This query was created as a collaboration between the ISDS Syndrome Definition Committee (SDC) members with input from the CDC, Division of Violence Prevention. The query includes keywords and discharge diagnosis codes (ICD 10, ICD 9, and SNOMED) for self-harm, suicide ideation and suicide attempt. The query has been evaluated using national and local data from several states and counties.
Behavioral Health
Query purpose:
The purpose of this definition is to assist state, local, tribal, territorial, and federal public health practitioners in detecting and monitoring trends of suspected sex trafficking among emergency departments and ambulatory healthcare settings for adult and minor patients. The definition is not intended to be used for case-finding, which has the potential to unintentionally place trafficking victims at risk, but instead for monitoring trends.
Definition Purpose: To assist state, local, tribal, territorial, and federal public health practitioners in identifying emergency department (ED) visits for suspected suicide attempts. The definition can be used to supplement case-finding using syndromic surveillance data, monitor trends, and detect outbreaks of suspected suicide attempts.
New or Revised Definition: Revision of CDC Suicide Attempt v1
Date Added to ESSENCE: December 7, 2022
The following syndrome was developed to explore emergency department visit records involving people experiencing homelessness. Trends over time, patient demographics, geographic distribution, and primary reasons for seeking care were explored. Additionally, we have been using this definition, in combination with other illness/injury specific definitions to assess the trends in among people experiencing homelessness (e.g., cold-related illness among people experiencing homelessness during record low temperatures).
This syndrome is a work-in-progress and was created to experiment with Chief Complaint text indicating a language barrier between medical professionals and patient and/or an interpreter is needed to provide medical care.
This was developed on the NSSP ESSENCE CCQV data in the Processed Chief Complaint field. I suspect Triage Notes would also contain this type of information if you receive that field.
This syndrome was created to monitor emergency room visits related to opioid abuse in Suburban Cook County, IL. It is adapted from CDC’s Opioid Overdose v2 syndrome, and expanded to include terms for opioid withdrawal, injection site infections, and patients with underlying opiate abuse or dependence disorders, as well as unintentional overdose with opioids.
This syndrome attempts to capture Opioid, Cocaine and Meth Injection Drug Use hospital visits. The syndrome was developed using NSSP ESSNECE and evaluated on Maricopa County emergency department and inpatient data. Fields used in ESSENCE include Admit Reason Combo, Cheif Complaint History and Discharge Diagnosis.
The homelessness syndrome was developed to identify emergency department visits in ESSENCE for patients who are experiencing homelessness or housing insecurity. The syndrome is intended for use with chief complaint, triage notes, and discharge diagnosis codes (ICD-10 CM). The definition heavily relies on diagnosis codes primarily used by non-critical access hospitals and artificial exclusion of critical access facilities should be considered when data are interpreted.
This syndrome was created as a way to integrate the H-CUP Opioid-Related Hospital Use definition into ESSENCE. H-CUP is the Healthcare Cost and Utilization Project and we believe their Opioid-Related Hospital Use definition is a great starting point for developing opiate-use syndrome definitions.
This syndrome was created using BioSense 2.0 phpMyAdmin and later transitioned to ESSENCE. The syndrome queries chief complaint and discharge diagnosis fields. The Maricopa County data include emergency room and inpatient visits.