Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 515 - EMERGENCY MEDICAL SERVICES, TRAUMA CENTER, COMPREHENSIVE STROKE CENTER, PRIMARY STROKE CENTER AND ACUTE STROKE READY HOSPITAL CODE › Subpart H - TRAUMA CENTERS › Section 515.2050 - Trauma Center Uniform Reporting Requirements

Current through Register Vol. 48, No. 28, July 12, 2024
a) Each trauma center shall have available to
				the Trauma Service use of an IBM compatible personal computer capable of
				handling the software contracted by the Department and that meets the following
				general standards: CPU 80586, 200 MHz, RAM 32Mb, hard drive 1Gb, floppy drive 3
				1/2" CD-ROM 20x, color VGA, inkjet or laser printer, 57.6 Baud Modem, software
				to support the trauma registry program, and backup capability. The Department
				shall provide Trauma Registry software for use by the trauma center. This
				software shall be used for data collection and shall have a provision to
				prepare electronic media reports to the Department on a quarterly
				basis.
b) The trauma center shall
				provide the following information on each reportable trauma patient:
1) Trauma hospital number
2) Trauma hospital level of care
3) Trauma registry number
4) Crash record number
5) Pre-hospital record number
6) Medical record number
7) Last name
8) First name
9) Middle initial
10) ED arrival date
11) EMS region
12) Birth date
13) Age
14) Sex
15) Race
16) Injury date
17) Injury time
18) Home address
19) Home city
20) Home state
21) Home country
22) Home zip code
23) Federal Information Processing Standard
				(FIPS) home
24) Scene
				address
25) Scene city
26) Scene state
27) Scene zip code
28) FIPS scene
29) International Classification of Diseases
				(ICD)-9CM codes and effective dates, including E-codes, N-codes, P-codes with
				location date, time and physician (number code) performing procedure, and
				V-codes
30) School related
				injury
31) Work related
				injury
32) Safety
				equipment
33) Vehicle seat
				position
34) Date arrived at
				transferring hospital
35) Time
				arrived at transferring hospital
36) Initial Glasgow Coma Score (GCS) total at
				transferring hospital
37) Initial
				respiration rate at transferring hospital
38) Initial temperature at transferring
				hospital
39) Initial temperature
				scale at transferring hospital
40)
				Initial temperature method at transferring hospital
41) Admission/surgery at transferring
				hospital
42) Transferring hospital
				number
43) Transferring vehicle
				number
44) Transport vehicle
				highest level of care
45) Date
				discharged from transferring hospital
46) Time discharged from transferring
				hospital
47) Pre-hospital dispatch
				time
48) Pre-hospital scene arrival
				date
49) Pre-hospital scene arrival
				time
50) Pre-hospital patient
				contact time
51) Pre-hospital scene
				depart time
52) Pre-hospital scene
				minutes-calculated
53) Pre-hospital
				transport minutes-calculated
54)
				Pre-hospital vehicle number
55)
				Pre-hospital initial GCS total
56)
				Pre-hospital systolic pressure
57)
				Pre-hospital pulse
58) Pre-hospital
				respiratory rate
59) Pre-hospital
				revised trauma score
60)
				Pre-hospital pediatric trauma score
61) Pre-hospital triage criteria as
				referenced in Section 515.Appendix C
62) Pre-hospital run sheet on chart
63) ED arrival date
64) ED arrival time
65) Minimum trauma field triage
				criteria-in-house assessment as referenced in Section 515.Appendix C
66) Category - level of trauma care
				activation (I, II, other)
67)
				Category - location of trauma activation
68) Category - initial time trauma activation
				declared
69) Category - trauma
				grade change
70) Category - initial
				time of trauma category grade change
71) ED physician, trauma surgeon, assistant
				surgeon, neurosurgeon and consulting physician code numbers, and notification
				and ED arrival times
72) ED blood
				alcohol
73) ED drug
				screen-therapeutic and self-administered
74) ED initial eye, verbal, motor and total
				Glasgow Coma Scores
75) ED initial
				systolic pressure
76) ED initial
				respiratory rate and assessment qualifier
77) ED initial pulse rate
78) ED initial temperature
79) ED initial temperature scale
80) ED initial temperature
				method/rate
81) ED trauma score
				revised
82) ED pediatric trauma
				score
83) Breakdown score for
				pediatric trauma score
84)
				Pediatric resuscitation tape-height and weight
85) ED minutes prior to head computerized
				tomography (CT)
86) ED cervical
				clearance
87) ED discharge
				date
88) ED discharge/depart
				time
89) ED minutes
90) ED disposition
91) ED reason for transfer
92) ED disposition death
93) Admitting service
94) Date of first operation
95) Time of first operation
96) Complications
97) Unanticipated operation
98) Blood products, including
				auto-transfusion
99) Total ICU
				days
100) Total monitored bed
				days
101) Total ventilator
				days
102) In-patient
				consult
103) Injury severity score
				(ISS)
104) ISS
				calculation
105) Abbreviated injury
				score for each injury with description and AIS revision and effective
				year
106) Trauma Score/Injury
				Severity Score (TRISS) survival probability
107) Discharge disposition
108) Transferred to (facility
				number)
109) Hospital discharge
				date
110) Total hospital
				days
111) Discharge expression,
				feeding and locomotion capabilities as determined by the functional
				independence measure (FIM)
112)
				Organ donor status
113) Hospital
				charges
114) Hospital payment
				source
115) Clean/complete
				record
116) DNR status