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Injury event—nature of main injury, non-admitted patient code NN{.N}

Identifying and definitional attributes

Metadata item type:Help on this termData Element
Short name:Help on this termNature of main injury (non-admitted patient)
METeOR identifier:Help on this term268947
Registration status:Help on this termHealth, Standard 01/03/2005
Tasmanian Health, Draft 23/07/2012
Definition:Help on this term

The nature of the injury chiefly responsible for the attendance of the non-admitted patient at the health care facility, at represented by a code.

Data Element Concept:Injury event—nature of main injury

Value domain attributes

Representational attributes

Representation class:Help on this termCode
Data type:Help on this termString
Format:Help on this termNN{.N}
Maximum character length:Help on this term4
Permissible values:Help on this term
01Superficial (excludes eye injury code 13)
02Open wound (excludes eye injury code 13)
03Fracture (excludes dental injury code 21)
04Dislocation (includes ruptured disc, cartilage, ligament)
05Sprain or strain
06Injury to nerve (includes spinal cord; excludes intracranial injury code 20)
07Injury to blood vessel
08Injury to muscle or tendon
09Crushing injury
10Traumatic amputation (includes partial amputation)
11Injury to internal organ
12Burn or corrosion (excludes eye injury code 13)
13Eye injury (includes burns, excludes foreign body in external eye code 14.1 )
14.1Foreign body in external eye
14.2Foreign body in ear canal
14.3Foreign body in nose
14.4Foreign body in respiratory tract (excludes foreign body in nose code 14.3)
14.5Foreign body in alimentary tract
14.6Foreign body in genitourinary tract
14.7Foreign body in soft tissue
14.9Foreign body, other/unspecified
20Intracranial injury (includes concussion)
21Dental injury (includes fractured tooth)
22Drowning, immersion
23Asphyxia or other threat to breathing (excludes drowning immersion code 22)
24Electrical injury
25Poisoning, toxic effect (excludes effect of venom, or any insect bite code 26)
26Effect of venom, or any insect bite
27Other specified nature of injury
28Injury of unspecified nature
29Multiple injuries of more than one 'nature'
30No injury detected

Data element attributes

Collection and usage attributes

Guide for use:Help on this term

If the full ICD-10-AM code is used to code the injury, this metadata item is not required (see metadata items principal diagnosis and additional diagnosis) When coding to the full ICD-10-AM code is not possible, use this metadata item with the items external cause of injury-non admitted patient, external cause of injury-human intent and bodily location of main injury.

Select the code which best characterises the nature of the injury chiefly responsible for the attendance, on the basis of the information available at the time it is recorded. If two or more categories are judged to be equally appropriate, select the one that comes first in the code list. A major injury, if present, should always be coded rather than a minor injury. If a major injury has been sustained (e.g. a fractured femur), along with one or more minor injuries (e.g. some small abrasions), the major injury should be coded in preference to coding 'multiple injuries'. As a general guide, an injury which, on its own, would be unlikely to have led to the attendance may be regarded as 'minor'.

If the nature of the injury code is 01 to 12 or 26 to 29 then the metadata item Bodily location of main injury should be used to record the bodily location of the injury. If another code is used, bodily location is implicit or meaningless. Bodily location of main injury, category 22 may be used as a filler to indicate that specific body region is not required.

Comments:Help on this term

Injury diagnosis is necessary for purposes including epidemiological research, casemix studies and planning. This metadata item together with the metadata item bodily location of the main injury indicates the diagnosis.

This metadata item is related to the ICD-10-AM injury and poisoning classification. However, coding to the full ICD-10-AM injury and poisoning classification (see metadata item principal diagnosis) is not available in most settings where basic injury surveillance is undertaken. This item, in combination with the metadata item Bodily location of main injury, is a practicable alternative. Data coded to the full ICD-10-AM codes can be aggregated to match this item, facilitating data comparison. Further information on the national injury surveillance program can be obtained from the National Injury Surveillance Unit, Flinders University, Adelaide.

Source and reference attributes

Submitting organisation:Help on this term

National Injury Surveillance Unit, Flinders University, Adelaide

National Data Standards for Injury Surveillance Advisory Group

Relational attributes

Related metadata references:Help on this term

Supersedes Nature of main injury - non-admitted patient, version 1, DE, NHDD, NHIMG, Superseded 01/03/2005.pdf (22.3 KB)

See also Person—bodily location of main injury, code NN Health, Standard 01/03/2005, Tasmanian Health, Draft 23/07/2012

Implementation in Data Set Specifications:Help on this term
All attributes +

Injury surveillance DSS Health, Superseded 05/02/2008

DSS specific attributes +

Injury surveillance DSS Health, Superseded 14/12/2009

DSS specific attributes +

Injury surveillance DSS 2010-13 Health, Superseded 02/05/2013

DSS specific attributes +

Injury surveillance NBPDS 2013- Health, Standard 02/05/2013

DSS specific attributes +

Injury surveillance NMDS Health, Superseded 03/05/2006

DSS specific attributes +

Injury surveillance NMDS Health, Superseded 07/12/2005

DSS specific attributes +
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