2013 DATA DICTIONARY Contents TRAUMA REGISTRY INCLUSION CRITERIA ............................................................................................... 1 CASE NUMBER ................................................................................................................................................... 1 TRAUMA CENTER .............................................................................................................................................. 2 DEMOGRAPHIC INFORMATION ..................................................................................................................... 2 AGE ........................................................................................................................................................................ 2 RACE ..................................................................................................................................................................... 2 SEX......................................................................................................................................................................... 3 PRE-HOSPITAL INFORMATION ...................................................................................................................... 3 INTER-FACILITY TRANSFER ........................................................................................................................... 3 INJURY INFORMATION ..................................................................................................................................... 3 INJURY DATE ...................................................................................................................................................... 3 INJURY TIME ....................................................................................................................................................... 4 ICD-9 PRIMARY E-CODE .................................................................................................................................. 4 ICD-10 PRIMARY E-CODE ................................................................................................................................ 4 PROTECTIVE DEVICES .................................................................................................................................... 4 MECHANISM ........................................................................................................................................................ 5 EMERGENCY DEPARTMENT INFORMATION ............................................................................................. 5 DATE ARRIVAL/ADMIT TQIP INSTITUTION ................................................................................................. 5 TIME ARRIVAL/ADMIT TQIP INSTITUTION................................................................................................... 5 INITIAL ED/HOSPITAL SYSTOLIC BLOOD PRESSURE ............................................................................ 5 INITIAL ED/HOSPITAL PULSE ......................................................................................................................... 6 FIRST ED TEMPERATURE ............................................................................................................................... 6 INITIAL ED/HOSPITAL GCS-EYE .................................................................................................................... 6 INITIAL ED/HOSPITAL GCS-VERBAL............................................................................................................. 6 INITIAL ED/HOSPITAL GCS-MOTOR ............................................................................................................. 7 INITIAL ED/HOSPITAL GCS-TOTAL ............................................................................................................... 7 INITIAL ED/HOSPITAL GCS ASSESSMENT QUALIFIERS ........................................................................ 7 ED DISCHARGE DISPOSITION ....................................................................................................................... 8 DIRECT ADMIT .................................................................................................................................................... 8 ARRIVED FROM .................................................................................................................................................. 9 COMPLAINT ......................................................................................................................................................... 9 INTUBATION STATUS ....................................................................................................................................... 9 CPR ...................................................................................................................................................................... 10 ETOH ................................................................................................................................................................... 10 HEMATOCRIT .................................................................................................................................................... 10 ADMIT SERVICE ............................................................................................................................................... 10 HOSPITAL PROCEDURE INFORMATION ................................................................................................... 10 OPERATION ....................................................................................................................................................... 10 EMERGENCY OPERATION ............................................................................................................................ 11 ICD-9 HOSPITAL PROCEDURES .................................................................................................................. 11 ICD-10 HOSPITAL PROCEDURES ................................................................................................................ 12 HOSPITAL PROCEDURE START DATE ...................................................................................................... 14 HOSPITAL PROCEDURE START TIME ....................................................................................................... 14 DIAGNOSES INFORMATION .......................................................................................................................... 14 COMORBID CONDITIONS .............................................................................................................................. 14 GENERAL ........................................................................................................................................................... 14 ADVANCED DIRECTIVE LIMITING CARE ............................................................................................... 14 ALCOHOLISM ................................................................................................................................................ 15 i CURRENT SMOKER..................................................................................................................................... 15 DRUG ABUSE OR DEPENDENCE ............................................................................................................ 15 FUNCTIONALLY DEPENDENT HEALTH STATUS ................................................................................ 15 PULMONARY ..................................................................................................................................................... 15 RESPIRATORY DISEASE ........................................................................................................................... 15 HEPATOBILIARY ............................................................................................................................................... 16 ASCITES WITHIN 30 DAYS......................................................................................................................... 16 CIRRHOSIS .................................................................................................................................................... 16 GASTROINTESTINAL....................................................................................................................................... 16 ESOPHAGEAL VARICES............................................................................................................................. 16 CARDIAC............................................................................................................................................................. 16 PRE-HOSPITAL CARDIAC ARREST WITH RESUSCITATIVE EFFORTS BY HEALTHCARE PROVIDER ...................................................................................................................................................... 16 CONGESTIVE HEART FAILURE ................................................................................................................ 16 HISTORY OF ANGINA WITHIN PAST 1 MONTH .................................................................................... 17 HISTORY OF MYOCARDIAL INFARCTION ............................................................................................. 17 HISTORY