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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


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).


• 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.


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!!


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


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


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.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


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


Age of patient

• Definition

– Person´s age at the time of injury

Sex of patient

• Definition

– Person´s sex at the time of injury


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


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


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



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


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


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


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


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


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)


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


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.


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



• 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



• 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.


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


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


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 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)


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.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


(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



• 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


• 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


(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


• 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


• 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


• 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.


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.


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!


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.



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.



• 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!


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


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


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


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


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


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


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


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


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.


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


Part 1 of the body injured X X X X .


Narrative description (limited lenght = 120):

Fill in!


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


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





If code = 2:

Intentional self-harm Module not applicable




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



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.



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




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:






If code = 2:






Direct object/substance producing injury X 1 5 . 0 1 9 9 u.s. ground/surface


Type 1 of injury X X X X X X 0 7 distorsion, sprain


Part 1 of the body injured X X X X 5 . 5 0 ankle




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.



Activity when injured X X X X 9 9 . 0 no information given

If code = 3.1 or 4:



Place of occurence X X X 0 6 . 9 9 u.s. street,…..


If code = 1:





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:





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


Part 1 of the body injured X X X X 1 . 9 9 unspecified part of head




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.



Activity when injured X X X X 0 5 . 2 playing

If code = 3.1 or 4:



Place of occurence X X X 0 1 . 9 9 residential area, u.s.


If code = 1:





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:






If code = 2:





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…


Type 1 of injury X X X X X X 9 9 unspecified type of injury


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



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.



Activity when injured X X X X 0 1 . 8 paid work, o.s.

If code = 3.1 or 4:



Place of occurence X X X 0 8 . 9 9 u.s. industrial area


If code = 1:

Transport Module




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





If code = 2:





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


Type 1 of injury X X X X X X 0 4 open wound


Part 1 of the body injured X X X X 1 . 1 0 eye area




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.



Activity when injured X X X X 9 9 . 9 Unspecified activity

If code = 3.1 or 4:

Sports


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




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





If code = 2:


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


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


Type 1 of injury X X X X X X 1 4 Burns, scalds


Part 1 of the body injured X X X X 7 . 1 0 Multiple body parts affected




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.



Activity when injured X X X X 0 5 . 2 Play

If code = 3.1 or 4:

Sports


Place of occurence X X X 0 1 . 9 9 Residential area, unspecified


If code = 1:

Transport Module




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





If code = 2:





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



Part 1 of the body injured X X X X 3 . 3 0 Thorax




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.



Activity when injured X X X X 0 2 . 4 Shopping

If code = 3.1 or 4:

Sports


Place of occurence X X X 1 1 . 1 0 Shop, store


If code = 1:

Transport Module




Mechanism of injury X X X 9 9 . 9 9 Uspecified mechanism of injury


If code = 3:

Violence Module





If code = 2:





Underlying object/substance producing injury X 2 0 . 9 9 9 9

Unspecified pharmaceutical

substance for human purpose



Type 1 of injury X X X X X X 9 9 Unspecified type of injury


Part 1 of the body injured X X X X 7 . 2 0 Whole body affected




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.



Activity when injured X X X X 0 1 . 8 Other specified paid work

If code = 3.1 or 4:

Sports


Place of occurence X X X 1 1 . 2 0 Commercial garage


If code = 1:

Transport Module




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:





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


Type 1 of injury X X X X X X 0 4 Open wound


Part 1 of the body injured X X X X 4 . 9 0 Upper extremities, unspecified




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.



Activity when injured X X X X 0 6 . 2 Sleeping, resting

If code = 3.1 or 4:

Sports


Place of occurence X X X 0 1 . 2 0 Living room, bedroom


If code = 1:

Transport Module




Mechanism of injury X X X 0 1 . 2 2 Contact with static object


If code = 3:

Violence Module





If code = 2:





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


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



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.



Activity when injured X X X X 9 9 . 9 Unspecified activity

If code = 3.1 or 4:

Sports


Place of occurence X X X 0 2 . 9 9 Unspecified residential institution area


If code = 1:

Transport Module




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





If code = 2:


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


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



Part 1 of the body injured X X X X 4 . 6 0 Wrist



resident of institution, self inflicted knife wound to wrist. Unable to verbalise reason.


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.



Activity when injured X X X X 0 5 . 2 4 year ? assume play and not leisure

If code = 3.1 or 4:

Sports


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




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





If code = 2:






Direct object/substance producing injury X 1 4 . 0 3 0 5 Floor – tile, brick, concrete


Type 1 of injury X X X X X X 0 3 Abrasion


Part 1 of the body injured X X X X 1 . 2 0 Face, other and unknown part



Slipped on tile step hotel floor. Hit head on steps.

Superficial facial laceration.


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.



Activity when injured X X X X 9 8 . 2 Other specified activity

If code = 3.1 or 4:

Sports


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




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:





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



Part 1 of the body injured X X X X 3 . 3 1 Chest




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.



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


If code = 1:

Transport Module




Mechanism of injury X X X 0 1 . 2 2 Contact with static object


If code = 3:

Violence Module





If code = 2:





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


Type 1 of injury X X X X X X 0 5 Fracture


Part 1 of the body injured X X X X 4 . 4 0 Elbow




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.



Activity when injured X X X X 0 8 . 9 Travelling not elsewhere classified

If code = 3.1 or 4:

Sports


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


If code = 3:

Violence Module





If code = 2:





Underlying object/substance producing injury X 0 1 . 0 1 0 5 Pedal cycle


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


Part 1 of the body injured X X X X 9 . 9 0 Body part, unspecified




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.



Activity when injured X X X X 0 6 . 2 Sleeping, resting

If code = 3.1 or 4:

Sports


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




Mechanism of injury X X X 4 . 1 4 Contact with fire or flame


If code = 3:

Violence Module





If code = 2:





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 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



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.



Activity when injured X X X X 0 5 . 1 Leisure

If code = 3.1 or 4:

Sports


Place of occurence X X X 1 2 . 6 0 Forest


If code = 1:

Transport Module




Mechanism of injury X X X 0 1 . 5 1 Falling/stumbling by tripping on same level


If code = 3:

Violence Module





If code = 2:





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



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.



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


If code = 1:

Transport Module




Mechanism of injury X X X 0 1 . 5 5

Falling/stumbling/jumping/pushed

from a height 1 meter or more


If code = 3:

Violence Module





If code = 2:





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


Part 1 of the body injured X X X X 3 . 9 0 Trunk, unspecified




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.



Activity when injured X X X X 0 8 . 9 Travelling not elsewhere classified

If code = 3.1 or 4:

Sports


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


If code = 3:

Violence Module





If code = 2:





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



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



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.



Activity when injured X X X X 0 1 . 9 Paid work, unspecified

If code = 3.1 or 4:

Sports


Place of occurence X X X 8 . 3 0 Factory/plant


If code = 1:

Transport Module




Mechanism of injury X X X 0 1 . 2 1 Contact with moving object


If code = 3:

Violence Module





If code = 2:





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


Part 1 of the body injured X X X X 1 . 1 0 Eye area



idb – coding guide presentation title v. 1.0, march 2007. idb... · 2018. 9. 25. · idb ms) will...

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