Root Element The last date/time that the source record was modified in its Registry. Patient ID Facility ID The patient's Last Name The patient's First Name The patient's middle name The patient's social security number The patient's home ZIP code of primary residence. The country where the patient resides. The state (territory, province, or District of Columbia) where the patient resides. The patient's county (or parish) of residence. The patient's city (or township, or village) of residence. Documentation of the type of patient without a home ZIP/Postal Code. The patient's date of birth. The patient's age at the time of injury (best approximation) The units used to document the patient's age (Years, Months, Days, Hours, Minutes) The patient's race. The patient's ethnicity. The patient's sex. The date the injury occurred. The time the injury occurred. Indication of whether the injury occurred during paid employment. The occupational industry associated with the patient's work environment. The occupation of the patient. Patient's industry if other than one found in the Data Dictionary listing. Patient's occupation if it is not listed in the Data Dictionary. ICD-10 External cause code used to describe the mechanism (or external factor) that caused the injury event (ICD-10). Additional E-code used to describe, for example, a mass casualty event, or other external cause (ICD-10). ICD-10 Place of occurrence external cause code used to describe the place/site/location of the injury event (Y92.X). The ZIP code of the incident location. The country where the patient was found or to which the unit responded (two-digit alpha country code). The state, territory, or province where the patient was found or to which the unit responded (two-digit numeric FIPS code). The name of the county in which injury occurred. (three-digit numeric FIPS code) The city or township where the patient was found or to which the unit responded (five-digit numeric FIPS code). Protective devices (safety equipment) in use or worn by the patient at the time of the injury. Protective child restraint devices used by patient at the time of injury. Indication of an airbag deployment during a motor vehicle crash. A report of suspected physical abuse was made to law enforcement and/or protective services. An investigation by law enforcement and/or protective services was initiated because of the suspected physical abuse. The patient was discharged to a caregiver different than the caregiver at admission due to suspected physical abuse. The type of force that caused the injury. Text field for describing the circumstances surrounding an injury. The ID number of the EMS transport agency that delivers the patient to the hospital. The Name of the EMS transport agency that delivers the patient to the hospital. The mode of transport delivering the patient to your hospital. All other modes of transport used during patient care event, except the mode delivering the patient to your hospital. Was the patient transferred to your facility from another acute care facility? Indication of whether patient experienced cardiac arrest prior to ED/Hospital arrival. The date the unit transporting to your hospital was notified by dispatch. The time the unit transporting to your hospital was notified by dispatch. The date the unit transporting to your hospital arrived on the scene. The time the unit transporting to your hospital arrived on the scene (the time the vehicle stopped moving). The date the unit transporting to your hospital left the scene. The time the unit transporting to your hospital left the scene (the time the vehicle started moving). First recorded systolic blood pressure in the pre-hospital setting. First recorded pulse in the pre-hospital setting (palpated or auscultated), expressed as a number per minute. First recorded respiratory rate in the pre-hospital setting (expressed as a number per minute). First recorded oxygen saturation in the pre-hospital setting (expressed as a percentage). First recorded Glasgow Coma Score (Eye) in the pre-hospital setting. First recorded Glasgow Coma Score (Verbal) in the pre-hospital setting. First recorded Glasgow Coma Score (Motor) in the pre-hospital setting. First recorded Glasgow Coma Score (total) in the pre-hospital setting. First recorded Glasgow Coma Score 40 (Eye) measured at the scene of injury. First recorded Glasgow Coma Score 40 (Verbal) measured at the scene of injury. First recorded Glasgow Coma Score 40 (Motor) measured at the scene of injury. Physiologic and anatomic EMS trauma triage criteria for transport to a trauma center as defined by the Centers for Disease Control and Prevention and the American College of Surgeons-Committee on Trauma. This information must be found on the scene of injury EMS run sheet. EMS trauma triage mechanism of injury criteria for transport to a trauma center as defined by the Centers for Disease Control and Prevention and the American College of Surgeons-Committee on Trauma. This information must be found on the scene of injury EMS run sheet. The date the patient arrived to the ED/hospital. The time the patient arrived to the ED/hospital. First recorded systolic blood pressure in the ED/Hospital First recorded diastolic blood pressure in the ED/hospital. First recorded pulse in the ED/hospital (palpated or auscultated), expressed as a number per minute. First recorded temperature (in degrees celsius/centrigrade) in the ED/hospital. First recorded temperature (in degrees Fahrenheit) in the ED/hospital. First recorded respiratory rate in the ED/hospital (expressed as a number per minute). Determination of respiratory assistance associated with the initial ED/hospital respiratory rate. First recorded oxygen saturation in the ED/hospital (expressed as a percentage). Determination of the presence of supplemental oxygen during assessment of initial ED/hospital oxygen saturation level. First recorded Glasgow Coma Score (Eye) in the ED/hospital. First recorded Glasgow Coma Score (Verbal) in the ED/hospital. First recorded Glasgow Coma Score (Motor) in the ED/hospital. First recorded Glasgow Coma Score (total) in the ED/hospital. Documentation of factors potentially affecting the first assessment of GCS upon arrival in the ED/hospital. First recorded Glasgow Coma Score 40 (Eye) in the ED/hospital within 30 minutes or less of ED/hospital arrival. First recorded Glasgow Coma Score 40 (Verbal) within 30 minutes or less of ED/hospital arrival. First recorded Glasgow Coma Score 40 (Motor) within 30 minutes or less of ED/hospital arrival. The patient's height. The patient's weight. Use of drugs by the patient. A blood alcohol concentration (BAC) test was performed on the patient within 24 hours after first hospital encounter. First recorded blood alcohol concentration (BAC) results within 24 hours after first hospital encounter. The disposition of the patient at the time of discharge from the ED. Calculated from the GCS, SBP and Resp Rate and is a component of TRISS The date the initial vital signs or medical screening exam occurred The time the initial vital signs or medical screening exam occurred This is a helper field which may be used in determining inclusion criteria for the patient record. Indication of whether patient arrived at ED/Hospital with signs of life. The date the order was written for the patient to be discharged from the ED. The time the order was written for the patient to be discharged from the ED. The date the patient was discharged from the ED. The time the patient was discharged from the ED. Indicates whether the patient was directly admitted to the hospital Indication of hospital readmission within 30 days of discharge for any reason related to the trauma incident Operative and essential procedures conducted during hospital stay (ICD-10). Operative and essential procedures conducted during hospital stay (ICD-10). The date operative and essential procedures were performed. The time operative and essential procedures were performed. Any medical complication that occurred during the patient's stay at your hospital. Pre-existing co-morbid factors present before patient arrival at the ED/hospital. Text field for clarifying information for diagnosis-related ICD-10 codes Diagnoses related to all identified injuries (ICD-10). The Abbreviated Injury Scale (AIS) predot codes that reflect the patient's injuries. The Abbreviated Injury Scale (AIS) severity codes that reflect the patient's injuries. The Injury Severity Score (ISS) body region codes that reflects the patient's injuries. The software (and version) used to calculate Abbreviated Injury Scale (AIS) severity codes. The Injury Severity Score (ISS) that reflects the patient's injuries. The Calculated field for estimating the probability of survival The total number of patient days in any ICU (including all episodes). The total number of patient days spent on a mechanical ventilator (including all episodes). The date the order was written for the patient to be discharged from the hospital. The time the order was written for the patient to be discharged from the hospital. The date the patient was discharged from the hospital. The time the patient was discharged from the hospital. The disposition of the patient when discharged from the hospital. Primary source of payment for hospital care. Date data entry for the trauma incident was initiated. The time data entry for the trauma incident was initiated. Number that identifies a patient's records across multiple admissions to a given hospital. The Medicare ID number of the acute care hospital the patient was transferred from by ambulance. The Name of the acute care hospital the patient was transferred from by ambulance. The Medicare ID number of the acute care hospital the patient was transferred to by ambulance. Three initials representing the name of the registrar abstracting the trauma case for submission to ITR The National Provider Identifier (NPI) of the admitting surgeon.