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Table 3 Health information used for respiratory syndrome and influenza-like illness coding and respective code distribution in 2009

From: Validity and timeliness of syndromic influenza surveillance during the autumn/winter wave of A (H1N1) influenza 2009: results of emergency medical dispatch, ambulance and emergency department data from three European regions

Data source

Syndrome

Health information codes

Code distribution 2009

EMD-AT

respiratory syndrome

AMPDS v12.0

Boolean operator : OR

N

%

  

6C1

Breathing problems - Abnormal breathing

465

26.9

  

6C1A

Breathing problems - abnormal breathing + asthma

71

4.1

  

6D1

Breathing problems - Not alerting

750

43.3

  

6D1A

Breathing problems - not alerting + asthma

230

13.3

  

6D2

Breathing problems - Difficulty in speaking between breaths

22

1.3

  

6D2A

Breathing problems - difficulty in speaking between breaths + asthma

4

0.2

  

6D3

Breathing problems - changing colour

154

8.9

  

6D3A

Breathing problems - changing colour + asthma

31

1.8

  

6D4

Breathing problems - clammy

-

-

  

6D4A

Breathing problems - clammy + asthma

-

-

  

26A4

Sick person - Fever/chills

4

0.2

  

26O26

Sick person - Sore throat (without difficulty breathing or swallowing)

-

-

Total

   

1731

100.0

EP-AT

ILI*

ICD-10

Boolean operator : OR

  
  

J00

Acute nasopharyngitis [common cold]

1

1.6

  

J02

Acute pharyngitis (includes sore throat)

-

-

  

J04

Acute laryngitis and tracheitis

3

4.7

  

J06

Acute upper respiratory infections of multiple and unspecified sites

8

12.5

  

J09

Avian Influenza

-

-

  

J10

Influenza due to other identified influenza virus

1

1.6

  

J11

Influenza, virus not identified

8

12.5

  

J16

Pneumonia due to other infectious organisms, not elsewhere classified

3

4.7

  

J18

Pneumonia, organism unspecified

28

43.8

  

R05

Cough

3

4.7

  

R50

Fever of other and unknown origin

9

14.1

Total

   

64

100.0

EP-BE

ILI*

ICD-9

Boolean operator : OR

  
  

460

Acute nasopharyngitis [common cold]

22

1.2

  

462

Pharyngitis, acute

-

-

  

464

Acute laryngitis and tracheitis

-

-

  

464.0

Acute laryngitis

-

-

  

464.1

Acute tracheitis

-

-

  

464.2

Acute laryngotracheitis

-

-

  

465

Acute upper respiratory infections of multiple or unspecified sites

-

-

  

465.0

Acute laryngopharyngitis

-

-

  

465.8

Acute upper respiratory infections of other multiple sites

-

-

  

465.9

Acute upper respiratory infections of unspecified site

-

-

  

480.9

Viral pneumonia unspecified

56

3.0

  

488

Influenza due to certain identified influenza viruses

-

-

  

488.0

Influenza due to identified avian influenza virus

-

-

  

488.1

Influenza due to identified novel h1n1 influenza virus

-

-

  

487

Influenza

-

-

  

487.0

Influenza with pneumonia

-

-

  

487.1

Influenza with other respiratory manifestations

-

-

  

487.8

Influenza with other manifestations

109

5.9

  

486

Pneumonia organism unspecified

986

53.2

  

786.2

Cough

63

3.4

  

780.6

Fever and other physiologic disturbances of temperature regulation

618

33.3

Total

   

1854

100.0

ED-BE

ILI*

chief complaint or working diagnosis, Boolean operator : OR

 
 

free text including

cough, muscle pain, flu, H1N1, sore throat, influenza, fever

na

na

Total

   

5681

100.0

ED-ES

ILI*

case definition, Boolean operator : AND

 
   

i) the appearance of sudden symptoms and at least one of the four general symptoms (fever or slight fever (feverishness), headache, muscle pain, general malaise), and (ii) at least one of the three respiratory symptoms (cough, sore throat, difficulty breathing), as well as (iii) the absence of other diagnostic suspicion.

1127

100.0

Total $

   

1127

100.0

  1. *ILI = influenza-like illness.
  2. na = not applicable.