Orchard Sports Injury and Illness Classification System (OSIICS) version 16: Updated female athlete codes and Italian and Spanish translations

Background The Orchard Sports Injury and Illness Classification System (OSIICS) requires regular update to; stay relevant to changes required for optimal code recording; to add additional language translations as they become available and add female-specific codes to reflect contemporary clinical diagnosis and the increase in women's sport participation. Methods Codes were added to the existing version 15 after the assembly of an ad hoc panel of co-authors. Being a revision that only added codes without changing any structure, informal methodology, primarily conducted by email discussion amongst the author group, was used to resolve issues. Two authors who were native Italian and Spanish speakers, and fluent in English were used to create the respective language translations. Results The area of greatest deficiency for OSIICS versions 13–15 was in coding for breast conditions. To fit in with the existing consensus categories, the injury format used was CxBxx with a third character B to signify breast within the chest region. For breast illness/medical disorders, the coding format was MxxBx Conclusion Although consideration was given to creating a new, standalone category for breast injuries, due to the formalised alignment between OSIICS and Sports Medicine Diagnostic Coding System it was decided such a change requires the IOC consensus panel to re-convene. Additionally, the medical/illness categories need consideration of whether breast disorders best fit in the endocrine or genitourinary system, or if an expanded medical category is needed for female reproductive medical conditions.