EMS
All runs, as defined in the Texas EMSTR EMS Data Dictionary, must be submitted electronically to the Texas Department of State Health Services (DSHS) online EMSTR.
Texas Administrative Code, Title 25, Part 1, Chapter 103, Rule 103.5
A run is a resulting action from a call for assistance where an EMS provider is dispatched to, responds to, provides care to, or transports a person. That includes trauma and medical, emergency and non-emergency, transport and non-transport runs.
Texas Administrative Code, Title 25, Part 1, Chapter 103, Rule 103.2
Hospitals
Hospitals shall submit all traumatic injuries where the patient died or arrived dead, was admitted for more than 48 hours, was transferred into the hospital, or was transferred out to another hospital. Hospitals also submit all traumatic brain injuries, traumatic spinal cord injuries, and submersions. Refer to the definitions on the following link for more details on case inclusion.
EMS and Trauma Registries Reporting Rules
Texas Administrative Code Title 25, Part 1, Chapter 103, Rule 103.7
Acute or Post-Acute Rehabilitation Facilities
Long Term Acute Care facilities shall report all Traumatic brain injuries (TBIs). TBI is defined as an acquired injury to the brain, including brain injuries caused by anoxia due to submersion incidents. The following International Classification of Diseases 10th Revision Clinical Modification (ICD-10-CM) diagnostic codes are to be used to identify cases of traumatic brain injury: S06 and S02.The ICD-10-CM diagnostic code to be used to identify traumatic brain injury caused by anoxia due to submersion incidents is G93.1 or T75.1XXA.
Facilities shall report all Spinal cord injuries (SCIs). SCI is defined as an acute, traumatic lesion of the neural elements in the spinal canal, resulting in any degree of sensory deficit, motor deficits, or bladder/bowel dysfunction. The following International Classification of Diseases 10th Revision Clinical Modification (ICD-10-CM) diagnostic codes are to be used to identify cases of traumatic spinal cord injury: S12, S14, S22, S24, S32, or S34) and S14, S24, or S34.
EMS & Trauma Registries Reporting Rules
Texas Administrative Code, Title 25, Part 1, Chapter 103, Rule 103.8
Justice of the Peace
Justices of the Peace (JPs) shall report any submersion injuries. Submersions are defined as the process of experiencing respiratory impairment from submersion or immersion in liquid.
JPs shall report all Traumatic brain injuries (TBIs). TBI is defined as an acquired injury to the brain, including brain injuries caused by anoxia due to submersion incidents. The following International Classification of Diseases10th Revision Clinical Modification (ICD-10-CM) diagnostic codes are to be used to identify cases of traumatic brain injury: S06 and S02. The ICD-10-CMdiagnostic code to be used to identify traumatic brain injury caused by anoxia due to submersion incidents is G93.1 or T75.1XXA.
JPs shall report all Spinal cord injuries (SCIs). SCI is defined as an acute, traumatic lesion of the neural elements in the spinal canal, resulting in any degree of sensory deficit, motor deficits, or bladder/bowel dysfunction. The following International Classification of Diseases 10th Revision Clinical Modification (ICD-10-CM) diagnostic codes are to be used to identify cases of traumatic spinal cord injury: S12, S14, S22, S24, S32, or S34) and S14, S24, or S34.
EMS & Trauma Registries Reporting Rules
Texas Administrative Code, Title 25, Part 1, Chapter 103, Rule 103.6
Medical Examiners
Medical Examiners (MEs) shall report all submersion injuries. Submersion is defined as the process of experiencing respiratory impairment from submersion or immersion in liquid.
MEs shall report all Traumatic Brain Injuries (TBIs). TBI is defined as an acquired injury to the brain, including brain injuries caused by anoxia due to submersion incidents. The following International Classification of Diseases10th Revision Clinical Modification (ICD-10-CM) diagnostic codes are to be used to identify cases of traumatic brain injury: S06 and S02. The ICD-10-CMdiagnostic code to be used to identify traumatic brain injury caused by anoxia due to submersion incidents is G93.1 or T75.1XXA.
MEs shall report all Spinal Cord Injuries (SCIs). SCI is defined as an acute, traumatic lesion of the neural elements in the spinal canal, resulting in any degree of sensory deficit, motor deficits, or bladder/bowel dysfunction. The following International Classification of Diseases 10th Revision Clinical Modification (ICD-10-CM) diagnostic codes are to be used to identify cases of traumatic spinal cord injury: S12, S14, S22, S24, S32, or S34) and S14, S24, or S34.
EMS & Trauma Registries Reporting Rules
Texas Administrative Code, Title 25, Part 1, Chapter 103, Rule 103.2
Physicians
Physicians shall report all submersion injuries. Submersion is defined as the process of experiencing respiratory impairment from submersion or immersion in liquid.
Physicians shall report all Traumatic Brain Injuries (TBIs). TBI is defined as an acquired injury to the brain, including brain injuries caused by anoxia due to submersion incidents. The following International Classification of Diseases10th Revision Clinical Modification (ICD-10-CM) diagnostic codes are to be used to identify cases of traumatic brain injury: S06 and S02. The ICD-10-CM diagnostic code to be used to identify traumatic brain injury caused by anoxia due to submersion incidents is G93.1 or T75.1XXA.
Physicians shall report all Spinal Cord Injuries (SCIs). SCI is defined as an acute, traumatic lesion of the neural elements in the spinal canal, resulting in any degree of sensory deficit, motor deficits, or bladder/bowel dysfunction. The following International Classification of Diseases 10th Revision Clinical Modification (ICD-10-CM) diagnostic codes are to be used to identify cases of traumatic spinal cord injury: S12, S14, S22, S24, S32, or S34) and S14, S24, or S34.
Note: A physician is exempt from reporting if a hospital or acute or post-acute rehabilitation facility admitted the patient and fulfilled the reporting requirements as stated in rule 103.7 of this title (relating to Reporting Requirements for Hospitals) or rule 103.8 of this title (relating to Reporting Requirements for Acute or Post-Acute Rehabilitation Facilities).
The professionals or organizations listed in this section must send all reports of injuries and events listed in this section to the EMS and Trauma Registries. If the above listed professionals or organizations choose to notify a local or regional health authority to respond on their behalf, the local or regional health authority must report to the Registry within ten business days.
EMS and Trauma Registries Reporting Rules
Texas Administrative Code, Title 25, Part 1, Chapter 103, Rule 103.6