Injury IQFor sporting clubs

Who is available on Saturday? One answer the whole club shares.

Drop the scan report in; a coded case comes out. Coach and physio read the same case — so they can never disagree.

OSIICS injury codes
1,365
1,763 incl. illness
Injuries with graded evidence
59
of 161 conditions modelled
Verified against source
95%
171 of 180 records
Report to case
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The problem

Two versions of the truth

Two lists

Coach has a spreadsheet. Physio has a notebook. By Thursday they disagree.

“When’s he back?”

Under pressure, someone gives a date nobody can defend.

The same hamstring, twice

He returns on the calendar, not on criteria. He re-tears.

One board

The board is the caseload

Derived from the open cases, so it cannot disagree with the physio.

First Grade · Round 18 · Sat 5 Sep6 open cases · updated 14 min ago
PlayerCaseWindowStatus
A. WhitfieldHamstring — biceps femoris, grade 218–24 dOut
J. OkoroLateral ankle sprain — grade 16–11 dDoubtful
M. SandovalGroin — adductor longuscriteria metAvailable
T. BeaumontConcussion — day 4no day countOut
R. IversenCalf — awaiting gradingUnconfirmed
Grey means unconfirmed

Nobody has checked in 48 hours — shown grey, not a colour it can’t vouch for.

Concussion shows no date

No day count, ever. Graduated, symptom-limited return.

Criteria, not the calendar

A clinician’s call against exit tests.

Load monitoring

The spike, three weeks early

Acute:chronic workload on Gabbett’s model, from session RPE × minutes.

A. Whitfield · ACWR, 12 weeks28-day chronic base · sRPE
1.91.51.30.80.4DANGER > 1.5SWEET SPOT 0.8–1.31.6 — flaggedW1W5W8W12
Where the load came from
Match · 22% Training · 46% Strength · 20% Rehab · 12%
Squad availability
Available 16 Modified 4 Unavailable 5

Computed from the cases — not typed into a second list.

What an answer looks like

The number never travels alone

Every figure carries its tier, its citations and a full lineage — contributing records, and the ones set aside, with the reason.

17–24days · return to play
Tier T2Prospective cohortVerified vs source
Condition
Hamstring, biceps femoris — grade 2 · TM1
Cohort
Adult · male · elite · football — matched on sport, sex and age band
Endpoint
Time to return to play — not full training, not symptom resolution
Contributing
2 records pooled by sample size · 1 weaker-tier kept as context, never averaged in
Set aside
1 record — different endpoint, with the reason recorded
Site on file · back viewLR
Diagnosed Athlete report
The difference

It knows when not to answer

A plausible number is more dangerous than none. Someone returns to play on it — so refusal is a designed output.

Needs a fact

No grade recorded. Returns the options, issues no figure.

Not this athlete

No evidence for this sport, sex or age band. Says so rather than borrowing.

Not that operation

A revision is not a primary repair.

Doesn’t trust itself

Evidence altered → everything fails closed.

The evidence base

180 records. The strongest tier governs.

Pooled by sample size where studies agree; weaker studies become context, never averaged into the number.

By tier
T1 Systematic review27
T2 Prospective68
T3 Retrospective55
T4 Case series27
T5 Opinion3
Five clocks, never mixed
Return to play110
Full training47
First match15
Symptom resolution6
Medical clearance2

A symptom-resolution number and a return-to-match number are months apart.

How a number gets in

Five gates before a clinician sees it

01
Sweep

Europe PMC, with the exact query shown.

02
Admit

Same question, same population, permanent ID.

03
Extract twice

Two independent passes, compared field by field.

04
Clinician signs

Checked against source, committed by name.

05
Attest

Corpus signed. Checked at serve time.

Coverage

59 of 161 conditions. The rest refuse.

The other 102 are known to the engine and refuse rather than estimate. That ratio is the roadmap.

Mostly adult
Adult172
Youth7
Masters1
Mostly football
Sport-agnostic86
Football77
Everything else17
The engine grades itself

“Governed” is a claim. This is the check.

For every discharged case: what the engine said (frozen at case opening), what the clinician decided, and what actually happened.

Frozen, not regraded

Read from the day the clinician saw it — never recomputed. A ledger that regrades history marks its own homework.

“Actual” says what it is

Time to discharge, not first match back — so the caveat travels with the number.

Concussions never scored

No day count is issued, so there is no prediction to grade. Excluded, in the ledger.

Small n refuses

Below 5 cases the aggregate is withheld. Medians, not means.

Board, load series, figure and body map are illustrative; player names are not real. Evidence tiers, the five return-to-play clocks, coverage and code counts are measured against the running system. Decision support for the treating team — a clinician commits every clinical decision.

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