Case Definitions

IndicatorCase Definition
Fatal Overdoses
Opioid Overdose DeathsOpioids identified as the cause of death by Florida Medical Examiners by county where death occurred. Data source: Florida Department of Law Enforcement. For more information regarding drugs included in this definition, please see the FDLE Drugs in Deceased Persons Reports on the Resources tab.
Drug Overdose DeathsDrugs identified as the cause of death by Florida Medical Examiners by county where death occurred. Data source: Florida Department of Law Enforcement. For more information regarding drugs included in this definition, please see the FDLE Drugs in Deceased Persons Reports on the Resources tab.
Opioid Overdose Annual Age-Adjusted Death RateOpioids identified as the cause of death by Florida Medical Examiners by county where death occurred. Data source: Florida Department of Law Enforcement. For more information regarding drugs included in this definition, please see the FDLE Drugs in Deceased Persons Reports on the Resources tab.
Drug Overdose Annual Age-Adjusted Death RateDrugs identified as the cause of death by Florida Medical Examiners by county where death occurred. Data source: Florida Department of Law Enforcement. For more information regarding drugs included in this definition, please see the FDLE Drugs in Deceased Persons Reports on the Resources tab.
Emergency Medical Service Responses to Drug Overdoses
Emergency Medical Service Responses to a Suspected Opioid-involved OverdosePatients with an identified opioid overdose during an emergency medical service transport. Data source: Florida Department of Health, EMSTARS.
Emergency Medical Service Responses to a Suspected Drug Overdose Including OpioidsPatients with an identified drug overdose (opioids or other drugs) during an emergency medical service transport. Data source: Florida Department of Health, EMSTARS.
All Drug Non-fatal Overdose Emergency Department Visits
All Drug Non-fatal Overdose Emergency Department VisitsNon-fatal emergency department visits (ED) with either of the following: 1) ICD-9-CM codes listed in the primary diagnosis, secondary diagnosis, or external cause fields: 960-979, E850-E858, E905.0-E950.5, E962.0, E980.0-E980.5. 2) ICD-10-CM codes listed in the primary or secondary diagnoses fields: T36-T50 that have a 6th character indicating unintentional, intentional self-harm, assault, or undetermined intent (except for T36.9, T37.9, T39.9, T41.4, T42.7, T43.9, T45.9, T47.9, and T49.9 where 5th character indicating unintentional, intentional self-harm, assault, and undetermined intent) and a 7th character indicating an initial encounter. Counts less than 5 are suppressed. Non-fatal hospitalizations and ED visit indicators are not mutually exclusive as more than one type of drug may be listed. Effective October 1, 2015, the ICD 9th Revision Clinical Modification (ICD-9-CM) transitioned to ICD 10th Revision Clinical Modification (ICD-10-CM). ED record data before October 2015 use ICD-9-CM; starting in October 2015, ED data use ICD-10-CM. Consequently, increases or decreases starting in 2015 may not be due to changes in disease trends but due to changes in coding. Data source: Florida Agency for Health Care Administration (AHCA). For more information regarding drugs included in this definition, please see the CSTE Guidance Document on the Resources tab.
Unintentional/Undetermined Non-fatal Drug Overdose Emergency Department VisitsNon-fatal emergency department visits with either of the following: 1) ICD-9-CM codes listed in the primary diagnosis, secondary diagnosis, or external cause fields: 960-979, E850-E858, E905.0-E950.5, E962.0, E980.0-E980.5. 2) ICD-10-CM codes listed in the primary or secondary diagnoses fields: T36-T50 that have a 6th character indicating unintentional or undetermined intent (except for T36.9, T37.9, T39.9, T41.4, T42.7, T43.9, T45.9, T47.9, and T49.9 where 5th character indicating unintentional or undetermined intent) and a 7th character indicating an initial encounter. Data supplied by the Florida Agency for Health Care Administration (AHCA). Counts <5 and year-to-date are suppressed. Non-fatal hospitalizations and ED visit indicators are not mutually exclusive as more than one type of drug may be listed. Effective October 1, 2015, the ICD 9th Revision Clinical Modification (ICD-9-CM) transitioned to ICD 10th Revision Clinical Modification (ICD-10-CM). ED record data before October 2015 use ICD-9-CM; starting in October 2015, ED data use ICD-10-CM. Consequently, increases or decreases starting in 2015 may not be due to changes in disease trends but due to changes in coding. Trends between ICD-9-CM and ICD-10-CM should not be compared as these coding systems are different from each other. County level results are based on county of residence.
Intentional Self-harm Non-fatal Drug Overdose Emergency Department VisitsNon-fatal emergency department visits with either of the following: 1) ICD-9-CM codes listed in the primary diagnosis, secondary diagnosis, or external cause fields: E905.0-E950.5. 2) ICD-10-CM codes listed in the primary or secondary diagnoses fields: T36-T50 that have a 6th character indicating intentional self-harm intent (except for T36.9, T37.9, T39.9, T41.4, T42.7, T43.9, T45.9, T47.9, and T49.9 where 5th character indicating intentional self-harm intent) and a 7th character indicating an initial encounter. Data supplied by the Florida Agency for Health Care Administration (AHCA). Counts <5 and year-to-date are suppressed. Non-fatal hospitalizations and ED visit indicators are not mutually exclusive as more than one type of drug may be listed. Effective October 1, 2015, the ICD 9th Revision Clinical Modification (ICD-9-CM) transitioned to ICD 10th Revision Clinical Modification (ICD-10-CM). ED record data before October 2015 use ICD-9-CM; starting in October 2015, ED data use ICD-10-CM. Consequently, increases or decreases starting in 2015 may not be due to changes in disease trends but due to changes in coding. Trends between ICD-9-CM and ICD-10-CM should not be compared as these coding systems are different from each other. County level results are based on county of residence.
Opioid-Involved Non-fatal Overdose Emergency Department VisitsNon-fatal emergency department (ED) visits with either of the following: 1) ICD-9-CM codes listed in the primary diagnosis, secondary diagnosis, or external cause fields: 965.00, 965.01, 965.02, 965.09, E850.0, E850.1 or E850.2. 2) ICD-10-CM codes listed in the primary or secondary diagnoses fields: T40.0X, T40.1X, T40.2X, T40.3X, T40.4X, T40.60 or T40.69 with a 6th character indicating unintentional, intentional self-harm, assault, or undetermined intent and a 7th character indicating that this is an initial encounter. Data is supplied by the Florida Agency for Health Care Administration (AHCA). Counts less than 5 are suppressed. Non-fatal hospitalizations and ED visit indicators are not mutually exclusive as more than one type of drug may be listed. Effective October 1, 2015, the ICD 9th Revision Clinical Modification (ICD-9-CM) transitioned to ICD 10th Revision Clinical Modification (ICD-10-CM). ED record data before October 2015 use ICD-9-CM; starting in October 2015, ED data use ICD-10-CM. Consequently, increases or decreases starting in 2015 may not be due to changes in disease trends but due to changes in coding. Data source: Agency for Health Care Administration (AHCA).
Unintentional/Undetermined Non-fatal Opioid-involved Non-fatal Overdose Emergency Department VisitsNon-fatal emergency department visits with either of the following: 1) ICD-9-CM codes listed in the primary diagnosis, secondary diagnosis, or external cause fields: 965.00, 965.01, 965.02, 965.09, E850.0, E850.1 or E850.2. 2) ICD-10-CM codes listed in the primary or secondary diagnoses fields: T40.0X, T40.1X, T40.2X, T40.3X, T40.4X, T40.60 or T40.69 with a 6th character indicating unintentional or undetermined intent and a 7th character indicating that this is an initial encounter. Data is supplied by the Florida Agency for Health Care Administration (AHCA). Counts <5 and year-to-date are suppressed. Non-fatal hospitalizations and ED visit indicators are not mutually exclusive as more than one type of drug may be listed. Effective October 1, 2015, the ICD 9th Revision Clinical Modification (ICD-9-CM) transitioned to ICD 10thRevision Clinical Modification (ICD-10-CM). ED record data before October 2015 use ICD-9-CM; starting in October 2015, ED data use ICD-10-CM. Consequently, increases or decreases starting in 2015 may not be due to changes in disease trends but due to changes in coding. Trends between ICD-9-CM and ICD-10-CM should not be compared as these coding systems are different from each other. County level results are based on county of residence.
Intentional Self-harm Non-fatal Opioid-involved Non-fatal Overdose Emergency Department visitsNon-fatal emergency department visits with the following ICD-10-CM codes listed in the primary or secondary diagnoses fields: T40.0X, T40.1X, T40.2X, T40.3X, T40.4X, T40.60 or T40.69 with a 6th character indicating intentional self-harm intent and a 7th character indicating that this is an initial encounter. Intentional self-harm ICD-9-CM codes specific to this indicator are not available. Data is supplied by the Florida Agency for Health Care Administration (AHCA). Counts <5 and year-to-date are suppressed. Non-fatal hospitalizations and ED visit indicators are not mutually exclusive as more than one type of drug may be listed. Effective October 1, 2015, the ICD 9th Revision Clinical Modification (ICD-9-CM) transitioned to ICD 10thRevision Clinical Modification (ICD-10-CM). ED record data before October 2015 use ICD-9-CM; starting in October 2015, ED data use ICD-10-CM. Consequently, increases or decreases starting in 2015 may not be due to changes in disease trends but due to changes in coding. Trends between ICD-9-CM and ICD-10-CM should not be compared as these coding systems are different from each other. County level results are based on county of residence.
Heroin-Involved Non-fatal Overdose Emergency Department VisitsNon-fatal emergency department (ED) visits with either of the following: 1) ICD-9-CM codes listed in the primary diagnosis, secondary diagnosis, or external cause fields: 965.01, E850.0. 2) ICD-10-CM codes listed in the primary or secondary diagnoses fields: T40.1X with a 6th character indicating unintentional, intentional self-harm, assault, or undetermined intent and a 7th character indicating that this is an initial encounter. Counts less than 5 are suppressed. Non-fatal hospitalizations and ED visit indicators are not mutually exclusive as more than one type of drug may be listed. Effective October 1, 2015, the ICD 9th Revision Clinical Modification (ICD-9-CM) transitioned to ICD 10th Revision Clinical Modification (ICD-10-CM). ED record data before October 2015 use ICD-9-CM; starting in October 2015, ED data use ICD-10-CM. Consequently, increases or decreases starting in 2015 may not be due to changes in disease trends but due to changes in coding. County level results are based on county of residence. Data source: Agency for Health Care Administration (AHCA).
Unintentional/undetermined Non-fatal Heroin-involved Non-fatal Overdose Emergency Department VisitsNon-fatal emergency department visits with either of the following: ICD-9-CM codes listed in the primary diagnosis, secondary diagnosis, or external cause fields: 965.01, E850.0. 2) ICD-10-CM codes listed in the primary or secondary diagnoses fields: T40.1X with a 6th character indicating unintentional or undetermined intent and a 7th character indicating that this is an initial encounter. Data is supplied by the Florida Agency for Health Care Administration (AHCA). Counts <5 and year-to-date are suppressed. Non-fatal hospitalizations and ED visit indicators are not mutually exclusive as more than one type of drug may be listed. Effective October 1, 2015, the ICD 9th Revision Clinical Modification (ICD-9-CM) transitioned to ICD 10thRevision Clinical Modification (ICD-10-CM). ED record data before October 2015 use ICD-9-CM; starting in October 2015, ED data use ICD-10-CM. Consequently, increases or decreases starting in 2015 may not be due to changes in disease trends but due to changes in coding. Trends between ICD-9-CM and ICD-10-CM should not be compared as these coding systems are different from each other. County level results are based on county of residence.
Intentional Self-harm Non-fatal Heroin-involved Non-fatal Overdose Emergency Department VisitsNon-fatal emergency department visits with the following ICD-10-CM codes listed in the primary or secondary diagnoses fields: T40.1X with a 6th character indicating intentional self-harm intent and a 7th character indicating that this is an initial encounter. Intentional self-harm ICD-9-CM codes specific to this indicator are not available. Data is supplied by the Florida Agency for Health Care Administration (AHCA). Counts <5 and year-to-date are suppressed. Non-fatal hospitalizations and ED visit indicators are not mutually exclusive as more than one type of drug may be listed. Effective October 1, 2015, the ICD 9th Revision Clinical Modification (ICD-9-CM) transitioned to ICD 10thRevision Clinical Modification (ICD-10-CM). ED record data before October 2015 use ICD-9-CM; starting in October 2015, ED data use ICD-10-CM. Consequently, increases or decreases starting in 2015 may not be due to changes in disease trends but due to changes in coding. Trends between ICD-9-CM and ICD-10-CM should not be compared as these coding systems are different from each other. County level results are based on county of residence.
Stimulant-involved Non-fatal Overdose Emergency Department VisitsNon-fatal emergency department (ED) visits with either of the following: 1) ICD-9-CM codes listed in the primary diagnosis, secondary diagnosis, or external cause fields: 969.70, 969.71, 969.72, 969.73, 969.79, 970.0, 970.81, 970.89, 970.9, E854.2, E854.3, E855.2 2) ICD-10-CM codes listed in the primary or secondary diagnoses fields: T40.5X, T43.60, T43.61, T43.62, T43.63, T43.64, T43.69 with a 6th character indicating unintentional, intentional self-harm, assault, or undetermined intent and a 7th character indicating that this is an initial encounter. Counts less than 5 are suppressed. Non-fatal hospitalizations and ED visits indicators are not mutually exclusive as more than one type of drug may be listed. Effective October 1, 2015, the ICD 9th Revision Clinical Modification (ICD-9-CM) transitioned to ICD 10th Revision Clinical Modification (ICD-10-CM). ED record data before October 2015 use ICD-9-CM; starting in October 2015, ED data use ICD-10-CM. Consequently, increases or decreases starting in 2015 may not be due to changes in disease trends but due to changes in coding. County level results are based on county of residence. Data source: Agency for Health Care Administration (AHCA).
Unintentional/Undetermined Non-fatal Stimulant-involved Non-fatal Overdose Emergency Department VisitsNon-fatal emergency department visits with either of the following: 1) ICD-9-CM codes listed in the primary diagnosis, secondary diagnosis, or external cause fields: 969.70, 969.71, 969.72, 969.73, 969.79, 970.0, 970.81, 970.89, 970.9, E854.2, E854.3, E855.2 2) ICD-10-CM codes listed in the primary or secondary diagnoses fields: T40.5X, T43.60, T43.61, T43.62, T43.63, T43.64, T43.69 with a 6th character indicating unintentional or undetermined intent and a 7th character indicating that this is an initial encounter. Data is supplied by the Florida Agency for Health Care Administration (AHCA). Counts <5 and year-to-date are suppressed. Non-fatal hospitalizations and ED visits indicators are not mutually exclusive as more than one type of drug may be listed. Effective October 1, 2015, the ICD 9th Revision Clinical Modification (ICD-9-CM) transitioned to ICD 10th Revision Clinical Modification (ICD-10-CM). ED record data before October 2015 use ICD-9-CM; starting in October 2015, ED data use ICD-10-CM. Consequently, increases or decreases starting in2015 may not be due to changes in disease trends but due to changes in coding. Trends between ICD-9-CM andICD-10-CM should not be compared as these coding systems are different from each other. County level results are based on county of residence.
Intentional Self-harm Non-fatal Stimulant-involved Non-fatal Overdose Emergency Department VisitsNon-fatal emergency department visits with the following ICD-10-CM codes listed in the primary or secondary diagnoses fields: T40.5X, T43.60, T43.61, T43.62, T43.63, T43.64, T43.69 with a 6th character indicating intentional self-harm intent and a 7th character indicating that this is an initial encounter. Intentional self-harm ICD-9-CM codes specific to this indicator are not available. Data is supplied by the Florida Agency for Health Care Administration (AHCA). Counts <5 and year-to-date are suppressed. Non-fatal hospitalizations and ED visits indicators are not mutually exclusive as more than one type of drug may be listed. Effective October 1, 2015, the ICD 9th Revision Clinical Modification (ICD-9-CM) transitioned to ICD 10th Revision Clinical Modification (ICD-10-CM). ED record data before October 2015 useICD-9-CM; starting in October 2015, ED data use ICD-10-CM. Consequently, increases or decreases starting in2015 may not be due to changes in disease trends but due to changes in coding. Trends between ICD-9-CM andICD-10-CM should not be compared as these coding systems are different from each other. County level results are based on county of residence.
All Drug Non-fatal Overdose Hospitalizations
All Drug Non-fatal Overdose HospitalizationsNon-fatal hospitalizations either of the following: 1) ICD-9-CM codes listed in the primary diagnosis, secondary diagnosis, or external cause fields: 960-979, E850-E858, E905.0-E950.5, E962.0, E980.0-E980.5. 2) ICD-10-CM codes listed in the primary or secondary diagnoses fields: T36-T50 that have a 6th character indicating unintentional, intentional self-harm, assault, or undetermined intent (except for T36.9, T37.9, T39.9, T41.4, T42.7, T43.9, T45.9, T47.9, and T49.9 where 5th character indicating unintentional, intentional self-harm, assault, and undetermined intent) and a 7th character indicating an initial encounter. Counts less than 5 are suppressed. Non-fatal hospitalizations and ED visits indicators are not mutually exclusive as more than one type of drug may be listed. Effective October 1, 2015, the ICD 9th Revision Clinical Modification (ICD-9-CM) transitioned to ICD 10th Revision Clinical Modification (ICD-10-CM). Hospital record data before October 2015 use ICD-9-CM; starting in October 2015, hospital data use ICD-10-CM. Consequently, increases or decreases starting in 2015 may not be due to changes in disease trends but due to changes in coding. Veteran Affairs (VA) and other federal hospitals, rehabilitation centers, residential treatment facilities, and psychiatric hospitals are excluded. County level results are based on county of residence. Data source: Agency for Health Care Administration (AHCA). For more information regarding drugs included in this definition, please see the CSTE Guidance Document on the Resources tab.
Unintentional/Undetermined Non-fatal Drug Overdose HospitalizationsNon-fatal hospitalizations either of the following: 1) ICD-9-CM codes listed in the primary diagnosis, secondary diagnosis, or external cause fields: 960-979, E850-E858, E980.0-E980.5. 2) ICD-10-CM codes listed in the primary or secondary diagnoses fields: T36-T50 that have a 6th character indicating unintentional or undetermined intent (except for T36.9, T37.9, T39.9, T41.4, T42.7, T43.9, T45.9, T47.9, and T49.9 where 5th character indicating unintentional or undetermined intent) and a 7th character indicating an initial encounter. Data supplied by the Florida Agency for Health Care Administration (AHCA). Counts <5 and year-to-date are suppressed. Non-fatal hospitalizations and ED visits indicators are not mutually exclusive as more than one type of drug may be listed. Effective October 1, 2015, the ICD 9th Revision Clinical Modification (ICD-9-CM) transitioned to ICD 10th Revision Clinical Modification (ICD-10-CM). Hospital record data before October 2015 use ICD-9-CM; starting in October 2015, hospital data use ICD-10-CM. Consequently, increases or decreases starting in 2015 may not be due to changes in disease trends but due to changes in coding. Trends between ICD-9-CM and ICD-10-CM should not be compared as these coding systems are different from each other. Veteran Affairs (VA) and other federal hospitals, rehabilitation centers, residential treatment facilities, and psychiatric hospitals are excluded. County level results are based on county of residence.
Intentional Self-harm Non-fatal Drug Overdose HospitalizationsNon-fatal hospitalizations either of the following: 1) ICD-9-CM codes listed in the primary diagnosis, secondary diagnosis, or external cause fields: E905.0-E950.5. 2) ICD-10-CM codes listed in the primary or secondary diagnoses fields: T36-T50 that have a 6th character indicating intentional self-harm intent (except for T36.9, T37.9, T39.9, T41.4, T42.7, T43.9, T45.9, T47.9, and T49.9 where 5th character indicating intentional self-harm intent) and a 7th character indicating an initial encounter. Data supplied by the Florida Agency for Health Care Administration (AHCA). Counts <5 and year-to-date are suppressed. Non-fatal hospitalizations and ED visits indicators are not mutually exclusive as more than one type of drug may be listed. Effective October 1, 2015, the ICD 9th Revision Clinical Modification (ICD-9-CM) transitioned to ICD 10th Revision Clinical Modification (ICD-10-CM). Hospital record data before October 2015 use ICD-9-CM; starting in October 2015, hospital data use ICD-10-CM. Consequently, increases or decreases starting in 2015 may not be due to changes in disease trends but due to changes in coding. Trends between ICD-9-CM and ICD-10-CM should not be compared as these coding systems are different from each other. Veteran Affairs (VA) and other federal hospitals, rehabilitation centers, residential treatment facilities, and psychiatric hospitals are excluded. County level results are based on county of residence.
Opioid-involved Non-fatal Overdose HospitalizationsNon-fatal hospitalizations with either of the following: 1) ICD-9-CM codes listed in the primary diagnosis, secondary diagnosis, or external cause fields: 965.00, 965.01, 965.02 or 965.09, E850.0, E850.1 or E850.2. 2) ICD-10-CM codes listed in the primary or secondary diagnoses fields: T40.0X, T40.1X, T40.2X, T40.3X, T40.4X, T40.60 or T40.69 with a 6th character indicating unintentional, intentional self-harm, assault, or undetermined intent and a 7th character indicating that this is an initial encounter. Counts less than 5 are suppressed. Non-fatal hospitalizations and ED visits indicators are not mutually exclusive as more than one type of drug may be listed. Effective October 1, 2015, the ICD 9th Revision Clinical Modification (ICD-9-CM) transitioned to ICD 10th Revision Clinical Modification (ICD-10-CM). Hospital record data before October 2015 use ICD-9-CM; starting in October 2015, hospital data use ICD-10-CM. Consequently, increases or decreases starting in 2015 may not be due to changes in disease trends but due to changes in coding. Veteran Affairs (VA) and other federal hospitals, rehabilitation centers, residential treatment facilities, and psychiatric hospitals are excluded. County level results are based on county of residence. Data source: Agency for Health Care Administration (AHCA).
Unintentional/Undetermined Non-fatal Opioid-involved Non-fatal Overdose HospitalizationsNon-fatal hospitalizations with either of the following: 1) ICD-9-CM codes listed in the primary diagnosis, secondary diagnosis, or external cause fields: 965.00, 965.01, 965.02, 965.09, E850.0, E850.1 or E850.2. 2) ICD-10-CM codes listed in the primary or secondary diagnoses fields: T40.0X, T40.1X, T40.2X, T40.3X, T40.4X, T40.60 or T40.69 with a 6th character indicating unintentional or undetermined intent and a 7th character indicating that this is an initial encounter. Data supplied by the Florida Agency for Health Care Administration (AHCA). Counts <5 and year-to-date are suppressed. Non-fatal hospitalizations and ED visits indicators are not mutually exclusive as more than one type of drug may be listed. Effective October 1,2015, the ICD 9th Revision Clinical Modification (ICD-9-CM) transitioned to ICD 10th Revision Clinical Modification (ICD-10-CM). Hospital record data before October 2015 use ICD-9-CM; starting in October 2015, hospital data use ICD-10-CM. Consequently, increases or decreases starting in 2015 may not be due to changes in disease trends but due to changes in coding. Trends between ICD-9-CM and ICD-10-CM should not be compared as these coding systems are different from each other. Veteran Affairs (VA) and other federal hospitals, rehabilitation centers, residential treatment facilities, and psychiatric hospitals are excluded. County level results are based on county of residence.
Intentional Self-harm Non-fatal Opioid-involved Non-fatal Overdose HospitalizationsNon-fatal hospitalizations with either of the following: ICD-10-CM codes listed in the primary or secondary diagnoses fields: T40.0X, T40.1X, T40.2X, T40.3X, T40.4X, T40.60 or T40.69 with a 6th character indicating intentional self-harm intent and a 7th character indicating that this is an initial encounter. Intentional self-harm ICD-9-CM codes specific to this indicator are not available. Data supplied by the Florida Agency for Health Care Administration (AHCA). Counts <5 and year-to-date are suppressed. Non-fatal hospitalizations and ED visits indicators are not mutually exclusive as more than one type of drug may be listed. Effective October 1,2015, the ICD 9th Revision Clinical Modification (ICD-9-CM) transitioned to ICD 10th Revision Clinical Modification (ICD-10-CM). Hospital record data before October 2015 use ICD-9-CM; starting in October 2015, hospital data use ICD-10-CM. Consequently, increases or decreases starting in 2015 may not be due to changes in disease trends but due to changes in coding. Trends between ICD-9-CM and ICD-10-CM should not be compared as these coding systems are different from each other. Veteran Affairs (VA) and other federal hospitals, rehabilitation centers, residential treatment facilities, and psychiatric hospitals are excluded. County level results are based on county of residence.
Heroin-involved Non-fatal Overdose HospitalizationsNon-fatal hospitalizations with either of the following: 1) ICD-9-CM diagnosis codes listed in the primary diagnosis, secondary diagnosis, or external cause fields: 965.01, E850.0. 2) ICD-10-CM diagnosis codes listed in the primary or secondary diagnoses fields: T40.1X with a 6th character indicating unintentional, intentional self-harm, assault, or undetermined intent and a 7th character indicating that this is an initial encounter. Counts less than 5 are suppressed. Non-fatal hospitalizations and ED visits indicators are not mutually exclusive as more than one type of drug may be listed. Effective October 1, 2015, the ICD 9th Revision Clinical Modification (ICD-9-CM) transitioned to ICD 10th Revision Clinical Modification (ICD-10-CM). Hospital record data before October 2015 use ICD-9-CM; starting in October 2015, hospital data use ICD-10-CM. Consequently, increases or decreases starting in 2015 may not be due to changes in disease trends but due to changes in coding. Veteran Affairs (VA) and other federal hospitals, rehabilitation centers, residential treatment facilities, and psychiatric hospitals are excluded. County level results are based on county of residence. Data source: Agency for Health Care Administration (AHCA).
Unintentional/Undetermined Non-fatal Heroin-involved Non-fatal Overdose HospitalizationsNon-fatal hospitalizations with either of the following: ICD-9-CM codes listed in the primary diagnosis, secondary diagnosis, or external cause fields: 965.01, E850.0. 2) ICD-10-CM codes listed in the primary or secondary diagnoses fields: T40.1X with a 6th character indicating unintentional or undetermined intent and a 7th character indicating that this is an initial encounter. Data is supplied by the Florida Agency for Health Care Administration (AHCA). Counts <5 and year-to-date are suppressed. Non-fatal hospitalizations and ED visit indicators are not mutually exclusive as more than one type of drug may be listed. Effective October 1, 2015, the ICD 9th Revision Clinical Modification (ICD-9-CM) transitioned to ICD 10thRevision Clinical Modification (ICD-10-CM). ED record data before October 2015 use ICD-9-CM; starting in October 2015, ED data use ICD-10-CM. Consequently, increases or decreases starting in 2015 may not be due to changes in disease trends but due to changes in coding. Trends between ICD-9-CM and ICD-10-CM should not be compared as these coding systems are different from each other. Veteran Affairs (VA) and other federal hospitals, rehabilitation centers, residential treatment facilities, and psychiatric hospitals are excluded. County level results are based on county of residence.
Intentional Self-harm Non-fatal Heroin-involved Non-fatal Overdose HospitalizationsNon-fatal hospitalizations with the following ICD-10-CM codes listed in the primary or secondary diagnoses fields: T40.1X with a 6th character indicating intentional self-harm intent and a 7th character indicating that this is an initial encounter. Intentional self-harm ICD-9-CM codes specific to this indicator are not available. Data is supplied by the Florida Agency for Health Care Administration (AHCA). Counts <5 and year-to-date are suppressed. Non-fatal hospitalizations and ED visit indicators are not mutually exclusive as more than one type of drug may be listed. Effective October 1, 2015, the ICD 9th Revision Clinical Modification (ICD-9-CM) transitioned to ICD 10thRevision Clinical Modification (ICD-10-CM). ED record data before October 2015 use ICD-9-CM; starting in October 2015, ED data use ICD-10-CM. Consequently, increases or decreases starting in 2015 may not be due to changes in disease trends but due to changes in coding. Trends between ICD-9-CM and ICD-10-CM should not be compared as these coding systems are different from each other. Veteran Affairs (VA) and other federal hospitals, rehabilitation centers, residential treatment facilities, and psychiatric hospitals are excluded. County level results are based on county of residence.
Stimulant-involved Non-fatal Overdose HospitalizationsNon-fatal hospitalizations with either of the following: 1) ICD-9-CM codes listed in the primary diagnosis, secondary diagnosis, or external cause fields: 969.70, 969.71, 969.72, 969.73, 969.79, 970.0, 970.81, 970.89, 970.9, E854.2, E854.3, E855.2 2) ICD-10-CM codes listed in the primary or secondary diagnoses fields: T40.5X, T43.60, T43.61, T43.62, T43.63, T43.64, T43.69 with a 6th character indicating unintentional, intentional self-harm, assault, or undetermined intent and a 7th character indicating that this is an initial encounter. Counts less than 5 are suppressed. Non-fatal hospitalizations and ED visits indicators are not mutually exclusive as more than one type of drug may be listed. Effective October 1, 2015, the ICD 9th Revision Clinical Modification (ICD-9-CM) transitioned to ICD 10th Revision Clinical Modification (ICD-10-CM). Hospital record data before October 2015 use ICD-9-CM; starting in October 2015, hospital data use ICD-10-CM. Consequently, increases or decreases starting in 2015 may not be due to changes in disease trends but due to changes in coding. Veteran Affairs (VA) and other federal hospitals, rehabilitation centers, residential treatment facilities, and psychiatric hospitals are excluded. County level results are based on county of residence. Data source: Agency for Health Care Administration (AHCA).
Unintentional/Undetermined Non-fatal Stimulant-involved Non-fatal Overdose HospitalizationsNon-fatal hospitalizations with either of the following: 1) ICD-9-CM codes listed in the primary diagnosis, secondary diagnosis, or external cause fields: 969.70, 969.71, 969.72, 969.73, 969.79, 970.0, 970.81, 970.89, 970.9, E854.2, E854.3, E855.2 2) ICD-10-CM codes listed in the primary or secondary diagnoses fields: T40.5X, T43.60, T43.61, T43.62, T43.63, T43.64, T43.69 with a 6th character indicating unintentional or undetermined intent and a 7th character indicating that this is an initial encounter. Data supplied by the Florida Agency for Health Care Administration (AHCA). Counts <5 and year-to-date are suppressed. Nonfatal hospitalizations and ED visits indicators are not mutually exclusive as more than one type of drug may be listed. Effective October 1, 2015, the ICD 9th Revision Clinical Modification (ICD-9-CM) transitioned to ICD 10thRevision Clinical Modification (ICD-10-CM). Hospital record data before October 2015 use ICD-9-CM; starting in October 2015, hospital data use ICD-10-CM. Consequently, increases or decreases starting in 2015 may not be due to changes in disease trends but due to changes in coding. Trends between ICD-9-CM and ICD-10-CMshould not be compared as these coding systems are different from each other. Veteran Affairs (VA) and other federal hospitals, rehabilitation centers, residential treatment facilities, and psychiatric hospitals are excluded. County level results are based on county of residence.
Intentional Self-harm Non-fatal Stimulant-involved Non-fatal Overdose HospitalizationsNon-fatal hospitalizations with the following ICD-10-CM codes listed in the primary or secondary diagnoses fields: T40.5X, T43.60, T43.61, T43.62, T43.63, T43.64, T43.69 with a 6th character indicating intentional self-harm intent and a 7th character indicating that this is an initial encounter. Intentional self-harm ICD-9-CM codes specific to this indicator are not available. Data supplied by the Florida Agency for Health Care Administration (AHCA). Counts <5 and year-to-date are suppressed. Nonfatal hospitalizations and ED visits indicators are not mutually exclusive as more than one type of drug may be listed. Effective October 1, 2015, the ICD 9th Revision Clinical Modification (ICD-9-CM) transitioned to ICD 10thRevision Clinical Modification (ICD-10-CM). Hospital record data before October 2015 use ICD-9-CM; starting in October 2015, hospital data use ICD-10-CM. Consequently, increases or decreases starting in 2015 may not be due to changes in disease trends but due to changes in coding. Trends between ICD-9-CM and ICD-10-CMshould not be compared as these coding systems are different from each other. Veteran Affairs (VA) and other federal hospitals, rehabilitation centers, residential treatment facilities, and psychiatric hospitals are excluded. County level results are based on county of residence.
Poison Information Network Calls
Florida Poison Information Network Calls Related to OpioidsCalls to the Florida Poison Information Center Network (FPICN) after exposure to prescription opioids, opioid combinations with other drugs (e.g., acetaminophen, antihistamine, aspirin), and heroin. The data were extracted from the statewide data system, ToxSentry® Web Query Builder. Exposure calls with medical outcomes listed as nontoxic exposure, unrelated health effect, and confirmed non-exposure were excluded. Call data are based upon information provided by the patient or treating health care professional. All calls to the FPICN were assessed, managed, and coded by specialists (pharmacists, nurses, physicians, or physician assistants) who are trained and certified to operate the FPICN hotline. Data source: Florida Department of Health, ToxSentry® Web Query Builder
Prescription and Patient Measures
OpioidsOpioids as classified by the CDC classification system.
Number of Prescriptions DispensedOpioid prescriptions dispensed in Florida by dispenser’s county.
Number of Unique PatientsPatients with opioid prescriptions that were dispensed in Florida regardless of the prescriber’s location by dispenser’s county. For the year to date sums, the calculations reflect the total of unique cases (unique patients, unique prescribers, etc.). The numbers from one quarter to the next may reflect overlapping cases, which are not counted in the sum total.
Number of Unique PrescribersPrescribers with opioid prescriptions dispensed in Florida regardless of practice location by dispenser’s county. For the year to date sums, the calculations reflect the total of unique cases (unique patients, unique prescribers, etc.). The numbers from one quarter to the next may reflect overlapping cases, which are not counted in the sum total.
Prescriptions Dispensed per PatientOpioid prescriptions dispensed from prescribers per number of unique patients. The annual rate is calculated as the total number of SII-SIV opioid prescriptions dispensed divided by the number of FL patients aged 18 and over who received at least one SII-SIV opioid prescription in the given year.
Prescriptions Dispensed per PrescriberOpioid prescriptions dispensed per number of unique prescribers. The annual rate is calculated as the total number of SII-SIV opioid prescriptions dispensed divided by the number of prescribers who wrote at least one SII-SIV opioid prescription to FL patients aged 18 and over in the given year.
StimulantsStimulants as classified by the CDC classification system.
Number of Prescriptions DispensedStimulant prescriptions dispensed in Florida by dispenser’s county.
Number of Unique PatientsPatients with stimulant prescriptions that were dispensed in Florida regardless of the prescriber’s location by dispenser’s county. For the year to date sums, the calculations reflect the total of unique cases (unique patients, unique prescribers, etc.). The numbers from one quarter to the next may reflect overlapping cases, which are not counted in the sum total.
Number of Unique PrescribersPrescribers with stimulant prescriptions dispensed in Florida regardless of practice location by dispenser’s county. For the year to date sums, the calculations reflect the total of unique cases (unique patients, unique prescribers, etc.). The numbers from one quarter to the next may reflect overlapping cases, which are not counted in the sum total.
Prescriptions Dispensed per PatientStimulant prescriptions dispensed from prescribers per number of unique patients. The annual rate is calculated as the total number of stimulant prescriptions dispensed divided by the number of FL patients aged 18 and over who received at least one stimulant prescription in the given year.
Prescriptions Dispensed per PrescriberStimulant prescriptions dispensed per number of unique prescribers. The annual rate is calculated as the total number of stimulant prescriptions dispensed divided by the number of prescribers who wrote at least one stimulant prescription to FL patients aged 18 and over in the given year.
BenzodiazepinesBenzodiazepines as classified by the CDC classification system.
Number of Prescriptions DispensedBenzodiazepines prescriptions dispensed in Florida by dispenser’s county.
Number of Unique PatientsPatients with benzodiazepine prescriptions that were dispensed in Florida regardless of the prescriber’s location by dispenser’s county. For the year to date sums, the calculations reflect the total of unique cases (unique patients, unique prescribers, etc.). The numbers from one quarter to the next may reflect overlapping cases, which are not counted in the sum total.
Number of Unique PrescribersPrescribers with benzodiazepine prescriptions dispensed in Florida regardless of practice location by dispenser’s county. For the year to date sums, the calculations reflect the total of unique cases (unique patients, unique prescribers, etc.). The numbers from one quarter to the next may reflect overlapping cases, which are not counted in the sum total.
Prescriptions Dispensed per PatientBenzodiazepine prescriptions dispensed from prescribers per number of unique patients. The annual rate is calculated as the total number of benzodiazepine prescriptions dispensed divided by the number of FL patients aged 18 and over who received at least one benzodiazepine prescription in the given year.
Prescriptions Dispensed per PrescriberBenzodiazepine prescriptions dispensed per number of unique prescribers. The annual rate is calculated as the total number of benzodiazepine prescriptions dispensed divided by the number of prescribers who wrote at least one benzodiazepine prescription to FL patients aged 18 and over in the given year.
Muscle RelaxantsMuscle Relaxants as classified by the CDC classification system.
Number of Prescriptions DispensedMuscle relaxant prescriptions dispensed in Florida by dispenser’s county.
Number of Unique PatientsPatients with muscle relaxant prescriptions that were dispensed in Florida regardless of the prescriber’s location by dispenser’s county. For the year to date sums, the calculations reflect the total of unique cases (unique patients, unique prescribers, etc.). The numbers from one quarter to the next may reflect overlapping cases, which are not counted in the sum total.
Number of Unique PrescribersPrescribers with muscle relaxant prescriptions dispensed in Florida regardless of practice location by dispenser’s county. For the year to date sums, the calculations reflect the total of unique cases (unique patients, unique prescribers, etc.). The numbers from one quarter to the next may reflect overlapping cases, which are not counted in the sum total.
Prescriptions Dispensed per PatientMuscle relaxant prescriptions dispensed from prescribers per number of unique patients. The annual rate is calculated as the total number of muscle relaxant prescriptions dispensed divided by the number of FL patients aged 18 and over who received at least one muscle relaxant prescription in the given year.
Prescriptions Dispensed per PrescriberMuscle relaxant prescriptions dispensed per number of unique prescribers. The annual rate is calculated as the total number of muscle relaxant prescriptions dispensed divided by the number of prescribers who wrote at least one muscle relaxant prescription to FL patients aged 18 and over in the given year.
Arrests
Annual Drug ArrestsArrests attributed to possession or sale of illegal drugs. Data source: Florida Department of Law Enforcement
Annual Adult Drug ArrestsArrests of persons 18 and over attributed to possession or sale of illegal drugs. Data source: Florida Department of Law Enforcement
Annual Juvenile Drug ArrestsArrests of persons under 18 attributed to possession or sale of illegal drugs. Data source: Florida Department of Law Enforcement
Motor Vehicle Traffic Crashes
Alcohol Confirmed Motor Vehicle Traffic CrashesA crash involving a driver and/or non-motorist who had a blood alcohol content greater than 0.00. This excludes drug confirmed individuals. Data source: Florida Department of Highway Safety and Motor Vehicles, Traffic Crash Facts Annual Report
Alcohol Confirmed Motor Vehicle Traffic Crash FatalitiesThe death of a person as a direct result of a crash involving a driver and/or non-motorist who had a blood alcohol content greater than 0.00. This excludes drug confirmed individuals. Data source: Florida Department of Highway Safety and Motor Vehicles, Traffic Crash Facts Annual Report
Alcohol Confirmed Motor Vehicle Traffic Crash InjuriesNon-fatal injury of a person as a direct result of a crash involving a driver and/or non-motorist who had a blood alcohol content greater than 0.00. This excludes drug confirmed individuals. Data source: Florida Department of Highway Safety and Motor Vehicles, Traffic Crash Facts Annual Report
Drug Confirmed Motor Vehicle Traffic CrashesA crash involving a driver and/or non-motorist who tested positive for drugs at the time of the crash. This excludes alcohol confirmed individuals. Data source: Florida Department of Highway Safety and Motor Vehicles, Traffic Crash Facts Annual Report
Drug Confirmed Motor Vehicle Traffic Crash FatalitiesThe death of a person as a direct result of a crash involving a driver and/or non-motorist who tested positive for drugs at the time of the crash. This excludes alcohol confirmed individuals. Data source: Florida Department of Highway Safety and Motor Vehicles, Traffic Crash Facts Annual Report
Drug Confirmed Motor Vehicle Traffic Crash InjuriesNon-fatal injury of a person as a direct result of a crash involving a driver and/or non-motorist who tested positive for drugs at the time of the crash. This excludes alcohol confirmed individuals. Data source: Florida Department of Highway Safety and Motor Vehicles, Traffic Crash Facts Annual Report
Drug and Alcohol Confirmed Motor Vehicle Traffic Crashes  A crash involving a driver and/or non-motorist who had both a blood alcohol content greater than 0.00 and a positive drug test. Data source: Florida Department of Highway Safety and Motor Vehicles, Traffic Crash Facts Annual Report
Drug and Alcohol Confirmed Motor Vehicle Traffic Crash FatalitiesThe death of a person as a direct result of a crash involving a driver and/or non-motorist who had both a blood alcohol content greater than 0.00 and a positive drug test. Data source: Florida Department of Highway Safety and Motor Vehicles, Traffic Crash Facts Annual Report
Drug and Alcohol Confirmed Motor Vehicle Traffic Crash InjuriesNon-fatal injury of a person as a direct result of a crash involving a driver and/or non-motorist who had both a blood alcohol content greater than 0.00 and a positive drug test. Data source: Florida Department of Highway Safety and Motor Vehicles, Traffic Crash Facts Annual Report
Health Outcomes
Neonatal Abstinence SyndromeInfants less than 28 days old who were exposed to opioid prescription or illicit drugs during the mother’s pregnancy. Neonatal Abstinence Syndrome (NAS) Case Counts are reported two years after birth due to certification requirements, data linkage processes for deduplication of records and alignment with the NAS Case Definition. Data Source: Florida Department of Health, Birth Defects Registry
Neonatal Abstinence Syndrome Annual RateNeonatal Abstinence Syndrome cases per 10,000 live births. Data Source: Florida Department of Health, Birth Defects Registry
Early Steps Clients Experiencing Neonatal Abstinence SyndromeInfants and toddlers (birth to thirty-six months) served by Florida Early Steps program that have been identified as having neonatal abstinence syndrome (ICD10 Codes P84, P91.0,P91.2,P91.4,P96,1). Data Source: Florida Department of Health, Early Steps.
Health Services
Adult Substance Abuse BedsThe number of beds indicates the number of adults (age 18+ years) who may concurrently receive substance abuse treatment on an in-patient basis. Data source: Agency for Health Care Administration
Substance Abuse Program Enrollees - AdultAdults (ages 18+ years) who are enrolled in substance abuse treatment services. Data source: Florida Department of Children and Families
Substance Abuse Program Enrollees - ChildrenChildren (less than 18 years of age) who are enrolled in substance abuse treatment services. Data source: Florida Department of Children and Families
Naloxone AdministeredNaloxone medication administered by Emergency Medical Services (EMS), prior to EMS arrival, or administration noted as not applicable or not recorded. Cases/incidents represented are not mutually exclusive. A case could both be administered naloxone by EMS and prior to EMS, and would be represented in both categories. Data does not reflect the dosage, only whether or not naloxone was administrated by a unique party (EMS or prior to EMS). Data source: Florida Department of Health, EMSTARS