The case definitions listed below are used to monitor emergency department visits in NC DETECT.

Abbreviations, misspellings and negation are taken into account when searching for keywords in the free text data (chief complaints and triage notes).

Please note that disease trends for certain case definitions will be impacted when ICD-10-CM becomes the new diagnostic coding standard on October 1, 2015.

Case definitions with ICD-9-CM codes will now also include ICD-10-CM Codes.  Please contact us at ncdetect@listserv.med.unc.edu with any questions.

SyndromeCase Definition
Acute Alcohol Poisoning (ICD-9-CM)ICD-9-CM Codes: 980% OR E860% in first 6 diagnosis positions only
ICD-10-CM Codes: T51% (excluding codes for sequela)
Alcoholic Energy Drinks 
Free text: "four loko"  OR "4 loko"  OR "four loco"  OR "4 loco"  OR drink NEAR sparks  OR drank NEAR sparks  OR drinking NEAR sparks  OR Blackout NEAR "in a can"  OR "rockstar 21"  OR joose  OR moonshot  OR torque  OR "liquid cocaine"  OR tilt
EXCLUDES ED visits where tilt is near test or head
Acute Neurologic IllnessFree text: muscle weakness OR limb weakness
Affective SymptomsFree text: depression OR depressed OR anxi* OR panic OR acute psyc*
AmberjackFree text:  (ish OR Amberjack OR ciguatera) AND NOT ("fish hook" OR "fish bone" OR fishing OR fishbone OR cleaning  fish OR "jelly fish" OR "fish oil")
Animal ALLFree text:  Bat OR Bear OR Beaver OR Bobcat OR Cat OR Cattle OR Cow OR Coyote OR Dog OR Donkey OR Equine OR Ferret OR Fox OR Goat OR Groundhog OR Horse OR Mammal OR Mouse OR Nutria OR Possum OR Opossum OR Otter OR Pig OR Rabbit OR Raccoon OR Rat OR Rodent OR Sheep OR Skunk OR Squirrel OR Swine OR "Wild animal" OR Wolf OR Woodchuck OR HRIG OR Rabid OR Rabies OR RIG OR animal
The following terms are NOT included in the results: urinary cat OR "cat scan' OR cat ... cradle OR "thrown from horse" OR trip ... horse/dog/cat OR "baseball bat" OR "hit with bat"
AnthraxFree text: anthrax
ICD-9-CM Codes: 022% OR V71.82 OR 484.5%
ICD-10-CM Codes: A22% OR Z20.810
Apex Chemical Plant Fire (10/9/2006)Free text: fire  OR  Apex  OR  disaster  OR  hazard  OR  chlorine  OR  chemical  OR  petrol*  OR  explosion  OR  clorine  OR  toxic gas  OR  waste plant  OR  evac*
ApplesauceFree text: applesauce
Asthma (ICD-9/10-CM)ICD-9-CM Codes: any 493 code
ICD-10-CM Codes: J45%
Asthma (keyword)Free text: asthma OR wheez* OR weez*
Asthma - BioSense (keyword)Free text: 493 OR  ashtma OR  asma OR  asthama OR  asthamtic OR  asthma OR  asthmia OR  bronchospasm OR  "chest tight" OR  heezing OR  "r a d" OR  rad OR  "reactive airway disease" OR  "status asthmaticus" OR  weezing OR  wheeszing OR  wheeze OR  wheezing OR  wheezy OR  whezzing
Asthma 1st or 2nd diagnosis only (ICD-9-CM)ICD-9-CM Codes: 493% in first two diagnosis positions only
NOTE: This definition will NOT be updated to include ICD-10-CM Codes because diagnosis code order needs to be evaluated with the transition to ICD-10-CM codes
Bath Salt"bath salt" OR "bath salts"
Bed BugsFree text: bed bug*
BotulismFree text: botulism
ICD-9-CM Codes: 005.1 OR 040.41 OR 040.42
ICD-10-CM Codes: A05.1 OR A48.5 OR A48.51 OR A48.52
Botulism-like IllnessFree text: botulism OR at least one neurological symptom from the concepts listed below:
altered mental status (AMS) OR hypotonia/decreased tone OR aphasia OR lethargy OR areflexia/hyporeflexia/decreased reflexes OR loss of consciousness (LOC) OR ataxia OR loss of head control OR blurred/blurry vision OR numbness OR coma OR nystagmus OR difficulty focusing to near point OR palsy OR difficulty reading OR ptosis OR difficulty seeing OR pupils OR dry mouth OR dilated OR dysphagia/difficulty swallowing OR pupils fixed OR difficulty walking/ unsteady gait OR paralysis (descending flaccid, gaze, & respiratory muscle) OR diplopia/double vision OR somnolence OR drooping/droopy eyelids OR stupor OR drooling/difficulty handling secretions OR unconscious OR dysarthria/slurred speech/difficulty speaking OR visual changes OR facial droop OR weakness (arm, leg, muscle) AND one constitutional symptom:  anorexia/poor/decreased/loss of/no appetite/not eating OR Constipation OR difficulty breathing OR  Diarrhea OR drowsy OR dyspnea OR emesis/vomiting OR exhausted/exhaustion OR fatigue OR Pediatric cases: fussiness, cranky, irritable OR hypoxia OR malaise OR nausea OR prostration OR shortness of breath (SOB) OR sleepy OR tired OR tremor OR weariness OR wooziness
BrucellosisFree text: brucellosis
ICD-9-CM Codes: 023%
ICD-10-CM Codes: A23%
Burn/FireFree text: burn* AND NOT (urin* OR burning OR vag burn* OR heart burn))  OR fire AND NOT (on fire OR fire ext* OR fire ant*) 
Carbon Monoxide Poisoning - Confirmed/Probable (ICD-9/10-CM)ICD-9-CM Codes: 986' OR E868.3 OR E868.8 OR E868.9 OR E982.1 OR E868.2 OR E982.0
ICD-10-CM Codes: 'T58' OR 'T58.0' OR 'T58.01XA' OR 'T58.01XD' OR 'T58.04XA' OR 'T58.04XD' OR 'T58.1' OR 'T58.11XA' OR 'T58.11XD' OR 'T58.14XA' OR 'T58.14XD' OR 'T58.2' OR 'T58.2X' OR 'T58.2X1A' OR 'T58.2X1D' OR 'T58.2X4A' OR 'T58.2X4D' OR 'T58.8' OR 'T58.8X' OR 'T58.8X1A' OR 'T58.8X1D' OR 'T58.8X4A' OR 'T58.8X4D' OR 'T58.9' OR 'T58.91XA' OR 'T58.91XD' OR 'T58.94XA' OR 'T58.94XD'
Carbon Monoxide Poisoning - Disaster Related (ICD-9/10-CM)Free text:
ICD-9-CM Codes: E868.0 OR E868.1 OR E868.2 OR E868.3 OR E868.8 OR E868.9 OR E890.2 OR E891.2 OR E982.1 OR 986
ICD-10-CM Codes: T58.11XA OR T58.11XD OR T58.01XA OR T58.01XD OR T58.2X1A OR T58.2X1D OR T58.8X1A OR T58.8X1D OR T58.91XA OR T58.91XD OR X00.1XXA OR X00.1XXD OR X02.1XXA
OR X02.1XXD OR X00.1XXA OR X00.1XXD OR T58.04XA OR T58.04XD OR T58.14XA OR T58.14XD OR T58.2X4A OR T58.2X4D OR T58.8X4A OR T58.8X4D OR T58.94XA OR T58.94XD
CDC Influenza-like IllnessFree text: (fever OR febrile OR FUO OR temperature OR Documented Initial ED Temp > 38C) AND (cough or sore throat)
CDC ILI with flu termsFree text: flu terms OR ((fever OR febrile OR FUO OR temperature OR Documented Initial ED Temp > 38C) AND (cough or sore throat))
ChikungunyaFree text: (travel OR Caribbean OR Africa OR "Southern Europe" OR "Southeast Asia")  AND (arthritis  OR  "joint pain"  OR  arthralgia OR myalgia OR fever)) OR Chikungunya
ICD-10-CM Codes: A92.0
Child Maltrreatment - Specified (<=10 years)age <= 10
AND
ICD-9-CM Codes: 995.50 OR 995.51 OR 995.52 OR 995.53 OR 995.54 OR 995.55 OR 995.59 OR 994.2 OR 994.3 OR E967.0 OR E967.1 OR E967.2 OR E967.3 OR E967.4 OR E967.5 OR E967.6 OR E967.7 OR E967.8 OR E967.9 OR E968.4 OR E904.0 OR E904.1 OR E904.2
Child Maltreatment - Specified (< 18 years)age < 18
ICD-9-CM Codes: 995.50 OR 995.51 OR 995.52 OR 995.53 OR 995.54 OR 995.55 OR 995.59 OR 994.2 OR 994.3 OR E967.0 OR E967.1 OR E967.2 OR E967.3 OR E967.4 OR E967.5 OR E967.6 OR E967.7 OR E967.8 OR E967.9 OR E968.4 OR E904.0 OR E904.1 OR E904.2
Child Maltreatment - Specified History (<= 10 years)age <= 10
ICD-9-CM Codes: V15.41 OR V15.42 OR V15.49 OR V61.21
Child Maltreatment - Specified History (<18 years)age < 18
ICD-9-CM Codes: V15.41 OR V15.42 OR V15.49 OR V61.21
Chronic CardioFree text: myocar OR MI OR heart attack OR htn OR hyperten* OR hyper ten* 
ClenbuterolFree text / concepts: (cocaine OR heroin OR overdose) AND (tachy* OR palpit* OR hypoten* OR "chest pain" OR shortness of breath OR nausea OR tremor OR hypokalemia OR hypoglycemia OR clenbuterol OR rapid heart beat)
Cocaine-relatedFree text: cocaine OR cocane OR addicted ... crack OR addiction ... crack OR crack .... abused/used /OD OR detox ... crack OR "smoked crack" OR "smoking crack" OR "smokin crack" or swallowed ... crack
Cocaine/LevamisoleFree text: (Cocai OR cocan OR addicted to crack OR addiction to crack OR crack abuse OR crack addiction OR crack use OR crack OD OR detox from Crack OR smoked crack OR smoking crack OR smoking crack OR swallowed crack) AND (agranu OR levamis OR leukop OR leucop OR thrush OR sore throat (all variations) OR fever (all variations)  or temp (all variations)
ConAgra Food Plant Explosion (6/9/2009)Free text: "disast*"  OR ConAgra  OR explosion  OR exploded  OR explode  OR fire  OR hazmat  OR ammonia  OR amonia  OR "slim jim"  OR Garner  OR chemical NEAR exposure  OR hazardous NEAR gas
EXCLUDES fireants OR fire dep OR firework OR smoker OR fire NEAR house
Death reportED Visits with a disposition of "Died" (150)
DehydrationFree text:  dehyd* OR need fluid* OR leg cramp* OR muscle cramp* OR skin turgor NEAR poor OR po intake OR oral intake OR IV fluid* OR Int fluid* OR not NEAR eat* OR can eat* OR hypotension OR bp OR blood pressure OR blood press OR bl pres OR bl pressure OR bl pressor tachycar* OR (dark & urine*)
Diabetes (ICD-9-CM)ICD-9-CM Code: 250%
Drone-related (keyword)Free text: drone OR "Unmanned aerial system" OR  UAS OR  "Unmanned aerial vehicle"  OR  UAV  OR  "Remote control airplane" OR "Remote control helicopter" OR "Remote control aircraft" OR "Model airplane" OR "Model helicopter" OR "Model aircraft"
Drowning (ICD-9/10-CM or Keyword)Free text: drown OR "under water" OR underwater OR "found in water" OR submerge* OR "fell in water" OR "water in lungs" (EXCLUDES suicid* OR depression OR psych OR "blood drown"
ICD-9-CM Codes: E910.3 OR E910.8 OR E910.9 OR E984 OR 994.1
ICD-10-CM Codes: W73.XXXD OR W74.XXXA OR W74.XXXD OR W16.011A OR W16.011D OR W16.021A OR W16.021D OR W16.031A OR W16.031D OR W16.111A W16.111D OR W16.121A OR W16.121D OR W16.131A OR W16.131D OR W16.211A OR W16.211D OR W16.221A OR W16.221D OR W16.311A OR W16.311D OR W16.321A OR W16.321D OR W16.331A OR W16.331D OR W16.41XA OR W16.41XD OR W16.511A OR W16.511D OR W16.521A OR W16.521D OR W16.531A OR W16.531D OR W16.611A OR W16.611D OR W16.621A OR W16.621D OR W16.711D OR W16.711D OR W16.721A OR W16.721D OR W16.811A OR W16.811D OR W16.821A OR W16.821D OR W16.831A OR W16.831D OR W16.91XA OR W16.91XD OR W22.041A OR W22.041D OR W65.XXXA OR W65.XXXD
Drug Overdose / Dependence and InfectionThis case definition looks for ED visits with a diagnosis of medication OR drug overdose / dependence AND (Endocarditis OR Bacteremia/Sepsis OR Skin and soft tissue infection)
Medication OR drug overdose / dependence
ICD-9-CM Codes: 292.0 OR 304.90 OR 305.90 OR E962.0 OR 960-979.9 OR E850-E858.9 OR E950-E950.5 OR E980-E980.5 OR 304.0-304.02 OR 304.20-304.22 OR 304.40-304.42 OR 304.5-304.52 OR 304.60-304.62 OR 304.70-304.72 OR 304.80-304.82 
ICD-10-CM Codes: T36-T50 (ending in A or D only and EXCLUDING all codes in which the second to last character (7th position) is a 5 (adverse effect) or 6 (underdosing)) OR F19.939 OR F14.20 OR F15.20 OR F11.20 OR F16.20 OR F19.20 OR F19.230 OR F19.231 OR F19.232
Endocarditis
ICD-9-CM Codes: 421 OR R421.1 OR 421.9 OR 424.9
ICD-10-CM Codes: I33.0 OR I39 OR I33.9 OR I38
Bactermia/Sepsis
CD-9-CM Codes 790.7 OR 995.91 OR 995.92 OR 038-038.4 OR 038.8 OR 038.9
ICD-10-CM Codes: R78.81 OR A41.9 OR A40.9 OR A40.3 OR A41.4 OR A41.8
Skin and soft tissue infection
ICD-9-CM Codes: 686% OR 682.0-682.9
ICD-10-CM Codes: K12.2 OR L03.211 OR L03.212 OR L03.221 OR L03.222 OR L03.319 OR L03.329 OR L03.119 OR L03.129 OR L03.317 OR L03.811 OR L03.818 OR L03.891 OR L03.898 OR L03.90 OR L03.91 OR L08.0 OR L08.89 OR L08.9
 
Eastern NC Wildfire (smoke only)Free text: smoke
EbolaFree text: ebola OR africa OR liberia OR guinea OR "sierra leone" OR nigeria
E-CigarettesFree text: e-cig OR ecig
E.Coli (keyword)Free text: E. coli
E. Coli/HUS (ICD-9/10-CM)ICD-9-CM Codes: 283.1 OR 008.00 OR 008.01 OR 008.02 OR 008.03 OR 008.04 OR 008.09
ICD-10-CM Codes: A04.0 OR A04.1 OR A04.2 OR A04.3 OR A04.4 OR A41.51 OR B96.2% OR J15.5 OR P23.4 OR P36.4 OR Z20.01 OR D59.3
ED Census ReportThis report counts total ED visits for the selected location(s)
EMS Transport 65+Patient age >= 65 or age unknown AND transport mode to ED = ground ambulance
Epsilon ToxinFree text: epsilon OR  clostridium
ICD-9-CM Codes: 005.2 OR 041.83
ICD-10-CM Codes: A05.2 OR B96.7
Falls - Unintentional (ICD-9/10-CM)ICD-9-CM Codes: E880-E886.9 OR E888%
ICD-10-CM Codes: V00.111A OR V00.111D OR V00.121A OR V00.121D OR V00.131A OR V00.131D OR V00.141A OR V00.141D OR V00.151A OR V00.151D OR V00.181A OR V00.181D OR V00.211A OR V00.211D OR V00.221A OR V00.221D OR V00.281A OR V00.281D OR V00.311A OR V00.311D OR V00.321A OR V00.321D OR V00.381A OR V00.381D  OR V00.811A OR V00.811D OR V00.821A OR V00.821D OR V00.831A OR V00.831D OR V00.891A OR V00.891D  OR   V00.891D OR (DIAG_CODE between W00 and W15.XXXS excluding sequale) OR W16.012A OR W16.012D OR W16.022A OR W16.022D OR W16.032A OR W16.032D OR W16.112A OR W16.112D OR  W16.122A OR W16.122D OR W16.132A OR W16.132D OR W16.212A OR W16.212D OR W16.222A OR W16.222D OR W16.312A OR W16.312D OR W16.322A OR W16.322D OR W16.332A OR W16.332D OR W16.42XA OR W16.42XD    OR   W16.512A OR W16.512D OR W16.522A OR W16.522D OR W16.532A OR W16.532D OR W16.612A OR W16.612D OR W16.622A OR W16.622D OR W16.712 OR W16.722A OR W16.722D OR W16.812A OR W16.812D OR W16.822A OR W16.822D OR W16.832A OR W16.832D OR W16.92XA OR  W16.92XD OR (DIAG_CODE between W17 and W19.XXXS excluding sequalae
  
FeverFree text: fever-related terms
Fever/Rash IllnessAt least one symptom from the concepts listed below

anthrax OR smallpox OR bubonic, plague OR tularemia OR (one rash sign or symptom:  blister OR bumps OR Chickenpox OR dot OR erythema OR hives OR itchiness OR Measles OR mouth sores OR petechial rash OR hemorrhagic rash OR maculopapular rash OR monkeypox OR pox OR pocks OR pustule OR red spots (tongue, mouth, skin) OR Rocky Mountain Spotted Fever (RMSF) OR shingles OR skin inflammation OR skin irritation OR skin redness OR skin sores OR varicella OR variola OR whelps OR welts

AND

at least one constitutional sign or symptom:

achy OR backache OR body aches OR chills/shivers/rigors OR diaphoresis/sweaty OR dizziness OR drowsy/exhausted/fatigue/tired OR fever (>/= 38 C)/febrile OR FUO OR temperature OR headache OR fussiness, cranky, irritable OR H/A OR hurts all over OR joint pain OR lightheaded OR loss of appetite/poor/decreased/no appetite OR malaise OR muscle aches OR myalgia OR prostration OR weariness OR wooziness)
Firearm (ICD-9/10-CM)ICD-9-CM Codes: E922 - E922.3 OR E922.8 - E922.9 OR E955 - E955.4 OR E955.9
OR E965 - E965.4 OR E970 OR E979.4 OR E985.1 OR E985.3 OR E985.4

ICD-10-CM Codes: W32% (excluding any codes that end in S) OR W33% (excluding any codes that end in S) OR W34.0 - W34.00XD OR W34.09XA - W34.09XD OR W34.1 - W34.10XD OR W34.19XA OR W34.19XD OR X72% (excluding any codes that end in S) OR X73% (excluding any codes that end in S) OR X74.8XXA OR
X74.8XXD OR X74.9XXA OR X74.9XXD OR X93.XXXA OR X93.XXXD OR X94.0XXA OR X94.0XXD OR X94.2XXA OR X94.2XXD OR X94.8XXA OR X94.8XXD OR X94.9XXA OR X94.9XXD OR X95.8XXA OR X95.8XXD OR X95.9XXA OR X95.9XXD OR Y22% (excluding any codes that end in S) OR Y23% (excluding any codes that end in S) OR Y24.8XXA OR Y24.8XXD OR Y24.9XXA OR Y24.9XXD
Fireworks-related InjuriesFree text: "firework*" OR "sparkler*" OR "firecra*" OR "fire work*" OR "fire cra*" OR "bottle rocket*" OR "roman candle*"
ICD-9-CM Codes: E923.0
ICD-10-CM Codes: W39.XXXA or W39.XXXD
Food Poisoningfree text: food poison or bad food
Food Safety Threatsfree text: salmonella OR  e. coli OR  O157:H7 OR  shigella toxin
ICD-9-CM Codes: 003% OR 008.0% OR 283.11
ICD-10-CM Codes: A02% OR A04.0-A04.4 OR A41.51 OR B96.2 OR B96.21 OR B96.22 OR B96.23 OR B96.29 OR J15.5 OR P23.4 OR P36.4 OR Z20.01 OR D59.3
Football Practice Heat RelatedFree text:  ("heat exhaust*" AND NOT "explod*"   OR  "heat cramp*"     OR  "heat weak*"    OR  "heat sick*"    OR  "overheat*"    OR  "over heat*"    OR  "heat related"    OR  heatstroke   OR  "heat problem*"    OR  "hypertherm*"    OR  "to hot"    OR  "too hot") 

AND

('football  OR  practice')
Football-related Head InjuriesICD-9-CM Codes: (between '800.0' and '801.9' OR  between '803.0' and '804.9' OR  between '850.0' and '854.1'  OR  between '950.1' and '950.3' OR  '959.01' OR  '995.55'  )

AND

'E007.0'
Football-related injuries (ICD-9/10-CM)ICD-9-CM Codes: E007.0
ICD-10-CM Codes: W21.01XA OR W21.01XD OR Y92.321 OR W21.81XD OR W21.81XA
Fracking-relatedFree text:  fracking  OR  "hydraulic fracturing"  OR  shale  OR  sand  OR  drill  OR  "natural gas"  OR  well  OR    "gas extraction"
General BT AgentsFree text: BT agents OR  terrorism OR  bioterrorism OR  biological weapons OR  category a OR  category b OR  category c
ICD-9-CM Codes: E979.6
ICD-10-CM Codes: Y36.6% OR Y37.6% OR Y38.6%
GI ALLFree text: at least one symptom from the concepts listed below:

abdominal bloating OR abdominal pain OR anorexia OR loss of appetite OR poor/decreased/ no appetite OR ascites OR bloody stool/ diarrhea OR bloody vomiting/hematemesis OR diarrhea OR emesis OR flatus OR gassiness OR nausea OR vomiting
GI SevereFree text: anthrax OR
at least one symtpom from the concepts listed below:
(abdominal bloating OR abdominal pain OR anorexia OR loss of appetite OR poor/decreased/no appetite OR ascites OR bloody stool/diarrhea OR bloody vomiting/hematemesis OR diarrhea OR emesis OR flatus OR gassiness OR nausea OR vomiting)

AND at least one constitutional symptom from the concepts listed bleow:

(achy OR backache OR body aches OR chills/shivers/rigors OR diaphoresis/sweaty OR dizziness OR drowsy/exhausted/fatigue/tired OR fever OR febrile OR temperature OR FUO OR headache OR fussiness/cranky/irritable OR H/A OR hurts all over OR joint pain OR lightheaded OR malaise OR muscle aches OR myalgia OR prostration OR weariness OR wooziness)
Head Injury ReportFree text:  'hit NEAR head  OR  trauma NEAR head  OR  struck NEAR head  OR  injury NEAR head  OR  bump NEAR head  OR  bumped NEAR head  OR  blow NEAR head  OR  fell NEAR head  OR  "concus*"  OR  "head cont*"'
Heat-related Illness (keyword)Free text: (heat exhaust* AND NOT explod*) OR heat cramp*  OR heat weak* OR heat sick* OR overheat* OR over heat* OR heat related OR sunstroke OR sun stroke OR heatstroke OR heat stroke OR heat problem* OR hypertherm* OR to hot OR too hot OR heat str* OR heatstr* OR "hot sun" OR "hot car" OR "heat injury" OR "heat ill*" OR "heat emerg*"
Heat-related Illness (ICD-9/10-CM)ICD-9-CM Codes: 992% OR E900.0 OR E900.9 OR E900
ICD-10-CM Codes: T67.0XXA OR T67.0XXD OR T67.1XXA OR T67.1XXD OR T67.2XXA OR T67.2XXD OR T67.3XXA OR T67.3XXD OR T67.4XXA OR T67.4XXD OR T67.5XXA OR T67.5XXD OR T67.6XXA OR T67.6XXD OR T67.7XXA OR T67.7XXD OR T67.8XXA OR T67.8XXD OR T67.9XXA OR T67.9XXD OR X30.XXXA OR X30.XXXD OR X32.XXXA OR X32.XXXD
Heat-Related Illness (keyword or ICD-9/10-CM)Free text: (heat exhaust* AND NOT explod*) OR heat cramp*  OR heat weak* OR heat sick* OR overheat* OR over heat* OR heat related OR sunstroke OR sun stroke OR heatstroke OR heat stroke OR heat problem* OR hypertherm* OR to hot OR too hot OR heat str* OR heatstr* OR "hot sun" OR "hot car" OR "heat injury" OR "heat ill*" OR "heat emerg*"
ICD-9-CM Codes: 992% OR E900.0 OR E900.9 OR E900
ICD-10-CM Codes: T67.0XXA OR T67.0XXD OR T67.1XXA OR T67.1XXD OR T67.2XXA OR T67.2XXD OR T67.3XXA OR T67.3XXD OR T67.4XXA OR T67.4XXD OR T67.5XXA OR T67.5XXD OR T67.6XXA OR T67.6XXD OR T67.7XXA OR T67.7XXD OR T67.8XXA OR T67.8XXD OR T67.9XXA OR T67.9XXD OR X30.XXXA OR X30.XXXD OR X32.XXXA OR X32.XXXD
Hepatitis AFree text: jaundice OR hep A OR hepa

EXCLUDES Hepatitis C and heparin
ICD-9-CM Codes: 070.1
Heroin Overdose (ICD-9/10-CM)ICD-9-CM Codes: 965.01 OR E850.0
ICD-10-CM Codes: T40.1% (ending in A or D only)
Heroin-related ED Visits (ICD-9/10-CM or Keyword)Free text: heroin* OR herion*
ICD-9-CM Codes: 965.01 OR E850.0
ICD-10-CM Codes: T40.1% (ending in A or D only)
HoverboardFree text: hoverboard OR hooverboard OR "hover board" OR "hoover board"
Hurricane JoaquinFree text: hurricane OR Joaquin OR storm OR flood EXCLUDES thyroid
HypothermiaFree text: "hypother*" OR  "frostbit*"  OR  frostnip  OR  "frost ni*" OR    "cold expos*" OR  "cold-exp" OR  "cold – exp" OR  "out in the cold"  OR  (frozen AND hands)  OR  (frozen AND feet)
ICD-9-CM Codes: E901.0 OR E901.8 OR E901.9 OR E988.3 OR 991% AND (NOT E901.1)
ICD-10-CM Codes: T34% OR T35% OR T68% OR T69% OR X31% (excluding codes for sequela) AND (NOT W93%)
Influenza-like Illness (ILI)Free text: Influenza/flu

OR

At least one Influenza-related sign/symtpom: 

achy/myalgias OR anorexia/not eating/loss of appetite OR bronchiolitis/RSV OR cold/URI symptoms OR congestion OR cough OR cranky/fussy/irritable infant OR dyspnea/difficulty breathing/SOB OR headache OR malaise OR nausea OR phlegm/sputum OR pneumonia/lung infection OR respiratory symptoms OR runny nose OR sick OR sleepy/tired OR sneeze OR sore throat OR virus/viral OR vomiting/emesis/throwing up OR vomiting/diarrhea OR weak OR wheeze

AND

at least one fever sign/symptom:

fever/febrile/temperature OR chill/rigor/shiver OR Documented Initial ED Temp >/=38C)
ILI with Asthma/COPD (keyword)ILI syndrome AND (asthma OR COPD OR emphy*)
ILI with Influenza (ICD-9/10-CM)ILI syndrome AND any of the following diagnosis codes:
ICD-9-CM Codes: 487-488%
ICD-10-CM Codes: J09-J11.89
ILI with Influenza and Admit Disposition  (ICD-9-CM)LI syndrome AND any of the following diagnosis codes:
ICD-9-CM Codes: 487-488%
ICD-10-CM Codes: J09-J11.89
AND disposition of admitted
Influenza (ICD-9/10-CM)ICD-9-CM Codes: 487-488%
ICD-10-CM Codes: J09-J11.89
JaundiceFree text: jaundice OR jaundiced OR juandice OR juandiced OR jaunice OR juanice OR jauniced OR juaniced OR icter* OR yellow eyes* OR eyes yellow* OR yellow sclera* OR yellow skin* OR turning yellow OR hepatitis OR hepititis OR hepetitis OR hepatitus OR hepititus OR hepetitus  AND NOT yellow drain* AND NOT yellow disc*
K2Free text:  fake marijuana OR fake pot OR Yucatan fire OR FIYA or smoking incense OR synthetic cannabinoids OR synthetic marijuana OR fake weed OR spice OR k2 OR genie OR zohai OR voodoo
Lead PoisoningICD-9-CM Codes: E861.5 OR E866.0
ICD-10-CM Codes: R78.81 OR T56.0% OR Z77.011
ListeriosisFree text:  (listeriosis OR abortion OR "miscarr*" OR "pregnancy complication" OR "Blue Bell"') AND (Fever concepts OR InitialEDTemp >= 38)
ICD-9-CM Codes: 027.0 OR 771.2 OR 655.4 OR 637 OR 632 OR 634
ICD-10-CM Codes: A32% OR P37.2 OR P37.8 OR P37.9 OR O98.8% OR O98.9%
Mammal Contact (ICD-9/10-CM)ICD-9-CM Codes: E906 OR E906.0 OR E906.1 OR E906.% OR E906.9
ICD-10-CM Codes: W53% or W54% OR W55% OR W56.0-W56.3%
Mammal Contact with Possible Rabies Exposure (ICD-9/10-CM or keyword)This case definition combines the results from two distinct queries. One for ICD-9-CM and one for ICD-10-CM
ICD-9-CM Definition:
ICD-9-CM Codes V01.5 OR V04.5
AND (V03.7 OR V06.1 OR V06.2 OR V06.3 OR V06.5 OR the following free text:

Bat OR Bear OR Beaver OR Bobcat OR Cat OR Cattle OR Cow OR Coyote OR Dog OR Donkey OR Equine OR Ferret OR Fox OR Goat OR Groundhog OR Horse OR Mammal OR Mouse OR Nutria OR Possum OR Opossum OR Otter OR Pig OR Rabbit OR Raccoon OR Rat OR Rodent OR Sheep OR Skunk OR Squirrel OR Swine OR "Wild animal" OR Wolf OR Woodchuck OR HRIG OR Rabid OR Rabies OR RIG)
ICD-10-CM Definition:
ICD-10-CM Codes: Z20.3 OR (Z23 AND W53% OR W54% OR W55% OR W56.0-W56.3% OR the following free text:

HRIG OR Rabid OR Rabies OR RIG)
MeaslesFree text: rubeola OR measle OR "koplik spots" OR "erythematos rash"
OR 
((Fever OR Chills OR Rigor OR Shiver OR temp of 38 or greater) AND rash)  
OR
ICD-9-CM Codes: 055 OR 055.0 OR 055.1 OR 055.2 OR 055.7 OR 055.71 OR 055.8 OR 055.9
ICD-10-CM Codes: B05% OR B06%
Medication or Drug Overdose (ICD-9/10-CM)ICD-9-CM Codes: 960-979.9 OR E850-E858.9 OR E950-E950.5 OR E962.0 OR E980-E980.5
ICD-10-CM Codes: T36-T50 (ending in A or D only and EXCLUDING all codes in which the second to last character (7th position) is a 5 (adverse effect) or 6 (underdosing)).
Medication or Drug Overdose (ICD-9/10-CM or Keyword)Free text: overdose OR OD OR O/D
ICD-9-CM Codes: 960-979.9 OR E850-E858.9 OR E950-E950.5 OR E962.0 OR E980-E980.5
ICD-10-CM Codes: T36-T50 (ending in A or D only and EXCLUDING all codes in which the second to last character (7th position) is a 5 (adverse effect) or 6 (underdosing)).
MelioidosisFree text: burkho* OR mallei* OR pseudoma* or glande* OR melio* OR farcy* OR malleus OR Whitmore
ICD-9-CM Codes: 024% OR 025%
ICD-10-CM Codes: A24%
MenEnc (meningo-encephalitis)meningitis
OR (AMS OR back ache/back pain OR blurred/blurry vision OR coma OR confusion OR convulsion OR disoriented/disorientation OR drowsy/sleepy OR eye pain OR bulging fontanel/soft spot OR forgetfulness OR headache OR irritable OR lethargy OR light sensitivity OR LOC OR meningismus OR muscle weakness OR neck pain OR nuchal rigidity OR numbness OR photophobia OR seizures OR shaking OR somnolence OR spasm OR stupor OR stiff neck OR tingling OR tremor OR unconscious)
AND
(achy OR body aches OR chills/shivers/rigors OR diaphoresis/sweaty OR dizziness OR drowsy/exhausted/fatigue/tired OR fever OR febrile OR temperature OR FUO OR headache OR fussiness/cranky OR hurts all over OR joint pain OR lightheaded OR malaise OR muscle aches OR myalgia OR prostration OR weariness OR wooziness)
EXCLUSIONS: head injury
Meningitis/Epidural InjectionVisit must be classified into the Meningo-Encephalitis syndrome AND  have one of the following free text keywords: epidural OR "steroid injection" OR spinal OR methylprednisolone OR "pain clinic"
MERS - BioSenseFree text: (MERS OR COV) AND (OMAN OR camel OR MiddleEast OR "Middle East" OR Arabain OR Arabian OR AbuDhabi OR "Abu Dhabi" OR Egypt OR Jordan OR Kuwait OR Qatar OR UAE OR "United Arab Emirates" OR Bahrain OR Iraq OR Iran OR Israel OR Lebanon OR "Palestin*" OR Saudi OR Syria OR Yemen)
MethFree text: meth
Methadone Overdose (ICD-9/10-CM)ICD-9-CM Codes: 965.02 OR E850.1
ICD-10-CM Codes: T40.3% (ending in A or D only and EXCLUDING all codes in which the second to last character (7th position) is a 5 (adverse effect) or 6 (underdosing)).
MH/DD/SAS Mental Health (ICD-9-CM)ICD-9-CM Diagnosis Codes:  '290' and '290.99'  OR '293' - '302.99' AND NOT between '299' AND '299.09' OR
('306' - '314.99' and NOT '314.1x)  OR 'V62.84'  OR  'E950' - 'E959.0'  OR 'V79.0'"
MH/DD/SAS Substance Abuse (ICD-9-CM)ICD-9-CM Diagnosis Codes: '291' - '292.99'  OR '303' - '305.03'  OR '305.20' - '305.99'  OR 'V79.1'
Motorcycle vehicle crash onroad (ICD-9/10-CM or keyword)Free text:   Motorcycle  OR  "motor cycle"  OR  moped  OR  scooter  OR  scotter  OR  motorbike  OR  "motor bike"  OR  "street bike"  OR  streetbike
ICD-9-CM Codes: 810.2 OR E810.3 OR E811.2 OR E811.3 OR E812.2 OR E812.3 OR E813.2 OR E813.3 OR E814.2 OR E814.3 OR E815.2 OR E815.3 OR E816.2 OR E816.3 OR E817.2 OR E817.3 OR E818.2 OR E818.3 OR E819.2 OR E819.3 OR E820.2 OR E820.3 OR E821.2 OR E821.3 OR E822.2 OR E822.3 OR E823.2 OR E823.3 OR E824.2 OR E824.3 OR E825.2 OR E825.3
ICD-10-CM Codes: V20-V29.9XXS
Motorcycle vehicle crash onroad/offroad  (ICD-9-CM or keyword)Free text:   Motorcycle  OR  "motor cycle"  OR  moped  OR  scooter  OR  scotter  OR  motorbike  OR  "motor bike"  OR  "street bike"  OR  streetbike OR  "dirt bike"  OR dirtbike
ICD-9-CM Codes:  810.2 OR E810.3 OR E811.2 OR E811.3 OR E812.2 OR E812.3 OR E813.2 OR E813.3 OR E814.2 OR E814.3 OR E815.2 OR E815.3 OR E816.2 OR E816.3 OR E817.2 OR E817.3 OR E818.2 OR E818.3 OR E819.2 OR E819.3 OR E820.2 OR E820.3 OR E821.2 OR E821.3 OR E822.2 OR E822.3 OR E823.2 OR E823.3 OR E824.2 OR E824.3 OR E825.2 OR E825.3'
Mouthwash/Hand sanitizerFree text: sanitizer  OR  sanitiser  OR  purell  OR  mouthwash  OR  "mouth wash" excluding eye OR  magic
MumpsFree text: mumps OR parotitis
ICD-9-CM Codes: 072%
ICD-10-CM Codes: B26%
MyocarditisICD-9-CM Codes: 422.0 OR 074.23 OR 422.90 OR 422
Narcan/Naloxonefree text: narcan OR naloxone
Necrotizing enterocolitis (ICD-9/10-CM)ICD-9-CM Codes: 777.5 OR 777.50 OR 777.51 OR 777.52 OR 777.53
ICD-10-CM Codes: P77%'
Oil SpillFree text: oil
Opioid Overdose (ICD-9/10-CM)ICD-9-CM Codes: 965.0% OR E850.0-E850.2
ICD-10-CM Codes: T40.0-T40.4% (ending in A or D only and EXCLUDING all codes in which the second to last character (7th position) is a 5 (adverse effect) or 6 (underdosing)).
Oral Health (ICD-9-CM)ICD-9-CM Codes: 521-523.99 OR 525% OR 528%
Other Synthetic Narcotic (ICD-10-CM or keyword)ICD-10-CM Codes: T40.4%
Free text: fent*
OystersFree text: oyster AND NOT (oyster shell OR cut OR laceration OR oyster knife OR oyster bed)
Peanut Butter SalmonellaFree text: peanut
Pedal-cyclist (ICD-9/10-CM)ICD-9-CM Codes: E810.6 OR E811.6 or E812.6 or E813.6 OR E814.6 or E815.6 or E816.6 or E817.6 or E818.6 or E819.6 OR E800.3 OR E801.3 OR E802.3 OR E803.3 OR E804.3 OR E805.3 OR E806.3 OR E807.3 OR
E820.6 OR E821.6 OR E822.6 OR E823.6 OR E824.6 OR E825.6 OR E826.1 OR E826.9 OR E827.1 OR E828.1 OR E829.1
ICD-10-CM Codes: V10-V19.59XS
Pedestrian in Transport Accident (ICD-9/10-CM)ICD-9-CM Codes:  E810.7 OR E811.7 or E812.7 or E813.7 OR E814.7 or E815.7 or E816.7 or E817.7 or E818.7 or E819.7 OR E800.2 OR E801.2 OR E802.2 OR E803.2 OR E804.2 OR E805.2 OR E806.2 OR E807.2 OR
E820.7 OR E821.7 OR E822.7 OR E823.7 OR E824.7 OR E825.7 OR E826.0 OR E827.0 OR E828.0 OR E829.0
ICD-10-CM Codes: V00-V09.9XXS
Pig/SwineFree text: pig or swine
PlagueFree text: bubonic OR plague OR yersinia OR pestis
ICD-9-CM Codes: E948.3 OR V03.3 OR 020%
ICD-10-CM Codes: A20%
Poisoning (ICD-9/10-CM)ICD-9-CM Codes: 960-989.9 OR E850.E869.9 OR E950-E953.9 OR E979.7 or E962% or E980-E982.9
ICD-10-CM Codes: T36-T65.94XS (ending in A or D only and EXCLUDING all codes in which the second to last character (7th position) is a 5 (adverse effect) or 6 (underdosing)).
Pregnancy ReportICD-9-CM Codes:  630-679.99
Prescription Opioid Analgesic Overdose (ICD-9/10-CM)ICD-9-CM Codes: 965.02 OR 965.09 OR E850.1 OR E850.2
ICD-10-CM Codes: T40.2-T40.4% (ending in A or D only and EXCLUDING all codes in which the second to last character (7th position) is a 5 (adverse effect) or 6 (underdosing)).
PsittacosisFree text: psitt*
ICD-9-CM Codes: 073%
ICD-10-CM Codes: A70 OR J17
Q FeverFree text: q fever OR %coxi% OR %burneti%
ICD-9-CM Codes: 083.0%
ICD-10-CM Codes: A78
Radiation Exposure (Keyword)Free text: Japan OR "power plant" OR nuclear OR earthquake
Radiation Exposure (ICD-9/10-CM)ICD-9-CM Codes: 990 OR 508.0 OR 558.1 OR E926 OR E926.9
ICD-10-CM Codes: T66% OR J70.0 OR J70.1 OR K52.0 OR W90% OR W89.8% OR W88.0% OR W88.1% OR W90.0% OR W90.2%
 
Radiation TreatmentFree text: KI OR "potassium iod*"
Reportable Diseases by Name 
Free text:  campylobacter  OR  chancroid  OR  ciguatera  OR  Creutzfeldt-Jakob  OR  creutzfeldt  OR  CJD  OR  cyclosp OR iasis  OR  dengue  OR  diphtheria  OR  ehrlichiosis  OR  haemophilus  OR  leprosy  OR  hansen  OR  legionell  OR  leptosp  OR  listeriosis  OR  listeria  OR  lyme  OR  malaria  OR  measles  OR  meningitis  OR  monkeypox  OR  mumps  OR  "lead poison*"  OR  meningococcal  OR  meningococcemia  OR  mercury  OR  pertussis  OR  "whooping cough"  OR  pesticide  OR  polio  OR  "rocky mountain"  OR  RMSF  OR  rubella  OR  SARS  OR  scombroid  OR  streptococcal  OR  "toxic shock syndrome"  OR  toxoplasm  OR  trichinosis  OR  tuberculosis  OR  typhoid  OR  typhus  OR  "yellow fever"') EXCLUDES vaccin%
 
RespiratoryFree text for any of the following concepts: anthrax OR SARS OR influenza/flu OR plague OR tularemia

OR any of the following concepts:

(cough or cyanosis OR difficulty breathing OR hemoptysis OR hypoxia OR pleural effusion OR pleurisy OR pneumonia OR respiratory stridor OR SOB/dyspnea OR tachypnea/increased respiratory rate)
 
AND at least one constitutional sign or symptom:

(achy OR light headed
OR body aches OR loss of appetite/ poor/decreased/no appetite
OR chills/shivers/rigors/shakes OR malaise
OR diaphoresis/sweaty OR muscle aches
OR dizziness OR myalgia
OR drowsy/sleepy/tired/ exhausted/fatigue OR prostration
OR fever (>/= 38 C)/febrile/FUO/temperature OR weariness
OR hurts all over OR wooziness
OR joint pain OR Pediatric cases: cranky, fussiness, irritable)
Respiratory AllAny of the following concepts:

anthrax OR SARS OR influenza/flu OR plague OR tularemia OR cannot breathe OR cough OR cyanosis OR difficulty breathing OR dyspnea OR hemoptysis OR hypoxia OR pleural effusion OR  pleurisy OR pneumonia OR SOB OR stridor OR tachypnea/increased respiratory rate
Respiratory NovelFree text/concepts: MERS OR  
(anthrax OR SARS OR influenza OR flu OR plague OR tularemia OR "cannot breathe" OR cough OR cyanosis OR   "difficulty breathing" OR dyspnea OR hemoptysis OR hypoxia OR "pleural effusion" OR pleurisy OR pneumonia OR SOB OR Stridor OR tachypnea OR "increased respiratory rate" OR fever)  AND travel AND NOT “denies travel”)
ICD-9-CM Codes: 079.82 OR 480.3 OR V01.82
ICD-10-CM Codes: B97.21 OR J12.81
Responder SurveillanceFree text: firefighter  OR volunteer  OR occupational  OR responder  OR disaster  OR hazmat  OR "fire fighter"  OR "relief worker"  OR "fire department"
SmallpoxFree text: smallpox OR small pox OR varioloa
ICD-9-CM Codes: 050% OR V73.1 OR 979.0% OR V01.3% OR V04.1% OR E949.0%
ICD-10-CM Codes: B03 OR T50.B11A OR T50.B11D OR T50.B12A OR T50.B12D OR T50.B13A OR T50.B13D OR T50.B14A OR T50.B14D
Snake Bite (ICD-9/10-CM or Keyword)Free text: snake bite OR snakebit* OR copper head OR copperhead OR rattle snake OR rattlesnake
ICD-9-CM Codes: E905.0 OR E906.2
ICD-10-CM Codes: W59.11XA OR W59.11XD OR T63.0%
Soccer-related Head Injuries (ICD-9-CM)ICD-9-CM Codes: E007.5 AND 800.0-801.9 OR 803.0-804.9 OR 850.0-854.1 OR 950.1-950.3 OR 959.01 OR 995.55
Soccer-related (ICD-9/10-CM)ICD-9-CM Codes: E0007.5
ICD-10-CM Codes: W21.02XA OR W21.02XD OR Y92.322 OR Y93.66
State/County Fairfree text: state or county fair
STD partner OR   "trich*" OR  urethritis  OR  genital  OR vaginitis OR   penis OR   penile OR   "vaginal discharge" OR   "need to get checked out" OR  "found some papers" OR  "got a card in the mail" OR  STD OR  STI OR  Sexually OR   Chlamydia OR  Gonorrhea OR  Herpes OR  HPV OR  PID  OR  Syphilis OR  Vagionosis OR HIV OR AIDS
Suicide and Self-InflictedICD-9-CM Codes: E950-E959.99
Tick BiteFree text: tick or ticks
TornadoFree text: tornado OR storm
TrampolineFree text:  defy grav OR trampo
ICD-9-CM Codes: E005.3%
ICD-10-CM Codes: Y93.44  
Transported by Ground Ambulancetransport mode  = ambulance (codes 10 or 40)
Trauma (ICD-9/10-CM)Free text:  traum* OR mvc OR mva
ICD-9-CM Codes: 800-904.9 OR 950-957 OR E810-E829 OR E840-E848 OR E880-E888.9 OR E900-E904.9 OR E916-E917.4 OR E917.6 OR E917.9 OR E918-E928.9 OR E986-E9889.9
ICD-10-CM Codes: (all codes exluding codes for sequela)  S00-S99.929D OR T07 OR T14 OR T20-T28.99XD OR T30-T32.99
TuberculosisFree text: TB or tuberculosis
ICD-9-CM Codes: 011.0 OR 011.96
ICD-10-CM Codes: Z11.1 OR Z20.1 OR A15-A19.9
TularemiaFree text: tuler* OR francise*
ICD-9-CM Codes: 021% OR V03.4%
ICD-10-CM Codes: A21%
Typhus FeverFree text: typhus OR prowa*
ICD-9-CM Codes: 080% OR 081% OR 082.2% OR 082.3%
ICD-10-CM Codes:A75% OR A77.1 OR A77.2 OR A77.3
Unintentional Medication or Drug Overdose (ICD-9/10-CM)ICD-9-CM Codes: E850-E858.9
ICD-10-CM Codes: T36.0X1 - T50.991 (only includes codes in this range where the character in the second to last position (7th with decimal) is a 1 (accidental/unintentional)); EXCLUDES sequela
Unintentional PoisoningICD-9-CM Codes: E850-E869.9
ICD-10-CM Codes: T36.0X1-T65.891 (only includes codes in this range where the character in the second to last position (7th with decimal) is a 1 (accidental/unintentional)); EXCLUDES sequela
Viral EncephalitisFree text: "encephali*" OR "viral enceph*" OR "equine enceph*" OR VEE OR EEE OR WEE
ICD-9-CM Codes: 064% OR 062%
ICD-10-CM Codes: A83% OR A84% OR A85% OR A86%
Viral hemorrhagic feversFree text: %VHF% OR "hemorragic fev" OR "Argentine hem" OR "Bolivian hem" OR Sabia% OR "Venezuelan hem" OR Lassa OR "lymphocytic choriomeningitis" OR LCM OR "Crimean Congo" OR CCHF OR Hantav% OR filovirus OR ebola OR marburg OR kyasanur OR OMSK
ICD-9-CM Codes: 065% OR 078.6% OR 078.7%
ICD-10-CM Codes:
Wake BoardFree text: "wake board" OR wakeboard
Water Safety ThreatsFree text: vibrio* OR cholera* OR cryptosp* OR parvum*
ICD-9-CM Codes: 001% OR V74.0 OR 007.4%
ICD-10-CM Codes: A00% OR A06.0 OR A06.9 OR A07.1 OR A07.2 OR Z11.0%
Western Table Rock Forest FiresFree text: "table rock" OR "smoke inhalation" OR "smoke exposure" OR (fire AND smoke) OR (fire AND forest)
EXCLUDES fire ants, house fires, fireworks
Wii InjuryFree text: wii
Winter Weather InjuriesFree text:  fell NEAR ice  OR  slip NEAR ice  OR  slipped NEAR ice OR  fall NEAR ice  OR  slipping NEAR ice  OR  sled  OR  snow  OR  sledding
AND NOT "snow hill" OR "snow camp" OR "applied ice" OR "ice applied" OR "ice pack" OR "ice was applied" OR "ice skating"
ZikaFree text: zika OR microcep*
ICD-9-CM Codes: 742.1
ICD-10-CM Codes: Q02 OR A92.8