beyond the e code matrix · 2018-04-14 · •alcoholic liver disease •alcohol attributable...
TRANSCRIPT
Beyond the E Code Matrix
Anna Gaichas, MS | Jon Roesler, MS | Leslie Seymour, MD MPH | Mark Kinde, MPH
Safe States Alliance Annual Meeting, Aurora, CO
September 13, 2017
Outline
• E Code Matrix
• MIDAS online query system
• E Code Matrix (Injury)
• Beyond (Violence, CODES, Behaviors, Alcohol)
• Upstream prevention
Original E Code Matrix
▪ Introduced in MMWR (August 29, 1997)
▪ E codes: External cause codes
▪ Originally made for injury mortality data
https://www.cdc.gov/mmwr/PDF/rr/rr4614.pdf
What is the E Code Matrix?
Mechanism Intent
Unintentional Self-inflicted Assault Undetermined Other
Cut/pierce E920(.0-.9) E956 E966 E986 E974
Fall E880.0-E886.9, E888(.0-.9)
E957(.0-.9) E968.1 E987(.0-.9) ---
Poisoning E850.0-E869.9 E950.0-E952.9 E962(.0-.9) E980.0-E982.9 E972
Etc.
Similar Framework for ICD-10-CM
▪ Now called the External Cause Matrix
▪ Still uses Mechanism by Intent
https://www.cdc.gov/injury/wisqars/pdf/icd-10-cm_external_cause_injury_codes-a.pdf
Minnesota’s Online Query System
• Presenting E coded injuries online
• Hospital and Emergency Department Discharge Data
• It needed a name…
User-Friendly, Fast Data Access
Minnesota Injury Data Access System
http://www.health.state.mn.us/injury/midas/
MIDAS Injury
Poisoning Subgroups
MIDAS Violence
MIDAS CODES
MIDAS Beyond
New Modules and Enhancements
Activity as a 3rd dimension to the cause matrix
• Activity codes: E001-E030 (ICD-9-CM) and Y93 (ICD-10-CM)
• Sports/recreation-related (e.g., specific sports)
• Other activities (e.g., cooking)
MIDAS Behaviors
• Alcohol/drug induced disorders
• Mood & depressive disorders
• Schizophrenic disorders
• Other mental disorders
• Personal/family history of disorders/violence/trauma
MIDAS Alcohol
• Acute and Chronic Causes
• 100% alcohol attributable
• Alcohol poisoning
• Alcoholic liver disease
• Alcohol attributable fractions
• Motor vehicle crash
• Epilepsy
Upstream Prevention
• Synergistic prevention of multiple injury/violence causes:
• Address shared risk factors
• Encourage shared protective factors
• Advance health equity
• Upstream from injury/violence
• Prevent behaviors that could lead to injury/violence
Contact Information
Anna [email protected]
Leslie [email protected]
Injury and Violence Prevention
www.health.state.mn.us/injury