- Select
- Head
- Lower extremity, pelvis and buttocks
- Face
- Neck
- Thorax
- Spine
- Abdomen
- Upper Extremity
- External & Other trauma
- Select
- Whole Area
- Vessels, Intracranial
- Nerves, Cranial
- Internal organs
- Concussive Injury
- Skeletal
- Select
- Whole area
- Vessels
- Nerves
- Joints
- Skeletal
- Muscles, Tendons, Ligaments
- Select
- Whole area
- Vessels
- Nerves
- Internal organs
- Skeletal
- Joints
- Select
- Whole area
- Vessels
- Nerves
- Internal organs
- Skeletal
- Select
- Whole area
- Internal organs
- Vessels
- Skeletal
- Nerves
- Select
- Cervical Spine
- Thoracic Spine
- Lumbar Spine
- Select
- Whole area
- Vessels
- Nerves
- Internal organs
- Select
- Muscles, Tendons, Ligaments
- Whole area
- Vessels
- Nerves
- Skeletal
- Joints
- Select
- External (skin and thermal injuries)
- Other Trauma
- Select
- Injuries to the Head NFS
- Head Injury NFS involving only headache
- Crush Injury
- Penetrating Injury to Skull
- Scalp
- Select
- Vascular Injury in Head NFS
- Vein
- Artery
- Sinus
- Select
- Cranial nerve
- I (Olfactory nerve, tract)
- II (Optic nerve - intracranial and intracanalicular segments)
- III (Oculomotor nerve)
- IV (Trochlear nerve)
- VI (Abducens nerve)
- V (Trigeminal nerve)
- VII (Facial nerve)
- VIII (Vestibulocochlear nerve) [includes auditory, acoustic and vestibular nerves]
- IX (Glossopharyngeal nerve)
- X (Vagus nerve) [excludes injury in neck, thorax or abdomen]
- XI (Spinal accessory nerve)
- XII (Hypoglossal nerve)
- Select
- Brain stem [hypothalamus, medulla, midbrain, pons]
- Cerebellum
- Cerebrum [includes basal ganglia, thalamus, putamen, globus pallidius]
- Pituitary injury
- Select
- Cerebral Concussion
- mild concussion; no loss of consciousness
- Diffuse Axonal Injury (prolonged traumatic coma LOC >6 hours not due to mass lesion)
- Select
- Skull fracture
- Base fracture (basilar)
- Vault fracture
- Select
- Injuries to the Whole Lower Extremity NFS
- Penetrating injury toe, single or multiple
- Skin/subcutaneous/muscle
- Degloving injury
- Amputation [traumatic], partial or complete between hip and foot
- Compartment syndrome resulting from trauma to soft tissue only, not involving fracture or massive destruction of bone and other anatomical structures
- Penetrating injury
- Penetrating injury at hip or buttock
- Penetrating injury below knee, at or above ankle
- Penetrating injury foot, partial or complete
- Penetrating injury great toe
- Crush Injury to limb between hip and foot
- Penetrating injury at or above knee, below hip as to severity
- Select
- Vascular Injury in Lower Extremity NFS
- Femoral artery and its named branches
- Femoral vein
- Popliteal artery
- Popliteal vein
- Other named veins [e.g., saphenous]
- Other named arteries [e.g., tibial, peroneal]
- Select
- Nerve injury in lower extremity NFS
- Digital nerve
- Femoral nerve
- Sciatic nerve
- Peroneal nerve
- Tibial nerve
- Select
- Lower extremity joint injury NFS
- Forefoot joint
- Knee joint
- Ankle joint
- Subtalar joint
- Hip joint
- Tarsometatarsal joint
- Midtarsal joint
- Metatarsophalangeal or interphalangeal joint
- Select
- Lower Extremity fracture NFS
- Leg fracture NFS
- Foot fracture NFS
- Pelvic ring fracture posterior arch intact; isolated fracture not destroying the integrity of the pelvic ring
- Femur fracture
- Tibia fracture
- Fibula [malleoli] fracture
- Patella fracture
- Pelvic ring fracture
- Pelvic ring fracture incomplete disruption of posterior arch
- Pelvic ring fracture complete disruption of posterior arch and pelvic floor
- Calcaneus fracture
- Acetabulum fracture
- Navicular fracture
- Cuboid fracture
- Cuneiform fracture
- Talus fracture
- Metatarsal fracture
- Phalange fracture
- Select
- Meniscus tear; avulsion NFS
- Muscle, tendon, ligament injury
- Achilles tendon tear; avulsion
- Cruciate ligament [anterior or posterior] tear; avulsion
- Tendon [other than Achilles or patellar] tear; avulsion
- Patellar tendon tear; avulsion
- Collateral ligament tear; avulsion
- Select
- Injuries to the Face NFS
- Skin/subcutaneous/muscle
- Penetrating injury
- Select
- Vascular Injury in Face NFS
- External carotid artery branch(es) [includes facial, temporal, and internal maxillary] laceration
- Select
- Optic Nerve
- Select
- Ear NFS
- Mouth injury
- Tongue
- Eye
- Palate
- Gingiva (gum)
- Select
- Alveolar ridge fracture with or without injury to teeth
- Facial bone(s) fracture NFS
- Maxilla fracture [including maxillary sinus]
- Orbit fracture
- Panfacial fracture
- Mandible fracture
- Zygoma fracture [Includes tripod and malar fractures]
- Nose
- Teeth any number
- Select
- Temporomandibular joint
- Select
- Injuries to the Neck NFS
- Decapitation
- Skin/subcutaneous tissue/muscle
- Penetrating injury
- Select
- Vascular Injury in Neck NFS
- Carotid artery [common, internal]
- Carotid artery [external] [includes thyroid]
- Jugular vein [external]
- Vertebral artery
- Jugular vein [internal]
- Select
- Nerve Injury in Neck NFS
- Phrenic nerve injury
- Vagus nerve injury
- Select
- Esophagus injury in Neck
- Larynx, including thyroid and cricoid cartilage
- Trachea injury in Neck
- Vocal cord [not due to intubation]
- Salivary gland
- Thyroid gland
- Pharynx or Retropharyngeal area
- Select
- Hyoid fracture
- Select
- Injuries to the Whole Thorax NFS
- Pectoral muscle tear; laceration
- Breast avulsion, female
- Crush injury
- Open (“sucking”) chest wound
- Skin/subcutaneous/muscle
- Penetrating injury
- Select
- Pleura laceration
- Thoracic duct laceration
- Bronchus injury NFS
- Intracardiac chordae tendineae laceration; rupture
- Esophagus injury in Thorax NFS
- Intracardiac valvelaceration; rupture
- Intracardiac septum laceration; rupture
- Thoracic injury
- Trachea injury in Thorax
- Bronchus, distal to main stem
- Pericardium
- Bronchus, main stem
- Diaphragm
- Heart (Myocardium) injury
- Lung
- Thymus laceration; perforation
- Select
- Vascular Injury in Thorax NFS
- Coronary artery laceration or thrombosis to left main, right main or left anterior descending artery; coronary sinus
- Other named veins, e.g., azygos, bronchial, esophageal, hemiazygos, intercostal, internal jugular, internal mammary [OIS I for entire category except azygos and internal jugular, OIS II]
- Aorta, thoracic [OIS IV or V for entire category unless stated otherwise]
- Brachiocephalic (innominate) artery [OIS III for entire category]
- Brachiocephalic (innominate) vein [OIS II for entire category]
- Pulmonary artery [OIS IV, V for entire category]
- Subclavian artery [OIS III for entire category]
- Subclavian vein [OIS II for entire category]
- Vena Cava, superior and thoracic portion of inferior [OIS IV, V for entire category]
- Pulmonary vein [OIS IV, V for entire category]
- Other named arteries e.g., bronchial, esophageal, intercostal, internal mammary [OIS I for entire category]
- Select
- Thoracic Wall NFS
- Rib Cage
- Sternum
- Select
- Vagus nerve injury
- Select
- Injuries to the Cervical Spine NFS
- Strain, acute, with no fracture or dislocation
- Spinous ligament injury
- Brachial Plexus injury [includes trunks, divisions or cords]
- Cord contusion [includes the diagnosis of compression, or epidural or subdural hemorrhage within spinal canal documented by imaging studies or autopsy]
- Cord laceration [includes penetrating injury, transection or crush]
- Dislocation [subluxation], no fracture, no cord involvement
- Fracture with or without dislocation but no cord involvement
- Disc injury
- Nerve root, single or multiple
- Select
- Injuries to the Thoracic Spine NFS
- Nerve root, single or multiple NFS
- Strain, acute, with no fracture or dislocation
- Spinous ligament injury
- Cord contusion [includes the diagnosis of compression, or epidural or subdural hemorrhage within spinal canal documented by imaging studies or autopsy]
- Cord laceration [includes penetrating injury, transection or crush]
- Fracture with or without dislocation but no cord involvement
- Dislocation [subluxation], no fracture, no cord involvement
- Disc injury
- Select
- Injuries to the Lumbar Spine NFS
- Nerve root or sacral plexus, single or multiple NFS
- Strain, acute, with no fracture or dislocation
- Spinous ligament injury
- Cauda equina contusion
- Cord contusion [includes the diagnosis of compression, or epidural or subdural hemorrhage within spinal canal documented by imaging studies or autopsy]
- Cord laceration [includes penetrating injury, transection or crush]
- Dislocation [subluxation], no fracture, no cord involvement
- Fracture with or without dislocation but no cord involvement
- Disc injury
- Select
- Injuries to the Whole Abdomen NFS
- Rectus Abdominus rupture NFS
- Torso transection
- Skin/Subcutaneous/Muscle [except rectus abdominus]
- Penetrating injury
- Select
- Vascular Injury in Abdomen NFS
- Aorta, Abdominal
- Celiac Artery
- Iliac Vein [common]
- Iliac Vein [internal, external]
- Superior Mesenteric Artery
- Iliac Artery [common, internal, external] and its named branches
- Other named arteries [e.g., hepatic, renal, splenic]
- Other named veins [e.g., portal, renal, splenic, superior mesenteric]
- Vena Cava, inferior
- Select
- Vagus nerve injury
- Select
- Appendix laceration; perforation
- Ovarian (Fallopian) tube laceration
- Retroperitoneum hemorrhage or hematoma
- Anus
- Bladder (urinary)
- Colon (large bowel)
- Duodenum
- Jejunum-Ileum (small bowel)
- Gallbladder
- Kidney
- Liver
- Mesentery
- Omentum
- Ovary
- Pancreas
- Penis
- Perineum
- Prostate
- Rectum
- Scrotum
- Spleen
- Stomach
- Testes
- Ureter
- Uterus
- Vagina
- Vulva
- Adrenal Gland
- Urethra
- Select
- Muscle, tendon or ligament injury NFS
- Tendon tear; avulsion NFS
- Joint capsule rupture; tear; avulsion
- Select
- Injuries to the Whole Upper Extremity NFS
- Skin/subcutaneous/muscle
- Compartment syndrome from trauma to soft tissue only, not involving fracture or massive destruction of bone or other anatomical structures
- Crush Injury to limb between shoulder and wrist as to specific anatomical sites
- Degloving injury
- Penetrating injury
- Penetrating injury at shoulder
- Penetrating injury at or above elbow, below shoulder
- Penetrating injury below elbow at or above wrist
- Penetrating injury hand, partial or complete
- Amputation [traumatic], partial or complete between shoulder and hand
- Penetrating injury non-thumb finger
- Penetrating injury thumb
- Select
- Vascular Injury in Upper Extremity NFS
- Axillary artery
- Axillary vein
- Brachial artery
- Brachial vein
- Other named arteries [e.g., radial, ulnar]
- Other named veins [e.g., cephalic, basilic]
- Select
- Nerve injury in upper extremity NFS
- Digital nerve
- Median nerve
- Radial nerve
- Ulnar nerve
- Select
- Upper Extremity fracture NFS
- Scapula fracture
- Clavicula fracture
- Humerus fracture
- Clavicle fracture
- Metacarpus fracture
- Phalange fracture
- Radius fracture
- Ulna fracture
- Forearm fracture
- Arm fracture
- Hand fracture
- Carpus fracture
- Select
- Upper extremity joint injury NFS
- Sternoclavicular joint
- Shoulder (glenohumeral) joint
- Acromioclavicular joint
- Carpal (wrist) joint
- Metacarpophalangeal or Interphalangeal joint
- Elbow joint
- Select
- External
- Burns
- Select
- Caustic Agents NFS
- Hypothermia (primary injury, not treatment-related or sequela)
- Whole Body (explosion-type) Injury
- Drowning
- Asphyxia/Suffocation
- Electrical injury
- Select
- Died of head injury without further substantiation of injuries or no autopsy confirmation of specific injuries.
- Select
- superficial; ≤ 2cm beneath entrance
- major; >2cm penetration
- Select
- abrasion
- contusion
- laceration
- avulsion
- Select
- NFS
- Vein, non-major [any named vein that is not major]
- Vein, major [includes Galen, Labbe, Trolard, Rosenthal or internal cerebral]
- Select
- Other artery [branch of anterior, posterior or middle cerebral artery or branch of basilar or vertebral artery] NFS
- Anterior cerebral artery
- Basilar artery
- Internal carotid artery
- Middle cerebral artery
- Posterior cerebral artery
- Vertebral artery
- Select
- Sinus NFS
- Sinus NFS laceration
- Sinus NFS thrombosis; occlusion
- Carotid
- Sigmoid sinus NFS
- Cavernous sinus
- Superior longitudinal (saggital) sinus
- Straight sinus
- Transverse sinus
- Select
- contusion
- laceration
- Select
- contusion
- laceration
- Select
- contusion
- laceration
- Select
- contusion or compression [includes injury due to transtentorial herniation]
- laceration
- Select
- contusion
- laceration
- Select
- contusion
- laceration
- Select
- contusion
- laceration
- Select
- contusion
- laceration
- Select
- contusion
- laceration
- Select
- contusion
- laceration
- Select
- contusion
- laceration
- Select
- contusion
- laceration
- Select
- contusion
- laceration
- Select
- compression [includes transtentorial (uncal) or cerebellar tonsillar herniation]
- contusion
- infarction
- injury involving hemorrhage
- laceration
- penetrating injury
- transection
- massive destruction (crush-type injury)
- Select
- hematoma (hemorrhage)
- contusion, single or multiple [include perilesional edema for size]
- laceration [not from penetrating injury]
- penetrating injury
- infarction (acute due to traumatic vascular occlusion)
- ischemic brain damage directly related to head trauma
- subarachnoid hemorrhage
- subpial hemorrhage
- trauma-associated findings not related either to intervention or to anatomically-described head injury NFS
- brain swelling/edema
- Select
- intraventricular hemorrhage
- infarction [acute due to traumatic vascular occlusion]
- ischemic brain damage directly related to head trauma
- pneumocephalus directly related to head trauma
- trauma-associated findings not related either to intervention or to anatomically-described head injury NFS
- hypoxic or ischemic brain damage secondary to systemic hypoxemia, hypotension or shock not directly related to head trauma
- brain swelling
- hematoma (hemorrhage)
- laceration [not from penetrating injury]
- penetrating injury
- contusion [include perilesional edema for size]
- diffuse axonal injury (DAI) [requires coma >6 hours or, if fatal within 6 hours, diagnosis is made by pathological examination]
- subarachnoid hemorrhage
- subpial hemorrhage
- brain edema
- Select
- loss of consciousness 1-6 hours (severe concussion)
- brief loss of consciousness
- Select
- LOC 6-24 hours (mild DAI)
- LOC >24 hours NFS
- Select
- without CSF leak
- with CSF leak
- complex; open with torn, exposed or loss of brain tissue; comminuted; ring; hinge
- Select
- closed; simple; undisplaced; diastatic; linear
- comminuted; compound but dura intact; depressed =2cm; displaced
- complex; open with torn, exposed or loss of brain tissue
- massive; large areas of skull depressed >2cm
- Select
- Died of lower extremity injury without further substantiation of injuries or no autopsy confirmation of specific injuries
- Select
- superficial; minor
- with tissue loss >25cm2
- Select
- abrasion
- contusion; hematoma
- avulsion
- laceration
- Select
- entire extremity
- thigh or calf
- knee, ankle or foot
- toe, single or multiple
- Select
- at hip or at buttock
- at or above knee, below hip
- below knee, at or above ankle
- foot, partial or complete
- great toe
- other toes, single or multiple
- Select
- thigh
- leg
- foot
- Select
- superficial; minor
- with tissue loss >25cm2
- with blood loss >20% by volume
- Select
- superficial; minor
- with tissue loss >25cm2
- with blood loss >20% by volume
- Select
- superficial; minor
- with tissue loss >25cm2
- Select
- superficial; minor
- with tissue loss >25cm2
- Select
- superficial; minor
- with tissue loss >25cm2
- Select
- at hip or at buttock
- at or above knee, below hip
- below knee, at or above ankle
- foot, partial or complete
- great toe
- other toes, single or multiple
- Select
- superficial; minor
- with tissue loss >25cm2
- blood loss >20% by volume
- Select
- intimal tear, no disruption
- laceration; perforation; puncture
- Select
- laceration; perforation; puncture
- Select
- intimal tear, no disruption
- laceration; perforation; puncture
- Select
- laceration; perforation; puncture
- Select
- laceration; perforation; puncture
- Select
- intimal tear, no disruption
- laceration; perforation; puncture
- Select
- contusion
- laceration
- Select
- contusion
- laceration; avulsion
- Select
- contusion
- laceration
- Select
- contusion
- laceration; avulsion
- Select
- contusion
- laceration; avulsion
- Select
- sprain
- subluxation
- open
- dislocation
- Select
- sprain
- subluxation
- open
- dislocation
- Select
- sprain
- subluxation
- open
- dislocation
- Select
- sprain
- subluxation
- open
- dislocation
- Select
- sprain
- subluxation
- dislocation
- open
- Select
- sprain
- subluxation
- open
- dislocation [Lisfranc]
- Select
- sprain
- subluxation
- open
- dislocation [Chopart´s]
- Select
- open
- Other Toe, single or multiple
- Great Toe
- Select
- open
- Select
- open
- Proximal Femur fracture
- Femur Shaft fracture
- Distal Femur fracture
- Select
- open
- Proximal Tibia fracture
- Distal Tibia fracture [includes medial malleolus; also pilon fracture]
- Tibia Shaft fracture
- Select
- open
- below ankle joint (infrasyndesmotic); isolated lateral malleolus; Weber A
- through joint (transsyndesmotic); Weber B
- above joint (suprasyndesmotic); isolated shaft, head or neck; Weber C
- Select
- open
- extra-articular
- partial articular or extensor mechanism intact
- complete articular or extensor mechanism disrupted
- Select
- open
- Select
- open
- blood loss ≤ 20% by volume
- blood loss > 20% by volume
- Select
- blood loss ≤ 20% by volume
- blood loss > 20% by volume
- open
- Select
- open
- extra articular
- fracture line into one joint surface
- fracture line into ≥2 joint surfaces
- Select
- open
- partial articular (involving one column)
- partial articular (transverse, "T" shaped)
- complete articular (involving both columns, with or without sacroiliac joint involvement)
- Select
- open
- extra articular [coronal body split, no joint involvement]
- fracture line into one joint surface
- fracture line into ≥2 joint surfaces
- Select
- open
- extra articular [coronal body split, no joint involvement]
- fracture line into one joint surface
- fracture line into ≥2 joint surfaces
- Select
- open
- extra articular [coronal body split, no joint involvement]
- fracture line into one joint surface
- fracture line into ≥2 joint surfaces
- Select
- open
- extra articular; talus neck
- fracture line into one joint surface; talus body
- fracture line into ≥2 joint surfaces
- Select
- open
- First Metatarsal fracture
- One of Four Lateral Metatarsals fracture
- Select
- open
- Great Toe
- One of Lateral Four Toes
- Select
- contusion; strain
- tear; avulsion
- Select
- partial disruption
- complete disruption
- Select
- partial disruption
- complete disruption
- Select
- partial disruption
- complete disruption
- Select
- partial disruption
- complete disruption
- Select
- ankle
- knee
- Select
- Died of facial injury without further substantiation of injuries or no autopsy confirmation of specific injuries
- Select
- abrasion
- contusion; hematoma
- laceration NFS
- avulsion
- Select
- minor; superficial
- with tissue loss >25cm2
- with blood loss >20% by volume
- massive destruction of whole face including both eyes
- Select
- minor; superficial
- major; transection; blood loss >20% by volume
- Select
- contusion
- laceration
- avulsion
- Select
- Ear Canal injury
- Ossicular chain (ear bone) dislocation
- Tympanic membrane (eardrum) rupture
- Vestibular apparatus injury
- Inner or Middle Ear injury
- Select
- laceration
- Select
- Eye avulsion; enucleation
- Canaliculus (lacrimal/tear duct) laceration
- Conjunctiva injury
- Injury with retained Intraocular Foreign Body
- Uvea injury
- Choroid
- Cornea
- Lens
- Macula
- Sclera [includes globe]
- Vitreous
- Retina
- Select
- laceration
- fracture
- Select
- contusion
- laceration
- avulsion
- Select
- LeFort I
- LeFort II
- LeFort III
- Select
- closed or NFS
- open but NFS as to site
- multiple fractures of same orbit closed or NFS
- multiple fractures of same orbit, open
- orbital rim, open NFS
- orbital rim closed or NFS
- medial wall closed or NFS
- medial wall, open
- orbital floor closed or NFS
- orbital floor, open
- orbital floor, “blowout” fracture
- lateral wall closed or NFS
- lateral wall, open
- Select
- blood loss >20% by volume
- Select
- closed
- open/displaced/comminuted
- Select
- non-displaced [KN I]
- complex [KN VI]
- displaced
- Select
- fracture closed or NFS
- ruptured mucosa/vessels (epistaxis)
- septum fracture
- fracture open/displaced/comminuted
- Select
- dislocation; subluxation; loosened
- fracture
- avulsion
- any combination of dislocation/fracture/avulsion
- Select
- dislocation
- Select
- Died of neck injury without further substantiation of injuries or no autopsy confirmation of specific injuries
- Select
- abrasion
- contusion; hematoma
- laceration
- avulsion
- Select
- minor; superficial
- tissue loss >25cm2
- blood loss >20% by volume
- Select
- intimal tear, no disruption
- thrombosis (occlusion) secondary to trauma from any lesion but laceration
- laceration; perforation; puncture
- Select
- intimal tear, no disruption
- thrombosis (occlusion) secondary to trauma from any lesion but laceration
- laceration; perforation; puncture
- Select
- laceration; perforation; puncture
- Select
- intimal tear, no disruption
- thrombosis (occlusion) secondary to trauma from any lesion but laceration
- laceration; perforation; puncture
- Select
- laceration; perforation; puncture
- Select
- bilateral
- Select
- contusion; hematoma [OIS I ]
- laceration; tear
- ingestion injury
- Select
- contusion; hematoma
- laceration; puncture
- Select
- contusion; hematoma
- laceration; tear
- Select
- unilateral
- bilateral
- Select
- ductal involvement; transection
- Select
- contusion; hematoma
- laceration
- Select
- contusion; hematoma
- laceration; puncture
- Select
- Died of thoracic injury without further substantiation of injuries or no autopsy confirmation of specific injuries
- Select
- abrasion
- contusion; hematoma
- laceration
- avulsion
- Select
- superficial; minor; into pleural cavity but not involving deeper structures
- with tissue loss >100cm2
- with blood loss >20% by volume
- Select
- contusion; hematoma [OIS I]
- laceration; tear
- ingestion injury
- Select
- Air Embolus
- Hemomediastinum
- Pneumomediastinum
- Hemopneumothorax
- Hemothorax
- Pneumothorax
- Select
- contusion; hematoma
- laceration
- Select
- contusion; hematoma
- laceration; tear
- Select
- laceration; puncture
- hemopericardium
- Select
- contusion; hematoma
- laceration; tear
- Select
- contusion; hematoma [OIS I]
- rupture with herniation
- laceration
- Select
- avulsion
- with cardiac arrest NFS
- laceration
- contusion
- Select
- blast injury (overpressure/explosive)
- laceration
- contusion
- Lung inhalation injury (heat, particulate matter, noxious agents)
- Select
- laceration; perforation; puncture
- Select
- intimal tear, no disruption
- laceration; perforation; puncture
- Select
- intimal tear, no disruption
- laceration; perforation; puncture
- Select
- laceration; perforation; puncture
- Select
- intimal tear, no disruption
- laceration; perforation; puncture
- Select
- intimal tear, no disruption
- laceration; perforation; puncture
- Select
- laceration; perforation; puncture
- Select
- laceration; perforation; puncture
- Select
- laceration; perforation; puncture
- Select
- intimal tear, no disruption
- laceration; perforation; puncture
- Select
- avulsion of chest wall tissues including rib cage [OIS IV for entire category]
- Select
- multiple rib fractures NFS
- contusion
- fracture(s) without flail, any location unilateral or bilateral
- fractures with flail
- Select
- contusion
- fracture [OIS II, III]
- Select
- Died of cervical spine injury without further substantiation of injuries or no autopsy confirmation of specific injuries.
- Select
- incomplete plexus injury
- complete plexus injury
- Select
- complete cord syndrome (quadriplegia or paraplegia with no sensation)
- with transient neurological signs (paresthesia)
- incomplete cord syndrome (preservation of some sensation or motor function; includes anterior cord, central cord, lateral cord (Brown-Sequard) syndromes)
- Select
- complete cord syndrome (quadriplegia or paraplegia with no sensation or motor function)
- incomplete (preservation of some sensation or motor function)
- Select
- atlanto-axial (odontoid)
- atlanto-occipital
- facet
- Select
- multiple fractures of same vertebra
- spinous process
- transverse process
- facet
- lamina
- pedicle
- odontoid (dens)
- vertebral body [“burst” fracture]
- Select
- rupture
- herniation
- Select
- contusion; stretch injury
- laceration
- avulsion
- Select
- Died of thoracic spine injury without further substantiation of injuries or no autopsy confirmation of specific injuries.
- Select
- contusion; stretch injury
- laceration NFS
- avulsion NFS
- Select
- with transient neurological signs (paresthesia)
- complete cord syndrome (paraplegia with no sensation)
- incomplete cord syndrome (preservation of some sensation or motor function; includes anterior cord, central cord, lateral cord (Bronw-Sequard)
- Select
- complete cord syndrome (paraplegia with no sensation or motor function)
- incomplete (preservation of some sensation or motor function)
- Select
- multiple fractures of same vertebra
- spinous process
- transverse process
- facet
- lamina
- pedicle
- vertebral body [“burst fracture”]
- Select
- facet
- Select
- rupture
- herniation
- Select
- Died of lumbar spine injury without further substantiation of injuries or no autopsy confirmation of specific injuries
- Select
- contusion; stretch injury
- laceration
- avulsion
- Select
- with transient neurological signs (paresthesia)
- complete cauda equina syndrome
- incomplete cauda equina syndrome
- Select
- with transient neurological signs (paresthesia)
- incomplete cord syndrome (preservation of some sensation or motor function; includes lateral cord (Brown-Sequard syndrome)
- complete cord syndrome (paraplegia with no sensation)
- Select
- incomplete (preservation of some sensation or motor function)
- complete cord syndrome (paraplegia with no sensation or motor function)
- Select
- facet NFS
- Select
- multiple fractures of same vertebra
- spinous process
- transverse process
- facet
- lamina
- pedicle
- vertebral body [“burst fracture”]
- Select
- rupture
- herniation
- Select
- Died of abdominal injury without further substantiation of injuries or no autopsy confirmation of specific injuries
- Select
- abrasion
- contusion; hematoma
- laceration
- avulsion
- Select
- superficial; minor; into peritoneum but not involving underlying structures
- with tissue loss >100cm2
- with blood loss >20% by volume
- Select
- intimal tear, no disruption
- laceration; perforation; puncture
- Select
- intimal tear; no disruption
- laceration; perforation; puncture
- Select
- laceration; perforation; puncture
- Select
- laceration; perforation; puncture
- Select
- intimal tear, no disruption
- laceration; perforation; puncture
- Select
- intimal tear, no disruption
- bilateral for common iliac artery only
- laceration; perforation; puncture
- Select
- intimal tear, no disruption
- laceration; perforation; puncture
- Select
- laceration; perforation; puncture
- Select
- laceration; perforation; puncture
- Select
- contusion; hematoma
- laceration
- Select
- rupture NFS
- contusion; hematoma [OIS I]
- laceration
- Select
- contusion; hematoma [OIS I]
- laceration
- Select
- contusion; hematoma [OIS I, II]
- laceration
- Select
- contusion; hematoma [OIS I]
- laceration
- Select
- contusion; hematoma [OIS I]
- laceration; perforation [OIS II]
- Select
- rupture
- contusion; hematoma
- laceration
- Select
- rupture
- contusion; hematoma
- laceration
- Select
- contusion; hematoma
- laceration
- Select
- contusion; hematoma
- laceration
- Select
- contusion; hematoma [OIS I]
- laceration; perforation
- Select
- contusion; hematoma
- laceration
- Select
- contusion; hematoma [OIS I]
- laceration; perforation
- Select
- contusion; hematoma
- laceration; perforation
- Select
- contusion; hematomaa
- laceration
- Select
- contusion; hematoma [OIS I]
- laceration
- Select
- contusion; hematoma [OIS I]
- laceration; perforation
- Select
- rupture NFS
- contusion; hematoma
- laceration
- Select
- contusion; hematoma
- ingestion injury
- laceration
- Select
- contusion; hematoma [OIS I]
- laceration
- Select
- contusion; hematoma [OIS I]
- laceration
- Select
- contusion; hematoma
- laceration; perforation
- Select
- contusion; hematoma [OIS I]
- laceration; perforation
- Select
- contusion; hematoma
- laceration; perforation
- Select
- contusion; hematoma NFS [OIS I]
- laceration NFS
- Select
- contusion; hematoma [OIS I]
- stretch injury [OIS II]
- laceration
- Select
- contusion; strain
- tear; avulsion NFS
- Select
- multiple tendons in hand
- multiple tendons other than hand
- Select
- Died of upper extremity injury without further substantiation of injuries or no autopsy confirmation of specific injuries
- Select
- abrasion
- contusion; hematoma
- laceration
- avulsion
- Select
- forearm
- hand
- arm NFS
- Select
- at shoulder
- at or above elbow, below shoulder
- below elbow, at or above wrist
- hand, partial or complete
- thumb
- thumb finger, single or multiple
- Select
- entire extremity
- arm or forearm, including elbow
- wrist or hand
- finger, single or multiple
- Select
- superficial; minor
- with tissue loss >25cm2
- with blood loss >20% by volume
- Select
- superficial; minor
- with tissue loss >25cm2
- with blood loss >20% by volume
- Select
- superficial; minor
- with tissue loss >25cm2
- with blood loss >20% by volume
- Select
- superficial; minor
- with tissue loss >25cm2
- Select
- superficial; minor
- with tissue loss >25cm2
- Select
- at shoulder
- at or above elbow, below shoulder
- below elbow, at or above wrist
- hand, partial or complete
- thumb
- other fingers, single or multiple
- Select
- superficial; minor
- with tissue loss >25cm2
- Select
- superficial; minor
- with tissue loss >25cm2
- Select
- intimal tear, no disruption
- laceration; perforation; puncture
- Select
- laceration; perforation; puncture
- Select
- intimal tear, no disruption
- laceration; puncture; perforation
- Select
- laceration; perforation; puncture
- Select
- intimal tear, no disruption
- laceration; perforation; puncture
- Select
- laceration; perforation; puncture
- Select
- contusion
- laceration
- Select
- contusion
- laceration; avulsion
- Select
- contusion
- laceration; avulsion
- Select
- contusion
- laceration; avulsion
- Select
- open
- body
- neck with or without body
- glenoid with or without neck or body
- Select
- Proximal clavicle fracture
- Clavicle shaft fracture
- Distal (lateral end) clavicle fracture
- Select
- open
- Proximal humerus articular; head or anatomical neck
- Humerus shaft fracture
- Humerus shaft fracture simple; oblique; transverse
- Humerus shaft fracture wedge; "butterfly" segment
- Humerus shaft fracture complex; comminuted; segmental
- Distal humerus fracture
- Distal humerus extra-articular; supracondylar
- Distal humerus partial articular; capitular
- Distal humerus complete articular; T-shaped; Y-shaped; T-condylar
- Proximal humerus
- Select
- open
- Select
- open
- Thumb
- One of Lateral Four Fingers
- Select
- open
- Thumb
- One of Lateral Four Fingers
- Thumb extra-articular or shaft
- Thumb partial articular
- Select
- Proximal radius fracture
- Radius shaft fracture
- Distal Radius fracture
- open
- Select
- Proximal Ulna fracture [olecranon]
- Ulna Shaft fracture
- Distal Ulna fracture
- open
- Select
- open
- Select
- open
- Select
- open
- Select
- open
- scaphoid only
- bone other than scaphoid
- ≥2 carpal bones
- Select
- sprain
- subluxation
- dislocation
- open
- Select
- sprain
- subluxation
- dislocation
- open
- Select
- sprain
- subluxation
- dislocation
- open
- Select
- dislocation [distal radioulnar]
- dislocation [radiocarpal]
- sprain
- subluxation
- dislocation [carpal]
- open
- Select
- open
- Thumb
- non-thumb phalange
- Select
- sprain
- subluxation
- dislocation NFS
- open
- Select
- Degloving injury
- Frostbite NFS
- Penetrating injury
- Soft tissue (skin) injury
- Select
- degree NFS; TBSA NFS
- 1st degree; superficial if >1y; any TBSA
- 2nd degree; partial thickness; 10% TBSA
- 3rd degree; full thickness; =100cm2 [face =25cm2] TBSA
- 3rd degree; full thickness; >100cm2; 25cm2] TBSA
- 2nd or 3rd degree; partial or full thickness 10-19% TBSA
- 2nd or 3rd degree; partial or full thickness; 20-29% TBSA
- 2nd or 3rd degree; partial or full thickness; 30-39% TBSA
- 2nd or 3rd degree; partial or full thickness; 40-89% TBSA
- 2nd or 3rd degree; partial or full thickness including incineration ≥90% TBSA
- Select
- >34-35°C
- 33-32°C
- 31-30°C
- 29-28°C
- 27°C
- Select
- minor or superficial to skin, subcutaneous tissue and muscle with or without minor fracture(s)
- major or extensive (>25% TBSA) to skin, subcutaneous tissue and muscle with multiple fractures and/or multiple organ injuries
- massive; multiple organ injury to brain, thorax and/or abdomen with loss of one or more limbs and/or decapitation
- Select
- near drowning, no neurological deficit
- near drowning with neurological deficit
- with cardiac arrest documented by medical personnel
- Select
- without neurological deficit
- with neurological deficit
- with cardiac arrest documented by medical personnel
- Select
- with muscle necrosis
- with cardiac arrest documented by medical personnel
- Select
- subgaleal hematoma
- Select
- minor; superficial
- major; >10cm long and into subcutaneous tissue
- blood loss >20% by volume
- Select
- superficial; minor; tissue loss =100cm2
- major; tissue loss >100cm2
- blood loss >20% by volume
- total scalp loss
- Select
- laceration
- thrombosis; occlusion
- Select
- laceration
- thrombosis; occlusion
- Select
- laceration
- thrombosis; occlusion
- traumatic aneurysm
- Select
- laceration
- thrombosis; occlusion
- traumatic aneurysm
- NFS
- Select
- laceration
- thrombosis; occlusion
- traumatic aneurysm
- Select
- laceration
- thrombosis; occlusion
- traumatic aneurysm
- Select
- laceration
- thrombosis; occlusion
- traumatic aneurysm
- Select
- laceration
- thrombosis; occlusion
- traumatic aneurysm
- Select
- laceration
- thrombosis; occlusion
- traumatic aneurysm
- Select
- cavernous fistula
- Select
- laceration
- thrombosis; occlusion
- Select
- laceration
- thrombosis; occlusion
- Select
- laceration
- thrombosis; occlusion
- Select
- laceration
- thrombosis; occlusion
- Select
- laceration
- thrombosis; occlusion
- Select
- bilateral
- Select
- bilateral
- Select
- bilateral
- Select
- bilateral
- Select
- epidural or extradural [include perilesional edema for size]
- intracerebellar including petechial and subcortical [include perilesional edema for size]
- subdural
- Select
- tiny; <1cm diameter [include perilesional edema for size]
- small; superficial; ≤15cc; 1-3cm diameter [include perilesional edema for size]
- large; 15-30cc; >3cm diameter [include perilesional edema for size]
- extensive; massive; total volume >30cc [include perilesional edema for size]
- Select
- ≤2cm length or depth
- >2cm length or depth
- Select
- ≤2cm deep
- >2cm deep
- Select
- not associated with coma >6 hours
- associated with coma >6 hours
- Select
- not associated with coma >6 hours
- associated with coma >6 hours
- Select
- associated with coma >24 hours not secondary to primary brain injury; bilateral; multifocal
- not associated with coma >24 hours
- Select
- mild; compressed ventricles without compressed brain stem cisterns
- moderate; compressed ventricles and brain stem cisterns
- severe; absent ventricles or brain stem cisterns
- Select
- epidural or extradural [include perilesional edema for size]
- intracerebral [include perilesional edema for size]
- subdural
- Select
- ≤2cm length or depth
- >2cm length or depth
- Select
- ≤2 cm deep
- >2cm deep
- Select
- single
- multiple NFS
- multiple, on same side
- multiple, at least one on each side
- Select
- DAI confined to white matter or basal ganglia
- DAI involving corpus callosum
- Select
- not associated with coma >6 hours
- associated with coma >6 hours
- Select
- not associated with coma >6 hours
- associated with coma >6 hours
- Select
- mild; compressed ventricles without compressed brain stem cisterns
- moderate; compressed ventricles and brain stem cisterns
- severe; absent ventricles or brain stem cisterns
- Select
- loss of consciousness <1 hour
- Select
- without brainstem signs (moderate DAI)
- with brainstem signs (severe DAI)
- Select
- superficial; minor; ≤100cm2
- major; >100cm2
- blood loss >20% by volume
- Select
- minor; superficial
- major; >20cm long and into subcutaneous tissue
- blood loss >20% by volume
- Select
- bilateral
- Select
- bilateral
- Select
- no muscle loss
- with muscle loss
- Select
- no muscle loss
- with muscle loss
- Select
- no muscle loss
- with muscle loss
- Select
- minor; superficial; incomplete circumferential involvement; blood loss ≤20% by volume
- major; rupture; transection; segmental loss; blood loss >20% by volume
- Select
- minor; superficial; incomplete circumferential involvement; blood loss ≤20% by volume
- major; rupture; transection; segmental loss; blood loss >20% by volume
- Select
- minor; superficial; incomplete circumferential involvement; blood loss ≤20% by volume
- major; rupture; transection; segmental loss; blood loss >20% by volume
- Select
- minor; superficial; incomplete circumferential involvement; blood loss ≤20% by volume
- major; rupture; transection; segmental loss; blood loss >20% by volume
- Select
- minor; superficial; incomplete circumferential involvement; blood loss ≤20% by volume
- major; rupture; transection; segmental loss; blood loss >20% by volume
- Select
- minor; superficial; incomplete circumferential involvement; blood loss ≤20% by volume
- major; rupture; transection; segmental loss; blood loss >20% by volume
- Select
- with motor loss
- Select
- incomplete
- complete
- Select
- with motor loss
- Select
- with motor loss
- Select
- open
- Select
- open
- no articular cartilage involvement
- with articular cartilage involvement
- Select
- open
- no articular cartilage involvement
- with articular cartilage involvement
- Select
- open
- no articular cartilage involvement
- with articular cartilage involvement
- Select
- open
- no articular cartilage involvement
- with articular cartilage involvement
- Select
- open
- no articular cartilage involvement
- with articular cartilage involvement
- Select
- open
- no articular cartilage involvement
- with articular cartilage involvement
- Select
- sprain
- subluxation
- dislocation
- Select
- sprain
- subluxation
- dislocation
- Select
- open
- trochanteric; intertrochanteric
- femoral neck
- femoral head; Pipkin
- Select
- open
- simple; spiral; oblique; transverse; Winquist I
- wedge; "butterfly"; Winquist II or III
- complex; comminuted; segmental; Winquist IV
- Select
- open
- extra-articular; supracondylar
- partial articular; condylar; Hoffa
- complete articular; bicondylar; T-shaped; Y-shaped
- Select
- open
- extra-articular
- partial articular; Schatzker 1, 2, 3
- complete articular; plateau; bicondylar; Schatzker 4, 5, 6
- Select
- open
- extra-articular; isolated medial malleolus
- partial articular
- complete articular
- Select
- open
- simple; spiral; oblique; transverse; Winquist I
- wedge; "butterfly"; Winquist II or III
- complex; comminuted; segmental; Winquist IV
- Select
- open
- lateral and medial malleoli (bimalleolar)
- Select
- open
- lateral and medial malleoli (bimalleolar)
- trimalleolar
- Select
- open
- Select
- open
- Select
- open
- Select
- open
- Select
- open
- Select
- open
- Select
- open
- Select
- open
- Select
- open
- Select
- open
- Select
- open
- Select
- open
- Select
- open
- Select
- open
- Select
- open
- Select
- open
- Select
- open
- Select
- open
- Select
- open
- Select
- open
- Select
- open
- Select
- open
- Select
- open
- extra articular or shaft
- partial articular
- complete articular
- Select
- open
- extra articular or shaft
- partial articular
- complete articular
- Select
- open
- extra articular or shaft
- partial articular
- complete articular
- Select
- open
- extra articular or shaft
- partial articular
- complete articular
- Select
- partial disruption
- complete disruption
- Select
- partial disruption
- complete disruption
- Select
- partial disruption
- complete disruption
- Select
- minor; superficial
- major; >10cm long and into subcutaneous tissue
- blood loss >20% by volume
- Select
- minor; superficial; ≤25cm2
- major; >25cm2
- blood loss >20% by volume
- Select
- bilateral
- Select
- bilateral
- Select
- bilateral
- Select
- bilateral
- Select
- injury involving tinnitus
- injury involving dizziness
- bilateral
- Select
- minor; superficial
- deep; extensive
- Select
- bilateral
- Select
- posterior chamber
- anterior chamber
- Select
- rupture
- detachment
- hemorrhage
- Select
- abrasion
- burn, thermal or chemical
- contusion
- laceration
- Select
- dislocation; subluxation
- capsular rupture
- Select
- contusion; edema
- hole
- Select
- laceration; rupture
- Select
- hemorrhage
- detachment
- Select
- laceration; tear - minor; ≤90°
- laceration, tear - major; >90°
- laceration; tear
- detachment
- Select
- blood loss >20% by volume
- Select
- inferior orbital rim
- superior orbital rim
- Select
- inferior orbital rim
- superior orbital rim
- Select
- open
- Select
- condyle
- coronoid
- angle
- symphysis/parasymphysis
- body
- ramus
- Select
- condyle
- coronoid
- angle
- symphysis/parasymphysis
- body
- ramus
- Select
- arch [KN II]
- body
- Select
- minor; superficial
- major; >10cm long and into subcutaneous tissue
- blood loss >20% by volume
- Select
- minor; superficial; ≤25cm2
- major; tissue loss >25cm2
- blood loss >20% by volume
- Select
- neurological deficit (stroke) not head-injury related
- Select
- bilateral
- neurological deficit (stroke) not head-injury related
- Select
- minor; superficial; incomplete circumferential involvement; blood loss ≤20% by volume
- major; rupture; transection; segmental loss; blood loss >20% by volume
- with thrombosis (occlusion) secondary to trauma
- Select
- minor; superficial; incomplete circumferential involvement; blood loss ≤20% by volume
- major; rupture; transection; segmental loss; blood loss >20% by volume
- with thrombosis; (occlusion) secondary to trauma
- Select
- minor; superficial; incomplete circumferential involvement; blood loss ≤20% by volume
- major; rupture; transection; segmental loss; blood loss >20% by volume
- Select
- neurological deficit (stroke) not head-injury related
- Select
- neurological deficit (stroke) not head-injury related
- Select
- minor; superficial; incomplete circumferential involvement; blood loss ≤20% by volume
- major; rupture; transection; blood loss >20% by volume
- with thrombosis (occlusion) secondary to trauma
- Select
- minor; superficial; incomplete circumferential involvement; blood loss ≤20% by volume
- major; rupture; transection; blood loss >20% by volume
- Select
- no perforation; partial thickness; ≤50% circumference [OIS I, II]
- perforation; full thickness; >50% circumference [OIS III]
- avulsion; rupture; transection; massive destruction [OIS IV, V]
- Select
- partial thickness necrosisa
- full thickness necrosisa
- Select
- no perforation; partial thickness; mucosal tear
- perforation; full thickness; “fracture
- avulsion; rupture; transection; massive destruction; crush
- Select
- no perforation; partial thickness
- perforation; full thickness; “fracture”
- avulsion; rupture; transection; massive destruction; crush; laryngeal-tracheal separation
- Select
- minor; ≤75% airway involvement
- major; >75% airway involvement
- Select
- no perforation; partial thickness; mucosal tear
- perforation; full thickness
- avulsion; rupture; transection; massive destruction; crush
- Select
- minor; superficial
- major; >20cm long and into subcutaneous tissue
- blood loss >20% by volume
- Select
- minor; superficial; ≤100cm2
- major; >100cm2
- blood loss >20% by volume
- Select
- no perforation; partial thickness; ≤50% circumference [OIS I, II]
- perforation; full thickness; >50% circumference [OIS III]
- avulsion; rupture; transection; massive destruction [OIS IV, V]
- Select
- partial-thickness necrosisa
- full-thickness necrosisa
- Select
- with cardiac tamponadea
- Select
- major; >1000cc blood loss on at least one sidea
- Select
- major; >1000cc blood loss on at least one side
- Select
- major; >50% collapse of lung documented on xray; persistent air leak
- tension; massive air leak
- Select
- no perforation; partial thickness
- perforation; full thickness; “fracture”
- avulsion; rupture; transection; massive destruction; crush; laryngeal-tracheal separation
- Select
- no perforation; partial thickness
- perforation; full thickness; “fracture”
- complex; avulsion; rupture; transection; with separation
- Select
- without cardiac tamponade or heart injury
- with cardiac tamponade but without heart injury
- herniation of heart through pericardium
- Select
- no perforation; partial thickness
- perforation; full thickness; “fracture”
- complex; avulsion; rupture; transection; with separation
- Select
- ≤10cm [OIS II, III]
- >10cm; with significant tissue loss [OIS IV, V]
- Select
- no perforation; no chamber involvement
- perforation, ventricular or atrial, with or without tamponade
- Select
- minor [OIS I]
- major
- Select
- mild
- moderate; uni/bilateral with pulmonary peripheral hemorrhage
- severe; bilateral with air embolus
- Select
- unilateral
- bilateral
- Select
- unilateral
- bilateral
- Select
- absence of carbonaceous deposits, erythema, edema, bronchorrhea, obstruction
- minor or patchy areas of erythema, bronchorrhea, carbonaceous deposits in proximal or distal bronchi
- moderate degree of erythema, carbonaceous deposits, bronchorrhea with or without compromise of the bronchi
- severe inflammation with friability, copious carbonaceous deposits, bronchorrhea, bronchial obstruction, hypoxemia
- evidence of mucosal sloughing, necrosis, endoluminal obliteration
- Select
- minor; superficial; incomplete circumferential evolvement; blood loss ≤20% by volume
- major; rupture; transection; segmental loss; blood loss >20% by volume
- Select
- with aortic valve involvement
- Select
- minor; superficial; incomplete circumferential involvement; blood loss ≤20% by volume
- major; rupture; transection; segmental loss; blood loss >20% by volume
- Select
- minor; superficial; incomplete circumferential involvement; blood loss ≤20% by volume
- major; rupture; transection; segmental loss; blood loss >20% by volume
- Select
- minor; superficial; incomplete circumferential involvement; blood loss ≤20% by volume
- major; rupture; transection; segmental loss; blood loss >20% by volume
- Select
- minor; superficial; incomplete circumferential involvement; blood loss ≤20% by volume
- major; rupture; transection; segmental loss; blood loss >20% by volume
- Select
- minor; superficial; incomplete circumferential involvement; blood loss ≤20% by volume
- major; rupture; transection; segmental loss; blood loss >20% by volume
- Select
- minor; superficial; incomplete circumferential involvement; blood loss ≤20% by volume
- major; rupture; transection; segmental loss; blood loss >20% by volume
- Select
- minor; superficial; incomplete circumferential involvement; blood loss ≤20% by volume with or without thrombosis
- major; rupture; transection; segmental loss; blood loss >20% by volume
- Select
- minor; superficial; incomplete circumferential involvement; blood loss ≤20% by volume
- major; rupture; transection; segmental loss; blood loss >20% by volume
- Select
- minor; superficial; incomplete circumferential involvement; blood loss ≤20% by volume
- major; rupture; transection; segmental loss; blood loss >20% by volume
- Select
- minor; ≤15% of chest wall including rib cage
- major; >15% of chest wall including rib cage
- Select
- one rib [OIS I]
- two ribs [OIS I]
- ≥3 ribs [OIS II]
- Select
- bilateral flail chest [OIS V]
- unilateral flail chest [OIS IV]
- Select
- contusion; stretch injury
- laceration
- avulsion
- Select
- bilateral
- contusion; stretch injury
- laceration
- avulsion
- Select
- C-4 or below
- C-3 or above
- Select
- with no fracture or dislocation
- with fracture
- with dislocation
- with both fracture and dislocation
- Select
- with no fracture or dislocation
- with fracture
- with dislocation
- with both fracture and dislocation
- Select
- C-4 or below
- C-3 or above
- Select
- with no fracture or dislocation
- with fracture
- with dislocation
- with both fracture and dislocation
- Select
- unilateral
- bilateral
- Select
- minor compression (≤20% loss of anterior height)
- major compression (>20% loss of anterior height)
- Select
- no nerve root damage (radiculopathy)
- with nerve root damage (radiculopathy)
- Select
- single nerve root
- multiple nerve roots
- Select
- single nerve root
- multiple nerve roots
- Select
- single nerve root
- multiple nerve roots
- Select
- single nerve root
- multiple nerve roots
- Select
- with no fracture or dislocation
- with fracture
- with dislocation
- with both fracture and dislocation
- Select
- with no fracture or dislocation
- with fracture
- with dislocation
- with both fracture and dislocation
- Select
- with no fracture or dislocation
- with fracture
- with dislocation
- with both fracture and dislocation
- Select
- with no fracture or dislocation
- with fracture
- with dislocation
- with both fracture and dislocation
- Select
- with no fracture or dislocation
- with fracture
- with dislocation
- with both fracture and dislocation
- Select
- minor compression (≤20% loss of anterior height)
- major compression (>20% loss of anterior height)
- Select
- unilateral
- bilateral
- Select
- no nerve root damage (radiculopathy)
- with nerve root damage (radiculopathy)
- Select
- single nerve root
- multiple nerve roots
- Select
- single nerve root
- multiple nerve roots
- Select
- with no fracture or dislocation
- with fracture
- with dislocation
- with both fracture and dislocation
- Select
- with no fracture or dislocation
- with fracture
- with dislocation
- with both fracture and dislocation
- Select
- with no fracture or dislocation
- with fracture
- with dislocation
- with both fracture and dislocation
- Select
- with no fracture or dislocation
- with fracture
- with dislocation
- with both fracture and dislocation
- Select
- with no fracture or dislocation
- with fracture
- with dislocation
- with both fracture and dislocation
- Select
- with no fracture or dislocation
- with fracture
- with dislocation
- with both fracture and dislocation
- Select
- with no fracture or dislocation
- with fracture
- with dislocation
- with both fracture and dislocation
- Select
- with no fracture or dislocation
- with fracture
- with dislocation
- with both fracture and dislocation
- Select
- unilateral
- bilateral
- Select
- minor compression (≤20% loss of anterior height)
- major compression (>20% loss of anterior height)
- Select
- no nerve root damage (radiculopathy)
- with nerve root damage (radiculopathy)
- Select
- minor; superficial
- major; >20cm long and into subcutaneous tissue
- blood loss >20% by volume
- Select
- minor; superficial; ≤100cm2
- major; >100cm2
- blood loss >20% by volume
- Select
- minor; superficial; incomplete circumferential involvement; blood loss ≤20% by volume
- major; rupture; transection; segmental loss; blood loss >20% by volume
- Select
- minor; superficial; incomplete circumferential involvement; blood loss ≤20% by volume
- major; rupture; transection; segmental loss; blood loss >20% by volume
- Select
- minor; superficial; incomplete circumferential involvement; blood loss ≤ 20% by volume
- major; rupture; transection; segmental loss; blood loss >20% by volume
- Select
- minor; superficial; incomplete circumferential involvement; blood loss ≤ 20% by volume
- major; rupture; transection; segmental loss; blood loss >20% by volume
- Select
- minor; superficial; incomplete circumferential involvement; blood loss ≤20% by volume
- major; rupture; transection; segmental loss; blood loss >20% by volume
- Select
- minor; superficial; incomplete circumferential involvement; blood loss ≤20% by volume
- major; rupture; transection; segmental loss; blood loss >20% by volume
- Select
- minor; superficial; incomplete circumferential involvement; blood loss ≤20% by volume
- major; rupture; transection; segmental loss; blood loss >20% by volume
- Select
- minor with or without thrombosis; superficial; incomplete circumferential involvement; blood loss ≤20% by volume
- major; rupture; transection; segmental loss; blood loss >20% by volume
- Select
- minor; superficial; incomplete circumferential involvement; blood loss ≤20% by volume
- major; rupture; transection; segmental loss; blood loss >20% by volume
- Select
- no perforation; partial thickness
- perforation; full thickness
- massive; avulsion; complex; rupture; major tissue loss
- Select
- no perforation; partial thickness [OIS I]
- extraperitoneal wall ≤2cm [OIS II]
- extraperitoneal wall >2cm; intraperitoneal wall ≤2cm [OIS III]
- intraperitoneal wall >2cm [OIS IV]
- massive; avulsion; complex, tissue loss; involving urethral orifice (trigone) or bladder neck [OIS V]
- Select
- no perforation; partial thickness; 50% circumference [OIS I, II]
- perforation; full thickness; ≥50% circumference without transection; multiple simple wounds [OIS III]
- massive; avulsion; complex; tissue loss; transection; large areas of tissue devitalization or devascularization [OIS IV, V]
- Select
- disruption 50% circumference [OIS II]
- no perforation; partial thickness; serosal tear [OIS I]
- disruption 50-100% circumference of D1 (superior or first part), D3 (transverse or third part) or D4 (ascending or fourth part) [OIS III]
- disruption >75% circumference of D2 (descending or second part); involving ampulla or distal common bile duct [OIS IV]
- disruption 50-75% circumference of D2 (descending or second part) [OIS III]
- massive; avulsion; complex; rupture; tissue loss; devascularization; massive disruption of duodenopancreatic complex [OIS V]
- Select
- no perforation; partial thickness; 50% circumference [OIS I, II]
- perforation; full thickness; ≥50% circumference without transection; multiple simple wounds [OIS III]
- massive; avulsion; complex; tissue loss; transection; large areas of tissue devitalization or devascularization [OIS IV, V]
- Select
- minor; superficial; no cystic duct involvement [OIS II]
- massive; avulsion; complex; rupture; tissue loss; cystic duct laceration or transection [OIS III]
- Select
- subcapsular, nonexpanding; confined to renal retroperitoneum; minor; superficial [OIS I, II]
- subcapsular, >50% surface area or expanding; major; large [OIS III]
- Select
- ≤1cm parenchymal depth of renal cortex, no urinary extravasation; minor; superficial [OIS II]
- >1cm parenchymal depth of renal cortex, no collecting system rupture or urinary extravasation; moderate [OIS III]
- extending through renal cortex, medulla and collecting system; main renal vessel injury with contained hemorrhage; major [OIS IV]
- hilum avulsion; total destruction of organ and its vascular system [OIS V]
- Select
- subcapsular, ≤50% surface area, or nonexpanding; intraparenchymal ≤10cm in diameter; minor; superficial [OIS I, II]
- subcapsular, >50% surface area or expanding; ruptured subcapsular or parenchymal; intraparenchymal >10cm or expanding; major [OIS III]
- Select
- simple capsular tears; ≤3cm parenchymal depth; ≤10cm long; minor; superficial [OIS II]
- >3cm parenchymal depth; major duct involvement; moderate [OIS III]
- parenchymal disruption ≤75% hepatic lobe; multiple lacerations >3cm deep; “burst” injury; major [OIS IV]
- parenchymal disruption of >75% of hepatic lobe or >3 Couinard’ssegments within a single lobe; or involving retrohepatic vena cava/ central hepatic veins; massive; complex [OIS V]
- hepatic avulsion (total separation of all vascular attachments) [OIS VI]
- Select
- minor; superficial
- major
- massive; avulsion; complex; tissue loss
- Select
- minor; superficial
- major
- Select
- superficial; ≤ .5cm; minor [OIS II]
- deep; >.5cm [OIS III]
- complete parenchymal destruction; massive; avulsion; complex [OIS IV, V]
- Select
- minor; superficial; no duct involvement [OIS I]
- major; large; extensive; with duct involvement [OIS II]
- Select
- minor; superficial; no duct involvement [OIS I]
- moderate; major vessel or major duct involvement; distal transection [OIS III]
- major; multiple lacerations; proximal transection [OIS IV]
- massive; avulsion; complex; tissue loss; massive disruption of pancreatic head [OIS V]
- Select
- minor; superficial [OIS II, III]
- major [OIS IV]
- massive; amputation; avulsion; complex; [OIS V]
- Select
- minor; superficial
- major
- massive; avulsion; complex
- Select
- involving urethra
- Select
- no perforation; partial thickness; ≤50% of circumference [OIS I, II]
- full thickness; >50% circumference [OIS III]
- massive; avulsion; tissue loss; devascularization [OIS V]
- Select
- minor; superficial; 25% diameter [OIS II]
- major; amputation; avulsion; complex [OIS III, IV,V]
- Select
- subcapsular, ≤50% surface area; intraparenchymal, ≤5cm in diameter; minor; superficial [OIS I, II]
- subcapsular, >50% surface area or expanding; ruptured subcapsular or parenchymal; intraparenchymal >5cm in diameter or expanding; major [OIS III]
- Select
- simple capsular tear ≤3cm parenchymal depth and no trabecular vessel involvement; minor; superficial [OIS I, II]
- no hilar or segmental parenchymal disruption or destruction; >3cm parenchymal depth or involving trabecular vessels; moderate [OIS III]
- involving segmental or hilar vessels producing major devascularization of >25% of spleen but no hilar injury; major [OIS IV]
- hilar disruption producing total devascularization; tissue loss; avulsion; massive [OIS V]
- Select
- partial thickness necrosis
- full thickness necrosis
- Select
- no perforation; partial thickness [OIS I]
- perforation; full thickness [OIS II, III]
- avulsion; complex; rupture; tissue loss; massive; devascularization [OIS IV, V]
- Select
- minor; superficial [OIS II, III]
- avulsion; amputation; complex; massive [OIS IV, V]
- Select
- no perforation; partial thickness [OIS II]
- perforation; full thickness [OIS III]
- massive; avulsion; complex; rupture; tissue loss; transection [OIS IV, V]
- Select
- ≤1cm; minor; superficial [OIS II]
- >1cm; placental abruption ≤50%; major; deep [OIS III]
- involving uterine artery; placental abruption >50% but not complete [OIS IV]
- uterine rupture; avulsion; devascularization; complete placental abruption
- Select
- minor; superficial; mucosa only [OIS II]
- major; deep into fat/muscle [OIS III]
- massive; avulsion; complex; into cervix or peritoneum [OIS IV, V]
- Select
- minor; superficial; skin only [OIS II]
- major; deep into fat/muscle [OIS III]
- massive; avulsion; complex [OIS IV, V]
- Select
- minor; superficial [OIS I]
- major; large [OIS I]
- Select
- minor; superficial; only cortex involvement; 2cm [OIS II]
- major; multiple lacerations; extending into medulla; ≥2cm [OIS III]
- massive; avulsion; complex; rupture; >50% parenchymal destruction [OIS IV, V]
- Select
- no perforation; partial thickness [OIS III]
- perforation; full thickness; urethral separation 2cm [OIS IV]
- avulsion; complex; tissue loss; massive [OIS IV]
- posterior tissue loss; transection; urethral separation >2cm [OIS V]
- Select
- partial disruption
- complete disruption
- Select
- minor; superficial
- major; >10cm long on hand or >20cm long on entire extremity and into subcutaneous tissue
- blood loss >20% by volume
- Select
- minor; superficial; ≤25cm2 on hand or ≤100cm2 on entire extremity
- major; tissue loss >25cm2 on hand or >100cm2 on entire extremity
- blood loss >20% by volume
- Select
- no muscle loss
- with muscle loss
- Select
- no muscle loss
- with muscle loss
- Select
- no muscle loss
- with muscle loss
- Select
- bilateral
- Select
- bilateral
- Select
- minor; superficial; incomplete circumferential involvement; blood loss ≤20% by volume
- major; rupture; transection; segmental loss; blood loss >20% by volume
- Select
- major; rupture; transection; segmental loss; blood loss >20% by volume
- minor; superficial; incomplete circumferential involvement; blood loss ≤20% by volume
- Select
- major; rupture; transection; segmental loss; blood loss >20% by volume
- minor; superficial; incomplete circumferential involvement; blood loss ≤20% by volume
- Select
- major; rupture; transection; segmental loss; blood loss >20% by volume
- minor; superficial; incomplete circumferential involvement; blood loss ≤20% by volume
- Select
- minor; superficial; incomplete circumferential involvement; blood loss ≤20% by volume
- major; rupture; transection; segmental loss; blood loss >20% by volume
- Select
- minor; superficial; incomplete circumferential involvement;
- major; rupture; transection; segmental loss; blood loss >20% by volume
- Select
- with motor loss
- Select
- with motor loss
- Select
- with motor loss
- Select
- open
- Select
- open
- Select
- open
- Select
- open
- Select
- open
- simple
- wedge; "butterfly" fragment
- comminuted; segmental
- Select
- open
- extra-articular
- intra-articular
- Select
- open
- Select
- open
- Select
- open
- Select
- open
- Select
- open
- Select
- open
- Select
- open
- Select
- open
- Select
- open
- Select
- open
- extra-articular; unifocal [either one of the tuberosities or the metaphysis]; single fracture line
- extra-articular; bifocal [either one of the tuberosities and the metaphysis]; =2 fracture lines
- Select
- open
- extra-articular or shaft
- partial articular
- complete articular
- Select
- open
- extra-articular or shaft
- partial articular
- complete articular
- Select
- open
- complete articular
- Select
- open
- extra-articular or shaft
- partial articular
- complete articular
- Select
- open
- Select
- open
- Select
- open
- extra-articular; radial neck
- partial articular; radial head
- complete articular
- Select
- open
- simple; oblique; transverse
- wedge; "butterfly" fragment
- complex; comminuted; segmental
- Select
- open
- extra-articular [includes styloid]
- extra-articular [includes styloid]
- partial articular; Colles
- complete articular; T-shaped; Y-shaped; T-condylar; Barton
- Select
- open
- extra-articular
- partial articular
- complete articular
- Select
- open
- simple; oblique; transverse
- Ulna Shaft fracture wedge; "butterfly" fragment
- complex; comminuted; segmental
- Select
- open
- partial articular
- complete articular
- Select
- open
- Select
- open
- Select
- open
- Select
- open
- Select
- open
- Select
- open
- Select
- open
- Select
- open
- Select
- open
- Select
- open
- sprain
- dislocation/subluxation
- Select
- open
- sprain
- dislocation/subluxation
- Select
- open
- with radial head involvement [proximal radioulnar]
- Select
- 1st degree; superficial
- deep; full thickness
- Select
- abrasion
- contusion; hematoma
- laceration
- avulsion
- Select
- =1y; >50% TBSA
- ≤1y; ≤50% TBSA
- Select
- 5y; 10-19% TBSA
- Select
- 5y; 20-29% TBSA
- Select
- 5y; 30-39% TBSA
- Select
- if >6 months old
- in infants ≤6 months old
- Select
- bilateral
- Select
- bilateral
- Select
- bilateral
- Select
- bilateral
- Select
- bilateral
- Select
- bilateral
- Select
- bilateral
- Select
- bilateral
- Select
- bilateral
- open laceration (bleeding externally) or segmental loss
- Select
- bilateral
- Select
- open laceration (bleeding externally) or segmental loss
- Select
- open laceration (bleeding externally) or segmental loss
- Select
- anterior half of sinus
- posterior half of sinus
- Select
- open laceration (bleeding externally) or segmental loss
- Select
- bilateral
- open laceration (bleeding externally) or segmental loss
- Select
- bilateral
- Select
- tiny; <0.6cm thick [include perilesional edema for size]
- small; moderate; ≤30cc or ≤15cc if ≤age 10; 0.6-1cm thick [include perilesional edema for size]
- large; massive; extensive; >30cc or >15cc if = age 10; >1cm thick [include perilesional edema for size]
- Select
- tiny; <0.6cm diameter [includes radiographic “shearing” lesions] [include perilesional edema for size]
- small; ≤15cc; 0.6-3cm diameter [include perilesional edema for size]
- large; >15cc; >3cm diameter [include perilesional edema for size]
- Select
- tiny; <0.6cm thick
- small; moderate; ≤30cc or ≤15cc if ≤age 10; 0.6-1cm thick
- large; massive; extensive; >30cc or >15cc if =age 10; >1cm thick
- Select
- small; moderate; ≤50cc or ≤25cc if ≤age 10; 0.6-1cm thick
- large; massive; extensive; >50cc or >25cc if =age 10; >1cm thick
- tiny; <0.6cm thick
- Select
- small; ≤30cc or ≤15cc if ≤age 10; 1-4cm diameter or ≤1cm if ≤age 10; subcortical hemorrhage
- large; >30cc or >15cc if =age 10; >4cm or >1cm diameter if =age 10
- tiny; single or multiple <1cm diameter
- Select
- tiny; <0.6 cm thick [includes tentorial (subdural) blood one or both side]
- small; moderate; ≤50cc or ≤25cc if ≤age 10; 0.6-1cm thick
- large; massive; extensive; >50cc or >25cc if ≤age 10; >1cm thick
- Select
- tiny; <1cm diameter
- small; superficial; ≤30cc or ≤15cc if ≤age 10; 1-4cm diameter or 1-2cm diameter if ≤age 10; midline shift ≤5mm
- large; deep; 30-50cc or 15-30cc if ≤age 10; >4cm diameter or 2-4cm diameter if ≤age 10; midline shift >5mm
- extensive; massive; total volume >50cc or >30cc if ≤age 10
- Select
- tiny; each <1cm diameter
- small; superficial; total volume ≤30cc or ≤15cc if ≤age 10; midline shift ≤5mm
- large; total volume 30-50cc or 15-30cc if ≤age 10; midline shift >5mm
- extensive; massive; total volume >50cc or >30cc if ≤age 10
- Select
- tiny; each <1cm diameter
- small; superficial; total volume ≤30cc or ≤15cc if ≤age 10
- large; total volume 30-50cc or 15-30cc if ≤age 10
- extensive; massive; total volume >50cc or >30cc if ≤age 10
- Select
- loss of consciousness ≤ 30 mins
- loss of consciousness 31-59 mins
- Select
- open
- Select
- open
- Select
- open
- Select
- open
- Select
- open
- Select
- open
- Select
- open
- Select
- open
- Select
- open
- Select
- open
- Select
- open
- Select
- open
- Select
- open
- no articular cartilage involvement
- with articular cartilage involvement
- Select
- open
- no articular cartilage involvement
- with articular cartilage involvement
- Select
- open
- Select
- open
- Select
- open
- Select
- open
- Select
- open
- Select
- open
- Select
- open
- Select
- open
- Select
- open
- Select
- open
- Select
- open
- Select
- open
- Select
- open
- Select
- open
- Select
- open
- Select
- open
- Select
- open
- Select
- open
- Select
- open
- Select
- open
- Select
- open
- Select
- open
- Select
- open
- Select
- open
- Select
- open
- Select
- open
- Select
- open
- Select
- open
- Select
- open
- Select
- open
- Select
- open
- Select
- open
- Select
- open
- Select
- peripheral; not involving macula
- central; involving macula
- Select
- hyphema
- Select
- not involving central 3mm of cornea
- involving central 3mm of cornea
- Select
- anterior segment
- posterior segment
- Select
- anterior capsule
- posterior capsule
- both anterior and posterior capsules
- Select
- anterior to ora serrata
- posterior to ora serrata but anterior to equator
- posterior to equator
- Select
- retina visible
- retina not visible
- Select
- with macula attached
- with macula detached
- Select
- unrotated [KN III]
- rotated [KN IV, V]
- Select
- bilateral
- Select
- bilateral
- neurological deficit (stroke) not head-injury related
- Select
- bilateral
- neurological deficit (stroke) not head-injury related
- Select
- bilateral
- neurological deficit (stroke) not head-injury related
- Select
- bilateral
- Select
- neurological deficit (stroke) not head-injury related
- Select
- neurological deficit (stroke) not head-injury related
- Select
- bilateral
- Select
- vocal cord involvement
- Select
- atrial rupture
- ventricular rupture
- multiple lacerations; >50% tissue loss of a chamber
- Select
- minor; 1 lobe
- major; >1 lobe
- Select
- minor; 1 lobe
- major; >1 lobe in at least one lung
- Select
- minor; 1 lobe
- major; >1 lobe
- Select
- minor; 1 lobe
- major; >1 lobe in at least one lung
- Select
- with aortic root or valve involvement
- with hemorrhage confined to mediastinum
- with hemorrhage not confined to mediastinum [OIS VI]
- Select
- with air embolus right side
- Select
- bilateral
- Select
- with air embolus right side
- Select
- bilateral
- Select
- 3-5 flail ribs [OIS IV]
- >5 flail ribs [OIS IV]
- Select
- bilateral
- Select
- with no fracture or dislocation
- with fracture
- with dislocation
- with both fracture and dislocation
- Select
- with no fracture or dislocation
- with fracture
- with dislocation
- with both fracture and dislocation
- Select
- with no fracture or dislocation
- with fracture
- with dislocation
- with both fracture and dislocation
- Select
- with no fracture or dislocation
- with fracture
- with dislocation
- with both fracture and dislocation
- Select
- with common bile or hepatic duct laceration or transection [OIS IV, V]
- Select
- if involving ampulla [OIS IV]
- Select
- if involving ampulla [OIS IV]
- Select
- extending into perineum [OIS IV]
- Select
- open
- Select
- open
- Select
- open
- Select
- open
- Select
- open
- Select
- open
- Select
- open
- Select
- open
- Select
- open
- Select
- open
- Select
- open
- Select
- open
- Select
- open
- Select
- open
- Select
- open
- Select
- open
- Select
- open
- Select
- open
- Select
- open
- Select
- open
- Select
- open
- Select
- open
- Select
- open
- Select
- open
- Select
- open
- Select
- open
- Select
- open
- Select
- open
- Select
- open
- Select
- open
- Select
- open
- Select
- open
- Select
- open
- Select
- open
- Select
- open
- Select
- open
- Select
- open
- Select
- open
- Select
- multiple body sites e.g., fingers, toes, ears
- Select
- blood loss >20% by volume
- Select
- bilateral
- Select
- bilateral
- torcular
- Select
- bilateral
- Select
- bilateral
- not associated with coma >6 hours
- associated with coma >6 hours
- Select
- bilateral [each >4cm]
- Select
- petechial hemorrhage(s) [includes radiographic “shearing” lesions]
- Select
- bilateral [both sides 0.6-1cm thick]
- Select
- bilateral [at least one side >1 cm thick]
- Select
- open
- Select
- open
- Select
- open
- Select
- open
- Select
- minor; ≤50% of anterior chamber
- major; >50% of anterior chamber
- Select
- without prolapse
- with prolapse
- Select
- without prolapse
- with prolapse
- Select
- without prolapse
- with prolapse
- Select
- without prolapse
- with prolapse
- Select
- without prolapse
- with prolapse
- Select
- bilateral
- Select
- bilateral
- Select
- bilateral
- Select
- bilateral
- Select
- not associated with coma >6 hours
- associated with coma >6 hours
AIS-SELECTEER
Geselecteerde AIS codes Delete all
Nieuwe patiënt
Toegekende
codes
codes
External,
Burns,
Other trauma
Burns,
Other trauma
Asphyxia,
Drowning,
Hypothermia
Drowning,
Hypothermia
ISS0
Nieuwe Patient
Weet je zeker dat je een nieuwe patient wilt starten, oftewel alle ingevoerde AIS codes wilt verwijderen?
JaNee