Medical Examiner

Reporting Requirement

What are medical examiners required to report?
Medical examiners are to report all traumatic brain injuries (TBI), spinal cord injuries (SCI), and submersions to the EMS &Trauma Registries (EMS/TR).

Data Dictionary

What are the reportable data elements?

All of the required fields for TBIs, SCIs, and submersions are listed in the applicable data dictionary.

Note: EMS/TR no longer accepts paper records.

How does a medical examiner send data?
For TBIs, SCIs, and submersions, data shall be sent electronically. The appropriate method is to establish an account with the EMS/TR and use the online system for submitting data. A medical examiner can use the free online system for entering data.

How often does a medical examiner send data?
Data should be submitted within three months from the identification of a required reportable event. The EMS/TR recommends that a medical examiner submit data monthly.

If a medical examiner has just started submitting data, do they have to send records from previous months?
The rule requires medical examiners to submit data. The amount and quality of data sent will affect data reports generated by the EMS/TR.  

May a medical examiner submit data through a business associate e.g., local health department, RAC, billing agency, etc.?
Yes, a medical examiner may submit through a business associate. However, it is the ultimate responsibility of the individual medical examiner to ensure that its data is accurate and accepted into the EMS/TR.

Sample BAA

This is a sample BAA only. Each 3rd party/Billing company should have their own BAA forms to provide customers.  BAAs must include the effective date and be signed and dated by both parties.