Query purpose:
The goal of this definition is to detect emergency department (ED) visits related to small recreational off-road motor vehicles, including all-terrain vehicles (ATVs), utility task vehicles (UTVs), dune buggies, golf carts, go carts, dirt bikes, motor/cross bikes, snowmobiles, or snow bikes. This includes traffic-related and non-traffic-related accident injuries. With this information, public health agencies can monitor the burden and trends of ED visits related to these types of accidents, understand the types of injuries that result, and identify possible places/methods for prevention.
How it works:
The Chief Complaint Discharge Diagnosis Parsed Free Text field (also applied to Chief Complaint
History, Triage Notes, and Clinical Impression) is used to query discharge diagnosis codes and free text with exclusions (as necessary), to develop the syndrome definition.
Visits are included if they have either of the following:
- One or more of the diagnosis codes listed in Table 1.
- Text terms or abbreviations that refer to small recreational off-road motor vehicles (all-terrain vehicles (ATVs), utility task vehicles (UTVs), dune buggies, golf carts, go carts, dirt bike, motor/cross bike, snowmobiles, or snow bikes).
Visits are excluded if they have Chief Complaint, Chief Complaint History, Triage Notes, or Clinical Impression text terms that:
- Refer to the occurrence happening in the distant past.
- Indicate the person was performing maintenance on the vehicle or loading or lifting the vehicle.
- Indicate the visit was for a follow up or medication refill.
- Indicate the visit was related to skiing or ski patrol.
Plain language description:
The diagnosis codes are searched for ICD-10 codes related to injuries while being a passenger, driver, people outside of vehicle, or boarding or alighting a small recreational off-road motor in traffic and non-traffic accidents. The diagnosis codes are searched for SNOMED codes related to these vehicles.
Chief Complaint, Chief Complaint History, Triage Notes, and Clinical Impression are searched for phrases that indicate the visit was related to a small recreational off-road motor vehicle.
Certain phrases indicating the visit was related to lifting, loading, or performing maintenance on the vehicle, or that the visit was a recheck or medication refill visit, or that the accident occurred in the distant past are excluded. In addition, terms that indicate the visit was related to skiing or ski patrol are excluded.
For consideration:
Injuries suffered while lifting, moving, or performing maintenance on a vehicle can be difficult to negate, and therefore might be included. The authors decided to include syntax to search for “side by side” type ATVs which, despite efforts to negate specific terms (e.g., “living in”), can result in some unexpected false positives not related to “side by side” ATVs. The query does not limit visits to certain types of symptoms or reasons for visit. As a result, the query might return visits where a small recreational off-road motor vehicle was mentioned but the reason for visit was not related to a small recreational off-road motor vehicle accident (e.g., person had a heart attack and was then transported in an ATV). For jurisdictions with facilities that report Triage Notes or Clinical impression, this version of the query will detect additional true positives but will also return more false positives than Small rec off-road motor vehicle v1.
Search CC and DD Parsed Free Text with Also Apply to Chief Complaint History, Triage Notes, Clinical Impression:
(,^;V86[0-9][23569]XA^,OR,^;81826000;^,OR,^;214733004;^,OR,^;302974001;^,OR,^;242131001;^,OR,^;242130000;^,OR,^;269656002;^,OR,^;242135005;^,OR,^;242137002;^,OR,^;269658001;^,OR,^;302976004;^,OR,^;242138007;^,OR,^;242136006;^,OR,^;242140002;^,OR,^;242139004;^,OR,^;269657006;^,OR,^;242141003;^,OR,^;214744007;^,OR,^;214766000;^,OR,^;214778001;^,OR,^;269655003;^,OR,^;242134009;^,OR,^;242132008;^,OR,^;242133003;^,or,^;64174005;^,OR,^;214665005;^,OR,^;214666006;^,OR,^;214668007;^,OR,^;214667002;^,OR,^;214669004;^,OR,^;214672006;^,OR,^;214673001;^,OR,^;214671004;^,OR,^;214653006;^,OR,^;214654000;^,OR,^;242129005;^,OR,^;214641007;^,OR,^;242128002;^,OR,^;302973007;^,OR,^;214699008;^,OR,^;214703006;^,OR,^;214702001;^,OR,^;214705004;^,OR,^;214704000;^,OR,^;214676009;^,),OR,(,^all[ -]terrain vehicle^,OR,^ATV^,ANDNOT,(,^[a-z]ATV^,or,^ATV[a-z]^,),OR,^utility vehicle^,OR,^UTV^,ANDNOT,(,^[a-z]UTV^,or,^UTV[a-z]^,),OR,^4_wheeler^,OR,^3_wheeler^,OR,^4wheeler^,OR,^3wheeler^,OR,^four_wheeler^,OR,^three_wheeler^,OR,^forwheeler^,OR,^for_wheeler^,OR,^fourwheeler^,OR,^4- wheeler^,OR,^dirtbike^,OR,^dirt bike^,OR,^golf[ck]art^,or,^golf_[ck]art^,OR,^go[ck]art^,OR,^go_[ck]art^,OR,^dune buggy^,OR,^dunebuggy^,OR,^snowmobile^,OR,^snowmobil^,OR,^snow mobile^,OR,^snow mobil^,OR,^snowmachine^,OR,^snow machine^,OR,^snogo^,OR,^snowgo^,OR,^snow go^,ANDNOT,(,^[a-z]snow go^,or,^snow go[a-z]^,),OR,^sno go^,ANDNOT,(,^[a-z]sno go^,or,^sno go[a-z]^,),OR,^snowbike^,OR,^snow bike^,OR,^skidoo^,OR,^ski[ -]doo^,OR,^motorcros^,OR,^motocros^,OR,^side_by_side^,ANDNOT,(,^lives in^,OR,^living in^,OR,^side_by_side assist^,OR,^walk side_by_side^,OR,^walking side_by_side^,OR,^images side_by_side^,OR,^side_by_side lacera^,OR,^stand side_by_side^,OR,^standing side_by_side^,OR,^side_by_side vision^,OR,^side_by_side double vision^,OR,^worked side_by_side^,OR,^side_by_side chairs^,OR,^neck side_by_side^,),),ANDNOT,(,^stepping off^,OR,^working on^,OR,^working under^,OR,^fixing^,OR,^pick^up^,OR,^clutch^,OR,^lift^,OR,^pull^,OR,^trailer^,OR,^load^,ANDNOT,^upload^,OR,^trying to start^,OR,^snowmobile helmet^,OR,^snowmobile lane^,OR,^snowmobile ln^,OR,^skiing^,OR,^skier^,OR,^ski patrol^,OR,^skipatrol^,or,^motorcycle^,OR,^ATV helmet^,OR,^weeks ago^,OR,^wks ago^,OR,^months ago^,OR,^month ago^,OR,^years ago^,OR,^year ago^,OR,^yrs ago^,OR,^yr ago^,OR,^wound check^,OR,^medication refill^,OR,^recheck^,OR,^;Z760^,OR,^return to work^,OR,^still UTV^,OR,^previous ATV^,OR,^previous snowmobile^,OR,^previous snow mobile^,OR,^Past Medical History^all[- ]terrain vehicle^,OR,^Past Medical History^[UA]TV accident^,OR,^Past Medical History^four_wheeler^,OR,^Past Medical History^4_wheeler^,OR,^Past Medical History^snowmobile^,OR,^Past Medical History^snow mobile^,OR, ^Past Medical History^dune buggy^,OR,^Past Medical History^dunebuggy^,OR,^Past Medical History^golf[ck]art^,OR,^Past Medical History^ golf_[ck]art^,OR,^Past Medical History^go[ck]art^,OR,^Past Medical History^go_[ck]art^,OR,^Past Medical History^dirtbike^,OR,^Past Medical History^dirt bike^,)
In a separate Chief Complaint History field, add the following negation criteria:
ISNULL,OR,^,ANDNOT,(,^stepping off^,OR,^working on^,OR,^working under^,OR,^fixing^,OR,^pick^up^,OR,^clutch^,OR,^lift^,OR,^pull^,OR,^trailer^,OR,^load^,ANDNOT,^upload^,OR,^trying to start^,OR,^snowmobile helmet^,OR,^snowmobile lane^,OR,^snowmobile ln^,OR,^skiing^,OR,^skier^,OR,^ski patrol^,OR,^skipatrol^,or,^motorcycle^,OR,^ATV helmet^,OR,^weeks ago^,OR,^wks ago^,OR,^months ago^,OR,^month ago^,OR,^years ago^,OR,^year ago^,OR,^yrs ago^,OR,^yr ago^,OR,^wound check^,OR,^medication refill^,OR,^recheck^,OR,^return to work^,OR,^still UTV^,OR,^previous ATV^,OR,^previous snowmobile^,OR,^previous snow mobile^,OR,^Past Medical History^all[- ]terrain vehicle^,OR,^Past Medical History^[UA]TV accident^,OR,^Past Medical History^four_wheeler^,OR,^Past Medical History^4_wheeler^,OR,^Past Medical History^snowmobile^,OR,^Past Medical History^snow mobile^,OR, ^Past Medical History^dune buggy^,OR,^Past Medical History^dunebuggy^,OR,^Past Medical History^golf[ck]art^,OR,^Past Medical History^ golf_[ck]art^,OR,^Past Medical History^go[ck]art^,OR,^Past Medical History^go_[ck]art^,OR,^Past Medical History^dirtbike^,OR,^Past Medical History^dirt bike^,)
In a separate Triage Notes Orig field, add the following negation criteria:
ISNULL,OR,^,ANDNOT,(,^stepping off^,OR,^working on^,OR,^working under^,OR,^fixing^,OR,^pick^up^,OR,^clutch^,OR,^lift^,OR,^pull^,OR,^trailer^,OR,^load^,ANDNOT,^upload^,OR,^trying to start^,OR,^snowmobile helmet^,OR,^snowmobile lane^,OR,^snowmobile ln^,OR,^skiing^,OR,^skier^,OR,^ski patrol^,OR,^skipatrol^,or,^motorcycle^,OR,^ATV helmet^,OR,^weeks ago^,OR,^wks ago^,OR,^months ago^,OR,^month ago^,OR,^years ago^,OR,^year ago^,OR,^yrs ago^,OR,^yr ago^,OR,^wound check^,OR,^medication refill^,OR,^recheck^,OR,^return to work^,OR,^still UTV^,OR,^previous ATV^,OR,^previous snowmobile^,OR,^previous snow mobile^,OR,^Past Medical History^all[- ]terrain vehicle^,OR,^Past Medical History^[UA]TV accident^,OR,^Past Medical History^four_wheeler^,OR,^Past Medical History^4_wheeler^,OR,^Past Medical History^snowmobile^,OR,^Past Medical History^snow mobile^,OR, ^Past Medical History^dune buggy^,OR,^Past Medical History^dunebuggy^,OR,^Past Medical History^golf[ck]art^,OR,^Past Medical History^ golf_[ck]art^,OR,^Past Medical History^go[ck]art^,OR,^Past Medical History^go_[ck]art^,OR,^Past Medical History^dirtbike^,OR,^Past Medical History^dirt bike^,)
In a separate Clinical Impression field, add the following negation criteria:
ISNULL,OR,^,ANDNOT,(,^stepping off^,OR,^working on^,OR,^working under^,OR,^fixing^,OR,^pick^up^,OR,^clutch^,OR,^lift^,OR,^pull^,OR,^trailer^,OR,^load^,ANDNOT,^upload^,OR,^trying to start^,OR,^snowmobile helmet^,OR,^snowmobile lane^,OR,^snowmobile ln^,OR,^skiing^,OR,^skier^,OR,^ski patrol^,OR,^skipatrol^,or,^motorcycle^,OR,^ATV helmet^,OR,^weeks ago^,OR,^wks ago^,OR,^months ago^,OR,^month ago^,OR,^years ago^,OR,^year ago^,OR,^yrs ago^,OR,^yr ago^,OR,^wound check^,OR,^medication refill^,OR,^recheck^,OR,^return to work^,OR,^still UTV^,OR,^previous ATV^,OR,^previous snowmobile^,OR,^previous snow mobile^,OR,^Past Medical History^all[- ]terrain vehicle^,OR,^Past Medical History^[UA]TV accident^,OR,^Past Medical History^four_wheeler^,OR,^Past Medical History^4_wheeler^,OR,^Past Medical History^snowmobile^,OR,^Past Medical History^snow mobile^,OR, ^Past Medical History^dune buggy^,OR,^Past Medical History^dunebuggy^,OR,^Past Medical History^golf[ck]art^,OR,^Past Medical History^ golf_[ck]art^,OR,^Past Medical History^go[ck]art^,OR,^Past Medical History^go_[ck]art^,OR,^Past Medical History^dirtbike^,OR,^Past Medical History^dirt bike^,)