Urgent Care Syndrome Definitions
The syndrome definitions listed below are used to monitor urgent care visits in NC DETECT.
Abbreviations, misspellings and negation are taken into account when searching for keywords in the comments field.
Please contact us at ncdetect@listserv.med.unc.edu with any questions.
| Syndrome | Case Definition | Description/Purpose |
|---|---|---|
| Artificial Tears | ICD-10-CM Codes: B96.5,J15.1,A41.52,U81.1,H10.0-H10.33,H16.0-H16.019,H44.0-H44.029,Z16% OR Free text: keratitis OR endopthalmitis OR pseudomonas OR EzriCARE OR "eye drops" OR "artificial tears" OR "eye infection" OR conjunctivitis OR "watery eyes" OR "eye pain" OR "eye discharge" OR photophobia OR "eyelid pain" OR "eye drainage" | Syndrome used to identify potential ED visits related to the artificial tear outbreak/recall. |
| Burn/Fire (Keyword or ICD-10-CM) | Keywords: burn or fire Exclusions: urin* OR burning OR vag burn* OR heart burn OR on fire OR fire ext* OR fire ant* ICD-10-CM Codes: T20-T25.99 OR T30-T32.99 | To monitor urgent care visits related to fires, especially after disasters. |
| Carbon monoxide/other gases (Keyword or ICD-10-CM) | Keywords: co2 poison* OR co2 exposure OR co poison* OR co exposure OR c02 poison* OR C02 exposure OR c0 poison* or c0 exposure OR carbon OR monoxide OR carbonmonoxide ICD-10-CM Codes: T58-T59.94XS | To monitor urgent care visits related to carbon monoxide and other gas exposures, especially after disasters. |
| CLI | ICD-10-CM Codes: B97.2 OR B97.21 OR B97.29 OR B34.2 OR J12.81 OR U07.1 OR U07.2 Free text in comments field: smell OR taste OR ( (cough OR cyanosis OR "breath*" OR hemoptysis OR hypoxia OR "pleural effusion" OR pleurisy OR pneumonia OR SOB OR SHOB OR dyspnea OR tachypnea OR "increased respiratory rate" OR stridor OR "respiratory distress") AND ("chill*" OR shivers OR "rigor*" OR shakes OR malaise OR "fev*" OR fvr OR febrile OR FUO OR"high temp*"') ) | To monitor trends in COVID-like illness |
| CLI_no_Flu | ICD-10-CM Codes: B97.2 OR B97.21 OR B97.29 OR B34.2 OR J12.81 OR U07.1 OR U07.2 Free text in comments field: smell OR taste OR ( (cough OR cyanosis OR "breath*" OR hemoptysis OR hypoxia OR "pleural effusion" OR pleurisy OR pneumonia OR SOB OR SHOB OR dyspnea OR tachypnea OR "increased respiratory rate" OR stridor OR "respiratory distress") AND ("chill*" OR shivers OR "rigor*" OR shakes OR malaise OR "fev*" OR fvr OR febrile OR FUO OR"high temp*"') ) Exclusions: ICD-10-CM Codes: J09-J11.89 | To monitor trends in COVID-like illness, excluding encounters that receive a flu diagnosis |
| Dehydration (Keyword OR ICD-10-CM) | Keywords: dehyd* OR need fluid* OR leg cramp* OR muscle cramp* OR "skin turgor" ~ poor OR po intake OR oral intake OR IV fluid* OR Int fluid* OR not ~ "eat* OR can eat* OR hypotension OR low bp OR low blood press* OR low bl pres* OR tachycar* OR (dark & urine*) ICD-10-CM Codes: E86.0-E86.9 | To monitor trends in dehydration, especially during disasters |
| E. Coli (Keyword or ICD-10-CM) | Keywords: e coli* or ecoli ICD-10-CM Codes: A04.0 OR A04.1 OR A04.2 OR A04.3 OR A04.4 OR A41.51 OR J15.5 OR P23.4 OR P36.4 OR Z20.01 OR D59.3 OR B96.2% | To identify suspected cases of E. coli |
| Electrocution (Keyword or ICD-10-CM) | Keywords: electric shock OR electric injury OR electrocut* OR shocked Exclusions: cardiac OR defibrillator (thesaurus) OR code OR CPR ICD-10-CM Codes: T75.4% OR T75.0-T75.09XS | To identify urgent care visits related to electrocution, especially during disasters. |
| Fever/Rash (Keyword or ICD-10-CM) | Standalone free text: Anthrax OR Smallpox OR Bubonic OR Plague OR Tularemia OR Chickenpox OR "chicken pox" OR Measles OR Monkeypox OR Varicella OR variola OR "Spotted fever" OR RMSF OR shingles OR Standalone ICD-10-CM Codes: A22% OR B03 OR A20.0 OR A21% OR B01% OR B05% OR B04 OR A77.0 OR B02% OR ( ("rash*" OR blister OR bumps OR dot &! "dot pe" &! "dot ds" &! "dot phy*" OR erythema OR hives OR itchiness OR "mouth sores" OR "petechial rash" OR "hemorrhagic rash" OR "maculopapular rash" OR pox OR pocks OR pustule OR "red spots" OR "skin inflammation" OR "skin irritation" OR "skin redness" OR "skin sores" OR whelps OR welts' OR ICD-10-CM Code = R21) AND ("fev*" OR febrile OR "high temp*" OR fuo OR ICD-10-CM Code = R50.9 OR R50.81) ) | To monitor trends of fever and rash illness |
| Food Poisoning (Keyword or ICD-10-CM) | Keywords: food poison* OR food posion* or food poision* OR bad food ICD-10-CM Codes: A05.0 - A05.9; T61-T62.94XS | To identify urgent care visits that may be related to food poisoning |
| GI (Keyword or ICD-10-CM) | Keywords: '"bloat*" OR "ab pain*" OR anorexia OR appetite OR ascites OR "bloody stool" OR "blood in stool" OR "blood in my stool" OR hematemesis OR "diar*" OR emesis OR emisis OR flatus OR "gass*" OR "gastroe*" OR nausea OR "vom*" OR "vmt*" OR "throw up" OR "threw up"' OR ICD-10-CM Codes: A22.2 OR K52 OR A00-A09 | To monitor trends in GI Illness |
| Heat-Related Illness (Keyword or ICD-10-CM) | Keywords; heat ex* (and not explod*) OR heat cramp* OR heat weak* OR heat sick* OR overheat* OR over heat* OR heat related OR heat realted OR heatstroke 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* OR heat syn* OR heat prostration OR sun str* OR substr* OR due to heat Exclusions: radiator OR antifreeze OR grease OR liquid OR oil OR heater OR hot tub OR sauna OR hot spring or burn* ICD-10-CM Codes: T67.[0-9]XX[AD]% OR X3[02].XXX[AD]% ICD-10-CM Code Exclusions: T2% OR T30% OR T31% OR T32% | To monitor trends in heat-related illness |
| Hepatitis A (Keyword or ICD-10-CM) | Keywords: jaundice OR hep A* OR hepatitis Exclusions: Hep(atitis) C OR Hep(atitis) B or heparin OR ICD-10-CM Codes: B15% | To identify potential cases of Hepatitis A |
| ILI CC Only (Keyword) | Keywords: Influenza/flu OR At least one Influenza-related sign/symptom: achy/myalgias 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 virus/viral OR vomiting/emesis/throwing up OR vomiting/diarrhea OR weak OR wheeze AND at least one fever sign/symptom: fever/febrile/high temp OR chill/rigor/shiver Exclusions: GI or intest* OR stom* | To monitor trends in influenza-like illness using keywords only |
| ILI (Keyword OR ICD-10-CM) | Keywords: Influenza/flu ICD-10-CM Codes: J09-J11.89 | To monitor trends in influenza-like illness using specific keyword terms for influenza OR diagnoses of influenza |
| Measles (Keyword or ICD-10-CM) | Keywords: rubeola OR measle* OR koplik sports OR erythematos rash OR ((fev* OR chills OR rigor OR shiver OR high temp*) AND rash) ICD-10-CM Codes: B05% OR B06% | To identify potential cases of measles |
| MenEnc (Keyword or ICD-10-CM) | Keywords: meningitis OR meningococcal OR meningococcemia OR purpura ICD-10-CM Codes: G00% OR G01 OR G03.9 OR A39% | To identify potential cases of meningitis or meningococcal diseases |
| Motor Vehicle Collision (Keyword or ICD-10-CM) | Keywords: mvc OR mva OR motor vehicle OR car accident OR car crash OR car wreck OR auto* Exclusions: auton* OR auto immune OR autoimmune OR automatic OR auto bp OR autograft ICD-10-CM Codes: V30-V79.9XXS OR V80.3% OR V80.4% OR V80.5% OR V81.1% OR V82.1% OR V83.0-V83.3XXS OR V84.0-V84.3XXS OR V85.0-V85.3XXS OR V86.0-V86.39XS OR V87.0% OR V89.2% OR V89.9% Initial and subsequent encounters only | To monitor urgent care visits related to motor vehicle crashes |
| Mumps (ICD-9/10-CM or keyword) | Keywords: mumps OR parotitis OR orchitis ICD-9-CM Codes: 072% ICD-10-CM Codes: B26% | To identify potential cases of mumps |
| Reportable Diseases by Name (Keyword or ICD-10-CM) | Keywords: 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 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 Exclusions: vaccin* ICD-10-CM Codes: A01% OR A04.5 OR A07.4 OR A15-A19.9 OR A27% OR A30% OR A32% OR A36% OR A37% OR A39% OR G03.9 OR A48.1 OR A48.3% OR A49.1% OR A49.2 OR B96.3 OR A41.3 OR G00.0 OR A57 OR A69.2% OR A75% OR A77% OR A80% OR A81.0% OR A90-A91 OR A95% OR B04 OR B05% OR B06% OR B26% OR B50-B54 OR B58% OR B75 OR B97.21 | To identify potential reportable disease cases |
| Respiratory | Standalone Keywords: anthrax OR SARS OR "influ*" OR flu OR plague OR tularemia OR MERS OR nCov OR Coronavirus OR "COVID*"' Exclusions: "no exposure to covid" OR "no known exposure to covid" OR "no covid*"' Standalone ICD-10-CM Codes: B97.2% OR B34.2 OR U07.1 OR U07.2 OR A22% OR Z20.810 OR A20% OR A21% OR J00-J06.9 OR J09-J18.9 OR Keywords: ((cough OR cyanosis OR "breath*" OR hemoptysis OR hypoxia OR "pleural effusion" OR pleurisy OR pneumonia OR SOB OR SHOB OR dyspnea OR tachypnea OR "increased respiratory rate" OR stridor') AND achy OR "light headed" OR "body ach*" OR appetite OR chills OR shivers OR rigors OR shakes OR malaise OR diaphoresis OR sweaty OR "muscle ach*" OR dizziness OR myalgia OR drowsy OR sleepy OR tired OR exhausted OR fatigue OR prostration OR "fev*" OR fvr OR febrile OR FUO OR"high temp*" OR weariness OR "hurt all over*" OR wooziness OR "joint pain" OR "crank*" OR "fuss*" OR irritable')) | To monitor trends in respiratory illnesses |
| Ricin Toxin (Keyword OR ICD-10-CM) | Keywords: ricin ICD-10-CM Codes: T62.2X1% | To identify potential cases of exposure to ricin |
| RSV | Free text: "respiratory syncytial OR RSV OR bronchiolitis OR ICD-10-CM codes: B97.4, J21.0, J20.5, J12.1, J21.9 Exclusions: Z29.11 OR '"immunotherapy" | To identify UC visits related to RSV (respiratory syncytial virus) |
| STD/Rash/Mpx | Standalone ICD-10-CM code: B04 OR Standalone keyword terms: monkeypox or monkey pox or mpx OR (( ICD-10-CM code: R21 OR "rash*" OR blister OR bumps OR dot &! "dot pe" &! "dot ds" &! "dot phy*" OR erythema OR hives OR itchiness OR "mouth sores" OR "petechial rash" OR "hemorrhagic rash" OR "maculopapular rash" OR pox OR pocks OR pustule OR "red spots" OR "skin inflammation" OR "skin irritation" OR "skin redness" OR "skin sores" OR whelps OR welts') AND ( ( ICD-10-CM codes: A51-A60.9 OR A63% OR A64% or Z72.52 or Z72.51 or Z20.2 or Z11.3 OR 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' ) ) | |
| Trauma (Keyword or ICD-10-CM) | Keywords: traum* OR MVC OR MVA OR ICD-10-CM Codes: S00-S99.929D OR T07 OR T14 OR T20-T28.99XD OR T30-T32.99 | To monitor trends in urgent care visits that are trauma-related |
| Water Safety Threats (Keyword or ICD-10-CM) | Keywords: vibrio* OR cholera OR cryptosp* OR parvum* ICD-10-CM Codes: A00% OR A06.0 OR A06.9 OR A07.1 OR A07.2 OR Z11.0% | To identify potential cases of water-borne disease |