Abstract:
The present invention is a software, methods, and system for creating and editing a medical logistics simulation model and for presenting the simulation model simulated within a military or disaster relief scenario. A user interface that allows a user to enter and edit platforms and associated attributes for a simulation model. The system runs the simulation model based on user input and historical data stored in databases using the inventive software. The present invention provides an output for allowing a user to view casualty rates, patient streams, and medical requirements or any other desired aspect of the simulation model.

Description:
CROSS-REFERENCE TO RELATED APPLICATIONS 
       [0001]    This application is a continuation-in-part application of patent application Ser. No. 14/192,521 filed on Feb. 27, 2014 (now pending), and claims priority to U.S. Provisional Application No. 62/107,072 filed on Jan. 23, 2015. 
     
    
     STATEMENT REGARDING FEDERALLY SPONSORED RESEARCH OR DEVELOPMENT 
       [0002]    This invention was made with Government support under contracts W911QY-11-D-0058 and N62645-12-C-4076 that were awarded by the OSD DHA, OPNAV (N81), and the Joint Staff. The Government has certain rights in the invention. 
     
    
     BACKGROUND 
       [0003]    In today&#39;s military and emergency response operations, medical planners frequently encounter problems in accurately estimating illnesses, casualties and mortalities rates associated with an operation. Largely relying on anecdotal evidences and limited historical information of similar operations, medical planners and medical system analysts don&#39;t have a way to scientifically and accurately projecting medical resources, and personnel requirements for an operational scenario. Inadequate medical logistic planning can lead to shortage of medical supplies, which may significantly impact the success of any military, humanitarian or disaster relief operation and could result in more casualties and higher mortality rates. Therefore, there is an urgent need for the development of a science based medical logistics and planning tool. 
         [0004]    Before the development of this invention, some useful, but not comprehensive medical modeling and simulation tools were used in attempts to virtually determine the minimum capability necessary in order to maximize medical outcomes, and ensure success of the military medical plan, such as Ground Casualty Projection System (FORECAS) and the Medical Analysis Tool (MAT). 
         [0005]    FORECAS produced casualty streams to forecast ground causalities. It provide medical planners with estimates of the average daily casualties, the maximum and minimum daily casualty load, the total number of casualties across an operation, and the overall casualty rate for a specified ground combat scenario, However, FORECAS does not specify the type of injury or take into account the time required for recovery. 
         [0006]    MAT and later the Joint Medical Analysis Tool (JMAT) consisted of two modules. One module was designed as a requirements estimator for the joint medical treatment environment while the other module was a course of action assessment tool. Medical planners used MAT to generate medical requirements needed to support patient treatment within a joint warfighting operation. MAT could estimate the number of beds, the number of operating room tables, number and type of personnel, and the amount of blood required for casualty streams, but was mainly focused at the Theater Hospitalization level of care are definitive cares, which comprises of combat support hospitals in theaters (CSH) but does not include the forward medical facilities like the Battalion Aid Station or Surgical companies. Furthermore, MAT treated the theater medical capabilities as consisting of three levels of care, but failed to take into account medical treatment facilities (MTFs) at each level, their spatial arrangements on a battlefield, nor the transportation assets necessary to interconnect the network. Because MAT was a DOD-owned software program, it also did not include a civilian model. As MAT was designed to be used as a high-level planning tool, it does not have the capability to evaluate forward medical capabilities, or providing a realistic evaluation of mortality. JMAT, the MAT successor, failed Verification and Validation testing in August 2011, and the program were cancelled by the Force Health Protection Integration Council. Other simulations were described by in report by Von Tersch et al. [1]. 
         [0007]    The existing simulation and modeling software provide useful information for preparing for a military mission. However, they lack the capability to model the flow of casualties within a specific network of treatment facilities from the generation of casualties, and through the treatment networks, and fails to provide critical simulation of the treatment times, and demands on consumable supplies, equipment, personnel, and transportation assets. There are no similar medical logistic tools are on the market for civilian medical rescue and humanitarian operations planning. 
         [0008]    Military medical planners, civilian medical system analysts, clinicians and logisticians alike need a science-based, repeatable, and standardized methodology for predicting the likelihood of injuries and illnesses, for creating casualty estimates and the associated patient streams, and for estimating the requirements relative to theater hospitalization to service that patient stream. These capability gaps undermine planning for medical support that is associated with both military and civilian medical operations. 
       SUMMARY OF INVENTION 
       [0009]    An objective of this invention is the management of combat, humanitarian assistance (HA), disaster relief (DR), shipboard, and fixed base PCOFs (patient condition occurrence frequencies) distribution Tables. 
         [0010]    Another objective of this invention is estimation of casualties in HA and DR missions, and in ground, shipboard, and fixed-base combat operations. 
         [0011]    Yet another objective of this invention is the generation of realistic patient stream simulations for a HA and DR missions, and in ground, shipboard, and fixed-base combat operations. 
         [0012]    Yet another objective of this invention is the estimation of medical requirements and consumables, such as operations rooms, intensive care units, and ward beds, evacuations, critical care air transport teams and blood products, based on anticipated patient load. 
     
    
     
       DETAILED DESCRIPTION OF THE DRAWINGS 
         [0013]      FIG. 1  is a schematic view of a computer system (that is, a system largely made up of computers) in which software and/or methods of the present invention can be used. 
           [0014]      FIG. 2  is a schematic view of a computer sub-system that is a constituent sub system) of the computer system of  FIG. 1 ), which represents a first embodiment of computer system for medical logistic planning according to the present invention. 
           [0015]      FIG. 3  High-level process diagram for PCOF tool. 
           [0016]      FIG. 4  High-level process diagram for CREsT. 
           [0017]      FIG. 5  Diagram showing troop strength adjustment factor. 
           [0018]      FIG. 6  The logic diagram showing the process of Generation of wounded in action (WIA) casualties (i.e. Daily WIA patient counts). 
           [0019]      FIG. 7  The logic diagram showing the process of Calculating (disease and nonbattle injuries) DNBI Casualties. 
           [0020]      FIG. 8  High-level process diagram for Expeditionary Medicine Requirements Estimator (EMRE). 
           [0021]      FIG. 9  The logic diagram showing the process of determining casualties requiring follow-up surgery. 
           [0022]      FIG. 10  The logic diagram showing the process of determining casualties requiring for evacuation. 
           [0023]      FIG. 11  The logic diagram showing how EMRE calculates evacuation (Evacs) and hospital beds status. 
           [0024]      FIG. 12  The logic diagram showing how EMRE determines casualty will return to duty (RTD). 
       
    
    
     DETAILED DESCRIPTION OF THE INVENTION 
     Definitions 
       [0025]    Common data are data stored in one or more database of the invention, which include EMRE common data CREstT common data, and PCOF common data. The application contains tables labeling inputs used in different software modules and identify them if they are common data. 
         [0026]    Patient Conditions (PCs) are used throughout MPTk to identify injuries and illnesses. The PCOF Tool is used to determine the probability of each patient condition occurring. CREstT creates a patient stream by assigning a PC to each casualty it generates. EMRE determines theater hospitalization requirements based on the resources required to treat each PC in a patient stream. All patient conditions in MPTk are codes from the International Classification of Diseases, Ninth Revision (ICD-9), MPTk currently supports 404 ICD-9 codes, 336 of them are codes selected by the Defense Medical Materiel Program Office (DMMPO). An additional 68 codes were added to this set to provide better coverage, primarily of diseases. In each of the three tools, the user can select to use the full set of PC codes or only the 336 DMMPO PC codes. 
         [0027]    PCOF scenarios organize patient conditions and their probability of occurrence into major categories and subcategories, and allow for certain adjustment factors to affect the probability distribution of patient conditions. While baseline PCOF scenarios cannot be directly modified by the user, they can be copied and saved with a new name to create derived PCOF scenarios. 
         [0028]    Derived PCOF scenarios, created from any baseline PCOF scenario, also organize the probability of patient conditions into major categories and subcategories affected by adjustment factors, all of which may be edited directly by the user. 
         [0029]    Unstructured PCOF scenarios provide the user with a list of patient conditions and their probability of occurrence, but do not contain further categorization and are not adjusted by other factors, MPTk includes a number of unstructured PCOF scenarios built and approved by NHRC, and these may not be directly modified by the user. However, the user may copy and save unstructured PCOF scenarios as new unstructured PCOF scenarios, and these may be modified by the user. Users may also create new unstructured PCOF scenarios from scratch. 
         [0030]    Any new derived or unstructured PCOF scenarios are saved to the database, and will appear in the PCOF scenario list with the baseline and unstructured PCOF scenarios that shipped with MPTk. 
         [0031]    A scenario includes parameters of a planned medical support mission, The scenario may be created in PCOF, CREstT or EMRE modules. A user establishes a scenario by providing inputs and defines parameters of each individual module. 
         [0032]    Casualty count is each simulated casualty in MPTk, which may be labeled and maybe assigned a PC code. 
         [0033]    Theater Hospitalization level of care are definitive care, which comprises of combat support hospitals in theaters(CSH) but does not include the forward medical facilities like the Battalion Aid Station or Surgical companies. 
         [0034]    This invention relates to a system, method and software for creating military and civilian medical plans, and simulating operational scenarios, projecting medical operation estimations for a given scenario, and evaluating the adequacy of a medical logistic plan for combat, humanitarian assistance (HA) or disaster relief (DR) activities. 
         [0035]    I. Computer System and Hardware 
         [0036]      FIG. 1  shows an embodiment of the inventive system. A computer system  100  includes a server computer  102  and several client computers  104 ,  106 ,  108 , which are connected by a communication network  112 . Each server computer  102 , is loaded with a medical planner&#39;s toolkit (MPTk) software and database  200 . The MPTk software  200  will be discussed in greater detail, below. While the MPTk software and database of the present invention is illustrated as intaled entirely in the server computer  102  in this embodiment, the MPTk software and database  200  could alternatively be located separately in whole or in part in one or more of the client computers  104 ,  106 ,  108  or in a computer readable medium. 
         [0037]    As shown in  FIG. 2 , server computer  102  is a computing/processing device that includes internal components  800  and external components  900 . The set of internal components  800  includes one or more processors  820 , one or more computer-readable random access memories (RAMs)  822  and one or more computer-readable read-only memories (ROMs  824 ) on one or more buses  826 , one or more operating systems  828  and one or more computer-readable storage devices  830 . The one or more operating systems  828  and MPTk software/database  200  (see  FIG. 1 ) are stored on one or more of the respective computer-readable storage devices  830  for execution by one or more of the respective processors  820  via one or more of the respective RAMs  822  (which typically include cache memory). In the illustrated embodiment, each of the computer-readable storage devices  830  is a magnetic disk storage device of an internal hard drive. Alternatively, each of the computer-readable storage devices  830  is a semiconductor storage device such as ROM  824 , EPROM, flash memory or any other computer-readable storage device that can store but does not transmit a computer program and digital information. 
         [0038]    Set of internal components  800  also includes a (read/write) R/W drive or interface  832  to read from and write to one or more portable computer-readable storage devices  936  that can store, but do not transmit, a computer program, such as a CD-ROM, DVD, memory stick, magnetic tape, magnetic disk, optical disk or semiconductor storage device, MPTk software/database (see  FIG. 1 ) can be stored on one or more of the respective portable computer-readable tangible storage devices  936 , read via the respective R/W drive or interface  832  and loaded into the respective hard drive or semiconductor storage device  830 . The term “computer-readable storage device” does not include a signal propagation media such as a copper cable, optical fiber or wireless transmission media. 
         [0039]    Set of internal components  800  also includes a network adapter or interface  836  such as a TCP/IP adapter card or wireless communication adapter (such as a 4G wireless communication adapter using OFDMA technology). MPTk (see  FIG. 1 ) can be downloaded to the respective computing/processing devices from an external computer or external storage device via a network (for example, the Internet, a local area network or other, wide area network or wireless network) and network adapter or interface  836 . From the network adapter or interface  836 , the MPTk software and database in whole or partially are loaded into the respective hard drive or semiconductor storage device  830 . The network may comprise copper wires, optical fibers, wireless transmission, routers, firewalls, switches, gateway computers and/or edge servers. 
         [0040]    Set of external components  900  includes a display screen  920 , a keyboard or keypad  930 , and a computer mouse or touchpad  934 . Sets of internal components  800  also includes device drivers  840  to interface to display screen  920  for imaging, to keyboard or keypad  930 , to computer mouse or touchpad  934 , and/or to display screen for pressure sensing of alphanumeric character entry and user selections. Device drivers  840 , R/W drive or interface  832  and network adapter or interface  836  comprise hardware and software (stored in storage device  830  and/or ROM  824 ). 
         [0041]    The invention also include an non-transitory computer-readable storage medium having stored thereon a program that when executed causes a computer to implement a plurality of modules for generate estimates of casualty, mortality and medical requirements of a future medical mission based at least partially on historical data stored on the at least one database, the plurality of modules comprising: 
         [0042]    A) a patient condition occurrence frequency (PCOF) module that
       i) receives information regarding a plurality of missions of a predefined scenario including PCOF data represented as a plurality sets of baseline PCOF distributions for the plurality of missions;   ii) selects a set of baseline PCOF distributions for a future medical mission based on a user defined PCOF scenario;   iii) determines and presents to the user adjustment factors applicable to the user defined PCOF scenario;   iv) modifies said selected set of baseline PCOF distributions manually or using one or more PCOF adjustment factors defined by the user to create a set of customized PCOF distributions for the user defined PCOF scenario; and   v) provides the set of customized PCOF distributions and the corresponding the user defined PCOF scenario and PCOF adjustment factors for storage and presentation;       
 
         [0048]    Various executable programs (such as PCOF, CREsT, and EMRE Modules of MPTk, see  FIG. 1 ) can be written in various programming languages (such as Java, C+) including low-level, high-level, object-oriented or non object-oriented languages. Alternatively, the functions of the MPTk can be implemented in whole or in part by computer circuits and other hardware (not shown). 
         [0049]    The database  200  comprises PCOF common data, CREstT common data and EMRE common data, The common data are developed based on historical emperial data, and subject matter expert opinions. For example, empirical data were used to develop an updated list of patient conditions for use in modeling and simulation, logistics estimation, and planning analyses. Multiple Injury Wound codes were added to improve both scope and coverage of medical conditions. Inputs were identified as Common Data in tables throughout this application to distinguish from inputs there were user defined or inputed. 
         [0050]    For many years, analysts have used a standardized list of patient conditions for medical modeling and simulation. This list was developed by the Defense Health Agency Medical Logistics (DHA MEDLOG) Division, formerly known as the Defense Medical Standardization Board, for medical modeling and simulation. This subset of international Classification of Diseases, 9th Revision (ICD-9) diagnostic codes was compiled before the advent of modern health encounter databases, and was intended to provide a comprehensive description of the illnesses and injuries likely to afflict U.S. service personnel. Medical encounters from recent contingency operations, were compared to the Clinical Classification Software (CCS; 2014), a diagnosis and procedure categorization scheme developed by the Agency for Healthcare Research and Quality, to establish the hybrid database as an authoritative reference source of healthcare encounters in the expeditionary setting. 
         [0051]    II. Computer Programs Modules of the Medical Planners Toolkit (MPTK) 
         [0052]    The inventive MPTk software comprises three modeling and simulation tools: the Patient Condition Occurrence Frequency Tool (PCOF), the Casualty Rate Estimation Tool (CREstT) and the Expeditionary Medicine Requirements Estimator (EMRE). Used independently, the three simulation tools provide individual reports on causality generation, patient stream, and medical planning requirements, which can each be used by medical system analysts or logisticians and clinicians in different phases of medical operation planning. The three stimulation tools can also be used collectively as a toolkit to generate detailed simulations of different medical logistic plan designed for an operational scenario, which can be compared to enhance a medical planner&#39;s overall efficiency and accuracy. 
         [0053]    A. Patient Condition Occurrence Frequency Tool (PCOF) 
         [0054]    The PCOF tool provides medical planners and logisticians with estimates of the distributions of injury and illness types for a range of military operations (ROMO). These missions include combat, noncombat, humanitarian assistance (HA), and disaster relief (DR) operations. Using the PCOF tool, baseline distributions of a patient stream composition may be modified by the user either manually and/or via adjustment factors such as age, gender, country, region to better resemble the patient conditions of a planned operationation. A PCOF table can provide the probability of injury and illness at the diagnostic code level. Specifically, each PCOF is a discrete probability distribution that provides the probability of a particular illness or injury. The PCOF tool was developed to produce precise expected patient condition probability distributions across the entire range of military operations. These missions include ground, shipboard, fixed-base combat, and HA and DR non-combat scenarios. The PCOF distributions are organized in three levels: International Classification of Diseases, Ninth Revision (ICD-9) category, ICD-9 subcategory, and patient condition (ICD-9 codes). Example of ICD-9 category, subcategory and patient condition may be dislocation, dislocation of the finger, dislocation of Open dislocation of metacarpophalangeal (joint), respectively. These PCOF distribution tables for combat missions were developed using historical combat data. The major categories and sub-categories for the HA and DR missions were developed using a 2005 datasheet by the International Medical Corps from Relief (a United Nations Web site). Because the ICD-9 codes from this datasheet is restrictive to that particular mission, the categories, sub-categories, and ICD-9 codes for trauma and disease groups of HA and DR operations are further expanded to account for historical data gathered from other sources, and modified to be consistent with current U.S. Department of Defense (DoD) medical planning policies. Because the ICD-9 codes are not exclusively used for military combat operations, all DoD military combat ICD-9 codes are used for HA and DR operation planning in conjunction with the additional HA and DR ICD-9 codes in the present invention. The PCOF tool can generate a report that may be used to for support supply block optimization, combat scenario medical supportability analysis, capability requirements analysis, and other similar analysis. 
         [0055]    The high level process diagram of PCOF is shown in  FIG. 3 . The PCOF tool includes a baseline set of predefined injury and illness distributions (PCOFs) for a variety of missions. These baseline PCOFs are derived from historical data collected from military databases and other published literature. PCOF tool also allows the import of user-defined PCOF tables or adjustment using user applied adjustment factor. 
         [0056]    Each baseline PCOF table specifies the percentage of a patient type in the baseline. In one embodiment of the PCOF tool, there are five patient-type categories: wounded in action (WIA), non-battle injury (NBI), disease (DIS), trauma (TRA), and killed in action (KIA). The user can alter these percentages to reflect the anticipated ratios of a patient steam in a planned operation scenario. Adjustment factors applied at the patient-type level affect the percentage of the probability mass in each patient-type category, but do not affect the distribution of probability mass at the ICD-9 category, ICD-9 subcategory or patient condition levels within the patient-type category. Changes at patient-type level may be entered by the user directly. Patient Type is a member of the set {DIS, WIA, NBI, TRA} and PCT DIS , PCT WIA , PCT NBI  and PCT TRA  are the proportions of DIS, WIA, NBI, and TRA patients respectively. 
         [0057]    Then for ground combat scenarios: 
         [0000]      PCT DIS +PCT WIA +PCT NBI =100% 
         [0000]    and for non-combat scenarios: 
         [0000]      PCT DIS +PCT TRA =100% 
         [0058]    The PCOF tool also allows users to make this type of manual adjustment at the ICD-9 category and ICD-9 subcategory levels. At each level, total probability of each level (patient-type, ICD-9 category or ICDR-9 subcategory) must add up to 100% whether the adjustment is accomplished manually or through adjustment factors. In an embodiment, adjustment factors are applied at the ICD-9 category (designated as Cat in all equations). The equation below shows the manner in which adjustment factors (AFs) are applied. 
         [0000]      Adjusted_ICD9_Cat i,j =Baseline_ICD9_Cat i *AF i,j    
         [0059]    Where:
       i is the index of ICD-9 categories,   j is the index of adjustment factors,   where j ε {age, gender, region, season, climate, income},   Adjusted_ICD9_Cat i,j  is the adjusted probability mass in ICD-9 category i due to adjustment factor AF i,j ,   Baseline ICD9_Cat i,j  is the baseline probability mass in ICD-9 category i, and   AF i,j  is the adjustment factor for an ICD-9 category due to adjustment factor j.       
 
         [0066]    The change in each ICD-9 category is calculated for each adjustment factor that applies to that category. The manner in which this calculation is performed depends on the specific application of the adjustment actor. While some adjustment factors adjust all ICD-9 categories directly, a select few adjustment factors adjust certain ICD-9 categories, hold those values constant, and normalizes the remainder of the distribution. For the adjustment factors who adjust categories directly, the change calculation is performed according to the following: 
         [0000]      Change_ICD9_Cat i,j =Adjusted_ICD9_Cat i,j −Baseline_ICD9_Cat i ,
 
         [0000]    For the adjustment factors which hold certain values constant, the calculation is performed in the following manner. 
         [0000]      Change_ICD9_Cat i,j =Norm(Adjusted_ICD9_Cat i,j )−Baseline_ICD9_Cat i ,
 
         [0000]    where Change_ICD9_Cat i,j  is the change in the baseline value for ICD-9 category i due to adjustment factor j. Norm( ) refers to the normalization procedure expressed in detail in the section describing the adjustment factor for response phase.
 
The total adjustment to ICD-9 category i is:
 
         [0000]      Total_adj i =Σ j Change_ICD9_Cat i,j  
 
         [0000]    Once all adjustment factors have been applied and their corresponding total adjustments (Total_adj i ) calculated, they are applied to the baseline values (Baseline_ICD9_Cat i ) to arrive at the raw adjusted value. This value is calculated as follows: 
         [0000]      Raw_Adj_Val_ICD9_Cat i =Total_adj 1 +Baseline_ICD9_Cat i   ,∀i    
         [0000]    The ICD-9 categories are renormalized as follows: 
         [0000]      Final_ICD9_Cat i =Raw_Adj_Val_ICD9_Cat i /Σ i Raw_Adj_Val_ICD9_Cat i   ,∀i  
 
         [0000]    The adjusted patient condition probability (Pc_adjusted) is calculated as follows: 
         [0000]      Pc_adjusted=Pc_baseline*ICD9_sub_category*Final_ICD9_Cat i    
       Where: 
       [0000]    
       
         
           
             Pc_baseline is the value of the proportion of the PC among the other PC&#39;s in ICD-9 subcategory i. 
             ICD9_sub_category is the value of the proportion of the ICD-9 subcategory among the subcategories that make up ICD-9 category i, and 
             Final_ICD9_Cat i  is calculated as above. 
           
         
       
     
         [0070]    Users are able to alter scenario variables from the graphic user interface (GUI). The tool calculates the appropriate adjustment factors based on this user input. Not all adjustment factors affect all ICD-9 categories. Furthermore, adjustment factors may not affect all of the injury types within an ICD-9 category. Table 0 displays the adjustment factors that affect patient types by scenario type. 
         [0000]    
       
         
               
             
               
               
               
               
             
               
               
               
               
               
               
               
               
             
           
               
                 TABLE 1 
               
             
             
               
                   
               
               
                 PCOF Adjustment Factors 
               
             
          
           
               
                   
                 HA 
                 DR 
                 Ground Combat 
               
             
          
           
               
                 Adjustment 
                 Dis- 
                 Trau- 
                 Dis- 
                 Trau- 
                 Dis- 
                   
                   
               
               
                 factors 
                 ease 
                 ma 
                 ease 
                 ma 
                 ease 
                 NBI 
                 WIA 
               
               
                   
               
               
                 Age 
                 x 
                 x 
                 x 
                 x 
                   
                   
                   
               
               
                 Gender 
                 x 
                 x 
                 x 
                 x 
                 x 
                 x 
                 x 
               
               
                 Region 
                   
                   
                   
                   
                 x 
               
               
                 Response 
                   
                   
                 x 
                 x 
               
               
                 phase 
               
               
                 Season 
                 x 
                   
                 x 
                   
                 x 
               
               
                 Country 
                 x 
                 x 
                 x 
                 x 
               
               
                   
               
             
          
         
       
     
         [0071]    Calculation for each adjustment factors are described in the following sections. 
       Adjustment Factor for Age 
     PCOF Types Affected: HA, DR 
     Patient Types Affected: Disease, Trauma 
       [0072]    The age adjustment factor was determined using the Standard Ambulatory Data Record (SADR); a repository of administrative data associated with outpatient visits by military health system beneficiaries. This data is the baseline population in all calculations below. The data were organized by age into four groups: 
         [0073]    1) ages less than 5 years, i=1; 
         [0074]    2) ages 5 to 15 years i=2; 
         [0075]    3) ages 16 to 65 years, i=3; and 
         [0076]    4) ages greater than 65 years, i=4. 
         [0000]    The age adjustment factor is determined as follows:
 
Let i denote the age group, where i ε {1, 2, 3, 4}
 
Let in denote the index for ICD-9 categories, where m ε {1, 2, . . . , M} and there are M distinct ICD-9 categories.
 
Let BaselineAge i  be the percentage of age group i in the population of the baseline distribution.
 
Let AdjustedAge i  be the user-adjusted percentage of the population in age group i.
 
Let ICD9_Cat_Age i,m  be the percentage of the SADR population in age group i within ICD-9 category m.
 
The adjustment factors for age are calculated as follows:
 
         [0000]    
       
         
           
             
               AF_Age 
               m 
             
             = 
             
               
                 
                   ∑ 
                   
                     i 
                     = 
                     1 
                   
                   4 
                 
                  
                 
                   ( 
                   
                     
                       AdjustedAge 
                       i 
                     
                     * 
                     ICD9_Cat 
                      
                     
                       _Age 
                       
                         i 
                         , 
                         m 
                       
                     
                   
                   ) 
                 
               
               
                 
                   ∑ 
                   
                     i 
                     = 
                     1 
                   
                   4 
                 
                  
                 
                   ( 
                   
                     
                       BaselineAge 
                       i 
                     
                     * 
                     ICD9_Cat 
                      
                     
                       _Age 
                       
                         i 
                         , 
                         m 
                       
                     
                   
                   ) 
                 
               
             
           
         
       
     
       Adjustment Factor for Gender 
     PCOF Types Affected: HA, DR, and Ground Combat 
     Patient Types Affected: WIA, NBI, Disease, and Trauma 
       [0077]    The gender adjustment factor was derived in a manner similar to the age adjustment factor. The data source for the gender adjustment factor was SADR. The data were organized by gender: 
         [0078]    Male, i=0 
         [0079]    Female, i=t 
         [0000]    The gender adjustment factor is calculated as follows:
 
Let BaselineGender i  be the percentage of the gender group i in the baseline population, i ε {0,1}.
 
Let AdjustedGender i  be the user adjusted percentage of the population in gender group i.
 
Let ICD9_Cat_Gender i,m  be the percentage of the SADR population in gender group i within ICD-9 category m.
 
The adjustment factor is calculated as follows:
 
         [0000]    
       
         
           
             
               AF_Gender 
               m 
             
             = 
             
               
                 
                   ∑ 
                   
                     i 
                     = 
                     0 
                   
                   1 
                 
                  
                 
                   ( 
                   
                     
                       AdjustedGender 
                       i 
                     
                     * 
                     ICD9_Cat 
                      
                     
                       _Gender 
                       
                         i 
                         , 
                         m 
                       
                     
                   
                   ) 
                 
               
               
                 
                   ∑ 
                   
                     i 
                     = 
                     0 
                   
                   1 
                 
                  
                 
                   ( 
                   
                     
                       BaselineGender 
                       i 
                     
                     * 
                     ICD9_Cat 
                      
                     
                       _Gender 
                       
                         i 
                         , 
                         m 
                       
                     
                   
                   ) 
                 
               
             
           
         
       
     
       OB/GYN Correction 
       [0080]    The “OB/GYN Disorders” major category is adjusted in the same manner as all other major categories. However, in the special case where the population is 100% male, the percentage of OB/GYN disorders is automatically set to zero, and all other major categories are renormalized (Recalculated so the percentages add to 100%. 
       Adjustment Factor for Region 
     PCOF Types Affected: Ground Combat 
     Patient Types Affected: Disease 
       [0081]    The regional adjustment factor was developed via an analysis of data from World War II. The World War II data was categorized by combatant command (CCMD) and organized into the major disease categories found in the PCOF. The World War II data comprise the baseline population referenced below. 
         [0082]    Let CCMD Baseline,m  be the percentage of the World War II population comprising ICD-9 category m for the baseline CCMD of the scenario. 
         [0000]    Let CCMD Adjusted,m  be the percentage of the World War II population comprising ICD-9 category m for the user-adjusted CCMD of the scenario.
 
The adjustment factor is calculated as follows:
 
         [0000]    
       
         
           
             
               AF_Region 
               m 
             
             = 
             
               
                 ( 
                 
                   CCMD 
                   
                     Adjusted 
                     , 
                     m 
                   
                 
                 ) 
               
               
                 ( 
                 
                   CCMD 
                   
                     Baseline 
                     , 
                     m 
                   
                 
                 ) 
               
             
           
         
       
     
         [0000]    Where AF m  is the adjustment factor used to transition an ICD-9 category m from CCMD Baseline  to CCMD Adjusted . 
       Adjustment Factor for Response Phase 
     PCOF Types Affected: DR. 
     Patient Types Affected: Disease and Trauma 
       [0083]    Response phase denotes the time frame within the event when aid arrives. For the purposes of this adjustment factor, response phases were broken down into three time windows and are described below. 
         [0084]    1) Early Phase is from the day the event occurs to the following day. 
         [0085]    2) Middle Phase is the third day to the 15th day. 
         [0086]    3) Late Phase is any time period after the 15th day. 
         [0087]    These phases are described in the Pan American Health Organization&#39;s manual on the use of Foreign Field Hospitals (2003). Response phase adjustment factors perform two functions. First, they adjust the ratio of disease to trauma. Second, unlike the adjustment factors discussed above, they only adjust the percentages of a small subset of the major categories rather than the entire PCOF. Subject matter expert (SME) input and reference articles were used to develop adjustment factors that adjust the most likely conditions affected by the response phase for both disease and trauma casualties. The conditions are shown in Table 0 and Table 0. 
         [0000]    
       
         
               
             
               
               
             
           
               
                 TABLE 2 
               
               
                   
               
               
                 Disease Major Categories Affected by Response Phase 
               
               
                 Disease major category 
               
               
                   
               
             
             
               
                   
               
             
          
           
               
                   
                 Gastrointestinal disorders, k = 1 
               
               
                   
                 Infectious diseases, k = 2 
               
               
                   
                 Respiratory disorders, k = 3 
               
               
                   
                 Skin disorders, k = 4 
               
               
                   
                   
               
             
          
         
       
     
         [0000]    
       
         
               
             
               
               
             
           
               
                 TABLE 3 
               
               
                   
               
               
                 Trauma Major Categories Affected by Response Phase 
               
               
                 Trauma major categories 
               
               
                   
               
             
             
               
                   
               
             
          
           
               
                   
                 Fractures, 1 = 1 
               
               
                   
                 Open wounds, 1 = 2 
               
               
                   
                   
               
             
          
         
       
     
         [0088]    For the major categories, which are adjusted and held constant, the calculations are as follows. 
         [0000]    Let k denote the index for ICD-9 categories adjusted by response phase for disease, where k ε {1, 2, 3, 4} and l denote the same for trauma, where l ε {1, 2}.
 
Let x k  be the percentage of major category k, which will be adjusted and held constant.
 
Let y n  be the percentage of major category n, which will be normalized such that the distribution sums to 1, where n ε {1, 2, . . . , N}.
 
Let a k  be the adjustment factor for major category k for disease and let a l  be the adjustment factor for major category l for trauma. The calculations for the major categories, which are adjusted and held constant, are calculated according to the formulas below (the example is for disease; the same formulation applies to trauma).
 
         [0000]    
       
         
           
             { 
             
               
                 
                   
                     
                       
                         x 
                         k 
                       
                        
                       
                         a 
                         k 
                       
                     
                   
                   
                     
                       
                         if 
                          
                         
                             
                         
                          
                         
                           
                             ∑ 
                             
                               k 
                               = 
                               1 
                             
                             4 
                           
                            
                           
                             ( 
                             
                               
                                 x 
                                 k 
                               
                                
                               
                                 a 
                                 k 
                               
                             
                             ) 
                           
                         
                       
                       ≤ 
                       
                         100 
                          
                         % 
                       
                     
                   
                 
                 
                   
                     
                       
                         
                           x 
                           k 
                         
                          
                         
                           a 
                           k 
                         
                       
                       
                         
                           ∑ 
                           
                             k 
                             = 
                             1 
                           
                           4 
                         
                          
                         
                           ( 
                           
                             
                               x 
                               k 
                             
                              
                             
                               a 
                               k 
                             
                           
                           ) 
                         
                       
                     
                   
                   
                     
                       
                         if 
                          
                         
                             
                         
                          
                         
                           
                             ∑ 
                             
                               k 
                               = 
                               1 
                             
                             4 
                           
                            
                           
                             ( 
                             
                               
                                 x 
                                 k 
                               
                                
                               
                                 a 
                                 k 
                               
                             
                             ) 
                           
                         
                       
                       &gt; 
                       
                         100 
                          
                         % 
                       
                     
                   
                 
               
                 
             
           
         
       
     
         [0000]    The calculations for the major categories, which are normalized so that the distribution sums to 1, are as follows (the example is for disease; the same formulation applies to trauma). 
         [0000]    
       
         
           
             { 
             
               
                 
                   
                     
                       
                         
                           y 
                           n 
                         
                         
                           
                             ∑ 
                             
                               n 
                               = 
                               1 
                             
                             N 
                           
                            
                           
                             ( 
                             
                               y 
                               n 
                             
                             ) 
                           
                         
                       
                       * 
                       
                         ( 
                         
                           1 
                           - 
                           
                             
                               ∑ 
                               
                                 k 
                                 = 
                                 1 
                               
                               4 
                             
                              
                             
                               ( 
                               
                                 
                                   x 
                                   k 
                                 
                                  
                                 
                                   a 
                                   k 
                                 
                               
                               ) 
                             
                           
                         
                         ) 
                       
                     
                   
                   
                     
                       
                         if 
                          
                         
                             
                         
                          
                         
                           
                             ∑ 
                             
                               k 
                               = 
                               1 
                             
                             4 
                           
                            
                           
                             ( 
                             
                               
                                 x 
                                 k 
                               
                                
                               
                                 a 
                                 k 
                               
                             
                             ) 
                           
                         
                       
                       &lt; 
                       
                         100 
                          
                         % 
                       
                     
                   
                 
                 
                   
                     0 
                   
                   
                     
                       
                         if 
                          
                         
                             
                         
                          
                         
                           
                             ∑ 
                             
                               k 
                               = 
                               1 
                             
                             4 
                           
                            
                           
                             ( 
                             
                               
                                 x 
                                 k 
                               
                                
                               
                                 a 
                                 k 
                               
                             
                             ) 
                           
                         
                       
                       ≥ 
                       
                         100 
                          
                         % 
                       
                     
                   
                 
               
                 
             
           
         
       
     
         [0089]    The adjustment factor was developed via SME input and has no closed form. There are unique adjustment factors for each of the six distinctive combinations of baseline and adjusted response phases. 
         [0090]    There is also an adjustment to the disease-to-trauma ratio due to a change in response phase. For any change in response phase, the adjustment factor for disease is inversely proportional to the adjustment factor for trauma. Therefore, if the adjustment factor for disease is 8, the adjustment factor for trauma will be ⅛=0.125. 
         [0000]    Table 0 denotes the adjustments to relative disease and trauma percentages. These values are then normalized so that they sum to 100%, 
         [0000]    
       
         
               
             
               
               
               
               
             
               
               
               
               
             
           
               
                 TABLE 4 
               
             
             
               
                   
               
               
                 Response Phase Disease-to-Trauma Ratio Adjustment Factor 
               
             
          
           
               
                 Baseline 
                 Adjusted 
                 Disease 
                 Trauma 
               
               
                 response phase 
                 response phase 
                 adjustment factor 
                 adjustment factor 
               
               
                   
               
             
          
           
               
                 Early 
                 Middle 
                 4 
                 0.25 
               
               
                 Early 
                 Late 
                 8 
                 0.125 
               
               
                 Middle 
                 Early 
                 0.25 
                 4 
               
               
                 Middle 
                 Late 
                 4 
                 0.25 
               
               
                 Late 
                 Early 
                 0.125 
                 8 
               
               
                 Late 
                 Middle 
                 0.25 
                 4 
               
               
                   
               
             
          
         
       
     
       Adjustment Factor for Season 
     Top Category Adjustment 
     PCOF Types Affected: HA, DR, and Ground Combat 
     Patient Types Affected: Disease 
       [0091]    The development of the seasonal adjustment factor was performed via the analysis of SADR data for HA and DR scenarios, and from Operation Iraqi Freedom (OIF) and Operation Enduring Freedom (OEF) for ground combat scenarios that had been parsed by season. For ground combat PCOFs, the default season is always “All,” implying that the operation spanned multiple or all seasons. For HA and DR PCOFs, the default season is set respective to the season in which the operation took place. For each combination of seasons in HA and DR scenarios, an odds ratio was developed that measures the likelihood of a condition occurring in the user-adjusted season to a reference season (the baseline). 
         [0092]    The HA and DR season adjustment factors is calculated as follows: 
         [0000]    Let Season Baseline,k  be the percentage of the SADR population comprising ICD-9 category k for the scenario&#39;s baseline season. Where k denotes the ICD-9 categories from Table 2
 
Let Season Adjusted,k  be the percentage of the SADR population comprising ICD-9 category k for the scenario&#39;s user-adjusted season.
 
       Then: 
       [0093]    
       
         
           
             
               Odds_Ratio 
               
                 Baseline 
                 , 
                 
                   k 
                   → 
                   Adjusted 
                 
                 , 
                 k 
               
             
             = 
             
               
                 
                   Season 
                   
                     Adjusted 
                     , 
                     k 
                   
                 
                 * 
                 
                   ( 
                   
                     1 
                     - 
                     
                       Season 
                       
                         Baseline 
                         , 
                         k 
                       
                     
                   
                   ) 
                 
               
               
                 
                   Season 
                   
                     Baseline 
                     , 
                     k 
                   
                 
                 * 
                 
                   ( 
                   
                     1 
                     - 
                     
                       Season 
                       
                         Adjusted 
                         , 
                         k 
                       
                     
                   
                   ) 
                 
               
             
           
         
       
       
         
           
             
                 
             
              
             
               and 
               , 
               
                 
 
               
                
               
                   
               
                
               
                 
                   AF_HADRSeason 
                   k 
                 
                 = 
                 
                   Odds_Ratio 
                   
                     Baseline 
                     , 
                     
                       k 
                       → 
                       Adjusted 
                     
                     , 
                     k 
                   
                 
               
             
           
         
       
     
         [0094]    The ground combat season adjustment factor is calculated as follows: 
         [0000]    Let Season Baseline,m  be the percentage of the OIF or OEF population comprising ICD-9 category m for the scenario&#39;s baseline season.
 
Let Season Adjusted,m  be the percentage of the OIF or OEF population comprising ICD-9 category m for the scenario&#39;s user-adjusted season.
 
         [0000]    
       
         
           
             
               AF_CombatSeason 
               m 
             
             = 
             
               
                 ( 
                 
                   Season 
                   
                     Adjusted 
                     , 
                     m 
                   
                 
                 ) 
               
               
                 ( 
                 
                   Season 
                   
                     Baseline 
                     , 
                     m 
                   
                 
                 ) 
               
             
           
         
       
     
         [0095]    The ground combat seasonal adjustment factor aligns all of the disease major categories. After adjustment, the major categories are normalized so that the distribution sums to 100%. The HA and DR seasonal adjustment factor, as in the case of the response phase adjustment factor, only affects a specified set of major categories. Specifically, the adjustment factor for season only affects the disease major categories outlined in Table 0. Additionally, as with the response phase adjustment factor, these major categories are adjusted and kept constant while the remainder of the PCOF is normalized. 
       Subcategory Adjustment 
     PCOF Types Affected: HA, DR, and Ground Combat 
     Patient Types Affected: NBI, TRA 
       [0096]    Season is the only adjustment factor which affects PCOFs on the ICD-9 subcategory level. For NBI and TRA patient types, the season adjustment factor changes the relative percentage of the “Heat” and “Cold” subcategories within the “Heat and Cold” top category. Heat injuries are more common during the summer and cold injuries are more common during the winter. As shown in Table 0, the heat and cold subcategory percentages are determined using only the season. Individual PCOFs cannot have heat and cold percentages other than what is shown in the table 5. 
         [0000]    
       
         
               
             
               
               
               
               
             
           
               
                 TABLE 5 
               
             
             
               
                   
               
               
                 Season Subcategory Adjustments 
               
             
          
           
               
                   
                 Season 
                 Subcategory 
                 Percentage 
               
               
                   
                   
               
               
                   
                 All 
                 Heat 
                 50% 
               
               
                   
                 All 
                 Cold 
                 50% 
               
               
                   
                 Winter 
                 Heat 
                  5% 
               
               
                   
                 Winter 
                 Cold 
                 95% 
               
               
                   
                 Spring 
                 Heat 
                 50% 
               
               
                   
                 Spring 
                 Cold 
                 50% 
               
               
                   
                 Summer 
                 Heat 
                 95% 
               
               
                   
                 Summer 
                 Cold 
                  5% 
               
               
                   
                 Fall 
                 Heat 
                 50% 
               
               
                   
                 Fall 
                 Cold 
                 50% 
               
               
                   
                   
               
             
          
         
       
     
       Adjustment Factor for Country 
     PCOF Types Affected: HA and DR 
     Patient Types Affected: Disease and Trauma (Trauma is Adjusted Through Age and Gender Only) 
       [0097]    The selection of a country in the PCOF tool triggers four adjustment factors. The first adjustment factor combines region and climate. Each country is classified by region according to the CCMD in which it resides. Along with this is a categorizing of climate type according to the Koppen climate classification. Each combination of CCMD and climate was analyzed according to disability adjusted life years (DALYs), which are the number of years lost due to poor health, disability, or early death, and a disease distribution was formed. Each country within the same CCMD and climate combination shares the same DALY disease distribution for this adjustment factor. 
         [0098]    The region and climate type adjustment factor is calculated as follows: 
         [0000]    Let Region_Climate Baseline,m  be the percentage of the DALY population comprising ICD-9 category m for the region and climate combination of the baseline country in the selected season.
 
Let Region_Climate Adjusted,m  be the percentage of the DALY population comprising ICD-9 category m for the region and climate combination of the user-adjusted country in the selected scenario.
 
         [0000]    
       
         
           
             
               AF_Region 
                
               
                 _Climate 
                 m 
               
             
             = 
             
               
                 Region_Climate 
                 
                   Adjusted 
                   , 
                   m 
                 
               
               
                 Region_Climate 
                 
                   Baseline 
                   , 
                   m 
                 
               
             
           
         
       
     
         [0000]    
       
         
               
             
               
               
             
           
               
                 TABLE 6 
               
               
                   
               
               
                 Climate Classifications for Country Adjustment Factor 
               
               
                 Climate classification 
               
               
                   
               
             
             
               
                   
               
             
          
           
               
                   
                 Tropical 
               
               
                   
                 Dry/Desert 
               
               
                   
                 Temperate 
               
               
                   
                 Continental 
               
               
                   
                   
               
             
          
         
       
     
         [0099]    The second adjustment factor accounts for the impact of economy in the selected country. Each country&#39;s economy was categorized according to the human development index. SME input was used to develop adjustment factors for three major categories (Table 0). As in the case of the response phase adjustment factor and HA and DR seasonal adjustment factor, these three major categories are adjusted and held constant while the remainder of the PCOF is renormalized. 
         [0000]    
       
         
               
             
               
               
             
           
               
                 TABLE 7 
               
               
                   
               
               
                 Income Classifications for Country Adjustment Factor 
               
               
                 Income classification 
               
               
                   
               
             
             
               
                   
               
             
          
           
               
                   
                 Low 
               
               
                   
                 Lower Middle 
               
               
                   
                 Upper Middle 
               
               
                   
                 High 
               
               
                   
                   
               
             
          
         
       
     
         [0000]    
       
         
               
             
               
               
             
           
               
                 TABLE 8 
               
               
                   
               
               
                 Disease Major Categories Affected by Income 
               
               
                 Disease major categories 
               
               
                   
               
             
             
               
                   
               
             
          
           
               
                   
                 Gastrointestinal disorders 
               
               
                   
                 Infectious diseases 
               
               
                   
                 Respiratory disorders 
               
               
                   
                   
               
             
          
         
       
     
         [0100]    There is also an adjustment to the disease-to-trauma ratio due to a change in income. The disease and trauma percentages will be adjusted when the selection of a new country changes the income group. 0 denotes the adjustments that will be applied to the disease patient type percentage. After the disease percentage is multiplied by the adjustment factor, the disease and trauma percentages are renormalized to sum to 100%. 
         [0000]    
       
         
               
             
               
               
               
               
             
               
               
               
               
             
           
               
                 TABLE 9 
               
             
             
               
                   
               
               
                 Income Disease-to-Trauma Ratio Adjustment Factor 
               
             
          
           
               
                   
                   
                   
                 Disease 
               
               
                   
                 Baseline Income 
                 Current Income 
                 adjustment factor 
               
               
                   
                   
               
             
          
           
               
                   
                 Low 
                 Lower Middle 
                 1.050 
               
               
                   
                 Low 
                 Upper Middle 
                 1.100 
               
               
                   
                 Low 
                 High 
                 1.150 
               
               
                   
                 Lower Middle 
                 Low 
                 0.952 
               
               
                   
                 Lower Middle 
                 Upper Middle 
                 1.050 
               
               
                   
                 Lower Middle 
                 High 
                 1.100 
               
               
                   
                 Upper Middle 
                 Low 
                 0.909 
               
               
                   
                 Upper Middle 
                 Lower Middle 
                 0.952 
               
               
                   
                 Upper Middle 
                 High 
                 1.050 
               
               
                   
                 High 
                 Low 
                 0.870 
               
               
                   
                 High 
                 Lower Middle 
                 0.909 
               
               
                   
                 High 
                 Upper Middle 
                 0.952 
               
               
                   
                   
               
             
          
         
       
     
         [0101]    Finally, adjustment factors are applied for the change in age and gender. These adjustments are performed in the same manner as user-input changes to age and gender distribution (described above). However, instead of a user-input age or gender distribution, the age and gender distribution of the user-chosen country is used. 
         [0102]    B. Casualty Rate Estimation Tool (CREstT) 
         [0103]    The Casualty Rate Estimation Tool (CREstT) provides user estimate casualties and injuries resulting from a combat and non-combat event. CREstT may be used to generate casualties estimates for ground combat operations, attacks on ships, attacks on fixed facilities, and casualties resulting from natural disasters. These estimates allow medical planners to assess their operation plans, tailor operational estimates using adjustment factors, and develop robust patient streams best mimicking that expected in the anticipated operation. CREstT also has an interface with the PCOF tool, and can use the distributions stored or developed in that application to produce patient streams. Its stochastic implementation provides users with percentile as well as median results to enable risk assessment. Reports from CREsT may be programmed to present data in both tabular and graphical formats. Output data is available in a format that is compatible with EMRE, JMPT, and other tools. The high level process diagram of PCOF is shown in  FIG. 4 . 
       Estimate for Ground Combat Operations 
       [0104]    Baseline ground combat casualty rate estimates are based on empirical data spanning from World War II through OEF. Baseline casualty rates are modified through the application of adjustment factors. Applications of the adjustment factors provide greater accuracy in the casualty rate estimates. The CREsT adjustment factors are based largely on research by Trevor N. Dupuy and the Dupuy Institute (Dupuy, 1990). The Dupuy factors are weather, terrain, posture, troop size, opposition, surprise, sophistication, and pattern of operations. The factors included in CREstT are region, terrain, climate, battle intensity, troop type, and population at risk (PAR). Battle intensity is used in CREstT instead of opposition, surprise, and sophistication factors to model enemy strength factors. 
         [0105]    Casualty estimates for ground combat operations in CREstT are calculated using the process depicted in  FIG. 4 . The following sections outline the sub-processes and provide descriptions of inputs and outputs and the algorithms used in the estimation. 
       Calculate Baseline Rates 
       [0106]    The CREstT baseline rates are the starting point for the casualty generation process. There is a WIA baseline rate which is dependent on troop type, battle intensity, and service and a DNBI baseline rate which is dependent only on troop type. 
         [0000]    
       
         
               
             
               
               
               
               
               
             
           
               
                 TABLE 10 
               
             
             
               
                   
               
               
                 Calculate Baseline Rate Inputs 
               
             
          
           
               
                 Variable 
                   
                   
                   
                   
               
               
                 Name 
                 Description 
                 Source 
                 Min 
                 Max 
               
               
                   
               
               
                 Troop Type 
                 The generic type of simulated unit. Troop 
                 User-input 
                 N/A 
                 N/A 
               
               
                   
                 Type ε {Combat Arms, Combat Support, 
               
               
                   
                 Service Support}. 
               
               
                 Battle 
                 The level of intensity at which the battle will 
                 User-input 
                 N/A 
                 N/A 
               
               
                 Intensity 
                 be fought. Battle Intensity ε {None, Peace 
               
               
                   
                 Ops, Light, Moderate, Heavy, Intense, User 
               
               
                   
                 Defined}. 
               
               
                 Service 
                 The military service associated with the 
                 User-input 
                 N/A 
                 N/A 
               
               
                   
                 scenario. Service ε {Marines, Army}. 
               
               
                 User 
                 An optional user defined WIA rate (casualties 
                 User-input 
                 0 
                 100 
               
               
                 Defined 
                 per 1000 PAR per day). 
               
               
                 WIA Rate 
               
               
                   
               
             
          
         
       
     
         [0107]    Baseline WIA casualty rates based on historical data are provided for the Army and Marine Corps. Sufficient data does not exist to calculate historic ground combat WIA rates for the other services. Table 0 displays the baseline WIA rate for the Marine Corps for each troop type and battle intensity combination. Values are expressed as casualties per 1,000 PAR per day. WIA rates for combat support and service support are percentages of the combat arms WIA rate. The combat support rate is 28.5% of the combat arms rate and the service support rate is 10% of the combat arms rate. Peace Operations (Peace Ops) intensity rates are based on casualty rates from Operation New Dawn (Iraq after September 2010). Light intensity rates were derived from empirical data based on the overall average casualty rates from OEF 2010. Moderate intensity rates are derived from the average casualty rates evidenced in the Vietnam War and the Korean War. Heavy intensity rates are based on the rates seen during the Second Battle of Fallujah (during Off; November 2004). Lastly, “Intense” battle intensity is based on rates sustained during the Battle of Hue (during the Tet Offensive in the Vietnam War). 
         [0000]    
       
         
               
             
               
               
               
               
               
               
               
             
               
               
               
               
               
               
               
             
           
               
                 TABLE 11 
               
             
             
               
                   
               
               
                 WIA Baseline Rates for U.S. Marine Corps 
               
             
          
           
               
                 Troop 
                   
                 Peace 
                   
                   
                   
                   
               
               
                 Type 
                 None 
                 ops 
                 Light 
                 Moderate 
                 Heavy 
                 Intense 
               
               
                   
               
             
          
           
               
                 Combat 
                 0 
                 0.1000 
                 0.6000 
                 1.1600 
                 1.8500 
                 3.4700 
               
               
                 Arms 
               
               
                 Combat 
                 0 
                 0.0285 
                 0.1710 
                 0.3290 
                 0.5270 
                 0.9890 
               
               
                 Support 
               
               
                 Service 
                 0 
                 0.0100 
                 0.0600 
                 0.1120 
                 0.1850 
                 0.3470 
               
               
                 Support 
               
               
                   
               
             
          
         
       
     
         [0108]    Table 12 displays the baseline WIA rate for the Army for each troop type and battle intensity combination. Army rates are still under development, so the Army rates are currently set to the same values as the Marine Corps rates. 
         [0000]    
       
         
               
             
               
               
               
               
               
               
               
             
               
               
               
               
               
               
               
             
           
               
                 TABLE 12 
               
             
             
               
                   
               
               
                 WIA Baseline Rates for U.S. Army 
               
             
          
           
               
                 Troop 
                   
                 Peace 
                   
                   
                   
                   
               
               
                 Type 
                 None 
                 ops 
                 Light 
                 Moderate 
                 Heavy 
                 Intense 
               
               
                   
               
             
          
           
               
                 Combat 
                 0 
                 0.1000 
                 0.6000 
                 1.1600 
                 1.8500 
                 3.4700 
               
               
                 Arms 
               
               
                 Combat 
                 0 
                 0.0285 
                 0.1710 
                 0.3290 
                 0.5270 
                 0.9890 
               
               
                 Support 
               
               
                 Service 
                 0 
                 0.0100 
                 0.0600 
                 0.1120 
                 0.1850 
                 0.3470 
               
               
                 Support 
               
               
                   
               
             
          
         
       
     
         [0109]    If the user selects the “User Defined” battle intensity, then the user defined WIA rate will be used rather than a rate from the above tables. The disease and nonbattle injury (DNBI) baseline rates are determined only by troop type, independent of battle intensity and service. Table 0 displays the three DNBI baseline rates. As with WIA rates, values are in casualties per 1,000 PAR per day, 
         [0000]    
       
         
               
             
               
               
               
             
           
               
                 TABLE 13 
               
             
             
               
                   
               
               
                 DNBI Baseline Rates 
               
             
          
           
               
                   
                 Support 
                 All 
               
               
                   
                 category 
                 Intensities 
               
               
                   
                   
               
               
                   
                 Combat arms 
                 4.23 
               
               
                   
                 Combat 
                 3.25 
               
               
                   
                 support 
               
               
                   
                 Service 
                 3.15 
               
               
                   
                 support 
               
               
                   
                   
               
             
          
         
       
     
         [0110]    The DNBI baseline rate calculation process produces two sets of outputs, the respective WIA and DNBI baseline rates for each user-input selection of troop type and battle intensity (if applicable). 
         [0000]    
       
         
               
             
               
               
               
               
               
             
               
               
               
               
               
             
           
               
                 TABLE 14 
               
             
             
               
                   
               
               
                 Baseline Rate Outputs 
               
             
          
           
               
                 Variable name 
                 Description 
                 Source 
                 Min 
                 Max 
               
               
                   
               
             
          
           
               
                 BR WIA,Troop   
                 The WIA baseline 
                 Calculate 
                 0 
                 3.47* 
               
               
                   
                 rate for troop type = 
                 baseline rate 
               
               
                   
                 Troop. 
               
               
                 BR DNBI,Troop   
                 The DNBI 
                 Calculate 
                 3.15 
                 4.23 
               
               
                   
                 baseline rate for 
                 baseline rate 
               
               
                   
                 troop type = 
               
               
                   
                 Troop. 
               
               
                   
               
               
                 *Max value assumes user-defined baseline WIA rate is not used. 
               
             
          
         
       
     
         [0000]    
       
         
               
             
               
               
               
               
               
             
               
               
               
               
               
             
           
               
                 TABLE 15 
               
             
             
               
                   
               
               
                 Adjustment Factor Variables 
               
             
          
           
               
                 Variable name 
                 Description 
                 Source 
                 Min 
                 Max 
               
               
                   
               
             
          
           
               
                 BR WIA,Troop   
                 The WIA baseline rate for troop 
                 Calculate 
                 0 
                 3.47* 
               
               
                   
                 type = Troop. 
                 baseline 
               
               
                   
                   
                 rate 
               
               
                 BR DNBI,Troop   
                 The DNBI baseline rate for troop 
                 Calculate 
                 3.15 
                 4.23 
               
               
                   
                 type = Troop. 
                 baseline 
               
               
                   
                   
                 rate 
               
               
                 rg 
                 The region selected for the scenario 
                 User-input 
                 N/A 
                 N/A 
               
               
                   
                 rg ∈ {NORTHCOM, SOUTHCOM, 
               
               
                   
                 EUCOM, CENTCOM, AFRICOM, 
               
               
                   
                 PACOM} 
               
               
                 tr 
                 The terrain selected for the scenario 
                 User-input 
                 N/A 
                 N/A 
               
               
                   
                 tr ∈ 
               
               
                   
                 {Forested, Mountainous, Desert, 
               
               
                   
                 Jungle, Urban} 
               
               
                 cl 
                 The climate selected for the 
                 User-input 
                 N/A 
                 N/A 
               
               
                   
                 scenario 
               
               
                   
                 cl ∈ {Hot, Cold, Temperate} 
               
               
                 sf 
                 The troop strength at which the 
                 User-input 
                 0 
                 20000 
               
               
                   
                 battle is adjudicated for the 
               
               
                   
                 scenario. 
               
               
                 NBI % 
                 The percentage of DNBI casualties 
                 User-input 
                 0 
                 100 
               
               
                   
                 that are NBI. 
               
               
                   
               
               
                 *Max value assumes user-defined baseline WIA rate is not used. 
               
             
          
         
       
     
         [0111]    The formula for adjusted casualty rates for both WIA and DNBI are: 
         [0000]      WIA Troop =BR WIA,Troop   *√{square root over (rg*tr*cl*sf)}   
         [0000]      and, 
         [0000]      DNBI Troop =BR DNBI,Troop *√{square root over (NBI%* rg   NBI +(1−NBI%)* rg   DIS )}
 
       WIA Adjustment Factor for Region 
     Affected Casualties: Combat Arms, Combat Support, and Service Support 
       [0112]    CREstT allows the user to adjust the region or CCMD in which the modeled operation will occur. A previous study was performed to determine specific variables that influenced U.S. casualty incidence (Blood, Rotblatt, &amp; Marks, 1996). The results of this study were aggregated for CCMDs during CREstT&#39;s development. Table 0 lists the adjustment factors by region. 
         [0000]    
       
         
               
             
               
               
               
             
           
               
                 TABLE 16 
               
             
             
               
                   
               
               
                 Adjustment Factors for Region 
               
             
          
           
               
                   
                 CCMD 
                 Adjustment factor 
               
               
                   
                   
               
               
                   
                 USNORTHCOM 
                 0.20 
               
               
                   
                 USSOUTHCOM 
                 0.50 
               
               
                   
                 USEUCOM 
                 1.31 
               
               
                   
                 USCENTCOM 
                 1.03 
               
               
                   
                 USAFRICOM 
                 0.92 
               
               
                   
                 USPACOM 
                 1.13 
               
               
                   
                   
               
             
          
         
       
     
       WIA Adjustment Factor for Terrain 
     Affected Casualties: Combat Arms, Combat Support, and Service Support 
       [0113]    Previous modeling efforts by Trevor N. Dupuy (1990) have demonstrated that terrain and climate have the potential to impact the numbers of casualties in an engagement, Terrain factors previously derived by Dupuy were adapted for the development of terrain adjust factor seed in this tool, The multiplicative factors for each terrain description were averaged in the aggregated category. The “Urban” terrain type serves as the baseline value, The average factors for each category were scaled so that Urban would have a value of 1.0. Table 0 describes each of the factors used by Dupuy and the adjustment factors found in MPTk. 
         [0000]    
       
         
               
             
               
               
               
               
             
           
               
                 TABLE 17 
               
             
             
               
                   
               
               
                 Dupuy Terrain Values and Ajustment factor for Terrain used in MPTk. 
               
             
          
           
               
                   
                   
                   
                 Adjustment 
               
               
                   
                 Terrain Description 
                 Dupuy 
                 Factor 
               
               
                   
                   
               
               
                   
                 Rugged 
                   
                 0.80 
               
               
                   
                 Rugged, heavily wooded 
                 0.30 
               
               
                   
                 Rugged, mixed 
                 0.40 
               
               
                   
                 Rugged, bare 
                 0.50 
               
               
                   
                 Average 
                 0.40 
               
               
                   
                 Rolling 
                   
                 1.38 
               
               
                   
                 Rolling, foothills, heavily wooded 
                 0.60 
               
               
                   
                 Rolling, foothills, mixed 
                 0.70 
               
               
                   
                 Rolling, foothills, bare 
                 0.80 
               
               
                   
                 Rolling, gentle, heavily wooded 
                 0.65 
               
               
                   
                 Rolling, dunes 
                 0.50 
               
               
                   
                 Rolling, gentle, mixed 
                 0.75 
               
               
                   
                 Rolling, gentle, bare 
                 0.85 
               
               
                   
                 Average 
                 0.69 
               
               
                   
                 Flat 
                   
                 1.70 
               
               
                   
                 Flat, heavily wooded 
                 0.70 
               
               
                   
                 Flat, mixed 
                 0.80 
               
               
                   
                 Flat, bare, hard 
                 1.00 
               
               
                   
                 Flat, desert 
                 0.90 
               
               
                   
                 Average 
                 0.85 
               
               
                   
                 Swamp 
                   
                 0.70 
               
               
                   
                 Swamp 
                 0.30 
               
               
                   
                 Swamp, mixed or open 
                 0.40 
               
               
                   
                 Average 
                 0.35 
               
               
                   
                 Urban 
                   
                 1.00 
               
               
                   
                 Urban 
                 0.50 
               
               
                   
                 Average 
                 0.50 
               
               
                   
                   
               
             
          
         
       
     
       WIA Adjustment Factor for Climate 
     Affected Casualties: Combat Arms, Combat Support, and Service Support 
       [0114]    Climate adjustment factors were also derived from the work of Dupuy. Climate descriptions were aggregated into larger groups similar to the process described in the Adjustment Factor for Terrain section. It should be noted that the aggregated values are adjusted so that the “Temperate” climate serves as the baseline with a value of 1. This is performed by adjusting the “Temperate” climate average to a value of 1 and adjusting each of the other aggregate values by the same multiplier, 
         [0000]    
       
         
               
             
               
               
               
               
             
               
               
               
               
             
           
               
                 TABLE 18 
               
             
             
               
                   
               
               
                 Dupuy Climat Values and Ajustment factor for Climate used in MPTk 
               
             
          
           
               
                   
                 Climate description 
                 Dupuy 
                 Adjustment factor 
               
               
                   
                   
               
             
          
           
               
                   
                 Hot 
                   
                 0.91 
               
               
                   
                 Dry, sunshine, extreme heat 
                 0.8 
               
               
                   
                 Dry, overcast, extreme heat 
                 0.9 
               
               
                   
                 Wet, light, extreme heat 
                 0.7 
               
               
                   
                 Wet, heavy, extreme heat 
                 0.5 
               
               
                   
                 Average 
                 0.725 
               
               
                   
                 Cold 
                   
                 0.63 
               
               
                   
                 Dry, sunshine, extreme cold 
                 0.7 
               
               
                   
                 Dry, overcast, extreme cold 
                 0.6 
               
               
                   
                 Wet, light, extreme cold 
                 0.4 
               
               
                   
                 Wet, heavy, extreme cold 
                 0.3 
               
               
                   
                 Average 
                 0.5 
               
               
                   
                 Temperate 
                   
                 1.00 
               
               
                   
                 Dry, sunshine, temperate 
                 1 
               
               
                   
                 Dry, overcast, temperate 
                 1 
               
               
                   
                 Wet, light, temperate 
                 0.7 
               
               
                   
                 Wet, heavy, temperate 
                 0.5 
               
               
                   
                 Average 
                 0.8 
               
               
                   
                   
               
             
          
         
       
     
       WIA Adjustment Factor for Troop Strength 
     Affected Casualties: Combat Arms, Combat Support, and Service Support 
       [0115]    The troop-strength adjustment factor is derived from the user-input unit size. However, if the unit size is greater than the PAR, the PAR will be used. Unit size will default to 1,000 unless adjusted by the user. If the user inputs a unit size of zero, the PAR will be used for the troop strength adjustment factor calculation.  FIG. 5  shows changes in troop strength adjustment factor as PAR increases. Unit sizes between 869 and 19,342 are adjusted using a Weibull hazard-rate function based on the ratio of WIA rates evidenced in divisions, companies, and battalions from the Second Battle of Fallujah. The hazard-rate function is displayed in  FIG. 5 . 
         [0116]    The hazard-rate step function is as follows: 
         [0000]    
       
         
           
             
               sf 
               us 
             
             = 
             
               { 
               
                 
                   
                     
                       
                          
                         
                           ( 
                           
                             
                               - 
                               0.0001 
                             
                             * 
                             868 
                           
                           ) 
                         
                       
                       * 
                       
                          
                         
                           ( 
                           1.865438 
                           ) 
                         
                       
                     
                   
                   
                     
                       
                         if 
                          
                         
                             
                         
                          
                         us 
                       
                       &lt; 
                       868 
                     
                   
                 
                 
                   
                     
                       
                          
                         
                           ( 
                           
                             
                               - 
                               0.0001 
                             
                             * 
                             us 
                           
                           ) 
                         
                       
                       * 
                       
                          
                         
                           ( 
                           1.885438 
                           ) 
                         
                       
                     
                   
                   
                     
                       
                         if 
                          
                         
                             
                         
                          
                         868 
                       
                       ≤ 
                       us 
                       ≤ 
                       19341 
                     
                   
                 
                 
                   
                     1 
                   
                   
                     
                       
                         if 
                          
                         
                             
                         
                          
                         us 
                       
                       &gt; 
                       19341 
                     
                   
                 
               
             
           
         
       
     
       Where: 
       [0117]      us=min(PAR,unit size)       PAR is the actual PAR for the given troop type on that day. It reflects the interval PAR decreased by casualties on previous days (unless daily replacements are enabled).         
       DNBI Adjustment Factors for Region 
       [0119]    Affected Casualties: Combat Arms, Combat Support, and Service Support 
         [0120]    DNBI regional adjustment factors were developed via an analysis of World War II data aggregated by both disease and NBI occurrences within each region. Disease and NBI each have an individual adjustment factor. The adjustment factors are as shown in Table 0. 
         [0000]    
       
         
               
             
               
               
               
               
             
           
               
                 TABLE 19 
               
             
             
               
                   
               
               
                 Regional Adjustment Factors for DNBI 
               
             
          
           
               
                   
                   
                   
                 Adjustment factor 
               
               
                   
                 CCMD 
                 Adjustment factor (DIS) 
                 (NBI) 
               
               
                   
                   
               
               
                   
                 USNORTHCOM 
                 1.11 
                 1.09 
               
               
                   
                 USSOUTHCOM 
                 1.11 
                 1.09 
               
               
                   
                 USEUCOM 
                 0.89 
                 1.10 
               
               
                   
                 USCENTCOM 
                 1.00 
                 1.00 
               
               
                   
                 USAFRICOM 
                 1.12 
                 0.94 
               
               
                   
                 USPACOM 
                 1.07 
                 1.01 
               
               
                   
                   
               
             
          
         
       
     
         [0121]    The application of the adjustment factors yields two sets of outputs: the adjusted rate for WIA casualties and the adjusted rate for DNBI casualties. Table 0 describes the outputs. 
         [0000]    
       
         
               
             
               
               
               
               
               
             
               
               
               
               
               
             
           
               
                 TABLE 20 
               
             
             
               
                   
               
               
                 Application of Adjustment Factors Outputs 
               
             
          
           
               
                 Variable name 
                 Description 
                 Source 
                 Min 
                 Max 
               
               
                   
               
             
          
           
               
                 WIA Troop   
                 The WIA adjusted rate 
                 Apply 
                 0 
                 12.73* 
               
               
                   
                 for Troop Type = Troop. 
                 adjustment 
               
               
                   
                   
                 factors 
               
               
                 DNBI Troop   
                 The DNBI adjusted rate 
                 Apply 
                 2.97 
                 4.46 
               
               
                   
                 for Troop Type = Troop. 
                 adjustment 
               
               
                   
                   
                 factors 
               
               
                   
               
               
                 *Max value assumes user-defined baseline WIA rate is not used. 
               
             
          
         
       
     
       Generate WIA Casualties 
       [0122]    The inputs to the WIA casualty generation process are shown in table 21 and the logic used to generate WIA casualty generation process is shown in  FIG. 6 . 
         [0000]    
       
         
               
             
               
               
               
               
               
             
               
               
               
               
               
             
           
               
                 TABLE 21 
               
             
             
               
                   
               
               
                 WIA Casualties Inputs 
               
             
          
           
               
                 Variable name 
                 Description 
                 Source 
                 Min 
                 Max 
               
               
                   
               
             
          
           
               
                 WIA Troop   
                 The WIA adjusted 
                 Apply 
                 0 
                 12.73* 
               
               
                   
                 rate for troop 
                 adjustment 
               
               
                   
                 type = Troop. 
                 factors 
               
               
                 BR WIA,Troop   
                 The WIA baseline 
                 Calculate 
                 0 
                 3.41* 
               
               
                   
                 rate for troop 
                 baseline 
               
               
                   
                 type = Troop. 
                 rate 
               
               
                 PAR Troop   
                 The PAR for the 
                 User input 
                 0 
                 500,000 
               
               
                   
                 given troop type. 
                 (minus 
               
               
                   
                   
                 sustained 
               
               
                   
                   
                 casualties) 
               
               
                 Troop type 
                 The troop type. 
                 User input 
                 N/A 
                 N/A 
               
               
                   
                 Troop type ε 
               
               
                   
                 {Combat Arms, 
               
               
                   
                 Combat Support, 
               
               
                   
                 Service Support} 
               
               
                   
               
               
                 *Max value assumes user-defined baseline WIA rate is not used. 
               
             
          
         
       
     
         [0123]    All CREstT casualties are generated via a mixture distribution. First, a daily rate (DailyWIA t ) is drawn from a probability distribution that has the adjusted casualty rate (WIA Troop ) as its mean. As described in detail below, this distribution will be either a gamma or exponential distribution. The daily rate (DailyWIA t ) is then applied to the current PAR and used as the mean of a Poisson distribution to generate the daily casualty count (NumWIA Troop ). The underlying distributions for WIA casualties are determined by the baseline WIA casualty rate (BR WIA,Troop ). Rates corresponding to Moderate battle intensity or lower will use a gamma distribution, while those corresponding to Heavy or above will use an exponential distribution. Table 0 displays the cutoff point between the two distributions. 
         [0000]    
       
         
               
             
               
               
               
               
             
           
               
                 TABLE 22 
               
             
             
               
                   
               
               
                 WIA Casualty Rate Distributions 
               
             
          
           
               
                   
                   
                 Gamma 
                 Exponential 
               
               
                   
                 Troop Type 
                 Distribution if: 
                 Distribution if: 
               
               
                   
                   
               
               
                   
                 Combat Arms 
                 BR WIA,CA  &lt; 1.505 
                 BR WIA,CA  ≧ 1.505 
               
               
                   
                 Combat 
                 BR WIA,CS  &lt; 0.428 
                 BR WIA,CS  ≧ 0.428 
               
               
                   
                 Support 
               
               
                   
                 Service 
                 BR WIA,SS  &lt; 0.149 
                 BR WIA,SS  ≧ 0.149 
               
               
                   
                 Support 
               
               
                   
                   
               
             
          
         
       
     
         [0124]    The parameterization of the gamma distribution used in CREstT is as follows. 
         [0000]    
       
         
           
             
               pdf 
                
               
                 : 
               
                
               
                   
               
                
               
                 f 
                  
                 
                   ( 
                   x 
                   ) 
                 
               
             
             = 
             
               
                 1 
                 
                   
                     Γ 
                      
                     
                       ( 
                       α 
                       ) 
                     
                   
                    
                   
                     β 
                     α 
                   
                 
               
                
               
                 x 
                 
                   α 
                   - 
                   1 
                 
               
                
               
                  
                 
                   - 
                   
                     x 
                     β 
                   
                 
               
             
           
         
       
       
         
           
             
               Shape 
                
               
                   
               
                
               Parameter 
                
               
                   
               
                
               α 
             
             = 
             
               
                 μ 
                 2 
               
               
                 σ 
                 2 
               
             
           
         
       
       
         
           
             
               Scale 
                
               
                   
               
                
               Parameter 
                
               
                   
               
                
               β 
             
             = 
             
               μ 
               α 
             
           
         
       
     
       Where: 
       [0000]    
       
         
           
             μ is the mean and σ 2  is the variance 
             Γ( ) indicates the gamma function
 
Random variates of the gamma distribution are calculated as follows:
 
             Generate a random number  U =uniform(0,1) 
           
         
       
     
         [0000]      Gamma(α,β)=Gamma.Inv( U ,α,β)
       Where Gamma.Inv evaluates the gamma inverse cumulative distribution function at U to provide the gamma random variate.
 
When generating gamma distributed casualty rates in CREstT, the mean (μ) is equal to WIA Troop . It is assumed that the variance is equal to the mean to the power of 2.5. Thus, the parameters α and β can be calculated as follows:
       
 
         [0000]    
       
         
           
             
               σ 
               2 
             
             = 
             
               μ 
               2.5 
             
           
         
       
       
         
           
             μ 
             = 
             
               WIA 
               Troop 
             
           
         
       
       
         
           
             
               Shape 
                
               
                   
               
                
               Parameter 
                
               
                   
               
                
               α 
             
             = 
             
               
                 
                   μ 
                   2 
                 
                 
                   σ 
                   2 
                 
               
               = 
               
                 
                   
                     μ 
                     2 
                   
                   
                     μ 
                     2.5 
                   
                 
                 = 
                 
                   
                     1 
                     
                       μ 
                     
                   
                   = 
                   
                     1 
                     
                       
                         WIA 
                         troop 
                       
                     
                   
                 
               
             
           
         
       
       
         
           
             
               Scale 
                
               
                   
               
                
               Parameter 
                
               
                   
               
                
               β 
             
             = 
             
               
                 μ 
                 α 
               
               = 
               
                 
                   μ 
                   * 
                   
                     μ 
                   
                 
                 = 
                 
                   
                     μ 
                     1.5 
                   
                   = 
                   
                     WIA 
                     Troop 
                     1.5 
                   
                 
               
             
           
         
       
       
         
           
             MPTk generates gamma random variates using the acceptance-rejection method first identified by R. Cheng, as described by Law (2007). 
           
         
       
     
         [0130]    As described above (in Table 0), heavy and intense battle intensities use the exponential distribution. The exponential distribution can be characterized as a gamma distribution with shape parameter α=1. Therefore, the parameterization of the exponential distribution is as follows: 
         [0000]    
       
         
           
             
               pdf 
                
               
                 : 
               
                
               
                   
               
                
               
                 f 
                  
                 
                   ( 
                   x 
                   ) 
                 
               
             
             = 
             
               
                 1 
                 β 
               
                
               
                  
                 
                   - 
                   
                     x 
                     β 
                   
                 
               
             
           
         
       
     
         [0131]    Where β is the mean,
       Random variates of the exponential distribution are calculated as follows:       
 
         [0000]      Generate a random number  U =Uniform(0,1) 
         [0000]      Exp(β)=Gamma.Inv( U, 1,β)
 
         [0133]    Where Gamma.Inv is the inverse of the gamma cumulative distribution function
       When generating exponentially distributed casualty rates in CREstT, the mean (β) is equal to WIA Troop .       
 
         [0000]      β=WIA Troop  
       For CREstT ground combat scenarios, MPTk generates exponential random variates using the same method as gamma random variates (described above) with the alpha parameter equal to 1.       
 
       Generate Daily Casualty Rates (Combat Support and Service Support) 
       [0136]    For combat support and service support troop types, the daily casualty rate (DailyWIA t ) for day t is calculated by generating a random variate with mean WIA Troop  from either a gamma or exponential distribution using the procedures described above.
       If BR WIA,Troop  is below cutoff (Table 0):       
 
         [0000]    
       
         
           
             
               DailyWIA 
               t 
             
             ∼ 
             
               Gamma 
               ( 
               
                 
                   α 
                   = 
                   
                     1 
                     
                       
                         WIA 
                         Troop 
                       
                     
                   
                 
                 , 
                 
                   β 
                   = 
                   
                     WIA 
                     Troop 
                     1.5 
                   
                 
               
               ) 
             
           
         
       
       
         
           
             If BR WIA,Troop  is above cutoff (Table 0): 
           
         
       
     
         [0000]      DailyWIA t ˜Exp(β=WIA Troop )
 
       Generate Daily Casualty Rates (Combat Arms) 
       [0139]    An underlying assumption of the CREstT casualty model is that combat arms WIA rates are autocorrelated. This autocorrelation indicates that the magnitude of any one day&#39;s casualties is related to the numbers of casualties sustained in the three immediately preceding days. Therefore, CREstT uses an autocorrelation function for the generation of combat arms casualties. Combat support and service support are not modeled using autocorrelation. The autocorrelation computation is as follows.
       If BR WIA,Troop  is below cutoff (Table 0):       
 
         [0000]    
       
         
           
             
               DailyWIA 
               t 
             
             = 
             
               
                 0.3 
                 * 
                 
                   ( 
                   
                     
                       DailyWIA 
                       
                         t 
                         - 
                         1 
                       
                     
                     - 
                     μ 
                   
                   ) 
                 
               
               + 
               
                 0.2 
                 * 
                 
                   ( 
                   
                     
                       DailyWIA 
                       
                         t 
                         - 
                         2 
                       
                     
                     - 
                     μ 
                   
                   ) 
                 
               
               + 
               
                 0.1 
                 * 
                 
                   ( 
                   
                     
                       DailyWIA 
                       
                         t 
                         - 
                         3 
                       
                     
                     - 
                     μ 
                   
                   ) 
                 
               
               + 
               
                 Gamma 
                  
                 
                   ( 
                   
                     α 
                     , 
                     β 
                   
                   ) 
                 
               
             
           
         
       
       
         
           
             
                 
             
              
             
               Where 
                
               
                 : 
               
             
           
         
       
       
         
           
             
                 
             
              
             
               μ 
               = 
               
                 WIA 
                 Troop 
               
             
           
         
       
       
         
           
             
                 
             
              
             
               α 
               = 
               
                 1 
                 
                   
                     WIA 
                     Troop 
                   
                 
               
             
           
         
       
       
         
           
             
                 
             
              
             
               β 
               = 
               
                 WIA 
                 Troop 
                 1.5 
               
             
           
         
       
       
         
           
             If BR WIA,Trroop  is above cutoff (Table 0): 
           
         
       
     
         [0000]      DailyWIA t =0.3*(DailyWIA t−1 −μ)+0.2*(DailyWIA t−2 −μ)+0.1*(DailyWIA t−3 −μ)+Exp(β)
 
         [0142]    Where: 
         [0143]    μ=WIA Troop  and β=WIA Troop    
         [0144]    During the first three days of the simulation (days 0, 1, and 2), casualty rates for three previous days are not available to perform the autocorrelation. This limitation is overcome by assuming that the three days prior to the start of the simulation all had rates equal to WIA Troop . 
         [0000]      DailyWIA t=−1 =DailyWIA t=−2 =DailyWIA t=−3 =μ=WIA Troop  
       This has the effect of canceling out terms in the autocorrelation equations above that do not apply. For example, on day 0 with heavy battle intensity, the autocorrelation equation would reduce to:       
 
         [0000]      DailyWIA t=0 =0.3*DailyWIA t=−1 −μ)+0.2*(DailyWIA t=−2 −μ)+0.1*(DailyWIA t=−3 −μ)+Exp(β)
 
         [0000]      DailyWIA t=0 =0.3*(μ−μ)+0.2*(μ−μ)+0.1*(μ−μ)+Exp(β)DailyWIA t=0 =Exp(β)=Exp(WIA Troop )
       It is possible for the autocorrelation equation to result in a negative result. Because casualty rates cannot be negative, negative casualty rates are corrected to 0.001 before moving on to the calculation of the next day&#39;s rate.       
 
         [0000]      if DailyWIA t &lt;0,DailyWIA t =0.001 
         [0147]    Once the above calculations have been performed, either in the presence or absence of autocorrelation, the resulting rate (DailyWIA t ) is used in a Poisson distribution to generate a daily casualty estimate. The parameterization of the Poisson distribution&#39;s probability mass function is as follows: 
         [0000]    
       
         
           
             
               pmf 
                
               
                 : 
               
                
               
                   
               
                
               
                 f 
                  
                 
                   ( 
                   k 
                   ) 
                 
               
             
             = 
             
               
                 
                   λ 
                   k 
                 
                 
                   k 
                   ! 
                 
               
                
               
                  
                 
                   - 
                   λ 
                 
               
             
           
         
       
     
         [0148]    Where λ is the mean.
       There is no exact method for generating Poisson distributed random numbers. In MPTk, Poisson random variates with means greater than 30 are generated using the rejection method proposed by Atkinson (1979). For means less than 30, Knuth&#39;s method, as described by Law, is used (2007).       
 
       Generate Daily Casualty Counts 
       [0150]    To generate the daily WIA casualty estimate, the previously generated rate (DailyWIA t ) is multiplied by the current PAR divided by 1000 and used as the mean (λ) of a Poisson distribution. 
         [0000]    
       
         
           
             
               NumW 
               / 
               
                 A 
                 Troop 
               
             
             = 
             
               Poisson 
                
               
                 ( 
                 
                   λ 
                   = 
                   
                     
                       DailyWIA 
                       t 
                     
                     * 
                     
                       PAR 
                       1000 
                     
                   
                 
                 ) 
               
             
           
         
       
       
         
           
             The outputs for the WIA casualty generation process are simply the number of casualties for the day that has been simulated. 
           
         
       
     
         [0000]    
       
         
               
             
               
               
               
               
               
             
           
               
                 TABLE 23 
               
             
             
               
                   
               
               
                 WIA Casualty Generation Process Outputs 
               
             
          
           
               
                 Variable name 
                 Description 
                 Source 
                 Min 
                 Max 
               
               
                   
               
               
                 NumWIA Troop   
                 The number of WIA 
                 Generate 
                 0 
                 ~30,000* 
               
               
                   
                 casualties for troop 
                 WIA 
               
               
                   
                 type = Troop. 
                 casualties 
               
               
                   
               
               
                 *Max value assumes user-defined baseline WIA rate is not used. 
               
             
          
         
       
     
       Generate KIA Casualties 
       [0152]    The inputs for the KIA casualty generation process are as follows. 
         [0000]    
       
         
               
             
               
               
               
               
               
             
               
               
               
               
               
             
           
               
                 TABLE 24 
               
             
             
               
                   
               
               
                 Generate KIA Casualties Inputs 
               
             
          
           
               
                 Variable Name 
                 Description 
                 Source 
                 Min 
                 Max 
               
               
                   
               
             
          
           
               
                 NumWIA Troop   
                 The number of WIA 
                 Generate 
                 0 
                 ~30,000* 
               
               
                   
                 casualties for Troop 
                 WIA 
               
               
                   
                 type = Troop. 
                 Casualties 
               
               
                 KIA % 
                 The number of KIA 
                 User-Input 
                 0 
                 100 
               
               
                   
                 casualties to create as a 
               
               
                   
                 percentage of WIA 
               
               
                   
                 casualties 
               
               
                   
               
               
                 *Max value assumes user-defined baseline WIA rate is not used. 
               
             
          
         
       
       
         
           
             If the “Generate KIA Casualties” option is selected, KIA casualties are created as a percentage of the WIA casualties on each day. The calculation is as follows: 
           
         
       
     
         [0000]      NumKIA Troop =NumWIA Troop *KIA%       The number of WIA casualties is not changed when KIA casualties are created.         
         [0000]                                          TABLE 25                   KIA Casualty Generation Process Outputs            Variable Name   Description   Source   Min   Max               NumKIA Troop     The number of   Generate   0   NumWIA Troop             KIA casualties for   WIA           Troop type =   Casualties           Troop.                    
Decrement the PAR after WIA and KIA
 
         [0155]    After WIA and KIA casualties have been generated, but before generating DNBI casualties, the PAR must be decremented. If the “Daily Replacements” option is selected for this troop type and interval, then the PAR is not decremented. The inputs for decrementing the PAR after WIA and KIA generation are as follows. 
         [0000]    
       
         
               
             
               
               
               
               
               
             
               
               
               
               
               
             
           
               
                 TABLE 26 
               
             
             
               
                   
               
               
                 Decrement PAR after WIA and KIA Inputs 
               
             
          
           
               
                 Variable 
                   
                   
                   
                   
               
               
                 Name 
                 Description 
                 Source 
                 Min 
                 Max 
               
               
                   
               
             
          
           
               
                 P(WIAocc) x   
                 The probability of 
                 PCOF 
                 0 
                 1 
               
               
                   
                 occurrence of ICD-9 x 
               
               
                   
                 in the WIA PCOF 
               
               
                 P(Adm) x   
                 The probability that an 
                 CREstT 
                 0 
                 1 
               
               
                   
                 occurrence of ICD-9 x 
                 common data 
               
               
                   
                 becomes a theater 
               
               
                   
                 hospital admission 
               
               
                 PAR Troop   
                 The Population at Risk 
                 User input 
                 0 
                 500,000 
               
               
                   
                 for Troop type = 
                 (minus 
               
               
                   
                 Troop 
                 sustained 
               
               
                   
                   
                 casualties) 
               
               
                   
               
             
          
         
       
     
         [0156]    If KIA casualties are generated, all KIA casualties are removed from PAR. The WIA casualties are adjusted so that only the casualties that are expected to require evacuation to Role 3 are removed. This adjustment assumes that all casualties that can return to duty after treatment at Role 1 or Role 2 are not removed from PAR and all casualties that are evacuated beyond Role 2 are permanently removed and not replaced. 
         [0000]    
       
         
           
             
               PAR 
               Troop 
             
             = 
             
               
                 PAR 
                 Troop 
               
               - 
               
                 ( 
                 
                   
                     NumWIA 
                     Troop 
                   
                   * 
                   ExpEvacPerc 
                 
                 ) 
               
               - 
               
                 NumKIA 
                 Troop 
               
             
           
         
       
       
         
           
                 Where: 
           
         
       
       
         
           
             
                 
             
              
             
               ExpEvacPerc 
               = 
               
                 
                   ∑ 
                   x 
                 
                  
                 
                     
                 
                  
                 
                   
                     
                       P 
                        
                       
                         ( 
                         WIAocc 
                         ) 
                       
                     
                     x 
                   
                   * 
                   
                     
                       P 
                        
                       
                         ( 
                         Adm 
                         ) 
                       
                     
                     x 
                   
                 
               
             
           
         
       
     
         [0000]    
       
         
               
             
               
               
               
               
               
             
           
               
                 TABLE 27 
               
             
             
               
                   
               
               
                 Decrement PAR after WIA and KIA Outputs 
               
             
          
           
               
                 Variable Name 
                 Description 
                 Source 
                 Min 
                 Max 
               
               
                   
               
               
                 PAR Troop   
                 The Population at 
                 Decrement PAR 
                 0 
                 500,000 
               
               
                   
                 Risk for Troop 
                 after WIA and 
               
               
                   
                 type = Troop 
                 KIA 
               
               
                   
               
             
          
         
       
     
       Generate DNBI Casualties 
       [0157]    The inputs for the DNBI casualty generation process are shown in table 28. 
         [0000]    
       
         
               
             
               
               
               
               
               
             
               
               
               
               
               
             
           
               
                 TABLE 28 
               
             
             
               
                   
               
               
                 Generate DNBI Casualties Inputs 
               
             
          
           
               
                 Variable name 
                 Description 
                 Source 
                 Min 
                 Max 
               
               
                   
               
             
          
           
               
                 DNBI Troop   
                 The DNBI adjusted 
                 Apply 
                 2.97 
                 4.46 
               
               
                   
                 rate for troop 
                 adjustment 
               
               
                   
                 type = Troop. 
                 factors 
               
               
                 PAR Troop   
                 The PAR for the 
                 User input 
                 0 
                 500,000 
               
               
                   
                 given troop type. 
                 (minus 
               
               
                   
                   
                 sustained 
               
               
                   
                   
                 casualties) 
               
               
                 NBI % 
                 The percentage of 
                 User input 
                 0 
                 100 
               
               
                   
                 DNBI casualties 
               
               
                   
                 that are NBI. 
               
               
                   
               
             
          
         
       
     
         [0158]    The logic to generate DNBI casualties is displayed in  FIG. 7 . 
         [0159]    The underlying distribution used to create DNBI is the Weibull distribution. This distribution is standard across all troop types and battle intensities, The mean rate is the only value that changes. The parameterization for the Weibull distribution includes a shape parameter (α) and scale parameter (β). In CREstT, it is assumed that the shape parameter is 1.975658. This value is used to solve for the scale parameter. The parameterization of the Weibull distribution used in CREstT is as follows: 
         [0000]    
       
         
           
             pdf 
             = 
             
               
                 α 
                 β 
               
                
               
                 x 
                 
                   α 
                   - 
                   1 
                 
               
                
               
                  
                 
                   - 
                   
                     
                       x 
                       α 
                     
                     β 
                   
                 
               
             
           
         
       
       
         
           
             
               Shape 
                
               
                   
               
                
               Parameter 
                
               
                   
               
                
               α 
             
             = 
             1.975658 
           
         
       
       
         
           
             
               Scale 
                
               
                   
               
                
               Parameter 
                
               
                   
               
                
               β 
             
             = 
             
               
                 ( 
                 
                   μ 
                   
                     Γ 
                      
                     
                       ( 
                       
                         1 
                         + 
                         
                           1 
                           α 
                         
                       
                       ) 
                     
                   
                 
                 ) 
               
               α 
             
           
         
       
     
         [0160]    Where:
       Mean μ=DNBI Troop      Γ( ) indicates the gamma function       
 
         [0163]    Random variates of the Weibull distribution are calculated as follows: 
         [0000]      Generate a random number  U =uniform(0,1) 
         [0000]      Weibull(α,β)=(−β*ln( U )) 1/α 
 
         [0164]    Thus the daily DNBI rate is: 
         [0000]    
       
         
           
             
               DNBI 
               t 
             
             = 
             
               Weibull 
               ( 
               
                 
                   α 
                   = 
                   1.975658 
                 
                 , 
                 
                   β 
                   = 
                   
                     
                       ( 
                       
                         
                           DNBI 
                           Troop 
                         
                         
                           Γ 
                            
                           
                             ( 
                             
                               1 
                               + 
                               
                                 1 
                                 α 
                               
                             
                             ) 
                           
                         
                       
                       ) 
                     
                     1.975658 
                   
                 
               
               ) 
             
           
         
       
     
         [0165]    As in the case of WIA casualties, the daily DNBI rate (DNBI t ) is multiplied by the current PAR divided by 1000 and used as the mean (λ) of a Poisson distribution. The Poisson distribution is simulated, as described above for WIA casualties, to produce integer daily casualty counts. 
         [0000]    
       
         
           
             
               NumDNBI 
               Troop 
             
             = 
             
               Poission 
                
               
                 ( 
                 
                   λ 
                   = 
                   
                     
                       DNBI 
                       t 
                     
                     * 
                     
                       PAR 
                       
                         1 
                         , 
                         000 
                       
                     
                   
                 
                 ) 
               
             
           
         
       
     
         [0166]    CREstT generates the number of DNBI casualties per day as described above. It then splits the casualties according to the user input for “NBI % of DNBI.” The calculations are as follows: 
         [0000]      NumDis Troop =Round [(1−NBI%)*NumDNBI Troop ]
 
         [0000]      NumNBI Troop =NumDNBI Troop −NumDis Troop 
 
         [0000]                                          TABLE 29                   DNBI Casualty Generation Process Outputs            Variable name   Description   Source   Min   Max               NumDis Troop     The number of DIS   Generate   0   ~5000           casualties for troop   DNBI           type = Troop.   casualties       NumNBI Troop     The number of NBI   Generate   0   ~5000           casualties for troop   DNBI           type = Troop.   casualties                    
Decrement the PAR after DNBI
 
         [0167]    After DNBI casualties have been generated, but before moving to the next day, the PAR must be decremented. If the “Daily Replacements” option is selected for this troop type and interval, then the PAR is not decremented. The inputs for decrementing the PAR after DNBI generation are as follows. 
         [0000]    
       
         
               
             
               
               
               
               
               
             
               
               
               
               
               
             
           
               
                 TABLE 30 
               
             
             
               
                   
               
               
                 Decrement PAR after DNBI Inputs 
               
             
          
           
               
                 Variable Name 
                 Description 
                 Source 
                 Min 
                 Max 
               
               
                   
               
             
          
           
               
                 P(DISocc) x   
                 The probability of 
                 PCOF 
                 0 
                 1 
               
               
                   
                 occurrence of ICD-9 
               
               
                   
                 x in the DIS PCOF 
               
               
                 P(NBIocc) x   
                 The probability of 
                 PCOF 
                 0 
                 1 
               
               
                   
                 occurrence of ICD-9 
               
               
                   
                 x in the NBI PCOF 
               
               
                 P(Adm) x   
                 The probability that 
                 CREstT 
                 0 
                 1 
               
               
                   
                 an occurrence of 
                 common 
               
               
                   
                 ICD-9 x becomes a 
                 data 
               
               
                   
                 theater hospital 
               
               
                   
                 admission 
               
               
                 PAR Troop   
                 The Population at 
                 User input 
                 0 
                 500,000 
               
               
                   
                 Risk for Troop 
                 (minus 
               
               
                   
                 type = Troop 
                 sustained 
               
               
                   
                   
                 casualties) 
               
               
                   
               
             
          
         
       
     
         [0168]    The DIS and NBI casualties are adjusted so that only the casualties that are expected to require evacuation to Role 3 are removed. This adjustment assumes that all casualties that can return to duty after treatment at Role 1 or Role 2 are not removed from PAR and all casualties that are evacuated beyond Role 2 are permanently removed and not replaced. 
         [0000]    
       
         
           
             
               PAR 
               Troop 
             
             = 
             
               
                 PAR 
                 Troop 
               
               - 
               
                 ( 
                 
                   
                     NumDIS 
                     Troop 
                   
                   * 
                   ExpDISEvacPerc 
                 
                 ) 
               
               - 
               
                 ( 
                 
                   
                     NumNBI 
                     Troop 
                   
                   * 
                   ExpDISEvacPerc 
                 
                 ) 
               
             
           
         
       
       
         
           
                 Where: 
           
         
       
       
         
           
             
                 
             
              
             
               ExpDISEvacPerc 
               = 
               
                 
                   ∑ 
                   x 
                 
                  
                 
                     
                 
                  
                 
                   
                     
                       P 
                        
                       
                         ( 
                         DISocc 
                         ) 
                       
                     
                     x 
                   
                   * 
                   
                     
                       P 
                        
                       
                         ( 
                         Adm 
                         ) 
                       
                     
                     x 
                   
                 
               
             
           
         
       
       
         
           
             
                 
             
              
             
               ExpNBIEvacPerc 
               = 
               
                 
                   ∑ 
                   x 
                 
                  
                 
                     
                 
                  
                 
                   
                     
                       P 
                        
                       
                         ( 
                         NBIocc 
                         ) 
                       
                     
                     x 
                   
                   * 
                   
                     
                       P 
                        
                       
                         ( 
                         Adm 
                         ) 
                       
                     
                     x 
                   
                 
               
             
           
         
       
     
         [0000]    
       
         
               
             
               
               
               
               
               
             
           
               
                 TABLE 31 
               
             
             
               
                   
               
               
                 Decrement PAR after DNBI Outputs 
               
             
          
           
               
                 Variable Name 
                 Description 
                 Source 
                 Min 
                 Max 
               
               
                   
               
               
                 PAR Troop   
                 The Population at 
                 Decrement PAR 
                 0 
                 500,000 
               
               
                   
                 Risk for Troop 
                 after DNBI 
               
               
                   
                 type = Troop 
               
               
                   
               
             
          
         
       
     
         [0169]    Disaster Relief 
         [0170]    CREstT includes two modules that allow the user to develop patient streams stemming from natural disasters. These patient streams can subsequently be used to estimate the appropriate response effort. The two types of DR scenarios currently available in CREstT are earthquakes and hurricanes. The following sections provide descriptions of the overall process and describe the algorithms used in these simulations. 
       Earthquake 
       [0171]    The CREstT earthquake model estimates daily casualty composition stemming from a major earthquake. CREstT estimates the total casualty load based on user inputs for economy, population density, and the severity of the earthquake. This information is used to estimate an initial number of casualties generated by the earthquake. The user also inputs a treatment capability and day of arrival, CREstT decays the initial casualty estimate until the day of arrival. After arrival, casualties are treated each day based on the treatment capability until the mission ends. The specific workings of each subprocess are described in the following sections. 
         [0172]    Calculate Total Casualties 
         [0173]    The first step in the earthquake casualty generation algorithm is to calculate the total number of direct earthquake related casualties. This is a three-step process: 
         [0000]    calculate the expected number of kills,
 
calculate the expected injury-to-kills ratio, and
 
calculate the expected number of casualties.
       The inputs for these calculations are as follows.       
 
         [0000]    
       
         
               
             
               
               
               
               
               
             
               
               
               
               
               
             
           
               
                 TABLE 32 
               
             
             
               
                   
               
               
                 Total Earthquake Casualties Calculation Inputs 
               
             
          
           
               
                 Variable name 
                 Description 
                 Source 
                 Min 
                 Max 
               
               
                   
               
             
          
           
               
                 Econ kill   
                 The regression coefficient 
                 CREstT 
                 −6.98 
                 0 
               
               
                   
                 for number killed relative 
                 common 
               
               
                   
                 to the user-input economy. 
                 data 
               
               
                 PopDens kill   
                 The regression coefficient 
                 CREstT 
                 −3.50 
                 0 
               
               
                   
                 for number killed relative 
                 common 
               
               
                   
                 to the user-input 
                 data 
               
               
                   
                 population density. 
               
               
                 Econ inj   
                 The regression coefficient 
                 CREstT 
                 −2.44 
                 97.8 
               
               
                   
                 for the injury ratio 
                 common 
               
               
                   
                 relative to the user-input 
                 data 
               
               
                   
                 economy. 
               
               
                 PopDens inj   
                 The regression coefficient 
                 CREstT 
                 −4.53 
                 0 
               
               
                   
                 for the injury ratio 
                 common 
               
               
                   
                 relative to the user-input 
                 data 
               
               
                   
                 population density. 
               
               
                 Magnitude 
                 The magnitude of 
                 User-input 
                 5.5 
                 9.5 
               
               
                   
                 the earthquake. 
               
               
                   
               
             
          
         
       
     
         [0000]    
       
         
               
             
               
               
               
               
             
               
               
               
               
             
           
               
                 TABLE 33 
               
             
             
               
                   
               
               
                 Economy Regression Coefficients (Earthquake) 
               
             
          
           
               
                   
                 Economy 
                 Econ kill   
                 Econ inj   
               
               
                   
                   
               
             
          
           
               
                   
                 Developed (U.S.) 
                 −6.9760 
                 97.7946 
               
               
                   
                 Developed (non-U.S.) 
                 −3.3365 
                 −1.9408 
               
               
                   
                 Emerging 
                 −1 
                 0 
               
               
                   
                 Developing 
                 0 
                 −2.4355 
               
               
                   
                   
               
             
          
         
       
     
         [0000]    
       
         
               
             
               
               
               
               
             
               
               
               
               
             
           
               
                 TABLE 34 
               
             
             
               
                   
               
               
                 Population Density Regression Coefficients (Earthquake) 
               
             
          
           
               
                   
                 Population density 
                 PopDens kill   
                 PopDens inj   
               
               
                   
                   
               
             
          
           
               
                   
                 Low 
                 −3.5001 
                 −4.5310 
               
               
                   
                 Moderate 
                 −3.1618 
                 −1.5740 
               
               
                   
                 High 
                 −1.8161 
                 −2.4978 
               
               
                   
                 Very high 
                 0 
                 0 
               
               
                   
                   
               
             
          
         
       
       
         
           
             The number of kills is calculated as follows: 
           
         
       
     
         [0000]      kill= e   (8+Econ     kill     +PopDens     kill     +(Magnitude*0.4))    
         [0176]    The injury-to-kills ratio is calculated as follows: 
         [0000]      InjRatio=12+(−0.354*ln(kill))+Econ inj +PopDens inj  
 
         [0177]    Finally, the total number of casualties is calculated according to the following: 
         [0000]      TotalCas=kill*InjRatio       The single output from this process is the total number of casualties,         
         [0000]    
       
         
               
             
               
               
               
               
               
             
           
               
                 TABLE 35 
               
             
             
               
                   
               
               
                 Earthquake Casualties Calculation Outputs 
               
             
          
           
               
                 Variable name 
                 Description 
                 Source 
                 Min 
                 Max 
               
               
                   
               
               
                 TotalCas 
                 The total number of 
                 Calculate 
                 105 
                 717,870 
               
               
                   
                 casualties caused by 
                 total 
               
               
                   
                 the earthquake. 
                 casualties 
               
               
                   
               
             
          
         
       
     
         [0179]    Decay Total Casualties Until Day of Arrival 
         [0180]    The next step in the earthquake algorithm is to calculate the number of casualties remaining on the day of arrival. The inputs into this process are as follows. 
         [0000]    
       
         
               
             
               
               
               
               
               
             
               
               
               
               
               
             
           
               
                 TABLE 36 
               
             
             
               
                   
               
               
                 Decay Casualties until Day of Arrival Inputs 
               
             
          
           
               
                 Variable Name 
                 Description 
                 Source 
                 Min 
                 Max 
               
               
                   
               
             
          
           
               
                 TotalCas 
                 The total number of 
                 Calculate 
                 80 
                 717,870 
               
               
                   
                 casualties caused 
                 total 
               
               
                   
                 by the earthquake 
                 casualties 
               
               
                 Arrival 
                 The day that the 
                 User-input 
                 0 
                 180 
               
               
                   
                 medical treatment 
               
               
                   
                 capability begins 
               
               
                   
                 treating patients. 
               
               
                 lambda 
                 Decay curve 
                 CREstT 
                 0.930 
                 0.995 
               
               
                   
                 shaping 
                 common 
               
               
                   
                   
                 Data 
               
               
                 Magnitude 
                 The magnitude of 
                 User-input 
                 5.5 
                 9.5 
               
               
                   
                 the earthquake. 
               
               
                   
               
             
          
         
       
     
         [0181]    The initial number of direct earthquake casualties decreases over time. The rate at which they decrease is dependent on several unknown variables. These can include but are not limited to: the rate at which individuals stop seeking medical care; the number that die before receiving care; and the post disaster capability of the local health care system. A shaping parameter, lambda, is a proxy for these non-quantifiable effects. The model makes an assumption that a nation&#39;s economic category is closely correlated with its ability to rebuild and organize infrastructure to respond to disasters. Additionally, since larger magnitude earthquakes produce exponentially greater casualties, the model assumes that earthquakes greater than 8.1 have a slower casualty decay. Therefore, a separate lambda is provided for each economic level and magnitudes ≦8.1 and &gt;8.1, as follows. 
         [0000]    
       
         
               
             
               
               
               
               
             
               
               
               
               
             
           
               
                 TABLE 37 
               
             
             
               
                   
               
               
                 Lambda Earthquake Values 
               
             
          
           
               
                   
                 Economy 
                 Magnitude 
                 Lambda 
               
               
                   
                   
               
             
          
           
               
                   
                 Developed (US) 
                 ≦8.1 
                 0.940 
               
               
                   
                 Developed (Non U.S.) 
                 ≦8.1 
                 0.950 
               
               
                   
                 Emerging 
                 ≦8.1 
                 0.992 
               
               
                   
                 Developing 
                 ≦8.1 
                 0.994 
               
               
                   
                 Developed (US) 
                 &gt;8.1 
                 0.930 
               
               
                   
                 Developed (Non U.S.) 
                 &gt;8.1 
                 0.985 
               
               
                   
                 Emerging 
                 &gt;8.1 
                 0.986 
               
               
                   
                 Developing 
                 &gt;8.1 
                 0.995 
               
               
                   
                   
               
             
          
         
       
       
         
           
             The calculation for the number of disaster casualties remaining i days after the earthquake, where i&gt;0, is as follows. 
             The disaster casualties on day i (h0 i ) is initialized to the initial casualties from the earthquake (TotalCas) and the starting interval counter for the decay shaping parameter (k) is initialized to either 1 or a percentage of the initial casualties. 
           
         
       
     
         [0000]    
       
         
           
             
               h 
                
               
                   
               
                
               
                 0 
                 0 
               
             
             = 
             TotalCas 
           
         
       
       
         
           
             k 
             = 
             
               { 
               
                 
                   
                     1 
                   
                   
                     
                       
                         
                           if 
                            
                           
                               
                           
                            
                           TotalCas 
                         
                         ≤ 
                         20 
                       
                       , 
                       000 
                     
                   
                 
                 
                   
                     
                       TotalCas 
                       * 
                       0.001 
                     
                   
                   
                     
                       
                         
                           if 
                            
                           
                               
                           
                            
                           totalCas 
                         
                         &gt; 
                         20 
                       
                       , 
                       000 
                     
                   
                 
               
             
           
         
       
       
         
           
             The casualties are then decayed each day using the following decay process. 
           
         
       
     
         [0000]    
       
         
           
             
               For 
                
               
                   
               
                
               i 
             
             = 
             
               0 
                
               
                   
               
                
               to 
                
               
                   
               
                
               Arrival 
                
               
                 - 
               
                
               1 
                
               
                 : 
               
             
           
         
       
       
         
           
             noise 
             = 
             
               Uniform 
                
               
                   
               
                
               
                 ( 
                 
                   - 
                   5.5 
                 
                 ) 
               
             
           
         
       
       
         
           
             
               h 
                
               
                   
               
                
               
                 0 
                 
                   ( 
                   
                     i 
                     + 
                     1 
                   
                   ) 
                 
               
             
             = 
             
               h 
                
               
                   
               
                
               
                 0 
                 i 
               
               * 
               
                 
                   ( 
                   
                     lambda 
                     + 
                     delta 
                   
                   ) 
                 
                 
                   ( 
                   
                     
                       scaler 
                       * 
                       k 
                     
                     + 
                     noise 
                   
                   ) 
                 
               
             
           
         
       
       
         
           
             k 
             = 
             
               k 
               + 
               1 
             
           
         
       
       
         
           
             i 
             = 
             
               i 
               + 
               1 
             
           
         
       
       
         
           Where 
         
       
       
         
           
             delta 
             = 
             
               
                 log 
                  
                 
                   ( 
                   
                     0.5 
                     * 
                     magnitude 
                   
                   ) 
                 
               
               * 
               
                 ( 
                 
                   1 
                   - 
                   lambda 
                 
                 ) 
               
             
           
         
       
       
         
           
             scaler 
             = 
             
               { 
               
                 
                   
                     
                       log 
                        
                       
                         ( 
                         
                           
                             250 
                             , 
                             000 
                           
                           TotalCas 
                         
                         ) 
                       
                     
                   
                   
                     
                       
                         
                           if 
                            
                           
                               
                           
                            
                           TotalCas 
                         
                         ≤ 
                         250 
                       
                       , 
                       000 
                     
                   
                 
                 
                   
                     
                       log 
                        
                       
                         ( 
                         1.2 
                         ) 
                       
                     
                   
                   
                     
                       
                         
                           if 
                            
                           
                               
                           
                            
                           TotalCas 
                         
                         &gt; 
                         250 
                       
                       , 
                       000 
                     
                   
                 
               
             
           
         
       
       
         
           
             Delta provides an adjustment to the response based on earthquake magnitude and adds “noise” to the calculation. Scaler accelerates or decelerates the sweep as a function of the number of casualties.
 
The disaster casualties remaining on the day of arrival is referred to as ArrivalCas.
 
           
         
       
     
         [0000]      ArrivalCas= h 0 arrival          The outputs for this portion of the algorithm are as follows,         
         [0000]    
       
         
               
             
               
               
               
               
               
             
           
               
                 TABLE 38 
               
             
             
               
                   
               
               
                 Decay Casualties until Day of Arrival Outputs 
               
             
          
           
               
                 Variable Name 
                 Description 
                 Source 
                 Min 
                 Max 
               
               
                   
               
               
                 ArrivalCas 
                 The number of casualties 
                 Decay 
                 0 
                 717,870 
               
               
                   
                 remaining on the day of 
                 casualties 
               
               
                   
                 arrival. 
                 until day 
               
               
                   
                   
                 of arrival 
               
               
                   
               
             
          
         
       
     
         [0187]    Calculate Residual Casualties 
         [0000]    
       
         
               
             
               
               
               
               
               
             
           
               
                 TABLE 39 
               
             
             
               
                   
               
               
                 Calculate Residual Casualties Inputs 
               
             
          
           
               
                 Variable Name 
                 Description 
                 Source 
                 Min 
                 Max 
               
               
                   
               
               
                 TotalCas 
                 The total number of 
                 Calculate 
                 80 
                 717,870 
               
               
                   
                 casualties caused by 
                 total 
               
               
                   
                 the earthquake 
                 casualties 
               
               
                   
               
             
          
         
       
     
         [0188]    The next step in the earthquake algorithm is to calculate the residual casualties in the population. Residual casualties are diseases and traumas that are not a direct result of the earthquake event. For example, residual casualties can be injuries sustained from an automobile accident, chronic hypertension, or infectious diseases endemic in the local population. Non disaster related casualties initially represent a small proportion of the initial causality load (Kreiss et, al., 2010). Over time the percentage of non-disaster related casualties increases until it reaches the endemic or background levels extant in the population.
       The calculation for the daily number of residual casualties is:       
 
         [0000]      ResidualCas=1.6722*TotalCas 0.3707   
         [0000]    
       
         
               
             
               
               
               
               
               
             
           
               
                 TABLE 40 
               
             
             
               
                   
               
               
                 Calculate Residual Casualties Outputs 
               
             
          
           
               
                 Variable Name 
                 Description 
                 Source 
                 Min 
                 Max 
               
               
                   
               
               
                 ResidualCas 
                 The daily number of 
                 Calculate 
                 8 
                 248 
               
               
                   
                 residual casualties. 
                 residual 
               
               
                   
                   
                 casualties 
               
               
                   
               
             
          
         
       
     
         [0190]    Generate Earthquake Casualties 
         [0191]    Beginning on the day of arrival, trauma and disease casualties are generated based on the number of initial casualties still seeking treatment and the daily number of residual casualties. After the day of arrival, casualties waiting for treatment are decayed in a manner similar to how they were decayed before they day of arrival, 
         [0000]    
       
         
               
             
               
               
               
               
               
             
               
               
               
               
               
             
           
               
                 TABLE 41 
               
             
             
               
                   
               
               
                 Generate Earthquake Casualties Inputs 
               
             
          
           
               
                 Variable Name 
                 Description 
                 Source 
                 Min 
                 Max 
               
               
                   
               
             
          
           
               
                 TotalCas 
                 The total number of 
                 Calculate 
                 80 
                 717,870 
               
               
                   
                 casualties caused by 
                 total 
               
               
                   
                 the earthquake 
                 casualties 
               
               
                 ArrivalCas 
                 The number of 
                 Decay 
                 0 
                 717,870 
               
               
                   
                 casualties remaining 
                 casualties 
               
               
                   
                 on the day of 
                 until day 
               
               
                   
                 arrival. 
                 of arrival 
               
               
                 ResidualCas 
                 The daily number 
                 Calculate 
                 8 
                 248 
               
               
                   
                 of residual 
                 residual 
               
               
                   
                 casualties. 
                 casualties 
               
               
                 Arrival 
                 The day that the 
                 User-input 
                 0 
                 180 
               
               
                   
                 medical treatment 
               
               
                   
                 capability begins 
               
               
                   
                 treating patients. 
               
               
                 lambda 
                 Decay curve 
                 CREstT 
                 0.930 
                 0.995 
               
               
                   
                 shaping 
                 common 
               
               
                   
                   
                 Data 
               
               
                 Magnitude 
                 The magnitude of 
                 User input 
                 5.5 
                 9.5 
               
               
                   
                 the earthquake. 
               
               
                 Treatment 
                 The daily treatment 
                 User-input 
                 1 
                 5000 
               
               
                   
                 capability. 
               
               
                 Duration 
                 The number of days 
                 User-input 
                 1 
                 180 
               
               
                   
                 patients will be 
               
               
                   
                 treated 
               
               
                   
               
             
          
         
       
       
         
           
             The disaster casualties on day i after the earthquake (h0 i ) for the day of arrival is initialized to ArrivalCas and the starting interval counter for the decay shaping parameter (k) is initialized to either 5 or a percentage of the initial casualties. The delta parameter is defined in the same manner as it was before the day of arrival. The scaler parameter is defined as a function of the casualties remaining on the day of arrival (ArrivalCas) 
           
         
       
     
         [0000]    
       
         
           
             
               h 
                
               
                   
               
                
               
                 0 
                 arrival 
               
             
             = 
             ArivalCas 
           
         
       
       
         
           
             k 
             = 
             
               { 
               
                 
                   
                     
                       
                         5 
                       
                       
                         
                           
                             
                               if 
                                
                               
                                   
                               
                                
                               h 
                                
                               
                                   
                               
                                
                               
                                 0 
                                 arrival 
                               
                             
                             ≤ 
                             20 
                           
                           , 
                           000 
                         
                       
                     
                     
                       
                         
                           TotalCas 
                           * 
                           0.001 
                         
                       
                       
                         
                           
                             
                               if 
                                
                               
                                   
                               
                                
                               h 
                                
                               
                                   
                               
                                
                               
                                 0 
                                 arrival 
                               
                             
                             &gt; 
                             20 
                           
                           , 
                           000 
                         
                       
                     
                   
                    
                   
                     
 
                   
                    
                   delta 
                 
                 = 
                 
                   
                     
                       log 
                        
                       
                         ( 
                         
                           0.5 
                           * 
                           magnitude 
                         
                         ) 
                       
                       * 
                       
                         ( 
                         
                           1 
                           - 
                           lambda 
                         
                         ) 
                       
                     
                      
                     
                       
 
                     
                      
                     scaler 
                   
                   = 
                   
                     { 
                     
                       
                         
                           
                             log 
                              
                             
                               ( 
                               
                                 
                                   250 
                                   , 
                                   000 
                                 
                                 ArrivalCas 
                               
                               ) 
                             
                           
                         
                         
                           
                             
                               
                                 if 
                                  
                                 
                                     
                                 
                                  
                                 ArrivalCas 
                               
                               ≤ 
                               250 
                             
                             , 
                             000 
                           
                         
                       
                       
                         
                           
                             log 
                              
                             
                                 
                             
                              
                             
                               ( 
                               
                                 1.2 
                                 * 
                                 
                                   TotalCas 
                                   ArrivalCas 
                                 
                               
                               ) 
                             
                           
                         
                         
                           
                             
                               
                                 if 
                                  
                                 
                                     
                                 
                                  
                                 ArrivalCas 
                               
                               &gt; 
                               250 
                             
                             , 
                             000 
                           
                         
                       
                     
                   
                 
               
             
           
         
       
     
         [0193]    For each day in the casualty generation process, Trauma and Disease casualties are generated using one of three methods, depending on the number of remaining casualties, the treatment capability, and the level of residual casualties. MPTk will display results beginning with the day of arrival, which will be labeled as day zero. The trauma and disease casualties on day j after arrival (Tra j  and Dis j ) are calculated using the index j=i−Arrival.
       For i=Arrival to Arrival+duration−1:   If remaining casualties (h0 i ) exceeds treatment capability (Treatment) then:       
 
         [0000]    
       
         
           
             
               Tra 
               
                 i 
                 - 
                 Arrival 
               
             
             = 
             
               Poisson 
                
               
                 ( 
                 
                   p 
                   * 
                   
                     ( 
                     Treatment 
                     ) 
                   
                 
                 ) 
               
             
           
         
       
       
         
           
             
               Dis 
               
                 i 
                 - 
                 Arrival 
               
             
             = 
             
               Poisson 
                
               
                 ( 
                 
                   
                     ( 
                     
                       1 
                       - 
                       p 
                     
                     ) 
                   
                   * 
                   
                     ( 
                     Treatment 
                     ) 
                   
                 
                 ) 
               
             
           
         
       
       
         
           Where 
         
       
       
         
           
             p 
             = 
             
               { 
               
                 
                   
                     
                        
                       
                         
                           - 
                           0.00208 
                         
                         * 
                         
                           
                             ( 
                             
                               
                                 ( 
                                 
                                   i 
                                   + 
                                   3 
                                 
                                 ) 
                               
                               * 
                               0.5 
                             
                             ) 
                           
                           ^ 
                           2.5 
                         
                       
                     
                   
                   
                     
                       
                         if 
                          
                         
                             
                         
                          
                         i 
                       
                       ≤ 
                       30 
                     
                   
                 
                 
                   
                     
                        
                       
                         
                           - 
                           0.00208 
                         
                         * 
                         
                           
                             ( 
                             
                               
                                 ( 
                                 
                                   34 
                                   + 
                                   
                                     
                                       i 
                                       + 
                                       1 
                                     
                                     100 
                                   
                                 
                                 ) 
                               
                               * 
                               0.5 
                             
                             ) 
                           
                           ^ 
                           2.5 
                         
                       
                     
                   
                   
                     
                       
                         if 
                          
                         
                             
                         
                          
                         i 
                       
                       &gt; 
                       30 
                     
                   
                 
               
             
           
         
       
       
         
           
             If remaining casualties are less than treatment capability and ResidualCas&gt;treatment capability then: 
           
         
       
     
         [0000]      Tra i−Arrival =Poisson(Treatment*0.1) 
         [0000]      Dis i−Arrival =Poisson(Treatment*0.9)       If remaining casualties are less than treatment capability and ResidualCas≦treatment capability then:         
         [0000]      Tra i−Arrival =Max(Poisson(ResidualCas*0.1),┌ h 0 i   *p ┐)
 
         [0000]      Dis i−Arrival =Max(Poisson(ResidualCas*0.9),┌ h 0 i *(1 −p )┐)
       Where ┌ ┐ is the ceiling operator (round up to nearest integer).   The casualties waiting for treatment on the next day is then calculated by decaying the current remaining casualties and subtracting the current day&#39;s patients.       
 
         [0000]      noise=Uniform(−5,5)
 
         [0000]        h 0 i+1   =h 0 i *(lambda+delta) (scaler*k+noise) −Tra i−Arrival −Dis i−Arrival  
 
         [0000]        k=k+ 1 
         [0000]        i=i+ 1 
         [0000]    
       
         
               
             
               
               
               
               
               
             
           
               
                 TABLE 42 
               
             
             
               
                   
               
               
                 Generate Earthquake Casualties Outputs 
               
             
          
           
               
                 Variable name 
                 Description 
                 Source 
                 Min 
                 Max 
               
               
                   
               
               
                 Tra j   
                 The number of trauma 
                 Generate daily 
                 0 
                 ~5300 
               
               
                   
                 patients on day j. 
                 casualty counts 
                   
                   
               
               
                 Dis j   
                 The number of disease 
                 Generate daily 
                 0 
                 ~5300 
               
               
                   
                 patients on day j. 
                 casualty counts 
               
               
                   
               
             
          
         
       
     
       Hurricane 
       [0200]    The CREstT hurricane model is similar to the earthquake model. It estimates daily casualty composition stemming from a major hurricane. Similar to the earthquake model, CREstT estimates the total casualty load based on user inputs for economy, population density, and hurricane severity. This information is used to estimate an initial casualty number. The user also inputs a treatment capability and day of arrival. CREstT decays the initial casualty estimate until the day of arrival. After arrival, casualties are treated each day based on the treatment capability until the mission ends. 
         [0201]    Calculate Total Casualties 
         [0202]    The first step in the hurricane casualty estimation process is to determine the total number of casualties. This process is performed in a similar fashion as described in the corresponding process in the earthquake algorithm. The steps required to perform this process are as follows:
       1. calculate the expected number killed, and use the baseline fatality estimate and adjust by the population density and economic parameters to estimate the overall disaster related casualty numbers.       
 
         [0000]    
       
         
               
             
               
               
               
               
               
             
               
               
               
               
               
             
           
               
                 TABLE 43 
               
             
             
               
                   
               
               
                 Total Hurricane Casualties Inputs 
               
             
          
           
               
                 Variable name 
                 Description 
                 Source 
                 Min 
                 Max 
               
               
                   
               
             
          
           
               
                 Category 
                 The hurricane&#39;s category. 
                 User-input 
                 1 
                 5 
               
               
                 Econ 
                 The average human 
                 CREstT 
                 20.3 
                 98.9 
               
               
                   
                 development index 
                 common 
                   
                   
               
               
                   
                 percentile rank for the 
                 data 
                   
                   
               
               
                   
                 user-input economy. 
                   
                   
                   
               
               
                 PopDens 
                 The regression coefficient 
                 CREstT 
                 0.7 
                 2.4 
               
               
                   
                 for the user-input 
                 common 
                   
                   
               
               
                   
                 population density 
                 data 
               
               
                   
               
             
          
         
       
     
         [0000]    
       
         
               
             
               
               
               
             
               
               
               
             
           
               
                 TABLE 44 
               
             
             
               
                   
               
               
                 Population Density Regression Coefficients (Hurricane) 
               
             
          
           
               
                   
                 Population density 
                 PopDens 
               
               
                   
               
             
          
           
               
                   
                 Low 
                 0.70 
               
               
                   
                 Moderate 
                 1.00 
               
               
                   
                 High 
                 1.50 
               
               
                   
                 Very high 
                 2.40 
               
               
                   
               
             
          
         
       
     
         [0000]    
       
         
               
             
               
               
               
             
               
               
               
             
           
               
                 TABLE 45 
               
             
             
               
                   
               
               
                 Economy Regression Coefficients (Hurricane) 
               
             
          
           
               
                   
                 Economy 
                 Econ 
               
               
                   
               
             
          
           
               
                   
                 Developed (U.S.) 
                 98.8610 
               
               
                   
                 Developed (non-U.S.) 
                 82.8182 
               
               
                   
                 Emerging 
                 41.5348 
               
               
                   
                 Developing 
                 20.2513 
               
               
                   
               
             
          
         
       
       
         
           
             The total number of kills is calculated as follows: 
           
         
       
     
         [0000]    
       
         
           
             Kill 
             = 
             
               { 
               
                 
                   
                     
                       
                         
                           ( 
                           
                             
                               5.8 
                               * 
                               Category 
                             
                             - 
                             
                               0.085 
                               * 
                               Econ 
                             
                           
                           ) 
                         
                         2 
                       
                       * 
                       PopDens 
                     
                   
                   
                     
                       
                         if 
                          
                         
                             
                         
                          
                         Category 
                       
                       ≤ 
                       2 
                     
                   
                 
                 
                   
                     
                       
                         
                           ( 
                           
                             
                               8.9 
                               * 
                               Category 
                             
                             - 
                             
                               0.171 
                               * 
                               Econ 
                             
                           
                           ) 
                         
                         2 
                       
                       * 
                       PopDens 
                     
                   
                   
                     
                       
                         if 
                          
                         
                             
                         
                          
                         Category 
                       
                       ≥ 
                       3 
                     
                   
                 
               
             
           
         
       
       
         
           
             The total number of casualties is calculated as follows: 
           
         
       
     
         [0000]    
       
         
           
             TotalCas 
             = 
             
               Kill 
               * 
               1.6 
               * 
               
                 ( 
                 
                   3.37 
                   + 
                   
                     
                       100 
                       - 
                       Econ 
                     
                     40 
                   
                 
                 ) 
               
             
           
         
       
       
         
           
             The single output from this process is the total number of expected casualties for the simulated hurricane. Table 0 describes this output. 
           
         
       
     
         [0000]    
       
         
               
             
               
               
               
               
               
             
           
               
                 TABLE 46 
               
             
             
               
                   
               
               
                 Total Hurricane Casualty Outputs 
               
             
          
           
               
                 Variable name 
                 Description 
                 Source 
                 Min 
                 Max 
               
               
                   
               
               
                 TotalCas 
                 The total number of 
                 Calculate 
                 26 
                 34,686 
               
               
                   
                 expected casualties 
                 total 
                   
                   
               
               
                   
                 from the hurricane. 
                 casualties. 
               
               
                   
               
             
          
         
       
     
         [0207]    Decay Total Casualties Until Day of Arrival 
         [0208]    The next step in the hurricane algorithm is to calculate the number of casualties remaining on the day of arrival. The inputs into this process are as follows. 
         [0000]    
       
         
               
             
               
               
               
               
               
             
               
               
               
               
               
             
           
               
                 TABLE 47 
               
             
             
               
                   
               
               
                 Decay Casualties until Day of Arrival Inputs 
               
             
          
           
               
                 Variable Name 
                 Description 
                 Source 
                 Min 
                 Max 
               
               
                   
               
             
          
           
               
                 TotalCas 
                 The total number of 
                 Calculate 
                 26 
                 34,686 
               
               
                   
                 casualties caused 
                 total 
                   
                   
               
               
                   
                 by the hurricane 
                 casualties 
                   
                   
               
               
                 Arrival 
                 The day that the 
                 User-input 
                 0 
                 180 
               
               
                   
                 medical treatment 
                   
                   
                   
               
               
                   
                 capability begins 
                   
                   
                   
               
               
                   
                 treating patients. 
                   
                   
                   
               
               
                 lambda 
                 Decay curve 
                 CREstT 
                 0.930 
                 0.995 
               
               
                   
                 shaping 
                 common 
                   
                   
               
               
                   
                   
                 Data 
                   
                   
               
               
                 Category 
                 The hurricane&#39;s 
                 User-input 
                 1 
                 5 
               
               
                   
                 category. 
               
               
                   
               
             
          
         
       
     
         [0209]    Similar to the earthquake model, the initial number of direct disaster related casualties decreases over time. The rate at which they decrease is dependent on several unknown variables, to include but not limited to: the rate at which individuals stop seeking medical care; the number that die before receiving care; and the post disaster capability of the local health care system. A shaping parameter, lambda, is a proxy for these non-quantifiable effects. The model makes an assumption that a nation&#39;s economic category is closely correlated with its ability to rebuild and organize infrastructure to respond to disasters. Therefore, a separate lambda is provided for each economic level as follows. 
         [0000]    
       
         
               
             
               
               
               
             
           
               
                 TABLE 48 
               
             
             
               
                   
               
               
                 Hurricane Lambda Values 
               
             
          
           
               
                   
                 Economy 
                 Lambda 
               
               
                   
               
               
                   
                 Developed (US) 
                 0.945 
               
               
                   
                 Developed (Non U.S.) 
                 0.950 
               
               
                   
                 Emerging 
                 0.970 
               
               
                   
                 Developing 
                 0.980 
               
               
                   
               
             
          
         
       
       
         
           
             The calculation for the number of disaster casualties remaining i days after the hurricane, where i&gt;0, is as follows. 
             The disaster casualties on day i (h0 i ) is initialized to the initial casualties from the hurricane (TotalCas) and the starting interval counter for the decay shaping parameter (k) is initialized to either 5 or a percentage of the initial casualties. 
           
         
       
     
         [0000]    
       
         
           
             
               h 
                
               
                   
               
                
               
                 0 
                 0 
               
             
             = 
             TotalCas 
           
         
       
       
         
           
             k 
             = 
             
               { 
               
                 
                   
                     5 
                   
                   
                     
                       
                         
                           if 
                            
                           
                               
                           
                            
                           TotalCas 
                         
                         ≤ 
                         20 
                       
                       , 
                       000 
                     
                   
                 
                 
                   
                     
                       TotalCas 
                       * 
                       0.001 
                     
                   
                   
                     
                       
                         
                           if 
                            
                           
                               
                           
                            
                           TotalCas 
                         
                         &gt; 
                         20 
                       
                       , 
                       000 
                     
                   
                 
               
             
           
         
       
       
         
           
             The casualties are then decayed each day using the following decay process. 
           
         
       
     
         [0000]    
       
         
           
             
               For 
                
               
                   
               
                
               i 
             
             = 
             
               0 
                
               
                   
               
                
               to 
                
               
                   
               
                
               Arrival 
                
               
                 - 
               
                
               1 
                
               
                 : 
               
             
           
         
       
       
         
           
             noise 
             = 
             
               Uniform 
                
               
                   
               
                
               
                 ( 
                 
                   - 
                   5.5 
                 
                 ) 
               
             
           
         
       
       
         
           
             
               h 
                
               
                   
               
                
               
                 0 
                 
                   ( 
                   
                     i 
                     + 
                     1 
                   
                   ) 
                 
               
             
             = 
             
               h 
                
               
                   
               
                
               
                 0 
                 i 
               
               * 
               
                 
                   ( 
                   
                     lambda 
                     + 
                     delta 
                   
                   ) 
                 
                 
                   ( 
                   
                     
                       scaler 
                       * 
                       k 
                     
                     + 
                     noise 
                   
                   ) 
                 
               
             
           
         
       
       
         
           
             k 
             = 
             
               k 
               + 
               1 
             
           
         
       
       
         
           
             i 
             = 
             
               i 
               + 
               1 
             
           
         
       
       
         
           Where 
         
       
       
         
           
             delta 
             = 
             
               
                 log 
                  
                 
                   ( 
                   
                     0.5 
                     * 
                     category 
                   
                   ) 
                 
               
               * 
               
                 ( 
                 
                   1 
                   - 
                   lambda 
                 
                 ) 
               
             
           
         
       
       
         
           
             scaler 
             = 
             
               { 
               
                 
                   
                     
                       log 
                        
                       
                         ( 
                         
                           
                             35 
                             , 
                             000 
                           
                           TotalCas 
                         
                         ) 
                       
                     
                   
                   
                     
                       
                         
                           if 
                            
                           
                               
                           
                            
                           TotalCas 
                         
                         ≤ 
                         20 
                       
                       , 
                       000 
                     
                   
                 
                 
                   
                     
                       log 
                        
                       
                         ( 
                         1.2 
                         ) 
                       
                     
                   
                   
                     
                       
                         
                           if 
                            
                           
                               
                           
                            
                           TotalCas 
                         
                         &gt; 
                         20 
                       
                       , 
                       000 
                     
                   
                 
               
             
           
         
       
       
         
           
             Delta provides an adjustment to the response based on hurricane category and adds “noise” to the calculation. Scaler accelerates or decelerates the sweep as a function of the number of casualties.
 
The disaster casualties remaining on the day of arrival is referred to as ArrivalCas.
 
           
         
       
     
         [0000]      ArrivalCas= h 0 arrival          The outputs for this portion of the algorithm are as follows.         
         [0000]    
       
         
               
             
               
               
               
               
               
             
           
               
                 TABLE 49 
               
             
             
               
                   
               
               
                 Decay Casualties until Day of Arrival Outputs 
               
             
          
           
               
                 Variable Name 
                 Description 
                 Source 
                 Min 
                 Max 
               
               
                   
               
               
                 ArrivalCas 
                 The number of 
                 Decay 
                 0 
                 34,686 
               
               
                   
                 casualties remaining 
                 casualties 
                   
                   
               
               
                   
                 on the day of arrival. 
                 until day 
                   
                   
               
               
                   
                   
                 of arrival 
               
               
                   
               
             
          
         
       
     
         [0215]    Calculate Residual Casualties 
         [0000]    
       
         
               
             
               
               
               
               
               
             
           
               
                 TABLE 50 
               
             
             
               
                   
               
               
                 Calculate Residual Casualties Inputs 
               
             
          
           
               
                 Variable Name 
                 Description 
                 Source 
                 Min 
                 Max 
               
               
                   
               
               
                 TotalCas 
                 The total number of 
                 Calculate 
                 26 
                 34,686 
               
               
                   
                 casualties caused by 
                 total 
                   
                   
               
               
                   
                 the hurricane 
                 casualties 
               
               
                   
               
             
          
         
       
     
         [0216]    The next step in the hurricane algorithm is to calculate the residual casualties in the population. Residual casualties are diseases and traumas that are not a direct result of the hurricane event. For example, residual casualties can be injuries sustained from an automobile accident, chronic, hypertension, or infectious diseases endemic in the local population. Non-disaster related casualties initially represent a small proportion of the initial causality load (Kreiss et. al., 2010). Over time the percentage of non-disaster related casualties increases until it reaches the endemic or background levels extant in the population.
       The calculation for the daily number of residual casualties is:       
 
         [0000]      ResidualCas=1.6722*TotalCas 0.3707   
         [0000]    
       
         
               
             
               
               
               
               
               
             
           
               
                 TABLE 51 
               
             
             
               
                   
               
               
                 Calculate Residual Casualties Outputs 
               
             
          
           
               
                 Variable Name 
                 Description 
                 Source 
                 Min 
                 Max 
               
               
                   
               
               
                 ResidualCas 
                 The daily number of 
                 Calculate 
                 6 
                 81 
               
               
                   
                 residual casualties. 
                 residual 
                   
                   
               
               
                   
                   
                 casualties 
               
               
                   
               
             
          
         
       
     
         [0218]    Generate Hurricane Casualties 
         [0219]    Beginning on the day of arrival, trauma and disease casualties are generated based on the number of initial casualties still seeking treatment and the daily number of residual casualties. After the day of arrival, casualties waiting for treatment are decayed in a manner similar to how they were decayed before they day of arrival. 
         [0000]    
       
         
               
             
               
               
               
               
               
             
               
               
               
               
               
             
           
               
                 TABLE 52 
               
             
             
               
                   
               
               
                 Generate Hurricane Casualties Inputs 
               
             
          
           
               
                 Variable Name 
                 Description 
                 Source 
                 Min 
                 Max 
               
               
                   
               
             
          
           
               
                 TotalCas 
                 The total number of 
                 Calculate 
                 26 
                 34,686 
               
               
                   
                 casualties caused 
                 total 
                   
                   
               
               
                   
                 by the hurricane 
                 casualties 
                   
                   
               
               
                 ArrivalCas 
                 The number of 
                 Decay 
                 0 
                 34,686 
               
               
                   
                 casualties remaining 
                 casualties 
                   
                   
               
               
                   
                 on the day 
                 until day 
                   
                   
               
               
                   
                 of arrival. 
                 of arrival 
                   
                   
               
               
                 ResidualCas 
                 The daily number 
                 Calculate 
                 6 
                 81 
               
               
                   
                 of residual 
                 residual 
                   
                   
               
               
                   
                 casualties. 
                 casualties 
                   
                   
               
               
                 Arrival 
                 The day that the 
                 User-input 
                 0 
                 180 
               
               
                   
                 medical treatment 
                   
                   
                   
               
               
                   
                 capability begins 
                   
                   
                   
               
               
                   
                 treating patients. 
                   
                   
                   
               
               
                 lambda 
                 Decay curve 
                 CREstT 
                 0.945 
                 0.980 
               
               
                   
                 shaping 
                 common 
                   
                   
               
               
                   
                   
                 Data 
                   
                   
               
               
                 Category 
                 The hurricane&#39;s 
                 User-input 
                 1 
                 5 
               
               
                   
                 category. 
                   
                   
                   
               
               
                 Treatment 
                 The daily treatment 
                 User-input 
                 1 
                 5000 
               
               
                   
                 capability. 
                   
                   
                   
               
               
                 Duration 
                 The number of days 
                 User-input 
                 1 
                 180 
               
               
                   
                 patients will be 
                   
                   
                   
               
               
                   
                 treated 
               
               
                   
               
             
          
         
       
       
         
           
             The disaster casualties on day i after the hurricane (h0 i ) for the day of arrival is initialized to ArrivalCas and the starting interval counter for the decay shaping parameter (k) is initialized to either 5 or a percentage of the initial casualties. The delta parameter is defined in the same manner as it was before the day of arrival. The scaler parameter is defined as a function of the casualties remaining on the day of arrival (ArrivalCas). 
           
         
       
     
         [0000]    
       
         
           
             
               h 
                
               
                   
               
                
               
                 0 
                 arrival 
               
             
             = 
             ArivalCas 
           
         
       
       
         
           
             k 
             = 
             
               { 
               
                 
                   
                     
                       
                         5 
                       
                       
                         
                           
                             
                               if 
                                
                               
                                   
                               
                                
                               h 
                                
                               
                                   
                               
                                
                               
                                 0 
                                 arrival 
                               
                             
                             ≤ 
                             20 
                           
                           , 
                           000 
                         
                       
                     
                     
                       
                         
                           TotalCas 
                           * 
                           0.001 
                         
                       
                       
                         
                           
                             
                               if 
                                
                               
                                   
                               
                                
                               h 
                                
                               
                                   
                               
                                
                               
                                 0 
                                 arrival 
                               
                             
                             &gt; 
                             20 
                           
                           , 
                           000 
                         
                       
                     
                   
                    
                   
                     
 
                   
                    
                   delta 
                 
                 = 
                 
                   
                     
                       log 
                        
                       
                         ( 
                         
                           0.5 
                           * 
                           category 
                         
                         ) 
                       
                     
                     * 
                     
                       ( 
                       
                         1 
                         - 
                         lambda 
                       
                       ) 
                     
                      
                     
                       
 
                     
                      
                     scaler 
                   
                   = 
                   
                     { 
                     
                       
                         
                           
                             log 
                              
                             
                               ( 
                               
                                 
                                   35 
                                   , 
                                   000 
                                 
                                 ArrivalCas 
                               
                               ) 
                             
                           
                         
                         
                           
                             
                               
                                 if 
                                  
                                 
                                     
                                 
                                  
                                 ArrivalCas 
                               
                               ≤ 
                               20 
                             
                             , 
                             000 
                           
                         
                       
                       
                         
                           
                             log 
                              
                             
                                 
                             
                              
                             
                               ( 
                               
                                 1.2 
                                 * 
                                 
                                   TotalCas 
                                   ArrivalCas 
                                 
                               
                               ) 
                             
                           
                         
                         
                           
                             
                               
                                 if 
                                  
                                 
                                     
                                 
                                  
                                 ArrivalCas 
                               
                               &gt; 
                               20 
                             
                             , 
                             000 
                           
                         
                       
                     
                   
                 
               
             
           
         
       
     
         [0221]    For each day in the casualty generation process, Trauma and Disease casualties are generated using one of three methods, depending on the number of remaining casualties, the treatment capability, and the level of residual casualties. MPTk will display results beginning with the day of arrival, which will be labeled as day zero. The trauma and disease casualties on day j after arrival (Tra j  and Dis j ) are calculated using the index j=i−Arrival.
       For i=Arrival to Arrival+duration−1:   If remaining casualties (h0 i ) exceeds treatment capability (Treatment) then:       
 
         [0000]    
       
         
           
             
               Tra 
               
                 i 
                 - 
                 Arrival 
               
             
             = 
             
               Poisson 
                
               
                 ( 
                 
                   p 
                   * 
                   
                     ( 
                     Treatment 
                     ) 
                   
                 
                 ) 
               
             
           
         
       
       
         
           
             
               Dis 
               
                 i 
                 - 
                 Arrival 
               
             
             = 
             
               Poisson 
                
               
                 ( 
                 
                   
                     ( 
                     
                       1 
                       - 
                       p 
                     
                     ) 
                   
                   * 
                   
                     ( 
                     Treatment 
                     ) 
                   
                 
                 ) 
               
             
           
         
       
       
         
           Where 
         
       
       
         
           
             p 
             = 
             
               { 
               
                 
                   
                     
                        
                       
                         
                           - 
                           0.005 
                         
                         * 
                         
                           
                             ( 
                             
                               
                                 ( 
                                 
                                   i 
                                   + 
                                   3 
                                 
                                 ) 
                               
                               * 
                               0.5 
                             
                             ) 
                           
                           ⋀ 
                           2.5 
                         
                       
                     
                   
                   
                     
                       
                         if 
                          
                         
                             
                         
                          
                         i 
                       
                       ≤ 
                       20 
                     
                   
                 
                 
                   
                     
                        
                       
                         
                           - 
                           0.005 
                         
                         * 
                         
                           
                             ( 
                             
                               
                                 ( 
                                 
                                   24 
                                   + 
                                   
                                     
                                       i 
                                       + 
                                       1 
                                     
                                     100 
                                   
                                 
                                 ) 
                               
                               * 
                               0.5 
                             
                             ) 
                           
                           ⋀ 
                           2.5 
                         
                       
                     
                   
                   
                     
                       
                         if 
                          
                         
                             
                         
                          
                         i 
                       
                       &gt; 
                       20 
                     
                   
                 
               
             
           
         
       
       
         
           
             If remaining casualties are less than treatment capability and ResidualCas&gt;treatment capability then: 
           
         
       
     
         [0000]      Tra i−Arrival =Poisson(Treatment*0.1) 
         [0000]      Dis i−Arrival =Poisson(Treatment*0.9)       If remaining casualties are less than treatment capability and ResidualCas≦treatment capability then:         
         [0000]      Tra i−Arrival =Max(Poisson(ResidualCas*0.1),┌ h 0 i   *p ┐)
 
         [0000]      Dis i−Arrival =Max(Poisson(ResidualCas*0.9),┌ h 0 i *(1 −p )┐)
       Where ┌ ┐ is the ceiling operator (round up to nearest integer).   The casualties waiting for treatment on the next day is then calculated by decaying the current remaining casualties and subtracting the current day&#39;s patients.       
 
         [0000]      noise=Uniform(−5,5)
 
         [0000]        h 0 i+1   =h 0 i *(lambda+delta) (scaler*k+noise) −Tra i−Arrival −Dis i−Arrival  
 
         [0000]        k=k+ 1 
         [0000]        i=i+ 1 
         [0000]    
       
         
               
             
               
               
               
               
               
             
           
               
                 TABLE 53 
               
             
             
               
                   
               
               
                 Generate Hurricane Casualties Outputs 
               
             
          
           
               
                 Variable name 
                 Description 
                 Source 
                 Min 
                 Max 
               
               
                   
               
               
                 Tra j   
                 The number of trauma 
                 Generate daily 
                 0 
                 ~5300 
               
               
                   
                 patients on day j. 
                 casualty counts 
                   
                   
               
               
                 Dis j   
                 The number of disease 
                 Generate daily 
                 0 
                 ~5300 
               
               
                   
                 patients on day j. 
                 casualty counts 
               
               
                   
               
             
          
         
       
     
       Humanitarian Assistance 
       [0228]    The humanitarian assistance casualty generation algorithm generates random daily casualty counts based on a user-input rate. For each interval, the inputs for this process are as follows. 
         [0000]    
       
         
               
             
               
               
               
               
               
             
               
               
               
               
               
             
           
               
                 TABLE 54 
               
             
             
               
                   
               
               
                 HA Inputs 
               
             
          
           
               
                 Variable name 
                 Description 
                 Source 
                 Min 
                 Max 
               
               
                   
               
             
          
           
               
                 Start 
                 The start day of the interval. 
                 User input 
                 0 
                 180 
               
               
                 End 
                 The final day of the interval. 
                 User input 
                 1 
                 180 
               
               
                 λ 
                 The daily rate of casualties. 
                 User input 
                 1 
                 5000 
               
               
                 Trauma % 
                 The percentage of the daily 
                 User input 
                 0 
                 100 
               
               
                   
                 casualties that will be trauma. 
                   
                   
                   
               
               
                 TransitTime 
                 The number of days at the 
                 User input 
                 0 
                 179 
               
               
                   
                 beginning of the interval 
                   
                   
                   
               
               
                   
                 during which the medical 
                   
                   
                   
               
               
                   
                 capabilities are “in transit” 
                   
                   
                   
               
               
                   
                 and unable to treat patients. 
               
               
                   
               
             
          
         
       
     
         [0229]    The first step in the HA casualty generation algorithm is to calculate the parameters of the log normal distribution. The parameters μ and σ 2  are selected so that the log normal random variates generated will have mean λ and standard deviation 0.3λ. 
         [0000]    
       
         
           
             v 
             = 
             
               
                 ( 
                 
                   0.3 
                   * 
                   λ 
                 
                 ) 
               
               2 
             
           
         
       
       
         
           
             μ 
             = 
             
               ln 
                
               
                 ( 
                 
                   
                     λ 
                     2 
                   
                   
                     
                       v 
                       + 
                       
                         λ 
                         2 
                       
                     
                   
                 
                 ) 
               
             
           
         
       
       
         
           
             
               σ 
               2 
             
             = 
             
               
                 ln 
                  
                 
                   ( 
                   
                     1 
                     + 
                     
                       v 
                       
                         λ 
                         2 
                       
                     
                   
                   ) 
                 
               
               = 
               
                 ln 
                  
                 
                   ( 
                   1.09 
                   ) 
                 
               
             
           
         
       
     
         [0230]    For each day, if the HA mission is considered “in transit”, then no casualties are produced. Otherwise, random variates are produced by first generating a log normal random variate, then generating two Poisson random variates. The calculations are as follows for casualties on day i. 
         [0000]      If  i −Start&lt;TransitTime
 
         [0000]      Trauma i =0 
         [0000]      Disease i =0 
         [0000]      Otherwise 
         [0000]      X i =Log normal(μ,σ 2 )
 
         [0000]      Trauma i =Poisson(Trauma%* X   i ) 
         [0000]      Disease i =Poisson((1−Trauma%)* X   i )
 
         [0000]      TotalCasualties i =Trauma i +Disease i          Log normal random variates are generated using an implementation of the Box-Muller transform. Poisson random variates with means greater than 30 are generated using the rejection method proposed by Atkinson (1979). For means less than 30, Knuth&#39;s method, as described by Law, is used (2007).   The outputs for this process are described in Table 0.         
         [0000]    
       
         
               
             
               
               
               
               
               
             
           
               
                 TABLE 55 
               
             
             
               
                   
               
               
                 HA Outputs 
               
             
          
           
               
                 Variable name 
                 Description 
                 Source 
                 Min 
                 Max 
               
               
                   
               
               
                 TotalCasualties i   
                 The total number of 
                 HA 
                 0 
                 ~15000 
               
               
                   
                 casualties on day i. 
                   
                   
                   
               
               
                 Trauma i   
                 The number of trauma 
                 HA 
                 0 
                 ~15000 
               
               
                   
                 casualties on day i. 
                   
                   
                   
               
               
                 Disease i   
                 The number of disease 
                 HA 
                 0 
                 ~15000 
               
               
                   
                 casualties on day i. 
               
               
                   
               
             
          
         
       
     
         [0233]    Fixed Base 
         [0234]    The fixed base tool was designed to generate casualties resulting from various weapons used against a military base. The tool simulates a mass casualty event as a result of these attacks. Along with generating casualties, the tool also creates a patient stream based on a patient condition occurrence estimation (PCOE) developed from empirical data. This tool gives medical planners an estimate of the wounded and killed to be expected from a number of various weapon strikes. 
         [0235]    Front End Calculations 
         [0000]    
       
         
               
             
               
               
               
               
               
             
           
               
                 TABLE 56 
               
             
             
               
                   
               
               
                 Inputs for Front-End Calculations 
               
             
          
           
               
                 Variable name 
                 Description 
                 Source 
                 Min 
                 Max 
               
               
                   
               
               
                 Area Base   
                 The area of the entire 
                 User-input 
                 &gt;0 
                 50 mi 2   
               
               
                   
                 base. 
                   
                   
                   
               
               
                 Area Units   
                 The units of the base area 
                 User-input 
                 N/A 
                 N/A 
               
               
                   
                 Area Units  ∈ {Square 
                   
                   
                   
               
               
                   
                 Miles, Square KM, Acre. 
                   
                   
                   
               
               
                 LethalRadius i   
                 The radius of weapon 
                 User-input 
                 &gt;0 
                 300 
               
               
                   
                 strike i within which 
                   
                   
                   
               
               
                   
                 casualties will be 
                   
                   
                   
               
               
                   
                 killed (meters). 
                   
                   
                   
               
               
                 WoundRadius l   
                 The radius of weapon 
                 User-input 
                 &gt;0 
                 1500 
               
               
                   
                 strike i within which 
                   
                   
                   
               
               
                   
                 casualties will be 
                   
                   
                   
               
               
                   
                 wounded (meters). 
                   
                   
                   
               
               
                 PAR Base   
                 The population at risk 
                 User-input 
                 &gt;0 
                 100,000 
               
               
                   
                 within the entire base. 
                   
                   
                   
               
               
                 PercentPAR j   
                 The percentage of the 
                 User-input 
                 &gt;0 
                 100 
               
               
                   
                 total population at risk 
                   
                   
                   
               
               
                   
                 within sector j. 
                   
                   
                   
               
               
                 PercentArea j   
                 The percentage of the 
                 User-input 
                 &gt;0 
                 100 
               
               
                   
                 total area of the base 
                   
                   
                   
               
               
                   
                 within sector j. 
               
               
                   
               
             
          
         
       
     
         [0236]    The area of the base must first be converted into square meters to simplify future calculations in which weapons are involved. These calculations are as follows: 
         [0000]      If Area Units =Square Miles 
         [0000]      Area Base,Meters =Area Base *2589975.2356 
         [0000]      If Area Units =Square Kilometers 
         [0000]      Area Base,Meters =Area Base *1000000 
         [0000]      If Area Units =Acres 
         [0000]      Area Base,Meters =Area Base *4046.86       Next, TotalCasArea, LethalArea, and WoundArea must be calculated for each unique combination of WeaponType and WeaponSize.   For each weapon strike i,         
         [0000]      TotalCasArea i =π*(WoundRadius i ) 2  
 
         [0000]      LethalArea i =π*LethalRadius i   2  
 
         [0000]      WoundArea i =TotalCasArea i LethalArea i . 
         [0239]    Finally, the total area and PAR must be split amongst each of the sectors according to their characteristics, The calculations for this are as follows,
       For each sector j:       
 
         [0000]    
       
         
           
             
               PAR 
               j 
             
             = 
             
               
                 PAR 
                 Base 
               
               * 
               
                 ( 
                 
                   
                     PercentPar 
                     j 
                   
                   100 
                 
                 ) 
               
             
           
         
       
       
         
           
             
               Area 
               j 
             
             = 
             
               
                 Area 
                 Base 
               
               * 
               
                 ( 
                 
                   
                     PercentArea 
                     j 
                   
                   100 
                 
                 ) 
               
             
           
         
       
       
         
           
             The outputs for the front end calculations are shown in 0 
           
         
       
     
         [0000]    
       
         
               
             
               
               
               
               
               
             
           
               
                 TABLE 57 
               
             
             
               
                   
               
               
                 Outputs for Front-End Calculations 
               
             
          
           
               
                 Variable name 
                 Description 
                 Source 
                 Min 
                 Max 
               
               
                   
               
               
                 Area Base,Meters   
                 The area of the entire 
                 Front end 
                 &gt;0 
                 1.3 * 10 8   
               
               
                   
                 base in square meters. 
                 calculations 
               
               
                 TotalCasArea i   
                 The total area of 
                 Front end 
                 &gt;0 
                 7.1 * 10 6   
               
               
                   
                 weapon type i within 
                 calculations 
               
               
                   
                 which casualties will 
               
               
                   
                 be wounded or killed 
               
               
                   
                 (m 2 ). 
               
               
                 LethalArea i   
                 The area of weapon 
                 Front end 
                 &gt;0 
                 282743 
               
               
                   
                 type i within which 
                 calculations 
               
               
                   
                 casualties will be 
               
               
                   
                 killed (m 2 ). 
               
               
                 WoundArea i   
                 The area of weapon 
                 Front end 
                 &gt;0 
                 7.1 * 10 6   
               
               
                   
                 type i within which 
                 calculations 
               
               
                   
                 casualties will be 
               
               
                   
                 wounded (m 2 ). 
               
               
                 PAR j   
                 The PAR within 
                 Front end 
                 &gt;0 
                 100000 
               
               
                   
                 sector j. 
                 calculations 
               
               
                 Area j   
                 The area within 
                 Front end 
                 &gt;0 
                 1.3 * 10 8   
               
               
                   
                 sector j (m 2 ). 
                 calculations 
               
               
                   
               
             
          
         
       
     
         [0242]    Assign Hits to Sectors 
         [0243]    The next step in the simulation process is to stochastically assign each weapon hit to individual sectors based upon their probability of being hit, The inputs for this process are shown in Table 0. 
         [0000]    
       
         
               
             
               
               
               
               
               
             
               
               
               
               
               
             
           
               
                 TABLE 58 
               
             
             
               
                   
               
               
                 Inputs for Weapon Hit Assignment 
               
             
          
           
               
                 Variable name 
                 Description 
                 Source 
                 Min 
                 Max 
               
               
                   
               
             
          
           
               
                 PHit j   
                 The probability that a given 
                 User input 
                 &gt;0 
                 1 
               
               
                   
                 weapon strike will land in 
               
               
                   
                 sector j. 
               
               
                 WeaponHits i   
                 The number of weapon hits by 
                 User input 
                 1 
                 100 
               
               
                   
                 weapon i. 
               
               
                   
               
             
          
         
       
     
         [0244]    The first step in this process is to build a cumulative distribution of each of the sector&#39;s PHits. The cumulative probability for each sector is calculated according to the following: 
         [0000]    
       
         
           
             
               CumPHit 
               j 
             
             = 
             
               
                 ∑ 
                 
                   k 
                   = 
                   1 
                 
                 j 
               
                
               
                 PHit 
                 k 
               
             
           
         
       
       
         
           
             Once a cumulative distribution has been built, weapon hits are assigned according to the following process: 
             2. generate a random number U=Uniform(0,1), and
 
select the sector from the cumulative distribution corresponding with the smallest value greater than or equal to U.
 
             The outputs for the hit assignment process are shown in Table 0. 
           
         
       
     
         [0000]    
       
         
               
             
               
               
               
               
               
             
           
               
                 TABLE 59 
               
             
             
               
                   
               
               
                 Outputs for Weapon Hit Assignment 
               
             
          
           
               
                 Variable 
                   
                   
                   
                   
               
               
                 name 
                 Description 
                 Source 
                 Min 
                 Max 
               
               
                   
               
               
                 NumHits i,j   
                 The number of hits 
                 Assign hits 
                 0 
                 WeaponHits i   
               
               
                   
                 from weapon type i 
                 to sectors 
               
               
                   
                 that fall within sector j. 
               
               
                   
               
             
          
         
       
     
         [0248]    Calculate WIA and KIA 
         [0249]    Once individual weapon hits have been assigned, the simulation calculates the number of WIA and KIA casualties for each weapon strike. The inputs for this process are shown in Table 0. 
         [0000]    
       
         
               
             
               
               
               
               
               
             
               
               
               
               
               
             
           
               
                 TABLE 60 
               
             
             
               
                   
               
               
                 Inputs for WIA and ICA Calculation 
               
             
          
           
               
                 Variable name 
                 Description 
                 Source 
                 Min 
                 Max 
               
               
                   
               
             
          
           
               
                 NumHits i,j   
                 The number of hits 
                 Assign 
                 0 
                 NumHits i   
               
               
                   
                 from weapon type i 
                 weapon hits 
               
               
                   
                 that fall within 
               
               
                   
                 sector j. 
               
               
                 PAR j   
                 The PAR within 
                 Front end 
                 &gt;0 
                  20000 
               
               
                   
                 sector j. 
                 calculations 
               
               
                 Area j   
                 The area within 
                 Front end 
                 &gt;0 
                 1.3 * 10 8   
               
               
                   
                 sector j. 
                 calculations 
               
               
                 TotalCasArea i   
                 The total area of 
                 Front end 
                 &gt;0 
                 7.1 * 10 6   
               
               
                   
                 weapon type i within 
                 calculations 
               
               
                   
                 which casualties will 
               
               
                   
                 be wounded or killed. 
               
               
                 LethalArea i   
                 The area of weapon 
                 Front end 
                 &gt;0 
                 282743 
               
               
                   
                 type i within which 
                 calculations 
               
               
                   
                 casualties will be 
               
               
                   
                 killed. 
               
               
                 WoundArea i   
                 The area of weapon 
                 Front end 
                 &gt;0 
                 7.1 * 10 6   
               
               
                   
                 type i within which 
                 calculations 
               
               
                   
                 casualties will be 
               
               
                   
                 wounded. 
               
               
                 SM j   
                 The percent reduction 
                 User-input 
                 0 
                 100% 
               
               
                   
                 in lethal and wounding 
               
               
                   
                 radii from shelter use. 
               
               
                   
                 SM j  is 0 unsheltered 
               
               
                   
                 sectors. 
               
               
                   
               
             
          
         
       
       
         
           
             The calculation of KIAs and WIAs is performed according to the following. 
           
         
       
     
         [0000]    
       
         
           
             
                 
             
              
             
               
                 If 
                  
                 
                     
                 
                  
                 
                   TotalCasArea 
                   i 
                 
                 * 
                 
                   
                     ( 
                     
                       1 
                       - 
                       
                         SM 
                         j 
                       
                     
                     ) 
                   
                   2 
                 
               
               &lt; 
               
                 
                   Area 
                   j 
                 
                  
                 
                   : 
                 
               
             
           
         
       
       
         
           
             
               KIA 
               j 
             
             = 
             
               
                 ( 
                 
                   
                     PAR 
                     j 
                   
                   - 
                   
                     
                       PAR 
                       j 
                     
                     * 
                     
                       
                         ( 
                         
                           1 
                           - 
                           
                             
                               
                                 TotalCasArea 
                                 i 
                               
                               * 
                               
                                 
                                   ( 
                                   
                                     1 
                                     - 
                                     
                                       SM 
                                       j 
                                     
                                   
                                   ) 
                                 
                                 2 
                               
                             
                             
                               Area 
                               j 
                             
                           
                         
                         ) 
                       
                       
                         NumHits 
                         
                           i 
                           , 
                           j 
                         
                       
                     
                   
                 
                 ) 
               
               * 
               
                 ( 
                 
                   
                     LethalArea 
                     i 
                   
                   
                     TotalCasArea 
                     i 
                   
                 
                 ) 
               
             
           
         
       
       
         
           
             
               WIA 
               j 
             
             = 
             
               
                 ( 
                 
                   
                     PAR 
                     j 
                   
                   - 
                   
                     
                       PAR 
                       j 
                     
                     * 
                     
                       
                         ( 
                         
                           1 
                           - 
                           
                             
                               
                                 TotalCasArea 
                                 i 
                               
                               * 
                               
                                 
                                   ( 
                                   
                                     1 
                                     - 
                                     
                                       SM 
                                       j 
                                     
                                   
                                   ) 
                                 
                                 2 
                               
                             
                             
                               Area 
                               j 
                             
                           
                         
                         ) 
                       
                       
                         NumHits 
                         
                           i 
                           , 
                           j 
                         
                       
                     
                   
                 
                 ) 
               
               * 
               
                 ( 
                 
                   
                     WoundArea 
                     i 
                   
                   
                     TotalCasArea 
                     i 
                   
                 
                 ) 
               
             
           
         
       
       
         
           
             
                 
             
              
             
               
                 If 
                  
                 
                     
                 
                  
                 
                   TotalCasArea 
                   i 
                 
                 * 
                 
                   
                     ( 
                     
                       1 
                       - 
                       
                         SM 
                         j 
                       
                     
                     ) 
                   
                   2 
                 
               
               ≥ 
               
                 
                   Area 
                   j 
                 
                  
                 
                     
                 
                  
                 and 
               
             
           
         
       
       
         
           
             
                 
             
              
             
               
                 
                   LethalArea 
                   i 
                 
                 * 
                 
                   
                     ( 
                     
                       1 
                       - 
                       
                         SM 
                         j 
                       
                     
                     ) 
                   
                   2 
                 
               
               &lt; 
               
                 
                   Area 
                   j 
                 
                  
                 
                   : 
                 
               
             
           
         
       
       
         
           
             
                 
             
              
             
               
                 KIA 
                 j 
               
               = 
               
                 
                   
                     ( 
                     
                       1 
                       - 
                       
                         SM 
                         j 
                       
                     
                     ) 
                   
                   2 
                 
                 * 
                 
                   PAR 
                   j 
                 
                 * 
                 
                   ( 
                   
                     
                       LethalArea 
                       i 
                     
                     
                       Area 
                       i 
                     
                   
                   ) 
                 
               
             
           
         
       
       
         
           
             
                 
             
              
             
               
                 WIA 
                 j 
               
               = 
               
                 
                   PAR 
                   j 
                 
                 - 
                 
                   KIA 
                   j 
                 
               
             
           
         
       
       
         
           
             
                 
             
              
             
               
                 If 
                  
                 
                     
                 
                  
                 
                   TotalCasArea 
                   i 
                 
                 * 
                 
                   
                     ( 
                     
                       1 
                       - 
                       
                         SM 
                         j 
                       
                     
                     ) 
                   
                   2 
                 
               
               ≥ 
               
                 
                   Area 
                   j 
                 
                  
                 
                     
                 
                  
                 and 
               
             
              
             
                 
             
           
         
       
       
         
           
             
                 
             
              
             
               
                 
                   LethalArea 
                   i 
                 
                 * 
                 
                   
                     ( 
                     
                       1 
                       - 
                       
                         SM 
                         j 
                       
                     
                     ) 
                   
                   2 
                 
               
               ≥ 
               
                 
                   Area 
                   j 
                 
                  
                 
                   : 
                 
               
             
           
         
       
       
         
           
             
                 
             
              
             
               
                 KIA 
                 j 
               
               = 
               
                 PAR 
                 j 
               
             
           
         
       
       
         
           
             
                 
             
              
             
               
                 WIA 
                 j 
               
               = 
               0 
             
           
         
       
     
         [0251]    These calculations are performed for each weapon strike, and the PAR is decremented prior to the calculations for the next weapon strike. Once all of the calculations have been performed, the total number of WIA and KIA are summed together. These are the outputs for this portion of the simulation. 
         [0000]    
       
         
               
             
               
               
               
               
               
             
           
               
                 TABLE 61 
               
             
             
               
                   
               
               
                 Outputs for WIA &amp; KIA Calculations 
               
             
          
           
               
                 Variable 
                   
                   
                   
                   
               
               
                 name 
                 Description 
                 Source 
                 Min 
                 Max 
               
               
                   
               
               
                 KIA j   
                 The number of casualties 
                 Calculate WIA 
                 0 
                 PAR j   
               
               
                   
                 killed in action from 
                 and KIA 
               
               
                   
                 sector j. 
               
               
                 WIA j   
                 The number of casualties 
                 Calculate WIA 
                 0 
                 PAR j   
               
               
                   
                 wounded in action from 
                 and KIA 
               
               
                   
                 sector j. 
               
               
                 KIA 
                 The total number of 
                 Calculate WIA 
                 0 
                 PAR Base   
               
               
                   
                 casualties killed in action. 
                 and KIA 
               
               
                 WIA 
                 The total number of 
                 Calculate WIA 
                 0 
                 PAR Base   
               
               
                   
                 casualties wounded in 
                 and KIA 
               
               
                   
                 action. 
               
               
                   
               
             
          
         
       
     
         [0252]    Shipboard 
         [0253]    The shipboard casualty estimation tool was designed to generate casualties resulting from various weapons impacting a ship at sea. The tool, similar to the fixed base tool, generates a mass casualty event as a result of these weapon strikes. Shipboard casualty estimation tool can simulate attacks on up to five ships in one scenario. Each ship can be attacked up to five times, but it can only be attacked by one type of weapon. Each ship is simulated independently. The process below applies to a single ship and should be repeated for each ship in the scenario. 
         [0254]    Front End Calculations 
         [0255]    The front end calculations in shipboard calculate the WIA and KIA rate for a specific combination of ship category and weapon type. The inputs to this process are shown in the following table. 
         [0000]    
       
         
               
             
               
               
               
               
               
             
               
               
               
               
               
             
           
               
                 TABLE 62 
               
             
             
               
                   
               
               
                 Front End Calculations Inputs 
               
             
          
           
               
                 Variable name 
                 Description 
                 Source 
                 Min 
                 Max 
               
               
                   
               
             
          
           
               
                 E[WIA] Class,Weapon   
                 The expected number of 
                 CREstT 
                 2.2 
                 84.0 
               
               
                   
                 WIA casualties when a weapon 
                 common 
               
               
                   
                 of type Weapon hits a 
                 data 
               
               
                   
                 ship of type Class. 
               
               
                 E[KIA] Class,Weapon   
                 The expected number of 
                 CREstT 
                 1.1 
                 125.0 
               
               
                   
                 KIA casualties when a 
                 common 
               
               
                   
                 weapon of type Weapon hits 
                 data 
               
               
                   
                 a ship of type Class. 
               
               
                 DefaultPAR Class   
                 The population at risk for a 
                 CREstT 
                 100 
                 6155 
               
               
                   
                 ship of type Class. 
                 common 
               
               
                   
                   
                 data 
               
               
                 Class 
                 The category of ship class. 
                 User input 
                 N/A 
                 N/A 
               
               
                   
                 Possible values are: CVN, CG/ 
               
               
                   
                 DDG/, FF/MCM/PC, LHA/LHD, 
               
               
                   
                 LSD/LPD, Auxiliaries 
               
               
                 Weapon 
                 The type of weapon that hits the 
                 User input 
                 N/A 
                 N/A 
               
               
                   
                 ship. Possible values are: Missile, Bomb, 
               
               
                   
                 Gunfire, Torpedo, and VBIED. 
               
               
                   
               
             
          
         
       
       
         
           
             The following three tables show the values of E[WIA] Class,Weapon , E[KIA] Class,Weapon , and DefaultPAR class . The default PAR for a CVN includes an air wing. The default PARs for other ships include ship&#39;s company, but not embarked Marines. These values are stored in the CREstT common data, 
           
         
       
     
         [0000]    
       
         
               
             
               
               
               
             
               
               
               
             
           
               
                 TABLE 63 
               
             
             
               
                   
               
               
                 Ship Types and Population at Risk 
               
             
          
           
               
                 Category 
                 Description 
                 PAR 
               
               
                   
               
             
          
           
               
                 CVN 
                 Multi-purpose aircraft carrier 
                 6155 
               
               
                 CG/DDG 
                 Guided missile cruiser, guided missile destroyer 
                 298 
               
               
                 FF/MCM/PC 
                 Fast frigate, mine countermeasures ship, patrol craft 
                 100 
               
               
                 LHA/LHD 
                 Amphibious assault ships 
                 1204 
               
               
                 LSD/LPD 
                 Dock landing ship, amphibious transport dock 
                 387 
               
               
                 Auxiliaries 
                 Auxiliary ships 
                 198 
               
               
                   
               
             
          
         
       
     
         [0000]    
       
         
               
             
               
               
               
               
               
               
               
             
               
               
               
               
               
               
               
             
           
               
                 TABLE 64 
               
             
             
               
                   
               
               
                 Expected WIA Casualties for each Ship Class and Weapon Type 
               
             
          
           
               
                   
                   
                 CG/ 
                 FF/MCM/ 
                 LHA/ 
                 LSD/ 
                 Auxil- 
               
               
                 Weapon 
                 CVN 
                 DDG 
                 PC 
                 LHD 
                 LPD 
                 iaries 
               
               
                   
               
             
          
           
               
                 Missile 
                 49.5 
                 54.4 
                 14.6 
                 63.1 
                 31.6 
                 16.4 
               
               
                 Bomb 
                 46.4 
                 29.3 
                 8.7 
                 84.0 
                 42.0 
                 12.3 
               
               
                 Gunfire 
                 5.1 
                 2.2 
                 4.9 
                 11.5 
                 5.8 
                 7.1 
               
               
                 Torpedo 
                 15.6 
                 21.5 
                 57.3 
                 75.0 
                 37.5 
                 38.9 
               
               
                 Mine 
                 7.7 
                 13.6 
                 15.7 
                 39.9 
                 20.0 
                 34.4 
               
               
                 VBIED 
                 39.2 
                 39.0 
                 44.3 
                 59.7 
                 34.4 
                 26.5 
               
               
                   
               
               
                 Note: 
               
               
                 VBIED is vehicle-borne improvised explosive device. 
               
             
          
         
       
     
         [0000]    
       
         
               
             
               
               
               
               
               
               
               
             
               
               
               
               
               
               
               
             
           
               
                 TABLE 65 
               
             
             
               
                   
               
               
                 Expected KIA Casualties for each Ship Class and Weapon Type 
               
             
          
           
               
                   
                   
                 CG/ 
                 FF/MCM/ 
                 LHA/ 
                 LSD/ 
                 Auxil- 
               
               
                 Weapon 
                 CVN 
                 DDG 
                 PC 
                 LHD 
                 LPD 
                 iaries 
               
               
                   
               
             
          
           
               
                 Missile 
                 40.9 
                 51.1 
                 7.8 
                 36.2 
                 18.1 
                 6.0 
               
               
                 Bomb 
                 36.1 
                 25.0 
                 4.1 
                 35.0 
                 17.5 
                 7.4 
               
               
                 Gunfire 
                 1.4 
                 1.1 
                 3.2 
                 7.0 
                 3.5 
                 4.2 
               
               
                 Torpedo 
                 11.0 
                 47.8 
                 39.3 
                 125.0 
                 62.5 
                 30.2 
               
               
                 Mine 
                 7.6 
                 13.6 
                 5.7 
                 26.0 
                 13.0 
                 4.4 
               
               
                 VBIED 
                 11.6 
                 17.0 
                 11.5 
                 22.5 
                 13.0 
                 6.3 
               
               
                   
               
               
                 Note: 
               
               
                 VBIED is vehicle-borne improvised explosive device. 
               
             
          
         
       
     
         [0257]    The WIA rate and KIA rate are calculated by dividing the expected number of casualties by the PAR of the ship. 
         [0000]    
       
         
           
             
               WIARate 
               
                 Class 
                 , 
                 Weapon 
               
             
             = 
             
               
                 
                   E 
                    
                   
                     [ 
                     WIA 
                     ] 
                   
                 
                 
                   Class 
                   , 
                   Weapon 
                 
               
               
                 DefaultPAR 
                 Class 
               
             
           
         
       
       
         
           
             
               KIARate 
               
                 Class 
                 , 
                 Weapon 
               
             
             = 
             
               
                 
                   E 
                    
                   
                     [ 
                     KIA 
                     ] 
                   
                 
                 
                   Class 
                   , 
                   Weapon 
                 
               
               
                 DefaultPAR 
                 Class 
               
             
           
         
       
     
         [0000]    The outputs of this process are as follows: 
         [0000]    
       
         
               
             
               
               
               
               
               
             
           
               
                 TABLE 66 
               
             
             
               
                   
               
               
                 Front End Calculations Outputs 
               
             
          
           
               
                 Variable name 
                 Description 
                 Source 
                 Min 
                 Max 
               
               
                   
               
               
                 WIARate Class,Weapon   
                 The WIA casualty rate 
                 Front End 
                 0.0008 
                 0.5730 
               
               
                   
                 (casualties per PAR) when a 
                 Calculations 
               
               
                   
                 Weapon hits a ship of type Class. 
               
               
                 KIARate Class,Weapon   
                 The KIA casualty rate 
                 Front End 
                 0.0002 
                 0.3930 
               
               
                   
                 (casualties per PAR) when a 
                 Calculations 
               
               
                   
                 Weapon hits a ship of type Class. 
               
               
                   
               
             
          
         
       
     
         [0258]    Casualty counts in Shipboard are generated using an exponential distribution, The parameterization of the exponential distribution is as follows: 
         [0000]    
       
         
           
             
               pdf 
                
               
                 : 
               
                
               
                   
               
                
               
                 f 
                  
                 
                   ( 
                   x 
                   ) 
                 
               
             
             = 
             
               
                 1 
                 β 
               
                
               
                  
                 
                   - 
                   
                     x 
                     β 
                   
                 
               
             
           
         
       
       
         
           
             Where β is the mean. 
             Random variates of the exponential distribution are calculated as follows: 
             Generate a random number U=Uniform(0,1) 
           
         
       
     
         [0000]      Exp(β)=−β*ln( U )
 
         [0262]    Calculate WIA and KIA 
         [0263]    Once the casualty rates have been calculated, they are used to simulate the number of casualties caused by each hit. Each ship can be hit up to five times by the same type of weapon, and the PAR is decreased after each hit by removing the casualties caused by that hit. The inputs to this process are shown in the following table. 
         [0000]    
       
         
               
             
               
               
               
               
               
             
               
               
               
               
               
             
           
               
                 TABLE 67 
               
             
             
               
                   
               
               
                 Inputs for WIA and KIA Calculation 
               
             
          
           
               
                 Variable name 
                 Description 
                 Source 
                 Min 
                 Max 
               
               
                   
               
             
          
           
               
                 WIARate Class,Weapon   
                 The WIA casualty rate 
                 front-end 
                 0.0008 
                 0.5730 
               
               
                   
                 (casualties per PAR) when a 
                 calculations 
               
               
                   
                 Weapon hits a ship of type 
               
               
                   
                 Class. 
               
               
                 KIARate Class,Weapon   
                 The KIA casualty rate 
                 front-end 
                 0.0002 
                 0.3930 
               
               
                   
                 (casualties per PAR) when a 
                 calculations 
               
               
                   
                 Weapon hits a ship of type 
               
               
                   
                 Class. 
               
               
                 NumHits 
                 The number of times the 
                 User input 
                 1 
                 5 
               
               
                   
                 weapon hits the ship. 
               
               
                 PAR 
                 The population at risk. The 
                 User input or 
                 0 
                 10,000 
               
               
                   
                 default value for the class of 
                 CREstT 
               
               
                   
                 ship will be used if a value is 
                 common data 
               
               
                   
                 not entered by the user. 
               
               
                   
               
             
          
         
       
     
         [0264]    The calculation of WIA and KIA casualties is performed according to the following process.
       For each hit, i:   Generate a random number of KIA and WIA casualties from an exponential distribution as described in the previous section and round the result to an integer:       
 
         [0000]      KIA i =round(Exp(β=KIARate Class,Weapon *PAR))
 
         [0000]      WIA i =round(Exp(β=WIARate Class,Weapon *PAR))
       If the number of KIA casualties exceeds PAR, then all PAR is KIA and there are no WIA:       
 
         [0000]      if(KIA i &gt;PAR): 
         [0000]      KIA i =PAR 
         [0000]      WIA i =0       If KIA and WIA casualties combined are more than PAR, then KIA casualties are assigned first, and all remaining PAR becomes WIA:         
         [0000]      if (KIA i +WIA i &gt;PAR): 
         [0000]      WIA i =PAR−KIA
       PAR is then decremented:       
 
         [0000]      PAR=PAR−KIA i −WIA i  
 
         [0000]    Total KIA and WIA for each ship are the sum of KIA and WIA from each hit: 
         [0000]    
       
         
           
             KIA 
             = 
             
               
                 ∑ 
                 
                   i 
                   = 
                   1 
                 
                 NumHits 
               
                
               
                 KIA 
                 i 
               
             
           
         
       
       
         
           
             WIA 
             = 
             
               
                 ∑ 
                 
                   i 
                   = 
                   1 
                 
                 NumHits 
               
                
               
                 WIA 
                 i 
               
             
           
         
       
       
         
           
             The outputs for this process are as follows. 
           
         
       
     
         [0000]    
       
         
               
             
               
               
               
               
               
             
           
               
                 TABLE 68 
               
             
             
               
                   
               
               
                 Outputs for KIA and WIA Calculation 
               
             
          
           
               
                 Variable name 
                 Description 
                 Source 
                 Min 
                 Max 
               
               
                   
               
               
                 KIA 
                 The total KIA for this ship. 
                 Calculate 
                 0 
                 PAR 
               
               
                   
                   
                 WIA and 
               
               
                   
                   
                 KIA 
               
               
                 WIA 
                 The total WIA for this ship. 
                 Calculate 
                 0 
                 PAR 
               
               
                   
                   
                 WIA and 
               
               
                   
                   
                 KIA 
               
               
                   
               
             
          
         
       
     
         [0271]    Assignment of ICD-9 Codes 
         [0272]    The previous sections described the procedures used by CREstT to produce counts of casualties on a daily basis. In addition to these casualty counts, CREstT also produces patient streams, which assign ICD-9 codes to each patient. This process is common to all of the casualty generation algorithms within CREstT. 
         [0000]    
       
         
               
             
               
               
               
               
               
             
           
               
                 TABLE 69 
               
             
             
               
                   
               
               
                 Inputs for Assignment of ICD-9 Codes 
               
             
          
           
               
                 Variable 
                   
                   
                   
                   
               
               
                 name 
                 Description 
                 Source 
                 Min 
                 Max 
               
               
                   
               
               
                 NumCas 
                 Number of casualties for the 
                 Various 
                 0 
                 PAR 
               
               
                   
                 given day, replication, casualty 
                 CRestT 
               
               
                   
                 type, group, etc. 
                 processes 
               
               
                 PCOF 
                 The PCOF selected for use with 
                 User input 
                 N/A 
                 N/A 
               
               
                   
                 these casualties. 
               
               
                   
               
             
          
         
       
     
         [0273]    To assign ICD-9 codes, the PCOF is first converted into a CDF (cumulative distribution function). This allows CREstT to randomly select a ICD-9 code from the distribution via the generation of a uniform (0,1) random number. 
         [0274]    ICD-9 code assignment for each casualty consists of the following two steps:
       1. generate a random number U=uniform (0,1), and
 
select the ICD-9 code from the cumulative distribution corresponding with the smallest value greater than or equal to U.
   The outputs of this process are an ICD-9 code assigned to each casualty,       
 
         [0000]    
       
         
               
             
               
               
               
             
           
               
                 TABLE 70 
               
             
             
               
                   
               
               
                 Outputs for Assignment of ICD-9 Codes 
               
             
          
           
               
                 Variable name 
                 Description 
                 Source 
               
               
                   
               
               
                 ICD9 i   
                 The assigned ICD-9 code 
                 Assignment of ICD-9 codes 
               
               
                   
                 for casualty i 
               
               
                   
               
             
          
         
       
     
       Combined Scenarios 
       [0277]    Combined scenarios allow the user to combine the results of multiple individual CREstT scenarios into a single set of results. Each individual scenario is executed according to the methodology for its mission type. The combined results are then generated by treating each component scenario as its own casualty group. For mission types with multiple casualty groups, the results for the ‘Aggregate’ casualty group are sent to the combined scenario. 
         [0278]    C. Expeditionary Medical Requirements Estimator (EMRE) 
         [0279]    The Expeditionary Medical Requirements Estimator (EMRE) is a stochastic modelling tool that can dynamically simulate theater hospital operations. EMRE can either generate its own patient stream or import a simulated patient stream directly from CREstT. The logic diagram showing process of EMRE is shown in  FIG. 8 . In one embodiment, EMRE can generate its own patient stream based on the user input of an average number of patient presentations per day. EMRE first draws on a Poisson distribution to randomly generate patient numbers for each replication. The model then generates the patient stream by using that randomly drawn number of patients and a user-specified PCOF distribution, in another embodiment, if the user opts to import a CREstT-generated patient stream, EMRE randomly filters the occurrence-based casualty counts to admissions based on return-to-duty percentages, The EMRE common data tables are attached at the end of this application. 
         [0280]    The EMRE tool is comprised of four separate algorithms:
       a. the casualty generation algorithm,   b. the operation table (OT) algorithm,   c. the bed and evacuation algorithm, and   d. the blood planning factors algorithm.       
 
       Casualty Generation 
       [0285]    EMRE has two different methods for generating casualties: use a CREstT scenario or generate casualties using a user defined rate. In each case, MPTk will generate casualty occurrences then probabilistically determine which of those occurrences will become admissions at the theater hospitalization level of care. These two methods of generating casualties are described in detail below. 
       Casualty Generation Using a CREstT Patient Stream 
       [0286]    When a CREstT patient stream is used, all casualties from CREstT are considered. However, the patient stream generated by CREstT must be adjusted to account for the fact that many of the casualty occurrences generated by CREstT will not become admissions at the theater hospitalization level. The inputs to this process are shown in the table below. 
         [0000]    
       
         
               
             
               
               
               
               
               
             
           
               
                 TABLE 71 
               
             
             
               
                   
               
               
                 Casualty Generation Using a CREstT Patient Stream Inputs 
               
             
          
           
               
                 Variable name 
                 Description 
                 Source 
                 Min 
                 Max 
               
               
                   
               
               
                 Occ_ICD9 i,j,k   
                 The assigned ICD-9 code for 
                 CREstT 
                 N/A 
                 N/A 
               
               
                   
                 casualty i, rep j, day k. 
               
               
                 P(Adm) x   
                 The probability that an 
                 EMRE 
                 0 
                 100 
               
               
                   
                 occurrence of ICD-9 x 
                 Common 
               
               
                   
                 becomes a theater hospital 
                 data 
               
               
                   
                 admission. 
               
               
                   
               
             
          
         
       
     
         [0287]    The procedure for adjusting casualty occurrences to arrive at theater hospital admissions is as follows:
       For each occurrence Occ_ICD9 i,j,k :   Generate a Uniform(0,1) random variate, U       
 
         [0000]      If&lt; P (Adm) Occ   _   ICD9     i,j,k   ,Add Occ_ICD9 i,j,k  to ICD9 i,j,k          Where ICD9 i,j,k  is the ICD-9 codes for the casualties who are admitted to the theater hospital.         
         [0000]    
       
         
               
             
               
               
               
             
           
               
                 TABLE 72 
               
             
             
               
                   
               
               
                 Casualty Generation Using a CREstT Original Patient Stream Outputs 
               
             
          
           
               
                 Variable name 
                 Description 
                 Source 
               
               
                   
               
               
                 ICD9 i,j,k   
                 The assigned ICD-9 for 
                 Casualty Generation Using a 
               
               
                   
                 casualty i, rep j, day k. 
                 CREstT Original Patient 
               
               
                   
                   
                 Stream 
               
               
                   
               
             
          
         
       
     
         [0291]    Casualty Generation Using a User Defined Rate
       The user defined rate casualty generation process stochastically generates the number of casualties who will receive treatment at the modeled theater hospital on a given day. These numbers are distributed according to a Poisson distribution. The inputs to the user defined rate casualty generation process are shown below.       
 
         [0000]    
       
         
               
             
               
               
               
               
               
             
               
               
               
               
               
             
           
               
                 TABLE 73 
               
             
             
               
                   
               
               
                 Casualty Generation Using a User Defined Rate Inputs 
               
             
          
           
               
                 Variable 
                   
                   
                   
                   
               
               
                 name 
                 Description 
                 Source 
                 Min 
                 Max 
               
               
                   
               
             
          
           
               
                 nReps 
                 The number of replications. 
                 User input 
                 1 
                 200 
               
               
                 nDays 
                 The number of days in each 
                 User input 
                 1 
                 180 
               
               
                   
                 replication. 
               
               
                 λ 
                 The average number of patients 
                 User input 
                 1 
                 2,500 
               
               
                   
                 per day. 
               
               
                 P(Adm) x   
                 The probability that an 
                 EMRE 
                 0 
                 100 
               
               
                   
                 occurrence of ICD-9 x becomes 
                 Common 
               
               
                   
                 a theater hospital admission. 
                 data 
               
               
                 P(type) 
                 The probability a theater hospital 
                 User input 
                 0 
                 100 
               
               
                   
                 admission is the given patient 
               
               
                   
                 type, where type ∈ {WIA, NBI, 
               
               
                   
                 DIS, Trauma}. 
               
               
                 PCOF 
                 The user-selected distribution of 
                 User input 
                 N/A 
                 N/A 
               
               
                   
                 ICD-9 codes. 
               
               
                   
               
             
          
         
       
     
         [0293]    The first step when generating casualties from a user defined rate is to determine the number of admissions on each day, k, for each replication, j, (NumAdm j,k ). This number is determined by a random simulation of the Poisson distribution with a mean equal to the user input number of patients per day (λ). As is the case throughout MPTk, Poisson random variates with means greater than 30 are generated using the rejection method proposed by Atkinson (1979). For means less than 30, Knuth&#39;s method, as described by Law, is used (2007). 
         [0000]      NumAdm j,k =Poisson(λ)∀ j,k  
 
         [0294]    EMRE then generates a patient stream that consists of the ICD-9 codes for each admission that occurs on each day for each replication. To accomplish this, EMRE generates casualty occurrences from the given PCOF. It then randomly determines if each occurrence becomes an admission using the same procedure used with CREstT casualty inputs in EMRE. This is repeated until the proper number of casualties has been generated (NumAdm j,k ). The procedure is as follows. 
         [0000]    
       
         
               
               
             
               
               
             
               
               
             
               
               
             
               
               
             
               
               
             
               
               
             
           
               
                   
                   
               
             
             
               
                   
                 For each replication j and day k: 
               
             
          
           
               
                   
                 For n = 1 to NumAdm j,k : 
               
             
          
           
               
                   
                 Generate casualty occurrence and assign patient type 
               
               
                   
                 Admission = FALSE 
               
               
                   
                 While admission is FALSE 
               
             
          
           
               
                   
                 assign ICD-9 code (Occ_ICD9 i,j,k ) 
               
               
                   
                 Generate random Uniform(0,1) variate, U 
               
               
                   
                 If &lt; P(Adm) Occ     —     ICD9     i,j,k    : 
               
             
          
           
               
                   
                 Add Occ_ICD9 i,j,k  to ICD9 i,j,k   
               
               
                   
                 Admission = TRUE 
               
             
          
           
               
                   
                 Loop 
               
             
          
           
               
                   
                 n = n+1 
               
               
                   
                   
               
             
          
         
       
     
         [0295]    The result of this process is the set of ICD-9 codes for every theater hospital admission on each day of each replication (ICD9 i,j,k ). The process for generating the ICD-9 codes of casualty occurrences (Occ_ICD9 i,j,k ) is described in detail below. EMRE first stochastically assigns the patient type of each casualty occurrence using the user-input patient type distribution (P(type)). The user-input patient type distribution is converted into a CDF (cumulative distribution function) for random selection. This allows EMRE to randomly select a patient type from the distribution via the generation of a uniform (0,1) random number. EMRE then generates a random number for each casualty and selects from the cumulative distribution. After generating a uniform (0,1) random number, EMRE selects the injury type corresponding to the smallest value greater than or equal to that number. 
         [0296]    Injury type assignment for each casualty consists of the following two steps:
       1) generate a random number U uniform (0,1), and   2) select the injury type from the cumulative distribution corresponding with the smallest value greater than or equal to U.       
 
         [0299]    Once the patient type is assigned, the casualty is randomly assigned an ICD-9 code using the user specified PCOF. The manner in which ICD-9s are assigned is identical to the process used to assign ICD-9 codes within CREstT. 
         [0000]    
       
         
               
             
               
               
               
             
           
               
                 TABLE 74 
               
             
             
               
                   
               
               
                 Casualty Generation Using a User Defined Rate Outputs 
               
             
          
           
               
                 Variable name 
                 Description 
                 Source 
               
               
                   
               
               
                 ICD9 i, j, k   
                 The assigned ICD-9 for 
                 Casualty Generation 
               
               
                   
                 casualty i, rep j, day k. 
                 Using User Defined 
               
               
                   
                   
                 Rates 
               
               
                   
               
             
          
         
       
     
         [0300]    Calculate Initial Surgeries 
         [0301]    The Calculate Initial Surgeries algorithm stochastically determines whether casualties will receive surgery at the modeled theater hospital. EMRE does this based on its common data, which contains a probability of surgery value for each individual ICD-9 code. These values range from zero (in which case a particular ICD-9 code will never receive surgery) to 1 (where a casualty will always receive surgery). EMRE randomly selects from the distribution similarly to how injury types and ICD-9 codes are assigned. 
         [0000]    
       
         
               
             
               
               
               
               
               
             
           
               
                 TABLE 75 
               
             
             
               
                   
               
               
                 Calculate Initial Surgeries Inputs 
               
             
          
           
               
                 Variable name 
                 Description 
                 Source 
                 Min 
                 Max 
               
               
                   
               
               
                 ICD9 i, j, k   
                 The assigned ICD-9 code 
                 ICD-9 
                 N/A 
                 N/A 
               
               
                   
                 for casualty i, rep j, day k. 
                 assignment 
               
               
                   
                   
                 algorithm 
               
               
                 P(Surg) x   
                 The probability that a 
                 EMRE 
                 0 
                 1 
               
               
                   
                 patient with ICD-9 code 
                 common 
               
               
                   
                 x will receive surgery. 
                 data 
               
               
                   
               
             
          
         
       
     
         [0302]    Determining surgery for each casualty consists of the following two steps:
       1) generate a random number U uniform (0,1), and   2) if U≦P(Surg) x , the casualty receives surgery; otherwise, they do not.       
 
         [0305]    This process creates a single set of outputs—a Boolean value for each casualty describing whether they received surgery. 
         [0000]    
       
         
               
             
               
               
               
               
               
             
           
               
                 TABLE 76 
               
             
             
               
                   
               
               
                 Calculate Initial Surgeries Outputs 
               
             
          
           
               
                 Variable name 
                 Description 
                 Source 
                 Min 
                 Max 
               
               
                   
               
               
                 Surg i, j, k   
                 A Boolean value for 
                 Calculate 
                 False = 
                 True = 
               
               
                   
                 whether casualty i 
                 Initial 
                 0 
                 1 
               
               
                   
                 on rep j on day k 
                 Surgeries 
               
               
                   
                 receives surgery. 
               
               
                   
               
             
          
         
       
     
         [0306]    These variables can be used to calculate the number of surgeries on a given day or replication. As an example, the calculation for the number of Surgeries on rep j=1 day k=1 is as follows: 
         [0000]    
       
         
           
             
               ∑ 
               
                 i 
                 = 
                 1 
               
               n 
             
              
             
               ( 
               
                 
                   
                     
                       Surg 
                       
                         i 
                         , 
                         j 
                         , 
                         k 
                       
                     
                      
                     j 
                   
                   = 
                   1 
                 
                 , 
                 
                   k 
                   = 
                   1 
                 
               
               ) 
             
           
         
       
     
         [0307]    Calculate Follow-Up Surgeries 
         [0308]    The logic diagram showing how follow-up surgery is calculated is shown in  FIG. 9 . After a casualty receives an initial surgery there is a possibility that he will require follow-up surgery. Not all patients will require follow-up surgeries. For the casualties who may receive follow-up surgery, the occurrence depends on the recurrence interval and the evacuation delay, the amount of time he is required to stay. If the casualty will require follow-up surgery before he is able to be evacuated then he will receive the surgery; otherwise, he will not. The following table describes the input variables for the follow-up surgery process. 
         [0000]    
       
         
               
             
               
               
               
               
               
             
           
               
                 TABLE 77 
               
             
             
               
                   
               
               
                 Calculate Follow-Up Surgeries Inputs 
               
             
          
           
               
                 Variable name 
                 Description 
                 Source 
                 Min 
                 Max 
               
               
                   
               
               
                 ICD9 i, j, k   
                 The assigned ICD-9 
                 ICD-9 
                 N/A 
                 N/A 
               
               
                   
                 code for casualty i, 
                 assignment 
               
               
                   
                 rep j, and day k. 
                 algorithm 
               
               
                 Surg i, j, k   
                 A Boolean value for 
                 Calculate 
                 False = 
                 True = 
               
               
                   
                 whether casualty i 
                 initial 
                 0 
                 1 
               
               
                   
                 on rep j on day k 
                 surgeries 
               
               
                   
                 receives surgery. 
               
               
                 Recur i   
                 The recurrence 
                 EMRE 
                 0 
                 2 
               
               
                   
                 interval—the time 
                 common 
               
               
                   
                 in days between 
                 data 
               
               
                   
                 the first surgery 
               
               
                   
                 and recurring 
               
               
                   
                 surgeries. 
               
               
                 EvacDelay 
                 The minimum amount 
                 User input 
                 1 
                 4 
               
               
                   
                 of time, in days, 
               
               
                   
                 that a patient must 
               
               
                   
                 wait before being 
               
               
                   
                 evacuated. 
               
               
                   
               
             
          
         
       
     
         [0000]    
       
         
               
             
               
               
               
               
               
             
           
               
                 TABLE 78 
               
             
             
               
                   
               
               
                 Calculate Follow-Up Surgeries Outputs 
               
             
          
           
               
                 Variable name 
                 Description 
                 Source 
                 Min 
                 Max 
               
               
                   
               
               
                 RecurSurg i, j, k   
                 A Boolean value for 
                 Calculate 
                 False = 
                 True = 
               
               
                   
                 whether casualty i 
                 follow-up 
                 0 
                 1 
               
               
                   
                 on rep j on day k 
                 surgeries 
               
               
                   
                 receives follow-up 
               
               
                   
                 surgery. 
               
               
                   
               
             
          
         
       
     
       Calculating OR Load Hours 
       [0309]    The next step in the EMRE process is to calculate the time in surgery for each of those casualties who required surgery in the previous two processes. EMRE&#39;s common data contains values by ICD-9 code for both initial and follow-up surgery times. If the casualty was chosen to have surgery, a value is randomly generated from a truncated normal distribution around the appropriate time. The inputs for this process are shown below. 
         [0000]    
       
         
               
             
               
               
               
               
               
             
           
               
                 TABLE 79 
               
             
             
               
                   
               
               
                 Calculate OR Load Hours Inputs 
               
             
          
           
               
                 Variable name 
                 Description 
                 Source 
                 Min 
                 Max 
               
               
                   
               
               
                 ICD9 i, j, k   
                 The assigned ICD-9 
                 ICD-9 
                 N/A 
                 N/A 
               
               
                   
                 for casualty i, rep 
                 assignment 
               
               
                   
                 j, and day k. 
                 algorithm 
               
               
                 Surg i, j, k   
                 A Boolean value for 
                 Calculate 
                 False = 
                 True = 
               
               
                   
                 whether casualty i 
                 initial 
                 0 
                 1 
               
               
                   
                 on rep j on day k 
                 surgeries 
               
               
                   
                 receives surgery. 
               
               
                 RecurSurg i, j, k   
                 A Boolean value for 
                 Calculate 
                 False = 
                 True = 
               
               
                   
                 whether casualty i 
                 follow-up 
                 0 
                 1 
               
               
                   
                 on rep j on day k 
                 surgeries 
               
               
                   
                 receives follow-up 
               
               
                   
                 surgery. 
               
               
                 SurgTime x   
                 The average length 
                 EMRE 
                 30 
                 428 
               
               
                   
                 of time in minutes 
                 common 
               
               
                   
                 a casualty with 
                 data 
               
               
                   
                 ICD-9 code x will 
               
               
                   
                 spend in initial 
               
               
                   
                 surgery. 
               
               
                 RecurTime x   
                 The average length 
                 EMRE 
                 30 
                 30 
               
               
                   
                 of time in minutes 
                 common 
               
               
                   
                 a casualty with 
                 data 
               
               
                   
                 ICD-9 code x will 
               
               
                   
                 spend in follow-up 
               
               
                   
                 surgery. 
               
               
                 ORSetupTime 
                 The length of time 
                 User input 
                 0 
                 4 
               
               
                   
                 in hours required 
               
               
                   
                 to setup the OR 
               
               
                   
                 before a surgery 
               
               
                   
                 occurs. 
               
               
                   
               
             
          
         
       
     
         [0310]    Surgery times are drawn from a truncated normal distribution where the distribution is bounded within 20% of the mean surgical time. The standard deviation is assumed to be one fifteenth of the mean. 
         [0311]    The total amount of OR time a patient uses for their initial surgery (ORTimeInit i,j,k ) is the simulated amount of time necessary to complete the surgery plus the OR setup time. 
         [0000]    
       
         
           
             
               ORTimeInit 
               
                 i 
                 , 
                 j 
                 , 
                 k 
               
             
             = 
             
               
                 Surg 
                 
                   i 
                   , 
                   j 
                   , 
                   k 
                 
               
               * 
               
                 ( 
                 
                   
                     TrkNorm 
                      
                     
                       ( 
                       
                         
                           mean 
                           = 
                           μ 
                         
                         , 
                         
                           
                             s 
                             . 
                             d 
                             . 
                           
                           = 
                           σ 
                         
                         , 
                         
                           min 
                           = 
                           a 
                         
                         , 
                         
                           max 
                           = 
                           b 
                         
                       
                       ) 
                     
                   
                   + 
                   ORSetupTime 
                 
                 ) 
               
             
           
         
       
       
         
           
             
                 
             
              
             
               Where 
                
               
                 : 
               
             
           
         
       
       
         
           
             
                 
             
              
             
               
                 μ 
                 = 
                 
                   SurgTime 
                   x 
                 
               
               , 
               
                 σ 
                 = 
                 
                   μ 
                   15 
                 
               
               , 
               
                 a 
                 = 
                 
                   0.8 
                   * 
                   μ 
                 
               
               , 
               
                 
                   and 
                    
                   
                       
                   
                    
                   b 
                 
                 = 
                 
                   1.2 
                   * 
                   μ 
                 
               
             
           
         
       
       
         
           
             And TrkNorm( ) is a truncated normal distribution. 
           
         
       
     
         [0313]    A similar calculation is used to calculate the amount of OR time that is required for follow-up surgery. 
         [0000]    
       
         
           
             
               ORTimeRecurr 
               
                 i 
                 , 
                 j 
                 , 
                 k 
               
             
             = 
             
               
                 RecurSurg 
                 
                   i 
                   , 
                   j 
                   , 
                   k 
                 
               
               * 
               
                 ( 
                 
                   
                     TrkNorm 
                      
                     
                       ( 
                       
                         
                           mean 
                           = 
                           μ 
                         
                         , 
                         
                           
                             s 
                             . 
                             d 
                             . 
                           
                           = 
                           σ 
                         
                         , 
                         
                           min 
                           = 
                           a 
                         
                         , 
                         
                           max 
                           = 
                           b 
                         
                       
                       ) 
                     
                   
                   + 
                   ORSetupTime 
                 
                 ) 
               
             
           
         
       
       
         
           
             
                 
             
              
             
               Where 
                
               
                 : 
               
             
           
         
       
       
         
           
             
                 
             
              
             
               
                 μ 
                 = 
                 
                   RecurTime 
                   x 
                 
               
               , 
               
                 σ 
                 = 
                 
                   μ 
                   15 
                 
               
               , 
               
                 a 
                 = 
                 
                   0.8 
                   * 
                   μ 
                 
               
               , 
               
                 
                   and 
                    
                   
                       
                   
                    
                   b 
                 
                 = 
                 
                   1.2 
                   * 
                   μ 
                 
               
             
           
         
       
       
         
           
             And TrkNorm( ) is a truncated normal distribution, 
           
         
       
     
         [0315]    Random variates are simulated from the truncated normal distribution as follows:
       The percentiles of the normal distribution that are associated with the minimum and maximum of the truncated normal distribution (p 1  and p 2 ) can be calculated from the CDF of the normal distribution, Because the standard deviation is a constant ratio of the mean, these values will be the same for every ICD-9 and only need to be computed once.       
 
         [0000]    
       
         
           
             
               p 
               1 
             
             = 
             
               
                 Norm 
                 . 
                 
                   CDF 
                    
                   
                     ( 
                     
                       
                         mean 
                         = 
                       
                        
                       
                         μ 
                         , 
                         
                           
                             s 
                             . 
                             d 
                             . 
                           
                           = 
                           
                             μ 
                             15 
                           
                         
                         , 
                         
                           x 
                           = 
                           
                             .8 
                             * 
                             μ 
                           
                         
                       
                     
                     ) 
                   
                 
               
               = 
               0.00135 
             
           
         
       
       
         
           
             
               p 
               2 
             
             = 
             
               
                 Norm 
                 . 
                 
                   CDF 
                    
                   
                     ( 
                     
                       
                         mean 
                         = 
                       
                        
                       
                         μ 
                         , 
                         
                           
                             s 
                             . 
                             d 
                             . 
                           
                           = 
                           
                             μ 
                             15 
                           
                         
                         , 
                         
                           x 
                           = 
                           
                             1.2 
                             * 
                             μ 
                           
                         
                       
                     
                     ) 
                   
                 
               
               = 
               0.99865 
             
           
         
       
       
         
           
             Where Norm.CDF is the cumulative distribution function of the normal distribution evaluated at x. 
           
         
       
     
         [0318]    To generate a random variate from this distribution, generate a uniform random number. 
         [0000]        U =Uniform(0,1)       Use U to generate a uniform random number between p 1  and p 2 .         
         [0000]        V =Uniform( p   1   ,p   2 )= p   1   +U *( p   2   −p   1 )=0.00135+ U* 0.9973       Use V to generate a normal random variate from a normal distribution.         
         [0000]      TrkNorm(μ,σ, a,b )=Norm.Inv( x=V ,mean=μ,s.d.=σ)
       Where Norm.Inv evaluates the inverse of the Normal distribution cumulative distribution function at x.       
 
         [0322]    The total number of load hours needed each day k, in a given replication j, (LoadHours j,k ) is the sum of the times necessary to complete all initial and follow-up surgeries that occur on that day. 
         [0000]    
       
         
           
             
               LoadHours 
               
                 j 
                 , 
                 k 
               
             
             = 
             
               
                 
                   ∑ 
                   i 
                 
                  
                 
                   ORTimeInit 
                   
                     i 
                     , 
                     j 
                     , 
                     k 
                   
                 
               
               + 
               
                 
                   ∑ 
                   i 
                 
                  
                 
                   ORTimeRecur 
                   
                     i 
                     , 
                     j 
                     , 
                     k 
                   
                 
               
             
           
         
       
     
         [0323]    The outputs for this process are the total OR load for each day of each replication, and are described in the following table. 
         [0000]    
       
         
               
             
               
               
               
               
               
             
           
               
                 TABLE 80 
               
             
             
               
                   
               
               
                 Calculate OR Load Hours Outputs 
               
             
          
           
               
                 Variable name 
                 Description 
                 Source 
                 Min 
                 Max 
               
               
                   
               
               
                 LoadHours j, k   
                 The total number of OR 
                 Calculate OR 
                 0 
                 ∞ 
               
               
                   
                 load hours on rep j, 
                 load hours 
               
               
                   
                 and day k. 
                 process 
               
               
                   
               
             
          
         
       
     
         [0324]    Calculating OR Tables 
         [0325]    The calculation of the required number of OR tables is a simple extension of the process for calculating OR load hours. EMRE calculates, for each day, the necessary number of OR tables to handle the patient load. This calculation is based upon the following inputs. 
         [0000]    
       
         
               
             
               
               
               
               
               
             
           
               
                 TABLE 81 
               
             
             
               
                   
               
               
                 Calculate OR Tables Inputs 
               
             
          
           
               
                 Variable name 
                 Description 
                 Source 
                 Min 
                 Max 
               
               
                   
               
               
                 LoadHours j, k   
                 The total number of 
                 Calculate OR 
                 0 
                 ∞ 
               
               
                   
                 OR load hours on 
                 load hours 
               
               
                   
                 rep j, and day k. 
                 process 
               
               
                 OperationalHours 
                 The number of hours 
                 User input 
                 8 
                 24 
               
               
                   
                 each OR will be 
               
               
                   
                 operational 
               
               
                   
                 on a given day. 
               
               
                   
               
             
          
         
       
     
         [0326]    The calculation is the ceiling of the daily load hours divided by the operational hours. This process produces a single output—the number of required OR tables on each day of each replication 
         [0000]    
       
         
           
             
               ORTables 
               
                 j 
                 , 
                 k 
               
             
             = 
             
               ⌈ 
               
                 
                   LoadHours 
                   
                     j 
                     , 
                     k 
                   
                 
                 OperationalHours 
               
               ⌉ 
             
           
         
       
     
         [0000]    
       
         
               
             
               
               
               
               
               
             
           
               
                 TABLE 82 
               
             
             
               
                   
               
               
                 Calculate OR Tables Outputs 
               
             
          
           
               
                 Variable name 
                 Description 
                 Source 
                 Min 
                 Max 
               
               
                   
               
               
                 ORTables j, k   
                 The number of OR tables 
                 Calculate OR 
                 0 
                 ∞ 
               
               
                   
                 required to treat the 
                 tables process 
               
               
                   
                 patient load on rep j, 
               
               
                   
                 and day k. 
               
               
                   
               
             
          
         
       
     
         [0327]    Determining Patient Evac Status 
         [0328]    The next step in the high-level EMRE process is to determine the evacuation status and length of stay in both the ICU and the ward for each patient. The inputs for this process are shown below. 
         [0000]    
       
         
               
             
               
               
               
               
               
             
           
               
                 TABLE 83 
               
             
             
               
                   
               
               
                 Determine Patient Evac Status Inputs 
               
             
          
           
               
                 Variable name 
                 Description 
                 Source 
                 Min 
                 Max 
               
               
                   
               
               
                 ICD9 i, j, k   
                 The assigned ICD-9 
                 ICD-9 
                 N/A 
                 N/A 
               
               
                   
                 code for casualty i, 
                 assignment 
               
               
                   
                 rep j, and day k. 
                 algorithm 
               
               
                 Surg i, j, k   
                 A Boolean value for 
                 Calculate 
                 False = 
                 True = 
               
               
                   
                 whether casualty i 
                 initial 
                 0 
                 1 
               
               
                   
                 on rep j on day k 
                 surgeries 
               
               
                   
                 receives surgery. 
               
               
                 ORICULOS x   
                 The ICU length of 
                 EMRE 
                 0 
                 3 
               
               
                   
                 stay in days for 
                 common 
               
               
                   
                 patients with 
                 data 
               
               
                   
                 ICD-9 code x who 
               
               
                   
                 had previously 
               
               
                   
                 received surgery. 
               
               
                 ORWardLOS x   
                 The ward length of 
                 EMRE 
                 1 
                 180 
               
               
                   
                 stay in days for 
                 common 
               
               
                   
                 patients with ICD- 
                 data 
               
               
                   
                 9 code x who had 
               
               
                   
                 previously 
               
               
                   
                 received surgery. 
               
               
                 NoORICULOS x   
                 The ICU length of 
                 EMRE 
                 0 
                 3 
               
               
                   
                 stay in days for 
                 common 
               
               
                   
                 patients with ICD- 
                 data 
               
               
                   
                 9 code x who had 
               
               
                   
                 not received 
               
               
                   
                 surgery. 
               
               
                 NoORWardLOS x   
                 The ward length of 
                 EMRE 
                 1 
                 180 
               
               
                   
                 stay in days for 
                 common 
               
               
                   
                 patients with ICD- 
                 data 
               
               
                   
                 9 code x who had 
               
               
                   
                 not received 
               
               
                   
                 surgery. 
               
               
                 EvacPolicy 
                 The maximum 
                 User input 
                 3 
                 15 
               
               
                   
                 amount of time 
               
               
                   
                 in days that 
               
               
                   
                 a casualty may 
               
               
                   
                 be held at the 
               
               
                   
                 theater hospital 
               
               
                   
                 for treatment. 
               
               
                   
               
             
          
         
       
     
         [0329]    There are two decision points for this logic. First, casualties are split according to whether they required surgery. Their length of stay for both the ICU and the Ward is then determined. Next, if the total length of stay is greater than the evacuation policy, the casualty will evacuate; otherwise, they will return to duty.  FIG. 10  displays this logic. 
         [0330]    As a convention, a patient&#39;s status is always determined at the end of the day. For example, a patient that arrives on day 3, stays for 3 nights in the ward, and then evacuates will generate demand for a bed on days 3, 4, and 5. On day 6, they will be counted as a ward evacuee, but they will not use a bed on day 6 because they are not present at the end of the day. The outputs for this process are as follows. 
         [0000]    
       
         
               
             
               
               
               
               
               
             
           
               
                 TABLE 84 
               
             
             
               
                   
               
               
                 Determine Patient Evac Status Outputs 
               
             
          
           
               
                 Variable name 
                 Description 
                 Source 
                 Min 
                 Max 
               
               
                   
               
               
                 Status i, j, k   
                 The patient evacuation 
                 Determine patient 
                 Evac 
                 RTD 
               
               
                   
                 status for casualty i, 
                 evacuation status 
               
               
                   
                 rep j, and day k. 
                 process 
               
               
                 ICULOS i, j, k   
                 The ICU length of stay 
                 Determine patient 
                 0 
                 3 
               
               
                   
                 for casualty i, rep j, 
                 evacuation status 
               
               
                   
                 and day k. 
                 process 
               
               
                 WardLOS i, j, k   
                 The ward length of 
                 Determine patient 
                 0 
                 180 
               
               
                   
                 stay for casualty 
                 evacuation status 
               
               
                   
                 i, rep j, and day k. 
                 process 
               
               
                   
               
             
          
         
       
     
         [0331]    Calculating Number of Beds and Evacuations 
         [0332]    The next step in the EMRE process is to determine the number of beds, both in the ICU and the ward, required to support the patient load on a given day. Coupled with this is the calculation of the evacuations, both from the ICU and the ward, on any given day. Casualties that evacuate from the ward are also counted towards demand for staging beds. The inputs for this process are as follows. 
         [0000]    
       
         
               
             
               
               
               
               
               
             
           
               
                 TABLE 85 
               
             
             
               
                   
               
               
                 Calculate Number of Bed and Evacuation Inputs 
               
             
          
           
               
                 Variable name 
                 Description 
                 Source 
                 Min 
                 Max 
               
               
                   
               
               
                 ICD9 i, j, k   
                 The assigned ICD-9 
                 ICD-9 
                 N/A 
                 N/A 
               
               
                   
                 for casualty, rep j, 
                 assignment 
               
               
                   
                 and day k. 
                 algorithm 
               
               
                 ICULOS i, j, k   
                 The ICU length of 
                 Determine 
                 0 
                 3 
               
               
                   
                 stay for casualty, 
                 patient 
               
               
                   
                 rep j, and day k. 
                 evacuation 
               
               
                   
                   
                 status process 
               
               
                 WardLOS i, j, k   
                 The Ward length of 
                 Determine 
                 0 
                 180  
               
               
                   
                 stay for casualty, 
                 patient 
               
               
                   
                 rep j, and day k. 
                 evacuation 
               
               
                   
                   
                 status process 
               
               
                 EvacDelay 
                 The number of days 
                 User input 
                 1 
                 10  
               
               
                   
                 a patient must wait 
               
               
                   
                 before being 
               
               
                   
                 evacuated. 
               
               
                 CCATT 
                 A Boolean value 
                 User input 
                 False = 
                 True = 
               
               
                   
                 identifying whether 
                   
                 0 
                 1 
               
               
                   
                 CCATT teams are 
               
               
                   
                 available for 
               
               
                   
                 transport. 
               
               
                 StagingHold 
                 The number of days 
                 User input 
                 1 
                 3 
               
               
                   
                 a ward evac patient 
               
               
                   
                 will be held in a 
               
               
                   
                 staging bed 
               
               
                   
               
             
          
         
       
     
         [0333]    This process is broken down into two subprocesses. First, the calculations are performed for casualties who were designated for evacuation in the Determining Patient Evac Status section. Next, a different process is performed for patients who were designated to return to duty.  FIG. 11  and  FIG. 12  outline the subprocesses. The outputs for these sub-processes include the number of beds, both in the ICU and the ward, for each day of the simulation, as well as the number of evacuations from the ICU and ward for each day. 
         [0000]    
       
         
               
             
               
               
               
               
               
             
           
               
                 TABLE 86 
               
             
             
               
                   
               
               
                 Calculate Number of Bed and Evacuation Outputs 
               
             
          
           
               
                 Variable name 
                 Description 
                 Source 
                 Min 
                 Max 
               
               
                   
               
               
                 ICUBeds j, k   
                 The number of patients 
                 Calculate beds 
                 0 
                 ∞ 
               
               
                   
                 requiring beds in the 
                 and evacuations 
               
               
                   
                 ICU on rep j and day 
                 process 
               
               
                   
                 k. 
               
               
                 WardBeds j, k   
                 The number of patients 
                 Calculate beds 
                 0 
                 ∞ 
               
               
                   
                 requiring beds in the 
                 and evacuations 
               
               
                   
                 ward on rep j and day 
                 process 
               
               
                   
                 k. 
               
               
                 ICUEvacs j, k   
                 The number of patients 
                 Calculate beds 
                 0 
                 ∞ 
               
               
                   
                 evacuating from the 
                 and evacuations 
               
               
                   
                 ICU on rep j and day 
                 process 
               
               
                   
                 k. 
               
               
                 WardEvacs j, k   
                 The number of patients 
                 Calculate beds 
                 0 
                 ∞ 
               
               
                   
                 evacuating from the 
                 and evacuations 
               
               
                   
                 ward on rep j and day 
                 process 
               
               
                   
                 k. 
               
               
                 StagingBeds j, k   
                 The number of patients 
                 Calculate beds 
                 0 
                 ∞ 
               
               
                   
                 requiring staging beds 
                 and evacuations 
               
               
                   
                 on rep j and day k. 
                 process 
               
               
                   
               
             
          
         
       
     
         [0334]    Calculating Blood Planning Factors 
         [0335]    The final process in an EMRE simulation is the calculation of blood planning factors. This process simply takes the user-input values for blood planning factors, either according to specific documentation or specific values from the user, and applies them to specific casualty types. The inputs are displayed in Table 87. 
         [0000]    
       
         
               
             
               
               
               
             
           
               
                 TABLE 87 
               
             
             
               
                   
               
               
                 Calculate Blood Planning Factors Inputs 
               
             
          
           
               
                 Variable name 
                 Description 
                 Source 
               
               
                   
               
               
                 CasType i, j, k   
                 The patient type for casualty i, 
                 Casualty type 
               
               
                   
                 rep j, and day k. 
                 assignment 
               
               
                   
                   
                 algorithm 
               
               
                 RBC 
                 The number of units of red blood 
                 User input 
               
               
                   
                 cells used as a planning factor 
               
               
                   
                 for the scenario. 
               
               
                 FFP 
                 The number of units of fresh 
                 User input 
               
               
                   
                 frozen plasma used as a planning 
               
               
                   
                 factor for the scenario. 
               
               
                 Platelet 
                 The number of units of platelet 
                 User input 
               
               
                   
                 concentrates used as a planning 
               
               
                   
                 factor for the scenario. 
               
               
                 Cryo 
                 The number of units of 
                 User input 
               
               
                   
                 cryoprecipitate used as a planning 
               
               
                   
                 factor for the scenario. 
               
               
                   
               
             
          
         
       
     
         [0336]    The calculation of the blood products is simple. If a casualty has the patient type WIA, NBI, or trauma, he receives the blood products according to the user-input quantities. Therefore, it is simply a multiplier of the total number of WIA, NBI, and trauma casualties and the quantities for the blood planning factors. As an example, below is the calculation for red blood cells. The calculations for each of the other planning factors are calculated similarly. 
         [0000]    
       
         
           
             
               RBC 
               
                 j 
                 , 
                 k 
               
             
             = 
             
               RBC 
               * 
               
                 ( 
                 
                   
                     
                       ∑ 
                       
                         i 
                         = 
                         1 
                       
                       n 
                     
                      
                     
                       CasType 
                       
                         i 
                         , 
                         j 
                         , 
                         k 
                       
                     
                   
                   | 
                   
                     CasType 
                     ∈ 
                     
                       { 
                       
                         WIA 
                         , 
                         NBI 
                         , 
                         Trauma 
                       
                       } 
                     
                   
                 
                 ) 
               
             
           
         
       
       
         
           
             The outputs of the calculate blood planning factors are described in Table 0. 
           
         
       
     
         [0000]    
       
         
               
             
               
               
               
             
           
               
                 TABLE 88 
               
             
             
               
                   
               
               
                 Calculate Blood Planning Factors Outputs 
               
             
          
           
               
                 Variable name 
                 Description 
                 Source 
               
               
                   
               
               
                 RBC j, k   
                 The number of units of red blood 
                 User input 
               
               
                   
                 cells required on rep j, and day k. 
               
               
                 FFP j, k   
                 The number of units of fresh 
                 User input 
               
               
                   
                 frozen plasma required on rep j, 
               
               
                   
                 and day k. 
               
               
                 Platelet j, k   
                 The number of units of platelet 
                 User input 
               
               
                   
                 concentrates required on rep j, 
               
               
                   
                 and day k. 
               
               
                 Cryo j, k   
                 The number of units of 
                 User input 
               
               
                   
                 cryoprecipitate required on rep j, 
               
               
                   
                 and day k. 
               
               
                   
               
             
          
         
       
     
         [0338]    III. Examples of Medical Planning Stimulations Using MPTk Software 
         [0339]    The Medical Planners Toolkit (MPTk) is a software suite of tools (modules) developed to support the joint medical planning community. This suite of tools provides planners with an end-to-end solution for medical support planning across the range of military operations (ROMO) from ground combat to humanitarian assistance. MTPk combines the Patient Condition Occurrence Frequency (PCOF) tool, the Casualty Rate Estimation Tool (CREstT), and the Expeditionary Medical Requirements Estimator (EMRE) into a single desktop application. When used individually the MPTk tools allow the user to manage the frequency distributions of probabilities of illness and injury, estimate casualties in a wide variety of military scenarios, and estimate level three theater-medical requirements. When used collectively, the tools provide medical planning data and versatility to enhance medical planners&#39; efficiency. 
         [0340]    The PCOF tool provides a comprehensive list of ROMO-spanning, baseline probability distributions for illness and injury based on empirical data. The tool allows users to store, edit, export, and manipulate these distributions to better fit planned operations. The PCOF tool generates precise, expected patient probability distributions. The mission-centric distributions include combat, humanitarian assistance (HR), and disaster relief (DR). These mission-centric distributions allows medical planner to assess medical risks associated with a planned mission. 
         [0341]    The CREstT provides the capability for planners to emulate the operational plan to calculate the combat and non-combat injuries and illnesses that would be expected during military operations. Casualty estimates can be generated for ground combat, ship attacks, fixed facilities, and natural disasters. This functionality is integrated with the PCOF tool, and can use the distributions developed in that application to construct a patient stream based on the casualty estimate and user-selected PCOF distribution. CREstT uses stochastic methods to generate estimates, and can therefore provide quantile estimates in addition to average value estimates. 
         [0342]    EMRE estimates the operating room, ICU bed, ward bed, evacuation, and blood product requirements for theater hospitalization based on a given patient load. EMRE can provide these estimates based on a user-specified average daily patient count, or it can use the patient streams derived by CREstT as EMRE is fully integrated with both CREstT and the PCOF tool. EMRE also uses stochastic processes to allow users to evaluate risk in medical planning. 
         [0343]    The MPTk software can be used separately or collectively in medical logistics and planning. For example, the PCOF module can be used individually in a method for assessing medical risks of a planned mission comprises. The user first establishes a PCOF scenario for a planned mission. Then run simulations of the planned mission to create a set of mission-centric PCOF distributions. The PCOF stores the mission-centric PCOF distributions for presentations. The user can use these mission-centric PCOF to rank patient conditions for the mission and thus identifying medical risks for the mission. 
         [0344]    In another embodiment, the MPTK may be used collectively in a method for assessing adequacy of a medical support plan for a mission. The user first establishes a scenario for a planned mission in MPTk. The user then stimulates the planned mission to create a set of mission-centric PCOF using PCOF module. The user then can then use the CREstT module to generate estimated estimate casualties for the planned mission and use the EMRE module to calculate estimated medical requirements for the planned mission. The results from the simulation in three modules can then be used to assess the adequacy of a medical support plan. Multiple simulations may be created and run using different user inputs, and the results from each simulation compared to select the best medical support plan, which reduces the casualty or provides adequate medical requirements for the mission. The MPTk software can also be used in a method for estimating medical requirements of a planned mission. In this embodiment, the user first establishes a scenario for a planned mission in MPTk or only in EMRE. Then the user run simulations of the planned medical support mission to generate estimated medical requirements, The estimated medical requirements may be stored and used in the planning of the mission. In an embodiment of the inventive method for estimating medical requirements medical requirements of a planned mission, medical requirements estimated including but not limited to:
       a. the number of hours of operating room time needed;   b. the number of operating room tables needed;   c. the number of intensive care unit beds needed;   d. the number of ward beds needed;   e. the total number of ward and ICU beds needed;   f. the number of staging beds needed;   g. the number of patients evacuated after being treated in the ward;   h. the total number of patients evacuated from the ward and ICU;   i. the number of red blood cell units needed;   j. the number of fresh frozen plasma units needed;   k. the number of platelet concentrate units needed; and   l. the number of Cryoprecipitate units needed.       
 
         [0357]    IV. Verification and Validation of MPTk Software 
         [0358]    A MPTk V&amp;V Working Group were designated by the Services and Combatant Commands in response to a request by The Joint Staff to support the MPTk Verification and validation effort. The members composed of medical planners from various Marine, Army, and Navy medical support commands. Each member of the Working Group received one week of MPTk training conducted at Teledyne Brown Engineering, Inc., Huntsville, Ala. The training was provided to two groups; the first group receiving training 28 Apr.-2 May 2014 and the second group from 5-9 May 2014. During the training, each member of the Working Group received training on MPTk, to include detailed instruction on the PCOF tool, CREstT, and EMRE as well as training on the verification, validation, and accreditation processes. Specific training on the V&amp;V process included the development of acceptability criteria, testing methods, briefing formats, and the use of the Defense Health Agency&#39;s eRoom capabilities, which served as the information portal for the MPTk V&amp;V process. 
         [0359]    Towards the end of each week, initial testing began using the same procedures that would be used throughout the testing to familiarize each of the Working Group members with the process. The major validation events of the V&amp;V process occurred on the Defense Connect Online (DCO), report calls that were conducted during the validation phase of the testing. On each of the DCO calls during validation testing of the model. Working Group members were presented briefings on topics they had selected on validation issues by the software developers. The Working Group members then discussed validation issues, The major issue identified during the validation phase of the testing was a recommendation to add the ability for the user to select a service baseline casualty rate (vs. a Joint baseline casualty rate) and a use redefined baseline casualty rate. The MPTk V&amp;V Working Group members determined this was a valid concern and the capability was added to the model and thoroughly tested. Once this capability was added, the Working Group members were satisfied with the validation phase of the testing. 
         [0360]    Comparison testing on MPTk was conducted on DCO calls on 6 Aug. 2014 and 13 Aug. 2014. Testing was conducted comparing MPTk results to real world events, and also to output from another DoD medical planning model, JMPT. Working Group members identified several issues during the comparison testing of MPTk, all of which were corrected and retested. At the conclusion of the testing, all Working Group members were satisfied with the results of the comparison testing. 
         [0361]    Multiple iterations of the changes made have recently been incorporated into MPTk. These include:
       a. Patient conditions form the basis upon which the model operates. Previous PCs were SME-derived. These patient data have been replaced with 282 single injury and 37 multiple PCs that have been developed using scientific processes and objective data.   b. A medical supply projection capability has been added that allows medical materiel to be projected for the scenarios used within the software.   c. The core data has been replaced with objective military data sets. This allows updates to be conducted on the core data files. Updating of the core data is now occurs twice annually.       
 
       REFERENCES 
       [0000]    
       
         1. Atkinson, A. C. (1979). Recent developments in the computer generation of Poisson random variables. Applied Statistics, 28(3), 260-263. 
         2. Blood, C. G., Rotblatt, D., Marks J. S. (1996). Incorporating Adversary-Specific Adjustments into the FORCAS Ground Casualty Projection Model (Report No. 96-10J). San Diego, Calif.: Naval Health Research Center. 
         3. Dupuy, T. N. (1990). Attrition: Forecasting battle casualties and equipment losses in modern war. Fairfax, Va.: Hero Books, 
         4. Elkins, T., &amp; Wing. V. (2013). Expeditionary Medicine Requirements Estimator (EMRE) (Report No. 13-2B). San Diego, Calif.: Naval Health Research Center. 
         5. Elkins. T., Zouris, J., &amp; Wing, V. (2013). The development of modules for shipboard and fixed facility casualty estimation. San Diego, Calif.: Naval Health Research Center. 
         6. Kreiss, Y., Merin, O., Peleg, K., Levy, G., Vinker, S., Sagi, R., &amp; . . . Ash, N. (2010). Early disaster response in Haiti: the Israeli field hospital experience. Annals of internal medicine, 153 (1), 45-48. 
         7. Law, Averill M. (2007). Generating Discrete Random Variates. In K. Case &amp; P. Wolfe (Eds.) Simulation Modeling and Analysis. (p. 466). New York: The McGraw-Hill Companies, Inc. 
         8. Nix, R., Negus, T. L., Elkins, T., Walker, J., Zouris, J., D&#39;Souza, E., &amp; Wing, V. (2013). Development of a patient condition occurrence frequency (PCOF) database for military, humanitarian assistance, and disaster relief medical data (Report No. 13-40). San Diego, Calif.: Naval Health Research Center. 
         9. Pan American Health Organization. (2003). Guidelines for the Use of Foreign Field Hospitals in the Aftermath of Sudden-Impact Disasters. Washington, D.C.: Regional Office of the World Health Organization. 
         10. Zouris, J., D&#39;Souza, E., Elkins, T., Walker, J., Wing, V., &amp; Brown, C. (2011). Estimation of the joint patient condition occurrence frequencies from Operation Iraqi Freedom and Operation Enduring Freedom Volume I: Development of methodology (Report No. 11-9I). San Diego, Calif.: Naval Health Research Center. 
         11. Zouris, J., D&#39;Souza, E., Walker, J., Honderich, P., Tolbert, B., &amp; Wing, V. (2013). Development of a methodology for estimating casualty occurrences and the types of illnesses and injuries for the range of military operations (Report No. 13-06). San Diego, Calif.: Naval Health Research Center. 
       
     
       APPENDIX 
     EMRE Common Data 
       [0376]    The tables below (Tables 89-91) show the data used by EMRE to support the previously described processes. All variables with a source listed as “EMRE common data” are defined here. Some values may be stored at a greater precision in the MPTk database and rounded for display in these tables. 
         [0000]    
       
         
               
             
               
               
               
               
               
               
               
             
               
               
               
               
               
               
               
             
           
               
                 TABLE 89 
               
             
             
               
                   
               
               
                 EMRE Common Data: Surgery Data 
               
             
          
           
               
                   
                   
                   
                   
                 SurgTime 
                 Recur 
                 RecurTime 
               
               
                 PC 
                 Type 
                 Description 
                 P(Surg) 
                 (mins) 
                 (days) 
                 (hours) 
               
               
                   
               
             
          
           
               
                 005 
                 DMMPO 
                 Food poisoning bacterial 
                 0.00 
                   
                   
                 0 
               
               
                 006 
                 DMMPO 
                 Amebiasis 
                 0.00 
                   
                   
                 0 
               
               
                 007.9 
                 DMMPO 
                 Unspecified protozoal 
                 0.00 
                   
                   
                 0 
               
               
                   
                   
                 intestinal disease 
               
               
                 008.45 
                 DMMPO 
                 Intestinal infection due 
                 0.00 
                   
                   
                 0 
               
               
                   
                   
                 to  clostridium difficile   
               
               
                 008.8 
                 DMMPO 
                 Intestinal infection due 
                 0.00 
                   
                   
                 0 
               
               
                   
                   
                 to other organism not 
               
               
                   
                   
                 classified 
               
               
                 010 
                 DMMPO 
                 Primary tb 
                 0.00 
                   
                   
                 0 
               
               
                 037 
                 DMMPO 
                 Tetanus 
                 0.00 
                   
                   
                 0 
               
               
                 038.9 
                 DMMPO 
                 Unspecified septicemia 
                 0.00 
                   
                   
                 0 
               
               
                 042 
                 DMMPO 
                 Human immunodeficiency 
                 0.00 
                   
                   
                 0 
               
               
                   
                   
                 virus [HIV] disease 
               
               
                 047.9 
                 DMMPO 
                 Viral meningitis 
                 0.00 
                   
                   
                 0 
               
               
                 052 
                 DMMPO 
                 Varicella 
                 0.00 
                   
                   
                 0 
               
               
                 053 
                 DMMPO 
                 Herpes zoster 
                 0.00 
                   
                   
                 0 
               
               
                 054.1 
                 DMMPO 
                 Genital herpes 
                 0.00 
                   
                   
                 0 
               
               
                 057.0 
                 DMMPO 
                 Fifth disease 
                 0.00 
                   
                   
                 0 
               
               
                 060 
                 DMMPO 
                 Yellow fever 
                 0.00 
                   
                   
                 0 
               
               
                 061 
                 DMMPO 
                 Dengue 
                 0.00 
                   
                   
                 0 
               
               
                 062 
                 DMMPO 
                 Mosq. borne encephalitis 
                 0.00 
                   
                   
                 0 
               
               
                 063.9 
                 DMMPO 
                 Tick borne encephalitis 
                 0.00 
                   
                   
                 0 
               
               
                 065 
                 DMMPO 
                 Arthropod-borne hemorrhagic 
                 0.00 
                   
                   
                 0 
               
               
                   
                   
                 fever 
               
               
                 066.40 
                 DMMPO 
                 West nile fever, unspecified 
                 0.00 
                   
                   
                 0 
               
               
                 070.1 
                 DMMPO 
                 Viral hepatitis 
                 0.00 
                   
                   
                 0 
               
               
                 071 
                 DMMPO 
                 Rabies 
                 0.00 
                   
                   
                 0 
               
               
                 076 
                 DMMPO 
                 Trachoma 
                 0.00 
                   
                   
                 0 
               
               
                 078.0 
                 DMMPO 
                 Molluscom contagiosum 
                 0.00 
                   
                   
                 0 
               
               
                 078.1 
                 DMMPO 
                 Viral warts 
                 0.00 
                   
                   
                 0 
               
               
                 078.4 
                 DMMPO 
                 Hand, foot and mouth disease 
                 0.00 
                   
                   
                 0 
               
               
                 079.3 
                 DMMPO 
                 Rhinovirus infection in conditions 
                 0.00 
                   
                   
                 0 
               
               
                   
                   
                 elsewhere and of unspecified site 
               
               
                 079.99 
                 DMMPO 
                 Unspecified viral infection 
                 0.00 
                   
                   
                 0 
               
               
                 082 
                 DMMPO 
                 Tick-borne rickettsiosis 
                 0.00 
                   
                   
                 0 
               
               
                 084 
                 DMMPO 
                 Malaria 
                 0.00 
                   
                   
                 0 
               
               
                 085 
                 DMMPO 
                 Leishmaniasis, visceral 
                 0.00 
                   
                   
                 0 
               
               
                 086 
                 DMMPO 
                 Trypanosomiasis 
                 0.00 
                   
                   
                 0 
               
               
                 091 
                 DMMPO 
                 Early primary syphilis 
                 0.00 
                   
                   
                 0 
               
               
                 091.9 
                 DMMPO 
                 Secondary syphilis, unspec 
                 0.00 
                   
                   
                 0 
               
               
                 094 
                 DMMPO 
                 Neurosyphilis 
                 0.00 
                   
                   
                 0 
               
               
                 098.5 
                 DMMPO 
                 Gonococcal arthritis 
                 0.00 
                   
                   
                 0 
               
               
                 099.4 
                 DMMPO 
                 Nongonnococcal urethritis 
                 0.00 
                   
                   
                 0 
               
               
                 100 
                 DMMPO 
                 Leptospirosis 
                 0.00 
                   
                   
                 0 
               
               
                 274 
                 DMMPO 
                 Gout 
                 0.00 
                   
                   
                 0 
               
               
                 276 
                 DMMPO 
                 Disorder of fluid, electrolyte + 
                 0.00 
                   
                   
                 0 
               
               
                   
                   
                 acid base balance 
               
               
                 296.0 
                 DMMPO 
                 Bipolar disorder, single manic 
                 0.00 
                   
                   
                 0 
               
               
                   
                   
                 episode 
               
               
                 298.9 
                 DMMPO 
                 Unspecified psychosis 
                 0.00 
                   
                   
                 0 
               
               
                 309.0 
                 DMMPO 
                 Adjustment disorder with depressed 
                 0.00 
                   
                   
                 0 
               
               
                   
                   
                 mood 
               
               
                 309.81 
                 DMMPO 
                 Ptsd 
                 0.00 
                   
                   
                 0 
               
               
                 309.9 
                 DMMPO 
                 Unspecified adjustment reaction 
                 0.00 
                   
                   
                 0 
               
               
                 310.2 
                 DMMPO 
                 Post concussion syndrome 
                 0.00 
                   
                   
                 0 
               
               
                 345.2 
                 DMMPO 
                 Epilepsy petit mal 
                 0.00 
                   
                   
                 0 
               
               
                 345.3 
                 DMMPO 
                 Epilepsy grand mal 
                 0.00 
                   
                   
                 0 
               
               
                 346 
                 DMMPO 
                 Migraine 
                 0.00 
                   
                   
                 0 
               
               
                 361 
                 DMMPO 
                 Retinal detachment 
                 0.00 
                   
                   
                 0 
               
               
                 364.3 
                 DMMPO 
                 Uveitis nos 
                 0.00 
                   
                   
                 0 
               
               
                 365 
                 DMMPO 
                 Glaucoma 
                 0.00 
                   
                   
                 0 
               
               
                 370.0 
                 DMMPO 
                 Corneal ulcer 
                 0.00 
                   
                   
                 0 
               
               
                 379.31 
                 DMMPO 
                 Aphakia 
                 0.00 
                   
                   
                 0 
               
               
                 380.1 
                 DMMPO 
                 Infective otitis externa 
                 0.00 
                   
                   
                 0 
               
               
                 380.4 
                 DMMPO 
                 Impacted cerumen 
                 0.00 
                   
                   
                 0 
               
               
                 381 
                 DMMPO 
                 Acute nonsuppurative otitis 
                 0.00 
                   
                   
                 0 
               
               
                   
                   
                 media 
               
               
                 381.9 
                 DMMPO 
                 Unspecified eustachian tube 
                 0.00 
                   
                   
                 0 
               
               
                   
                   
                 disorder 
               
               
                 384.2 
                 DMMPO 
                 Perforated tympanic membrane 
                 0.00 
                   
                   
                 0 
               
               
                 388.3 
                 DMMPO 
                 Tinnitus, unspecified 
                 0.00 
                   
                   
                 0 
               
               
                 389.9 
                 DMMPO 
                 Unspecified hearing loss 
                 0.00 
                   
                   
                 0 
               
               
                 401 
                 DMMPO 
                 Essential hypertension 
                 0.00 
                   
                   
                 0 
               
               
                 410 
                 DMMPO 
                 Myocardial infarction 
                 0.00 
                   
                   
                 0 
               
               
                 413.9 
                 DMMPO 
                 Other and unspecified angina 
                 0.00 
                   
                   
                 0 
               
               
                   
                   
                 pectoris 
               
               
                 427.9 
                 DMMPO 
                 Cardiac dysryhthmia unspecified 
                 0.00 
                   
                   
                 0 
               
               
                 453.4 
                 DMMPO 
                 Venous embolism/thrombus of 
                 0.00 
                   
                   
                 0 
               
               
                   
                   
                 deep vessels lower extremity 
               
               
                 462 
                 DMMPO 
                 Acute pharyngitis 
                 0.00 
                   
                   
                 0 
               
               
                 465 
                 DMMPO 
                 Acute uri of multiple or 
                 0.00 
                   
                   
                 0 
               
               
                   
                   
                 unspecified sites 
               
               
                 466 
                 DMMPO 
                 Acute bronchitis &amp; bronchiolitis 
                 0.00 
                   
                   
                 0 
               
               
                 475 
                 DMMPO 
                 Peritonsillar abscess 
                 0.25 
                 176 
                   
                 0 
               
               
                 486 
                 DMMPO 
                 Pneumonia, organism unspecified 
                 0.00 
                   
                   
                 0 
               
               
                 491 
                 DMMPO 
                 Chronic bronchitis 
                 0.00 
                   
                   
                 0 
               
               
                 492 
                 DMMPO 
                 Emphysema 
                 0.00 
                   
                   
                 0 
               
               
                 493.9 
                 DMMPO 
                 Asthma 
                 0.00 
                   
                   
                 0 
               
               
                 523 
                 DMMPO 
                 Gingival and periodontal 
                 0.00 
                   
                   
                 0 
               
               
                   
                   
                 disease 
               
               
                 530.2 
                 DMMPO 
                 Ulcer of esophagus 
                 0.00 
                   
                   
                 0 
               
               
                 530.81 
                 DMMPO 
                 Gastroesophageal reflux 
                 0.00 
                   
                   
                 0 
               
               
                 531 
                 DMMPO 
                 Gastric ulcer 
                 0.00 
                   
                   
                 0 
               
               
                 532 
                 DMMPO 
                 Duodenal ulcer 
                 0.18 
                 150 
                   
                 0 
               
               
                 540.9 
                 DMMPO 
                 Acute appendicitis without 
                 0.80 
                 291 
                 1 
                 0.5 
               
               
                   
                   
                 mention of peritonitis 
               
               
                 541 
                 DMMPO 
                 Appendicitis, unspecified 
                 0.83 
                 90 
                 1 
                 0.5 
               
               
                 550.9 
                 DMMPO 
                 Unilateral inguinal hernia 
                 0.01 
                 191 
                   
                 0 
               
               
                 553.1 
                 DMMPO 
                 Umbilical hernia 
                 0.87 
                 90 
                   
                 0 
               
               
                 553.9 
                 DMMPO 
                 Hernia nos 
                 0.10 
                 90 
                   
                 0 
               
               
                 564.0 
                 DMMPO 
                 Constipation 
                 0.00 
                   
                   
                 0 
               
               
                 564.1 
                 DMMPO 
                 Irritable bowel disease 
                 0.00 
                   
                   
                 0 
               
               
                 566 
                 DMMPO 
                 Abscess of anal and rectal 
                 0.75 
                 45 
                 1 
                 0.5 
               
               
                   
                   
                 regions 
               
               
                 567.9 
                 DMMPO 
                 Unspecified peritonitis 
                 0.00 
                   
                   
                 0 
               
               
                 574 
                 DMMPO 
                 Cholelithiasis 
                 0.05 
                 182 
                   
                 0 
               
               
                 577.0 
                 DMMPO 
                 Acute pancreatitis 
                 0.00 
                   
                   
                 0 
               
               
                 577.1 
                 DMMPO 
                 Chronic pancreatitis 
                 0.00 
                   
                   
                 0 
               
               
                 578.9 
                 DMMPO 
                 Hemorrhage of gastrointestinal 
                 0.00 
                   
                   
                 0 
               
               
                   
                   
                 tract unspecified 
               
               
                 584.9 
                 DMMPO 
                 Acute renal failure unspecified 
                 0.00 
                   
                   
                 0 
               
               
                 592 
                 DMMPO 
                 Calculus of kidney 
                 0.00 
                   
                   
                 0 
               
               
                 599.0 
                 DMMPO 
                 Unspecified urinary tract 
                 0.00 
                   
                   
                 0 
               
               
                   
                   
                 infection 
               
               
                 599.7 
                 DMMPO 
                 Hematuria 
                 0.00 
                   
                   
                 0 
               
               
                 608.2 
                 DMMPO 
                 Torsion of testes 
                 1.00 
                 147 
                   
                 0 
               
               
                 608.4 
                 DMMPO 
                 Other inflammatory disorders 
                 0.00 
                   
                   
                 0 
               
               
                   
                   
                 of male genital organs 
               
               
                 611.7 
                 DMMPO 
                 Breast lump 
                 0.00 
                   
                   
                 0 
               
               
                 633 
                 DMMPO 
                 Ectopic preg 
                 0.50 
                 173 
                   
                 0 
               
               
                 634 
                 DMMPO 
                 Spontaneous abortion 
                 0.75 
                 162 
                   
                 0 
               
               
                 681 
                 DMMPO 
                 Cellulitis and abscess of 
                 0.00 
                   
                   
                 0 
               
               
                   
                   
                 finger and toe 
               
               
                 682.0 
                 DMMPO 
                 Cellulitis and abscess of 
                 0.00 
                   
                   
                 0 
               
               
                   
                   
                 face 
               
               
                 682.6 
                 DMMPO 
                 Cellulitis and abscess of 
                 0.00 
                   
                   
                 0 
               
               
                   
                   
                 leg except foot 
               
               
                 682.7 
                 DMMPO 
                 Cellulitis and abscess of 
                 0.00 
                   
                   
                 0 
               
               
                   
                   
                 foot except toes 
               
               
                 682.9 
                 DMMPO 
                 Cellulitis and abscess of 
                 0.00 
                   
                   
                 0 
               
               
                   
                   
                 unspecified parts 
               
               
                 719.41 
                 DMMPO 
                 Pain in joint shoulder 
                 0.00 
                   
                   
                 0 
               
               
                 719.46 
                 DMMPO 
                 Pain in joint lower leg 
                 0.00 
                   
                   
                 0 
               
               
                 719.47 
                 DMMPO 
                 Pain in joint ankle/foot 
                 0.00 
                   
                   
                 0 
               
               
                 722.1 
                 DMMPO 
                 Displacement lumbar 
                 0.00 
                   
                   
                 0 
               
               
                   
                   
                 intervertebral disc w/o 
               
               
                   
                   
                 myelopathy 
               
               
                 723.0 
                 DMMPO 
                 Spinal stenosis in cervical 
                 0.00 
                   
                   
                 0 
               
               
                   
                   
                 region 
               
               
                 724.02 
                 DMMPO 
                 Spinal stenosis of lumbar 
                 0.00 
                   
                   
                 0 
               
               
                   
                   
                 region 
               
               
                 724.2 
                 DMMPO 
                 Lumbago 
                 0.00 
                   
                   
                 0 
               
               
                 724.3 
                 DMMPO 
                 Sciatica 
                 0.00 
                   
                   
                 0 
               
               
                 724.4 
                 DMMPO 
                 Lumbar sprain (thoracic/ 
                 0.00 
                   
                   
                 0 
               
               
                   
                   
                 lumbosacral) neuritis or 
               
               
                   
                   
                 radiculitis, unspec 
               
               
                 724.5 
                 DMMPO 
                 Backache unspecified 
                 0.00 
                   
                   
                 0 
               
               
                 726.10 
                 DMMPO 
                 Disorders of bursae and 
                 0.00 
                   
                   
                 0 
               
               
                   
                   
                 tendons in shoulder 
               
               
                   
                   
                 unspecified 
               
               
                 726.12 
                 DMMPO 
                 Bicipital tenosynovitis 
                 0.00 
                   
                   
                 0 
               
               
                 726.3 
                 DMMPO 
                 Enthesopathy of elbow region 
                 0.00 
                   
                   
                 0 
               
               
                 726.4 
                 DMMPO 
                 Enthesopathy of wrist and carpus 
                 0.00 
                   
                   
                 0 
               
               
                 726.5 
                 DMMPO 
                 Enthesopathy of hip region 
                 0.00 
                   
                   
                 0 
               
               
                 726.6 
                 DMMPO 
                 Enthesopathy of knee 
                 0.00 
                   
                   
                 0 
               
               
                 726.7 
                 DMMPO 
                 Enthesopathy of ankle and tarsus 
                 0.00 
                   
                   
                 0 
               
               
                 729.0 
                 DMMPO 
                 Rheumatism unspecified and 
                 0.00 
                   
                   
                 0 
               
               
                   
                   
                 fibrositis 
               
               
                 729.5 
                 DMMPO 
                 Pain in limb 
                 0.00 
                   
                   
                 0 
               
               
                 780.0 
                 DMMPO 
                 Alterations of consciousness 
                 0.00 
                   
                   
                 0 
               
               
                 780.2 
                 DMMPO 
                 Syncope 
                 0.00 
                   
                   
                 0 
               
               
                 780.39 
                 DMMPO 
                 Other convulsions 
                 0.00 
                   
                   
                 0 
               
               
                 780.5 
                 DMMPO 
                 Sleep disturbances 
                 0.00 
                   
                   
                 0 
               
               
                 780.6 
                 DMMPO 
                 Fever 
                 0.00 
                   
                   
                 0 
               
               
                 782.1 
                 DMMPO 
                 Rash and other nonspecific 
                 0.00 
                   
                   
                 0 
               
               
                   
                   
                 skin eruptions 
               
               
                 782.3 
                 DMMPO 
                 Edema 
                 0.00 
                   
                   
                 0 
               
               
                 783.0 
                 DMMPO 
                 Anorexia 
                 0.00 
                   
                   
                 0 
               
               
                 784.0 
                 DMMPO 
                 Headache 
                 0.00 
                   
                   
                 0 
               
               
                 784.7 
                 DMMPO 
                 Epistaxis 
                 0.00 
                   
                   
                 0 
               
               
                 784.8 
                 DMMPO 
                 Hemorrhage from throat 
                 0.00 
                   
                   
                 0 
               
               
                 786.5 
                 DMMPO 
                 Chest pain 
                 0.00 
                   
                   
                 0 
               
               
                 787.0 
                 DMMPO 
                 Nausea and vomiting 
                 0.00 
                   
                   
                 0 
               
               
                 787.91 
                 DMMPO 
                 Diarrhea nos 
                 0.00 
                   
                   
                 0 
               
               
                 789.00 
                 DMMPO 
                 Abdominal pain unspecified 
                 0.00 
                   
                   
                 0 
               
               
                   
                   
                 site 
               
               
                 800.0 
                 DMMPO 
                 Closed fracture of vault of 
                 0.00 
                   
                   
                 0 
               
               
                   
                   
                 skull without intracranial 
               
               
                   
                   
                 injury 
               
               
                 801.0 
                 DMMPO 
                 Closed fracture of base of 
                 0.10 
                 200 
                   
                 0 
               
               
                   
                   
                 skull without intracranial 
               
               
                   
                   
                 injury 
               
               
                 801.76 
                 DMMPO 
                 Open fracture base of 
                 1.00 
                 241 
                   
                 0 
               
               
                   
                   
                 skull with subarachnoid, 
               
               
                   
                   
                 subdural and extradural 
               
               
                   
                   
                 hemorrhage with loss of 
               
               
                   
                   
                 consciousness of 
               
               
                   
                   
                 unspecified duration 
               
               
                 802.0 
                 DMMPO 
                 Closed fracture of nasal bones 
                 0.10 
                 211 
                   
                 0 
               
               
                 802.1 
                 DMMPO 
                 Open fracture of nasal bones 
                 1.00 
                 241 
                   
                 0 
               
               
                 802.6 
                 DMMPO 
                 Fracture orbital floor closed 
                 0.30 
                 179 
                   
                 0 
               
               
                   
                   
                 (blowout) 
               
               
                 802.7 
                 DMMPO 
                 Fracture orbital floor open 
                 1.00 
                 241 
                   
                 0 
               
               
                   
                   
                 (blowout) 
               
               
                 802.8 
                 DMMPO 
                 Closed fracture of other facial 
                 0.10 
                 192 
                   
                 0 
               
               
                   
                   
                 bones 
               
               
                 802.9 
                 DMMPO 
                 Open fracture of other facial 
                 1.00 
                 241 
                   
                 0 
               
               
                   
                   
                 bones 
               
               
                 805 
                 DMMPO 
                 Closed fracture of cervical 
                 0.35 
                 180 
                   
                 0 
               
               
                   
                   
                 vertebra w/o spinal cord injury 
               
               
                 806.1 
                 DMMPO 
                 Open fracture of cervical vertebra 
                 0.15 
                 212 
                   
                 0 
               
               
                   
                   
                 with spinal cord injury 
               
               
                 806.2 
                 DMMPO 
                 Closed fracture of dorsal vertebra 
                 0.10 
                 201 
                   
                 0 
               
               
                   
                   
                 with spinal cord injury 
               
               
                 806.3 
                 DMMPO 
                 Open fracture of dorsal vertebra 
                 0.40 
                 242 
                   
                 0 
               
               
                   
                   
                 with spinal cord injury 
               
               
                 806.4 
                 DMMPO 
                 Closed fracture of lumbar spine 
                 0.25 
                 200 
                   
                 0 
               
               
                   
                   
                 with spinal cord injury 
               
               
                 806.5 
                 DMMPO 
                 Open fracture of lumbar spine 
                 1.00 
                 241 
                   
                 0 
               
               
                   
                   
                 with spinal cord injury 
               
               
                 806.60 
                 DMMPO 
                 Closed fracture sacrum and coccyx 
                 0.25 
                 200 
                   
                 0 
               
               
                   
                   
                 w/unspec. spinal cord injury 
               
               
                 806.70 
                 DMMPO 
                 Open fracture sacrum and coccyx 
                 1.00 
                 241 
                   
                 0 
               
               
                   
                   
                 w/unspec. spinal cord injury 
               
               
                 807.0 
                 DMMPO 
                 Closed fracture of rib(s) 
                 0.10 
                 60 
                   
                 0 
               
               
                 807.1 
                 DMMPO 
                 Open fracture of rib(s) 
                 1.00 
                 284 
                 1 
                 0.5 
               
               
                 807.2 
                 DMMPO 
                 Closed fracture of sternum 
                 0.10 
                 200 
                   
                 0 
               
               
                 807.3 
                 DMMPO 
                 Open fracture of sternum 
                 1.00 
                 241 
                   
                 0 
               
               
                 808.8 
                 DMMPO 
                 Fracture of pelvis unspecified, 
                 0.95 
                 313 
                   
                 0 
               
               
                   
                   
                 closed 
               
               
                 808.9 
                 DMMPO 
                 Fracture of pelvis unspecified, 
                 1.00 
                 329 
                   
                 0 
               
               
                   
                   
                 open 
               
               
                 810.0 
                 DMMPO 
                 Clavicle fracture, closed 
                 0.35 
                 45 
                   
                 0 
               
               
                 810.1 
                 DMMPO 
                 Clavicle fracture, open 
                 1.00 
                 241 
                   
                 0 
               
               
                 810.12 
                 DMMPO 
                 Open fracture of shaft of clavicle 
                 1.00 
                 241 
                 1 
                 0.5 
               
               
                 811.0 
                 DMMPO 
                 Fracture of scapula, closed 
                 0.10 
                 200 
                   
                 0 
               
               
                 811.1 
                 DMMPO 
                 Fracture of scapula, open 
                 1.00 
                 241 
                 1 
                 0.5 
               
               
                 812.00 
                 DMMPO 
                 Fracture of unspecified part 
                 0.25 
                 200 
                   
                 0 
               
               
                   
                   
                 of upper end of humerus, closed 
               
               
                 813.8 
                 DMMPO 
                 Fracture unspecified part of 
                 0.25 
                 200 
                   
                 0 
               
               
                   
                   
                 radius and ulna closed 
               
               
                 813.9 
                 DMMPO 
                 Fracture unspecified part of 
                 1.00 
                 256 
                 1 
                 0.5 
               
               
                   
                   
                 radius and ulna open 
               
               
                 815.0 
                 DMMPO 
                 Closed fracture of metacarpal 
                 0.10 
                 211 
                   
                 0 
               
               
                   
                   
                 bones 
               
               
                 816.0 
                 DMMPO 
                 Phalanges fracture, closed 
                 0.10 
                 211 
                   
                 0 
               
               
                 816.1 
                 DMMPO 
                 Phalanges fracture, open 
                 1.00 
                 84 
                 1 
                 0.5 
               
               
                 817.0 
                 DMMPO 
                 Multiple closed fractures of 
                 0.10 
                 68 
                   
                 0 
               
               
                   
                   
                 hand bones 
               
               
                 817.1 
                 DMMPO 
                 Multiple open fracture of 
                 1.00 
                 86 
                 1 
                 0.5 
               
               
                   
                   
                 hand bones 
               
               
                 820.8 
                 DMMPO 
                 Fracture of femur neck, closed 
                 0.25 
                 200 
                   
                 0 
               
               
                 820.9 
                 DMMPO 
                 Fracture of femur neck, open 
                 1.00 
                 241 
                 1 
                 0.5 
               
               
                 821.01 
                 DMMPO 
                 Fracture shaft femur, closed 
                 1.00 
                 208 
                   
                 0 
               
               
                 821.11 
                 DMMPO 
                 Fracture shaft of femur, open 
                 1.00 
                 238 
                 1 
                 0.5 
               
               
                 822.0 
                 DMMPO 
                 Closed fracture of patella 
                 0.25 
                 200 
                   
                 0 
               
               
                 822.1 
                 DMMPO 
                 Open fracture of patella 
                 1.00 
                 229 
                 1 
                 0.5 
               
               
                 823.82 
                 DMMPO 
                 Fracture tib fib, closed 
                 0.25 
                 233 
                   
                 0 
               
               
                 823.9 
                 DMMPO 
                 Fracture of unspecified part of 
                 1.00 
                 258 
                 1 
                 0.5 
               
               
                   
                   
                 tibia and fibula open 
               
               
                 824.8 
                 DMMPO 
                 Fracture ankle, nos, closed 
                 0.25 
                 222 
                   
                 0 
               
               
                 824.9 
                 DMMPO 
                 Ankle fracture, open 
                 1.00 
                 251 
                 1 
                 0.5 
               
               
                 825.0 
                 DMMPO 
                 Fracture to calcaneus, closed 
                 0.25 
                 200 
                   
                 0 
               
               
                 826.0 
                 DMMPO 
                 Closed fracture of one or more 
                 0.10 
                 211 
                   
                 0 
               
               
                   
                   
                 phalanges of foot 
               
               
                 829.0 
                 DMMPO 
                 Fracture of unspecified bone, 
                 0.25 
                 200 
                   
                 0 
               
               
                   
                   
                 closed 
               
               
                 830.0 
                 DMMPO 
                 Closed dislocation of jaw 
                 0.00 
                   
                   
                 0 
               
               
                 830.1 
                 DMMPO 
                 Open dislocation of jaw 
                 0.10 
                 235 
                 1 
                 0.5 
               
               
                 831 
                 DMMPO 
                 Dislocation shoulder 
                 0.00 
                   
                   
                 0 
               
               
                 831.04 
                 DMMPO 
                 Closed dislocation of 
                 0.00 
                   
                   
                 0 
               
               
                   
                   
                 acromioclavicular joint 
               
               
                 831.1 
                 DMMPO 
                 Dislocation of shoulder, open 
                 0.10 
                 235 
                 1 
                 0.5 
               
               
                 832.0 
                 DMMPO 
                 Dislocation elbow, closed 
                 0.00 
                   
                   
                 0 
               
               
                 832.1 
                 DMMPO 
                 Dislocation elbow, open 
                 0.10 
                 235 
                 1 
                 0.5 
               
               
                 833 
                 DMMPO 
                 Dislocation wrist closed 
                 0.45 
                 120 
                   
                 0 
               
               
                 833.1 
                 DMMPO 
                 Dislocated wrist, open 
                 0.45 
                 235 
                 1 
                 0.5 
               
               
                 834.0 
                 DMMPO 
                 Dislocation of finger, closed 
                 0.00 
                   
                   
                 0 
               
               
                 834.1 
                 DMMPO 
                 Dislocation of finger, open 
                 0.10 
                 235 
                 1 
                 0.5 
               
               
                 835 
                 DMMPO 
                 Closed dislocation of hip 
                 0.00 
                   
                   
                 0 
               
               
                 835.1 
                 DMMPO 
                 Hip dislocation open 
                 0.45 
                 235 
                   
                 0 
               
               
                 836.0 
                 DMMPO 
                 Medial meniscus tear 
                 0.00 
                   
                   
                 0 
               
               
                 836.1 
                 DMMPO 
                 Lateral meniscus tear 
                 0.00 
                   
                   
                 0 
               
               
                 836.2 
                 DMMPO 
                 Meniscus tear of knee 
                 0.00 
                   
                   
                 0 
               
               
                 836.5 
                 DMMPO 
                 Dislocation knee, closed 
                 0.00 
                   
                   
                 0 
               
               
                 836.6 
                 DMMPO 
                 Other dislocation of knee open 
                 0.45 
                 235 
                 1 
                 0.5 
               
               
                 839.01 
                 DMMPO 
                 Closed dislocation first 
                 0.00 
                   
                   
                 0 
               
               
                   
                   
                 cervical vertebra 
               
               
                 840.4 
                 DMMPO 
                 Rotator cuff sprain 
                 0.00 
                   
                   
                 0 
               
               
                 840.9 
                 DMMPO 
                 Sprain shoulder 
                 0.00 
                   
                   
                 0 
               
               
                 843 
                 DMMPO 
                 Sprains and strains of hip 
                 0.00 
                   
                   
                 0 
               
               
                   
                   
                 and thigh 
               
               
                 844.9 
                 DMMPO 
                 Sprain, knee 
                 0.00 
                   
                   
                 0 
               
               
                 845 
                 DMMPO 
                 Sprain of ankle 
                 0.00 
                   
                   
                 0 
               
               
                 846 
                 DMMPO 
                 Sprains and strains of socroiliac 
                 0.00 
                   
                   
                 0 
               
               
                   
                   
                 region 
               
               
                 846.0 
                 DMMPO 
                 Sprain of lumbosacral (joint) 
                 0.00 
                   
                   
                 0 
               
               
                   
                   
                 (ligament) 
               
               
                 847.2 
                 DMMPO 
                 Sprain lumbar region 
                 0.00 
                   
                   
                 0 
               
               
                 847.3 
                 DMMPO 
                 Sprain of sacrum 
                 0.00 
                   
                   
                 0 
               
               
                 848.1 
                 DMMPO 
                 Jaw sprain 
                 0.00 
                   
                   
                 0 
               
               
                 848.3 
                 DMMPO 
                 Sprain of ribs 
                 0.00 
                   
                   
                 0 
               
               
                 850.9 
                 DMMPO 
                 Concussion 
                 0.00 
                   
                   
                 0 
               
               
                 851.0 
                 DMMPO 
                 Cortex (Cerebral) contusion w/o open 
                 0.00 
                   
                   
                 0 
               
               
                   
                   
                 intracranial wound 
               
               
                 851.01 
                 DMMPO 
                 Cortex (Cerebral) contusion w/o open 
                 0.00 
                   
                   
                 0 
               
               
                   
                   
                 wound no loss of consciousness 
               
               
                 852 
                 DMMPO 
                 Subarachnoid subdural extradural 
                 0.15 
                 338 
                   
                 0 
               
               
                   
                   
                 hemorrhage injury 
               
               
                 853 
                 DMMPO 
                 Other and unspecified intracranial 
                 0.15 
                 335 
                   
                 0 
               
               
                   
                   
                 hemorrhage injury w/o open wound 
               
               
                 853.15 
                 DMMPO 
                 Unspecified intracranial hemorrhage 
                 0.15 
                 337 
                 1 
                 0.5 
               
               
                   
                   
                 with open intracranial wound 
               
               
                 860.0 
                 DMMPO 
                 Traumatic pneumothorax w/o open 
                 0.30 
                 250 
                   
                 0 
               
               
                   
                   
                 wound into thorax 
               
               
                 860.1 
                 DMMPO 
                 Traumatic pneumothorax w/open 
                 0.30 
                 250 
                 1 
                 0.5 
               
               
                   
                   
                 wound into thorax 
               
               
                 860.2 
                 DMMPO 
                 Traumatic hemothorax w/o open 
                 0.30 
                 250 
                   
                 0 
               
               
                   
                   
                 wound into thorax 
               
               
                 860.3 
                 DMMPO 
                 Traumatic hemothorax with open 
                 0.30 
                 250 
                 1 
                 0.5 
               
               
                   
                   
                 wound into thorax 
               
               
                 860.4 
                 DMMPO 
                 Traumatic pneumohemothorax w/o 
                 0.06 
                 241 
                   
                 0 
               
               
                   
                   
                 open wound thorax 
               
               
                 860.5 
                 DMMPO 
                 Traumatic pneumohemothorax with 
                 0.30 
                 250 
                 1 
                 0.5 
               
               
                   
                   
                 open wound thorax 
               
               
                 861.0 
                 DMMPO 
                 Injury to heart w/o open wound 
                 0.98 
                 229 
                   
                 0 
               
               
                   
                   
                 into thorax 
               
               
                 861.10 
                 DMMPO 
                 Unspec. injury of heart w/open 
                 1.00 
                 268 
                 1 
                 0.5 
               
               
                   
                   
                 wound into thorax 
               
               
                 861.2 
                 DMMPO 
                 Injury to lung, nos, closed 
                 0.30 
                 250 
                   
                 0 
               
               
                 861.3 
                 DMMPO 
                 Injury to lung nos, open 
                 0.30 
                 250 
                 1 
                 0.5 
               
               
                 863.0 
                 DMMPO 
                 Stomach injury, w/o 
                 1.00 
                 390 
                   
                 0 
               
               
                   
                   
                 open wound into cavity 
               
               
                 864.10 
                 DMMPO 
                 Unspecified injury to liver 
                 1.00 
                 434 
                 1 
                 0.5 
               
               
                   
                   
                 with open wound into cavity 
               
               
                 865 
                 DMMPO 
                 Injury to spleen 
                 1.00 
                 411 
                   
                 0 
               
               
                 866.0 
                 DMMPO 
                 Injury kidney w/o open wound 
                 1.00 
                 390 
                   
                 0 
               
               
                 866.1 
                 DMMPO 
                 Injury to kidney with 
                 1.00 
                 415 
                 1 
                 0.5 
               
               
                   
                   
                 open wound into cavity 
               
               
                 867.0 
                 DMMPO 
                 Injury to bladder urethra 
                 1.00 
                 352 
                   
                 0 
               
               
                   
                   
                 without open wound into cavity 
               
               
                 867.1 
                 DMMPO 
                 Injury to bladder and urethrea 
                 1.00 
                 397 
                 1 
                 0.5 
               
               
                   
                   
                 with open wound into cavity 
               
               
                 867.2 
                 DMMPO 
                 Injury to ureter w/o open 
                 1.00 
                 352 
                   
                 0 
               
               
                   
                   
                 wound into cavity 
               
               
                 867.3 
                 DMMPO 
                 Injury to ureter with open 
                 1.00 
                 352 
                 1 
                 0.5 
               
               
                   
                   
                 wound into cavity 
               
               
                 867.4 
                 DMMPO 
                 Injury to uterus w/o open 
                 1.00 
                 352 
                   
                 0 
               
               
                   
                   
                 wound into cavity 
               
               
                 867.5 
                 DMMPO 
                 Injury to uterus with open 
                 1.00 
                 352 
                 1 
                 0.5 
               
               
                   
                   
                 wound into cavity 
               
               
                 870 
                 DMMPO 
                 Open wound of ocular adnexa 
                 0.63 
                 30 
                   
                 0 
               
               
                 870.3 
                 DMMPO 
                 Penetrating wound of orbit 
                 0.63 
                 30 
                   
                 0 
               
               
                   
                   
                 without foreign body 
               
               
                 870.4 
                 DMMPO 
                 Penetrating wound of orbit 
                 0.78 
                 30 
                   
                 0 
               
               
                   
                   
                 with foreign body 
               
               
                 871.5 
                 DMMPO 
                 Penetration of eyeball with 
                 0.10 
                 167 
                   
                 0 
               
               
                   
                   
                 magnetic foreign body 
               
               
                 872 
                 DMMPO 
                 Open wound of ear 
                 0.23 
                 30 
                 1 
                 0.5 
               
               
                 873.4 
                 DMMPO 
                 Open wound of face without 
                 0.22 
                 226 
                 1 
                 0.5 
               
               
                   
                   
                 mention of complication 
               
               
                 873.8 
                 DMMPO 
                 Open head wound w/o 
                 0.25 
                 236 
                 1 
                 0.5 
               
               
                   
                   
                 complication 
               
               
                 873.9 
                 DMMPO 
                 Open head wound with 
                 0.33 
                 369 
                 1 
                 0.5 
               
               
                   
                   
                 complications 
               
               
                 874.8 
                 DMMPO 
                 Open wound of other 
                 0.25 
                 236 
                 1 
                 0.5 
               
               
                   
                   
                 and unspecified parts of 
               
               
                   
                   
                 neck w/o complications 
               
               
                 875.0 
                 DMMPO 
                 Open wound of chest (wall) 
                 0.33 
                 266 
                 2 
                 0.5 
               
               
                   
                   
                 without complication 
               
               
                 876.0 
                 DMMPO 
                 Open wound of back without 
                 0.40 
                 278 
                 1 
                 0.5 
               
               
                   
                   
                 complication 
               
               
                 877.0 
                 DMMPO 
                 Open wound of buttock without 
                 0.00 
                   
                   
                 0 
               
               
                   
                   
                 complication 
               
               
                 878 
                 DMMPO 
                 Open wound of genital organs 
                 0.72 
                 206 
                 1 
                 0.5 
               
               
                   
                   
                 (external) including traumatic 
               
               
                   
                   
                 amputation 
               
               
                 879.2 
                 DMMPO 
                 Open wound of abdominal wall 
                 0.50 
                 397 
                 2 
                 0.5 
               
               
                   
                   
                 anterior w/o complication 
               
               
                 879.6 
                 DMMPO 
                 Open wound of other 
                 0.40 
                 278 
                 2 
                 0.5 
               
               
                   
                   
                 unspecified parts of trunk 
               
               
                   
                   
                 without complication 
               
               
                 879.8 
                 DMMPO 
                 Open wound(s) (multiple) 
                 0.00 
                   
                   
                 0 
               
               
                   
                   
                 of unspecified site(s) w/o 
               
               
                   
                   
                 complication 
               
               
                 880 
                 DMMPO 
                 Open wound of the shoulder 
                 0.25 
                 228 
                 1 
                 0.5 
               
               
                   
                   
                 and upper arm 
               
               
                 881 
                 DMMPO 
                 Open wound elbows, forearm, 
                 0.10 
                 210 
                 1 
                 0.5 
               
               
                   
                   
                 and wrist 
               
               
                 882 
                 DMMPO 
                 Open wound hand except 
                 0.00 
                   
                   
                 0 
               
               
                   
                   
                 fingers alone 
               
               
                 883.0 
                 DMMPO 
                 Open wound of fingers without 
                 0.64 
                 244 
                 1 
                 0.5 
               
               
                   
                   
                 complication 
               
               
                 884.0 
                 DMMPO 
                 Multiple/unspecified open 
                 0.64 
                 244 
                 1 
                 0.5 
               
               
                   
                   
                 wound upper limb without 
               
               
                   
                   
                 complication 
               
               
                 885 
                 DMMPO 
                 Traumatic amputation of 
                 0.82 
                 244 
                 1 
                 0.5 
               
               
                   
                   
                 thumb (complete) (partial) 
               
               
                 886 
                 DMMPO 
                 Traumatic amputation of other 
                 0.82 
                 244 
                 1 
                 0.5 
               
               
                   
                   
                 finger(s) (complete) (partial) 
               
               
                 887 
                 DMMPO 
                 Traumatic amputation of arm and 
                 1.00 
                 287 
                 1 
                 0.5 
               
               
                   
                   
                 hand (complete) (partial) 
               
               
                 890 
                 DMMPO 
                 Open wound of hip and thigh 
                 0.25 
                 226 
                 1 
                 0.5 
               
               
                 891 
                 DMMPO 
                 Open wound of knee leg (except 
                 0.25 
                 215 
                 1 
                 0.5 
               
               
                   
                   
                 thigh) and ankle 
               
               
                 892.0 
                 DMMPO 
                 Open wound foot except toes 
                 0.64 
                 244 
                 1 
                 0.5 
               
               
                   
                   
                 alone w/o complication 
               
               
                 894.0 
                 DMMPO 
                 Multiple/unspecified open wound 
                 0.54 
                 60 
                 1 
                 0.5 
               
               
                   
                   
                 of lower limb w/o complication 
               
               
                 895 
                 DMMPO 
                 Traumatic amputation of toe(s) 
                 1.00 
                 244 
                 1 
                 0.5 
               
               
                   
                   
                 (complete) (partial) 
               
               
                 896 
                 DMMPO 
                 Traumatic amputation of foot 
                 1.00 
                 297 
                 1 
                 0.5 
               
               
                   
                   
                 (complete) (partial) 
               
               
                 897 
                 DMMPO 
                 Traumatic amputation of leg(s) 
                 1.00 
                 294 
                 1 
                 0.5 
               
               
                   
                   
                 (complete) (partial) 
               
               
                 903 
                 DMMPO 
                 Injury to blood vessels 
                 1.00 
                 198 
                   
                 0 
               
               
                   
                   
                 of upper extremity 
               
               
                 904 
                 DMMPO 
                 Injury to blood vessels 
                 1.00 
                 200 
                   
                 0 
               
               
                   
                   
                 of lower extremity and 
               
               
                   
                   
                 unspec. sites 
               
               
                 910.0 
                 DMMPO 
                 Abrasion/friction burn 
                 0.00 
                   
                   
                 0 
               
               
                   
                   
                 of face, neck, scalp w/o 
               
               
                   
                   
                 infection 
               
               
                 916.0 
                 DMMPO 
                 Abrasion/friction burn 
                 0.00 
                   
                   
                 0 
               
               
                   
                   
                 of hip, thigh, leg, ankle 
               
               
                   
                   
                 w/o infection 
               
               
                 916.1 
                 DMMPO 
                 Abrasion/friction burn 
                 0.00 
                   
                   
                 0 
               
               
                   
                   
                 of hip, thigh, leg, ankle 
               
               
                   
                   
                 with infection 
               
               
                 916.2 
                 DMMPO 
                 Blister hip &amp; leg 
                 0.00 
                   
                   
                 0 
               
               
                 916.3 
                 DMMPO 
                 Blister of hip thigh leg 
                 0.00 
                   
                   
                 0 
               
               
                   
                   
                 and ankle infected 
               
               
                 916.4 
                 DMMPO 
                 Insect bite nonvenom hip, 
                 0.00 
                   
                   
                 0 
               
               
                   
                   
                 thigh, leg, ankle w/o 
               
               
                   
                   
                 infection 
               
               
                 916.5 
                 DMMPO 
                 Insect bite nonvenom hip, 
                 0.00 
                   
                   
                 0 
               
               
                   
                   
                 thigh, leg, ankle, with 
               
               
                   
                   
                 infection 
               
               
                 918.1 
                 DMMPO 
                 Superficial injury cornea 
                 0.00 
                   
                   
                 0 
               
               
                 920 
                 DMMPO 
                 Contusion of face scalp 
                 0.00 
                   
                   
                 0 
               
               
                   
                   
                 and neck except eye(s) 
               
               
                 921.0 
                 DMMPO 
                 Black eye 
                 0.00 
                   
                   
                 0 
               
               
                 922.1 
                 DMMPO 
                 Contusion of chest wall 
                 0.00 
                   
                   
                 0 
               
               
                 922.2 
                 DMMPO 
                 Contusion of abdominal 
                 0.00 
                   
                   
                 0 
               
               
                   
                   
                 wall 
               
               
                 922.4 
                 DMMPO 
                 Contusion of genital organs 
                 0.00 
                   
                   
                 0 
               
               
                 924.1 
                 DMMPO 
                 Contusion of knee and 
                 0.00 
                   
                   
                 0 
               
               
                   
                   
                 lower leg 
               
               
                 924.2 
                 DMMPO 
                 Contusion of ankle and foot 
                 0.00 
                   
                   
                 0 
               
               
                 924.3 
                 DMMPO 
                 Contusion of toe 
                 0.00 
                   
                   
                 0 
               
               
                 925 
                 DMMPO 
                 Crushing injury of face, 
                 0.25 
                 385 
                 1 
                 0.5 
               
               
                   
                   
                 scalp &amp; neck 
               
               
                 926 
                 DMMPO 
                 Crushing injury of trunk 
                 0.25 
                 318 
                 1 
                 0.5 
               
               
                 927 
                 DMMPO 
                 crushing injury of upper limb 
                 0.61 
                 317 
                 1 
                 0.5 
               
               
                 928 
                 DMMPO 
                 Crushing injury of lower limb 
                 0.33 
                 272 
                 1 
                 0.5 
               
               
                 930 
                 DMMPO 
                 Foreign Body on External Eye 
                 0.00 
                   
                   
                 0 
               
               
                 935 
                 DMMPO 
                 Foreign body in mouth, 
                 1.00 
                 200 
                   
                 0 
               
               
                   
                   
                 esophagus and stomach 
               
               
                 941 
                 DMMPO 
                 Burn of face, head, neck 
                 0.33 
                 60 
                   
                 0 
               
               
                 942.0 
                 DMMPO 
                 Burn of trunk, unspecified 
                 0.49 
                 60 
                   
                 0 
               
               
                   
                   
                 degree 
               
               
                 943.0 
                 DMMPO 
                 Burn of upper limb except 
                 0.48 
                 60 
                   
                 0 
               
               
                   
                   
                 wrist and hand unspec. degree 
               
               
                 944 
                 DMMPO 
                 Burn of wrist and hand 
                 0.40 
                 60 
                   
                 0 
               
               
                 945 
                 DMMPO 
                 Burn of lower limb(s) 
                 0.50 
                 120 
                   
                 0 
               
               
                 950 
                 DMMPO 
                 Injury to optic nerve and 
                 0.60 
                 120 
                   
                 0 
               
               
                   
                   
                 pathways 
               
               
                 953.0 
                 DMMPO 
                 Injury to cervical nerve root 
                 0.35 
                 60 
                   
                 0 
               
               
                 953.4 
                 DMMPO 
                 Injury to brachial plexus 
                 0.57 
                 60 
                   
                 0 
               
               
                 955.0 
                 DMMPO 
                 Injury to axillary nerve 
                 0.64 
                 60 
                   
                 0 
               
               
                 956.0 
                 DMMPO 
                 Injury to sciatic nerve 
                 0.43 
                 60 
                   
                 0 
               
               
                 959.01 
                 DMMPO 
                 Other and unspecified injury 
                 0.35 
                 60 
                   
                 0 
               
               
                   
                   
                 to head 
               
               
                 959.09 
                 DMMPO 
                 Other and unspecified 
                 0.35 
                 60 
                 1 
                 0.5 
               
               
                   
                   
                 injury to face and neck 
               
               
                 959.7 
                 DMMPO 
                 Other and unspecified 
                 0.14 
                 60 
                 1 
                 0.5 
               
               
                   
                   
                 injury to knee leg ankle 
               
               
                   
                   
                 and foot 
               
               
                 989.5 
                 DMMPO 
                 Toxic effect of venom 
                 0.00 
                   
                   
                 0 
               
               
                 989.9 
                 DMMPO 
                 Toxic effect unspec subst 
                 0.00 
                   
                   
                 0 
               
               
                   
                   
                 chiefly nonmedicinal/source 
               
               
                 991.3 
                 DMMPO 
                 Frostbite 
                 0.00 
                   
                   
                 0 
               
               
                 991.6 
                 DMMPO 
                 Hypothermia 
                 0.00 
                   
                   
                 0 
               
               
                 992.0 
                 DMMPO 
                 Heat stroke and sun stroke 
                 0.00 
                   
                   
                 0 
               
               
                 992.2 
                 DMMPO 
                 Heat cramps 
                 0.00 
                   
                   
                 0 
               
               
                 992.3 
                 DMMPO 
                 Heat exhaustion anhydrotic 
                 0.00 
                   
                   
                 0 
               
               
                 994.0 
                 DMMPO 
                 Effects of lightning 
                 0.00 
                   
                   
                 0 
               
               
                 994.1 
                 DMMPO 
                 Drowning and nonfatal submersion 
                 0.00 
                   
                   
                 0 
               
               
                 994.2 
                 DMMPO 
                 Effects of deprivation of food 
                 0.00 
                   
                   
                 0 
               
               
                 994.3 
                 DMMPO 
                 Effects of thirst 
                 0.00 
                   
                   
                 0 
               
               
                 994.4 
                 DMMPO 
                 Exhaustion due to exposure 
                 0.00 
                   
                   
                 0 
               
               
                 994.5 
                 DMMPO 
                 Exhaustion due to excessive 
                 0.00 
                   
                   
                 0 
               
               
                   
                   
                 exertion 
               
               
                 994.6 
                 DMMPO 
                 Motion sickness 
                 0.00 
                   
                   
                 0 
               
               
                 994.8 
                 DMMPO 
                 Electrocution and nonfatal 
                 0.00 
                   
                   
                 0 
               
               
                   
                   
                 effects of electric current 
               
               
                 995.0 
                 DMMPO 
                 Other anaphylactic shock 
                 0.00 
                   
                   
                 0 
               
               
                   
                   
                 not elsewhere classified 
               
               
                 E991.2 
                 DMMPO 
                 Injury due to war ops from 
                 0.63 
                 90 
                 1 
                 0.5 
               
               
                   
                   
                 other bullets (not rubber/ 
               
               
                   
                   
                 pellets) 
               
               
                 E991.3 
                 DMMPO 
                 Injury due to war ops from 
                 0.76 
                 90 
                 1 
                 0.5 
               
               
                   
                   
                 antipersonnel bomb fragment 
               
               
                 E991.9 
                 DMMPO 
                 Injury due to war ops other 
                 0.69 
                 90 
                 1 
                 0.5 
               
               
                   
                   
                 unspecified fragments 
               
               
                 E993 
                 DMMPO 
                 Injury due to war ops by other 
                 0.71 
                 90 
                 1 
                 0.5 
               
               
                   
                   
                 explosion 
               
               
                 V01.5 
                 DMMPO 
                 Contact with or exposure to rabies 
                 0.00 
                   
                   
                 0 
               
               
                 V79.0 
                 DMMPO 
                 Screening for depression 
                 0.00 
                   
                   
                 0 
               
               
                 001.9 
                 Extended 
                 Cholera unspecified 
                 0.00 
                   
                   
                 0 
               
               
                 002.0 
                 Extended 
                 Typhoid fever 
                 0.00 
                   
                   
                 0 
               
               
                 004.9 
                 Extended 
                 Shigellosis unspecified 
                 0.00 
                   
                   
                 0 
               
               
                 055.9 
                 Extended 
                 Measles 
                 0.00 
                   
                   
                 0 
               
               
                 072.8 
                 Extended 
                 Mumps with unspecified 
                 0.00 
                   
                   
                 0 
               
               
                   
                   
                 complication 
               
               
                 072.9 
                 Extended 
                 Mumps without complication 
                 0.00 
                   
                   
                 0 
               
               
                 110.9 
                 Extended 
                 Dermatophytosis, of unspecified 
                 0.00 
                   
                   
                 0 
               
               
                   
                   
                 site 
               
               
                 128.9 
                 Extended 
                 Other and unspecified 
                 0.00 
                   
                   
                 0 
               
               
                   
                   
                 Helminthiasis 
               
               
                 132.9 
                 Extended 
                 Pediculosis and Phthirus 
                 0.00 
                   
                   
                 0 
               
               
                   
                   
                 Infestation 
               
               
                 133.0 
                 Extended 
                 Scabies 
                 0.00 
                   
                   
                 0 
               
               
                 184.9 
                 Extended 
                 Malignant neoplasm of other 
                 0.00 
                   
                   
                 0 
               
               
                   
                   
                 and unspecified female genital 
               
               
                   
                   
                 organs 
               
               
                 239.0 
                 Extended 
                 Neoplasms of Unspecified Nature 
                 0.80 
                 60 
                   
                 0 
               
               
                 246.9 
                 Extended 
                 Unspecified Disorder of Thyroid 
                 0.00 
                   
                   
                 0 
               
               
                 250.00 
                 Extended 
                 Diabetes Mellitus w/o 
                 0.00 
                   
                   
                 0 
               
               
                   
                   
                 complication 
               
               
                 264.0 
                 Extended 
                 Vitamin A deficiency 
                 0.00 
                   
                   
                 0 
               
               
                 269.8 
                 Extended 
                 Other nutritional deficiencies 
                 0.00 
                   
                   
                 0 
               
               
                 276.51 
                 Extended 
                 Volume Depletion, Dehydration 
                 0.00 
                   
                   
                 0 
               
               
                 277.89 
                 Extended 
                 Other and unspecified disorders 
                 0.00 
                   
                   
                 0 
               
               
                   
                   
                 of metabolism 
               
               
                 280.8 
                 Extended 
                 Iron deficiency anemias 
                 0.00 
                   
                   
                 0 
               
               
                 300.00 
                 Extended 
                 Anxiety states 
                 0.00 
                   
                   
                 0 
               
               
                 349.9 
                 Extended 
                 Unspecified disorders of nervous 
                 0.00 
                   
                   
                 0 
               
               
                   
                   
                 system 
               
               
                 366.00 
                 Extended 
                 Cataract 
                 0.00 
                   
                   
                 0 
               
               
                 369.9 
                 Extended 
                 Blindness and low vision 
                 0.00 
                   
                   
                 0 
               
               
                 372.30 
                 Extended 
                 Conjunctivitis, unspecified 
                 0.00 
                   
                   
                 0 
               
               
                 379.90 
                 Extended 
                 Other disorders of eye 
                 0.00 
                   
                   
                 0 
               
               
                 380.9 
                 Extended 
                 Unspecified disorder of 
                 0.00 
                   
                   
                 0 
               
               
                   
                   
                 external ear 
               
               
                 383.1 
                 Extended 
                 Chronic mastoiditis 
                 0.00 
                   
                   
                 0 
               
               
                 386.10 
                 Extended 
                 Other and unspecified 
                 0.00 
                   
                   
                 0 
               
               
                   
                   
                 peripheral vertigo 
               
               
                 386.2 
                 Extended 
                 Vertigo of central origin 
                 0.00 
                   
                   
                 0 
               
               
                 388.8 
                 Extended 
                 Other disorders of ear 
                 0.07 
                 30 
                   
                 0 
               
               
                 411.81 
                 Extended 
                 Acute coronary occlusion 
                 0.00 
                   
                   
                 0 
               
               
                   
                   
                 without myocardial infarction 
               
               
                 428.40 
                 Extended 
                 Heart failure 
                 0.00 
                   
                   
                 0 
               
               
                 437.9 
                 Extended 
                 Cerebrovascular disease, 
                 0.00 
                   
                   
                 0 
               
               
                   
                   
                 unspecified 
               
               
                 443.89 
                 Extended 
                 Other peripheral vascular 
                 0.00 
                   
                   
                 0 
               
               
                   
                   
                 disease 
               
               
                 459.9 
                 Extended 
                 Unspecified circulatory 
                 0.00 
                   
                   
                 0 
               
               
                   
                   
                 system disorder 
               
               
                 477.9 
                 Extended 
                 Allergic rhinitis 
                 0.00 
                   
                   
                 0 
               
               
                 519.8 
                 Extended 
                 Other diseases of respiratory 
                 0.06 
                 30 
                   
                 0 
               
               
                   
                   
                 system 
               
               
                 521.00 
                 Extended 
                 Dental caries 
                 0.00 
                   
                   
                 0 
               
               
                 522.0 
                 Extended 
                 Pulpitis 
                 0.00 
                   
                   
                 0 
               
               
                 525.19 
                 Extended 
                 Other diseases and conditions 
                 0.00 
                   
                   
                 0 
               
               
                   
                   
                 of the teeth and supporting 
               
               
                   
                   
                 structures 
               
               
                 527.8 
                 Extended 
                 Diseases of the salivary 
                 0.01 
                 30 
                   
                 0 
               
               
                   
                   
                 glands 
               
               
                 569.83 
                 Extended 
                 Perforation of intestine 
                 0.58 
                 30 
                   
                 0 
               
               
                 571.40 
                 Extended 
                 Chronic hepatitis 
                 0.00 
                   
                   
                 0 
               
               
                 571.5 
                 Extended 
                 Cirrhosis of liver without 
                 0.00 
                   
                   
                 0 
               
               
                   
                   
                 alcohol 
               
               
                 594.9 
                 Extended 
                 Calculus of lower urinary 
                 0.04 
                 60 
                   
                 0 
               
               
                   
                   
                 tract, unspecified 
               
               
                 599.8 
                 Extended 
                 Urinary tract infection, 
                 0.00 
                   
                   
                 0 
               
               
                   
                   
                 site not specified 
               
               
                 600.90 
                 Extended 
                 Hyperplasia of prostate 
                 0.00 
                   
                   
                 0 
               
               
                 608.89 
                 Extended 
                 Other disorders of male 
                 0.50 
                 30 
                   
                 0 
               
               
                   
                   
                 genital organs 
               
               
                 614.9 
                 Extended 
                 Inflammatory disease of 
                 0.05 
                 45 
                   
                 0 
               
               
                   
                   
                 female pelvic organs/tissues 
               
               
                 616.10 
                 Extended 
                 Vaginitis and vulvovaginitis 
                 0.00 
                   
                   
                 0 
               
               
                 623.5 
                 Extended 
                 Leukorrhea not specified as 
                 0.00 
                   
                   
                 0 
               
               
                   
                   
                 infective 
               
               
                 626.8 
                 Extended 
                 Disorders of menstruation 
                 0.18 
                 45 
                   
                 0 
               
               
                   
                   
                 and other abnormal bleeding 
               
               
                   
                   
                 from female genital tract 
               
               
                 629.9 
                 Extended 
                 Other disorders of 
                 0.00 
                   
                   
                 0 
               
               
                   
                   
                 female genital organs 
               
               
                 650 
                 Extended 
                 Normal delivery 
                 0.00 
                   
                   
                 0 
               
               
                 653.81 
                 Extended 
                 Disproportion in pregnancy 
                 0.00 
                   
                   
                 0 
               
               
                   
                   
                 labor and delivery 
               
               
                 690.8 
                 Extended 
                 Erythematosquamous dermatosis 
                 0.00 
                   
                   
                 0 
               
               
                 691.8 
                 Extended 
                 Atopic dermatitis and related 
                 0.00 
                   
                   
                 0 
               
               
                   
                   
                 conditions 
               
               
                 692.9 
                 Extended 
                 Contact Dermatitis, unspecified 
                 0.00 
                   
                   
                 0 
               
               
                   
                   
                 cause 
               
               
                 693.8 
                 Extended 
                 Dermatitis due to substances 
                 0.00 
                   
                   
                 0 
               
               
                   
                   
                 taken internally 
               
               
                 696.1 
                 Extended 
                 Other psoriasis and similar 
                 0.00 
                   
                   
                 0 
               
               
                   
                   
                 disorders 
               
               
                 709.9 
                 Extended 
                 Other disorders of skin and 
                 0.15 
                 45 
                   
                 0 
               
               
                   
                   
                 subcutaneous tissue 
               
               
                 714.0 
                 Extended 
                 Rheumatoid arthritis 
                 0.00 
                   
                   
                 0 
               
               
                 733.90 
                 Extended 
                 Disorder of bone and cartilage, 
                 0.28 
                 60 
                   
                 0 
               
               
                   
                   
                 unspecified 
               
               
                 779.9 
                 Extended 
                 Other and ill-defined conditions 
                 0.00 
                   
                   
                 0 
               
               
                   
                   
                 originating in the perinatal 
               
               
                   
                   
                 period 
               
               
                 780.79 
                 Extended 
                 Other malaise and fatigue 
                 0.00 
                   
                   
                 0 
               
               
                 780.96 
                 Extended 
                 Generalized pain 
                 0.00 
                   
                   
                 0 
               
               
                 786.2 
                 Extended 
                 Cough 
                 0.00 
                   
                   
                 0 
               
               
                 842.00 
                 Extended 
                 Sprain of unspecified site of 
                 0.00 
                   
                   
                 0 
               
               
                   
                   
                 wrist 
               
               
                   
               
             
          
         
       
     
         [0000]    
       
         
               
             
               
               
               
               
               
               
               
             
               
               
               
               
               
               
               
             
           
               
                 TABLE 90 
               
             
             
               
                   
               
               
                 EMRE Common Data: Bed Data 
               
             
          
           
               
                   
                   
                   
                 ORICULOS 
                 ORWardLOS 
                 NoORICULOS 
                 NoORWardLOS 
               
               
                 PC 
                 Type 
                 Description 
                 (days) 
                 (days) 
                 (days) 
                 (days) 
               
               
                   
               
             
          
           
               
                 005 
                 DMMPO 
                 Food poisoning bacterial 
                 0 
                 0 
                 0 
                 5 
               
               
                 006 
                 DMMPO 
                 Amebiasis 
                 0 
                 0 
                 0 
                 10 
               
               
                 007.9 
                 DMMPO 
                 Unspecified protozoal 
                 0 
                 0 
                 0 
                 10 
               
               
                   
                   
                 intestinal disease 
               
               
                 008.45 
                 DMMPO 
                 Intestinal infection due 
                 0 
                 0 
                 0 
                 30 
               
               
                   
                   
                 to  clostridium difficile   
               
               
                 008.8 
                 DMMPO 
                 Intestinal infection due 
                 0 
                 0 
                 0 
                 30 
               
               
                   
                   
                 to other organism not 
               
               
                   
                   
                 classified 
               
               
                 010 
                 DMMPO 
                 Primary tb 
                 0 
                 0 
                 0 
                 180 
               
               
                 037 
                 DMMPO 
                 Tetanus 
                 0 
                 0 
                 0 
                 14 
               
               
                 038.9 
                 DMMPO 
                 Unspecified septicemia 
                 0 
                 0 
                 1 
                 13 
               
               
                 042 
                 DMMPO 
                 Human immunodeficiency 
                 0 
                 0 
                 0 
                 180 
               
               
                   
                   
                 virus [HIV] disease 
               
               
                 047.9 
                 DMMPO 
                 Viral meningitis 
                 0 
                 0 
                 1 
                 13 
               
               
                 052 
                 DMMPO 
                 Varicella 
                 0 
                 0 
                 0 
                 14 
               
               
                 053 
                 DMMPO 
                 Herpes zoster 
                 0 
                 0 
                 0 
                 10 
               
               
                 054.1 
                 DMMPO 
                 Genital herpes 
                 0 
                 0 
                 0 
                 3 
               
               
                 057.0 
                 DMMPO 
                 Fifth disease 
                 0 
                 0 
                 0 
                 14 
               
               
                 060 
                 DMMPO 
                 Yellow fever 
                 0 
                 0 
                 1 
                 180 
               
               
                 061 
                 DMMPO 
                 Dengue 
                 0 
                 0 
                 0 
                 180 
               
               
                 062 
                 DMMPO 
                 Mosq. borne encephalitis 
                 0 
                 0 
                 1 
                 13 
               
               
                 063.9 
                 DMMPO 
                 Tick borne encephalitis 
                 0 
                 0 
                 1 
                 13 
               
               
                 065 
                 DMMPO 
                 Arthropod-borne hemorrhagic 
                 0 
                 0 
                 1 
                 13 
               
               
                   
                   
                 fever 
               
               
                 066.40 
                 DMMPO 
                 West nile fever, unspecified 
                 0 
                 0 
                 0 
                 30 
               
               
                 070.1 
                 DMMPO 
                 Viral hepatitis 
                 0 
                 0 
                 0 
                 30 
               
               
                 071 
                 DMMPO 
                 Rabies 
                 0 
                 0 
                 0 
                 180 
               
               
                 076 
                 DMMPO 
                 Trachoma 
                 0 
                 0 
                 0 
                 10 
               
               
                 078.0 
                 DMMPO 
                 Molluscom contagiosum 
                 0 
                 0 
                 0 
                 1 
               
               
                 078.1 
                 DMMPO 
                 Viral warts 
                 0 
                 0 
                 0 
                 1 
               
               
                 078.4 
                 DMMPO 
                 Hand, foot and mouth disease 
                 0 
                 0 
                 0 
                 14 
               
               
                 079.3 
                 DMMPO 
                 Rhinovirus infection in conditions 
                 0 
                 0 
                 0 
                 3 
               
               
                   
                   
                 elsewhere and of unspecified site 
               
               
                 079.99 
                 DMMPO 
                 Unspecified viral infection 
                 0 
                 0 
                 0 
                 180 
               
               
                 082 
                 DMMPO 
                 Tick-borne rickettsiosis 
                 0 
                 0 
                 0 
                 10 
               
               
                 084 
                 DMMPO 
                 Malaria 
                 0 
                 0 
                 0 
                 30 
               
               
                 085 
                 DMMPO 
                 Leishmaniasis, visceral 
                 0 
                 0 
                 0 
                 30 
               
               
                 086 
                 DMMPO 
                 Trypanosomiasis 
                 0 
                 0 
                 0 
                 14 
               
               
                 091 
                 DMMPO 
                 Early primary syphilis 
                 0 
                 0 
                 0 
                 5 
               
               
                 091.9 
                 DMMPO 
                 Secondary syphilis, unspec 
                 0 
                 0 
                 0 
                 5 
               
               
                 094 
                 DMMPO 
                 Neurosyphilis 
                 0 
                 0 
                 1 
                 180 
               
               
                 098.5 
                 DMMPO 
                 Gonococcal arthritis 
                 0 
                 0 
                 0 
                 14 
               
               
                 099.4 
                 DMMPO 
                 Nongonnococcal urethritis 
                 0 
                 0 
                 0 
                 1 
               
               
                 100 
                 DMMPO 
                 Leptospirosis 
                 0 
                 0 
                 2 
                 12 
               
               
                 274 
                 DMMPO 
                 Gout 
                 0 
                 0 
                 0 
                 5 
               
               
                 276 
                 DMMPO 
                 Disorder of fluid, electrolyte + 
                 0 
                 0 
                 0 
                 3 
               
               
                   
                   
                 acid base balance 
               
               
                 296.0 
                 DMMPO 
                 Bipolar disorder, single manic 
                 0 
                 0 
                 0 
                 30 
               
               
                   
                   
                 episode 
               
               
                 298.9 
                 DMMPO 
                 Unspecified psychosis 
                 0 
                 0 
                 0 
                 30 
               
               
                 309.0 
                 DMMPO 
                 Adjustment disorder with depressed 
                 0 
                 0 
                 0 
                 30 
               
               
                   
                   
                 mood 
               
               
                 309.81 
                 DMMPO 
                 Ptsd 
                 0 
                 0 
                 0 
                 30 
               
               
                 309.9 
                 DMMPO 
                 Unspecified adjustment reaction 
                 0 
                 0 
                 0 
                 14 
               
               
                 310.2 
                 DMMPO 
                 Post concussion syndrome 
                 0 
                 0 
                 0 
                 7 
               
               
                 345.2 
                 DMMPO 
                 Epilepsy petit mal 
                 0 
                 0 
                 1 
                 180 
               
               
                 345.3 
                 DMMPO 
                 Epilepsy grand mal 
                 0 
                 0 
                 1 
                 180 
               
               
                 346 
                 DMMPO 
                 Migraine 
                 0 
                 0 
                 0 
                 3 
               
               
                 361 
                 DMMPO 
                 Retinal detachment 
                 0 
                 0 
                 0 
                 7 
               
               
                 364.3 
                 DMMPO 
                 Uveitis nos 
                 0 
                 0 
                 0 
                 7 
               
               
                 365 
                 DMMPO 
                 Glaucoma 
                 0 
                 0 
                 0 
                 180 
               
               
                 370.0 
                 DMMPO 
                 Corneal ulcer 
                 0 
                 0 
                 0 
                 5 
               
               
                 379.31 
                 DMMPO 
                 Aphakia 
                 0 
                 0 
                 0 
                 7 
               
               
                 380.1 
                 DMMPO 
                 Infective otitis externa 
                 0 
                 0 
                 0 
                 1 
               
               
                 380.4 
                 DMMPO 
                 Impacted cerumen 
                 0 
                 0 
                 0 
                 3 
               
               
                 381 
                 DMMPO 
                 Acute nonsuppurative otitis 
                 0 
                 0 
                 0 
                 3 
               
               
                   
                   
                 media 
               
               
                 381.9 
                 DMMPO 
                 Unspecified eustachian tube 
                 0 
                 0 
                 0 
                 3 
               
               
                   
                   
                 disorder 
               
               
                 384.2 
                 DMMPO 
                 Perforated tympanic membrane 
                 0 
                 0 
                 0 
                 10 
               
               
                 388.3 
                 DMMPO 
                 Tinnitus, unspecified 
                 0 
                 0 
                 0 
                 3 
               
               
                 389.9 
                 DMMPO 
                 Unspecified hearing loss 
                 0 
                 0 
                 0 
                 5 
               
               
                 401 
                 DMMPO 
                 Essential hypertension 
                 0 
                 0 
                 0 
                 14 
               
               
                 410 
                 DMMPO 
                 Myocardial infarction 
                 0 
                 0 
                 1 
                 180 
               
               
                 413.9 
                 DMMPO 
                 Other and unspecified angina 
                 0 
                 0 
                 0 
                 180 
               
               
                   
                   
                 pectoris 
               
               
                 427.9 
                 DMMPO 
                 Cardiac dysryhthmia unspecified 
                 0 
                 0 
                 0 
                 180 
               
               
                 453.4 
                 DMMPO 
                 Venous embolism/thrombus of 
                 0 
                 0 
                 1 
                 30 
               
               
                   
                   
                 deep vessels lower extremity 
               
               
                 462 
                 DMMPO 
                 Acute pharyngitis 
                 0 
                 0 
                 0 
                 7 
               
               
                 465 
                 DMMPO 
                 Acute uri of multiple or 
                 0 
                 0 
                 0 
                 5 
               
               
                   
                   
                 unspecified sites 
               
               
                 466 
                 DMMPO 
                 Acute bronchitis &amp; bronchiolitis 
                 0 
                 0 
                 0 
                 10 
               
               
                 475 
                 DMMPO 
                 Peritonsillar abscess 
                 0 
                 10 
                 0 
                 10 
               
               
                 486 
                 DMMPO 
                 Pneumonia, organism unspecified 
                 0 
                 0 
                 0 
                 7 
               
               
                 491 
                 DMMPO 
                 Chronic bronchitis 
                 0 
                 0 
                 0 
                 14 
               
               
                 492 
                 DMMPO 
                 Emphysema 
                 0 
                 0 
                 0 
                 14 
               
               
                 493.9 
                 DMMPO 
                 Asthma 
                 0 
                 0 
                 0 
                 1 
               
               
                 523 
                 DMMPO 
                 Gingival and periodontal 
                 0 
                 0 
                 0 
                 2 
               
               
                   
                   
                 disease 
               
               
                 530.2 
                 DMMPO 
                 Ulcer of esophagus 
                 0 
                 0 
                 0 
                 14 
               
               
                 530.81 
                 DMMPO 
                 Gastroesophageal reflux 
                 0 
                 0 
                 0 
                 5 
               
               
                 531 
                 DMMPO 
                 Gastric ulcer 
                 0 
                 0 
                 0 
                 14 
               
               
                 532 
                 DMMPO 
                 Duodenal ulcer 
                 0 
                 5 
                 0 
                 5 
               
               
                 540.9 
                 DMMPO 
                 Acute appendicitis without 
                 0 
                 30 
                 0 
                 30 
               
               
                   
                   
                 mention of peritonitis 
               
               
                 541 
                 DMMPO 
                 Appendicitis, unspecified 
                 0 
                 30 
                 0 
                 30 
               
               
                 550.9 
                 DMMPO 
                 Unilateral inguinal hernia 
                 0 
                 30 
                 0 
                 30 
               
               
                 553.1 
                 DMMPO 
                 Umbilical hernia 
                 0 
                 14 
                 0 
                 14 
               
               
                 553.9 
                 DMMPO 
                 Hernia nos 
                 0 
                 14 
                 0 
                 14 
               
               
                 564.0 
                 DMMPO 
                 Constipation 
                 0 
                 0 
                 0 
                 1 
               
               
                 564.1 
                 DMMPO 
                 Irritable bowel disease 
                 0 
                 0 
                 0 
                 30 
               
               
                 566 
                 DMMPO 
                 Abscess of anal and rectal 
                 0 
                 30 
                 0 
                 30 
               
               
                   
                   
                 regions 
               
               
                 567.9 
                 DMMPO 
                 Unspecified peritonitis 
                 0 
                 0 
                 0 
                 30 
               
               
                 574 
                 DMMPO 
                 Cholelithiasis 
                 0 
                 14 
                 0 
                 14 
               
               
                 577.0 
                 DMMPO 
                 Acute pancreatitis 
                 0 
                 0 
                 1 
                 180 
               
               
                 577.1 
                 DMMPO 
                 Chronic pancreatitis 
                 0 
                 0 
                 1 
                 180 
               
               
                 578.9 
                 DMMPO 
                 Hemorrhage of gastrointestinal 
                 0 
                 0 
                 0 
                 7 
               
               
                   
                   
                 tract unspecified 
               
               
                 584.9 
                 DMMPO 
                 Acute renal failure unspecified 
                 0 
                 0 
                 2 
                 180 
               
               
                 592 
                 DMMPO 
                 Calculus of kidney 
                 0 
                 0 
                 0 
                 7 
               
               
                 599.0 
                 DMMPO 
                 Unspecified urinary tract 
                 0 
                 0 
                 0 
                 3 
               
               
                   
                   
                 infection 
               
               
                 599.7 
                 DMMPO 
                 Hematuria 
                 0 
                 0 
                 0 
                 3 
               
               
                 608.2 
                 DMMPO 
                 Torsion of testes 
                 0 
                 180 
                 0 
                 180 
               
               
                 608.4 
                 DMMPO 
                 Other inflammatory disorders 
                 0 
                 0 
                 0 
                 10 
               
               
                   
                   
                 of male genital organs 
               
               
                 611.7 
                 DMMPO 
                 Breast lump 
                 0 
                 0 
                 0 
                 14 
               
               
                 633 
                 DMMPO 
                 Ectopic preg 
                 0 
                 30 
                 0 
                 30 
               
               
                 634 
                 DMMPO 
                 Spontaneous abortion 
                 0 
                 30 
                 0 
                 30 
               
               
                 681 
                 DMMPO 
                 Cellulitis and abscess of 
                 0 
                 0 
                 0 
                 7 
               
               
                   
                   
                 finger and toe 
               
               
                 682.0 
                 DMMPO 
                 Cellulitis and abscess of 
                 0 
                 0 
                 0 
                 7 
               
               
                   
                   
                 face 
               
               
                 682.6 
                 DMMPO 
                 Cellulitis and abscess of 
                 0 
                 0 
                 0 
                 7 
               
               
                   
                   
                 leg except foot 
               
               
                 682.7 
                 DMMPO 
                 Cellulitis and abscess of 
                 0 
                 0 
                 0 
                 7 
               
               
                   
                   
                 foot except toes 
               
               
                 682.9 
                 DMMPO 
                 Cellulitis and abscess of 
                 0 
                 0 
                 0 
                 7 
               
               
                   
                   
                 unspecified parts 
               
               
                 719.41 
                 DMMPO 
                 Pain in joint shoulder 
                 0 
                 0 
                 0 
                 14 
               
               
                 719.46 
                 DMMPO 
                 Pain in joint lower leg 
                 0 
                 0 
                 0 
                 14 
               
               
                 719.47 
                 DMMPO 
                 Pain in joint ankle/foot 
                 0 
                 0 
                 0 
                 14 
               
               
                 722.1 
                 DMMPO 
                 Displacement lumbar 
                 0 
                 0 
                 0 
                 30 
               
               
                   
                   
                 intervertebral disc w/o 
               
               
                   
                   
                 myelopathy 
               
               
                 723.0 
                 DMMPO 
                 Spinal stenosis in cervical 
                 0 
                 0 
                 0 
                 30 
               
               
                   
                   
                 region 
               
               
                 724.02 
                 DMMPO 
                 Spinal stenosis of lumbar 
                 0 
                 0 
                 0 
                 30 
               
               
                   
                   
                 region 
               
               
                 724.2 
                 DMMPO 
                 Lumbago 
                 0 
                 0 
                 0 
                 5 
               
               
                 724.3 
                 DMMPO 
                 Sciatica 
                 0 
                 0 
                 0 
                 30 
               
               
                 724.4 
                 DMMPO 
                 Lumbar sprain (thoracic/ 
                 0 
                 0 
                 0 
                 5 
               
               
                   
                   
                 lumbosacral) neuritis or 
               
               
                   
                   
                 radiculitis, unspec 
               
               
                 724.5 
                 DMMPO 
                 Backache unspecified 
                 0 
                 0 
                 0 
                 5 
               
               
                 726.10 
                 DMMPO 
                 Disorders of bursae and 
                 0 
                 0 
                 0 
                 14 
               
               
                   
                   
                 tendons in shoulder 
               
               
                   
                   
                 unspecified 
               
               
                 726.12 
                 DMMPO 
                 Bicipital tenosynovitis 
                 0 
                 0 
                 0 
                 14 
               
               
                 726.3 
                 DMMPO 
                 Enthesopathy of elbow region 
                 0 
                 0 
                 0 
                 14 
               
               
                 726.4 
                 DMMPO 
                 Enthesopathy of wrist and carpus 
                 0 
                 0 
                 0 
                 14 
               
               
                 726.5 
                 DMMPO 
                 Enthesopathy of hip region 
                 0 
                 0 
                 0 
                 14 
               
               
                 726.6 
                 DMMPO 
                 Enthesopathy of knee 
                 0 
                 0 
                 0 
                 14 
               
               
                 726.7 
                 DMMPO 
                 Enthesopathy of ankle and tarsus 
                 0 
                 0 
                 0 
                 14 
               
               
                 729.0 
                 DMMPO 
                 Rheumatism unspecified and 
                 0 
                 0 
                 0 
                 14 
               
               
                   
                   
                 fibrositis 
               
               
                 729.5 
                 DMMPO 
                 Pain in limb 
                 0 
                 0 
                 0 
                 14 
               
               
                 780.0 
                 DMMPO 
                 Alterations of consciousness 
                 0 
                 0 
                 0 
                 10 
               
               
                 780.2 
                 DMMPO 
                 Syncope 
                 0 
                 0 
                 0 
                 3 
               
               
                 780.39 
                 DMMPO 
                 Other convulsions 
                 0 
                 0 
                 0 
                 10 
               
               
                 780.5 
                 DMMPO 
                 Sleep disturbances 
                 0 
                 0 
                 0 
                 4 
               
               
                 780.6 
                 DMMPO 
                 Fever 
                 0 
                 0 
                 0 
                 5 
               
               
                 782.1 
                 DMMPO 
                 Rash and other nonspecific 
                 0 
                 0 
                 0 
                 4 
               
               
                   
                   
                 skin eruptions 
               
               
                 782.3 
                 DMMPO 
                 Edema 
                 0 
                 0 
                 0 
                 4 
               
               
                 783.0 
                 DMMPO 
                 Anorexia 
                 0 
                 0 
                 0 
                 4 
               
               
                 784.0 
                 DMMPO 
                 Headache 
                 0 
                 0 
                 0 
                 10 
               
               
                 784.7 
                 DMMPO 
                 Epistaxis 
                 0 
                 0 
                 0 
                 4 
               
               
                 784.8 
                 DMMPO 
                 Hemorrhage from throat 
                 0 
                 0 
                 0 
                 10 
               
               
                 786.5 
                 DMMPO 
                 Chest pain 
                 0 
                 0 
                 0 
                 10 
               
               
                 787.0 
                 DMMPO 
                 Nausea and vomiting 
                 0 
                 0 
                 0 
                 4 
               
               
                 787.91 
                 DMMPO 
                 Diarrhea nos 
                 0 
                 0 
                 0 
                 5 
               
               
                 789.00 
                 DMMPO 
                 Abdominal pain unspecified 
                 0 
                 0 
                 0 
                 10 
               
               
                   
                   
                 site 
               
               
                 800.0 
                 DMMPO 
                 Closed fracture of vault of 
                 0 
                 0 
                 2 
                 180 
               
               
                   
                   
                 skull without intracranial 
               
               
                   
                   
                 injury 
               
               
                 801.0 
                 DMMPO 
                 Closed fracture of base of 
                 2 
                 180 
                 2 
                 180 
               
               
                   
                   
                 skull without intracranial 
               
               
                   
                   
                 injury 
               
               
                 801.76 
                 DMMPO 
                 Open fracture base of 
                 3 
                 180 
                 3 
                 180 
               
               
                   
                   
                 skull with subarachnoid, 
               
               
                   
                   
                 subdural and extradural 
               
               
                   
                   
                 hemorrhage with loss of 
               
               
                   
                   
                 consciousness of 
               
               
                   
                   
                 unspecified duration 
               
               
                 802.0 
                 DMMPO 
                 Closed fracture of nasal bones 
                 0 
                 180 
                 0 
                 180 
               
               
                 802.1 
                 DMMPO 
                 Open fracture of nasal bones 
                 0 
                 180 
                 0 
                 180 
               
               
                 802.6 
                 DMMPO 
                 Fracture orbital floor closed 
                 0 
                 180 
                 0 
                 180 
               
               
                   
                   
                 (blowout) 
               
               
                 802.7 
                 DMMPO 
                 Fracture orbital floor open 
                 0 
                 180 
                 0 
                 180 
               
               
                   
                   
                 (blowout) 
               
               
                 802.8 
                 DMMPO 
                 Closed fracture of other facial 
                 0 
                 180 
                 0 
                 180 
               
               
                   
                   
                 bones 
               
               
                 802.9 
                 DMMPO 
                 Open fracture of other facial 
                 0 
                 180 
                 0 
                 180 
               
               
                   
                   
                 bones 
               
               
                 805 
                 DMMPO 
                 Closed fracture of cervical 
                 2 
                 180 
                 2 
                 180 
               
               
                   
                   
                 vertebra w/o spinal cord injury 
               
               
                 806.1 
                 DMMPO 
                 Open fracture of cervical vertebra 
                 2 
                 180 
                 2 
                 180 
               
               
                   
                   
                 with spinal cord injury 
               
               
                 806.2 
                 DMMPO 
                 Closed fracture of dorsal vertebra 
                 2 
                 180 
                 2 
                 180 
               
               
                   
                   
                 with spinal cord injury 
               
               
                 806.3 
                 DMMPO 
                 Open fracture of dorsal vertebra 
                 2 
                 180 
                 2 
                 180 
               
               
                   
                   
                 with spinal cord injury 
               
               
                 806.4 
                 DMMPO 
                 Closed fracture of lumbar spine 
                 2 
                 180 
                 2 
                 180 
               
               
                   
                   
                 with spinal cord injury 
               
               
                 806.5 
                 DMMPO 
                 Open fracture of lumbar spine 
                 2 
                 180 
                 2 
                 180 
               
               
                   
                   
                 with spinal cord injury 
               
               
                 806.60 
                 DMMPO 
                 Closed fracture sacrum and coccyx 
                 2 
                 180 
                 2 
                 180 
               
               
                   
                   
                 w/unspec. spinal cord injury 
               
               
                 806.70 
                 DMMPO 
                 Open fracture sacrum and coccyx 
                 2 
                 180 
                 2 
                 180 
               
               
                   
                   
                 w/unspec. spinal cord injury 
               
               
                 807.0 
                 DMMPO 
                 Closed fracture of rib(s) 
                 0 
                 30 
                 0 
                 30 
               
               
                 807.1 
                 DMMPO 
                 Open fracture of rib(s) 
                 0 
                 180 
                 0 
                 180 
               
               
                 807.2 
                 DMMPO 
                 Closed fracture of sternum 
                 0 
                 180 
                 0 
                 180 
               
               
                 807.3 
                 DMMPO 
                 Open fracture of sternum 
                 0 
                 180 
                 0 
                 180 
               
               
                 808.8 
                 DMMPO 
                 Fracture of pelvis unspecified, 
                 1 
                 180 
                 1 
                 180 
               
               
                   
                   
                 closed 
               
               
                 808.9 
                 DMMPO 
                 Fracture of pelvis unspecified, 
                 1 
                 180 
                 1 
                 180 
               
               
                   
                   
                 open 
               
               
                 810.0 
                 DMMPO 
                 Clavicle fracture, closed 
                 0 
                 30 
                 0 
                 30 
               
               
                 810.1 
                 DMMPO 
                 Clavicle fracture, open 
                 0 
                 180 
                 0 
                 180 
               
               
                 810.12 
                 DMMPO 
                 Open fracture of shaft of clavicle 
                 0 
                 180 
                 0 
                 180 
               
               
                 811.0 
                 DMMPO 
                 Fracture of scapula, closed 
                 0 
                 180 
                 0 
                 180 
               
               
                 811.1 
                 DMMPO 
                 Fracture of scapula, open 
                 0 
                 180 
                 0 
                 180 
               
               
                 812.00 
                 DMMPO 
                 Fracture of unspecified part 
                 0 
                 180 
                 0 
                 180 
               
               
                   
                   
                 of upper end of humerus, closed 
               
               
                 813.8 
                 DMMPO 
                 Fracture unspecified part of 
                 0 
                 180 
                 0 
                 180 
               
               
                   
                   
                 radius and ulna closed 
               
               
                 813.9 
                 DMMPO 
                 Fracture unspecified part of 
                 0 
                 180 
                 0 
                 180 
               
               
                   
                   
                 radius and ulna open 
               
               
                 815.0 
                 DMMPO 
                 Closed fracture of metacarpal 
                 0 
                 180 
                 0 
                 180 
               
               
                   
                   
                 bones 
               
               
                 816.0 
                 DMMPO 
                 Phalanges fracture, closed 
                 0 
                 180 
                 0 
                 180 
               
               
                 816.1 
                 DMMPO 
                 Phalanges fracture, open 
                 0 
                 30 
                 0 
                 30 
               
               
                 817.0 
                 DMMPO 
                 Multiple closed fractures of 
                 0 
                 30 
                 0 
                 30 
               
               
                   
                   
                 hand bones 
               
               
                 817.1 
                 DMMPO 
                 Multiple open fracture of 
                 0 
                 180 
                 0 
                 180 
               
               
                   
                   
                 hand bones 
               
               
                 820.8 
                 DMMPO 
                 Fracture of femur neck, closed 
                 0 
                 180 
                 0 
                 180 
               
               
                 820.9 
                 DMMPO 
                 Fracture of femur neck, open 
                 0 
                 180 
                 0 
                 180 
               
               
                 821.01 
                 DMMPO 
                 Fracture shaft femur, closed 
                 0 
                 180 
                 0 
                 180 
               
               
                 821.11 
                 DMMPO 
                 Fracture shaft of femur, open 
                 0 
                 180 
                 0 
                 180 
               
               
                 822.0 
                 DMMPO 
                 Closed fracture of patella 
                 0 
                 180 
                 0 
                 180 
               
               
                 822.1 
                 DMMPO 
                 Open fracture of patella 
                 0 
                 180 
                 0 
                 180 
               
               
                 823.82 
                 DMMPO 
                 Fracture tib fib, closed 
                 0 
                 180 
                 0 
                 180 
               
               
                 823.9 
                 DMMPO 
                 Fracture of unspecified part of 
                 0 
                 180 
                 0 
                 180 
               
               
                   
                   
                 tibia and fibula open 
               
               
                 824.8 
                 DMMPO 
                 Fracture ankle, nos, closed 
                 0 
                 180 
                 0 
                 180 
               
               
                 824.9 
                 DMMPO 
                 Ankle fracture, open 
                 0 
                 180 
                 0 
                 180 
               
               
                 825.0 
                 DMMPO 
                 Fracture to calcaneus, closed 
                 0 
                 180 
                 0 
                 180 
               
               
                 826.0 
                 DMMPO 
                 Closed fracture of one or more 
                 0 
                 180 
                 0 
                 180 
               
               
                   
                   
                 phalanges of foot 
               
               
                 829.0 
                 DMMPO 
                 Fracture of unspecified bone, 
                 0 
                 180 
                 0 
                 180 
               
               
                   
                   
                 closed 
               
               
                 830.0 
                 DMMPO 
                 Closed dislocation of jaw 
                 0 
                 0 
                 0 
                 14 
               
               
                 830.1 
                 DMMPO 
                 Open dislocation of jaw 
                 0 
                 180 
                 0 
                 180 
               
               
                 831 
                 DMMPO 
                 Dislocation shoulder 
                 0 
                 0 
                 0 
                 4 
               
               
                 831.04 
                 DMMPO 
                 Closed dislocation of 
                 0 
                 0 
                 0 
                 14 
               
               
                   
                   
                 acromioclavicular joint 
               
               
                 831.1 
                 DMMPO 
                 Dislocation of shoulder, open 
                 0 
                 180 
                 0 
                 180 
               
               
                 832.0 
                 DMMPO 
                 Dislocation elbow, closed 
                 0 
                 0 
                 0 
                 30 
               
               
                 832.1 
                 DMMPO 
                 Dislocation elbow, open 
                 0 
                 180 
                 0 
                 180 
               
               
                 833 
                 DMMPO 
                 Dislocation wrist closed 
                 0 
                 30 
                 0 
                 30 
               
               
                 833.1 
                 DMMPO 
                 Dislocated wrist, open 
                 0 
                 30 
                 0 
                 30 
               
               
                 834.0 
                 DMMPO 
                 Dislocation of finger, closed 
                 0 
                 0 
                 0 
                 3 
               
               
                 834.1 
                 DMMPO 
                 Dislocation of finger, open 
                 0 
                 30 
                 0 
                 30 
               
               
                 835 
                 DMMPO 
                 Closed dislocation of hip 
                 0 
                 0 
                 0 
                 30 
               
               
                 835.1 
                 DMMPO 
                 Hip dislocation open 
                 0 
                 180 
                 0 
                 180 
               
               
                 836.0 
                 DMMPO 
                 Medial meniscus tear 
                 0 
                 0 
                 0 
                 2 
               
               
                 836.1 
                 DMMPO 
                 Lateral meniscus tear 
                 0 
                 0 
                 0 
                 2 
               
               
                 836.2 
                 DMMPO 
                 Meniscus tear of knee 
                 0 
                 0 
                 0 
                 2 
               
               
                 836.5 
                 DMMPO 
                 Dislocation knee, closed 
                 0 
                 0 
                 0 
                 14 
               
               
                 836.6 
                 DMMPO 
                 Other dislocation of knee open 
                 0 
                 180 
                 0 
                 180 
               
               
                 839.01 
                 DMMPO 
                 Closed dislocation first 
                 0 
                 0 
                 1 
                 13 
               
               
                   
                   
                 cervical vertebra 
               
               
                 840.4 
                 DMMPO 
                 Rotator cuff sprain 
                 0 
                 0 
                 0 
                 3 
               
               
                 840.9 
                 DMMPO 
                 Sprain shoulder 
                 0 
                 0 
                 0 
                 3 
               
               
                 843 
                 DMMPO 
                 Sprains and strains of hip 
                 0 
                 0 
                 0 
                 3 
               
               
                   
                   
                 and thigh 
               
               
                 844.9 
                 DMMPO 
                 Sprain, knee 
                 0 
                 0 
                 0 
                 5 
               
               
                 845 
                 DMMPO 
                 Sprain of ankle 
                 0 
                 0 
                 0 
                 5 
               
               
                 846 
                 DMMPO 
                 Sprains and strains of socroiliac 
                 0 
                 0 
                 0 
                 5 
               
               
                   
                   
                 region 
               
               
                 846.0 
                 DMMPO 
                 Sprain of lumbosacral (joint) 
                 0 
                 0 
                 0 
                 5 
               
               
                   
                   
                 (ligament) 
               
               
                 847.2 
                 DMMPO 
                 Sprain lumbar region 
                 0 
                 0 
                 0 
                 3 
               
               
                 847.3 
                 DMMPO 
                 Sprain of sacrum 
                 0 
                 0 
                 0 
                 3 
               
               
                 848.1 
                 DMMPO 
                 Jaw sprain 
                 0 
                 0 
                 0 
                 3 
               
               
                 848.3 
                 DMMPO 
                 Sprain of ribs 
                 0 
                 0 
                 0 
                 3 
               
               
                 850.9 
                 DMMPO 
                 Concussion 
                 0 
                 0 
                 0 
                 7 
               
               
                 851.0 
                 DMMPO 
                 Cortex (Cerebral) contusion w/o open 
                 0 
                 0 
                 2 
                 30 
               
               
                   
                   
                 intracranial wound 
               
               
                 851.01 
                 DMMPO 
                 Cortex (Cerebral) contusion w/o open 
                 0 
                 0 
                 2 
                 30 
               
               
                   
                   
                 wound no loss of consciousness 
               
               
                 852 
                 DMMPO 
                 Subarachnoid subdural extradural 
                 2 
                 180 
                 2 
                 180 
               
               
                   
                   
                 hemorrhage injury 
               
               
                 853 
                 DMMPO 
                 Other and unspecified intracranial 
                 2 
                 30 
                 2 
                 30 
               
               
                   
                   
                 hemorrhage injury w/o open wound 
               
               
                 853.15 
                 DMMPO 
                 Unspecified intracranial hemorrhage 
                 3 
                 180 
                 3 
                 180 
               
               
                   
                   
                 with open intracranial wound 
               
               
                 860.0 
                 DMMPO 
                 Traumatic pneumothorax w/o open 
                 0 
                 180 
                 0 
                 180 
               
               
                   
                   
                 wound into thorax 
               
               
                 860.1 
                 DMMPO 
                 Traumatic pneumothorax w/open 
                 2 
                 180 
                 2 
                 180 
               
               
                   
                   
                 wound into thorax 
               
               
                 860.2 
                 DMMPO 
                 Traumatic hemothorax w/o open 
                 2 
                 180 
                 2 
                 180 
               
               
                   
                   
                 wound into thorax 
               
               
                 860.3 
                 DMMPO 
                 Traumatic hemothorax with open 
                 2 
                 180 
                 2 
                 180 
               
               
                   
                   
                 wound into thorax 
               
               
                 860.4 
                 DMMPO 
                 Traumatic pneumohemothorax w/o 
                 2 
                 180 
                 2 
                 180 
               
               
                   
                   
                 open wound thorax 
               
               
                 860.5 
                 DMMPO 
                 Traumatic pneumohemothorax with 
                 2 
                 180 
                 2 
                 180 
               
               
                   
                   
                 open wound thorax 
               
               
                 861.0 
                 DMMPO 
                 Injury to heart w/o open wound 
                 3 
                 180 
                 2 
                 180 
               
               
                   
                   
                 into thorax 
               
               
                 861.10 
                 DMMPO 
                 Unspec. injury of heart 
                 3 
                 180 
                 3 
                 180 
               
               
                   
                   
                 w/open wound into thorax 
               
               
                 861.2 
                 DMMPO 
                 Injury to lung, nos, closed 
                 2 
                 180 
                 2 
                 180 
               
               
                 861.3 
                 DMMPO 
                 Injury to lung nos, open 
                 2 
                 180 
                 2 
                 180 
               
               
                 863.0 
                 DMMPO 
                 Stomach injury, w/o 
                 0 
                 180 
                 0 
                 180 
               
               
                   
                   
                 open wound into cavity 
               
               
                 864.10 
                 DMMPO 
                 Unspecified injury to liver 
                 1 
                 180 
                 1 
                 180 
               
               
                   
                   
                 with open wound into cavity 
               
               
                 865 
                 DMMPO 
                 Injury to spleen 
                 1 
                 180 
                 1 
                 180 
               
               
                 866.0 
                 DMMPO 
                 Injury kidney w/o open wound 
                 0 
                 180 
                 0 
                 180 
               
               
                 866.1 
                 DMMPO 
                 Injury to kidney with 
                 0 
                 180 
                 0 
                 180 
               
               
                   
                   
                 open wound into cavity 
               
               
                 867.0 
                 DMMPO 
                 Injury to bladder urethra 
                 0 
                 180 
                 0 
                 180 
               
               
                   
                   
                 without open wound into cavity 
               
               
                 867.1 
                 DMMPO 
                 Injury to bladder and urethrea 
                 0 
                 180 
                 0 
                 180 
               
               
                   
                   
                 with open wound into cavity 
               
               
                 867.2 
                 DMMPO 
                 Injury to ureter w/o open 
                 0 
                 180 
                 0 
                 180 
               
               
                   
                   
                 wound into cavity 
               
               
                 867.3 
                 DMMPO 
                 Injury to ureter with open 
                 0 
                 180 
                 0 
                 180 
               
               
                   
                   
                 wound into cavity 
               
               
                 867.4 
                 DMMPO 
                 Injury to uterus w/o open 
                 0 
                 180 
                 0 
                 180 
               
               
                   
                   
                 wound into cavity 
               
               
                 867.5 
                 DMMPO 
                 Injury to uterus with open 
                 0 
                 180 
                 0 
                 180 
               
               
                   
                   
                 wound into cavity 
               
               
                 870 
                 DMMPO 
                 Open wound of ocular adnexa 
                 0 
                 7 
                 0 
                 7 
               
               
                 870.3 
                 DMMPO 
                 Penetrating wound of orbit 
                 0 
                 7 
                 0 
                 7 
               
               
                   
                   
                 without foreign body 
               
               
                 870.4 
                 DMMPO 
                 Penetrating wound of orbit 
                 0 
                 7 
                 0 
                 7 
               
               
                   
                   
                 with foreign body 
               
               
                 871.5 
                 DMMPO 
                 Penetration of eyeball with 
                 0 
                 30 
                 0 
                 30 
               
               
                   
                   
                 magnetic foreign body 
               
               
                 872 
                 DMMPO 
                 Open wound of ear 
                 0 
                 3 
                 0 
                 3 
               
               
                 873.4 
                 DMMPO 
                 Open wound of face without 
                 0 
                 5 
                 0 
                 5 
               
               
                   
                   
                 mention of complication 
               
               
                 873.8 
                 DMMPO 
                 Open head wound w/o 
                 0 
                 5 
                 0 
                 5 
               
               
                   
                   
                 complication 
               
               
                 873.9 
                 DMMPO 
                 Open head wound with 
                 1 
                 13 
                 1 
                 13 
               
               
                   
                   
                 complications 
               
               
                 874.8 
                 DMMPO 
                 Open wound of other 
                 0 
                 5 
                 0 
                 5 
               
               
                   
                   
                 and unspecified parts of 
               
               
                   
                   
                 neck w/o complications 
               
               
                 875.0 
                 DMMPO 
                 Open wound of chest (wall) 
                 0 
                 5 
                 0 
                 5 
               
               
                   
                   
                 without complication 
               
               
                 876.0 
                 DMMPO 
                 Open wound of back without 
                 0 
                 14 
                 0 
                 14 
               
               
                   
                   
                 complication 
               
               
                 877.0 
                 DMMPO 
                 Open wound of buttock without 
                 0 
                 0 
                 0 
                 3 
               
               
                   
                   
                 complication 
               
               
                 878 
                 DMMPO 
                 Open wound of genital organs 
                 0 
                 30 
                 0 
                 30 
               
               
                   
                   
                 (external) including traumatic 
               
               
                   
                   
                 amputation 
               
               
                 879.2 
                 DMMPO 
                 Open wound of abdominal wall 
                 0 
                 5 
                 0 
                 5 
               
               
                   
                   
                 anterior w/o complication 
               
               
                 879.6 
                 DMMPO 
                 Open wound of other 
                 0 
                 14 
                 0 
                 14 
               
               
                   
                   
                 unspecified parts of trunk 
               
               
                   
                   
                 without complication 
               
               
                 879.8 
                 DMMPO 
                 Open wound(s) (multiple) 
                 0 
                 0 
                 0 
                 14 
               
               
                   
                   
                 of unspecified site(s) w/o 
               
               
                   
                   
                 complication 
               
               
                 880 
                 DMMPO 
                 Open wound of the shoulder 
                 0 
                 3 
                 0 
                 3 
               
               
                   
                   
                 and upper arm 
               
               
                 881 
                 DMMPO 
                 Open wound elbows, forearm, 
                 0 
                 3 
                 0 
                 3 
               
               
                   
                   
                 and wrist 
               
               
                 882 
                 DMMPO 
                 Open wound hand except 
                 0 
                 0 
                 0 
                 180 
               
               
                   
                   
                 fingers alone 
               
               
                 883.0 
                 DMMPO 
                 Open wound of fingers without 
                 0 
                 14 
                 0 
                 14 
               
               
                   
                   
                 complication 
               
               
                 884.0 
                 DMMPO 
                 Multiple/unspecified open 
                 0 
                 180 
                 0 
                 180 
               
               
                   
                   
                 wound upper limb without 
               
               
                   
                   
                 complication 
               
               
                 885 
                 DMMPO 
                 Traumatic amputation of 
                 0 
                 14 
                 0 
                 14 
               
               
                   
                   
                 thumb (complete) (partial) 
               
               
                 886 
                 DMMPO 
                 Traumatic amputation of other 
                 0 
                 180 
                 0 
                 180 
               
               
                   
                   
                 finger(s) (complete) (partial) 
               
               
                 887 
                 DMMPO 
                 Traumatic amputation of arm and 
                 0 
                 180 
                 0 
                 180 
               
               
                   
                   
                 hand (complete) (partial) 
               
               
                 890 
                 DMMPO 
                 Open wound of hip and thigh 
                 0 
                 7 
                 0 
                 7 
               
               
                 891 
                 DMMPO 
                 Open wound of knee leg (except 
                 0 
                 7 
                 0 
                 7 
               
               
                   
                   
                 thigh) and ankle 
               
               
                 892.0 
                 DMMPO 
                 Open wound foot except toes 
                 0 
                 14 
                 0 
                 14 
               
               
                   
                   
                 alone w/o complication 
               
               
                 894.0 
                 DMMPO 
                 Multiple/unspecified open wound 
                 0 
                 5 
                 0 
                 5 
               
               
                   
                   
                 of lower limb w/o complication 
               
               
                 895 
                 DMMPO 
                 Traumatic amputation of toe(s) 
                 0 
                 180 
                 0 
                 180 
               
               
                   
                   
                 (complete) (partial) 
               
               
                 896 
                 DMMPO 
                 Traumatic amputation of foot 
                 0 
                 180 
                 0 
                 180 
               
               
                   
                   
                 (complete) (partial) 
               
               
                 897 
                 DMMPO 
                 Traumatic amputation of leg(s) 
                 2 
                 180 
                 2 
                 180 
               
               
                   
                   
                 (complete) (partial) 
               
               
                 903 
                 DMMPO 
                 Injury to blood vessels 
                 0 
                 180 
                 0 
                 180 
               
               
                   
                   
                 of upper extremity 
               
               
                 904 
                 DMMPO 
                 Injury to blood vessels 
                 1 
                 180 
                 1 
                 180 
               
               
                   
                   
                 of lower extremity and 
               
               
                   
                   
                 unspec. sites 
               
               
                 910.0 
                 DMMPO 
                 Abrasion/friction burn 
                 0 
                 0 
                 0 
                 3 
               
               
                   
                   
                 of face, neck, scalp w/o 
               
               
                   
                   
                 infection 
               
               
                 916.0 
                 DMMPO 
                 Abrasion/friction burn 
                 0 
                 0 
                 0 
                 3 
               
               
                   
                   
                 of hip, thigh, leg, ankle 
               
               
                   
                   
                 w/o infection 
               
               
                 916.1 
                 DMMPO 
                 Abrasion/friction burn 
                 0 
                 0 
                 0 
                 10 
               
               
                   
                   
                 of hip, thigh, leg, ankle 
               
               
                   
                   
                 with infection 
               
               
                 916.2 
                 DMMPO 
                 Blister hip &amp; leg 
                 0 
                 0 
                 0 
                 3 
               
               
                 916.3 
                 DMMPO 
                 Blister of hip thigh leg 
                 0 
                 0 
                 0 
                 10 
               
               
                   
                   
                 and ankle infected 
               
               
                 916.4 
                 DMMPO 
                 Insect bite nonvenom hip, 
                 0 
                 0 
                 0 
                 3 
               
               
                   
                   
                 thigh, leg, ankle w/o 
               
               
                   
                   
                 infection 
               
               
                 916.5 
                 DMMPO 
                 Insect bite nonvenom hip, 
                 0 
                 0 
                 0 
                 10 
               
               
                   
                   
                 thigh, leg, ankle, with 
               
               
                   
                   
                 infection 
               
               
                 918.1 
                 DMMPO 
                 Superficial injury cornea 
                 0 
                 0 
                 0 
                 3 
               
               
                 920 
                 DMMPO 
                 Contusion of face scalp 
                 0 
                 0 
                 0 
                 2 
               
               
                   
                   
                 and neck except eye(s) 
               
               
                 921.0 
                 DMMPO 
                 Black eye 
                 0 
                 0 
                 0 
                 2 
               
               
                 922.1 
                 DMMPO 
                 Contusion of chest wall 
                 0 
                 0 
                 0 
                 2 
               
               
                 922.2 
                 DMMPO 
                 Contusion of abdominal 
                 0 
                 0 
                 0 
                 2 
               
               
                   
                   
                 wall 
               
               
                 922.4 
                 DMMPO 
                 Contusion of genital organs 
                 0 
                 0 
                 0 
                 3 
               
               
                 924.1 
                 DMMPO 
                 Contusion of knee and 
                 0 
                 0 
                 0 
                 2 
               
               
                   
                   
                 lower leg 
               
               
                 924.2 
                 DMMPO 
                 Contusion of ankle and foot 
                 0 
                 0 
                 0 
                 2 
               
               
                 924.3 
                 DMMPO 
                 Contusion of toe 
                 0 
                 0 
                 0 
                 2 
               
               
                 925 
                 DMMPO 
                 Crushing injury of face, 
                 1 
                 180 
                 1 
                 180 
               
               
                   
                   
                 scalp &amp; neck 
               
               
                 926 
                 DMMPO 
                 Crushing injury of trunk 
                 2 
                 180 
                 2 
                 180 
               
               
                 927 
                 DMMPO 
                 crushing injury of upper limb 
                 1 
                 180 
                 1 
                 180 
               
               
                 928 
                 DMMPO 
                 Crushing injury of lower limb 
                 1 
                 180 
                 1 
                 180 
               
               
                 930 
                 DMMPO 
                 Foreign Body on External Eye 
                 0 
                 0 
                 0 
                 3 
               
               
                 935 
                 DMMPO 
                 Foreign body in mouth, 
                 0 
                 7 
                 0 
                 7 
               
               
                   
                   
                 esophagus and stomach 
               
               
                 941 
                 DMMPO 
                 Burn of face, head, neck 
                 2 
                 3 
                 2 
                 3 
               
               
                 942.0 
                 DMMPO 
                 Burn of trunk, unspecified 
                 2 
                 30 
                 2 
                 30 
               
               
                   
                   
                 degree 
               
               
                 943.0 
                 DMMPO 
                 Burn of upper limb except 
                 1 
                 13 
                 1 
                 13 
               
               
                   
                   
                 wrist and hand unspec. degree 
               
               
                 944 
                 DMMPO 
                 Burn of wrist and hand 
                 0 
                 14 
                 0 
                 14 
               
               
                 945 
                 DMMPO 
                 Burn of lower limb(s) 
                 1 
                 13 
                 1 
                 13 
               
               
                 950 
                 DMMPO 
                 Injury to optic nerve and 
                 0 
                 30 
                 0 
                 30 
               
               
                   
                   
                 pathways 
               
               
                 953.0 
                 DMMPO 
                 Injury to cervical nerve root 
                 0 
                 10 
                 0 
                 10 
               
               
                 953.4 
                 DMMPO 
                 Injury to brachial plexus 
                 0 
                 30 
                 0 
                 30 
               
               
                 955.0 
                 DMMPO 
                 Injury to axillary nerve 
                 0 
                 30 
                 0 
                 30 
               
               
                 956.0 
                 DMMPO 
                 Injury to sciatic nerve 
                 0 
                 30 
                 0 
                 30 
               
               
                 959.01 
                 DMMPO 
                 Other and unspecified injury 
                 0 
                 14 
                 0 
                 14 
               
               
                   
                   
                 to head 
               
               
                 959.09 
                 DMMPO 
                 Other and unspecified 
                 0 
                 14 
                 0 
                 14 
               
               
                   
                   
                 injury to face and neck 
               
               
                 959.7 
                 DMMPO 
                 Other and unspecified 
                 0 
                 14 
                 0 
                 14 
               
               
                   
                   
                 injury to knee leg ankle 
               
               
                   
                   
                 and foot 
               
               
                 989.5 
                 DMMPO 
                 Toxic effect of venom 
                 0 
                 0 
                 0 
                 3 
               
               
                 989.9 
                 DMMPO 
                 Toxic effect unspec subst 
                 0 
                 0 
                 0 
                 7 
               
               
                   
                   
                 chiefly nonmedicinal/source 
               
               
                 991.3 
                 DMMPO 
                 Frostbite 
                 0 
                 0 
                 0 
                 5 
               
               
                 991.6 
                 DMMPO 
                 Hypothermia 
                 0 
                 0 
                 1 
                 9 
               
               
                 992.0 
                 DMMPO 
                 Heat stroke and sun stroke 
                 0 
                 0 
                 0 
                 180 
               
               
                 992.2 
                 DMMPO 
                 Heat cramps 
                 0 
                 0 
                 0 
                 1 
               
               
                 992.3 
                 DMMPO 
                 Heat exhaustion anhydrotic 
                 0 
                 0 
                 0 
                 3 
               
               
                 994.0 
                 DMMPO 
                 Effects of lightning 
                 0 
                 0 
                 1 
                 6 
               
               
                 994.1 
                 DMMPO 
                 Drowning and nonfatal submersion 
                 0 
                 0 
                 3 
                 30 
               
               
                 994.2 
                 DMMPO 
                 Effects of deprivation of food 
                 0 
                 0 
                 0 
                 30 
               
               
                 994.3 
                 DMMPO 
                 Effects of thirst 
                 0 
                 0 
                 0 
                 1 
               
               
                 994.4 
                 DMMPO 
                 Exhaustion due to exposure 
                 0 
                 0 
                 0 
                 7 
               
               
                 994.5 
                 DMMPO 
                 Exhaustion due to excessive 
                 0 
                 0 
                 0 
                 7 
               
               
                   
                   
                 exertion 
               
               
                 994.6 
                 DMMPO 
                 Motion sickness 
                 0 
                 0 
                 0 
                 1 
               
               
                 994.8 
                 DMMPO 
                 Electrocution and nonfatal 
                 0 
                 0 
                 1 
                 9 
               
               
                   
                   
                 effects of electric current 
               
               
                 995.0 
                 DMMPO 
                 Other anaphylactic shock 
                 0 
                 0 
                 1 
                 9 
               
               
                   
                   
                 not elsewhere classified 
               
               
                 E991.2 
                 DMMPO 
                 Injury due to war ops from 
                 1 
                 180 
                 0 
                 180 
               
               
                   
                   
                 other bullets (not rubber/ 
               
               
                   
                   
                 pellets) 
               
               
                 E991.3 
                 DMMPO 
                 Injury due to war ops from 
                 1 
                 180 
                 0 
                 180 
               
               
                   
                   
                 antipersonnel bomb fragment 
               
               
                 E991.9 
                 DMMPO 
                 Injury due to war ops other 
                 1 
                 180 
                 0 
                 180 
               
               
                   
                   
                 unspecified fragments 
               
               
                 E993 
                 DMMPO 
                 Injury due to war ops by other 
                 1 
                 180 
                 0 
                 180 
               
               
                   
                   
                 explosion 
               
               
                 V01.5 
                 DMMPO 
                 Contact with or exposure to rabies 
                 0 
                 0 
                 0 
                 14 
               
               
                 V79.0 
                 DMMPO 
                 Screening for depression 
                 0 
                 0 
                 0 
                 1 
               
               
                 001.9 
                 Extended 
                 Cholera unspecified 
                 0 
                 0 
                 2 
                 5 
               
               
                 002.0 
                 Extended 
                 Typhoid fever 
                 0 
                 0 
                 0 
                 5 
               
               
                 004.9 
                 Extended 
                 Shigellosis unspecified 
                 0 
                 0 
                 2 
                 5 
               
               
                 055.9 
                 Extended 
                 Measles 
                 0 
                 0 
                 3 
                 180 
               
               
                 072.8 
                 Extended 
                 Mumps with unspecified 
                 0 
                 0 
                 2 
                 7 
               
               
                   
                   
                 complication 
               
               
                 072.9 
                 Extended 
                 Mumps without complication 
                 0 
                 0 
                 0 
                 7 
               
               
                 110.9 
                 Extended 
                 Dermatophytosis, of unspecified 
                 0 
                 0 
                 0 
                 1 
               
               
                   
                   
                 site 
               
               
                 128.9 
                 Extended 
                 Other and unspecified 
                 0 
                 0 
                 0 
                 7 
               
               
                   
                   
                 Helminthiasis 
               
               
                 132.9 
                 Extended 
                 Pediculosis and Phthirus 
                 0 
                 0 
                 0 
                 1 
               
               
                   
                   
                 Infestation 
               
               
                 133.0 
                 Extended 
                 Scabies 
                 0 
                 0 
                 0 
                 1 
               
               
                 184.9 
                 Extended 
                 Malignant neoplasm of other 
                 0 
                 0 
                 0 
                 180 
               
               
                   
                   
                 and unspecified female genital 
               
               
                   
                   
                 organs 
               
               
                 239.0 
                 Extended 
                 Neoplasms of Unspecified Nature 
                 1 
                 7 
                 0 
                 5 
               
               
                 246.9 
                 Extended 
                 Unspecified Disorder of Thyroid 
                 0 
                 0 
                 0 
                 5 
               
               
                 250.00 
                 Extended 
                 Diabetes Mellitus w/o 
                 0 
                 0 
                 0 
                 180 
               
               
                   
                   
                 complication 
               
               
                 264.0 
                 Extended 
                 Vitamin A deficiency 
                 0 
                 0 
                 0 
                 3 
               
               
                 269.8 
                 Extended 
                 Other nutritional deficiencies 
                 0 
                 0 
                 0 
                 3 
               
               
                 276.51 
                 Extended 
                 Volume Depletion, Dehydration 
                 0 
                 0 
                 1 
                 3 
               
               
                 277.89 
                 Extended 
                 Other and unspecified disorders 
                 0 
                 0 
                 0 
                 3 
               
               
                   
                   
                 of metabolism 
               
               
                 280.8 
                 Extended 
                 Iron deficiency anemias 
                 0 
                 0 
                 0 
                 3 
               
               
                 300.00 
                 Extended 
                 Anxiety states 
                 0 
                 0 
                 0 
                 5 
               
               
                 349.9 
                 Extended 
                 Unspecified disorders of nervous 
                 0 
                 0 
                 0 
                 5 
               
               
                   
                   
                 system 
               
               
                 366.00 
                 Extended 
                 Cataract 
                 0 
                 0 
                 0 
                 180 
               
               
                 369.9 
                 Extended 
                 Blindness and low vision 
                 0 
                 0 
                 0 
                 180 
               
               
                 372.30 
                 Extended 
                 Conjunctivitis, unspecified 
                 0 
                 0 
                 0 
                 2 
               
               
                 379.90 
                 Extended 
                 Other disorders of eye 
                 0 
                 0 
                 0 
                 2 
               
               
                 380.9 
                 Extended 
                 Unspecified disorder of 
                 0 
                 0 
                 0 
                 3 
               
               
                   
                   
                 external ear 
               
               
                 383.1 
                 Extended 
                 Chronic mastoiditis 
                 0 
                 0 
                 0 
                 5 
               
               
                 386.10 
                 Extended 
                 Other and unspecified 
                 0 
                 0 
                 0 
                 5 
               
               
                   
                   
                 peripheral vertigo 
               
               
                 386.2 
                 Extended 
                 Vertigo of central origin 
                 0 
                 0 
                 0 
                 5 
               
               
                 388.8 
                 Extended 
                 Other disorders of ear 
                 3 
                 7 
                 1 
                 7 
               
               
                 411.81 
                 Extended 
                 Acute coronary occlusion 
                 0 
                 0 
                 3 
                 180 
               
               
                   
                   
                 without myocardial infarction 
               
               
                 428.40 
                 Extended 
                 Heart failure 
                 0 
                 0 
                 3 
                 180 
               
               
                 437.9 
                 Extended 
                 Cerebrovascular disease, 
                 0 
                 0 
                 3 
                 180 
               
               
                   
                   
                 unspecified 
               
               
                 443.89 
                 Extended 
                 Other peripheral vascular 
                 0 
                 0 
                 3 
                 180 
               
               
                   
                   
                 disease 
               
               
                 459.9 
                 Extended 
                 Unspecified circulatory 
                 0 
                 0 
                 3 
                 180 
               
               
                   
                   
                 system disorder 
               
               
                 477.9 
                 Extended 
                 Allergic rhinitis 
                 0 
                 0 
                 0 
                 1 
               
               
                 519.8 
                 Extended 
                 Other diseases of respiratory 
                 3 
                 7 
                 3 
                 7 
               
               
                   
                   
                 system 
               
               
                 521.00 
                 Extended 
                 Dental caries 
                 0 
                 0 
                 0 
                 1 
               
               
                 522.0 
                 Extended 
                 Pulpitis 
                 0 
                 0 
                 0 
                 1 
               
               
                 525.19 
                 Extended 
                 Other diseases and conditions 
                 0 
                 0 
                 0 
                 1 
               
               
                   
                   
                 of the teeth and supporting 
               
               
                   
                   
                 structures 
               
               
                 527.8 
                 Extended 
                 Diseases of the salivary 
                 0 
                 7 
                 0 
                 7 
               
               
                   
                   
                 glands 
               
               
                 569.83 
                 Extended 
                 Perforation of intestine 
                 3 
                 7 
                 3 
                 7 
               
               
                 571.40 
                 Extended 
                 Chronic hepatitis 
                 0 
                 0 
                 0 
                 180 
               
               
                 571.5 
                 Extended 
                 Cirrhosis of liver without 
                 0 
                 0 
                 3 
                 180 
               
               
                   
                   
                 alcohol 
               
               
                 594.9 
                 Extended 
                 Calculus of lower urinary 
                 3 
                 3 
                 1 
                 5 
               
               
                   
                   
                 tract, unspecified 
               
               
                 599.8 
                 Extended 
                 Urinary tract infection, 
                 0 
                 0 
                 0 
                 2 
               
               
                   
                   
                 site not specified 
               
               
                 600.90 
                 Extended 
                 Hyperplasia of prostate 
                 0 
                 0 
                 0 
                 5 
               
               
                 608.89 
                 Extended 
                 Other disorders of male 
                 3 
                 7 
                 3 
                 7 
               
               
                   
                   
                 genital organs 
               
               
                 614.9 
                 Extended 
                 Inflammatory disease of 
                 3 
                 7 
                 2 
                 10 
               
               
                   
                   
                 female pelvic organs/tissues 
               
               
                 616.10 
                 Extended 
                 Vaginitis and vulvovaginitis 
                 0 
                 0 
                 0 
                 3 
               
               
                 623.5 
                 Extended 
                 Leukorrhea not specified as 
                 0 
                 0 
                 0 
                 3 
               
               
                   
                   
                 infective 
               
               
                 626.8 
                 Extended 
                 Disorders of menstruation 
                 3 
                 7 
                 0 
                 7 
               
               
                   
                   
                 and other abnormal bleeding 
               
               
                   
                   
                 from female genital tract 
               
               
                 629.9 
                 Extended 
                 Other disorders of 
                 0 
                 0 
                 0 
                 3 
               
               
                   
                   
                 female genital organs 
               
               
                 650 
                 Extended 
                 Normal delivery 
                 0 
                 0 
                 0 
                 3 
               
               
                 653.81 
                 Extended 
                 Disproportion in pregnancy 
                 0 
                 0 
                 1 
                 5 
               
               
                   
                   
                 labor and delivery 
               
               
                 690.8 
                 Extended 
                 Erythematosquamous dermatosis 
                 0 
                 0 
                 0 
                 1 
               
               
                 691.8 
                 Extended 
                 Atopic dermatitis and related 
                 0 
                 0 
                 0 
                 1 
               
               
                   
                   
                 conditions 
               
               
                 692.9 
                 Extended 
                 Contact Dermatitis, unspecified 
                 0 
                 0 
                 0 
                 1 
               
               
                   
                   
                 cause 
               
               
                 693.8 
                 Extended 
                 Dermatitis due to substances 
                 0 
                 0 
                 0 
                 1 
               
               
                   
                   
                 taken internally 
               
               
                 696.1 
                 Extended 
                 Other psoriasis and similar 
                 0 
                 0 
                 0 
                 1 
               
               
                   
                   
                 disorders 
               
               
                 709.9 
                 Extended 
                 Other disorders of skin and 
                 0 
                 7 
                 0 
                 7 
               
               
                   
                   
                 subcutaneous tissue 
               
               
                 714.0 
                 Extended 
                 Rheumatoid arthritis 
                 0 
                 0 
                 0 
                 2 
               
               
                 733.90 
                 Extended 
                 Disorder of bone and cartilage, 
                 3 
                 10 
                 0 
                 10 
               
               
                   
                   
                 unspecified 
               
               
                 779.9 
                 Extended 
                 Other and ill-defined conditions 
                 0 
                 0 
                 1 
                 2 
               
               
                   
                   
                 originating in the perinatal 
               
               
                   
                   
                 period 
               
               
                 780.79 
                 Extended 
                 Other malaise and fatigue 
                 0 
                 0 
                 0 
                 5 
               
               
                 780.96 
                 Extended 
                 Generalized pain 
                 0 
                 0 
                 0 
                 5 
               
               
                 786.2 
                 Extended 
                 Cough 
                 0 
                 0 
                 0 
                 3 
               
               
                 842.00 
                 Extended 
                 Sprain of unspecified site of 
                 0 
                 0 
                 0 
                 3 
               
               
                   
                   
                 wrist 
               
               
                   
               
             
          
         
       
     
         [0000]    
       
         
               
             
               
               
               
               
             
               
               
               
               
             
           
               
                 TABLE 91 
               
             
             
               
                   
               
               
                 EMRE Common Data: RTD Data 
               
             
          
           
               
                 PC 
                 Type 
                 Description 
                 P(Adm) 
               
               
                   
               
             
          
           
               
                 005 
                 DMMPO 
                 Food poisoning bacterial 
                 0.0013 
               
               
                 006 
                 DMMPO 
                 Amebiasis 
                 0.1500 
               
               
                 007.9 
                 DMMPO 
                 Unspecified protozoal intestinal 
                 0.0075 
               
               
                   
                   
                 disease 
               
               
                 008.45 
                 DMMPO 
                 Intestinal infection due to 
                 0.0500 
               
               
                   
                   
                 
                   clostridium difficile 
                 
               
               
                 008.8 
                 DMMPO 
                 Intestinal infection due to other 
                 0.0075 
               
               
                   
                   
                 organism not classified 
               
               
                 010 
                 DMMPO 
                 Primary tb 
                 1.0000 
               
               
                 037 
                 DMMPO 
                 Tetanus 
                 1.0000 
               
               
                 038.9 
                 DMMPO 
                 Unspecified septicemia 
                 1.0000 
               
               
                 042 
                 DMMPO 
                 Human immunodeficiency virus 
                 1.0000 
               
               
                   
                   
                 [HIV] disease 
               
               
                 047.9 
                 DMMPO 
                 Viral meningitis 
                 0.0600 
               
               
                 052 
                 DMMPO 
                 Varicella 
                 1.0000 
               
               
                 053 
                 DMMPO 
                 Herpes zoster 
                 1.0000 
               
               
                 054.1 
                 DMMPO 
                 Genital herpes 
                 0.0000 
               
               
                 057.0 
                 DMMPO 
                 Fifth disease 
                 0.0000 
               
               
                 060 
                 DMMPO 
                 Yellow fever 
                 1.0000 
               
               
                 061 
                 DMMPO 
                 Dengue 
                 1.0000 
               
               
                 062 
                 DMMPO 
                 Mosq. borne encephalitis 
                 1.0000 
               
               
                 063.9 
                 DMMPO 
                 Tick borne encephalitis 
                 1.0000 
               
               
                 065 
                 DMMPO 
                 Arthropod-borne hemorrhagic fever 
                 1.0000 
               
               
                 066.40 
                 DMMPO 
                 West rale fever, unspecified 
                 1.0000 
               
               
                 070.1 
                 DMMPO 
                 Viral hepatitis 
                 0.0600 
               
               
                 071 
                 DMMPO 
                 Rabies 
                 1.0000 
               
               
                 076 
                 DMMPO 
                 Trachoma 
                 0.0009 
               
               
                 078.0 
                 DMMPO 
                 Molluscom contagiosum 
                 0.0000 
               
               
                 078.1 
                 DMMPO 
                 Viral warts 
                 0.0000 
               
               
                 078.4 
                 DMMPO 
                 Hand, foot and mouth disease 
                 0.0000 
               
               
                 079.3 
                 DMMPO 
                 Rhinovirus infection in conditions 
                 0.0050 
               
               
                   
                   
                 elsewhere and of unspecified site 
               
               
                 079.99 
                 DMMPO 
                 Unspecified viral infection 
                 0.0015 
               
               
                 082 
                 DMMPO 
                 Tick-borne rickettsiosis 
                 1.0000 
               
               
                 084 
                 DMMPO 
                 Malaria 
                 1.0000 
               
               
                 085 
                 DMMPO 
                 Leishmaniasis, visceral 
                 1.0000 
               
               
                 086 
                 DMMPO 
                 Trypanosomiasis 
                 1.0000 
               
               
                 091 
                 DMMPO 
                 Early primary syphilis 
                 0.0085 
               
               
                 091.9 
                 DMMPO 
                 Secondary syphilis, unspec 
                 0.0002 
               
               
                 094 
                 DMMPO 
                 Neurosyphilis 
                 0.0200 
               
               
                 098.5 
                 DMMPO 
                 Gonococcal arthritis 
                 1.0000 
               
               
                 099.4 
                 DMMPO 
                 Nongonnococcal urethritis 
                 0.0000 
               
               
                 100 
                 DMMPO 
                 Leptospirosis 
                 0.9000 
               
               
                 274 
                 DMMPO 
                 Gout 
                 0.0020 
               
               
                 276 
                 DMMPO 
                 Disorder of fluid, electrolyte + 
                 0.0000 
               
               
                   
                   
                 acid base balance 
               
               
                 296.0 
                 DMMPO 
                 Bipolar disorder, single manic 
                 0.4000 
               
               
                   
                   
                 episode 
               
               
                 298.9 
                 DMMPO 
                 Unspecified psychosis 
                 0.4000 
               
               
                 309.0 
                 DMMPO 
                 Adjustment disorder with depressed 
                 0.0600 
               
               
                   
                   
                 mood 
               
               
                 309.81 
                 DMMPO 
                 Ptsd 
                 0.4000 
               
               
                 309.9 
                 DMMPO 
                 Unspecified adjustment reaction 
                 0.0960 
               
               
                 310.2 
                 DMMPO 
                 Post concussion syndrome 
                 0.2625 
               
               
                 345.2 
                 DMMPO 
                 Epilepsy petit mal 
                 1.0000 
               
               
                 345.3 
                 DMMPO 
                 Epilepsy grand mal 
                 1.0000 
               
               
                 346 
                 DMMPO 
                 Migraine 
                 0.0035 
               
               
                 361 
                 DMMPO 
                 Retinal detachment 
                 1.0000 
               
               
                 364.3 
                 DMMPO 
                 Uveitis nos 
                 0.0005 
               
               
                 365 
                 DMMPO 
                 Glaucoma 
                 0.5000 
               
               
                 370.0 
                 DMMPO 
                 Corneal ulcer 
                 0.0064 
               
               
                 379.31 
                 DMMPO 
                 Aphakia 
                 0.0800 
               
               
                 380.1 
                 DMMPO 
                 Infective otitis externa 
                 0.0000 
               
               
                 380.4 
                 DMMPO 
                 Impacted cerumen 
                 0.0125 
               
               
                 381 
                 DMMPO 
                 Acute nonsuppurative otitis media 
                 0.0005 
               
               
                 381.9 
                 DMMPO 
                 Unspecified eustachian tube disorder 
                 0.0005 
               
               
                 384.2 
                 DMMPO 
                 Perforated tympanic membrane 
                 0.0008 
               
               
                 388.3 
                 DMMPO 
                 Tinnitus, unspecified 
                 0.0005 
               
               
                 389.9 
                 DMMPO 
                 Unspecified hearing loss 
                 0.4000 
               
               
                 401 
                 DMMPO 
                 Essential hypertension 
                 0.0006 
               
               
                 410 
                 DMMPO 
                 Myocardial infarction 
                 1.0000 
               
               
                 413.9 
                 DMMPO 
                 Other and unspecified angina pectoris 
                 1.0000 
               
               
                 427.9 
                 DMMPO 
                 Cardiac dysryhthmia unspecified 
                 1.0000 
               
               
                 453.4 
                 DMMPO 
                 Venous embolism/thrombus of deep 
                 1.0000 
               
               
                   
                   
                 vessels lower extremity 
               
               
                 462 
                 DMMPO 
                 Acute pharyngitis 
                 0.0011 
               
               
                 465 
                 DMMPO 
                 Acute uri of multiple or unspecified 
                 0.0002 
               
               
                   
                   
                 sites 
               
               
                 466 
                 DMMPO 
                 Acute bronchitis &amp; bronchiolitis 
                 0.0003 
               
               
                 475 
                 DMMPO 
                 Peritonsillar abscess 
                 0.3375 
               
               
                 486 
                 DMMPO 
                 Pneumonia, organism unspecified 
                 0.0055 
               
               
                 491 
                 DMMPO 
                 Chronic bronchitis 
                 0.0080 
               
               
                 492 
                 DMMPO 
                 Emphysema 
                 0.0800 
               
               
                 493.9 
                 DMMPO 
                 Asthma 
                 0.0025 
               
               
                 523 
                 DMMPO 
                 Gingival and periodontal disease 
                 0.0000 
               
               
                 530.2 
                 DMMPO 
                 Ulcer of esophagus 
                 0.0006 
               
               
                 530.81 
                 DMMPO 
                 Gastroesophageal reflux 
                 0.0008 
               
               
                 531 
                 DMMPO 
                 Gastric ulcer 
                 0.0048 
               
               
                 532 
                 DMMPO 
                 Duodenal ulcer 
                 0.0048 
               
               
                 540.9 
                 DMMPO 
                 Acute appendicitis without mention 
                 1.0000 
               
               
                   
                   
                 of peritonitis 
               
               
                 541 
                 DMMPO 
                 Appendicitis, unspecified 
                 1.0000 
               
               
                 550.9 
                 DMMPO 
                 Unilateral inguinal hernia 
                 0.2633 
               
               
                 553.1 
                 DMMPO 
                 Umbilical hernia 
                 0.1688 
               
               
                 553.9 
                 DMMPO 
                 Hernia nos 
                 0.1800 
               
               
                 564.0 
                 DMMPO 
                 Constipation 
                 0.0000 
               
               
                 564.1 
                 DMMPO 
                 Irritable bowel disease 
                 0.0028 
               
               
                 566 
                 DMMPO 
                 Abscess of anal and rectal regions 
                 0.4500 
               
               
                 567.9 
                 DMMPO 
                 Unspecified peritonitis 
                 0.4500 
               
               
                 574 
                 DMMPO 
                 Cholelithiasis 
                 0.1875 
               
               
                 577.0 
                 DMMPO 
                 Acute pancreatitis 
                 0.7500 
               
               
                 577.1 
                 DMMPO 
                 Chronic pancreatitis 
                 0.7500 
               
               
                 578.9 
                 DMMPO 
                 Hemorrhage of gastrointestinal 
                 0.4050 
               
               
                   
                   
                 tract unspecified 
               
               
                 584.9 
                 DMMPO 
                 Acute renal failure unspecified 
                 0.2200 
               
               
                 592 
                 DMMPO 
                 Calculus of kidney 
                 0.0616 
               
               
                 599.0 
                 DMMPO 
                 Unspecified urinary tract infection 
                 0.0000 
               
               
                 599.7 
                 DMMPO 
                 Hematuria 
                 0.0275 
               
               
                 608.2 
                 DMMPO 
                 Torsion of testes 
                 0.2100 
               
               
                 608.4 
                 DMMPO 
                 Other inflammatory disorders of 
                 0.0788 
               
               
                   
                   
                 male genital organs 
               
               
                 611.7 
                 DMMPO 
                 Breast lump 
                 0.2100 
               
               
                 633 
                 DMMPO 
                 Ectopic preg 
                 1.0000 
               
               
                 634 
                 DMMPO 
                 Spontaneous abortion 
                 1.0000 
               
               
                 681 
                 DMMPO 
                 Cellulitis and abscess of finger 
                 0.0108 
               
               
                   
                   
                 and toe 
               
               
                 682.0 
                 DMMPO 
                 Cellulitis and abscess of face 
                 0.0108 
               
               
                 682.6 
                 DMMPO 
                 Cellulitis and abscess of leg 
                 0.0108 
               
               
                   
                   
                 except foot 
               
               
                 682.7 
                 DMMPO 
                 Cellulitis and abscess of foot 
                 0.0153 
               
               
                   
                   
                 except toes 
               
               
                 682.9 
                 DMMPO 
                 Cellulitis and abscess of 
                 0.0153 
               
               
                   
                   
                 unspecified parts 
               
               
                 719.41 
                 DMMPO 
                 Pain in joint shoulder 
                 0.0008 
               
               
                 719.46 
                 DMMPO 
                 Pain in joint lower leg 
                 0.0008 
               
               
                 719.47 
                 DMMPO 
                 Pain in joint ankle/foot 
                 0.0008 
               
               
                 722.1 
                 DMMPO 
                 Displacement lumbar intervertebral 
                 0.0135 
               
               
                   
                   
                 disc w/o myelopathy 
               
               
                 723.0 
                 DMMPO 
                 Spinal stenosis in cervical region 
                 0.0135 
               
               
                 724.02 
                 DMMPO 
                 Spinal stenosis of lumbar region 
                 0.0135 
               
               
                 724.2 
                 DMMPO 
                 Lumbago 
                 0.0023 
               
               
                 724.3 
                 DMMPO 
                 Sciatica 
                 0.0135 
               
               
                 724.4 
                 DMMPO 
                 Lumbar sprain (thoracic/lumbosacral) 
                 0.0149 
               
               
                   
                   
                 neuritis or radiculitis, unspec 
               
               
                 724.5 
                 DMMPO 
                 Backache unspecified 
                 0.0023 
               
               
                 726.10 
                 DMMPO 
                 Disorders of bursae and tendons 
                 0.0008 
               
               
                   
                   
                 in shoulder unspecified 
               
               
                 726.12 
                 DMMPO 
                 Bicipital tenosynovitis 
                 0.0008 
               
               
                 726.3 
                 DMMPO 
                 Enthesopathy of elbow region 
                 0.0008 
               
               
                 726.4 
                 DMMPO 
                 Enthesopathy of wrist and carpus 
                 0.0008 
               
               
                 726.5 
                 DMMPO 
                 Enthesopathy of hip region 
                 0.0008 
               
               
                 726.6 
                 DMMPO 
                 Enthesopathy of knee 
                 0.0008 
               
               
                 726.7 
                 DMMPO 
                 Enthesopathy of ankle and tarsus 
                 0.0008 
               
               
                 729.0 
                 DMMPO 
                 Rheumatism unspecified and fibrositis 
                 0.0008 
               
               
                 729.5 
                 DMMPO 
                 Pain in limb 
                 0.0008 
               
               
                 780.0 
                 DMMPO 
                 Alterations of consciousness 
                 0.0113 
               
               
                 780.2 
                 DMMPO 
                 Syncope 
                 0.0090 
               
               
                 780.39 
                 DMMPO 
                 Other convulsions 
                 0.0113 
               
               
                 780.5 
                 DMMPO 
                 Sleep disturbances 
                 0.0050 
               
               
                 780.6 
                 DMMPO 
                 Fever 
                 0.0010 
               
               
                 782.1 
                 DMMPO 
                 Rash and other nonspecific skin 
                 0.0050 
               
               
                   
                   
                 eruptions 
               
               
                 782.3 
                 DMMPO 
                 Edema 
                 0.0375 
               
               
                 783.0 
                 DMMPO 
                 Anorexia 
                 0.0050 
               
               
                 784.0 
                 DMMPO 
                 Headache 
                 0.0113 
               
               
                 784.7 
                 DMMPO 
                 Epistaxis 
                 0.0050 
               
               
                 784.8 
                 DMMPO 
                 Hemorrhage from throat 
                 0.0113 
               
               
                 786.5 
                 DMMPO 
                 Chest pain 
                 0.0113 
               
               
                 787.0 
                 DMMPO 
                 Nausea and vomiting 
                 0.0050 
               
               
                 787.91 
                 DMMPO 
                 Diarrhea nos 
                 0.0013 
               
               
                 789.00 
                 DMMPO 
                 Abdominal pain unspecified site 
                 0.0113 
               
               
                 800.0 
                 DMMPO 
                 Closed fracture of vault of skull 
                 1.0000 
               
               
                   
                   
                 without intracranial injury 
               
               
                 801.0 
                 DMMPO 
                 Closed fracture of base of skull 
                 1.0000 
               
               
                   
                   
                 without intracranial injury 
               
               
                 801.76 
                 DMMPO 
                 Open fracture base of skull with 
                 1.0000 
               
               
                   
                   
                 subarachnoid, subdural and 
               
               
                   
                   
                 extradural hemorrhage with loss 
               
               
                   
                   
                 of consciousness of unspecified 
               
               
                   
                   
                 duration 
               
               
                 802.0 
                 DMMPO 
                 Closed fracture of nasal bones 
                 1.0000 
               
               
                 802.1 
                 DMMPO 
                 Open fracture of nasal bones 
                 1.0000 
               
               
                 802.6 
                 DMMPO 
                 Fracture orbital floor closed 
                 1.0000 
               
               
                   
                   
                 (blowout) 
               
               
                 802.7 
                 DMMPO 
                 Fracture orbital floor open 
                 1.0000 
               
               
                   
                   
                 (blowout) 
               
               
                 802.8 
                 DMMPO 
                 Closed fracture of other facial 
                 1.0000 
               
               
                   
                   
                 bones 
               
               
                 802.9 
                 DMMPO 
                 Open fracture of other facial 
                 1.0000 
               
               
                   
                   
                 bones 
               
               
                 805 
                 DMMPO 
                 Closed fracture of cervical vertebra 
                 1.0000 
               
               
                   
                   
                 w/o spinal cord injury 
               
               
                 806.1 
                 DMMPO 
                 Open fracture of cervical vertebra 
                 1.0000 
               
               
                   
                   
                 with spinal cord injury 
               
               
                 806.2 
                 DMMPO 
                 Closed fracture of dorsal vertebra 
                 1.0000 
               
               
                   
                   
                 with spinal cord injury 
               
               
                 806.3 
                 DMMPO 
                 Open fracture of dorsal vertebra with 
                 1.0000 
               
               
                   
                   
                 spinal cord injury 
               
               
                 806.4 
                 DMMPO 
                 Closed fracture of lumbar spine with 
                 1.0000 
               
               
                   
                   
                 spinal cord injury 
               
               
                 806.5 
                 DMMPO 
                 Open fracture of lumbar spine with 
                 1.0000 
               
               
                   
                   
                 spinal cord injury 
               
               
                 806.60 
                 DMMPO 
                 Closed fracture sacrum and coccyx 
                 1.0000 
               
               
                   
                   
                 w/unspec. spinal cord injury 
               
               
                 806.70 
                 DMMPO 
                 Open fracture sacrum and coccyx 
                 1.0000 
               
               
                   
                   
                 w/unspec. spinal cord injury 
               
               
                 807.0 
                 DMMPO 
                 Closed fracture of rib(s) 
                 1.0000 
               
               
                 807.1 
                 DMMPO 
                 Open fracture of rib(s) 
                 1.0000 
               
               
                 807.2 
                 DMMPO 
                 Closed fracture of sternum 
                 1.0000 
               
               
                 807.3 
                 DMMPO 
                 Open fracture of sternum 
                 1.0000 
               
               
                 808.8 
                 DMMPO 
                 Fracture of pelvis unspecified, closed 
                 1.0000 
               
               
                 808.9 
                 DMMPO 
                 Fracture of pelvis unspecified, open 
                 1.0000 
               
               
                 810.0 
                 DMMPO 
                 Clavicle fracture, closed 
                 1.0000 
               
               
                 810.1 
                 DMMPO 
                 Clavicle fracture, open 
                 1.0000 
               
               
                 810.12 
                 DMMPO 
                 Open fracture of shaft of clavicle 
                 1.0000 
               
               
                 811.0 
                 DMMPO 
                 Fracture of scapula, closed 
                 1.0000 
               
               
                 811.1 
                 DMMPO 
                 Fracture of scapula, open 
                 1.0000 
               
               
                 812.00 
                 DMMPO 
                 Fracture of unspecified part of 
                 1.0000 
               
               
                   
                   
                 upper end of humerus, closed 
               
               
                 813.8 
                 DMMPO 
                 Fracture unspecified part of radius 
                 1.0000 
               
               
                   
                   
                 and ulna closed 
               
               
                 813.9 
                 DMMPO 
                 Fracture unspecified part of radius 
                 1.0000 
               
               
                   
                   
                 and ulna open 
               
               
                 815.0 
                 DMMPO 
                 Closed fracture of metacarpal bones 
                 1.0000 
               
               
                 816.0 
                 DMMPO 
                 Phalanges fracture, closed 
                 1.0000 
               
               
                 816.1 
                 DMMPO 
                 Phalanges fracture, open 
                 1.0000 
               
               
                 817.0 
                 DMMPO 
                 Multiple closed fractures of hand 
                 1.0000 
               
               
                   
                   
                 bones 
               
               
                 817.1 
                 DMMPO 
                 Multiple open fracture of hand bones 
                 1.0000 
               
               
                 820.8 
                 DMMPO 
                 Fracture of femur neck, closed 
                 1.0000 
               
               
                 820.9 
                 DMMPO 
                 Fracture of femur neck, open 
                 1.0000 
               
               
                 821.01 
                 DMMPO 
                 Fracture shaft femur, dosed 
                 1.0000 
               
               
                 821.11 
                 DMMPO 
                 Fracture shaft of femur, open 
                 1.0000 
               
               
                 822.0 
                 DMMPO 
                 Closed fracture of patella 
                 1.0000 
               
               
                 822.1 
                 DMMPO 
                 Open fracture of patella 
                 1.0000 
               
               
                 823.82 
                 DMMPO 
                 Fracture tib fib, closed 
                 1.0000 
               
               
                 823.9 
                 DMMPO 
                 Fracture of unspecified part of 
                 1.0000 
               
               
                   
                   
                 tibia and fibula open 
               
               
                 824.8 
                 DMMPO 
                 Fracture ankle, nos, closed 
                 1.0000 
               
               
                 824.9 
                 DMMPO 
                 Ankle fracture, open 
                 1.0000 
               
               
                 825.0 
                 DMMPO 
                 Fracture to calcaneus, closed 
                 1.0000 
               
               
                 826.0 
                 DMMPO 
                 Closed fracture of one or more 
                 1.0000 
               
               
                   
                   
                 phalanges of foot 
               
               
                 829.0 
                 DMMPO 
                 Fracture of unspecified bone, 
                 1.0000 
               
               
                   
                   
                 closed 
               
               
                 830.0 
                 DMMPO 
                 Closed dislocation of jaw 
                 1.0000 
               
               
                 830.1 
                 DMMPO 
                 Open dislocation of jaw 
                 1.0000 
               
               
                 831 
                 DMMPO 
                 Dislocation shoulder 
                 0.6750 
               
               
                 831.04 
                 DMMPO 
                 Closed dislocation of 
                 1.0000 
               
               
                   
                   
                 acromioclavicular joint 
               
               
                 831.1 
                 DMMPO 
                 Dislocation of shoulder, open 
                 1.0000 
               
               
                 832.0 
                 DMMPO 
                 Dislocation elbow, closed 
                 1.0000 
               
               
                 832.1 
                 DMMPO 
                 Dislocation elbow, open 
                 1.0000 
               
               
                 833 
                 DMMPO 
                 Dislocation wrist closed 
                 1.0000 
               
               
                 833.1 
                 DMMPO 
                 Dislocated wrist, open 
                 1.0000 
               
               
                 834.0 
                 DMMPO 
                 Dislocation of finger, closed 
                 0.0000 
               
               
                 834.1 
                 DMMPO 
                 Dislocation of finger, open 
                 1.0000 
               
               
                 835 
                 DMMPO 
                 Closed dislocation of hip 
                 1.0000 
               
               
                 835.1 
                 DMMPO 
                 Hip dislocation open 
                 1.0000 
               
               
                 836.0 
                 DMMPO 
                 Medial meniscus tear 
                 0.0750 
               
               
                 836.1 
                 DMMPO 
                 Lateral meniscus tear 
                 0.0750 
               
               
                 836.2 
                 DMMPO 
                 Meniscus tear of knee 
                 0.0750 
               
               
                 836.5 
                 DMMPO 
                 Dislocation knee, closed 
                 1.0000 
               
               
                 836.6 
                 DMMPO 
                 Other dislocation of knee open 
                 1.0000 
               
               
                 839.01 
                 DMMPO 
                 Closed dislocation first cervical 
                 1.0000 
               
               
                   
                   
                 vertebra 
               
               
                 840.4 
                 DMMPO 
                 Rotator cuff sprain 
                 0.0375 
               
               
                 840.9 
                 DMMPO 
                 Sprain shoulder 
                 0.0375 
               
               
                 843 
                 DMMPO 
                 Sprains and strains of hip and thigh 
                 0.0375 
               
               
                 844.9 
                 DMMPO 
                 Sprain, knee 
                 0.0250 
               
               
                 845 
                 DMMPO 
                 Sprain of ankle 
                 0.0125 
               
               
                 846 
                 DMMPO 
                 Sprains and strains of socroiliac 
                 0.3750 
               
               
                   
                   
                 region 
               
               
                 846.0 
                 DMMPO 
                 Sprain of lumbosacral (joint) 
                 0.3750 
               
               
                   
                   
                 (ligament) 
               
               
                 847.2 
                 DMMPO 
                 Sprain lumbar region 
                 0.0375 
               
               
                 847.3 
                 DMMPO 
                 Sprain of sacrum 
                 0.0375 
               
               
                 848.1 
                 DMMPO 
                 Jaw sprain 
                 0.0375 
               
               
                 848.3 
                 DMMPO 
                 Sprain of ribs 
                 0.0375 
               
               
                 850.9 
                 DMMPO 
                 Concussion 
                 0.8000 
               
               
                 851.0 
                 DMMPO 
                 Cortex (Cerebral) contusion w/o 
                 1.0000 
               
               
                   
                   
                 open intracranial wound 
               
               
                 851.01 
                 DMMPO 
                 Cortex (Cerebral) contusion w/o 
                 1.0000 
               
               
                   
                   
                 open wound no loss of consciousness 
               
               
                 852 
                 DMMPO 
                 Subarachnoid subdural extradural 
                 1.0000 
               
               
                   
                   
                 hemorrhage injury 
               
               
                 853 
                 DMMPO 
                 Other and unspecified intracranial 
                 1.0000 
               
               
                   
                   
                 hemorrhage injury w/o open wound 
               
               
                 853.15 
                 DMMPO 
                 Unspecified intracranial hemorrhage 
                 1.0000 
               
               
                   
                   
                 with open intracranial wound 
               
               
                 860.0 
                 DMMPO 
                 Traumatic pneumothorax w/o open wound 
                 1.0000 
               
               
                   
                   
                 into thorax 
               
               
                 860.1 
                 DMMPO 
                 Traumatic pneumothorax w/open wound 
                 1.0000 
               
               
                   
                   
                 into thorax 
               
               
                 860.2 
                 DMMPO 
                 Traumatic hemothorax w/o open wound 
                 1.0000 
               
               
                   
                   
                 into thorax 
               
               
                 860.3 
                 DMMPO 
                 Traumatic hemothorax with open wound 
                 1.0000 
               
               
                   
                   
                 into thorax 
               
               
                 860.4 
                 DMMPO 
                 Traumatic pneumohemothorax w/o open 
                 1.0000 
               
               
                   
                   
                 wound thorax 
               
               
                 860.5 
                 DMMPO 
                 Traumatic pneumohemothorax with open 
                 1.0000 
               
               
                   
                   
                 wound thorax 
               
               
                 861.0 
                 DMMPO 
                 Injury to heart w/o open wound 
                 1.0000 
               
               
                   
                   
                 into thorax 
               
               
                 861.10 
                 DMMPO 
                 Unspec. injury of heart w/open 
                 1.0000 
               
               
                   
                   
                 wound into thorax 
               
               
                 861.2 
                 DMMPO 
                 Injury to lung, nos, closed 
                 1.0000 
               
               
                 861.3 
                 DMMPO 
                 Injury to lung nos, open 
                 1.0000 
               
               
                 863.0 
                 DMMPO 
                 Stomach injury, w/o open wound 
                 1.0000 
               
               
                   
                   
                 into cavity 
               
               
                 864.10 
                 DMMPO 
                 Unspecified injury to liver with 
                 1.0000 
               
               
                   
                   
                 open wound into cavity 
               
               
                 865 
                 DMMPO 
                 Injury to spleen 
                 1.0000 
               
               
                 866.0 
                 DMMPO 
                 Injury kidney w/o open wound 
                 1.0000 
               
               
                 866.1 
                 DMMPO 
                 Injury to kidney with open wound 
                 1.0000 
               
               
                   
                   
                 into cavity 
               
               
                 867.0 
                 DMMPO 
                 Injury to bladder urethra without 
                 1.0000 
               
               
                   
                   
                 open wound into cavity 
               
               
                 867.1 
                 DMMPO 
                 Injury to bladder and urethrea with 
                 1.0000 
               
               
                   
                   
                 open wound into cavity 
               
               
                 867.2 
                 DMMPO 
                 Injury to ureter w/o open wound 
                 1.0000 
               
               
                   
                   
                 into cavity 
               
               
                 867.3 
                 DMMPO 
                 Injury to ureter with open wound 
                 1.0000 
               
               
                   
                   
                 into cavity 
               
               
                 867.4 
                 DMMPO 
                 Injury to uterus w/o open wound 
                 1.0000 
               
               
                   
                   
                 into cavity 
               
               
                 867.5 
                 DMMPO 
                 Injury to uterus with open wound 
                 1.0000 
               
               
                   
                   
                 into cavity 
               
               
                 870 
                 DMMPO 
                 Open wound of ocular adnexa 
                 0.9405 
               
               
                 870.3 
                 DMMPO 
                 Penetrating wound of orbit without 
                 0.9405 
               
               
                   
                   
                 foreign body 
               
               
                 870.4 
                 DMMPO 
                 Penetrating wound of orbit with 
                 0.9405 
               
               
                   
                   
                 foreign body 
               
               
                 871.5 
                 DMMPO 
                 Penetration of eyeball with 
                 1.0000 
               
               
                   
                   
                 magnetic foreign body 
               
               
                 872 
                 DMMPO 
                 Open wound of ear 
                 0.0250 
               
               
                 873.4 
                 DMMPO 
                 Open wound of face without mention 
                 0.3000 
               
               
                   
                   
                 of complication 
               
               
                 873.8 
                 DMMPO 
                 Open head wound w/o complication 
                 0.6840 
               
               
                 873.9 
                 DMMPO 
                 Open head wound with complications 
                 1.0000 
               
               
                 874.8 
                 DMMPO 
                 Open wound of other and unspecified 
                 0.6840 
               
               
                   
                   
                 parts of neck w/o complications 
               
               
                 875.0 
                 DMMPO 
                 Open wound of chest (wall) without 
                 0.3000 
               
               
                   
                   
                 complication 
               
               
                 876.0 
                 DMMPO 
                 Open wound of back without 
                 0.8000 
               
               
                   
                   
                 complication 
               
               
                 877.0 
                 DMMPO 
                 Open wound of buttock without 
                 0.0100 
               
               
                   
                   
                 complication 
               
               
                 878 
                 DMMPO 
                 Open wound of genital organs 
                 1.0000 
               
               
                   
                   
                 (external) including traumatic 
               
               
                   
                   
                 amputation 
               
               
                 879.2 
                 DMMPO 
                 Open wound of abdominal wail 
                 0.3000 
               
               
                   
                   
                 anterior w/o complication 
               
               
                 879.6 
                 DMMPO 
                 Open wound of other unspecified 
                 0.8000 
               
               
                   
                   
                 parts of trunk without 
               
               
                   
                   
                 complication 
               
               
                 879.8 
                 DMMPO 
                 Open wound(s) (multiple) of 
                 0.8000 
               
               
                   
                   
                 unspecified site(s) w/o 
               
               
                   
                   
                 complication 
               
               
                 880 
                 DMMPO 
                 Open wound of the shoulder and 
                 0.0400 
               
               
                   
                   
                 upper arm 
               
               
                 881 
                 DMMPO 
                 Open wound elbows, forearm, and 
                 0.0040 
               
               
                   
                   
                 wrist 
               
               
                 882 
                 DMMPO 
                 Open wound hand except fingers 
                 1.0000 
               
               
                   
                   
                 alone 
               
               
                 883.0 
                 DMMPO 
                 Open wound of fingers without 
                 0.8000 
               
               
                   
                   
                 complication 
               
               
                 884.0 
                 DMMPO 
                 Multiple/unspecified open wound 
                 1.0000 
               
               
                   
                   
                 upper limb without complication 
               
               
                 885 
                 DMMPO 
                 Traumatic amputation of thumb 
                 0.8000 
               
               
                   
                   
                 (complete) (partial) 
               
               
                 886 
                 DMMPO 
                 Traumatic amputation of other 
                 1.0000 
               
               
                   
                   
                 finger(s) (complete) (partial) 
               
               
                 887 
                 DMMPO 
                 Traumatic amputation of arm and 
                 1.0000 
               
               
                   
                   
                 hand (complete) (partial) 
               
               
                 890 
                 DMMPO 
                 Open wound of hip and thigh 
                 0.7200 
               
               
                 891 
                 DMMPO 
                 Open wound of knee leg (except 
                 0.7200 
               
               
                   
                   
                 thigh) and ankle 
               
               
                 892.0 
                 DMMPO 
                 Open wound foot except toes alone 
                 0.8000 
               
               
                   
                   
                 w/o complication 
               
               
                 894.0 
                 DMMPO 
                 Multiple/unspecified open wound of 
                 0.4480 
               
               
                   
                   
                 lower limb w/o complication 
               
               
                 895 
                 DMMPO 
                 Traumatic amputation of toe(s) 
                 1.0000 
               
               
                   
                   
                 (complete) (partial) 
               
               
                 896 
                 DMMPO 
                 Traumatic amputation of foot 
                 1.0000 
               
               
                   
                   
                 (complete) (partial) 
               
               
                 897 
                 DMMPO 
                 Traumatic amputation of leg(s) 
                 1.0000 
               
               
                   
                   
                 (complete) (partial) 
               
               
                 903 
                 DMMPO 
                 Injury to blood vessels of upper 
                 1.0000 
               
               
                   
                   
                 extremity 
               
               
                 904 
                 DMMPO 
                 Injury to blood vessels of lower 
                 1.0000 
               
               
                   
                   
                 extremity and unspec. sites 
               
               
                 910.0 
                 DMMPO 
                 Abrasion/friction burn of face, 
                 0.0000 
               
               
                   
                   
                 neck, scalp w/o infection 
               
               
                 916.0 
                 DMMPO 
                 Abrasion/friction burn of hip, 
                 0.0000 
               
               
                   
                   
                 thigh, leg, ankle w/o infection 
               
               
                 916.1 
                 DMMPO 
                 Abrasion/friction burn of hip, 
                 0.9000 
               
               
                   
                   
                 thigh, leg, ankle with infection 
               
               
                 916.2 
                 DMMPO 
                 Blister hip &amp; leg 
                 0.0000 
               
               
                 916.3 
                 DMMPO 
                 Blister of hip thigh leg and ankle 
                 0.9000 
               
               
                   
                   
                 infected 
               
               
                 916.4 
                 DMMPO 
                 Insect bite nonvenom hip, thigh, 
                 0.0000 
               
               
                   
                   
                 leg, ankle w/o infection 
               
               
                 916.5 
                 DMMPO 
                 Insect bite nonvenom hip, thigh, 
                 0.9000 
               
               
                   
                   
                 leg, ankle, with infection 
               
               
                 918.1 
                 DMMPO 
                 Superficial injury cornea 
                 0.0000 
               
               
                 920 
                 DMMPO 
                 Contusion of face scalp and neck 
                 0.0000 
               
               
                   
                   
                 except eye(s) 
               
               
                 921.0 
                 DMMPO 
                 Black eye 
                 0.0000 
               
               
                 922.1 
                 DMMPO 
                 Contusion of chest wall 
                 0.0000 
               
               
                 922.2 
                 DMMPO 
                 Contusion of abdominal wall 
                 0.0000 
               
               
                 922.4 
                 DMMPO 
                 Contusion of genital organs 
                 0.0010 
               
               
                 924.1 
                 DMMPO 
                 Contusion of knee and lower leg 
                 0.0000 
               
               
                 924.2 
                 DMMPO 
                 Contusion of ankle and foot 
                 0.0000 
               
               
                 924.3 
                 DMMPO 
                 Contusion of toe 
                 0.0000 
               
               
                 925 
                 DMMPO 
                 Crushing injury of face, scalp &amp; 
                 1.0000 
               
               
                   
                   
                 neck 
               
               
                 926 
                 DMMPO 
                 Crushing injury of trunk 
                 1.0000 
               
               
                 927 
                 DMMPO 
                 crushing injury of upper limb 
                 1.0000 
               
               
                 928 
                 DMMPO 
                 Crushing injury of lower limb 
                 1.0000 
               
               
                 930 
                 DMMPO 
                 Foreign Body on External Eye 
                 0.0000 
               
               
                 935 
                 DMMPO 
                 Foreign body in mouth, esophagus 
                 1.0000 
               
               
                   
                   
                 and stomach 
               
               
                 941 
                 DMMPO 
                 Burn of face, head, neck 
                 0.0000 
               
               
                 942.0 
                 DMMPO 
                 Burn of trunk, unspecified degree 
                 1.0000 
               
               
                 943.0 
                 DMMPO 
                 Burn of upper limb except wrist 
                 1.0000 
               
               
                   
                   
                 and hand unspec. degree 
               
               
                 944 
                 DMMPO 
                 Burn of wrist and hand 
                 1.0000 
               
               
                 945 
                 DMMPO 
                 Burn of tower limb(s) 
                 1.0000 
               
               
                 950 
                 DMMPO 
                 Injury to optic nerve and pathways 
                 1.0000 
               
               
                 953.0 
                 DMMPO 
                 Injury to cervical nerve root 
                 1.0000 
               
               
                 953.4 
                 DMMPO 
                 Injury to brachial plexus 
                 1.0000 
               
               
                 955.0 
                 DMMPO 
                 Injury to axillary nerve 
                 1.0000 
               
               
                 956.0 
                 DMMPO 
                 Injury to sciatic nerve 
                 1.0000 
               
               
                 959.01 
                 DMMPO 
                 Other and unspecified injury to 
                 0.7600 
               
               
                   
                   
                 head 
               
               
                 959.09 
                 DMMPO 
                 Other and unspecified injury to 
                 0.7600 
               
               
                   
                   
                 face and neck 
               
               
                 959.7 
                 DMMPO 
                 Other and unspecified injury to 
                 0.7600 
               
               
                   
                   
                 knee leg ankle and foot 
               
               
                 989.5 
                 DMMPO 
                 Toxic effect of venom 
                 0.0050 
               
               
                 989.9 
                 DMMPO 
                 Toxic effect unspec subst chiefly 
                 1.0000 
               
               
                   
                   
                 nonmedicinal/source 
               
               
                 991.3 
                 DMMPO 
                 Frostbite 
                 1.0000 
               
               
                 991.6 
                 DMMPO 
                 Hypothermia 
                 1.0000 
               
               
                 992.0 
                 DMMPO 
                 Heat stroke and sun stroke 
                 1.0000 
               
               
                 992.2 
                 DMMPO 
                 Heat cramps 
                 0.0000 
               
               
                 992.3 
                 DMMPO 
                 Heat exhaustion anhydrotic 
                 0.0000 
               
               
                 994.0 
                 DMMPO 
                 Effects of lightning 
                 0.3800 
               
               
                 994.1 
                 DMMPO 
                 Drowning and nonfatal submersion 
                 1.0000 
               
               
                 994.2 
                 DMMPO 
                 Effects of deprivation of food 
                 1.0000 
               
               
                 994.3 
                 DMMPO 
                 Effects of thirst 
                 0.0000 
               
               
                 994.4 
                 DMMPO 
                 Exhaustion due to exposure 
                 0.3800 
               
               
                 994.5 
                 DMMPO 
                 Exhaustion due to excessive exertion 
                 0.3800 
               
               
                 994.6 
                 DMMPO 
                 Motion sickness 
                 0.0000 
               
               
                 994.8 
                 DMMPO 
                 Electrocution and nonfatal effects 
                 1.0000 
               
               
                   
                   
                 of electric current 
               
               
                 995.0 
                 DMMPO 
                 Other anaphylactic shock not 
                 1.0000 
               
               
                   
                   
                 elsewhere classified 
               
               
                 E991.2 
                 DMMPO 
                 Injury due to war ops from other 
                 1.0000 
               
               
                   
                   
                 bullets (not rubber/pellets) 
               
               
                 E991.3 
                 DMMPO 
                 Injury due to war ops from anti- 
                 1.0000 
               
               
                   
                   
                 personnel bomb fragment 
               
               
                 E991.9 
                 DMMPO 
                 Injury due to war ops other 
                 1.0000 
               
               
                   
                   
                 unspecified fragments 
               
               
                 E993 
                 DMMPO 
                 Injury due to war ops by other 
                 1.0000 
               
               
                   
                   
                 explosion 
               
               
                 V01.5 
                 DMMPO 
                 Contact with or exposure to rabies 
                 1.0000 
               
               
                 V79.0 
                 DMMPO 
                 Screening for depression 
                 0.0000 
               
               
                 001.9 
                 Extended 
                 Cholera unspecified 
                 1.0000 
               
               
                 002.0 
                 Extended 
                 Typhoid fever 
                 1.0000 
               
               
                 004.9 
                 Extended 
                 Shigellosis unspecified 
                 1.0000 
               
               
                 055.9 
                 Extended 
                 Measles 
                 1.0000 
               
               
                 072.8 
                 Extended 
                 Mumps with unspecified complication 
                 1.0000 
               
               
                 072.9 
                 Extended 
                 Mumps without complication 
                 1.0000 
               
               
                 110.9 
                 Extended 
                 Dermatophytosis, of unspecified site 
                 0.0000 
               
               
                 128.9 
                 Extended 
                 Other and unspecified Helminthiasis 
                 0.0013 
               
               
                 132.9 
                 Extended 
                 Pediculosis and Phthirus Infestation 
                 0.0000 
               
               
                 133.0 
                 Extended 
                 Scabies 
                 0.0000 
               
               
                 184.9 
                 Extended 
                 Malignant neoplasm of other and 
                 1.0000 
               
               
                   
                   
                 unspecified female genital organs 
               
               
                 239.0 
                 Extended 
                 Neoplasms of Unspecified Nature 
                 0.1400 
               
               
                 246.9 
                 Extended 
                 Unspecified Disorder of Thyroid 
                 1.0000 
               
               
                 250.00 
                 Extended 
                 Diabetes Mellitus w/o complication 
                 0.3500 
               
               
                 264.0 
                 Extended 
                 Vitamin A deficiency 
                 0.0000 
               
               
                 269.8 
                 Extended 
                 Other nutritional deficiencies 
                 0.0375 
               
               
                 276.51 
                 Extended 
                 Volume Depletion, Dehydration 
                 0.0000 
               
               
                 277.89 
                 Extended 
                 Other and unspecified disorders 
                 0.0400 
               
               
                   
                   
                 of metabolism 
               
               
                 280.8 
                 Extended 
                 Iron deficiency anemias 
                 1.0000 
               
               
                 300.00 
                 Extended 
                 Anxiety states 
                 0.1500 
               
               
                 349.9 
                 Extended 
                 Unspecified disorders of nervous 
                 1.0000 
               
               
                   
                   
                 system 
               
               
                 366.00 
                 Extended 
                 Cataract 
                 1.0000 
               
               
                 369.9 
                 Extended 
                 Blindness and low vision 
                 1.0000 
               
               
                 372.30 
                 Extended 
                 Conjunctivitis, unspecified 
                 0.0000 
               
               
                 379.90 
                 Extended 
                 Other disorders of eye 
                 0.0684 
               
               
                 380.9 
                 Extended 
                 Unspecified disorder of external 
                 0.0038 
               
               
                   
                   
                 ear 
               
               
                 383.1 
                 Extended 
                 Chronic mastoiditis 
                 1.0000 
               
               
                 386.10 
                 Extended 
                 Other and unspecified peripheral 
                 0.9000 
               
               
                   
                   
                 vertigo 
               
               
                 386.2 
                 Extended 
                 Vertigo of central origin 
                 1.0000 
               
               
                 388.8 
                 Extended 
                 Other disorders of ear 
                 0.0180 
               
               
                 411.81 
                 Extended 
                 Acute coronary occlusion without 
                 1.0000 
               
               
                   
                   
                 myocardial infarction 
               
               
                 428.40 
                 Extended 
                 Heart failure 
                 1.0000 
               
               
                 437.9 
                 Extended 
                 Cerebrovascular, disease, unspecified 
                 1.0000 
               
               
                 443.89 
                 Extended 
                 Other peripheral vascular disease 
                 0.8550 
               
               
                 459.9 
                 Extended 
                 Unspecified circulatory system disorder 
                 0.8550 
               
               
                 477.9 
                 Extended 
                 Allergic rhinitis 
                 0.0000 
               
               
                 519.8 
                 Extended 
                 Other diseases of respiratory system 
                 0.9000 
               
               
                 521.00 
                 Extended 
                 Dental caries 
                 1.0000 
               
               
                 522.0 
                 Extended 
                 Pulpitis 
                 1.0000 
               
               
                 525.19 
                 Extended 
                 Other diseases and conditions of the 
                 1.0000 
               
               
                   
                   
                 teeth and supporting structures 
               
               
                 527.8 
                 Extended 
                 Diseases of the salivary glands 
                 0.3375 
               
               
                 569.83 
                 Extended 
                 Perforation of intestine 
                 1.0000 
               
               
                 571.40 
                 Extended 
                 Chronic hepatitis 
                 1.0000 
               
               
                 571.5 
                 Extended 
                 Cirrhosis of liver without alcohol 
                 1.0000 
               
               
                 594.9 
                 Extended 
                 Calculus of lower urinary tract, 
                 1.0000 
               
               
                   
                   
                 unspecified 
               
               
                 599.8 
                 Extended 
                 Urinary tract infection, site not 
                 0.2200 
               
               
                   
                   
                 specified 
               
               
                 600.90 
                 Extended 
                 Hyperplasia of prostate 
                 1.0000 
               
               
                 608.89 
                 Extended 
                 Other disorders of male genital organs 
                 0.2100 
               
               
                 614.9 
                 Extended 
                 Inflammatory disease of female pelvic 
                 0.2040 
               
               
                   
                   
                 organs/tissues 
               
               
                 616.10 
                 Extended 
                 Vaginitis and vulvovaginitis 
                 0.0000 
               
               
                 623.5 
                 Extended 
                 Leukorrhea not specified as infective 
                 0.7125 
               
               
                 626.8 
                 Extended 
                 Disorders of menstruation and other 
                 0.7125 
               
               
                   
                   
                 abnormal bleeding from female 
               
               
                   
                   
                 genital tract 
               
               
                 629.9 
                 Extended 
                 Other disorders of female genital 
                 0.1496 
               
               
                   
                   
                 organs 
               
               
                 650 
                 Extended 
                 Normal delivery 
                 1.0000 
               
               
                 653.81 
                 Extended 
                 Disproportion in pregnancy labor and 
                 1.0000 
               
               
                   
                   
                 delivery 
               
               
                 690.8 
                 Extended 
                 Erythematosquamous dermatosis 
                 0.0090 
               
               
                 691.8 
                 Extended 
                 Atopic dermatitis and related conditions 
                 0.0015 
               
               
                 692.9 
                 Extended 
                 Contact Dermatitis, unspecified cause 
                 0.0001 
               
               
                 693.8 
                 Extended 
                 Dermatitis due to substances taken 
                 0.0140 
               
               
                   
                   
                 internally 
               
               
                 696.1 
                 Extended 
                 Other psoriasis and similar disorders 
                 0.4500 
               
               
                 709.9 
                 Extended 
                 Other disorders of skin and subcutaneous 
                 0.0135 
               
               
                   
                   
                 tissue 
               
               
                 714.0 
                 Extended 
                 Rheumatoid arthritis 
                 1.0000 
               
               
                 733.90 
                 Extended 
                 Disorder of bone and cartilage, 
                 0.0900 
               
               
                   
                   
                 unspecified 
               
               
                 779.9 
                 Extended 
                 Other and ill-defined conditions 
                 1.0000 
               
               
                   
                   
                 originating in the perinatal 
               
               
                   
                   
                 period 
               
               
                 780.79 
                 Extended 
                 Other malaise and fatigue 
                 0.9310 
               
               
                 780.96 
                 Extended 
                 Generalized pain 
                 0.7600 
               
               
                 786.2 
                 Extended 
                 Cough 
                 0.0760 
               
               
                 842.00 
                 Extended 
                 Sprain of unspecified site of wrist 
                 0.0750