{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T03:16:47Z","timestamp":1781839007796,"version":"3.54.5"},"reference-count":15,"publisher":"BMJ","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Inj Prev"],"published-print":{"date-parts":[[2002,6]]},"abstract":"\n Introduction:<\/jats:bold> The Barell body region by nature of injury diagnosis matrix standardizes data selection and reports, using a two dimensional array (matrix) that includes all International Classification of Diseases<\/jats:italic> (ICD)-9-CM codes describing trauma.<\/jats:p>\n \n Aim:<\/jats:bold> To provide a standard format for reports from trauma registries, hospital discharge data systems, emergency department data systems, or other sources of non-fatal injury data. This tool could also be used to characterize the patterns of injury using a manageable number of clinically meaningful diagnostic categories and to serve as a standard for casemix comparison across time and place.<\/jats:p>\n \n Concept:<\/jats:bold> The matrix displays 12 nature of injury columns and 36 body region rows placing each ICD-9-CM code in the range from 800 to 995 in a unique cell location in the matrix. Each cell includes the codes associated with a given injury. The matrix rows and columns can easily be collapsed to get broader groupings or expanded if more specific sites are required. The current matrix offers three standard levels of detail through predefined collapsing of body regions from 36 rows to nine rows to five rows.<\/jats:p>\n \n Matrix development:<\/jats:bold> This paper presents stages in the development and the major concepts and properties of the matrix, using data from the Israeli national trauma registry, and from the US National Hospital Discharge Survey. The matrix introduces new ideas such as the separation of traumatic brain injury (TBI), into three types. Injuries to the eye have been separated from other facial injuries. Other head injuries such as open wounds and burns were categorized separately. Injuries to the spinal cord and spinal column were also separated as are the abdomen and pelvis. Extremities have been divided into upper and lower with a further subdivision into more specific regions. Hip fractures were separated from other lower extremity fractures.<\/jats:p>\n \n Forthcoming developments:<\/jats:bold> The matrix will be used for the development of standard methods for the analysis of multiple injuries and the creation of patient injury profiles. To meet the growing use of ICD-10 and to be applicable to a wider range of countries, the matrix will be translated to ICD-10 and eventually to ICD-10-CM.<\/jats:p>\n \n Conclusion:<\/jats:bold> The Barell injury diagnosis matrix has the potential to serve as a basic tool in epidemiological and clinical analyses of injury data.<\/jats:p>","DOI":"10.1136\/ip.8.2.91","type":"journal-article","created":{"date-parts":[[2002,10,1]],"date-time":"2002-10-01T15:53:59Z","timestamp":1033487639000},"page":"91-96","source":"Crossref","is-referenced-by-count":308,"title":["An introduction to the Barell body region by nature of injury diagnosis matrix"],"prefix":"10.1136","volume":"8","author":[{"given":"V","family":"Barell","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L","family":"Aharonson-Daniel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L A","family":"Fingerhut","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E J","family":"Mackenzie","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A","family":"Ziv","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"V","family":"Boyko","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A","family":"Abargel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M","family":"Avitzour","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R","family":"Heruti","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2002,6,1]]},"reference":[{"key":"2025092505181752000_8.2.91.1","unstructured":"Barell V. Assigning circumstances of injury in the emergency department. Planning session, International Collaborative Effort on Injury Statistics (ICE), Washington, DC: November, 1996."},{"key":"2025092505181752000_8.2.91.2","unstructured":"Barell V, Zadka P. Matrix approach to classifying injury\u00e2\u0080\u0094application to Israel. Proceedings of the international collaborative effort on injury statistics. Volume I. Washington DC, November, 1996."},{"key":"2025092505181752000_8.2.91.3","unstructured":"Barell V, Heruti RJ, Abargel A, et al. The Israeli \u00e2\u0080\u009cnature of injury by site\u00e2\u0080\u009d diagnostic matrix. Proceedings of the International Collaborative Effort on Injury Statistics. Centers for Disease Control and Prevention, National Center for Health Statistics. Washington, DC, symposium, June 1999."},{"key":"2025092505181752000_8.2.91.4","unstructured":"Barell V, Heruti RJ, Daniel-Aharonson L, et al. Nature of injury by site diagnostic matrix: differences between the Israeli and the US versions. Proceedings of the International Collaborative Effort on Injury Statistics. Centers for Disease Control and Prevention, National Center for Health Statistics, Washington, DC, symposium, June 1999."},{"key":"2025092505181752000_8.2.91.5","unstructured":"Mackenzie E, Champion H. Development of a matrix for classifying injuries according to their nature and body region. Proceedings of the International Collaborative Effort on Injury Statistics. Volume III. CDC NCHS, June 1999"},{"key":"2025092505181752000_8.2.91.6","unstructured":"Practice Management Information Corporation. International classification of diseases. 9th revision, clinical modification. 5th Ed. (ICD-9-CM), Los Angeles, CA: PMIC, 1998."},{"key":"2025092505181752000_8.2.91.7","unstructured":"Thurman DJ, Sniezek JE, Johnson D, et al. Guidelines for surveillance of central nervous system injury. Atlanta, GA: Centers for Disease Control and Prevention, 1995."},{"key":"2025092505181752000_8.2.91.8","unstructured":"American College of Surgeons. Resources for optimal care of the injured patient. Boston: American College of Surgeons, 1999."},{"key":"2025092505181752000_8.2.91.9","first-page":"1","volume":"46","year":"1997","journal-title":"Morbidity and Mortality Weekly Recommendations and Reports"},{"key":"2025092505181752000_8.2.91.10","doi-asserted-by":"crossref","unstructured":"Popovic JR. 1999 National Hospital Discharge Survey: annual summary with detailed diagnosis and procedure data. National Center for Health Statistics. Vital Health Statistics Series 13, No 151, 2001.","DOI":"10.1037\/e309042005-001"},{"key":"2025092505181752000_8.2.91.11","unstructured":"Data from the US National Hospital Discharge Survey\u00e2\u0080\u0094public use data files."},{"key":"2025092505181752000_8.2.91.12","unstructured":"http:\/\/www.cdc.gov\/nchs\/about\/otheract\/ice\/barellmatrix.htm."},{"key":"2025092505181752000_8.2.91.13","unstructured":"Peles E, Barell V, Boyko V, et al. Traumatic brain injury\u00e2\u0080\u0094The National Trauma Registry. Harefuah, May 2001 (in Hebrew)."},{"key":"2025092505181752000_8.2.91.14","unstructured":"Peles E, Barell V, Boyko V, et al. Definite traumatic brain injury\u00e2\u0080\u0094discrete subgroup of the ICD-9-CM based CDC definition of TBI (unpublished work)."},{"key":"2025092505181752000_8.2.91.15","unstructured":"World Health Organization. International statistical classification of diseases and related health problems. 10th revision. Geneva: WHO, 1992."}],"container-title":["Injury Prevention"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/ip.8.2.91","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,25]],"date-time":"2025-09-25T12:18:27Z","timestamp":1758802707000},"score":1,"resource":{"primary":{"URL":"https:\/\/injuryprevention.bmj.com\/lookup\/doi\/10.1136\/ip.8.2.91"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2002,6]]},"references-count":15,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2002,6,1]]},"published-print":{"date-parts":[[2002,6]]}},"alternative-id":["10.1136\/ip.8.2.91"],"URL":"https:\/\/doi.org\/10.1136\/ip.8.2.91","relation":{},"ISSN":["1353-8047","1475-5785"],"issn-type":[{"value":"1353-8047","type":"print"},{"value":"1475-5785","type":"electronic"}],"subject":[],"published":{"date-parts":[[2002,6]]}}}