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1. Free text Common Chief
Complaints (CC) using
primary International
Classification of Diseases
& Injuries, Ninth Revision
(ICD-9) discharge
diagnoses as the standard ICD-9-CM ICD-9 Code Description
Symptoms (Sx) (WebMD, Harvard Medical
School & Iddx a decision support software
tool developed to assist in diagnosis of
infectious diseases)
7 Syndromic Categories respiratory (congestion,
shortness of breath, cough, etc.); gastrointestinal
(nausea, vomiting, abdominal pain, etc.); rash (any
rash); botulinic (ocular abnormalities, difficulty
swallowing or speaking, etc.); hemorrhagic
(bleeding from any site); neurologic (nonpsychiatric
neurologic symptoms, such as headache or seizure);
and constitutional (generalized complaints such as
fever, chills, or malaise).
Level of Pain (0 - no pain,
5 -moderate pain, and 10
- worse possible pain)
Immediately Notify
Triage RN
Acuity (Acute-Severe,Acute
moderate, Subacute/
Chronic)
Type of Care
(FastTrack- Treat
and release,
Emergency Room-
Urgent care)
Time from arrival
to triage (5
minutes, 10
minutes, 15
minutes)
Time from arrival to
being placed in an ER
bed (5 minutes, 10
minutes, 15 minutes,
20 minutes)
Abrasion 919.0 Abrasion or friction burn of other multiple and
unspecified sites
0 - no pain FastTrack 5 min. 10 min.
Abscess (Dental) 522.5 Periapical abscess without sinus Pain, swelling, sour taste, discharge from
tooth or root or both, facial swelling, gum
swelling.
5 - moderate pain FastTrack 5 min. 10 min.
Abscess (Skin) 686.9 Unspecified local infection of skin and subcutaneous
tissue
Pain, swelling, redness, tenderness,
increased warmth of the skin overlying the
abscess, hardened skin over the abscess.
5 - moderate pain FastTrack 5 min. 10 min.
Abdominal pain 789.0 Colic: NOS, infantile; Cramps, abdominal (e.g., RUQ
Pain, RLQ Pain, LUQ Pain, LLQ Pain, Epigastric Pain,
Generalized Pain, Suprapubic Pain)
Abdominal pain, fever, nausea, vomiting,
black stools, burning in chest.
gastrointestinal 10 - worse possible pain √ Emergency Room 10 min. 15 min.
Elderly patient gastrointestinal 10 - worse possible pain √ Emergency Room 10 min. 15 min.
History of an aneurysm, dilated/enlarger
bllood vessels, or recent abdominal
surgery; bloody stool; or pain so severe
that it causes you to pass out
gastrointestinal 10 - worse possible pain √ Emergency Room 5 min. 5 min.
Abnormal gait 781.2 Awkward uncoordinated walking. Wobby gait, gait disturbance, gait
instability, gait disorder, imbalance
Emergency Room 10 min. 15 min.
Abdominal swelling 789.3 Abdominal or pelvic swelling, mass, or lump Abdominal swelling, weight gain,
abdominal pain, difficulty breathing
Emergency Room 10 min. 15 min.
Abnormal 796.0 Nonspecific abnormal toxicological findings Abnormal lab results Emergency Room 10 min. 15 min.
Adverse reaction to drugs 960-0 A non-specific code that cannot be used to specify a
diagnosis
The most common symptoms of allergic
reactions to drugs are:
Skin rash or hives
Itchy skin
Wheezing or breathing problems
Swelling
Diarrhea or constipation
The most common drug that can cause
problems is penicillin. Antibiotics, sulfa
drugs, barbiturates, and insulin also can
cause adverse drug reactions. Some
medicines trigger a response from the
immune system in people with drug
hypersensitivity. The body's immune
system perceives the substance as
attacking the body, so it attacks the
system.
respiratory 5 - moderate pain √ Emergency Room 10 min. 15 min.
Agitation 308.2 Predominant psychomotor disturbance Mild, moderate or severe hemorrhagic 5 - moderate pain √ P.E.S.S. 5 min. 10 min.
Alcohol intoxication 305.0 Alcohol abuse Mental confusion, repeated vomiting,
siezures, slow or irregular breathing, low
body temperature, pale, clammy, or bluish
skin
gastrointestinal, hemorrhagic 5 - moderate pain √ Emergency Room 5 min. 10 min.
Alcohol withdrawal 291.8 Other specified alcohol-induced mental disorders abstinence syndrome or symptoms Emergency Room 5 min. 10 min.
Allergic reaction
w/history of peanuts
V15.01 respiratory 5 - moderate pain √ Emergency Room 5 min. 10 min.
Allergic reaction
w/history of seafood
V15.04 botulinic, respiratory 5 - moderate pain √ Emergency Room 5 min. 10 min.

2. Free text Common Chief
Complaints (CC) using
primary International
Classification of Diseases
& Injuries, Ninth Revision
(ICD-9) discharge
diagnoses as the standard ICD-9-CM ICD-9 Code Description
Symptoms (Sx) (WebMD, Harvard Medical
School & Iddx a decision support software
tool developed to assist in diagnosis of
infectious diseases)
7 Syndromic Categories respiratory (congestion,
shortness of breath, cough, etc.); gastrointestinal
(nausea, vomiting, abdominal pain, etc.); rash (any
rash); botulinic (ocular abnormalities, difficulty
swallowing or speaking, etc.); hemorrhagic
(bleeding from any site); neurologic (nonpsychiatric
neurologic symptoms, such as headache or seizure);
and constitutional (generalized complaints such as
fever, chills, or malaise).
Level of Pain (0 - no pain,
5 -moderate pain, and 10
- worse possible pain)
Immediately Notify
Triage RN
Acuity (Acute-Severe,Acute
moderate, Subacute/
Chronic)
Type of Care
(FastTrack- Treat
and release,
Emergency Room-
Urgent care)
Time from arrival
to triage (5
minutes, 10
minutes, 15
minutes)
Time from arrival to
being placed in an ER
bed (5 minutes, 10
minutes, 15 minutes,
20 minutes)
Allergic reaction not
specified
995.3 Allergy, unspecified Allergy symptoms vary, but may include:
breathing problems, burning, tearing or
itchy eyes, coughing, diarrhea, headache,
hives, itching of the nose, mouth, throat,
skin, or any other area, runny nose, skin
rashes, stomach cramps, vomiting,
wheezing
FastTrack 5 min. 10 min.
Altered mental status 780.97 Change in mental status (Alcohol, Concussion,
Delerium, Dementia, Depression, Drugs, Heat Stroke,
Shock, Trauma)
Confusion, amnesia, poor judgement, poor
regulations of emotions.
botulinic, hemorrhagic, respiratory 5 - moderate pain √ Emergency Room 5 min. 5 min.
Anaphylactic shock 995.0 Other anaphylactic shock botulinic, respiratory 5 - moderate pain √ Emergency Room 5 min. 5 min.
Animal bite E906.0 Dog bite Bite or claw wound hemorrhagic 5 - moderate pain √ Acute moderate Emergency Room 5 min. 5 min.
Ankle Strain 845.0 FastTrack 5 min. 15 min.
Anxiety 300.0 Anxiety state, unspecified Brought on by stress (includes; difficulty
concentrating, fatigue, irritability,
problems with falling or staying asleep,
restlessness or feeling keyed up)
hemorrhagic 10 - worse possible pain √ P.E.S.S. 5 min. 10 min.
Asthma/RAD 493.9 botulinic, respiratory √ Emergency Room 5 min. 5 min.
Back pain 707.02 Upper back: Shoulder blades Symptoms of back pain include:
Persistent aching or stiffness at any point
along the spine from the neck to the
tailbone;
Sharp, localized pain that may occur after
lifting heavy objects or overexerting
oneself during sports activities; or
FastTrack 5 min. 15 min.
707.03 Lower back: Sacrum FastTrack 5 min. 10 min.
724.90 Other unspecified back disorders Compression of spinal nerve FastTrack 5 min. 10 min.
Bee or yellow jacket sting E905.9 Unspecified Stung by a honeybee, bumblebee, hornet,
paper wasp, or yellow jacket
FastTrack 5 min. 10 min.
Bite wound Cats, dogs, human, monkeys, rodents, wildlife (Dog
bites comprise about 80% of all bite wounds, and
about 15-20% of them become infected.)
entry wound, fever, headache Acute moderate Emergency Room 10 min. 15 min.
Black eye 921.0 FastTrack 5 min. 10 min.
Black stools 787.70 Abnormal feces Bleeding ulcers can result in vomiting
blood, black stools (melena), weak pulse,
pale color, lightheadedness, fainting.
Emergency Room 10 min. 15 min.
Blister 915.20 Blister without mention of infection Abrasion or friction burn FastTrack 5 min. 10 min.
915.30 Blister, infected Abrasion or friction burn FastTrack 5 min. 10 min.
Blood pressure 796.20 Elevated blood pressure reading without diagnosis of
hypertension
Note: This category is to be used to record
an episode of elevated blood pressure in a
patient in whom no formal diagnosis of
hypertension has been made, or as an
incidental finding.
0 - no pain √ FastTrack 5 min. 10 min.
401.00 Essential hypertension Includes: high blood pressure
Blood or red color in
urine
599.70 Hematunuria, unspecified Urination pain Emergency Room 10 min. 15 min.
Blue skin tone 782.50 Cyanosis Confusion, coma, vomiting, poor or no
respiratory effort, cyanosis (blue
discoloration), anxiety, fatigue, weak pulse.
0 - no pain √ Emergency Room 5 min. 5 min.

3. Free text Common Chief
Complaints (CC) using
primary International
Classification of Diseases
& Injuries, Ninth Revision
(ICD-9) discharge
diagnoses as the standard ICD-9-CM ICD-9 Code Description
Symptoms (Sx) (WebMD, Harvard Medical
School & Iddx a decision support software
tool developed to assist in diagnosis of
infectious diseases)
7 Syndromic Categories respiratory (congestion,
shortness of breath, cough, etc.); gastrointestinal
(nausea, vomiting, abdominal pain, etc.); rash (any
rash); botulinic (ocular abnormalities, difficulty
swallowing or speaking, etc.); hemorrhagic
(bleeding from any site); neurologic (nonpsychiatric
neurologic symptoms, such as headache or seizure);
and constitutional (generalized complaints such as
fever, chills, or malaise).
Level of Pain (0 - no pain,
5 -moderate pain, and 10
- worse possible pain)
Immediately Notify
Triage RN
Acuity (Acute-Severe,Acute
moderate, Subacute/
Chronic)
Type of Care
(FastTrack- Treat
and release,
Emergency Room-
Urgent care)
Time from arrival
to triage (5
minutes, 10
minutes, 15
minutes)
Time from arrival to
being placed in an ER
bed (5 minutes, 10
minutes, 15 minutes,
20 minutes)
Body aches 729.10 Myalgia and myositis Fever, headache, tiredness (fatigue), chills,
dry cough, sore throat, stuffy and
congested nose, muscle aches and
stiffness.
FastTrack 5 min. 10 min.
Boil 680.0 Carbuncle and furuncle of unspecified site Red, swollen, and painful patches of skin.
Pustular drainage (yellow foul smelling
fluid), fever, skin abscess, warmth around
the infected area, red streaks traveling up
the arm or leg (lymphangitis).
FastTrack 5 min. 10 min.
Broken bone 800-829 Fractures Punctures the skin hemorrhagic 10 - worse possible pain √ Emergency Room 5 min. 5 min.
Bronchitis 490.00 Cough Fever, chest pain, cough, sputum
production, wheezing, nausea, vomiting,
pneumonia
10 - worse possible pain Acute moderate Emergency Room 10 min. 15 min.
Burn 940-949 Burns 1st, 2nd or 3rd degree 10 - worse possible pain √ Emergency Room 5 min. 5 min.
945.02 Burn -Foot
944.00 Burn - Hand
Cerebrovascular accident 430-438 Cerebrovascular disease A stroke is an acute medical emergency.
Stroke is a disease of the circulatory
system caused by the rupturing or the
blockage of an artery that supplies part of
the brain.
respiratory 5 - moderate pain √ Emergency Room 5 min. 5 min.
Chest pain 786.50 Nonspecific code Cough (irritation in the throat, trachea,
lungs)
respiratory 10 - worse possible pain √ Emergency Room 5 min. 5 min.
Occuring following exertion or heavy
activity
√ Emergency Room 5 min. 5 min.
Described as pain, pressure, fullness,
tightness, or squeezing
√ Emergency Room 5 min. 5 min.
Short of breath, nauseated, or sweaty √ Emergency Room 5 min. 5 min.
With pain in the neck, back, jaw or arm √ Emergency Room 5 min. 5 min.
Maximal when it starts and feels like
tearing or ripping
√ Emergency Room 5 min. 5 min.
Severe pain when taking a deep breath √ Emergency Room 5 min. 5 min.
Chronic obstructive
pulmonary disease
490-496 490 Bronchitis, not specified as acute or chronic; 491
chronic bronchitis; 492 Emphysema; 493 asthma; 494
bronchiectasis; 495 extrinsic allergic alveolitis; 496
chronic airway obstruction, not elsewhere classified
A progressive disease that makes it hard to
breathe. It gets worse over time.
respiratory 10 - worse possible pain √ Emergency Room 5 min. 5 min.
Clogged G-tube 536.42 Mechanical complication of gastrostomy Gastrostomy tube (G-Tube) is used when a
person is unable to take food or fluids by
mouth, or is unable to swallow.
Emergency Room 5 min. 10 min.
Infection of the nose and throat FastTrack 5 min. 10 min.
Common cold V04.7 Cough (irritation in the throat, trachea,
lungs)
FastTrack 5 min. 10 min.
Conjunctivitis 372.30 Red eye with discharge; Allergic: Itching and
watering; Viral: watering; Bacterial infections cause
purulent drainage, and the eylids are stuck together
in the AM.
Severe pain plus discharge Acute moderate Emergency Room 10 min. 15 min.
Confusion 298.20 Reactive confusion: Psychogenic confusion, twilight
state
Alcohol neurologic √ Emergency Room 5 min. 5 min.
Convulsions √ Emergency Room 5 min. 5 min.
Diabetes Emergency Room 10 min. 15 min.
Drug overuse √ Emergency Room 5 min. 5 min.
Elderly person Emergency Room 10 min. 15 min.

4. Free text Common Chief
Complaints (CC) using
primary International
Classification of Diseases
& Injuries, Ninth Revision
(ICD-9) discharge
diagnoses as the standard ICD-9-CM ICD-9 Code Description
Symptoms (Sx) (WebMD, Harvard Medical
School & Iddx a decision support software
tool developed to assist in diagnosis of
infectious diseases)
7 Syndromic Categories respiratory (congestion,
shortness of breath, cough, etc.); gastrointestinal
(nausea, vomiting, abdominal pain, etc.); rash (any
rash); botulinic (ocular abnormalities, difficulty
swallowing or speaking, etc.); hemorrhagic
(bleeding from any site); neurologic (nonpsychiatric
neurologic symptoms, such as headache or seizure);
and constitutional (generalized complaints such as
fever, chills, or malaise).
Level of Pain (0 - no pain,
5 -moderate pain, and 10
- worse possible pain)
Immediately Notify
Triage RN
Acuity (Acute-Severe,Acute
moderate, Subacute/
Chronic)
Type of Care
(FastTrack- Treat
and release,
Emergency Room-
Urgent care)
Time from arrival
to triage (5
minutes, 10
minutes, 15
minutes)
Time from arrival to
being placed in an ER
bed (5 minutes, 10
minutes, 15 minutes,
20 minutes)
Constipation 564.0 Constipation refers to infrequent or hard
stools, or difficulty passing stools
FastTrack 5 min. 10 min.
Coronary syndrome 411.10 Intermediate coronary syndrome: Impending
infarction, preinfarction angina, preinfarction
syndrome, unstable angina
Situations where the blood supplied to the
heart muscle is suddenly blocked
botulinic, respiratory, neurologic 10 - worse possible pain √ Emergency Room 5 min. 5 min.
920-924 Bruises (bleeding into the skin) without an
overlying cut or scrape
FastTrack 5 min. 10 min.
Chronic pain 338.90 Other chronic pain FastTrack 5 min. 10 min.
Cough 786.20 FastTrack 5 min. 10 min.
Cyst 706.20 Once formed, a cyst could go away on its own or may
have to be removed through surgery. Most cysts in
the body are the result of plugged ducts or other
natural body outlets for secretions.
A cyst is a closed sac, which may contain
air, fluids, or semi-solid material
FastTrack 5 min. 10 min.
Diarrhea 564.50 Functional diarrhea Frequent and/or watery bowel movements FastTrack 5 min. 10 min.
Difficulty in walking 719.70 Limitation of independent movement
within the environment on foot
Emergency Room 10 min. 15 min.
Dizziness 780.40 Dizziness and giddiness Light-headedness, feeling like you might
faint, being unsteady, loss of balance, or
vertigo
Emergency Room 5 min. 10 min.
Drowsiness 780.09 Emergency Room 5 min. 10 min.
Dyspnea 786.0 Dyspnea and respiratory abnormalities Shortness of breath 0 - no pain √ Emergency Room 5 min. 5 min.
Ear ache 388.70 FastTrack 5 min. 10 min.
Ear pain 338.00 Ear infections are the most common reason for
children to see pediatricans. Data show that nearly 30
million doctor visits a year in the United States are
due to ear infections. Almost half of all antibiotic
prescriptions written for children are for ear
infections. The cost of treating ear infections in the
United States is an estimated $2 billion a year.
Ear pain is the most common symptom of
an ear infection. Often it goes along with
typical cold symptoms such as a runny
nose, sneezing, and coughing. A young
child might be fussy or pull on his ear; an
older child might complain of ear pain or
decreased hearing. There could be
drainage from the ear canal, allowing fluid
from behind the eardrum to leak out.
5 - moderate pain FastTrack 5 min. 10 min.
Congestion FastTrack 5 min. 10 min.
Discharge FastTrack 5 min. 10 min.
Injury Emergency Room 10 min. 15 min.
Pulling at itchy ear FastTrack 5 min. 10 min.
Ear wax or ear wax
removal
380.40 FastTrack 5 min. 10 min.
Emphysema 492.80 Subcategory nof chronic obstructive pulmonary
disease. It occurs in people who smoke and suffer
from chronic bronchitis
Difficulty breathing respiratory 5 - moderate pain √ Emergency Room 5 min. 10 min.
Eye 338.00 Pain, not elsewhere classified Allergy FastTrack 5 min. 10 min.
Foreign body FastTrack 5 min. 10 min.
Injury Emergency Room 10 min. 15 min.
Pus or discharge 5 - moderate pain FastTrack 5 min. 10 min.
Red without pus FastTrack 5 min. 10 min.
Eye itch 379.99 FastTrack 5 min. 10 min.
Fainting 780.20 Sycope and collapse Transient loss of consciousness; vasovagal
episode, etc.
0 - no pain Emergency Room 10 min. 15 min.

5. Free text Common Chief
Complaints (CC) using
primary International
Classification of Diseases
& Injuries, Ninth Revision
(ICD-9) discharge
diagnoses as the standard ICD-9-CM ICD-9 Code Description
Symptoms (Sx) (WebMD, Harvard Medical
School & Iddx a decision support software
tool developed to assist in diagnosis of
infectious diseases)
7 Syndromic Categories respiratory (congestion,
shortness of breath, cough, etc.); gastrointestinal
(nausea, vomiting, abdominal pain, etc.); rash (any
rash); botulinic (ocular abnormalities, difficulty
swallowing or speaking, etc.); hemorrhagic
(bleeding from any site); neurologic (nonpsychiatric
neurologic symptoms, such as headache or seizure);
and constitutional (generalized complaints such as
fever, chills, or malaise).
Level of Pain (0 - no pain,
5 -moderate pain, and 10
- worse possible pain)
Immediately Notify
Triage RN
Acuity (Acute-Severe,Acute
moderate, Subacute/
Chronic)
Type of Care
(FastTrack- Treat
and release,
Emergency Room-
Urgent care)
Time from arrival
to triage (5
minutes, 10
minutes, 15
minutes)
Time from arrival to
being placed in an ER
bed (5 minutes, 10
minutes, 15 minutes,
20 minutes)
Fatigue (tiredness) 780.79 Malaise and fatigue Tiredness, weariness, exhaustion or lack of
energy
FastTrack 5 min. 10 min.
Fever 780.60 Fever, unspecified Body temperature is higher than normal
(chills, weakness, drainage of pus)
FastTrack 5 min. 10 min.
Not moving or very weak Emergency Room 10 min. 15 min.
Unresponsive difficult to wake √ Emergency Room 5 min. 5 min.
Difficulty breathing with bluish lips Emergency Room 5 min. 5 min.
Purple or blood-colored spots or dots on
skin
√ Emergency Room 5 min. 5 min.
Flank pain 680.20 Trunk: Abdominal wall, Back [any part, except
buttocks], breast, chest wall, flank, groin, pectoral
region, oenneum, umbilicus.
The section of flesh on the body of a
person between the last rib and the hip;
the side.
Emergency Room 10 min. 15 min.
Follow up visit V67.59 FastTrack 5 min. 10 min.
Flu symptoms 497.10 Influenza with other respiratory manifestations Fever between 102 and 106 F. The fever
usually lasts for a day or two, but can last 5
days.
5 - moderate pain FastTrack 5 min. 10 min.
Body aches
Chills
Dizziness
Flushed face
Lack of energy
Nausea
Vomiting
Gastroenteritis 558.90 Acute diarrhea (caused by intestinal infections more
than 90% of the time. Most cases are mild, self-
limited, and caused by viruses.)
Fever, headache, abdominal pain, diarrhea,
nausea, vomiting
Acute moderate Emergency Room 10 min. 15 min.
Gout Hereditary metabolic disorder characterized by
recurrent acute arthritis, hyperuricemia, and
deposition of sodium urate in and around the joints,
sometimes with formation of uric acid calculi
Pain, swelling FastTrack 5 min. 10 min.
Hay fever/allergic 477.90 FastTrack 5 min. 10 min.
Headache 784.0 Migraines Pain in the head or upper neck FastTrack 5 min. 10 min.
Head injury 959.01 Head injury, unspecified Acting odd neurologic 5 - moderate pain √ Emergency Room 5 min. 5 min.
Bleeding head hemorrhagic 5 - moderate pain √ Emergency Room 5 min. 5 min.
Change in mental status neurologic √ Emergency Room 5 min. 5 min.
Laceration scalp Emergency Room 10 min. 15 min.
Loss of consciousness √ Emergency Room 5 min. 5 min.
Severe headache Emergency Room 10 min. 15 min.
Vomiting gastrointestinal √ Emergency Room 5 min. 5 min.
Hearing loss 389.80 Emergency Room 5 min. 5 min.
Heartburn 787.10 Painful burning sensation in the
esophagus, just below or behind the
breastbone. The pain often rises in you’re
the chest and may radiate to your neck or
throat.
FastTrack 5 min. 10 min.
Heart palpitations 785.10 Palpitations Heartbeat sensations, respiratory 0 - no pain √ Emergency Room 5 min. 5 min.
Heat exposure 992.00 Heat stroke and sunstroke Heat cramps, heat exhaustion constitutional, neurologic 5 - moderate pain √ Emergency Room 5 min. 5 min.

6. Free text Common Chief
Complaints (CC) using
primary International
Classification of Diseases
& Injuries, Ninth Revision
(ICD-9) discharge
diagnoses as the standard ICD-9-CM ICD-9 Code Description
Symptoms (Sx) (WebMD, Harvard Medical
School & Iddx a decision support software
tool developed to assist in diagnosis of
infectious diseases)
7 Syndromic Categories respiratory (congestion,
shortness of breath, cough, etc.); gastrointestinal
(nausea, vomiting, abdominal pain, etc.); rash (any
rash); botulinic (ocular abnormalities, difficulty
swallowing or speaking, etc.); hemorrhagic
(bleeding from any site); neurologic (nonpsychiatric
neurologic symptoms, such as headache or seizure);
and constitutional (generalized complaints such as
fever, chills, or malaise).
Level of Pain (0 - no pain,
5 -moderate pain, and 10
- worse possible pain)
Immediately Notify
Triage RN
Acuity (Acute-Severe,Acute
moderate, Subacute/
Chronic)
Type of Care
(FastTrack- Treat
and release,
Emergency Room-
Urgent care)
Time from arrival
to triage (5
minutes, 10
minutes, 15
minutes)
Time from arrival to
being placed in an ER
bed (5 minutes, 10
minutes, 15 minutes,
20 minutes)
High blood pressure 401.90 Unspecified essential hypertension Most of the time, there are no symptoms.
Symptoms may include: chest pain,
confusion, ear noise or buzzing, irregular
heartbeat, nosebleed, tiredness, vision
changes
hemorrhagic, gastrointestinal 5 - moderate pain √ Emergency Room 5 min. 5 min.
Hives 708.90 Unspecified urticaria An itchy rash made up of raised pink spots
with pale centers
FastTrack 5 min. 10 min.
Impetigo 684.00 "Impetigo" is a superficial skin infection with crusting Fever, ulcer of skin Acute moderate Emergency Room 10 min. 15 min.
Ingestion by mouth of
foreign body
935.00 0 - no pain √ FastTrack 5 min. 10 min.
Injury - (Ankle or leg, noth
thigh)
959.70 FastTrack 5 min. 10 min.
Injury - Back 959.19 FastTrack 5 min. 10 min.
Injury - Elbow of forearm 959.30 FastTrack 5 min. 10 min.
Injury - Eye 921.90 FastTrack 5 min. 10 min.
Injury - Face/Neck
(Mouth, tongue)
959.09 FastTrack 5 min. 10 min.
Injury - Finger or nail 959.50 FastTrack 5 min. 10 min.
Injury - Hand (except
finger)
959.40 FastTrack 5 min. 10 min.
Injury - Hip 959.60 FastTrack 5 min. 10 min.
Injury - Non-specific 959.90 FastTrack 5 min. 10 min.
Injury - Self-inflicted,
cutting or piercing
E956 FastTrack 5 min. 10 min.
Injury - Superficial /
splinter
924.90 FastTrack 5 min. 10 min.
Injury - Trunk 959.10 FastTrack 5 min. 10 min.
Injury - Wrist 959.30 FastTrack 5 min. 10 min.
Jaundiced 782.40 Jaundice, unspecified, not of newborn The skin and whites of the eyes have
turned yellow
Emergency Room 10 min. 15 min.
Leg injury Injuries to leg (hip to toes) hemorrhagic 5 - moderate pain Emergency Room 10 min. 15 min.
Injuries to bone, muscle, joint or ligament Emergency Room 10 min. 15 min.
Leg pain Pain in the legs (hip to toes) FastTrack 5 min. 10 min.
Includes hip, knee, ankle and toe joints FastTrack 5 min. 10 min.
Lice head 132.0 Pediculus capitus [head lice] A scalp infection with tiny gray bugs called
lice
FastTrack 5 min. 10 min.
Lyme disease 088.81 Fatigue, fever, headache, stiff neck, chest
pain, cough, nausea, vomiting, arthritis,
weight loss
Acute moderate Emergency Room 10 min. 15 min.
Kidney stones 592.0 Calculus of kidney The main symptom is severe pain that
starts suddenly and may go away suddenly:
pain may be felt in the belly area or side of
the back, pain may move to groin area or
testicles
hemorrhagic 10 - worse possible pain √ Emergency Room 5 min. 5 min.
Measles 055.9 Fever, cough, runny nose, conjunctivitis, spots, rash
on head and neck spreading peripherally
Fatigue, fever, headache, rash, rash on
palms, cough, abdominal pain, diarrhea,
nausea, vomiting, conjuctivitis
Acute moderate Emergency Room 10 min. 15 min.
Medication reaction 995.20 Unspecified adverse effect of unspecified drug Medication side effects include nausea,
vomiting, stomach upset, weakness,
dizziness, seizures, and more
FastTrack 5 min. 10 min.
Minor muscular neck pain MVA 5 - moderate pain FastTrack 5 min. 10 min.
MRSA bacteremia 790.70 Is the presence of bacteria in the blood 5 - moderate pain √ Emergency Room 5 min. 10 min.

7. Free text Common Chief
Complaints (CC) using
primary International
Classification of Diseases
& Injuries, Ninth Revision
(ICD-9) discharge
diagnoses as the standard ICD-9-CM ICD-9 Code Description
Symptoms (Sx) (WebMD, Harvard Medical
School & Iddx a decision support software
tool developed to assist in diagnosis of
infectious diseases)
7 Syndromic Categories respiratory (congestion,
shortness of breath, cough, etc.); gastrointestinal
(nausea, vomiting, abdominal pain, etc.); rash (any
rash); botulinic (ocular abnormalities, difficulty
swallowing or speaking, etc.); hemorrhagic
(bleeding from any site); neurologic (nonpsychiatric
neurologic symptoms, such as headache or seizure);
and constitutional (generalized complaints such as
fever, chills, or malaise).
Level of Pain (0 - no pain,
5 -moderate pain, and 10
- worse possible pain)
Immediately Notify
Triage RN
Acuity (Acute-Severe,Acute
moderate, Subacute/
Chronic)
Type of Care
(FastTrack- Treat
and release,
Emergency Room-
Urgent care)
Time from arrival
to triage (5
minutes, 10
minutes, 15
minutes)
Time from arrival to
being placed in an ER
bed (5 minutes, 10
minutes, 15 minutes,
20 minutes)
Mumps 072 Head and low-grade fever us followed ub about 12-24
hours by gland swelling, higher fever, and painful
chewing/swallowing, especially acidic foods such as
vinegar and lemon juice
Fever, headache, seizure, stiff neck,
abdominal pain, nausea, vomiting,
conjuctivitis, acute, arthritis
Acute moderate Emergency Room 10 min. 15 min.
MVA E819 Motor vehicle traffic accident of unspecified nature Emergency Room 10 min. 15 min.
Mononucleosis Mono is a common cause of persistent sore throat,
fatigue, and fever in young patients. 95 percent of
adults between ages thirty-five and forty have been
infected with the virus that causes mono. Mono is a
viral illness but gives a similar clinical picture to strep:
sore throat.
White matter on the tonsils, fever, and
swollen glands. Mono can have unusual
complications. For instance, the liver or
spleen might swell due to mono infection.
Trauma or injury to the abdomen of
someone with mono can cause life-
threatening internal bleeding. For this
reason, doctors warn atheletes with mono
not to participate in contact sports for six
weeks.
FastTrack 5 min. 10 min.
Mouth injury 873.60 Open wound to mouth, unspecified site, without
mention of complication
Injuries to the lip, flap under the upper lip,
tongue, inner cheeks, floor of the mouth,
roof of the mouth or back of the mouth
Emergency Room 10 min. 15 min.
Mouth ulcers 528.90 Other and unspecified diseases of the oral soft tissue Ulcer (traumatic) of oral mucosa FastTrack 5 min. 10 min.
The gums, the inner sides of the lips or
cheeks
FastTrack 5 min. 10 min.
Muscle strain/sprain 848.90 FastTrack 5 min. 10 min.
Nasel congestion 478.19 FastTrack 5 min. 10 min.
Nausea & vomiting 787.01 FastTrack 5 min. 10 min.
Neck discomfort 723.10 FastTrack 5 min. 10 min.
Nosebleed 784.70 Nosebleed - epistaxis
Nose injury 910.80 Other and unspecified superficial injury to face, neck,
and scalp, without mention of infection
Injuries to the inside or outside of the nose Emergency Room 10 min. 15 min.
Bleeding
Numbness or weakness 729.89 Other musculoskeletal symptoms referable to the
limbs
Extremity weakness, arm weakness,
muscle mass, cheiromegaly, muscle
fatigue, rheumatic node, limb muscle
mass, postural fatigue, rheumatic nodule
Emergency Room 10 min. 15 min.
Open wound 879.80 Open wound(s) (multiple) of unspecified site(s)
without mention of complication: Multiple open
wound, open wound
hemorrhagic 10 - worse possible pain √ Emergency Room 5 min. 10 min.
Pain - Back (Postural) 724.50 Chronic back pain: Scoliosis, kyphosis, athritis,
osteoporosis, sciatica
FastTrack 5 min. 10 min.
Pain - Chest 786.50 FastTrack 5 min. 10 min.
Pain - Eye 379.91 FastTrack 5 min. 10 min.
Pain - Foot, hand, finger 729.50 FastTrack 5 min. 10 min.
Pain - Hip 719.45 FastTrack 5 min. 10 min.
Pain - Jaw 526.90 FastTrack 5 min. 10 min.
Pain - Knee 719.46 FastTrack 5 min. 10 min.
Pain - Lower back 724.20 FastTrack 5 min. 10 min.
Pain - Mouth 528.90 FastTrack 5 min. 10 min.
Pain - Muscle 729.10 FastTrack 5 min. 10 min.
Pain - Neck 723.10 FastTrack 5 min. 10 min.

8. Free text Common Chief
Complaints (CC) using
primary International
Classification of Diseases
& Injuries, Ninth Revision
(ICD-9) discharge
diagnoses as the standard ICD-9-CM ICD-9 Code Description
Symptoms (Sx) (WebMD, Harvard Medical
School & Iddx a decision support software
tool developed to assist in diagnosis of
infectious diseases)
7 Syndromic Categories respiratory (congestion,
shortness of breath, cough, etc.); gastrointestinal
(nausea, vomiting, abdominal pain, etc.); rash (any
rash); botulinic (ocular abnormalities, difficulty
swallowing or speaking, etc.); hemorrhagic
(bleeding from any site); neurologic (nonpsychiatric
neurologic symptoms, such as headache or seizure);
and constitutional (generalized complaints such as
fever, chills, or malaise).
Level of Pain (0 - no pain,
5 -moderate pain, and 10
- worse possible pain)
Immediately Notify
Triage RN
Acuity (Acute-Severe,Acute
moderate, Subacute/
Chronic)
Type of Care
(FastTrack- Treat
and release,
Emergency Room-
Urgent care)
Time from arrival
to triage (5
minutes, 10
minutes, 15
minutes)
Time from arrival to
being placed in an ER
bed (5 minutes, 10
minutes, 15 minutes,
20 minutes)
Pain - Rip 786.50 FastTrack 5 min. 10 min.
Pain - Shoulder 719.41 FastTrack 5 min. 10 min.
Pain - Stomach 536.80 FastTrack 5 min. 10 min.
Pain - Throat (excludes
sore throat)
784.10 FastTrack 5 min. 10 min.
Pain - Toe 729.50 FastTrack 5 min. 10 min.
Pain - Tongue 529.60 FastTrack 5 min. 10 min.
Pain - Wrist 719.43 FastTrack 5 min. 10 min.
FastTrack 5 min. 10 min.
Parasthesia 782.00 A sensation of tickling, tingling, burning, pricking, or
numbness of a person's skin with no apparent long-
term physical effect.
Consisting of abnormally decreased
sensitivity, particularly to touch.
Penis 607.90 Unspecified disorder of penis Discharge FastTrack 5 min. 10 min.
Genital injury FastTrack 5 min. 10 min.
Urination pain FastTrack 5 min. 10 min.
Physical exam: sport &
camp
V70.3
Physical/Sexual abuse V61.21
Pinkeye 372.30 Pinkeye, or inflammation of the conjunctiva, is the
most common cause of red eye and discharge. The
color comes with inflammation of blood vessels in the
conjunctiva.
Red flags of a serious eye condition;
decreased vision or visual acurity, an
intense ring of rednessaround the iris, light
sensitivity, particularly if it's severe, a
severe sensation of a foreign body being in
the eye, often resulting in an inability to
open the eye, a cloudy-looking cornea, a
pupil that does not respond to light, a
severe headache, a blistered rash on the
face
FastTrack 5 min. 10 min.
Puncture wound 879.80 The skin is punctured by a narrow, pointed
object
Emergency Room 10 min. 15 min.
Rash 782.10 Rash and other nonspecific skin eruption Change in the color, texture, or
appearance of the skin
FastTrack 5 min. 10 min.
Involves part or all of the body FastTrack 5 min. 10 min.
Itchy rash between the toes FastTrack 5 min. 10 min.
Removal of Foreign Body:
Ear
931.00 FastTrack 5 min. 10 min.
Removal of Foreign Body:
Nose
932.00 FastTrack 5 min. 10 min.
Removal of sutures V58.32 Encounter for removal of sutures FastTrack 5 min. 10 min.
Sadness Suicidal ideations 10 - worse possible pain √ P.E.S.S. 5 min. 5 min.
Severe neck pain Unusual symptoms 10 - worse possible pain Emergency Room 10 min. 15 min.
Severe nervousness Feeling of intense fear, horror, and
helplessness
10 - worse possible pain √ P.E.S.S. 5 min. 5 min.
Shigellosis 053.9 Acute gastronenteritis with fever, abdominal
cramping, and bloody diarrhea
Fever, headache, seizure, stiff neck,
anemia, abdominal pain, blood in stool,
diarrhea, jaundice, nausea, vomiting,
conjunctivitis, acute, arthritis, bowel
obstruction
Acute moderate Emergency Room 10 min. 15 min.
Shortness of breath 786.05 respiratory √ Emergency Room 5 min. 5 min.

9. Free text Common Chief
Complaints (CC) using
primary International
Classification of Diseases
& Injuries, Ninth Revision
(ICD-9) discharge
diagnoses as the standard ICD-9-CM ICD-9 Code Description
Symptoms (Sx) (WebMD, Harvard Medical
School & Iddx a decision support software
tool developed to assist in diagnosis of
infectious diseases)
7 Syndromic Categories respiratory (congestion,
shortness of breath, cough, etc.); gastrointestinal
(nausea, vomiting, abdominal pain, etc.); rash (any
rash); botulinic (ocular abnormalities, difficulty
swallowing or speaking, etc.); hemorrhagic
(bleeding from any site); neurologic (nonpsychiatric
neurologic symptoms, such as headache or seizure);
and constitutional (generalized complaints such as
fever, chills, or malaise).
Level of Pain (0 - no pain,
5 -moderate pain, and 10
- worse possible pain)
Immediately Notify
Triage RN
Acuity (Acute-Severe,Acute
moderate, Subacute/
Chronic)
Type of Care
(FastTrack- Treat
and release,
Emergency Room-
Urgent care)
Time from arrival
to triage (5
minutes, 10
minutes, 15
minutes)
Time from arrival to
being placed in an ER
bed (5 minutes, 10
minutes, 15 minutes,
20 minutes)
Sinus pain or congestion 478.19 Other disease of nasal cavity and sinuses A sensation of fullness, pressure or pain on
the face overlying a sinus cavity
5 - moderate pain FastTrack 5 min. 10 min.
Skin foreign body A foreign body (e.g., splinter, fishhook,
sliver of glass) is embedded in the skin
FastTrack 5 min. 10 min.
Skin infection Infected sores 5 - moderate pain FastTrack 5 min. 10 min.
Rash or redness
Splinter 915.60 Superficial foreign body without major wound and
without mention of infection
FastTrack 5 min. 10 min.
915.70 Superficial foreign body without major wound,
infected
FastTrack 5 min. 10 min.
Sore throat 784.10 Throat pain: A sore throat is among the most
common reasons to visit a doctor, accounting for
approximately 12 million clinic visits each year in the
United States, with patients and insurance companies
spending an estimated $1.2 billion annually to
address the problem. The average cost of a clinic or
urgent care visit for a sore throat is anywhere from
$150 to $300, depending on what tests are ordered.
ER visits for sore throats are much more expensive.
Depending on whwere you live, an ER visit for a sore
throat can cost an average of $650.
Pain, discomfort or raw feeling of the
throat, especially when swallowing. If a
sore throat has lasted more than one week
or if you are xceedingly tired, you may
have mono. It is also possible to have
mono and strep at the same time. Sore
throats have numerous causes. Sore
throats can be serious enough to warrant
treatment or can heal on their own within
a few days. The most common cause of a
sore throat is viral illness, such as cold, the
flu, or mono. The next most common
cause is strep throat, which is caused by a
bacterium (streptoccus).
5 - moderate pain FastTrack 5 min. 10 min.
Strep throat 034.0 Streptococcal sore throat Some strains of strep cause pneumonia,
ear infections, and sinus infections. Others
cause a contagious skin rash called
impetigo. The two most worrisome
complications of strep are rheumatic fever
and glomerulonephritis (kidney
inflammation).
FastTrack 5 min. 10 min.
Sty 373.11 Hordeolum externum A sty is a red lump or pimple on the edge
of an eyelid
FastTrack 5 min. 10 min.
Suicidal ideation V62.84 Thoughts of or an unusual preoccupation with suicide hemorrhagic 10 - worse possible pain √ P.E.S.S. 5 min. 5 min.
Sunburn 692.71 Injury to the skin, with erythema, tenderness, and in
some extreme cases blistering, following excessive
exposure to sunlight, produced by ultraviolet rays not
filtered out by clouds of water.
Red or blistered skin from sun
overexposure
FastTrack 5 min. 10 min.
Pain and swelling
Suture removal V58.3 FastTrack 5 min. 10 min.
Swollen glands 785.60 Enlargement of lymph nodes Increased size of lymph node in the neck,
armpit or groin
Emergency Room 10 min. 15 min.
Tiredness 780.79 FastTrack 5 min. 10 min.
Toothache 525.80 Broken tooth, cavity 5 - moderate pain FastTrack 5 min. 10 min.
Tooth broken 873.63

10. Free text Common Chief
Complaints (CC) using
primary International
Classification of Diseases
& Injuries, Ninth Revision
(ICD-9) discharge
diagnoses as the standard ICD-9-CM ICD-9 Code Description
Symptoms (Sx) (WebMD, Harvard Medical
School & Iddx a decision support software
tool developed to assist in diagnosis of
infectious diseases)
7 Syndromic Categories respiratory (congestion,
shortness of breath, cough, etc.); gastrointestinal
(nausea, vomiting, abdominal pain, etc.); rash (any
rash); botulinic (ocular abnormalities, difficulty
swallowing or speaking, etc.); hemorrhagic
(bleeding from any site); neurologic (nonpsychiatric
neurologic symptoms, such as headache or seizure);
and constitutional (generalized complaints such as
fever, chills, or malaise).
Level of Pain (0 - no pain,
5 -moderate pain, and 10
- worse possible pain)
Immediately Notify
Triage RN
Acuity (Acute-Severe,Acute
moderate, Subacute/
Chronic)
Type of Care
(FastTrack- Treat
and release,
Emergency Room-
Urgent care)
Time from arrival
to triage (5
minutes, 10
minutes, 15
minutes)
Time from arrival to
being placed in an ER
bed (5 minutes, 10
minutes, 15 minutes,
20 minutes)
Tuberculosis 011.0 Cough, fever, night sweats, sputum production, and
fatigue
Fatigue, fever, headache, seizure, stiff
neck, weakness, rash, ulcer growth of skin,
warty growth of skin, anemia, chest pain,
cough, sputum production, wheezing,
abdominal mass, abdominal pain, blood in
stool, jaundice, nausea, vomiting, nasal
ulcers, arthritis, pneumonia, weight loss
Subacute / Chronic FastTrack 5 min. 10 min.
Urination pain 788.10 Dysuria: Difficulty or pain in urination Discomfort (pain, buming or stinging) when
passing urine
FastTrack 5 min. 10 min.
Urgency (can't wait) and frequency
(passing small amounts)
Urinary tract infection 599.00 Urinary tract infection site not specified: Urinary tract
infections (UTIs), or bladder infections, are common
in females. Statistics show that 20 percent of women
get at least one UTI in a lifetime. Men rarely get UTIs.
UTI symptoms can include burning with
urination or painful urinination; a strong or
foul smell to the uring; and cloudy, bloody,
or pinkish urine. Patients with UTIs ofetn
complain that it is difficult to empty their
bladders completely. Urinating freqently is
a common and disruptive symptom of
abladder infection.
FastTrack 5 min. 10 min.
Unstable angina 413.90 Unspecified angina pectoris Unstable angina is a condition in which
your heart doesn't get enough oxygen.
Emergency Room 10 min. 15 min.
Upper airway obstruction 460-519 Diseases of the respiratory system Difficulty breathing, wheezing, agitation,
gasping, and more
respiratory 5 - moderate pain √ Emergency Room 5 min. 5 min.
Vaginal bleeding with
abdominal pain
626.90 Unspecified disorders of menstruation and other
abnormal bleeding from female genital tract
Abdominal pain, vaginal bleeding, pelvic
pain, lightheadedness, fainting, low blood
pressure.
hemorrhagic 5 - moderate pain √ Emergency Room 5 min. 5 min.
Vaginal discharge 623.50 Leukorrhea not specified as infective
Vaginal itching or
irritation
Abnormal vaginal discharge, watery
discharge, white discharge, think white
chunky discharge (like cottage cheese),
swelling of the vulvar skin, pain with
intercourse, painful urination, redness of
the vulva and labial itching, burning.
FastTrack 5 min. 10 min.
Vision Syndrome 368.80
Vomiting 787.03 Vomiting alone Nausea, vomiting, diarrhea, abdominal
cramping with pain, fever, weakness,
dizziness.
gastrointestinal 5 - moderate pain √ Emergency Room 5 min. 10 min.
Wheezing 786.70 A high-pitched purring or whistling sound
produced during breathing out
Emergency Room 10 min. 15 min.
Wound check V58.30 Encounter for change or removal of nonsurgical
wound dressing
FastTrack 5 min. 10 min.
Wound infection 998.59 Other postoperative infection Redness, swelling, tenderness, cloudy
discharge from the wound, fever, red
streaks up the arm or leg.
constitutional, hemorrhagic 10 - worse possible pain √ Emergency Room 10 min. 15 min.
Includes sutured wounds, puncture
wounds and animal bites, etc.
Emergency Room 10 min. 15 min.

11. 1.00
3.00
As per the guidelines issued by the Emergency Medical Treatment and Labor Act (EMTALA), hospitals are required to provide necessary medical care to all
ED patients, regardless of a patient's ability to afford treatment.
2.00 Bed allocation is a complex procedure which is dependent on several factors such as patient clinical attributes as well as the availability of resources in
the ED.
The four-hour time frame is a a guideline limit for boarding patients in the ED as per the Joint Commission.
4.00 The Joint Commission has emphasized the need for smoothing ED patient flow and, in January 2005, implemented a new leadership standard, managing patient flow,
which mandates that hospitals "…develop and implement plans to identify and mitigate impediments to efficient patient flow throughout the hospital."
5.00 Other organizations, include the Institute for Medicine, Agency for Healthcare Research and Quality Improvement, and Instititute for Healthcare Improvement, have
also emphasized the valuable effect streamlining ED operations has on hospital operations and patient outcomes.
6.00 Pain is common. About 9 in 10 Americans regularly suffer from pain, and pain is the most common reason individuals seek health care. Each year, an estimated 25
million Americans experience acute pain due to injury or surgery another 50 million suffer chronic pain.