9 9 . 0 no information given
If code = 3.1 or 4:
Sports not applicable
Type of sports/exercise X X X .
Place of occurence X X X 0 6 . 9 9 u.s. street,…..
Transport injury event X X X X X X X 2 no
If code = 1:
Transport Module not applicable
Mode of transport X X X X .
Role of injured person X X X X X X X
Counterpart X X X X .
Mechanism of injury X X X 0 1 . 2 1 contact with moving object
Intent X X X X X X X 3 assault
If code = 3:
Violence Module
Relation victim/perpetrator X X X X X X X 1 partner
Sex of perpetrator X X X X X X X 1 male
Age of perpetrator X X X X X X X 9 unknown
Context of assault X X X X X X X 1 alterc.
If code = 2:
Intentional self-harm Module not applicable
Proximal risk factor X X X X X X X
Previous intentional self-harm X X X X X X X
Object/substance producing injury
Underlying object/substance producing injury X 1 3 . 0 7 9 8 person
Direct object/substance producing injury X 1 0 . 0 2 1 5 bat, hockey stick
Intermediate object/substance producing injury X 1 9 . 0 1 3 0 alcohol
Type 1 of injury X X X X X X 9 9 unspecified
Type 2 of injury X X X X X X 0 0
Part 1 of the body injured X X X X 1 . 9 9 unspecified part of head
Part 2 of the body injured X X X X 0 . 0 0
Narrative description (limited lenght = 120):
Part II: Coding Standard
Case 4:
A child of four years old fell of a
chair at home when playing and hit
the floor with her arm. She
complained about pain in her wrist.
Her mother brought her to the ED.
Part II: Coding Standard
Case 4: SolutionData element Code Comments / Notes
Activity when injured X X X X 0 5 . 2 playing
If code = 3.1 or 4:
Sports not applicable
Type of sports/exercise X X X .
Place of occurence X X X 0 1 . 9 9 residential area, u.s.
Transport injury event X X X X X X X 2 no
If code = 1:
Transport Module not applicable
Mode of transport X X X X .
Role of injured person X X X X X X X
Counterpart X X X X .
Mechanism of injury X X X 0 1 . 5 4 falling, <1m
Intent X X X X X X X 1 untintentional injury
If code = 3:
Violence Module not applicable
Relation victim/perpetrator X X X X X X X
Sex of perpetrator X X X X X X X
Age of perpetrator X X X X X X X
Context of assault X X X X X X X
If code = 2:
Intentional self-harm Module not applicable
Proximal risk factor X X X X X X X
Previous intentional self-harm X X X X X X X
Object/substance producing injury
Underlying object/substance producing injury X 0 5 . 0 2 0 5 hard chair, couch, bench
Direct object/substance producing injury X 1 4 . 0 3 9 9 u.s. floor…
Intermediate object/substance producing injury X .
Type 1 of injury X X X X X X 9 9 unspecified type of injury
Type 2 of injury X X X X X X 0 0
Part 1 of the body injured X X X X 4 . 6 0 body part, u.s.
Part 2 of the body injured X X X X 0 . 0 0 unspecified: wrist
Narrative description (limited lenght = 120):
Part II: Coding Standard
Case 5:
A metalworker got a metal splinter
into his left eye when he was with a
grinder at work. The next day his
eye was very painful and he came
to the ED.
Part II: Coding Standard
Case 5: SolutionData element Code Comments / Notes
Activity when injured X X X X 0 1 . 8 paid work, o.s.
If code = 3.1 or 4:
Sports not applicable
Type of sports/exercise X X X .
Place of occurence X X X 0 8 . 9 9 u.s. industrial area
Transport injury event X X X X X X X 2 no
If code = 1:
Transport Module
Mode of transport X X X X .
Role of injured person X X X X X X X
Counterpart X X X X .
Mechanism of injury X X X 9 8 . 1 1 foreign body on eye….
Intent X X X X X X X 1 unintentional
If code = 3:
Violence Module
Relation victim/perpetrator X X X X X X X
Sex of perpetrator X X X X X X X
Age of perpetrator X X X X X X X
Context of assault X X X X X X X
If code = 2:
Intentional self-harm Module
Proximal risk factor X X X X X X X
Previous intentional self-harm X X X X X X X
Object/substance producing injury
Underlying object/substance producing injury X 1 1 . 0 2 2 5 grinder, buffer,…..
Direct object/substance producing injury X 1 6 . 0 2 1 8 metal piece, part
Intermediate object/substance producing injury X .
Type 1 of injury X X X X X X 0 4 open wound
Type 2 of injury X X X X X X 0 0
Part 1 of the body injured X X X X 1 . 1 0 eye area
Part 2 of the body injured X X X X 0 . 0 0
Narrative description (limited lenght = 120):
Part II: Coding Standard
Case 6:
In prison a prisoner sentenced to life imprisonment tried to commit suicide by burning himself with gasoline. He was brought to the ED by ambulance with severe burns on his whole body.
Part II: Coding Standard
Case 6: SolutionData element Code Comments / Notes
Activity when injured X X X X 9 9 . 9 Unspecified activity
If code = 3.1 or 4:
Sports
Type of sports/exercise X X X .
Place of occurence X X X 0 2 . 3 0 Prison
Transport injury event X X X X X X X 2 No
If code = 1:
Transport Module
Mode of transport X X X X .
Role of injured person X X X X X X X
Counterpart X X X X .
Mechanism of injury X X X 0 4 . 1 4 Contact with fire or flame
Intent X X X X X X X 2 Intentional self-harm
If code = 3:
Violence Module
Relation victim/perpetrator X X X X X X X
Sex of perpetrator X X X X X X X
Age of perpetrator X X X X X X X
Context of assault X X X X X X X
If code = 2:
Intentional self-harm Module
Proximal risk factor X X X X X X X 7 Legal system encounter
Previous intentional self-harm X X X X X X X 9 Unknown
Object/substance producing injury
Underlying object/substance producing injury X 2 1 . 0 2 0 5 Petrol, diesel, gasoline
Direct object/substance producing injury X 1 7 . 0 1 0 1 Burning oil
Intermediate object/substance producing injury X .
Type 1 of injury X X X X X X 1 4 Burns, scalds
Type 2 of injury X X X X X X
Part 1 of the body injured X X X X 7 . 1 0 Multiple body parts affected
Part 2 of the body injured X X X X .
Narrative description (limited lenght = 120):
Part II: Coding Standard
Case 7:
A 10 month-old child was playing on the
floor and sustained burns to the chest
after pulling a cup of tea off the table
at home.
Part II: Coding Standard
Case 7: SolutionData element Code Comments / Notes
Activity when injured X X X X 0 5 . 2 Play
If code = 3.1 or 4:
Sports
Type of sports/exercise X X X .
Place of occurence X X X 0 1 . 9 9 Residential area, unspecified
Transport injury event X X X X X X X 2 No
If code = 1:
Transport Module
Mode of transport X X X X .
Role of injured person X X X X X X X
Counterpart X X X X .
Mechanism of injury X X X 0 4 . 1 1 Contact with hot liquid
Intent X X X X X X X 1 Unintentional
If code = 3:
Violence Module
Relation victim/perpetrator X X X X X X X
Sex of perpetrator X X X X X X X
Age of perpetrator X X X X X X X
Context of assault X X X X X X X
If code = 2:
Intentional self-harm Module
Proximal risk factor X X X X X X X
Previous intentional self-harm X X X X X X X
Object/substance producing injury
Underlying object/substance producing injury X 0 8 . 0 2 9 8 Other specified crockery, kitchen container
Direct object/substance producing injury X 1 9 . 0 1 1 5 Hot drink
Intermediate object/substance producing injury X 0 5 . 0 3 9 9 Unspecified table, stand, cupboard, shelf or partition
Type 1 of injury X X X X X X 1 4 Burns, scalds
Type 2 of injury X X X X X X
Part 1 of the body injured X X X X 3 . 3 0 Thorax
Part 2 of the body injured X X X X .
Narrative description (limited lenght = 120):
Part II: Coding Standard
Case 8:
A 78-year old pensioner collapsed at a
shopping centre but was awake on arrival of ambulance staff. His family practitioner had
increased his anti-hypertensive medication
two days prior to the incident. This was thought to have been the cause.
Part II: Coding Standard
Case 8: SolutionData element Code Comments / Notes
Activity when injured X X X X 0 2 . 4 Shopping
If code = 3.1 or 4:
Sports
Type of sports/exercise X X X .
Place of occurence X X X 1 1 . 1 0 Shop, store
Transport injury event X X X X X X X 2 No
If code = 1:
Transport Module
Mode of transport X X X X .
Role of injured person X X X X X X X
Counterpart X X X X .
Mechanism of injury X X X 9 9 . 9 9 Uspecified mechanism of injury
Intent X X X X X X X 1 Unintentional
If code = 3:
Violence Module
Relation victim/perpetrator X X X X X X X
Sex of perpetrator X X X X X X X
Age of perpetrator X X X X X X X
Context of assault X X X X X X X
If code = 2:
Intentional self-harm Module
Proximal risk factor X X X X X X X
Previous intentional self-harm X X X X X X X
Object/substance producing injury
Underlying object/substance producing injury X 2 0 . 9 9 9 9
Unspecified pharmaceutical
substance for human purpose
Direct object/substance producing injury X .
Intermediate object/substance producing injury X .
Type 1 of injury X X X X X X 9 9 Unspecified type of injury
Type 2 of injury X X X X X X
Part 1 of the body injured X X X X 7 . 2 0 Whole body affected
Part 2 of the body injured X X X X .
Narrative description (limited lenght = 120):
Part II: Coding Standard
Case 9:
A motor mechanic was shot in the arm during
a shooting at the commercial garage where he was working. The assailant shot himself
after shooting at the workers. He was a
previous employee at the garage, but was recently dismissed.
Part II: Coding Standard
Case 9: SolutionData element Code Comments / Notes
Activity when injured X X X X 0 1 . 8 Other specified paid work
If code = 3.1 or 4:
Sports
Type of sports/exercise X X X .
Place of occurence X X X 1 1 . 2 0 Commercial garage
Transport injury event X X X X X X X 2 No
If code = 1:
Transport Module
Mode of transport X X X X .
Role of injured person X X X X X X X
Counterpart X X X X .
Mechanism of injury X X X 0 2 . 2 2 Shot by firearm
Intent X X X X X X X 3 Assault
If code = 3:
Violence Module
Relation victim/perpetrator X X X X X X X 5 Acquaintance or friend
Sex of perpetrator X X X X X X X 1 Male
Age of perpetrator X X X X X X X 9 Unknown
Context of assault X X X X X X X 8 Other specified context of assault
If code = 2:
Intentional self-harm Module
Proximal risk factor X X X X X X X
Previous intentional self-harm X X X X X X X
Object/substance producing injury
Underlying object/substance producing injury X 1 2 . 0 2 9 9 Unspecified firearm or related item
Direct object/substance producing injury X 1 2 . 0 2 0 1 Bullet, pellet
Intermediate object/substance producing injury X .
Type 1 of injury X X X X X X 0 4 Open wound
Type 2 of injury X X X X X X
Part 1 of the body injured X X X X 4 . 9 0 Upper extremities, unspecified
Part 2 of the body injured X X X X .
Narrative description (limited lenght = 120):
Part II: Coding Standard
Case 10:
While sleeping at home, an eighty-year old
female fell out of bed during the night and hit her head on the bedside table. Her husband
found her unconscious next to the bed in the
morning. She was on an anticoagulant drug and sustained a large scalp haematoma, as
well as suspected internal head injuries.
Part II: Coding Standard
Case 10: SolutionData element Code Comments / Notes
Activity when injured X X X X 0 6 . 2 Sleeping, resting
If code = 3.1 or 4:
Sports
Type of sports/exercise X X X .
Place of occurence X X X 0 1 . 2 0 Living room, bedroom
Transport injury event X X X X X X X 2 No
If code = 1:
Transport Module
Mode of transport X X X X .
Role of injured person X X X X X X X
Counterpart X X X X .
Mechanism of injury X X X 0 1 . 2 2 Contact with static object
Intent X X X X X X X 1 Unintentional
If code = 3:
Violence Module
Relation victim/perpetrator X X X X X X X
Sex of perpetrator X X X X X X X
Age of perpetrator X X X X X X X
Context of assault X X X X X X X
If code = 2:
Intentional self-harm Module
Proximal risk factor X X X X X X X
Previous intentional self-harm X X X X X X X
Object/substance producing injury
Underlying object/substance producing injury X 0 5 . 0 1 9 9 Unspecified bed, bedding or bedding accessories
Direct object/substance producing injury X 0 5 . 0 3 2 0 Night table, end table
Intermediate object/substance producing injury X 2 0 . 1 1 9 9 Unspecified anticoagulant
Type 1 of injury X X X X X X 0 2 Contusion, bruise
Type 2 of injury X X X X X X 9 9 Unspecified type of injury
Part 1 of the body injured X X X X 1 . 4 0 Skull
Part 2 of the body injured X X X X 1 . 3 0 Brain
Narrative description (limited lenght = 120):
Part II: Coding Standard
Case 11:
A 29-year old mentally impaired
resident of an institution sustained
self-inflicted knife wounds to wrist.
Patient was unable to verbalise a
reason for his action.
Part II: Coding Standard
Case 11: SolutionData element Code Comments / Notes
Activity when injured X X X X 9 9 . 9 Unspecified activity
If code = 3.1 or 4:
Sports
Type of sports/exercise X X X .
Place of occurence X X X 0 2 . 9 9 Unspecified residential institution area
Transport injury event X X X X X X X 2 No
If code = 1:
Transport Module
Mode of transport X X X X .
Role of injured person X X X X X X X
Counterpart X X X X .
Mechanism of injury X X X 0 2 . 9 9 Unspecified piercing/ penetrating force
Intent X X X X X X X 2 Intentional
If code = 3:
Violence Module
Relation victim/perpetrator X X X X X X X
Sex of perpetrator X X X X X X X
Age of perpetrator X X X X X X X
Context of assault X X X X X X X
If code = 2:
Intentional self-harm Module
Proximal risk factor X X X X X X X 9 Unspecified proximal risk factor
Previous intentional self-harm X X X X X X X 9 Unknown
Object/substance producing injury
Underlying object/substance producing injury X 0 0 . 0 0 0 0 N/A
Direct object/substance producing injury X 0 8 . 0 1 0 5 Knife not elsewhere classified
Intermediate object/substance producing injury X 0 0 . 0 0 0 0 N/A
Type 1 of injury X X X X X X 0 4 Open wound
Type 2 of injury X X X X X X 0 0
Part 1 of the body injured X X X X 4 . 6 0 Wrist
Part 2 of the body injured X X X X 0 . 0 0
Narrative description (limited lenght = 120):
resident of institution, self inflicted knife wound to wrist. Unable to verbalise reason.
Part II: Coding Standard
Case 12:
A four-year-old boy was climbing the
tile steps in a hotel pool. He slipped
and hit his head on the steps. This
resulted in a superficial facial
laceration.
Part II: Coding Standard
Case 12: SolutionData element Code Comments / Notes
Activity when injured X X X X 0 5 . 2 4 year ? assume play and not leisure
If code = 3.1 or 4:
Sports
Type of sports/exercise X X X .
Place of occurence X X X 1 1 . 4 0 Café, hotel, restaurant
Transport injury event X X X X X X x 2 no transport injury event
If code = 1:
Transport Module
Mode of transport X X X X .
Role of injured person X X X X X X X
Counterpart X X X X .
Mechanism of injury X X X 0 1 . 5 7 Falling/stumbling/jumping/pushed on stairs/steps
Intent X X X X X X x 1 unintentional
If code = 3:
Violence Module
Relation victim/perpetrator X X X X X X X
Sex of perpetrator X X X X X X X
Age of perpetrator X X X X X X X
Context of assault X X X X X X X
If code = 2:
Intentional self-harm Module
Proximal risk factor X X X X X X X
Previous intentional self-harm X X X X X X X
Object/substance producing injury
Underlying object/substance producing injury X .
Direct object/substance producing injury X 1 4 . 0 3 0 5 Floor – tile, brick, concrete
Intermediate object/substance producing injury X .
Type 1 of injury X X X X X X 0 3 Abrasion
Type 2 of injury X X X X X X 0 0
Part 1 of the body injured X X X X 1 . 2 0 Face, other and unknown part
Part 2 of the body injured X X X X 0 . 0 0
Narrative description (limited lenght = 120):
Slipped on tile step hotel floor. Hit head on steps.
Superficial facial laceration.
Part II: Coding Standard
Case 13:
A 35-year old housewife was assaulted by her husband during a dispute over money at home. The husband is known to have a psychiatric illness but he stopped taking medication. His wife said that he was drinking before the incident occurred and that he often abuses her. The wife received several punches and a stab wound to the chest.
Part II: Coding Standard
Case 13: SolutionData element Code Comments / Notes
Activity when injured X X X X 9 8 . 2 Other specified activity
If code = 3.1 or 4:
Sports
Type of sports/exercise X X X .
Place of occurence X X X 0 1 . 9 9 Residential area, unspecified
Transport injury event X X X X X X X 2 Unintentional
If code = 1:
Transport Module
Mode of transport X X X X .
Role of injured person X X X X X X X
Counterpart X X X X .
Mechanism of injury X X X 0 2 . 2 1 Stabbed; choice for most serious mech.
Intent X X X X X X X 3 Assault
If code = 3:
Violence Module
Relation victim/perpetrator X X X X X X X 1 Spouse or partner
Sex of perpetrator X X X X X X X 1 Male
Age of perpetrator X X X X X X X 9 Unknown
Context of assault X X X X X X X 1 Altercation
If code = 2:
Intentional self-harm Module
Proximal risk factor X X X X X X X
Previous intentional self-harm X X X X X X X
Object/substance producing injury
Underlying object/substance producing injury X 0 0 0 0 0 0 0 N/A
Direct object/substance producing injury X 1 2 . 0 1 9 9 Unspecified sharp object
Intermediate object/substance producing injury X 0 0 . 0 0 0 0 N/A
Type 1 of injury X X X X X X 0 4 Open wound
Type 2 of injury X X X X X X
Part 1 of the body injured X X X X 3 . 3 1 Chest
Part 2 of the body injured X X X X .
Narrative description (limited lenght = 120):
Part II: Coding Standard
Case 14:
A high school student was performing a high jump in the sports class when he hit a bar and landed on the mat, elbow first. The deformity of joint suggests a fracture.
Part II: Coding Standard
Case 14: SolutionData element Code Comments / Notes
Activity when injured X X X X 0 3 . 1 Physical education class, school sports
If code = 3.1 or 4:
Sports
Type of sports/exercise X X X 0 7 . 0 8 Track & field – High jump
Place of occurence X X X 0 5 . 9 9 Unspecified sports and athletics area
Transport injury event X X X X X X X 2 No
If code = 1:
Transport Module
Mode of transport X X X X .
Role of injured person X X X X X X X
Counterpart X X X X .
Mechanism of injury X X X 0 1 . 2 2 Contact with static object
Intent X X X X X X X 1 Unintentional
If code = 3:
Violence Module
Relation victim/perpetrator X X X X X X X
Sex of perpetrator X X X X X X X
Age of perpetrator X X X X X X X
Context of assault X X X X X X X
If code = 2:
Intentional self-harm Module
Proximal risk factor X X X X X X X
Previous intentional self-harm X X X X X X X
Object/substance producing injury
Underlying object/substance producing injury X 1 0 . 0 3 4 0 Equipment for athletics, incl. tracks
Direct object/substance producing injury X 1 0 . 0 3 2 0 Sports mat
Intermediate object/substance producing injury X .
Type 1 of injury X X X X X X 0 5 Fracture
Type 2 of injury X X X X X X
Part 1 of the body injured X X X X 4 . 4 0 Elbow
Part 2 of the body injured X X X X .
Narrative description (limited lenght = 120):
Part II: Coding Standard
Case 15:
A man rode a pedal cycle on the
roadway after consuming several
alcoholic drinks. He lost control
and fell off the bicycle. He did not
suffer any injuries, but bystanders
were concerned and took him to
the emergency department.
Part II: Coding Standard
Case 15: SolutionData element Code Comments / Notes
Activity when injured X X X X 0 8 . 9 Travelling not elsewhere classified
If code = 3.1 or 4:
Sports
Type of sports/exercise X X X .
Place of occurence X X X 0 6 . 1 0 Roadway
Transport injury event X X X X X X X 1 Yes
If code = 1:
Transport Module
Mode of transport X X X X 0 2 . 9 Pedal cycle
Role of injured person X X X X X X X 2 Driver, rider, or operator
Counterpart X X X X 1 5 . 9 No counterpart: unspecified
Mechanism of injury X X X 0 1 . 5 5 Falling/stumbling/jumping/pushed from a height 1 meter or more
Intent X X X X X X X 1 Unintentional
If code = 3:
Violence Module
Relation victim/perpetrator X X X X X X X
Sex of perpetrator X X X X X X X
Age of perpetrator X X X X X X X
Context of assault X X X X X X X
If code = 2:
Intentional self-harm Module
Proximal risk factor X X X X X X X
Previous intentional self-harm X X X X X X X
Object/substance producing injury
Underlying object/substance producing injury X 0 1 . 0 1 0 5 Pedal cycle
Direct object/substance producing injury X .
Intermediate object/substance producing injury X 1 9 . 0 1 3 0 Drink – alcoholic
Type 1 of injury X X X X X X 0 1 No injury diagnosed
Type 2 of injury X X X X X X
Part 1 of the body injured X X X X 9 . 9 0 Body part, unspecified
Part 2 of the body injured X X X X .
Narrative description (limited lenght = 120):
Part II: Coding Standard
Case 16:
A 43-year old unemployed male was
intoxicated and fell asleep with a
lighted cigarette in his hand.This
resulted in a house fire and the
patient was pulled from the home
with burns and smoke inhalation.
Part II: Coding Standard
Case 16: SolutionData element Code Comments / Notes
Activity when injured X X X X 0 6 . 2 Sleeping, resting
If code = 3.1 or 4:
Sports
Type of sports/exercise X X X .
Place of occurence X X X 1 . 9 9 Residential area, unspecified
Transport injury event X X X X X X X
If code = 1:
Transport Module
Mode of transport X X X X .
Role of injured person X X X X X X X
Counterpart X X X X .
Mechanism of injury X X X 4 . 1 4 Contact with fire or flame
Intent X X X X X X X 1 Unintentional
If code = 3:
Violence Module
Relation victim/perpetrator X X X X X X X
Sex of perpetrator X X X X X X X
Age of perpetrator X X X X X X X
Context of assault X X X X X X X
If code = 2:
Intentional self-harm Module
Proximal risk factor X X X X X X X
Previous intentional self-harm X X X X X X X
Object/substance producing injury
Underlying object/substance producing injury X 0 9 . 0 8 0 1 Cigarette, cigar, pipe
Direct object/substance producing injury X 1 7 . 0 1 2 5 Uncontrolled fire, flame in building or structure
Intermediate object/substance producing injury X 1 9 . 0 1 3 0 Drink – alcoholic
Type 1 of injury X X X X X X 1 4 Burns, scalds
Type 2 of injury X X X X X X 2 3 Poisoning
Part 1 of the body injured X X X X 9 . 9 9 Body part, unspecified
Part 2 of the body injured X X X X 9 . 1 0 Organs, level not specified
Narrative description (limited lenght = 120):
Part II: Coding Standard
Case 17:
A tourist, tripped, fell and sustained
an ankle injury while bush walking
in a national park. He was not
found till the next day, hypothermia
suspected.
Part II: Coding Standard
Case 17: SolutionData element Code Comments / Notes
Activity when injured X X X X 0 5 . 1 Leisure
If code = 3.1 or 4:
Sports
Type of sports/exercise X X X .
Place of occurence X X X 1 2 . 6 0 Forest
Transport injury event X X X X X X X 2 No
If code = 1:
Transport Module
Mode of transport X X X X .
Role of injured person X X X X X X X
Counterpart X X X X .
Mechanism of injury X X X 0 1 . 5 1 Falling/stumbling by tripping on same level
Intent X X X X X X X 1 Unintentional
If code = 3:
Violence Module
Relation victim/perpetrator X X X X X X X
Sex of perpetrator X X X X X X X
Age of perpetrator X X X X X X X
Context of assault X X X X X X X
If code = 2:
Intentional self-harm Module
Proximal risk factor X X X X X X X
Previous intentional self-harm X X X X X X X
Object/substance producing injury
Underlying object/substance producing injury X 1 5 . 0 1 9 9 Unspecified ground surface
Direct object/substance producing injury X 1 6 . 0 1 9 8 Other specified ground surface
Intermediate object/substance producing injury X 0 0 . 0 0 0 0
Type 1 of injury X X X X X X 0 7 Distorsion, sprain
Type 2 of injury X X X X X X 9 8 Other specified type of injury
Part 1 of the body injured X X X X 5 . 5 0 Ankle
Part 2 of the body injured X X X X 7 . 2 0 Whole body affected
Narrative description (limited lenght = 120):
Part II: Coding Standard
Case 18:
A teenager, while horse riding at a
school camp in the mountains, fell
off the horse when his foot slipped
out of the stirrup. A spinal cord
injury is suspected.
Part II: Coding Standard
Case 18: SolutionData element Code Comments / Notes
Activity when injured X X X X 0 3 . 1 Physical education class, school sports
If code = 3.1 or 4:
Sports
Type of sports/exercise X X X 1 4 . 1 1 Trail or general horseback riding
Place of occurence X X X 1 2 . 9 8 Other specified countryside
Transport injury event X X X X X X X 2 No
If code = 1:
Transport Module
Mode of transport X X X X .
Role of injured person X X X X X X X
Counterpart X X X X .
Mechanism of injury X X X 0 1 . 5 5
Falling/stumbling/jumping/pushed
from a height 1 meter or more
Intent X X X X X X X 1 Unintentional
If code = 3:
Violence Module
Relation victim/perpetrator X X X X X X X
Sex of perpetrator X X X X X X X
Age of perpetrator X X X X X X X
Context of assault X X X X X X X
If code = 2:
Intentional self-harm Module
Proximal risk factor X X X X X X X
Previous intentional self-harm X X X X X X X
Object/substance producing injury
Underlying object/substance producing injury X 1 0 . 0 3 4 5 Horse riding equipment
Direct object/substance producing injury X 9 9 . 9 9 9 9 Unspecified object
Intermediate object/substance producing injury X 1 3 . 0 4 3 0 Horse, pony, donkey, mule, ass
Type 1 of injury X X X X X X 1 9 Injury to nerves and spinal cord
Type 2 of injury X X X X X X 0 0
Part 1 of the body injured X X X X 3 . 9 0 Trunk, unspecified
Part 2 of the body injured X X X X 0 . 0 0
Narrative description (limited lenght = 120):
Part II: Coding Standard
Case 19:
A 21-year-old woman was driving on
the highway. She was passing a car
and over-corrected when moving
over to the side and went into a
ditch, landing upside down. She
sustained superficial injuries to her
face and chest.
Part II: Coding Standard
Case 19: SolutionData element Code Comments / Notes
Activity when injured X X X X 0 8 . 9 Travelling not elsewhere classified
If code = 3.1 or 4:
Sports
Type of sports/exercise X X X .
Place of occurence X X X 0 6 . 1 0 Roadway
Transport injury event X X X X X X X 1 Yes
If code = 1:
Transport Module
Mode of transport X X X X 0 6 . 9
Unspecified light transport vehicle
with four or more wheels
Role of injured person X X X X X X X 2 Driver, rider, or operator
Counterpart X X X X 1 5 . 2 Rollover of vehicle without collision
Mechanism of injury X X X 0 1 . 9 9 Unspecified contact with blunt force
Intent X X X X X X X 1 Unintentional
If code = 3:
Violence Module
Relation victim/perpetrator X X X X X X X
Sex of perpetrator X X X X X X X
Age of perpetrator X X X X X X X
Context of assault X X X X X X X
If code = 2:
Intentional self-harm Module
Proximal risk factor X X X X X X X
Previous intentional self-harm X X X X X X X
Object/substance producing injury
Underlying object/substance producing injury X 1 5 . 0 1 1 0 Trench, ditch, pit
Direct object/substance producing injury X 0 1 . 0 4 9 9
Unspecified light transport vehicle
with four or more wheels
Intermediate object/substance producing injury X 0 1 . 9 9 9 9 of land transport
Type 1 of injury X X X X X X 9 9 Unspecified type of injury
Type 2 of injury X X X X X X 9 9 Unspecified type of injury
Part 1 of the body injured X X X X 1 . 2 0 Face, other and unknown part
Part 2 of the body injured X X X X 3 . 3 0 Thorax
Narrative description (limited lenght = 120):
Part II: Coding Standard
Case 20:
A woman was injured at work in a
factory, when a cord she was using
flipped back, hit her in eye and
broke her contact lens. She
sustained some abrasions to her
cornea.
Part II: Coding Standard
Case 20: SolutionData element Code Comments / Notes
Activity when injured X X X X 0 1 . 9 Paid work, unspecified
If code = 3.1 or 4:
Sports
Type of sports/exercise X X X .
Place of occurence X X X 8 . 3 0 Factory/plant
Transport injury event X X X X X X X 2 No
If code = 1:
Transport Module
Mode of transport X X X X .
Role of injured person X X X X X X X
Counterpart X X X X .
Mechanism of injury X X X 0 1 . 2 1 Contact with moving object
Intent X X X X X X X 1 Unintentional
If code = 3:
Violence Module
Relation victim/perpetrator X X X X X X X
Sex of perpetrator X X X X X X X
Age of perpetrator X X X X X X X
Context of assault X X X X X X X
If code = 2:
Intentional self-harm Module
Proximal risk factor X X X X X X X
Previous intentional self-harm X X X X X X X
Object/substance producing injury
Underlying object/substance producing injury X 1 1 . 9 9 9 9
Unspecified tool, machine,
apparatus, mainly used for work-
related activities
Direct object/substance producing injury X 9 9 . 9 9 9 9 Unspecified object/ substance
Intermediate object/substance producing injury X 0 9 . 0 7 0 1 Eyewear
Type 1 of injury X X X X X X 0 3 Abrasion
Type 2 of injury X X X X X X 0 0
Part 1 of the body injured X X X X 1 . 1 0 Eye area
Part 2 of the body injured X X X X 0 . 0 0
Narrative description (limited lenght = 120):