WHO-FIC Collaborating Centre in the Nordic Countries


NOMESCO Classification of External Causes of Injury (NCECI)


The first Nordic Injury Classification was published by NOMESCO 1984, the second 1990 and the third 1997. The responsibility to update and develop the NOMESCO Injury Classification was transferred to the Nordic Classification Centre in 1999. NOMESCO is responsible, as before, for the publishing and has the copyright.



A Nordic working group was established by the Centre to develop a fourth edition of NCECI.

The group finished the work during 2007 and the same year NOMESCO published the fourth revised edition of NOMESCO Classification of External Causes of Injuries (NCECI).


The Centre used an expert advisor to support the classification and to monitor the work done in the Nordic counties concerning injury prevention. Similar work done within EC and internationally has also been followed.


The injury statistics have, during 1990s and 2000s, been followed through EHLASS (European Home Leisure Surveillance System). This system was limited to home and leisure injuries only. From 2000 and onwards a new system was developed to cover all types of injuries – the Injury Data Base (IDB). The concepts in this system are to a great extent comparable to concepts in NCECI. Sweden therefore decided to use IDB for primary coding of injuries and report to EU, while Denmark still uses NCECI and report back to EU by re-coding to IDB. NCECI is partially used in Iceland.


At present the Centre has no expert adviser for NCECI


NCECI can be downloaded in pdf format (see link) or ordered from NOMESCO in book format.

Lenke til fil: (NCECI-4_1.pdf). 



An international working group, in collaboration with WHO, developed an international classification of injuries during the 1990s and the beginning of 2000. This classification - International Classification of External Causes of Injuries (ICECI) – version 1.1a was in October 2003 accepted as a related classification by WHO-FIC. The actual version 1.2 was released July 2004, but has not been updated since.


ICECI is only available in pdf format and can be downloaded (see link below). 

Lenke till ICECI: (http://www.who.int/classifications/icd/adaptations/iceci/en/index.html)


Many elements in ICECI are based on NCECI, but several modules are added, which makes ICECI more extensive than NCECI. The work with ICECI has been of special interest to the Centre, and the Centre expert participated in the working group.


In later years the activities with ICECI have been lower. The Centre no longer has an expert adviser. ICECI is more of a reference classification, too extensive to use in its entirety for practical registration in the health care. Registration on a less detailed level or choosing only selected modules is recommended.


The current intention is to harmonize ICD-11 (external causes of injuries) and ICECI.