OzEMedicine - Wiki for Australian Emergency Medicine Doctors

see also:

• Victorian Emergency Department Minimum Dataset (VEMD)

• this page is primarily to assist ED staff in completion of EDIS data
• if the triage nurse assigns the data field “Injury/Poison” to YES, or the injury surveillance data is entered, then the diagnosis MUST be a “INJURY” type diagnosis (ICD10 code must start with either S or T) - you cannot enter a non-INJURY diagnosis and have it VEMD compatible.
• if the triage nurse assigns the data field “Injury/Poison” to YES or you put an INJURY type diagnosis in, then the Injury Surveillance Data must be completed for VEMD compliance.

• the first thing to decide is whether or not the presentation is an INJURY/POISON/OVERDOSE/ALLERGY/IATROGENIC or not as you need to select the correct path to your look up options.
• the following are included under the INJURY option:
  • injuries including self-harm
  • foreign body
  • envenomation
  • asphyxia, drowning
  • poisoning (non-bite) and overdoses
  • toxic or adverse effects of medications
  • “other specified nature of injury”:
    • allergic reactions / anaphylaxis
    • complications of catheters, contraceptive device, burst sutures or wound dehiscence
    • abused person syndrome
    • staff needlestick
    • unfortunately the HAS EDIS in Western Health does not give these additional options, you need to use Gary's HAS Tools to access these
  • “injury of unspecified nature”:
    • option to choose a body part only
• interestingly, the following are available in the non-injury option but cannot be used if INJURY/POISON is selected by triage:
  • exposure to communicable disease
  • dermatitis includes allergic reaction to plants
  • post-operative obstetric wound infection
  • complication of caesarian wound
  • attention to or removal of surgical dressings and sutures
  • review following earlier treatment
    • if you use this code, you must also use “Additional diagnosis” and unfortunately, this cannot be an injury
  • sexual assault examination
  • Tetanus prophylaxis
  • Removal of ring stuck on finger
  • Removal of orthopaedic device or change of plaster, or plaster check
  • Aftercare following surgery

• “Attendance for specimen collection / Laboratory examination” - ie. useful for those just attending for a blood test
• “Attendance for administration of antibiotics”
• “Contraceptive management ”
• “Results only”
• “Issue of medical certificate”
• “Issue of prescription / Issue of repeat prescription”

• needlestick injury
  • unless your system allows you to enter codes in “Other Injury” which includes “Staff Needlestick” - you have to decide either:
    • exposure to communicable disease - and then not use INJURY
    • superficial wound on INJURY