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DOE-STD-1190-2007
Diagnostic information will be abstracted from the medical clinic's return-to-work
clearance form if applicable. The program does not require a personal physician's
report; the worker's self-reported reason for absence is sufficient. This information
will be used by trained nosologists at the Data Center to determine the proper
International Classification of Disease, 9th Revision Clinical Modification (ICD-9-
CM) codes for the health event in a standardized manner. A narrative description of
the diagnoses is preferred. Sites that code their diagnostic data using the ICD9-CM
codes submit only the coded information to the Data Center. If the Data Center's
quality assurance procedures indicate that the site-coded diagnoses do not differ from
the Data Center's codes, consideration will be given to allowing sites to submit the
ICD-9-CM codes in lieu of text. The level of agreement between site-generated ICD-
9-CM codes and those assigned by the Data Center's nosologists will be assessed
periodically as part of the program's quality assurance process.
ome sites consider the reporting of the specific date an absence began and the return
S
to work date to be too explicit to conform to HIPAA privacy requirements. In lieu of
these dates, they calculate and report the duration of absence and provide a less precise
indication of the dates such as the month and year, but not the day of the event. If
needed to satisfy site-specific legal requirements, alternative reporting formats can be
arranged in consultation with the Data Center.
5.2
Occupational Safety and Health Administration (OSHA) Recordable events.
These data include all illnesses and injuries that are considered recordable as defined
by the Occupational Safety and Health Act of 1970, and 29 CFR Part 1904. OSHA-
recordable events are those that occur on the job and involve: (1) fatalities, regardless
of time between injury and death, or the length of illness; (2) cases other than fatalities
that result in lost workdays; and (3) nonfatal cases without lost workdays that result in
transfer to another job or termination of employment, or require medical treatment
other than first aid or involve loss of consciousness or restriction of work or motion.
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