Query purpose:
The objective is to capture work-related emergency department visits, including injuries and illnesses, among youth and adults ages 14 years and older. The minimum age of employment is 14 with a few exceptions that may not be fully captured by this definition, such as agricultural jobs and working in a family business.
How it works:
The Chief Complaint Discharge Diagnosis (CCDD) parsed field and Chief Complaint Updates are used to query both the discharge diagnosis codes and chief complaint free text, and exclusions are incorporated as necessary.
- Inclusion based on work-relatedness in chief complaint free text terms. The visit is included if it contains:
- A chief complaint term related to work/work-relatedness—(examples: “at work”, “work injury”, “job injury”, “work rela”, “is employee”, “while working”, “coworker”, “OTJ”, “OJI”, “employee exposure”)
- Nested exclusions include: “not work rela”/””not OTJ”/”not occupational exposure”; “labwork related/bloodwork related/paperwork related”; “while working out” OR
- A chief complaint term related to worker’s compensation—(“workers comp”, “work comp”, “workm[ae]ns co”, “wcomp”, “wc”)
- Nested exclusions include: “not worker comp”, and wheelchair-related terms: “declined wc”, “bib wc”, “his wc”, “to wc”, “arrives wc”; and other non-work-related terms that use wc as abbreviation: “well child”, “wound check” OR
- A chief complaint term related to work/work-relatedness—(examples: “at work”, “work injury”, “job injury”, “work rela”, “is employee”, “while working”, “coworker”, “OTJ”, “OJI”, “employee exposure”)
- Inclusion based on ICD-10-CM discharge diagnosis codes that may be work-related (initial encounters where specified). The visit is included if it contains any of the following:
- Codes for work-related external causes of morbidity (examples below—see Detailed Definition Components table for full list):
- V69.4[09]XA: Driver of heavy transport vehicle injured in collision, initial encounter OR
- W12.XXXA: Fall on and from scaffolding, initial encounter OR
- W30.[012389]XXA Exposure to industrial wiring, appliances and electrical machinery, initial encounter OR
- W30.[012389]XXA: Contact with agricultural machinery, initial encounter OR
- Y35.91XA: Legal intervention, means unspecified, law enforcement official injured, initial encounter OR
- Place of occurrence factors:
- Y92.6 Industrial and construction area OR
- Y92.13 Military base OR
- Y92.7 Farm OR
- Y92.84 Military training ground OR
- Y92.86 Slaughter house OR
- Activities related to causes of morbidity classified elsewhere
- Y93.H3 Activity, building and construction
- Y93.81 Activity, refereeing a sports activity OR
- External cause status (work status codes)
- Y99.0 Civilian activity done for income or pay OR
- Y99.1 Military activity OR
- Factors influencing health status and contact with health services
- Z04.2: Encounter for examination and observation following work accident OR
- Z57: Occupational exposure to risk factors OR
- Codes for work-related external causes of morbidity (examples below—see Detailed Definition Components table for full list):
- Inclusion based on SNOMED CT codes (examples below—see Detailed Definition Components table for full list). The visit is included if it contains any of the following:
- 371128008: Occupational injury OR
- 84063009: Traumatic deafness, occupational (disorder) OR
- 16090571000119109: Occupational exposure to toxic agent (event) OR
- 402587003: Occupational dermatitis (disorder) OR
- 897036007: Occupational exposure to severe acute respiratory syndrome coronavirus 2 (event) OR
- 57607007: Occupational asthma (disorder) ANDNOT
- All of the above must exclude:
- Terms indicating a non-initial visit for the complaint—(“recheck”, “re eval”, “revisit”, follow up”, etc.) OR
- “Social work”, “case work”, “firework” OR
- Terms related to commute to/from work—(“way to work”, “traveling to work”, “late for work”, etc.)
Plain language description:
The definition uses free-text chief complaint terms and discharge diagnosis codes. The definition requires that an emergency department visit contains a reference to work-relatedness (including, but not limited to, reference to worker’s compensation), OR a discharge diagnosis code (ICD-10-M or SNOMED CT code) that is usually associated with a work-related illness or injury. To ensure that only initial work-related visits are captured, we excluded records with chief complaint text or discharge diagnosis codes indicating follow-up visits for the same injury or illness.
For consideration:
This definition may capture some false positives, such as visits describing becoming ill at work due to non-work related concerns or existing conditions (particularly for conditions and symptoms such as seizures, chest pain, syncope/fainting). It is not always possible to determine whether these visits are truly work-related or not work-related based on the information reported to ESSENCE. It may also capture chronic injuries (regardless of work-relatedness), injuries sustained during recreational/hobby/home-based activities that are difficult to determine whether related to work done for pay, or repeat/follow-up visits for the same injury. There may be chief complaint terms and discharge diagnoses codes that are usually work-related in some jurisdictions, but not others (e.g. due to presence of certain industries/occupations, such as agricultural activities). Jurisdictions may need to make modifications tailored to their specific contexts as needed; this definition attempted to include work-related terms that would capture the most visits across settings. Additionally, WC is often used as an abbreviation for “worker’s compensation”, but there are instances when it instead refers to words such as “wheelchair”. The definition does attempt to exclude the most common chief complaint terms associated with these cases but may not exclude all instances.
CC and DD Parsed Free Text, also apply to Chief Complaint Updates field:
(,(,at work^,OR,^ at work^,OR,^at wrok^,OR,(,^work injury^,OR,^work accident^,OR,^job injury^,OR,^injury work^,OR,^job acci^,OR,^work incident^,OR,^work acci^,OR,^accident work^,),ANDNOT,(,^chronic^,OR,^history of^,),OR,^work rela^,ANDNOT,(,^not work rela^,OR,^non work rela^,OR,^bloodwork rela^,OR,^blood work rela^,OR,^lab work rela^,OR,^labwork rela^,OR,^paper work rela^,OR,^paperwork rela^,),OR,^work comp^,ANDNOT,(,^labwork comp^,OR,^bloodwork comp^,OR,^lab work comp^,OR,^blood work comp^,),OR,^works comp^,OR,^from work^,OR,^during work^,OR,^sent by work^,OR,^secondary to work^,OR,at job^,OR,^ at job^,OR,^job rela^,OR,^job exposure^,OR,on job^,OR,^ on job^,OR,^WORKER COMP^,ANDNOT,^not worker comp^,OR,^WORKERS COMP^,ANDNOT,^not workers comp^,OR,^WORKER S COMP^,OR,^WORKER MANS COMP^,OR,^WORKER MAN S COMP^,OR,^WORKER ON DUTY^,OR,AT WORKED^,OR,^ AT WORKED^,OR,^COWORKER^,OR,^employee exposure^,OR,^employee acci^,OR,^employee injury^,OR,^employee complains of^,OR,^employee rela^,OR,^employee health^,OR,^exposure employee^,OR,^injury employee^,OR,^ is an employee^,OR,^ is employee^,OR,^employee,OR,(,^employee^,AND,(,^needle^,OR,^bodily fluid^,OR,^body fluid^,OR,^ on duty^,OR,on duty^,),),OR,(,^while wroking^,OR,^while working^,ANDNOT,(,^working out ^,OR,^working out,OR,^working at home^,ANDNOT,^working at home depot^,OR,^at home while working^,OR,^working^yard^,OR,^working^kitchen^,OR,^working^shed^,OR,^working on^,AND,(,(,^his^,OR,^her^,OR,^my^,OR,^our^,),AND,(,^car^,OR,^truck^,OR,^motor^,),),OR,^working garden^,OR,^working on^,OR,^working with pcp^,OR,^working with ortho^,OR,^working with PT^,OR,^working his yard^,OR,^working her yard^,OR,^working my yard^,OR,^working his garden^,OR,^working her^,OR,^working my garden^,),),OR,!WCOMP!,OR,!OJI!,ANDNOT,^not oji^,OR,!OTJ!,ANDNOT,^not otj^,OR,^occupational exposure^,ANDNOT,^no occupational exposure^,OR,^OCCUPATIONAL INJURY ^,ANDNOT,^not occupational injury^,OR,^OCCUPATIONAL HEALTH^,OR,^ wrk inj^,OR,wrk inj,OR,wrk inj^,OR,!WRK INJURY!,OR,WRK ACCI^,OR,^ WRK ACCI^,OR,WRK RELA^,OR,^ WRK RELA^,ANDNOT,^not wrk rela^,OR,WRK COMP^,OR,^ WRK COMP^,ANDNOT,^not wrk comp^,OR,^workplace^,OR,WORKM[AE]N CO^,OR,^ WORKM[AE]N CO^,ANDNOT,^not WORKM[AE]N CO^,OR,WORKM[AE]NS CO^,OR,^ WORKM[AE]NS CO^,ANDNOT,^not WORKM[AE]NS CO^,OR,WORKM[AE]N S CO^,OR,^ WORKM[AE]N S CO^,ANDNOT,^not WORKM[AE]N S CO^,OR,(,!WC!,OR,WC,OR,^ WC,OR,WC ^,OR,^ WC ^,OR,W/C,OR,^ W/C,OR,W/C ^,OR,^ W/C ^,),ANDNOT,(,wound check^,OR,^well child^,OR,^not wc^,OR,^not w/c^,OR,^WC dependent^,OR,^W/C dependant^,OR,^Patient^a WC^,OR,^Patient^a W/C^,OR,^wheelchair^,OR,^wheel chair^,OR,^by wheelchair^,OR,^seeing WC^,OR,^seeing W/C^,OR,^WC center^,OR,^W/C center^,OR,^personal WC^,OR,^personal W/C^,OR,^p[re][er]scription for WC^,OR,^p[re][er]scription for W/C^,OR,^arrives WC,OR,^arrives W/C,OR,^arrived with wc^,OR,^arrived with w/c^,OR,^refusing wc^,OR,^refusing w/c^,OR,^refused wc^,OR,^refused w/c^,OR,^ems wc^,OR,^ems w/c^,OR,^decline^ wc^,OR,^decline^ w/c^,OR,^WC roll^,OR,^W/C roll^,OR,^follow up^,OR,^recheck^,OR,^from wc^,OR,^from w/c^,OR,^by wc^,OR,^by w/c^,OR,^ in wc^,OR,in wc^,OR,^ in w/c^,OR,in w/c^,OR,^to wc^,OR,^to w/c^,OR,^via wc^,OR,^via w/c^,OR,^of wc^,OR,^of w/c^,OR,his wc^,OR,his w/c^,OR,^ his wc^,OR,^ his w/c^,OR,her wc^,OR,her w/c^,OR,^ her wc^,OR,^ her w/c^,OR,^own wc^,OR,^own wc^,OR,^bib wc^,OR,^bib wc^,OR,^power wc^,OR,^power wc^,OR,^motorized wc^,OR,^motorized wc^,OR,^electric wc^,OR,^electric w/c^,OR,^hospital wc^,OR,^hospital w/c^,OR,^wc van^,OR,^w/c van^,OR,^wc transport^,OR,^w/c transport^,OR,^into wc^,OR,^into w/c^,OR,^per wc^,OR,^per w/c^,OR,OR wc^,OR,OR w/c^,OR,^ or wc^,OR,^ or w/c^,OR,^and wc^,OR,^and w/c^,OR,^Duncan^,OR,^Bound^,OR,^bring wc^,OR,^bring w/c^,OR,^sitting in wc^,OR,^sitting in w/c^,OR,^wc assistance^,OR,^w/c assistance^,OR,^offered wc^,OR,^offered w/c^,OR,^wc van^,OR,^w/c van^,OR,^uses wc at home^,OR,^uses w/c at home^,OR,^typically uses wc^,OR,^typically uses w/c^,OR,^uses wc for mobility^,OR,^uses w/c for mobility^,OR,^uses a wc^,OR,^uses a w/c^,OR,^wc to^,OR,^w/c to^,OR,^declined wc^,OR,^declined w/c^,OR,!MRI!,OR,!CT!,OR,!CTA!,),),ANDNOT,(,^history of seizure^,OR,^chronic^,and,^pain^,OR,^does not work^,OR,^way to work^,OR,^way home from work^,OR,^traveling from work^,OR,^traveling from home^,OR,^traveling to work^,OR,^traveling home^,OR,^driving from work^,OR,^injury at home^,OR,^late for work^,OR,^work complains^,OR,^work of breath^,OR,^firework^,OR,^firwork^,OR,^social work^,OR,^case work^,OR,^well child^,OR,^paperwork^,ANDNOT,^WC paperwork^,OR,^workout^,OR,^working out^,OR,^work out^,OR,^workup^,OR,^work up ^,OR,^followup^,OR,^follow up^,ANDNOT,(,^follow up with^,OR,^follow up as noted^,OR,^follow up app^,OR,^follow up instruction^,OR,^had follow up^,),OR,^recheck^,OR,^ re check^,OR,re check^,OR,^ re visit^,OR,re visit^,OR,^revisit^,OR,^ re eval^,OR,re eval^,OR,^reeval^,OR,^for same complaint^,),), OR, (,(,^;371128008;^,OR,^;65339005;^,OR,^;95865009;^,OR,^;95863002;^,OR,^;9665009;^,OR,^;724872001;^,OR,^;84063009;^,OR,^;16090691000119109;^,OR,^;897036007;^,OR,^;16090451000119101;^,OR,^;735932007;^,OR,^;102445001;^,OR,^;16090571000119109;^,OR,^;102439009;^,OR,^;102425009;^,OR,^;102433005;^,OR,^;102428006;^,OR,^;1290521000000109;^,OR,^;102436002;^,OR,^;765226004;^,OR,^;102422007;^,OR,^;102442003;^,OR,^;16090771000119104;^,OR,^;698482005;^,OR,^;86157004;^,OR,^;57607007;^,OR,^;115966001;^,OR,^;49691004;^,OR,^;17542004;^,OR,^;16090771000119104;^,OR,^;402587003;^,OR,^;12441000132105;^,OR,^;238713002;^,OR,^;201220003;^,OR,^;733211007;^,OR,^;V6[0-9][05]XXA^,OR,^;V694[09]XA^,OR,^;V79[04][09]XA^,OR,^;V83[01456]XXA^,OR,^;V8[45][01456]XXA^,OR,^;V86[05][14]XA^,OR,^;V954[1-59]XA^,OR,^;W12XXXA^,OR,^;W30[012389]XXA^,OR,^;W318[23]XA^,OR,^;W861XXA^,OR,^;W890XXA^,OR,^;Y926^,OR,^;Y9213^,OR,^;Y928[46]^,OR,^;Y9381^,OR,^;Y99[01]^,OR,^;Y351[0129]1A^,OR,^;Y352[0129]1A^,OR,^;Y35[34][019]1A^,OR,(,^;Y358[19]1A^,OR,^;Y3591XA^,),ANDNOT,(,^by police^,OR,^by law enforcement^,),OR,^Y360[0-59]0A^,OR,^;Y361[0-490]0A^,OR,^;Y362[0-79]0A^,OR,^;Y363[01239]0A^,OR,^;Y364[1-79]0A^,OR,^;Y365[012349]0A^,OR,^;Y36[67]X0A^,OR,^;Y368[1289]0A^,OR,^;Y370[0-59]0A^,OR,^;Y371[012349]0A^,OR,^;Y372[0-79]0A^,OR,^;Y373[01239]0A^,OR,^;Y374[1-79]0A^,OR,^;Y375[012349]0A^,OR,^;Y37[67]X0A^,OR,^;Y38[0-7]X1A^,OR,^;Y388[19]1A^,OR,^;Y389X1A^,OR,^;Z042^,OR,^;Z57^,),ANDNOT,(,^way to work^,OR,^workout^,OR,^working out^,OR,^work out^,OR,^follow up^,ANDNOT,(,^follow up with^,OR,^follow up as noted^,OR,^follow up app^,),OR,^followup^,OR,^recheck^,OR,^ re check^,OR,re check^,OR,^ re visit^,OR,re visit^,OR,^revisit^,OR,^ re eval^,OR,re eval^,),)
Addendum: Modified Syntax
If using a local version of ESSENCE (other than NSSP), please use the appropriate corresponding fields/coding to best match this factsheet. If you are using the CC and DD field instead of CC and DD Parsed, we recommend using the below syntax that expands ICD-10-CM codes to include both versions with and without decimal points.
CC and DD, also apply to Chief Complaint Updates field:
(,(,at work^,OR,^ at work^,OR,^at wrok^,OR,(,^work injury^,OR,^work accident^,OR,^job injury^,OR,^injury work^,OR,^job acci^,OR,^work incident^,OR,^accident work^,),ANDNOT,(,^chronic^,OR,^history of^,),OR,^work rela^,ANDNOT,(,^not work rela^,OR,^non work rela^,OR,^bloodwork rela^,OR,^blood work rela^,OR,^lab work rela^,OR,^labwork rela^,OR,^paper work rela^,OR,^paperwork rela^,),OR,^work acci^,OR,^work comp^,ANDNOT,(,^labwork comp^,OR,^bloodwork comp^,OR,^lab work comp^,OR,^blood work comp^,),OR,^works comp^,OR,^from work^,OR,^during work^,OR,^sent by work^,OR,^secondary to work^,OR,at job^,OR,^ at job^,OR,^job rela^,OR,^job exposure^,OR,on job^,OR,^ on job^,OR,^WORKER COMP^,ANDNOT,^not worker comp^,OR,^WORKERS COMP^,ANDNOT,^not workers comp^,OR,^WORKER S COMP^,OR,^WORKER MANS COMP^,OR,^WORKER MAN S COMP^,OR,^WORKER ON DUTY^,OR,AT WORKED^,OR,^ AT WORKED^,OR,^COWORKER^,OR,^employee exposure^,OR,^employee acci^,OR,^employee injury^,OR,^employee complains of^,OR,^employee rela^,OR,^employee health^,OR,^exposure employee^,OR,^injury employee^,OR,^ is an employee^,OR,^ is employee^,OR,^employee,OR,(,^employee^,AND,(,^needle^,OR,^bodily fluid^,OR,^body fluid^,OR,^ on duty^,OR,on duty^,),),OR,^while wroking^,OR,^while working^,ANDNOT,(,^working out^,OR,^working out,OR,^working at home^,ANDNOT,^working at home depot^,OR,^at home while working^,OR,^working^yard^,OR,^working^kitchen^,OR,^working^shed^,OR,^working on^,AND,(,(,^his^,OR,^her^,OR,^my^,OR,^our^,),AND,(,^car^,OR,^truck^,OR,^motor^,),),OR,^working garden^,OR,^working on^,OR,^working with pcp^,OR,^working with ortho^,OR,^working with PT^,OR,^working his yard^,OR,^working her yard^,OR,^working my yard^,OR,^working his garden^,OR,^working her^,OR,^working my garden^,),OR,WCOMP ^,OR,^ WCOMP,OR, ^ WCOMP ^,OR,WCOMP,OR,(,OJI ^,OR,^ OJI,OR, ^ OJI ^,OR,OJI,),ANDNOT,^not oji^,OR,!OJI!,ANDNOT,^not oji^,OR,(,OTJ ^,OR,^ OTJ,OR, ^ OTJ ^,OR,OTJ,),ANDNOT,^not otj^,OR,!OTJ!,ANDNOT,^not otj^,OR,^occupational exposure^,ANDNOT,^no occupational exposure^,OR,^OCCUPATIONAL INJURY ^,ANDNOT,^not occupational injury^,OR,^OCCUPATIONAL HEALTH^,OR,^ wrk inj^,OR,wrk inj,OR,wrk inj^,OR,WRK INJURY ^,OR,^ WRK INJURY,OR,^ WRK INJURY ^,OR,WRK INJURY,OR,!WRK INJURY!,OR,WRK ACCI^,OR,^ WRK ACCI^,OR,WRK RELA^,OR,^ WRK RELA^,ANDNOT,^not wrk rela^,OR,WRK COMP^,OR,^ WRK COMP^,ANDNOT,^not wrk comp^,OR,^workplace^,OR,WORKM[AE]N CO^,OR,^ WORKM[AE]N CO^,ANDNOT,^not WORKM[AE]N CO^,OR,WORKM[AE]NS CO^,OR,^ WORKM[AE]NS CO^,ANDNOT,^not WORKM[AE]NS CO^,OR,WORKM[AE]N S CO^,OR,^ WORKM[AE]N S CO^,ANDNOT,^not WORKM[AE]N S CO^,OR,(,!WC!,OR,WC ^,OR,^ WC,OR, ^ WC ^,OR,WC,OR,W/C,OR,^ W/C,OR,W/C ^,OR,^ W/C ^,),ANDNOT,(,^wound check^,OR,^well child^,OR,^not wc^,OR,^not w/c^,OR,^WC dependent^,OR,^W/C dependant^,OR,^Patient^a WC^,OR,^Patient^a W/C^,OR,^wheelchair^,OR,^wheel chair^,OR,^by wheelchair^,OR,^seeing WC^,OR,^seeing W/C^,OR,^WC center^,OR,^W/C center^,OR,^personal WC^,OR,^personal W/C^,OR,^p[re][er]scription for WC^,OR,^p[re][er]scription for W/C^,OR,^arrives WC,OR,^arrives W/C,OR,^arrived with wc^,OR,^arrived with w/c^,OR,^refusing wc^,OR,^refusing w/c^,OR,^refused wc^,OR,^refused w/c^,OR,^ems wc^,OR,^ems w/c^,OR,^decline^ wc^,OR,^decline^ w/c^,OR,^WC roll^,OR,^W/C roll^,OR,^follow up^,OR,^recheck^,OR,^from wc^,OR,^from w/c^,OR,^by wc^,OR,^by w/c^,OR,^ in wc^,OR,in wc^,OR,^ in w/c^,OR,in w/c^,OR,^to wc^,OR,^to w/c^,OR,^via wc^,OR,^via w/c^,OR,^of wc^,OR,^of w/c^,OR,his wc^,OR,his w/c^,OR,^ his wc^,OR,^ his w/c^,OR,her wc^,OR,her w/c^,OR,^ her wc^,OR,^ her w/c^,OR,^own wc^,OR,^own wc^,OR,^bib wc^,OR,^bib wc^,OR,^power wc^,OR,^power wc^,OR,^motorized wc^,OR,^motorized wc^,OR,^electric wc^,OR,^electric w/c^,OR,^hospital wc^,OR,^hospital w/c^,OR,^wc van^,OR,^w/c van^,OR,^wc transport^,OR,^w/c transport^,OR,^into wc^,OR,^into w/c^,OR,^per wc^,OR,^per w/c^,OR,OR wc^,OR,OR w/c^,OR,^ or wc^,OR,^ or w/c^,OR,^and wc^,OR,^and w/c^,OR,^Duncan^,OR,^Bound^,OR,^bring wc^,OR,^bring w/c^,OR,^sitting in wc^,OR,^sitting in w/c^,OR,^wc assistance^,OR,^w/c assistance^,OR,^offered wc^,OR,^offered w/c^,OR,^wc van^,OR,^w/c van^,OR,^uses wc at home^,OR,^uses w/c at home^,OR,^typically uses wc^,OR,^typically uses w/c^,OR,^uses wc for mobility^,OR,^uses w/c for mobility^,OR,^uses a wc^,OR,^uses a w/c^,OR,^wc to^,OR,^w/c to^,OR,^declined wc^,OR,^declined w/c^,OR,!MRI!,OR,!CT!,OR,!CTA!,),),ANDNOT,(,^history of seizure^,OR,^chronic^,and,^pain^,OR,^does not work^,OR,^way to work^,OR,^way home from work^,OR,^traveling from work^,OR,^traveling from home^,OR,^traveling to work^,OR,^traveling home^,OR,^driving from work^,OR,^injury at home^,OR,^late for work^,OR,^work complains^,OR,^work of breath^,OR,^firework^,OR,^firwork^,OR,^social work^,OR,^case work^,OR,^well child^,OR,^paperwork^,ANDNOT,^WC paperwork^,OR,^workout^,OR,^working out^,OR,^work out^,OR,^workup^,OR,^work up ^,OR,^followup^,OR,^follow up^,ANDNOT,(,^follow up with^,OR,^follow up as noted^,OR,^follow up app^,OR,^follow up instruction^,OR,^had follow up^,),OR,^recheck^,OR,^ re check^,OR,re check^,OR,^ re visit^,OR,re visit^,OR,^revisit^,OR,^ re eval^,OR,re eval^,OR,^reeval^,OR,^for same complaint^,),), OR, (,(,^;371128008;^,OR,^;65339005;^,OR,^;95865009;^,OR,^;95863002;^,OR,^;9665009;^,OR,^;724872001;^,OR,^;84063009;^,OR,^;16090691000119109;^,OR,^;897036007;^,OR,^;16090451000119101;^,OR,^;735932007;^,OR,^;102445001;^,OR,^;16090571000119109;^,OR,^;102439009;^,OR,^;102425009;^,OR,^;102433005;^,OR,^;102428006;^,OR,^;1290521000000109;^,OR,^;102436002;^,OR,^;765226004;^,OR,^;102422007;^,OR,^;102442003;^,OR,^;16090771000119104;^,OR,^;698482005;^,OR,^;86157004;^,OR,^;57607007;^,OR,^;115966001;^,OR,^;49691004;^,OR,^;17542004;^,OR,^;16090771000119104;^,OR,^;402587003;^,OR,^;12441000132105;^,OR,^;238713002;^,OR,^;201220003;^,OR,^;733211007^,OR,^;V6[0-9][05]XXA^,OR,^;V694[09]XA^,OR,^;V79[04][09]XA^,OR,^;V83[01456]XXA^,OR,^;V8[45][01456]XXA^,OR,^;V86[05][14]XA^,OR,^;V954[1-59]XA^,OR,^;W12XXXA^,OR,^;W30[012389]XXA^,OR,^;W318[23]XA^,OR,^;W861XXA^,OR,^;W890XXA^,OR,^;Y926^,OR,^;Y9213^,OR,^;Y928[46]^,OR,^;Y9381^,OR,^;Y99[01]^,OR,^;Y351[0129]1A^,OR,^;Y352[0129]1A^,OR,^;Y35[34][019]1A^,OR,(,^;Y358[19]1A^,OR,^;Y3591XA^,OR,^;Y35.8[19]1A^,OR,^;Y35.91XA^,),ANDNOT,(,^by police^,OR,^by law enforcement^,),OR,^Y360[0-59]0A^,OR,^;Y361[0-490]0A^,OR,^;Y362[0-79]0A^,OR,^;Y363[01239]0A^,OR,^;Y364[1-79]0A^,OR,^;Y365[0-49]0A^,OR,^;Y36[67]X0A^,OR,^;Y368[1289]0A^,OR,^;Y370[0-59]0A^,OR,^;Y371[0-49]0A^,OR,^;Y372[0-79]0A^,OR,^;Y373[01239]0A^,OR,^;Y374[1-79]0A^,OR,^;Y375[0-49]0A^,OR,^;Y37[67]X0A^,OR,^;Y38[0-7]X1A^,OR,^;Y388[19]1A^,OR,^;Y389X1A^,OR,^;Z042^,OR,^;V6[0-9].[05]XXA^,OR,^;V69.4[09]XA^,OR,^;V79.[04][09]XA^,OR,^;V83.[01456]XXA^,OR,^;V8[45].[01456]XXA^,OR,^;V86.[05][14]XA^,OR,^;V95.4[1-59]XA^,OR,^;W12.XXXA^,OR,^;W30.[012389]XXA^,OR,^;W31.8[23]XA^,OR,^;W86.1XXA^,OR,^;W89.0XXA^,OR,^;Y92.6^,OR,^;Y92.13^,OR,^;Y92.8[46]^,OR,^;Y93.81^,OR,^;Y99.[01]^,OR,^;Y35.1[0129]1A^,OR,^;Y35.2[0129]1A^,OR,^;Y35.[34][019]1A^,OR,^Y36.0[0-59]0A^,OR,^;Y36.1[0-490]0A^,OR,^;Y36.2[0-79]0A^,OR,^;Y36.3[01239]0A^,OR,^;Y36.4[1-79]0A^,OR,^;Y36.5[0-49]0A^,OR,^;Y36.[67]X0A^,OR,^;Y36.8[1289]0A^,OR,^;Y37.0[0-59]0A^,OR,^;Y37.1[0-49]0A^,OR,^;Y37.2[0-79]0A^,OR,^;Y37.3[01239]0A^,OR,^;Y37.4[1-79]0A^,OR,^;Y37.5[0-49]0A^,OR,^;Y37.[67]X0A^,OR,^;Y38.[0-7]X1A^,OR,^;Y38.8[19]1A^,OR,^;Y38.9X1A^,OR,^;Z04.2^,OR,^;Z57^,),ANDNOT,(,^way to work^,OR,^workout^,OR,^working out^,OR,^work out^,OR,^follow-up^,OR,^follow up^,ANDNOT,(,^follow up with^,OR,^follow up as noted^,OR,^follow up app^,),OR,^followup^,OR,^recheck^,OR,^re-check^,OR,^ re check^,OR,re check^,OR,^ re visit^,OR,re visit^,OR,^revisit^,OR,^re-visit^,OR,^ re eval^,OR,re eval^,OR,^re-eval^,),)