“Semantic Webs” and
“The Semantic Web”:
Services, Resources and Technologies
for Clinical Care and Biomedical
Research
Alan Rector
School of Computer Science / Northwest Institute of Bio-Health Informatics
[email protected]
www.co-ode.org
www.clinical-escience.org
www.opengalen.org
1
Semantic Web and Webs
► The Semantic Web
► A Global Information Resource
►Discoverable
►Collaborative
►Trust to be negotiated
► Semantic Webs
► Resources for Virtual Organisations
►Discoverable
►Collaborative
►Faithful and trusted
►Interworking
► BioMedicine is network of virtual organisations
►For care
►For Research
2
Semantic Web Technology
► New ways to deliver information services
► Service oriented computing
►Easy interworking of heterogeneous systems
►SOAP
► Semantically rich computing
►Workflows
►“Macros on steroids”
►Discovering appropriate services.
► Knowledge representation
►“Ontologies and metadata with everything!”
►Data on its own means nothing
► New standards for things we have been doing
► RDF(S), OWL, WSDL, xxML, SCUFL, … … …
► New standard resources
► Genes, proteins, pathways, … … …
3
… Standards for everything
… and E-Science / E-Health
… and digital libraries
… and … and
► RDF, RDFS, OWL, SWRL, WSDL, SOAP, …
► W3C Healthcare and Life Sciences Special Interest Group
► ISO 11179
► Dublin Core
► SKOS
► …
What about medical standards?
HL7? CEN? ISO? SNOMED? …?
Do we have to do it on our own?
It’s a big open world out there!
4
…and E-Science / Semantic Grid
► E-Science
► Large scale collaborative science
► Collections based research
►Using information rather than gathering data
► Often Uses Grids but not about Grids
►Image processing, Text mining, Neuro Computing
►Need Cycles and Petabytes
►Workflows, Information organisation, social computing
►Need connectivity & collaboration
5
Three themes for this talk
► Information discovery
► Joining up healthcare delivery and
biomedical research
► Factoring huge problems into manageable
chunks
► Workflows & Service Oriented Architectures
► Rich semantics, metadata and ontologies
6
Theme 1:
Discovering Information
► Adding meaning
► That machines can process
► That people can understand
► From specifying “how to do it” to
specifying “what to do”
► To find it it must be described
► Metadata & annotations
► To describe it you need a language;
► RDF(S), OWL, SWRL, …
► For the language you need words ► “Ontologies” and Terminologies
7
The promise of the Semantic Web
The Syntactic Web is easily confused…
Find images of Steve Furber
Carole Goble
… Alan Rector…
Rev. Alan M. Gates, Associate Rector of the
Church of the Holy Spirit, Lake Forest, Illinois
8
What information can we see…
WWW2002
The eleventh international world wide web conference
Sheraton waikiki hotel
Honolulu, hawaii, USA
7-11 may 2002
1 location 5 days learn interact
Registered participants coming from
australia, canada, chile denmark, france, germany, ghana, hong kong, india,
ireland, italy, japan, malta, new zealand, the netherlands, norway,
singapore, switzerland, the united kingdom, the united states, vietnam,
zaire
Register now
On the 7th May Honolulu will provide the backdrop of the eleventh
international world wide web conference. This prestigious event …
Speakers confirmed
Tim berners-lee
Tim is the well known inventor of the Web, …
Ian Foster
Ian is the pioneer of the Grid, the next generation internet …
9
What information can a machine
see…
WWW2002
The eleventh international world wide web
conference
Sheraton waikiki hotel
Honolulu, hawaii, USA
7-11 may 2002
1 location 5 days learn interact
Registered participants coming from
australia, canada, chile denmark, france,
germany, ghana, hong kong, india, ireland,
italy, japan, malta, new zealand, the
netherlands, norway, singapore, switzerland, the
united kingdom, the united states, vietnam,
zaire
Register now
On the 7th May Honolulu will provide the backdrop
of the eleventh international world wide web
conference This prestigious event 
Speakers confirmed
Tim berners-lee
Tim is the well known inventor of the Web, 
Ian Foster
Ian is the pioneer of the Grid, the next
generation internet 
10
Solution: XML markup with “meaningful”
tags?
<name>WWW2002
The eleventh
international
<location>Sheraton
Honolulu,
waikiki
world
wide webcon</name>
hotel
hawaii, USA</location>
<date>7-11 may 2002</date>
<slogan>1 location 5 days learn interact</slogan>
<participants>Registered participants coming from
australia, canada, chile denmark, france, germany,
ghana, hong kong, india, ireland, italy, japan,
malta, new zealand, the netherlands, norway,
singapore, switzerland, the united kingdom, the
united states, vietnam, zaire</participants>
<introduction>Register
On
now
the 7th May Honolulu will provide the backdrop of the
eleventh international world wide web conference This
prestigious event 
Speakers
confirmed</introduction>
<speaker>Tim berners-lee</speaker>
<bio>Tim is the well known inventor
of
the Web,</bio>…
11
Still the Machine only sees…
<name>WWW2002
The eleventh
international
world
wide webc</name>
<location>Sheraton waikiki hotel
Honolulu, hawaii, USA</location>
<date>7-11 may 2002</date>
<slogan>1 location 5 days learn interact</slogan>
<participants>Registered participants coming from
australia, canada, chile denmark, france, germany,
ghana, hong kong, india, ireland, italy, japan,
malta, new zealand, the netherlands, norway,
singapore, switzerland, the united kingdom, the
united states, vietnam, zaire</participants>
<introduction>Register now
On
the 7th May Honolulu will provide the backdrop of the
eleventh international world wide web conference This
prestigious event 
Speakers
confirmed</introduction>
<speaker>Tim berners-lee</speaker>
<bio>Tim is the well known inventor of the W</bio>
<speaker>Ian Foster</speaker>
<bio>Ian is the pioneer of the Grid, the ne</bio>
12
Need to Add “Semantics”
► Annotations
► In languages that machines can process
► Using terminology that people have agreed & machines can
process
13
Competitive/Complementary
Technologies machine learning & text mining
National Centre for Text Mining (NaCTeM)
http://www-tsujii.is.s.u-tokyo.ac.jp/info-pubmed/
14
15
Or web mining
there’s no lack of text out there
16
17
Web-Discovery of information
►Four competing technologies
►Semantic Web
►Or hand built ontologies
►OBO, FMA, SNOMED? , other …
►Social computing
►Open Directory, Wikipedia, FLIKR, FoF, …
►Web mining
►Google (& other web search)
►Text mining
►Just becoming widely available, especially in
biology
►All of pubmed abstracts about to be minable for
relations
►National Centre for Text Mining - NaCTeM
18
Theme II:
Joining up healthcare delivery and
Biomedical Research
The CLEF Vision
www.clinical-escience.org
19
Knowledge
enrichment
Integrate &
Aggregate
Pseudonymised
Repository
Extract
Information
Hazard
Hazard
Monitoring
Monitoring
Ethical oversight
committee
Chronicle
Depersonalise
Construct
‘Chronicle’
Pseudonymise
In Hospital
Data Acquisition
Cycle
Reidentify
By Hospital
Summarise
& Formulate
Queries
Individual
Summaries
& Queries
Privacy
Enhancement
Technologies
Data Access
Cycle
Joining up care
and Research:
20
The CLEF Vision
21
The Chronicle
► A semantically rich summary of our best
understanding of the patient
► Inferred from data and metadata
►Combined from many sources on semantic webs
22
(Increasing detail)
Low haemoglobins
over a period =
anaemia
Coreferences
Time
Clinical pragmatics
Simplification
Abstraction
23
Inferred best view of the patient history from whatever sources - the CLEF Chronicle
R
Grade III
infiltrating
ductal
carcinoma left
breast
R
R
R
Died
Recurrence
RADIO
CHEMO
TAMOXIFEN
ARIMIDEX
S
SSSSSSS S S SS S
Staging CT
Nodes
Liver
Spleen
Kidney
Bone
T1>
N1>
M0
T1
N3c
M0
>Stage IIA
1975
Nodes
Liver
Spleen
Kidney
Bone
1980
T1>
N3c
M1
Stage IIIc
1985
1990
Stage IV
1995
2000
24
Privacy and Security
► The great barrier to clinical use
► Web/Grid security a key topic
► For policy
►How safe is safe?
►What is the risk from medical information
►Your credit card company knows how much you drink!
►What counts as informed consent? Consent for what?
►Benefits vs risks
► Technology
►Authentication - who are you?
►Authorisation - what are you doing?
what are you allowed to do in that role?
►Accounting -
who pays? How much?
25
Theme III:
Factoring huge problems
► Medicine is big and complicated
► & full of niches
► How to beat the combinatorial explosion
► Workflows
► myGrid & Taverna
► Ontologies
► Protégé & CO-ODE
►www.co-ode.org
26
The combinatorial explosion
source of the scaling problem
► It keeps happening!
► “Simple” brute force
solutions do not scale up!
► Conditions x tasks x setting x
users x media
► Huge number of forms to author
► Software CHAOS
Actual
27
Combination of things to be
done & time to do each thing
► Terms and forms needed
► Increases exponentially
► Effort per form or form
► Must decrease to
compensate
► To give the effectiveness
we want
► Or might accept
Things to
build
28
New ways of factoring problems
► Better ways to build from “Lego”
► Better ways of indexing and cataloguing
► Keys
► Rich semantics
►Discover rather than call
►Machine undersatndable
► Service oriented architectures
►Workflows
► Metadata and Provenance
►Data on its own is meaningless
►What is in the repository?
►What studies have used it?
►What is known of its reliability?
►???…???…???
► Terminology and ontology
29
Workflows in Biomedical
Research
► “Macros on steroids”
► Specify what rather than how
►Describe the resources and tasks (RDF, WSDS, …)
► Break big problems down into little steps
► Reduce effort from days to hours for
bioscientists
► Can we move them to medical care
30
Experiment
Query nucleotide
sequence
RepeatMasker
BLASTwrapper
GenBank Accession No
Promotor Prediction
URL inc GB identifier
Translation/sequence
file. Good for records
and publications
Identifies PEST seq
prettyseq
Sort for appropriate Sequences only
MW, length,
charge, pI, etc
pepstats
Predicts
cellular location
Identifies functional
and structural
domains/motifs
Hydrophobic
regions
GenBank Entry
epestfind
pscan
tblastn Vs nr, est,
est_mouse, est_human
databases.
Blastp Vs nr
Regulation Element Prediction
Amino Acid translation
Identifies
FingerPRINTS
Predicts Coiled-coil
regions
TF binding Prediction
pepcoil
Identify regulatory
elements in
genomic sequence
Seqret
Nucleotide seq (Fasta)
6 ORFs
RepeatMasker
Coding sequence
GenScan
BlastWrapper
SignalP
TargetP
PSORTII
restrict
sixpack
transeq
cpgreport
Restriction enzyme
map
CpG Island
locations and %
InterPro
ORFs
Pepwindow?
Octanol?
RepeatMasker
ncbiBlastWrapper
Repetitive elements
Blastn Vs nr, est
databases.
31
Analysis via ‘Cut and Paste’
12181 acatttctac caacagtgga tgaggttgtt ggtctatgtt ctcaccaaat
ttggtgttgt
12241 cagtctttta aattttaacc tttagagaag agtcatacag
tcaatagcct tttttagctt
12301 gaccatccta atagatacac agtggtgtct
cactgtgatt ttaatttgca ttttcctgct
12361 gactaattat gttgagcttg
ttaccattta gacaacttca ttagagaagt gtctaatatt
12421 taggtgactt
gcctgttttt ttttaattgg gatcttaatt tttttaaatt attgatttgt
12481
aggagctatt tatatattct ggatacaagt tctttatcag atacacagtt tgtgactatt
12541 ttcttataag tctgtggttt ttatattaat gtttttattg atgactgttt
tttacaattg
12601 tggttaagta tacatgacat aaaacggatt atcttaacca
ttttaaaatg taaaattcga
12661 tggcattaag tacatccaca atattgtgca
actatcacca ctatcatact ccaaaagggc
12721 atccaatacc cattaagctg
tcactcccca atctcccatt ttcccacccc tgacaatcaa
12781 taacccattt
tctgtctcta tggatttgcc tgttctggat attcatatta atagaatcaa
32
Workflows
B
C
A
A: Identification of
overlapping
sequence
B: Characterisation
of nucleotide
sequence
C: Characterisation
of protein sequence
33
Description needs a language:
Ontologies and Terminologies
► Biologists manage quite well
► Open Biological Ontologies
►The Gene Ontology, Micro-array / Gene Expression
Database, etc.
► Little legacy
►It all started in 1980
► Fanatically open and collaborative
► Medicine has chaos and “the coding wars”
► SNOMED (International,-RT, -CT), ICD, LOINC, DICOM,
MEDDRA, NCI, ICPC, Read/CT (v1,v2, & v3), GALEN,
NANDA,…
► It all started in 1880
► Closed and proprietary
34
No longer a unique problem
New standards and interest
► Logicians and Computer Scientists from the
mainstream
► OWL, RDF, …
► Ontologists from Philosophy
► 3000 years of analysis
►much of which is relevant
► …but medicine is big and complicated
… and combinatorially explosive
► A prime source of combinatorial explosions
35
How to defuse the
“exploding bicycle”
►1972 ICD-9 (E826) 8
►READ-2 (T30..) 81
►READ-3 87
►1999 ICD-10 ……
36
1999 ICD10: 587 codes
to p Class
I Certain in fectio u s an d p arasit ic d iseases
II Neo p lasms
III Diseases o f th e b lo o d an d b lo o d -fo rmin g o rg an s an d certain d iso rd ers in v o lv in g th e immu n e mech an ism
IV E n d o cr in e, n u tritio n al an d metab o lic d iseases
V M en tal an d b eh av io u ral d iso rd ers
VI Diseases o f th e n erv o u s sy st em
VII Diseases o f th e ey e an d ad n ex a
VIII Diseases o f th e ear an d mast o id p ro cess
IX Diseases o f th e circu lato ry sy stems
X Diseases o f th e resp irato ry sy stem
XI Diseases o f th e d ig estiv e sy stem
XII Diseases o f th e sk in an d su b cu tan eo u s tissu e
XIII Diseases o f th e mu scu lo sk eletal sy stem an d co n n ectiv e tissu e
XIV Diseases o f th e g en ito u rin ary sy stem
XV P reg n an cy , ch ild b irth an d thp eu erp eriu m
XVI Certain co n d itio n s o rig in atin g in ptherin
e atal p erio d
XVII Co n g en ital malfo rmatio n s, d efo rmatio n s an d ch ro mo so mal ab n o rmalities
XVIII S y mp to ms, sig n s an d ab n o rmal clin ical an d lab o rato ry fin d in g s, n o t elsewh ere classified
XIX In ju ry , p o iso n in g an d certain o th er co n seq u en ces o f ex tern al cau ses
XX E x tern al cau ses o f mo rb id i ty an d mo rtality
V0 1 -V9 9 T ran sp o rt accid en ts
V0 1 -V0 9 P ed estrian in ju red i n tran sp o rt accid en t
V1 0 -V1 9 P ed al cy clist in ju red in tran sp o rt accid en t
V1 0 P ed al cy clist in ju red in co llisio n with p ed estrian o r an imal
V1 0 . 0 P ed al cy clist in ju red in co llisio n with p ed estrian o r an imal, d riv
n oer,
n traffic accid en t
V1 0 . 0 0 P ed al cy clist in ju red in co llisio n with p ed estrian o r an imal, d riv
n o er,
n traffic accid en t, w h ile en g ag ed in sp o rts activ ity
V1 0 . 0 1 P ed al cy clist in ju red in co llisio n with p ed estrian o r an imal, d riv
n o er,
n traffic accid en t, w h ile en g ag ed in leisu re activ ity
V1 0 . 0 2 P ed al cy clist in ju red in co llisio n with p ed estrian o r an imal, d riv
n o er,
n traffic accid en t, w h ile wo rk in g fo r an in co me
V1 0 . 0 3 P ed al cy clist in ju red in co llisio n with p ed estrian o r an imal, d riv
n o er,
n traffic accid en t, w h ile en g ag ed in o th er ty p es o f wo rk
V1 0 . 0 4 P ed al cy clist in ju red in co llisio n with p ed estrian o r an imal, d riv
n o er,
n traffic accid en t, w h ile restin g , sleep in g , eatin g o r en g ag i n g in o th er v ital activ ities
V1 2 . 4 P ed al cy clist in ju red in co llisio n with two - o r th ree-wh eeled mo to r v eh icle, d riv er, traffic accid en t
V1 0 . 0 8 P ed al cy clist in ju red in co llisio n with p ed estrian o r an imal, d riv
n o er,
n traffic accid en t, w h ile en g ag ed in o th er sp ecified activ ities
V1 2 . 4 0 P ed al cy clist in ju red in co llisio n with tw o - o r th ree-wh eeled mo to r v eh icle, d riv er, traffic accid en t, w h ile en g ag ed in sp o rts activ ity
V1 0 . 0 9 P ed al cy clist in ju red in co llisio n with p ed estrian o r an imal, d riv
n o er,
n traffic accid en t, d u rin g u n sp ecified activ ity
V1 2 . 4 1 P ed al cy clist in ju red in co llisio n with tw o - o r th ree-wh eeled mo to r v eh icle, d riv er, traffic accid en t, w h ile en g ag ed in lei su re activ ity
V1 0 . 1 P ed al cy clist in ju red in co llisio n with p ed estrian o r an imal, p assen ng oer,n traffic accid en t
V1 2 . 4 2 P ed al cy clist in ju red in co llisio n with tw o - o r th ree-wh eeled mo to r v eh icle, d riv er, traffic accid en t, w h ile wo rk in g fo r an in co me
V1 0 . 1 0 P ed al cy clist in ju red in co llisio n with p ed estrian o r an imal, p assen ng oer,n traffic accid en t, w h ile en g ag ed in sp o rts activ ity
V1 0 . 1 1 P ed al cy clist in ju red in co llisio n with p ed estrian o r an imal, p assen ng oer,n traffic accid en t, w h ile en g ag ed in leisu re activ ity
V1 2 . 4 3 P ed al cy clist in ju red in co llisio n with tw o - o r th ree-wh eeled mo to r v eh icle, d riv er, traffic accid en t, w h ile en g ag ed in o t h er ty p es o f wo rk
V1 4 . 4 P ed al cy clist in ju red in co llisio n with h eav y tran sp o rt v eh icl e o r b u s, d riv er, traffic accid en t
V1 0 . 1 2 P ed al cy clist in ju red in co llisio n with p ed estrian o r an imal, p assen ng oer,n traffic accid en t, w h ile wo rk in g fo r an in co me
V1 2 . 4 4 P ed al cy clist in ju red in co llisio n with tw o - o r th ree-wh eeled mo to r v eh icle, d riv er, traffic accid en t, w h ile restin g , sleep in g , eatin g o r en g ag in g in o th er v ital activ ities
V1 4 . 4 0 P ed al cy clist in ju red in co llisio n with h eav y tran sp o rt v eh i cle o r b u s, d riv er, t raffic accid en t, wh ile en g ag ed in sp o rts activ ity
V1 2 . 4 8 P ed al cy clist in ju red in co llisio n with tw o - o r th ree-wh eeled mo to r v eh icle, d riv er, traffic accid en t, w h ile en g ag ed in o t h er sp ecified activ iti es
V1 4 . 4 1 P ed al cy clist in ju red in co llisio n with h eav y tran sp o rt v eh i cle o r b u s, d riv er, t raffic accid en t, wh ile en g ag ed in leisu re activ ity
V1 2 . 4 9 P ed al cy clist in ju red in co llisio n with tw o - o r th ree-wh eeled mo to r v eh icle, d riv er, traffic accid en t, d u rin g u n sp ecified activ ity
V1 4 . 4 2 P ed al cy clist in ju red in co llisio n with h eav y tran sp o rt v eh i cle o r b u s, d riv er, t raffic accid en t, wh ile wo rk in g fo r an in co me
V1 0 . 1 3 P ed al cy clist in ju red in co llisio n with p ed estrian o r an imal, p assen ng oer,n traffic accid en t, w h ile en g ag ed in o th er ty p es o f wo rk
V1 0 . 1 4 P ed al cy clist in ju red in co llisio n with p ed estrian o r an imal, p assen ng oer,n traffic accid en t, w h ile restin g , sleep in g , eatin g o r en g ag i n g in o th er v ital activ ities
V1 0 . 1 8 P ed al cy clist in ju red in co llisio n with p ed estrian o r an imal, p assen ng oer,n traffic accid en t, w h ile en g ag ed in o th er sp ecified activ ities
V1 0 . 1 9 P ed al cy clist in ju red in co llisio n with p ed estrian o r an imal, p assen ng oer,n traffic accid en t, d u rin g u n sp ecified activ ity
V1 2 . 5 P ed al cy clist in ju red in co llisio n with two - o r th ree-wh eeled mo to r v eh icle, p assen g er, traffic accid en t
V1 4 . 4 3 P ed al cy clist in ju red in co llisio n with h eav y tran sp o rt v eh i cle o r b u s, d riv er, t raffic accid en t, wh ile en g ag ed in o th er t y p es o f wo rk
V1 0 . 2 P ed al cy clist in ju red in co llisio n with p ed estrian o r an imal, u n sp ecified p ed al cy nclist,
o n traffic accid en t
V1 2 . 5 0 P ed al cy clist in ju red in co llisio n with tw o - o r th ree-wh eeled mo to r v eh icle, p assen g er, traffic accid en t, wh ile en g ag ed in sp o rts activ ity
V1 0 . 2 0 P ed al cy clist in ju red in co llisio n with p ed estrian o r an imal, u n sp ecified p ed al cynclist,
o n traffic accid en t, w h ile en g ag ed in sp o rts activ ity
V1 0 . 2 1 P ed al cy clist in ju red in co llisio n with p ed estrian o r an imal, u n sp ecified p ed al cynclist,
o n traffic accid en t, w h ile en g ag ed in lei su re activ ity
V1 2 . 5 1 P ed al cy clist in ju red in co llisio n with tw o - o r th ree-wh eeled mo to r v eh icle, p assen g er, traffic accid en t, wh ile en g ag ed in leisu re activ ity
V1 0 . 2 2 P ed al cy clist in ju red in co llisio n with p ed estrian o r an imal, u n sp ecified p ed al cynclist,
o n traffic accid en t, w h ile wo rk in g fo r an in co me
V1 2 . 5 2 P ed al cy clist in ju red in co llisio n with tw o - o r th ree-wh eeled mo to r v eh icle, p assen g er, traffic accid en t, wh ile wo rk in g fo r an in co me
V1 4 . 4 4 P ed al cy clist in ju red in co llisio n with h eav y tran sp o rt v eh i cle o r b u s, d riv er, t raffic accid en t, wh ile restin g , sleep in g , eatin g o r en g ag in g in o th er v ital activ i ties
V1 4 . 4 8 P ed al cy clist in ju red in co llisio n with h eav y tran sp o rt v eh i cle o r b u s, d riv er, t raffic accid en t, wh ile en g ag ed in o th er sp ecified activ ities
V1 4 . 4 9 P ed al cy clist
V1 2 . 5 3 P ed al cy clist in ju red in co llisio n with tw o - o r th ree-wh eeled mo to r v eh icle, p assen g er, traffic accid en t, wh ile en g ag ed in o th er ty p es o f wo r k
V1 4 . 5 P ed al cy clist in ju red in
V1 2 . 5 4 P ed al cy clist in ju red in co llisio n with tw o - o r th ree-wh eeled mo to r v eh icle, p assen g er, traffic accid en t, wh ile restin g , sleep in g , eatin g o r en g ag in g in o th er v it al activ ities
V1 4 . 5 0 P ed al cy clist
V1 2 . 5 8 P ed al cy clist in ju red in co llisio n with tw o - o r th ree-wh eeled mo to r v eh icle, p assen g er, traffic accid en t, wh ile en g ag ed in o th er sp ecified activ ities
V1 4 . 5 1 P ed al cy clist
V1 2 . 5 9 P ed al cy clist in ju red in co llisio n with tw o - o r th ree-wh eeled mo to r v eh icle, p assen g er, traffic accid en t, d u rin g u n sp ecifi ed activ ity
V1 4 . 5 2 P ed al cy clist
V1 2 . 9 P ed al cy clist in ju red in co llisio n with two - o r th ree-wh eeled mo to r v eh icle, u n sp ecified p ed al cy clist, traffic accid en t
V1 4 . 5 3 P ed al cy clist
V1 2 . 9 0 P ed al cy clist in ju red in co llisio n with tw o - o r th ree-wh eeled mo to r v eh icle, u n sp ecified p ed al cy clist, traffic accid en t, wh ile en g ag ed in sp o rts activ ity
V1 4 . 5 4 P ed al cy clist
V1 0 . 2 3 P ed al cy clist in ju red in co llisio n with p ed estrian o r an imal, u n sp ecified p ed al cynclist,
o n traffic accid en t, w h ile en g ag ed in o t h er ty p es o f wo rk
in ju red in co llisio n with h eav y tran sp o rt v eh i cle o r b u s, d riv er, t raffic accid en t, d u rin g u n sp ecified activ ity
V1 0 . 2 4 P ed al cy clist in ju red in co llisio n with p ed estrian o r an imal, u n sp ecified p ed al cynclist,
o n traffic accid en t, w h ile restin g , sleep in g , eatin g o r en g ag in g in o th er v ital activ ities
co llisio n with h eav y tran sp o rt v eh icl e o r b u s, p assen g er, traffic accid en t
V1 0 . 2 8 P ed al cy clist in ju red in co llisio n with p ed estrian o r an imal, u n sp ecified p ed al cynclist,
o n traffic accid en t, w h ile en g ag ed in o t h er sp ecified activ iti es
in ju red in co llisio n with h eav y tran sp o rt v eh i cle o r b u s, p assen g er, traffic accid en t, wh ile en g ag ed in sp o rts activ ity
V1 0 . 2 9 P ed al cy clist in ju red in co llisio n with p ed estrian o r an imal, u n sp ecified p ed al cynclist,
o n traffic accid en t, d u rin g u n sp ecified activ ity
V1 0 . 3 P ed al cy clist in ju red in co llisio n with p ed estrian o r an imal, w h ile b o ard in g o r al ig h tin g
V1 0 . 3 0 P ed al cy clist in ju red in co llisio n with p ed estrian o r an imal, wh ile b o ard in g o r alig h tin g , wh ile en g ag ed in sp o rts acti v ity
V1 0 . 3 1 P ed al cy clist in ju red in co llisio n with p ed estrian o r an imal, wh ile b o ard in g o r alig h tin g , wh ile en g ag ed in leisu re acti v ity
V1 0 . 3 2 P ed al cy clist in ju red in co llisio n with p ed estrian o r an imal, wh ile b o ard in g o r alig h tin g , wh ile wo rk in g fo r an in co me
V1 0 . 3 3 P ed al cy clist in ju red in co llisio n with p ed estrian o r an imal, wh ile b o ard in g o r alig h tin g , wh ile en g ag ed in o th er ty p es o f wo rk
in ju red in co llisio n with h eav y tran sp o rt v eh i cle o r b u s, p assen g er, traffic accid en t, wh ile en g ag ed in o th er ty p es o f wo rk
in ju red in co llisio n with h eav y tran sp o rt v eh i cle o r b u s, p assen g er, traffic accid en t, wh ile restin g , sleep in g , eatin g o r en g ag in g in o th er v ital act iv ities
V1 2 . 9 1 P ed al cy clist in ju red in co llisio n with tw o - o r th ree-wh eeled mo to r v eh icle, u n sp ecified p ed al cy clist, traffic accid en t, wh ile en g ag ed in leisu re activ ity
V1 4 . 5 8 P ed al cy clist in ju red in co llisio n with h eav y tran sp o rt
V1 2 . 9 2 P ed al cy clist in ju red in co llisio n with tw o - o r th ree-wh eeled mo to r v eh icle, u n sp ecified p ed al cy clist, traffic accid en t, wh ile wo rk in g fo r an in co me
V1 4 . 5 9 P ed al cy clist in ju red in co llisio n with h eav y tran sp o rt
V1 2 . 9 3 P ed al cy clist in ju red in co llisio n with tw o - o r th ree-wh eeled mo to r v eh icle, u n sp ecified p ed al cy clist, traffic accid en t, wh ile en g ag ed in o th er ty p es o f wo rk
V1 4 . 9 P ed al cy clist in ju red in co llisio n with h eav y tran sp o rt v eh icl e o r
V1 2 . 9 4 P ed al cy clist in ju red in co llisio n with tw o - o r th ree-wh eeled mo to r v eh icle, u n sp ecified p ed al cy clist, traffic accid en t, wh ile restin g , sleep in g , eatin g o r en g ag in g in o th er v ital act iv ities
V1 4 . 9 0 P ed al cy clist in ju red in co llisio n with h eav y tran sp o rt
V1 2 . 9 8 P ed al cy clist in ju red in co llisio n with tw o - o r th ree-wh eeled mo to r v eh icle, u n sp ecified p ed al cy clist, traffic accid en t, wh ile en g ag ed in o th er sp ecified activ ities
V1 4 . 9 1 P ed al cy clist in ju red in co llisio n with h eav y tran sp o rt
V1 2 . 9 9 P ed al cy clist in ju red in co llisio n with tw o - o r th ree-wh eeled mo to r v eh icle, u n sp ecified p ed al cy clist, traffic accid en t, d u rin g u n sp ecified activ ity
V1 4 . 9 2 P ed al cy clist in ju red in co llisio n with h eav y tran sp o rt
V1 0 . 3 4 P ed al cy clist in ju red in co llisio n with p ed estrian o r an imal, wh ile b o ard in g o r alig h tin g , wh ile restin g , sleep in g , eatin g o r en g ag in g in o th er v ital activ ities
V1 0 . 3 8 P ed al cy clist in ju red in co llisio n with p ed estrian o r an imal, wh ile b o ard in g o r alig h tin g , wh ile en g ag ed in o th er sp ecified activ ities
V1 0 . 3 9 P ed al cy clist in ju red in co llisio n with p ed estrian o r an imal, wh ile b o ard in g o r alig h tin g , d u rin g u n sp ecified activ ity
V1 0 . 4 P ed al cy clist in ju red in co llisio n with p ed estrian o r an imal, d riv er, traffic accid en t
V1 0 . 4 0 P ed al cy clist in ju red in co llisio n with p ed estrian o r an imal, d riv er, traffic accid en t, wh ile en g ag ed in sp o rts activ ity
V1 0 . 4 1 P ed al cy clist in ju red in co llisio n with p ed estrian o r an imal, d riv er, traffic accid en t, wh ile en g ag ed in leisu re activ ity
V1 0 . 4 2 P ed al cy clist in ju red in co llisio n with p ed estrian o r an imal, d riv er, traffic accid en t, wh ile wo rk in g f o r an in co me
V1 0 . 4 3 P ed al cy clist in ju red in co llisio n with p ed estrian o r an imal, d riv er, traffic accid en t, wh ile en g ag ed in o th er ty p es o f wo rk
V1 0 . 4 4 P ed al cy clist in ju red in co llisio n with p ed estrian o r an imal, d riv er, traffic accid en t, wh ile restin g , sleep in g , eatin g o r en g ag in g in o th er v i tal activ ities
in ju red in co llisio n with h eav y tran sp o rt v eh i cle o r b u s, p assen g er, traffic accid en t, wh ile en g ag ed in leisu re activ ity
in ju red in co llisio n with h eav y tran sp o rt v eh i cle o r b u s, p assen g er, traffic accid en t, wh ile wo rk in g fo r an in co me
v eh i cle o r b u s, p assen g er, traffic accid en t, wh ile en g ag ed in o th er sp ecified activ ities
v eh i cle o r b u s, p assen g er, traffic accid en t, d u rin g u n sp ecified activ ity
b u s, u n sp ecified p ed al cy clist, traff ic accid en t
v eh i cle o r b u s, u n sp ecif ied p ed al cy clist, traffic accid en t, wh ile en g ag ed in sp o rts activ ity
v eh i cle o r b u s, u n sp ecif ied p ed al cy clist, traffic accid en t, wh ile en g ag ed in leisu re activ ity
v eh i cle o r b u s, u n sp ecif ied p ed al cy clist, traffic accid en t, wh ile w o rk in g fo r an in co me
V1 4 . 9 3 P ed al cy clist in ju red in co llisio n with h eav y tran sp o rt v eh i cle o r b u s, u n sp ecif ied p ed al cy clist, traffic accid en t, wh ile en g ag ed in o th er ty p es o f wo rk
V1 3 P ed al cy clist in ju red in co llisio n with car, p ick -u p tru ck o r v an
V1 0 . 4 8 P ed al cy clist in ju red in co llisio n with p ed estrian o r an imal, d riv er, traffic accid en t, wh ile en g ag ed in o th er sp ecified acti v ities
V1 4 . 9 4 P ed al cy clist in ju red in co llisio n with h eav y tran sp o rt v eh i cle o r b u s, u n sp ecif ied p ed al cy clist, traffic accid en t, wh ile r estin g , sleep in g , eat in g o r en g ag in g in o th er v ital activ iti es
V1 3 . 0 P ed al cy clist in ju red in co llisio n with car, p ick -u p tru ck o r v an , dn riv
o n er,
traffic accid en t
•V31.22 Occupant of three-wheeled motor vehicle injured in collision
with pedal cycle, person on outside of vehicle, nontraffic accident, while
working for income
V1 0 . 4 9 P ed al cy clist in ju red in co llisio n with p ed estrian o r an imal, d riv er, traffic accid en t, d u rin g u n sp ecif ied activ ity
V1 4 . 9 8 P ed al cy clist in ju red in co llisio n with h eav y tran sp o rt v eh i cle o r b u s, u n sp ecif ied p ed al cy clist, traffic accid en t, wh ile en g ag ed in o th er sp ecified activ ities
V1 3 . 0 0 P ed al cy clist in ju red in co llisio n with car, p ick -u p tru ck o r v an , nd oriv
n traffic
er,
accid en t, w h ile en g ag ed in sp o rts activ ity
V1 0 . 5 P ed al cy clist in ju red in co llisio n with p ed estrian o r an imal, p assen g er, traffic accid en t
V1 0 . 5 0 P ed al cy clist in ju red in co llisio n with p ed estrian o r an imal, p assen g er, traffic acci d en t, wh ile en g ag ed in sp o rts activ ity
V1 3 . 0 1 P ed al cy clist in ju red in co llisio n with car, p ick -u p tru ck o r v an , nd oriv
n traffic
er,
accid en t, w h ile en g ag ed in lei su re activ ity
V1 0 . 5 1 P ed al cy clist in ju red in co llisio n with p ed estrian o r an imal, p assen g er, traffic acci d en t, wh ile en g ag ed in leisu re activ ity
V1 4 . 9 9 P ed al cy clist in ju red in co llisio n with h eav y tran sp o rt v eh i cle o r b u s, u n sp ecif ied p ed al cy clist, traffic accid en t, d u rin g u n sp ecified activ it y
V1 5 P ed al cy clist in ju red in co llisio n with railway train o r railway v eh icle
V1 3 . 0 2 P ed al cy clist in ju red in co llisio n with car, p ick -u p tru ck o r v an , nd oriv
n traffic
er,
accid en t, w h ile wo rk in g fo r an in co me
V1 5 . 0 P ed al cy clist in ju red in co llisio n with rail way train o r railway v eh icle, d riv
n oer,
n traffic accid en t
V1 0 . 5 2 P ed al cy clist in ju red in co llisio n with p ed estrian o r an imal, p assen g er, traffic acci d en t, wh ile wo rk in g fo r an in co me
V1 3 . 0 3 P ed al cy clist in ju red in co llisio n with car, p ick -u p tru ck o r v an , nd oriv
n traffic
er,
accid en t, w h ile en g ag ed in o t h er ty p es o f wo rk
V1 0 . 5 3 P ed al cy clist in ju red in co llisio n with p ed estrian o r an imal, p assen g er, traffic acci d en t, wh ile en g ag ed in o th er ty p es o f wo rk
V1 5 . 0 0 P ed al cy clist in ju red in co llisio n with railway train o r railway v eh icle, d riv
n o er,
n traffic accid en t, w h ile en g ag ed in sp o rts activ ity
V1 3 . 0 4 P ed al cy clist in ju red in co llisio n with car, p ick -u p tru ck o r v an , nd oriv
n traffic
er,
accid en t, w h ile restin g , sleep in g , eatin g o r en g ag in g in o th er v ital activ ities
V1 5 . 0 1 P ed al cy clist
V1 3 . 0 8 P ed al cy clist in ju red in co llisio n with car, p ick -u p tru ck o r v an , nd oriv
n traffic
er,
accid en t, w h ile en g ag ed in o t h er sp ecified activ iti es
V1 5 . 0 2 P ed al cy clist
V1 0 . 5 9 P ed al cy clist in ju red in co llisio n with p ed estrian o r an imal, p assen g er, traffic acci d en t, d u rin g u n sp ecified activ ity
V1 3 . 0 9 P ed al cy clist in ju red in co llisio n with car, p ick -u p tru ck o r v an , nd oriv
n traffic
er,
accid en t, d u rin g u n sp ecified activ ity
V1 5 . 0 3 P ed al cy clist
V1 0 . 9 P ed al cy clist in ju red in co llisio n with p ed estrian o r an imal, u n sp ecified p ed al cy clist, traffic accid en t
V1 3 . 1 P ed al cy clist in ju red in co llisio n with car, p ick -u p tru ck o r v an , p assen
n ogner,
traffic accid en t
V1 0 . 9 0 P ed al cy clist in ju red in co llisio n with p ed estrian o r an imal, u n sp ecified p ed al cy clist, traffic accid en t , wh ile en g ag ed in sp o rts activ ity
V1 5 . 0 4 P ed al cy clist
V1 0 . 9 1 P ed al cy clist in ju red in co llisio n with p ed estrian o r an imal, u n sp ecified p ed al cy clist, traffic accid en t , wh ile en g ag ed in leisu re activ ity
V1 3 . 1 0 P ed al cy clist in ju red in co llisio n with car, p ick -u p tru ck o r v an , p assen
n ogner,
traffic accid en t, w h ile en g ag ed in sp o rts activ ity
V1 5 . 0 8 P ed al cy clist
V1 0 . 9 2 P ed al cy clist in ju red in co llisio n with p ed estrian o r an imal, u n sp ecified p ed al cy clist, traffic accid en t , wh ile wo rk in g fo r an in co me
V1 3 . 1 1 P ed al cy clist in ju red in co llisio n with car, p ick -u p tru ck o r v an , p assen
n ogner,
traffic accid en t, w h ile en g ag ed in lei su re activ ity
V1 5 . 0 9 P ed al cy clist
V1 0 . 9 3 P ed al cy clist in ju red in co llisio n with p ed estrian o r an imal, u n sp ecified p ed al cy clist, traffic accid en t , wh ile en g ag ed in o th er ty p es o f wo rk
V1 3 . 1 2 P ed al cy clist in ju red in co llisio n with car, p ick -u p tru ck o r v an , p assen
n ogner,
traffic accid en t, w h ile wo rk in g fo r an in co me
V1 0 . 9 4 P ed al cy clist in ju red in co llisio n with p ed estrian o r an imal, u n sp ecified p ed al cy clist, traffic accid en t , wh ile restin g , sleep in g , eatin g o r en g ag in g in o th er v ital activ ities
V1 5 . 1 P ed al cy clist in ju red in
V1 3 . 1 3 P ed al cy clist in ju red in co llisio n with car, p ick -u p tru ck o r v an , p assen
n ogner,
traffic accid en t, w h ile en g ag ed in o t h er ty p es o f wo rk
V1 0 . 9 8 P ed al cy clist in ju red in co llisio n with p ed estrian o r an imal, u n sp ecified p ed al cy clist, traffic accid en t , wh ile en g ag ed in o th er sp ecified activ ities
V1 5 . 1 0 P ed al cy clist
V1 0 . 9 9 P ed al cy clist in ju red in co llisio n with p ed estrian o r an imal, u n sp ecified p ed al cy clist, traffic accid en t , d u rin g u n sp ecified activ ity
V1 3 . 1 4 P ed al cy clist in ju red in co llisio n with car, p ick -u p tru ck o r v an , p assen
n ogner,
traffic accid en t, w h ile restin g , sleep in g , eatin g o r en g ag in g in o th er v ital activ ities
V1 5 . 1 1 P ed al cy clist
V1 1 P ed al cy clist in ju red in co llisio n with o th er p ed al cy cle
V1 3 . 1 8 P ed al cy clist in ju red in co llisio n with car, p ick -u p tru ck o r v an , p assen
n ogner,
traffic accid en t, w h ile en g ag ed in o t h er sp ecified activ iti es
V1 5 . 1 2 P ed al cy clist
V1 1 . 0 P ed al cy clist in ju red in co llisio n with o th er p ed al cy cle, d riv
n oer,
n traffic accid en t
V1 3 . 1 9 P ed al cy clist in ju red in co llisio n with car, p ick -u p tru ck o r v an , p assen
n ogner,
traffic accid en t, d u rin g u n sp ecified activ ity
V1 1 . 0 0 P ed al cy clist in ju red in co llisio n with o th er p ed al cy cle, d rin vo er,
n traffic accid en t, w h ile en g ag ed in sp o rts activ ity
V1 5 . 1 3 P ed al cy clist
V1 1 . 0 1 P ed al cy clist in ju red in co llisio n with o th er p ed al cy cle, d rin vo er,
n traffic accid en t, w h ile en g ag ed in lei su re activ ity
V1 3 . 2 P ed al cy clist in ju red in co llisio n with car, p ick -u p tru ck o r v an , u n sp ecified p ed al ncyoclist,
n traffic accid en t
V1 5 . 1 4 P ed al cy clist
V1 1 . 0 2 P ed al cy clist in ju red in co llisio n with o th er p ed al cy cle, d rin vo er,
n traffic accid en t, w h ile wo rk in g fo r an in co me
V1 3 . 2 0 P ed al cy clist in ju red in co llisio n with car, p ick -u p tru ck o r v an , u n sp ecified p ed al ncyo clist,
n traffic accid en t, w h ile en g ag ed in sp o rts activ ity
V1 5 . 1 8 P ed al cy clist
V1 1 . 0 3 P ed al cy clist in ju red in co llisio n with o th er p ed al cy cle, d rin vo er,
n traffic accid en t, w h ile en g ag ed in o t h er ty p es o f wo rk
V1 3 . 2 1 P ed al cy clist in ju red in co llisio n with car, p ick -u p tru ck o r v an , u n sp ecified p ed al ncyo clist,
n traffic accid en t, w h ile en g ag ed in lei su re activ ity
V1 1 . 0 4 P ed al cy clist in ju red in co llisio n with o th er p ed al cy cle, d rin vo er,
n traffic accid en t, w h ile restin g , sleep in g , eatin g o r en g ag in g in o th er v ital activ ities
V1 5 . 1 9 P ed al cy clist
V1 3 . 2 2 P ed al cy clist in ju red in co llisio n with car, p ick -u p tru ck o r v an , u n sp ecified p ed al ncyo clist,
n traffic accid en t, w h ile wo rk in g fo r an in co me
V1 1 . 0 8 P ed al cy clist in ju red in co llisio n with o th er p ed al cy cle, d rin vo er,
n traffic accid en t, w h ile en g ag ed in o t h er sp ecified activ iti es
V1 0 . 5 4 P ed al cy clist in ju red in co llisio n with p ed estrian o r an imal, p assen g er, traffic acci d en t, wh ile restin g , sleep in g , eatin g o r en g ag in g in o th er v ital activ ities
in ju red in co llisio n with railway train o r railway v eh icle, d riv
n o er,
n traffic accid en t, w h ile en g ag ed in lei su re activ ity
V1 0 . 5 8 P ed al cy clist in ju red in co llisio n with p ed estrian o r an imal, p assen g er, traffic acci d en t, wh ile en g ag ed in o th er sp ecified activ ities
V1 1 . 0 9 P ed al cy clist in ju red in co llisio n with o th er p ed al cy cle, d rin vo er,
n traffic accid en t, d u rin g u n sp ecified activ ity
in ju red in co llisio n with railway train o r railway v eh icle, d riv
n o er,
n traffic accid en t, w h ile wo rk in g fo r an in co me
in ju red in co llisio n with railway train o r railway v eh icle, d riv
n o er,
n traffic accid en t, w h ile en g ag ed in o t h er ty p es o f wo rk
in ju red in co llisio n with railway train o r railway v eh icle, d riv
n o er,
n traffic accid en t, w h ile restin g , sleep in g , eatin g o r en g ag in g in o th er v ital activ ities
in ju red in co llisio n with railway train o r railway v eh icle, d riv
n o er,
n traffic accid en t, w h ile en g ag ed in o t h er sp ecified activ iti es
in ju red in co llisio n with railway train o r railway v eh icle, d riv
n o er,
n traffic accid en t, d u rin g u n sp ecified activ ity
co llisio n with rail way train o r railway v eh icle, p assen ng oer,n traffic accid en t
in ju red in co llisio n with railway train o r railway v eh icle, p assenngoern, traffic accid en t, w h ile en g ag ed in sp o rts activ ity
in ju red in co llisio n with railway train o r railway v eh icle, p assenngoern, traffic accid en t, w h ile en g ag ed in lei su re activ ity
in ju red in co llisio n with railway train o r railway v eh icle, p assenngoern, traffic accid en t, w h ile wo rk in g fo r an in co me
in ju red in co llisio n with railway train o r railway v eh icle, p assenngoern, traffic accid en t, w h ile en g ag ed in o t h er ty p es o f wo rk
in ju red in co llisio n with railway train o r railway v eh icle, p assenngoern, traffic accid en t, w h ile restin g , sleep in g , eatin g o r en g ag in g in o th er v ital activ ities
in ju red in co llisio n with railway train o r railway v eh icle, p assenngoern, traffic accid en t, w h ile en g ag ed in o t h er sp ecified activ iti es
in ju red in co llisio n with railway train o r railway v eh icle, p assenngoern, traffic accid en t, d u rin g u n sp ecified activ ity
V1 3 . 2 3 P ed al cy clist in ju red in co llisio n with car, p ick -u p tru ck o r v an , u n sp ecified p ed al ncyo clist,
n traffic accid en t, w h ile en g ag ed in o t h er ty p es o f wo rk
V1 5 . 2 P ed al cy clist in ju red in co llisio n with rail way train o r railway
V1 3 . 2 4 P ed al cy clist in ju red in co llisio n with car, p ick -u p tru ck o r v an , u n sp ecified p ed al ncyo clist,
n traffic accid en t, w h ile restin g , sleep in g , eatin g o r en g ag in g in o th er v ital activ ities
V1 5 . 2 0 P ed al cy clist in ju red in co llisio n with railway train
V1 3 . 2 8 P ed al cy clist in ju red in co llisio n with car, p ick -u p tru ck o r v an , u n sp ecified p ed al ncyo clist,
n traffic accid en t, w h ile en g ag ed in o t h er sp ecified activ iti es
V1 5 . 2 1 P ed al cy clist in ju red in co llisio n with railway train
V1 3 . 2 9 P ed al cy clist in ju red in co llisio n with car, p ick -u p tru ck o r v an , u n sp ecified p ed al ncyo clist,
n traffic accid en t, d u rin g u n sp ecified activ ity
V1 5 . 2 2 P ed al cy clist in ju red in co llisio n with railway train
V1 3 . 3 P ed al cy clist in ju red in co llisio n with car, p ick -u p tru ck o r v an , wh ile b o ard in g o r alig h tin g
V1 5 . 2 3 P ed al cy clist in ju red in co llisio n with railway train
v eh icle, u n sp ecified p ed al cy nclist,
o n traffic accid en t
•W65.40 Drowning and submersion while in bath-tub, street and highway,
while engaged in sports activity
V1 1 . 1 P ed al cy clist in ju red in co llisio n with o th er p ed al cy cle, p assen ng oer,n traffic accid en t
V1 1 . 1 0 P ed al cy clist in ju red in co llisio n with o th er p ed al cy cle, p assenngoer,
n traffic accid en t, w h ile en g ag ed in sp o rts activ ity
V1 1 . 1 1 P ed al cy clist in ju red in co llisio n with o th er p ed al cy cle, p assenngoer,
n traffic accid en t, w h ile en g ag ed in lei su re activ ity
V1 1 . 1 2 P ed al cy clist in ju red in co llisio n with o th er p ed al cy cle, p assenngoer,
n traffic accid en t, w h ile wo rk in g fo r an in co me
V1 1 . 1 3 P ed al cy clist in ju red in co llisio n with o th er p ed al cy cle, p assenngoer,
n traffic accid en t, w h ile en g ag ed in o t h er ty p es o f wo rk
V1 1 . 1 4 P ed al cy clist in ju red in co llisio n with o th er p ed al cy cle, p assenngoer,
n traffic accid en t, w h ile restin g , sleep in g , eatin g o r en g ag in g in o th er v ital activ ities
V1 3 . 3 0 P ed al cy clist in ju red in co llisio n with car, p ick -u p tru ck o r v an , wh ile b o ard in g o r alig h tin g , wh ile en g ag ed in sp o rts activ ity
V1 1 . 1 8 P ed al cy clist in ju red in co llisio n with o th er p ed al cy cle, p assenngoer,
n traffic accid en t, w h ile en g ag ed in o t h er sp ecified activ iti es
V1 1 . 2 P ed al cy clist in ju red in co llisio n with o th er p ed al cy cle, u n sp ecified p ed al cy nclist
o n ,traffic accid en t
V1 1 . 2 0 P ed al cy clist in ju red in co llisio n with o th er p ed al cy cle, u n sp ecified p ed al cyncli
o st,
n traffic accid en t, w h ile en g ag ed in sp o rts activ ity
o r railway v eh icle, u n sp ecifi ed p ed al cynclist,
o n traffic accid en t, w h ile en g ag ed in o t h er ty p es o f wo rk
V1 5 . 2 9 P ed al cy clist in ju red in co llisio n with railway train o r railway v eh icle, u n sp ecifi ed p ed al cynclist,
o n traffic accid en t, d u rin g u n sp ecified activ ity
V1 3 . 3 3 P ed al cy clist in ju red in co llisio n with car, p ick -u p tru ck o r v an , wh ile b o ard in g o r alig h tin g , wh ile en g ag ed in o th er ty p es o f wo rk
V1 5 . 3 P ed al cy clist in ju red in co llisio n with rail way train o r railway v eh icle, wh ile b o ar d in g o r alig h tin g
V1 3 . 3 4 P ed al cy clist in ju red in co llisio n with car, p ick -u p tru ck o r v an , wh ile b o ard in g o r alig h tin g , wh ile restin g , sleep in g , eatin g o r en g ag in g in o th er v ital act iv ities
V1 5 . 3 0 P ed al cy clist in ju red in co llisio n with railway train o r railway v eh icle, wh ile b o ard in g o r alig h tin g , wh ile en g ag ed in sp o rts activ ity
V1 3 . 3 8 P ed al cy clist in ju red in co llisio n with car, p ick -u p tru ck o r v an , wh ile b o ard in g o r alig h tin g , wh ile en g ag ed in o th er sp ecified activ ities
V1 5 . 3 1 P ed al cy clist in ju red in co llisio n with railway train o r railway v eh icle, wh ile b o ard in g o r alig h tin g , wh ile en g ag ed in leisu re activ ity
V1 3 . 3 9 P ed al cy clist in ju red in co llisio n with car, p ick -u p tru ck o r v an , wh ile b o ard in g o r alig h tin g , d u rin g u n sp ecified activ ity
V1 5 . 3 2 P ed al cy clist in ju red in co llisio n with railway train o r railway v eh icle, wh ile b o ard in g o r alig h tin g , wh ile wo rk in g fo r an in co me, wh ile wo rk in g fo r an in co me
V1 1 . 2 2 P ed al cy clist in ju red in co llisio n with o th er p ed al cy cle, u n sp ecified p ed al cyncli
o st,
n traffic accid en t, w h ile wo rk in g fo r an in co me
V1 1 . 2 3 P ed al cy clist in ju red in co llisio n with o th er p ed al cy cle, u n sp ecified p ed al cyncli
o st,
n traffic accid en t, w h ile en g ag ed in o t h er ty p es o f wo rk
V1 1 . 2 4 P ed al cy clist in ju red in co llisio n with o th er p ed al cy cle, u n sp ecified p ed al cyncli
o st,
n traffic accid en t, w h ile restin g , sleep in g , eatin g o r en g ag in g in o th er v ital activ ities
V1 1 . 2 8 P ed al cy clist in ju red in co llisio n with o th er p ed al cy cle, u n sp ecified p ed al cyncli
o st,
n traffic accid en t, w h ile en g ag ed in o t h er sp ecified activ iti es
V1 1 . 2 9 P ed al cy clist in ju red in co llisio n with o th er p ed al cy cle, u n sp ecified p ed al cyncli
o st,
n traffic accid en t, d u rin g u n sp ecified activ ity
o r railway v eh icle, u n sp ecifi ed p ed al cynclist,
o n traffic accid en t, w h ile wo rk in g fo r an in co me
V1 5 . 2 8 P ed al cy clist in ju red in co llisio n with railway train o r railway v eh icle, u n sp ecifi ed p ed al cynclist,
o n traffic accid en t, w h ile en g ag ed in o t h er sp ecified activ iti es
V1 3 . 3 2 P ed al cy clist in ju red in co llisio n with car, p ick -u p tru ck o r v an , wh ile b o ard in g o r alig h tin g , wh ile wo rk in g fo r an in co me
V1 1 . 2 1 P ed al cy clist in ju red in co llisio n with o th er p ed al cy cle, u n sp ecified p ed al cyncli
o st,
n traffic accid en t, w h ile en g ag ed in lei su re activ ity
o r railway v eh icle, u n sp ecifi ed p ed al cynclist,
o n traffic accid en t, w h ile en g ag ed in lei su re activ ity
V1 5 . 2 4 P ed al cy clist in ju red in co llisio n with railway train o r railway v eh icle, u n sp ecifi ed p ed al cynclist,
o n traffic accid en t, w h ile restin g , sleep in g , eatin g o r en g ag in g in o th er v ital activ ities
V1 3 . 3 1 P ed al cy clist in ju red in co llisio n with car, p ick -u p tru ck o r v an , wh ile b o ard in g o r alig h tin g , wh ile en g ag ed in leisu re activ ity
V1 1 . 1 9 P ed al cy clist in ju red in co llisio n with o th er p ed al cy cle, p assenngoer,
n traffic accid en t, d u rin g u n sp ecified activ ity
o r railway v eh icle, u n sp ecifi ed p ed al cynclist,
o n traffic accid en t, w h ile en g ag ed in sp o rts activ ity
V1 3 . 4 P ed al cy clist in ju red in co llisio n with car, p ick -u p tru ck o r v an , d riv er, traffic accid en t
V1 5 . 3 3 P ed al cy clist in ju red in co llisio n with railway train o r railway v eh icle, wh ile b o ard in g o r alig h tin g , wh ile en g ag ed in o th er ty p es o f wo r k
V1 3 . 4 0 P ed al cy clist in ju red in co llisio n with car, p ick -u p tru ck o r v an , d riv er, traffic accid en t, wh ile en g ag ed in sp o rts activ i ty
V1 1 . 3 P ed al cy clist in ju red in co llisio n with o th er p ed al cy cle, wh il e b o ard in g o r alig h tin g
V1 1 . 3 0 P ed al cy clist in ju red in co llisio n with o th er p ed al cy cle, wh ile b o ard in g o r alig h tin g , wh ile en g ag ed in sp o rts activ it y
V1 5 . 3 4 P ed al cy clist in ju red in co llisio n with railway train o r railway v eh icle, wh ile b o ard in g o r alig h tin g , wh ile restin g , sleep in g , eatin g o r en g ag in g in o th er v it al activ ities
V1 3 . 4 1 P ed al cy clist in ju red in co llisio n with car, p ick -u p tru ck o r v an , d riv er, traffic accid en t, wh ile en g ag ed in leisu re activ i ty
V1 1 . 3 1 P ed al cy clist in ju red in co llisio n with o th er p ed al cy cle, wh ile b o ard in g o r alig h tin g , wh ile en g ag ed in leisu re activ it y
V1 5 . 3 8 P ed al cy clist in ju red in co llisio n with railway train o r railway v eh icle, wh ile b o ard in g o r alig h tin g , wh ile en g ag ed in o th er sp ecified activ ities
V1 3 . 4 2 P ed al cy clist in ju red in co llisio n with car, p ick -u p tru ck o r v an , d riv er, traffic accid en t, wh ile wo rk in g fo r an in co me
V1 5 . 3 9 P ed al cy clist in ju red in co llisio n with railway train o r railway v eh icle, wh ile b o ard in g o r alig h tin g , d u rin g u n sp ecifi ed activ ity
•X35.44 Victim of volcanic eruption, street and highway, while resting,
sleeping, eating or engaging in other vital activities
V1 1 . 3 2 P ed al cy clist in ju red in co llisio n with o th er p ed al cy cle, wh ile b o ard in g o r alig h tin g , wh ile wo rk in g fo r an in co me
V1 3 . 4 3 P ed al cy clist in ju red in co llisio n with car, p ick -u p tru ck o r v an , d riv er, traffic accid en t, wh ile en g ag ed in o th er ty p es o f wo rk
V1 1 . 3 3 P ed al cy clist in ju red in co llisio n with o th er p ed al cy cle, wh ile b o ard in g o r alig h tin g , wh ile en g ag ed in o th er ty p es o f wo rk
V1 5 . 4 P ed al cy clist in ju red in co llisio n with rail way train o r railway v eh icle, d riv er, traf fic accid en t
V1 3 . 4 4 P ed al cy clist in ju red in co llisio n with car, p ick -u p tru ck o r v an , d riv er, traffic accid en t, wh ile restin g , sleep in g , eatin g o r en g ag in g in o t h er v ital activ ities
V1 5 . 4 0 P ed al cy clist in ju red in co llisio n with railway train o r railway v eh icle, d riv er, tr affic accid en t, wh ile en g ag ed in sp o rts activ ity
V1 3 . 4 8 P ed al cy clist in ju red in co llisio n with car, p ick -u p tru ck o r v an , d riv er, traffic accid en t, wh ile en g ag ed in o th er sp ecifi ed activ ities
V1 5 . 4 1 P ed al cy clist in ju red in co llisio n with railway train o r railway v eh icle, d riv er, tr affic accid en t, wh ile en g ag ed in leisu re activ ity
V1 3 . 4 9 P ed al cy clist in ju red in co llisio n with car, p ick -u p tru ck o r v an , d riv er, traffic accid en t, d u rin g u n sp ecified activ ity
V1 5 . 4 2 P ed al cy clist in ju red in co llisio n with railway train o r railway v eh icle, d riv er, tr affic accid en t, wh ile wo rk in g fo r an in co me
V1 1 . 3 4 P ed al cy clist in ju red in co llisio n with o th er p ed al cy cle, wh ile b o ard in g o r alig h tin g , wh ile restin g , sleep in g , eatin g o r en g ag in g in o th er v ital activ ities
V1 1 . 3 8 P ed al cy clist in ju red in co llisio n with o th er p ed al cy cle, wh ile b o ard in g o r alig h tin g , wh ile en g ag ed in o th er sp ecified activ ities
V1 1 . 3 9 P ed al cy clist in ju red in co llisio n with o th er p ed al cy cle, wh ile b o ard in g o r alig h tin g , d u rin g u n sp ecified activ ity
V1 1 . 4 P ed al cy clist in ju red in co llisio n with o th er p ed al cy cle, d riv er, traffic accid en t
V1 1 . 4 0 P ed al cy clist in ju red in co llisio n with o th er p ed al cy cle, d ri v er, traffic accid en t, wh ile en g ag ed in sp o rts activ ity
V1 3 . 5 P ed al cy clist in ju red in co llisio n with car, p ick -u p tru ck o r v an , p assen g er, traffi c accid en t
V1 1 . 4 1 P ed al cy clist in ju red in co llisio n with o th er p ed al cy cle, d ri v er, traffic accid en t, wh ile en g ag ed in leisu re activ ity
V1 1 . 4 4 P ed al cy clist in ju red in co llisio n with o th er p ed al cy cle, d ri v er, traffic accid en t, wh ile restin g , sleep i n g , eatin g o r en g ag in g in o th er v ital activ ities
V1 1 . 4 8 P ed al cy clist in ju red in co llisio n with o th er p ed al cy cle, d ri v er, traffic accid en t, wh ile en g ag ed in o th er sp ecified activ it ies
V1 1 . 4 9 P ed al cy clist in ju red in co llisio n with o th er p ed al cy cle, d ri v er, traffic accid en t, d u rin g u n sp ecified activ ity
V1 1 . 5 P ed al cy clist in ju red in co llisio n with o th er p ed al cy cle, p assen g er, traffic accid en t
V1 1 . 5 0 P ed al cy clist in ju red in co llisio n with o th er p ed al cy cle, p assen g er, traffic accid en t, wh ile en g ag ed in sp o rts activ ity
V1 1 . 5 1 P ed al cy clist in ju red in co llisio n with o th er p ed al cy cle, p assen g er, traffic accid en t, wh ile en g ag ed in leisu re activ ity
V1 1 . 5 2 P ed al cy clist in ju red in co llisio n with o th er p ed al cy cle, p assen g er, traffic accid en t, wh ile wo rk in g f o r an in co me
V1 1 . 5 3 P ed al cy clist in ju red in co llisio n with o th er p ed al cy cle, p assen g er, traffic accid en t, wh ile en g ag ed in o th er ty p es o f wo rk
V1 1 . 5 4 P ed al cy clist in ju red in co llisio n with o th er p ed al cy cle, p assen g er, traffic accid en t, wh ile restin g , sleep in g , eatin g o r en g ag in g in o th er v i tal activ ities
V1 5 . 4 3 P ed al cy clist in ju red in co llisio n with railway train o r railway v eh icle, d riv er, tr affic accid en t, wh ile en g ag ed in o th er ty p es o f wo rk
V1 3 . 5 0 P ed al cy clist in ju red in co llisio n with car, p ick -u p tru ck o r v an , p assen g er, traf fic accid en t, wh ile en g ag ed in sp o rts act iv ity
V1 1 . 4 2 P ed al cy clist in ju red in co llisio n with o th er p ed al cy cle, d ri v er, traffic accid en t, wh ile wo rk in g fo r an in co me
V1 5 . 4 4 P ed al cy clist in ju red in co llisio n with railway train o r railway v eh icle, d riv er, tr affic accid en t, wh ile restin g , sleep in g , eatin g o r en g ag in g i n o th er v ital activ it ies
V1 3 . 5 1 P ed al cy clist in ju red in co llisio n with car, p ick -u p tru ck o r v an , p assen g er, traf fic accid en t, wh ile en g ag ed in leisu re act iv ity
V1 1 . 4 3 P ed al cy clist in ju red in co llisio n with o th er p ed al cy cle, d ri v er, traffic accid en t, wh ile en g ag ed in o th er ty p es o f wo rk
V1 5 . 4 8 P ed al cy clist in ju red in co llisio n with railway train o r railway v eh icle, d riv er, tr affic accid en t, wh ile en g ag ed in o th er sp ecified activ ities
V1 3 . 5 2 P ed al cy clist in ju red in co llisio n with car, p ick -u p tru ck o r v an , p assen g er, traf fic accid en t, wh ile w o rk in g fo r an in co me
V1 5 . 4 9 P ed al cy clist
V1 3 . 5 3 P ed al cy clist in ju red in co llisio n with car, p ick -u p tru ck o r v an , p assen g er, traf fic accid en t, wh ile en g ag ed in o th er ty p es o f wo rk
V1 5 . 5 P ed al cy clist in ju red in
V1 3 . 5 4 P ed al cy clist in ju red in co llisio n with car, p ick -u p tru ck o r v an , p assen g er, traf fic accid en t, wh ile restin g , sleep in g , eati n g o r en g ag in g in o th er v ital activ ities
V1 5 . 5 0 P ed al cy clist
V1 3 . 5 8 P ed al cy clist in ju red in co llisio n with car, p ick -u p tru ck o r v an , p assen g er, traf fic accid en t, wh ile en g ag ed in o th er sp ecified activ ities
V1 5 . 5 1 P ed al cy clist
V1 3 . 5 9 P ed al cy clist in ju red in co llisio n with car, p ick -u p tru ck o r v an , p assen g er, traf fic accid en t, d u rin g u n sp ecified activ ity
V1 5 . 5 2 P ed al cy clist
V1 3 . 9 P ed al cy clist in ju red in co llisio n with car, p ick -u p tru ck o r v an , u n sp ecified p ed al cy clist, traffic acci d en t
V1 5 . 5 3 P ed al cy clist
V1 3 . 9 0 P ed al cy clist in ju red in co llisio n with car, p ick -u p tru ck o r v an , u n sp ecified p ed al cy clist, traffic accid en t, wh ile en g ag ed in sp o rts activ ity
V1 5 . 5 4 P ed al cy clist
in ju red in co llisio n with railway train o r railway v eh icle, d riv er, tr affic accid en t, d u rin g u n sp ecified activ i ty
co llisio n with rail way train o r railway v eh icle, p assen g er, traffic accid en t
in ju red in co llisio n with railway train o r railway v eh icle, p assen g er , traffic accid en t, wh ile en g ag ed in sp o r ts activ ity
in ju red in co llisio n with railway train o r railway v eh icle, p assen g er , traffic accid en t, wh ile en g ag ed in leisu re activ ity
in ju red in co llisio n with railway train o r railway v eh icle, p assen g er , traffic accid en t, wh ile wo rk in g fo r an in co me
in ju red in co llisio n with railway train o r railway v eh icle, p assen g er , traffic accid en t, wh ile en g ag ed in o th er ty p es o f wo rk
in ju red in co llisio n with railway train o r railway v eh icle, p assen g er , traffic accid en t, wh ile restin g , sleep in g , eatin g o r en g ag in g in o th er v ital acti v ities
V1 3 . 9 1 P ed al cy clist in ju red in co llisio n with car, p ick -u p tru ck o r v an , u n sp ecified p ed al cy clist, traffic accid en t, wh ile en g ag ed in leisu re activ ity
V1 1 . 5 8 P ed al cy clist in ju red in co llisio n with o th er p ed al cy cle, p assen g er, traffic accid en t, wh ile en g ag ed in o th er sp ecified acti v ities
V1 1 . 9 1 P ed al cy clist in ju red in co llisio n with o th er p ed al cy cle, u n sp ecified p ed al cy cli st, traffic accid en t, w h ile en g ag ed in leisu re activ ity
V1 5 . 5 8 P ed al cy clist in ju red in co llisio n with railway train o r railway v eh icle, p assen g er , traffic accid en t, wh ile en g ag ed in o th er sp ecified activ ities
V1 3 . 9 2 P ed al cy clist in ju red in co llisio n with car, p ick -u p tru ck o r v an , u n sp ecified p ed al cy clist, traffic accid en t, wh ile wo rk i n g fo r an in co me
V1 5 . 5 9 P ed al cy clist in ju red in co llisio n with railway train o r railway v eh icle, p assen g er , traffic accid en t, d u rin g u n sp ecified act iv ity
V1 3 . 9 3 P ed al cy clist in ju red in co llisio n with car, p ick -u p tru ck o r v an , u n sp ecified p ed al cy clist, traffic accid en t, wh ile en g ag ed in o th er ty p es o f wo rk
V1 5 . 9 P ed al cy clist in ju red in co llisio n with rail way train o r railway v eh icle, u n sp ecified p ed al cy clist, traffi c accid en t
V1 3 . 9 4 P ed al cy clist in ju red in co llisio n with car, p ick -u p tru ck o r v an , u n sp ecified p ed al cy clist, traffic accid en t, wh ile restin g , sleep in g , eatin g o r en g ag in g in o th er v ital activ ities
V1 5 . 9 0 P ed al cy clist in ju red in co llisio n with railway train o r railway v eh icle, u n sp ecifi ed p ed al cy clist, traf fic accid en t, wh ile en g ag ed in sp o rts act iv ity
V1 1 . 9 2 P ed al cy clist in ju red in co llisio n with o th er p ed al cy cle, u n sp ecified p ed al cy cli st, traffic accid en t, w h ile wo rk in g fo r an in co me
V1 3 . 9 8 P ed al cy clist in ju red in co llisio n with car, p ick -u p tru ck o r v an , u n sp ecified p ed al cy clist, traffic accid en t, wh ile en g ag ed in o th er sp ecified activ ities
V1 5 . 9 1 P ed al cy clist in ju red in co llisio n with railway train o r railway v eh icle, u n sp ecifi ed p ed al cy clist, traf fic accid en t, wh ile en g ag ed in leisu re act iv ity
V1 1 . 5 9 P ed al cy clist in ju red in co llisio n with o th er p ed al cy cle, p assen g er, traffic accid en t, d u rin g u n sp ecif ied activ ity
V1 1 . 9 P ed al cy clist in ju red in co llisio n with o th er p ed al cy cle, u n sp ecified p ed al cy clist , traffic accid en t
V1 1 . 9 0 P ed al cy clist in ju red in co llisio n with o th er p ed al cy cle, u n sp ecified p ed al cy cli st, traffic accid en t, w h ile en g ag ed in sp o rts activ ity
V1 1 . 9 3 P ed al cy clist in ju red in co llisio n with o th er p ed al cy cle, u n sp ecified p ed al cy cli st, traffic accid en t, w h ile en g ag ed in o th er ty p es o f wo rk
V1 3 . 9 9 P ed al cy clist in ju red in co llisio n with car, p ick -u p tru ck o r v an , u n sp ecified p ed al cy clist, traffic accid en t, d u rin g u n sp ecified activ ity
V1 1 . 9 4 P ed al cy clist in ju red in co llisio n with o th er p ed al cy cle, u n sp ecified p ed al cy cli st, traffic accid en t, w h ile restin g , sleep in g , eatin g o r en g ag i n g in o th er v ital activ ities
V1 4 P ed al cy clist in ju red in co llisio n with h eav y tran sp o rt v eh icle o r b u s
V1 1 . 9 8 P ed al cy clist in ju red in co llisio n with o th er p ed al cy cle, u n sp ecified p ed al cy cli st, traffic accid en t, w h ile en g ag ed in o th er sp ecified activ ities
V1 4 . 0 P ed al cy clist in ju red in co llisio n with h eav y tran sp o rt v eh icl e o r b u s, dn riv
o n er,
traffic accid en t
V1 1 . 9 9 P ed al cy clist in ju red in co llisio n with o th er p ed al cy cle, u n sp ecified p ed al cy cli st, traffic accid en t, d u rin g u n sp ecified activ ity
V1 2 P ed al cy clist in ju red in co llisio n with two - o r th ree-wh eeled mo to r v eh icle
V1 4 . 0 0 P ed al cy clist in ju red in co llisio n with h eav y tran sp o rt v eh i cle o r b u s, nd oriv
n traffic
er,
accid en t, w h ile en g ag ed in sp o rts activ ity
V1 2 . 0 P ed al cy clist in ju red in co llisio n with two - o r th ree-wh eeled mo to r v eh icle, d riv
n o er,
n traffic accid en t
V1 4 . 0 2 P ed al cy clist in ju red in co llisio n with h eav y tran sp o rt v eh i cle o r b u s, nd oriv
n traffic
er,
accid en t, w h ile wo rk in g fo r an in co me
V1 2 . 0 3 P ed al cy clist in ju red in co llisio n
V1 2 . 0 8 P ed al cy clist in ju red in co llisio n
V1 2 . 0 9 P ed al cy clist in ju red in co llisio n
V1 2 . 1 P ed al cy clist in ju red in co llisio n with two V1 2 . 1 0 P ed al cy clist in ju red in co llisio n
V1 2 . 1 1 P ed al cy clist in ju red in co llisio n
V1 2 . 1 2 P ed al cy clist in ju red in co llisio n
V1 2 . 1 3 P ed al cy clist in ju red in co llisio n
V1 5 . 9 4 P ed al cy clist in ju red in co llisio n with railway train o r railway v eh icle, u n sp ecifi ed p ed al cy clist, traf fic accid en t, wh ile restin g , sleep in g , eati n g o r en g ag in g in o th er v ital activ ities
V1 6 P ed al cy clist in ju red in co llisio n with o th
n oern mo to rv eh icle
V1 4 . 0 3 P ed al cy clist in ju red in co llisio n with h eav y tran sp o rt v eh i cle o r b u s, nd oriv
n traffic
er,
accid en t, w h ile en g ag ed in o t h er ty p es o f wo rk
V1 2 . 0 2 P ed al cy clist in ju red in co llisio n with tw o - o r th ree-wh eeled mo to r v eh icle, d nriv
o ner,traffic accid en t, w h ile wo rk in g fo r an in co me
V1 2 . 0 4 P ed al cy clist in ju red in co llisio n
V1 5 . 9 3 P ed al cy clist in ju red in co llisio n with railway train o r railway v eh icle, u n sp ecifi ed p ed al cy clist, traf fic accid en t, wh ile en g ag ed in o th er ty p es o f wo rk
V1 5 . 9 9 P ed al cy clist in ju red in co llisio n with railway train o r railway v eh icle, u n sp ecifi ed p ed al cy clist, traf fic accid en t, d u rin g u n sp ecified activ ity
V1 2 . 0 0 P ed al cy clist in ju red in co llisio n with tw o - o r th ree-wh eeled mo to r v eh icle, d nriv
o ner,traffic accid en t, w h ile en g ag ed in sp o rts activ ity
V1 2 . 0 1 P ed al cy clist in ju red in co llisio n with tw o - o r th ree-wh eeled mo to r v eh icle, d nriv
o ner,traffic accid en t, w h ile en g ag ed in lei su re activ ity
V1 5 . 9 2 P ed al cy clist in ju red in co llisio n with railway train o r railway v eh icle, u n sp ecifi ed p ed al cy clist, traf fic accid en t, wh ile w o rk in g fo r an in co me
V1 5 . 9 8 P ed al cy clist in ju red in co llisio n with railway train o r railway v eh icle, u n sp ecifi ed p ed al cy clist, traf fic accid en t, wh ile en g ag ed in o th er sp ecified activ ities
V1 4 . 0 1 P ed al cy clist in ju red in co llisio n with h eav y tran sp o rt v eh i cle o r b u s, nd oriv
n traffic
er,
accid en t, w h ile en g ag ed in lei su re activ ity
V1 6 . 0 P ed al cy clist in ju red in co llisio n with o nthoern mo to rv eh icle, d riv er,n o n traffic accid en t
with tw o - o r th ree-wh eeled mo to r v eh icle, d nriv
o ner,traffic accid en t, w h ile en g ag ed in o t h er ty p es o f wo rk
V1 4 . 0 4 P ed al cy clist in ju red in co llisio n with h eav y tran sp o rt v eh i cle o r b u s, nd oriv
n traffic
er,
accid en t, w h ile restin g , sleep in g , eatin g o r en g ag in g in o th er v ital activ ities
V1 6 . 0 0 P ed al cy clist in ju red in co llisio n with o ntho er
n mo to rv eh icle, d riv er,n o n traffic accid en t, w h ile en g ag ed in sp o rts activ ity
with tw o - o r th ree-wh eeled mo to r v eh icle, d nriv
o ner,traffic accid en t, w h ile restin g , sleep in g , eatin g o r en g ag in g in o th er v ital activ ities
V1 4 . 0 8 P ed al cy clist in ju red in co llisio n with h eav y tran sp o rt v eh i cle o r b u s, nd oriv
n traffic
er,
accid en t, w h ile en g ag ed in o t h er sp ecified activ iti es
V1 6 . 0 1 P ed al cy clist in ju red in co llisio n with o ntho er
n mo to rv eh icle, d riv er,n o n traffic accid en t, w h ile en g ag ed in lei su re activ ity
with tw o - o r th ree-wh eeled mo to r v eh icle, d nriv
o ner,traffic accid en t, w h ile en g ag ed in o t h er sp ecified activ iti es
V1 4 . 0 9 P ed al cy clist in ju red in co llisio n with h eav y tran sp o rt v eh i cle o r b u s, nd oriv
n traffic
er,
accid en t, d u rin g u n sp ecified activ ity
with tw o - o r th ree-wh eeled mo to r v eh icle, d nriv
o ner,traffic accid en t, d u rin g u n sp ecified activ ity
V1 6 . 0 2 P ed al cy clist in ju red in co llisio n with o ntho er
n mo to rv eh icle, d riv er,n o n traffic accid en t, w h ile wo rk
o r th ree-wh eeled mo to r v eh icle, p assenngoer,
n traffic accid en t
V1 4 . 1 P ed al cy clist in ju red in co llisio n with h eav y tran sp o rt v eh icl e o r b u s, p assen
n ogner,
traffic accid en t
with tw o - o r th ree-wh eeled mo to r v eh icle, p assenngoer,
n traffic accid en t, w h ile en g ag ed in sp o rts activ ity
V1 4 . 1 0 P ed al cy clist in ju red in co llisio n with h eav y tran sp o rt v eh i cle o r b u s, p assen
n ogner,
traffic accid en t, w h ile en g ag ed in sp o rts activ ity
with tw o - o r th ree-wh eeled mo to r v eh icle, p assenngoer,
n traffic accid en t, w h ile en g ag ed in lei su re activ ity
V1 4 . 1 1 P ed al cy clist in ju red in co llisio n with h eav y tran sp o rt v eh i cle o r b u s, p assen
n ogner,
traffic accid en t, w h ile en g ag ed in lei su re activ ity
with tw o - o r th ree-wh eeled mo to r v eh icle, p assenngoer,
n traffic accid en t, w h ile wo rk in g fo r an in co me
V1 4 . 1 2 P ed al cy clist in ju red in co llisio n with h eav y tran sp o rt v eh i cle o r b u s, p assen
n ogner,
traffic accid en t, w h ile wo rk in g fo r an in co me
with tw o - o r th ree-wh eeled mo to r v eh icle, p assenngoer,
n traffic accid en t, w h ile en g ag ed in o t h er ty p es o f wo rk
V1 2 . 1 4 P ed al cy clist in ju red in co llisio n with tw o - o r th ree-wh eeled mo to r v eh icle, p assenngoer,
n traffic accid en t, w h ile restin g , sleep in g , eatin g o r en g ag in g in o th er v ital activ ities
V1 2 . 1 8 P ed al cy clist in ju red in co llisio n with tw o - o r th ree-wh eeled mo to r v eh icle, p assenngoer,
n traffic accid en t, w h ile en g ag ed in o t h er sp ecified activ iti es
V1 2 . 1 9 P ed al cy clist in ju red in co llisio n with tw o - o r th ree-wh eeled mo to r v eh icle, p assenngoer,
n traffic accid en t, d u rin g u n sp ecified activ ity
V1 2 . 2 P ed al cy clist in ju red in co llisio n with two - o r th ree-wh eeled mo to r v eh icle, u n sp ecified p ed al cynclist,
o n traffic accid en t
V1 2 . 2 0 P ed al cy clist in ju red in co llisio n with tw o - o r th ree-wh eeled mo to r v eh icle, u n sp ecified p ed al cynclist,
o n traffic accid en t, w h ile en g ag ed in sp o rts activ ity
V1 2 . 2 1 P ed al cy clist in ju red in co llisio n with tw o - o r th ree-wh eeled mo to r v eh icle, u n sp ecified p ed al cynclist,
o n traffic accid en t, w h ile en g ag ed in lei su re activ ity
V1 4 . 1 3 P ed al cy clist in ju red in co llisio n with h eav y tran sp o rt v eh i cle o r b u s, p assen
n ogner,
traffic accid en t, w h ile en g ag ed in o t h er ty p es o f wo rk
V1 4 . 1 4 P ed al cy clist in ju red in co llisio n with h eav y tran sp o rt v eh i cle o r b u s, p assen
n ogner,
traffic accid en t, w h ile restin g , sleep in g , eatin g o r en g ag in g in o th er v ital activ ities
V1 4 . 1 8 P ed al cy clist in ju red in co llisio n with h eav y tran sp o rt v eh i cle o r b u s, p assen
n ogner,
traffic, wh ile en g ag ed in o th er sp eci fied activ ities accid en t
V1 4 . 1 9 P ed al cy clist in ju red in co llisio n with h eav y tran sp o rt v eh i cle o r b u s, p assen
n ogner,
traffic, d u rin g u n sp ecified activ ity accid en t
V1 4 . 2 P ed al cy clist in ju red in co llisio n with h eav y tran sp o rt v eh icl e o r b u s, u n sp ecified p ed al ncyoclist,
n traffic accid en t
V1 2 . 2 2 P ed al cy clist in ju red in co llisio n with tw o - o r th ree-wh eeled mo to r v eh icle, u n sp ecified p ed al cynclist,
o n traffic accid en t, w h ile wo rk in g fo r an in co me
V1 2 . 2 3 P ed al cy clist in ju red in co llisio n with tw o - o r th ree-wh eeled mo to r v eh icle, u n sp ecified p ed al cynclist,
o n traffic accid en t, w h ile en g ag ed in o t h er ty p es o f wo rk
V1 4 . 2 0 P ed al cy clist in ju red in co llisio n with h eav y tran sp o rt v eh i cle o r b u s, u n sp ecif ied p ed al ncyo clist,
n traffic accid en t, w h ile en g ag ed in sp o rts activ ity
4 .ities
2 1 P ed al cy clist in ju red in co llisio n with h eav y tran sp o rt v eh i cle o r b u s, u n sp ecif ied p ed al ncyo clist,
n traffic accid en t, w h ile en g ag ed in lei su re activ ity
V1 2 . 2 4 P ed al cy clist in ju red in co llisio n with tw o - o r th ree-wh eeled mo to r v eh icle, u n sp ecified p ed al cynclist,
o n traffic accid en t, w h ile restin g , sleep in g , eatin g o r en g ag in g in o th er v ital V1
activ
V1 2 . 2 8 P ed al cy clist in ju red in co llisio n with tw o - o r th ree-wh eeled mo to r v eh icle, u n sp ecified p ed al cynclist,
o n traffic accid en t, w h ile en g ag ed in o t h er sp ecified activ iti es
V1 2 . 2 9 P ed al cy clist in ju red in co llisio n with tw o - o r th ree-wh eeled mo to r v eh icle, u n sp ecified p ed al cynclist,
o n traffic accid en t, d u rin g u n sp ecified activ ity
V1 2 . 3 P ed al cy clist in ju red in co llisio n with two - o r th ree-wh eeled mo to r v eh icle, wh ile b o ard in g o r alig h tin g
V1 2 . 3 0 P ed al cy clist in ju red in co llisio n with tw o - o r th ree-wh eeled mo to r v eh icle, wh i le b o ard in g o r alig h tin g , wh ile en g ag ed in sp o rts activ ity
V1 2 . 3 1 P ed al cy clist in ju red in co llisio n with tw o - o r th ree-wh eeled mo to r v eh icle, wh i le b o ard in g o r alig h tin g , wh ile en g ag ed in leisu re activ ity
V1 2 . 3 2 P ed al cy clist in ju red in co llisio n with tw o - o r th ree-wh eeled mo to r v eh icle, wh i le b o ard in g o r alig h tin g , wh ile wo rk i n g fo r an in co me
V1 4 . 2 2 P ed al cy clist in ju red in co llisio n with h eav y tran sp o rt v eh i cle o r b u s, u n sp ecif ied p ed al ncyo clist,
n traffic accid en t, w h ile wo rk in g fo r an in co me
V1 4 . 2 3 P ed al cy clist in ju red in co llisio n with h eav y tran sp o rt v eh i cle o r b u s, u n sp ecif ied p ed al ncyo clist,
n traffic accid en t, w h ile en g ag ed in o t h er ty p es o f wo rk
V1 4 . 2 4 P ed al cy clist in ju red in co llisio n with h eav y tran sp o rt v eh i cle o r b u s, u n sp ecif ied p ed al ncyo clist,
n traffic accid en t, w h ile restin g , sleep in g , eatin g o r en g ag in g in o th er v ital activ ities
V1 4 . 2 8 P ed al cy clist in ju red in co llisio n with h eav y tran sp o rt v eh i cle o r b u s, u n sp ecif ied p ed al ncyo clist,
n traffic accid en t, w h ile en g ag ed in o t h er sp ecified activ iti es
V1 4 . 2 9 P ed al cy clist in ju red in co llisio n with h eav y tran sp o rt v eh i cle o r b u s, u n sp ecif ied p ed al ncyo clist,
n traffic accid en t, d u rin g u n sp ecified activ ity
V1 4 . 3 P ed al cy clist in ju red in co llisio n with h eav y tran sp o rt v eh icl e o r b u s, wh ile b o ard in g o r alig h tin g
V1 2 . 3 3 P ed al cy clist in ju red in co llisio n with tw o - o r th ree-wh eeled mo to r v eh icle, wh i le b o ard in g o r alig h tin g , wh ile en g ag ed in o th er ty p es o f wo rk
V1 4 . 3 0 P ed al cy clist in ju red in co llisio n with h eav y tran sp o rt v eh i cle o r b u s, wh ile b o ard in g o r alig h tin g , wh ile en g ag ed in sp o rts activ ity
V1 2 . 3 4 P ed al cy clist in ju red in co llisio n with tw o - o r th ree-wh eeled mo to r v eh icle, wh i le b o ard in g o r alig h tin g , wh ile restin g , sleep in g , eatin g o r en g ag in g in o th er v ital activ ities
V1 4 . 3 1 P ed al cy clist in ju red in co llisio n with h eav y tran sp o rt v eh i cle o r b u s, wh ile b o ard in g o r alig h tin g , wh ile en g ag ed in leisu re activ ity
V1 2 . 3 8 P ed al cy clist in ju red in co llisio n with tw o - o r th ree-wh eeled mo to r v eh icle, wh i le b o ard in g o r alig h tin g , wh ile en g ag ed in o th er sp ecified activ ities
V1 4 . 3 2 P ed al cy clist in ju red in co llisio n with h eav y tran sp o rt v eh i cle o r b u s, wh ile b o ard in g o r alig h tin g , wh ile wo rk in g f o r an in co me
V1 2 . 3 9 P ed al cy clist in ju red in co llisio n with tw o - o r th ree-wh eeled mo to r v eh icle, wh i le b o ard in g o r alig h tin g , d u rin g u n sp ecified activ ity
V1 4 . 3 3 P ed al cy clist in ju red in co llisio n with h eav y tran sp o rt v eh i cle o r b u s, wh ile b o ard in g o r alig h tin g , wh ile en g ag ed in o th er ty p es o f wo rk
V1 4 . 3 4 P ed al cy clist in ju red in co llisio n with h eav y tran sp o rt v eh i cle o r b u s, wh ile b o ard in g o r alig h tin g , wh ile restin g , sleep in g , eatin g o r en g ag in g in o th er v i tal activ ities
V1 4 . 3 8 P ed al cy clist in ju red in co llisio n with h eav y tran sp o rt v eh i cle o r b u s, wh ile b o ard in g o r alig h tin g , wh ile en g ag ed in o th er sp ecified acti v ities
V1 4 . 3 9 P ed al cy clist in ju red in co llisio n with h eav y tran sp o rt v eh i cle o r b u s, wh ile b o ard in g o r alig h tin g , d u rin g u n sp ecif ied activ ity
37
Defusing the exploding bicycle:
500 codes in pieces
► 10 things to hit…
► Pedestrian / cycle / motorbike / car / HGV / train / unpowered vehicle /
a tree / other
► 5 roles for the injured…
► Driving / passenger / cyclist / getting in / other
► 5 activities when injured…
► resting / at work / sporting / at leisure / other
► 2 contexts…
► In traffic / not in traffic
V12.24 Pedal cyclist injured in collision with two- or three-wheeled motor vehicle,
unspecified pedal cyclist, nontraffic accident, while resting, sleeping, eating or
engaging in other vital activities
38
Conceptual Lego… it could be...
Goodbye to picking lists…
Structured Data Entry
File
Edit
Help
Cycling Accident
What you hit
Your Role
Activity
Location
39
Hello to Intelligent Forms
40
And generated language
41
hand
Semantic Technology:
Logic as the clips for
“Conceptual Lego”
gene
protein
polysacharide
extremity
body
cell
expression
chronic
Lung
acute
infection
inflammation
abnormal
normal
bacterium
deletion
polymorphism
ischaemic
virus
mucus
42
Logic as the clips for
“Conceptual Lego”
“SNPolymorphism of CFTRGene causing Defect in MembraneTransport of
Chloride Ion causing Increase in Viscosity of Mucus in CysticFibrosis…”
“Hand which is
anatomically
normal”
43
Species
Genes
Protein
Function
Gene in humans
Disease
Protein coded by
gene in humans
Build complex
representations from
modularised
primitives
Function of
Protein coded by
gene in humans
Disease caused by abnormality in
Function of
Protein coded by
gene in humans
44
…but whatever the technology,
how will people interpret it?
45
Inter-rater variability
ART & ARCHITECTURE THESAURUS (AAT)
Domain: art, architecture, decorative arts, material culture
Content: 125,000 terms
Structure: 7 facets, 33 polyhierarchies
Associated concepts (beauty, freedom, socialism)
Physical attributes (red, round, waterlogged)
Style/Period (French, impressionist, surrealist)
Agents: (printmaker, architect, jockey)
Activities: (analysing, running, painting)
Materials (iron, clay, emulsifier)
Objects: (gun, house, painting, statue, arm)
Synonyms
Links to ‘associated’ terms
Access: lexical string match;
hierarchical view
46
Inter-rater variability
Headcloth
Cloth
Scarf
Model Person
Woman
Adults
Standing
Background
Brown
Blue
Chemise
Dress
Tunics
Clothes
Suitcase
Luggage
Attache case
Brass Instrument
French Horn
Horn
Tuba
X
X
X
X
X
X
X
X
X
X
X
X
X X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X X
X
X X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
47
It happens in medicine
New codes added per Dr per year
READ CODE
Practice A
Sore Throat Symptom
0.6
Visual Acuity
0.4
ECG General
2.2
Ovary/Broad Ligament Op
7.8
Specific Viral Infections
1.4
Alcohol Consumption
0
H/O Resp Disease
0
Full Blood Count
0
Practice B
117
644
300
809
556
106
26
838
48
The “coding wars”:
UMLS helps
► US National Library of Medicine
► De facto common registry for vocabularies
► Metathesaurus
► 1.8 million concepts
► categorised by semantic net types
► Semantic Net
► 135 Types
► 54 Links
► Specialist Lexicon
► Now a key web resource
► Source of reference IDs
►CUIs and LUIs
►LSIDs elsewhere in biology
49
Unified Medical
Language System
►Concept Unique Identifiers (CUIs)
►Lexical Unique Identifiers (LUIs)
►String Unique Identifers (SUIs)
SUI
Never build
anything
without cross
references to
CUIs and LUIs!
LUI
CUI
Code
Code
SUI
Code
LUI
LUI
SUI
Code
SUI
Code
50
…but cultural differences can
still catch you out:
An international conversion guide
SNOMED-CT
C-F0811
?



C-F0816
C-F0817
C-F0819
C-F081A
C-F081B
C-F081C
C-F0058
Term
Bounty bar
Crème egg
Kit Kat
Mars Bar
Milky Way
Smarties
Twix
Snicker
CTV3
UbOVv
UbOW2
UbOW3
UbOW4
UbOW5
UbOW6
UbOW7
Ub1pT
51
Where next?
The genome / ’omics explosion
► Open Biolological Ontologies (OBO)
► Gene Ontology, Gene expression ontology (MGED), Pathway
ontology (BioPAX), …
►400+ bio databases and growing
► National Cancer Institute Thesaurus
► CDISC/BRIDG - Clinical Trials
► HL7 genomics model…
► …
Coming to an EHR near you!
52
Creating open distributed
communities
Open ‘Just-in-time Development using
Semantic Webs
► Open just-in-time development
► For professionals
► For patients
► For public
► By health informaticians
► Social development
► By & for professionals
► By & for patients
► By & for public
► By & for health informaticians
53
Critical for everything: Human Factors
Helping with a humanly impossible task
►Doing the right thing
►As well as doing it right
►Useful and usable applications
►Useless cleverness is easy & fun
Requires serious investment and
Commitment
54
Summary: The Semantic Web &
Semantic Web/Grid Technology
► Web or Webs
► New methods
►Discovery
►Cooperation
►For the world
►For virtual organisations
► Scaling up to medicine
►Better ways to factor problems
►Services rather than programs and data
► Depends on shared meaning & semantics
► RDF, RDFS, OWL, WSDL, SWRL, … …
► Joining up care & research
► Human factors
55
56
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