- A broad classification of types of diagnoses which may be made as a result of Accident and Emergency Attendance. The full description is made up of codes from three tables - ACCIDENT AND EMERGENCY DIAGNOSIS, Accident and Emergency Attendance: ANATOMICAL AREAS and Accident and Emergency Attendance: ANATOMICAL SIDE. ANATOMICAL AREA (a classification of parts of the human body) and ANATOMICAL SIDE (an indication of the side of the human body) together give the Anatomical Site of clinical problems presented at an Accident and Emergency Attendance.
Certain items are sub-analysed to specify the diagnosis, investigation or treatment more precisely. These are marked with an asterisk. The diagnosis sub-analysis list follows the main diagnosis list, and the treatment sub-analysis list follows the main treatment list.
- It is recommended that computerised systems provide a minimum of six character fields for each category in order to accommodate more detailed information if necessary. Where fewer than six characters are required for coding, such as for investigations and treatments, it is recommended that the codes are left-justified and the unused fields left blank.
- ACCIDENT AND EMERGENCY DIAGNOSIS is a six character code, comprising:
Diagnosis Condition n2 Sub-Analysis n1 Accident and Emergency Attendance - ANATOMICAL AREA n2 Accident and Emergency Attendance - ANATOMICAL SIDE an1 Accident and Emergency Diagnosis - Diagnosis Condition
*Item sub-analysedDiagnosis Condition Code Laceration 01 Contusion/abrasion* 02 Soft tissue inflammation 03 Head injury* 04 Dislocation/fracture/joint injury/amputation* 05 Sprain/ligament injury 06 Muscle/tendon injury 07 Nerve injury 08 Vascular injury 09 Burns and scalds* 10 Electric shock 11 Foreign body 12 Bites/stings 13 Poisoning* (including overdose) 14 Near drowning 15 Visceral injury 16 Infectious disease* 17 Local infection 18 Septicaemia 19 Cardiac conditions* 20 Cerebro-vascular conditions 21 Other vascular conditions 22 Haematological conditions 23 Central Nervous System conditions* (excluding strokes) 24 Respiratory conditions* 25 Gastrointestinal conditions* 26 Urological conditions (including cystitis) 27 Obstetric conditions 28 Gynaecological conditions 29 Diabetes and other endocrinological conditions* 30 Dermatological conditions 31 Allergy (including anaphylaxis) 32 Facio-maxillary conditions 33 ENT conditions 34 Psychiatric conditions 35 Ophthalmological conditions 36 Social problem (includes chronic alcoholism and homelessness) 37 Diagnosis not classifiable 38 Nothing abnormal detected 39 Accident and Emergency Diagnosis - Sub-analysis
Sub-analysis Code Contusion/abrasion - contusion
- abrasion1
2Head Injury - concussion
- other head injury1
2Dislocation/fracture/joint injury/amputation - dislocation
- open fracture
- closed fracture
- joint injury
- amputation1
2
3
4
5Burns and scalds - electric
- thermal
- chemical
- radiation1
2
3
4Poisoning - prescriptive drugs
- proprietary drugs
- controlled drugs
- other, including alcohol1
2
3
4Infectious disease - notifiable disease
- non-notifiable disease1
2Cardiac conditions - myocardial ischaemia & infarction
- other non-ischaemia1
2Respiratory conditions - bronchial asthma
- other non-asthma1
2Central Nervous System conditions - epilepsy
- other non-epilepsy1
2Gastrointestinal conditions - haemorrhage
- acute abdominal pain
- other1
2
3Diabetes and other endocrinological conditions - diabetic
- other non-diabetic1
2Anatomical Site
Accident And Emergency Anatomical Area - Area
Anatomical Area Code Head and Neck Brain 01 Head 02 Face 03 Eye 04 Ear 05 Nose 06 Mouth, Jaw, Teeth 07 Throat 08 Neck 09 Upper Limb Shoulder 10 Axilla 11 Upper Arm 12 Elbow 13 Forearm 14 Wrist 15 Hand 16 Digit 17 Trunk Cervical spine 18 Thoracic 19 Lumbosacral spine 20 Pelvis 21 Chest 22 Breast 23 Abdomen 24 Back/buttocks 25 Ano/rectal 26 Genitalia 27 Lower Limb Hip 28 Groin 29 Thigh 30 Knee 31 Lower leg 32 Ankle 33 Foot 34 Toe 35 Multiple Site 36 Accident and Emergency Anatomical Side Left L Right R Bilateral B Not applicable 8