Post on 11-Aug-2019
Institut für Medizinische Informatik, Statistik und Epidemiologie
Informationsmanagement in der klinischen Forschung
Matthias Löbe
02.05.2019
Standards für Informationsmodelle und
Terminologien
2
Inhalt
1. Standards für Informationsmodelle• OpenEHR Archetypes
• CDISC ODM
• HL7 CDA
• HL7 FHIR
2. Terminologien• Ziele
• Beispiele für bedeutende medizinische Terminologien
• Probleme
Standards für Informationsmodelle in der klinischen Forschung
33
”Überblick”
44
Clinical Data Interchange Standards Consortium (CDISC)
• 1998 gegründete, nicht gewinnorientierte Organisation
• Entwickelt freie internationale Industriestandards für Erfassung,
Austausch, Auswertung und Archivierung von klinischen Daten
und Metadaten
• Zusammenarbeit mit Behörden und Industrie
• Die globale Anstrengung zur Standardisierung der Klinischen
Forschung
55
CDISC Standards
• CDISC Standards im Life
Cycle klinischer Standards
– Zeitversetzte Entwicklung
• ODM v1.1 erschien 04/02
• PRG v1 erschien 05/09
– Unabhängiges Arbeiten der
Teams
• Pragmatisch, jedoch zum
Teil inhomogen
– Zukünftig Zusammenführung
aller Standards unter ODM
66
ODM in Beziehung zu anderen CDISC-Standards
7
CDISC ODM
• Operational Data Model (ODM)
• Formatbezogener Standard auf XML Basis
– ODM = XML + „Interpreter mit Logiken“
• Zentraler Standard von CDISC zu Erfassung, Austausch und
Archivierung von Daten und Metadaten einer Studie
• ODM-Inhalte: Studiendaten, Patientendaten, Bedingungen mit
Fehlermeldungen, Codelisten, Datentypen, CrossChecks,
Referenzen auf externe Conceptsystems
88
Dokumentstruktur
99
ODM
• ODM-Dokumente sind
– Modularisierbar
– Versionierbar
– Mehrsprachig
– Erweiterbar (Vendorextension)
• Einsatz vom Definition-Referenz-Konzept
– Verringert Redundanz
– Erhöht Wartbarkeit
– Erhöht Flexibilität
– Erschwert Lesbarkeit
1010
Aufbau
• Modularisierbar
• Def-Ref-Konzept
• SDTM-Bezug
• mehrsprachig
11
ODM
• Versionierbar (Interpreter notwendig)
1212
ODM
• Bedingungen (Conditions): XPath, SQL, SAS, R, ...
1313
ODM
• Erweiterbar (Vendorextensions): Schema
1414
ODM
• Erweiterbar (Vendorextensions): Schema
1515
ODM
• Erweiterbar (Vendorextensions): Schema
1616
ODM
• Weitere Anwendungsmöglichkeiten
– Generierung von DB-Schemata für Studiendatenbanken
– Generierung von CRF/ eCRF
– Generierung von GUI
– Bibliotheken für wiederverwendbare Protokollmodule
– Langzeitarchivierung von Studien
– Austausch zwischen verschiedenen EDC-Systemen
• Siehe auch ODM-Export aus OpenClinica!
1717
Eli Lilly - ODM Library: I.SEX
Data Standard OID Name
SAS Field Name Datatype Length
SignificantDigits CodeListRef
Measurement Unit
CompletionRequired
Std00068 I.SEX Sex SEX integer 8 CL.MSTR_SEXRMD_93
X
Question: Sex
Description:
Sex captures a subject's or non-subject's chromosomal characteristic.
Alias: Context: SDTM 3.1.2 Name: SEX
Origin: CRF
18
CodeList: CL.MSTR_SEXRMD_93
OID Name SAS Format Name DataType Root Name Code Standard Number
CL.MSTR_SEXRMD_93
Master view of Sex (Std70051), includes '93' RMD
MSEXR integer SEX Std70051
Business Name: Sex
Description: Sex captures a subject's or non-subject's chromosomal characteristic.
Last Revision: 09SEP2011: Updated the Short Desc for code 93 from ‘Not Done’ to 'NOT DONE'. CR06241500 gb_nmd
CodeList Items:
Code Decode Rank Label CodeList Item Comment
1 Female F
2 Male M93 Not Done NOT DONE
18
• open Electronic Health Record
• umfassende Spezifikationen für die
logische Entwicklung von
elektronischen Gesundheitsakten (EGA)
• eingegangen in EN 13606
• kommerzielle Implementierungen vorhanden
Source: www.openEHR.org
openEHR Archetypes
19
„traditioneller Ansatz“
Domänen-
wissen
technische
EntwicklungAnwendungs-
system
Fachexperte Entwickler
openEHR
20
FachexperteEntwickler
Domänen-
wissentechnische
Entwicklung
Anwendungs-
system
openEHR
21
Information Wissen
Modell
Instanz
Informations-
modell
Information
Definitions-
sprache
Archetypen
Welche Art von
Informationen
kann gespeichert
werden?
Wie können
Einträge
beschrieben
werden?
Was ist
sinnvoll zu
speichern?
Domänen-
wissentechnische
Entwicklung
Source: http://spielwarenheinz.com/product_info.php/info/p332_4956-Lego-Haus.html/XTCsid/3e5d2e7afa2213c341d7ddd6e8aff047Was ist
tatsächlich
gespeichert?
22
Archetypen
• wiederverwendbare Informationsmodelle klinischer Konzepte
23
• Beispiel-Eintrag in einer Terminologie:
“Der systolische Blutdruck ist der Druck des Blutes in einer
Arterie während der systolischen Herzphase”
Archetypen vs. Terminologien
openEHR
Position
State
Systolic
Diastolic
Data
0..11
Blood pressure
Protocol
0..1
mm[Hg]
mm[Hg]
0-1000
0-1000Terminologie
24
Nach:
Th
om
as B
eale
, S
am
Heard
(2004):
Arc
hety
pes a
nd T
em
pla
tes H
L7 A
tla
nta
2004 T
uto
ria
l.
Archetypen vs. Ontologien
Position
Systolic
Diastolic
Blood pressure
mm[Hg]
mm[Hg]
Pressure
Intra-vascular
Pressure
Arterial
Pressure
Systemic
Applies to
Whole body
Systolic Arterial
Pressure
Has phase
Heart cycle
phase
Has phase
Systolic
phase
Diastolic Arterial
Pressure
Part of
Has phase
Diastolic
phase
Blood
Pressure
Has units
ISO pressure
units
Has units
mm[Hg]
Has positionBody
position
openEHR
25
Realisierung
Archetyp „Clinical Trial“
26
27
Clinical Knowledge Manager
Archetypen
Repository
Informationen
• Voraussetzung: Nutzung gleicher Archetypen /
gemeinsames Repository.
openEHR
CDA
1980 20001990 2010 2020
V2
1987
Fresh
Look
2011
V3
CDA
2005
FHIR
STU 3
2016
Start V3
1995
V2
V3
FHIR
Quelle: HL7
HL7 Standardentwicklung
HL7 CDA
• Clinical Documment Architecture (CDA)
• Ab Version 2.* XML basiert
• Formatsbezogener Standard auf XML Basis
• Strukturierte Beschreibung für alle klinischen Dokumente
– Stammdatenblätter, Entlassungsbriefe, Bildbefunde, Laborbefunde, …
• Einsatz für elektronische Krankenakte und elektronischen
Datenaustausch den Leistungserbringern
• Inhalte sind menschenlesbar (naja…)
2929
HL7 CDA
• CDA v2.* Eigenschaften:
– Dokumentenstruktur oftmals mächtiger als es der Anwendungsfall
verlangt
– Wenige Pflichtfelder
– Unterstützung von jeder Art von Codiersystem
• LOINC, SNOMED, ICD, OPS, ...
– Erweiterbar
– Einbindung oder Verweis auf externe Dokumente
• CDA v2.* basiert auf einem Referenzinformationsmodell (HL7 v3
RIM)
3030
HL7 CDA
• 3 Stufen der Strukturiertheit
– CDA-Level 1: grobe Struktur mit Freitexten
– CDA-Level 2: Struktur mit klar definiertem Aufbau
– CDA-Level 3: streng strukturiertes und codiertes Dokument,
punktgenaues navigieren im Dokument möglich
• CDA auch als Containerformat für Dokumentenmanagement
geeignet
– Header: Dokumentenart, Autor, Patient, Änderungs- und
Zugriffsverlauf, Kontext zum Dokument, ...
– Body: PDF-Datei, Word-Datei, DICOM-Bilder, Audiodaten, Videos,
…
3131
HL7 CDA
3232
HL7 FHIR (Fast Health InteroperabilityResources)HL7-Nachrichten sind der Kommunikationsstandard von Software- Komponenten in einem Krankenhausinformationssystem
o V2: einfaches Textformat mit Trennzeichen
o V3: XML (war ein Fehlschlag, zu komplex)
o Heute: sichere Kommunikation über offene Netze nötig
o FHIR: nutzt vorhandene Web-Standards (viele APIs verfügbar)
o FHIR beschreibt Datenformate, Datenzugriff und Ressourcen
Server/ServiceClient
FHIR Resources/Resource Types
HTTP methods: get, put, post, delete
GET
PUT
POST
DELETE
HTTP/URIs
XML/JSON/RDF
SSL/OAuth
HL7 FHIR Ressourcen
FHIR Storyboard
8-jähriger Junge
Erstaufnahme
Er klagt über Schmerzen im Ohr seit 4 Tagen mit
aerhöhter Temperatur. Die Temperature liegt bei 38,5°C .
Er hat eine entzündlich veränderte Schleimheaut im Ohr
ohne Perforation. Diagnose: Mittelohrentzündung.
Amoxicillin 250mg 3/ Tag für 7 Tage wird verschrieben.
Nachbehandlung
2 Tage später kommt er mit Juckreiz. Keine Probleme beim
Atmen. Während der anamnese fallen Hautveränderungn
an beidne Armen auf. Diagnose: Penicillinallergie.
Antibiotika werden verändert zu to Erythromycin 250mg 4/
Tag für 10 Tage.
Patient
Encounter
Condition
Observation
Medication
Allergy Intolerance
Quelle: HL7
Encounter
Encounter
Practitioner
Patient
Asserter
Performer
Performer
Performer
Performer
Performer
Performer
Asserter
Asserter
Prescriber
Asserter
Pain right ear 3 days
Otitis media
Itchy skin rash
No breathing difficulties
Elevated temperature
Temperature 38°C
Inflamed right drum
Urticarial Rash
Amoxicillin 250mg
Erythromycin 250mg
Penicillin Allergy
Verknüpfte Ressourcen
Quelle: HL7
Struktur der Ressource Observation
37
Beispiel
Observation
Patientengewicht
38
Klinische Terminologien
39
40
Ziel
• Befüllung des Metadata Repositories soll nicht bei 0 beginnen
• Jahrzehntelange Erfahrung und Vorarbeiten nutzen
• Sicherstellung der semantischen Interoperabilität durch
Referenzierung konsentierter Konzepte
– Bsp.: Variable start date: Was bedeutet das?
• CDASH start date:
– Natürlichsprachige Definition: „Date when the medication was first
taken.“
– Definiertes Format: ISO 8601
– Bezug zu SDTM-Variable: CMSDTDC
Begriffe in der medizinischen Dokumentation
• Konzept/ Begriff: abstract unit of thought, an einen Träger
gebunden
• Hierarchie: Unterordnung unter einen Oberbegriff
– Mono-/ Multihierarchisch
• Kategorie: semantische Achsen (Bezugssystem)
– Mono-/ Multiaxial
• Relation: „Verbindung“ zwischen Konzepten, erlaubt den Aufbau
semantischer Netze
41
Typen von begrifflichen Ordnungssystemen
Nach Komplexität ihrer Struktur aufsteigend:
1. Vokabular
2. Nomenklatur
3. Thesaurus
4. Klassifikation
5. Taxonomie
6. Ontologie
42
Vokabular
• Einfachste Form eines Ordnungssystems
• Menge von Konzepten, jedes Konzept wird durch einen
Bezeichner repräsentiert
• Sonderfall: (ein durch eine Partei) kontrolliertes Vokabular
• Vokabulare gewinnen stark an Bedeutung, da sie relativ schnell
und von mehreren Personen parallel erstellt werden können
(teilweise sogar automatisiert)
– Schlagwortlisten
– Tagging
• Beispiel: Dublin Core (Bibliografische Metadaten)
43
Nomenklatur
• Ähnlich zum Vokabular: Menge von Konzepten, jedes Konzept
wird durch einen Bezeichner repräsentiert
• Aber die Konzepte einer Domäne sollen vollständig erfasst
werden
• Entspricht häufig einer „Namenskonvention“
• Beispiel: LOINC (Laborwerte)
44
Thesaurus
• Konzepte sind systematisch geordnet (und sei es nur alphabetisch)
• Synonyme Bezeichner werden erfasst
• Zwischen Begriffen können Relationen existieren:
– Assoziative
– Hierarchische
• Genauer Typ der Relation nicht spezifiziert
• Beispiele:
– Medical Subject Headings (MeSH)
– Vokabulare in SKOS
45
Klassifikation
• Systematische Ordnung in abstrakte Kategorien
• Meistens hierarchisch
• Klassenbildendes Merkmal (disjunkt, vollständig)
• Möglichst geringe Varianz in der Verteilung
• Klassifikationen sind schwerer zu erstellen, dafür relativ stabil
• Beispiel: ICD-10, ICD-O, TNM
46
Taxonomie
• Sonderform der Klassifikation
• Monohierarchisch
• Ordnungsrelation ist die harte Subsumptionsbeziehung (is_a im
Sinne von subClass)
• Beispiel: Linnés biologische Taxonomie „Systema Naturae“,
MedDRA
47
Ontologie
• Ursprünglich philosophischer Begriff „Wissenschaft des Seins“
• Heute für eine Wissensbasis einer Domäne verwendet => auch
ein Modewort
• Formales System logischer Konstrukte
– Wird durch eine formale Sprache beschrieben
– Hat eine formale Semantik
• Basiert auf einer Logik verschiedener Ausdrucksmächtigkeit
(Beschreibungslogik, Prädikatenlogik erster Stufe, Common Logic)
• Beispiel: siehe NCBI Bioportal, OBO Foundry
48
Medizinische Terminologien: Vorteile strukturierter Erfassung
49
S. Thun (TMF-School 2015)
Wichtige medizinische Terminologien
• ICD-10 GM und Alpha-ID – Diagnosen
• OPS – Prozeduren (chirurgische Eingriffe)
• ATC – Arzneimittelwirkstoffe
• TNM – Krebserkrankungen
• MedDRA – Unerwünschte Ereignisse
• LOINC – Laborwerte
• UCUM – Maßeinheiten
• SDTM – Ergebnisdatensätze klinischer Studien
• CDASH – Standarddatenelemente für klinische Studien
• SNOMED CT – (alle Domänen)
50
51
ICD-10 (International Statistical Classification)
• Weltweit wichtigste Diagnoseklassifikation
– Wird von der Weltgesundheitsorganisation gepflegt
– Regelmäßig starke Überarbeitungen
• Ursprung: Erfassung von Todesursachen
– Im 19. Jhd. Viele Infektions- und Lebensstilkrankheiten
– ICD-1 von 1900
• Jedes Land kann Detailschlüssel selbst festlegen
– ICD-10 GM: German Modification
– Wird im Krankenhaus für alle Diagnosen und Abrechnungen genutzt
52
ICD-10 (International Statistical Classification)
• Aufbau:
– Einachsige hierarchische Klassifikation der Krankheiten
• Umfang:
– 22 Hauptkapitel
• Beispiel:
– C81 Hodgkin-Lymphom (3-Steller, weltweit gleich)
– C81.0 Noduläres lymphozytenprädominantes Hodgkin-Lymphom
(Verfeinerung für Deutschland)
• Wird auch von Wikipedia verwendet
53
Alpha-ID
54
• Textuelle Label für ICD-10: Ergänzung um umgangssprachliche
Bezeichnungen
G Alpha-ID ICD-Schlüssel Text
1 I85501 C81.0Hodgkin-Krankheit mit lymphozytär-histiozytärer
Prädominanz
1 I31550 C81.0 Hodgkin-Paragranulom
1 I116031 C81.0Noduläres lymphozytenprädominantes Hodgkin-
Lymphom
1 I116032 C81.0 Noduläres Paragranulom
OPS (Operationen- und Prozedurenschlüssel)
• Deutsche Entwicklung
– Lehnt sich aber an ICPM an
• Verwendung:
– Verschlüsselung operativer Maßnahmen und anderer medizinischer
Prozeduren
– Im Krankenhaus verpflichtend, aber auch bei ambulanter
Behandlung verwendet
• Wird (genauso wie ICD-10 GM) vom DIMDI (Deutsches Institut für
• Medizinische Dokumentation und Information) in Köln gepflegt
– Jährliche Updates
55
OPS (Operationen- und Prozedurenschlüssel)
• Aufbau:
– monohierarchische Klassifikation, die medizinische Maßnahmen
primär nach Art und nach Lokalisation einteilt
• Beispiel:
56
Diagnosebezogene Fallgruppen (DRG)
• Aufbau:
– 4-stelliger
• 1. Stelle: Hauptdiagnose aus ICD-10
• 2.+3. Stelle: Maßnahmen/Prozeduren aus OPS
• 4. Stelle: Schweregrad
• Verwendung:
– Abrechnungsdaten der Krankenhäuser gegenüber den
Krankenkassen
– kein medizinisch-orientiertes System: Abbildung von
Behandlungsverläufen mit ähnlichem ökonomischen Aufwand in eine
Entgeltgruppe
– Jahrgangsversionen
Standards II – Matthias Löbe – 04.06.2013 57
DRG-Beispiel Fallpauschalen-Katalog 2011
Herzinsuffizienz und Schock
F 62 A2. + 3. Stelle:
Chirurgisch: 0-39Sonstige: 40-59Medizinisch: 60-99
Prozeduren(OPS)
1.Stelle: Hauptdiagnose-Gruppe (MDC)
Hauptdiagnose
(ICD-10-GM)
4. Stelle: Schweregrad
A, B, .. H, I und ZNebendiagnosen
(ICD-10-GM)
559 Basis-DRGs
1.194 abrechenbare DRGs
59
Auswirkung der DRG-Codierung
Fallpauschalen-Katalog 2011Kalkulation mit dem Landesbasisfallwert 2011 für Sachsen: 2.884 €
2.359 €
3.680 €
4.392 €
Anatomisch-Therapeutisch-Chemisches Klassifikationssystem (ATC)
• Aufbau:
– 5 Ebenen
• Verwendung:
– internationale Klassifikation für Arzneistoffe
– Klassifiziert Wirkstoffe, nicht Medikamente („Aspirin“ ist nicht
enthalten)
• Bsp.: Acetylsalicylsäure hat den ATC-Code N02BA01
– 1. Buchstabe N – Nervensystem
– 2. Zahl 02 – Analgetika
– 3. Buchstabe B – „Andere Analgetika und Antipyretika“.
– 4. Buchstabe A – Salicylsäure und Derivate
– 5. Zahl 01 – Acetylsalicylsäure
Standards II – Matthias Löbe – 04.06.2013 60
TNM (Klassifikationssystem für maligneTumore)
• Aufbau:
– Tumorklassifikation: einheitliche Stadieneinteilung maligner
(=bösartiger) Tumorfe
• Primärachsen
– Größe des Tumors (T)
– Beteiligung der Lymphknoten (N)
– Vorhandensein von Metastasen (M)
• Wichtige Parameter: C-Faktor (Zuverlässigkeit), Klinische und
pathologische Klassifikation, Grad
61
TNM (Klassifikationssystem für maligneTumore)
• Verwendung:
– Krebsregister
– Krankheitsgeschichte, unerwünschte Ereignisse
– Nebenwirkungen und Begleiterscheinungen
• Komplexes Beispiel:
– G3pT3pN1 (2/27)pMX R0L1V1 Pn0
62
LOINC (Logical Observation IdentifiersNames and Codes)
• Amerikanisches System zur Beschreibung von Labor- und
Testwerten (Regenstrieff-Institut)
– Blutdruck, Herz-und Atmungsfrequenz
– Notfalluntersuchungen, Herzleistung, Körpermaße,
Körpertemperatur, Stoffwechsel
– Mikrobiologie, Toxikologie, EKG, Sonographie (Geburtshilfe,
Urologie), gastrointestinale Endoskopie
– Beatmungsverfahren, Zähne, Notaufnahme, radiologische
Untersuchungen
– Dokumentenarten
• Deutsche Übersetzung vom DIMDI
– Trotzdem (leider) in Deutschland nur punktuell verbreitet
63
LOINC (Logical Observation IdentifiersNames and Codes)
• Aufbau:
– Sechsachsiges System, präkoordiniert
• Umfang:
– 75.000 Einträge, neue Vorschläge aus der Community möglich
Top 80 Codes => 80% aller Kodierungen in Anwendung
Top 784 Codes => 99% aller Kodierungen in Anwendung
• Beispiel:
– Kreatinin im Urin
64
CodeKomponente
(Analyt)
Gemessene
Eigenschaft
(Messgröße)
Zeit-
angaben
Art der Probe
(System)
Art der
SkalierungMethode
2161-8 CREATININE MCNC PT UR QN
– International etablierte Terminologien
• LOINC zur Charakterisierung der Laborparameter
• UCUM für Maßeinheiten
– Bisher fehlende Durchdringung im deutschen Laborbereich
• Identifizierung eines priorisierten Subsets von 300 – 2.000 LOINC-
Codes
• Mapping lokaler Analyte manuell oder über Gerätelisten
Seite 65
Exkurs: MII Basismodul Laborbefunde:Taskforce "LOINC 1000+"
Konkretisierung Laborbefunde:Beispiel Befundvolumen UK Erlangen
Seite 66
80% Abdeckung mit ~300 Parametern
98% Abdeckung mit ~2.000 Parametern
Per
zen
til B
efu
ndvolu
men
Anzahl Analyte
UCUM (Unified Code for Units of Measure)
• Aufbau:
– Beschreibung vom Maßeinheiten (Maßeinheiten fehlen bei LOINC)
zusammengesetzt aus einer relativ kleinen Zahl von "atomaren"
Symbolen und Operatoren: Basiseinheiten, Präfixe, abgeleitete
Einheiten mit Umrechnungen
• Umfang:
– Unendlich, da keine Tabelle, sondern eine Bildungsvorschrift
• Verwendung:
– Vorzugseinheiten, Umrechnung, Gültigkeitsprüfungen
– Idee: eindeutige Schreibweise auf Compuerbildschirmen!
67
Name Kind of quantity Print Symbol case sensitive Symbol case insensitive
meter length m m M
MedDRA (Medical Dictionary for Regulatory Activities)
• Aufbau:
– Fünfstufiges hierarchisches Wörterbuch von Begriffen rund um
Arzneimittel
• Umfang:
– 66.000 Terme in 26 Organklassen
• Verwendung:
– Studienmedikamentation
– Begleitmedikamentation
• Beispiel:
– 10005461 Kreatin im Blut (8 Stellen)
68
Quelle: ICH
CDISC SDTM
• Study Data Tabulation Model (SDTM)
– Entwickelt von der SDS, SEND und PRG
• Inhaltsbezogener Standard für Bezeichungen von
Studienbegriffen und Studiendaten (Spezifikation)
– Studiendesign, Datentabellen
• Seit April/2006 offizielles Einreichungsformat für
Medikamentenzulassungsstudien bei der FDA
– Vorgabe, mit welchen Spaltennamen Daten an die FDA übermittelt
werden müssen
• Beschreibung in tabellarischer Form (CSV, Excel, XML)
– CSV wegen techn. Nähe zu SAS für die FDA
6969
SDTM (Study Data Tabulation Model)
• Zweck:
– Beschreibung von Studienergebnissen (Annotation von Items)
– Hierarchisches Klassifikationssystem mit Domänen
– Anlehnung an BRIDG
• Umfang:
– >10.000, Elemente
– 30 Domaingruppen (AE – Adverse Events, MH – Medical History, ...)
7070
Domain
PrefixVariable Name Variable Label Type
Codelist
or FormatRole
CDISC Notes (for domains)
Description (for General Classes)Core
DM RFICDTC
Date/Time of
Informed Consent Char ISO 8601
Record
Qualifier
Date/time of informed consent in ISO 8601
character format … Exp
DM RFPENDTC
Date/Time of End of
Participation Char ISO 8601
Record
Qualifier
Date/time when subject ended participation or
follow-up in a trial … Exp
DM DTHDTC Date/Time of Death Char ISO 8601
Record
Qualifier
Date/time of death for any subject who died, in
ISO 8601 format … Exp
DM DTHFL Subject Death Flag Char (NY)
Record
Qualifier
Indicates the subject died. Should be Y or null.
Should be populated even when the death … Exp
CDASH (Clinical Data Acquisition Standards Harmonization)
• Aufbau:
– Bibliothek „echter“ Datenelemente für klinische Studien
– Basisdatensatz für breitestmögliche Anwendung (80/20)
– Kulturspezifisch (Rasse, Ethnie), unterspezifiziert (Codelisten)
– Verweis auf SDTM, wo möglich
– Ebenfalls tabellarische Form
• Umfang:
– Ca. 250 Items in 16 Domänen
71
Domain Order Question TextVariable
NameCodelist Core
Data
Type
CM 1 Were any medications taken? CMYN NY Optional
CM 2 What is the medication /treatment identifier? CMSPID Optional Char
CM 3What was the term for the medication/therapy taken?
or What was the term for the medication taken?CMTRT
Highly
Recomme
nded
Char
SNOMED CT (Systematisierte Nomenklatur der Medizin - Clinical Terms)
• Vollständigste und aktuellste Sammlung des medizinischen
Wissens
– Umfasst andere Terminologien wie ICD oder LOINC (Crossmap)
– Kostenpflichtige Lizenz nötig => D hat keine, Rechtsstreits
• Verwendung:
– Praktisch der gesamte Bereich der Medizin, z.B. für gerade auch
Elektronische Krankenakten
• Umfang:
– Über 300.000 feingranulare Konzepte mit 800.000 Bezeichnern
– 900.000 Relationen
72
SNOMED CT (Systematisierte Nomenklatur der Medizin - Clinical Terms)
• Aufbau:
– Achtzehnachsiges System, postkoordiniert
– Ist als einzige Terminologie logikbasiert (Beschreibungslogik)
– Referenziert vom HL7 RIM
• Beispiel:
– Name: “Herzinfarkt”
(Myocardial infarction)
Concept ID: 22298006
73
Quelle: IHTSDO
74
Probleme (1): Codemapping
ChocolateCT Term ICC-GM
Twix
Snickers
Kit Kat
Bounty
Smarties
Milky Way
Mars
Quelle: Alan Rector
75
Probleme (2): Codevielfalt
• Codes für Unfälle mit
Fahrradfahrern
ICD-9 (E826) 8
READ-2 (T30..) 81
READ-3 87
1999 ICD-10 …
Quelle: Alan Rector
t opCl ass
I Cer t ai n i nf ect i ous and par as i t i c di seases
I I Neopl asm s
I I I Di seases of t he bl ood and bl ood- f or m i ng or gans and cer t ai n di sor der s i nvol vi ng t he i m m une m echani sm
I V Endocr i ne, nut r i t i onal and m et abol i c di seases
V Ment al and behavi our al di sor der s
VI Di seases of t he ner vous sys t em
VI I Di seases of t he eye and adnexa
VI I I Di seases of t he ear and m as t oi d pr ocess
I X Di seases of t he ci r cul at or y sys t em s
X Di seases of t he r espi r at or y sys t em
XI Di seases of t he di ges t i ve sys t em
XI I Di seases of t he ski n and subcut aneous t i s sue
XI I I Di seases of t he m uscul oskel et al sys t em and connect i ve t i s sue
XI V Di seases of t he geni t our i nar y sys t em
XV Pr egnancy, chi l dbi r t h and t he puer per i um
XVI Cer t ai n condi t i ons or i gi nat i ng i n t he per i nat al per i od
XVI I Congeni t al m al f or m at i ons , def or m at i ons and chr om osom al abnor m al i t i es
XVI I I Sym pt om s, s i gns and abnor m al cl i ni cal and l abor at or y f i ndi ngs , not el sewher e cl assi f i ed
XI X I nj ur y, poi soni ng and cer t ai n ot her consequences of ext er nal causes
XX Ext er nal causes of m or bi di t y and m or t al i t y
V01- V99 Tr anspor t acci dent s
V01- V09 Pedes t r i an i nj ur ed i n t r anspor t acci dent
V10- V19 Pedal cycl i s t i nj ur ed i n t r anspor t acci dent
V10 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h pedes t r i an or ani m al
V10. 0 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h pedes t r i an or ani m al , dr i ver , nont r af f i c acci dent
V10. 00 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h pedes t r i an or ani m al , dr i ver , nont r af f i c acci dent , whi l e engaged i n spor t s act i vi t y
V10. 01 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h pedes t r i an or ani m al , dr i ver , nont r af f i c acci dent , whi l e engaged i n l ei sur e act i vi t y
V10. 02 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h pedes t r i an or ani m al , dr i ver , nont r af f i c acci dent , whi l e wor ki ng f or an i ncom e
V10. 03 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h pedes t r i an or ani m al , dr i ver , nont r af f i c acci dent , whi l e engaged i n ot her t ypes of wor k
V10. 04 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h pedes t r i an or ani m al , dr i ver , nont r af f i c acci dent , whi l e r es t i ng, s l eepi ng, eat i ng or engagi ng i n ot her vi t al act i vi t i es
V10. 08 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h pedes t r i an or ani m al , dr i ver , nont r af f i c acci dent , whi l e engaged i n ot her speci f i ed act i vi t i es
V10. 09 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h pedes t r i an or ani m al , dr i ver , nont r af f i c acci dent , dur i ng unspeci f i ed act i vi t y
V10. 1 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h pedes t r i an or ani m al , passenger , nont r af f i c acci dent
V10. 10 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h pedes t r i an or ani m al , passenger , nont r af f i c acci dent , whi l e engaged i n spor t s act i vi t y
V10. 11 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h pedes t r i an or ani m al , passenger , nont r af f i c acci dent , whi l e engaged i n l ei sur e act i vi t y
V10. 12 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h pedes t r i an or ani m al , passenger , nont r af f i c acci dent , whi l e wor ki ng f or an i ncom e
V10. 13 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h pedes t r i an or ani m al , passenger , nont r af f i c acci dent , whi l e engaged i n ot her t ypes of wor k
V10. 14 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h pedes t r i an or ani m al , passenger , nont r af f i c acci dent , whi l e r es t i ng, s l eepi ng, eat i ng or engagi ng i n ot her vi t al act i vi t i es
V10. 18 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h pedes t r i an or ani m al , passenger , nont r af f i c acci dent , whi l e engaged i n ot her speci f i ed act i vi t i es
V10. 19 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h pedes t r i an or ani m al , passenger , nont r af f i c acci dent , dur i ng unspeci f i ed act i vi t y
V10. 2 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h pedes t r i an or ani m al , unspeci f i ed pedal cycl i s t , nont r af f i c acci dent
V10. 20 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h pedes t r i an or ani m al , unspeci f i ed pedal cycl i s t , nont r af f i c acci dent , whi l e engaged i n spor t s act i vi t y
V10. 21 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h pedes t r i an or ani m al , unspeci f i ed pedal cycl i s t , nont r af f i c acci dent , whi l e engaged i n l ei sur e act i vi t y
V10. 22 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h pedes t r i an or ani m al , unspeci f i ed pedal cycl i s t , nont r af f i c acci dent , whi l e wor ki ng f or an i ncom e
V10. 23 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h pedes t r i an or ani m al , unspeci f i ed pedal cycl i s t , nont r af f i c acci dent , whi l e engaged i n ot her t ypes of wor k
V10. 24 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h pedes t r i an or ani m al , unspeci f i ed pedal cycl i s t , nont r af f i c acci dent , whi l e r es t i ng, s l eepi ng, eat i ng or engagi ng i n ot her vi t al act i vi t i es
V10. 28 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h pedes t r i an or ani m al , unspeci f i ed pedal cycl i s t , nont r af f i c acci dent , whi l e engaged i n ot her speci f i ed act i vi t i es
V10. 29 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h pedes t r i an or ani m al , unspeci f i ed pedal cycl i s t , nont r af f i c acci dent , dur i ng unspeci f i ed act i vi t y
V10. 3 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h pedes t r i an or ani m al , whi l e boar di ng or al i ght i ng
V10. 30 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h pedes t r i an or ani m al , whi l e boar di ng or al i ght i ng, whi l e engaged i n spor t s act i vi t y
V10. 31 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h pedes t r i an or ani m al , whi l e boar di ng or al i ght i ng, whi l e engaged i n l ei sur e act i vi t y
V10. 32 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h pedes t r i an or ani m al , whi l e boar di ng or al i ght i ng, whi l e wor ki ng f or an i ncom e
V10. 33 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h pedes t r i an or ani m al , whi l e boar di ng or al i ght i ng, whi l e engaged i n ot her t ypes of wor k
V10. 34 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h pedes t r i an or ani m al , whi l e boar di ng or al i ght i ng, whi l e r es t i ng, s l eepi ng, eat i ng or engagi ng i n ot her vi t al act i vi t i es
V10. 38 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h pedes t r i an or ani m al , whi l e boar di ng or al i ght i ng, whi l e engaged i n ot her speci f i ed act i vi t i es
V10. 39 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h pedes t r i an or ani m al , whi l e boar di ng or al i ght i ng, dur i ng unspeci f i ed act i vi t y
V10. 4 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h pedes t r i an or ani m al , dr i ver , t r af f i c acci dent
V10. 40 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h pedes t r i an or ani m al , dr i ver , t r af f i c acci dent , whi l e engaged i n spor t s act i vi t y
V10. 41 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h pedes t r i an or ani m al , dr i ver , t r af f i c acci dent , whi l e engaged i n l ei sur e act i vi t y
V10. 42 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h pedes t r i an or ani m al , dr i ver , t r af f i c acci dent , whi l e wor ki ng f or an i ncom e
V10. 43 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h pedes t r i an or ani m al , dr i ver , t r af f i c acci dent , whi l e engaged i n ot her t ypes of wor k
V10. 44 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h pedes t r i an or ani m al , dr i ver , t r af f i c acci dent , whi l e r es t i ng, s l eepi ng, eat i ng or engagi ng i n ot her vi t al act i vi t i es
V10. 48 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h pedes t r i an or ani m al , dr i ver , t r af f i c acci dent , whi l e engaged i n ot her speci f i ed act i vi t i es
V10. 49 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h pedes t r i an or ani m al , dr i ver , t r af f i c acci dent , dur i ng unspeci f i ed act i vi t y
V10. 5 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h pedes t r i an or ani m al , passenger , t r af f i c acci dent
V10. 50 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h pedes t r i an or ani m al , passenger , t r af f i c acci dent , whi l e engaged i n spor t s act i vi t y
V10. 51 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h pedes t r i an or ani m al , passenger , t r af f i c acci dent , whi l e engaged i n l ei sur e act i vi t y
V10. 52 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h pedes t r i an or ani m al , passenger , t r af f i c acci dent , whi l e wor ki ng f or an i ncom e
V10. 53 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h pedes t r i an or ani m al , passenger , t r af f i c acci dent , whi l e engaged i n ot her t ypes of wor k
V10. 54 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h pedes t r i an or ani m al , passenger , t r af f i c acci dent , whi l e r es t i ng, s l eepi ng, eat i ng or engagi ng i n ot her vi t al act i vi t i es
V10. 58 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h pedes t r i an or ani m al , passenger , t r af f i c acci dent , whi l e engaged i n ot her speci f i ed act i vi t i es
V10. 59 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h pedes t r i an or ani m al , passenger , t r af f i c acci dent , dur i ng unspeci f i ed act i vi t y
V10. 9 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h pedes t r i an or ani m al , unspeci f i ed pedal cycl i s t , t r af f i c acci dent
V10. 90 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h pedes t r i an or ani m al , unspeci f i ed pedal cycl i s t , t r af f i c acci dent , whi l e engaged i n spor t s act i vi t y
V10. 91 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h pedes t r i an or ani m al , unspeci f i ed pedal cycl i s t , t r af f i c acci dent , whi l e engaged i n l ei sur e act i vi t y
V10. 92 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h pedes t r i an or ani m al , unspeci f i ed pedal cycl i s t , t r af f i c acci dent , whi l e wor ki ng f or an i ncom e
V10. 93 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h pedes t r i an or ani m al , unspeci f i ed pedal cycl i s t , t r af f i c acci dent , whi l e engaged i n ot her t ypes of wor k
V10. 94 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h pedes t r i an or ani m al , unspeci f i ed pedal cycl i s t , t r af f i c acci dent , whi l e r es t i ng, s l eepi ng, eat i ng or engagi ng i n ot her vi t al act i vi t i es
V10. 98 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h pedes t r i an or ani m al , unspeci f i ed pedal cycl i s t , t r af f i c acci dent , whi l e engaged i n ot her speci f i ed act i vi t i es
V10. 99 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h pedes t r i an or ani m al , unspeci f i ed pedal cycl i s t , t r af f i c acci dent , dur i ng unspeci f i ed act i vi t y
V11 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h ot her pedal cycl e
V11. 0 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h ot her pedal cycl e, dr i ver , nont r af f i c acci dent
V11. 00 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h ot her pedal cycl e, dr i ver , nont r af f i c acci dent , whi l e engaged i n spor t s act i vi t y
V11. 01 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h ot her pedal cycl e, dr i ver , nont r af f i c acci dent , whi l e engaged i n l ei sur e act i vi t y
V11. 02 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h ot her pedal cycl e, dr i ver , nont r af f i c acci dent , whi l e wor ki ng f or an i ncom e
V11. 03 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h ot her pedal cycl e, dr i ver , nont r af f i c acci dent , whi l e engaged i n ot her t ypes of wor k
V11. 04 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h ot her pedal cycl e, dr i ver , nont r af f i c acci dent , whi l e r es t i ng, s l eepi ng, eat i ng or engagi ng i n ot her vi t al act i vi t i es
V11. 08 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h ot her pedal cycl e, dr i ver , nont r af f i c acci dent , whi l e engaged i n ot her speci f i ed act i vi t i es
V11. 09 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h ot her pedal cycl e, dr i ver , nont r af f i c acci dent , dur i ng unspeci f i ed act i vi t y
V11. 1 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h ot her pedal cycl e, passenger , nont r af f i c acci dent
V11. 10 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h ot her pedal cycl e, passenger , nont r af f i c acci dent , whi l e engaged i n spor t s act i vi t y
V11. 11 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h ot her pedal cycl e, passenger , nont r af f i c acci dent , whi l e engaged i n l ei sur e act i vi t y
V11. 12 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h ot her pedal cycl e, passenger , nont r af f i c acci dent , whi l e wor ki ng f or an i ncom e
V11. 13 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h ot her pedal cycl e, passenger , nont r af f i c acci dent , whi l e engaged i n ot her t ypes of wor k
V11. 14 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h ot her pedal cycl e, passenger , nont r af f i c acci dent , whi l e r es t i ng, s l eepi ng, eat i ng or engagi ng i n ot her vi t al act i vi t i es
V11. 18 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h ot her pedal cycl e, passenger , nont r af f i c acci dent , whi l e engaged i n ot her speci f i ed act i vi t i es
V11. 19 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h ot her pedal cycl e, passenger , nont r af f i c acci dent , dur i ng unspeci f i ed act i vi t y
V11. 2 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h ot her pedal cycl e, unspeci f i ed pedal cycl i s t , nont r af f i c acci dent
V11. 20 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h ot her pedal cycl e, unspeci f i ed pedal cycl i s t , nont r af f i c acci dent , whi l e engaged i n spor t s act i vi t y
V11. 21 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h ot her pedal cycl e, unspeci f i ed pedal cycl i s t , nont r af f i c acci dent , whi l e engaged i n l ei sur e act i vi t y
V11. 22 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h ot her pedal cycl e, unspeci f i ed pedal cycl i s t , nont r af f i c acci dent , whi l e wor ki ng f or an i ncom e
V11. 23 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h ot her pedal cycl e, unspeci f i ed pedal cycl i s t , nont r af f i c acci dent , whi l e engaged i n ot her t ypes of wor k
V11. 24 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h ot her pedal cycl e, unspeci f i ed pedal cycl i s t , nont r af f i c acci dent , whi l e r es t i ng, s l eepi ng, eat i ng or engagi ng i n ot her vi t al act i vi t i es
V11. 28 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h ot her pedal cycl e, unspeci f i ed pedal cycl i s t , nont r af f i c acci dent , whi l e engaged i n ot her speci f i ed act i vi t i es
V11. 29 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h ot her pedal cycl e, unspeci f i ed pedal cycl i s t , nont r af f i c acci dent , dur i ng unspeci f i ed act i vi t y
V11. 3 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h ot her pedal cycl e, whi l e boar di ng or al i ght i ng
V11. 30 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h ot her pedal cycl e, whi l e boar di ng or al i ght i ng, whi l e engaged i n spor t s act i vi t y
V11. 31 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h ot her pedal cycl e, whi l e boar di ng or al i ght i ng, whi l e engaged i n l ei sur e act i vi t y
V11. 32 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h ot her pedal cycl e, whi l e boar di ng or al i ght i ng, whi l e wor ki ng f or an i ncom e
V11. 33 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h ot her pedal cycl e, whi l e boar di ng or al i ght i ng, whi l e engaged i n ot her t ypes of wor k
V11. 34 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h ot her pedal cycl e, whi l e boar di ng or al i ght i ng, whi l e r es t i ng, s l eepi ng, eat i ng or engagi ng i n ot her vi t al act i vi t i es
V11. 38 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h ot her pedal cycl e, whi l e boar di ng or al i ght i ng, whi l e engaged i n ot her speci f i ed act i vi t i es
V11. 39 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h ot her pedal cycl e, whi l e boar di ng or al i ght i ng, dur i ng unspeci f i ed act i vi t y
V11. 4 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h ot her pedal cycl e, dr i ver , t r af f i c acci dent
V11. 40 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h ot her pedal cycl e, dr i ver , t r af f i c acci dent , whi l e engaged i n spor t s act i vi t y
V11. 41 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h ot her pedal cycl e, dr i ver , t r af f i c acci dent , whi l e engaged i n l ei sur e act i vi t y
V11. 42 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h ot her pedal cycl e, dr i ver , t r af f i c acci dent , whi l e wor ki ng f or an i ncom e
V11. 43 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h ot her pedal cycl e, dr i ver , t r af f i c acci dent , whi l e engaged i n ot her t ypes of wor k
V11. 44 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h ot her pedal cycl e, dr i ver , t r af f i c acci dent , whi l e r es t i ng, s l eepi ng, eat i ng or engagi ng i n ot her vi t al act i vi t i es
V11. 48 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h ot her pedal cycl e, dr i ver , t r af f i c acci dent , whi l e engaged i n ot her speci f i ed act i vi t i es
V11. 49 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h ot her pedal cycl e, dr i ver , t r af f i c acci dent , dur i ng unspeci f i ed act i vi t y
V11. 5 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h ot her pedal cycl e, passenger , t r af f i c acci dent
V11. 50 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h ot her pedal cycl e, passenger , t r af f i c acci dent , whi l e engaged i n spor t s act i vi t y
V11. 51 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h ot her pedal cycl e, passenger , t r af f i c acci dent , whi l e engaged i n l ei sur e act i vi t y
V11. 52 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h ot her pedal cycl e, passenger , t r af f i c acci dent , whi l e wor ki ng f or an i ncom e
V11. 53 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h ot her pedal cycl e, passenger , t r af f i c acci dent , whi l e engaged i n ot her t ypes of wor k
V11. 54 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h ot her pedal cycl e, passenger , t r af f i c acci dent , whi l e r es t i ng, s l eepi ng, eat i ng or engagi ng i n ot her vi t al act i vi t i es
V11. 58 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h ot her pedal cycl e, passenger , t r af f i c acci dent , whi l e engaged i n ot her speci f i ed act i vi t i es
V11. 59 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h ot her pedal cycl e, passenger , t r af f i c acci dent , dur i ng unspeci f i ed act i vi t y
V11. 9 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h ot her pedal cycl e, unspeci f i ed pedal cycl i s t , t r af f i c acci dent
V11. 90 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h ot her pedal cycl e, unspeci f i ed pedal cycl i s t , t r af f i c acci dent , whi l e engaged i n spor t s act i vi t y
V11. 91 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h ot her pedal cycl e, unspeci f i ed pedal cycl i s t , t r af f i c acci dent , whi l e engaged i n l ei sur e act i vi t y
V11. 92 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h ot her pedal cycl e, unspeci f i ed pedal cycl i s t , t r af f i c acci dent , whi l e wor ki ng f or an i ncom e
V11. 93 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h ot her pedal cycl e, unspeci f i ed pedal cycl i s t , t r af f i c acci dent , whi l e engaged i n ot her t ypes of wor k
V11. 94 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h ot her pedal cycl e, unspeci f i ed pedal cycl i s t , t r af f i c acci dent , whi l e r es t i ng, s l eepi ng, eat i ng or engagi ng i n ot her vi t al act i vi t i es
V11. 98 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h ot her pedal cycl e, unspeci f i ed pedal cycl i s t , t r af f i c acci dent , whi l e engaged i n ot her speci f i ed act i vi t i es
V11. 99 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h ot her pedal cycl e, unspeci f i ed pedal cycl i s t , t r af f i c acci dent , dur i ng unspeci f i ed act i vi t y
V12 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h t wo- or t hr ee- wheel ed m ot or vehi cl e
V12. 0 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h t wo- or t hr ee- wheel ed m ot or vehi cl e, dr i ver , nont r af f i c acci dent
V12. 00 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h t wo- or t hr ee- wheel ed m ot or vehi cl e, dr i ver , nont r af f i c acci dent , whi l e engaged i n spor t s act i vi t y
V12. 01 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h t wo- or t hr ee- wheel ed m ot or vehi cl e, dr i ver , nont r af f i c acci dent , whi l e engaged i n l ei sur e act i vi t y
V12. 02 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h t wo- or t hr ee- wheel ed m ot or vehi cl e, dr i ver , nont r af f i c acci dent , whi l e wor ki ng f or an i ncom e
V12. 03 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h t wo- or t hr ee- wheel ed m ot or vehi cl e, dr i ver , nont r af f i c acci dent , whi l e engaged i n ot her t ypes of wor k
V12. 04 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h t wo- or t hr ee- wheel ed m ot or vehi cl e, dr i ver , nont r af f i c acci dent , whi l e r es t i ng, s l eepi ng, eat i ng or engagi ng i n ot her vi t al act i vi t i es
V12. 08 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h t wo- or t hr ee- wheel ed m ot or vehi cl e, dr i ver , nont r af f i c acci dent , whi l e engaged i n ot her speci f i ed act i vi t i es
V12. 09 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h t wo- or t hr ee- wheel ed m ot or vehi cl e, dr i ver , nont r af f i c acci dent , dur i ng unspeci f i ed act i vi t y
V12. 1 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h t wo- or t hr ee- wheel ed m ot or vehi cl e, passenger , nont r af f i c acci dent
V12. 10 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h t wo- or t hr ee- wheel ed m ot or vehi cl e, passenger , nont r af f i c acci dent , whi l e engaged i n spor t s act i vi t y
V12. 11 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h t wo- or t hr ee- wheel ed m ot or vehi cl e, passenger , nont r af f i c acci dent , whi l e engaged i n l ei sur e act i vi t y
V12. 12 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h t wo- or t hr ee- wheel ed m ot or vehi cl e, passenger , nont r af f i c acci dent , whi l e wor ki ng f or an i ncom e
V12. 13 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h t wo- or t hr ee- wheel ed m ot or vehi cl e, passenger , nont r af f i c acci dent , whi l e engaged i n ot her t ypes of wor k
V12. 14 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h t wo- or t hr ee- wheel ed m ot or vehi cl e, passenger , nont r af f i c acci dent , whi l e r es t i ng, s l eepi ng, eat i ng or engagi ng i n ot her vi t al act i vi t i es
V12. 18 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h t wo- or t hr ee- wheel ed m ot or vehi cl e, passenger , nont r af f i c acci dent , whi l e engaged i n ot her speci f i ed act i vi t i es
V12. 19 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h t wo- or t hr ee- wheel ed m ot or vehi cl e, passenger , nont r af f i c acci dent , dur i ng unspeci f i ed act i vi t y
V12. 2 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h t wo- or t hr ee- wheel ed m ot or vehi cl e, unspeci f i ed pedal cycl i s t , nont r af f i c acci dent
V12. 20 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h t wo- or t hr ee- wheel ed m ot or vehi cl e, unspeci f i ed pedal cycl i s t , nont r af f i c acci dent , whi l e engaged i n spor t s act i vi t y
V12. 21 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h t wo- or t hr ee- wheel ed m ot or vehi cl e, unspeci f i ed pedal cycl i s t , nont r af f i c acci dent , whi l e engaged i n l ei sur e act i vi t y
V12. 22 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h t wo- or t hr ee- wheel ed m ot or vehi cl e, unspeci f i ed pedal cycl i s t , nont r af f i c acci dent , whi l e wor ki ng f or an i ncom e
V12. 23 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h t wo- or t hr ee- wheel ed m ot or vehi cl e, unspeci f i ed pedal cycl i s t , nont r af f i c acci dent , whi l e engaged i n ot her t ypes of wor k
V12. 24 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h t wo- or t hr ee- wheel ed m ot or vehi cl e, unspeci f i ed pedal cycl i s t , nont r af f i c acci dent , whi l e r es t i ng, s l eepi ng, eat i ng or engagi ng i n ot her vi t al act i vi t i es
V12. 28 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h t wo- or t hr ee- wheel ed m ot or vehi cl e, unspeci f i ed pedal cycl i s t , nont r af f i c acci dent , whi l e engaged i n ot her speci f i ed act i vi t i es
V12. 29 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h t wo- or t hr ee- wheel ed m ot or vehi cl e, unspeci f i ed pedal cycl i s t , nont r af f i c acci dent , dur i ng unspeci f i ed act i vi t y
V12. 3 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h t wo- or t hr ee- wheel ed m ot or vehi cl e, whi l e boar di ng or al i ght i ng
V12. 30 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h t wo- or t hr ee- wheel ed m ot or vehi cl e, whi l e boar di ng or al i ght i ng, whi l e engaged i n spor t s act i vi t y
V12. 31 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h t wo- or t hr ee- wheel ed m ot or vehi cl e, whi l e boar di ng or al i ght i ng, whi l e engaged i n l ei sur e act i vi t y
V12. 32 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h t wo- or t hr ee- wheel ed m ot or vehi cl e, whi l e boar di ng or al i ght i ng, whi l e wor ki ng f or an i ncom e
V12. 33 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h t wo- or t hr ee- wheel ed m ot or vehi cl e, whi l e boar di ng or al i ght i ng, whi l e engaged i n ot her t ypes of wor k
V12. 34 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h t wo- or t hr ee- wheel ed m ot or vehi cl e, whi l e boar di ng or al i ght i ng, whi l e r es t i ng, s l eepi ng, eat i ng or engagi ng i n ot her vi t al act i vi t i es
V12. 38 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h t wo- or t hr ee- wheel ed m ot or vehi cl e, whi l e boar di ng or al i ght i ng, whi l e engaged i n ot her speci f i ed act i vi t i es
V12. 39 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h t wo- or t hr ee- wheel ed m ot or vehi cl e, whi l e boar di ng or al i ght i ng, dur i ng unspeci f i ed act i vi t y
V12. 4 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h t wo- or t hr ee- wheel ed m ot or vehi cl e, dr i ver , t r af f i c acci dent
V12. 40 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h t wo- or t hr ee- wheel ed m ot or vehi cl e, dr i ver , t r af f i c acci dent , whi l e engaged i n spor t s act i vi t y
V12. 41 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h t wo- or t hr ee- wheel ed m ot or vehi cl e, dr i ver , t r af f i c acci dent , whi l e engaged i n l ei sur e act i vi t y
V12. 42 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h t wo- or t hr ee- wheel ed m ot or vehi cl e, dr i ver , t r af f i c acci dent , whi l e wor ki ng f or an i ncom e
V12. 43 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h t wo- or t hr ee- wheel ed m ot or vehi cl e, dr i ver , t r af f i c acci dent , whi l e engaged i n ot her t ypes of wor k
V12. 44 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h t wo- or t hr ee- wheel ed m ot or vehi cl e, dr i ver , t r af f i c acci dent , whi l e r es t i ng, s l eepi ng, eat i ng or engagi ng i n ot her vi t al act i vi t i es
V12. 48 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h t wo- or t hr ee- wheel ed m ot or vehi cl e, dr i ver , t r af f i c acci dent , whi l e engaged i n ot her speci f i ed act i vi t i es
V12. 49 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h t wo- or t hr ee- wheel ed m ot or vehi cl e, dr i ver , t r af f i c acci dent , dur i ng unspeci f i ed act i vi t y
V12. 5 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h t wo- or t hr ee- wheel ed m ot or vehi cl e, passenger , t r af f i c acci dent
V12. 50 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h t wo- or t hr ee- wheel ed m ot or vehi cl e, passenger , t r af f i c acci dent , whi l e engaged i n spor t s act i vi t y
V12. 51 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h t wo- or t hr ee- wheel ed m ot or vehi cl e, passenger , t r af f i c acci dent , whi l e engaged i n l ei sur e act i vi t y
V12. 52 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h t wo- or t hr ee- wheel ed m ot or vehi cl e, passenger , t r af f i c acci dent , whi l e wor ki ng f or an i ncom e
V12. 53 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h t wo- or t hr ee- wheel ed m ot or vehi cl e, passenger , t r af f i c acci dent , whi l e engaged i n ot her t ypes of wor k
V12. 54 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h t wo- or t hr ee- wheel ed m ot or vehi cl e, passenger , t r af f i c acci dent , whi l e r es t i ng, s l eepi ng, eat i ng or engagi ng i n ot her vi t al act i vi t i es
V12. 58 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h t wo- or t hr ee- wheel ed m ot or vehi cl e, passenger , t r af f i c acci dent , whi l e engaged i n ot her speci f i ed act i vi t i es
V12. 59 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h t wo- or t hr ee- wheel ed m ot or vehi cl e, passenger , t r af f i c acci dent , dur i ng unspeci f i ed act i vi t y
V12. 9 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h t wo- or t hr ee- wheel ed m ot or vehi cl e, unspeci f i ed pedal cycl i s t , t r af f i c acci dent
V12. 90 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h t wo- or t hr ee- wheel ed m ot or vehi cl e, unspeci f i ed pedal cycl i s t , t r af f i c acci dent , whi l e engaged i n spor t s act i vi t y
V12. 91 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h t wo- or t hr ee- wheel ed m ot or vehi cl e, unspeci f i ed pedal cycl i s t , t r af f i c acci dent , whi l e engaged i n l ei sur e act i vi t y
V12. 92 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h t wo- or t hr ee- wheel ed m ot or vehi cl e, unspeci f i ed pedal cycl i s t , t r af f i c acci dent , whi l e wor ki ng f or an i ncom e
V12. 93 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h t wo- or t hr ee- wheel ed m ot or vehi cl e, unspeci f i ed pedal cycl i s t , t r af f i c acci dent , whi l e engaged i n ot her t ypes of wor k
V12. 94 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h t wo- or t hr ee- wheel ed m ot or vehi cl e, unspeci f i ed pedal cycl i s t , t r af f i c acci dent , whi l e r es t i ng, s l eepi ng, eat i ng or engagi ng i n ot her vi t al act i vi t i es
V12. 98 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h t wo- or t hr ee- wheel ed m ot or vehi cl e, unspeci f i ed pedal cycl i s t , t r af f i c acci dent , whi l e engaged i n ot her speci f i ed act i vi t i es
V12. 99 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h t wo- or t hr ee- wheel ed m ot or vehi cl e, unspeci f i ed pedal cycl i s t , t r af f i c acci dent , dur i ng unspeci f i ed act i vi t y
V13 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h car , pi ck- up t r uck or van
V13. 0 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h car , pi ck- up t r uck or van, dr i ver , nont r af f i c acci dent
V13. 00 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h car , pi ck- up t r uck or van, dr i ver , nont r af f i c acci dent , whi l e engaged i n spor t s act i vi t y
V13. 01 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h car , pi ck- up t r uck or van, dr i ver , nont r af f i c acci dent , whi l e engaged i n l ei sur e act i vi t y
V13. 02 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h car , pi ck- up t r uck or van, dr i ver , nont r af f i c acci dent , whi l e wor ki ng f or an i ncom e
V13. 03 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h car , pi ck- up t r uck or van, dr i ver , nont r af f i c acci dent , whi l e engaged i n ot her t ypes of wor k
V13. 04 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h car , pi ck- up t r uck or van, dr i ver , nont r af f i c acci dent , whi l e r es t i ng, s l eepi ng, eat i ng or engagi ng i n ot her vi t al act i vi t i es
V13. 08 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h car , pi ck- up t r uck or van, dr i ver , nont r af f i c acci dent , whi l e engaged i n ot her speci f i ed act i vi t i es
V13. 09 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h car , pi ck- up t r uck or van, dr i ver , nont r af f i c acci dent , dur i ng unspeci f i ed act i vi t y
V13. 1 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h car , pi ck- up t r uck or van, passenger , nont r af f i c acci dent
V13. 10 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h car , pi ck- up t r uck or van, passenger , nont r af f i c acci dent , whi l e engaged i n spor t s act i vi t y
V13. 11 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h car , pi ck- up t r uck or van, passenger , nont r af f i c acci dent , whi l e engaged i n l ei sur e act i vi t y
V13. 12 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h car , pi ck- up t r uck or van, passenger , nont r af f i c acci dent , whi l e wor ki ng f or an i ncom e
V13. 13 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h car , pi ck- up t r uck or van, passenger , nont r af f i c acci dent , whi l e engaged i n ot her t ypes of wor k
V13. 14 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h car , pi ck- up t r uck or van, passenger , nont r af f i c acci dent , whi l e r es t i ng, s l eepi ng, eat i ng or engagi ng i n ot her vi t al act i vi t i es
V13. 18 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h car , pi ck- up t r uck or van, passenger , nont r af f i c acci dent , whi l e engaged i n ot her speci f i ed act i vi t i es
V13. 19 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h car , pi ck- up t r uck or van, passenger , nont r af f i c acci dent , dur i ng unspeci f i ed act i vi t y
V13. 2 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h car , pi ck- up t r uck or van, unspeci f i ed pedal cycl i s t , nont r af f i c acci dent
V13. 20 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h car , pi ck- up t r uck or van, unspeci f i ed pedal cycl i s t , nont r af f i c acci dent , whi l e engaged i n spor t s act i vi t y
V13. 21 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h car , pi ck- up t r uck or van, unspeci f i ed pedal cycl i s t , nont r af f i c acci dent , whi l e engaged i n l ei sur e act i vi t y
V13. 22 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h car , pi ck- up t r uck or van, unspeci f i ed pedal cycl i s t , nont r af f i c acci dent , whi l e wor ki ng f or an i ncom e
V13. 23 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h car , pi ck- up t r uck or van, unspeci f i ed pedal cycl i s t , nont r af f i c acci dent , whi l e engaged i n ot her t ypes of wor k
V13. 24 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h car , pi ck- up t r uck or van, unspeci f i ed pedal cycl i s t , nont r af f i c acci dent , whi l e r es t i ng, s l eepi ng, eat i ng or engagi ng i n ot her vi t al act i vi t i es
V13. 28 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h car , pi ck- up t r uck or van, unspeci f i ed pedal cycl i s t , nont r af f i c acci dent , whi l e engaged i n ot her speci f i ed act i vi t i es
V13. 29 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h car , pi ck- up t r uck or van, unspeci f i ed pedal cycl i s t , nont r af f i c acci dent , dur i ng unspeci f i ed act i vi t y
V13. 3 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h car , pi ck- up t r uck or van, whi l e boar di ng or al i ght i ng
V13. 30 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h car , pi ck- up t r uck or van, whi l e boar di ng or al i ght i ng, whi l e engaged i n spor t s act i vi t y
V13. 31 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h car , pi ck- up t r uck or van, whi l e boar di ng or al i ght i ng, whi l e engaged i n l ei sur e act i vi t y
V13. 32 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h car , pi ck- up t r uck or van, whi l e boar di ng or al i ght i ng, whi l e wor ki ng f or an i ncom e
V13. 33 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h car , pi ck- up t r uck or van, whi l e boar di ng or al i ght i ng, whi l e engaged i n ot her t ypes of wor k
V13. 34 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h car , pi ck- up t r uck or van, whi l e boar di ng or al i ght i ng, whi l e r es t i ng, s l eepi ng, eat i ng or engagi ng i n ot her vi t al act i vi t i es
V13. 38 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h car , pi ck- up t r uck or van, whi l e boar di ng or al i ght i ng, whi l e engaged i n ot her speci f i ed act i vi t i es
V13. 39 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h car , pi ck- up t r uck or van, whi l e boar di ng or al i ght i ng, dur i ng unspeci f i ed act i vi t y
V13. 4 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h car , pi ck- up t r uck or van, dr i ver , t r af f i c acci dent
V13. 40 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h car , pi ck- up t r uck or van, dr i ver , t r af f i c acci dent , whi l e engaged i n spor t s act i vi t y
V13. 41 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h car , pi ck- up t r uck or van, dr i ver , t r af f i c acci dent , whi l e engaged i n l ei sur e act i vi t y
V13. 42 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h car , pi ck- up t r uck or van, dr i ver , t r af f i c acci dent , whi l e wor ki ng f or an i ncom e
V13. 43 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h car , pi ck- up t r uck or van, dr i ver , t r af f i c acci dent , whi l e engaged i n ot her t ypes of wor k
V13. 44 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h car , pi ck- up t r uck or van, dr i ver , t r af f i c acci dent , whi l e r es t i ng, s l eepi ng, eat i ng or engagi ng i n ot her vi t al act i vi t i es
V13. 48 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h car , pi ck- up t r uck or van, dr i ver , t r af f i c acci dent , whi l e engaged i n ot her speci f i ed act i vi t i es
V13. 49 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h car , pi ck- up t r uck or van, dr i ver , t r af f i c acci dent , dur i ng unspeci f i ed act i vi t y
V13. 5 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h car , pi ck- up t r uck or van, passenger , t r af f i c acci dent
V13. 50 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h car , pi ck- up t r uck or van, passenger , t r af f i c acci dent , whi l e engaged i n spor t s act i vi t y
V13. 51 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h car , pi ck- up t r uck or van, passenger , t r af f i c acci dent , whi l e engaged i n l ei sur e act i vi t y
V13. 52 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h car , pi ck- up t r uck or van, passenger , t r af f i c acci dent , whi l e wor ki ng f or an i ncom e
V13. 53 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h car , pi ck- up t r uck or van, passenger , t r af f i c acci dent , whi l e engaged i n ot her t ypes of wor k
V13. 54 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h car , pi ck- up t r uck or van, passenger , t r af f i c acci dent , whi l e r es t i ng, s l eepi ng, eat i ng or engagi ng i n ot her vi t al act i vi t i es
V13. 58 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h car , pi ck- up t r uck or van, passenger , t r af f i c acci dent , whi l e engaged i n ot her speci f i ed act i vi t i es
V13. 59 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h car , pi ck- up t r uck or van, passenger , t r af f i c acci dent , dur i ng unspeci f i ed act i vi t y
V13. 9 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h car , pi ck- up t r uck or van, unspeci f i ed pedal cycl i s t , t r af f i c acci dent
V13. 90 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h car , pi ck- up t r uck or van, unspeci f i ed pedal cycl i s t , t r af f i c acci dent , whi l e engaged i n spor t s act i vi t y
V13. 91 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h car , pi ck- up t r uck or van, unspeci f i ed pedal cycl i s t , t r af f i c acci dent , whi l e engaged i n l ei sur e act i vi t y
V13. 92 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h car , pi ck- up t r uck or van, unspeci f i ed pedal cycl i s t , t r af f i c acci dent , whi l e wor ki ng f or an i ncom e
V13. 93 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h car , pi ck- up t r uck or van, unspeci f i ed pedal cycl i s t , t r af f i c acci dent , whi l e engaged i n ot her t ypes of wor k
V13. 94 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h car , pi ck- up t r uck or van, unspeci f i ed pedal cycl i s t , t r af f i c acci dent , whi l e r es t i ng, s l eepi ng, eat i ng or engagi ng i n ot her vi t al act i vi t i es
V13. 98 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h car , pi ck- up t r uck or van, unspeci f i ed pedal cycl i s t , t r af f i c acci dent , whi l e engaged i n ot her speci f i ed act i vi t i es
V13. 99 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h car , pi ck- up t r uck or van, unspeci f i ed pedal cycl i s t , t r af f i c acci dent , dur i ng unspeci f i ed act i vi t y
V14 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h heavy t r anspor t vehi cl e or bus
V14. 0 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h heavy t r anspor t vehi cl e or bus , dr i ver , nont r af f i c acci dent
V14. 00 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h heavy t r anspor t vehi cl e or bus , dr i ver , nont r af f i c acci dent , whi l e engaged i n spor t s act i vi t y
V14. 01 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h heavy t r anspor t vehi cl e or bus , dr i ver , nont r af f i c acci dent , whi l e engaged i n l ei sur e act i vi t y
V14. 02 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h heavy t r anspor t vehi cl e or bus , dr i ver , nont r af f i c acci dent , whi l e wor ki ng f or an i ncom e
V14. 03 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h heavy t r anspor t vehi cl e or bus , dr i ver , nont r af f i c acci dent , whi l e engaged i n ot her t ypes of wor k
V14. 04 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h heavy t r anspor t vehi cl e or bus , dr i ver , nont r af f i c acci dent , whi l e r es t i ng, s l eepi ng, eat i ng or engagi ng i n ot her vi t al act i vi t i es
V14. 08 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h heavy t r anspor t vehi cl e or bus , dr i ver , nont r af f i c acci dent , whi l e engaged i n ot her speci f i ed act i vi t i es
V14. 09 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h heavy t r anspor t vehi cl e or bus , dr i ver , nont r af f i c acci dent , dur i ng unspeci f i ed act i vi t y
V14. 1 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h heavy t r anspor t vehi cl e or bus , passenger , nont r af f i c acci dent
V14. 10 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h heavy t r anspor t vehi cl e or bus , passenger , nont r af f i c acci dent , whi l e engaged i n spor t s act i vi t y
V14. 11 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h heavy t r anspor t vehi cl e or bus , passenger , nont r af f i c acci dent , whi l e engaged i n l ei sur e act i vi t y
V14. 12 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h heavy t r anspor t vehi cl e or bus , passenger , nont r af f i c acci dent , whi l e wor ki ng f or an i ncom e
V14. 13 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h heavy t r anspor t vehi cl e or bus , passenger , nont r af f i c acci dent , whi l e engaged i n ot her t ypes of wor k
V14. 14 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h heavy t r anspor t vehi cl e or bus , passenger , nont r af f i c acci dent , whi l e r es t i ng, s l eepi ng, eat i ng or engagi ng i n ot her vi t al act i vi t i es
V14. 18 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h heavy t r anspor t vehi cl e or bus , passenger , nont r af f i c, whi l e engaged i n ot her speci f i ed act i vi t i es acci dent
V14. 19 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h heavy t r anspor t vehi cl e or bus , passenger , nont r af f i c, dur i ng unspeci f i ed act i vi t y acci dent
V14. 2 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h heavy t r anspor t vehi cl e or bus , unspeci f i ed pedal cycl i s t , nont r af f i c acci dent
V14. 20 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h heavy t r anspor t vehi cl e or bus , unspeci f i ed pedal cycl i s t , nont r af f i c acci dent , whi l e engaged i n spor t s act i vi t y
V14. 21 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h heavy t r anspor t vehi cl e or bus , unspeci f i ed pedal cycl i s t , nont r af f i c acci dent , whi l e engaged i n l ei sur e act i vi t y
V14. 22 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h heavy t r anspor t vehi cl e or bus , unspeci f i ed pedal cycl i s t , nont r af f i c acci dent , whi l e wor ki ng f or an i ncom e
V14. 23 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h heavy t r anspor t vehi cl e or bus , unspeci f i ed pedal cycl i s t , nont r af f i c acci dent , whi l e engaged i n ot her t ypes of wor k
V14. 24 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h heavy t r anspor t vehi cl e or bus , unspeci f i ed pedal cycl i s t , nont r af f i c acci dent , whi l e r es t i ng, s l eepi ng, eat i ng or engagi ng i n ot her vi t al act i vi t i es
V14. 28 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h heavy t r anspor t vehi cl e or bus , unspeci f i ed pedal cycl i s t , nont r af f i c acci dent , whi l e engaged i n ot her speci f i ed act i vi t i es
V14. 29 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h heavy t r anspor t vehi cl e or bus , unspeci f i ed pedal cycl i s t , nont r af f i c acci dent , dur i ng unspeci f i ed act i vi t y
V14. 3 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h heavy t r anspor t vehi cl e or bus , whi l e boar di ng or al i ght i ng
V14. 30 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h heavy t r anspor t vehi cl e or bus , whi l e boar di ng or al i ght i ng, whi l e engaged i n spor t s act i vi t y
V14. 31 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h heavy t r anspor t vehi cl e or bus , whi l e boar di ng or al i ght i ng, whi l e engaged i n l ei sur e act i vi t y
V14. 32 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h heavy t r anspor t vehi cl e or bus , whi l e boar di ng or al i ght i ng, whi l e wor ki ng f or an i ncom e
V14. 33 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h heavy t r anspor t vehi cl e or bus , whi l e boar di ng or al i ght i ng, whi l e engaged i n ot her t ypes of wor k
V14. 34 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h heavy t r anspor t vehi cl e or bus , whi l e boar di ng or al i ght i ng, whi l e r es t i ng, s l eepi ng, eat i ng or engagi ng i n ot her vi t al act i vi t i es
V14. 38 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h heavy t r anspor t vehi cl e or bus , whi l e boar di ng or al i ght i ng, whi l e engaged i n ot her speci f i ed act i vi t i es
V14. 39 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h heavy t r anspor t vehi cl e or bus , whi l e boar di ng or al i ght i ng, dur i ng unspeci f i ed act i vi t y
V14. 4 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h heavy t r anspor t vehi cl e or bus , dr i ver , t r af f i c acci dent
V14. 40 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h heavy t r anspor t vehi cl e or bus , dr i ver , t r aff i c acci dent , whi l e engaged i n spor t s act i vi t y
V14. 41 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h heavy t r anspor t vehi cl e or bus , dr i ver , t r aff i c acci dent , whi l e engaged i n l ei sur e act i vi t y
V14. 42 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h heavy t r anspor t vehi cl e or bus , dr i ver , t r aff i c acci dent , whi l e wor ki ng f or an i ncom e
V14. 43 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h heavy t r anspor t vehi cl e or bus , dr i ver , t r aff i c acci dent , whi l e engaged i n ot her t ypes of wor k
V14. 44 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h heavy t r anspor t vehi cl e or bus , dr i ver , t r aff i c acci dent , whi l e r es t i ng, s l eepi ng, eat i ng or engagi ng i n ot her vi t al act i vi t i es
V14. 48 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h heavy t r anspor t vehi cl e or bus , dr i ver , t r aff i c acci dent , whi l e engaged i n ot her speci f i ed act i vi t i es
V14. 49 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h heavy t r anspor t vehi cl e or bus , dr i ver , t r aff i c acci dent , dur i ng unspeci f i ed act i vi t y
V14. 5 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h heavy t r anspor t vehi cl e or bus , passenger , t raf f i c acci dent
V14. 50 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h heavy t r anspor t vehi cl e or bus , passenger , t r af f i c acci dent , whi l e engaged i n spor t s act i vi t y
V14. 51 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h heavy t r anspor t vehi cl e or bus , passenger , t r af f i c acci dent , whi l e engaged i n l ei sur e act i vi t y
V14. 52 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h heavy t r anspor t vehi cl e or bus , passenger , t r af f i c acci dent , whi l e wor ki ng f or an i ncom e
V14. 53 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h heavy t r anspor t vehi cl e or bus , passenger , t r af f i c acci dent , whi l e engaged i n ot her t ypes of wor k
V14. 54 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h heavy t r anspor t vehi cl e or bus , passenger , t r af f i c acci dent , whi l e r es t i ng, s l eepi ng, eat i ng or engagi ng i n ot her vi t al act i vi t i es
V14. 58 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h heavy t r anspor t vehi cl e or bus , passenger , t r af f i c acci dent , whi l e engaged i n ot her speci f i ed act i vi t i es
V14. 59 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h heavy t r anspor t vehi cl e or bus , passenger , t r af f i c acci dent , dur i ng unspeci f i ed act i vi t y
V14. 9 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h heavy t r anspor t vehi cl e or bus , unspeci f i ed pedal cycl i s t , t r af f i c acci dent
V14. 90 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h heavy t r anspor t vehi cl e or bus , unspeci f i ed pedal cycl i s t , t r af f i c acci dent , whi l e engaged i n spor t s act i vi t y
V14. 91 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h heavy t r anspor t vehi cl e or bus , unspeci f i ed pedal cycl i s t , t r af f i c acci dent , whi l e engaged i n l ei sur e act i vi t y
V14. 92 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h heavy t r anspor t vehi cl e or bus , unspeci f i ed pedal cycl i s t , t r af f i c acci dent , whi l e wor ki ng f or an i ncom e
V14. 93 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h heavy t r anspor t vehi cl e or bus , unspeci f i ed pedal cycl i s t , t r af f i c acci dent , whi l e engaged i n ot her t ypes of wor k
V14. 94 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h heavy t r anspor t vehi cl e or bus , unspeci f i ed pedal cycl i s t , t r af f i c acci dent , whi l e r es t i ng, s l eepi ng, eat i ng or engagi ng i n ot her vi t al act i vi t i es
V14. 98 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h heavy t r anspor t vehi cl e or bus , unspeci f i ed pedal cycl i s t , t r af f i c acci dent , whi l e engaged i n ot her speci f i ed act i vi t i es
V14. 99 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h heavy t r anspor t vehi cl e or bus , unspeci f i ed pedal cycl i s t , t r af f i c acci dent , dur i ng unspeci f i ed act i vi t y
V15 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h r ai l way t r ai n or r ai l way vehi cl e
V15. 0 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h r ai l way t r ai n or r ai l way vehi cl e, dr i ver , nont r af f i c acci dent
V15. 00 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h r ai l way t r ai n or r ai l way vehi cl e, dr i ver , nont r af f i c acci dent , whi l e engaged i n spor t s act i vi t y
V15. 01 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h r ai l way t r ai n or r ai l way vehi cl e, dr i ver , nont r af f i c acci dent , whi l e engaged i n l ei sur e act i vi t y
V15. 02 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h r ai l way t r ai n or r ai l way vehi cl e, dr i ver , nont r af f i c acci dent , whi l e wor ki ng f or an i ncom e
V15. 03 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h r ai l way t r ai n or r ai l way vehi cl e, dr i ver , nont r af f i c acci dent , whi l e engaged i n ot her t ypes of wor k
V15. 04 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h r ai l way t r ai n or r ai l way vehi cl e, dr i ver , nont r af f i c acci dent , whi l e r es t i ng, s l eepi ng, eat i ng or engagi ng i n ot her vi t al act i vi t i es
V15. 08 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h r ai l way t r ai n or r ai l way vehi cl e, dr i ver , nont r af f i c acci dent , whi l e engaged i n ot her speci f i ed act i vi t i es
V15. 09 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h r ai l way t r ai n or r ai l way vehi cl e, dr i ver , nont r af f i c acci dent , dur i ng unspeci f i ed act i vi t y
V15. 1 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h r ai l way t r ai n or r ai l way vehi cl e, passenger , nont r af f i c acci dent
V15. 10 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h r ai l way t r ai n or r ai l way vehi cl e, passenger , nont r af f i c acci dent , whi l e engaged i n spor t s act i vi t y
V15. 11 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h r ai l way t r ai n or r ai l way vehi cl e, passenger , nont r af f i c acci dent , whi l e engaged i n l ei sur e act i vi t y
V15. 12 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h r ai l way t r ai n or r ai l way vehi cl e, passenger , nont r af f i c acci dent , whi l e wor ki ng f or an i ncom e
V15. 13 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h r ai l way t r ai n or r ai l way vehi cl e, passenger , nont r af f i c acci dent , whi l e engaged i n ot her t ypes of wor k
V15. 14 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h r ai l way t r ai n or r ai l way vehi cl e, passenger , nont r af f i c acci dent , whi l e r es t i ng, s l eepi ng, eat i ng or engagi ng i n ot her vi t al act i vi t i es
V15. 18 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h r ai l way t r ai n or r ai l way vehi cl e, passenger , nont r af f i c acci dent , whi l e engaged i n ot her speci f i ed act i vi t i es
V15. 19 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h r ai l way t r ai n or r ai l way vehi cl e, passenger , nont r af f i c acci dent , dur i ng unspeci f i ed act i vi t y
V15. 2 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h r ai l way t r ai n or r ai l way vehi cl e, unspeci f i ed pedal cycl i s t , nont r af f i c acci dent
V15. 20 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h r ai l way t r ai n or r ai l way vehi cl e, unspeci f i ed pedal cycl i s t , nont r af f i c acci dent , whi l e engaged i n spor t s act i vi t y
V15. 21 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h r ai l way t r ai n or r ai l way vehi cl e, unspeci f i ed pedal cycl i s t , nont r af f i c acci dent , whi l e engaged i n l ei sur e act i vi t y
V15. 22 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h r ai l way t r ai n or r ai l way vehi cl e, unspeci f i ed pedal cycl i s t , nont r af f i c acci dent , whi l e wor ki ng f or an i ncom e
V15. 23 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h r ai l way t r ai n or r ai l way vehi cl e, unspeci f i ed pedal cycl i s t , nont r af f i c acci dent , whi l e engaged i n ot her t ypes of wor k
V15. 24 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h r ai l way t r ai n or r ai l way vehi cl e, unspeci f i ed pedal cycl i s t , nont r af f i c acci dent , whi l e r es t i ng, s l eepi ng, eat i ng or engagi ng i n ot her vi t al act i vi t i es
V15. 28 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h r ai l way t r ai n or r ai l way vehi cl e, unspeci f i ed pedal cycl i s t , nont r af f i c acci dent , whi l e engaged i n ot her speci f i ed act i vi t i es
V15. 29 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h r ai l way t r ai n or r ai l way vehi cl e, unspeci f i ed pedal cycl i s t , nont r af f i c acci dent , dur i ng unspeci f i ed act i vi t y
V15. 3 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h r ai l way t r ai n or r ai l way vehi cl e, whi l e boar di ng or al i ght i ng
V15. 30 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h r ai l way t r ai n or r ai l way vehi cl e, whi l e boardi ng or al i ght i ng, whi l e engaged i n spor t s act i vi t y
V15. 31 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h r ai l way t r ai n or r ai l way vehi cl e, whi l e boardi ng or al i ght i ng, whi l e engaged i n l ei sur e act i vi t y
V15. 32 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h r ai l way t r ai n or r ai l way vehi cl e, whi l e boardi ng or al i ght i ng, whi l e wor ki ng f or an i ncom e, whi l e wor ki ng f or an i ncom e
V15. 33 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h r ai l way t r ai n or r ai l way vehi cl e, whi l e boardi ng or al i ght i ng, whi l e engaged i n ot her t ypes of wor k
V15. 34 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h r ai l way t r ai n or r ai l way vehi cl e, whi l e boardi ng or al i ght i ng, whi l e r es t i ng, s l eepi ng, eat i ng or engagi ng i n ot her vi t al act i vi t i es
V15. 38 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h r ai l way t r ai n or r ai l way vehi cl e, whi l e boardi ng or al i ght i ng, whi l e engaged i n ot her speci f i ed act i vi t i es
V15. 39 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h r ai l way t r ai n or r ai l way vehi cl e, whi l e boardi ng or al i ght i ng, dur i ng unspeci f i ed act i vi t y
V15. 4 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h r ai l way t r ai n or r ai l way vehi cl e, dr i ver , t r af f i c acci dent
V15. 40 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h r ai l way t r ai n or r ai l way vehi cl e, dr i ver , t raf f i c acci dent , whi l e engaged i n spor t s act i vi t y
V15. 41 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h r ai l way t r ai n or r ai l way vehi cl e, dr i ver , t raf f i c acci dent , whi l e engaged i n l ei sur e act i vi t y
V15. 42 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h r ai l way t r ai n or r ai l way vehi cl e, dr i ver , t raf f i c acci dent , whi l e wor ki ng f or an i ncom e
V15. 43 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h r ai l way t r ai n or r ai l way vehi cl e, dr i ver , t raf f i c acci dent , whi l e engaged i n ot her t ypes of wor k
V15. 44 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h r ai l way t r ai n or r ai l way vehi cl e, dr i ver , t raf f i c acci dent , whi l e r es t i ng, s l eepi ng, eat i ng or engagi ng i n ot her vi t al act i vi t i es
V15. 48 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h r ai l way t r ai n or r ai l way vehi cl e, dr i ver , t raf f i c acci dent , whi l e engaged i n ot her speci f i ed act i vi t i es
V15. 49 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h r ai l way t r ai n or r ai l way vehi cl e, dr i ver , t raf f i c acci dent , dur i ng unspeci f i ed act i vi t y
V15. 5 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h r ai l way t r ai n or r ai l way vehi cl e, passenger , t r af f i c acci dent
V15. 50 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h r ai l way t r ai n or r ai l way vehi cl e, passenger , t r af f i c acci dent , whi l e engaged i n spor t s act i vi t y
V15. 51 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h r ai l way t r ai n or r ai l way vehi cl e, passenger , t r af f i c acci dent , whi l e engaged i n l ei sur e act i vi t y
V15. 52 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h r ai l way t r ai n or r ai l way vehi cl e, passenger , t r af f i c acci dent , whi l e wor ki ng f or an i ncom e
V15. 53 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h r ai l way t r ai n or r ai l way vehi cl e, passenger , t r af f i c acci dent , whi l e engaged i n ot her t ypes of wor k
V15. 54 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h r ai l way t r ai n or r ai l way vehi cl e, passenger , t r af f i c acci dent , whi l e r es t i ng, s l eepi ng, eat i ng or engagi ng i n ot her vi t al act i vi t i es
V15. 58 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h r ai l way t r ai n or r ai l way vehi cl e, passenger , t r af f i c acci dent , whi l e engaged i n ot her speci f i ed act i vi t i es
V15. 59 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h r ai l way t r ai n or r ai l way vehi cl e, passenger , t r af f i c acci dent , dur i ng unspeci f i ed act i vi t y
V15. 9 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h r ai l way t r ai n or r ai l way vehi cl e, unspeci f i ed pedal cycl i s t , t r af f i c acci dent
V15. 90 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h r ai l way t r ai n or r ai l way vehi cl e, unspeci f i ed pedal cycl i s t , t r af f i c acci dent , whi l e engaged i n spor t s act i vi t y
V15. 91 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h r ai l way t r ai n or r ai l way vehi cl e, unspeci f i ed pedal cycl i s t , t r af f i c acci dent , whi l e engaged i n l ei sur e act i vi t y
V15. 92 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h r ai l way t r ai n or r ai l way vehi cl e, unspeci f i ed pedal cycl i s t , t r af f i c acci dent , whi l e wor ki ng f or an i ncom e
V15. 93 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h r ai l way t r ai n or r ai l way vehi cl e, unspeci f i ed pedal cycl i s t , t r af f i c acci dent , whi l e engaged i n ot her t ypes of wor k
V15. 94 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h r ai l way t r ai n or r ai l way vehi cl e, unspeci f i ed pedal cycl i s t , t r af f i c acci dent , whi l e r es t i ng, s l eepi ng, eat i ng or engagi ng i n ot her vi t al act i vi t i es
V15. 98 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h r ai l way t r ai n or r ai l way vehi cl e, unspeci f i ed pedal cycl i s t , t r af f i c acci dent , whi l e engaged i n ot her speci f i ed act i vi t i es
V15. 99 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h r ai l way t r ai n or r ai l way vehi cl e, unspeci f i ed pedal cycl i s t , t r af f i c acci dent , dur i ng unspeci f i ed act i vi t y
V16 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h ot her nonm ot or vehi cl e
V16. 0 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h ot her nonm ot or vehi cl e, dr i ver , nont r af f i c acci dent
V16. 00 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h ot her nonm ot or vehi cl e, dr i ver , nont r af f i c acci dent , whi l e engaged i n spor t s act i vi t y
V16. 01 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h ot her nonm ot or vehi cl e, dr i ver , nont r af f i c acci dent , whi l e engaged i n l ei sur e act i vi t y
V16. 02 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h ot her nonm ot or vehi cl e, dr i ver , nont r af f i c acci dent , whi l e wor ki ng f or an i ncom e
V16. 03 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h ot her nonm ot or vehi cl e, dr i ver , nont r af f i c acci dent , whi l e engaged i n ot her t ypes of wor k
V16. 04 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h ot her nonm ot or vehi cl e, dr i ver , nont r af f i c acci dent , whi l e r es t i ng, s l eepi ng, eat i ng or engagi ng i n ot her vi t al act i vi t i es
V16. 08 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h ot her nonm ot or vehi cl e, dr i ver , nont r af f i c acci dent , whi l e engaged i n ot her speci f i ed act i vi t i es
V16. 09 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h ot her nonm ot or vehi cl e, dr i ver , nont r af f i c acci dent , dur i ng unspeci f i ed act i vi t y
V16. 1 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h ot her nonm ot or vehi cl e, passenger , nont r af f i c acci dent
V16. 10 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h ot her nonm ot or vehi cl e, passenger , nont r af f i c acci dent , whi l e engaged i n spor t s act i vi t y
V16. 11 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h ot her nonm ot or vehi cl e, passenger , nont r af f i c acci dent , whi l e engaged i n l ei sur e act i vi t y
V16. 12 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h ot her nonm ot or vehi cl e, passenger , nont r af f i c acci dent , whi l e wor ki ng f or an i ncom e
V16. 13 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h ot her nonm ot or vehi cl e, passenger , nont r af f i c acci dent , whi l e engaged i n ot her t ypes of wor k
V16. 14 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h ot her nonm ot or vehi cl e, passenger , nont r af f i c acci dent , whi l e r es t i ng, s l eepi ng, eat i ng or engagi ng i n ot her vi t al act i vi t i es
V16. 18 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h ot her nonm ot or vehi cl e, passenger , nont r af f i c acci dent , whi l e engaged i n ot her speci f i ed act i vi t i es
V16. 19 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h ot her nonm ot or vehi cl e, passenger , nont r af f i c acci dent , dur i ng unspeci f i ed act i vi t y
V16. 2 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h ot her nonm ot or vehi cl e, unspeci f i ed pedal cycl i s t , nont r af f i c acci dent
V16. 20 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h ot her nonm ot or vehi cl e, unspeci f i ed pedal cycl i s t , nont r af f i c acci dent , whi l e engaged i n spor t s act i vi t y
V16. 21 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h ot her nonm ot or vehi cl e, unspeci f i ed pedal cycl i s t , nont r af f i c acci dent , whi l e engaged i n l ei sur e act i vi t y
V16. 22 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h ot her nonm ot or vehi cl e, unspeci f i ed pedal cycl i s t , nont r af f i c acci dent , whi l e wor ki ng f or an i ncom e
V16. 23 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h ot her nonm ot or vehi cl e, unspeci f i ed pedal cycl i s t , nont r af f i c acci dent , whi l e engaged i n ot her t ypes of wor k
V16. 24 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h ot her nonm ot or vehi cl e, unspeci f i ed pedal cycl i s t , nont r af f i c acci dent , whi l e r es t i ng, s l eepi ng, eat i ng or engagi ng i n ot her vi t al act i vi t i es
V16. 28 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h ot her nonm ot or vehi cl e, unspeci f i ed pedal cycl i s t , nont r af f i c acci dent , whi l e engaged i n ot her speci f i ed act i vi t i es
V16. 29 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h ot her nonm ot or vehi cl e, unspeci f i ed pedal cycl i s t , nont r af f i c acci dent , dur i ng unspeci f i ed act i vi t y
V16. 3 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h ot her nonm ot or vehi cl e, whi l e boar di ng or al i ght i ng
V16. 30 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h ot her nonm ot or vehi cl e, whi l e boar di ng or al i ght i ng, whi l e engaged i n spor t s act i vi t y
V16. 31 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h ot her nonm ot or vehi cl e, whi l e boar di ng or al i ght i ng, whi l e engaged i n l ei sur e act i vi t y
V16. 32 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h ot her nonm ot or vehi cl e, whi l e boar di ng or al i ght i ng, whi l e wor ki ng f or an i ncom e
V16. 33 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h ot her nonm ot or vehi cl e, whi l e boar di ng or al i ght i ng, whi l e engaged i n ot her t ypes of wor k
V16. 34 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h ot her nonm ot or vehi cl e, whi l e boar di ng or al i ght i ng, whi l e r es t i ng, s l eepi ng, eat i ng or engagi ng i n ot her vi t al act i vi t i es
V16. 38 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h ot her nonm ot or vehi cl e, whi l e boar di ng or al i ght i ng, whi l e engaged i n ot her speci f i ed act i vi t i es
V16. 39 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h ot her nonm ot or vehi cl e, whi l e boar di ng or al i ght i ng, dur i ng unspeci f i ed act i vi t y
V16. 4 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h ot her nonm ot or vehi cl e, dr i ver , t r af f i c acci dent
V16. 40 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h ot her nonm ot or vehi cl e, dr i ver , t r af f i c acci dent , whi l e engaged i n spor t s act i vi t y
V16. 41 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h ot her nonm ot or vehi cl e, dr i ver , t r af f i c acci dent , whi l e engaged i n l ei sur e act i vi t y
V16. 42 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h ot her nonm ot or vehi cl e, dr i ver , t r af f i c acci dent , whi l e wor ki ng f or an i ncom e
V16. 43 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h ot her nonm ot or vehi cl e, dr i ver , t r af f i c acci dent , whi l e engaged i n ot her t ypes of wor k
V16. 44 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h ot her nonm ot or vehi cl e, dr i ver , t r af f i c acci dent , whi l e r es t i ng, s l eepi ng, eat i ng or engagi ng i n ot her vi t al act i vi t i es
V16. 48 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h ot her nonm ot or vehi cl e, dr i ver , t r af f i c acci dent , whi l e engaged i n ot her speci f i ed act i vi t i es
V16. 49 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h ot her nonm ot or vehi cl e, dr i ver , t r af f i c acci dent , dur i ng unspeci f i ed act i vi t y
V16. 5 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h ot her nonm ot or vehi cl e, passenger , t r af f i c acci dent
V16. 50 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h ot her nonm ot or vehi cl e, passenger , t r af f i c acci dent , whi l e engaged i n spor t s act i vi t y
V16. 51 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h ot her nonm ot or vehi cl e, passenger , t r af f i c acci dent , whi l e engaged i n l ei sur e act i vi t y
V16. 52 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h ot her nonm ot or vehi cl e, passenger , t r af f i c acci dent , whi l e wor ki ng f or an i ncom e
V16. 53 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h ot her nonm ot or vehi cl e, passenger , t r af f i c acci dent , whi l e engaged i n ot her t ypes of wor k
V16. 54 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h ot her nonm ot or vehi cl e, passenger , t r af f i c acci dent , whi l e r es t i ng, s l eepi ng, eat i ng or engagi ng i n ot her vi t al act i vi t i es
V16. 58 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h ot her nonm ot or vehi cl e, passenger , t r af f i c acci dent , whi l e engaged i n ot her speci f i ed act i vi t i es
V16. 59 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h ot her nonm ot or vehi cl e, passenger , t r af f i c acci dent , dur i ng unspeci f i ed act i vi t y
V16. 9 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h ot her nonm ot or vehi cl e, unspeci f i ed pedal cycl i s t , t r af f i c acci dent
V16. 90 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h ot her nonm ot or vehi cl e, unspeci f i ed pedal cycl i s t , t r af f i c acci dent , whi l e engaged i n l ei sur e act i vi t y
V16. 91 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h ot her nonm ot or vehi cl e, unspeci f i ed pedal cycl i s t , t r af f i c acci dent , whi l e engaged i n spor t s act i vi t y
V16. 92 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h ot her nonm ot or vehi cl e, unspeci f i ed pedal cycl i s t , t r af f i c acci dent , whi l e wor ki ng f or an i ncom e
V16. 93 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h ot her nonm ot or vehi cl e, unspeci f i ed pedal cycl i s t , t r af f i c acci dent , whi l e engaged i n ot her t ypes of wor k
V16. 94 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h ot her nonm ot or vehi cl e, unspeci f i ed pedal cycl i s t , t r af f i c acci dent , whi l e r es t i ng, s l eepi ng, eat i ng or engagi ng i n ot her vi t al act i vi t i es
V16. 98 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h ot her nonm ot or vehi cl e, unspeci f i ed pedal cycl i s t , t r af f i c acci dent , whi l e engaged i n ot her speci f i ed act i vi t i es
V16. 99 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h ot her nonm ot or vehi cl e, unspeci f i ed pedal cycl i s t , t r af f i c acci dent , dur i ng unspeci f i ed act i vi t y
V17 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h f i xed or s t at i onar y obj ect
V17. 0 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h f i xed or s t at i onar y obj ect , dr i ver , nont r af f i c acci dent
V17. 00 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h f i xed or s t at i onar y obj ect , dr i ver , nont r af f i c acci dent , whi l e engaged i n spor t s act i vi t y
V17. 01 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h f i xed or s t at i onar y obj ect , dr i ver , nont r af f i c acci dent , whi l e engaged i n l ei sur e act i vi t y
V17. 02 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h f i xed or s t at i onar y obj ect , dr i ver , nont r af f i c acci dent , whi l e wor ki ng f or an i ncom e
V17. 03 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h f i xed or s t at i onar y obj ect , dr i ver , nont r af f i c acci dent , whi l e engaged i n ot her t ypes of wor k
V17. 04 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h f i xed or s t at i onar y obj ect , dr i ver , nont r af f i c acci dent , whi l e r es t i ng, s l eepi ng, eat i ng or engagi ng i n ot her vi t al act i vi t i es
V17. 08 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h f i xed or s t at i onar y obj ect , dr i ver , nont r af f i c acci dent , whi l e engaged i n ot her speci f i ed act i vi t i es
V17. 09 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h f i xed or s t at i onar y obj ect , dr i ver , nont r af f i c acci dent , dur i ng unspeci f i ed act i vi t y
V17. 1 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h f i xed or s t at i onar y obj ect , passenger , nont r af f i c acci dent
V17. 10 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h f i xed or s t at i onar y obj ect , passenger , nont r af f i c acci dent , whi l e engaged i n spor t s act i vi t y
V17. 11 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h f i xed or s t at i onar y obj ect , passenger , nont r af f i c acci dent , whi l e engaged i n l ei sur e act i vi t y
V17. 12 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h f i xed or s t at i onar y obj ect , passenger , nont r af f i c acci dent , whi l e wor ki ng f or an i ncom e
V17. 13 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h f i xed or s t at i onar y obj ect , passenger , nont r af f i c acci dent , whi l e engaged i n ot her t ypes of wor k
V17. 14 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h f i xed or s t at i onar y obj ect , passenger , nont r af f i c acci dent , whi l e r es t i ng, s l eepi ng, eat i ng or engagi ng i n ot her vi t al act i vi t i es
V17. 18 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h f i xed or s t at i onar y obj ect , passenger , nont r af f i c acci dent , whi l e engaged i n ot her speci f i ed act i vi t i es
V17. 19 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h f i xed or s t at i onar y obj ect , passenger , nont r af f i c acci dent , dur i ng unspeci f i ed act i vi t y
V17. 2 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h f i xed or s t at i onar y obj ect , unspeci f i ed pedal cycl i s t , nont r af f i c acci dent
V17. 20 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h f i xed or s t at i onar y obj ect , unspeci f i ed pedal cycl i s t , nont r af f i c acci dent , whi l e engaged i n spor t s act i vi t y
V17. 21 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h f i xed or s t at i onar y obj ect , unspeci f i ed pedal cycl i s t , nont r af f i c acci dent , whi l e engaged i n l ei sur e act i vi t y
V17. 22 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h f i xed or s t at i onar y obj ect , unspeci f i ed pedal cycl i s t , nont r af f i c acci dent , whi l e wor ki ng f or an i ncom e
V17. 23 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h f i xed or s t at i onar y obj ect , unspeci f i ed pedal cycl i s t , nont r af f i c acci dent , whi l e engaged i n ot her t ypes of wor k
V17. 24 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h f i xed or s t at i onar y obj ect , unspeci f i ed pedal cycl i s t , nont r af f i c acci dent , whi l e r es t i ng, s l eepi ng, eat i ng or engagi ng i n ot her vi t al act i vi t i es
V17. 28 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h f i xed or s t at i onar y obj ect , unspeci f i ed pedal cycl i s t , nont r af f i c acci dent , whi l e engaged i n ot her speci f i ed act i vi t i es
V17. 29 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h f i xed or s t at i onar y obj ect , unspeci f i ed pedal cycl i s t , nont r af f i c acci dent , dur i ng unspeci f i ed act i vi t y
V17. 3 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h f i xed or s t at i onar y obj ect , whi l e boar di ng or al i ght i ng
V17. 30 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h f i xed or s t at i onar y obj ect , whi l e boar di ng or al i ght i ng, whi l e engaged i n spor t s act i vi t y
V17. 31 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h f i xed or s t at i onar y obj ect , whi l e boar di ng or al i ght i ng, whi l e engaged i n l ei sur e act i vi t y
V17. 32 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h f i xed or s t at i onar y obj ect , whi l e boar di ng or al i ght i ng, whi l e wor ki ng f or an i ncom e
V17. 33 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h f i xed or s t at i onar y obj ect , whi l e boar di ng or al i ght i ng, whi l e engaged i n ot her t ypes of wor k
V17. 34 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h f i xed or s t at i onar y obj ect , whi l e boar di ng or al i ght i ng, whi l e r es t i ng, s l eepi ng, eat i ng or engagi ng i n ot her vi t al act i vi t i es
V17. 38 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h f i xed or s t at i onar y obj ect , whi l e boar di ng or al i ght i ng, whi l e engaged i n ot her speci f i ed act i vi t i es
V17. 39 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h f i xed or s t at i onar y obj ect , whi l e boar di ng or al i ght i ng, dur i ng unspeci f i ed act i vi t y
V17. 4 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h f i xed or s t at i onar y obj ect , dr i ver , t r af f i c acci dent
V17. 40 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h f i xed or s t at i onar y obj ect , dr i ver , t r af f i c acci dent , whi l e engaged i n spor t s act i vi t y
V17. 41 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h f i xed or s t at i onar y obj ect , dr i ver , t r af f i c acci dent , whi l e engaged i n l ei sur e act i vi t y
V17. 42 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h f i xed or s t at i onar y obj ect , dr i ver , t r af f i c acci dent , whi l e wor ki ng f or an i ncom e
V17. 43 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h f i xed or s t at i onar y obj ect , dr i ver , t r af f i c acci dent , whi l e engaged i n ot her t ypes of wor k
V17. 44 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h f i xed or s t at i onar y obj ect , dr i ver , t r af f i c acci dent , whi l e r es t i ng, s l eepi ng, eat i ng or engagi ng i n ot her vi t al act i vi t i es
V17. 48 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h f i xed or s t at i onar y obj ect , dr i ver , t r af f i c acci dent , whi l e engaged i n ot her speci f i ed act i vi t i es
V17. 49 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h f i xed or s t at i onar y obj ect , dr i ver , t r af f i c acci dent , dur i ng unspeci f i ed act i vi t y
V17. 5 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h f i xed or s t at i onar y obj ect , passenger , t r af f i c acci dent
V17. 50 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h f i xed or s t at i onar y obj ect , passenger , t r af f i c acci dent , whi l e engaged i n spor t s act i vi t y
V17. 51 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h f i xed or s t at i onar y obj ect , passenger , t r af f i c acci dent , whi l e engaged i n l ei sur e act i vi t y
V17. 52 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h f i xed or s t at i onar y obj ect , passenger , t r af f i c acci dent , whi l e wor ki ng f or an i ncom e
V17. 53 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h f i xed or s t at i onar y obj ect , passenger , t r af f i c acci dent , whi l e engaged i n ot her t ypes of wor k
V17. 54 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h f i xed or s t at i onar y obj ect , passenger , t r af f i c acci dent , whi l e r es t i ng, s l eepi ng, eat i ng or engagi ng i n ot her vi t al act i vi t i es
V17. 58 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h f i xed or s t at i onar y obj ect , passenger , t r af f i c acci dent , whi l e engaged i n ot her speci f i ed act i vi t i es
V17. 59 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h f i xed or s t at i onar y obj ect , passenger , t r af f i c acci dent , dur i ng unspeci f i ed act i vi t y
V17. 9 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h f i xed or s t at i onar y obj ect , unspeci f i ed pedal cycl i s t , t r af f i c acci dent
V17. 90 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h f i xed or s t at i onar y obj ect , unspeci f i ed pedal cycl i s t , t r af f i c acci dent , whi l e engaged i n spor t s act i vi t y
V17. 91 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h f i xed or s t at i onar y obj ect , unspeci f i ed pedal cycl i s t , t r af f i c acci dent , whi l e engaged i n l ei sur e act i vi t y
V17. 92 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h f i xed or s t at i onar y obj ect , unspeci f i ed pedal cycl i s t , t r af f i c acci dent , whi l e wor ki ng f or an i ncom e
V17. 93 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h f i xed or s t at i onar y obj ect , unspeci f i ed pedal cycl i s t , t r af f i c acci dent , whi l e engaged i n ot her t ypes of wor k
V17. 94 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h f i xed or s t at i onar y obj ect , unspeci f i ed pedal cycl i s t , t r af f i c acci dent , whi l e r es t i ng, s l eepi ng, eat i ng or engagi ng i n ot her vi t al act i vi t i es
V17. 98 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h f i xed or s t at i onar y obj ect , unspeci f i ed pedal cycl i s t , t r af f i c acci dent , whi l e engaged i n ot her speci f i ed act i vi t i es
V17. 99 Pedal cycl i s t i nj ur ed i n col l i s i on wi t h f i xed or s t at i onar y obj ect , unspeci f i ed pedal cycl i s t , t r af f i c acci dent , dur i ng unspeci f i ed act i vi t y
V18 Pedal cycl i s t i nj ur ed i n noncol l i s i on t r anspor t acci dent
V18. 0 Pedal cycl i s t i nj ur ed i n noncol l i s i on t r anspor t acci dent , dr i ver , nont r af f i c acci dent
V18. 00 Pedal cycl i s t i nj ur ed i n noncol l i s i on t r anspor t acci dent , dr i ver , nont r af f i c acci dent , whi l e engaged i n spor t s act i vi t y
V18. 01 Pedal cycl i s t i nj ur ed i n noncol l i s i on t r anspor t acci dent , dr i ver , nont r af f i c acci dent , whi l e engaged i n l ei sur e act i vi t y
V18. 02 Pedal cycl i s t i nj ur ed i n noncol l i s i on t r anspor t acci dent , dr i ver , nont r af f i c acci dent , whi l e wor ki ng f or an i ncom e
V18. 03 Pedal cycl i s t i nj ur ed i n noncol l i s i on t r anspor t acci dent , dr i ver , nont r af f i c acci dent , whi l e engaged i n ot her t ypes of wor k
V18. 04 Pedal cycl i s t i nj ur ed i n noncol l i s i on t r anspor t acci dent , dr i ver , nont r af f i c acci dent , whi l e r es t i ng, s l eepi ng, eat i ng or engagi ng i n ot her vi t al act i vi t i es
V18. 08 Pedal cycl i s t i nj ur ed i n noncol l i s i on t r anspor t acci dent , dr i ver , nont r af f i c acci dent , whi l e engaged i n ot her speci f i ed act i vi t i es
V18. 09 Pedal cycl i s t i nj ur ed i n noncol l i s i on t r anspor t acci dent , dr i ver , nont r af f i c acci dent , dur i ng unspeci f i ed act i vi t y
V18. 1 Pedal cycl i s t i nj ur ed i n noncol l i s i on t r anspor t acci dent , passenger , nont r af f i c acci dent
V18. 10 Pedal cycl i s t i nj ur ed i n noncol l i s i on t r anspor t acci dent , passenger , nont r af f i c acci dent , whi l e engaged i n spor t s act i vi t y
V18. 11 Pedal cycl i s t i nj ur ed i n noncol l i s i on t r anspor t acci dent , passenger , nont r af f i c acci dent , whi l e engaged i n l ei sur e act i vi t y
V18. 12 Pedal cycl i s t i nj ur ed i n noncol l i s i on t r anspor t acci dent , passenger , nont r af f i c acci dent , whi l e wor ki ng f or an i ncom e
V18. 13 Pedal cycl i s t i nj ur ed i n noncol l i s i on t r anspor t acci dent , passenger , nont r af f i c acci dent , whi l e engaged i n ot her t ypes of wor k
V18. 14 Pedal cycl i s t i nj ur ed i n noncol l i s i on t r anspor t acci dent , passenger , nont r af f i c acci dent , whi l e r es t i ng, s l eepi ng, eat i ng or engagi ng i n ot her vi t al act i vi t i es
V18. 18 Pedal cycl i s t i nj ur ed i n noncol l i s i on t r anspor t acci dent , passenger , nont r af f i c acci dent , whi l e engaged i n ot her speci f i ed act i vi t i es
V18. 19 Pedal cycl i s t i nj ur ed i n noncol l i s i on t r anspor t acci dent , passenger , nont r af f i c acci dent , dur i ng unspeci f i ed act i vi t y
V18. 2 Pedal cycl i s t i nj ur ed i n noncol l i s i on t r anspor t acci dent , unspeci f i ed pedal cycl i s t , nont r af f i c acci dent
V18. 20 Pedal cycl i s t i nj ur ed i n noncol l i s i on t r anspor t acci dent , unspeci f i ed pedal cycl i s t , nont r af f i c acci dent , whi l e engaged i n spor t s act i vi t y
V18. 21 Pedal cycl i s t i nj ur ed i n noncol l i s i on t r anspor t acci dent , unspeci f i ed pedal cycl i s t , nont r af f i c acci dent , whi l e engaged i n l ei sur e act i vi t y
V18. 22 Pedal cycl i s t i nj ur ed i n noncol l i s i on t r anspor t acci dent , unspeci f i ed pedal cycl i s t , nont r af f i c acci dent , whi l e wor ki ng f or an i ncom e
V18. 23 Pedal cycl i s t i nj ur ed i n noncol l i s i on t r anspor t acci dent , unspeci f i ed pedal cycl i s t , nont r af f i c acci dent , whi l e engaged i n ot her t ypes of wor k
V18. 24 Pedal cycl i s t i nj ur ed i n noncol l i s i on t r anspor t acci dent , unspeci f i ed pedal cycl i s t , nont r af f i c acci dent , whi l e r es t i ng, s l eepi ng, eat i ng or engagi ng i n ot her vi t al act i vi t i es
V18. 28 Pedal cycl i s t i nj ur ed i n noncol l i s i on t r anspor t acci dent , unspeci f i ed pedal cycl i s t , nont r af f i c acci dent , whi l e engaged i n ot her speci f i ed act i vi t i es
V18. 29 Pedal cycl i s t i nj ur ed i n noncol l i s i on t r anspor t acci dent , unspeci f i ed pedal cycl i s t , nont r af f i c acci dent , dur i ng unspeci f i ed act i vi t y
V18. 3 Pedal cycl i s t i nj ur ed i n noncol l i s i on t r anspor t acci dent , whi l e boar di ng or al i ght i ng
V18. 30 Pedal cycl i s t i nj ur ed i n noncol l i s i on t r anspor t acci dent , whi l e boar di ng or al i ght i ng, whi l e engaged i n spor t s act i vi t y
V18. 31 Pedal cycl i s t i nj ur ed i n noncol l i s i on t r anspor t acci dent , whi l e boar di ng or al i ght i ng, whi l e engaged i n l ei sur e act i vi t y
V18. 32 Pedal cycl i s t i nj ur ed i n noncol l i s i on t r anspor t acci dent , whi l e boar di ng or al i ght i ng, whi l e wor ki ng f or an i ncom e
V18. 33 Pedal cycl i s t i nj ur ed i n noncol l i s i on t r anspor t acci dent , whi l e boar di ng or al i ght i ng, whi l e engaged i n ot her t ypes of wor k
V18. 34 Pedal cycl i s t i nj ur ed i n noncol l i s i on t r anspor t acci dent , whi l e boar di ng or al i ght i ng, whi l e r es t i ng, s l eepi ng, eat i ng or engagi ng i n ot her vi t al act i vi t i es
V18. 38 Pedal cycl i s t i nj ur ed i n noncol l i s i on t r anspor t acci dent , whi l e boar di ng or al i ght i ng, whi l e engaged i n ot her speci f i ed act i vi t i es
V18. 39 Pedal cycl i s t i nj ur ed i n noncol l i s i on t r anspor t acci dent , whi l e boar di ng or al i ght i ng, dur i ng unspeci f i ed act i vi t y
V18. 4 Pedal cycl i s t i nj ur ed i n noncol l i s i on t r anspor t acci dent , dr i ver , t r af f i c acci dent
V18. 40 Pedal cycl i s t i nj ur ed i n noncol l i s i on t r anspor t acci dent , dr i ver , t r af f i c acci dent , whi l e engaged i n spor t s act i vi t y
V18. 41 Pedal cycl i s t i nj ur ed i n noncol l i s i on t r anspor t acci dent , dr i ver , t r af f i c acci dent , whi l e engaged i n l ei sur e act i vi t y
V18. 42 Pedal cycl i s t i nj ur ed i n noncol l i s i on t r anspor t acci dent , dr i ver , t r af f i c acci dent , whi l e wor ki ng f or an i ncom e
V18. 43 Pedal cycl i s t i nj ur ed i n noncol l i s i on t r anspor t acci dent , dr i ver , t r af f i c acci dent , whi l e engaged i n ot her t ypes of wor k
V18. 44 Pedal cycl i s t i nj ur ed i n noncol l i s i on t r anspor t acci dent , dr i ver , t r af f i c acci dent , whi l e r es t i ng, s l eepi ng, eat i ng or engagi ng i n ot her vi t al act i vi t i es
V18. 48 Pedal cycl i s t i nj ur ed i n noncol l i s i on t r anspor t acci dent , dr i ver , t r af f i c acci dent , whi l e engaged i n ot her speci f i ed act i vi t i es
V18. 49 Pedal cycl i s t i nj ur ed i n noncol l i s i on t r anspor t acci dent , dr i ver , t r af f i c acci dent , dur i ng unspeci f i ed act i vi t y, dur i ng unspeci f i ed act i vi t y
V18. 5 Pedal cycl i s t i nj ur ed i n noncol l i s i on t r anspor t acci dent , passenger , t r af f i c acci dent
V18. 50 Pedal cycl i s t i nj ur ed i n noncol l i s i on t r anspor t acci dent , passenger , t r af f i c acci dent , whi l e engaged i n spor t s act i vi t y
V18. 51 Pedal cycl i s t i nj ur ed i n noncol l i s i on t r anspor t acci dent , passenger , t r af f i c acci dent , whi l e engaged i n l ei sur e act i vi t y
V18. 52 Pedal cycl i s t i nj ur ed i n noncol l i s i on t r anspor t acci dent , passenger , t r af f i c acci dent , whi l e wor ki ng f or an i ncom e, whi l e wor ki ng f or an i ncom e
V18. 53 Pedal cycl i s t i nj ur ed i n noncol l i s i on t r anspor t acci dent , passenger , t r af f i c acci dent , whi l e engaged i n ot her t ypes of wor k
V18. 54 Pedal cycl i s t i nj ur ed i n noncol l i s i on t r anspor t acci dent , passenger , t r af f i c acci dent , whi l e r es t i ng, s l eepi ng, eat i ng or engagi ng i n ot her vi t al act i vi t i es
V18. 58 Pedal cycl i s t i nj ur ed i n noncol l i s i on t r anspor t acci dent , passenger , t r af f i c acci dent , whi l e engaged i n ot her speci f i ed act i vi t i es
V18. 59 Pedal cycl i s t i nj ur ed i n noncol l i s i on t r anspor t acci dent , passenger , t r af f i c acci dent , dur i ng unspeci f i ed act i vi t y, dur i ng unspeci f i ed act i vi t y
V18. 9 Pedal cycl i s t i nj ur ed i n noncol l i s i on t r anspor t acci dent , unspeci f i ed pedal cycl i s t , t r af f i c acci dent
V18. 90 Pedal cycl i s t i nj ur ed i n noncol l i s i on t r anspor t acci dent , unspeci f i ed pedal cycl i s t , t r af f i c acci dent , whi l e engaged i n spor t s act i vi t y
V18. 91 Pedal cycl i s t i nj ur ed i n noncol l i s i on t r anspor t acci dent , unspeci f i ed pedal cycl i s t , t r af f i c acci dent , whi l e engaged i n l ei sur e act i vi t y
V18. 92 Pedal cycl i s t i nj ur ed i n noncol l i s i on t r anspor t acci dent , unspeci f i ed pedal cycl i s t , t r af f i c acci dent , whi l e wor ki ng f or an i ncom e, whi l e wor ki ng f or an i ncom e
V18. 93 Pedal cycl i s t i nj ur ed i n noncol l i s i on t r anspor t acci dent , unspeci f i ed pedal cycl i s t , t r af f i c acci dent , whi l e engaged i n ot her t ypes of wor k
V18. 94 Pedal cycl i s t i nj ur ed i n noncol l i s i on t r anspor t acci dent , unspeci f i ed pedal cycl i s t , t r af f i c acci dent , whi l e r es t i ng, s l eepi ng, eat i ng or engagi ng i n ot her vi t al act i vi t i es
V18. 98 Pedal cycl i s t i nj ur ed i n noncol l i s i on t r anspor t acci dent , unspeci f i ed pedal cycl i s t , t r af f i c acci dent , whi l e engaged i n ot her speci f i ed act i vi t i es
V18. 99 Pedal cycl i s t i nj ur ed i n noncol l i s i on t r anspor t acci dent , unspeci f i ed pedal cycl i s t , t r af f i c acci dent , dur i ng unspeci f i ed act i vi t y, dur i ng unspeci f i ed act i vi t y
V19 Pedal cyclist injur ed in ot her and unspecif ied t r anspor t accident s
V19. 0 Dr iver injur ed in collision wit h ot her and unspecif ied m ot or vehicles in nont r af f ic accident
V19. 00 Dr iver injur ed in collision wit h ot her and unspecif ied m ot or vehicles in nont r af f ic accident , while engaged in spor t s act ivit y
V19. 01 Dr iver injur ed in collision wit h ot her and unspecif ied m ot or vehicles in nont r af f ic accident , while engaged in leisur e act ivit y
V19. 02 Dr iver injur ed in collision wit h ot her and unspecif ied m ot or vehicles in nont r af f ic accident , while wor king f or an incom e
V19. 03 Dr iver injur ed in collision wit h ot her and unspecif ied m ot or vehicles in nont r af f ic accident , while engaged in ot her t ypes of wor k
V19. 04 Dr iver injur ed in collision wit h ot her and unspecif ied m ot or vehicles in nont r af f ic accident , while r est ing, sleeping, eat ing or engaging in ot her vit al act ivit ies
V19. 08 Dr iver injur ed in collision wit h ot her and unspecif ied m ot or vehicles in nont r af f ic accident , while engaged in ot her specif ied act ivit ies
V19. 09 Dr iver injur ed in collision wit h ot her and unspecif ied m ot or vehicles in nont r af f ic accident , dur ing unspecif ied act ivit y
V19. 1 Passenger injur ed in collision wit h ot her and unspecif ied m ot or vehicles in nont r af f ic accident
V19. 10 Passenger injur ed in collision wit h ot her and unspecif ied m ot or vehicles in nont r af f ic accident , while engaged in spor t s act ivit y
V19. 11 Passenger injur ed in collision wit h ot her and unspecif ied m ot or vehicles in nont r af f ic accident , while engaged in leisur e act ivit y
V19. 12 Passenger injur ed in collision wit h ot her and unspecif ied m ot or vehicles in nont r af f ic accident , while wor king f or an incom e
V19. 13 Passenger injur ed in collision wit h ot her and unspecif ied m ot or vehicles in nont r af f ic accident , while engaged in ot her t ypes of wor k
V19. 14 Passenger injur ed in collision wit h ot her and unspecif ied m ot or vehicles in nont r af f ic accident , while r est ing, sleeping, eat ing or engaging in ot her vit al act ivit ies
V19. 18 Passenger injur ed in collision wit h ot her and unspecif ied m ot or vehicles in nont r af f ic accident , while engaged in ot her specif ied act ivit ies
V19. 19 Passenger injur ed in collision wit h ot her and unspecif ied m ot or vehicles in nont r af f ic accident , dur ing unspecif ied act ivit y
V19. 2 Unspecif ied pedal cyclist injur ed in collision wit h ot her and unspecif ied m ot or vehicles in nont r af f ic accident
V19. 20 Unspecif ied pedal cyclist injur ed in collision wit h ot her and unspecif ied m ot or vehicles in nont r af f ic accident , while engaged in spor t s act ivit y
V19. 21 Unspecif ied pedal cyclist injur ed in collision wit h ot her and unspecif ied m ot or vehicles in nont r af f ic accident , while engaged in leisur e act ivit y
V19. 22 Unspecif ied pedal cyclist injur ed in collision wit h ot her and unspecif ied m ot or vehicles in nont r af f ic accident , while wor king f or an incom e
V19. 23 Unspecif ied pedal cyclist injur ed in collision wit h ot her and unspecif ied m ot or vehicles in nont r af f ic accident , while engaged in ot her t ypes of wor k
V19. 24 Unspecif ied pedal cyclist injur ed in collision wit h ot her and unspecif ied m ot or vehicles in nont r af f ic accident , while r est ing, sleeping, eat ing or engaging in ot her vit al act ivit ies
V19. 28 Unspecif ied pedal cyclist injur ed in collision wit h ot her and unspecif ied m ot or vehicles in nont r af f ic accident , while engaged in ot her specif ied act ivit ies
V19. 29 Unspecif ied pedal cyclist injur ed in collision wit h ot her and unspecif ied m ot or vehicles in nont r af f ic accident , dur ing unspecif ied act ivit y
V19. 3 Pedal cyclist [ any] injur ed in unspecif ied nont r af f ic accident
V19. 30 Pedal cyclist [ any] injur ed in unspecif ied nont r af f ic accident , while engaged in spor t s act ivit y
V19. 31 Pedal cyclist [ any] injur ed in unspecif ied nont r af f ic accident , while engaged in leisur e act ivit y
V19. 32 Pedal cyclist [ any] injur ed in unspecif ied nont r af f ic accident , while wor king f or an incom e
V19. 33 Pedal cyclist [ any] injur ed in unspecif ied nont r af f ic accident , while engaged in ot her t ypes of wor k
V19. 34 Pedal cyclist [ any] injur ed in unspecif ied nont r af f ic accident , while r est ing, sleeping, eat ing or engaging in ot her vit al act ivit ies
V19. 38 Pedal cyclist [ any] injur ed in unspecif ied nont r af f ic accident , while engaged in ot her specif ied act ivit ies
V19. 39 Pedal cyclist [ any] injur ed in unspecif ied nont r af f ic accident , dur ing unspecif ied act ivit y
V19. 4 Dr iver injur ed in collision wit h ot her and unspecif ied m ot or vehicles in t r af f ic accident
V19. 40 Dr iver injur ed in collision wit h ot her and unspecif ied m ot or vehicles in t r af f ic accident , while engaged in spor t s act ivit y
V19. 41 Dr iver injur ed in collision wit h ot her and unspecif ied m ot or vehicles in t r af f ic accident , while engaged in leisur e act ivit y
V19. 42 Dr iver injur ed in collision wit h ot her and unspecif ied m ot or vehicles in t r af f ic accident , while wor king f or an incom e
V19. 43 Dr iver injur ed in collision wit h ot her and unspecif ied m ot or vehicles in t r af f ic accident , while engaged in ot her t ypes of wor k
V19. 44 Dr iver injur ed in collision wit h ot her and unspecif ied m ot or vehicles in t r af f ic accident , while r est ing, sleeping, eat ing or engaging in ot her vit al act ivit ies
V19. 48 Dr iver injur ed in collision wit h ot her and unspecif ied m ot or vehicles in t r af f ic accident , while engaged in ot her specif ied act ivit ies
V19. 49 Dr iver injur ed in collision wit h ot her and unspecif ied m ot or vehicles in t r af f ic accident , dur ing unspecif ied act ivit y
V19. 5 Passenger injur ed in collision wit h ot her and unspecif ied m ot or vehicles in t r af f ic accident
V19. 50 Passenger injur ed in collision wit h ot her and unspecif ied m ot or vehicles in t r af f ic accident , while engaged in spor t s act ivit y
V19. 51 Passenger injur ed in collision wit h ot her and unspecif ied m ot or vehicles in t r af f ic accident , while engaged in leisur e act ivit y
V19. 52 Passenger injur ed in collision wit h ot her and unspecif ied m ot or vehicles in t r af f ic accident , while wor king f or an incom e
V19. 53 Passenger injur ed in collision wit h ot her and unspecif ied m ot or vehicles in t r af f ic accident , while engaged in ot her t ypes of wor k
V19. 54 Passenger injur ed in collision wit h ot her and unspecif ied m ot or vehicles in t r af f ic accident , while r est ing, sleeping, eat ing or engaging in ot her vit al act ivit ies
V19. 58 Passenger injur ed in collision wit h ot her and unspecif ied m ot or vehicles in t r af f ic accident , while engaged in ot her specif ied act ivit ies
V19. 59 Passenger injur ed in collision wit h ot her and unspecif ied m ot or vehicles in t r af f ic accident , dur ing unspecif ied act ivit y
V19. 6 Unspecif ied pedal cyclist injur ed in collision wit h ot her and unspecif ied m ot or vehicles in t r af f ic accident
V19. 60 Unspecif ied pedal cyclist injur ed in collision wit h ot her and unspecif ied m ot or vehicles in t r af f ic accident , while engaged in spor t s act ivit y
V19. 61 Unspecif ied pedal cyclist injur ed in collision wit h ot her and unspecif ied m ot or vehicles in t r af f ic accident , while engaged in leisur e act ivit y
V19. 62 Unspecif ied pedal cyclist injur ed in collision wit h ot her and unspecif ied m ot or vehicles in t r af f ic accident , while wor king f or an incom e
V19. 63 Unspecif ied pedal cyclist injur ed in collision wit h ot her and unspecif ied m ot or vehicles in t r af f ic accident , while engaged in ot her t ypes of wor k
V19. 64 Unspecif ied pedal cyclist injur ed in collision wit h ot her and unspecif ied m ot or vehicles in t r af f ic accident , while r est ing, sleeping, eat ing or engaging in ot her vit al act ivit ies
V19. 68 Unspecif ied pedal cyclist injur ed in collision wit h ot her and unspecif ied m ot or vehicles in t r af f ic accident , while engaged in ot her specif ied act ivit ies
V19. 69 Unspecif ied pedal cyclist injur ed in collision wit h ot her and unspecif ied m ot or vehicles in t r af f ic accident , dur ing unspecif ied act ivit y
V19. 8 Pedal cyclist [ any] injur ed in ot her specif ied t r anspor t accident s
V19. 80 Pedal cyclist [ any] injur ed in ot her specif ied t r anspor t accident s, while engaged in spor t s act ivit y
V19. 81 Pedal cyclist [ any] injur ed in ot her specif ied t r anspor t accident s, while engaged in leisur e act ivit y
V19. 82 Pedal cyclist [ any] injur ed in ot her specif ied t r anspor t accident s, while wor king f or an incom e
V19. 83 Pedal cyclist [ any] injur ed in ot her specif ied t r anspor t accident s, while engaged in ot her t ypes of wor k
V19. 84 Pedal cyclist [ any] injur ed in ot her specif ied t r anspor t accident s, while r est ing, sleeping, eat ing or engaging in ot her vit al act ivit ies
V19. 88 Pedal cyclist [ any] injur ed in ot her specif ied t r anspor t accident s, while engaged in ot her specif ied act ivit ies
V19. 89 Pedal cyclist [ any] injur ed in ot her specif ied t r anspor t accident s, dur ing unspecif ied act ivit y
V19. 9 Pedal cyclist [ any] injur ed in unspecif ied t r af f ic accident
V19. 90 Pedal cyclist [ any] injur ed in unspecif ied t r af f ic accident , while engaged in spor t s act ivit y
V19. 91 Pedal cyclist [ any] injur ed in unspecif ied t r af f ic accident , while engaged in leisur e act ivit y
V19. 92 Pedal cyclist [ any] injur ed in unspecif ied t r af f ic accident , while wor king f or an incom e
V19. 93 Pedal cyclist [ any] injur ed in unspecif ied t r af f ic accident , while engaged in ot her t ypes of wor k
V19. 94 Pedal cyclist [ any] injur ed in unspecif ied t r af f ic accident , while r est ing, sleeping, eat ing or engaging in ot her vit al act ivit ies
V19. 98 Pedal cyclist [ any] injur ed in unspecif ied t r af f ic accident , while engaged in ot her specif ied act ivit ies
V19. 99 Pedal cyclist [ any] injur ed in unspecif ied t r af f ic accident , dur ing unspecif ied act ivit y
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1999 ICD10: 587 Codes!
•V31.22 Occupant of three-wheeled motor vehicle injured in collision with pedal cycle, person on outside of vehicle, nontrafficaccident, while working for income
•W65.40 Drowning and submersion while in bath-tub, street and highway, while engaged in sports activity
•X35.44 Victim of volcanic eruption, street and highway, while resting, sleeping, eating or engaging in other vital activities
Que
lle:
Ala
n Re
ctor
77
Explodierender Biker
• 10 mögliche Zielobjekte:– Fußgänger / Fahrrad / Motorrad / Auto / LKW / Zug / motorloses
Gefährt / Baum / Anderes
• 5 Rollen für den Verletzten:– Fahrer / Mitfahrer / Fahrer eines Motorfahrzeugs / Einsteigender /
Anderes
• 5 Aktivitäten des Verletzten:– ruhend / bei der Arbeit / beim Sport / im Urlaub/ Anderes
• 2 Kontexte– Im Verkehr / Ruhender Verkehr
• V12.24: Pedal cyclist injured in collision with two- or three-wheeled motor vehicle, unspecified pedal cyclist, nontraffic accident, while resting, sleeping, eating or engaging in other vital activities
Zusammenfassung
• In den vergangenen Jahren wurden viele neue Standards im Feld
der klinischen Forschung entwickelt
– Ihre Verbreitung und ihre Unterstützung durch Softwarewerkzeuge ist
überschaubar
• Terminologien existieren seit vielen Jahrzehnten, manche seit über
100 Jahren
– Ihre Benutzung durch Ärzte beschränkt sich auf das absolute
Minimum
– SNOMED enthält 450.000 Codes, 10.000 davon wurden je
produktiv verwendet, aber 500.000 – 750.000 Codes „fehlen“
78