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OMB NO. 0920-xxxx
Expiration Date: xx/xx/20xx
Published November 2012
Occupational Health Safety Network (OHSN) Data Elements and Value Sets
Version 1.0: Required and Optional, with Descriptions
*Indicates Required Data Elements for participation in OHSN
Other data elements are optional
Data Element (Description)
Facility Level Data
*Facility ID (ID that uniquely
identifies the healthcare facility.
Facility must enter this ID.)
Value Set (Descriptions)
Codes
String up to 15 characters
N/A
*Facility Name (Name of the
healthcare facility)
Event Level Data
*Event ID (ID number of the
traumatic injury event. This value
must be unique for each event.)
String up to 100 characters in length
N/A
String up to 15 characters
N/A
*Event Date (Date the event,
condition, or injury occurred)
Format YYYY-MM-DD, eg 2012-02-24
N/A
Event Time
(Time that the event, condition, or
injury occurred)
Format hh:mm
N/A
Event Reported Date
(Date that the event, condition, or
injury was reported to participating
OHSN organization)
Format YYYY-MM-DD
N/A
OHSN Data Elements and Value Sets - *Indicates Required; others are optional
Notes
American Hospital Association – AHA— IDs
are preferred.
This can be a random number assigned by the
facility. Must NOT include personal identifiers
such as date of birth or social security
number.
Use 24 hour clock.
1
Public reporting burden of this collection of information is estimated to average 3 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and
maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless
it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to CDC/
ATSDR Information Collection Review Office, 1600 Clifton Road NE, MS D-74, Atlanta, Georgia 30333; ATTN: PRA (0920-xxxx).
Published November 2012
Data Element (Description)
Event Hours on Duty
(Number of hours the healthcare
worker was on duty before the
incident.)
Value Set (Descriptions)
Decimal, e.g., 2.50
Codes
N/A
Notes
*Event Location
(Location where the event that
caused the traumatic injury
occurred)
Inpatient-Unspecified
LO100
Inpatient-Adult Critical Care Units
LO101
Inpatient-Neonatal Units
LO102
Inpatient-Pediatric Critical Care Units
LO103
Inpatient-Specialty Care areas
(Adult or Pediatric)
LO104
Inpatient-Adult Wards
LO105
Use if you do not know the exact inpatient
location.
Burn Critical Care, Medical Cardiac Critical
Care, Medical Critical Care, Med/Surg Critical
Care, Neurologic Critical Care, Neurosurg.
Critical Care, Prenatal Critical Care,
Respiratory Critical Care, Surgical
Cardiothoracic Critical Care, Surgical Critical
Care, Trauma Critical Care
Well Baby Nursery, Step down Neonatal
Nursery, Neonatal Critical Care Levels II / III
Pediatric: Burn Critical Care, Cardiothoracic
Critical Care, Medical Cardiac Critical Care,
Medical Critical Care, Med/Surg Critical Care,
Neurosurg. Critical Care, Respiratory Critical
Care, Surgical Critical Care, Trauma Critical
Care
Long Term Acute Care, Bone Marrow
Transplant, Acute Dialysis Unit,
Hematology/Oncology, Solid Organ
Transplant, Pediatric Bone Marrow
Transplant, Pediatric Dialysis, Pediatric
Hem/Onc, Pediatric Long-Term Acute Care,
Pediatric Solid Organ Transplant
Adult Medical or Surgical Wards: Antenatal
Care Ward, Burn Ward, Ear/Nose/Throat
Ward, Gastrointestinal Ward, Gerontology
Ward, Genitourinary Ward, Gynecology
Note: These are based on values
from the CDC/National Healthcare
Safety Network (NHSN)
OHSN Data Elements and Value Sets - *Indicates Required; others are optional
2
Published November 2012
Data Element (Description)
Value Set (Descriptions)
Codes
Inpatient-Pediatric Wards
LO106
Inpatient-Step Down Units
Inpatient-Operating Rooms
LO107
LO108
Inpatient-Long-term Care
LO109
Inpatient-Behavioral Health/Psych Ward
(Adult or Pediatric)
Inpatient-Other locations, please specify
LO110
OHSN Data Elements and Value Sets - *Indicates Required; others are optional
LO199
Notes
Ward, Jail Unit, Labor /
Delivery/Recovery/Postpartum, Medical
Ward, Med/Surg Ward, Mixed Acuity Ward,
Neurology Ward, Neurosurgical Ward,
Ophthalmology Ward, Orthopedic Trauma
Ward, Orthopedic Ward, Plastic Surgery
Ward, Postpartum Ward, Pulmonary Ward,
Rehabilitation Ward, School Infirmary
(inpatient), Surgical Ward, Stroke (Acute)
Unit, Telemetry Unit, Vascular Surgery Ward
Pediatric Burn Ward, Pediatric
Ear/Nose/Throat, Pediatric Genitourinary,
Medical Pediatric Ward, Pediatric Med/Surg
Ward, Pediatric Mixed Acuity Ward, Pediatric
Neurosurgical Ward, Pediatric Orthopedic
Ward, Pediatric Rehab Ward, Pediatric
Surgical Ward
Adult or Pediatric
Cardiac Catheterization Room, Cesarean
Section Room, Interventional Radiology,
Operating Room, Post Anesthesia Care
Unit/Recovery Room
Inpatient Hospice, LTC Unit, LTC Alzheimer’s
Unit, LTC Behavioral Health/Psych Unit,
Ventilator Dependent Unit, LTC Rehab Unit
Includes Patient Transportation, Sleep
Studies, Pulmonary Function Testing,
Treatment Room. Use if you know the
inpatient location but cannot find it otherwise
on the list. Specify location in field for Event
Location Text.
3
Published November 2012
Data Element (Description)
Value Set (Descriptions)
Outpatient- Unspecified
Codes
LO200
Outpatient-Acute Care-Emergency
Department/Urgent Care
Outpatient-Acute Care-Ambulatory
Surgery/Observation
Outpatient-Clinic (Nonacute) settings
LO201
Outpatient-Community locations
LO204
OHSN Data Elements and Value Sets - *Indicates Required; others are optional
Notes
Use if you do not know the exact outpatient
location.
LO202
LO203
Allergy, Behavioral Health, Blood Collection,
Cardiac Rehab, Cardiology, Continence,
Dermatology, Diabetes/Endocrinology,
Ear/Nose/Throat, Family Medicine, Genetics,
Gynecology, Holistic Medicine, Hyperbaric
Oxygen, Infusion, Neurology, Occupational
Health, Occupational Therapy,
Ophthalmology, Orthopedic, Ostomy, Outpt
Dental, Outpt GI, Outpt Hem/Onc, Outpt
Hemodialysis, Outpt HIV, Outpt Medical, Oupt
Rehab, Pain, Pediatric Behavioral Health, Ped.
Cardiology, Ped. Clinic, Ped Dental, Ped.
Dermatology, Ped. Diabetes/Endocrinology,
Ped. Gastrointestinal, Ped. Hem/Onc, Ped.
Nephrology, Ped. Orthopedic, Ped.
Rheumatology, Ped. Scoliosis, Physical
Therapy, Physician’s office, Podiatry,
Prenatal, Pulmonary, Rheumatology,
School/Prison infirmary (outpatient),
Specimen Collection Area, Speech Therapy,
Surgical Services, Well Baby, Wound Center,
Wound Ostomy Continence, Mobile Blood
collection center
Includes Home Care, Home-based Hospice,
Specimen collection in area not designed for
healthcare, Blood Collection (not a
van/mobile) in a location not designed for
4
Published November 2012
Data Element (Description)
Value Set (Descriptions)
Codes
Outpatient-Other locations, please specify
LO299
Radiology (Inpatient and outpatient)
Non-patient-care locations-Unspecified
LO301
LO400
Non-patient-care locations-Administrative
areas
Non-patient-care locations-Laboratories
Non-patient-care locations- Hospital
Maintenance
LO401
Non-patient-care locations-Pharmacy
Non-patient-care locations-Morgue
Non-patient-care locations-Public areas
LO404
LO405
LO406
Non-patient-care locations-Other
LO499
Unknown
Event Area
(Area of the facility where the injury
occurred)
LO402
LO403
UNK
Patient room
EA101
Patient bathroom
Exam room
Operating Room
EA102
EA103
EA104
Kitchen/dietary/cafeteria/dining/break
room
EA201
OHSN Data Elements and Value Sets - *Indicates Required; others are optional
Notes
healthcare (ex – school gym)
Use if you know the outpatient location and
can’t find it otherwise listed. Specify location
in field for Event Location Text.
Includes Mobile MRI/CT.
Use if you do not know the exact non-patientcare location.
Inpatient or Outpatient
Housekeeping, Environmental Services,
Kitchen, Engineering, Biomedical Engineering,
Sterile Plant Processing, Plant Maintenance,
Loading Dock, Central Sterile Supply, Central
Trash Area, Laundry
Including cafeteria, waiting rooms, parking
lot, etc. These can be further specified by the
Event Area values.
Use if you know the non-patient location and
can’t find it otherwise listed. Specify location
in field for Event Location Text.
A proper value is applicable, but not known.
Other than patient bathroom or shower
room.
Patient bathroom or shower room.
5
Published November 2012
Data Element (Description)
Event Medical Treatment
(The type of medical treatment the
healthcare worker received at the
time of the injury event)
*Event Type
(The type of event that occurred:
STF=slip/trip/fall,
PHM=patient handling/movement,
WPV=workplace violence)
Value Set (Descriptions)
Facility entrance/exit/lobby/foyer
Waiting room area
Corridor/hallway/elevator/stairwell
Nurses’ station
Office/workstation
Public bathroom/staff bathroom/staff
locker room
Outside hospital
Codes
EA202
EA203
EA204
EA205
EA206
EA207
Off-site home/patient residence
Other room or location not listed above,
please specify
Unknown
EA401
EA999
EA301
UNK
Hospitalized
Visit to a healthcare professional
First Aid at the scene
No medical treatment
MT1
MT2
MT3
MT4
Other, please specify
MT9
Unknown
UNK
STF: Slip, trip, fall: Unspecified
STF: Slip or trip without fall
STF: Fall on same level
STF: Fall to lower level
PHM: Unspecified
PHM: Patient handling musculoskeletal
disorder (MSD) with no equipment
PHM: Patient handling MSD with
equipment
WPV: Unspecified
OHSN Data Elements and Value Sets - *Indicates Required; others are optional
ET100
ET101
ET102
ET103
ET200
ET201
Notes
Includes parking lot, sidewalk, garage,
loading dock.
Specify in field for Event Area Text.
A proper value is applicable, but not known.
Specify in field for Event Medical Treatment
Text.
A proper value is applicable, but not known.
Includes fall to upper level.
ET202
ET300
6
Published November 2012
Data Element (Description)
Value Set (Descriptions)
WPV: Verbal assault
WPV: Assault against property
WPV: Physical assault to person
Exposure to blood/body fluid
Codes
ET301
ET302
ET303
ET401
Exposure to other biohazard
ET402
Exposure to other harmful substance or
environment
ET403
Contact with objects and equipment
Musculoskeletal Disorder not related to
patient handling
Transportation incident
Fire or explosion
Other, please specify
ET404
ET501
ET601
ET701
ET999
Notes
Includes threat.
Includes needlesticks with or without BBF
exposure, other sharps injuries, body fluid
splashes, medical waste.
Includes insects, mildew, MRSA, meningitis,
TB.
Includes fumes, dust, chemicals, fiberglass,
electricity, radiation, burns, heat/cold
exposure.
Specify in field for Event Type Text.
Event Description
(Narrative text that describes what
happened)
Text string up to 700 characters
N/A
*Event Severity
(Indicate the Severity level of the
event based on OSHA severity.)
OSHA Recordable, unspecified:
(ONLY to be used when cannot be placed in
OS11, OS12, OS13, or OS14)
OSHA Recordable, Death
OS10
ONLY to be used when the event cannot be
placed in one of the categories below.
OS11
OSHA recordable case – Death.
OSHA Recordable, Days away from work
OS12
OSHA Recordable, Job transfer or
restriction
OSHA Recordable, all other cases
OS13
OSHA recordable case with days away from
work.
OSHA recordable case with job
transfer/restriction.
An OSHA Recordable case that did not result
If more than one category applies,
choose the one that reflects the
higher severity. For example, if
there are both Days Away (OS12)
and Job Transfer (OS13), choose
OS12.
OHSN Data Elements and Value Sets - *Indicates Required; others are optional
OS14
7
Published November 2012
Data Element (Description)
Value Set (Descriptions)
Codes
Not OSHA recordable
OS20
Unknown
UNK
String up to 15 characters
N/A
Worker Gender
(Gender of the worker)
Female
Male
Undifferentiated
F
M
UN
*Worker Age
(Age in years of the worker at the
time of the event)
Number
N/A
Worker Usual Location
(Location where the worker
normally worked)
Healthcare service location
(Same as Event Location)
*Worker Occupation
(Occupation category of worker at
time of event based on categories
used in AHA annual survey +
additional OHSN value sets)
Physician, unspecified
Attending Physicians & Dentists
Interns/Residents
Nurse, unspecified
Registered Nurses
Licensed Practical (Vocational) Nurses
Pharmacy, unspecified
Pharmacists
Pharmacy Technicians
Worker Level Data
Worker ID (ID of worker)
OHSN Data Elements and Value Sets - *Indicates Required; others are optional
Notes
in death, days away, or job
transfer/restriction.
Injury/illness that is not OSHA recordable.
Includes no injury (“near-miss”).
A proper value is applicable but not known.
This can be a random number assigned by the
facility. Must NOT include personal identifiers
such as date of birth or social security
number.
The age of the worker who was injured as a
2-digit number. If worker age is unavailable,
enter 0. This column cannot be left blank.
Use Event
Location
Codes
OC110
OC111
OC112
OC120
OC121
OC122
OC130
OC131
OC132
8
Public
reporting burden of this collection of information is estimated to average 3 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining
.
the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a
currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to CDC/ATSDR
Information Collection Review Office, 1600 Clifton Road NE, MS D-74, Atlanta, Georgia 30333; ATTN: PRA (0920-xxxx).
Published November 2012
Data Element (Description)
Worker Type
(Type of employee at the time of
the event; used to choose
appropriate denominators for rates)
Value Set (Descriptions)
Nursing assistive personnel
Codes
OC140
Radiology Technicians
OC150
Laboratory professional/technical
Respiratory Therapists
Rehabilitation Personnel
OC160
OC170
OC180
Other trainees
All other personnel-patient care staff
OC190
OC199
Housekeeping/laundry
Food service
All other personnel-non-patient care staff
Unknown
OC210
OC220
OC299
UNK
Full-time
Part-time
Contractor
Casual
Volunteer
Other, please specify
Unknown
EM1
EM2
EM3
EM4
EM5
EM9
UNK
Worker Start Date
(Date the worker started the job
held at the time of the event)
Format YYYY-MM-DD
N/A
Worker Race
American Indian or Alaska Native
OHSN Data Elements and Value Sets - *Indicates Required; others are optional
Notes
Includes patient care technicians, patient care
assistants, nurse aides.
Includes ultrasound technicians, nuclear
medicine technicians.
Includes phlebotomists.
Includes physical therapists, occupational
therapists, speech therapists, etc.
Includes Advanced Registered Nurse
Practitioners, Physician Assistants,
paramedics, medical assistants. Specify in
field for Worker Occupation Text.
Specify in field for Worker Occupation Text.
A proper value is applicable, but not known.
Not a contractor.
Not a contractor.
Contract Employee.
Casual or per diem.
Specify in field for Worker Type Text.
A proper value is applicable, but not known.
1002-5
9
Published November 2012
Data Element (Description)
(Race of worker)
Worker Ethnicity
(Ethnicity of worker)
Value Set (Descriptions)
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
Other Race, please specify
Unknown
Codes
2028-9
2054-5
2076-8
2106-3
2131-1
UNK
Hispanic or Latino
Not Hispanic or Latino
2135-2
2186-5
Undifferentiated
Injury Level Data
Injury Body Part
(The primary body part of the
healthcare worker that was injured
or exhibits a health condition)
Head, including face
Neck, including throat
Shoulder, including clavicle and scapula
Chest, including ribs and internal organs
Back, including spine and spinal cord
Abdomen
Pelvic region
Arms
Wrists
Hand(s) except finger(s)
Finger(s), fingernails(s)
Legs
Ankles
Foot (feet), except toe(s)
Toe(s), toenail(s)
Body Systems
Other body parts, please specify
Unknown
OHSN Data Elements and Value Sets - *Indicates Required; others are optional
Notes
Specify in field for Worker Race Text.
A proper value is applicable, but not known.
UNK
0
1
21
22
23
24
25
31
32
33
34
41
42
43
44
5
9
UNK
Applies when the functioning of an entire
body system has been affected without
specific injury to any other part of the body.
Specify in field for Injury Body Part Text.
A proper value is applicable but not known.
10
Published November 2012
Data Element (Description)
Injury Nature
(The primary nature of the
healthcare worker’s injury/health
condition)
Value Set (Descriptions)
Codes
Notes
Dislocation
011
Fractures
012
Sprains, strains, tears
021
Open wounds
03
Amputations
031
Surface wounds and bruises
04
Burns
05
Intracranial injury
06
Multiple traumatic injuries and disorders
08
Other traumatic injuries and disorders
09
Displacement and subluxation of bone or
cartilage.
Traumatic injuries that result in fractures of
bones or teeth.
Cases of sprains and strains of muscles, joints,
tendons, and ligaments. Includes edema.
Involving open wounds, broken skin, or
outward opening, beyond the superficial skin
surface, e.g., lacerations or puncture wounds.
Traumatic loss of a limb or other external
body part. For an injury to be classified in this
group, bone must be lost.
Traumatic bruises and other injuries that
occur to the surface of the body and generally
do not involve open wounds. Includes skin
disorders, needlesticks, other sharps injuries.
Tissue damage resulting from a variety of
sources including heat, flame, hot substances,
lightning, radiation, heat, extremely cold
objects, and electricity.
Traumatic injuries to the cranium or skull and
the structures within.
Combinations of traumatic injuries or
disorders of different types.
Traumatic injuries or disorders that are not
assigned to the other major groups.
Internal injuries to organs and blood
vessels of the trunk
094
Crushing injuries
0971
OHSN Data Elements and Value Sets - *Indicates Required; others are optional
Traumatic injuries involving internal organs or
blood vessels of the trunk and are not
classified in any other major group.
11
Published November 2012
Data Element (Description)
*+Injury Source
(The primary source or secondary
source of the injury or the primary
hazard involved)
+Only required for slip, trip, fall
events; optional for workplace
violence and patient
handling/movement events
STF= slip/trip/fall
PHM= patient handling/movement
WPV= workplace violence
Value Set (Descriptions)
Back pain, hurt back
Soreness, pain, hurt, except the back
Multiple nonspecified injuries and
disorders
Nonclassifiable
Codes
0972
0973
0978
Notes
9999
Insufficient information to select even an
unspecified code at the division level or there
appears to be no injury or illness. Includes
“Near-Miss.”
A proper value is applicable but not known.
Unknown
UNK
STF Hazard: Unspecified or none
IS100
STF Hazard: Contaminant
IS101
STF Hazard: Cord or tubing
IS102
STF Hazard: Object
IS103
STF Hazard: Ice or snow
STF Hazard: Surface irregularity
IS104
IS105
STF Hazard: A curb or wheel stop
STF Hazard: Steps, stairs, or handrail
STF Hazard: Other, please specify
PHM Equipment: Unspecified
PHM Equipment: Full body sling lift –
Unspecified
IS106
IS107
IS199
IS200
IS210
OHSN Data Elements and Value Sets - *Indicates Required; others are optional
Includes water, soap, body fluid, grease/oil,
coffee, wax, gel, slick, slippery not otherwise
classified.
Includes hose, medical tubing, phone cord,
nurse call cord, equipment cords.
Includes tripping over or getting caught on
objects or items on floor, propped against
wall, or in the pathway.
Includes surface irregularities due to buckled,
loose, or damaged mat, carpeting, or rug;
when some part of the walking surface is
irregular; cracked tiles; loose gravel, door
guards; etc.
Specify in field for Injury Source Text.
12
Published November 2012
Data Element (Description)
STF= slip/trip/fall
PHM= patient handling/movement
WPV= workplace violence
Value Set (Descriptions)
PHM Equipment: Full body sling lift –
Ceiling lift
PHM Equipment: Full body sling lift –
Floor-based lift
PHM Equipment: Sit-to-stand lift
PHM Equipment: Lateral transfer deviceUnspecified
PHM Equipment: Air assisted lateral
transfer device
PHM Equipment: Mechanical lateral
transfer device
PHM Equipment: Friction-reducing lateral
transfer device
PHM Equipment: Repositioning aid for
bed/chair
PHM Equipment: Motorized
bed/stretcher/wheelchair
PHM Equipment: Specialty function bed
PHM Equipment: Shower chair
PHM Equipment: Height adjustable exam
table
PHM Equipment: Gait belt
PHM Equipment: Other, please specify
WPV: Weapon: Unspecified
WPV: Weapon: Firearm
WPV: Weapon: Knife
WPV: Weapon: Bar, rod, club, stick
WPV: Weapon: Building materials
WPV: Weapon: Medical instrument or
equipment
WPV: Weapon: Food, utensils, meal tray
OHSN Data Elements and Value Sets - *Indicates Required; others are optional
Codes
IS211
Notes
IS212
IS220
IS230
IS231
IS232
IS233
Includes slide sheet.
IS241
IS242
IS243
IS244
IS245
IS246
IS299
IS300
IS301
IS302
IS303
IS304
IS305
Specify in field for Injury Source Text.
Excluding eating utensil knife.
Includes door, window, floor, wall.
IS306
13
Published November 2012
Data Element (Description)
STF= slip/trip/fall,
PHM= patient handing/movement,
WPV= workplace violence
Value Set (Descriptions)
WPV: Weapon: Bodily fluids or substances
of person
WPV: Weapon: Other, please specify
WPV: Persons (without weapon)
WPV: Other, please specify
General Source: Chemicals and chemical
products
General Source: Containers
General Source: Furniture and fixtures
General Source: Machinery
General Source: Parts and materials
General Source: Plants, animals, and
minerals
General Source: Structures and surfaces
Codes
IS307
IS408
Other than STF hazards.
General Source: Tools, instruments, and
equipment
General Source: Vehicles
General Source: Other, please specify
Unknown
IS409
Other than STF hazards or weapons.
IS410
IS499
UNK
Specify in field for Injury Source Text.
A proper value is applicable but not known.
IS309
IS311
IS399
IS401
IS407
STF: Shoe with open back
STF: Non-slip-resistant shoe
STF: Other, please specify
CF1101
CF1102
+Only required for workplace violence
PHM: Patient factor: Unspecified
PHM: Patient factor: Slipped
CF2100
CF2101
PHM: Patient factor: Sudden movement
CF2102
PHM: Patient factor: Uncooperative
CF2103
OHSN Data Elements and Value Sets - *Indicates Required; others are optional
Specify in field for Injury Source Text.
This code does not apply to PHM events.
Specify in field for Injury Source Text.
IS402
IS403
IS404
IS405
*+Injury Contributing Factor
(The primary factor contributing to
the injury of a healthcare worker)
events; optional for slip/trip/fall and
patient handling/movement events
Notes
CF1199
Specify in field for Injury Contributing Factor
Text.
Patient slipped, tripped, fell, or lost balance.
Patient made sudden or unpredictable
movement.
14
Published November 2012
Data Element (Description)
STF= slip/trip/fall
PHM= patient handling/movement
WPV= workplace violence
Value Set (Descriptions)
PHM: Patient factor: Patient equipment or
tubes
PHM: Patient factor: Patient size or weight
PHM: Patient factor: Patient's inability to
assist
PHM: Patient factor: Other, please specify
PHM: Equipment not used: Reason
unspecified
PHM: Equipment not used: No equipment
available
PHM: Equipment not used: Refused by
patient or family
PHM: Equipment not used: Equipment not
accessible
PHM: Equipment not used: Equipment not
suitable for use
PHM: Equipment not used: Difficult to use
PHM: Equipment not used: Space
constraints
PHM: Equipment not used: Lack of training
PHM: Equipment not used: Urgent medical
situation
PHM: Equipment not used: Other reason,
please specify
WPV: Patient Unspecified
WPV: Patient: Anesthesia recovery
WPV: Patient: Anger related to system
OHSN Data Elements and Value Sets - *Indicates Required; others are optional
Codes
Notes
CF2104
CF2105
CF2106
CF2199
Specify in field for Injury Contributing Factor
Text.
CF2200
CF2201
CF2202
CF2203
CF2204
CF2205
For example, needs to be transferred from
another room.
For example, equipment not clean or not
working.
For example, equipment not user-friendly.
CF2206
CF2207
Lack of training in use of equipment.
CF2208
CF2299
CF3100
Specify in field for Injury Contributing Factor
Text.
Perpetrator of violence was a patient, but the
reason was unspecified.
CF3101
CF3102
Anger related to the healthcare system in
general.
15
Published November 2012
Data Element (Description)
Value Set (Descriptions)
WPV: Patient: Anger related to situation
Codes
CF3103
WPV: Patient: Anger related to policies
WPV: Patient: Anger related to wait
STF= slip/trip/fall
PHM= patient handling/movement
WPV= workplace violence
WPV: Patient: Cognitive dysfunction
WPV: Patient: Influenced by medication
WPV: Patient: Mental or behavioral health
problems
WPV: Patient: Substance abuse
WPV: Patient: Other, please specify
WPV: Worker: Unspecified
CF3104
CF3105
CF3106
CF3107
Anger at staff members related to
enforcement of hospital policies.
Anger related to long wait times.
Includes hypoxic patient, confused patient.
CF3108
CF3109
CF3199
CF3200
WPV: Worker: Anger between co-workers
WPV: Worker: Mental or behavioral health
problems
WPV: Worker: Substance abuse
WPV: Worker: Other
WPV: Visitor: Unspecified
CF3201
WPV: Visitor: Anger related to system
WPV: Visitor: Anger related to situation
CF3301
CF3302
WPV: Visitor: Anger related to policies
CF3303
WPV: Visitor: Anger related to wait
CF3304
WPV: Visitor: Domestic dispute with HCW
WPV: Visitor: Domestic dispute with
CF3305
CF3306
OHSN Data Elements and Value Sets - *Indicates Required; others are optional
Notes
Anger related to the patient's situation or
condition.
Specify in field for Injury Contributing Factor
Text.
Perpetrator of violence was a co-worker of
the victim, but the reason/s was unspecified.
CF3202
CF3203
CF3299
CF3300
Perpetrator of violence was a visitor to the
facility, but the reason/s was unspecified.
Anger related to the patient's situation or
condition.
Anger at staff members related to
enforcement of hospital policies.
Anger related to long wait times.
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Published November 2012
Data Element (Description)
Value Set (Descriptions)
patient
WPV: Visitor: Mental or behavioral health
problems
WPV: Visitor: Substance abuse
WPV: Visitor: Other, please specify
Other, please specify
Unknown
*+Injury Activity
(The primary activity the healthcare
worker was performing at the time
the event occurred)
+Only required for patient handling
events; optional for slip/trip/fall and
workplace violence events
STF= slip/trip/fall,
PHM= patient handling/movement,
WPV= workplace violence
Codes
CF3307
CF3308
CF3399
CF9999
UNK
STF: Making occupied bed
STF: Carrying, pushing or pulling a load
STF: Walking
STF: Running
STF: Awkward posture
AC111
AC121
AC131
AC141
AC151
STF: Cleaning
AC161
STF: Other, please specify
PHM: Hygiene: Unspecified
PHM: Hygiene: Bathing patient in bed
PHM: Hygiene: Bathing/toileting patient in
bathroom
PHM: Hygiene: Dressing/undressing or
diapering patient
PHM: Positioning: Unspecified
PHM: Positioning:
Positioning/repositioning in bed or
stretcher
PHM: Positioning:
Positioning/repositioning in chair
AC199
AC210
AC211
OHSN Data Elements and Value Sets - *Indicates Required; others are optional
Notes
Specify in field for Injury Contributing Factor
Text.
Specify in field for Injury Contributing Factor
Text.
A proper value is applicable, but not known.
Reaching, stretching, twisting, bending, or
some other awkward posture.
Includes washing, waxing, sweeping, dusting,
making unoccupied beds, etc.
Specify in field for Injury Activity Text.
AC212
AC213
Includes applying or removing TED hose.
AC230
AC231
AC232
Includes wheelchair, dependency chair, etc.
17
Published November 2012
Data Element (Description)
STF= slip/trip/fall
PHM= patient handling/movement
WPV= workplace violence
Value Set (Descriptions)
PHM: Responding to patient medical
emergency
PHM: Sustained lifting/holding of body
parts
Codes
AC241
Notes
For example, Code Blue.
AC251
For example, holding patient leg/s for
sterilization or holding a retractor during
thoracic surgery for long period of time.
PHM: Transfer: Unspecified
PHM: Transfer: Transferring/lifting to/from
bed or chair
AC260
AC261
PHM: Transfer: Transferring/lifting from
floor
PHM: Transfer: Lateral transfer of patient
to/from bed
PHM: Transfer: Transferring/lifting
deceased patient
PHM: Transport: Unspecified
PHM: Transport: Moving patient by
wheelchair
PHM: Transport: Moving patient by
stretcher, bed, litter, trolley, etc.
PHM: Transport: Escorting patient without
equipment
PHM: Other, please specify
WPV: Interaction with Patient Unspecified
WPV: Interaction with Patient: Assisting
AC262
AC263
OHSN Data Elements and Value Sets - *Indicates Required; others are optional
To/from stretcher/exam table/surgical
lift/trolley.
AC264
AC270
AC271
AC272
AC273
AC299
AC310
AC311
WPV: Interaction with Patient: Dispute
WPV: Interaction with Co-worker:
Unspecified
WPV: Interaction with Co-worker: Assisting
Includes transferring/lifting to/from bed,
chair, wheelchair, dependency chair, toilet,
car, etc.
Specify in field for Injury Activity Text.
Any activity assisting or providing care to the
patient, where the patient causes the
incident.
AC312
AC320
AC321
Any activity assisting a co-worker, where the
co-worker causes the incident.
18
Published November 2012
Data Element (Description)
Injury Prevention:
Recommendation
Value Set (Descriptions)
WPV: Interaction with Co-worker: Dispute
WPV: Interaction with Visitor: Unspecified
WPV: Interaction with Visitor: Domestic
dispute
WPV: Interaction with Visitor: Nondomestic dispute
WPV: Intervening in assault on another
person
WPV: Intervening in an assault on property
WPV: Involved in an assault without
preceding interaction with perpetrator
WPV: Other, please specify
Other activity, please specify
Unknown
Codes
AC322
AC330
AC399
AC999
UNK
Specify in field for Injury Activity Text.
Specify in field for Injury Activity Text.
A proper value is applicable, but not known.
STF: Redesign of work area
STF: Shoe policy
STF: Other, please specify
PHM: Having more patient lifting
equipment
PHM: Having properly working lifting
equipment
PHM: Other, please specify
WPV: Restricted movement of public
WPV: Security devices
PR101
PR102
PR199
Specify in field for Injury Prevention Text.
WPV: Other, please specify
General: Safety training
General: Higher staff-to-patient ratios
Other, please specify
Unknown
PR399
PR401
PR501
PR999
UNK
OHSN Data Elements and Value Sets - *Indicates Required; others are optional
Notes
AC331
AC332
AC341
AC342
AC343
PR201
PR202
PR299
PR301
PR302
Specify in field for Injury Prevention Text.
For example, metal detectors, cameras, panic
button.
Specify in field for Injury Prevention Text.
Staffing patterns.
Specify in field for Injury Prevention Text.
A proper value is applicable, but not known.
19
Published November 2012
OHSN Data Elements and Value Sets - *Indicates Required; others are optional
20
File Type | application/pdf |
Author | National Institute for Occupational Safety and Health |
File Modified | 2016-02-03 |
File Created | 2014-02-06 |