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International classification of external causes of injuries; short version (short ICECI) data collection form for a pilot study
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October 21, 1999
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[PDF-42.81 KB]
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Alternative Title:ICECI data collection form
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Description:Instructions: This form was designed to record information about circumstances of an injury incident for injured persons treated in an emergency department or a similar health care setting. Ideally this form could become part of the ED record for the patient. Some instructions for completing the form are given in italics. For further details about how an injury is defined and how to code each of the components given below, please see the instruction manual and coding guidelines.
Proposed by the National Center for Injury Prevention and Control (NCIPC), Surveillance Working Group, Centers for Disease Control and Prevention (CDC), Atlanta, Georgia.
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Content Notes:prepared by J. Lee Annest , Judy Conn, Chet Pogostin, Louis Fingerhut, Donna Pickett.
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Pages in Document:electronic; electronic resource
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