Definition Table of the MDS items (Ver0.

94)
Module Categories No Items Definition
<1, 1-4, 5-17, 18-64, Age (estimated age for unknown case)
Age
65-
Sex and 1 Male Sex based on biological sex.
Age Female
Sex 2
non-pregnant
3 Female pregnant
Head / spine injury which needs general
Major head / spine
4 anesthetics and /or hospitalization.
injury
(EMT Type 2 & 3 care needed).
Torso injury which needs general

5 Major torso injury anesthetics and /or hospitalization.

(EMT Type 2 & 3 care needed).

Extremity injury which needs general

6 Major extremity injury anesthetics and /or hospitalization.
Trauma (EMT Type 2 & 3 care needed).
Injury which can be treated in
Emergency Room as outpatient but
7 Moderate injury need conscious sedation or regional
blocks.
Disease (EMT Type 1 Fix or more needed)
Injury which can be treated by light
8 Minor injury dressing kit without anesthesia.
(EMT Type 1 mobile capable)
Acute respiratory Any infection of the upper or lower
9
infection respiratory tracts.
Infectious
Acute diarrhea is defined as at least 3
disease *
liquid stools per day for less than 2
(Follow the Acute watery
10 weeks. (Clinical Guidelines: Diagnosis
national diarrhea
and treatment manual. Medecins Sans
mandatory
Frontieres. 2016)
reporting
Acute diarrhea with visible blood in the
instruction) Acute bloody
11 stool. (Public health risk assessment
diarrhea
and interventions: Typhoon Haiyan
 Philippines – 13 November 2013. WHO.
2013)
Acute onset of jaundice and severe
illness and absence of any known
Acute jaundice
12 precipitating factors. (Communicable
syndrome
disease control in emergencies: A field
manual. WHO. 2005)
Any person with fever AND
maculopapular (nonvesicular)
generalized rash AND ONE of the
following: cough, runny nose (coryza) or
red eyes (conjunctivitis) OR any person
13 Measles suspected
in whom a clinician suspects measles.
(Outbreak surveillance and response in
humanitarian emergencies. WHO
guidelines for EWARN implementation.
WHO. 2012)
Sudden onset of fever (> 38.0 °C
axillary) and one of the following: neck
stiffness, altered consciousness, other
meningeal sign or petechial / purpural
rash. In children < 1 year, meningitis is
14 Meningitis suspected
suspected when fever is accompanied
by a bulging fontanelle.
(Communicable disease control in
emergencies: A field manual. WHO.
2005)
Adult;
Either of the following signs 3–21 days
following an injury or wound: trismus of
the facial muscles or risus sardonicus,
15 Tetanus suspected painful muscular contractions.
Neonatal;
Any neonate with normal ability to suck
and cry during the first 2 days of life
who, between day 3 and day 28, cannot
 suck normally, or any neonate who
becomes stiff or has spasms or both.
(Public health risk assessment and
interventions: Typhoon Haiyan
Philippines – 13 November 2013. WHO.
2013)
Acute flaccid paralysis in a child aged <
15 years, including Guillain-Barré
syndrome or any paralytic illness in a
person of any age in whom poliomyelitis
Acute flaccid
16 is suspected.
paralysis
(Public health risk assessment and
interventions: Typhoon Haiyan
Philippines – 13 November 2013. WHO.
2013)
Acute onset of fever (duration of less
than 3 weeks) and any of the following:
haemorrhagic or purpuric rash, vomiting
with blood, cough with blood, blood in
Acute haemorrhagic stools, epistaxis, other haemorrhagic
17
fever symptoms.
(Public health risk assessment and
interventions: Typhoon Haiyan
Philippines – 13 November 2013. WHO.
2013)
Fever (body temperature >38.5 °C) for
>48 hours and without other known
aetiology.
Fever of unknown (Public health risk assessment and
18
origin interventions: Typhoon Haiyan
Philippines – 13 November 2013. WHO.
2013)

Surgical / Non-trauma case which needs

Surgical emergency
medical 19 emergency surgery.
(Non-trauma)
emergency e.g.) Gastrointestinal perforation,
 appendicitis, strangulated ileus,
pneumothorax
Case which needs emergency
intervention without surgery.
20 Medical emergency e.g.) Asthmatic attack, gastric bleeding,
acute myocardial infarction, pulmonary
embolism, toxicosis
Disorders of exclusively (or
predominantly) the superficial layers of
the skin.
(Epidemiology and Management of
21 Skin disease
Common Skin Disease in Children in
Developing Countries. Department of
Child and Adolescent Health and
Development. WHO. 2012)
Acute mental health Acute and transient psychotic disorder,
22 and psychosocial reactive depression.
problem
Obstetric Needs for antenatal case due to high
23
complicated risk pregnancy.
A very low weight for height (below -3 z
Other
scores1 of the median WHO growth
key diseases
standards), by visible severe wasting, or
by the presence of nutritional oedema.
In children aged 6–59 months, an arm
circumference less than 110 mm is also
indicative of severe acute malnutrition.
Severe Acute
24 ( COMMUNITY-BASED ANAGEMENT
Malnutrition (SAM) *
OF SEVERE ACUTE MALNUTRITION;
A Joint Statement by the World Health
Organization, the World Food
Programme, the United Nations System
Standing Committee on Nutrition and
the United Nations Children’s Fund.
2007)
25 Other diagnosis, not Other diagnosis, not specified on this
 specified above list.
Procedures which usually needs
Major procedure
general anesthetics and /or
except limb
26 hospitalization.
amputation and
e.g.) open reduction internal fixation,
obstetric
trauma laparotomy
Procedure acceptably performed
27 Minor procedure without general anesthetics nor
hospitalization.
Procedure
Upper and lower limb amputations,
Limb amputation excluding toe amputations.
28
excluding digits * (EMTCC COORDINATION
HANDBOOK. WHO. 2015)
Normal Vaginal
29 Vaginal delivery
Delivery (NVD)
30 Caesarean section Delivery by Caesarean section
Procedure
31 Obstetrics others Other obstetrics procedure
&
Outpatient and inpatient who don't get
Outcome Discharge without
32 instruction to visit medical facilities
follow up
again
Outpatient and inpatient who get
Discharge with follow
33 instruction to visit medical facilities
up
again
Patients who have admitted to the
34 Admission
facility on the day.
Outcome
Patient who referred/transferred to
35 Referral / Transfer *
other medical facilities.
Left against medical Patient who left EMT against medical
36
advice advice
37 Dead on arrival Dead on arrival
38 Death within facility * Dead within facility
Requiring long term
39 Require long term rehabilitation
rehabilitation *
Patient visit with injury directly caused
Relation Directly related to
Context 40 by disaster
to disaster disaster
e.g.) Injury caused by typhoon /
 earthquake / tsunami / eruption,
drowning, burn
Patient visit with disease including injury
caused by post disaster environment.
e.g.) Disease / injury related to
Indirectly related to
41 environment / situation caused by the
disaster
disaster, ARI, diarrhea, skin disease,
injury by debris. Patient who lost access
to regular physician due to disaster.
Patient visit with health problem not
Not related to caused by disaster and without urgency.
42
disaster e.g.) Non communicable dieses(NCD),
cancer
Vulnerable child who are in urgent
needs for protection.
e.g.) child separated from both parents
and other relatives and are not being
43 Vulnerable child
cared for by an adult (The UN
Committee on the Rights of the Child,
Convention on the Rights of the Child
2005)
Vulnerable adult who are in urgent
needs for protection.
e.g.) Elderly / handicapped requiring
Protection caretaker. Who is or may be in need of
community care services by reason of
mental or other disability, age or illness;
44 Vulnerable adult
and who is or may be unable to take
care of him or herself, or unable to
protect him or herself against significant
harm or exploitation.(1997 Consultation
Paper Who decides? issued by the Lord
Chancellor’s Department UK)
Sexual and Gender The intentional use of physical force or
45 Based Violence power, threatened or actual, against
(SGBV) oneself, another person, or against a
 group or community, that either results
in or has a high likelihood of resulting in
injury, death, psychological harm,
maldevelopment, or deprivation.
Typology: physical; sexual;
psychological; and deprivation or
neglect.
(WHO Violence Prevention Alliance)
Violence Violence (non-SGBV)
46
(non-SGBV)
47
48
Additional
49
50