Occupational Injury and Illness Classification Manual Version 2.01 U.S. Department of Labor Bureau of Labor Statistics January 2012 OCCUPATIONAL INJURY AND ILLNESS CLASSIFICATION MANUAL Table of Contents Section Page 1 Introduction to the Occupational Injury and Illness Classification Manual 3 2 Definitions, Rules of Selection, and Titles and Descriptions 6 2.1 Nature of Injury or Illness 7 2.1.1 Definition, Rules of Selection 8 2.1.2 Titles and Descriptions 9 2.2 Part of Body Affected 81 2.2.1 Definition, Rules of Selection 82 2.2.2 Titles and Descriptions 83 2.3 Source and Secondary Source of Injury or Illness 105 2.3.1 Definitions, Rules of Selection 106 2.3.2 Titles and Descriptions 112 2.4 Event or Exposure 273 2.4.1 Definition, Rules of Selection 274 2.4.2 Titles and Descriptions 275 3 Code Titles 332 3.1 Nature of Injury or Illness 333 3.2 Part of Body Affected 357 3.3 Source of Injury or Illness; Secondary Source of Injury or Illness 371 3.4 Event or Exposure 425 4 Alphabetical Indices 446 4.1 Nature of Injury or Illness 447 4.2 Part of Body Affected 475 4.3 Source of Injury or Illness; Secondary Source of Injury or Illness 483 4.4 Event or Exposure 541 *-Asterisks denote a summary level code not assigned to individual cases. _____________________________________________________________________________________________ 01/12 2 SECTION 1 Introduction to the Occupational Injury and Illness Classification Manual *-Asterisks denote a summary level code not assigned to individual cases. _____________________________________________________________________________________________ 01/12 3 1 Introduction to the Occupational Injury and Illness Classification Manual The Occupational Injury and Illness Classification Manual provides a classification system for use in coding the case characteristics of injuries, illnesses, and fatalities in the Survey of Occupational Injuries and Illnesses (SOII) and the Census of Fatal Occupational Injuries (CFOI) programs. This manual contains the rules of selection, code descriptions, code titles, and indices for the following code structures: Nature of Injury or Illness Part of Body Affected Source of Injury or Illness/Secondary Source of Injury or Illness Event or Exposure The Bureau of Labor Statistics’ Classification Structure Team developed the original Occupational Injury and Illness Classification System (OIICS) with input from data users and States participating in the BLS Occupational Safety and Health Statistics (OSHS) Federal/State cooperative programs. The original system was released in December 1992. It was approved for use as the American National Standard for Information Management for Occupational Safety and Health in 1995 (ANSI Z16.2—1995). In September 2007, OSHS staff updated the 1992 OIICS Manual to incorporate various interpretations and corrections. Version 2.0, dated September 2010, is the first major revision since the 1992 manual. In developing this manual, BLS sought input from many interested parties. In February 2008, a Federal Register Notice on the proposed change to the manual was issued. In addition, the OIICS Revision Team sent out numerous letters and e-mails to users. Based on the initial comments received and other information, the team developed a draft 2010 manual that was disseminated to interested parties in April 2010. The team considered comments received, made revisions, and completed the final manual in September 2010. Here are some highlights of the differences between version 2.0 and previous versions of the manual. Numerous categories have been added, deleted, or modified. All codes begin with 1 through 9; that is, no codes begin with 0. This change was undertaken to facilitate the use of OIICS codes in computer systems, and resulted in very few categories having the same code as in the previous manual. In the Event category, codes are arranged in order of precedence. This facilitates coding when more than one Event category applies. The rules of selection for Source and Secondary Source are now specific to the Event. *-Asterisks denote a summary level code not assigned to individual cases. _____________________________________________________________________________________________ 01/12 4 This manual consists of four sections. Section 1 is the table of contents and this introduction. Section 2 contains the definitions, rules of selection, and descriptions for Nature, Part, Source, and Event. Section 3 contains title lists for each of the four OIICS components. Section 4 contains indices for each component. The OIICS Revision Team developed this manual. The members of the team include the following BLS employees: Gail E. Barnett Joyce M. Northwood Carl B. Barsky Tiffany M. Pinkney Brad Farrell Eric F. Sygnatur Linda Garris Katherine Taylor-Shirley Andrew D. Marsh Janice A. Windau Version 2.01 dated January 2012, and annotated with 01/12 at the bottom of the page, is a minor update to version 2.0. It corrects some errors and incorporates some clarifications to the version issued in September 2010. Scott Curtin and Andrew Kato assisted with this version. *-Asterisks denote a summary level code not assigned to individual cases. _____________________________________________________________________________________________ 01/12 5 SECTION 2 Definitions, Rules of Selection, and Titles and Descriptions SECTION CONTENTS 2.1 Nature of Injury or Illness 2.2 Part of Body Affected 2.3 Source and Secondary Source of Injury or Illness 2.4 Event or Exposure *-Asterisks denote a summary level code not assigned to individual cases. _____________________________________________________________________________________________ 01/12 6 SECTION 2.1 Nature of Injury or Illness SECTION CONTENTS 2.1.1 Definition, Rules of Selection 2.1.2 Titles and Descriptions *-Asterisks denote a summary level code not assigned to individual cases. _____________________________________________________________________________________________ 01/12 7 2.1.1 Nature of Injury or Illness—Definition, Rules of Selection 1.0 DEFINITION The nature of injury or illness identifies the principal physical characteristic(s) of the work related injury or illness. RULES OF SELECTION: 1.1 Name the injury or illness indicated on the source document. Example: For strained back, choose Strains. 1.2 When two or more injuries or illnesses are indicated, and one is a sequela, aftereffect, complication due to medical treatment, or re-injury, choose the initial injury or illness. Example: If a laceration became infected developing into septicemia, choose Cuts, lacerations. 1.3 When two or more injuries or illnesses are indicated and one is more severe than the other(s) and is not a sequela or complication of the other injury or illness, select the more severe injury or illness. Example: For sprained finger and fractured wrist, choose Fractures. 1.3.1 When a single event or exposure produces an injury and transmits a disease simultaneously, and one is more severe than the other(s), select the more severe injury or disease. Example: If a needlestick produces a puncture wound and transmits serum hepatitis, choose Type B viral hepatitis (serum hepatitis) 1.4 When two or more injuries or illnesses are indicated but neither of which can be determined as being more severe than the others, select the appropriate multiple injuries or illnesses classification code. Example: For fractured and severely burned left leg, choose Fractures and burns. *-Asterisks denote a summary level code not assigned to individual cases. _____________________________________________________________________________________________ 01/12 8 2.1.2 Nature of Injury or Illness—Titles and Descriptions The Nature of Injury or Illness code structure is arranged so that traumatic injuries and disorders are listed first (in Division 1) while diseases are listed in Divisions 2 through 6. The Nature of Injury or Illness divisions are arranged as follows: DIVISION TITLE 1 Traumatic Injuries and Disorders 2 Systemic Diseases and Disorders 3 Infectious and Parasitic Diseases 4 Neoplasms, Tumors, and Cancers 5 Symptoms, Signs, and Ill-defined Conditions 6 Other Diseases, Conditions, and Disorders 7 Exposures to Disease—No Illness Incurred 8 Multiple Diseases, Conditions, and Disorders 9999 Nonclassifiable *-Asterisks denote a summary level code not assigned to individual cases. _____________________________________________________________________________________________ 01/12 9 NATURE 1* TRAUMATIC INJURIES AND DISORDERS This division classifies traumatic injuries and disorders, acute effects of external agents, and acute poisoning and toxic effects. Generally, a traumatic injury or disorder is the result of a single incident, event, or exposure over the course of a single shift. Cases coded to this division need not be consistent with the Occupational Safety and Health Administration (OSHA) recordkeeping definition of an injury or whether the employer reported the case as an injury or illness on the OSHA log. 10 Traumatic injuries and disorders, unspecified This code classifies traumatic injuries and disorders when the only information available describes the incident as traumatic. For example, nature would be coded as 10 if all that is known about the injury is that the employee was hurt in car accident. This code is also used for hip and joint replacements or other medical procedures when the initial injury is not specified. It includes nonfatal blunt force trauma and fatal blunt force trauma when the part of body is unknown. Damage to existing prosthetic