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[\/et_pb_text][et_pb_image src=”https:\/\/injurytoolkit.cste.org\/wp-content\/uploads\/2025\/04\/online-classroom-02.png” title_text=”online-classroom-02″ _builder_version=”4.16″ _module_preset=”default” custom_margin=”||||false|false” locked=”off” global_colors_info=”{}”][\/et_pb_image][\/et_pb_column][et_pb_column type=”2_5″ _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ admin_label=”Content” _builder_version=”4.16″ _module_preset=”default” custom_margin=”40px|||||” custom_padding=”1px||0px|||” global_colors_info=”{}”][et_pb_row _builder_version=”4.16″ _module_preset=”default” custom_margin=”|auto|-45px|auto||” custom_padding=”0px||0px|||” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][et_pb_text ul_position=”inside” ul_item_indent=”30px” quote_border_weight=”10px” quote_border_color=”#4350ff” ul_item_indent_tablet=”” ul_item_indent_phone=”0px” ul_item_indent_last_edited=”on|phone” _builder_version=”4.24.0″ _module_preset=”85ec5774-0b51-4075-9641-4e0e2e6ea9dd” text_font=”Montserrat|500|||||||” text_text_color=”rgba(0,0,0,0.6)” text_font_size=”15px” text_line_height=”1.8em” ul_line_height=”2em” quote_font=”||on||||||” quote_font_size=”24px” quote_line_height=”4.5em” custom_margin=”||4px|||” custom_padding=”57px||0px|||” text_font_size_tablet=”15px” text_font_size_phone=”14px” text_font_size_last_edited=”on|desktop” quote_font_size_tablet=”18px” quote_font_size_phone=”14px” quote_font_size_last_edited=”on|desktop” global_colors_info=”{%22gcid-1a1ef5e7-0e56-426b-aff4-02aa800905cc%22:%91%93}”]<\/p>\n
This section outlines the primary data sources used for injury surveillance with surveillance case definitions and frameworks. [\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=”4.24.0″ _module_preset=”default” custom_margin=”-28px|auto||auto||” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.24.0″ _module_preset=”default” global_colors_info=”{}”][et_pb_accordion icon_color=”#006AC1″ _builder_version=”4.24.0″ _module_preset=”default” custom_margin=”30px|||||” hover_enabled=”0″ border_radii=”on|8px|8px|8px|8px” box_shadow_style=”preset2″ global_colors_info=”{}” sticky_enabled=”0″][et_pb_accordion_item title=”Overview of Injury Surveillance Toolkit Data Sources: Medical Administrative Discharge Data ” _builder_version=”4.24.0″ _module_preset=”default” global_colors_info=”{}” open=”off”]<\/p>\n Acute care hospitals in most jurisdictions compile electronic data on all encounters within hospital and emergency department settings specifically hospital discharges and ED visits, and make a combined jurisdiction-wide dataset available to public health agencies. These healthcare discharge data, collected primarily for administrative purposes such as obtaining reimbursement for hospital care, present opportunities to survey injuries, including drug overdoses. <\/span>Jurisdiction hospital discharge data systems provide one of the best available data sources on external cause of injury for measuring the burden of nonfatal injury on society.<\/span> <\/span>Hospitalization and ED visit discharge data capture information on the circumstances of the injury using external cause of injury codes to classify injury events by intent and mechanism.\u00a0<\/span>\u00a0<\/span><\/p>\n [\/et_pb_accordion_item][et_pb_accordion_item title=”Hospitalization Data ” open=”off” _builder_version=”4.24.0″ _module_preset=”default” global_colors_info=”{}”]H<\/span>ospitalization<\/span> <\/span>data are defined by the admission of a patient to a hospital for care by a medical professional. At least 90% of states <\/span>maintain<\/span> statewide, centralized, electronic databases of hospitalizations. The information collected varies from state to state, although many states use the standard uniform billing form (UB-04) for their hospitalization database. Others use only a subset of variables from the UB-04, and a few collect <\/span>additional<\/span> variables. In ICD-10-CM, when an injury diagnosis is listed, an external <\/span>cause of injury<\/span> code should also be provided.<\/span><\/span> <\/span><\/p>\n Surveillance Case Definition for Injury-Related Hospitalizations<\/span><\/b><\/a> <\/span><\/b> <\/span><\/p>\n The hospitalization injury indicators should be used to identify injury-related hospitalizations, regardless of patient discharge disposition (e.g., discharged, deceased). <\/span> <\/span><\/p>\n Injury Reporting Frameworks for Injury-Related Hospitalizations<\/span><\/b> <\/span><\/p>\n Injury Reporting Frameworks for Injury-Related ED Visits<\/span><\/b> <\/span><\/p>\n [\/et_pb_accordion_item][et_pb_accordion_item title=”Emergency Department (ED) Visit Data ” _builder_version=”4.24.0″ _module_preset=”default” hover_enabled=”0″ global_colors_info=”{}” open=”on” sticky_enabled=”0″]ED datasets collect information regarding individuals who present to an ED for care, including whether they are discharged from the ED directly or admitted to the hospital for further treatment. These data differ fundamentally from hospitalization data because they do not contain a <\/span>Principal Diagnosis field<\/span> Surveillance Case Definition for Injury-Related ED Visits<\/span><\/b><\/a> <\/span><\/b><\/p>\n The ED injury indicators should be used to identify injury-related ED visits regardless of patient discharge disposition (e.g., discharged, deceased). <\/span>[\/et_pb_accordion_item][et_pb_accordion_item title=”Mortality Data” _builder_version=”4.24.0″ _module_preset=”default” global_colors_info=”{}” open=”off”]<\/p>\n Uniform registration of deaths occurs nationwide and are provided to the <\/span> Surveillance Case Definitions for Mortality Data<\/b><\/span><\/a><\/p>\n Injury Reporting Frameworks for Mortality Data<\/span><\/b><\/p>\n [\/et_pb_accordion_item][et_pb_accordion_item title=”Syndromic Surveillance ” _builder_version=”4.24.0″ _module_preset=”default” global_colors_info=”{}” open=”off”]Syndromic surveillance<\/span><\/a> While many jurisdictions access their Emergency Departments visit data through hospital discharge databases, many jurisdictions also or only have access to Emergency Departments visit data via syndromic surveillance systems (SyS). SyS data may include discharge data coded in ICD-10-CM, however in many jurisdictions SyS data may also contain rich free text fields (e.g., chief complaint, triage notes) or incomplete data. <\/span><\/p>\n Surveillance Case Definitions for Syndromic Surveillance<\/b><\/span><\/a><\/p>\n Injury Reporting Frameworks for Syndromic Surveillance<\/span><\/b><\/p>\n [\/et_pb_accordion_item][et_pb_accordion_item title=”Additional Injury Data Sources ” _builder_version=”4.24.0″ _module_preset=”default” global_colors_info=”{}” open=”off”]<\/p>\n Additional Injury Data Sources<\/span><\/b><\/p>\n
To help navigate the vast injury data sources please see these additional tools, Injury Surveillance Data Sources<\/a> and Commonly Used Data Sources for ACEs and PCEs Surveillance<\/a>.<\/p>\n\n
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\n<\/a><\/span>. The ED injury indicators should be used to identify injury-related ED visits, regardless of patient discharge disposition (e.g., discharged, deceased). <\/span><\/p>\n
National Vital Statistics System<\/span><\/a>,<\/span>
and <\/span>
causes of deaths<\/span><\/a>
are coded and classified in accordance with the <\/span>
Tenth Revision of the International Classification of Diseases (ICD-10)<\/span><\/a>. <\/span><\/p>\n\n
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\n provides public health officials with a timely system for detecting, understanding, and monitoring health events. By tracking symptoms of patients in Emergency Departments \u2013 before a diagnosis is confirmed \u2013 public health can detect unusual levels of illness to determine whether a response is warranted. <\/span><\/p>\n\n
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