Utah Trauma Registry Data Dictionary Change Log
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- Elmer Campbell
- 8 years ago
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Transcription
1 /05 Inclusion Criteria Inclusion Criteria Revised Clarified the exclusion of cause e-code for ground level fall. Old criteria: any e-code beginning with 885. New criteria: only e-code /05 Pre-Hospital Information D.1 Transport Mode Into Hospital Revised Definition: Final method of transport into your hospital, unless patient arrived by fixed wing air. In that case, enter FIX /05 Pre-Hospital Information D.2 Other Transport Mode Revised Definition: Enter the final transport (the one that brought the patient to your hospital) on the first row of data entry. All other EMS agencies can be entered on subsequent rows /07 ED/Hospital Information E.17 Hospital Discharge Disposition Added Value EOL Hospice or End of Life DC Unit /07 ED/Hospital Information E.18 Hospital Discharge Destination Hospital Added Value 046 End of Life Care/Hospice at Your Facility /07 ED/Hospital Information E.18 Hospital Discharge Destination Hospital Added Value 047 End of Life Care/Hospice at Another Facility or Home /07 Pre-Hospital Information D.3 EMS Agency Added Value 2933L South Ogden FD /07 Pre-Hospital Information D.3 EMS Agency Retired Value 2930L South Ogden FD /08 Exclusion Criteria Revised Removed exclusion criteria related to ground level falls in patients over age /09 Pre-Hospital Information D.3 EMS Agency Added Value 0225L Box Elder County Ambulance /09 Pre-Hospital Information D.3 EMS Agency Added Value 0515D Cache County EMS /09 Pre-Hospital Information D.3 EMS Agency Added Value 1866L Southwest Ambulance /09 Pre-Hospital Information D.3 EMS Agency Added Value 1867D South Jordan Fire Department /09 Pre-Hospital Information D.3 EMS Agency Added Value 1867L Unified Fire Authority /09 Pre-Hospital Information D.3 EMS Agency Added Value 1868L Murray City Fire /09 Pre-Hospital Information D.3 EMS Agency Added Value 1869L Bluffdale Fire Department /09 Pre-Hospital Information D.3 EMS Agency Added Value 2320L Ambulance Services of Tooele /09 Pre-Hospital Information D.3 EMS Agency Added Value 2539L Saratoga Springs Fire /09 Pre-Hospital Information D.3 EMS Agency Added Value 2540L American Fork Ambulance /09 Pre-Hospital Information D.3 EMS Agency Added Value 2735L Rockville/Springdale /09 Pre-Hospital Information D.3 EMS Agency Added Value 2737L Ivins City Public Safety /09 Pre-Hospital Information D.3 EMS Agency Added Value 2927D Weber Fire District /09 Pre-Hospital Information D.3 EMS Agency Added Value 2933L South Ogden FD /09 Pre-Hospital Information D.3 EMS Agency Retired Value 0203L Box Elder County Amb /09 Pre-Hospital Information D.3 EMS Agency Retired Value 0629D Chevron Refinery EMS /09 Pre-Hospital Information D.3 EMS Agency Retired Value 1814D Solitude Ski Patrol /09 Pre-Hospital Information D.3 EMS Agency Retired Value 1829D Midvale City Fire Dept /09 Pre-Hospital Information D.3 EMS Agency Retired Value 2410D Midvale City Fire Dept 1 of 19 1/31/2013
2 4.1 01/09 Pre-Hospital Information D.3 EMS Agency Retired Value 2520D North Fork Fire Dept /09 Pre-Hospital Information D.3 EMS Agency Retired Value 2536L Eagle Mountain FD /09 Pre-Hospital Information D.3 EMS Agency Retired Value 2731L Rockville/Springdale /09 Pre-Hospital Information D.3 EMS Agency Retired Value 2733D Ivins City Fire Dept /09 Pre-Hospital Information D.3 EMS Agency Retired Value 2925D Weber Fire District /09 ED/Hospital Information E.33 Alcohol Use Indicator Added Value YP (confirmed by test - [prescription drugs]) /09 ED/Hospital Information E.33 Alcohol Use Indicator Added Value YI (confirmed by test [illegal drug use] /09 ED/Hospital Information E.33 Alcohol Use Indicator Retired Value YT /09 ED/Hospital Information E.33 Alcohol Use Indicator Retired Value YC /10 Inclusion Criteria Revised Add "for the traumatic injury" to the transferred out statement /10 Pre-Hospital Information D.3 TRANSPORT_AGENCY_CODE Added Data Element /10 Pre-Hospital Information D.3 NOTIFY_DATE/TIME Added Data Element /10 Pre-Hospital Information D.3 DATE/TIME_OUT Added Data Element /10 Pre-Hospital Information D.3 ARRIVAL_DATE/TIME Added Data Element /10 Pre-Hospital Information D.3 DEPARTURE_DATE/TIME Added Data Element /10 Pre-Hospital Information D.3 DESTINATION_ARRIVAL_DATE/TIME Added Data Element /10 Pre-Hospital Information D.3 TRANSPORT_ORIGIN Added Data Element /10 ED/Hospital Information E.35 Inpatient Length of Stay Revised Discussion/Uses: A 'partial day' is a stay of less than 24 hours /10 ED/Hospital Information E.36 Total ICU Length of Stay Revised Discussion/Uses: A 'partial day' is a stay of less than 24 hours /10 ED/Hospital Information E.37 Total Ventilator Days Revised Discussion/Uses: A 'partial day' is a stay of less than 24 hours /10 Appendix D Counties, Cities and Zip Codes Revised Panguitch zip code to /10 Appendix D Counties, Cities and Zip Codes Revised Bryce zip code to /11 Pre-Hospital Information D.3 EMS Agency Added Value 0101 Beaver Ambulance Service /11 Pre-Hospital Information D.3 EMS Agency Added Value 0102 Milford Valley Ambulance Service /11 Pre-Hospital Information D.3 EMS Agency Added Value 0201 Brigham City Ambulance /11 Pre-Hospital Information D.3 EMS Agency Added Value 0202 Tremonton Fire Department & Ambulance /11 Pre-Hospital Information D.3 EMS Agency Added Value 0203 Box Elder County Ambulance /11 Pre-Hospital Information D.3 EMS Agency Added Value 0205 Plymouth Fire Department /11 Pre-Hospital Information D.3 EMS Agency Added Value 0210 ATK Launch Systems /11 Pre-Hospital Information D.3 EMS Agency Added Value 0214 Willard First Responders /11 Pre-Hospital Information D.3 EMS Agency Added Value 0216 Box Elder Central Fire District /11 Pre-Hospital Information D.3 EMS Agency Added Value 0222 Curlew Ambulance Service /11 Pre-Hospital Information D.3 EMS Agency Added Value 0224 Thatcher-Penrose Fire Department /11 Pre-Hospital Information D.3 EMS Agency Added Value 0302 Hyrum First Responders 2 of 19 1/31/2013
3 5.1 04/11 Pre-Hospital Information D.3 EMS Agency Added Value 0303 Lewiston First Responders /11 Pre-Hospital Information D.3 EMS Agency Added Value 0304 Newton First Responders /11 Pre-Hospital Information D.3 EMS Agency Added Value 0305 Paradise First Responders /11 Pre-Hospital Information D.3 EMS Agency Added Value 0306 Wellsville First Responders /11 Pre-Hospital Information D.3 EMS Agency Added Value 0307 Smithfield Fire and Rescue /11 Pre-Hospital Information D.3 EMS Agency Added Value 0313 Mendon Fire Department /11 Pre-Hospital Information D.3 EMS Agency Added Value 0315 Cache County Sheriff's Office /11 Pre-Hospital Information D.3 EMS Agency Added Value 0316 Richmond Fire Department /11 Pre-Hospital Information D.3 EMS Agency Added Value 0317 North Logan Fire and Rescue /11 Pre-Hospital Information D.3 EMS Agency Added Value 0320 Millville and Nibley First Responders /11 Pre-Hospital Information D.3 EMS Agency Added Value 0321 Trenton Town Fire & Rescue /11 Pre-Hospital Information D.3 EMS Agency Added Value 0325 Clarkston Fire & Rescue Department /11 Pre-Hospital Information D.3 EMS Agency Added Value 0332 Cache County EMS Authority /11 Pre-Hospital Information D.3 EMS Agency Added Value 0401 Sunnyside Ambulance Service /11 Pre-Hospital Information D.3 EMS Agency Added Value 0402 Carbon County Ambulance /11 Pre-Hospital Information D.3 EMS Agency Added Value 0406 Helper Fire Department /11 Pre-Hospital Information D.3 EMS Agency Added Value 0501 Daggett County Ambulance /11 Pre-Hospital Information D.3 EMS Agency Added Value 0502 Daggett County Sheriff's Office /11 Pre-Hospital Information D.3 EMS Agency Added Value 0603 Davis County Sheriff's Office /11 Pre-Hospital Information D.3 EMS Agency Added Value 0606 Kaysville City Fire Department /11 Pre-Hospital Information D.3 EMS Agency Added Value 0607 Layton City Fire Department /11 Pre-Hospital Information D.3 EMS Agency Added Value 0612 Clinton City Fire Department /11 Pre-Hospital Information D.3 EMS Agency Added Value 0617 Syracuse City Fire Department /11 Pre-Hospital Information D.3 EMS Agency Added Value 0620 North Davis Fire District /11 Pre-Hospital Information D.3 EMS Agency Added Value 0628 Sunset City Fire Department /11 Pre-Hospital Information D.3 EMS Agency Added Value 0630 Farmington City Fire Department /11 Pre-Hospital Information D.3 EMS Agency Added Value 0634 South Davis Metro Fire Agency /11 Pre-Hospital Information D.3 EMS Agency Added Value 0635 South Davis Metro Fire Agency /11 Pre-Hospital Information D.3 EMS Agency Added Value 0701 Uintah Basin Medical Center /11 Pre-Hospital Information D.3 EMS Agency Added Value 0801 Emery County Ambulance /11 Pre-Hospital Information D.3 EMS Agency Added Value 0901 Garfield County Ambulance /11 Pre-Hospital Information D.3 EMS Agency Added Value 1001 Grand County Emergency Medical Services /11 Pre-Hospital Information D.3 EMS Agency Added Value 1101 Iron County Ambulance Service /11 Pre-Hospital Information D.3 EMS Agency Added Value 1201 Juab County Emergency Medical Services /11 Pre-Hospital Information D.3 EMS Agency Added Value 1203 Rocky Ridge EMS /11 Pre-Hospital Information D.3 EMS Agency Added Value 1204 Levan Town Ambulance /11 Pre-Hospital Information D.3 EMS Agency Added Value 1301 Kane County Ambulance /11 Pre-Hospital Information D.3 EMS Agency Added Value 1401 Millard County Ambulance 3 of 19 1/31/2013
4 5.1 04/11 Pre-Hospital Information D.3 EMS Agency Added Value 1403 Scipio Ambulance /11 Pre-Hospital Information D.3 EMS Agency Added Value 1501 Morgan County Ambulance /11 Pre-Hospital Information D.3 EMS Agency Added Value 1601 Piute County Ambulance /11 Pre-Hospital Information D.3 EMS Agency Added Value 1701 Rich County Ambulance /11 Pre-Hospital Information D.3 EMS Agency Added Value 1802 Unified Fire Authority /11 Pre-Hospital Information D.3 EMS Agency Added Value 1803 Gold Cross Ambulance /11 Pre-Hospital Information D.3 EMS Agency Added Value 1804 Salt Lake City Fire Department /11 Pre-Hospital Information D.3 EMS Agency Added Value 1809 Sandy City Fire Department /11 Pre-Hospital Information D.3 EMS Agency Added Value 1815 Salt Lake County Sheriff's Search & Rescue Service /11 Pre-Hospital Information D.3 EMS Agency Added Value 1821 South Salt Lake Fire Department /11 Pre-Hospital Information D.3 EMS Agency Added Value 1823 West Valley City Fire Department /11 Pre-Hospital Information D.3 EMS Agency Added Value 1826 Utah Air National Guard Fire Department /11 Pre-Hospital Information D.3 EMS Agency Added Value 1827 Murray City Fire Department /11 Pre-Hospital Information D.3 EMS Agency Added Value 1830 Midvale City Fire Department /11 Pre-Hospital Information D.3 EMS Agency Added Value 1831 South Jordan Fire Department /11 Pre-Hospital Information D.3 EMS Agency Added Value 1842 West Jordan Fire Department /11 Pre-Hospital Information D.3 EMS Agency Added Value 1850 Utah State Prison /11 Pre-Hospital Information D.3 EMS Agency Added Value 1869 Bluffdale Fire Department /11 Pre-Hospital Information D.3 EMS Agency Added Value 1904 San Juan County EMS /11 Pre-Hospital Information D.3 EMS Agency Added Value 1911 San Juan County Search & Rescue /11 Pre-Hospital Information D.3 EMS Agency Added Value 2001 Gunnison Valley Hospital Ambulance /11 Pre-Hospital Information D.3 EMS Agency Added Value 2002 North Sanpete Ambulance /11 Pre-Hospital Information D.3 EMS Agency Added Value 2007 Ephraim Ambulance Association /11 Pre-Hospital Information D.3 EMS Agency Added Value 2008 Manti Ambulance Association /11 Pre-Hospital Information D.3 EMS Agency Added Value 2101 Sevier County Ambulance /11 Pre-Hospital Information D.3 EMS Agency Added Value 2104 Canyon Fuel Company, LLC /11 Pre-Hospital Information D.3 EMS Agency Added Value 2202 South Summit Ambulance Service /11 Pre-Hospital Information D.3 EMS Agency Added Value 2203 Park City Fire District/Summit Co /11 Pre-Hospital Information D.3 EMS Agency Added Value 2301 Wendover Ambulance /11 Pre-Hospital Information D.3 EMS Agency Added Value 2302 Ambulance Services of Tooele, LLC /11 Pre-Hospital Information D.3 EMS Agency Added Value 2306 Grantsville Volunteer Fire Department /11 Pre-Hospital Information D.3 EMS Agency Added Value 2310 Stockton Fire Department /11 Pre-Hospital Information D.3 EMS Agency Added Value 2315 North Tooele County Fire Service District /11 Pre-Hospital Information D.3 EMS Agency Added Value 2318 Wendover First Responders /11 Pre-Hospital Information D.3 EMS Agency Added Value 2402 Deseret Generation & Transmission /11 Pre-Hospital Information D.3 EMS Agency Added Value 2403 Ute Tribe Ambulance Service /11 Pre-Hospital Information D.3 EMS Agency Added Value 2404 Gold Cross Services, Inc. Eastern Division 4 of 19 1/31/2013
5 5.1 04/11 Pre-Hospital Information D.3 EMS Agency Added Value 2501 American Fork City /11 Pre-Hospital Information D.3 EMS Agency Added Value 2502 Lehi Fire/Emergency Medical Services /11 Pre-Hospital Information D.3 EMS Agency Added Value 2503 Payson City Ambulance /11 Pre-Hospital Information D.3 EMS Agency Added Value 2504 Pleasant Grove Fire Department /11 Pre-Hospital Information D.3 EMS Agency Added Value 2505 Provo City Fire Department /11 Pre-Hospital Information D.3 EMS Agency Added Value 2506 Orem Department of Public Safety /11 Pre-Hospital Information D.3 EMS Agency Added Value 2508 Springville City Ambulance /11 Pre-Hospital Information D.3 EMS Agency Added Value 2509 Spanish Fork Ambulance /11 Pre-Hospital Information D.3 EMS Agency Added Value 2512 Santaquin City Ambulance /11 Pre-Hospital Information D.3 EMS Agency Added Value 2517 Salem Emergency Medical Association /11 Pre-Hospital Information D.3 EMS Agency Added Value 2518 Mapleton Ambulance /11 Pre-Hospital Information D.3 EMS Agency Added Value 2519 Lone Peak Public Safety District /11 Pre-Hospital Information D.3 EMS Agency Added Value 2520 North Fork Fire Department /11 Pre-Hospital Information D.3 EMS Agency Added Value 2522 Eagle Mountain Fire Department /11 Pre-Hospital Information D.3 EMS Agency Added Value 2526 Utah County Sheriff Search & Rescue Service /11 Pre-Hospital Information D.3 EMS Agency Added Value 2531 Elk Ridge City Fire Department /11 Pre-Hospital Information D.3 EMS Agency Added Value 2532 Brigham Young University /11 Pre-Hospital Information D.3 EMS Agency Added Value 2539 Saratoga Springs Fire and Ambulance /11 Pre-Hospital Information D.3 EMS Agency Added Value 2601 Wasatch County Emergency Medical Services /11 Pre-Hospital Information D.3 EMS Agency Added Value 2701 Enterprise Ambulance Service /11 Pre-Hospital Information D.3 EMS Agency Added Value 2703 Hurricane Valley Fire Special Services District /11 Pre-Hospital Information D.3 EMS Agency Added Value 2711 Santa Clara Fire Department /11 Pre-Hospital Information D.3 EMS Agency Added Value 2712 Dixie Regional Medical Center /11 Pre-Hospital Information D.3 EMS Agency Added Value 2720 Hildale Fire Department /11 Pre-Hospital Information D.3 EMS Agency Added Value 2721 Dixie Ambulance Service /11 Pre-Hospital Information D.3 EMS Agency Added Value 2725 St. George City Fire Department /11 Pre-Hospital Information D.3 EMS Agency Added Value 2729 Leeds Area Special Service District /11 Pre-Hospital Information D.3 EMS Agency Added Value 2731 Rockville/Springdale Fire Protection District /11 Pre-Hospital Information D.3 EMS Agency Added Value 2733 Ivins City Public Safety /11 Pre-Hospital Information D.3 EMS Agency Added Value 2734 Washington DPS Fire Division /11 Pre-Hospital Information D.3 EMS Agency Added Value 2801 Wayne County EMS /11 Pre-Hospital Information D.3 EMS Agency Added Value 2902 Roy City Fire and Rescue Department /11 Pre-Hospital Information D.3 EMS Agency Added Value 2903 Ogden City Ambulance /11 Pre-Hospital Information D.3 EMS Agency Added Value 2907 Washington Terrace Fire Department /11 Pre-Hospital Information D.3 EMS Agency Added Value 2919 North View Fire District /11 Pre-Hospital Information D.3 EMS Agency Added Value 2921 Plain City Fire Department /11 Pre-Hospital Information D.3 EMS Agency Added Value 2925 Weber Fire District /11 Pre-Hospital Information D.3 EMS Agency Added Value 2930 South Ogden City Public Safety Fire Department 5 of 19 1/31/2013
6 5.1 04/11 Pre-Hospital Information D.3 EMS Agency Added Value 2931 Riverdale Fire Services /11 Pre-Hospital Information D.3 EMS Agency Added Value 2932 Weber County Sheriff /11 Pre-Hospital Information D.3 EMS Agency Added Value 3000 Unspecified Utah EMS Agency /11 Pre-Hospital Information D.3 EMS Agency Added Value 3001 Airmed/University of Utah Medical Center /11 Pre-Hospital Information D.3 EMS Agency Added Value 3002 Intermountain Life Flight /11 Pre-Hospital Information D.3 EMS Agency Added Value 3003 Classic Life Guard /11 Pre-Hospital Information D.3 EMS Agency Added Value 3004 Eagle Air Med Corporation /11 Pre-Hospital Information D.3 EMS Agency Added Value 3005 St. Mary's Careflight /11 Pre-Hospital Information D.3 EMS Agency Added Value 3006 Life Guard International, Inc /11 Pre-Hospital Information D.3 EMS Agency Added Value 3007 Air Ambulance Specialists Inc /11 Pre-Hospital Information D.3 EMS Agency Added Value 3009 San Juan Regional Medical Center/Air Care /11 Pre-Hospital Information D.3 EMS Agency Added Value 3010 Air Methods/Mercy Air Service, Inc /11 Pre-Hospital Information D.3 EMS Agency Added Value 3011 Tristate Care Flight, LLC /11 Pre-Hospital Information D.3 EMS Agency Added Value 3012 Coast to Coast Air Ambulance, LLC /11 Pre-Hospital Information D.3 EMS Agency Added Value 3999 Obsolete or Changed EMS Agency /11 Pre-Hospital Information D.3 EMS Agency Added Value NA NOT APPLICABLE /11 Pre-Hospital Information D.3 EMS Agency Added Value NOT Not Recorded/Not Known /11 Pre-Hospital Information D.3 EMS Agency Added Value OTHER Other - Out of State EMS Agency /11 Pre-Hospital Information D.3 EMS Agency Retired Value 0101L BEAVER AMB /11 Pre-Hospital Information D.3 EMS Agency Retired Value 0102L MILFORD VALLEY AMB /11 Pre-Hospital Information D.3 EMS Agency Retired Value 0201L BRIGHAM CITY AMB /11 Pre-Hospital Information D.3 EMS Agency Retired Value 0202L TREMONTON FD AMB /11 Pre-Hospital Information D.3 EMS Agency Retired Value 0205L PLYMOUTH FD AMB /11 Pre-Hospital Information D.3 EMS Agency Retired Value 0210L ATK THIOKOL FD /11 Pre-Hospital Information D.3 EMS Agency Retired Value 0214D WILLARD FIRST RESPONDERS /11 Pre-Hospital Information D.3 EMS Agency Retired Value 0216D HONEYVILLE FIRE DEPT /11 Pre-Hospital Information D.3 EMS Agency Retired Value 0222L CURLEW AMB SERVICE /11 Pre-Hospital Information D.3 EMS Agency Retired Value 0223D FIELDING FIRST RESPONDERS /11 Pre-Hospital Information D.3 EMS Agency Retired Value 0224D THATCHER-PENROSE FIRE DEPT /11 Pre-Hospital Information D.3 EMS Agency Retired Value 0225L BOX ELDER COUNTY AMB /11 Pre-Hospital Information D.3 EMS Agency Retired Value 0302D HYRUM FIRST RESPONDERS /11 Pre-Hospital Information D.3 EMS Agency Retired Value 0303D LEWISTON FIRST RESPONDERS /11 Pre-Hospital Information D.3 EMS Agency Retired Value 0304D NEWTON FIRST RESPONDERS /11 Pre-Hospital Information D.3 EMS Agency Retired Value 0305D PARADISE FIRST RESPONDERS /11 Pre-Hospital Information D.3 EMS Agency Retired Value 0306D WELLSVILLE FIRST RESPONDERS /11 Pre-Hospital Information D.3 EMS Agency Retired Value 0307D SMITHFIELD FIRE AND RESCUE /11 Pre-Hospital Information D.3 EMS Agency Retired Value 0313D MENDON FIRE DEPT /11 Pre-Hospital Information D.3 EMS Agency Retired Value 0315D CACHE COUNTY S&R 6 of 19 1/31/2013
7 5.1 04/11 Pre-Hospital Information D.3 EMS Agency Retired Value 0316D RICHMOND FIRE DEPT /11 Pre-Hospital Information D.3 EMS Agency Retired Value 0317D NORTH LOGAN FIRE & RESCUE /11 Pre-Hospital Information D.3 EMS Agency Retired Value 0320D MILLVILLE & NIBLEY FIRST RESPONDERS /11 Pre-Hospital Information D.3 EMS Agency Retired Value 0321D TRENTON TOWN FIRE AND RESCUE /11 Pre-Hospital Information D.3 EMS Agency Retired Value 0332L CACHE COUNTY EMS AUTH /11 Pre-Hospital Information D.3 EMS Agency Retired Value 0333L CACHE COUNTY EMS AUTH /11 Pre-Hospital Information D.3 EMS Agency Retired Value 0334L CACHE COUNTY EMS AUTH /11 Pre-Hospital Information D.3 EMS Agency Retired Value 0335L CACHE COUNTY SHERIFF'S OFFICE /11 Pre-Hospital Information D.3 EMS Agency Retired Value 0401L SUNNYSIDE AMB SERVICE /11 Pre-Hospital Information D.3 EMS Agency Retired Value 0402L CARBON COUNTY AMB /11 Pre-Hospital Information D.3 EMS Agency Retired Value 0406D HELPER FIRE DEPT /11 Pre-Hospital Information D.3 EMS Agency Retired Value 0501L DAGGETT COUNTY AMB /11 Pre-Hospital Information D.3 EMS Agency Retired Value 0502D DAGGETT COUNTY SHERIFF'S OFFICE /11 Pre-Hospital Information D.3 EMS Agency Retired Value 0603L DAVIS COUNTY SHERIFFS OFFICE /11 Pre-Hospital Information D.3 EMS Agency Retired Value 0606L KAYSVILLE CITY FIRE /11 Pre-Hospital Information D.3 EMS Agency Retired Value 0607L LAYTON CITY FD /11 Pre-Hospital Information D.3 EMS Agency Retired Value 0612L CLINTON CITY FIRE /11 Pre-Hospital Information D.3 EMS Agency Retired Value 0617D SYRACUSE CITY FIRE DEPT /11 Pre-Hospital Information D.3 EMS Agency Retired Value 0618L SYRACUSE FD /11 Pre-Hospital Information D.3 EMS Agency Retired Value 0620L NORTH DAVIS FIRE DISTRICT /11 Pre-Hospital Information D.3 EMS Agency Retired Value 0625L DAVIS COUNTY SHERIFFS OFFICE /11 Pre-Hospital Information D.3 EMS Agency Retired Value 0628D SUNSET FIRE DEPT /11 Pre-Hospital Information D.3 EMS Agency Retired Value 0630L FARMINGTON CITY FD /11 Pre-Hospital Information D.3 EMS Agency Retired Value 0631L LAYTON CITY FD /11 Pre-Hospital Information D.3 EMS Agency Retired Value 0634L SOUTH DAVIS METRO FIRE AGENCY /11 Pre-Hospital Information D.3 EMS Agency Retired Value 0635L SOUTH DAVIS METRO FIRE AGENCY /11 Pre-Hospital Information D.3 EMS Agency Retired Value 0701L UINTAH BASIN MEDICAL CENTER /11 Pre-Hospital Information D.3 EMS Agency Retired Value 0714L UINTAH BASIN MEDICAL CENTER /11 Pre-Hospital Information D.3 EMS Agency Retired Value 0715L UINTAH BASIN MEDICAL CENTER /11 Pre-Hospital Information D.3 EMS Agency Retired Value 0801L EMERY CO AMB SERVICE /11 Pre-Hospital Information D.3 EMS Agency Retired Value 0901L GARFIELD CO AMB /11 Pre-Hospital Information D.3 EMS Agency Retired Value 1001L GRAND CO EMS /11 Pre-Hospital Information D.3 EMS Agency Retired Value 1005D GRAND CO EMS /11 Pre-Hospital Information D.3 EMS Agency Retired Value 1101L IRON COUNTY AMB /11 Pre-Hospital Information D.3 EMS Agency Retired Value 1102L IRON COUNTY/IRON COUNTY AMB /11 Pre-Hospital Information D.3 EMS Agency Retired Value 1201L JUAB COUNTY AMB /11 Pre-Hospital Information D.3 EMS Agency Retired Value 1204L LEVAN TOWN AMB /11 Pre-Hospital Information D.3 EMS Agency Retired Value 1301L KANE COUNTY AMB 7 of 19 1/31/2013
8 5.1 04/11 Pre-Hospital Information D.3 EMS Agency Retired Value 1401L MILLARD COUNTY AMB /11 Pre-Hospital Information D.3 EMS Agency Retired Value 1403L SCIPIO AMB SERVICE /11 Pre-Hospital Information D.3 EMS Agency Retired Value 1501L MORGAN COUNTY AMB /11 Pre-Hospital Information D.3 EMS Agency Retired Value 1601L PIUTE CO COUNTY AMB /11 Pre-Hospital Information D.3 EMS Agency Retired Value 1701L RICH COUNTY AMB /11 Pre-Hospital Information D.3 EMS Agency Retired Value 1802L UNIFIED FIRE AUTHORITY SALT LAKE /11 Pre-Hospital Information D.3 EMS Agency Retired Value 1803L GOLD CROSS AMB, INC /11 Pre-Hospital Information D.3 EMS Agency Retired Value 1804L SALT LAKE CITY FD /11 Pre-Hospital Information D.3 EMS Agency Retired Value 1807L RIVERTON CITY CORP/UNIFIED FIRE AUTH /11 Pre-Hospital Information D.3 EMS Agency Retired Value 1808L UNIFIED FIRE AUTHORITY SALT LAKE /11 Pre-Hospital Information D.3 EMS Agency Retired Value 1809L SANDY CITY FD /11 Pre-Hospital Information D.3 EMS Agency Retired Value 1812L GOLD CROSS/PARAMEDIC SERVICE /11 Pre-Hospital Information D.3 EMS Agency Retired Value 1815D SALT LAKE COUNTY SHERIFF S&R /11 Pre-Hospital Information D.3 EMS Agency Retired Value 1820L SOUTH SALT LAKE FIRE /11 Pre-Hospital Information D.3 EMS Agency Retired Value 1821D SOUTH SALT LAKE FIRE DEPT /11 Pre-Hospital Information D.3 EMS Agency Retired Value 1822L SOUTH SALT LAKE FD /11 Pre-Hospital Information D.3 EMS Agency Retired Value 1823L WEST VALLEY CITY FD /11 Pre-Hospital Information D.3 EMS Agency Retired Value 1826D UTAH AIR NATIONAL GUARD /11 Pre-Hospital Information D.3 EMS Agency Retired Value 1827D MURRAY CITY FIRE /11 Pre-Hospital Information D.3 EMS Agency Retired Value 1830L MIDVALE CITY FD /11 Pre-Hospital Information D.3 EMS Agency Retired Value 1831L SOUTH JORDAN FD /11 Pre-Hospital Information D.3 EMS Agency Retired Value 1836D UNIFIED FIRE AUTHORITY /11 Pre-Hospital Information D.3 EMS Agency Retired Value 1840D SALT LAKE CITY FIRE RESCUE SERVICE /11 Pre-Hospital Information D.3 EMS Agency Retired Value 1842L WEST JORDAN FD /11 Pre-Hospital Information D.3 EMS Agency Retired Value 1850D UTAH STATE PRISON /11 Pre-Hospital Information D.3 EMS Agency Retired Value 1852L DRAPER CITY/UNIFIED FIRE AUTH /11 Pre-Hospital Information D.3 EMS Agency Retired Value 1857L MURRAY CITY FD /11 Pre-Hospital Information D.3 EMS Agency Retired Value 1858L SOUTH JORDAN FD /11 Pre-Hospital Information D.3 EMS Agency Retired Value 1861L WEST JORDAN FD /11 Pre-Hospital Information D.3 EMS Agency Retired Value 1863L MIDVALE CITY FD /11 Pre-Hospital Information D.3 EMS Agency Retired Value 1864D WEST VALLEY CITY FIRE /11 Pre-Hospital Information D.3 EMS Agency Retired Value 1865L WVC FIRE DEPARTMENT/SALT LAKE COUNTY FIRE DEPT /11 Pre-Hospital Information D.3 EMS Agency Retired Value 1866L SOUTHWEST AMBULANCE /11 Pre-Hospital Information D.3 EMS Agency Retired Value 1867D SOUTH JORDAN FIRE /11 Pre-Hospital Information D.3 EMS Agency Retired Value 1867L UNIFIED FIRE AUTHORITY /11 Pre-Hospital Information D.3 EMS Agency Retired Value 1868L MURRAY CITY FIRE /11 Pre-Hospital Information D.3 EMS Agency Retired Value 1869L BLUFFDALE FIRE DEPT 8 of 19 1/31/2013
9 5.1 04/11 Pre-Hospital Information D.3 EMS Agency Retired Value 1904L SAN JUAN EMS SERVICES/BLANDING /11 Pre-Hospital Information D.3 EMS Agency Retired Value 1910L SAN JUAN EMS /11 Pre-Hospital Information D.3 EMS Agency Retired Value 1911D SAN JUAN COUNTY S&R /11 Pre-Hospital Information D.3 EMS Agency Retired Value 2001L GUNNISON VALLEY AMB /11 Pre-Hospital Information D.3 EMS Agency Retired Value 2002L NORTH SANPETE AMB SERVICE /11 Pre-Hospital Information D.3 EMS Agency Retired Value 2007L EPHRAIM CITY/EPHRAIM AMB ASSN /11 Pre-Hospital Information D.3 EMS Agency Retired Value 2008L MANTI AMB ASSN /11 Pre-Hospital Information D.3 EMS Agency Retired Value 2101L SEVIER COUNTY AMB /11 Pre-Hospital Information D.3 EMS Agency Retired Value 2104L CANYON FUEL COMPANY SUFCO, LLC /11 Pre-Hospital Information D.3 EMS Agency Retired Value 2202L SOUTH SUMMIT AMB /11 Pre-Hospital Information D.3 EMS Agency Retired Value 2203L SUMMIT COUNTY/PARK CITY FD /11 Pre-Hospital Information D.3 EMS Agency Retired Value 2213D PARK CITY FIRE SERVICE /11 Pre-Hospital Information D.3 EMS Agency Retired Value 2220L PARK CITY FIRE SERVICE DIST /11 Pre-Hospital Information D.3 EMS Agency Retired Value 2221L SUMMIT COUNTY/PARK CITY FD /11 Pre-Hospital Information D.3 EMS Agency Retired Value 2301L WENDOVER AMB /11 Pre-Hospital Information D.3 EMS Agency Retired Value 2302L AMBULANCE SERVICES OF TOOELE /11 Pre-Hospital Information D.3 EMS Agency Retired Value 2310D STOCKTON FIRE DEPT /11 Pre-Hospital Information D.3 EMS Agency Retired Value 2315D NORTH TOOELE CO FIRE SERVICE DISTRICT /11 Pre-Hospital Information D.3 EMS Agency Retired Value 2318D WENDOVER FIRST RESPONDERS /11 Pre-Hospital Information D.3 EMS Agency Retired Value 2320L TOOELE HOSP CORP MOUNTAIN WEST PARAMEDIC RESCUE /11 Pre-Hospital Information D.3 EMS Agency Retired Value 2402L DESERET GENERATION & TRANSMISSION /11 Pre-Hospital Information D.3 EMS Agency Retired Value 2403L UTE TRIBE AMB SERVICE /11 Pre-Hospital Information D.3 EMS Agency Retired Value 2404L GOLD CROSS AMB EASTERN UTAH DIVISION /11 Pre-Hospital Information D.3 EMS Agency Retired Value 2412D VERNAL POLICE DEPT /11 Pre-Hospital Information D.3 EMS Agency Retired Value 2413D UINTAH COUNTY SHERIFF'S DEPT /11 Pre-Hospital Information D.3 EMS Agency Retired Value 2501L AMERICAN FORK AMB /11 Pre-Hospital Information D.3 EMS Agency Retired Value 2502L LEHI FIRE/EMS /11 Pre-Hospital Information D.3 EMS Agency Retired Value 2503L PAYSON AMB ASSN /11 Pre-Hospital Information D.3 EMS Agency Retired Value 2504L PLEASANT GROVE AMB /11 Pre-Hospital Information D.3 EMS Agency Retired Value 2505L PROVO FD/PARAMEDIC /11 Pre-Hospital Information D.3 EMS Agency Retired Value 2506L OREM DEPT OF PUBLIC SAFETY /11 Pre-Hospital Information D.3 EMS Agency Retired Value 2508L SPRINGVILLE AMB /11 Pre-Hospital Information D.3 EMS Agency Retired Value 2509L SPANISH FORK AMB /11 Pre-Hospital Information D.3 EMS Agency Retired Value 2510L GOLD CROSS SERVICE INC./UTAH COUNTY /11 Pre-Hospital Information D.3 EMS Agency Retired Value 2512L SANTAQUIN CITY AMB /11 Pre-Hospital Information D.3 EMS Agency Retired Value 2517L SALEM CITY CORP /11 Pre-Hospital Information D.3 EMS Agency Retired Value 2518L MAPLETON AMB/MAPLETON CITY CORP 9 of 19 1/31/2013
10 5.1 04/11 Pre-Hospital Information D.3 EMS Agency Retired Value 2519L LONE PEAK PUBLIC SAFETY DIST /11 Pre-Hospital Information D.3 EMS Agency Retired Value 2522L EAGLE MOUNTAIN FD /11 Pre-Hospital Information D.3 EMS Agency Retired Value 2526D UTAH COUNTY SHERIFF S&R /11 Pre-Hospital Information D.3 EMS Agency Retired Value 2531D ELK RIDGE FIRE DEPT /11 Pre-Hospital Information D.3 EMS Agency Retired Value 2532D BRIGHAM YOUNG UNIVERSITY /11 Pre-Hospital Information D.3 EMS Agency Retired Value 2535L LONE PEAK PUBLIC SAFETY DIST /11 Pre-Hospital Information D.3 EMS Agency Retired Value 2536L EAGLE MOUNTAIN FD /11 Pre-Hospital Information D.3 EMS Agency Retired Value 2537L NORTH FORK FD /11 Pre-Hospital Information D.3 EMS Agency Retired Value 2538L PLEASANT GROVE AMB /11 Pre-Hospital Information D.3 EMS Agency Retired Value 2539L SARATOGA SPRINGS FIRE/EMS /11 Pre-Hospital Information D.3 EMS Agency Retired Value 2540L AMERICAN FORK AMB /11 Pre-Hospital Information D.3 EMS Agency Retired Value 2550L LEHI FIRE/EMS /11 Pre-Hospital Information D.3 EMS Agency Retired Value 2601L WASATCH COUNTY AMB /11 Pre-Hospital Information D.3 EMS Agency Retired Value 2701L ENTERPRISE AMB SERVICE /11 Pre-Hospital Information D.3 EMS Agency Retired Value 2702L DIXIE AMB SERVICE, INC /11 Pre-Hospital Information D.3 EMS Agency Retired Value 2703L HURRICANE FIRE & RESCUE /11 Pre-Hospital Information D.3 EMS Agency Retired Value 2704L DIXIE AMB SERVICE, INC /11 Pre-Hospital Information D.3 EMS Agency Retired Value 2711D SANTA CLARA FIRE DEPT /11 Pre-Hospital Information D.3 EMS Agency Retired Value 2720L HILLDALE CITY/HILDALE FD /11 Pre-Hospital Information D.3 EMS Agency Retired Value 2721L DIXIE AMB SERVICE /11 Pre-Hospital Information D.3 EMS Agency Retired Value 2722L HURRICANE CITY CORP/HURRICANE FIRE & RESCUE /11 Pre-Hospital Information D.3 EMS Agency Retired Value 2725D ST GEORGE CITY FIRE DEPT /11 Pre-Hospital Information D.3 EMS Agency Retired Value 2729L LEEDS AREA SPECIAL SERVICE DIST /11 Pre-Hospital Information D.3 EMS Agency Retired Value 2732D ENTERPRISE AMB SERVICE /11 Pre-Hospital Information D.3 EMS Agency Retired Value 2734D WASHINGTON CITY FIRE DEPT /11 Pre-Hospital Information D.3 EMS Agency Retired Value 2735L ROCKVILLE/SPRINGDALE FIRE /11 Pre-Hospital Information D.3 EMS Agency Retired Value 2737L IVINS CITY PUBLIC SAFETY AMBULANCE /11 Pre-Hospital Information D.3 EMS Agency Retired Value 2801L WAYNE COUNTY AMB /11 Pre-Hospital Information D.3 EMS Agency Retired Value 2902L ROY FIRE AND RESCUE DEPT /11 Pre-Hospital Information D.3 EMS Agency Retired Value 2903L WEBER FIRE DIST/OGDEN CITY CORP /11 Pre-Hospital Information D.3 EMS Agency Retired Value 2907D WASHINGTON TERRACE FIRE DEPT /11 Pre-Hospital Information D.3 EMS Agency Retired Value 2915L WEBER COUNTY CORP OGDEN CITY CORP /11 Pre-Hospital Information D.3 EMS Agency Retired Value 2916L WEBER COUNTY CORP PARAMEDIC ROY /11 Pre-Hospital Information D.3 EMS Agency Retired Value 2917L OGDEN CITY CORP /11 Pre-Hospital Information D.3 EMS Agency Retired Value 2919L NORTH VIEW FIRE AGENCY /11 Pre-Hospital Information D.3 EMS Agency Retired Value 2920L OGDEN CITY AMB /11 Pre-Hospital Information D.3 EMS Agency Retired Value 2921D PLAIN CITY FIRE DEPT 10 of 19 1/31/2013
11 5.1 04/11 Pre-Hospital Information D.3 EMS Agency Retired Value 2924L WEBER COUNTY CORP ROY CITY CORP /11 Pre-Hospital Information D.3 EMS Agency Retired Value 2925D WEBER FIRE DISTRICT /11 Pre-Hospital Information D.3 EMS Agency Retired Value 2926L WEBER FIRE DIST /11 Pre-Hospital Information D.3 EMS Agency Retired Value 2927D WEBER FIRE DISTRICT /11 Pre-Hospital Information D.3 EMS Agency Retired Value 2931D RIVERDALE FIRE SERVICES /11 Pre-Hospital Information D.3 EMS Agency Retired Value 2932D WEBER COUNTY SHERIFF /11 Pre-Hospital Information D.3 EMS Agency Retired Value 2933L SOUTH OGDEN FD /11 Pre-Hospital Information D.3 EMS Agency Retired Value 2934L RIVERDALE FD /11 Pre-Hospital Information D.3 EMS Agency Retired Value 3000L UNSPECIFIED UTAH EMS AGENCY /11 Pre-Hospital Information D.3 EMS Agency Retired Value 3001L AIR MED - U.U.M.C /11 Pre-Hospital Information D.3 EMS Agency Retired Value 3002L IHC LIFE FLIGHT /11 Pre-Hospital Information D.3 EMS Agency Retired Value 3003L CLASSIC AIR CARE INC. DBA CLASSIC LIFE GUARD /11 Pre-Hospital Information D.3 EMS Agency Retired Value 3004L EAGLE AIR MED CORP /11 Pre-Hospital Information D.3 EMS Agency Retired Value 3005L ST. MARYS AIR LIFE/ST. MARYS HOSP /11 Pre-Hospital Information D.3 EMS Agency Retired Value 3006L LIFE GUARD INTERNATIONAL, INC /11 Pre-Hospital Information D.3 EMS Agency Retired Value 3007L AIR AMB SPECIALISTS, INC /11 Pre-Hospital Information D.3 EMS Agency Retired Value 3008L MED FLIGHT AIR /11 Pre-Hospital Information D.3 EMS Agency Retired Value 3009L SAN JUAN REGIONAL AIR CARE /11 Pre-Hospital Information D.3 EMS Agency Retired Value 3010L AIR METHODS/MERCY AIR SERVICES INC /11 Pre-Hospital Information D.3 EMS Agency Retired Value 3011L TRISTATE CARE FLIGHT, LLC /11 Pre-Hospital Information D.3 EMS Agency Retired Value 3012L COAST TO COAST AIR AMBULANCE /11 Pre-Hospital Information D.3 EMS Agency Retired Value 3999L Obsolete or Changed EMS Agency /11 Pre-Hospital Information D.3 EMS Agency Retired Value NOT UNKNOWN /11 Inclusion Criteria Revised Add "for the traumatic injury" to the your hospital statement /11 ED/Hospital Information E.39 Hospital Complications Revised NA (Not Applicable - NO COMPLICATIONS) /11 ED/Hospital Information E.39 Hospital Complications Added Value OTHER (Other Complication Not Listed) /11 ED/Hospital Information E.39 Hospital Complications Added Value UTI (Urintary Tract Infection) /11 ED/Hospital Information E.39 Hospital Complications Added Value CATH (Catheter related blood stream infection) /11 ED/Hospital Information E.39 Hospital Complications Added Value OSTEO (Osteomyelitis) /11 ED/Hospital Information E.39 Hospital Complications Added Value OR (Unplanned return to the OR) /11 ED/Hospital Information E.39 Hospital Complications Added Value ICU (Unplanned return to the ICU) /11 ED/Hospital Information E.39 Hospital Complications Added Value SEVSEP (Severe Sepsis) /11 ED/Hospital Information E.39 Hospital Complications Retired Value ABD /11 ED/Hospital Information E.39 Hospital Complications Retired Value ACS /11 ED/Hospital Information E.39 Hospital Complications Retired Value BASE /11 ED/Hospital Information E.39 Hospital Complications Retired Value BLEED /11 ED/Hospital Information E.39 Hospital Complications Retired Value COAG 11 of 19 1/31/2013
12 5.1 04/11 ED/Hospital Information E.39 Hospital Complications Retired Value COMA /11 ED/Hospital Information E.39 Hospital Complications Retired Value ICP /11 ED/Hospital Information E.39 Hospital Complications Retired Value SEPSIS /11 ED/Hospital Information E.39 Hospital Complications Retired Value WOUND /11 ED/Hospital Information E.39 Hospital Complications Retired Value NONE /11 Diagnosis Data G.01 Co-Morbid Conditions Revised NA (No Comorbidities) /11 Diagnosis Data G.01 Co-Morbid Conditions Added Value OTHER (Other Comorbidity/Risk Type Not Listed) /11 Diagnosis Data G.01 Co-Morbid Conditions Added Value CIRRHOSIS (Cirrhosis) /11 Diagnosis Data G.01 Co-Morbid Conditions Retired Value NONE /12 ED/Hospital Information E.39 Hospital Complications Revised ARF /12 ED/Hospital Information E.39 Hospital Complications Revised ARDS /12 Diagnosis Data G.01 Co-Morbid Conditions Revised CHEMO /12 Diagnosis Data G.01 Co-Morbid Conditions Revised MI /12 Diagnosis Data G.01 Co-Morbid Conditions Retired Value SENSORIUM /12 Diagnosis Data G.01 Co-Morbid Conditions Added Value DEMENT /12 Diagnosis Data G.01 Co-Morbid Conditions Added Value DRUG_ABUSE /12 Diagnosis Data G.01 Co-Morbid Conditions Added Value MAJ PSYCH /12 Diagnosis Data G.01 Co-Morbid Conditions Added Value PRE_ARREST /11 Demographic Data A.11 Social Security Number Revised Discussion/Uses: If the patient's SSN is unknown, input NOT. Never use a "dummy" SSN /11 Event Data B.1 Injury Time Revised minimum constraint 00:00; maximum constraint 23: /11 Event Data B.14 Incident Location Zip Code Revised NTDS Field Number = I_ /11 Event Data B.20 External Cause Status Added Data Element acceptable ICD-9 range: E000-E /11 Event Data B.21 Activity Code Added Data Element acceptable ICD-9 range: E001-E /11 Event Data B.6 Patient's Occupational Industry Addt'l Information Deleted: Only completed if injury is work-related /11 Event Data B.8 Primary E-Code Addt'l Information Added: Activity Codes should not be reported in this field /11 Event Data B.8 Primary E-Code Revised Changed From: Primary E-Code To: ICD-9 Primary E-Code /11 Event Data B.8 Primary E-Code Addt'l Information Added: Activity Codes should not be reported in this field /11 Event Data B.9 Additional E-Code Revised Changed From: Additional E-Code to ICD-9 Location E-Code /11 Pre-Hospital Information D.11 EMS Unit Scene Departure Time Revised minimum constraint 00:00; maximum constraint 23: /11 Pre-Hospital Information D.22 Initial Field GCS - Verbal Addt'l Information Added: If patient is intubated then the GCS Verbal score is equal to 1 12 of 19 1/31/2013
13 /11 07/11 Pre-Hospital Information Pre-Hospital Information D.25 D.3 Initial Field GCS - Total EMS Agency Addt'l Information Retired Value Revised: If a patient does not have a numeric GCS recorded, but there is documentation related to their level of consciousness such as AAOx3, awake alert and oriented, or patient with normal mental status, interpret this as GCS of 15 IF there is not other contradicting documentation Daggett County Sheriff's Office /11 Pre-Hospital Information D.3 EMS Agency Retired Value 1815 Salt Lake County Sheriff's Search & Rescue Service /11 Pre-Hospital Information D.3 EMS Agency Retired Value 1911 San Juan County Search & Rescue /11 Pre-Hospital Information D.3 EMS Agency Revised 2801 Wayne County EMS /11 Pre-Hospital Information D.3 EMS Agency Revised 3003 Classic Life Guard /11 Pre-Hospital Information D.3 EMS Agency Revised 3004 Eagle Air Med Corporation /11 Pre-Hospital Information D.3 EMS Agency Revised 3005 St. Mary's Careflight /11 Pre-Hospital Information D.3 EMS Agency Revised 3007 Air Ambulance Specialists Inc /11 Pre-Hospital Information D.3 EMS Agency Revised 3009 San Juan Regional Medical Center/Air Care /11 Pre-Hospital Information D.3 EMS Agency Revised 3010 Air Methods/Mercy Air Service, Inc /11 Pre-Hospital Information D.3 EMS Agency Revised 3011 Tristate Care Flight, LLC /11 Pre-Hospital Information D.3 EMS Agency Revised 3012 Coast to Coast Air Ambulance, LLC /11 Pre-Hospital Information D.3 EMS Agency Added Value 3013 Flight for Life Colorado /11 Pre-Hospital Information D.4 EMS Origin Revised Discussion/Uses: Only one occurrence of 'SCENE' should be input. This should be used to identify the EMS agency transporting the patient from the scene of the accident /11 Pre-Hospital Information D.7 EMS Respond Time Revised minimum constraint 00:00; maximum constraint 23: /11 Pre-Hospital Information D.9 EMS Unit Arrival on Scene Time Revised minimum constraint 00:00; maximum constraint 23: ED/Hospital Information E.11 Hospital Discharge Time Addt'l Information Added: IF ED Discharge Disposition = 5 (Died) then Hospital Discharge Time should be NA. If ED Discharge Disposition = /11 ED/Hospital Information E.11 Hospital Discharge Time Revised 4, minimum 6, 9, 10, constraint or 11 then 00:00; Hospital maximum Discharge constraint Time must 23:59 be NA /11 ED/Hospital Information E.12 Hospital Discharge Date Addt'l Information Added: If ED Discharge Disposition = 5 (Died) then Hospital Discharge Date should be NA. If ED Discharge Disposition = 4, 6, 9, 10, or 11 then Hospital Discharge Date must be NA. 13 of 19 1/31/2013
14 /11 ED/Hospital Information E.17 Hospital Discharge Disposition Addt'l Information Revised: Field value = 6, "home" refers to the patient's current place of residence (e.g. prison, Child Protective Services, etc.) /11 ED/Hospital Information E.20 Outcome Addt'l Information Added: Please note that this XSD element is still referred to as DEATHINED; however the field name and definition have changed to Signs of Life /11 ED/Hospital Information E.20 Outcome Revised NTDS Field Name: Signs of Life /11 ED/Hospital Information E.20 Outcome Revised NTDS Field # ED_ /11 ED/Hospital Information E.21 Initial ED/Hospital Pulse Rate Addt'l Information Added: Please note that first recorded/hospital vitals do not need to be from the same assessment /11 ED/Hospital Information E.21 Initial ED/Hospital Pulse Rate Data Source Hierarchy Added: 3 Nurses notes /11 ED/Hospital Information E.21 Initial ED/Hospital Pulse Rate Revised Definition: First recorded pulse in the ED/Hospital, (palpated or auscultated) within 30 minutes or less of ED/hospital arrival /11 ED/Hospital Information E.22 Initial ED/Hospital Respiratory Rate Addt'l Information Added: Please note that the first recorded/hospital vitals do not need to be from the same assessment /11 ED/Hospital Information E.22 Initial ED/Hospital Respiratory Rate Data Source Hierarchy Added: 3 nurses notes /11 ED/Hospital Information E.22 Initial ED/Hospital Respiratory Rate Revised Definition: First recorded respiration rate in the ED/hospital within 30 minutes or less of ED/hospital arrival /11 ED/Hospital Information E.22 Initial ED/Hospital Respiratory Rate Revised Discussion/Uses: Record the actual respiratory rate, whether spontaneous or assisted /11 ED/Hospital Information E.23 Initial ED/Hospital Respiratory Assistance Addt'l Information Added: Please note that the first recorded/hospital vitals do not need to be from the same assessment /11 ED/Hospital Information E.23 Initial ED/Hospital Respiratory Assistance Data Source Hierarchy Added: 3 nurses notes /11 ED/Hospital Information E.23 Initial ED/Hospital Respiratory Assistance Revised Definition: Determination of respiratory assistance associated with the initial ED/hospital rate within 30 minutes or less of ED/hospital arrival /11 ED/Hospital Information E.24 Initial ED/Hospital SBP Addt'l Information Added: Please note that first recorded/hospital vitals do not need to be from the same assessment /11 ED/Hospital Information E.24 Initial ED/Hospital SBP Revised Definition: First recorded systolic blood pressure in the ED/hospital, within 30 minutes or less of ED/hospital arrival /11 ED/Hospital Information E.25 Initial ED/Hospital SBP Data Source Hierarchy Added: 3 Nurses notes /11 ED/Hospital Information E.25 Initial ED/Hospital Temperature Addt'l Information Added: Please note that first recorded/hospital vitals do not need to be from the same assessment /11 ED/Hospital Information E.25 Initial ED/Hospital Temperature Data Source Hierarchy Added: 3 Nurses notes 14 of 19 1/31/2013
15 /11 ED/Hospital Information E.25 Initial ED/Hospital Temperature Revised Definition: First recorded temperature in the ED/Hospital, (palpated or auscultated) within 30 minutes or less of ED/hospital arrival /11 ED/Hospital Information E.26 Initial ED/Hospital Oxygen Saturation Addt'l Information Added: Please note that the first recorded/hospital vitals do not need to be from the same assessment /11 ED/Hospital Information E.26 Initial ED/Hospital Oxygen Saturation Data Source Hierarchy Added: 3 nurses notes /11 ED/Hospital Information E.26 Initial ED/Hospital Oxygen Saturation Revised Definition: First recorded oxygen saturation in the ED/hospital within 30 minutes or less of ED/hospital arrival /11 ED/Hospital Information E.27 Initial ED/Hospital Supplemental Oxygen Addt'l Information Added: Please note that the first recorded/hospital vitals do not need to be from the same assessment /11 ED/Hospital Information E.27 Initial ED/Hospital Supplemental Oxygen Data Source Hierarchy Added: 3 nurses notes /11 ED/Hospital Information E.27 Initial ED/Hospital Supplemental Oxygen Revised Definition: Determination of the presence of supplemental oxygen during assessment of initial ED/hospital oxygen saturation level within 30 minutes or less of ED/hospital arrival /11 ED/Hospital Information E.28 Initial ED/Hospital GCS-Eye Addt'l Information Added: Please note that the first recorded/hospital vitals do not need to be from the same assessment /11 ED/Hospital Information E.28 Initial ED/Hospital GCS-Eye Data Source Hierarchy Added: 3 nurses notes /11 ED/Hospital Information E.28 Initial ED/Hospital GCS-Eye Revised Definition: First recorded Glasgow Coma Score (Eye) within 30 minutes or less of ED/hospital arrival /11 ED/Hospital Information E.29 Initial ED/Hospital GCS-Verbal Addt'l Information Deleted: Used to auto-generate an additional calculated field: Revised Trauma Score - ED (adult & pediatric) /11 ED/Hospital Information E.29 Initial ED/Hospital GCS-Verbal Addt'l Information Added: If patient is intubated then the GCS Verbal score is equal to /11 ED/Hospital Information E.29 Initial ED/Hospital GCS-Verbal Addt'l Information Added: Please note that the first recorded/hospital vitals do not need to be from the same assessment /11 ED/Hospital Information E.29 Initial ED/Hospital GCS-Verbal Data Source Hierarchy Added: 3 nurses notes /11 ED/Hospital Information E.29 Initial ED/Hospital GCS-Verbal Revised Definition: First recorded Glasgow Coma Score (Verbal) within 30 minutes or less of ED/hospital arrival /11 ED/Hospital Information E.3 ED/Hospital Arrival Time Revised minimum constraint 00:00; maximum constraint 23: /11 ED/Hospital Information E.30 Initial ED/Hospital GCS-Motor Addt'l Information Added: Please note that the first recorded/hospital vitals do not need to be from the same assessment. 15 of 19 1/31/2013
16 /11 ED/Hospital Information E.30 Initial ED/Hospital GCS-Motor Data Source Hierarchy Added: 3 nurses notes /11 ED/Hospital Information E.30 Initial ED/Hospital GCS-Motor Revised Definition: First recorded Glasgow Coma Score (Motor) within 30 minutes or less of ED/hospital arrival /11 ED/Hospital Information E.31 Initial ED/Hospital GCS Assessment Qualifiers Addt'l Information Added: If an intubated patient has recently received an agent that results in neuromuscular blockade such that a motor or eye response is not possible, then the patient should be considered to have an exam that is not reflective of their neurologic status and the chemical sedation modifier should be selected. Neuromuscular blockade is typically induced following the administration of agent like succinylcholine,mivacurium, rocuronium, (cis)atracurium, vecuronium, or pancuronium.while these are the most common agents, please these are the most common agents, please review what might be typically used in your center so it can be identified in the medical record. Each of these agents has a slightly different duration of action, so their effect on the GCS depends on when they were given. For example, succinylcholine's effects last for only 5-10 minutes /11 ED/Hospital Information E.31 Initial ED/Hospital GCS Assessment Qualifiers /11 ED/Hospital Information E.31 Initial ED/Hospital GCS Assessment Qualifiers /11 ED/Hospital Information E.31 Initial ED/Hospital GCS Assessment Qualifiers Addt'l Information Revised Revised Added: Please note that the first recorded/hospital vitals do not need to be from the same assessment. 1. Patient Chemically Sedated or Paralyzed Definition: Documentation of factors potentially affecting the first assessment of GCS within 30 minutes or less of ED/hospital arrival. Added: 3 nurses notes /11 ED/Hospital Information E.31 Initial ED/Hospital GCS Assessment Qualifiers Revised /11 ED/Hospital Information E.32 Initial ED/Hospital GCS - Total Addt'l Information Deleted: Used to auto-generate an additional calculated field: Revised Trauma Score - ED (adult & pediatric). 16 of 19 1/31/2013
17 /11 07/11 ED/Hospital Information ED/Hospital Information E.32 E.32 Initial ED/Hospital GCS - Total Initial ED/Hospital GCS-Total Addt'l Information Addt'l Information Added: If a patient does not have a numeric GCS recorded, but there is documentation related to their level of consciousness such as AAOx3, awake alert and oriented, or patient with normal mental status, interpret this as GCS of 15 IF there is not other contradicting documentation. Added: Please note that the first recorded/hospital vitals do not need to be from the same assessment /11 ED/Hospital Information E.32 Initial ED/Hospital GCS-Total Data Source Hierarchy Added: 3 nurses notes /11 ED/Hospital Information E.32 Initial ED/Hospital GCS-Total Revised Definition: First recorded Glasgow Coma Score (Total) within 30 minutes or less of ED/hospital arrival /11 ED/Hospital Information E.34 Drug Use Indicator Data Source Hierarchy Added: 3. Autopsy report /11 ED/Hospital Information E.36 Total ICU Length of Stay Addt'l Information Revised: Recorded in full day increments with any partial calendar day counted as a full calendar day /11 ED/Hospital Information E.36 Total ICU Length of Stay Addt'l Information Added: The calculation assumes that the date and time of starting and stopping an ICU episode are recorded in the patient's chart. If any dates are missing then a LOS cannot be calculated. If patient has multiple ICU episodes on the same calendar day, count that as one calendar day. At no time should the ICU LOS exceed the Hospital LOS. If the patient had no ICU days according to the above definition, code as "Not Applicable." /11 ED/Hospital Information E.36 Total ICU Length of Stay Revised Definition: The cumulative amount of time spent in the ICU. Each partial or full day should be measured as one calendar day /11 ED/Hospital Information E.37 Total Ventilator Days Addt'l Information Revised: Non-invasive means of ventilatory support (CPAP or BIPAP) should not be considered in the calculation of ventilator days /11 ED/Hospital Information E.37 Total Ventilator Days Addt'l Information Added: The calculation assumes that the date and time of starting and stopping a ventilator episode are recorded in the patient's chart. If any dates are missing then Total Ventilator Days cannot be calculated. At no time should the Total Ventilator Days exceed the Hospital LOS. If the patient was not on the ventilator according to the above definition, code as "Not Applicable." 17 of 19 1/31/2013
18 /11 ED/Hospital Information E.37 Total Ventilator Days Addt'l Information Deleted: Field allows for multiple "start" and "stop" dates and calculates total days spent on a mechanical ventilator. If a patient begins and ends mechanical ventilation on the same date, the total ventilator days is one day /11 ED/Hospital Information E.37 Total Ventilator Days Revised Definition: The cumulative amount of time spent on the ventilator. Each partial or full day should be measured as one calendar day /11 ED/Hospital Information E.39 Hospital Complications Added Value 5. Acute lung injury/acute respiratory distress syndrome (ARDS) /11 ED/Hospital Information E.39 Hospital Complications Added Value 8. Cardiac arrest with resuscitative efforts by healthcare provider 2013 Event Data E.40 Initial ED/Hospital Height Added Data Element 2013 Event Data E.41 Initial ED/Hospital Weight Added Data Element /11 Hospital Procedure Information F.01 Hospital Procedures Addt'l Information Added (Transfusion): For pediatric patients (age 14 and under) assign ICD-9 procedure code on patients that receive 40cc/kg of blood products over first 24 hours following hospital arrival /11 Hospital Procedure Information F.01 Revised Changed From: Hospital Procedures To: ICD-9 Hospital Procedures /11 Hospital Procedure Information F.03 Hospital Procedure Start Date Addt'l Information Added: If distinct procedures with the same procedure code are performed, their start times must be different /11 Hospital Procedure Information F.04 ICD-10 Hospital Procedures Added Data Element /11 Diagnosis Data G.01 Co-Morbid Conditions Added Value 26 Dementia /11 Diagnosis Data G.01 Co-Morbid Conditions Added Value 27 Major psychiatric illness /11 Diagnosis Data G.01 Co-Morbid Conditions Added Value 28 Drug abuse or dependence /11 Diagnosis Data G.01 Co-Morbid Conditions Added Value 29 Pre-hospital cardiac arrest with CPR /11 Diagnosis Data G.01 Co-Morbid Conditions Revised 9 Chronic renal failure /11 Diagnosis Data G.01 Co-Morbid Conditions Revised 13 Advanced directive limiting care /11 Diagnosis Data G.01 Co-Morbid Conditions Revised 18 History of PVD /11 Diagnosis Data G.01 Co-Morbid Conditions Revised 16 History of angina within 30 days /11 Diagnosis Data G.01 Co-Morbid Conditions Revised maximum entries = /11 Diagnosis Data G.01 Co-Morbid Conditions Added Value Label: RESUC; NTDS value: 8; Description: Cardiac arrest with resuscitative efforts by healthcare provider /11 Diagnosis Data G.03 ICD-10 Injury Diagnoses Added Data Element 18 of 19 1/31/2013
19 /11 Inclusion Criteria Addt'l Information Added: Late effect codes, which are represented using the same range of injury diagnosis codes but with the 7th digit modifier code of D through S are also excluded /11 Inclusion Criteria Revised Includes ICD-10 Diagnosis Codes /11 Event Data Added Data Element /11 Event Data Added Data Element /11 Event Data Added Data Element /11 Event Data Added Data Element /11 Inclusion Criteria Inclusion Criteria Revised Add additional criteria: Was the patient scheduled for surgery related to the qualifying injury within 30 days? 19 of 19 1/31/2013
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