Presentation Information

Confidentiality rule:
Numbers based on 0-4 events are classified as a separate static class when a sub-county level geography (Census Tract or County Commission District) is chosen. This, in addition to offering only non-overlapping 5-year aggregates is done to assure confidentiality.
Not Reportable
At the County level or higher rates (and percents) based on 1-4 events are not reported due to statistical reliability reasons. At sub-county level (Census Tract or County Commission District), rates and percents based on 0-4 are not reported. This assures confidentiality.
Sex-Specific rates
PLEASE NOTE: Unless a sex is specifically selected, Breast, Ovarian, Cervical, Uterine and Prostate and Testes cancers will have both males and females in the numerator and denominator. Note that usually (e.g. as reported in the Vital Statistics Report), Breast, Ovarian, Cervical and Uterine have only females in both the numerator and denominator, while Prostate and Testis have only males in both the numerator and denominator.
Trendable Maps
Trendable maps are a series of choropleth maps showing change in spatial distribution of data in a selected area over selected period of time. Trendable maps share the same data class breaks which allows easy comparison between each map in the series.
Trendable Maps

Mapping Units:

Visible Layers:

Census Tracts 2020
Census Tracts are small, relatively permanent statistical subdivisions of a county or equivalent entity that are updated by local participants prior to each decennial census.
Census tracts generally have a population size between 1,200 and 8,000 people.  A census tract usually covers a contiguous area; however, the spatial size of census tracts varies widely depending on the density of settlement.  Census tract boundaries are delineated with the intention of being maintained over a long time so that statistical comparisons can be made from census to census.  Census tracts occasionally are split due to population growth or merged as a result of substantial population decline.
Census tract boundaries generally follow visible and identifiable features.  They may follow nonvisible legal boundaries, such as minor civil division (MCD) or incorporated place boundaries in some states and situations, to allow for census-tract-to-governmental-unit relationships where the governmental boundaries tend to remain unchanged between censuses.  State and county boundaries always are census tract boundaries in the standard census geographic hierarchy. Reference Source: U.S. Commerce Department, United States Census Bureau, February 2022.
Cities/Towns
A mix of both incorporated places (legal entities) and census designated places or CDPs (statistical entities). An incorporated place is established to provide governmental functions for a concentration of people. Places always nest within a state, but may extend across county and county subdivision boundaries. An incorporated place usually is a city, town, village, or borough, but can have other legal descriptions. CDPs are delineated to provide data for settled concentrations of population that are identifiable by name, but are not legally incorporated under the laws of the state in which they are located. Click on city/town name to highlight the boundary. Reference Source: U.S. Census, 2020.
County Commission Districts
For more information, see http://www.accg.org/. The districts were established in 2014, and were obtained from the Association of County Commissioners of Georgia (ACCG). Further processing was performed by the Office of Health Indicators for Planning (OHIP) of the Georgia Department of Public Health. History and role: In 1868 the state began creating the position of county commissioner to administer the general operations of the county. Today every county has a commissioner; many have a board of commissioners (BOC). As part of general county operations, the BOC must finance county programs. A BOC has the power to adopt ordinances, resolutions, or regulations relating to county property, county affairs, and the operation of local government (http://www.georgiaencyclopedia.org/nge/Article.jsp?id=h-589 ).
GA House Districts
Electoral districts from which State Representatives are elected. The Georgia Constitution requires not less than 180 Representatives apportioned by population from representative districts. Layer Source: https://www.legis.ga.gov/, Adopted 2023 – Effective for 2024 Elections.
GA Senate Districts
Electoral districts from which State Senators are elected. The Georgia Constitution limits the number to not more than 56 single member districts. Senate districts are apportioned based on population. Layer Source: https://www.legis.ga.gov/, Adopted 2023 – Effective for 2024 Elections.
Hospitals
Hospitals are the non-Federal acute-care inpatient medical facilities in Georgia. Click on the symbol to get the name. Reference Source: Georgia Hospital Association, 2021.
Interstates
Interstates are the freeways that are part of the Interstate Highway System in Georgia. The Interstate Highway System connects major cities within the United States. Click on the line to get the Interstate number. Layer Source: Esri, March 1, 2012.
Major Roads
Major roads are a combination of both federal and state highways connecting cities and towns. Click on the line to get the route number. Layer Source: Esri, March 1, 2012.
Perinatal Regions
The Perinatal Regions were established by the Department of Public Health in cooperation with the six teaching hospitals located in Atlanta, Albany, Augusta, Columbus, Macon and Savannah. The Regions reflect the hospital referral patterns for high risk pregnant women and newborns Each of the six hospitals has a Regional Perinatal Center which has contracts with the state and receives funding to care for high risk pregnant women and infants as well as to train staff from other hospitals in perinatal care especially for high risk patients. Reference Source: Georgia Department of Public Health, March 2005.
ZIP Code
Established by the U.S. Postal Service for distribution of mail. Zip codes do not generally respect political boundaries or census areas such as tracts. Zip codes usually do not have clearly identifiable boundaries, often serve a continually changing area, are changed periodically to meet postal requirements, and do not cover all land area in the U.S. Layer Source: Esri, June 1, 2020.

Base Layers:

Base layers are background information to provide contextual references for local-level maps. They are especially suited for tract-level maps and give real-world reference to maps you create in OASIS. There are three toggle-able (on/off) base layers:
Demographic Clusters
Demographic Clusters refer to the socioeconomic status classifications created by OHIP, and are at the census block-group level. More information here: https://oasis.state.ga.us/gis/demographiccluster/DemoClusters2011.htm
Aerial Photography
Aerial Photography refers to ESRI's World Imagery.
Socioeconomic (SES) Vulnerability
Socioeconomic (SES) Vulnerability refers to the socioeconomic status domain/subset of the CDC’s Social Vulnerability Index (SVI) 2020. Socioeconomic vulnerability ranks census tracts within Georgia on 5 factors: below 150% poverty, unemployed, housing cost burden, no high school diploma, and no health insurance. Percentile ranking values range from 0 to 1, with higher values indicating greater vulnerability/lower socioeconomic status. Quintiles of the percentile rankings were used to create class breaks (Very Low, Low, Average, High and Very High SES Vulnerability). Keep in mind that “Very Low” SES Vulnerability equates to a High SES status. For more information see https://www.atsdr.cdc.gov/placeandhealth/svi/index.html. For data dictionary click here.
Street Map
Street Map refers to ESRI's World Street Map with street-level data for North America.

Data Classification Methods:

Quantiles: splits the data into equal-sized groups, for example dividing all 159 counties into 5 groups from smallest number to largest. Roughly 32 counties will be in each group.
Natural Breaks (Jenks): looks for clusters in the data and groups similar values together, so each group has numbers that are more alike. For example, if mapping counts by county, Fulton may stand out by itself and be the only county in its group.
Which to use? That depends on what questions you’re trying to answer, and the distribution of the underlying data. Quantiles usually produces more compelling maps when using the Trendable Maps feature on OASIS. Jenks is useful to highlight natural patterns in the data and outliers. In sum:
Quantiles: Showing Overall Spatial Patterns Across Areas
Natural Breaks (Jenks): Highlighting Areas With Distinctly High or Low Values

Definitions:

Age
Ages are presented by Detailed Age Groups, Lifestages and Single Year of Age which is created by the Department of Public Health, OHIP. Also, note that selecting "all ages" will supercede any start and end age selection. Uncheck "all ages" to make an age-specific selection.
Age-Adjusted Rates
A weighted average of the age-specific rates, where the weights are the proportions of persons in the corresponding age groups of a standard population. The calculation of an Age-Adjusted Rate uses the year 2000 U.S. standard million. Benefit: Controls for differences in age structure so that observed differences in rates across areas such as counties are not due solely to differences in the proportion of people in different age groups in different areas. Rates are per 100,000 population.
Cause Categories/Groupings
OASIS Detailed Cause Groups: These categories can be more detailed than rankable cause categories and are not mutually exclusive. Causes are organized in parent-child relationships: For example 'Motor Vehicle Crashes' is a child cause of the 'External Causes' parent. Parent causes have a broader definition of ICD codes than child causes. Note: Adding up all the child causes will not necessarily add up to the parent cause.
Georgia Rankable Cause Groups: Georgia Rankable Causes are mutually exclusive cause categories and therefore rankable. They are unique to Georgia and were developed to represent mutually exclusive groups of ICD codes that are intended to share common etiology and/or common intervention.
NCHS Rankable Cause Groups: NCHS Rankable Causes are mutually exclusive cause categories and therefore rankable. They are prepared by the National Center for Health Statistics and used nationwide.
Cause Group use: See the Cause Definitions tables below for details of each cause category. Generally, use Rankable Cause Groups if ranking by cause and Detailed Cause Groups when looking for more detail.
Cause of Emergency Room Visit
Causes are based on the principal diagnosis, except where the principal diagnosis is an injury code. All discharges/ER visits having ICD-9-CM external causes (injuries) are assigned their appropriate External Cause of Injury Code (E-Code) in accordance with STIPDA (State and Territorial Injury Prevention Directors Association) 2003 guidelines. The standards can be found at: http://www.safestates.org/.
Similarly, all hospital discharges/ER visits having ICD-10-CM causes are based on the principal diagnosis, except where the principal diagnosis is an Injury code. If so, the Discharge/ER visit is assigned the appropriate External Cause of Injury in accordance with Safe States guidelines. See OASIS CAUSE LEVELS.
Data Classes
Also referred to as "class breaks" or groupings of data.
Deduplicated ER Visits
The number of ER patients discharged alive from non-Federal acute-care facilities (hospitals) for illness. Only ER visits of Georgia residents who were seen in a Georgia facility are included. Persons are counted only once if readmitted for the same chronic condition during a calendar year. Deduplicated ER visits also exclude people discharged dead, healthy newborn infants, and healthy mothers giving birth to newborn infants. Since the number and rate are derived only from ER visits, they do not include all existing cases (prevalence) or new cases (incidence) among residents of Georgia.
ER Visits
The number of emergency room visits to non-Federal acute care inpatient facilities. Only discharges of Georgia residents who were seen in a Georgia facility are included. Persons can be counted more than once if readmitted. Visits include people both living and who have died, but not those admitted as an inpatient to a hospital. (ER data and Discharge data are mutually exclusive). Since the number and rate are derived only from ER visits, they do not include all existing cases (prevalence) or new cases (incidence) among residents of Georgia. ER Visits are reported by date of discharge, not admitting date.
ER Visit Rate
Formula = [Number of ER Visits / Population] * 100,000. Rates that use Census Population Estimates in the denominator are unable to be calculated when the selected population is Unknown.
Ethnicity
Hispanic or Latino includes persons of Mexican, Puerto Rican, Cuban, South or Central American, or other Spanish culture or origin, regardless of race. Non-Hispanic + Hispanic may not equal the total number of events due to persons of unknown ethnicity.
International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM)
A statistical classification system, in use since 1979, that arranges diseases and injuries into groups according to established criteria. It is used to improve comparability of cause of death statistics reported by different governmental entities. Most ICD-9-CM codes are numeric and consist of three, four or five numbers and a description. The codes are revised approximately every 10 years by the World Health Organization and annual updates are published by the Health Care Financing Administration (HCFA), now the Center for Medicare, Medicaid Services.
International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) vs. ICD10
The National Center for Health Statistics (NCHS), the Federal agency responsible for use of the International Statistical Classification of Diseases and Related Health Problems, 10th revision (ICD-10) in the United States, has developed a clinical modification (CM) of the classification for morbidity (hospital and ER data) purposes. The ICD-10 is used to code and classify mortality data from death certificates, having replaced ICD-9 for this purpose as of January 1, 1999. ICD-10-CM is the replacement for ICD-9-CM, effective October 1, 2015 in discharge and ER data.
The ICD-10 is copyrighted by the World Health Organization (WHO). WHO has authorized the development of an adaptation of ICD-10 for use in the United States (ICD-10-CM). All modifications to the ICD-10 must conform to WHO conventions for the ICD. https://www.cdc.gov/nchs/icd/icd10cm.htm
Lifestages
An age year grouping methodology based upon predictable mortality. Georgia uses the following Lifestages: <1 Infancy, 1-4 Early Childhood, 5-12 Later Childhood, 13-19 Adolescence, 20-29 Early Adulthood, 30-44 Young Adulthood, 45-59 Middle Adulthood, 60-74 Late Adulthood, and 75+ Older Adulthood. The highest value for age is 120 years.
Payor
Payor is the primary entity responsible for payment of services. Values for Payor include:
Percent of ER Visits by Cause
The percent of Emergency Room Visits or deduplicated Emergency Room Visits from a selected cause(s) in selected geography(ies) is of all Emergency Room Visits or deduplicated Emergency Room Visits in the selected geography(ies). If a cause is not selected the user will be prompted to select a cause.
Formula = [Number of ER Visits from Cause / Total number of ER Visits] * 100. Example of what this can tell you: "Of all ER Visits, paid for by Medicaid, what percentage are from diabetes?"
Race
Per the Federal Office of Management and Budget, Directive 15 (1997),
Socioeconomic (SES) Vulnerability
Socioeconomic (SES) Vulnerability refers to the socioeconomic status domain/subset of the CDC’s Social Vulnerability Index (SVI) 2020. Socioeconomic vulnerability ranks census tracts within Georgia on 5 factors: below 150% poverty, unemployed, housing cost burden, no high school diploma, and no health insurance. Percentile ranking values range from 0 to 1, with higher values indicating greater vulnerability/lower socioeconomic status. Quintiles of the percentile rankings were used to create class breaks (Very Low, Low, Average, High and Very High SES Vulnerability). Keep in mind that “Very Low” SES Vulnerability equates to a High SES status. For more information see https://www.atsdr.cdc.gov/placeandhealth/svi/index.html. For data dictionary click here.
Standard ER Visit Ratio / Standard ER Deduplicated Visit Ratio
Answers whether a local rate is statistically significantly different from the same rate for the State. Standard ER Visit Ratio or Standard ER Deduplicated Visit Ratio is a statistical calibrator of confidence level in the rates of populations. It is indicative whether a rate is within the "normal" range of estimated values or significantly higher/lower to such estimates. Rates are compared to those for Georgia as a whole. State rates are the standard against which local rates are compared, in order to forecast the number of likely events in a local area. It is a statistic indicating significance at the 95% confidence level.
Higher: Significantly higher ratio than expected based on the State ratio. Expected: No significant difference as compared to the State. Lower: Significantly lower ratio as compared with the State.


OASIS Detailed Cause Definitions
Layman Term ICD10 (ICD9) codes / Underlying Cause
ICD-10-CM**		 International Classification of Diseases Term Description
Infectious and Parasitic Diseases A00-B99 (001-139.8) Certain Infectious and Parasitic Diseases Includes the most common of the infectious and parasitic diseases.
Blood Poisoning (Septicemia) A40-A41 (038) Septicemia A systematic disease caused by pathogenic organisms or their toxins in the bloodstream. 92% due to Septicaemia, unspecified.*
HIV/AIDS B20.0-B24 (042-044) Human immunodeficiency virus (HIV) disease HIV is a retro-virus, formerly known as HTLV-III, that causes the disease of the immune system known as AIDS.
TB A16-A19 (010-018). ICD10CM includes A15 Tuberculosis A communicable disease of humans and animals caused by the microorganism, Mycobacterium tuberculosis, and manifesting itself in lesions of the lung, bone, and other body parts. 63% due to Respiratory tuberculosis, not confirmed bacteriologically or histologically.*
Meningitis A39 (036) Meningococcal infection Inflammation of any or all of the membranes enclosing the brain and spinal cord, usually caused by a bacterial infection.
COVID-19 U07.1 COVID-19, Virus Identified COVID-19, virus identified. Includes only cases confirmed by laboratory testing.  Does not include cases diagnosed clinically or epidemiologically but laboratory testing is inconclusive or not available.
Cancers C00-C97 (140-208) Malignant Neoplasms The uncontrolled growth of abnormal cells which have mutated from normal tissues. Cancer can kill when these cells prevent normal function of affected vital organs or spread throughout the body to damage other key systems.
Oral Cancer C00-C14.8 (140-149) Malignant neoplasms of lip, oral cavity and pharynx Involves abnormal, malignant tissue growth in the mouth. 29% due to Pharynx, unspecified, 16% due to Tongue, unspecified.*
Throat Cancer C15 (150) Malignant neoplasm of esophagus Involves a malignant tumor of the esophagus (the muscular tube that propels food from the mouth to the stomach).
Stomach Cancer C16 (151) Malignant neoplasm of stomach Involves a malignant tumor of the stomach.
Colon Cancer C18-C21 (153-154) Malignant neoplasms of colon, rectum and anus Colon and rectum cancers arise from the lining of the large intestine. 60% due to Colon, unspecified.*
Liver Cancer C22 (155) Malignant neoplasms of liver and intrahepatic bile ducts Involves a malignant tumor of the liver.
Pancreatic Cancer C25 (157) Malignant neoplasm of pancreas Involves a malignant tumor of the pancreas.
Lung Cancer C33-C34 (162) Malignant neoplasms of the trachea, bronchus and lung Involves a malignant tumor of the lungs.
Skin Cancer C43 (172) Malignant melanoma of the skin Involves malignant skin tumors involving cancerous changes in skin cells. 20% due to Malignant melanoma of trunk, 12% due to Malignant melanoma of scalp and neck.*
Breast Cancer C50 (174-175) Malignant neoplasm of the breast Involves a malignant growth that begins in the tissues of the breast.
Cervical Cancer C53 (180) Malignant neoplasm of the cervix uteri Involves a malignant growth of the uterine cervix, the portion of the uterus attached to the top of the vagina.
Uterine Cancer C54-C55 (179, 182) Malignant neoplasms of corpus uteri and uterus, part unspecified Involves cancerous growth of the endometrium (lining of the uterus).
Ovarian Cancer C56 (183.0) Malignant neoplasm of ovary Involves a malignant neoplasm (abnormal growth) located on the ovaries.
Prostate Cancer C61 (185) Malignant neoplasm of prostate Involves a malignant tumor growth within the prostate gland.
Testicular Cancer C62 (186) Malignant neoplasm of testis Involves an abnormal, rapid, and invasive growth of cancerous (malignant) cells in the testicles (male sex glands adjacent to the penis).
Bladder Cancer C67 (188) Malignant neoplasm of bladder Involves a malignant tumor growth within the bladder. Bladder cancers usually arise from the transitional cells of the bladder (the cells lining the bladder).
Kidney Cancer C64-C65 (189.0-189.1) Malignant neoplasms of kidney and renal pelvis Involves the growth of cancerous cells in the kidney and its subdivisions or calyces that empties urine into the ureter, which leads to the bladder.
Brain Cancer C70-C72 (191-192) Malignant neoplasms of meninges, brain and other parts of central nervous system Involves a mass created by growth of abnormal cells in the brain.
Lymph Cancer (Hodgkin's Disease) C81 (201) Hodgkin's Disease A sometimes fatal cancer marked by enlargement of the lymph nodes, spleen, and liver.
Leukemia C91-C95 (204-208) Leukemia Any of various neoplastic diseases of the bone marrow involving uncontrolled proliferation of the white or colorless nucleated cells present in the blood, usually accompanied by anemia and enlargement of the lymph nodes, liver, and spleen. 44% due to Acute lymphoblastic leukaemia.*
Blood Diseases (Anemias) D50-D64 (280-285) Anemias A deficiency in the oxygen-carrying material of the blood, measured in unit volume concentrations of hemoglobin, red blood cell volume, and red blood cell number.
Sickle Cell Anemia D57.0-D57.3, D57.8, D58.2 (282.5-282.6) Sickle Cell Trait and Disease A hereditary anemia marked by the presence of oxygen-deficient sickle cells, episodic pain, and leg ulcers. 73% due to Sickle-cell anaemia with crisis.*
Endocrine, Nutritional, and Metabolic Diseases E00-E90 Endocrine, Nutritional and Metabolic Diseases A series of diseases or conditions related to various endocrine, nutritional and metabolic disorders.
Diabetes E10-E14 (250) Diabetes mellitus A life-long disease marked by elevated levels of sugar in the blood. It can be caused by too little insulin (a chemical produced by the pancreas to regulate blood sugar), resistance to insulin, or both. 13% due to type 1, 86% type 2.*
All other Endocrine, Nutritional and Metabolic Diseases E00-E09.99, E15-E90.99 (240-249.99, 251-279.99) All other Endocrine, Nutritional and Metabolic Diseases 49% due to Volume depletion.*
Mental & Behavioral Disorders F00.0-F99 (290-319) Mental and Behavioral Disorders Any of a series of mental and Behavioral disorders, which may be developmental or brought on by external factors.
Disorders Related to Drug Use F10.0-F19.9 (291-293.9) Mental and behavioral disorders due to psychoactive substance use Disorders Related to Drug Use are the misuse or overuse of any medication or drug, including alcohol and tobacco. 55% due to Use of alcohol.*
All Other Mental and Behavioral Disorders F00-F09.99, F20-F99.99 (290-290.99, 294-319.99) All Other Mental and Behavioral Disorders 22% due to Anxiety disorder, unspecified, 15% due to Depressive episode, unspecified.*
Nervous System Diseases G00.0-G99.8 (320-359) Diseases of the Nervous System Includes diseases of the central and peripheral nervous systems, including degenerative conditions of the nervous systems.
Alzheimer's Disease G30 (331.0) Alzheimer's disease A severe neurological disorder marked by progressive dementia and cerebral cortical atrophy.
Parkinson's Disease G20-G21 (332) Parkinson's disease A progressive neurological disease, characterized by muscular tremor, slowing of movement, partial facial paralysis, peculiarity of gait and posture, and weakness.
All Other Diseases of the Nervous System G00-G19.99, G22-G29.99, G31-G99.99 (320-330.99, 331.1-331.99, 333-359.99) All Other Diseases of the Nervous System 22% due to Pain, not elsewhere classified, 18% due to Migraine, unspecified.*
Major Cardiovascular Diseases I00-I78 (390-434, 436-448) Major Cardiovascular Diseases Diseases related to the major parts of the circulatory system.
High Blood Pressure (Hypertension) I10, I12 (401, 403) Essential (primary) hypertension and hypertensive renal disease A disorder characterized by high blood pressure; generally this includes systolic blood pressure consistently higher than 140, or diastolic blood pressure consistently over 90. 76% due to Essential (primary) hypertension.*
Rheumatic Fever & Heart Diseases I00-I09 (390-398) Acute rheumatic fever and chronic rheumatic heart diseases A severe infectious disease occurring chiefly in children, marked by fever and painful inflammation of the joints and often resulting in permanent damage to the heart valves. 27% due to Rheumatic fever without mention of heart involvement, 16% due to Tricuspid insufficiency.*
Hypertensive Heart Disease I11 (402) Hypertensive heart disease A late complication of hypertension (high blood pressure) that affects the heart. 97% due to Hypertensive heart disease with (congestive) heart failure.*
Obstructive Heart Diseases (Ischemic Heart Diseases, includes Heart Attack) I20-I25 (410-414, 429.2) Ischemic heart disease (incl. heart attack) Patients with this condition have weakened heart pumps, either due to previous heart attacks or due to current blockages of the coronary arteries. There may be a build-up of cholesterol and other substances, called plaque, in the arteries that bring oxygen to heart muscle tissue.
Stroke I60-I69 (430-434, 436-438) Cerebrovascular Disease The sudden severe onset of the loss of muscular control with diminution or loss of sensation and consciousness, caused by rupture or blocking of a cerebral blood vessel.
Hardening of the Arteries I70 (440) Atherosclerosis A disease characterized by thickening and hardening of artery walls, which may narrow the arteries and eventually restricts blood flow.
Aortic Aneurysm & Dissection I71 (441) Aortic aneurysm and dissection This is a condition in which there is bleeding into and along the wall of (dissection), or the abnormal widening or ballooning of (aneurysm), the aorta (the major artery from the heart).
Hypertensive Heart and Chronic Kidney Disease I13 (404) Hypertensive Heart and Chronic Kidney Disease 100% due to forms of Hypertensive heart and renal disease.*
All other Other diseases of circulatory system I72-I78.99 (442-448.99) All other Other diseases of circulatory system 46% due to Peripheral vascular disease, unspecified.*
Respiratory Diseases J00-J99.8 (460-519) Diseases of the Respiratory System Diseases related to the process or organs involved in breathing.
Flu J09-J11 (487) Influenza An acute infectious viral disease marked by inflammation of the respiratory tract, fever, muscular pain, and irritation of the bowels. 46% influenza virus identified.*
Pneumonia J12-J18 (480-486) Pneumonia An acute or chronic disease caused by viruses, bacteria, or physical and chemical agents and characterized by inflammation of the lungs. 74% due to Pneumonia, unspecified.*
Bronchitis J40-J42 (490-491). ICD10CM includes J44 if secondary = bronchitis Bronchitis and Chronic Unspecified Chronic inflammation of the mucous membrane of the bronchial tubes. 98% due to Bronchitis, not specified as acute or chronic.*
Emphysema J43 (492) Emphysema A pulmonary condition characterized by dilation of the air vesicles in the lungs following atrophy of the septa, resulting in labored breathing and greater susceptibility to infection.
Asthma J45-J46 (493). ICD10CM includes J44 if secondary = asthma Asthma A chronic respiratory disease, often arising from allergies and accompanied by labored breathing, chest constriction, and coughing.
All other Chronic lower respiratory diseases J44-J44.99, J47-J47.99 (494-494.99, 496-496.99). ICD10CM excludes J44 All other Chronic lower respiratory diseases 55% due to Chronic obstructive pulmonary disease with acute lower respiratory infection.*
Digestive System Diseases K00.0-K93.8 (520-579) Diseases of Digestive System Includes diseases associated with the organs necessary for the digestion of food.
Alcoholic Liver Disease K70 (571.0-571.3) Alcoholic liver disease Involves an acute or chronic inflammation of the liver induced by alcohol abuse
All other chronic liver disease and cirrhosis K73-K74.99 (571.4-571.99) All other chronic liver disease and cirrhosis 97% due to Other and unspecified cirrhosis of liver.*
Reproductive and Urinary System Diseases N00-N99 Diseases of the Genitourinary System Diseases relating to the organs of reproduction and urination.
Kidney Diseases N00-N07, N17-N19, N25-N27 (580-589) Nephritis, nephrotic syndrome and nephrosis Any disease or disorder that affects the function of the kidneys. 62% due to Acute renal failure.*
Kidney Infections N10-N12, N13.6, N15.1 (590) Infections of Kidney These are infections of the kidney and the ducts that carry urine away from the kidney (ureters). 58% due to Tubulo-interstitial nephritis, not specified as acute or chronic.*
All other Diseases of the genitourinary system N08-N09.99, N13-N13.59, N13.7-N15.09, N15.2-N16.99, N20-N24.99, N28-N99.99 (591-629.99) All other Diseases of the genitourinary system 33% due to Urinary tract infection, site not specified.*
Bone and Muscle Diseases M00-M99 (710-739) Diseases of the Musculoskeletal System and Connective Tissue Diseases of the musculoskeletal system and connective tissue. 50% due to Pain in either joints, lower back, or limb.*
Fetal & Infant Conditions P00.0-P96.9 (760-771.2, 771.4-779) Certain Conditions Originating in the Perinatal Period Conditions to the fetus/child associated with the period of time near birth.
Prematurity P07 (765) Disorders related to short gestation and low birth weight, not elsewhere classified Disorders related to short gestation and low birth weight, not elsewhere classified. 78% due to Other preterm infants.*
Lack of Oxygen to the Fetus P20-P21 (768) Intrauterine hypoxia and birth asphyxia Any condition during pregnancy or childbirth where the oxygen is cut off to the fetus.
Respiratory Distress Syndrome P22 (769) Respiratory distress of newborn Respiratory distress syndrome of the newborn, also called hyaline membrane disease, is a lung disorder that primarily affects premature infants and causes increasing difficulty in breathing. 42% due to Respiratory distress of newborn, unspecified, 41% due to Transient tachypnoea of newborn.*
Birth-related Infections P35-P39 (771.0-771.2, 771.4-771.8) Infections specific to the perinatal period Infections specific to the period of time near birth. 53% due to Neonatal candidiasis.
Birth Defects Q00.0-Q99.9 (740-759) Congenital Malformations, Deformations and Chromosomal Abnormalities A physiological or structural abnormality that develops at or before birth and is present at birth, especially as a result of faulty development, infection, heredity, or injury.
Neural Tube Defects Q00-Q07 (740-742) Congenital malformations of the nervous system A defect occurring early in fetal development that damages the primitive tissue which will become the brain and spinal cord. 17% due to Spina bifida, unspecified.*
SIDS R95 (798.0) SIDS Sudden infant death syndrome (SIDS) is the unexpected, sudden death of any infant or child under one year old in which an autopsy does not show an explainable cause of death.
External Causes V00-Y97 (E800-E999) External Causes of Morbidity All causes that affect the human body that originate from an external source.
Motor Vehicle Crashes V02-V04, V09.0, V09.2, V12-V14, V19.0-V19.2, V19.4-V19.6, V20-V79, V80.3-V80.5, V81.0-V81.1, V82.0-V82.1, V83-V86, V87.0-V87.8, V88.0-V88.8, V89.0, V89.2 (E810-E825) Motor vehicle accidents Consists of all accidents in which any motorized vehicle (car, truck, motorcycle, etc. ) was involved, including ones involving motor vehicles injuring pedestrians or bicyclists. 3% were pedestrians.*
Falls W00-W19 (E880-E888) Falls All accidental injuries caused by an individual losing their balance. 21% due to Fall on same level from slipping, tripping and stumbling at home, 16% due to Other fall on same level at a sports and athletics area.*
Accidental Shooting W32-W34 (E922) Accidental discharge of firearms Injury as a result of the accidental discharge of a firearm. 82% due to Discharge from other and unspecified firearms at home.*
Drowning W65-W74 (E910) Accidental drowning and submersion Drowning from being submerged in water or other fluid. 88% due to Unspecified drowning and submersion.*
Fire & Smoke Exposure X00-X09 (E890-E899) Accidental exposure to smoke, fire and flames Accidental exposure to smoke, fire and flames.
Poisoning X40-X49 (E850-E869, E924.1) Accidental poisoning and exposure to noxious substances The act of ingesting or coming into contact with a harmful substance that may cause injury, illness, or death. 83% due to accidental poisoning by drugs, 1% due to alcohol.*
Suffocation W75-W84 (E911-E913) Suffocation Suffocation from items in bed, inhalation of gastric contents, food, airtight space, or plastic bag.
All Other Unintentional Injury V00, V01, V05-V08, V09.1, V09.3-V11, V15-V18, V19.3, V19.7-V19.9, V80.0-V80.2, V80.6-V80.9, V81.2-V81.9, V82.2-V82.9, V87.9, V88.9, V89.1, V89.3-V99, W20-W31, W35-W64, W85-99, X10-X39, X50-X59, Y85-Y86 (E800-E809, E826-E849, E900-E909, E914-E921, E923-E924.0, E924.2-E929) All Other Unintentional Injury Add to motor vehicle crashes, falls, accidental shooting, drowning, fire & smoke exposure, poisoning, and suffocation to obtain all unintentional injury. 26% due to Exposure to other specified factors.*
Suicide X60-X84, Y87.0 (E950-E959) Intentional self-harm (suicide) The act or intention of intentionally killing oneself. 19% due to Intentional self-poisoning by and exposure to narcotics and psychodysleptics [hallucinogens], not elsewhere classified, 43% due to other drugs.*
Homicide X85-Y09, Y87.1 (E960-E969) Assault (homicide) Assault of one person by another. 31% due to Assault by bodily force at home, 21% due to Assault by bodily force at a school, other institution and public administrative area, 5% due to use of a firearm.*
Legal Intervention Y35, Y89.0 (E970-E978) Legal intervention The act of an individual being harmed as a result of official legally approved intervention, such as being harmed by law enforcement during the commission of a crime, or being put to death. Does not include harm caused through an act of war.

* Based on 2017-2019 data.

** The transition from ICD-9-CM to ICD-10-CM caused the data for certain categories to require additional processing, or appear to be out of trend. External Causes: OASIS implements the recommendations of Guidance for Analysis and Reporting of Injuries by Mechanism and Intent, December 2016, published by Safe States’ Injury Surveillance Workgroup 9 to properly assign the underlying cause for records with an injury as principal diagnosis. Causes include Unintentional Injury (Motor Vehicle Crash, Falls, Accidental Shooting, Drowning, Fire & Smoke Exposure, Poisoning, Suffocation, All Other Unintentional Injury), Suicide, Homicide and Legal Intervention. http://www.safestates.org/. Chronic Bronchitis/Asthma: Principal diagnosis of Chronic obstructive pulmonary disease, unspecified [J44], when secondary diagnoses include asthma or bronchitis are included. Doing so brings the count of events into trend. Tuberculosis: Principal diagnosis of Respiratory tuberculosis, bacteriologically and histologically confirmed [A15], is included, bringing the count of events into trend. Hypertensive Heart Disease: Despite the increase in this category [principal diagnosis I11], events were properly coded in accordance with accepted guidelines. http://www.aafp.org/fpm/2014/0300/p5.html, “How to Document and Code for Hypertensive Diseases in ICD-10”. HIV/AIDS: Coding guidelines did not change between ICD-9 and ICD-10, in accordance with https://www.codeitrightonline.com/ciri/hiv-in-icd-10-same-rules-different-codes.html. However, while there is a drop in the number of events where AIDS is coded in the principal diagnosis, there is an increase in events where AIDS is coded as a secondary diagnosis. Alcoholic Liver Disease: There is shift in diagnoses from Non-Alcoholic Liver Disease [K74] to Alcoholic Liver Disease [K70]. This may be due to an improvement in testing or diagnostic procedures due to the shift in coding systems. Disorders Related to Drug Use: Some diagnoses such as Alcohol/Drug dependence and Non-dependent abuse of drugs, which were not included under this category in ICD9 [303–305], are included for ICD10. This shift in categorization, together with the increase in the number of cases, accounts for the significant increase under this category.



Georgia Rankable Cause Definitions
Rankable Cause Name ICD10-CM Codes (Underlying Cause) ICD9-CM Codes (Underlying Cause) Description*
Infectious and Parasitic Diseases
Septicemia A40-A41 038 92% due to Septicaemia, unspecified.
Human Immunodeficiency Virus (HIV) Disease B20.0-B24 042-044  
Tuberculosis A16-A19 010-018 63% due to Respiratory tuberculosis, not confirmed bacteriologically or histologically.
Meningococcal Infection A39 036  
COVID-19, Virus Identified U07.1 n/a  
Cancers
Malignant Neoplasms of Lip, Oral Cavity, Pharynx, and Esophagus C00-C15 140-150 27% due to Oesophagus, unspecified, 20% Pharynx, 11% Tongue.
Malignant Neoplasm of Stomach C16 151  
Malignant Neoplasms of Colon, Rectum and Anus C18-C21 153-154 60% due to Colon, unspecified.
Malignant Neoplasms of Liver and Intrahepatic Bile Ducts C22 155  
Malignant Neoplasm of Pancreas C25 157  
Malignant Neoplasms of the Trachea, Bronchus and Lung C33-C34 162  
Malignant Melanoma of the Skin C43 172 20% due to Malignant melanoma of trunk, 12% due to Malignant melanoma of scalp and neck.
Malignant Neoplasm of the Breast C50 174-175  
Malignant Neoplasm of the Cervix Uteri, Uterus, and Ovary C53-C56 179-180, 182, 183.0 39% due to Malignant neoplasm of ovary, 23% due to Cervix uteri, unspecified, 22% due to Endometrium, 13% due to Malignant neoplasm of uterus, part unspecified.
Malignant Neoplasm of Prostate, and Testis C61-C62 185-186  
Malignant Neoplasm of Bladder, Kidney, and Renal Pelvis C64-C65, C67 188, 189.0-189.1 58% due to Malignant neoplasm of kidney, except renal pelvis, 39% due to Bladder, unspecified.
Malignant Neoplasms of Meninges, Brain and Other Parts of Central Nervous System (CNS) C70-C72 191-192  
Hodgkin's Disease C81 201  
Leukemia C91-C95 204-208 44% due to Acute lymphoblastic leukaemia.
Blood Diseases (Anemias)
Anemias D50-D64 280-285 53% due to sickle-cell anemia, 22% unspecified anemias.
Endocrine, Nutritional, and Metabolic Diseases
Diabetes Mellitus E10-E14 250 13% due to type 1, 86% type 2.
All other Endocrine, Nutritional and Metabolic Diseases E00-E09.99, E15-E90.99 240-249.99, 251-279.99 49% due to Volume depletion.
Mental & Behavioral Disorders
Mental and Behavioral Disorders due to Psychoactive Substance Use F10.0-F19.9 291-293.9 55% due to Use of alcohol.
All Other Mental and Behavioral Disorders F00-F09.99, F20-F99.99 290-290.99, 294-319.99 22% due to Anxiety disorder, unspecified, 15% due to Depressive episode, unspecified.
Nervous System Diseases
Alzheimer's Disease G30 331.0  
Parkinson's Disease G20-G21 332  
All Other Diseases of the Nervous System G00-G19.99, G22-G29.99, G31-G99.99 320-330.99, 331.1-331.99, 333-359.99 22% due to Pain, not elsewhere classified, 18% due to Migraine, unspecified.
Major Cardiovascular Diseases
Essential (Primary) Hypertension and Hypertensive Renal, and Heart Disease I10-I13 401-404 62% due to Essential (primary) hypertension, 16% due to Hypertensive renal disease with renal failure.
Acute Rheumatic Fever and Chronic Rheumatic Heart Diseases I00-I09 390-398 27% due to Rheumatic fever without mention of heart involvement, 16% due to Tricuspid insufficiency.
Ischemic Heart and Vascular Disease I20-I25, I70-I78.99 410-414, 429.2, 440-448.99 35% due to Atherosclerotic heart disease, 18% due to Acute subendocardial myocardial infarction.
Cerebrovascular Disease I60-I69 430-434, 436-438  
Respiratory Diseases
Influenza J09-J11 487 46% influenza virus identified.
Pneumonia J12-J18 480-486 74% due to Pneumonia, unspecified.
Asthma J45-J46 493  
All COPD Except Asthma J40-J44.99, J47-J47.99 490-492, 494-494.99, 496-496.99 93% bronchitis.
Digestive System Diseases
Alcoholic Liver Disease K70 571.0-571.3  
All Other Chronic Liver Disease and Cirrhosis K73-K74.99 571.4-571.99 97% due to Other and unspecified cirrhosis of liver.
Reproductive and Urinary System Diseases
Nephritis, Nephrotic Syndrome and Nephrosis N00-N07, N17-N19, N25-N27 580-589 62% due to Acute renal failure.
Infections of Kidney N10-N12, N13.6, N15.1 590 58% due to Tubulo-interstitial nephritis, not specified as acute or chronic.
All Other Diseases of the Genitourinary System N08-N09.99, N13-N13.59, N13.7-N15.09, N15.2-N16.99, N20-N24.99, N28-N99.99 591-629.99 33% due to Urinary tract infection, site not specified.
Bone and Muscle Diseases
Diseases of the Musculoskeletal System and Connective Tissue M00-M99 710-739 50% due to Pain in either joints, lower back, or limb.
Fetal & Infant Conditions
Certain Conditions Originating in the Perinatal Period P00-P96 760-771.2, 771.4-779 13% due to 'other', 13% due to neonatal jaundice, 11% other respiratory conditions, 10% other digestive system disorders.
Birth Defects
Congenital Malformations, Deformations and Chromosomal Abnormalities Q00.0-Q99.9 740-759 5% due to Polycystic kidney, unspecified.
SIDS
SIDS R95 798.0  
External Causes
Motor Vehicle Crashes V02-V04, V09.0, V09.2, V12-V14, V19.0-V19.2, V19.4-V19.6, V20-V79, V80.3-V80.5, V81.0-V81.1, V82.0-V82.1, V83-V86, V87.0-V87.8, V88.0-V88.8, V89.0, V89.2 E810-E825 3% were pedestrians.
Falls W00-W19 E880-E888 21% due to Fall on same level from slipping, tripping and stumbling at home, 16% due to Other fall on same level at a sports and athletics area.
Accidental Discharge of Firearms W32-W34 E922 82% due to Discharge from other and unspecified firearms at home.
Accidental Drowning and Submersion W65-W74 E910 88% due to Unspecified drowning and submersion.
Accidental Exposure to Smoke, Fire and Flames X00-X09 E890-E899  
Accidental Poisoning and Exposure to Noxious Substances X40-X49 E850-E869, E924.1 83% due to accidental poisoning by drugs, 1% due to alcohol.
Suffocation W75-W84 E911-E913  
All Other Unintentional Injury V00, V01, V05-V08, V09.1, V09.3-V11, V15-V18, V19.3, V19.7-V19.9, V80.0-V80.2, V80.6-V80.9, V81.2-V81.9, V82.2-V82.9, V87.9, V88.9, V89.1, V89.3-V99, W20-W31, W35-W64, W85-99, X10-X39, X50-X59, Y85-Y86 E800-E809, E826-E849, E900-E909, E914-E921, E923-E924.0, E924.2-E929 26% due to Exposure to other specified factors.
Intentional Self-Harm (Suicide) X60-X84, Y87.0 E950-E959 19% due to Intentional self-poisoning by and exposure to narcotics and psychodysleptics [hallucinogens], not elsewhere classified, 43% due to other drugs.
Assault (Homicide) X85-Y09, Y87.1 E960-E969 31% due to Assault by bodily force at home, 21% due to Assault by bodily force at a school, other institution and public administrative area, 5% due to use of a firearm.
Legal Intervention Y35, Y89.0 E970-E978  

* Based on 2017-2019 data.

NCHS Rankable Cause Definitions
Rankable Cause Name ICD10-CM Codes ICD9-CM Codes Description*
Infectious and Parasitic Diseases
Septicemia A40-A41 038 92% due to Septicaemia, unspecified.
Human Immunodeficiency Virus (HIV) Disease B20-B24 042-044  
Tuberculosis A16-A19 010-018 63% due to Respiratory tuberculosis, not confirmed bacteriologically or histologically.
Meningococcal Infection A39 036  
Salmonella Infections A01-A02 002-003  
Shigellosis and Amebiasis A03, A06 004, 006  
Whooping Cough A37 033  
Scarlet Fever and Erysipelas A38, A46 034.1-035  
Syphilis A50-A53 090-097  
Acute Poliomyelitis A80 045  
Arthropod-Borne Viral Encephalitis A83-A84, A85.2 062-064 100% St Louis encephalitis.
Measles B05 055  
Viral Hepatitis B15-B19 070 62% other or unspecified Viral hepatitis.
Malaria B50-B54 084  
COVID-19, Virus Identified U07.1 n/a
Cancers
Malignant Neoplasms C00-C97 140-208 12% due to Lung Cancer, 6% Breast, 5% Colon, 5% Prostate, 5% Acute lymphoblastic leukaemia, 4% Pancreas, 3% Brain
In Situ Neoplasms, Benign Neoplasms and Neoplasms of Uncertain or Unknown Behavior D00-D49 210-239 54% due to Leiomyoma of uterus, unspecified.
Blood Diseases (Anemias)
Anemias D50-D64 280-285 53% due to sickle-cell anemia, 22% unspecified anemias.
Endocrine, Nutritional, and Metabolic Diseases
Diabetes Mellitus E10-E14 250 13% due to type 1, 86% type 2.
Nutritional Deficiencies E40-E64 260-269 34% due to protein-energy malnutrition, 16% Deficiency of other specified B group vitamins.
Nervous System Diseases
Alzheimer's Disease G30 331.0  
Parkinson's Disease G20-G21 332  
Meningitis G00, G03 320-322 56% due to Meningitis, unspecified, 25% Nonpyogenic meningitis, 12% Bacterial meningitis, unspecified.
Major Cardiovascular Diseases
Essential (Primary) Hypertension and Hypertensive Renal Disease I10, I12 401, 403 76% due to Essential (primary) hypertension.
Diseases of Heart I00-I09, I11, I13, I20-I51 390-398, 402, 404, 410-429 18% due to Atrial fibrillation and flutter, 13% Cardiac arrest, unspecified, 11% Hypertensive heart disease with (congestive) heart failure.
Cerebrovascular Disease I60-I69 430-434, 436-438  
Atherosclerosis I70 440  
Aortic Aneurysm and Dissection I71 441  
Respiratory Diseases
Influenza and Pneumonia J09-J18 480-487 67% due to Influenza, 24% Pneumonia, unspecified.
Acute Bronchitis and Bronchiolitis J20-J21 466 86% due to acute bronchiolitis or bronchitis, unspecified.
Chronic Lower Respiratory Diseases (CLRD) J40-J47 490-494, 496 43% due to Bronchitis, 53% due to Asthma.
Pneumoconioses and Chemical Effects J60-J66, J68 500-506 47% due to Bronchitis and pneumonitis due to chemicals, gases, fumes and vapours.
Pneumonitis Due to Solids and Liquids J69 507  
Digestive System Diseases
Chronic Liver Disease and Cirrhosis K70, K73-K74 571 46% due to Other and unspecified cirrhosis of liver, 35% due to Alcoholic cirrhosis of liver.
Peptic Ulcer K25-K28 531-534  
Diseases of Appendix K35-K38 540-543 83% due to Acute appendicitis.
Hernia K40-K46 550-553  
Cholelithiasis and Other Disorders of Gallbladder K80-K82 574-575 56% due to Calculus of gallbladder without cholecystitis.
Reproductive and Urinary System Diseases
Nephritis, Nephrotic Syndrome and Nephrosis N00-N07, N17-N19, N25-N27 580-589 62% due to Acute renal failure.
Infections of Kidney N10-N12, N13.6, N15.1 590 58% due to Tubulo-interstitial nephritis, not specified as acute or chronic.
Hyperplasia of Prostate N40 600  
Inflammatory Diseases of Female Pelvic Organs N70-N76 614-616 64% due to Acute vaginitis.
Fetal & Infant Conditions
Certain Conditions Originating in the Perinatal Period P00-P96 760-771.2, 771.4-779 13% due to 'other', 13% due to neonatal jaundice, 11% other respiratory conditions, 10% other digestive system disorders.
Birth Defects
Congenital Malformations, Deformations and Chromosomal Abnormalities Q00-Q99 740-759 5% due to Polycystic kidney, unspecified.
External Causes
Unintentional Injuries V00-X59, Y85-Y86 E800-E869, E880-E929 28% due to Falls, 15% Motor vehicle accidents, 2% accidental Poisoning.
Intentional Self-Harm (Suicide) X60-X84, Y87.0 E950-E959 19% due to Intentional self-poisoning by and exposure to narcotics and psychodysleptics [hallucinogens], not elsewhere classified, 43% due to other drugs.
Assault (Homicide) X85-Y09, Y87.1 E960-E969 31% due to Assault by bodily force at home, 21% due to Assault by bodily force at a school, other institution and public administrative area, 5% due to use of a firearm.
Legal Intervention Y35, Y89.0 E970-E978  

* Based on 2017-2019 data.

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