HOSPITAL DATA DICTIONARY FINAL DRAFT Texas Department Of

Home , Austin State Hospital, Rhea Mills, Woodlawn (Austin, Texas)

HOSPITAL DATA DICTIONARY FINAL DRAFT

Texas Department of Health Trauma Registry

December 2, 1999 Acknowledgements

Special recognition is due to the Trauma Registry Workgroup members who devoted time and effort toward the development of the hospital data dictionary. Their commitment and hard work are greatly appreciated. Workgroup members include Larry Baggett (Baptist St. Anthony’s Hospital), Phyllis Blanco (Medical Center), Mike Clark (Hermann Hospital), Maggie Crawford (University Medical Center in Lubbock), Michelle Drum (Covenant Medical Center), Judy England (East Texas Medical Center), Gary Kesling (University of Texas Medical Branch), Jim Lyons (Falls County EMS), Cathy McMahon (Covenant Medical Center), Marjorie Mellott (Val Verde Regional Medical Center), Jim Owen (Brooke Army Medical Center), and Charlene Seale (Northwest Texas Health Care System). Special thanks also goes to the Texas Department of Health /Bureau of Emergency Medical Services staff for their involvement with the Workgroup: Tracy Cotner-Pouncy, Brian Haschke, Kathy Perkins, and Carol Wright. Texas Trauma Registry staff include: Jennifer Hunteman (Program Administrator), Dale Cherry (Research Specialist), Andy Blum (Trauma Registry Specialist) and David Zane (Director, Injury Epidemiology and Surveillance).

Special acknowledgement goes to Texas hospitals, other state trauma registries, and the American College of Surgeons for providing data dictionaries: Brackenridge Hospital, Children's Medical Center, Parkland Hospital, National Trauma Data Bank (American College of Surgeons), Maryland Trauma Registry, Oregon Trauma Registry, Pennsylvania Trauma Systems Foundation, and Washington Trauma Registry.

Data Dictionary Development Process

The hospital data dictionary was developed by the Trauma Registry Workgroup. This fifteen member group was formed in May 1999 to address various trauma registry issues including the development of the data dictionary. The data dictionary development process involved reviewing each data field to determine if each field should be Required or Optional. The Workgroup then reviewed several existing data dictionaries. Based on definitions from these dictionaries and discussions of each data field, the Workgroup developed draft definitions. While defining the fields, the Workgroup also answered field-specific questions that hospital personnel had submitted to the state Trauma Registry.

In August 1999, the draft data dictionary was distributed to hospitals, the Texas Trauma Coordinators Forum, Emergency Health Care Advisory Council (EHCAC), Regional Advisory Councils (RACs), and software vendors for review and comment. On September 1999, the Workgroup met to review comments and make appropriate changes. A final draft will be distributed in November. A copy of the data dictionary is posted on the Texas Department of Health Trauma Registry website: www.tdh.state.tx.us/injury/trauma.htm) It is anticipated that the hospital data dictionary will be effective beginning with January 2000 trauma registry records.

i TABLE OF CONTENTS

Patient Demographics Diagnosis, Procedures, and Trauma Registry Number……………………... 1 Severity Scores Patient’s Name……………………….………... 1 Diagnoses…………………..………………….. 17 Patient’s Social Security Number………….….. 1 Abbreviated Injury Scale…………..……….…. 17 Facility Number………………………..……… 2 Procedures……………….…………....……….. 17 Medical Record Number………………………. 2 Pre-existing Conditions………………………... 17 Race …………………………………………… 2 Injury Severity Score…………………….……. 18 Gender ……..……….………….…………….. 2 (Body Region) Injury Severity……….……….. 18 Date of Birth…………………………………... 3 (Body Region) Type of Injury…….…………... 18 Date of Injury……….…………..……………... 3 Patient Hospital Cost County of Injury………………..……………… 4 Payor Category……………..………………….. 19 Cause of Injury…………………..…………….. 4 Billed Hospital Charges………….……………. 20 Time of Injury…………………..……………... 4 Total Reimbursement……………….…………. 20 County of Residence…………..………………. 5 Place of Injury…………………..……………... 5 Prehospital Data Respiratory Rate at Scene……………………... 21 Hospital Admission Systolic Blood Pressure at Scene……………… 21 Date of Arrival………………………………… 7 Motor Response at Scene……………………… 22 Time of Arrival………………………………... 7 Verbal Response at Scene……………………... 22 Alcohol Level Tested………………………….. 8 Eye Opening Response at Scene.……..……….. 23 Alcohol Level………………...……………….. 8 Glasgow Coma Score at Scene…………..……. 23 Systolic Blood Pressure…………...…………... 8 Diastolic Blood Pressure………………………. 8 Transport Respiration Rate……………………………….. 9 TDH Firm Number………………….………… 24 Pulse…………………………………………… 9 Time of Dispatch….………………………….... 24 Time of Scene Arrival……….………………… 25 Glasgow Coma Scale at Admission Time of Leaving Scene…………….………….. 25 Motor Response……………………………….. 10 Vehicle Extrication……………….……….…... 26 Verbal Response………………………...…….. 10 Protective Device……………………………… 26 Eye Opening Response……………….……….. 11 Glasgow Coma Score at Admission……...…… 11 Transfer Status Is this a Transfer……………………………….. 27 Revised Trauma Score at Admission First Hospital Number………………………..... 27 Glasgow Coma Score for Revised Trauma Date of Arrival to First Hospital………………. 28 Score…………………………………………... 12 Time of Arrival to First Hospital………...……. 28 Respiratory Rate for Trauma Score………….... 12 Date of Departure from First Hospital………… 29 Systolic Blood Pressure for Trauma Score….… 12 Time of Departure from First Hospital………... 29 Revised Trauma Score……...…………………. 13 Appendices Hospital Discharge Appendix A – Hospital Code List……………... 30 Patient Discharged To………………...……….. 14 Appendix B – EMS Provider Code List………. 36 Condition on Discharge……………..………… 14 Appendix C – County Code List………………. 44 Date of Discharge or Death…………..…….….. 15 Appendix D – City/County Code List………… 45 Time of Discharge or Death…………..……….. 15 Appendix E – Glasgow Coma Score Chart…… 57 Patient Discharged to Facility Number……..…. 16 Appendix F – Diagnosis 1-5 (ICD9CM Coding Length of Stay………………..………...……… 16 Scheme)………………………………………... 58 ICU Length of Stay……………..…………...… 16 Appendix G – Glossary………………………... 60 Appendix H – Data File Creation and Transfer Specifications………………………………….. 61

ii FINAL DRAFT * 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.

1 FINAL DRAFT * 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

2 FINAL DRAFT * 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.

3 FINAL DRAFT * 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.

4 FINAL DRAFT * 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),

5 FINAL DRAFT * 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

6 FINAL DRAFT * 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

7 FINAL DRAFT * 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

8 FINAL DRAFT * 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.

9 FINAL DRAFT * 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

10 FINAL DRAFT * 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

11 FINAL DRAFT * 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

12 FINAL DRAFT * 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.

13 FINAL DRAFT * 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 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

14 FINAL DRAFT * 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.

15 FINAL DRAFT * 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).

16 FINAL DRAFT * 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).

17 FINAL DRAFT * 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 *************************************************************************************************** .

18 FINAL DRAFT * 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

19 FINAL DRAFT * 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.

20 FINAL DRAFT * 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.

21 FINAL DRAFT * 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

22 FINAL DRAFT * 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

23 FINAL DRAFT * 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.

(001001-254999) = Texas EMS providers (300000-300999) = 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.

24 FINAL DRAFT * 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

25 FINAL DRAFT * 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.

26 FINAL DRAFT * 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.

. FINAL DRAFT * 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

. FINAL DRAFT * 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

. APPENDIX A

HOSPITAL FACILITY NUMBERS

# Facility City County # Facility City County 0012719 Memorial Mother Frances Hospital Palestine ANDERSON 0196227 Christus St. Michael Rehab. Hospital Texarkana BOWIE 0016122 Trinity Valley Medical Center Palestine ANDERSON 0196200 Healthsouth Rehab. Hospital of Texarkana Texarkana BOWIE 0020105 Permian General Hospital Andrews ANDREWS 0196274 The Dubuis Hosp @Texarkana Texarkana BOWIE 0032395 Memorial Medical Center of East Texas Lufkin ANGELINA 0193510 Wadley Regional Medical Center Texarkana BOWIE 0036128 Memorial Specialty Hospital Lufkin ANGELINA 0200062 Alvin Medical Center Alvin BRAZORIA 0032390 Woodland Heights Medical Center Lufkin ANGELINA 0200111 Angleton-Danbury General Hospital Angleton BRAZORIA 0072096 Tri-City Community Hospital Jourdanton ATASCOSA 0201525 Brazosport Memorial Hospital Lake Jackson BRAZORIA 0080310 Bellville General Hospital Bellville AUSTIN 0200334 Sweeny Community Hospital Sweeny BRAZORIA 0092577 Muleshoe Area Medical Center Muleshoe BAILEY 0210500 St. Joseph Regional Health Center Bryan BRAZOS 0113280 Smithville Regional Hospital Smithville BASTROP 0210490 College Station Medical Center College Station BRAZOS 0123210 Seymour Hospital Seymour BAYLOR 0220050 Big Bend Regional Medical Center Alpine BREWSTER 0130295 Christus Spohn Hospital Beeville Beeville BEE 0250465 Brownwood Regional Medical Center Brownwood BROWN 0146050 Metroplex Hospital Killeen BELL 0260506 Burleson St Joseph Health Center Caldwell BURLESON 0143415 Olin E Teague Veteran's Center Temple BELL 0270510 Seton Highland Lakes Medical Center Burnet BURNET 0143410 King's Daughters Hospital Temple BELL 0282397 Seton Edgar B. Davis Memorial Hospital Luling CALDWELL 0143420 Scott & White Memorial Hospital Temple BELL 0292853 Memorial Medical Center Port Lavaca CALHOUN 0153115 San Antonio State Chest Hospital San Antonio BEXAR 0310460 Brownsville Medical Center Brownsville CAMERON 0153110 San Antonio State Hospital San Antonio BEXAR 0315100 Valley Regional Medical Center Brownsville CAMERON 0153005 Baptist Medical Center San Antonio BEXAR 0315108 Rio Grande State Center Harlingen CAMERON 0151380 Brook Army Medical Hospital San Antonio BEXAR 0311790 Valley Baptist Medical Center Harlingen CAMERON 0156138 Christus Santa Rosa Children's Hospital San Antonio BEXAR 0313147 Dolly Vinsant Memorial Hospital San Benito CAMERON 0153120 Christus Santa Rosa Hospital San Antonio BEXAR 0322830 East Texas Medical Center - Pittsburg Pittsburg CAMP 0156105 Christus Santa Rosa Northwest Hospital San Antonio BEXAR 0340132 Atlanta Memorial Hospital Atlanta CASS 0156278 Healthsouth of Pecan Va San Antonio BEXAR 0340127 Brooks Hospital, Inc. Atlanta CASS 0156139 Healthsouth Rehab. Institute of San Antonio San Antonio BEXAR 0342285 Linden Municipal Hospital Linden CASS 0156232 IHS Hospital at San Antonio San Antonio BEXAR 0351167 Plains Memorial Hospital Dimmitt CASTRO 0156198 Methodist Ambulatory Surgery Hosp-NW San Antonio BEXAR 0360103 Bayside Community Hospital Anahuac CHAMBERS 0153130 Methodist Specialty & Transplant Hospital San Antonio BEXAR 0363794 Medical Center of Winnie Winnie CHAMBERS 0153060 Metropolitan Methodist Hospital San Antonio BEXAR 0372070 East Texas Medical Center - Jacksonville Jacksonville CHEROKEE 0156271 Nextcare Hospital of San Antonio San Antonio BEXAR 0372965 East Texas Medical Center - Rusk Rusk CHEROKEE 0153070 Nix Health Care System San Antonio BEXAR 0372970 Rusk State Hospital Rusk CHEROKEE 0156191 North Central Baptist Hospital San Antonio BEXAR 0380595 Childress Regional Medical Center Childress CHILDRESS 0153010 Northeast Baptist Hospital San Antonio BEXAR 0391815 Clay County Memorial Hospital Henrietta CLAY 0156087 Northeast Methodist Hospital San Antonio BEXAR 0402566 Cochran Memorial Hospital Morton COCHRAN 0153015 Southeast Baptist Hospital San Antonio BEXAR 0420660 Coleman County Medical Center Coleman COLEMAN 0156025 Southwest General Hospital San Antonio BEXAR 0432480 North Central Medical Center McKinney COLLIN 0153122 Southwest Texas Methodist Hospital San Antonio BEXAR 0436184 Healthsouth Plano Rehab. Hosp. Plano COLLIN 0156002 St. Luke's Baptist Hospital San Antonio BEXAR 0436143 IHS Hospital of Plano Plano COLLIN 0156225 The Compass Hospital of San Antonio San Antonio BEXAR 0435094 Medical Center of Plano Plano COLLIN 0153105 University Hospital San Antonio BEXAR 0436181 Presbyterian Hospital of Plano Plano COLLIN 0156158 Vencor Hospital - San Antonio San Antonio BEXAR 0443720 Collingsworth General Hospital Wellington COLLINGSWORTH 0156159 Warm Springs+Baptist Rehab Network San Antonio BEXAR 0455105 Columbus Community Hospital Columbus COLORADO 0153125 Wilford Hall USAF Medical Center San Antonio BEXAR 0451170 Rice Medical Center Eagle Lake COLORADO 0180650 Goodall-Witcher Healthcare Foundation Clifton BOSQUE 0453717 Colorado-Fayette Medical Center Weimar COLORADO 0192600 Doctor's Hospital New Boston BOWIE 0462625 McKenna Memorial Hospital New Braunfels COMAL 0196245 Christus St. Michael Health Care Center Texarkana BOWIE 0479090 Comanche Community Hospital Comanche COMANCHE0

30 Visit our website (www.tdh.state.tx.us/injury/trauma.htm ) for periodic updates. . HOSPITAL FACILITY NUMBERS (cont.) # Facility City County # Facility City County 471132 De Leon Hospital De Leon COMANCHE 0682660 Medical Center Hospital Odessa ECTOR 0481192 Concho County Hospital Eden CONCHO 0685097 Odessa Regional Hospital Odessa ECTOR 0491550 Gainesville Memorial Hospital Gainesville COOKE 0715013 Columbia Medical Center - East El Paso EL PASO 0492574 Muenster Memorial Hospital Muenster COOKE 0711315 Columbia Medical Center - West El Paso EL PASO 0505144 Coryell Memorial Hospital Gatesville CORYELL 0716219 IHS Hospital of El Paso El Paso EL PASO 0520815 Crane Memorial Hospital Crane CRANE 0711290 Providence Memorial Hospital El Paso EL PASO 0540845 Crosbyton Clinic Hospital Crosbyton CROSBY 0711240 R. E. Thomason General Hosp. El Paso EL PASO 0553581 Culberson Hospital Van Horn CULBERSON 0716142 Rio Vista Rehabilitation Hosp. El Paso EL PASO 0570934 Bowling Green of Dallas Dallas DALLAS 0715121 Sierra Medical Center El Paso EL PASO 0570915 Baylor Ctr. for Restorative Care Dallas DALLAS 0711310 Southwestern General Hospital El Paso EL PASO 0570990 Baylor Inst for Rehab @ Gaston Dallas DALLAS 0711320 William Beaumont Army Med. Ctr El Paso EL PASO 0570900 Baylor University Med. Center Dallas DALLAS 0703700 Baylor Medical Center - Ellis County Waxahachie ELLIS 0570935 Children's Med. Center of Dallas Dallas DALLAS 0723330 Harris Methodist Stephenville Stephenville ERATH 0576237 Compass Hospital of Dallas Dallas DALLAS 0732423 Falls Com Hosp. and Clinic Marlin FALLS 0571058 Dallas Southwest Medical Center Dallas DALLAS 0740385 Sam Rayburn Mem Veterans Ctr Bonham FANNIN 0576005 Doctor's Hospital Dallas DALLAS 0740370 Northeast Medical Center Bonham FANNIN 0576264 Harris Continued Care Hospital Dallas DALLAS 0752180 Fayette Memorial Hospital La Grange FAYETTE 0570932 Healthsouth Dallas Rehab Inst Dallas DALLAS 0765136 Fisher County Hospital District Rotan FISHER 0576199 Healthsouth Medical Center Dallas DALLAS 0772323 W. J. Mangold Mem Hospital Lockney FLOYD 0576179 IHS Hospital at Dallas Dallas DALLAS 0796038 Katy Medical Center Katy FORT BEND 0576023 LifeCare Hospital of Dallas Dallas DALLAS 0796070 Fort Bend Medical Center Missouri City FORT BEND 0575113 Margaret J. Charlton Methodist Hospital Dallas DALLAS 0792912 Polly Ryon Hospital Authority Richmond FORT BEND 0570994 Mary Shiels Hospital Dallas DALLAS 0796276 Methodist Health Ctr-Sugar Land Sugar Land FORT BEND 0575009 Medical City Dallas Hospital Dallas DALLAS 0802575 East Texas Med Ctr-Mt Vernon Mt Vernon FRANKLIN 0571020 Methodist Medical Center Dallas DALLAS 0815092 East Texas Med Center-Fairfield Fairfield FREESTONE 0576140 North Dallas Rehab Hospital Dallas DALLAS 0821166 Community Gen Hosp of Dilley Texas Dilley FRIO 0576233 Our Children's House at Baylor Dallas DALLAS 0822801 Frio Hospital Pearsall FRIO 0570950 Parkland Memorial Hospital Dallas DALLAS 0833200 Memorial Hospital Seminole GAINES 0571050 Presbyterian Hospital of Dallas Dallas DALLAS 0841605 Shriners Burns Hosp-Galveston Galveston GALVESTON 0571021 RHD Memorial Medical Center Dallas DALLAS 0841615 U T Medical Branch Hospital Galveston GALVESTON 0576186 Select Specialty Hospital – Dallas Irving DALLAS 0842185 Mainland Medical Center Texas City GALVESTON 0571060 St. Paul Medical Center Dallas DALLAS 0861511 Hill Country Memorial Hospital Fredericksburg GILLESPIE 0576012 Tx. Scottish Rite Hosp. for Children Dallas DALLAS 0891685 Gonzales Warm Sprs Rehab Hosp Gonzales GONZALES 0579120 Tri-City Health Centre Dallas DALLAS 0896027 Memorial Hospital Gonzales GONZALES 0570970 Vencor Hospital - Dallas Dallas DALLAS 0902735 Pampa Regional Medical Center Pampa GRAY 0576170 Zale Lipshy University Hospital Dallas DALLAS 0911145 Texoma Medical Center Denison GRAYSON 0571616 Baylor Med. Center at Garland Garland DALLAS 0916228 Texoma Med Restorative Care Hosp Denison GRAYSON 0575099 Garland Community Hospital Garland DALLAS 0915143 Community Med Ctr Sherman Sherman GRAYSON 0572055 Baylor Medical Center at Irving Irving DALLAS 0913240 Wilson N. Jones Mem Hospital Sherman GRAYSON 0576268 Las Colinas Medical Center Irving DALLAS 0922150 Roy H. Laird Memorial Hospital Kilgore GREGG 0576061 Medical Center at Lancaster Lancaster DALLAS 0922327 Good Shepherd Medical Center Longview GREGG 0576020 Mesquite Community Hospital Mesquite DALLAS 0926041 Longview Regional Hospital Longview GREGG 0572528 The Medical Center of Mesquite Mesquite DALLAS 0943189 Guadalupe Valley Hospital Seguin GUADALUPE 0576007 Baylor/Richardson Med. Center Richardson DALLAS 0951765 Hi-Plains Hospital Hale Center HALE 0582195 Medical Arts Hospital Lamesa DAWSON 0952840 Covenant Hospital Plainview Plainview HALE 0591820 Hereford Regional Med. Center Hereford DEAF SMITH 0962503 Hall County Hospital Memphis HALL 0616088 Trinity Medical Center Carrollton DENTON 0971782 Hamilton General Hospital Hamilton HAMILTON 0616116 Denton Community Hospital Denton DENTON 0983300 Hansford County Hospital Spearman HANSFORD 0615085 Denton Regional Medical Center Denton DENTON 0990597 Chillicothe Hospital Chillicothe HARDEMAN 0615126 Medical Center of Lewisville Lewisville DENTON 0992870 Hardeman County Mem Hosp Quanah HARDEMAN 0620865 Cuero Community Hospital Cuero DEWITT 1003252 Silsbee Doctors Hospital Silsbee HARDIN 0640573 Dimmit County Memorial Hosp. Carrizo Springs DIMMIT 1010240 Baycoast Medical Center Baytown HARRIS 0671183 Memorial Hospital Eastland EASTLAND 1010243 San Jacinto Methodist Hospital Baytown HARRIS

31 Visit our website (www.tdh.state.tx.us/injury/trauma.htm ) for periodic updates. . HOSPITAL FACILITY NUMBERS (cont.) # Facility City County # Facility City County 1012007 Bayou City Medical Center Houston HARRIS 1016097 Specialty Hosp. of Houston Clear Lake Webster HARRIS 1011855 Bellaire Medical Center Houston HARRIS 1013716 Clear Lake Regional Medical Center Webster HARRIS 1015024 Ben Taub General Hospital Houston HARRIS 1016192 Healthsouth Clear Lake Rehab. Hospital Webster HARRIS 1016094 Casa A Special Hospital Houston HARRIS 1022430 Marshall Regional Medical Center Marshall HARRISON 1012000 Christus St. Joseph Hospital Houston HARRIS 1030890 Coon Memorial Hospital and Home Dalhart HARTLEY 1011985 Columbia E. Houston Med Ctr.-Main Houston HARRIS 1041800 Haskell Memorial Hospital Haskell HASKELL 1012015 Columbia Spring Branch Med Ct r Houston HARRIS 1053151 Central Texas Medical Center San Marcos HAYS 1016065 Cypress Fairbanks Med Center Houston HARRIS 1060560 Hemphill County Hospital Canadian HEMPHILL 1011857 Diagnostic Center Hospital Houston HARRIS 1070125 East Texas Medical Center - Athens Athens HENDERSON 1011969 Doctors Hospital Parkway Houston HARRIS 1086281 Cornerstone Regional Hospital LLC Edinburg HIDALGO 1019310 Doctors Hospital - Tidwell Houston HARRIS 1081200 Edinburg Regional Medical Center Edinburg HIDALGO 1016262 Dubuis Hosp @ Houston Houston HARRIS 1086277 LifeCare Hospitals of South Texas Edinburg HIDALGO 1016238 Healthsouth Hosp for Specialized Surgery Houston HARRIS 1086258 McAllen Heart Hospital McAllen HIDALGO 1016160 Healthsouth Houston Rehab Inst Houston HARRIS 1086095 McAllen Medical Center McAllen HIDALGO 1011890 Hermann Hospital Houston HARRIS 1086047 Rio Grande Regional Hospital McAllen HIDALGO 1011895 Houston Northwest Med Center Houston HARRIS 1082561 Mission Hospital Mission HIDALGO 1016230 IHS Hospital at Houston Houston HARRIS 1083723 Knapp Medical Center Weslaco HIDALGO 1015031 Lyndon Baines Johnson Gen Hosp Houston HARRIS 1086280 Rio Grande Rehabilitation Hospital McAllen HILDAGO 1015022 Memorial Hospital Northwest Houston HARRIS 1091840 Hill Regional Hospital Hillsboro HILL 1015026 Memorial Hospital Southeast Houston HARRIS 1093756 Lake Whitney Medical Center Whitney HILL 1015140 Memorial Hospital Southwest Houston HARRIS 1102250 Covenant Hospital Levelland Levelland HOCKLEY 1011970 Mem Hosp-Memorial City Houston HARRIS 1119225 Lake Granbury Medical Center Granbury HOOD 1016117 Memorial Rehab Hospital Houston HARRIS 1123345 Hopkins County Memorial Hospital Sulphur Springs HOPKINS 1011942 Northside General Hospital Houston HARRIS 1130843 East Texas Medical Center - Crockett Crockett HOUSTON 1015120 Park Plaza Hospital Houston HARRIS 1140340 Big Spring State Hospital Big Spring HOWARD 1016239 Plaza Specialty Hospital Houston HARRIS 1145088 Scenic Mountain Medical Center Big Spring HOWARD 1011910 Riverside General Hospital Houston HARRIS 1160716 Presbyterian Hospital of Commerce Commerce HUNT 1011988 Rosewood Medical Center Houston HARRIS 1161740 Presbyterian Hospital of Greenville Greenville HUNT 1016210 SCCI Hospital-Houston Central Houston HARRIS 1170400 Golden Plains Community Hospital Borger HUTCHINSON 1011880 Select Specialty Hosp.-Houston Heights Houston HARRIS 1192058 Faith Community Hospital Jacksboro JACK 1012009 Shriners Hospital For Children Houston HARRIS 1201195 Jackson County Hospital Edna JACKSON 1012005 St. Luke's Episcopal Hospital Houston HARRIS 1212084 Christus Jasper Memorial Hospital Jasper JASPER 1012018 Texas Childrens Hospital Houston HARRIS 1235107 Beaumont Medical & Surgical Hospital Beaumont JEFFERSON 1016249 Texas Orthopedic Hospital Houston HARRIS 1230258 Christus St. Elizabeth Hospital Beaumont JEFFERSON 1012020 The Inst for Rehab & Research Houston HARRIS 1236231 Dubuis Hosp @ Beaumont Beaumont JEFFERSON 1011960 The Methodist Hospital Houston HARRIS 1236185 Healthsouth Rehab. Hosp of Beaumont Beaumont JEFFERSON 1012037 The Specialty Hosp of Houston Houston HARRIS 1230244 The Baptist Hospital of Southeast Texas Beaumont JEFFERSON 1015130 The Womans Hospital of Texas Houston HARRIS 1231762 Doctors Hospital Groves JEFFERSON 1016236 Tirr LifeBridge Houston HARRIS 1232595 Mid-Jefferson County Hospital Nederland JEFFERSON 1016187 Tops Surgical Speciality Hospital Houston HARRIS 1232850 Christus St. Mary Hospital Port Arthur JEFFERSON 1016190 Vencor Hospital - Houston Houston HARRIS 1232849 Park Place Medical Center Port Arthur JEFFERSON 1016127 Vencor Hosp-Houston Northwest Houston HARRIS 1250040 Alice Regional Hospital Alice JIM WELLS 1012025 West Houston Medical Center Houston HARRIS 1256285 Christus Spohn Hospital Alice Alice JIM WELLS 1016086 Healthsouth Rehabilitation Hospital Humble HARRIS 1260635 Walls Regional Hospital Cleburne JOHNSON 1016009 Northeast Medical Center Hospital Humble HARRIS 1270107 Anson General Hospital Anson JONES 1016189 Columbia Kingwood Medical Center Kingwood HARRIS 1271785 Hamlin Memorial Hospital Hamlin JONES 1016016 Christus St. John Hospital Nassau Bay HARRIS 1273320 Stamford Memorial Hospital Stamford JONES 1012782 Beltway Community Hospital Pasadena HARRIS 1285103 Otto Kaiser Memorial Hospital Kenedy KARNES 1012778 Columbia Bayshore Medical Center Pasadena HARRIS 1296026 Presbyterian Hospital of Kaufman Kaufman KAUFMAN 1012785 Memorial Hospital Pasadena Pasadena HARRIS 1293449 Med Center at Terrell - North Campus Terrell KAUFMAN 1012780 Vencor Hospital - Bay Area - Houston Pasadena HARRIS 1293480 Terrell State Hospital Terrell KAUFMAN 1016287 Vista Medical Center Hospital Pasadena HARRIS 1296008 Medical Center at Terrell Terrell KAUFMAN 1015135 Tomball Regional Hospital Tomball HARRIS 1339075 Starlite Village Hospital Center Point KERR

32 Visit our website (www.tdh.state.tx.us/injury/trauma.htm ) for periodic updates. . HOSPITAL FACILITY NUMBERS (cont.) # Facility City County # Facility City County 1335032 La Hacienda Treatment Center Hunt KERR 1780737 Driscoll Children's Hospital Corpus Christi NUECES 1339340 Kerrville State Hospital Kerrville KERR 1786217 IHS Hospital of Corpus Christi Corpus Christi NUECES 1332135 Sid Peterson Memorial Hospital Kerrville KERR 1782921 Northwest Regional Hospital Corpus Christi NUECES 1342098 Kimble Hospital Junction KIMBLE 1786141 Rehabilitation Hospital of South Texas Corpus Christi NUECES 1372160 Christus Spohn Hospital Kleberg Kingsville KLEBERG 1786218 The Corpus Christi Med Ctr - Bay Area Corpus Christi NUECES 1382170 Knox County Hospital Knox City KNOX 1792814 Ochiltree General Hospital Perryton OCHILTREE 1392760 Christus St. Joseph's Health System Paris LAMAR 1812695 Baptist Hospital, Orange Orange ORANGE 1392770 McCuistion Regional Medical Center Paris LAMAR 1822567 Palo Pinto General Hospital Mineral Wells PALO PINTO 1406032 Lamb Healthcare Center Littlefield LAMB 1830574 East Texas Medical Center - Carthage Carthage PANOLA 1436003 Lavaca Medical Center Hallettsville LAVACA 1843715 Campbell Health System Weatherford PARKER 1433800 Yoakum Community Hospital Yoakum LAVACA 1851545 Parmer County Community Hospital, Inc. Friona PARMER 1460645 Cleveland Regional Medical Center Cleveland LIBERTY 1861385 Pecos County Memorial Hospital Fort Stockton PECOS 1462280 Liberty-Dayton Hospital, Inc. Liberty LIBERTY 1862057 Pecos County General Hospital Iraan PECOS 1471761 Limestone Medical Center Groesbeck LIMESTONE 1872315 Memorial Medical Center - Livingston Livingston POLK 1472533 Parkview Regional Hospital Mexia LIMESTONE 1880063 Baptist St. Anthony's Hlth System - Baptist Amarillo POTTER 1502318 Llano Mem Hlthcare Sys Llano Mem Hsp Llano LLANO 1880090 Baptist St. Anthony's Hlth Sys-St. Anthony Amarillo POTTER 1526201 Covenant Children's Hospital Lubbock LUBBOCK 1886255 IHS Hospital of Amarillo Amarillo POTTER 1522360 Covenant Medical Center Lubbock LUBBOCK 1880070 Northwest Texas Hospital Amarillo POTTER 1522377 Highland Medical Center Lubbock LUBBOCK 1886242 Panhandle Surgical Hospital Amarillo POTTER 1526243 IHS Hospital of Lubbock Lubbock LUBBOCK 1916226 Northwest Texas Surgery Center Amarillo RANDALL 1526011 University Medical Center Lubbock LUBBOCK 1910091 SCCI Hospital of Amarillo Amarillo RANDALL 1533364 Lynn County Hospital District Tahoka LYNN 1920327 Reagan Memorial Hospital Big Lake REAGAN 1572402 Madison St Joseph Health Center Madisonville MADISON 1945137 East Texas Medical Center - Clarksville Clarksville RED RIVER 1599520 Martin County Hospital District Stanton MARTIN 1956014 Reeves County Hospital Pecos REEVES 1610235 Matagorda General Hospital Bay City MATAGORDA 1962910 Refugio County Memorial Hosp. District Refugio REFUGIO 1612717 Wagner General Hospital Palacios MATAGORDA 1996115 Lake Pointe Medical Center Rowlett ROCKWALL 1621175 Fort Duncan Medical Center Eagle Pass MAVERICK 2000226 Ballinger Memorial Hospital District Ballinger RUNNELS 1545150 Heart of Texas Memorial Hospital Brady MC CULLOCH 2003797 North Runnels Hospital Winters RUNNELS 1553650 Hillcrest Baptist Medical Center Waco MC LENNAN 2011810 Henderson Memorial Hospital Henderson RUSK 1553660 Providence Health Center Waco MC LENNAN 2026043 Sabine County Hospital Hemphill SABINE 1553726 Hillcrest Medical Center at West West MC LENNAN 2033145 Memorial Medical Center - San Augustine San Augustine SAN AUGUSTINE 1631853 Medina Community Hospital Hondo MEDINA 2050109 North Bay Hospital Aransas Pass SAN PATRICIO 1656212 Healthsouth Rehab Hosp of Midland/OdessaMidland MIDLAND 2071210 Schleicher County Medical Center Eldorado SCHLEICHER 1652535 Memorial Hospital and Medical Center Midland MIDLAND 2083291 D. M. Cogdell Memorial Hospital Snyder SCURRY 1652539 Westwood Medical Center Midland MIDLAND 2100582 Memorial Hospital of Center Center SHELBY 1660540 Central Texas Hospital Cameron MILAM 2126101 University Park Hospital Tyler SMITH 1662926 Richards Memorial Hospital Rockdale MILAM 2123556 University of Texas Health Center - Tyler Tyler SMITH 1680680 Mitchell County Hospital Colorado City MITCHELL 2129530 Doctors Memorial Hospital Tyler SMITH 1690411 Bowie Memorial Hospital Bowie MONTAGUE 2123565 East Texas Medical Center Tyler SMITH 1692635 Nocona General Hospital Nocona MONTAGUE 2126254 East Texas Medical Center Rehab Hos Tyler SMITH 1700720 Conroe Regional Medical Center Conroe MONTGOMERY 2126240 East Texas Specialty Hospital Tyler SMITH 1706216 Healthsouth Rehab. Hosp of North Houston Conroe MONTGOMERY 2126211 Healthsouth Rehab. Hospital of Tyler Tyler SMITH 1706251 Beacon Heatlh, LTD The Woodlands MONTGOMERY 2123570 Mother Frances Hospital Tyler SMITH 1706057 Memorial Hospital - The Woodlands The Woodlands MONTGOMERY 2131683 Glen Rose Medical Center Glen Rose SOMERVELL 1711169 Memorial Hospital Dumas MOORE 2145095 Starr County Memorial Hospital Rio Grande City STARR 1742582 Memorial Hospital Nacogdoches NACOGDOCHES 2150428 Stephens Memorial Hospital Breckenridge STEPHENS 1745093 Nacogdoches Medical Center Nacogdoches NACOGDOCHES 2170121 Stonewall Memorial Hospital Aspermont STONEWALL 1750795 Navarro Regional Hospital Corsicana NAVARRO 2183292 Lillian M. Hudspeth Memorial Hospital Sonora SUTTON 1775132 Rolling Plains Memorial Hospital Sweetwater NOLAN 2193555 Swisher Memorial Hospital Tulia SWISHER 1780760 Christus Spohn Hospital Shoreline Corpus Christi NUECES 2200108 Arlington Memorial Hospital Arlington TARRANT 1789990 Christus Spohn Hospital South Corpus Christi NUECES 2206173 Healthsouth Rehab. Hospital of Arlington Arlington TARRANT 1780740 Christus Spohn Memorial Hospital Corpus Christi NUECES 2205139 Medical Center of Arlington Arlington TARRANT 1786203 Corpus Christi Warm Springs Rehab. Hosp Corpus Christi NUECES 2206209 Vencor Hospital – Arlington, TX Arlington TARRANT

33 Visit our website (www.tdh.state.tx.us/injury/trauma.htm ) for periodic updates. . HOSPITAL FACILITY NUMBERS (cont.) # Facility City County # Facility City County 2200214 Harris Methodist Northwest Azle TARRANT 2312470 McCamey Hospital McCamey UPTON 2206241 Harris Continued Care Hospital-HEB Bedford TARRANT 2312895 Rankin County Hospital District Rankin UPTON 2200285 Harris Methodist HEB Bedford TARRANT 2323580 Uvalde Memorial Hospital Uvalde UVALDE 2206121 All Saints Episcopal Hospital - Cityview Fort Worth TARRANT 2331139 Val Verde Regional Medical Center Del Rio VAL VERDE 2201390 All Saints Episcopal Hospital - Fort Worth Fort Worth TARRANT 2341735 Cozby-Germany Hospital Grand Saline VAN ZANDT 2201435 Cook Children's Medical Center Fort Worth TARRANT 2353625 Citizens Medical Center Victoria VICTORIA 2201440 Harris Methodist Fort Worth Fort Worth TARRANT 2353630 Detar Hospital Victoria VICTORIA 2206125 Harris Methodist Southwest Fort Worth TARRANT 2356267 SCCI Hospital of Victoria Victoria VICTORIA 2206175 Healthsouth City View Rehab. Hospital Fort Worth TARRANT 2356071 Victoria Regional Medical Center Victoria VICTORIA 2205142 Huguley Health System Fort Worth TARRANT 2356282 Victoria Warm Springs Rehab. Hospital Victoria VICTORIA 2201483 John Peter Smith Hospital Fort Worth TARRANT 2366028 Huntsville Memorial Hospital Huntsville WALKER 2206120 LifeCare Hospital of Fort Worth Fort Worth TARRANT 2382564 Ward Memorial Hospital Monahans WARD 2201438 Osteopathic Medical Center of Texas Fort Worth TARRANT 2390430 Trinity Community Med Center of Brenham Brenham WASHINGTON 2205133 Plaza Medical Center of Fort Worth Fort Worth TARRANT 2402220 Doctor's Hospital of Laredo Laredo WEBB 2206256 Vencor Hospital – Fort Worth, TX Fort Worth TARRANT 2402230 Mercy Regional Medical Center Laredo WEBB 2206163 Harris Continued Care Hospital Fort Worth TARRANT 2416024 El Campo Memorial Hospital El Campo WHARTON 2206174 Healthsouth Rehabilitation Hospital Fort Worth TARRANT 2413735 Gulf Coast Medical Center Wharton WHARTON 2209230 Dallas-Ft. Worth Med Center-Grand Prairie Grand Prairie TARRANT 2423220 Shamrock General Hospital Shamrock WHEELER 2201739 Baylor Medical Center at Grapevine Grapevine TARRANT 2423745 Parkview Hospital Wheeler WHEELER 2206171 Vencor Hospital - Mansfield Mansfield TARRANT 2435134 Electra Memorial Hospital Electra WICHITA 2201437 North Hills Hospital North Richland Hills TARRANT 2433760 Bethania Regional Health Care Center Wichita Falls WICHITA 2210034 Abilene Regional Medical Center Abilene TAYLOR 2433780 Wichita Falls State Hospital Wichita Falls WICHITA 2216205 Hendrick Center for Extended Care Abilene TAYLOR 2436202 Healthsouth Rehab. Hosp of Wichita Falls Wichita Falls WICHITA 2210020 Hendrick Medical Center Abilene TAYLOR 2436275 IHS Hospital at Wichita Falls Wichita Falls WICHITA 2230450 Brownfield Regional Medical Center Brownfield TERRY 2436284 Kell West Regional Hospital Wichita Falls WICHITA 2243545 Throckmorton County Memorial Hospital Throckmorton THROCKMORTON 2433790 United Regional Health Care Sys - 8th St Wichita Falls WICHITA 2252573 Titus County Memorial Hospital Mount Pleasant TITUS 2445067 Vernon State Hospital Vernon WILBARGER 2262985 Baptist Memorials Center San Angelo TOM GREEN 2443621 Wilbarger General Hospital Vernon WILBARGER 2266273 SCCI Hospital - San Angelo San Angelo TOM GREEN 2466029 Georgetown Hospital Georgetown WILLIAMSON 2266013 San Angelo Community Medical Center San Angelo TOM GREEN 2466068 Round Rock Medical Center Round Rock WILLIAMSON 2263000 Shannon West Texas Memorial Hospital San Angelo TOM GREEN 2463366 Johns Community Hospital Taylor WILLIAMSON 2270140 Austin State Hospital Austin TRAVIS 2471340 Wilson Memorial Hospital Floresville WILSON 2276123 CPC Capital Hospital Austin TRAVIS 2482115 Memorial Hospital Kermit WINKLER 2276083 Meridell Achievement Center - Windridge Austin TRAVIS 2495091 Decatur Community Hospital Decatur WISE 2270205 University of Texas Student Health Center Austin TRAVIS 2502851 East Texas Medical Center - Quitman Quitman WOOD 2270170 Brackenridge Hospital Austin TRAVIS 2509550 Presbyterian Hospital of Winnsboro Winnsboro WOOD 2276176 Healthsouth Rehab. Hospital of Austin Austin TRAVIS 2511163 Yoakum County Hospital Denver City YOAKUM 2276252 Healthsouth Surgical Hospital of Austin Austin TRAVIS 2525018 Graham Regional Medical Center Graham YOUNG 2276283 Heart Hospital of Austin Austin TRAVIS 2522670 Hamilton Hospital Olney YOUNG 2276253 North Austin Medical Center Austin TRAVIS 2276270 Renaissance Women's Center of Austin Austin TRAVIS Other States 2270200 Seton Medical Center Austin TRAVIS 8010000 Alabama 2279998 Seton Medical Center-Northwest Austin TRAVIS 8020000 Alaska 2276048 South Austin Hospital Austin TRAVIS 8030000 Arkansas 2270190 St. David's Hospital Austin TRAVIS 8040000 Arizona 2276162 St. David's Rehabilitation Center Austin TRAVIS 8050000 California 2276098 Summit Hospital of Central Texas Austin TRAVIS 8060000 Colorado 2276114 The Brown Schools Rehabilitation Center Austin TRAVIS 8070000 Connecticut 2276172 The Speciality Hospital of Austin Austin TRAVIS 8080000 Delaware 2283552 East Texas Medical Center - Trinity Trinity TRINITY 8090000 Dc 2293799 Tyler County Hospital Woodville TYLER 8100000 Florida 2306036 ETMC at Gilmer - Gilmer UPSHUR 8110000 Georgia 8120000 Hawaii

34 Visit our website (www.tdh.state.tx.us/injury/trauma.htm ) for periodic updates. . HOSPITAL FACILITY NUMBERS (cont.) # Facility # Facility 8130000 Idaho 8390000 Pennsylvania 8140000 Illinois 8400000 Rhode Island 8150000 Indiana 8410000 South Carolina 8160000 Iowa 8420000 South Dakota 8170000 Kansas 8430000 Tennessee 8180000 Kentucky 8440000 Texas 8190000 Louisiana 8450000 Utah 8200000 Maine 8460000 Vermont 8210000 Maryland 8470000 Virginia 8220000 Massachusetts 8480000 Washington 8230000 Michigan 8490000 West Virginia 8240000 Minnesota 8500000 Wisconsin 8250000 Mississippi 8510000 Wyoming 8260000 Missouri 8270000 Montana Other Countries 8280000 Nebraska 8550000 Canada 8290000 Nevada 8560000 Cuba 8300000 New Hampshire 8540000 Guam 8310000 New Jersey 8580000 Gulf Of Mexico 8320000 New Mexico 8570000 Mexico 8330000 New York 8520000 Puerto Rico 8340000 North Carolina 8530000 Virgin Islands 8350000 North Dakota 8360000 Ohio 8990000 Other 8370000 Oklahoma 8380000 Oregon 9999999 Unknown

35 Visit our website (www.tdh.state.tx.us/injury/trauma.htm ) for periodic updates. . APPENDIX B

EMS FIRM NUMBERS

# EMS Provider City County # EMS Provider City County 300148 Memorial Mother Frances Hospital Ems Palestine Anderson 300050 Mercy Ambulance San Antonio Bexar 002001 Andrews City/County Ems Andrews Andrews 015053 River City Ambulance San Antonio Bexar 003001 City Of Lufkin Fire Department Lufkin Angelina 015004 Rlh Health Care Services, Inc. San Antonio Bexar 300143 Memorial Health System Of East Texas Lufkin Angelina 300133 Rural Metro Ambulance S.A. San Antonio Bexar 004003 Aransas County Ems Rockport Aransas 015085 San Antonio Airlife San Antonio Bexar 005007 Archer City Ambulance Service Archer City Archer 015009 San Antonio Fire Department San Antonio Bexar 006001 Claude Vol Amb Service Claude Armstrong 300158 Scripture Ambulance, Inc. San Antonio Bexar 006002 Wayside Emergency Team Wayside Armstrong 015079 Stat Ambulance Service San Antonio Bexar 007015 Atascosa County Ems Jourdanton Atascosa 300181 Tricare Ambulance Service San Antonio Bexar 007006 San Miguel Electric Coop.,Inc. Jourdanton Atascosa 015080 University Hospital Ems San Antonio Bexar 007010 Quality Ambulance Service Pleasanton Atascosa 015006 Critical Air Medicine,Inc San Diego Bexar 300138 Mission City Ambulance Poteet Atascosa 016001 Blanco Volunteer Ambulance Corps, Inc. Blanco Blanco 007011 Medic One Ambulance - South Texas Wetmore Atascosa 016002 North Blanco County Ems Johnson City Blanco 008001 Austin County Ems Bellville Austin 017001 Borden County Ems Gail Borden 009004 Bailey County Ems Muleshoe Bailey 018007 North Bosque Volunteer Ems, Inc. Meridian Bosque 010001 Bandera County Ems Bandera Bandera 018008 Valley Mills Vol Ems Valley Mills Bosque 300139 Rural / Metro Ambulance Bastrop Bastrop 018001 Walnut Springs Volunteer Fire & E.M.S. Walnut Springs Bosque 227027 Heart Beat Ambulance Del Valle Bastrop 019005 Lifenet, Inc. Texarkana Bowie 012004 Seymour/Baylor Co Ems Seymour Baylor 020033 Alvin Ems Alvin Brazoria 013001 Beeville Ems Beeville Bee 300105 Starfire Ems Inc Alvin Brazoria 013002 Skidmore Vfd Skidmore Bee 020015 Angleton Area Emergency Medical Corps Angleton Brazoria 014007 City Of Bartlett Ems Bartlett Bell 020022 San Bernardo Vfd/Ems Brazoria Brazoria 014001 Belton Fire Department Belton Bell 020006 Clute Ems City Of Clute Brazoria 014009 Harker Heights Fire Dept.EMS Harker Heights Bell 020008 Danbury Vfd/Ems Danbury Brazoria 014003 Killeen Fire Department Killeen Bell 020031 Freeport Fire Dept Freeport Brazoria 014004 Nolanville Volunteer Fire Department, Inc. Nolanville Bell 020005 Surfside Beach Volunteer Fire & Ems Freeport Brazoria 014016 King's Daughters Hospital Mts Temple Bell 020014 Lake Jackson Ems Lake Jackson Brazoria 300081 Scott & White / Medivac I Temple Bell 020026 Manvel Ems Manvel Brazoria 014002 Scott & White Ems Temple Bell 020019 Pearland Area Ems Pearland Brazoria 015002 Converse Ems Converse Bexar 020001 Richwood Fire Department & Ems Richwood Brazoria 015026 Kirby Ems City Of Kirby Bexar 020037 Sweeny Community Hospital Ems Sweeny Brazoria 300135 Act Ems San Antonio Bexar 020030 Central Emergency Medical Services, Inc. West Columbia Brazoria 015087 Advanced Ambulance Service San Antonio Bexar 021006 Bryan Fire Department Bryan Brazos 015027 Alamo Heights Ems San Antonio Bexar 300020 St. Joseph Regional Health Center Ems Bryan Brazos 015082 American Medical Response San Antonio Bexar 021004 College Station Fire Department College Station Brazos 015048 Anderson Ambulance San Antonio Bexar 021005 Texas A&M University Ems College Station Brazos 300195 Americana Ambulance San Antonio Bexar 021010 Texas World Speedway, Inc. College Station Brazos 300183 Golden Cross Ambulance San Antonio Bexar 022001 West Texas Ambulance Service Alpine Brewster 015034 Leon Valley Fire Dept San Antonio Bexar 022005 Brewster County Ambulance Service Marathon Brewster 015054 Life Source Ambulance San Antonio Bexar 022006 Terlingua Medics Inc Terlingua Brewster 015089 Lifeline Ambulance Service,Ltd.Co. San Antonio Bexar 023001 Quitaque Ambulance Service Quitaque Briscoe 015037 Live Oak Fire Dept San Antonio Bexar 023002 Silverton Vol Amb Svc Silverton Briscoe 015040 Med-Star Ambulance San Antonio Bexar 024008 Christus Spohn Brooks Ems Falfurrias Brooks 300103 Medic One Ambulance San Antonio Bexar 300016 Medevac Ems, Inc. Brownwood Brown 300125 Medix Healthcare San Antonio Bexar 025002 N Lake Brownwood Vfd May Brown 300100 Briggs E.M.S. Briggs Burnet

36 Visit our website (www.tdh.state.tx.us/injury/trauma.htm ) for periodic updates. EMS Firm Numbers (cont.) # EMS Provider City County # EMS Provider City County 027012 City Of Burnet Ems Burnet Burnet 046003 Bulverde-Spring Branch Ems Spring Branch Comal 027011 East Lake Buchanan Vfd, Inc. Burnet Burnet 047008 Comanche Ems Comanche Comanche 027015 Hoover Valley Vol.Fire & Emer. Service, Inc.Burnet Burnet 047007 De Leon Hospital De Leon Comanche 027013 Granite Shoals Area Vfd/Ems Granite Shoals Burnet 048002 Eden Ems Eden Concho 027003 Marble Falls Area Ems, Inc. Marble Falls Burnet 049004 Cooke County Ems Gainesville Cooke 027009 Spicewood V.F.D.-E.M.S., Inc. Spicewood Burnet 050003 Copperas Cove Fire Department - Ems Copperas Cove Coryell 028006 City Of Lockhart Ems Lockhart Caldwell 300131 Secure Care Ambulance Copperas Cove Coryell 028007 Luling Ems Luling Caldwell 050001 Coryell Memorial Hospital Ems Gatesville Coryell 029008 Calhoun County Ems Port Lavaca Calhoun 051002 Paducah Ambulance Serv Paducah Cottle 029002 Olivia Port Alto Vfd Port Lavaca Calhoun 052002 Crane Vfd And Ems Crane Crane 029004 Port O'connor Vfd Port O Connor Calhoun 053001 Crockett County Ems Ozona Crockett 029006 Seadrift Area Volunteer Ems Seadrift Calhoun 054005 Crosbyton Clnc Hosp Ems Crosbyton Crosby 030001 Citizens Ems Clyde Callahan 054004 Lorenzo Ems Lorenzo Crosby 030002 Cross Plains Ems Cross Plains Callahan 054006 Ralls Volunteer Ambulance Service Ralls Crosby 031010 Brownsville Ems Brownsville Cameron 055001 Culberson County Hospital Ems Van Horn Culberson 031013 South Texas Emer. Care Foundation, Inc Harlingen Cameron 300167 Dalhart Ems - Coon Memorial Hosp. Dalhart Dallam 300136 Transfer One Medical Service, Inc. Harlingen Cameron 056001 Dalhart Ems City Of Dalhart Dallam 031014 Los Fresnos Ems Los Fresnos Cameron 056002 Texline Ems Texline Dallam 031004 Port Isabel Ems Port Isabel Cameron 057001 Addison Fire Department Addison Dallas 032001 Camp County Ems, Inc. Pittsburg Camp 057012 Carrollton Fire Dept Carrollton Dallas 188005 Pantex Plant Fire Department Amarillo Carson 057073 Rural Metro Ambulance-Dallas Carrollton Dallas 033001 Groom Ambulance Service Groom Carson 057010 Cedar Hill Fire Dept Cedar Hill Dallas 033002 Panhandle Vol Ems Panhandle Carson 018009 T-Med Inc Clifton Dallas 033003 Skellytown Vol Amb Skellytown Carson 057015 Coppell Fire Department Coppell Dallas 033004 White Deer Vol Ems White Deer Carson 057068 American Medical Response Dallas Dallas 034001 Atlanta Fire Department Ems Atlanta Cass 057066 Careflite Dallas Air Dallas Dallas 034002 Hughes Springs Vol. Ambulance Service Hughes Springs Cass 057071 Careflite Dallas Ground Dallas Dallas 035002 Castro County Ems Dimmitt Castro 300064 Children's Med Center Of Dallas - Transport Dallas Dallas 036001 Anahuac Volunteer Emergency Corps Anahuac Chambers 057009 Dallas Ambulance Service Dallas Dallas 036004 Beach City Volunteer Ambulance Service Baytown Chambers 057016 Dallas Fire Dept Att:Ems Dallas Dallas 036009 Cove Volunteer Ambulance Service Mont Belvieu Chambers 300142 Greater Dallas Ems Dallas Dallas 036002 Mont Belvieu Ems Mont Belvieu Chambers 057021 Highland Park Dps Dallas Dallas 036003 Winnie-Stowell Vol. Ems Winnie Chambers 300190 North Texas Lifestar Dallas Dallas 037001 Jacksonville Ems Jacksonville Cherokee 300045 Rural-Metro Of Grayson County Dallas Dallas 038003 Childress Reg Med Cntr Childress Childress 300056 Sb Aircare Dallas Dallas 300157 Clay County Memorial Hospital Ems Henrietta Clay 057038 University Park Fd Dallas Dallas 040001 Cochran County Ems Levelland Cochran 057044 De Soto Fire Rescue De Soto Dallas 041001 East Coke County Ambulance Svc Bronte Coke 220010 Dfw Airport Dps Dfw Airport Dallas 041002 West Coke County Ems Robert Lee Coke 057018 Duncanville Fire Dept Duncanville Dallas 300075 Coleman County Medical Center Ems Coleman Coleman 057019 Farmers Branch Fd Farmers Branch Dallas 043011 Allen Fire Department Allen Collin 057060 Garland Fire Department Garland Dallas 043009 Frisco Fire Department Frisco Collin 057007 Glenn Heights Fire Dept Glenn Heights Dallas 043005 Mckinney Fire Dept Mc Kinney Collin 057092 Rural/Metro Grand Prairie Grand Prairie Dallas 300098 Lone Star Ems Plano Collin 057051 Hutchins Fire Dept Hutchins Dallas 043007 Plano Fire Department Plano Collin 057054 Irving Fire Department Irving Dallas 044001 Wellington Ems Wellington Collingsworth 057013 Lancaster Fire Dept Lancaster Dallas 045001 Colorado County Ems Columbus Colorado 300099 Procare Ems Lancaster Dallas 045002 Garwood Vfd Garwood Colorado 057030 Mesquite Fire Dept Mesquite Dallas 045004 Sheridan Emergency Aid Sheridan Colorado 057034 Richardson Fire Dept Richardson Dallas 046001 Canyon Lake Area Ems New Braunfels Comal 057067 Rowlett Fire Dept Rowlett Dallas 046002 New Braunfels Fire Department New Braunfels Comal 300019 Wilmer Vol Fire Dept Wilmer Dallas 046006 Southerncross Ambulance, Inc. New Braunfels Comal 058005 Dawson County Ems Lamesa Dawson 046004 Bracken Vfd San Antonio Comal 062007 Cuero Community Ems Cuero De Witt

37 Visit our website (www.tdh.state.tx.us/injury/trauma.htm ) for periodic updates. EMS Firm Numbers (cont.) # EMS Provider City County # EMS Provider City County 062001 Yoakum Ems Yoakum De Witt 081006 Fairfield Ems Fairfield Freestone 062008 Yorktown Ems Yorktown De Witt 081004 Teague Emergency Medical Service, Inc. Teague Freestone 059003 Hereford Ems Hereford Deaf Smith 082002 Frio County Ems Pearsall Frio 061019 Aubrey Area Amb Inc Aubrey Denton 083002 Seagraves Loop Ems Seagraves Gaines 061014 Denton Fire Department Denton Denton 083001 Seminole Ems Seminole Gaines 061004 Flower Mound Fire Dept Flower Mound Denton 084014 Crystal Beach Vfd & Ems Crystal Beach Galveston 061002 Highland Village Fd Highland Village Denton 084004 Friendswood Vfd Friendswood Galveston 061017 Justin Community Vfd Justin Denton 084012 Galveston Ems City Of Galveston Galveston 061005 Lewisville Fire Department Lewisville Denton 084001 Utmb Emergency Transport Services Galveston Galveston 061007 Little Elm Vfd Little Elm Denton 084003 Gilchrist Vfd Ems Gilchrist Galveston 061018 Pilot Point Ems Pilot Point Denton 084007 High Island Mercy Corp High Island Galveston 061016 Roanoke Ems Division Roanoke Denton 084002 League City Ems League City Galveston 061011 The Colony Fd City Of The Colony Denton 084010 Port Bolivar Vfd Port Bolivar Galveston 061006 Trophy Club Ems Trophy Club Denton 084020 Santa Fe Fire & Rescue Santa Fe Galveston 063002 Dickens County Amb Serv Dickens Dickens 300035 Texas City Fire Dept. Texas City Galveston 064001 Dimmit County Ems Carrizo Springs Dimmit 085001 City-County Ambulance Service Post Garza 065001 Associated Ambulance Authority Clarendon Donley 086001 Gillespie County Ems Fredericksburg Gillespie 066004 Benavides Ems Benavides Duval 086002 Harper Volunteer Fire Department Harper Gillespie 066001 Freer Vfd/Ems Freer Duval 087001 Glasscock County Volunteer Ems Garden City Glasscock 066007 San Diego City Of San Diego Duval 088002 Goliad County Ems Goliad Goliad 067001 Cisco Ems Cisco Eastland 089001 Gonzales County Ems Gonzales Gonzales 067002 Eastland Memorial Hosp Eastland Eastland 089002 Nixon Smiley Area Ambulance Assoc Nixon Gonzales 067003 Ranger Fd Ems City Of Ranger Eastland 090002 Lefors Ems Lefors Gray 068002 Goldsmith Volunteer Fire Dept Goldsmith Ector 090004 Mclean Ems Mclean Gray 068010 Life Care Ambulance Odessa Ector 091011 Bells-Savoy Ems Bells Grayson 300028 Med-Tech Ambulance Odessa Ector 091001 Denison Fire Department Denison Grayson 068001 Odessa Fire Department Odessa Ector 091007 Preston Vol Emer Serv Pottsboro Grayson 300198 Superior Ambulance Odessa Ector 091006 Sherman Fire Dept Sherman Grayson 165006 Weststarr Ambulance Odessa Ector 091010 Whitewright Ems City Of Whitewright Grayson 069001 Edwards County Ems Rocksprings Edwards 092003 Laird Memorial Hospital / Kilgore Ems Kilgore Gregg 071005 Med Flight Air Ambulance Inc Albuquerque El Paso 300175 Champion Ems Longview Gregg 071015 Life Ambulance Service Inc Canutillo El Paso 092009 Good Shepherd Medical Center Ems Longview Gregg 071004 Air Med El Paso El Paso El Paso 092004 Longview Fire Department Ems Longview Gregg 071013 El Paso Ems El Paso El Paso 094019 Metro Ambulance Service Schertz Guadalupe 888001 Mast El Paso El Paso 094004 Safes Ems Schertz Guadalupe 300108 Med-Line Ambulance Service, Inc El Paso El Paso 094005 Seguin Fire/Ems Seguin Guadalupe 071028 Rasmark Airborne Icu El Paso El Paso 094007 Tri County Wide Ambulance Seguin Guadalupe 071030 Sunwest Ambulance Inc El Paso El Paso 095006 Abernathy Ems Abernathy Hale 070005 Ennis Fire Dept Ems Ennis Ellis 095004 Amb Serv Of Hale Center Hale Center Hale 070008 Ferris Fire Department Ferris Ellis 095003 Petersburg Ems City Of Petersburg Hale 070001 Italy Vol Fire & Ems Dept Italy Ellis 095007 Plainview Fd Ems Plainview Hale 070009 Midlothian Fire Dept Midlothian Ellis 096001 Hall County Ems Memphis Hall 070013 Waxahachie City Of Waxahachie Ellis 096003 Turkey Amb Svc City Of Turkey Hall 072001 Dublin Ems City Of Dublin Erath 097006 Hamilton Emergency Medical Service Hamilton Hamilton 300114 Lifetech Ems Stephenville Erath 098001 Gruver Ems Gruver Hansford 072003 Stephenville Fire Dept Stephenville Erath 098002 H & S Ems Spearman Hansford 073008 Falls County Ems Inc Marlin Falls 099006 Hardeman County Ems Quanah Hardeman 075001 Fayette County Ems La Grange Fayette 100004 Lumberton Ems Inc Lumberton Hardin 076002 Fisher County Hosp Dist Rotan Fisher 300152 Priority One Silsbee Hardin 077001 Floydada Ems Floydada Floyd 100005 Silsbee Amb Service Inc Silsbee Hardin 077003 Lockney Vfd Ems Lockney Floyd 100002 Hardin Co Emergency Service District #5 Sour Lake Hardin 078002 Three Rivers Amb Inc Crowell Foard 101002 Community Volunteer Fire Department Alief Harris 079002 Fort Bend County Ems Rosenberg Fort Bend 101105 Baytown Health Department Ems City Of Baytown Harris

38 Visit our website (www.tdh.state.tx.us/injury/trauma.htm ) for periodic updates. EMS Firm Numbers (cont.) # EMS Provider City County # EMS Provider City County 300083 Emerald Medical Services Baytown Harris 300168 Trans Star Ems Houston Harris 101092 Bellaire Fire Dept Bellaire Harris 300055 Transcare Houston Harris 101218 Best Care Ambulance Service Bellaire Harris 101201 Transvital Houston Harris 101014 Channelview Vfd Channelview Harris 300186 Twin Star Ambulance Houston Harris 101038 Crosby Ems Crosby Harris 300117 Ultimate Ems Ambulance, Inc Houston Harris 101084 Cyfair Vfd Cypress Harris 300071 United Ambulance Houston Harris 300032 Life Line Universal Transport, Inc. Cypress Harris 101056 Village Fire Dept Houston Harris 101022 Deer Park Vfd, City Of Deer Park Harris 101063 West University Place Fd Houston Harris 101222 Galena Park Fire Department Ems Galena Park Harris 101151 Whites Ambulance Service Houston Harris 101020 Highlands Vfd Highlands Harris 101079 Huffman Vfd Huffman Harris 300109 Advantage Ambulance Trans. Service Houston Harris 101064 Atascocita Vfd Humble Harris 300145 Aeromedical International, Inc. Houston Harris 101087 Humble Fire Department Ems Humble Harris 101212 Alliance Ambulance, Inc Houston Harris 300160 Northstar Ems, Llc Humble Harris 300151 Alpha Ambulance, Inc. Houston Harris 101033 Jacinto City Vfd Jacinto City Harris 300101 Ambu-Care Ambulance Transfer Service Houston Harris 101037 Katy Fire Department Katy Harris 300191 American Ems Houston Harris 101094 West Harris County Ems Katy Harris 101032 Am. Med. Response Of Tx - Houston Oper Houston Harris 101008 Westlake Volunteer Fire Department Katy Harris 300033 Assured Ambulance Houston Harris 101093 Kingwood Area Ems Assoc Kingwood Harris 101216 Air American Medical Transport Houston Harris 101077 La Porte Ems La Porte Harris 300200 American Jet Air Medical, Corp. Houston Harris 300066 Action Air Ambulance Miami Harris 101019 Clear Lake Emergency Medical Corps Houston Harris 300067 Adam's Air Ambulance Miami Harris 101091 Cypress Creek Ems Houston Harris 300068 Air Ambu. Central Dba Air Ambulance Am. Miami Harris 300078 Excell Ambulance Corp. Houston Harris 101046 Nassau Bay Vfd Nassau Bay Harris 300080 Express Care Ambulance Houston Harris 300192 Rural Metro Galveston Co/Pasadena Pasadena Harris 300187 Excell Ems, Inc. Houston Harris 101029 South Houston Vol Ems South Houston Harris 101027 Harris County Emergency Corps Houston Harris 300061 Genesis E.M.S., Inc. Spring Harris 300149 Harris County Emer Services District #1 Houston Harris 300012 Thomas Ambulance Service, Inc. Spring Harris 101028 Harris County Hospital District Houston Harris 101021 Northwest Ems Tomball Harris 101025 Hermann Life Flight Houston Harris 101123 Rosehill Fire Department Ems Tomball Harris 101017 Houston Fire Department Houston Harris 300110 Jetwest Van Nuys Harris 101004 Jersey Village Vfd Houston Harris 101215 American Medi-Coach Webster Harris 101148 Life Care Ambulance Service Houston Harris 300094 Enterprise Ambulance Webster Harris 300180 Lifeline Ambulance Service Houston Harris 300116 Pro-Stat Ambulance Service, Inc. Webster Harris 300043 Medic-Care Ems Houston Harris 102002 Hallsville Volunteer Ems, Inc. Hallsville Harrison 300150 Metropolitan Ambulance Service Houston Harris 102001 Marshall/Harrison County Amb Service Marshall Harrison 300107 Medflight International, Inc. Houston Harris 102005 Waskom Volunteer Fire Department Ems Waskom Harrison 300178 National Star Ambulance & Transfer Service Houston Harris 103001 Channing Vfd Channing Hartley 300090 New Edition Ambulance Service Inc Houston Harris 103002 Hartley Ems Hartley Hartley 101045 North Channel Ems Houston Harris 104002 Haskell Co Amb Serv Inc Haskell Haskell 300188 Nassau Bay, City Of Houston Harris 105005 Northeast Hays Co. Volunteer Ems,Inc. Buda Hays 101044 Parkvue E.M.S. Houston Harris 105002 North Hays County Ems System, Inc. Dripping Spring Hays 300119 Pearl Ambulance Service Houston Harris 105004 San Marcos - Hays County Ems, Inc. San Marcos Hays 300069 Personal Care Ems Houston Harris 105009 Wimberley EMS Systems, Inc. Wimberley Hays 101209 Prime Care Ambulance Service Houston Harris 106001 Hemphill Co Ems Canadian Hemphill 101213 Regional E.M.S. Houston Harris 108014 Valley Emergency Medical Services Edinburg Hidalgo 101202 Rural Metro Houston Houston Harris 300196 Vital Air Edinburg Hidalgo 300176 Select Ambulance Service Houston Harris 300141 Vital Line Pre-Hospital Care Services, Inc. Edinburg Hidalgo 101011 South Lake Houston Ems Houston Harris 108015 City Of Hidalgo Vfd/Ems Hidalgo Hidalgo 300097 South Texas Air Rescue Houston Harris 300115 Ambulance Transportation Services Mcallen Hidalgo 101051 Southeast Vfd Houston Harris 300093 American Medical Response Mcallen Hidalgo 300179 St. John's Ems Llc Houston Harris 300010 Med-Care, Inc. Mcallen Hidalgo 300172 Texas Children's Hospital Houston Harris 300165 Medical & Trauma Specialists Mcallen Hidalgo 101109 Texas Ems Houston Harris 300104 Ni Tram Ambulance Service, Inc. Mercedes Hidalgo

39 Visit our website (www.tdh.state.tx.us/injury/trauma.htm ) for periodic updates. EMS Firm Numbers (cont.) # EMS Provider City County # EMS Provider City County 300177 Preferred Ambulance, Inc. Mission Hidalgo 126001 Grandview Vfd Grandview Johnson 300194 Primary Care Ambulance,Inc. Mission Hidalgo 126008 Joshua Ems Joshua Johnson 108044 Em-Care Amb Inc Pharr Hidalgo 126004 Keene Fire Department Keene Johnson 300092 Medical Transport Specialists Pharr Hidalgo 127001 Anson General Hosp Ems Anson Jones 300126 Pro-Medic E.M.S. San Juan Hidalgo 127006 Hamlin Ems Hamlin Jones 108048 Advanced Cardiac & Trauma Weslaco Hidalgo 127004 Stamford Ems Inc Stamford Jones 300113 South Star Ambulance Service, Inc. Weslaco Hidalgo 128002 Karnes County Ems Kenedy Karnes 108024 Weslaco Fire Dept Ems Weslaco Hidalgo 130001 Kendall County Ems Boerne Kendall 109010 Hillsboro Fire/Ems Department Hillsboro Hill 132001 Kent County Ems Jayton Kent 109007 Southern Hill County Ems, Inc. Hubbard Hill 133011 Kerrville Fire Department Ems Kerrville Kerr 109001 Itasca Volunteer Fire Dept. Ems Itasca Hill 134001 Kimble County Ems Junction Kimble 109005 Lake Whitney Medical Center Ems Whitney Hill 300008 King County Ems Guthrie King 110001 Anton Vol Ambulance Anton Hockley 136001 Kinney County Ems Brackettville Kinney 110006 Levelland Ems Corp Levelland Hockley 137001 Kingsville Fire Dept Kingsville Kleberg 110007 Ropesville Volunteer Ems Ropesville Hockley 300112 Sens-Ible Care Inc Kingsville Kleberg 110003 Sundown Vfd/Ems Sundown Hockley 137002 Riviera Vfd Riviera Kleberg 111004 Pecan Plantation Vol Ems Granbury Hood 138006 Knox County Ems Knox City Knox 111003 Lipan Ambulance Service Lipan Hood 142004 Cotulla Ems Cotulla La Salle 112001 Hopkins County Ems Sulphur Springs Hopkins 300170 South Texas Rural Health Services Cotulla La Salle 113002 Grapeland Vfd/Ems Grapeland Houston 300082 Urban Ems, Inc Blossom Lamar 114009 Big Spring Fire Department Big Spring Howard 139004 City Of Paris Emergency Medical Service Paris Lamar 114010 Coahoma Vfd & Ems Coahoma Howard 140008 Amherst Ems Amherst Lamb 300162 Hudspeth Care Inc, Ems Sierra Blanca Hudspeth 140006 Earth Ems Earth Lamb 300027 Hudspeth County Sheriffs Dept Sierra Blanca Hudspeth 140012 Littlefield Ems City Of Littlefield Lamb 300199 American Medical Response-Hunt County Greenville Hunt 140005 Olton Vol Amb Assoc Olton Lamb 090007 Rural/Metro Amb. Of Borger/Pampa Borger Hutchinson 140007 Sudan Fire Dept Ems Sudan Lamb 117002 Fritch Ems Fritch Hutchinson 084026 Paramedic Plus Lampasas Lampasas 117003 Stinnett Ems Stinnett Hutchinson 143001 Lavaca County Rescue Service Hallettsville Lavaca 118001 Irion County Ems Mertzon Irion 144001 B&M Ambulance Service, Inc. Giddings Lee 119003 Bryson Volunteer Ems Bryson Jack 144002 Lexington Volunteer E.M.S. Lexington Lee 119004 Faith Commun Hosp Ems Jacksboro Jack 145001 Centerville Emer Ambulance Service, Inc. Centerville Leon 120007 Edna Ems Edna Jackson 145003 Hilltop Lakes Vfd, Inc. Hilltop Lakes Leon 120003 Ganado Ems Ganado Jackson 145005 Jewett E.M.S., Inc. Jewett Leon 120005 Lolita Vfd & Ems Lolita Jackson 300079 K & L Transport Jewett Leon 120008 Vanderbilt Vol Amb Svc Vanderbilt Jackson 145004 Normangee Volunteer Ems, Inc. Normangee Leon 121008 Eastex Ems Ambulance Service Kirbyville Jasper 146010 Cleveland Ems, City Of Cleveland Liberty 122002 Jeff Davis County Ambulance Fort Davis Jeff Davis 146002 Dayton Volunteer Ems City Of Dayton Liberty 123001 Beaumont Public Health Ems, City Of Beaumont Jefferson 146006 Westlake Community Vfd Dayton Liberty 300129 Goldstar E.M.S., L.L.C. Beaumont Jefferson 146013 Liberty County EMS, Inc. Hull Liberty 123012 Labelle-Fannett Vfd/Ems Beaumont Jefferson 146011 Liberty Ems City Of Liberty Liberty 300159 Life Star Ems, Inc. Beaumont Jefferson 147009 Limestone Medical Center Ems Groesbeck Limestone 123025 Med Link Air Medical Service Beaumont Jefferson 147010 City Of Mexia Fire Ems Mexia Limestone 300197 Rural Metro Beaumont Beaumont Jefferson 148002 Booker Ambulance Serv Booker Lipscomb 300174 Triangle Ambulance Service Beaumont Jefferson 148003 Darrouzett Ems Darrouzett Lipscomb 123024 Williams Medic-Aid Beaumont Jefferson 148004 Follett Hosp Dist Follett Lipscomb 123003 West Jefferson Co Vol Ems China Jefferson 148001 Higgins Vfd & Ambulance Higgins Lipscomb 123004 Hamshire Vfd Hamshire Jefferson 149002 Live Oak County Ems George West Live Oak 123027 American Medical Response-East Texas Port Arthur Jefferson 150002 Llano County E.M.S. Llano Llano 124001 Quality Care Amb Svc Hebbronville Jim Hogg 152002 Idalou Ems Idalou Lubbock 125003 Roberson Ems Alice Jim Wells 300044 Chaparral Inc/Ameristar Inc Lubbock Lubbock 300085 South Texas Ems Alice Jim Wells 152003 Covenant Health System - Aerocare Lubbock Lubbock 125008 La Paloma Ems Premont Jim Wells 152001 Lubbock Aid Ambulance Lubbock Lubbock 300127 Amr-Cleburne Cleburne Johnson 152008 Lubbock Ems Lubbock Lubbock

40 Visit our website (www.tdh.state.tx.us/injury/trauma.htm ) for periodic updates. EMS Firm Numbers (cont.) # EMS Provider City County # EMS Provider City County 152016 Medivac 1 - Flight For Life Lubbock Lubbock 300059 Coastal Bend Ems Bishop Nueces 152015 Southern Ambulance Lubbock Lubbock 178002 Corpus Christi, City Fire & Ems Corpus Christi Nueces 152012 Shallowater Vol Ems Shallowater Lubbock 178036 Driscoll Childrens Hospital Corpus Christi Nueces 152006 Slaton Ems Slaton Lubbock 024004 Halo Flight Corpus Christi Nueces 152011 Wolfforth Ems Wolfforth Lubbock 178027 Medi-Van Ambulance Corpus Christi Nueces 153002 Odonnell Vol Ems Inc Odonnell Lynn 300146 Nueces Co Rural Fire District #4 Corpus Christi Nueces 153001 Lynn Co Hosp Dist Ems Tahoka Lynn 178034 Reliable Ambulance Of Corpus Christi Corpus Christi Nueces 034004 Mims Vfd & Ambulance Service Avinger Marion 178020 Port Aransas Ems Port Aransas Nueces 159001 Martin County Ems Stanton Martin 178032 Robstown Ems Robstown Nueces 160003 Mason Ambulance Service Mason Mason 179001 Perrtyon Amb Sv City Of Perryton Ochiltree 161004 Bay City Ems Bay City Matagorda 180001 Adrian Vfd/Ems Adrian Oldham 161006 Matagorda Volunteer Fire Depar.t And Ems Matagorda Matagorda 180002 Cal Farleys Boys Ranch Ems Boys Ranch Oldham 161010 Midfield Vfd & Ems Midfield Matagorda 180003 Vega Ems Vega Oldham 161001 Palacios Area Ems, Inc. Palacios Matagorda 181006 Orange County Ambulance Service Inc Orange Orange 161008 Sargent Area Vol Fire & Rescue Department Sargent Matagorda 300023 Southwest Air Ambulance Fairacres Out Of State 162001 Eagle Pass Fire Department Eagle Pass Maverick 300005 Caddo Fire District Number 3 Greenwood Out Of State 154003 Brady-Mcculloch County Ems Brady Mcculloch 019019 Arkansas Emergency Transport Jacksonville Out Of State 155004 China Spring Vfd And Rescue Service, Inc. China Spring Mclennan 300002 Life Air Rescue Shreveport Out Of State 300089 Crawford Emergency Medical Service, Inc. Crawford Mclennan 182005 Tri City Ems Inc Gordon Palo Pinto 155002 Bruceville-Eddy Ems Eddy Mclennan 182004 Graford Volunteer Ems Graford Palo Pinto 155017 Mart Ems Mart Mclennan 182003 Possum Kingdom Lk Vol Ems Graford Palo Pinto 155015 Mcgregor Volunteer EMS Mcgregor Mclennan 182007 Pk Westlake Vol Ems Graham Palo Pinto 155013 Moody Volunteer Ems Moody Mclennan 182001 City County Ambulance Mineral Wells Palo Pinto 155018 Rural / Metro Ambulance Waco Mclennan 182006 Santo Vol Fire & Ems Santo Palo Pinto 155012 West Volunteer Ambulance Association West Mclennan 184001 Life Care Ems Weatherford Parker 156001 Mcmullen Co Emergen Svc Tilden Mcmullen 185004 Bovina Vol Amb Service Bovina Parmer 163005 Medina Valley Ems Castroville Medina 185001 Farwell Ems Farwell Parmer 163004 Devine Ems Devine Medina 185003 Friona Ambulance Service Friona Parmer 163006 Community Ems, Inc. Hondo Medina 185002 Lazbuddie Ems Lazbuddie Parmer 164003 Menard Emergency Services, Inc Menard Menard 186006 Fort Stockton Ems Fort Stockton Pecos 165008 Memorial Hospital & Medical Ctr Midland Midland 186004 Imperial Volunteer Ems Imperial Pecos 165002 Midland Fire Dept. Midland Midland 186005 Iraan Vfd & Ems Iraan Pecos 300163 Texas Star Ambulance Midland Midland 195007 Sheffield Vfd & Ems Sheffield Pecos 165009 Texas West Ambulance Midland Midland 187012 D&L Ems Goodrich Polk 166003 Thorndale Volunteer Fire Dept. Ems Thorndale Milam 300134 Rural/Metro Livingston Polk 167002 Mills County Ems Goldthwaite Mills 188007 Amarillo Medical Serv Amarillo Potter 168002 Mitchell Co Amb Service Colorado City Mitchell 188011 Lifestar Amarillo Potter 169006 Bowie Fire Department Ems Bowie Montague 300034 Skycare Amarillo Potter 169003 Nocona General Hosp Ems Nocona Montague 189001 Marfa City-County Ems Marfa Presidio 169004 Nocona Hills Vfd Nocona Montague 189002 Presidio Ems Presidio Presidio 169002 Saint Jo Vol Fire/Ems Saint Jo Montague 191005 Lake Tanglewood Ems Amarillo Randall 300128 Montgomery County Hospital District Ems Conroe Montgomery 300154 Baptist St. Anthony's Hosp Corp Ems Canyon Randall 300166 Medxpress Kingwood Montgomery 191004 Palo Duro Hosp Em Care Canyon Randall 171001 Moore County Hospital Dist. Ems Dumas Moore 192001 Big Lake Vfd Big Lake Reagan 171002 Sunray Volunteer Fire & Ems Sunray Moore 193002 Ems Of Nueces Canyon Campwood Real 173001 Motley Co Amb Service Matador Motley 193001 Frio Canyon Ems Leakey Real 174002 Garrison Vfd & Ems Garrison Nacogdoches 195003 Balmorhea Volunteer Ems Balmorhea Reeves 174003 Nacogdoches County Ems Nacogdoches Nacogdoches 195001 Pecos Volunteer Ambulance Service Pecos Reeves 175010 Blooming Grove Amb Ser Blooming Grove Navarro 195006 Rchd Ambulance Trans Sv Pecos Reeves 176002 The Peoples Ambulance Service, Inc. Deweyville Newton 300122 Saragosa Mission Vol Amb Service Saragosa Reeves 177003 Blackwell Vfd Blackwell Nolan 195004 Toyah Vol Ambulance Svc Toyah Reeves 177004 Sweetwater City Of Sweetwater Nolan 196003 Refugio Mem Hosp Ems Refugio Refugio 178001 Agua Dulce Vfd Agua Dulce Nueces 197001 Miami Volunteer Ems Miami Roberts

41 Visit our website (www.tdh.state.tx.us/injury/trauma.htm ) for periodic updates. EMS Firm Numbers (cont.) # EMS Provider City County # EMS Provider City County 198008 Robertson County Ems, Inc. Franklin Robertson 220033 Eagle Mountain Vfd Fort Worth Tarrant 300140 Bluebonnet Emergency Medical Service Hearne Robertson 220068 Lifeguard Aeromed Fort Worth Tarrant 198002 Heartfield Ems Inc Hearne Robertson 300102 Medical Response Services Fort Worth Tarrant 300062 Rockwall County Ems Rockwall Rockwall 300047 Mercy Medflight Fort Worth Tarrant 200005 Ballinger Ems Inc Ballinger Runnels 300137 Paramed Systems, Inc. Fort Worth Tarrant 300073 Ballinger Memorial Hospital Ballinger Runnels 220002 Regional Paramedic Services Fort Worth Tarrant 200001 North Runnels Hosp Ems Winters Runnels 220025 Grapevine Fire Dept Grapevine Tarrant 201003 Henderson Memorial Hospital Ems Henderson Rusk 220032 Keller Fire-Rescue Keller Tarrant 146003 Bear Creek Vfd/Ems Cleveland San Jacinto 220046 Kennedale Fire Dept Kennedale Tarrant 300164 Bear Creek Volunteer Ems Cleveland San Jacinto 220014 Mansfield Fire Dept Mansfield Tarrant 236002 Waterwood Ems & Security Huntsville San Jacinto 220037 North Richland Hills Fd N Richland Hill Tarrant 204002 Rural Emergency Medical Services, Inc. Point Blank San Jacinto 220026 Pantego Fire Department Pantego Tarrant 204001 Shepherd Ems Shepherd San Jacinto 220043 Richland Hills Fire Dept Richland Hills Tarrant 205009 Tri County Ems Inc Ingleside San Patricio 220028 Southlake Dps Southlake Tarrant 205011 City Of Mathis Ems Mathis San Patricio 221008 First Flight Abilene Taylor 205007 S A V E S Sinton San Patricio 221006 Rural/Metro Ambulance Of Abilene Abilene Taylor 205006 Taft Volunteer Ems Taft San Patricio 221007 Merkel Ems Merkel Taylor 206002 San Saba County Ems, Inc. San Saba San Saba 221012 Americare Tuscola Taylor 207001 Schleicher County Volunteer Ems Eldorado Schleicher 221002 South Taylor Ems Tuscola Taylor 208002 Snyder Ems Inc Snyder Scurry 222001 Terrell County Ems Sanderson Terrell 210004 Timpson Volunteer Ambulance Service, Inc. Timpson Shelby 223001 American Medical Response Brownfield Terry 211001 Stratford Ems Stratford Sherman 224003 Throckmorton Co Mem Hos Throckmorton Throckmorton 212022 East Texas Medical Center Air One Tyler Smith 225001 Titus Regional Medical Center Ems Mount Pleasant Titus 212002 East Texas Medical Center Ems Tyler Smith 226003 San Angelo Emergency Corps San Angelo Tom Green 300193 Medpro-Emergency Medical Service Tyler Smith 226007 San Angelo Fd Ems San Angelo Tom Green 212001 Trinity Mother Frances Ems Tyler Smith 226011 Shannon Medical Center-Medivac 1 San Angelo Tom Green 213004 Somervell County Fire, Rescue, And Ems Glen Rose Somervell 227026 Aaa-Air Ambulance America Austin Travis 214003 Starr County Ems Rio Grande City Starr 300153 American Medical Response Of Texas, Inc. Austin Travis 215006 Stephens Co Ems Breckenridge Stephens 227007 City Of Austin Ems Department Austin Travis 216001 Sterling County Ems Sterling City Sterling 300003 Guardian Services, Inc. Austin Travis 300106 Aspermont Ambulance Service Aspermont Stonewall 300086 T.C. Starflight Austin Travis 217002 Aspermont Ambulance Owasso Stonewall 227013 Lago Vista Volunteer Fire Department, Inc. Lago Vista Travis 218001 Sutton County Ems Sonora Sutton 228003 Groveton Vfd/Ems Groveton Trinity 219002 Happy Vfd Happy Swisher 230002 Upshur County Ambulance Service, Inc. Gilmer Upshur 300189 Tule Creek Ems Tulia Swisher 231001 Mc Camey Emergency Service Inc Mc Camey Upton 219004 Tulia Ambulance Service Tulia Swisher 231003 Midkiff Vol Amb Service Midkiff Upton 220067 Phoenix Medical Service Arlington Tarrant 231005 Rankin Volunteer Ambulance Rankin Upton 300004 Rural/Metro Of Arlington, Inc Arlington Tarrant 232003 Sabinal Ems Sabinal Uvalde 220027 Azle Fire Department Azle Tarrant 232004 Utopia Volunteer Ems Utopia Uvalde 220003 Bedford Fire Department Bedford Tarrant 232006 County Life Ems Uvalde Uvalde 220022 Benbrook Fire Dept Benbrook Tarrant 232005 Uvalde Ems Uvalde Uvalde 220035 Blue Mound Fire Dept Blue Mound Tarrant 233001 Val Verde Regional Med Ctr Ems Del Rio Val Verde 220007 Rendon Fire Department Burleson Tarrant 234017 Grand Saline Fire Department Ems Grand Saline Van Zandt 220006 Colleyville Fire Dept Colleyville Tarrant 234018 Wills Point Fire Department Ems Wills Point Van Zandt 220042 Crowley Fire Department Crowley Tarrant 235013 Bloomington Vfd Bloomington Victoria 220001 Edgecliff Village Vfd Edgecliff Vlg Tarrant 300161 Coastal Medical Service Victoria Victoria 300065 Ameritech Mobile Medical Systems Llc Euless Tarrant 300185 Citizens Medical Center Medivac 1 Victoria Victoria 220061 Euless Fire Department Euless Tarrant 235011 Regional Ambulance Service Victoria Victoria 220008 Everman Ems City Of Everman Tarrant 235006 Victoria Fire Department Ems Victoria Victoria 220062 Amaa-Medstar Fort Worth Tarrant 300038 Correctional Managed Care Huntsville Walker 220030 Big D Ems Fort Worth Tarrant 236004 Huntsville-Walker County Ems Huntsville Walker 220055 Careflite Fort Worth Fort Worth Tarrant 300084 Abc Emer Med & Transfer Service Brookshire Waller 220060 Cook Childrens Medical Center Fort Worth Tarrant 237006 Brookshire-Pattison Amb Brookshire Waller

42 Visit our website (www.tdh.state.tx.us/injury/trauma.htm ) for periodic updates. EMS Firm Numbers (cont.) # EMS Provider City County # EMS Provider City County 300072 Waller County Volunteer Ems Waller Waller 818000 Kentucky 238001 Grandfalls Volunteer Fire Dept Grandfalls Ward 819000 Louisiana 238003 Ward Memorial Ems Monahans Ward 820000 Maine 239006 Washington County Ems Brenham Washington 821000 Maryland 300156 City Of Rio Bravo E.M.S. Rio Bravo Webb 822000 Massachusetts 240016 Am Care Ambulance Laredo Webb 823000 Michigan 240014 Ambulance Ser Of Laredo Laredo Webb 824000 Minnesota 240013 Laredo A Ambulance Laredo Webb 825000 Mississippi 240004 Laredo Fire Department Laredo Webb 826000 Missouri 300130 Medical Ambulance Services, Inc. Laredo Webb 827000 Montana 300121 Webb County Sheriff's Depart Ambu Svc Laredo Webb 828000 Nebraska 241004 East Bernard Ems Inc East Bernard Wharton 829000 Nevada 241002 El Campo Ems El Campo Wharton 830000 New Hampshire 241001 Wharton Ems City Of Wharton Wharton 831000 New Jersey 242005 Wheeler County Amb Serv Wheeler Wheeler 832000 New Mexico 300155 Electra Tri-Med Ambulance Service Electra Wichita 833000 New York 243009 American Medical Response Wichita Falls Wichita 834000 North Carolina 300182 Trans Star Ambulance Wichita Falls Wichita 835000 North Dakota 244002 Vernon Fire/Ems Dept Vernon Wilbarger 836000 Ohio 245001 Willacy County Ems Raymondville Willacy 837000 Oklahoma 246013 Williamson County Ems Georgetown Williamson 838000 Oregon 300173 Eagle Creek Vol Emerg Serv,Inc. Floresville Wilson 839000 Pennsylvania 247003 Wilson Co Vol Ambulance Assoc Floresville Wilson 840000 Rhode Island 247005 La Vernia Volunteer Amb Serv La Vernia Wilson 841000 South Carolina 247004 Stockdale Volunteer Amb Serv Stockdale Wilson 842000 South Dakota 248001 Winkler County Ems Kermit Winkler 843000 Tennessee 249008 Wise County Ems Decatur Wise 844000 Texas 251002 Denver City Ems Denver City Yoakum 845000 Utah 251004 Plains Ems Plains Yoakum 846000 Vermont 252003 Graham/Young Co Ems Graham Young 847000 Virginia 252005 Olney Ems Olney Young 848000 Washington 253002 Mercy Zapata Ems Zapata Zapata 849000 West Virginia 253003 Zapata Co Fire/Ems Dept Zapata Zapata 850000 Wisconsin 254003 Crystal City Ems Crystal City Zavala 851000 Wyoming

Other States Other Countries 801000 Alabama 855000 Canada 802000 Alaska 856000 Cuba 803000 Arkansas 854000 Guam 804000 Arizona 858000 Gulf Of Mexico 805000 California 857000 Mexico 806000 Colorado 852000 Puerto Rico 807000 Connecticut 853000 Virgin Islands 808000 Delaware 809000 Dc 899000 Other 810000 Florida 811000 Georgia 999998 Not transported by EMS 812000 Hawaii 813000 Idaho 999999 Unknown 814000 Illinois 815000 Indiana 816000 Iowa 817000 Kansas

43 Visit our website (www.tdh.state.tx.us/injury/trauma.htm ) for periodic updates. 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

44 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

45 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

46 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

47 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

48 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

49 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

50 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-ChisolmRockwall 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

51 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

52 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

53 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

54 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

55 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

56 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

57 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

58 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

59 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.

60 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/trauma.htm. 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.