Hour of Arrival (HHARHOSP) 00-23

HOSPITAL DATA DICTIONARY

Texas Department of Health Trauma Registry

July 24, 2001

TABLE OF CONTENTS

Definitions ii 2002 Data File Formats iii Pre-existing Conditions………………………... 17 Patient Demographics Injury Severity Score…………………….……. 18 Trauma Registry Number……………………... 1 (Body Region) Injury Severity……….……….. 18 Patient’s Name……………………….………... 1 (Body Region) Type of Injury…….…………... 18 Patient’s Social Security Number………….….. 1 Facility Number………………………..……… 2 Patient Hospital Cost Medical Record Number………………………. 2 Payor Category……………..………………….. 19 Race …………………………………………… 2 Billed Hospital Charges………….……………. 20 Gender ……..……….………….…………….. 2 Total Reimbursement……………….…………. 20 Date of Birth…………………………………... 3 Prehospital Data Date of Injury……….…………..……………... 3 Respiratory Rate at Scene……………………... 21 County of Injury………………..……………… 4 Systolic Blood Pressure at Scene……………… 21 Cause of Injury…………………..…………….. 4 Motor Response at Scene……………………… 22 Time of Injury…………………..……………... 4 Verbal Response at Scene……………………... 22 County of Residence…………..………………. 5 Eye Opening Response at Scene.……..……….. 23 Place of Injury…………………..……………... 5 Glasgow Coma Score at Scene…………..……. 23 Hospital Admission Transport Date of Arrival………………………………… 7 TDH Firm Number………………….………… 24 Time of Arrival………………………………... 7 Time of Dispatch….………………………….... 24 Alcohol Level Tested………………………….. 8 Time of Scene Arrival……….………………… 25 Alcohol Level………………...……………….. 8 Time of Leaving Scene…………….………….. 25 Systolic Blood Pressure…………...…………... 8 Vehicle Extrication……………….……….…... 26 Diastolic Blood Pressure………………………. 8 Protective Device……………………………… 26 Respiration Rate……………………………….. 9 Transfer Status Pulse…………………………………………… 9 Is this a Transfer……………………………….. 27 Glasgow Coma Scale at Admission First Hospital Number………………………..... 27 Motor Response……………………………….. 10 Date of Arrival to First Hospital………………. 28 Verbal Response………………………...…….. 10 Time of Arrival to First Hospital………...……. 28 Eye Opening Response……………….……….. 11 Date of Departure from First Hospital………… 29 Glasgow Coma Score at Admission……...…… 11 Time of Departure from First Hospital………... 29 Revised Trauma Score at Admission Additional Fields Glasgow Coma Score for Revised Trauma City of Residence 30 Score…………………………………………... 12 Trauma Team Activation 30 Respiratory Rate for Trauma Score………….... 12 Time of Trauma Team Activation 30 Systolic Blood Pressure for Trauma Score….… 12 Software Identification 31 Revised Trauma Score……...…………………. 13 Research Fields 32 Hospital Discharge Desired Fields 33 Patient Discharged To………………...……….. 14 Appendices Condition on Discharge……………..………… 14 Appendix A – Hospital Code List……………... 47 Date of Discharge or Death…………..…….….. 15 Appendix B – EMS Provider Code List………. 54 Time of Discharge or Death…………..……….. 15 Appendix C – County Code List………………. 62 Patient Discharged to Facility Number……..…. 16 Appendix D – City/County Code List………… 63 Length of Stay………………..………...……… 16 Appendix E – Glasgow Coma Score Chart…… 75 ICU Length of Stay……………..…………...… 16 Appendix F – Diagnosis 1-5 (ICD9CM Coding Diagnosis, Procedures, and Scheme)………………………………………... 76 Severity Scores Appendix G – Glossary………………………... 78 Diagnoses…………………..………………….. 17 Appendix H – Data File Creation and Transfer Abbreviated Injury Scale…………..……….…. 17 Specifications………………………………….. 79 Procedures……………….…………....……….. 17 Appendix I – Software ID Codes ….………….. 80

Definitions

Vendor Software Application The Hospital Data Dictionary describes the format of files electronically transmitted to the Texas Department of Health (TDH) EMS/Trauma Registry. Trauma registry software does not have to list fields or values in the same order as presented in the data dictionary, for the purpose of data entry, as long as the data file sent to the state is in the correct format.

Injury Website The Injury website can be found by using an Internet browser to access http://www.tdh.state.tx.us/injury/. The Trauma Registry section of this website includes hospital/EMS/county/software codes, participations reports, hospital and EMS Trauma Registry Guidelines.

Data Field Number The position of each field within the record. The order in which the field should appear within the record relative to other fields in the record contained in the data file to be transmitted to the EMS/Trauma Registry.

Data Field Name The name of the field in the database.

Required/Optional Defines whether or not entering/assigning a value to the field is required. “Required” means that a valid value MUST be entered/assigned. “Required – Conditional” means that a valid value MUST be entered/assigned if the defined conditions are true. “Optional” means data entry is at the discretion of each individual hospital. “Do Not Report” means that data should not be entered because the EMS/Trauma Registry no longer uses the data. If your software automatically inserts data into these fields, it will be ignored. The “Do Not Report” fields were left in the data dictionary so that no one would have to drastically alter their current data submission software. Any data fields not containing data must still be delimited with a tab (see 2002 Data File Formats).

Max. Length of Field, Type of Field, and Value Range These describe the formatting requirements of the field.

DEFN The definition of the field.

Values These are the acceptable values that can be electronically transmitted to the EMS/Trauma Registry. The typical format is:

[value or value range] = [definition of value or value range]

Definitions of values and terms are supplied where appropriate but should NOT be transmitted to the EMS/Trauma Registry.

File Format for Electronic Transmission Before sending your data to the Texas EMS/Trauma Registry, please make sure that the order of the fields for each record in your file is the same as the order described by the Data Field Number. The Texas EMS/Trauma Registry computer accepts only ASCII data delimited with TABS. There should be a TAB after each field, the only exception being the last field of a record. More information concerning file format can be found in the next section called 2002 Data File Formats.

2002 Data File Formats

Due to recent legislation, and the Texas Department of Health TRAC-IT initiative, the Texas EMS/Trauma Registry (herein referred to as The Registry) will make some exciting changes. New hospital and EMS data sets will be effective starting January 2002. It will be more important than ever to send your data files containing the data sets in the correct format. All data files that are sent to The Registry must be in ASCII tab-delimited format. A tab must follow every field except the last field of each record. Even if there is no data recorded for a particular field, or the field is optional, a tab must still be placed in that field’s position. A new line feed and carriage return must follow every record, after the last field of each record, except for the last record of the file. The first line of the data file must contain the first record to be transmitted and the last line of the data file must contain the last record to be transmitted. The order of the records in the data file has no effect on how they are processed. Warning: Opening and saving a data file with text editors (MS Word, WordPad, WordPerfect) can corrupt the data file with special codes inserted by the text editor. There are three different record lengths that may be sent for each data set. These three lengths correspond to the major sections of the new data sets. The hospital and EMS data sets are both divided into three major sections: Main Fields, Research Fields, and Desired Fields. Main Fields is not the formal name of the first section as presented in each data dictionary but that is how the first section of fields will be referred to in this explanation. The Main Fields section contains the minimum standard data set that everyone is required to send to The Registry. A file sent in the Main Format must contain all of the fields in the Main Fields section of the appropriate data set. The Research Fields section contains fields that are all optional. A file sent in the Research Format must contain all of the fields in the Main Fields section of the appropriate data set as well as ALL nine fields of the Research Fields section. The Desired Fields section contains fields that are all optional and include audit/QI filters typically used by hospitals and EMS. A file sent in the Desired Format must contain all of the fields in the Main Fields section of the appropriate data set, all nine fields of the Research Fields section, AND all of the fields of the Desired Fields section. In simple English, if you only wish to meet State requirements, you must send a data file with all of the fields listed in the Main Fields section of each data set. If you wish to send data which includes any of the Research Fields, you must send all of the Main Fields and all of the Research Fields, even if you did not use all of them. If you send data which includes any of the Desired Fields, your data file must include all of the fields from all three sections. Following is a chart which diagrams the number of fields per record you must have in each line of the data file based on the format you are using.

Main Format Research Format Desired Format Main Fields Main + Research Fields Main + Research + Desired Fields Hospital 121 130 182 EMS 106 115 136

iii

HOSPITAL DATA DICTIONARY PATIENT DEMOGRAPHICS

TRAUMA REGISTRY NUMBER Data Field Number: 1 Data Field Name: TRNO Required/Optional: Required Max. Length of Field: 7 Type of Field: Numerical Value Range: 1 - 9999999 DEFN Sequential unique number assigned by the registry software program or registrar.

PATIENT’S LAST NAME Data Field Number: 2 Data Field Name: LNAME Required/Optional: Optional Max. Length of Field: 20 Type of Field: Character Value Range: None DEFN The patient’s legal last name.

PATIENT’S FIRST NAME Data Field Number: 3 Data Field Name: FNAME Required/Optional: Optional Max. Length of Field: 20 Type of Field: Character Value Range: None DEFN The patient’s legal first name.

PATIENT’S MIDDLE INITIAL Data Field Number: 4 Data Field Name: MI Required/Optional: Optional Max. Length of Field: 1 Type of Field: Character Value Range: None DEFN The initial of the patient’s legal middle name.

PATIENT’S SOCIAL SECURITY NUMBER Data Field Number: 5 Data Field Name: SSN Required/Optional: Optional Max. Length of Field: 9 Type of Field: Character Value Range: None DEFN The patient’s social security number.

HOSPITAL DATA DICTIONARY PATIENT DEMOGRAPHICS

FACILTY NUMBER Data Field Number: 6 Data Field Name: FACILNO Required/Optional: Required Max. Length of Field: 7 Type of Field: Numeric Value Range: 0010001 - 2559999 DEFN The seven digit numeric code assigned to YOUR hospital. Values Facility numbers are assigned by the Texas Department of Health. The list of facility numbers can be found in Appendix A.

MEDICAL RECORD NUMBER Data Field Number: 7 Data Field Name: MEDREC Required/Optional: Optional Max. Length of Field: 15 Type of Field: Character Value Range: None DEFN The medical record number of the patient or any number that uniquely identifies the patient. Values Can be any value as long as the length does not exceed 15 characters.

RACE Data Field Number: 8 Data Field Name: RACE Required/Optional: Required Max. Length of Field: 1 Type of Field: Numeric Value Range: 1-6 DEFN The patient's race or ethnic group. Values 1 = White, non-Hispanic 2 = Hispanic 3 = Black 4 = Asian 5 = Native American 6 = Other

SEX Data Field Number: 9 Data Field Name: SEX Required/Optional: Required Max. Length of Field: 1 Type of Field: Numeric Value Range: 1-2 DEFN The patient's gender at injury date. If patient is in middle of gender change, use original gender. Values 1 = Male 2 = Female

HOSPITAL DATA DICTIONARY PATIENT DEMOGRAPHICS

DATE OF BIRTH Data Field Number: 10, 11, 12 Data Field Name: MMOB, DDOB, YYOB Required/Optional: Required Max. Length of Field: 2, 2, 4 Type of Field: Numeric Value Range: [01-12], [0-31], [1880 – present year] DEFN The patient’s date of birth. Estimate, if necessary. Values Month of Birth (MMOB) 01 = January 07 = July 02 = February 08 = August 03 = March 09 = September 04 = April 10 = October 05 = May 11 = November 06 = June 12 = December

Day of Birth (DDOB) 0 – 31

Year of Birth (YYOB) Use four-digit year of birth. For example, if the patient was born in 1980, the value would be 1980.

DATE OF INJURY Data Field Number: 13, 14, 15 Data Field Name: MMINJ, DDINJ, YYINJ Required/Optional: Required Max. Length of Field: 2, 2, 4 Type of Field: Numeric Value Range: [01-12, 99], [01-31, 99], [2000-present year, 9999] DEFN The date the patient was injured. Values Month of Injury (MMINJ) 01 = January 07 = July 99 = Unknown 02 = February 08 = August 03 = March 09 = September 04 = April 10 = October 05 = May 11 = November 06 = June 12 = December

Day of Injury (DDINJ) 0 – 31 99 = Unknown

Year of Injury (YYINJ) Use four-digit year of injury. For example, if the patient was injured in 2000, the value would be 2000.

HOSPITAL DATA DICTIONARY PATIENT DEMOGRAPHICS

COUNTY OF INJURY Data Field Number: 16 Data Field Name: INJCNTY Required/Optional: Required Max. Length of Field: 3 Type of Field: Numeric Value Range: 1-254, 801-858, 899, 999 DEFN The county in which the patient was injured. Values Each county in Texas is assigned a number 1 through 254. A county code is also assigned for each state and some countries. Use 999 for unknown county. See Appendix C for county code list. See Appendix D for Texas city-county list.

CAUSE OF INJURY Data Field Number: 17 Data Field Name: INJCAUS Required/Optional: Required Max. Length of Field: 5 Type of Field: Numeric Value Range: 800.0 - 999.9 DEFN The ICD-9-CM external cause of injury code for the event or circumstance that was most responsible for the principal anatomic injury to the patient. Do not submit the E prefix. Values Any valid E-code.

TIME OF INJURY Data Field Number: 18, 19 Data Field Name: HRINJ, MININJ Required/Optional: Required Max. Length of Field: 2, 2 Type of Field: Numeric Value Range: [00-23, 99], [00-59, 99] DEFN The time of injury to the patient. Use military time, 00:00 to 23:59. Convert time to the time zone in which your facility is located, if not already done so. Preferable to use EMS documented time. Record 99:99 if time of injury is unknown. Values Hour of Injury (HRINJ) Use military time. For example, if the patient was injured at 12:00 a.m., the value would be 00. If the patient was injured at 1:00 p.m., the value would be 13. Record 99 for unknown.

Minute of Injury (MININJ) Use military time. For example, if the patient was injured at 12:00 a.m., the value would be 00. If the patient was injured at 4:50 p.m., the value would be 50. Record 99 for unknown.

HOSPITAL DATA DICTIONARY PATIENT DEMOGRAPHICS

COUNTY OF RESIDENCE Data Field Number: 20 Data Field Name: RESCNTY Required/Optional: Required Max. Length of Field: 3 Type of Field: Numeric Value Range: 1-254, 801-858, 899, 999 DEFN The county in which the patient resides. Values Each county in Texas is assigned a number 1 through 254. A county code is also assigned for each state and some countries. Use 999 for unknown county. See Appendix C for county code list. See Appendix D for Texas city-county list.

PLACE OF INJURY Data Field Number: 21 Data Field Name: INJPLCE Required/Optional: Required Max. Length of Field: 5 Type of Field: Numeric Value Range: 849.0-849.9 DEFN The type of place where the injury occurred. Use ICD-9-CM 849 codes. Do not submit the E prefix. Values Use ICD-9-CM E849 place of occurrence codes. For Texas Trauma Registry purposes, additions have been made to some categories. “Retirement community” has been added to Home (849.0). “Any work site” has been added to Industrial place and premises (849.3). “Shelter, protective services, and nursing home” have been added to Residential institution (849.7).

849.0 = Home Includes: apartment, boarding house, farm house, home premises, house (residential), non-institutional place of residence, private [driveway, garage, garden, home, walk], swimming pool in private house or garden, yard of home), retirement community Excludes: home under construction but not yet occupied (849.3), institutional place of residence (849.7)

849.1 = Farm Includes: buildings, land under cultivation Excludes: farm house and home premises of farm (849.0)

849.2 = Mine and quarry Includes: gravel pit, sand pit, tunnel under construction

849.3 = Industrial place and premises Includes: building under construction, dockyard, dry dock, factory building or premises, garage (place of work), industrial yard, loading platform (factory or store), industrial plant, railway yard, shop (place of work), warehouse, workhouse, any work site

849.4 = Place for recreation and sport Includes: amusement park, baseball field, basketball court, beach resort, cricket ground, fives court, football field, golf course, gymnasium, hockey field, holiday camp, ice palace, lake resort, mountain resort, playground (including school playground), public park, racecourse, resort NOS, riding school, rifle range, seashore resort, skating rink, sports ground, sports palace, stadium, swimming pool (public),

HOSPITAL DATA DICTIONARY PATIENT DEMOGRAPHICS

tennis court, vacation resort Excludes: that in private house or garden (849.0)

849.5 = Street and Highway

849.6 = Public Building Includes: building (including adjacent grounds) used by the general public or by a particular group of the public, such as: airport, bank, cafe, casino, church, cinema, clubhouse, courthouse, dance hall, garage building (for car storage), hotel, market (grocery or other commodity), movie house, music hall, nightclub, office, office building, opera house, post office, public hall, radio broadcasting station, restaurant, school (state, public, private), shop - commercial, station (bus, railway), store, theater Excludes: home garage (849.0), industrial building or workplace (849.3)

849.7 = Residential institution Includes: children's home, dormitory, hospital, jail, old people's home, orphanage, prison, reform school, shelter, protective services, nursing home

849.8 = Other specified place Includes: beach NOS, canal, caravan site NOS, derelict house, desert, dock, forest, harbor, hill, lake NOS, mountain, parking lot, parking place, pond or pool (natural), prairie, public place NOS, railway line, reservoir, river, sea, seashore NOS, stream, swamp, trailer court, woods

849.9 = Unspecified place

HOSPITAL DATA DICTIONARY HOSPITAL ADMISSION

DATE OF ARRIVAL Data Field Number: 22, 23, 24 Data Field Name: MMARHOSP, DDARHOSP, YYARHOSP Required/Optional: Required Max. Length of Field: 2, 2, 4 Type of Field: Numeric Value Range: [01-12], [01-31], [2000 – present year] DEFN The date in which the injured patient arrived at your hospital. Report information even if patient was a direct admission. Values Month of Arrival (MMARHOSP) 01 = January 07 = July 02 = February 08 = August 03 = March 09 = September 04 = April 10 = October 05 = May 11 = November 06 = June 12 = December

Day of Arrival (DDARHOSP) 0 – 31

Year of Arrival (YYARHOSP) Use four-digit year of arrival. For example, if the patient arrived at your hospital in 2000, the value would be 2000.

TIME OF ARRIVAL Data Field Number: 25, 26 Data Field Name: HRARHOSP, MINARHOS Required/Optional: Required Max. Length of Field: 2, 2 Type of Field: Numeric Value Range: [00-23], [00-59] DEFN The time of the day the patient arrived at your hospital. Use military time, 00:00 to 23:59. Convert time to the time zone in which your facility is located, if not already done so. Report information even if patient was a direct admission. Values Hour of Arrival (HHARHOSP) 00-23

Minute of Arrival (MINARHOS) 00-59

HOSPITAL DATA DICTIONARY HOSPITAL ADMISSION

ALCOHOL LEVEL TESTED Data Field Number: 27 Data Field Name: ALCTEST Required/Optional: Required Max. Length of Field: 1 Type of Field: Numeric Value Range: 1-2, 9 DEFN ETOH test performed on the patient at YOUR hospital during the initial resuscitation period. Values 1 = Yes 2 = No 9 = Unknown

ALCOHOL LEVEL (mg/dl) Data Field Number: 28 Data Field Name: ALCLEV Required/Optional: Required – Conditional* Max. Length of Field: 3 Type of Field: Numeric Value Range: 0-999 DEFN The blood alcohol concentration (BAC) measured in mg/dl. The BAC should be obtained from ETOH test performed on the patient at YOUR hospital during the initial resuscitation period. If less than lab recognized minimal control, record 0.

*This field is conditional. Complete only if your hospital performed an ETOH test on the patient during the initial resuscitation period (i.e., if field #27 Alcohol Level Tested is equal to 1- Yes). Leave blank if your hospital did not perform an ETOH test on patient during initial resuscitation period.

SYSTOLIC BLOOD PRESSURE Data Field Number: 29 Data Field Name: SBP Required/Optional: Required Max. Length of Field: 3 Type of Field: Numeric Value Range: 000-350 DEFN The measured systolic blood pressure initially documented upon arrival to your hospital. Report information even if patient was a direct admission.

DIASTOLIC BLOOD PRESSURE Data Field Number: 30 Data Field Name: DBP Required/Optional: Do not report; however, for file structure purposes this field should still be delimited with a tab. This field will likely be deleted in the next hospital data set revision. Max. Length of Field: 3 Type of Field: Numeric Value Range: 000-350

HOSPITAL DATA DICTIONARY HOSPITAL ADMISSION

RESPIRATION RATE Data Field Number: 31 Data Field Name: RR Required/Optional: Required Max. Length of Field: 2 Type of Field: Numeric Value Range: 00-99 DEFN The FIRST UNASSISTED patient respiratory rate expressed as number per minute assessed upon arrival to your hospital. If patient is apneic prior to intervention in ED, record as 0. Record 99 if unassisted rate is not measurable due to sedation, paralysis or assisted ventilation (including bag-valve-mask and EOA). Do not report ranges. Report information even if patient was a direct admission. Values 00-98 99 = unassisted rate is not measurable due to sedation, paralysis or assisted ventilation

PULSE Data Field Number: 32 Data Field Name: PULS Required/Optional: Required Max. Length of Field: 3 Type of Field: Numeric Value Range: 000-300 DEFN Palpable pulse initially assessed upon arrival to your hospital. Report information even if patient was a direct admission.

HOSPITAL DATA DICTIONARY GLASGOW TRAUMA SCORE AT ADMISSION

MOTOR RESPONSE Data Field Number: 33 Data Field Name: MOTOR Required/Optional: Required Max. Length of Field: 1 Type of Field: Numeric Value Range: 1-6, 9 DEFN Determines the patient’s ability to follow commands. Enter the patient’s initial best assessment upon arrival to your hospital. An appropriate response for a quadriplegic may be shrugging shoulders. This component cannot be assessed if the patient has received a muscle relaxant or paralytic agent. Refer to Appendix E for a detailed list of the Glasgow Coma Score’s components. Report information even if patient was a direct admission. Values 1 = No Response 2 = Extension (decerebrate) 3 = Flexion- abnormal (decorticate) 4 = Flexion- withdrawal 5 = Localizes Pain 6 = Obeys commands with appropriate motor response 9 = Not available / cannot be accurately assessed

VERBAL RESPONSE Data Field Number: 34 Data Field Name: VERBAL Required/Optional: Required Max. Length of Field: 1 Type of Field: Numeric Value Range: 1-5, 9 DEFN Assesses verbal response. Enter the patient’s initial best assessment upon arrival to your hospital. If the patient is intubated and comatose, enter 1 for None, because the patient had no verbal response at the time of intubation. If an intubated patient can respond appropriately, the practitioner may gauge the responses and assign a 1 (none) or 5 (oriented). If the practitioner cannot gauge the response, enter 9. Refer to Appendix E for a detailed list of the Glasgow Coma Score’s components. Report information even if patient was a direct admission. Values 1 = No Response 2 = Incomprehensible Sounds 3 = Inappropriate Words 4 = Disoriented and converses 5 = Oriented and converses 9 = Not available

HOSPITAL DATA DICTIONARY GLASGOW TRAUMA SCORE AT ADMISSION

EYE OPENING RESPONSE Data Field Number: 35 Data Field Name: EYE Required/Optional: Required Max. Length of Field: 1 Type of Field: Numeric Value Range: 1-4, 9 DEFN Assesses eye opening response. Enter the patient’s initial best assessment upon arrival to your hospital. Refer to Appendix E for a detailed list of the Glasgow Coma Score’s components. Report information even if patient was a direct admission. Values 1 = No response 2 = To pain 3 = To verbal command 4 = Spontaneously 9 = Not available

GLASGOW COMA SCORE AT ADMISSION Data Field Number: 36 Data Field Name: GCSADM Required/Optional: Required Max. Length of Field: 2 Type of Field: Numeric Value Range: 3-15, 99 DEFN The sum of the three scores of the patient’s Glasgow Coma Scale components (MOTOR + VERBAL + EYE) upon arrival to your hospital. If any of these components are NOT available, use 99 to indicate that a complete assessment of all three areas was not available. Values 3-15 99 = Not available

HOSPITAL DATA DICTIONARY REVISED TRAUMA SCORE AT ADMISSION

GLASGOW COMA SCORE FOR REVISED TRAUMA SCORE Data Field Number: 37 Data Field Name: GCSTS Required/Optional: Required Max. Length of Field: 1 Type of Field: Numeric Value Range: 0-4, 9 DEFN Apply the Glasgow Coma Score to the following scale. For example, if the Glasgow Coma Score is 12, the value will be 3. Values 0 = 0-3 1 = 4-5 2 = 6-8 3 = 9-12 4 = 13-15 9 = Unknown

RESPIRATORY RATE FOR TRAUMA SCORE Data Field Number: 38 Data Field Name: RRTS Required/Optional: Required Max. Length of Field: 1 Type of Field: Numeric Value Range: 0-4, 9 DEFN Apply the respiration rate to the following scale. For example, if the respiration rate is 20, the value is 4. Values 0 = 0 1 = 1-5 2 = 6-9 3 = >29 4 = 10-29 9 = Unknown

SYSTOLIC BLOOD PRESSURE FOR TRAUMA SCORE Data Field Number: 39 Data Field Name: SBPTS Required/Optional: Required Max. Length of Field: 1 Type of Field: Numeric Value Range: 0-4, 9 DEFN Apply the systolic blood pressure value to the following scale. For example, if the systolic blood pressure is 100, the value is 4. Values 0 = 0 1 = 1-49 2 = 50-75 3 = 76-89 4 = >89 9 = Unknown

HOSPITAL DATA DICTIONARY REVISED TRAUMA SCORE AT ADMISSION

REVISED TRAUMA SCORE Data Field Number: 40 Data Field Name: REVTS Required/Optional: Required Max. Length of Field: 2 Type of Field: Numeric Value Range: 00-12, 99 DEFN Add the values for the GCSTS, RRTS, and SBPTS. Fill in 99 if any of the above scores was a 9.

HOSPITAL DATA DICTIONARY HOSPITAL DISCHARGE

PATIENT DISCHARGED TO Data Field Number: 41 Data Field Name: DISTIN Required/Optional: Required Max. Length of Field: 1 Type of Field: Numeric Value Range: 1-9 DEFN The place to which the patient was released when discharged from YOUR hospital. Values 1 = Home Patient’s own home or significant other’s home. Can include apartment, boarding house, farm house, home premises, house (residential), non-institutional place of residence, or retirement community.

2 = Acute care facility

3 = Rehabilitation facility Transferred to a licensed rehabilitation facility

4 = Nursing home / SNF / ICF Skilled nursing facility or intermediate care facility. (Includes transfer to a SNF for rehabilitation purposes).

5 = Residential facility children's home, dormitory, hospice, jail, old people's home, orphanage, prison, reform school, shelter, protective services, psychiatric hospital, foster care

6 = Left AMA/ Eloped (Left prior to medical discharge)

7 = Other

8 = Morgue/funeral home

9 = Unknown destination

CONDITION ON DISCHARGE Data Field Number: 42 Data Field Name: COND Required/Optional: Required Max. Length of Field: 1 Type of Field: Numeric Value Range: 1-5, 9 DEFN The patient’s overall condition on discharge from YOUR hospital. If patient is transferred to another acute care facility, code as a 9. Values 1 = Alive, Expected Full Recovery: Patient discharged with physical and mental capabilities intact, consistent with the pre-injury state.

2 =Alive, Expected Moderate Recovery: Patient discharged with some degree of physical or mental disability that is the result of the injury event. The disability may be temporary.

3 = Alive, Expected Severe Disability: Patient discharged with severe or incapacitating physical or mental impairment that was not present in the pre-injury state.

4 = This code is no longer used

5 = Dead

9 = Transferred to another acute care facility

HOSPITAL DATA DICTIONARY HOSPITAL DISCHARGE

DATE OF DISCHARGE OR DEATH Data Field Number: 43, 44, 45 Data Field Name: MMOD, DDOD, YYOD Required/Optional: Required Max. Length of Field: 2, 2, 4 Type of Field: Numeric Value Range: [01-12], [01-31], [2000 – present year] DEFN The date the patient was either discharged from YOUR hospital or pronounced dead or brain-dead at YOUR hospital. Values Month of Discharge or Death (MMOD) 01 = January 07 = July 02 = February 08 = August 03 = March 09 = September 04 = April 10 = October 05 = May 11 = November 06 = June 12 = December

Day of Discharge or Death (DDOD) 01-31

Year of Discharge or Death (YYOD) Use four-digit year of discharge or death. For example, if the patient was discharged or died in 2000, the value would be 2000.

TIME OF DISCHARGE OR DEATH Data Field Number: 46, 47 Date Field Name: HROD, MINOD Required/Optional: Required Max. Length of Field: 2, 2 Type of Field: Numeric Value Range: [00-23], [00-59] DEFN The time the patient was either discharged from YOUR hospital or pronounced dead or brain-dead at YOUR hospital. Obtain time from nurse’s notes. Values Hour of Discharge or Death (HHOD) Use military time. For example, if the patient was discharged or pronounced dead at 12:00 a.m., the value would be 00. If the patient was discharged or pronounced dead at 7:00 p.m., the value would be 19.

Minute of Discharge or Death (MMOD) Use military time. For example, if the patient was discharged or pronounced dead at 4:50 p.m., the value would be 50.

HOSPITAL DATA DICTIONARY HOSPITAL DISCHARGE

PATIENT DISCHARGED TO FACILITY NUMBER Data Field Number: 48 Data Field Name: DISFAC Required/Optional: Required – Conditional* Max. Length of Field: 7 Type of Field: Numeric Value Range: 0010001-2549999, 8010000-8990000, 9999999 DEFN The seven digit numeric code assigned to the facility to which your hospital transferred the patient. Values Facility numbers are assigned by the Texas Department of Health. The list of facility numbers can be found in Appendix A.

*This field is conditional. Complete only if patient was discharged to another acute care facility or a rehabilitation facility (i.e., if field #41 Patient Discharged To is equal to 2 – acute care facility or 3 – rehabilitation facility). Leave blank if patient was not discharged to another acute care facility or rehabilitation facility. Note: Some rehabilitation facilities do not have an assigned facility number at this time.

LENGTH OF STAY Data Field Number: 49 Data Field Name: STAY Required/Optional: Optional Max. Length of Field: 3 Type of Field: Numeric Value Range: 000-999 DEFN The total number of days the patient spent in the hospital, calculated by subtracting the date of admission from the date of discharge If a patient is admitted and discharged on the same date (including observation hours less than 24), the LOS is 1 day. If a patient is admitted one day and discharged the next day, the LOS is 1 day.

ICU LENGTH OF STAY Data Field Number: 50 Data Field Name: ICUSTAY Required/Optional: Optional Max. Length of Field: 3 Type of Field: Numeric Value Range: 000-999 DEFN The total number of days the patient spent in the ICU. Any part of a 24-hour period should be counted as 1 day. For patients with more than one ICU stay during a single hospital admission, enter the cumulative number of ICU days (e.g., a 1.5 day stay and 2.75 day stay count as 5 total ICU days).

HOSPITAL DATA DICTIONARY DIAGNOSIS, PROCEDURES, AND SEVERITY SCORES

DIAGNOSIS 1, DIAGNOSIS 2, DIAGNOSIS 3, DIAGNOSIS 4, DIAGNOSIS 5 Data Field Number: 51, 52, 53, 54, 55 Data Field Name: DX1, DX2, DX3, DX4, DX5 Required/Optional: Required Max. Length of Field: 6 Type of Field: Numeric Value Range: 800.0-959.9 DEFN The ICD-9 code for the MOST SEVERE (SECOND, THIRD, FOURTH, and FIFTH MOST SEVERE) injury diagnosis for the trauma patient. Severity is based on AIS scores. Exception for Diagnosis 4 and/or Diagnosis 5: if a traumatic brain injury and/or a spinal cord injury has occurred but is not considered one of the most five severe injuries, record these injuries in Diagnosis 4 and/or Diagnosis 5. See Appendix F for details.

ABBREVIATED INJURY SCALE FOR INJURY 1-5 Data Field Number: 56, 57, 58, 59, 60 Data Field Name: AIS1, AIS2, AIS3, AIS4, AIS5 Required/Optional: Optional Max. Length of Field: 1 Type of Field: Numeric Value Range: 0-6, 9 DEFN The Abbreviated Injury Score (AIS) numeric classification of the severity of the patient’s injuries listed in DX1- DX5. Assign an AIS only for ICD 9 codes > 800 and <= 959.9. Use AIS90.

PROCEDURES 1-5 Data Field Number: 61, 62, 63, 64, 65 Data Field Name: PROC1, PROC2, PROC3, PROC4, PROC5 Required/Optional: Optional Max. Length of Field: 6 Type of Field: Numeric Value Range: 01.00 – 99.99 DEFN The ICD 9 procedure code listed in the ICD 9 CM coding manual for each procedure that your hospital performed on the patient.

PRE-EXISTING CONDITIONS 1-5 Data Field Number: 66, 67, 68, 69, 70 Data Field Name: PREX1, PREX2, PREX3, PREX4, PREX5 Required/Optional: Optional Max. Length of Field: 6 Type of Field: Numeric Value Range: 800.0-959.9, V01.0-V82.9 DEFN The pre-existing conditions the patient had prior to injury. Use ICD-9 codes (including V codes).

HOSPITAL DATA DICTIONARY DIAGNOSIS, PROCEDURES, AND SEVERITY SCORES

INJURY SEVERITY SCORE Data Field Number: 71 Data Field Name: ISS Required/Optional: Required Max. Length of Field: 2 Type of Field: Numeric Value Range: 00-75, 99 DEFN The sum of squares of the three highest AIS scores from the three most severely injured body regions. Values 00-75 99 = Unknown

*************************************************************************************************** • Note: The following 16 fields (INTRACRI through SKINS) are no longer required; however, for file structure purposes each of these fields should still be delimited with a tab. These fields will likely be deleted in the next hospital data set revision.

(BODY REGION) INJURY SEVERITY Data Field Number: 72, 73, 74, 75, 76, 77, 78, 79 Data Field Name: INTRACRI, HDNKI, SPINEI, CHESTI, ABDOMI, PELVI, EXTRI, SKINI Required/Optional: Do Not Report. See Note* Max. Length of Field: 1 Type of Field: Numeric Value Range: 0-3, 9

(BODY REGION) TYPE OF SURGERY Data Field Number: 80, 81, 82, 83, 84, 85, 86, 87 Data Field Name: INTRACRS, HDNKS, SPINES, CHESTS, ABDOMS, PELVS, EXTRS, SKINS Required/Optional: Do Not Report. See Note* Max. Length of Field: 1 Type of Field: Numeric Value Range: 0-2, 9 *************************************************************************************************** .

HOSPITAL DATA DICTIONARY PATIENT HOSPITAL COST

PAYOR CATEGORY Data Field Number: 88 Data Field Name: PAYOR Required/Optional: Required Max. Length of Field: 2 Type of Field: Numeric Value Range: 01-10, 99 DEFN Indicates primary source of payment to this hospital for the visit. Values 01 = Medicaid Includes any trauma patient receiving federal/state funding of their inpatient medical bills under Title XIX of the Social Security Act. This will generally involve patients who are recipients of Aid to Families with Dependent Children or Social Security Income, pregnant women and children below the Federal poverty level (FPL), as will as certain aged, blind, disabled, and institutionalized persons below the FPL, and other medically needy persons. Dual eligibles, that is those patients who receive both Medicare and Medicaid support should be coded as Medicare since Medicaid contributions to the hospital bill for dual eligibles are most often supplementary to the primary payer, Medicare. Individuals covered under Medicaid 1115 or similar plans whose hospital care is paid for via public Medicaid funds yet overseen by a commercial managed care organization, should be coded as Medicaid and not managed care organization patients.

02 = Medicare Includes any trauma patient receiving federal funding of their inpatient medical bills under Title XVIII of the Social Security Act. This will generally involve patients 65 or more years of age, patients entitled to disability benefits for 24 months or more, end- stage renal disease patients, and certain otherwise non-covered persons who elect to buy into the program. Dual eligibles, that is those patients who receive both Medicare and Medicaid support should be coded as Medicare since Medicaid contributions to the hospital bill for dual eligibles are most often supplementary to the primary payer, Medicare. Individuals covered under Medicare coordinated plans whose hospital care is paid for via public Medicare funds yet overseen by a commercial managed care organization, should be coded as Medicare and not managed care organization patients.

03 = Blue Cross/ Blue Shield/Commercial Insurance Blue Cross/Blue Shield includes state or regional Blue Cross, Blue Shield, or Blue Cross/Blue Shield (BCBS) indemnity plans. These can fall under the guise of a state medical society, a prominent institution or a large regional employer and, as such, the BCBS indemnity plan may assume a hybrid title with the sponsoring institution. Other commercial plans include any commercial health insurance plan that does not enroll physicians as part of a network or require that its physicians obtain authorization prior to hospitalization of non-emergent patients. Such plans include fee-for- service coverage and managed indemnity organizations (these organizations may require that their physicians obtain authorization prior to hospitalization of non-emergent patients, although they are not classified as managed care organizations because they do not enroll physicians as part of a network).

04 = Champus The civilian Health and Medical Program for the Uniformed Services is a federal health insurance program for dependents of active and retired members of the uniformed services. Individuals enrolled in a CHAMPUS Prime or similar plan whose hospital care is paid for by CHAMPUS yet overseen by a commercial managed care organization, should be coded as CHAMPUS and not managed care organization patients.

05 = Government subsidized programs

06 = HMO / PPO / POS Commercial health indemnity plans whose physicians are part of an integrated network and must obtain authorization prior to hospitalization of nonemergency patients. Such plans include health maintenance organizations, preferred provider

HOSPITAL DATA DICTIONARY PATIENT HOSPITAL COST

organizations, point-of-service organizations, independent practice organizations, and exclusive provider organizations.

07 = Worker’s Compensation Includes any primary source of hospital payment via a worker’s compensation program for individuals suffering on-the-job injuries.

08 = Automobile Insurance Includes any reimbursement of hospital medical bills by a commercial automobile insurance program resulting from injuries suffered during a motor vehicle crash.

09 = Self-pay Includes cases where the patient is listed as the primary source of payment for their own medical care. This classification applies whether or not payment was actually obtained by the billing institution or clinician.

10 = Other This includes any other payment source not previously classified (Example: Shriners, Victims of Crime, etc.)

99 = Unknown The principal payment source is not known.

Source: National Trauma Data Bank Data Dictionary (American College of Surgeons)

BILLED HOSPITAL CHARGES Data Field Number: 89 Data Field Name: BILL Required/Optional: Required Max. Length of Field: 7 Type of Field: Numeric Value Range: 0000000-9999999 DEFN The total hospital charges incurred by patient at the time of discharge, rounded to the nearest dollar.

TOTAL REIMBURSEMENT Data Field Number: 90 Data Field Name: REIMB Required/Optional: Optional Max. Length of Field: 7 Type of Field: Numeric Value Range: 0000000-9999999 DEFN The total amount, rounded to the nearest dollar, received by the hospital for services from any payor source up to no more than six months post-discharge.

HOSPITAL DATA DICTIONARY PREHOSPITAL DATA

RESPIRATORY RATE AT SCENE Data Field Number: 91 Data Field Name: SCNRR Required/Optional: Required – Conditional* Max. Length of Field: 2 Type of Field: Numeric Value Range: 0-99 DEFN The FIRST UNASSISTED patient respiratory rate expressed as number per minute initially documented by EMS providers. If patient is apneic prior to intervention, record as 0. Record 99 if unassisted rate is not measurable due to sedation, paralysis or assisted ventilation (including bag-valve-mask and EOA). Do not report ranges. Values 00-98 99 = unassisted rate is not measurable due to sedation, paralysis or assisted ventilation

*This field is conditional. Complete only if EMS transported patient to the first facility in which the patient received treatment. (i.e., if field #97 TDH Firm Number does not equal 999998). Leave blank if EMS did not transport patient to the first facility.

SYSTOLIC BLOOD PRESSURE AT SCENE Data Field Number: 92 Data Field Name: SCNSBP Required/Optional: Required – Conditional* Max. Length of Field: 3 Type of Field: Numeric Value Range: 0-350, 999 DEFN The measured systolic blood pressure initially documented by EMS providers. Values 0-350 999 = Unknown

*This field is conditional. Complete only if EMS transported patient to the first facility in which the patient received treatment (i.e., if field #97 TDH Firm Number does not equal 999998). Leave blank if EMS did not transport patient to the first facility.

HOSPITAL DATA DICTIONARY PREHOSPITAL DATA

MOTOR RESPONSE AT SCENE Data Field Number: 93 Data Field Name: MOTOR1 Required/Optional: Required – Conditional* Max. Length of Field: 1 Type of Field: Numeric Value Range: 1-6, 9 DEFN Determines the patient’s ability to follow commands. Enter the patient’s initial best assessment initially documented by EMS providers. An appropriate response for a quadriplegic may be shrugging shoulders. This component cannot be assessed if the patient has received a muscle relaxant or paralytic agent. Refer to Appendix E for a detailed list of the Glasgow Coma Score’s components. Values 1 = No Response 2 = Extension (decerebrate) 3 = Flexion- abnormal (decorticate) 4 = Flexion- withdrawal 5 = Localizes Pain 6 = Obeys commands with appropriate motor response 9 = Not available / cannot be accurately assessed

VERBAL RESPONSE AT SCENE Data Field Number: 94 Data Field Name: VERBAL1 Required/Optional: Required – Conditional* Max. Length of Field: 1 Type of Field: Numeric Value Range: 1-5, 9 DEFN Assesses verbal response. Enter the patient’s initial best assessment initially documented by EMS providers. If the patient is intubated and deeply comatose, enter 1 for None, because the patient had no verbal response at the time of intubation. If an intubated patient can respond appropriately, the EMS provider may gauge the responses and assign a 1 (none) or 5 (oriented). If the EMS provider cannot gauge the response, enter 9. Refer to Appendix E for a detailed list of the Glasgow Coma Score’s components. Values 1 = No Response 2 = Incomprehensible Sounds 3 = Inappropriate Words 4 = Disoriented and converses 5 = Oriented and converses 9 = Not available

HOSPITAL DATA DICTIONARY PREHOSPITAL DATA

EYE OPENING RESPONSE AT SCENE Data Field Number: 95 Data Field Name: EYE1 Required/Optional: Required – Conditional* Max. Length of Field: 1 Type of Field: Numeric Value Range: 1-4, 9 DEFN Assesses eye opening response. Enter the patient’s initial best assessment initially documented by EMS providers. Refer to Appendix E for a detailed list of the Glasgow Coma Score’s components. Values 1 = No response 2 = To pain 3 = To verbal command 4 = Spontaneously 9 = Not available

GLASGOW COMA SCORE AT SCENE Data Field Number: 96 Data Field Name: GCS1 Required/Optional: Required – Conditional* Max. Length of Field: 2 Type of Field: Numeric Value Range: 3-15, 99 DEFN The sum of the three scores of the patient’s Glasgow Coma Scale components (MOTOR + VERBAL + EYE) at scene. If any of these components are NOT available, use 99 to indicate that a complete assessment of all three areas was not available. Use initial documentation from EMS providers. Values 3-15 99 = Not available

HOSPITAL DATA DICTIONARY TRANSPORT

TDH FIRM NUMBER Data Field Number: 97 Data Field Name: FIRMNO Required/Optional: Required Max. Length of Field: 6 Type of Field: Numeric Value Range: 001001-254999, 300000-300999, 801000-899000, 999998, 999999 DEFN The six-digit numeric code for the EMS agency that transported the patient from the initial scene of injury to the first facility in which the patient received treatment. Record 999998 if patient was not transported by EMS. Record 999999 if patient was transported by EMS but EMS provider is unknown. Values EMS firm numbers are assigned by the Texas Department of Health. The list of EMS firm numbers can be found in Appendix B.

(001001-799999) = Texas EMS providers (801000-899000) = Other state EMS providers 999998 = Not transported by EMS 999999 = Transported by EMS but provider unknown

TIME OF DISPATCH Data Field Number: 98, 99 Data Field Name: HRDISP, MINDISP Required/Optional: Required – Conditional* Max. Length of Field: 2, 2 Type of Field: Numeric Value Range: [00-23, 99], [00-59, 99] DEFN Time initial EMS was dispatched to the initial scene of injury. Use military time, 00:00 to 23:59. Convert time to the time zone in which your facility is located, if not already done so. Record 99:99 if time of dispatch is unknown. Values Hour of Dispatch (HRDISP) 00-23 99 = Unknown

Minute of Dispatch (MINDISP) 00-59 99 = Unknown

*These fields are conditional. Complete only if EMS transported patient to the first facility in which the patient received treatment (i.e., if field #97 TDH Firm Number does not equal 999998). Leave blank if EMS did not transport patient to the first facility.

HOSPITAL DATA DICTIONARY TRANSPORT

TIME OF SCENE ARRIVAL Data Field Number: 100, 101 Data Field Name: HRARSCN, MINARSCN Required/Optional: Required – Conditional* Max. Length of Field: 2, 2 Type of Field: Numeric Value Range: [00-23], [00-59] DEFN Time initial EMS arrived to the initial scene of injury. Use military time, 00:00 to 23:59. Convert time to the time zone in which your facility is located, if not already done so. Record 99:99 if time of scene arrival is unknown. Values Hour of Scene Arrival (HRARSCN) 00-23 99 = Unknown

Minute of Scene Arrival (MINARSCN) 00-59 99 = Unknown

TIME OF LEAVING THE SCENE Data Field Number: 102, 103 Data Field Name: HRDEP, MINDEP Required/Optional: Required – Conditional* Max. Length of Field: 2, 2 Type of Field: Numeric Value Range: [00-23], [00-59] DEFN Time initial EMS departed the scene of the initial injury. Use military time, 00:00 to 23:59. Convert time to the time zone in which your facility is located, if not already done so. Record 99:99 if time of departure is unknown. Values Hour of Scene Departure (HRDEP) 00-23 99 = Unknown

Minute of Scene Departure (MINDEP) 00-59 99 = Unknown

HOSPITAL DATA DICTIONARY TRANSPORT

VEHICLE EXTRICATION Data Field Number: 104 Data Field Name: EXTRIC Required/Optional: Optional – Conditional* Max. Length of Field: 1 Type of Field: Numeric Value Range: 1-2, 9 DEFN Requirement of specific equipment and/or procedures above normal procedures to remove patient. Values 1 = Yes 2 = No 9 = Unknown

*This field is conditional. You may complete only if EMS transported patient to the first facility in which the patient received treatment (i.e., if field #97 TDH Firm Number does not equal 999998). Leave blank if EMS did not transport patient to the first facility.

PROTECTIVE DEVICE Data Field Number: 105 Data Field Name: PROTECT Required/Optional: Required Max. Length of Field: 1 Type of Field: Numeric Value Range: 1-9 DEFN Enter the most relevant protective device used by the patient at the time of the injury. Enter a particular device only if it was used appropriately. Assume the device was properly used unless it is explicitly mentioned somewhere in the patient’s chart that proper use is questioned or the device was used improperly. If the device was used improperly or if a shoulder belt was used and not a lap belt, enter “none”. Values 1 = None No protective devices used.

2 = Safety belt/harness Belt restraint systems located in the vehicle. Can include three- point systems and lap belts only.

3 = Air bag & safety belt Patient secured with belt restraints, as well as airbag deployment at time of impact.

4 = Air bag only No use of belt restraints but deployment of automatic driver-side or passenger-side airbag during collision.

5 = Infant /child seat Child passenger restraint seat such as infant seat, convertible seat or booster seat. Can also include child safety seats that are built into car’s frame.

6 = Protective helmet Protective helmet used with bicycling, motorcycles, ATV’s, skateboards, sports.

7 = Padding/protective clothing Padding and/or protective clothing (e.g., gloves, boots, sports padding, impermeable garment).

8 = Other protective device Any other protective devices not listed above. Examples include eye shields, hard hat, or floatation device (e.g., life preserver or cushion).

9 = Unknown Unknown if protective device was used or not.

HOSPITAL DATA DICTIONARY TRANSFER STATUS

IS THIS A TRANSFER? Data Field Number: 106 Data Field Name: TRANSF Required/Optional: Required Max. Length of Field: 1 Type of Field: Numeric Value Range: 1-2 DEFN Hospital transfer applies to patients who are transferred from an initial acute care facility to your facility. A patient sent to your facility from a private doctor’s office, clinic, or stand-alone ambulatory surgery center is not a transfer. Values 1 = Yes 2 = No

FIRST HOSPITAL NUMBER Data Field Number: 107 Data Field Name: HOSP1 Required/Optional: Required – Conditional* Max. Length of Field: 7 Type of Field: Numeric Value Range: 0010001-2549999, 8010000-8990000, 9999999 DEFN The seven digit numeric code assigned to the facility, which transferred the patient to your hospital. Values Facility numbers are assigned by the Texas Department of Health. The list of facility numbers can be found in Appendix A.

*This field is conditional. Complete only if the patient was transferred from another hospital to your hospital (i.e., if field #106 Is this a Transfer? is equal to 1- Yes). Leave blank if patient was not transferred from another hospital to your hospital.

. HOSPITAL DATA DICTIONARY TRANSFER STATUS

DATE OF ARRIVAL TO FIRST HOSPITAL Data Field Number: 108, 109, 110 Data Field Name: MMARR1, DDARR1, YYARR1 Required/Optional: Required – Conditional* Max. Length of Field: 2, 2, 4 Type of Field: Numeric Value Range: [01-12, 99], [01-31, 99], [2000 – present year, 9999] DEFN The date the patient arrived at the referring hospital. This field is applicable to ALL patients transferred from another hospital. Values Month of Arrival to First Hospital (MMARR1) 01 = January 07 = July 99 = Unknown 02 = February 08 = August 03 = March 09 = September 04 = April 10 = October 05 = May 11 = November 06 = June 12 = December

Day of Arrival to First Hospital (DDARR1) 01-31 99 = Unknown

Year of Arrival to First Hospital (YYARR1) Use the four-digit year of arrival. For example, if the patient arrived at the referring hospital in 2000, the value would be 2000. Record 9999 for unknown.

*These fields are conditional. Complete only if the patient was transferred from another hospital to your hospital (i.e., if field #106 Is this a Transfer? is equal to 1- Yes). Leave blank if patient was not transferred from another hospital to your hospital.

TIME OF ARRIVAL TO FIRST HOSPITAL Data Field Number: 111, 112 Data Field Name: HRARR1, MRARR1 Required/Optional: Required – Conditional* Max. Length of Field: 2, 2 Type of Field: Numeric Value Range: [00-23, 99], [00-59, 99] DEFN The time the patient arrived at the referring hospital. This field is applicable to ALL patients transferred from another hospital. Use military time, 00:00 to 23:59. Convert time to the time zone in which your facility is located, if not already done so. Values Hour of Arrival to First Hospital (HHARR1) 00-23 99 = Unknown

Minute of Arrival to First Hospital (MMARR1) 00-59 99 = Unknown

. HOSPITAL DATA DICTIONARY TRANSFER STATUS

DATE OF DEPARTURE FROM FIRST HOSPITAL Data Field Number: 113, 114, 115 Data Field Name: MMDEP1, DDDEP1, YYDEP1 Required/Optional: Required – Conditional* Max. Length of Field: 2, 2, 4 Type of Field: Numeric Value Range: [00-12, 99], [01-31, 99], [2000 – present year, 9999] DEFN The date the patient physically left the referring hospital on the way to your hospital. This field is applicable to ALL patients transferred from another hospital. Values Month of Departure from First Hospital (MMDEP1) 01 = January 07 = July 99 = Unknown 02 = February 08 = August 03 = March 09 = September 04 = April 10 = October 05 = May 11 = November 06 = June 12 = December

Day of Departure from First Hospital (DDDEP1) 01-31 99 = Unknown

Year of Departure from First Hospital (YYDEP1) Use four-digit year of departure. For example, if the patient left the referring hospital in 2000, the value would be 2000. Record 9999 for unknown.

TIME OF DEPARTURE FROM FIRST HOSPITAL Data Field Number: 116, 117 Data Field Name: HRDEP1, MRDEP1 Required/Optional: Required – Conditional* Max. Length of Field: 2, 2 Type of Field: Numeric Value Range: [00-23, 99], [00-59, 99] DEFN The time the patient physically left the referring hospital on the way to your hospital. This field is applicable to ALL patients transferred from another hospital. Use military time, 00:00 to 23:59. Convert time to the time zone in which your facility is located, if not already done so. Values Hour of Departure from First Hospital (HHDEP1) 00-23 99 = Unknown

Minute of Departure from First Hospital (MMDEP1) 00-59 99 = Unknown

. HOSPITAL DATA DICTIONARY ADDITIONAL FIELDS

CITY OF RESIDENCE Data Field Number: 118 Data Field Name: RESCITY Required/Optional: Required Max. Length of Field: 20 Type of Field: Character Value Range: None DEFN The city in which the patient currently resides. Enter the number 9 for unknown. Do not abbreviate. Values The name of any city. 9 = Unknown.

TRAUMA TEAM ACTIVATION Data Field Number: 119 Data Field Name: ACTIV Required/Optional: Required Max. Length of Field: 1 Type of Field: Numeric Value Range: 1-2,7, 9 DEFN Trauma team – “A group of health care professionals organized to provide care to the trauma patient in a coordinated and timely fashion.” (Resources for the Optimal care of the Injured patient).

Trauma team activation – Announcement of incoming trauma patient via communication system to assemble all members of the trauma team in the ED resuscitation area.

Did trauma team activation occur for patient meeting trauma team activation criteria? Values 1 = Yes 2 = No 7 = Not applicable (patient did not meet trauma team activation criteria) 9 = Unknown

TIME OF TRAUMA TEAM ACTIVATION Data Field Number: 120 Data Field Name: ACTTIME Required/Optional: Optional* Max. Length of Field: 5 Type of Field: Character Value Range: 00:00 – 23:59, 99:99 DEFN The time of day that the trauma team was activated. Use military time, 00:00 to 23:59. Convert time to the time zone in which your facility is located, if not already done so. Enter 99:99 if you do not know the time. Values 00:00 – 23:59 Military time 99:99 = Unknown

* Not required, but we request that you complete this field if trauma team activation occurred.

. HOSPITAL DATA DICTIONARY ADDITIONAL FIELDS

SOFTWARE IDENTIFICATION Data Field Number: 121 Data Field Name: SOFTWARE Required/Optional: Optional Max. Length of Field: 10 Type of Field: Character Value Range: [001-999][none] DEFN Identifies the computer software used to create the data file for transmission to the Texas EMS/Trauma Registry. The first 3 digits refer to the TDH-assigned software ID code. The last 7 digits are assigned by the software to identify version. Values Software ID codes (3 digits) are assigned by the Texas Department of Health EMS/Trauma Registry. The list of Software ID codes can be found on the injury website and in Appendix I. Software version codes (7 characters) are assigned at the discretion of each software company/designer.

001XXXXXXX – 998XXXXXXX = Software identification where XXXXXXX is the software version 9999999999 = Unknown (call TDH EMS/Trauma Registry to have software ID code assigned)

Example: 003v2.0.b (Software ID code 003 for version 2.0.b of their software)

. HOSPITAL DATA DICTIONARY RESEARCH FIELDS

HOSPITAL RESEARCH FIELDS Data Field Number: 122, 123, 124 Data Field Name: HOSPRES1, HOSPRES2, HOSPRES3 Required/Optional: Optional Max. Length of Field: 10 Type of Field: Character Value Range: [none] DEFN May be used to track information defined by the hospital for any purpose. Values Any string of up to 10 characters.

RAC RESEARCH FIELDS Data Field Number: 125, 126, 127 Data Field Name: RACRES1, RACRES2, RACRES3 Required/Optional: Optional Max. Length of Field: 10 Type of Field: Character Value Range: [none] DEFN May be used to track information defined by the RAC for any purpose. Values Any string of up to 10 characters.

MISCELLANEOUS RESEARCH FIELDS Data Field Number: 128, 129, 130 Data Field Name: MISCRES1, MISCRES2, MISCRES3 Required/Optional: Optional Max. Length of Field: 10 Type of Field: Character Value Range: [none] DEFN May be used to track information defined by the RAC or hospital for any purpose. Values Any string of up to 10 characters.

. HOSPITAL DATA DICTIONARY DESIRED FIELDS

BLUNT INJURY Data Field Number: 131 Data Field Name: BLUNT Required/Optional: Optional Max. Length of Field: 1 Type of Field: Numeric Value Range: 1-2, 9 DEFN Did the patient sustain a blunt injury? Values 1 = Yes 2 = No 9 = Unknown

BURN INJURY Data Field Number: 132 Data Field Name: BURN Required/Optional: Optional Max. Length of Field: 1 Type of Field: Numeric Value Range: 1-2, 9 DEFN Did the patient sustain a burn injury? Values 1 = Yes 2 = No 9 = Unknown

PENETRATING INJURY Data Field Number: 133 Data Field Name: PENETRT Required/Optional: Optional Max. Length of Field: 1 Type of Field: Numeric Value Range: 1-2, 9 DEFN Did the patient sustain a penetrating injury? Values 1 = Yes 2 = No 9 = Unknown

DIRECT ADMIT Data Field Number: 134 Data Field Name: DIRECT Required/Optional: Optional Max. Length of Field: 1 Type of Field: Numeric Value Range: 1-2, 7, 9 DEFN Was the patient a direct admit to a room/ICU as opposed to being admitted after emergency department treatment? Values 1 = Yes 7 = Not applicable (patient was not admitted i.e. transferred) 2 = No 9 = Unknown

. HOSPITAL DATA DICTIONARY DESIRED FIELDS

EMERGENCY DEPARTMENT DISCHARGE DATE Data Field Number: 135 Data Field Name: EDDIDATE Required/Optional: Optional Max. Length of Field: 10 Type of Field: Date Value Range: [1990 – current year, 9999] [01 – 12, 99][01 – 31, 99] DEFN Date that patient was discharged from the emergency department. Values Format: YYYY/MM/DD YYYY = Year; 9999 = Unknown MM = Month; leading zero required; 99 = Unknown DD = Day; leading zero required; 99 = Unknown

EMERGENCY DEPARTMENT DISCHARGE TIME Data Field Number: 136 Data Field Name: EDDITIME Required/Optional: Optional Max. Length of Field: 5 Type of Field: Time Value Range: 00:00 – 23:59, 99:99 DEFN Time that patient was discharged from the emergency department. Values 00:00 – 23:59 = Military time 99:99 = Unknown

EMERGENCY DEPARTMENT DISPOSITION Data Field Number: 137 Data Field Name: EDD Required/Optional: Optional Max. Length of Field: 2 Type of Field: Numeric Value Range: 01-08, 77, 88, 99 DEFN Disposition of the patient in the emergency department. Values 01 = Emergency department observation 07 = Telemetry 02 = Dead on arrival 08 = Transfer 03 = Died in emergency room 04 = Floor 77 = Not applicable (patient did not visit ED) 05 = ICU 88 = Other 06 = OR / Surgery 99 = Unknown

. HOSPITAL DATA DICTIONARY DESIRED FIELDS

EMERGENCY DEPARTMENT STAY OVER 2 HOURS Data Field Number: 138 Data Field Name: ED2HOURS Required/Optional: Optional Max. Length of Field: 1 Type of Field: Numeric Value Range: 1-4, 7-9 DEFN Reason why the patient remained in the emergency department over 2 hours. Values 1 = No ICU beds 7 = Not applicable (patient did not stay in ED over 2 hours) 2 = Surgeon unavailable 8 = Other 3 = Staffing 9 = Unknown 4 = Receiving facility on divert

TRANSFER TO LOWER LEVEL FACILITY Data Field Number: 139 Data Field Name: TRLWLEVL Required/Optional: Optional Max. Length of Field: 1 Type of Field: Numeric Value Range: 1-2, 7, 9 DEFN Was the patient transferred to a non-designated or lower level designated facility? Values 1 = Yes 7 = Not applicable (patient not transferred) 2 = No 9 = Unknown

CPR PERFORMED Data Field Number: 140 Data Field Name: CPR Required/Optional: Optional Max. Length of Field: 1 Type of Field: Numeric Value Range: 1-2, 9 DEFN Was CPR performed in the emergency department? Values 1 = Yes 2 = No 9 = Unknown

AIRWAY MANAGEMENT TYPE Data Field Number: 141 Data Field Name: AIRWAY Required/Optional: Optional Max. Length of Field: 1 Type of Field: Numeric Value Range: 1-9 DEFN Airway management type. Values 1 = Assisted ventilation 6 = Tracheostomy 2 = Cricothyrotomy 3 = Nasal endotracheal tube 7 = Not applicable (no airway management) 4 = Oral airway 8 = Other 5 = Oral endotracheal tube 9 = Unknown

. HOSPITAL DATA DICTIONARY DESIRED FIELDS

EMS RUN REPORT Data Field Number: 142 Data Field Name: EMSREP Required/Optional: Optional Max. Length of Field: 1 Type of Field: Numeric Value Range: 1-2, 7, 9 DEFN Is an EMS run report present in the patient care record? Values 1 = Yes 7 = Not applicable (patient was not transported by EMS) 2 = No 9 = Unknown

PREHOSPITAL ESSENTIAL DATA Data Field Number: 143 Data Field Name: PREESSN Required/Optional: Optional Max. Length of Field: 1 Type of Field: Numeric Value Range: 1-2, 7, 9 DEFN Are the prehospital essential data items completed on the EMS run report? Values 1 = Yes 7 = Not applicable (patient not transported by EMS or report not present) 2 = No 9 = Unknown

DOCUMENTATION OF TRAUMA TEAM ACTIVATION Data Field Number: 144 Data Field Name: TTACTDOC Required/Optional: Optional Max. Length of Field: 1 Type of Field: Numeric Value Range: 1-2, 7, 9 DEFN Is documentation of trauma team activation present for severe or major trauma patient? Values 1 = Yes 7 = Not applicable (trauma team was not activated) 2 = No 9 = Unknown

TRAUMA TEAM RESPONSE TIME OVER 10 MINUTES – IN HOUSE Data Field Number: 145 Data Field Name: TTRGT10 Required/Optional: Optional Max. Length of Field: 1 Type of Field: Numeric Value Range: 1-2, 7, 9 DEFN Were trauma team member response times greater than 10 minutes for those in-house? Values 1 = Yes 7 = Not applicable (trauma team was not activated) 2 = No 9 = Unknown

. HOSPITAL DATA DICTIONARY DESIRED FIELDS

TRAUMA TEAM RESPONSE TIME OVER 30 MINUTES – ON CALL Data Field Number: 146 Data Field Name: TTRGT30 Required/Optional: Optional Max. Length of Field: 1 Type of Field: Numeric Value Range: 1-2, 7, 9 DEFN Were trauma team member response times greater than 30 minutes for those off-site? Values 1 = Yes 7 = Not applicable (trauma team was not activated or members not off-site) 2 = No 9 = Unknown

DOCUMENTATION OF TRAUMA TEAM RESPONSE TIMES Data Field Number: 147 Data Field Name: TTRESDOC Required/Optional: Optional Max. Length of Field: 1 Type of Field: Numeric Value Range: 1-2, 7, 9 DEFN Is documentation of trauma team response times present? Values 1 = Yes 7 = Not applicable (trauma team was not activated) 2 = No 9 = Unknown

TRAUMA FLOW SHEET Data Field Number: 148 Data Field Name: FLOWSHT Required/Optional: Optional Max. Length of Field: 1 Type of Field: Numeric Value Range: 1-2, 9 DEFN Is a trauma flow sheet utilized? Values 1 = Yes 2 = No 9 = Unknown

MECHANISM OF INJURY Data Field Number: 149 Data Field Name: MINJDOC Required/Optional: Optional Max. Length of Field: 1 Type of Field: Numeric Value Range: 1-2, 9 DEFN Is documentation of mechanism of injury present? Values 1 = Yes 2 = No 9 = Unknown

. HOSPITAL DATA DICTIONARY DESIRED FIELDS

ASSESSMENTS Data Field Number: 150 Data Field Name: ASSDOC Required/Optional: Optional Max. Length of Field: 1 Type of Field: Numeric Value Range: 1-2, 9 DEFN Is documentation of assessments present? Values 1 = Yes 2 = No 9 = Unknown

INTERVENTIONS Data Field Number: 151 Data Field Name: INTRVDOC Required/Optional: Optional Max. Length of Field: 1 Type of Field: Numeric Value Range: 1-2, 9 DEFN Is documentation of interventions present? Values 1 = Yes 2 = No 9 = Unknown

RESPONSES TO INTERVENTIONS Data Field Number: 152 Data Field Name: INRSDOC Required/Optional: Optional Max. Length of Field: 1 Type of Field: Numeric Value Range: 1-2, 9 DEFN Is documentation of responses to interventions present? Values 1 = Yes 2 = No 9 = Unknown

HOURLY RECORDING OF VITAL SIGNS Data Field Number: 153 Data Field Name: HOURVS Required/Optional: Optional Max. Length of Field: 1 Type of Field: Numeric Value Range: 1-2, 7, 9 DEFN Is documentation present for at least hourly sequential recording of vital signs (blood pressure, pulse, respirations, and temperature) for the patient beginning with arrival in the emergency department, including time spent in radiology, up to the time of admission, death, or transfer? Values 1 = Yes 7 = Not applicable (i.e. patient expired in less than an hour) 2 = No 9 = Unknown

. HOSPITAL DATA DICTIONARY DESIRED FIELDS

HOURLY RECORDING OF GLASGOW COMA SCORE Data Field Number: 154 Data Field Name: HOURGCS Required/Optional: Optional Max. Length of Field: 1 Type of Field: Numeric Value Range: 1-2, 7, 9 DEFN Is documentation present for at least hourly determination and recording of Glasgow Coma Score (GCS) for the patient beginning with arrival in the emergency department, including time spent in radiology, up to the time of admission, death, or transfer? Values 1 = Yes 7 = Not applicable (i.e. patient expired in less than an hour) 2 = No 9 = Unknown

HOURLY RECORDING OF INTAKE & OUTPUT Data Field Number: 155 Data Field Name: HOURIO Required/Optional: Optional Max. Length of Field: 1 Type of Field: Numeric Value Range: 1-2, 7, 9 DEFN Is documentation present for at least hourly determination and recording of intake and output for the patient beginning with arrival in the emergency department, including time spent in radiology, up to the time of admission, death, or transfer? Values 1 = Yes 7 = Not applicable (i.e. patient expired in less than an hour) 2 = No 9 = Unknown

RESUSCITATION PROTOCOLS Data Field Number: 156 Data Field Name: RESPRFOL Required/Optional: Optional Max. Length of Field: 1 Type of Field: Numeric Value Range: 1-2, 9 DEFN Were resuscitation protocols followed? Values 1 = Yes 2 = No 9 = Unknown

TREATMENT PROTOCOLS Data Field Number: 157 Data Field Name: TRPRFOL Required/Optional: Optional Max. Length of Field: 1 Type of Field: Numeric Value Range: 1-2, 9 DEFN Were treatment protocols followed? Values 1 = Yes 2 = No 9 = Unknown

. HOSPITAL DATA DICTIONARY DESIRED FIELDS

STANDARDS OF CARE Data Field Number: 158 Data Field Name: SOCFOL Required/Optional: Optional Max. Length of Field: 1 Type of Field: Numeric Value Range: 1-2, 9 DEFN Were standards of care followed? Values 1 = Yes 2 = No 9 = Unknown

REQUIRED EQUIPMENT AVAILABLE Data Field Number: 159 Data Field Name: REQEPAVA Required/Optional: Optional Max. Length of Field: 1 Type of Field: Numeric Value Range: 1-2, 7, 9 DEFN Was required equipment, which is shared with other departments, immediately available when requested? Values 1 = Yes 7 = Not applicable (i.e. required equipment not requested) 2 = No 9 = Unknown

PHYSICIAN NOTES Data Field Number: 160 Data Field Name: PHYSNOTE Required/Optional: Optional Max. Length of Field: 1 Type of Field: Numeric Value Range: 1-2, 9 DEFN Are physician notes present in the patient care record? Values 1 = Yes 2 = No 9 = Unknown

CT OF HEAD RECEIVED Data Field Number: 161 Data Field Name: CTRECD Required/Optional: Optional – Level III Max. Length of Field: 1 Type of Field: Numeric Value Range: 1-2, 7, 9 DEFN Did the patient with a GCS less than 14 receive a CT of the head? Only desired from hospitals designated level III. Values 1 = Yes 7 = Not applicable (i.e. GCS >13) 2 = No 9 = Unknown

. HOSPITAL DATA DICTIONARY DESIRED FIELDS

COMATOSE PATIENT AIRWAY ESTABLISHED Data Field Number: 162 Data Field Name: CAIREST Required/Optional: Optional – Level III Max. Length of Field: 1 Type of Field: Numeric Value Range: 1-2, 7, 9 DEFN Was a definitive airway established for a comatose patient (GSC < 9) before leaving the emergency department? Only desired from hospitals designated level III. Values 1 = Yes 7 = Not applicable (i.e. patient not comatose) 2 = No 9 = Unknown

ADMITTED UNDER CARE OF NON-SURGEON Data Field Number: 163 Data Field Name: ADPHNSUR Required/Optional: Optional – Level III Max. Length of Field: 1 Type of Field: Numeric Value Range: 1-2, 7, 9 DEFN Was the patient admitted to the hospital under the care of an admitting or attending physician who was NOT a surgeon? Only desired from hospitals designated level III. Values 1 = Yes 7 = Not applicable 2 = No 9 = Unknown

GUNSHOT MANAGED NON-OPERATIVELY Data Field Number: 164 Data Field Name: GUNNONOP Required/Optional: Optional – Level III Max. Length of Field: 1 Type of Field: Numeric Value Range: 1-2, 7, 9 DEFN Was a patient sustaining a gunshot wound to the abdomen managed non-operatively? Only desired from hospitals designated level III. Values 1 = Yes 7 = Not applicable (i.e. did not receive a gunshot wound to the abdomen) 2 = No 9 = Unknown

LAPAROTOMY OVER 1 HOUR Data Field Number: 165 Data Field Name: LAPR1HR Required/Optional: Optional – Level III Max. Length of Field: 1 Type of Field: Numeric Value Range: 1-2, 7, 9 DEFN Did a patient with abdominal injuries and hypotension (systolic BP < 90) NOT undergo laparotomy within 1 hour of arrival in the emergency department? Only desired from hospitals designated level III. Values 1 = Yes 7 = Not applicable (i.e. no abdominal injuries and hypotension) 2 = No 9 = Unknown

. HOSPITAL DATA DICTIONARY DESIRED FIELDS

LAPAROTOMY OVER 4 HOURS Data Field Number: 166 Data Field Name: LAPR4HR Required/Optional: Optional – Level III Max. Length of Field: 1 Type of Field: Numeric Value Range: 1-2, 7, 9 DEFN Did the patient undergo a laparotomy over 4 hours after arrival in the emergency department? Only desired from hospitals designated level III. Values 1 = Yes 7 = Not applicable (i.e. no laparotomy performed) 2 = No 9 = Unknown

CRANIOTOMY OVER 4 HOURS Data Field Number: 167 Data Field Name: CRAN4HR Required/Optional: Optional – Level III Max. Length of Field: 1 Type of Field: Numeric Value Range: 1-2, 7, 9 DEFN Did a patient with epidural or subdural brain hematoma receive a craniotomy over 4 hours after arrival in the emergency department, excluding those performed for ICP monitoring? Only desired from hospitals designated level III. Values 1 = Yes 7 = Not applicable (i.e. no craniotomy performed) 2 = No 9 = Unknown

DEBRIDEMENT OVER 8 HOURS Data Field Number: 168 Data Field Name: DEBR8HR Required/Optional: Optional – Level III Max. Length of Field: 1 Type of Field: Numeric Value Range: 1-2, 7, 9 DEFN Was there an interval of more than 8 hours between arrival and the initiation of debridement of an open tibial fracture, excluding a low velocity gunshot wound? Only desired from hospitals designated level III. Values 1 = Yes 7 = Not applicable (i.e. no debridement of an open tibial fracture) 2 = No 9 = Unknown

ABDOMINAL SURGERY OVER 24 HOURS Data Field Number: 169 Data Field Name: ADSUR24H Required/Optional: Optional – Level III Max. Length of Field: 1 Type of Field: Numeric Value Range: 1-2, 7, 9 DEFN Was abdominal surgery performed over 24 hours after arrival? Only desired from hospitals designated level III. Values 1 = Yes 7 = Not applicable (i.e. no abdominal surgery performed) 2 = No 9 = Unknown

. HOSPITAL DATA DICTIONARY DESIRED FIELDS

THORACIC SURGERY OVER 24 HOURS Data Field Number: 170 Data Field Name: TRSUR24H Required/Optional: Optional – Level III Max. Length of Field: 1 Type of Field: Numeric Value Range: 1-2, 7, 9 DEFN Was thoracic surgery performed over 24 hours after arrival? Only desired from hospitals designated level III. Values 1 = Yes 7 = Not applicable (i.e. no thoracic surgery performed) 2 = No 9 = Unknown

VASCULAR SURGERY OVER 24 HOURS Data Field Number: 171 Data Field Name: VASUR24H Required/Optional: Optional – Level III Max. Length of Field: 1 Type of Field: Numeric Value Range: 1-2, 7, 9 DEFN Was vascular surgery performed over 24 hours after arrival? Only desired from hospitals designated level III. Values 1 = Yes 7 = Not applicable (i.e. no vascular surgery performed) 2 = No 9 = Unknown

CRANIAL SURGERY OVER 24 HOURS Data Field Number: 172 Data Field Name: CRSUR24H Required/Optional: Optional – Level III Max. Length of Field: 1 Type of Field: Numeric Value Range: 1-2, 7, 9 DEFN Was cranial surgery performed over 24 hours after arrival? Only desired from hospitals designated level III. Values 1 = Yes 7 = Not applicable (i.e. no cranial surgery performed) 2 = No 9 = Unknown

NON-FIXATION OF FEMORAL DIAPHYSEAL FRACTURE Data Field Number: 173 Data Field Name: NFXFDIAP Required/Optional: Optional – Level III Max. Length of Field: 1 Type of Field: Numeric Value Range: 1-2, 7, 9 DEFN Was there non-fixaction of a femoral diaphyseal fracture in an adult trauma patient? Only desired from hospitals designated level III. Values 1 = Yes 7 = Not applicable (i.e. no femoral diaphyseal fracture or not adult patient) 2 = No 9 = Unknown

. HOSPITAL DATA DICTIONARY DESIRED FIELDS

RE-INTUBATION WITHIN 48 HOURS Data Field Number: 174 Data Field Name: REINT48H Required/Optional: Optional – Level III Max. Length of Field: 1 Type of Field: Numeric Value Range: 1-2, 7, 9 DEFN Did the patient require re-intubation of the airway within 48 hours of extubation? Only desired from hospitals designated level III. Values 1 = Yes 7 = Not applicable (i.e. no extubation) 2 = No 9 = Unknown

DELAYS IN INJURY ID Data Field Number: 175 Data Field Name: DELINJID Required/Optional: Optional Max. Length of Field: 1 Type of Field: Numeric Value Range: 1-2, 7, 9 DEFN Were there delays in identification of injuries? Values 1 = Yes 7 = Not applicable 2 = No 9 = Unknown

ADMITTED WITHOUT PHYSICIAN Data Field Number: 176 Data Field Name: ADMNOPHY Required/Optional: Optional – Level IV Max. Length of Field: 1 Type of Field: Numeric Value Range: 1-2, 7, 9 DEFN Was the patient admitted without being examined by a physician? Only required of hospitals designated level IV. Values 1 = Yes 7 = Not applicable (i.e. patient not admitted/was transferred) 2 = No 9 = Unknown

TRANSFERING EMS PROVIDER NUMBER Data Field Number: 177 Data Field Name: TRANFIRM Required/Optional: Optional Max. Length of Field: 6 Type of Field: Numeric Value Range: 001001 – 999998, 000911, [blank] DEFN The six-digit numeric code for the EMS agency that transported the patient from another acute care facility to your facility. Record 000911 if patient was transported by EMS but EMS provider is unknown. Leave blank if not applicable. Values EMS firm numbers are assigned by the Texas Department of Health. The list of EMS firm numbers can be found in Appendix B.

001001-999998 = EMS provider code 000911 = Transported by EMS but provider unknown

. HOSPITAL DATA DICTIONARY DESIRED FIELDS

AIR EMS ACTIVATION DATE Data Field Number: 178 Data Field Name: AIRDATE Required/Optional: Optional Max. Length of Field: 10 Type of Field: Date Value Range: [1990 – current year, 9999] [01 – 12, 99][01 – 31, 99], [blank] DEFN Date of air EMS activation if transferring patient out. Leave blank if not applicable. Values Format: YYYY/MM/DD YYYY = Year; 9999 = Unknown MM = Month; leading zero required; 99 = Unknown DD = Day; leading zero required; 99 = Unknown

AIR EMS ACTIVATION TIME Data Field Number: 179 Data Field Name: AIRTIME Required/Optional: Optional Max. Length of Field: 5 Type of Field: Character Value Range: 00:00 – 23:59, 99:99, [blank] DEFN The time of day of air EMS activation if transferring patient out. Use military time, 00:00 to 23:59. Convert time to the time zone in which your facility is located, if not already done so. Enter 99:99 if you do not know the time. Leave blank if not applicable. Values 00:00 – 23:59 Military time 99:99 = Unknown

AIR EMS ARRIVAL DATE Data Field Number: 180 Data Field Name: AIRADATE Required/Optional: Optional Max. Length of Field: 10 Type of Field: Date Value Range: [1990 – current year, 9999] [01 – 12, 99][01 – 31, 99], [blank] DEFN Date of air EMS arrival at your hospital if transferring patient out. Leave blank if not applicable. Values Format: YYYY/MM/DD YYYY = Year; 9999 = Unknown MM = Month; leading zero required; 99 = Unknown DD = Day; leading zero required; 99 = Unknown

. HOSPITAL DATA DICTIONARY DESIRED FIELDS

AIR EMS ARRIVAL TIME Data Field Number: 181 Data Field Name: AIRATIME Required/Optional: Optional Max. Length of Field: 5 Type of Field: Character Value Range: 00:00 – 23:59, 99:99, [blank] DEFN The time of day of air EMS arrival at your hospital if transferring patient out. Use military time, 00:00 to 23:59. Convert time to the time zone in which your facility is located, if not already done so. Enter 99:99 if you do not know the time. Leave blank if not applicable. Values 00:00 – 23:59 Military time 99:99 = Unknown

AIR EMS PROVIDER NUMBER Data Field Number: 182 Data Field Name: AIRFIRM Required/Optional: Optional Max. Length of Field: 6 Type of Field: Numeric Value Range: 001001 – 999998, 000911, [blank] DEFN The six-digit numeric code for the air EMS agency that transported the patient out from your facility. Record 000911 if patient was transported out by air EMS but air EMS provider is unknown. Leave blank if not applicable. Values EMS firm numbers are assigned by the Texas Department of Health. The list of EMS firm numbers can be found in Appendix B.

001001-999998 = EMS provider code 000911 = Transported by EMS but provider unknown

APPENDIX C

COUNTY CODES

Texas Counties 47 Comanche 94 Guadalupe 141 Lampasas 188 Potter 235 Victoria 826 Missouri 1 Anderson 48 Concho 95 Hale 142 La Salle 189 Presidio 236 Walker 827 Montana 2 Andrews 49 Cooke 96 Hall 143 Lavaca 190 Rains 237 Waller 828 Nebraska 3 Angelina 50 Coryell 97 Hamilton 144 Lee 191 Randall 238 Ward 829 Nevada 4 Aransas 51 Cottle 98 Hansford 145 Leon 192 Reagan 239 Washington 830 New Hampshire 5 Archer 52 Crane 99 Hardeman 146 Liberty 193 Real 240 Webb 831 New Jersey 6 Armstrong 53 Crockett 100 Hardin 147 Limestone 194 Red River 241 Wharton 832 New Mexico 7 Atascosa 54 Crosby 101 Harris 148 Lipscomb 195 Reeves 242 Wheeler 833 New York 8 Austin 55 Culberson 102 Harrison 149 Live Oak 196 Refugio 243 Wichita 834 North Carolina 9 Bailey 56 Dallam 103 Hartley 150 Llano 197 Roberts 244 Wilbarger 835 North Dakota 10 Bandera 57 Dallas 104 Haskell 151 Loving 198 Robertson 245 Willacy 836 Ohio 11 Bastrop 58 Dawson 105 Hays 152 Lubbock 199 Rockwall 246 Williamson 837 Oklahoma 12 Baylor 59 Deaf Smith 106 Hemphill 153 Lynn 200 Runnels 247 Wilson 838 Oregon 13 Bee 60 Delta 107 Henderson 154 McCulloch 201 Rusk 248 Winkler 839 Pennsylvania 14 Bell 61 Denton 108 Hidalgo 155 McLennan 202 Sabine 249 Wise 840 Rhode Island 15 Bexar 62 De Witt 109 Hill 156 McMullen 203 San Augustine 250 Wood 841 South Carolina 16 Blanco 63 Dickens 110 Hockley 157 Madison 204 San Jacinto 251 Yoakum 842 South Dakota 17 Borden 64 Dimmit 111 Hood 158 Marion 205 San Patricio 252 Young 843 Tennessee 18 Bosque 65 Donley 112 Hopkins 159 Martin 206 San Saba 253 Zapata 844 Texas 19 Bowie 66 Duval 113 Houston 160 Mason 207 Schleicher 254 Zavala 845 Utah 20 Brazoria 67 E astland 114 Howard 161 Matagorda 208 Scurry 846 Vermont 21 Brazos 68 Ector 115 Hudspeth 162 Maverick 209 Shackelford Other States 847 Virginia 22 Brewster 69 Edwards 116 Hunt 163 Medina 210 Shelby 801 Alabama 848 Washington 23 Briscoe 70 Ellis 117 Hutchinson 164 Menard 211 Sherman 802 Alaska 849 West Virginia 24 Brooks 71 El Paso 118 I rion 165 Midland 212 Smith 803 Arizona 850 Wisconsin 25 Brown 72 Erath 119 Jack 166 Milam 213 Somervell 804 Arkansas 851 Wyoming 26 Burleson 73 Falls 120 Jackson 167 Mills 214 Starr 805 California 27 Burnet 74 Fannin 121 Jasper 168 Mitchell 215 Stephens 806 Colorado Other Countries 28 Caldwell 75 Fayette 122 Jeff Davis 169 Montague 216 Sterling 807 Connecticut 852 Puerto Rico 29 Calhoun 76 Fisher 123 Jefferson 170 Montgomery 217 Stonewall 808 Delaware 853 Virgin Islands 30 Callahan 77 Floyd 124 Jim Hogg 171 Moore 218 Sutton 809 DC 854 Guam 31 Cameron 78 Foard 125 Jim Wells 172 Morris 219 Swisher 810 Florida 855 Canada 32 Camp 79 Fort Bend 126 Johnson 173 Motley 220 Tarrant 811 Georgia 856 Cuba 33 Carson 80 Franklin 127 Jones 174 Nacogdoches 221 Taylor 812 Hawaii 857 Mexico 34 Cass 81 Freestone 128 Karnes 175 Navarro 222 Terrell 813 Idaho 858 Gulf of Mexico 35 Castro 82 Frio 129 Kaufman 176 Newton 223 Terry 814 Illinois 36 Chambers 83 Gaines 130 Kendall 177 Nolan 224 Throckmorton 815 Indiana 899 Other 37 Cherokee 84 Galveston 131 Kenedy 178 Nueces 225 Titus 816 Iowa 38 Childress 85 Garza 132 Kent 179 Ochiltree 226 Tom Green 817 Kansas 999 Unknown 39 Clay 86 Gillespie 133 Kerr 180 Oldham 227 Travis 818 Kentucky 40 Cochran 87 Glasscock 134 Kimble 181 Orange 228 Trinity 819 Louisiana 41 Coke 88 Goliad 135 King 182 Palo Pinto 229 Tyler 820 Maine 42 Coleman 89 Gonzales 136 Kinney 183 Panola 230 Upshur 821 Maryland 43 Collin 90 Gray 137 Kleberg 184 Parker 231 Upton 822 Massachusetts 44 Collingsworth 91 Grayson 138 Knox 185 Parmer 232 Uvalde 823 Michigan 45 Colorado 92 Gregg 139 Lamar 186 Pecos 233 Val Verde 824 Minnesota 46 Comal 93 Grimes 140 Lamb 187 Polk 234 Van Zandt 825 Mississippi

APPENDIX D

CITY-COUNTY LIST

City County City County City County City County City County Abbott Hill Allen's Point Fannin Archer City Archer Balcones Heights Bexar Beeville Bee Aberfoyle Hunt Allenfarm Brazos Arcola Fort Bend Nald Prairie Robertson Behrnville Williamson Abernathy Hale Alleyton Colorado Argo Titus Ballinger Runnels Belcherville Montague Abilene Taylor Allison Wheeler Argyle Denton Balmorhea Reeves Belfalls Bell Academy Bell Alma Ellis Arlington Tarrant Balsora Wise Belk Lamar Acala Hudspeth Alpha Dallas Armstrong Kenedy Bandera Bandera Bellaire Harris Ace Polk Alpine Brewster Arneckville Dewitt Bangs Brown Bellevue Clay Ackerly Dawson Alsa Van Zandt Arnett Hockley Banquete Nueces Bellmead Mc Lennan Acton Hood Alta Loma Galveston Arp Smith Barbarosa Guadalupe Bells Grayson Acuff Lubbock Altair Colorado Art Mason Barclay Falls Bellville Austin Acworth Red River Alto Cherokee Artesia Wells La Salle Bardwell Ellis Belmont Gonzales Adams Gardens Cameron Altoga Collin Arthur City Lamar Barker Harris Belton Bell Adamsville Lampasas Alvardo Johnson Arvana Dawson Barksdale Edwards Ben Arnold Milam Addicks Harris Alvin Brazoria Asa Mc Lennan Barnes Switch Trinity Ben Franklin Delta Addielou Red River Alvord Wise Asherton Dimmit Barnhart Irion Ben Wheeler Van Zandt Addison Dallas Amarillo Randall Ashland Upshur Barnum Polk Benavides Duval Adkins Bexar Amarillo Potter Ashmore Gaines Barrett Harris Benbolt Jim Wells Admiral Callahan Ambia Lamar Ashtola Donley Barry Navarro Benbrook Tarrant Adrian Oldham Ambrose Grayson Aspermont Stonewall Barry's Creek Williamson Benchley Robertson Afton Dickens Ames Liberty Atascosa Bexar Barstow Ward Bend San Saba Agua Dulce Nueces Amherst Lamb Athens Henderson Bartlett Bell Benhur Limestone Agua Nueva Jim Hogg Amherst Lamb Atlanta Cass Bartley Woods Fannin Benjamin Knox Aguilares Webb Ammannsville Fayette Atlas Lamar Bartonville Denton Bennett Parker Aiken Shelby Anahuac Chambers Aubrey Denton Barwise Floyd Berclair Goliad Aiken Floyd Ander Goliad Augusta Houston Bassett Bowie Berea Marion Aiken Grove Red River Anderson Grimes Austin Travis Bastrop Bastrop Bergheim Kendall Airville Bell Andice Williamson Austinio Houston Batesville Zavala Bernardo Colorado Alamo Hidalgo Andrews Andrews Austwell Refugio Batson Hardin Bertram Burnet Alamo Alto El Paso Angleton Brazoria Authon Parker Baxter Henderson Bess Duval Alamo Heights Bexar Angus Navarro Avalon Ellis Bay City Matagorda Bessmay-Buna Jasper Alanreed Gray Anna Collin Avery Red River Baycliff Galveston Best Reagan Alba Wood Annaville Nueces Avinger Cass Bayside Refugio Bethel Anderson Albany Shackelford Annetta Parker Avoca Jones Baytown Harris Bethlehem Upshur Albert Gillespie Annona Red River Axtell Mc Lennan Bayview Cameron Bettie Upshur Aldine Harris Anson Jones Azle Tarrant Bazette Navarro Beverly Hills Mc Lennan Aledo Parker Antelope Jack Baby Head Llano Bea Caves Travis Bevil Oaks Jefferson Aleman Hamilton Anthony El Paso Bacliff Galveston Beach City Chambers Beyersville Williamson Alexander Jim Wells Antioch Cass Bagwell Red River Beasley Fort Bend Biardstown Lamar Alfred Jim Wells Anton Hockley Bailey Fannin Beaumont Jefferson Big Bend Natnl Park Brewster Algerita San Saba Apple Springs Trinity Baileyboro Bailey Bebe Gonzales Big Lake Reagan Algoa Galveston Appleby Nacogdoches Baileys Prairie Brazoria Beckville Panola Big Sandy Upshur Alice Jim Wells Aquilla Hill Baileysville Milam Becton Lubbock Big Spring Howard Alief Harris Aransas Pass San Patricio Baird Callahan Bedford Tarrant Big Valley Mills Allen Collin Arbala Hopkins Bakersfield Pecos Bedias Grimes Big Wells Dimmit Allen's Chapel Fannin Arcadia Galveston Balch Springs Dallas Bee House Coryell Bigfoot Frio

City-County List (cont.) City County City County City County City County City County Biggs El Paso Bowie Montague Bruni Webb Call Newton Cass Piedra Presidio Birome Hill Box Church Limestone Brunswick Cherokee Call Junction Jasper Castell Llano Birthright Hopkins Boxelder Red River Brushy Creek Anderson Calliham Mc Mullen Castle Heights Mc Lennan Bisbee Tarrant Boyce Ellis Bryan Brazos Callisburg Cooke Castle Hills Bexar Bishop Nueces Boyd Wise Bryans Mill Cass Calvert Robertson Castroville Medina Bivins Cass Boys Ranch Oldham Bryarly Red River Camden Polk Cat Spring Austin Black Parmer Boz Ellis Bryson Jack Cameron Milam Catrina Dimmit Black Jack Cherokee Brachfield Rusk Buchanan Dam Llano Camp Air Mason Caviness Lamar Blackfoot Anderson Bracken Comal Buck Creek Cottle Camp Creek Lake Robertson Cawthon Brazos Blackland Rockwall Bracketville Kinney Buckholts Milam Camp Ruby Polk Cayote Bosque Blackwell Nolan Brad Palo Pinto Buckhorn Austin Camp San Saba McCulloch Cayuga Anderson Blair Taylor Bradford Anderson Buckingham Dallas Camp Springs Scurry Cedar Creek Bastrop Blanchard Polk Brady McCulloch Buda Hays Camp Switch Gregg Cedar Hill Dallas Blanco Blanco Branchville Milam Buffalo Leon Camp Verde Kerr Cedar Lake Matagorda Blanconia Bee Brandon Hill Buffalo Gap Taylor Camp Wood Real Cedar Lane Matagorda Blanket Brown Brashear Hopkins Buffalo Springs Clay Campbell Hunt Cedar Park Williamson Bleakwood Newton Brazoria Brazoria Buford Mitchell Campbellton Atascosa Cedar Shores Estates Bosque Bledsoe Cochran Brazos Palo Pinto Bug Tussle Fannin Canadian Hemphill Cedar Springs Falls Bleiblerville Austin Brazosport Brazoria Bula Bailey Candelaria Presidio Cedar Valley Travis Blessing Matagorda Breckenridge Stephens Bulcher Cooke Caney Matagorda Cee Vee Cottle Blevins Falls Bremond Robertson Bullard Smith Caney City Henderson Cego Falls Blewett Uvalde Brenham Washington Bulverde Comal Canton Van Zandt Celeste Hunt Bloomburg Cass Briar Tarrant Buna Jasper Canutillo El Paso Celina Collin Bloomfield Cooke Brice Hall Bunavista Hutchinson Canyon Randall Center Shelby Blooming Grove Navarro Bridge City Orange Buncombe Panola Canyon City Comal Center City Mills Bloomington Victoria Bridgeport Wise Bunger Young Caplen Galveston Center Point Kerr Blossom Lamar Briggs Burnet Bunker Hill Village Harris Caps Taylor Centerville Leon Blue Mound Tarrant Bright Star Raines Bunyan Erath Caradan Mills Central Angelina Blue Ridge Collin Briscoe Wheeler Burkburnett Wichita Carbon Eastland Centralia Trinity Bluegrove Clay Bristol Ellis Burke Angelina Carbondale Bowie Cestohowa Karnes Bluetown Cameron Britton Ellis Burkett Coleman Carey Childress Chalk Cottle Bluff Dale Erath Broaddus San Augustine Burkeville Newton Carlisle Rusk Chalk Mountain Erath Bluff Springs Travis Broadway Lamar Burleigh Austin Carlisle Trinity Chambersville Collin Bluffton Llano Brock Parker Burleson Johnson Carlsbad Tom Green Chambliss Collin Blum Hill Bronco Yoakum Burlington Milam Carlson Travis Chance-Loeb Hardin Boerne Kendall Bronson Sabine Burnet Burnet Carlton Hamilton Chandler Henderson Bogata Red River Bronte Coke Burns City Cooke Carmine Fayette Chaney Eastland Boling Wharton Brookeland Sabine Burton Washington Carmons Polk Channelview Harris Bolivar Denton Brookesmith Brown Busby Fisher Caro Nacogdoches Channing Hartley Bomarton Baylor Brooks Panola Bushland Potter Carricitos Cameron Chapman Rusk Bon Wier Newton Brookshire Waller Bustamante Zapata Carrizo Springs Dimmit Chapman Ranch Nueces Bonanza Hopkins Brookside Brazoria Butler Freestone Carroll Smith Chappel San Saba Bonham Fannin Brookston Lamar Byers Clay Carrollton Dallas Chappell Hill Washington Bonita Montague Broome Panola Bynum Hill Carson Fannin Charco Goliad Bonney Brazoria Broome Sterling Byrd Ellis Carswell A.F.B. Tarrant Charleston Delta Bonus Wharton Browndell Jasper Cactus Moore Carta Valley Edwards Charlie Clay Booker Lipscomb Brownfield Terry Caddo Stephens Carterville Cass Charlotte Atascosa Boonsville Wise Browning Smith Caddo Mills Hunt Carthage Panola Chase Field Bee Booth Fort Bend Brownsboro Henderson Cadiz Bee Cartwright Wood Chatfield Navarro Borger Hutchinson Brownsville Cameron Calallen Nueces Casey El Paso Cheapside Gonzales Bosqueville Mc Lennan Brownwood Brown Calaveras Wilson Cash Hunt Cheek Jefferson Boston Bowie Bruceville McLennan Caldwell Burleson Cason Morris Cherokee San Saba Bovina Parmer Brundage Dimmit Calf Creek McCulloch Cass Cass Cherryspring Gillespie

City-County List (cont.) City County City County City County City County City County Chester Tyler Cline Uvalde Corbet Navarro Crystal City Zavala Delmita Starr Chico Wise Clint El Paso Cordele Jackson Crystal Falls Stephens Delwin Cottle Chicota Lamar Clodine Fort Bend Corinth Jones Cuero Dewitt Denhawken Wilson Childress Childress Clute Brazoria Corinth Denton Cuevitas Jim Hogg Denison Grayson Chillicothe Hardeman Clyde Callahan Corley Bowie Cumby Hopkins Denning San Augustine Chilton Falls Coahoma Howard Cornett Cass Cuney Cherokee Dennis Parker China Jefferson Cochran Austin Corpus Christi Nueces Cunningham Lamar Denton Denton China Grove Bexar Cockrell Hill Dallas Corrigan Polk Currie Navarro Denver City Yoakum China Spring Mc Lennan Coffee City Henderson Corsicana Navarro Cushing Nacogdoches Deport Lamar Chireno Nacogdoches Coffeeville Upshur Coryell City Coryell Cusseta Cass Derby Frio Chisolm Rockwall Coke Wood Cost Gonzales Cut And Shoot Montgomery Dermott Scurry Chits Trinity Coldspring San Jacinto Cotton Center Hale Cuthand Red River Desdemona Eastland Chocolate Bayou Brazoria Coleman Coleman Cotton Gin Freestone Cyclone Bell Desert Collin Choice Shelby Colfax Van Zandt Cottonwood Madison Cypress Harris Detroit Red River Chriesman Burleson College Station Brazos Cottonwood Callahan Cypress Mill Blanco Devers Liberty Christine Atascosa Collegeport Matagorda Cottonwood Erath D'hanis Medina Devine Medina Christoval Tom Green Colleyville Tarrant Cottonwood Somervell Dabney Uvalde Dew Freestone Church Hill Rusk Collinsville Grayson Cottonwood Kaufman Dacosta Victoria Dewalt Fort Bend Cibolo Guadalupe Colmesneil Tyler Cottonwood-Concord Freestone Dacus Montgomery Deweyville Newton Cipress Hidalgo Cologne Goliad Cotulla La Salle Daingerfield Morris Dewville Gonzales Circleback Bailey Colorado Jim Hogg Country Campus Walker Daisetta Liberty Dexter Cooke Circleville Williamson Colorado City Mitchell County Line Hale Dalby Springs Bowie Dial Hutchinson Cisco Eastland Colton Travis Coupland Williamson Dale Caldwell Dial Fannin Cistern Fayette Columbus Colorado Courtney Grimes Dalhart Dallam Dialsville Cherokee Clairemont Kent Comal Comal Cove Chambers Dallardsville Polk Diana Upshur Clairette Erath Comanche Comanche Cove City Orange Dallas Dallas Diboll Angelina Clara-Fairview Wichita Combes Cameron Covington Hill Dalworthington Tarrant Dickens Dickens Clarendon Donley Combine Kaufman Cow Creek Erath Dam B Tyler Dickinson Galveston Clareville Bee Comfort Kendall Coy City Karnes Damon Brazoria Dike Hopkins Clarksville Red River Commerce Hunt Coyanosa Pecos Danbury Brazoria Dilley Frio Clarksville City Gregg Como Hopkins Crabb Fort Bend Danciger Brazoria Dilworth Gonzales Clarkwood Nueces Comstock Val Verde Craft Cherokee Danevang Wharton Dime Box Lee Claude Armstrong Comym Comanche Crafton Wise Darco Harrison Dimmitt Castro Clauene Hockley Concan Uvalde Crandall Kaufman Darrouzett Lipscomb Dimple Red River Clawson Angelina Concepcion Duval Crane Crane Daugherty Raines Dinero Live Oak Clay Burleson Concord Leon Cranfills Gap Bosque Davilla Milam Direct Lamar Clayton Panola Concord Rusk Crawford McLennan Dawn Deaf Smith Dirgin Rusk Claytonville Fisher Concord Liberty Creedmoor Travis Dawson Navarro Dittlinger Comal Claytonville Swisher Concord Hunt Cresson Hood Dayton Liberty Divot Frio Clear Lake Collin Concrete Dewitt Crisp Ellis De Berry Panola Dixie Grayson Clear Lake Harris Cone Crosby Crockett Houston De Kalb Bowie Dixon Hunt Clear Lake Shores Galveston Conlen Dallam Crosby Harris De Leon Comanche Doans Wilbarger Clear Spring Guadalupe Conroe Montgomery Crosbyton Crosby De Soto Dallas Dobbin Montgomery Clearlake Shores Galveston Converse Bexar Cross Grimes De Wees Wilson Dobbrowolski Atascosa Cleburne Johnson Conway Carson Cross Cut Brown Deadwood Panola Dodd Castro Clegg Live Oak Cooks Point Burleson Cross Plains Callahan Dean Lubbock Dodd City Fannin Clemville Matagorda Cookville Titus Cross Roads Henderson Deanville Burleson Dodge Walker Cleo Kimble Cool Parker Cross Roads Denton Decatur Wise Dodson Collingsworth Cleveland Austin Coolidge Limestone Crow Wood Deer Park Harris Dog Ridge Bell Cleveland Liberty Cooper Delta Crowell Foard Del Rio Val Verde Donie Freestone Cliffside Potter Copeville Collin Crowley Tarrant Del Valle Travis Donna Hidalgo Clifton Bosque Coppell Dallas Cryer Creek Navarro Delaware Bend Cooke Donnybrook Place Harris Climax Collin Copperas Cove Coryell Crystal Beach Galveston Dell City Hudspeth Doole McCulloch

City-County List (cont.) City County City County City County City County City County Dorchester Grayson Edgecliff Tarrant Eolian Stephens Faught Lamar Fort Mckavett Menard Doss Gillespie Edgewood Van Zandt Era Cooke Faulkner Lamar Fort Sam Houston Bexar Dot Falls Edinburg Hidalgo Erath Mc Lennan Fayetteville Fayette Fort Spunky Hood Dothan Eastland Edmonson Hale Erin Jasper Faysville Hidalgo Fort Stockton Pecos Doucette Tyler Edna Jackson Escobares Starr Fedor Lee Fort Wolters Palo Pinto Dougherty Floyd Edna Hill Erath Escobas Zapata Fentress Caldwell Fort Worth Tarrant Douglass Nacogdoches Edom Van Zandt Esperanza Hudspeth Ferris Ellis Fowlerton La Salle Douglassville Cass Edroy San Patricio Esseville Atascosa Field Creek Llano Frame Switch Williamson Downing Comanche Egan Johnson Estacado Lubbock Field Schoolhouse Erath Francitas Jackson Downsville Mc Lennan Egypt Wharton Estelline Hall Fieldton Lamb Frankel City Andrews Dozier Collingsworth El Campo Wharton Ethel Grayson Fife McCulloch Franklin Robertson Drane Navarro El Indio Maverick Etoile Nacogdoches Files Valey Hill Frankston Anderson Draw Lynn El Lago Harris Etter Moore Fink Grayson Fred Tyler Dresden Navarro El Paso El Paso Eula Callahan Finney King Fredericksburg Gillespie Driftwood Hays El Sauz Starr Euless Tarrant Finney Hale Fredonia Mason Dripping Springs Hays Elbert Throckmorton Eulogy Bosque Fischer Comal Freeport Brazoria Driscoll Nueces Eldorado Schleicher Eureks Navarro Fisk Coleman Freer Duval Dryden Terrell Electra Wichita Eustace Henderson Flagg Castro Freestone Freestone Dryer Gonzales Elgin Bastrop Evadale Jasper Flat Coryell Frelsburg Colorado Dublin Erath Eliasville Young Evant Coryell Flatonia Fayette Fresno Fort Bend Dudley Callahan Elk Mc Lennan Evergreen San Jacinto Flint Smith Freybury Fayette Duffau Erath Elkhart Anderson Everman Tarrant Flo Leon Friday Trinity Dumas Moore Ellinger Fayette Ewell Upshur Flomot Motley Friendship Williamson Dumont King Elliott Wilbarger Exell Moore Florence Williamson Friendswood Galveston Duncanville Dallas Elm Mott Mc Lennan Ezzell Lavaca Floresville Wilson Frio Castro Dundee Archer Elmaton Matagorda Fabens El Paso Florey Andrews Frio Town Frio Dunlap Cottle Elmendorf Bexar Fair Oaks Freestone Flower Mound Denton Friona Parmer Dunlap Travis Elmendorf Bexar Fair Play Panola Floyd Hunt Frions Parmer Dunlay Medina Elmo Kaufman Fairbanks Harris Floydada Floyd Frisco Collin Dunn Scurry Elmont Grayson Fairchilds Fort Bend Fluvanna Scurry Fritch Hutchinson Duplex Fannin Elmwood Anderson Fairfield Freestone Flynn Leon Fronton Starr Durango Falls Eloise Falls Fairlie Hunt Foard City Foard Frost Navarro Eagle Chambers Elroy Travis Fairview Wilson Fodice Houston Fruitland Montague Eagle Lake Colorado Elsa Hidalgo Fairview Collin Follett Lipscomb Fruitvale Van Zandt Eagle Pass Maverick Elwood Fannin Fairview Howard Foncine Collin Frydek Austin Early Brown Elysian Fields Harrison Fairview Wise Foot Collin Fulbright Red River Earth Lamb Emberson Lamar Fairy Hamilton Fordtran Victoria Fuller Spsrings Angelina East Bernard Wharton Emblem Hopkins Falcon Zapata Forest Cherokee Fulshear Fort Bend East Columbia Brazoria Emhouse Navarro Falcon Heights Starr Forest Grove Milam Fulton Aransas East Tawakoni Raines Emmett Navarro Falfurrias Brooks Forest Grove Collin Funston Jones Easter Castro Emory Raines Falls City Karnes Forest Hill Tarrant Gail Borden Easterly Robertson Enchanted Oaks Henderson Faltwoods Eastland Forestburg Montague Gainesville Cooke Eastland Eastland Encinal La Salle Fannett Jefferson Forney Kaufman Galena Park Harris Easton Gregg Encino Brooks Fannin Goliad Forrest Glade Limestone Gallatin Cherokee Eastvale Denton Energy Comanche Fargo Wilbarger Forreston Ellis Galloway Panola Ebenezer Camp Engle Fayette Farmersville Collin Forsan Howard Galveston Galveston Echo Coleman English Red River Farmington Grayson Fort Bliss El Paso Ganado Jackson Ecleto Karnes Enloe Delta Farnsworth Ochiltree Fort Davis Jeff Davis Garcena Starr Ector Fannin Ennis Ellis Farrar Limestone Fort Gates Coryell Garciasville Starr Edcouch Hidalgo Enochs Bailey Farrsville Newton Fort Griffin Shackelford Garden City Glasscock Eddy Mc Lennan Ensign Ellis Farwell Parmer Fort Hancock Hudspeth Garden Valley Smith Eden Concho Enterprises Van Zandt Fashing Atascosa Fort Hood Bell Gardendale Ector Edge Brazos Eola Concho Fate Rockwall Fort Mckavett Menard Garland Dallas

City-County List (cont.) City County City County City County City County City County Garner Parker Goodrich Polk Guerra Jim Hogg Hatchel Runnels Hiram Kaufman Garner Park Uvalde Goodsprings Rusk Gulf Dial Hutchinson Hattiesburg Nueces Hitchcock Galveston Garrett Ellis Gordon Palo Pinto Gulf Park Brazoria Hawkins Wood Hitchland Hansford Garretts Bluff Lamar Gordonville Grayson Gulon Taylor Hawley Jones Hix Burleson Garrison Nacogdoches Goree Knox Gun Barrel City Henderson Haynesville Wichita Hobbs Willacy Garwood Colorado Gorman Eastland Gunsight Stephens Hearne Robertson Hobson Karnes Gary Panola Gouldbusk Coleman Gunter Grayson Heath Rockwall Hochheim Dewitt Gatesville Coryell Gourdneck Panola Gustine Comanche Hebbronville Jim Hogg Hockley Harris Gause Milam Grace King Guthrie King Hebron Denton Hodges Jones Gay Hill Washington Gracetona Upshur Guy Fort Bend Hedley Donley Hoen Mc Lennan Geneva Sabine Graford Palo Pinto Hackberry Cottle Hedsig Hill Mason Holland Bell George West Live Oak Graham Young Hagansport Franklin Hedwig Village Harris Holliday Archer George's Creek Somervell Graham Chapel Garza Hainesville Wood Hefner Knox Holly Springs Jasper Georgetown Williamson Granbury Hood Hale Center Hale Heidenheimer Bell Hollywood Park Bexar Germanis Midland Grand Bluff Panola Halfway Hale Helens Karnes Holman Fayette Geronimo Guadalupe Grand Prairie Dallas Hall Fannin Helotes Bexar Hondo Medina Gholson Mc Lennan Grand Saline Van Zandt Hallettsville Lavaca Hemphill Sabine Honey Grove Fannin Giddings Lee Grandfalls Ward Hallsville Harrison Hempstead Waller Honey Island Hardin Gilchrist Galveston Grandview Johnson Halsell Clay Henderson Rusk Hood Cooke Giles Donley Granger Williamson Halsted Fayette Henkaus Lavaca Hooks Bowie Gillet Karnes Granite Shoals Burnet Haltom City Tarrant Henley Hays Hoover Gray Gilliland Knox Grapeland Houston Hamby Taylor Henrietta Clay Hope Lavaca Gilmer Upshur Grapevine Tarrant Hamilton Hamilton Henry's Chapel Cherokee Hopewell Franklin Ginger Raines Grassland Lynn Hamlin Jones Hereford Deaf Smith Hornsby Bend Travis Girard Kent Grassyville Bastrop Hammond Robertson Hermleigh Scurry Hortense Polk Girvin Pecos Grayback Wilbarger Hamon Gonzales Herty Angelina Houma Harris Givins Lamar Grayburg Hardin Hamshire Jefferson Hester Navarro Houston Harris Glade Tarrant Grays Prairie Kaufman Hankamer Chambers Hewitt Mc Lennan Howard Ellis Gladewater Gregg Graytown Wilson Happy Swisher Hext Menard Howe Grayson Glaze City Gonzales Green Karnes Happy Union Hale Hickory Creek Denton Howellville Harris Glazier Hemphill Green Creek Erath Harbin Erath Hico Hamilton Howland Lamar Glen Cove Coleman Green Lake Calhoun Hardin Liberty Hidalgo Hidalgo Howth Waller Glen Flora Wharton Greenville Hunt Hare Williamson Higginbotham Gaines Hoxie Williamson Glen Rose Somervell Greenwood Wise Hargill Hidalgo Higgins Lipscomb Hubbard Hill Hlendale Trinity Greenwood Hopkins Harker Heights Bell High Lamar Huckabay Erath Glenfawn Rusk Greenwood Midland Harkeyville San Saba High Hill Fayette Hudson Angelina Glenn Dickens Gregory San Patricio Harleton Harrison High Island Galveston Huffines Cass Glidden Colorado Gresham Smith Harlingen Cameron Highbank Falls Huffman Harris Glory Lamar Grey Forest Bexar Harmon Lamar Highland Erath Huffman Harris Gober Fannin Grice Upshur Harper Gillespie Highland Park Dallas Hufsmith Harris Godley Johnson Griffin Cherokee Harpersville Stephens Highland Village Denton Hughes Springs Cass Golden Wood Griffing Park Jefferson Harris Chapel Panola Highlands Harris Hull Liberty Golden Wood Grit Mason Harrison Mc Lennan Hightower Liberty Humble Harris Goldfinch Frio Groesbeck Limestone Harrold Wilbarger Hill Country Village Harris Hungerford Wharton Goldsboro Coleman Groom Carson Hart Castro Hill Crest Brazoria Hunt Kerr Goldsmith Ector Grosvenor Brown Hartburg Newton Hillie Wharton Hunter Comal Goldthwaite Mills Groves Jefferson Hartley Hartley Hillister Tyler Hunters Creek Vill. Harris Goliad Goliad Groveton Trinity Harvey Brazos Hills Prairie Bastrop Huntington Angelina Golindo Mc Lennan Grow King Harwood Gonzales Hillsboro Hill Huntoon Ochiltree Gonzales Gonzales Gruene Comal Haskell Haskell Hillshire Village Harris Huntsville Walker Goodland Bailey Grulla Starr Haslam Shelby Hilltop Lakes Leon Hurlwood Lubbock Goodlett Hardeman Gruver Hansford Haslet Tarrant Hinckley Lamar Hurnville Clay Goodnight Armstrong Guadalupe Victoria Hasse Comanche Hinkles Ferry Brazoria Hurst Tarrant

City-County List (cont.) City County City County City County City County City County Hutchins Dallas Jersey Village Harris Kennedale Tarrant La Isla El Paso Laneville Rusk Hutto Williamson Jewett Leon Kenney Austin La Joya Hidalgo Langtry Val Verde Huxley Shelby Joaquin Shelby Kensing Delta La Marque Galveston Lanier Cass Hye Blanco Johnson City Blanco Kent Culberson La Paloma Cameron Lanley Freestone Hylton Nolan Johnsville Erath Kerens Navarro La Porte Harris Lannius Fannin Iago Wharton Johntown Red River Kermit Winkler La Pryor Zavala Laredo Webb Ibex Shackleford Joinerville Rusk Kerrick Dallam La Reforma Starr Lariat Parmer Ida Grayson Jolly Clay Kerrville Kerr La Salle Jackson Lark Carson Idalou Lubbock Jollyville Williamson Key Dawson La Union Cameron Larkout Kaufman Ike Ellis Jonah Williamson Kildare Cass La Vernia Wilson Larue Henderson Impact Taylor Jones Creek Brazoria Kilgore Rusk La Villa Hidalgo Lasara Willacy Imperial Pecos Jonesboro Coryell Kilgore Gregg La Ward Jackson Lassater Marion Inadale Scurry Jonestown Travis Killeen Bell Lackland Bexar Latch Upshur Independence Washington Jonesville Harrison Kimbro Travis Lackland Afb Bexar Latexo Houston India Ellis Josephine Collin King Coryell Lacy Trinity Latuim Washington Indian Creek Brown Joshua Johnson King City Montgomery Lacy-Lakeview Mc Lennan Laughlin Val Verde Indian Gap Hamilton Jot Em Down Hunt Kings Mill Gray Ladonia Fannin Laurel Newton Industry Austin Jourdanton Atascosa Kingsbury Guadalupe Lafayette Upshur Laureles Cameron Inez Victoria Joy Clay Kingsland Llano Lagarto Live Oak Lavon Collin Ingleside San Patricio Joyce Webb Kingston Hunt Lago Vista Travis Lawn Taylor Ingram Kerr Jud Haskell Kingsville Kleberg Laguna Heights Cameron Lawrence Kaufman Iola Grimes Judson Gregg Kingsville Station Kleberg Laguna Park Bosque Lazare Cottle Iowa Colony Brazoria Juliff Fort Bend Kingwood Harris Laguna Vista Cameron Lazbuddie Parmer Iowa Park Wichita Junction Kimble Kinkler Lavaca Laird Hill Rusk Leaday Coleman Ira Scurry Juno Val Verde Kiomatia Red River Lajitas Brewster League City Galveston Iraan Pecos Justiceburg Garza Kirby Bexar Lake Barbara Brazoria Leakey Real Iredell Bosque Justin Denton Kirbyville Jasper Lake Cisco Eastland Leander Williamson Ireland Coryell Kalgary Crosby Kirkland Childress Lake Creek Delta Leary Bowie Irene Hill Kamay Wichita Kirtley Fayette Lake Dallas Denton Lebanon Collin Ironton Cherokee Kanawha Red River Kirvin Freestone Lake Jackson Brazoria Ledbetter Fayette Irving Dallas Karnack Harrison Kleberg Dallas Lake Leon Eastland Leedale Bell Isla Sabine Karnes City Karnes Klondike Delta Lake Nueces Uvalde Leesburg Camp Italy Ellis Karon Live Oak Knickerbocker Tom Green Lake Placid Guadalupe Leesville Gonzales Itasca Hill Katemcy Mason Knippa Uvalde Lake Victor Burnet Lefors Gray Ivan Stephens Katy Harris Knott Howard Lake Worth Village Tarrant Leggett Polk Ivanhoe Fannin Katy Fort Bend Knox City Knox Lakeport Gregg Leigh Harrison Izoro Lampasas Kaufman Kaufman Koerth Lavaca Lakeside Archer Lela Wheeler Ja Ranch Armstrong Keechi Leon Kokomo Eastland Lakeside Tarrant Lelia Lake Donley Jacinto City Harris Keene Johnson Kopperl Bosque Lakeside Village Bosque Leming Atascosa Jacksboro Jack Keller Tarrant Kosciusko Wilson Laketon Gray Lenorah Martin Jacksonville Cherokee Kellerville Wheeler Kosse Limestone Lakeview Floyd Lenz Karnes Jacobia Hunt Kelsey Upshur Kountze Hardin Lakeview Jefferson Leo Cooke Jamaica Beach Galveston Kelton Wheeler Kress Swisher Lakeview Hall Leon Junction Coryell Jamestown Newton Keltys Angelina Krum Denton Lakland Van Zandt Leon Springs Bexar Jamestown Smith Kemah Galveston Kurten Brazos Lamar Aransas Leon Valley Bexar Jardin Hunt Kemp Kaufman Kyle Hays Lamasco Fannin Leona Leon Jarrell Williamson Kemp City Wichita Kyote Atascosa Lamesa Dawson Leonard Fannin Jasper Jasper Kemper City Victoria La Blanca Hidalgo Lamkin Comanche Leroy Mc Lennan Jayton Kent Kempner Lampasas La Coste Medina Lampasas Lampasas Lesley Hall Jean Young Kendalia Kendall La Feria Cameron Lancaster Dallas Levelland Hockley Jeddo Bastrop Kendleton Fort Bend La Gloria Starr Landrum Station Cameron Levi Mc Lennan Jefferson Marion Kenedy Karnes La Grange Fayette Lane City Wharton Levita Coryell Jermyn Jack Kennard Houston La Grulla Starr Laneport Williamson Lewisville Denton

City-County List (cont.) City County City County City County City County City County Lexington Lee Lorena Mc Lennan Manor Travis Mccoy Atascosa Miller Grove Hopkins Liberty Liberty Lorens Mc Lennan Mansfield Tarrant Mcdade Bastrop Millersview Concho Liberty Hill Williamson Lorenzo Crosby Manvel Brazoria Mcfaddin Victoria Millett La Salle Lillian Johnson Los Angeles La Salle Maple Bailey Mcgregor Mc Lennan Millheim Austin Lincoln Lee Los Barreras Starr Marathon Brewster Mckinney Collin Millican Brazos Lincoln Park Denton Los Ebanos Hidalgo Marble Falls Burnet Mclean Gray Millsap Parker Lindale Smith Los Fresnos Cameron Marfa Presidio Mcleod Cass Milton Lamar Linden Cass Los Indios Cameron Margaret Foard Mcneil Travis Minden Rusk Lindenau Dewitt Los Saenz Starr Marietta Cass Mcqueeny Guadalupe Mineola Wood Lindsay Cooke Losoya Bexar Maringovin Travis Meadow Terry Mineral Bee Lingleville Erath Lott Falls Marion Guadalupe Meadow Grove Bell Mineral Wells Palo Pinto Linn Hidalgo Lotta Harrison Markham Matagorda Medicine Mound Hardeman Minerva Milam Linwood Cherokee Louise Wharton Markley Young Medill Lamar Mingus Palo Pinto Lipan Hood Lovelady Houston Marlin Falls Medina Bandera Minter Lamar Lipscomb Lipscomb Loving Young Marquez Leon Medina Lake Medina Mirando City Webb Lissie Wharton Lowake Concho Marshall Harrison Meeks Bell Mission Hidalgo Littig Travis Loyal Valley Mason Marston Polk Megargel Archer Mission Valley Victoria Little Elm Denton Lozano Cameron Mart Mc Lennan Melissa Collin Missouri Fort Bend Little New York Gonzales Lubbock Lubbock Martin Springs Hopkins Melrose Nacogdoches Missouri City Fort Bend Little River Bell Lucas Collin Martindale Caldwell Melvin Mc Culloch Mitchell Eastland Littlefield Lamb Luckenbach Gillespie Martins Mill Van Zandt Memphis Hall Mixon Cherokee Live Oak Bexar Lueders Jones Martinsville Nacogdoches Menard Menard Mobeetie Wheeler Liverpool Brazoria Lufkin Angelina Maryetta Jack Mendoza Caldwell Moffatt Bell Livingston Polk Luling Caldwell Maryneal Nolan Menlow Hill Moistown Cameron Llano Llano Lumberton Hardin Mason Mason Mentone Loving Moline Lampasas Lobo Culberson Lund Travis Masterson Moore Mercedes Hidalgo Monahans Ward Locker San Saba Lutie Collingsworth Matador Motley Mercury Mc Culloch Monkstown Fannin Lockett Wilbarger Lutner Howard Matagorda Matagorda Mereta Tom Green Monroe Rusk Lockhart Caldwell Lydia Red River Mathis San Patricio Meridian Bosque Monroe City Chambers Lockney Floyd Lyford Willacy Matsfield Milam Merit Hunt Monsville Waller Lodi Marion Lynchburg Harris Maud Bowie Merkel Taylor Mont Lavaca Lohn Mc Culloch Lyons Burleson Mauriceville Orange Merriam Eastland Mont Belvieu Chambers Lois Cooke Lytle Atascosa Maverick Runnels Mertens Hill Montague Montague Lolia Jackson Lytton Springs Caldwell Maxey Lamar Mertzon Irion Montalba Anderson Lolita Jackson Mabank Kaufman Maxwell Caldwell Mesa El Paso Monte Alto Hidalgo Loma Alta Val Verde Mabell Baylor May Brown Mesquite Dallas Montecello Titus Lomax Harris Macdona Bexar Maydelle Cherokee Mexia Limestone Montell Uvalde Lometa La Salle Macune San Augustine Mayfair Park Fort Bend Meyersville Dewitt Montgomery Montgomery London Kimble Madera Springs Jeff Davis Mayflower Newton Miami Roberts Monthalia Gonzales Lone Camp Palo Pinto Madisonville Madison Mayhill Denton Mico Medina Moody Mc Lennan Lone Cedar Ellis Magnet Wharton Maypearl Ellis Middle Water Hartley Moore Frio Lone Elm Ellis Magnolia Montgomery Maysfield Milam Middleton Leon Moore's Crossing Travis Lone Grove Llano Magnolia Springs Jasper Mc Clanahan Falls Midfield Matagorda Mooreville Falls Lone Oak Hunt Mahomet Burnet Mc Cook Hidalgo Midkiff Upton Mooring Brazos Lone Star Morris Malakoff Henderson Mc Coy-Floyd Kaufman Midland Midland Morales Jackson Long Branch Panola Malone Hill Mc Lendon-Chisolm Rockwall Midlothian Ellis Moran Shackelford Long Mott Calhoun Malta Bowie Mc Mahan Caldwell Midway Madison Moravia Lavaca Longpoint Washington Mambrino Hood Mc Nair Harris Milam Sabine Morgan Bosque Longview Gregg Manchaca Travis Mc Nary Hudspeth Milano Milam Morgan Mill Erath Longworth Fisher Manchester Red River Mcadoo Dickens Mildred Navarro Morgan's Point Harris Loop Gaines Mangum Eastland Mcallen Hidalgo Miles Runnels Morrill Cherokee Lopeno Zapata Mankins Archer Mccamey Upton Milford Ellis Morse Hansford Loraine Mitchell Mannheim Lee Mccaulley Fisher Mill Creek Washington Morton Cochran

City-County List (cont.) City County City County City County City County City County Morton Valley Eastland Nederland Jefferson Nolanville Bell Old Salem Newton Panola Panola Moscow Polk Needmore Bailey Nome Jefferson Olden Eastland Pantego Tarrant Mosheim Bosque Needville Fort Bend Noodle Jones Oldenburg Fayette Pantex Carson Moss Bluff Liberty Negley Red River Noonday Smith Olin Hamilton Papalote Bee Moss Hill Liberty Neinda Jones Nopal Dewitt Olivia Calhoun Paradise Wise Moulton Lavaca Nelsonville Austin Nordheim Dewitt Olmito Cameron Paradise Wise Mound Coryell Nelta Hopkins Norman Williamson Olmos Park Bexar Paris Lamar Mount Bethel Panola Nemo Somervell Normandy Maverick Olney Young Park Fayette Mount Calm Hill Nesbitt Harrison Normangee Leon Olton Lamb Park Community Navarro Mount Enterprise Rusk Neuville Shelby Normanna Bee Omaha Morris Parker Johnson Mount Pleasant Titus Nevada Collin Norse Bosque Omen Smith Parker Collin Mount Selman Cherokee New Baden Robertson North Cleveland Liberty Onalaska Polk Parnell Hall Mount Sylvan Smith New Berlin Guadalupe North Cowden Ector Oplin Callahan Parsley Hill Wilbarger Mount Vernon Franklin New Boston Bowie North Houston Harris Orange Orange Particia Dawson Mountain Comm. Coryell New Braunfels Comal North Zulch Madison Orange Grove Jim Wells Parvin Denton Mountain Home Kerr New Caney Montgomery Norton Runnels Orangefield Orange Pasadena Harris Mountain Peak Ellis New Chapel Hill Smith Notrees Ector Orangeville Fannin Patilo Erath Mountain Top Eastland New Deal Lubbock Novice Coleman Orchard Fort Bend Patroon Shelby Muellersville Washington New Home Lynn Novohrad Lavaca Ore City Upshur Pattison Waller Muenster Cooke New Hope Freestone Noxville Kimble Orient Tom Green Patton Village Montgomery Mulberry Fannin New Hope Jones Nugent Jones Orla Reeves Pattonville Lamar Muldoon Fayette New London Rusk Nursery Victoria Osage Coryell Pavala Fisher Muleshoe Bailey New Lynn Lynn O'brien Haskell Oscar Bell Pawelekville Karnes Mullin Mills New Salem Rusk O'donnell Lynn Osceola Hill Pawnee Bee Mumford Robertson New Summerfield Cherokee O'farrell Cass Otey Brazoria Paxton Shelby Munday Knox New Sweden Travis O'quinn Fayette Otis Chalk Howard Peacock Stonewall Mungerville Dawson New Ulm Austin Oak Forest Gonzales Ottine Gonzales Pear Ridge Jefferson Munson Rockwall New Waverly Walker Oak Grove Bowie Otto Falls Pear Valley Mc Culloch Murchison Henderson New Wehdem Austin Oak Grove Wood Ovalo Taylor Pearl Coryell Muriel Tarrant New Willard Polk Oak Hill Travis Overton Rusk Pearland Brazoria Murphy Collin Newark Wise Oak Hill Rusk Ovilla Ellis Pearsall Frio Murray Young Newburg Comanche Oak Ridge Fannin Owens Crosby Peaster Parker Murvaul Panola Newby Leon Oak Ridge Kaufman Oxford Llano Pecan Gap Delta Mykawa Harris Newcastle Young Oakalla Burnet Oyster Creek Brazoria Pecos Reeves Myra Cooke Newgulf Wharton Oakhurst San Jacinto Ozona Crockett Peden Tarrant Myrtle Springs Van Zandt Newlin Hall Oaklake Mc Lennan Padgitt Young Peggy Atascosa Nacogdoches Nacogdoches Newman El Paso Oakland Colorado Paducah Cottle Pelham Navarro Nada Colorado Newport Clay Oakville Live Oak Paige Bastrop Pendleton Bell Naples Morris Newsome Camp Oakwood Leon Paint Rock Concho Penelope Hill Naruna Burnet Newton Newton Ocee Mc Lennan Palacios Matagorda Penitas Hidalgo Nash Ellis Neylandville Hunt Odell Wilbarger Palava Fisher Pennington Trinity Nash Bowie Nickel Creek Culberson Odem San Patricio Palestine Anderson Penwell Ector Nassau Bay Harris Niederwald Hays Odessa Ector Palito Blanco Jim Wells Peoria Hill Nat Nacogdoches Nigton Trinity Oensville Bell Palmer Ellis Pep Hockley Natalia Medina Nimrod Eastland Ogden Comal Palmhurst Hidalgo Percilla Houston Navarro Navarro Nineveh Leon Oglesby Coryell Palo Pinto Palo Pinto Perrin Grayson Navarro Mills Navarro Nixon Gonzales Oilton Webb Paloduro Armstrong Perrin Jack Navasota Grimes Noack Williamson Oklahoma Lane Parmer Paluxy Hood Perry Falls Navo Denton Nobility Fannin Oklaunion Wilbarger Pampa Gray Perryton Ochiltree Nazareth Castro Noble Lamar Ola Kaufman Pandale Val Verde Perryville Wood Necessity Stephens Nocona Montague Old Center Panola Pandora Wilson Peter's Prairie Red River Nechanitz Fayette Nogalus Trinity Old Glory Stonewall Panhandle Carson Peters Austin Neches Anderson Nolan Nolan Old Ocean Brazoria Panna Maria Karnes Petersburg Hale

City-County List (cont.) City County City County City County City County City County Petroleum Jim Hogg Point Enterprise Limestone Pueblo Eastland Red Oak Ellis Roans Navarro Petrolia Clay Pointblank San Jacinto Puerto Rico Hidalgo Red Ranger Bell Roans Prairie Grimes Petteway Robertson Polar Kent Pullman Potter Red Rock Bastrop Roaring Springs Motley Pettit Hockley Pollok Angelina Pumpville Val Verde Red Rock Bastrop Robert Lee Coke Pettus Bee Ponder Denton Punkin Center Eastland Red Sands El Paso Robertson Crosby Petty Lamar Ponta Cherokee Purdon Navarro Red Springs Baylor Robinson Mc Lennan Petty Lynn Pontotoc Mason Purley Franklin Redford Presidio Robstown Nueces Petty's Chapel Navarro Poolville Parker Purmela Coryell Redwater Bowie Roby Fisher Pflugerville Travis Port Acres Jefferson Pursley Navarro Redwood Guadalupe Rochelle Mc Culloch Phalba Van Zandt Port Aransas Nueces Purves Erath Reese Cherokee Rochester Haskell Pharr Hidalgo Port Arthur Jefferson Putnam Callahan Reese Village Lubbock Rock Creek Somervell Phelps Walker Port Bolivar Galveston Pyote Ward Refugio Refugio Rock Creek Mc Lennan Phillips Hutchinson Port Isabel Cameron Quail Collingsworth Regency Mills Rock Hill Wood Phillipsburg Washington Port Lavaca Calhoun Quanah Hardeman Reilly Springs Hopkins Rock Island Colorado Pickton Hopkins Port Mansfield Willacy Quarterway Hale Reklaw Rusk Rockdale Milam Pidcoke Coryell Port Neches Jefferson Queen City Cass Rendon Tarrant Rockett Ellis Piedmont Grimes Port O'connor Calhoun Quemado Maverick Renner Collin Rockhill Collin Pierce Wharton Porter Montgomery Quihi Medina Reno Lamar Rockland Tyler Pike Collin Porter Springs Houston Quinlan Hunt Reno Parker Rockne Bastrop Pilgrim Gonzales Portland San Patricio Quintana Brazoria Retreat Navarro Rockport Aransas Pilgrim Rest Raines Posey Lubbock Quitaque Briscoe Rhea Parmer Rocksprings Edwards Pilot Point Denton Post Garza Quitman Wood Rhea Mills Collin Rockwall Rockwall Pilotgrove Grayson Postoak Jack Rabbs Prairie Fayette Rhineland Knox Rockwood Coleman Pine Camp Poteet Atascosa Rachal Brooks Rhome Wise Rocky Branch Morris Pine Forest Hopkins Poth Wilson Radium Jones Rhome Wise Roganville Jasper Pine Forest Orange Potosi Taylor Ragtown Lamar Rhonesboro Upshur Rogers Bell Pine Grove Newton Pottsboro Grayson Rainbow Somervell Ricardo Kleberg Rollingwood Travis Pine Mills Wood Pottsville Hamilton Raisin-Colettoville Victoria Rice Navarro Roma Starr Pine Springs Culberson Powderly Lamar Ralls Crosby Rices Crossing Williamson Romayor Liberty Pinehill Rusk Powell Navarro Ramirez Duval Richards Grimes Romero Hartley Pinehurst Montgomery Poynor Henderson Randado Jim Hogg Richardson Dallas Romney Eastland Pineland Sabine Praesel Milam Randolph Fannin Richland Navarro Roosevelt Kimble Piney Point Village Harris Praha Fayette Ranger Eastland Richland Hills Tarrant Ropesville Hockley Pioneer Eastland Prairie Dell Bell Rangerville Cameron Richland Springs San Saba Rosanky Bastrop Pipe Creek Bandera Prairie Hill Limestone Rankin Ellis Richmond Fort Bend Roscoe Nolan Pittsburg Camp Prairie Lea Caldwell Rankin Upton Richwood Brazoria Rose Hill Acres Hardin Placedo Victoria Prairie Point Cooke Ransom Canyon Lubbock Ridge Robertson Rosebud Falls Placid Mc Culloch Prairie View Waller Ratcliff Houston Ridgeway Hopkins Rosenberg Fort Bend Plains Yoakum Prairieville Kaufman Ratibor Bell Riesel Mc Lennan Rosenthal Mc Lennan Plainview Hale Premont Jim Wells Ravenna Fannin Ringgold Montague Rosevine Sabine Plank Hardin Presidio Presidio Ray Point Live Oak Rio Frio Real Rosewood Upshur Plano Collin Price Rusk Rayburn Liberty Rio Grande City Starr Rosharon Brazoria Plantersville Grimes Priddy Mills Rayland Foard Rio Hondo Cameron Rosita Starr Plaska Hall Primera Cameron Raymondville Willacy Rio Vista Johnson Ross Mc Lennan Plateau Culberson Primrose Van Zandt Raywood Liberty Riomedina Medina Ross City Howard Pleasant Grove Falls Princeton Collin Razor Lamar Rios Duval Rosser Kaufman Pleasant Hill Eastland Pringle Hutchinson Reagan Falls Rising Star Eastland Rosston Cooke Pleasant Valley Wichita Pritchett Upshur Reagan Wells Uvalde Rita Burleson Rossville Atascosa Pleasanton Atascosa Proctor Comanche Reagor Springs Ellis River Oaks Tarrant Rotan Fisher Pledger Matagorda Progreso Hidalgo Realitos Duval Riverby Fannin Round Mountain Blanco Plum Fayette Progress Bailey Red Bluff Reeves Riverside Walker Round Prairie Navarro Point Raines Prosper Collin Red Cut Heights Bowie Riviera Kleberg Round Rock Williamson Point Comfort Calhoun Providence Angelina Red Hill Cass Roanoke Denton Round Timber Baylor

City-County List (cont.) City County City County City County City County City County Round Top Fayette San Isidro Starr Scurry Kaufman Shive Hamilton South Sulphur Hunt Roundup Hockley San Jacinto Mon. Harris Scyene Dallas Shoreacres Harris South Texarkana Bowie Rowden Callahan San Juan Hidalgo Seabrook Harris Sidney Comanche Southlake Denton Rowena Runnels San Leanna Village Travis Seadrift Calhoun Sierra Blanca Hudspeth Southland Garza Rowlett Dallas San Leon Galveston Seagoville Dallas Siloam Bowie Southmayd Grayson Roxton Lamar San Marcos Hays Seagraves Gaines Silsbee Hardin Southside Place Harris Royalty Ward San Patricio San Patricio Seale Robertson Silver Coke Southton Bexar Royse City Rockwall San Pedro Zapata Sealy Austin Silver Lake Van Zandt Spade Lamb Royston Fisher San Perlita Willacy Seaton Bell Silver Valley Coleman Spanish Fort Montague Rucker's Bridge Lamar San Saba San Saba Sebastian Willacy Silverton Briscoe Sparenberg Dawson Rugby Red River San Ygnacio Zapata Sebastopol Trinity Simmons Live Oak Sparks Bell Ruidosa Presidio Sanatorium Tom Green Security Montgomery Simms Bowie Speaks Lavaca Rule Haskell Sanco Coke Sedalia Collin Simonton Fort Bend Spearman Hansford Runge Karnes Sand Dawson Segno Polk Singleton Grimes Speegleville Mc Lennan Rural Shade Navarro Sand Springs Howard Segovia Kimble Sinton San Patricio Spicewood Burnet Rusk Cherokee Sanderson Terrell Seguin Guadalupe Sipe Springs Comanche Splendora Montgomery Russell Leon Sandia Jim Wells Selden Erath Sisterdale Kendall Spofford Kinney Rutersville Fayette Sandoval Williamson Selfa Fannin Sivells Bend Cooke Spooner Orange Rye Liberty Sandy Blanco Selma Bexar Skellytown Carson Spraberry Midland Sabana Eastland Sandy Harbor Llano Selman City Rusk Skidmore Bee Spring Harris Sabinal Uvalde Sandy Hill Washington Seminole Gaines Slaton Lubbock Spring Branch Comal Sabine Jefferson Sandy Point Brazoria Serbin Lee Slayden Gonzales Spring Hill Navarro Sabine Gregg Sanford Hutchinson Seth Ward Hale Slide Lubbock Spring Hill Guadalupe Sabine Pass Jefferson Sanger Denton Seven Points Henderson Slidell Wise Spring Valley Harris Sachse Dallas Sansom Park Village Tarrant Seven Sisters Duval Slocum Anderson Springdale Cass Sacul Nacogdoches Santa Anna Starr Sexton Sabine Smetana Brazos Springfield Anderson Sadler Grayson Santa Anna Coleman Seymour Baylor Smiley Gonzales Springlake Lamb Sagerton Haskell Santa Catarina Starr Shackleford Shackleford Smith Oak Grayson Springtown Parker Saginaw Tarrant Santa Elena Starr Shady Grove Cherokee Smithfield Tarrant Spur Dickens Saint Francis Potter Santa Fe Galveston Shady Shores Denton Smithland Marion Spurger Tyler Saint Hedwig Bexar Santa Maria Cameron Shafter Presidio Smithson Valley Comal Stacy Mc Culloch Saint Jo Montague Santa Rosa Cameron Shallowater Lubbock Smithville Bastrop Staff Eastland Saint Paul San Patricio Santo Palo Pinto Shamrock Wheeler Smyer Hockley Stafford Fort Bend Salado Bell Saragosa Reeves Shamrock Wheeler Snipe Brazoria Stairtown Caldwell Salem Victoria Saraita Kenedy Shannon Clay Snook Burleson Stamford Jones Salesville Palo Pinto Saratoga Hardin Sharp Milam Snow Hill Collin Stampede Bell Salieno Starr Saratoga Hardin Shavano Park Bexar Snyder Scurry Stanfield Clay Salmon Anderson Saspamco Wilson Sheffield Pecos Socorro El Paso Stanton Martin Salt Flat Hudspeth Satin Falls Shelby Austin Sodvill San Patricio Staples Guadalupe Salt Gap Mc Culloch Sattler Comal Shelbyville Shelby Solms Comal Star Mills Saltillo Hopkins Saturn Gonzales Sheldon Harris Somerset Bexar Star Harbor Henderson Samfordyce Hidalgo Savoy Fannin Shell Camp Gregg Somerville Burleson Starrville Smith Samnorwood Collingsworth Scharbauer City Ector Shep Taylor Somerville Gonzales Startzville Comal Sample Gonzales Schattel Frio Shepherd San Jacinto Sonoma Ellis State Line Culberson San Angelo Tom Green Schertz Guadalupe Sheridan Colorado Sonora Sutton Steiner Bosque San Antonio Bexar Schroeder Goliad Sherman Grayson Sour Lake Hardin Stephens Creek San Jacinto San Augustine San Augustine Schulenburg Fayette Shertz Bexar South Bend Young Stephenville Erath San Benito Cameron Schumannsville Guadalupe Sherwood Irion South Bosque Mc Lennan Sterley Floyd San Carlos Hidalgo Schwertner Williamson Shield Coleman South Camp King Sterling City Sterling San Diego Duval Scotland Archer Shiloh Limestone South Groveton Trinity Sterrett Ellis San Elizario El Paso Scottsville Harrison Shiloh Denton South Houston Harris Stewards Mill Freestone San Felipe Austin Scranton Eastland Shiner Lavaca South Plains Floyd Stiles Reagan San Gabriel Milam Scroggins Franklin Shiro Grimes South San Pedro Nueces Stinnett Hutchinson

City-County List (cont.) City County City County City County City County City County Stith Jones Tabor Brazos Thorndale Milam Turney Cherokee Victoria Victoria Stockdale Wilson Taft San Patricio Thornton Limestone Turtle Bayou Chambers Vidauri Refugio Stockholm Hidalgo Taft Southwest San Patricio Thorntonville Ward Tuscola Taylor Vidor Orange Stone Point Van Zandt Tahoka Lynn Thorp Spring Hood Tuxedo Jones Vienna Lavaca Stoneburg Montague Taiton Wharton Thrall Williamson Twichell Ochiltree View Taylor Stoneham Grimes Talco Titus Three Rivers Live Oak Twin Sisters Blanco Vigo Park Swisher Stonewall Gillespie Tally Kaufman Throckmorton Throckmorton Twitty Wheeler Village Mills Hardin Stony Denton Talpa Coleman Thurber Erath Tye Taylor Vincent Howard Stout Wood Tanglewood Lee Tilden Mc Mullen Tyler Smith Vineyard Jack Stowell Chambers Tankersley Tom Green Tilmon Caldwell Tynan Bee Vinton El Paso Stranger Falls Tarpley Bandera Time Sabine Type Williamson Violet Nueces Stratford Sherman Tarzan Martin Timpson Shelby Uhland Hays Voca Mc Culloch Straton Dewitt Tascosa Oldham Tioga Grayson Umbarger Randall Von Ormy Bexar Strawn Palo Pinto Tatum Rusk Tira Hopkins Uncertain Harrison Voss Coleman Streeter Mason Tatum Panola Tivoli Refugio Union Terry Votaw Hardin Streetman Freestone Tavener Fort Bend Tokio Terry Union Wilson Waco Mc Lennan String Prairie Bastrop Taylor Williamson Tolar Hood Union Grove Erath Wadsworth Matagorda Structure Williamson Taylor Lake Village Harris Tolbert Wilbarger Union Valley Hunt Waelder Gonzales Study Butte Brewster Taylor Town Lamar Tolosa Kaufman Universal City Bexar Waka Ochiltree Sublime Lavaca Teague Freestone Tom Bean Grayson University Park Dallas Wake Crosby Sudan Lamb Tehuacana Limestone Tomball Harris Upton Bastrop Wake Village Bowie Sugar Land Fort Bend Telegraph Kimble Tool Henderson Urbana San Jacinto Walburg Williamson Sullivan City Hidalgo Telephone Fannin Topsey Coryell Utley Bastrop Waldeck Fayette Sulphur Bluff Hopkins Telferner Victoria Tornillo El Paso Utopia Uvalde Walhalls Fayette Sulphur Springs Hopkins Telico Ellis Tours Mc Lennan Uvalde Uvalde Wall Tom Green Summerfield Castro Tell Childress Tow Llano Val Alstyne Grayson Waller Waller Summerfield Cherokee Temple Bell Town Bluff Tyler Valdasta Collin Wallis Austin Sumner Lamar Tenaha Shelby Toyah Reeves Valentine Jeff Davis Wallisville Chambers Sun Oil Camp Starr Tennerville Gregg Toyahvale Reeves Valera Coleman Walnut Springs Bosque Sundown Hockley Tennessee Colony Anderson Travis Falls Valley Mills Bosque Walton Van Zandt Suniland Live Oak Tennyson Coke Trawick Nacogdoches Valley Spring Llano Wamba Bowie Sunny Side Waller Terlingua Brewster Trent Taylor Valley View Cooke Warda Fayette Sunnyside Castro Terminal Midland Trenton Fannin Valley View Cottle Waring Kendall Sunnyvale Dallas Terrell Kaufman Trickham Coleman Valley Wells Dimmit Warren Tyler Sunray Moore Terrell Hills Bexar Trimmier Bell Van Van Zandt Warren City Upshur Sunrise Falls Terryville Dewitt Trinidad Henderson Van Horn Culberson Warrenton Fayette Sunrise Beach Llano Texarkana Bowie Trinity Trinity Van Vleck Matagorda Warsaw Kaufman Sunset Montague Texas City Galveston Troup Smith Vance Real Washburn Armstrong Sunset Valley Travis Texhoma Sherman Troy Bell Vancourt Tom Green Washington Washington Surfside Brazoria Texline Dallam Truby Jones Vanderbilt Jackson Waskom Harrison Sutherland Springs Wilson Texon Reagan Trumbull Ellis Vanderpool Bandera Wastella Nolan Swamp City Gregg Thalia Foard Truscott Knox Vandyke Comanche Watauga Tarrant Swan Smith The Colony Denton Tucker Anderson Vashti Clay Water Valley Tom Green Sweeny Brazoria The Grove Coryell Tuleta Bee Vaughan Hill Waterloo Williamson Sweet Home Lavaca The Woodlands Montgomery Tulia Swisher Vealmoor Howard Waverly San Jacinto Sweet Union Cherokee Thedford Smith Tulsia Bee Vega Oldham Waxahachie Ellis Sweetwater Nolan Theon Williamson Tundra Van Zandt Venus Johnson Wayland Stephens Swenson Stonewall Thicket Hardin Tunis Burleson Vera Knox Wayside Armstrong Swift Nacogdoches Thomas Upshur Turkey Hall Veribest Tom Green Weatherford Parker Swiss Alp Fayette Thomaston Dewitt Turlington Freestone Vernon Wilbarger Weaver Hopkins Sylvan Lamar Thompsons Fort Bend Turnersville Travis Viboras Starr Webb Webb Sylvester Trinity Thompsonville Gonzales Turnersville Coryell Vick Concho Webb Tarrant Sylvester Fisher Thornberry Clay Turnertown Rusk Victoria Limestone Webberville Travis

City-County List (cont.) City County City County City County City County City County Webbville Coleman Whitesboro Grayson Wood Hill Victoria Webster Harris Whitewright Grayson Woodbins Cooke Weches Houston Whitharral Hockley Woodbranch Montgomery Weesatche Goliad Whitman Washington Woodbury Hill Weimar Colorado Whitney Hill Woodlake Grayson Weinert Haskell Whitsett Live Oak Woodlake Trinity Weir Williamson Whitson Coryell Woodland Red River Welch Dawson Whitt Parker Woodland Hills Dallas Welcome Austin Whittenburg Hutchinson Woodlands Montgomery Weldon Houston Whon Coleman Woodlawn Harrison Welfare Kendall Wichita Falls Wichita Woodrow Lubbock Wellborn Brazos Wickett Ward Woods Panola Wellington Collingsworth Wied Lavaca Woodsboro Refugio Wellman Terry Wier Williamson Woodson Throckmorton Wells Cherokee Wiergate Newton Woodville Tyler Wentworth Van Zandt Wiggins Mc Lennan Woodward La Salle Weser Goliad Wilcox Burleson Woodway Mc Lennan Weslaco Hidalgo Wilderville Falls Woosley Raines Wesley Washington Wildhorse Culberson Wortham Freestone West Mc Lennan Wildorado Oldham Worthing Lavaca West Camp Bailey Wilkinson Titus Wright City Smith West Columbia Brazoria William Penn Washington Wrightsboro Gonzales West Field Harris Williamson Settlement Orange Wylie Collin West Lake Hills Travis Willis Montgomery Yancey Medina West Mountain Upshur Willow City Gillespie Yantis Wood West Orange Orange Willow Grove Mc Lennan Yard Anderson West Point Fayette Willow Park Parker Yellowpine Sabine West Tawakoni Hunt Wills Point Van Zandt Yoakum Lavaca West University Pla. Harris Wilmer Dallas Yorktown Dewitt Westbrook Mitchell Wilson Lynn Young Freestone Westhoff Dewitt Wimberley Hays Youngsport Bell Westlake Denton Winchester Fayette Ysleta El Paso Westminster Collin Windcrest Bexar Zabcikville Zapata Weston Collin Windom Fannin Zapata Zapata Westover Baylor Windthorst Archer Zavalla Angelina Westover Hills Tarrant Winfield Titus Zephyr Brown Westphalia Falls Winfree Chambers Zippville Guadalupe Westworth Village Tarrant Wingate Runnels Zorn Guadalupe Wetmore Bexar Wink Winkler Zuehl Guadalupe Wharton Wharton Winkler Freestone Wheeler Wheeler Winnie Chambers Wheelock Robertson Winnsboro Wood White City San Augustine Winona Smith White City Wilbarger Winter Haven Dimmit White Deer Carson Winters Runnels White Hall Bell Wise Van Zandt White Oak Gregg Witting Lavaca White Rock Hunt Wizard Wells Jack White Rock Red River Woden Nacogdoches White Settlement Tarrant Wolfe City Hunt Whiteface Cochran Wolfforth Lubbock Whiteflat Motley Womack Bosque Whitehouse Smith Wood Hi Victoria

APPENDIX E

GLASGOW COMA SCORE

ADULT CHILD INFANT SCORE 1) Eye Opening Spontaneous Spontaneous Spontaneous 4 Voice Verbal Stimuli Verbal Stimuli 3 Pain Pain Pain 2 None No Response No Response 1 2) Verbal Response Oriented Oriented Coos, Babbles 5 Confused Confused Irritable Cries 4 Inappropriate Words Inappropriate Cries Cries to Pain 3 Incomprehensible Sounds Incomprehensible Words Moans to Pain 2 None No Response No Response 1 3) Motor Response Obeys Commands Obeys commands Moves Spontaneously 6 Localizes Pain Localizes Painful Stimulus Withdraws to Touch 5 Withdraws (pain) Withdraws in Response to Withdraws in Response to 4 Pain Pain Flexion (pain) Flexion in response to pain Decorticate posturing in 3 response to pain Extension (pain) Extension in response to pain Decerebrate posturing in 2 response to pain None No Response No Response 1 Total 1+2+3= 3-15

APPENDIX F

DIAGNOSIS 1-5 (ICD-9-CM) CODING SCHEME

Definitions: SCI - Spinal Cord Injury as defined by the following ICD-9-CM codes: 806.0-806.9 and 952.0-952.9

TBI - Traumatic Brain Injury as defined by the following ICD-9-CM codes: 800.0-801.99, 803.0-804.99 and 850.0-854.19

For all tying AIS scores: - If AIS scores are tied for TBIs or SCIs, use first listed (order entered into software) injury to report to registry - If AIS scores are tied (no TBI or SCI), use first listed (order entered into software) injury to report to trauma registry

For DX1-DX5 1. If there are no TBIs or SCIs, code the five most severe injuries according to the AIS.

Example:

If the patient has these injuries entered in your registry in this order, send the Trauma Registry the marked codes (DX1-DX5)

ICD9 Injury AIS DX1 807.6 Fracture 4 ribs 3 DX2 820.09 Fracture Neck of Femur 3 DX5 802.0 Fracture Nose 1 DX4 949.1 Burn, 1st Degree 2 826.0 Fracture Toe 1 DX3 864.09 Injury to Liver 3

2. If there is a TBI and no SCI: a) code the five most severe injuries according to the AIS if the TBI is included in those injuries, or b) code the four most severe injuries according to the AIS and include the most severe TBI as the 5th injury

Example for part b:

If the patient has these injuries entered in your registry in this order, send the Trauma Registry the marked codes (DX1-DX5)

ICD9 Injury AIS DX1 807.6 Fracture 4 ribs 3 DX2 820.09 Fracture Neck of Femur 3 DX3 861.22 Injury to Lung 3 949.1 Burn, 1st Degree 2 DX4 887.0 Amputation of Arm 3 864.09 Injury to Liver 3 DX5 800.02 Fracture of Skull 2

3. If there is an SCI and no TBI: a) code the five most severe injuries according to the AIS if the SCI is included in those injuries, or b) code the four most severe injuries according to the AIS and include the most severe SCI as the 5th injury

Example for part b:

If the patient has these injuries entered in your registry in this order, send the Trauma Registry the marked codes (DX1-DX5)

ICD9 Injury AIS DX1 807.6 Fracture 4 ribs 3 DX2 820.09 Fracture Neck of Femur 3 816.00 Fracture Finger 1 DX4 949.1 Burn, 1st Degree 2 802.8 Fracture Facial Bones 2 DX3 864.09 Injury to Liver 3 DX5 806.20 Fracture of Spine 2

4. If there is a TBI and an SCI: a) code the five most severe injuries according to the AIS if the TBI and SCI are included in those injuries, or b) code the three most severe injuries according to the AIS and include the most severe TBI as the 4th injury and the most severe SCI as the 5th injury

Example for part b:

If the patient has these injuries entered in your registry in this order, send the Trauma Registry the marked codes (DX1-DX5)

ICD9 Injury AIS DX1 807.6 Fracture 4 ribs 3 DX2 820.09 Fracture Neck of Femur 3 802.0 Fracture Nose 1 949.1 Burn, 1st Degree 2 826.0 Fracture Toe 1 DX3 864.09 Injury to Liver 3 DX4 800.02 Fracture of Skull 2 DX5 806.20 Fracture of Spine 2

APPENDIX G

GLOSSARY

AIS - The Abbreviated Injury Scale (1990 Revision) is available from the Association for the Advancement of Automotive Medicine (voice: 847–390–8927) (fax: 847-390-9962) (email: [email protected]) (website: www.carcrash.org)

Conditional Field - The completion of this field is dependent upon the completion of a certain value for another field. For example, the alcohol level of a patient should be reported only if an alcohol test was administered on patient.

ICD-9-CM - International Classification of Diseases 9th Revision Clinical Modification

Optional Field - The completion of this field is optional.

Required Field - The completion of this field is required.

SCI - Spinal Cord Injury as defined by the following ICD-9-CM codes: 806.0 – 806.9 and 952.0-952.9

TBI - Traumatic Brain Injury as defined by the following ICD-9-CM codes: 800.0-801.9, 803.0-804.9 and 850.0-854.1.

Texas Trauma Registry - A statewide database which documents and integrates medical and system information related to the provision of trauma care by health care entities.

Trauma - An injury or wornd to a living body caused by the application of an external force or violence, including burn injuries. Poisonings, near-drownings and suffocations, other than those due to external forces are to be excluded from this definition.

APPENDIX H

DATA FILE CREATION AND TRANSFER SPECIFICATIONS

There is no single software package being promoted by the Texas Trauma Registry for use by Texas hospitals to fulfill their trauma reporting requirements. Hospitals may use any software as long as they are able to collect and electronically transmit the Texas Hospital Standard Data Set as defined in this document.

Before sending your data to the TDH file server, please make sure that the order of the fields for each record in your file is the same as the order described in this document. TDH file server accepts only ASCII data delimited with TABS. There should be a TAB after each field (required and optional), the only exception being the last field of a record. The total number of TABS for each record should be 116 or if there is a TAB after the last field, the record will contain 117 TABS.

One single file may contain records for more than one hospital provided that the appropriate hospital facility number is accurately completed in the sixth field (FACILNO) for each record.

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For data transfer, the following specifications are required:

File name, 8 digit and extension as follows: H ______.___ 1 2 3 4 5 6 7 8 dec

First digit is the letter "H" 2nd – 8th digits = your hospital code obtained from the list of hospital codes provided to you by the Trauma Registry The three decimal places = the day number of the year obtained from a calendar

Example: Parkland Hospital in Dallas is ready to transmit a file on January 15, 2000. The filename should be "H0570935.015"

The file should be transferred using the KERMIT protocol: 9600 – 56,000 bps 8 bit, no parity, 1 stop bit Full duplex

File server phone number is 1-800-242-3562. Upon connection to the file server, transfer file. The file server is available for receiving files 24 hours a day and 7 days a week.

For instructions on how to transfer a file using Windows 3.1 Terminal or Windows95/98 Hyperterminal, please contact the Texas Trauma Registry or visit our web site at www.tdh.state.tx.us/injury/. Instructions are located in the Transmission Handbook.

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If this is your first time transferring a file, please notify the Texas Trauma Registry so that the file may be checked for correct data file format. Testing may consist of several test file submissions. The number of test file submissions depends on the percentage and severity of errors. General requirements for a test file submission are: (1) minimum of five patient records and (2) valid and complete patient data.

If you have questions, please call the Texas Trauma Registry at 512/458-7266.

APPENDIX I: SOFTWARE CODE LIST

Software ID Code Entity Software Name Software Company ______001 Hospital NATIONAL TRACS® American College of Surgeons 002 Hospital TRAUMA! Cales & Associates, LLC 003 Hospital TraumaBase (can be used as Regional) Clinical Data Management, Inc. 004 Hospital TraumaBasic Clinical Data Management, Inc. 005 Hospital Collector Trauma Registry System Digital Innovations, Inc. 006 Hospital Trauma One Lancet Technology, Inc. 007 Hospital Regist*r Meddatasolutions, Inc. 008 Hospital Simple Hospital Trauma Entry Morgan Software and Technology 009 Hospital Medigrafx – Trauma Case Management System Fx, Inc. 010 Hospital ClinWeb University of Texas Medical Branch 100 EMS AeroMed Software Innovative Engineering 101 EMS MEDIC! Cales & Associates, LLC 102 EMS Code-3 Code-3 Software 103 EMS EMS Solution 2000 Field Reporting Sftwr HealthWare Solutions, LLC 104 EMS Regist*r, Regist*r Express Meddatasolutions, Inc. 105 EMS Simple EMS Trauma Entry Morgan Software and Technology 106 EMS PadSTAT PAD Systems, Inc. 107 EMS Plexus Software Plexus Software 108 EMS The AIM System RAM Software Systems, Inc. 109 EMS Seasoft Automated Medical Accounting Seasoft Microcomputer Applications 110 EMS Amazon Standard or Professional Sweet Computer Services, Inc. 111 EMS ClinWeb University of Texas Medical Branch 112 EMS EMS PRO for Windows Pinpoint Technologies, Inc. 113 EMS EMS Data© STATco 114 EMS EMS Data2K© STATco 115 EMS Texas EMS Collector Digital Innovations, Inc. 200 Regional Texas Trauma Reporting System Morgan Software and Technology 201 Regional Collector Trauma Registry System Digital Innovations, Inc.

Refer to the Trauma Registry website for the most updated list of software codes. Contact the Texas Trauma Registry to have a software code assigned to trauma reporting software.