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Warning Text %XTableStyleMedium2PivotStyleLight16`YNTDS Change Log 2026!  ;5fVf@ @rj0  3 A@@   U Change Date Field NameChange Location Change TextICD-9 PRIMARY E-CODEAdditional Information DefinitionICD-10 PRIMARY E-CODE/Changed to: ICD-10 PRIMARY EXTERNAL CAUSE CODE SIGNS OF LIFEAssociated Edit ChecksICD-10 ADDITIONAL E-CODEWAdded: reference to Appendix 3: Glossary of Terms for multiple cause coding hierarchy2Changed to: ICD-10 ADDITIONAL EXTERNAL CAUSE CODEAdmission YearREPORT OF PHYSICAL ABUSENew Data FieldINVESTIGATION OF PHYSICAL ABUSECAREGIVER AT DISCHARGETRAUMA CENTER CRITERIA(VEHICULAR, PEDESTRIAN, OTHER RISK INJURY-INITIAL ED/HOSPITAL GCS ASSESSMENT QUALIFIERSAdded: Check all that applyDRUG USE INDICATORED DISCHARGE DISPOSITION-Removed: Based upon UB-04 disposition codingCO-MORBID CONDITIONSICD-9 INJURY DIAGNOSES=Retired: #6905, Not Applicable, required Inclusion CriterionICD-10 INJURY DIAGNOSES=Retired: #8705, Not Applicable, required Inclusion CriterionHOSPITAL DISCHARGE DISPOSITIONaRetired: #9, Discharged/Transferred to another type of rehabilitation or long term care facility Field Value<Added: #10, Discharged/Transferred to court/law enforcementXAdded: #14, Discharged/Transferred to another type of institution not defined elsewheremAdded: #13, Discharged/Transferred to a psychiatric hospital or psychiatric distinct part unit of a hospitalEAdded: #12, Discharged/Transferred to Long Term Care Hospital (LTCH)IAdded: #11, Discharged/Transferred to inpatient rehab or designated unitGAdded: Disposition to any other medical facility should be coded as 14HRemoved: Disposition to any other medical facility should be coded as 9HOSPITAL COMPLICATIONSSAdded: reference to Appendix 3: Glossary of Terms for definition of Complications7GCS ASSESSMENT QUALIFIER COMPONENT OF HIGHEST GCS TOTALTRANSFUSION BLOOD (4 HOURS)Collection CriterioneAdded: Must also complete the fields Transfusion Blood Measurement and Transfusion Blood Conversion +Changed: to read  Collect on all patients Added: (units or CCs)TRANSFUSION BLOOD (24 HOURS)0Retired: #11403, Not Applicable, required fielduRemoved: If no blood was given or the patient does not meet the collection criterion, then volume should be 0 (zero)EAdded: The null value  Not Applicable is used if no blood was givenfAdded: The null value  Not Applicable is used for patients that do not meet the collection criteriondAdded: Must also complete the fields Transfusion Blood Measurement and Transfusion Blood ConversionTRANSFUSION BLOOD MEASUREMENTTRANSFUSION BLOOD CONVERSIONTRANSFUSION PLASMA (4 HOURS)vRemoved: If no plasma was given or the patient does not meet the collection criterion, then volume should be 0 (zero)0Retired: #11103, Not Applicable, required fieldfAdded: Must also complete the fields Transfusion Plasma Measurement and Transfusion Plasma ConversionTRANSFUSION PLASMA (24 HOURS)0Retired: #11503, Not Applicable, required fieldTRANSFUSION PLASMA MEASUREMENTTRANSFUSION PLASMA CONVERSIONTRANSFUSION PLATELETS (4 HOURS)0Retired: #11203, Not Applicable, required fieldzRemoved: If no platelets were given or the patient does not meet the collection criterion, then volume should be 0 (zero)lAdded: Must also complete the fields Transfusion Platelets Measurement and Transfusion Platelets Conversion TRANSFUSION PLATELETS (24 HOURS)0Retired: #11603, Not Applicable, required field!TRANSFUSION PLATELETS MEASUREMENT TRANSFUSION PLATELETS CONVERSIONCRYOPRECIPITATE (4 HOURS)0Retired: #11303, Not Applicable, required fieldRemoved: If no cryoprecipitate was given or the patient does not meet the collection criterion, then volume should be 0 (zero)`Added: Must also complete the fields Cryoprecipitate Measurement and Cryoprecipitate ConversionCRYOPRECIPITATE (24 HOURS)0Retired: #12703, Not Applicable, required fieldCRYOPRECIPITATE MEASUREMENTCRYOPRECIPITATE CONVERSION*LOWEST ED/HOSPITAL SYSTOLIC BLOOD PRESSURE0Retired: #10904, Not Applicable, required field ANGIOGRAPHYAdded: Excludes CTAEMBOLIZATION SITElRemoved: It is possible to undergo embolization of more than one site (i.e. more than 1 choice is possible)Added: check all that applyAdded: Trauma Flow Sheet#Added: Nursing Unit/ICU Flow SheetANGIOGRAPHY DATEANGIOGRAPHY TIME#SURGERY FOR HEMORRHAGE CONTROL TYPEAdded: Nursing recordsAdded: Anesthesia records#SURGERY FOR HEMORRHAGE CONTROL DATEAdded: Procedure notesAdded: OR Records#SURGERY FOR HEMORRHAGE CONTROL TIMEsAdded: If unclear if surgery was for hemorrhage control, then consult TMD or operating/consulting/relevant surgeonWITHDRAWAL OF CAREQAdded: Excludes the discontinuation of CPR and typically involves prior planningWITHDRAWAL OF CARE DATEAdded: Record the date the withdrawal of an intervention already in place occurs (e.g. extubation). If no intervention is in place, record the date the decision not to proceed with a life-saving intervention occurs (e.g. intubation)WITHDRAWAL OF CARE TIME'Added: Multiple Cause Coding Hierarchy*Removed: all ICD-9 and ICD-10 code ranges$Removed: Intermediate care facilityRemoved: Home Health ServiceRemoved: HomelessRemoved: HospiceRemoved: Migrant Worker/Removed: Operative and/or essential proceduresRemoved: Skilled Nursing CareRemoved: Undocumented CitizenRemoved Updated Staff^Changed: If Date of Birth is  Not Known/Not Recorded , complete variables: Age and Age Units. rChanged: If Date of Birth equals ED/Hospital Arrival Date, then the Age and Age Units variables must be completed.vAdded: #0706 Field cannot be blank when Age Units is not: (1) blank, (2) Not Applicable, or (3) Not Known/Not RecordedAdded: #0707 Field cannot be Not Applicable when Age Units is not: (1) blank, (2) Not Applicable, or (3) Not Known/Not RecordedAdded: #0708 Field cannot be Not Known/Not Recorded when Age Units is not: (1) blank, (2) Not Applicable, or (3) Not Known/Not RecordedAdded: #0806 Field cannot be Not Known/Not Recorded when Age is not: (1) blank, (2) Not Applicable, or (3) Not Known/Not RecordedyAdded: #0805 Field cannot be Not Applicable when Age is not: (1) blank, (2) Not Applicable, or (3) Not Known/Not RecordedpAdded: #0804 Field cannot be blank when Age is not: (1) blank, (2) Not Applicable, or (3) Not Known/Not RecordedText DATE OF BIRTHAGE AGE UNITS1Changed to: ICD-9 ADDITIONAL EXTERNAL CAUSE CODEICD-9 ADDITIONAL E-CODEICD-9 LOCATION E-CODEICD-10 LOCATION E-CODE:Changed to: ICD-9 PLACE OF OCCURRENCE EXTERNAL CAUSE CODE;Changed to: ICD-10 PLACE OF OCCURRENCE EXTERNAL CAUSE CODEVAdded: #9003 Place of Injury code must be Y92.X/Y92.XX/Y92.XXX (where X is A-Z or 0-9)IRevised: #8904 Should not be Y92.X/Y92.XX/Y92.XXX (where X is A-Z or 0-9)ZRevised: #8905 ICD-10 External Cause Code must not be Y93.X/Y93.XX (where X is A-Z or 0-9)/Added: #6207,  Field cannot be Not Applicable "GCS MOTOR COMPONENT OF HIGHEST GCS:Removed: Must be the motor component of Highest GCS TotalIRetired: #10103 Blank, required to complete vairable: Highest GCS Total'VENOUS THROMBOEMBOLISM PROPHYLAXIS TYPE-Added: #10603 Field cannot be Not ApplicableWITHDRAWAL OF CARE -Added: #12403 Field cannot be Not ApplicableChanged to: HIGHEST GCS MOTORLThroughout this field, 'E-code' has been replaced with 'External cause code''INITIAL ED/HOSPITAL SUPPLEMENTAL OXYGEN$Retired: #5302 Blank, required field*Maximum number of diagnoses changed to 50.oChanged: #8703 If coding with ICD-10, then at least one diagnosis must be provided and meet inclusion criteria.pAdded: T79.A1-T79.A9 with 7th character modifier of A ONLY (Traumatic Compartment Syndrome - initial e< ncounter) aAdded: The null value 'Not Applicable' should be used if the patient expires prior to discharge.Data Source HierarchyRCVA/residual neurological deficit name changed to: Cerebrovascular Accident (CVA)RRespiratory Disease name changed to: Chronic Obstructive Pulmonary Disease (COPD)6Drug or dependency name changed to: Drug use disorderAcute Lung injury/Acute respiratory distress syndrome (ARDS) name changed to: Acute respiratory distress syndrome (ARDS); and updated definition9Added: Patients on anticoagulants and bleeding disorders>Changed: Crash ejection (partial or complete) from automobileChanged: The null value 'Not Known/Not Recorded' should be used if this information is not indicated, as an identical response choice, on the EMS Run Sheet or if the EMS Run Sheet is not available.RChanged: Multiple Data Source Hierarchy changes were made in multiple data fields!Added: For adults > 65; SBP <110Added: Pregnancy >20 weeksAdded: EMS provider judgment Added: BurnsAdded: Burns with TraumaRemoved: In addition to coding the individual blood products listed above assign the 99.01 ICD-9 procedure code on patients that receive > 10 untis of blood products over first 24 hours following hospital arrival.Removed: For pediatric patients (age 14 and under), assign 99.01 ICD-9 procedure code on patients that receive 40cc/kg of blood products over first 24 hours.Removed: In addition to coding the individual blood products listed above assign the appropriate procedure code on patients that receive > 10 units of blood products over first 24 hours following hospital arrivalRemoved: For pediatric patients (age 14 and under), assign the appropriate procedure code on patients that receive 40cc/kg of blood products over first 24 hours.Retired: No Fault AutomobileRetired: Workers Compensation Retired: Blue Cross/Blue ShieldAdded: No Fault Automobile, Workers Compensation, and Blue Cross/Blue Shield should be captured as Private/Commercial Insurance. Added: None,Changed: Refers to insertion of an intracranial pressure (ICP) monitor (or other measures of cerebral perfusion) for the purposes of managing severe TBI. Cerebral monitor placed at a referring facility would be acceptable if such a monitor was used by the receiving facility to monitor the patient.aRemoved: The null value 'Not Applicable' is used if the patient did not have a cerebral monitor.Added: If the cerebral monitor was placed at the referring facility, cerebral monitor date must be the date of insertion of the referring facilityAdded: If the cerebral monitor was placed at the referring facility, cerebral monitor time must be the time of insertion of the referring facilityYChanged: Type of first doose of VTE prophylaxis administered to patient at your hospitalzChanged: Date of administration to patient of first prophylactic dose of heparin or other anticoagulants at your hospital|Changed: Time of administration to patient of first prophylactic dose of heparin or other antiocoagulants at your haspital.rChanged: First interventional angiogram with or without embolization within first 24 hours of ED/Hospital arrival_Changed: Limit collection of angiography data to first 24 hours following ED/hospital arrival.Added: The field value 'No' should be used for patients whose time of death, according to your hospital's definition, was prior to the removal of any interventions or escalation of care.Retired: Ascites within 30 days%Updated Definition: Bleeding DisorderRetired: Esophageal varices8Updated Definition: Functionally dependent health status4Updated Definition: History of angina within 30 daysRetired: ObesityVRetired: Pre-hospital cardiac arrest with resuscitative efforts by healthcare providerJAdded: Attention deficit disorder/Attention deficit hyperactivity disorder'Updated Definition: Acute Kidney injuryTUpdated Definition: Cardiac arrest with resuscitative efforts by healthcare providercUnplanned return to the ICU name changed to: Unplanned admission to the ICU; and update definitionMULTIPLEPROTECTIVE DEVICES-Added: #2507 "Field cannot be Not Applicable"EChanged label: #6 Discharged to home or self-care (routine discharge)"Changed label: #5 Deceased/Expired#All level 5 flags have been retired(Changed: #10706, #10707 to level 2 flags(Changed: #10806, #10807 to level 2 flagsWRetired: #9403 "Field cannot be Not Applicable when Report of Physical Abuse = 1 (Yes)"'VENOUS THROMBOEMBOLISM PROPHYLAXIS DATE'VENOUS THROMBOEMBOLISM PROPHYLAXIS TIMEAdded: 3 level 2 flags: (1)"Field cannot be Not Applicable when Transfusion Blood (4 Hours) is greater than 0", (2) "Field must be Not Applicable when Transfusion Blood (4 Hours) is 0", and (3) "Field must be  Not Known/Not Recorded when Transfusion Blood (4 Hours) is  Not Known/Not Recorded for all non-dependent fields under Collection Criteria "Collect on all patients with transfused packed red blood cells within first 4 hours after ED/hospital arrival."Added: #11906, #11907, #11908PRE-HOSPITAL CARDIAC ARRESTICD-9 HOSPITAL PROCEDURESICD-10 HOSPITAL PROCEDURESPRIMARY METHOD OF PAYMENTCEREBRAL MONITORCEREBRAL MONITOR DATECEREBRAL MONITOR TIMEGLOSSARY OF TERMS#NTDS DATA DICTIONARY REVISION CYCLEACKNOWLEDGEMENTSZAdded: reference to Appendix 3: Glossary of Terms for definition of Co-Morbid Conditions`Changed: Language on multiple level 3 and 4 flags to reflect  should be as opposed to  must be Changed: Text on multiple flags to unify language and clarify purpose (i.e.  Not applicable, required field or  Not Applicable, required inclusion criteria both become  Field cannot be Not Applicable )Added: Level 2 flags "Field cannot be less than Transfusion [Blood, Plasma, Platelets, Cryoprecipitate] (4 Hours)" to all 24-hour transfusion product fields9Added: Multiple level 2 flags for 'Field cannot be blank'EChanged: Multiple flags for 'Field cannot be blank' to level 2 flags0NATIONAL TRAUMA DATA STANDARD INCLUSION CRITERIA&TRANSFUSION CRYOPRECIPITATE CONVERSIONAdded: If you are reporting transfusion cryoprecipitate measurements in CCs, then use the null value "Not Applicable" for this field.~Added: If you are reporting transfusion platelet measurements in CCs, then use the null value "Not Applicable" for this field.|Added: If you are reporting transfusion plasma measurements in CCs, then use the null value "Not Applicable" for this field.{Added: If you are reporting transfusion blood measurements in CCs, then use the null value "Not Applicable" for this field.INTIAL ED/HOSPITAL HEIGHTINTIAL ED/HOSPITAL WEIGHTTechnical SpecificationsIChanged: Values for this field can now be submitted with up to 2 decimalsAdded: #12006, #12007, #12008$ICD-9 ADDITIONAL EXTERNAL CAUSE CODE%ICD-10 ADDITIONAL EXTERNAL CAUSE CODEkChanged #1903 to read "Field cannot be blank (at least one ICD-9-CM or ICD-10 trauma code must be entered)"nChanged: #9103 now reads "Field cannot be blank (at least one ICD-9-CM or ICD-10 trauma code must be entered)"Changed: #10404 now reads "Field cannot be Not Applicable when Cerebral Monitor is not: (1) blank, (2) Not Applicable, (3) Not Known/Not Recorded, or (4) None"Changed: #10504 now reads "Field cannot be Not Applicable when Cerebral Monitor is not: (1) blank, (2) Not< Applicable, (3) Not Known/Not Recorded, or (4) None"Corrected definition of "Unplanned admission to the ICU" to INCLUDE: Patients admitted to the ICU after initial transfer to the floorCorrected definition of "Cardiac Arrest with CPR" to remove bullet reading: "Were pulseless but did not receive defibrilation attempts or CPR by hospital personnel."(Changed to: Data Source Hierarchy GuideALTERNATE HOME RESIDENCERetired 4. Foreign VisitorRemoved: "Foreign Visitor is defined as any person legally visiting a country other than his/her usual place of residence for any reason."+INITIAL ED/HOSPITAL SYSTOLIC BLOOD PRESSUREINITIAL ED/HOSPITAL PULSE RATEALCOHOL USE INDICATORED DISCHARGE DATEAdded: 5. MinutesAdded: "Measurement recorded must be without the assistance of CPR or any type of mechanical chest compression device. For those patients who are receiving CPR or any type of mechanical chest compressions, report the value obtained while compressions are paused."Changed 1st bullet to read: "Blood alcohol concentration (BAC) may be documented at any facility, unit, or setting treating this patient event."Added: "If ED Discharge Disposition is 5 Deceased/Expired, then ED Discharge Date is the date of death as indicated on the patient s death certificate."[Changed to: "The date the order was written for the patient to be discharged from the ED."ED DISCHARGE TIMEAdded: "If ED Discharge Disposition is 5 Deceased/Expired, then ED Discharge Time is the time of death as indicated on the patient s death certificate."[Changed to: "The time the order was written for the patient to be discharged from the ED."KChanged to: "The null value  Not Applicable is used if not coding ICD-9."Added: "For any Co-Morbid Condition to be valid, there must be a diagnosis noted in the patient medical record that meets the definition noted in Appendix 3: Glossary of Terms."AIS PREDOT CODEaRemoved: "This variable is considered optional and is not required as part of the NTDS dataset." AIS SEVERITY AIS VERSION Field ValuesISS BODY REGIONRetired Data FieldLOCALLY CALCULATED ISSRetiredHOSPITAL DISCHARGE DATEaChanged to: "The date the order was written for the patient to be discharged from the hospital."Added: "If Hospital Discharge Disposition is 5 Deceased/Expired, then Hospital Discharge Date is the date of death as indicated on the patient s death certificate."HOSPITAL DISCHARGE TIMEaChanged to: "The time the order was written for the patient to be discharged from the hospital."Added: "If Hospital Discharge Disposition is 5 Deceased/Expired, then Hospital Discharge Time is the time of death as indicated on the patient s death certificate."+Retired: 16. Graft/prosthesis/flap failureRetired: 1. AIS 80Retired: 2. AIS 85Retired: 3. AIS 90Retired: 4. AIS 95Retired: 5. AIS 98Retired: 20. Pneumonia%Retired: 27. Urinary tract infection5Retired: 28. Catheter related blood stream infection@Added: 33. Catheter-associated urinary tract infection (CAUTI)2Added: 35. Ventilator-associated pneumonia (VAP)Add: "For any Hospital Complication to be valid, there must be a diagnosis noted in the patient medical record that meets the definition noted in Appendix 3: Glossary of Terms."Add: "For all Hospital Complications that follow the CDC definition [e.g., VAP, CAUTI, CLABSI, Osteomyelitis] always use the most recent definition provided by the CDC."Added: "If packed red blood cells are transfusing upon patient arrival, count as 1-unit. Or, if reporting CCs, report the amount of CCs transfused at your center."Added: "If the patient meets the collection criteria and packed red blood cells are transfusing upon patient arrival, count as 1-unit. Or, if reporting CCs, report the amount of CCs transfused at your center."GAdded: "The null value "Not Applicable" is used if no blood was given"`Added: "The null value "Not Applicable" is used if no packed red blood cells were transfused." eAdded: "The null value "Not Applicable" is used if reporting transfusion blood measurements in CCs."Added: "If the patient meets the collection criteria and plasma is transfusing upon patient arrival, count as 1-unit. If reporting CCs, report the amount of CCs transfused at your center."Changed: "Must also complete the fields Transfusion Plasma Measurement and Transfusion Plasma Conversion when product is transfused."Changed: "Must also complete the fields Transfusion Blood Measurement and Transfusion Blood Conversion when product is transfused."NAdded: "The null value "Not Applicable" is used if no plasma was transfused."fAdded: "The null value "Not Applicable" is used if reporting transfusion plasma measurements in CCs."Changed: "Must also complete the fields Transfusion Platelets Measurement and Transfusion Platelets Conversion when product is transfused."Added: "If the patient meets the collection criteria and platelets are transfusing upon patient arrival, count as 1-unit. If reporting CCs, report the amount of CCs transfused at your center."RAdded: "The null value "Not Applicable" is used if no platelets were transfused."iAdded: "The null value "Not Applicable" is used if reporting transfusion platelets measurements in CCs."Added: "If the patient meets the collection criteria and cryoprecipitate is transfusing upon patient arrival, count as 1-unit. If reporting CCs, report the amount of CCs transfused at your center."Changed: "Must also complete the fields Cryoprecipitate Measurement and Cryoprecipitate Conversion when product is transfused."WAdded: "The null value "Not Applicable" is used if no cryoprecipitate was transfused."oAdded: "The null value "Not Applicable" is used if reporting transfusion cryoprecipitate measurements in CCs."!Added: 8. Other skin/soft tissue&INITIAL ED/HOSPITAL PUPILLARY RESPONSE MIDLINE SHIFTPOLICY LEVEL VALIDATION FLAGsAdded: #9908 (level 3) "Greater than 10% of your patients have been submitted with uknown complication information"*INITIAL ED/HOSPITAL RESPIRATORY ASSISTANCEHIGHEST GCS TOTALHIGHEST GCS MOTOR.Added: #9203 (level 2) "Field cannot be blank".Added: #9402 (level 2) "Field cannot be blank"-Added: #9502(level 2) "Field cannot be blank".Added: #9603 (level 2) "Field cannot be blank"Retired: #5103Added: #6208 (level 3) "Field is 1 (Arrived with NO signs of life) when Initial ED/Hospital SBP > 0, Pulse > 0, OR GCS Motor > 1. Please verify."Added: #6209 (level 3) "Field is 2 (Arrived with signs of life) when Initial ED/Hospital SBP = 0, Pulse = 0, AND GCS Motor = 1. Please verify."8Changed: #9302 (level 2) to read "Field cannot be blank"8Changed: #6503 (level 2) to read "Field cannot be blank"8Changed: #8803 (level 2) to read "Field cannot be blank"\Changed: #7004 (level 3) to read "AIS codes submitted are not valid AIS 05, Update 08 codes"Retired: #7005Retired: #7006.Added: #7007 (level 2) "Field cannot be blank".Added: #7103 (level 2) "Field cannot be blank".Added: #7302 (level 2) "Field cannot be blank"vAdded: #10004 (level 2) "Field should be Not Applicable as the AIS codes provided do not meet the collection criteria"sAdded: #10005 (level 2) "Field should not be Not Applicable as the AIS codes provided meet the collection criteria"vAdded: #10104 (level 2) "Field should be Not Applicable as the AIS codes provided do not meet< the collection criteria"sAdded: #10105 (level 2) "Field should not be Not Applicable as the AIS codes provided meet the collection criteria"vAdded: #10204 (level 2) "Field should be Not Applicable as the AIS codes provided do not meet the collection criteria"sAdded: #10205 (level 2) "Field should not be Not Applicable as the AIS codes provided meet the collection criteria"vAdded: #10304 (level 2) "Field should be Not Applicable as the AIS codes provided do not meet the collection criteria"sAdded: #10305 (level 2) "Field should not be Not Applicable as the AIS codes provided meet the collection criteria"rChanged: #10409 (level 3) to read "Field should be Not Applicable when Cerebral Monitor is Not Applicable or None"rChanged: #10508 (level 3) to read "Field should be Not Applicable when Cerebral Monitor is Not Applicable or None"Retired: #10704Retired: #10804Patient's Home Location and Injury Location fields (ZIP/Postal Code, Country, State, County, City) changed to accommodate universal ZIP/postal code acceptance. For Non-US locations, all variables must be Not Applicable except for Country or ZIP/postal code. PATIENT'S HOME COUNTRY7Added: #0104 (level 2) "Field cannot be Not Applicable"Added: #0105 (level 2) "Field cannot be Not Known/Not Recorded when Home ZIP is not: (1) blank, (2) Not Applicable, or (3) Not Known/Not Recorded"INCIDENT COUNTRY7Added: #2104 (level 2) "Field cannot be Not Applicable"Added: #2105 (level 2) "Field cannot be Not Known/Not Recorded when Home ZIP is not: (1) blank, (2) Not Applicable, or (3) Not Known/Not Recorded"Flags that previously allowed blanks based upon conditional logic tied to other fields have been changed to unversally restrict the submission of blanks. These are also now universally level 2 flags.pUpdated logic of existing calculated edits checks to reflect the addition of Minutes as an Age Units field valuecChanged Title: 14. "Deep Vein Thrombosis (DVT)/thrombophlebitis" To: "Deep vein thrombosis (DVT)"rChanged Title: 8. "Cardiac arrest with resuscitative efforts by healthcare provider" To: "Cardiac arrest with CPR"Updated: Alcohol use disorderUpdated: DementiaUpdated: Drug use disorder;Added: Catheter-associated urinary tract infection (CAUTI)>Added: Central line-associated bloodstream infection (CLABSI)BAdded: 34. Central line-associated bloodstream infection (CLABSI)-Added: Ventilator-associated pneumonia (VAP)Changed: OsteomyelitisDChanged all ICD-10 flags to accommodate the Canadian ICD-10 version.Changed: Acute Kidney InjuryEAdded: "The null value "Not Applicable" is used if not coding ICD-9""ICD-10 PRIMARY EXTERNAL CAUSE CODE!ICD-9 PRIMARY EXTERNAL CAUSE CODE9Revised: #8902 (level 2) to read "Field cannot be blank".ICD-9 PLACE OF OCCURRRENCE EXTERNAL CAUSE CODE9Revised: #1802 (level 2) to read "Field cannot be blank"FAdded: "The null value "Not Applicable" is used if not coding ICD-10".ICD-10 PLACE OF OCCURRENCE EXTERNAL CAUSE CODE9Revised: #9002 (level 2) to read "Field cannot be blank"9Revised: #1702 (level 2) to read "Field cannot be blank"9Revised: #1903 (level 2) to read "Field cannot be blank"9Revised: #9103 (level 2) to read "Field cannot be blank"Added: #8103 (level 3) "Hospital Complications include Ventilator-associated pneumonia (VAP) although Total Ventilator Days is 0. Please verify."PATIENT'S HOME STATE]Added: The null value "Not Applicable" is used if Patient's Home Zip/Postal Code is reportedPATIENT'S HOME COUNTYPATIENT'S HOME CITYsRemoved: If Date of Birth equals ED/Hospital Arrival Date, then the Age and Age Units variables must be completed.dAdded: If Date of Birth equals Injury Date, then the Age and Age Units variables must be completed.RACE*Added: Based on the 2010 US Census BureauAdded: Select all that apply.-Added: Field must be Not Applicable (non-US) ETHNICITYINJURY INCIDENT TIME WORK RELATED&Added: Field cannot be Not ApplicableFRemoved: The null value "Not Applicable" is used if not coding ICD-10-ICD-9 PLACE OF OCCURRENCE EXTERNAL CAUSE CODE^Added: The null value "Not Applicable" is used if no additional external cause codes are used!INCIDENT LOCATION ZIP/POSTAL CODERemoved: If "Not Applicable" or "Not Known/Not Recorded," complete variables: Incident Country, Incident State (US ONLY), Incident County (US ONLY) and Incident City (US ONLY).Added: If "Not Known/Not Recorded," complete variables: Incident Country, Incident State (US ONLY), Incident County (US ONLY) and Incident City (US ONLY).`Added: The null value "Not Applicable" is used if Incident Location Zip/Postal Code is reported INCIDENT CITYMAdded: If Incident Country is not US, report the null value "Not Applicable"INCIDENT COUNTYAIRBAG DEPLOYMENTEMS DISPATCH DATE]Added: The null value "Not Applicable" is used for patients who were not transported by EMS.EMS DISPATCH TIME7EMS UNIT ARRIVAL TIME AT SCENE OR TRANSFERRING FACILITY7EMS UNIT ARRIVAL DATE AT SCENE OR TRANSFERRING FACILITY;EMS UNIT DEPARTURE DATE FROM SCENE OR TRANSFERRING FACILITY;EMS UNIT DEPARTURE TIME FROM SCENE OR TRANSFERRING FACILITYTRANSPORT MODEINITIAL FELD GCS - EYE|Added: If a patient does not have a numeric GCS score recorded, but written documentation closely (or directly) relates to verbiage describing a specific level of functioning within the GCS scale, the appropriate numeric score may be listed. E.g. the chart indicates: "patients pupils are PERRL," an Eye GCS of 4 may be recorded, IF there is no other contradicting documentation.INITIAL FIELD GCS - VERBALAdded: If a patient does not have a numeric GCS score recorded, but written documentation closely (or directly) relates to verbiage describing a specific level of functioning within the GCS scale, the appropriate numeric score may be listed. E.g. the chart indicates: "patient is oriented to person place and time," a Verbal GCS of 5 may be recorded, IF there is no other contradicting documentation.ED/HOSPITAL ARRIVAL TIMEINITIAL ED/HOSPITAL TEMPERATUREuAdded: The null value "Not Applicable" is used if "Initial ED/Hospital Respiratory Rate is "Not Known/Not Recorded."%INITIAL ED/HOSPITAL OXYGEN SATURATIONINITIAL ED/HOSPITAL GCS - EYE INITIAL ED/HOSPITAL GCS - VERBAL!INITIAL ED/HOSPITAL GCS - VERBALINITIAL ED/HOSPITAL GCS - MOTORINITIAL ED/HOSPITAL GCS - TOTALINITIAL ED/HOSPITAL HEIGHTINITIAL ED/HOSPITAL WEIGHT DRUG SCREENNewALCOHOL SCREENALCOHOL SCREEN RESULTSSectionData Source Hierarchy Guide Added list Title4Changed to: Withdrawal of Life Supporting Treatment9Changed to: Withdrawal of Life Supporting Treatment Date9Changed to: Withdrawal of Life Supporting Treatment Time"NATIONAL PROVIDER IDENTIFIER (NPI)INCIDENT STATENAdded: If incident Country is not US, report the null value "Not Applicable."WAdded: Field cannot be "Not Applicable" when Protective Device is "8. Airbag Present" Removed: This list is based on procedures sent to NTDB with a high frequency. Not all hospitals capture all procedures listed below. Please transmit those procedures that your capture to NTDB.yDiagnostic and Therapeutic Imaging: Removed: Computerized tomographic studies, Echocardiography, Cystogram, UrethrogramkCardiovascular: Removed: Central venous catheter*, Pulmonary artery catheter*, Cardiac output monitoring*Other: Retired Added: Anticoagulant TherapyUpdated: Bleeding Disorder6Updated: Chronic Obstructive Pulmonary Disease (COPD)Added: Angina Pectoris*Retired: History of Angina within 30 DaysRetired: Drug Use Disorder/Retired: History of Myocardial Infarction (MI)0Retired: History of Peripheral Vascular Disease<Replaced Hypertension Requiring Medication with HypertensionUpdated: Hypertension#Retired: Major Psychiatric Illness#Added: Mental/Personality Disorder"Added: Myocardial Infarction (MI))Added: Peripheral Arterial Disease (PAD)!New: Alcohol Withdrawal SyndromeRetired: Decubitus Ulcer'Updated: Deep Surgical Site Infection -Retired: Drug or Alcohol < Withdrawal SyndromeUpdated: Myocardial InfarctionNew: Pressure UlcerUpdated: Severe Sepsis6Added: Superficial Incisional Surgical Site Infection-Retired: Superficial Surgical Site InfectionTChanged: Adult Respiratory Distress Syndrome to Acute Respiratory Distress Syndrome0Added: Field cannot be Not Applicable (US only)TAdded: Field cannot be Not Applicable when Protective Device is 6 (Child Restraint)Retired: ONE of the following: Initial ED/Hospital GCS - Eye, Initial ED/Hospital GCS - Verbal, or Initial ED/Hospital GCS - Motor is blank but Initial ED/Hospital GCS - Total is not "Not Applicable" or "Not Known/Not Recorded"hChange: Date of Birth is later than ED/Hospital Arrival Date to Date of Birth is later than Injury DateChange: Date of Birth + 120 years must be less than ED/Hospital Arrival Date to Date of Birth + 120 years must be less than Injury DateCHILD SPECIFIC RESTRAINTdAdded: The null value "Not Applicable" is used if NO "Airbag" is reported under Protective Devices.cRespiratory: Clarified: Insertion of endotracheal tube* (exclude intubations performed in the OR)Diagnostic and Therapeutic Imaging: Added: Computerized tomographic Head*, Computerized tomographic Chest*, Computerized tomographic Abdomen*, Computerized tomographic Pelvis*, REBOA (ICD-10: 04L03FDZ)-Updated: Organ/Space Surgical Site InfectionINITIAL FIELD GCS - EYEChanged to: Collect on patients with at least one injury in AIS head region, excluding patients with isolated scalp abrasion(s), scalp contusion(s), scalp laceration(s) and scalp avulsion(s).SURGEON SPECIFIC REPORTINGAdded: If Incident Country is not US, then the null value "Not Applicable" is used for: Incident State, Incident County, and Incident City.VChanged: Oral Xa Inhibitor (Rivaroxaban, etc.) To: Xa Inhibitor (Rivaroxaban, etc.) 9Changed: Extremity (peripheral vascular) To: Extremity #Added: Alcohol Withdrawal SyndromeRemoved: If a patient does not have a numeric GCS score recorded, but written documentation closely (or directly) relates to verbiage describing a specific level of functioning within the GCS scale, the appropriate numeric score may be listed. E.g. the chart indicates: "patient withdraws from a painful stimulus" a Motor GCS of 4 may be recorded, IF there is no other contradicting documentation. Added: Substance Abuse Disorder.Added: Exclude sequential compression devicesUpdatedANTIBIOTIC THERAPYNEWANTIBIOTIC THERAPY DATEANTIBIOTIC THERAPY TIMEINITIAL FIELD GCS - MOTORINITIAL FIELD GCS - TOTALINITIAL FIELD GCS 40 - EYEINITIAL FIELD GCS 40 - MOTORINITIAL FIELD GCS 40-VERBAL#INITIAL ED/HOSPITAL GCS 40 - VERBAL INITIAL ED/HOSPITAL GCS 40 - EYE"INITIAL ED/HOSPITAL GCS 40 - MOTORALCOHOL USE DISORDER CEREBRAL VASCULAR ACCIDENT (CVA)CARDIAC ARREST WITH CPR1Removed: sustained (> 5 min) from the definitionHIGHEST GCS-40 MOTOR$INITIAL ED/HOSPITAL RESPIRATORY RATEINITIAL FIELD RESPIRATORY RATEINTER-FACILITY TRANSFERED/HOSPITAL ARRIVAL DATEdAdded: The null value  Not Known/Not Recorded is used if Initial Field GCS 40 - Total is reported.Added: If documented that a  Child Restraint (booster seat or child care seat) was used or worn, but not properly fastened, either on the child or in the car, report Field Value  1. None. 'Updated to exclude sub segmental PE's .!Updated to remove cardiac failure'Added: 0040 Single Entry Max exceeded'Added: 0140 Single Entry Max exceeded^Added: 0205 Field must be "Not Applicable" when Patient's Home Zip/Postal code is documented'Added: 0240 Single Entry Max exceeded/Changed: 0201, 0202 Removed (US patient only)HChanged: 0204 to Field must be "Not Applicable" (Non-US hospitals only)HAdded: The null value "Not Applicable" is reported for non-US hospitals'Added: 0340 Single Entry Max exceeded/Changed: 0301, 0302 Removed (US patient only)HChanged: 0304 to Field must be "Not Applicable" (Non-US hospitals only)^Added: 0305 Field must be "Not Applicable" when Patient's Home Zip/Postal code is documented^Added: 0405 Field must be "Not Applicable" when Patient's Home Zip/Postal code is documented'Added: 0440 Single Entry Max exceeded/Changed: 0401, 0402 Removed (US patient only)HChanged: 0404 to Field must be "Not Applicable" (Non-US hospitals only)'Added: 0540 Single Entry Max exceededPRemoved: Used to calculate patient age in minutes, hours, day, months, or years'Added: 0640 Single Entry Max exceededRAdded: The null value "Not Applicable" is reported if Date of Birth is documented'Added: 0740 Single Entry Max exceededAdded: 6. WeeksPAdded: The null value "Not Applicable" is reported if Date of Birth is reportedKAdded: 0809 Field must be "Not Applicable" when Date of Birth is reported(Added: 0840: Single Entry Max exceededFChanged: 0903 to Field cannot be "Not Applicable" (US hospitals only)wAdded: 0905 If any Field Value is reported, neither "Not Applicable" or "Not Known/Not Recorded" can also be reported)Added: 0950 Multiple Entry Max exceededDChanged: 1003 Field cannot be "Not Applicable" (US hospitals only)SEX&Added: 1040 Single Entry Max exceeded&Added: 1140 Single Entry Max exceededINJURY INCIDENT DATE Changed: 1204 & 1210 to Level 22Changed: 1205, 1206, 1207, 1208 & 1209 to Level 3'Added: 1240 Single Entry Max exceeded2Changed: 1304, 1305, 1306, 1307 & 1308 to Level 3'Added: 1340 Single Entry Max exceeded WORK-RELATEDRetired: 1405 & 1406Retired: 0707 Retired: 0805 'Added: 1440 Single Entry Max exceededPATIENT'S OCCUPATIONAL INDUSTRY`Added: 1505 If Work-Related is Yes, Patient's Occupational Industry cannot be  Not Applicable IAdded: 1506  Not Applicable must be reported if Work-Related is  2.No 'Added: 1540 Single Entry Max exceededPATIENT'S OCCUPATIONUAdded: 1605 If Work-Related is Yes, Patient's Occupation cannot be  Not Applicable JAdded: 1606  Not Applicable must be reported if Work-Related is  2. No 'Added: 1640 Single Entry Max exceeded'Added: 8940 Single Entry Max exceeded)Removed: Multiple Cause Coding Hierarchy'Added: 9040 Single Entry Max exceededRemoved: External cause codes are used to auto-generate two calculated fields: Trauma Type: (Blunt, Penetrating, Burn) and Intentionality (based on CDC matrix)&Added: 9140 Single Entry Max exceeded&Added: 2040 Single Entry Max exceeded&Added: 2140 Single Entry Max exceeded)Changed: 2201 Removed (US patient only)AChanged: 2204 Field must be "Not Applicable" (Non-US hospitals)&Added: 2240 Single Entry Max exceededAChanged: 2304 Field must be "Not Applicable" (Non-US hospitals)aAdded: 2305 Field must be "Not Applicable" when Incident Location Zip/Postal code is documented&Added: 2340 Single Entry Max exceeded Changed: 2401 Removed (US Only)@Changed: 2404 Field must be "Not Applicable" (Non-US hospitals)`Added: 2405 Field must be "Not Applicable" when Incident Location Zip/Postal Code is documented&Added: 2440 Single Entry Max exceededRetired: 2505Retired: 2506(Added: 2550 Multiple Entry Max exceeded&Added: 2640 Single Entry Max exceeded(Added: 2750 Multiple Entry Max exceeded&Added: 9240 Single Entry Max exceeded2Added: "& ..as defined by state/local autorities."Retired: 9303&Added: 9340 Single Entry Max exceededUAdded: 9404 Field must be "Not Applica< ble" when Report of Physical Abuse is "2. No."UAdded: 9304 Field must be "Not Applicable" when Report of Physical Abuse is "2. No."&Added: 9440 Single Entry Max exceededRemoved: Used to auto generate an additional calculated field: Total EMS Time (elapsed time from EMS dispatch to hospital arrival)&Changed: 2804, 2805 & 2807 to Level 3&Added: 2840 Single Entry Max exceeded3Changed: 2903, 2904, 2905, 2906, & 2907 to Level 3&Added: 2940 Single Entry Max exceeded&Changed: 3004, 3005 & 3007 to Level 3&Added: 3040 Single Entry Max exceeded1Changed: 3103, 3104, 3105, 3106, 3107 to Level 3&Added: 3140 Single Entry Max exceeded&Changed: 3204, 3205 & 3207 to Level 3&Added: 3240 Single Entry Max exceeded2Changed: 3303, 3304, 3305, 3306 & 3307 to Level 3&Added: 3340 Single Entry Max exceededRetired: 3403&Added: 3440 Single Entry Max exceededOTHER TRANSPORT MODE(Added: 3550 Multiple Entry Max exceeded%INITIAL FIELD SYSTOLIC BLOOD PRESSUREAdded: The null value "Not Known/Not Recorded" is reported if the patient's first recorded initial field systolic blood pressure was NOT measured at the scene of injuryfAdded: 3605 Field must be "Not Applicable" when Transport Mode is "4. Private/Public Vehicle/Walk-in"&Added: 3640 Single Entry Max exceededINITIAL FIELD PULSE RATEfAdded: 3705 Field must be "Not Applicable" when Transport Mode is "4. Private/Public Vehicle/Walk-in"&Added: 3740 Single Entry Max exceededAdded: The null value "Not Known/Not Recorded" is reported if the patient's first recorded initial field respiratory rate was NOT measured at the scene of injuryAdded: The null value "Not Known/Not Recorded" is reported if the patient's first recorded initial field pulse rate was NOT measured at the scene of injuryRetired: 3803gAdded: 3805 Field must be "Not Applicable" when Transport Mode is "4. Private/Public Vehichle/Walk-in"&Added: 3840 Single Entry Max exceededINITIAL FIELD OXYGEN SATURATIONAdded: The null value  Not Known/Not Recorded is reported if the patient s first recorded initial field oxygen saturation was NOT measured at the scene of injurygAdded: 3905 Field must be "Not Applicable" when Transport Mode is "4. Private/Public Vehichle/Walk-in"&Added: 3940 Single Entry Max exceeded&Added: 4040 Single Entry Max exceeded3Removed: Used to calculate overall GCS - EMS ScorefAdded: 4105 Field must be  Not Applicable when Transport Mode is  4. Private/Public Vehicle/Walk-in cAdded: 4106 Field must be  Not Known/Not Recorded when Initial Field GCS 40  Verbal is reported.&Added: 4140 Single Entry Max exceededfAdded: 4205 Field must be  Not Applicable when Transport Mode is  4. Private/Public Vehicle/Walk-in aAdded: 4206 Field must be  Not Known/Not Recorded when Initial Field GCS 40  Motor is reported&Added: 4240 Single Entry Max exceededfAdded: 4305 Field must be  Not Applicable when Transport Mode is  4. Private/Public Vehicle/Walk-in Added: 4306 Field must be  Not Known/Not Recorded when Initial Field GCS 40  Eye, Initial Field GCS 40  Verbal, or Initial Field GCS 40  Motor are reported.&Added: 4340 Single Entry Max exceededRetired: 4404 kAdded: Field Values must be determined by the EMS provider and must not be assigned by the index hospital fAdded: 9505 Field must be  Not Applicable when Transport Mode is  4. Private/Public Vehicle/Walk-in (Added: 9550 Multiple Entry Max exceeded(Added: 9650 Multiple Entry Max exceededRemoved: Used to auto-generate two additional calculated fields: Total EMS Time: (elapsed time from EMS dispatch to hospital arrival) and Total Length of Hospital Stay (elapsed time from ED/Hospital Arrival to ED/Hospital Discharge).Retired: 4512 Retired: 4514 -Changed: 4604, 4605, 4606, & 4607 to Level 3Changed: 4608 to Level 2&Added: 4640 Single Entry Max exceeded&Added: 4740 Single Entry Max exceeded&Added: 4840 Single Entry Max exceeded&Added: 4940 Single Entry Max exceeded&Added: 5040 Single Entry Max exceededqAdded: 5103 Field must be  Not Applicable when Initial ED/Hospital Respiratory Rate is  Not Known/Not Recorded &Added: 5140 Single Entry Max exceeded&Added: 4440 Single Entry Max exceeded&Added: 9470 Single Entry Max exceeded&Added: 4540 Single Entry Max exceeded&Added: 5240 Single Entry Max exceededRemoved: Only complete if a value is reported for Initial ED/Hospital Oxygen Saturation, otherwise report as "Not Applicable".{Added: The null value  Not Applicable is reported if the Initial ED/Hospital Oxygen Saturation is  Not Known/Not RecordedrAdded: 5304 Field must be  Not Applicable when Initial ED/Hospital Oxygen Saturation is  Not Known/Not Recorded &Added: 5340 Single Entry Max exceeded2Removed: Used to calculate Overall GCS - ED Score&Added: 5440 Single Entry Max exceedediAdded: 5505 Field must be  Not Known/Not Recorded when Initial ED/Hospital GCS 40  Verbal is reported.&Added: 5540 Single Entry Max exceededhAdded: 5605 Field must be  Not Known/Not Recorded when Initial ED/Hospital GCS 40  Motor is reported.&Added: 5640 Single Entry Max exceeded&Added: 5740 Single Entry Max exceededgAdded: 5804 The null value  Not Known/Not Recorded is used if Initial ED/Hospital GCS 40 is reported.Added: The null value  Not Known/Not Recorded is reported if the Initial ED/Hospital GCS Assessment Qualifiers are not documented within 30 minutes or less of ED/Hospital arrival.-INITIAL ED/HSOPITAL GCS ASSESSMENT QUALIFIERSINITIAL ED/HSOPITAL HEIGHTAdded: The null value  Not Known/Not Recorded is reported if the patient s Initial ED/Hospital Height was not measured within 24 hours or less of ED/hospital arrival.&Added: 8540 Single Entry Max exceededNChanged: First recorded height within 24 hours or less of ED/hospital arrivalAdded: The null value  Not Known/Not Recorded is reported if the patient s Initial ED/Hospital Weight was not measured within 24 hours or less of ED/hospital arrival.&Added: 864< 0 Single Entry Max exceeded(Added: 6050 Multiple Entry Max exceeded&Added: 5940 Single Entry Max exceeded&Added: 5934 Single Entry Max exceeded&Added: 6140 Single Entry Max exceeded&Added: 6240 Single Entry Max exceededmRemoved: Used to auto generate calculated field: Total ED Time (elapsed time from ED admit to ED discharge)&Changed: 6304, 6305 & 6306 to Level 3&Added: 6340 Single Entry Max exceeded'Changed: 6404, 6405, & 6406 to Level 3 Changed: 6407 & 6408 to Level 2&Added: 6440 Single Entry Max exceeded>Changed: Major and minor procedure ICD-10 PCS procedure codes%Removed: ICD-10 04L03DZ (REBOA Code).Changed: 8801 Invalid Value (ICD-10 PCS only)Changed: 8804 to Level 3HOSPITAL PROCEDURE START DATE,Changed: 6603, 6604, 6605 & 6606 to Level 3Changed: 6607 to Level 2Retired: 6608(Added: 6650 Multiple Entry Max exceededHOSPITAL PROCEDURE START TIME,Changed: 6703, 6704, 6705 & 6706 to Level 3Changed: 6707 to Level 2(Added: 6750 Multiple Entry Max exceeded~Removed: Used to auto generate additional calculated fields: Abbreviated Injury Scale (six body regions) and Injury SeverityRetired: 8704(Added: 8750 Multiple Entry Max exceededChanged: 7004 to Level 2(Added: 7050 Multiple Entry Max exceeded(Added: 7150 Multiple Entry Max exceeded%Added: 7340 Singe Entry Max exceededTOTAL ICU LENGTH OF STAY&Added: 7540 Single Entry Max exceededTOTAL VENTILATOR DAYS&Added: 7640 Single Entry Max exceededRemoved: Used to auto generate an additional calculated field: Total Length of Hospital Stay (elapsed time from ED/Hospital arrival to hospital discharge)Changed: 7709 to Level 2&Added: 7740 Single Entry Max exceeded&Added: 7840 Single Entry Max exceeded&Added: 7940 Single Entry Max exceeded&Added: 8040 Single Entry Max exceeded^Added: The null value  Not Known/Not Recorded is reported if reporting Highest GCS Motor 40.Added: The null value  Not Applicable is reported if the patients ED Discharge Disposition Date or Hospital Discharge Date are prior to the next calendar day.]Added: 10006 Field must be  Not Known/Not Recorded when Highest GCS 40  Motor is reported.Added: 10007 Invalid Value'Added: 10040 Single Entry Max exceeded]Added: 10106 Field must be  Not Known/Not Recorded when Highest GCS 40  Motor is reported.'Added: 10140 Single Entry Max exceeded]Added: 10206 Field must be  Not Known/Not Recorded when Highest GCS 40  Motor is reported.)Added: 10250 Multiple Entry Max exceeded'Added: 13640 Single Entry Max exceeded'Added: 13740 Single Entry Max exceeded)Added: 10350 Multiple Entry Max exceeded'Added: 10440 Single Entry Max exceeded"Changed: 10407 & 10408 to Level 3'Added: 10540 Single Entry Max exceededChanged: 10506 to Level 3Changed: 10507 to Level 2'Added: 10640 Single Entry Max exceeded'Added: 10740 Single Entry Max exceeded&VENOUSTHROMBOEMBOLISM PROPHYLAXIS TIME'Added: 10840 Single Entry Max exceeded'Added: 11040 Single Entry Max exceeded'Added: 12840 Single Entry Max exceededaAdded: 12904 Field must be Not Applicable when reporting transfusion blood measurement is in CCs'Added: 12940 Single Entry Max exceededdChanged: Volume of plasma (units or CCs) transfused within first 4 hours after ED/Hospital arrival.'Added: 13040 Single Entry Max exceededcAdded: 13104 Field must be Not Applicable when reporting transfusion plasma measurement is in CCs.'Added: 13140 Single Entry Max exceeded'Added: 11240 Single Entry Max exceeded'Added: 13240 Single Entry Max exceeded'Added: 13340 Single Entry Max exceeded'Added: 11340 Single Entry Max exceeded'Added: 13440 Single Entry Max exceeded'Added: 13540 Single Entry Max exceeded'Added: 10940 Single Entry Max exceeded"Added: 4. Angiogram with stenting'Added: 11740 Single Entry Max exceeded)Added: 11850 Multiple Entry Max exceededANGIOGRPAHY DATE'Added: 11940 Single Entry Max exceeded'Added: 12040 Single Entry Max exceeded'Added: 12140 Single Entry Max exceededsAdded: 12208 Surgery for Hemorrhage Control Date/Time minus ED/Hospital Arrival Date/Time is greater than 24 hours'Added: 12240 Single Entry Max exceededsAdded: 12308 Surgery for Hemorrhage Control Date/Time minus ED/Hospital Arrival Date/Time is greater than 24 hours'Added: 12340 Single Entry Max exceeded'WITHDRAWAL OF LIFE SUPPORTING TREATMENT'Added: 13840 Single Entry Max exceeded,WITHDRAWAL OF LIFE SUPPORTING TREATMENT DATE'Added: 13940 Single Entry Max exceeded,WITHDRAWAL OF LIFE SUPPORTING TREATMENT TIME'Added: 14040 Single Entry Max exceededRetired: 1004Retired: 0904PATIENT'S HOME ZIP/POSTAL CODEIAdded: 0709 Field must be "Not Applicable" if Date of Birth is reportedChanged: ICD-10-CM codes are accepted for this data element. Activity codes are not collected under the NTDS and should not be reported in this field.fAdded: The null value  Not Known/Not Recorded is reported if Initial Field GCS 40 - Eye is reported.fAdded: 4005 Field must be  Not Applicable when Transport Mode is  4. Private/Public Vehicle/Walk-in `Added: 4006 Field must be  Not Known/Not Recorded when Initial Field GCS 40  Eye is reported.iAdded: The null value  Not Known/Not Recorded is reported if Initial Field GCS 40 - Verbal is reported.hAdded: The null value  Not Known/Not Recorded is reported if Initial Field GCS 40  Eye is documented.oAdded: The null value  Not Known/Not Recorded is reported if Initial ED/Hospital GCS 40  Verbal is reported.OChanged: First recorded weight within 24 hours or less of ED/hospital arrival.4Changed: Collect as X.XX grams per deciliter (g/dl)&Changed: 7804, 7805 & 7806 to Level 3FChanged: Highest total GCS on calendar day after ED/Hospital arrival.FChanged: Highest GCS motor on calendar day after ED/Hospital arrival.Retire: 1. HeparinRetire: 9. CoumadinxAdded: Field Value "10. Other" is reported if "Coumadin" and "Aspirin" are given as Venous Thromboembolism Prophylaxis.'Added: 11140 Single Entry Max exceeded\Added: 13304 Field must be Not Applicable when transfusion platelets measurement is in CCs.lAdded: 13504 Field must be Not Applicable when reporting transfusion cryoprecipitate measurement is in CCs.Changed: 12008 to Level 2Changed: 11908 to Level 2 FIeld Values'Added: 11. Unfractionated Heparin (UH))Added: 9. Extraperitoneal Pelvic Packing`Added: 2205 Field must be "Not Applicable" when Incident Location Zip/Postal Code is documentedAdded: The null value  Not Known/Not Recorded is reported if the patient s first recorded initial field GCS - Eye was NOT measured at the scene of injury.Added: The null value  Not Known/Not Recorded is rep< orted if the patient s first recorded initial field GCS - Motor was NOT measured at the scene of injury.hAdded: The null value  Not Known/Not Recorded is reported if Initial Field GCS 40 - Motor is reported.(Added: 5850 Mulitple Entry Max Exceeded(Added: 8850 Multiple Entry Max ExceededAdded: The null value  Not Known/Not Recorded is reported if the patient s first recorded initial field GCS - Verbal was NOT measured at the scene of injury.Added: The null value  Not Known/Not Recorded is reported if the patient s first recorded initial field GCS - Total was NOT measured at the scene of injury.Added: The null value  Not Known/Not Recorded is reported if the patient s Initial ED/Hospital GCS - Eye was not measured within 30 minutes or less of ED/hospital arrival.Added: The null value  Not Known/Not Recorded is reported if the patient s Initial ED/Hospital GCS  Verbal was not measured within 30 minutes or less of ED/Hospital arrival.nAdded: The null value  Not Known/Not Recorded is reported if Initial ED/Hospital GCS 40  Motor is reported.Added: The null value  Not Known/Not Recorded is reported if the patient s Initial ED/Hospital GCS  Motor was not measured within 30 minutes or less of ED/Hospital arrival.fAdded: The null value  Not Known/Not Recorded is reported if Initial ED/Hospital GCS 40 is reported.Added: The null value  Not Known/Not Recorded is reported if Initial ED/Hospital GCS  Eye, Initial ED/Hospital GCS  Motor, Initial ED/Hospital GCS  Verbal were not measured within 30 minutes or less of ED/Hospital arrival.JAdded: Procedure start date is the date of needle insertion in the groin.JAdded: Procedure start time is the date of needle insertion in the groin.aAdded: The null value  Not Applicable is reported if this optional field is not being reported.&Added: 9840 Single Entry Max ExceededAdded: 5707 Field must be  Not Known/Not Recorded when Initial ED/Hospital GCS 40  Eye, Initial ED/Hospital GCS 40  Verbal, or Initial ED/Hospital GCS 40  Motor are reported.gAdded: 5405 Field must be  Not Known/Not Recorded when Initial ED/Hospital GCS 40  Eye is reported.Changed: 1309 to Level 2Changed: 9102 to Level 3<Changed: 3801 Invalid value or Respiratory Rate exceeds 120 Changed: 7807 & 7808 to Level 2Retired: 0704Retired: 6206Retired: 8802Added: 7. AIS 2015{Added: Only report Field Value "4. Angiogram with stenting" if stenting was performed specifically for hemorrhage control.qChanged: The null value  Not Known/Not Recorded is reported if Initial Field ED/Hospital GCS  Eye is reported.uChanged: The null value  Not Known/Not Recorded is reported if Initial Field ED/Hospital GCS  Verbal is reported. sChanged: The null value  Not Known/Not Recorded is reported if Initial Field ED/Hospital GCS  Motor is reported.nRetired: 20810 Field should not be "Not Applicable" as the AIS codes provided meet the collection criterion. nRetired: 20910 Field should not be "Not Applicable" as the AIS codes provided meet the collection criterion. MULTIPLE ENTRIESRemoved: "sustained"#Changed AIS 2015 to Field Value #16RFor GCS 40 data elements, Field Value "0" was assigned to all Not Testable optionshCorrected #12008 to: Angiography Date/Time minus ED/Hospital Arrival Date/Time is greater than 24 hourshCorrected #11908 to: Angiography Date/Time minus ED/Hospital Arrival Date/Time is greater than 24 hours(Added: Computerized tomographic C-Spine(Added: Computerized tomographic T-Spine(Added: Computerized tomographic L-SpineRETIREDTITLE3CHANGED TO: TRAUMA TRIAGE CRITERIA (Steps 1 and 2)3CHANGED TO: TRAUMA TRIAGE CRITERIA (Steps 3 and 4)}REMOVED: "by a healthcare provider who is trained to perform basic and/or advanced cardiac life support" from the 3rd bulleteCHANGED TO: The disposition unit the order was written for the patient to be discharged from the ED.@Removed "(unit that provide <24 hour stays)" from Field Value 2.LAdded: If multiple orders were written, report the final disposition order.aREMOVED: A diagnosis of Alcohol Use Disorder must be documented in the patient's medical record.hREMOVED: A diagnosis of Mental/Personality disorder must be documented in the patient's medical record.ELEMENT#CHANGED TO: SUBSTANCE USE DISORDERCHANGED TO: Descriptors documented in the patient s medical record consistent with the diagnostic criteria of substance use disorders specifically cannabis, hallucinogens, inhalants, opioids, sedative/hypnotics, and stimulants (e.g. patient has a history of drug use; patient has a history of opioid use) OR diagnosis of any of the following documented in the patient s medical record: " Cannabis Use Disorder; Other Cannabis-Induced Disorder; Unspecified Cannabis-Related Disorder " Phencyclidine Use Disorder; Other Hallucinogen Use Disorder; Hallucinogen Persisting Perception Disorder; Other Phencyclidine-Induced Disorder; Other Hallucinogen-Induced Disorder; Unspecified Phencyclidine-Related Disorder; Unspecified Hallucinogen-Related Disorder " Inhalant Use Disorder; Other Inahlant-Induced Disorder; < Unspecified Inhalant-Related Disorder " Opioid Use Disorder; Other Opioid-Induced Disorder; Unspecified Opioid-Related Disorder " Sedative, Hypnotic, or Anxiolytic Use Disorder; Other Sedative, Hypnotic, or Anxiolytic-Induced Disorder; Unspecified Sedative, Hypnotic, or Anxiolytic-Related Disorder " Stimulant Use Disorder; Other Stimulant-Induced Disorder; Unspecified Stimulant-Related Disorder 4CHANGED TO: Present prior to arrival at your centerdREMOVED: A diagnosis of Substance Abuse Disorder must be documented in the patient's medical recordAREMOVED: EXCLUDE: Tobacco Use Disorder and Alcohol Use DisorderAIS CODECLARIFIED TO: "INCLUDE patients who after arrival at your hospital have had an episode of cardiac arrest evaluated by hospital personnel, and received compressions or defibrillation or cardioversion or cardiac pacing to restore circulation."jCHANGED TO: An acute myocardial infarction must be noted with documentation of ECG changes indicative of acute MI AND New elevation in troponin greater than three times upper level of the reference range in the setting of suspected myocardial ischemia AND Physician diagnosis of an acute myocardial infarction that occurred subsequent to arrival at your center ORemoved: A diagnosis of MI must be documented in the patient's medical record.nCHANGED TO: Date of administration of first dose of VTE prophylaxis administered to patient at your hospital mCHANGED TO: Time of administration of first dose of VTE prophylaxis administered to patient at your hospitalPACKED RED BLOOD CELLS WHOLE BLOODPLASMA PLATELETSCRYOPRECIPITATEREMOVED: Refers to lowest SBP in the ED/Hospital of the index hospital, where index hospital is the hospital abstracting the data.pCHANGED TO: First interventional angiogram for hemorrhage control within first 24 hours of ED/Hospital arrival.6RETIRED: Field Value 7. Aorta (thoracic or abdominal)eADDED: Procedure start date is defined as the date the incision was made (or the procedure started).eADDED: Procedure start time is defined as the time the incision was made (or the procedure started).)ADDED: Report all that apply (maximum 2)NTDS PATIENT INCLUSION CRITERIACHANGED CHANGED TO: REPORTING CRITERIONCHANGED TO: Element ValuejNEW: 0503 Element cannot be "Not Applicable" or "Not Known/Not Recorded" along with any other valid value-CHANGED: 0540 to Multiple Entry Max exceededADDED: Report all that apply eCHANGED: 1212 Injury Incident Date is greater than 14 days earlier than the ED/Hospital Arrival Date2CHANGED: 9140 TO: Multiple Entry Max exceeded \ADDED: 9105 ICD-10 T74 and T76 codes cannot be submitted as Additional External Cause CodesXADDED: 2508 Element cannot be "Not Known/Not Recorded" along with any other valid value(CHANGED: 3603 to The value is above 220GADDED: 3606 The value submitted falls outside the valid range of 0-380"ADDED: 3607 The value is below 30GADDED: 3706 The value submitted falls outside the valid range of 0-300'ADDED: The value submitted is below 30/CHANGED: 3703 The value submitted is above 220GADDED: 3806 The value submitted falls outside the valid range of 0-100ADDED: The value is below 5"ADDED: 3808 The value is above 75CHANGED: 3901 Invalid valueDADDED: 3906 The value submitted falls outside the valid range 0-100ADDED: The value is below 40lADDED: 9506 Element cannot be "Not Applicable" or "Not Known/Not Recorded" along with any other valid valuelADDED: 9607 Element cannot be "Not Applicable" or "Not Known/Not Recorded" along with any other valid value%CHANGED: 4704 The value is above 220GADDED: 4706 The value submitted falls outside the valid range of 0-380"ADDED: 4707 The value is below 30%CHANGED: 4804 The value is above 220GADDED: 4806 The value submitted falls outside the valid range of 0-300ADDED: The value is below 30&CHANGED: 4903 The value is above 42.0GADDED: 4905 The value submitted falls out the valid range of 10.0-45.0#ADDED: 4906 The vlue is below 20.0CHANGED: 5001 Invalid ValueICHANGED: 5005 The value submitted falls outside the valid range of 0-100!ADDED: 5007 The value is below 5"ADDED: 5008 The value is above 75CHANGED: 5201 Invalid valueGADDED: 5206 The value submitted falls outside the valid range of 0-100"ADDED: 5207 The value is below 40YADDED: 5805 Element cannot bel "Not Known/Not Recorded" along with any other valid value%CHANGED: 8503 The value is above 215"ADDED: 8506 The value is below 50HADDED: 8505 The value submitted falls outside the valid range of 30-275%CHANGED: 8603 The value is above 200DADDED: 8605 The value submitted falls outside the valid range 1-650!ADDED: 8606 The value is below 3XADDED: 6014 Element cannot be "Not Known/Not Recorded" along with any other valid valueIADDED: 5935 The value submitted falls outside the valid range of 0.0-1.5#ADDED: 5936 The value is above 0.4CHANGED: 7501 Invalid value$CHANGED: 7504 The value is above 60GADDED: 7505 The value submitted falls outside the valid range of 1-575CHANGED: 7601 Invalid value$CHANGED: 7604 The value is above 60DADDED: 7605 The value submitted falls outside the valid range 1-575jCHANGED: 7908 Element cannot be "Not Applicable" if ED Disccharge Disposition is not 4, 5, 6, 9, 10 or 11mADDED: 10207 Element cannot be "Not Applicable" or "Not Known/Not Recorded" along with any other valid valuemADDED: 10306 Element cannot be "Not Applicable" or "Not Known/Not Recorded" along with any other valid valueCHANGED TO: Report on all patients with transfused packed red blood cells or whole blood within first 4 hours after ED/hospital arrivalCHANGED TO: Report on all patients with transfused packed red blood cells or whole blood within first 4 hours after ED/hospital arrival&CHANGED: 10903 The value is above 220HADDED: 10908 The value submitted falls outside the valid range of 0-380#ADDED: 10909 The value is below 30Reporting CriterionCHANGED: 11804 Element should be  Not Applicable when Angiography is  1. None , or  2. Angiogram only , or  4. Angiogram with stenting mADDED: 11805 Element cannot be  Not Applicable or  Not Known/Not Recorded along with any other valid valueCHANGED: 11904 Element cannot be  Not Applicable when Angiography is  2. 'Angiogram only', 3. 'Angiogram with embolization', or 4.  Angiogram with stenting  CHANGED: 12004 Element cannot be  Not Applicable when Angiography is  2. 'Angiogram only', 3. 'Angiogram with embolization', or 4.  Angiogram with stenting  OCHANGED: 0903 TO: Element cannot be "Not Applicable" (excluding CA hospitals)OCHANGED: 1003 TO: Element cannot be "Not Applicable" (excluding CA hospitals)CHANGED: 1212 to Level 3CHANGED: 4303 to Level 3CHANGED: 4303 TO: Initial Field GCS - Total does not equal the sum of Initial Field GCS - Eye, Initial Field GCS - Verbal, and Initial Field GCS - Motor, unless any of these values are<   Not Known/Not Recorded CHANGED: 5703 TO Level 3CHANGED: 5703 TO: Initial ED/Hospital GCS - Total does not equal the sum of Initial ED/Hospital GCS - Eye, Initial ED/Hospital GCS - Verbal, and Initial ED/Hospital GCS - Motor, unless any of these values are  Not Known/Not Recorded RETIRED: 7713RETIRED: 7903CHANGED: 10005 TO: Element should not be  Not Applicable as the AIS codes provided meet the reporting criteria, unless the patients ED Discharge Disposition Date or Hospital Discharge Date is prior to the next calendar dayCHANGED: 10105 TO: Element should not be  Not Applicable as the AIS codes provided meet the reporting criteria, unless the patients ED Discharge Disposition Date or Hospital Discharge Date is prior to the next calendar dayCHANGED: 10204 TO: Element should not be  Not Applicable as the AIS codes provided meet the reporting criteria, unless the patients ED Discharge Disposition Date or Hospital Discharge Date is prior to the next calendar dayHIGHEST GCS 40 - MOTORCHANGED 20605 TO: Element should not be  Not Applicable as the AIS codes provided meet the reporting criteria, unless the patients ED Discharge Disposition Date or Hospital Discharge Date is prior to the next calendar dayRETIRED: 3605RETIRED: 3705RETIRED: 3805RETIRED: 3905RETIRED: 4005RETIRED: 4105RETIRED: 4205RETIRED: 4305INITIAL FIELD GCS 40 - VERBALRETIRED: 15105RETIRED: 15005RETIRED: 15206%TRAUMATRIAGE CRITERIA (STEPS 1 AND 2)RETIRED: 9505&TRAUMA TRIAGE CRITERIA (STEPS 3 AND 4)RETIRED: 9605 TAG NUMBER1REMOVAL OF TAG NUMBERS IN UPPER RIGHT HAND CORNERCHANGED TO: Descriptors documented in the medical record consistent with the diagnostic criteria of alcohol use disorder OR a diagnosis of alcohol use disorder documented in the patient s medical record.CHANGED TO: History of a diagnosis and/or treatment for the following disorder(s) documented in the patient s medical record: " Schizophrenia " Bipolar Disorder " Major Depressive Disorder " Social Anxiety Disorder " Posttraumatic Stress Disorder " Antisocial Personality Disorder oCLARIFIED TO: "EXCLUDE patients whose ONLY episode of cardiac arrest with CPR was on arrival to your hospital."RETIRED: 7810ADDED: Open fractures as defined by the Association for the Advancement of Automotive Medicine AIS Coding Rules and GuidelinesgCHANGED 7712 TO: Element must be  Not Applicable when ED Discharge Disposition is 4,5, 6, 9,10, or 11iCHANGED 7809 TO: Element must be  Not Applicable when ED Discharge Disposition is 4, 5, 6, 9, 10, or 11-ALCOHOL USE DISORDER (Pre-Existing Condition)(ANGINA PECTORIS (Pre-Existing Condition).ANTICOAGULANT THERAPY (Pre-Existing Condition)gATTENTION DEFICIT DISORDER/ATTENTION DEFICIT HYPERACTIVITY DISORDER (ADD/ADHD) (Pre-Existing Condition)*BLEEDING DISORDER (Pre-Existing Condition)>CHRONIC OBSTRUCTIVE PULMONARY DISEASE (Pre-Existing Condition).CHRONIC RENAL FAILURE (Pre-Existing Condition)"CIRRHOSIS (Pre-Existing Condition)-CONGENITAL ANOMALIES (Pre-Existing Condition)7CONGESTIVE HEART FAILURE (CHF) (Pre-Existing Condition)'CURRENT SMOKER (Pre-Existing Condition)DCURRENTLY RECEIVING CHEMOTHERAPY FOR CANCER (Pre-Existing Condition)!DEMENTIA (Pre-Existing Condition)*DIABETES MELLITUS (Pre-Existing Condition),DISSEMENATED CANCER (Pre-Existing Condition)=FUNCTIONALLY DEPENDENT HEALTH STATUS (Pre-Existing Condition)%HYPERTENSION (Pre-Existing Condition)5MENTAL/PERSONALITY DISORDERS (Pre-Existing Condition)3MYOCARDIAL INFARCTION (MI) (Pre-Existing Condition):PERIPHERAL ARTERIAL DISEASE (PAD) (Pre-Existing Condition)$PREMATURITY (Pre-Existing Condition)$STEROID USE (Pre-Existing Condition)1SUBSTANCE ABUSE DISORDER (Pre-Existing Condition)$ACUTE KIDNEY INJURY (Hospital Event);ACUTE RESPIRATORY DISTRESS SYNDROME (ARDS) (Hospital Event),ALCOHOL WITHDRAWAL SYNDROME (Hospital Event)(CARDIAC ARREST WITH CPR (Hospital Event)DCATHETER-ASSOCIATED URINARY TRACT INFECTION (CAUTI) (Hospital Event)GCENTRAL LINE-ASSOCIATED BLOODSTREAM INFECTION (CLABSI) (Hospital Event)-DEEP SURGICAL SITE INFECTION (Hospital Event)+DEEP VEIN THROMBOSIS (DVT) (Hospital Event)/EXTREMITY COMPARTMENT SYNDROME (Hospital Event)+MYOCARDIAL INFARCTION (MI) (Hospital Event)4ORGAN/SPACE SURGICAL SITE INFECTION (Hospital Event)OSTEOMYELITIS (Hospital Event)#PULMONARY EMBOLISM (Hospital Event)PRESSURE ULCER (Hospital Event)SEVERE SEPSIS (Hospital Event)STROKE/CVA (Hospital Event)?SUPERFICIAL INCISIONAL SURGICAL SITE INFECTION (Hospital Event)+UNPLANNED ADMISSION TO ICU (Hospital Event)%UNPLANNED INTUBATION (Hospital Event)7UNPLANNED RETURN TO THE OPERATING ROOM (Hospital Event)6VENTILATOR-ASSOCIATED PNEUMONIA (VAP) (Hospital Event)TOTAL ICU LENGTH OF STAY "PREGNANCY (Pre-Existing Condition).SUBSTANCE USE DISORDER (Pre-Existing ConditionDELIRIUM (Hospital Event)6UNPLANNED VISIT TO THE OPERATING ROOM (Hospital Event)rCHANGED 12103 TO: Element cannot be  Not Applicable when Packed Red Blood Cells or Whole Blood is greater than 0fCHANGED 12104 TO: Element must be  Not Applicable when Packed Red Blood Cells and Whole Blood are 0CHANGED 12105 TO: Element must be  Not Known/Not Recorded when Packed Red Blood Cells and Whole Blood are  Not Known/Not Recorded qCHANGED 10905 TO: Element cannot be  Not Applicable when Packed Red Blood Cells or Whole Blood is greater than 0cCHANGED 10906 TO: Element must be  Not Applicable when Packed Red Blood Cells and Whole Blood is 0CHANGED 10907 TO: Element must be  Not Known/Not Recorded when Packed Red Blood Cells and Whole B< lood are  Not Known/Not Recorded eCHANGED 11704 TO: Element must be  Not Applicable when Packed Red Blood Cells and Whole Blood are 0CHANGED 11705 TO: Element must be  Not Known/Not Recorded when Packed Red Blood Cells and Whole Blood are  Not Known/Not Recorded CHANGED: 5005 TO Level 2CHANGED: 4513 TO Level 3UREMOVED: "or delivered to your hospital by a non EMS transport" from the 1st bullet. QREMOVED: "Patients who were a trauma consult or any level or trauma activation." Element Name0EMS PATIENT CARE REPORT UNIQUE IDENTIFIER (UUID) Element ValueADDED: "3. Non-binary"GADDED: "Anticoagulant must be part of the patient's active medication."ELEMENT INITIAL FIELD GCS EYEINITIAL FIELD GCS VERBALINITIAL FIELD GCS MOTORINITIAL FIELD GCS TOTALINITIAL FIELD GCS 40 EYEINTIIAL FIELD GCS 40 VERBAL INITIAL FIELD GCS 40 MOTOR &TRAUMA TRIAGE CRITERIA (STEPS 1 AND 2)HIGHEST ACTIVATIONTRAUMA SURGEON ARRIVAL DATETRAUMA SURGEON ARRIVAL TIME%CHRONIC OBSTRUCTIVE PULMONARY DISEASEUUPDATED DEFINITION: "Chronic obstructive pulmonary disease (COPD) is a lung disease characterized by chronic obstruction of lung airflow that interferes with normal breathing and is not fully reversible. The more familiar terms 'chronic bronchitis' and 'emphysema' are no longer used, butused but are now included within the COPD diagnosis."HIGHEST GCS-TOTALCHANGED: 0105 TO: "Element cannot be "Not Known/Not Recorded" when Home ZIP/Postal Code is any response other than "Not Applicable" or "Not Known/Not Recorded". RETIRED: 0609 RETIRED: 0610 RETIRED: 0611CHANGED: 0709 TO: "Element must be and can only be  Not Applicable if Date of Birth is reported unless Date of Birth is the same as ED/Hospital Arrival Date" RETIRED: 0809 RETIRED: 1205 RETIRED: 1206 RETIRED: 1207 RETIRED: 1208 RETIRED: 1209 RETIRED: 1210 RETIRED: 1304 RETIRED: 1305 RETIRED: 1306 RETIRED: 1307 RETIRED: 1308 RETIRED: 1309nCHANGED: 0905 TO: "Element cannot be  Not Applicable or  Not Known/Not Recorded along with any other value."iNEW: 9106: LEVEL 2: "Element cannot be  Not Applicable or  Not Known/Not Recorded along with any value" RETIRED: 4506 RETIRED: 4507ED/HOSPITAL ARRIVAL DATE RETIRED: 4508 RETIRED: 4509 RETIRED: 4510CHANGED: 4511 TO: LEVEL 3~CHANGED: 4513 TO: "ED/Hospital Arrival Date minus Injur:y Incident Date isoccurs more than 14 days after Injury Incident Date" NEW: 4516 RETIRED: 4604 RETIRED: 4605 RETIRED: 4606 RETIRED: 4607 RETIRED: 4608 NEW: 4610 RETIRED: 6106 RETIRED: 6107 RETIRED: 6108 RETIRED: 6109 RETIRED: 6304 RETIRED: 6305 RETIRED: 6306 RETIRED: 6308 RETIRED: 6309 NEW: 6311 NEW: 6312 NEW: 6313 NEW: 6314 NEW: 6315 NEW: 6316 NEW: 6317 NEW: 6318ED DISCHARGE DATE NEW: 6319 RETIRED: 6404 RETIRED: 6405 RETIRED: 6406 RETIRED: 6408 NEW: 6409 NEW: 6410 NEW: 6411 NEW: 6412 NEW: 6413 NEW: 6414 NEW: 6415 NEW: 6416 NEW: 6417 NEW: 6418yCHANGED: 8804 TO: LEVEL 2: "Element must not be  Not Applicable or  Not Known/Not Recorded along with any other value" RETIRED: 6603 RETIRED: 6604 RETIRED: 6605RETIRED: 6607 NEW: 6610 NEW: 6611 RETIRED: 6703 RETIRED: 6704 RETIRED: 6705 RETIRED: 6707HOSPITAL PROCEDURE START TIME NEW: 6709 NEW: 6710 NEW: 8707 NEW: 21009 RETIRED: 7704 RETIRED: 7705 RETIRED: 7706 RETIRED: 7712[CHANGED: 7707 TO: "Hospital Discharge Date cannot be earlier than ED/Hospital Arrival Date"TCHANGED: 7708 TO: "Hospital Discharge Date cannot be earlier than ED Discharge Date" RETIRED: 7709 RETIRED: 7710HOSPITAL DISCHARGE DATE dCHANGED: 7711 TO: "Hospital Discharge Date occurs more than 365 days after ED/Hospital Arrival Date" NEW: 7713 NEW: 7714 NEW: 7715 NEW: 7716 NEW: 7717 NEW: 7718 NEW: 7719 NEW: 7720 NEW: 7721[CHANGED: 7807 TO: "Hospital Discharge Time cannot be earlier than ED/Hospital Arrival Time"`CHANGED: 7808 TO: "Hospital Discharge Time cannot be earlier than or equal to ED Discharge Time" NEW: 7810 NEW: 7811 NEW: 7812 NEW: 7813 NEW: 7814 NEW: 7815 NEW: 7816HOSPITAL DISCHARGE TIME NEW: 7817 NEW: 7818 NEW: 7819 NEW: 0810 CHANGED TO: ICD-10-CM or ICD-10-CA codes are accepted for this data element. Activity codes are not reported under the NTDS and should not be reported for this data element.oCHANGED TO: Only ICD-10-CM or ICD-10-CA codes are accepted for ICD-10 Place of Occurrence External Cause Code.fCHANGED TO: Only ICD-10-CM or ICD-10-CA codes are accepted for ICD-10 Additional External Cause Code.CHANGED: 2105 TO: Element cannot be "Not Known/Not Recorded" when Incident Location ZIP/Postal Code is any response other than "Not Known/Not Recorded"pCHANGED TO: Consistent with the 2019 World Health Organization (WHO) definition of Alcohol Withdrawal Syndrome.BCHANGED TO: Consistent with World Health Organization (WHO), 2019UPDATED TO: A UTI where an indwelling urinary catheter was in place for > 2 calendar days on the date of event, with day of device placement being Day 1, AND An indwelling urinary catheter was in place on the date of event or the day before. If an indwelling urinary catheter was in place for more than 2 consecutive days in an inpatient location and then removed, the date of event for the UTI must be the day of device discontinuation or the next day for the UTI to be catheter-associated.>CHANGED TO: Consistent with the January 2019 CDC defined SSI.RETIRED: 7804RETIRED: 7805RETIRED: 7806RETIRED: 7809HIGHEST GCS - TOTALrCHANGED: 10004 TO: Element must be "Not Applicable" as the AIS codes provided do not meet the reporting criteria NEW: 10008HIGHEST GCS - MOTORrCHANGED: 10104 TO: Element must be "Not Applicable" as the AIS codes provided do not meet the reporting criteriaCHANGED: 10005 TO: Element must not be  Not Applicable as the AIS codes provided meet the reporting criteria, unless the patients ED Discharge Disposition Date or Hospital Discharge Date is prior to the next calendar dayCHANGED: 10105 TO: Element must not be  Not Applicable as the AIS codes provided meet the reporting criteria, unless the patients ED Discharge Disposition Date or Hospital Discharge Date is prior to the next calendar day NEW: 10107rCHANGED: 10203 TO: Element must be "Not Applicable" as the AIS codes provided do not meet the reporting criteriaCHANGED: 10204 TO: Element must not be  Not Applicable as the AIS codes provided meet the reporting criteria, unless the patients ED Discharge Disposition Date or Hospital Discharge Date is prior to the next calendar day NEW: 10208rCHANGED: 13603 TO: Element must be "Not Applicabl< e" as the AIS codes provided do not meet the reporting criteriapCHANGED: 13604 TO: Element must not be "Not Applicable" as the AIS codes provided meet the reporting criteria.rCHANGED: 13703 TO: Element must be "Not Applicable" as the AIS codes provided do not meet the reporting criteriapCHANGED: 13704 TO: Element must not be "Not Applicable" as the AIS codes provided meet the reporting criteria.rCHANGED: 10304 TO: Element must be "Not Applicable" as the AIS codes provided do not meet the reporting criteriapCHANGED: 10305 TO: Element must not be "Not Applicable" as the AIS codes provided meet the reporting criteria.RETIRED: 10404RETIRED: 10408{CHANGED: 10409 TO: Element must be and can only be "Not Applicable: when Cerebral Monitor is "Not Applicable" or "5 None" NEW: 10410RETIRED: 10504RETIRED: 10508RETIRED: 10507 NEW: 10509 NEW: 10510RETIRED: 10705RETIRED: 10707lCHANGED: 10708 TO: Element must be and can only be "Not Applicable" when VTE Prophylaxis Type is "5. None" NEW: 10709RETIRED: 10805RETIRED: 10807RETIRED: 10808 NEW: 10809 NEW: 10810RETIRED: 11703wCHANGED: 11704 TO: Element must be and can only be "Not Applicable" when Packed Red Blood Cells and Whole Blood are 0CHANGED: 11705 to: Element must be "Not Known/Not Recorded" when Packed Red Blood Cells and Whole Blood are "Not Known/Not Recorded"RETIRED: 11803CHANGED: 11084 TO: Element must be and can only be "Not Applicable" when Angiography is "1. None", "2. Angiogram only", or "4. Angiogram with stenting"RETIRED: 11904wCHANGED: 11905 TO: Element must be and can only be  Not Applicable when Angiography is  Not Applicable or  1. None RETIRED: 11907^CHANGED: 11908 TO: Angiography Date occurs more than 24 hours after ED Hospital Arrival Date NEW: 11909vCHANGE: 12005 TO: Element must be and can only be  Not Applicable when Angiography is  Not Applicable or  1. None RETIRED: 12007^CHANGED: 12008 TO: Angiography Time occurs more than 24 hours after ED/Hospital Arrival Time NEW: 12009RETIRED: 12103RETIRED: 12204RETIRED: 12205CHANGED: 12206 TO: Element must be and can only be  Not Applicable when Surgery For Hemorrhage Control Type is  Not Applicable or  1. None"qCHANGED: 12208 TO: Surgery for Hemorrhage Control Date occurs more than 24 hours after ED Hospital Arrival Date NEW: 12209RETIRED: 12304RETIRED: 12305RETIRED: 12306qCHANGED: 12308 TO: Surgery for Hemorrhage Control Time occurs more than 24 hours after ED/Hospital Arrival Time NEW: 12309 NEW: 12310RETIRED: 13904RETIRED: 13905}CHANGED: 13906 TO: Element must be and can only be  Not Applicable when Withdrawal of Life Supporting Treatment is  2. No NEW: 13908RETIRED: 14004RETIRED: 14005RETIRED: 14006 NEW: 14008 NEW: 14009pCHANGED: 20706 TO: Element must not be  Not Applicable as the AIS codes provided meet the reporting criterionRETIRED: 20803|CHANGED: 20804 TO: Element must be and can only be  Not Applicable when Antibiotic Therapy is  Not Applicable or  2. No RETIRED: 20805RETIRED: 20807 NEW: 20808 NEW: 20809RETIRED: 20903RETIRED: 20904RETIRED: 20905RETIRED: 20907 NEW: 20908 NEW: 20909 NEW: 209104CHANGED: Last bullet "discharged from your hospital"ACHANGED TO: Consistent with the January 2019 CDC defined CAUTI. CHANGED to: " If reporting Highest GCS Total, the null value  Not Applicable is reported if the patient is discharged from your hospital prior to the next calendar day."HIGHEST GCS-MOTORCHANGED TO: " If reporting Highest GCS Motor, the null value  Not Applicable is reported if the patient is discharged from your hospital prior to the next calendar day."-REMOVED: ICD-10-CM: T20-T28 and T30-T32 CODESxCHANGED TO: 10906: "Element must be and can only be "Not Applicable" when Packed Red Blood Cells and Whole Blood are 0."RETIRED: 10905 Changed: to read  Collect on all patients with transfused packed red blood cells within first 4 hours after ED/hospital arrival;Q! Changed: Glasgow Coma Score d" 13f Added: 9605 Field must be  Not Applicable when Transport Mode is  4. Private/Public Vehicle/Walk-in .ANTICOAGULANT THERAPY (Pre-Existing Condition) HCHANGED TO: Relevant ICD-10-CM or ICD-10-CA code value for injury eventCHANGED TO: "If reporting GCS Assessment Qualifier Component of Highest GCS Total, the null value  Not Applicable is reported if the patientis discharged from your hospital prior to the next calendar day."wCHANGED: 12104 TO: Element must be and can only be  Not Applicable when Packed Red Blood Cells and Whole Blood are 0CHANGED: 12105 TO: Element must be  Not Known/Not Recorded when Packed Red Blood Cells and Whole Blood are  Not Known/Not Recorded NEW: 3503rCHANGED: 20604 TO: Element must be "Not Applicable" as the AIS codes provided do not meet the reporting criteria  NEW: 20607  CHANGED: 20605 TO: Element must not be  Not Applicable as the AIS codes provided meet the reporting criteria, unless the patients ED Discharge Disposition Date or Hospital Discharge Date is prior to the next calendar day ^CHANGED: 6310 TO: "ED Discharge Date occurs more than 365 days after ED/Hospital Arrival Date"CHANGED 2508 TO: Element cannot be  Not Known/Not Recorded or  1. None along with element values 2, 3, 4, 5, 6, 7, 8, 9, 10, and/ or 11CHANGED 6014 TO: Element cannot be  Not Known/Not Recorded ,  14. None , or  15. Not Tested along with element values 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, and/or 13CHANGED 10306 TO: Element cannot be  Not Applicable ,  Not Known/Not Recorded<  , or  5. None along with element values 1, 2, 3, and/or 4n CHANGED: 10405 TO: Element should not be  Not Known/Not Recorded when Cerebral Monitor is 1, 2, 3, and/or 4 n CHANGED: 10505 TO: Element should not be  Not Known/Not Recorded when Cerebral Monitor is 1, 2, 3, and/or 4 INITIAL FIELD GCS 40 VERBALCHANGED TO: Injury diagnoses as defined by ICD-10-CM code range S00-S99, T07, T14, T79.A1-T79.A9 OR compatible ICD-10-CA code range.>CHANGED TO: Consistent with the January 2019 CDC defined VAP.*CORRECTION: Rule ID 5005 change to Level 2*CORRECTION: Rule ID 4513 change to Level 3aCORRECTION: Removed "or delivered to your hospital by a non EMS transport" from the first bullet.UUIDADD: "For patients with multiple modes of transport from the scene of injury, report the UUID assigned by the EMS agency that delivered the patient to your hospital".REMOVED: "directly"CHANGED TO: Must be represented in canonical form, matching the following regular expression: [a-fA-F0-9]{8}-[a-fA-F0-9]{4}-[1-5][a-fA-F0-9]{3}-[89abAB][a-fA-F0-9]{3}-[a-fA-F0-9]{12}CHANGED 11804 TO: Element must be and can only be  Not Applicable when Angiography is "Not Applicable" or Element Value  1. None ,  2. Angiogram only , or  4. Angiogram with stenting nADDED: Element Value "1. Yes" is reported if the patient is non-complaint with their hypertension medication.CORRECTED: TABLE 3ADD: "The UUID will not be documented on EMS Run Reports until NEMSIS version 3.5.0. is released. In collaboration with NEMSIS, the ý will communicate when NEMSIS 3.5.0 is released."ADD: "Automated abstraction technology provided by registry product providers/vendors must be used for this data element. In the absence of automated technology, report the null value  Not Known/Not Recorded. "RETIRED: "The null value  Not Known/Not Recorded should be reported if the UUID is not documented on the EMS Run Report or if the EMS provider is not NEMSIS v3.5.0 compliant." ALL ELEMENTSCHANGED TO: Description DescriptionCHANGED TO: "Cancer that has spread to one or more sites in addition to the primary site AND in the prescence of multiple metastases indicates the cancer is widespread, fulminant, or near terminal."QCHANGED TO: "Another term describing disseminated cancer is "metastatic cancer.""CHANGED TO: "Regular administration of oral or parenteral corticosteroid medications within 30 days prior to injury for a chronic medical condition."[UPDATED: To be consistent with the January 2020 CDC denifition of Bone and Joint Infection.aCHANGED TO: History of persistent elevated blood pressure requiring antihypertensive medication.|ADDED: Report Element Value  1. Yes for patients who were non-compliant with their prescribed antihypertensive medication.JEXCLUDE: Non-urgent trachoestomy and percutaneous endoscopic gastrostomy ADDED: "EXCLUDE: Patients with a planned ICU stay post-operative. INCLUDE: patients who required ICU care due to an event that occurred during surgery or in the PACU."CHANGED TO: The patient had a written request to limit life-sustaining treatment that restricted the care for the patient during this patient care event.ADDED: Report Element Value "2. No" for patients with Advanced Directives that did not limit life-sustaining treatments during this patient care event.)Only report on patients d"18 years-of-age.PThe null value "Not Applicable" must be reported for patients > 18 years-of-age.PThe null value "Not Applicable" must be reported for patients > 18-years-of-age.SADDED: Element Value "5. None" is reported for patients who refuse VTE prophylaxis.OREMOVED: Must have occurred during the patient's initial stay at your hospital.@ADDED: Onset of symptoms began after arrival to your ED/hospitalPREMOVED: Must have occurred during the patient's initial stay at your hospital.CHANGED TO: A diagnosis of angina including microvascular angina, Prinzmetal's angina, stable angina, unstable angina and variant angina, must be documented in the patient's medical record.Exclude in-house traumas>TRAUMA SURGEON ARRIVAL DATE (Emergency Department Information)MADDED: 14304 Trauma Surgeon Arrival Date is earlier than Injury Incident Date>TRAUMA SURGEON ARRIVAL TIME (Emergency Department Information)MADDED: 14404 Trauma Surgeon Arrival Time is earlier than Injury Incident TimeVADDED: 20608 If patient age is less than 5, Element Value 6 is not a valid menu option9ALCOHOL SCREEN RESULTS (Emergency Department Information)kCHANGED: 5933 Element must be and can only be "Not Applicable" when Alcohol Screen is Element Value "2. No"AGGREGRATED EDIT CHECK APPENDIX 3^ADDED: Average Initial ED/hospital Temperature d" 36p C across all known records in submissionrADDED: More than 10% of patients with an unknown Initial ED/hospital Temperature across all records in submission~ADDED: More than 10% of patients with an unknown Initial ED/hospital Systolic Blood Pressure across all records in submissionlADDED: More than 10% of patients with an unknown Initial ED/hospital Pulse across all records in submissionpADDED: More than 10% of patients with an unknown Initial ED/hospital GCS Motor across all records in submissionnADDED: More than 10% of patients with an unknown Pre-hospital Cardiac arrest across all records in submissionjADDED: More than 10% of patients with an unknown Pre-Existing Conditions across all records in submissionaADDED: More than 1% of patients with an unknown Hospital Events across all records in submissionWEMS PATIENT CARE REPORT UNIVERSALLY UNIQUE IDENTIFIER (UUID) (Pre-Hospital Information)/CHANGED: Rule ID 9901 changed to Rule ID 90000/CHANGED: Rule ID 9902 changed to Rule ID 90001-CHANGED: RuleID 9903 changed to Rule ID 90002VADDED: 15506 If patient age is less than 5, element value 6 is not a valid menu optionADDED: Medical recordrADDED: The written request was signed/dated by the patient and/or his/her designee prior to arrival at your centerADDED: Life-sustaining treatments include but are not limited to intubation, ventilator support, CPR, transfusion of blood products, dialysis or other forms of renal support, institution of medications to support blood pressure or cardiac function, or a specific surgical, interventional or radiological procedure (e.g. decompressive craiectomy, operation for hemorrhage control, angiography)AGGREGATE INFORMATION Edit ChecksaRETIRED: RuleID 9905 More than one version of AIS coding has been detected in the submission fileRETIRED: RuleID 9907 The version of AIS codes entered in the submission file have been identified as 90/95/98. However, the only AIS Version submitted throughout the file is 05 Full CodeDATA DICTIONARY INTRODUCTION INTRODUCTIONADDED: Data Element LegendADDED: If Transport Mode is Element Value "1. Ground Ambulance", "2. Helicopter Ambulance" or "3. Fixed Wing Ambulance" but the patient was not transported from the scene of injury, report the null value "Not Known/Not Recorded."< CHANGED: The null value "Not Applicable" must be reported for all patients where Transport Mode is Element Values "4. Private/Public Vehicle/Walk-in", "5, Police" or "6. Other".4APPENDIX 4: TECHNICAL ADDENDUM FOR EMS DATA TRANSFER AppendicesADDED: To accomodate third party entities that use the NTDS Technical Standard as a template, the NTDS Technical Standard will allow retired pre-hospital data elements to be transmitted using the retired tags in a data submission file. These data are optional, they are not used by ý or required for any TQP deliverables, they are not validated at the TQP Data Center, nor are they required to pass the TQP validator.1RETIRED: 17004 Element cannot be "Not Applicable"1RETIRED: 18204 Element cannot be "Not Applicable"#ADDED: "EXCLUDE: Cell Saver blood.",DISSEMINATED CANCER (Pre-existing Condition)$STEROID USE (Pre-existing Condition)ADDED: Plain radiography of whole body, Plain radiography of whole skeleton, and Plain radiography of infant whole body to the Diagnostic and Therapeutic Imaging.CHANGED: A diagnosis of dementia including Alzheimer's Lewy Body Dementia, frontotemporal dementia (Pick's Disease) and vascular dementia must be documented in the patient's medical record.*ANTIBIOTIC THERAPY (TQIP PROCESS MEASURES)CHANGED: Open fractures as defined by the Association of Advancement of Automotive Medicine AIS Coding Rules and Guidelines and includes all AIS code descriptors that contain "open" and all AIS extremity/limb code descriptors that contain "amputation.",PRIMARY TRAUMA SERVICE TYPE (ED Information)ADDED: The null value "Not Known/Not Recorded" is only reported if no past medical history is available for patients <15 years-of-age.0ADDED: Only report on patients e"15 years-of-age.VADDED: The null value "Not Applicable" must be reported for patients <15 years-of-age.CHANGED TO: The null value "Not Known/Not Recorded" is only reported if no past medical history is available for patients e"15 years-of-age.iCHANGED: Rule ID 16104 to Element must be and can only be "Not Applicable" for patients <15 years-of-age.iCHANGED: Rule ID 16704 to Element must be and can only be "Not Applicable" for patients <15 years-of-age.iCHANGED: Rule ID 18104 to Element must be and can only be "Not Applicable" for patients <15 years-of-age./SUBSTANCE USE DISORDER (Pre-Existing Condition)iCHANGED: Rule ID 18404 to Element must be and can only be "Not Applicable" for patients <15 years-of-age..BIPOLAR I/II DISORDER (Pre-Existing Condition)2MAJOR DEPRESSIVE DISORDER (Pre-Existing Condition)7POST-TRAUMATIC STRESS DISORDER (Pre-Existing Condition)1SCHIZOAFFECTIVE DISORDER (Pre-Existing Condition)&SCHIZOPHRENIA (Pre-Existing Condition);OTHER MENTAL/PERSONALITY DISORDERS (Pre-Existing Condition)ADDED: EMS Run SheetpADDED: Documentation in the medical record may include CHILD or MELD scores that support evidence of cirrhosis./ANTIBIOTIC THERAPY DATE (TQIP PROCESS MEASURES)eCHANGED: Intravenous antibiotic therapy was administered to the patient within 24 hours after injury./ANTIBIOTIC THERAPY TIME (TQIP PROCESS MEASURES)=INITIAL ED/HOSPITAL HEIGHT (Emergency Department Information)|Notes in the Additional Information section to "INCLUDE" and/or "EXCLUDE" certain values have been moved to the Description./REMOVED: Within 24 hours of ED/hospital arrivalADDED: Report Element Value "1. Yes" for patients who were non-compliant with their prescribed exogenous parenteral insulin or oral hypoglycemic agent.4PERIPHERAL ARTERIAL DISEASE (Pre-Existing Condition)1WHOLE BLOOD (TQIP Measures for Processes of Care)ADDED: Blood Bank!CHANGED: Present prior to injury.CHANGED: The null value "Not Known/Not Recorded" is only reported if no past medical history is available for patients e"15 years-of-age.X CHANGED: The null value "Not Applicable" must be reported for patients e"15 years-of-age.G2CHANGED: Only report on patients <15 years-of-age.EADDED: Consistent with the National Institute on Aging December 2017.d ADDED: Rule ID 17004 Element must be and can only be "Not Applicable" for patients e"15 years-of-age.d ADDED: Rule ID 18204 Element must be and can only be "Not Applicable" for patients e"15 years-of-age.APPENDIX 5: ACRONYMSADDED AppendecisCHANGED: The universally unique identifier (UUID) of the patient care report (PCR) of each emergency medical service (EMS) unit treating the patient from the time of injury to arrival at your hospital. RETIRED: The null value  Not Applicable must be reported for all patients where Inter-facility Transfer is Element Value  1. Yes. RETIRED: The null value  Not Applicable must be reported for all patients where Transport Mode is Element Values  4. Private/Public Vehicle/Walk-in,  5. Police, or  6. Other. RETIRED: If Transport Mode is Element Value "1. Ground Ambulance," "2. Helicopter Ambulance" or "3. Fixed Wing Ambulance" but the patient was not transported from the scene of injury, report the null value "Not Known/Not Recorded.".CHANGED: The null value "Not Known/Not Recorded" must be reported if the UUID is not documented on the EMS Run Report. The UUID will not be documented on EMS Run Reports in NEMSIS versions lower than 3.5.0. In collaboration with NEMSIS, the ý will communicate when NEMSIS 3.5.0 is widely implemented.jCHANGED: Assigned by any applicable transporting EMS agency in accordance with the IETF RFC 4122 standard.RETIRED: For patients with multiple modes of transport from the scene of injury, report the UUID assigned by the EMS agency that delivered the patient to your hospital.ADDED: The null value  Not Applicable must be reported if the patient was never transported via EMS prior to arrival at your hospital.*ADDED: Report all that apply (maximum 20).\CHANGED: Rule ID 90002 Element cannot be  Not Known/Not Recorded along with any other value1CHANGED: Rule ID 9940 Multiple Entry Max exceededCHANGED: Cirrhosis is the replacement of normal liver tissue with non-living scar tissue related to other liver diseases. Must have documentation in the medical record of cirrhosis, which might also be referred to as end-stage liver disease.RETIRED: If there is documentation of prior or present esophageal or gastric varices, portal hypertension, previous hepatic encephalopathy, or ascites with notation of liver disease, then cirrhosis should be considered present.RETIRED: Report intravenous antibiotic therapy that was administered to the patient within 24 hours after first hospital encounter, at either your facility or the transferring facility.RETIRED: Report the date of the first intravenous antibiotic therapy administered to the patient within 24 hours after first hospital encounter, at either your facility or the transferring facility.RETIRED: Report the time of the first intravenous antibiotic therapy administered to the patient within 24 hours after first hospital encounter, at either your facility or the transferring f< acility.DADDED: Rule ID 9917 Value submitted for Hospital Events is not validLADDED: Rule ID 9918 Value submitted for Pre-Existing Conditions is not valid Appendix 2ADDED: Acute Care Hospital is defined as a hospital that provides inpatient medical care and other related services for surgery, acute medical conditions, or injuries (usually for a short-term illness or condition).  CMS Data Navigator Glossary of Terms https://www.cms.gov/Research-Statistics-Data-and systems/Research/ResearchGenInfo/Downloads/DataNav_Glossary_Alpha.pdf (accessed January 15, 2019).ADDED: INCLUDE: Patients who require physical transfer from a free-standing emergency department (ED) to an affiliated trauma center.REMOVED: A diagnosis of dementia including Alzheimer's, Lewy Body Dementia, frontotemporal dementia (Pick's Disease) and vascular dementia must be documented in the patient's medical record.REMOVED: If the patient or family refuses treatment (e.g., dialysis,) the condition is still considered to be present if a combination of oliguria and creatinine are present. QADDED: If multiple orders were written, report the final disposition order date.QADDED: If multiple orders were written, report the final disposition order time.[ADDED: EXCLUDE patients who no longer have cirrhosis due to a successful liver transplant.ADDED: A diagnosis of dementia including Alzheimer's, Lewy Body Dementia, frontotemporal dementia (Pick's Disease), or vascular dementia must be documented in the patient's medical record.2CHANGED: The country where the incident occurred. ADDED: "airway"MREMOVED: If multiple orders were written, report the final disposition order.8AUTISM SPECTRUM DISORDER (ASD) (Pre-Existing Conditions)IBRONCHOPULMONARY DYSPLASIA/CHRONIC LUNG DISEASE (Pre-Existing Conditions)INTUBATION PRIOR TO ARRIVALINTUBATION LOCATIONSEX ASSIGNED AT BIRTHGENDER GENDER-AFFIRMING HORMONE THERAPYPRIMARY MEDICAL EVENTfADDED: Patients transferred/discharged to hospice (e.g., hospice facility, hospice unit, home hospice)ADDED: If the patient was boarded in the ED, the disposition must be the location the patient was ordered to go when their ED workup was complete. &CHANGED: 7. Operating Room (Hybrid OR))ADDED: 12. Interventional Radiology SuiteGADDED: 13. Hospice (e.g., hospice facility, hospice unit, home hospice)/VENTILATOR DEPENDENCE (Pre-Existing Conditions)HCHANGED: The state, territory, or province where the incident occurred. ;CHANGED: The county or parish where the incident occurred. ;CHANGED: The city or township where the incident occurred. RETIRED: 6. AIS 05, Update 080CHANGED: RULE ID 4903 to The value is above 40.00CHANGED: RULE ID 4906 to The value is below 25.06CHANGED: RULE ID 21804 to Value exceeds 20,000 for CCs6CHANGED: RULE ID 21104 to Value exceeds 20,000 for CCs6CHANGED: RULE ID 21204 to Value exceeds 20,000 for CCs6CHANGED: RULE ID 21304 to Value exceeds 20,000 for CCs6CHANGED: RULE ID 21404 to Value exceeds 20,000 for CCsCHANGED: If ED Discharge Disposition is 4, 5, 6, 9, 10, 11, or 13 then Hospital Discharge Date, Hospital Discharge Time, and Hospital Discharge Disposition must be "Not Applicable" G^`rsw}CHANGED: RULE ID 7907 to Element must be and can only be "Not Applicable" when ED Discharge Disposition is 4, 5, 6, 9, 10, 11, or 13OgvCHANGED: The null value "Not Applicable" is reported if Hospital Discharge Disposition is reported as "Not Applicable"8VoCHANGED: The null value "Not Applicable" is reported if Hospital Discharge Date is reported as "Not Applicable"8OHOSPITAL PROCEDURES START DATEICHANGED: Onset of NPUAP Stage II began after arrival to your ED/hospital.<ADDED: Disposition to any Federal Health Care facility must be reported by selecting the option that most closely aligns to the needs of the patient (e.g., patients discharged to a Veteran's hospital skilled nursing facility must be reported as Element Value "7. Discharged/Transferred to Skilled Nursing Facility.")>CHANGED: Element Values adapted from UB-04 disposition coding. sCHANGED: Rule ID 90002 to Element cannot be  Not Applicable" or "Not Known/Not Recorded along with any other value9ADDED: RULE ID 0650 Date cannot be later than upload date9ADDED: RULE ID 1213 Date cannot be later than upload date8ADDED: RULE ID 14203 Element cannot be "Not Applicable" /INITIAL ED/HOSPITAL GCS - ASSESSMENT QUALIFIERS9ADDED: RULE ID 4550 Date cannot be later than upload date:ADDED: RULE ID 14450 Date cannot be later than upload dateADDED: For patients who were discharged from your hospital prior to the next calendar day after ED/hospital arrival, the null value  Not Applicable is reported. ADDED: For patients who were at your hospital on the calendar day after ED/hospital arrival, the null value  Not Known/Not Recorded is reported if reporting Highest GCS-40 Motor._ REMOVED: The null value  Not Known/Not Recorded is reported if reporting Highest GCS-40 Motor.J^ REMOVED: If reporting Highest GCS Total, the null value  Not Applicable is reported if the patient is discharged from your hospital prior to the next calendar day.' ADDED: For patients who were at your hospital on the calendar day after ED/hospital arrival, the null value  Not Known/Not Recorded is reported if reporting Highest GCS-40 Motor.  REMOVED: If reporting Highest GCS Motor, the null value  Not Applicable is reported if the patient is discharged from your hospital prior to the next calendar day.' REMOVED: If reporting GCS Assessment Qualifier Component of Highest GCS Total, the null value  Not Applicable is reported if the patient is discharged from your hospital prior to the next calendar day.M ADDED: For patients who were at your hospital on the calendar day after ED/hospital arrival, the null value  Not Known/Not Recorded is reported if reporting Highest GCS Motor. \ REMOVED: The null value  Not Known/Not Recorded is reported if reporting Highest GCS Motor.J REMOVED: If reporting Highest GCS-40 Motor, the null value  Not App< licable is reported if the patient is discharged from your hospital prior to the next calendar day.*JADDED: Based on the patient's age on the day of arrival at your hospital. \ADDED: RULE ID 6141 Element cannot be 4, 6, 9, or 10 when Inter-Facility Transfer is "2. No":Q9ADDED: RULE ID 6350 Date cannot be later than upload date9ADDED: RULE ID 6660 Date cannot be later than upload dateLCHANGED: Rule ID 21004 to AIS codes submitted are not valid AIS 2015 codes 9ADDED: RULE ID 7750 Date cannot be later than upload date:ADDED: RULE ID 10450 Date cannot be later than upload date:ADDED: RULE ID 10750 Date cannot be later than upload date:ADDED: RULE ID 11950 Date cannot be later than upload date:ADDED: RULE ID 12250 Date cannot be later than upload date:ADDED: RULE ID 13950 Date cannot be later than upload date:ADDED: RULE ID 20850 Date cannot be later than upload dateADDED: RULE ID 5806 The null value "Not Known/Not Recorded" is reported if the Initial ED/Hospital GCS - Eye, Initial ED/Hospital GCS - Verbal, and Initial ED/Hospital GCS - Motor are reported as "Not Known/Not Recorded" OFCHANGED: Onset of AKI Stage 3 began after arrival to your ED/hospital.ADDED: RULE ID 10209 The null value "Not Known/Not Recorded" is reported if the Highest GCS Total and Highest GCS Motor are reported as "Not Known/Not Recorded" PafwAPPENDIX 6: ELEMENT INTENTAPPENDIX 1: ACCOUNT CENTERAPPENDIX 1: QPORT SITE PROFILERREMOVED: If multiple orders were written, report the final disposition order date.RREMOVED: If multiple orders were written, report the final disposition order time.ADDED: 12. AspirinADDED: 13. Warfarin (Coumadin)CHANGED: A patient who reports inhaling nicotine by smoking cigars, pipes, cigarettes, e-cigarettes, vaping, or juuling every day or some days within the last 30-days. EXCLUDE: Patients who chew tobacco or snuff. ADDED: Vaping and juuling includes vape pens, dab pens, dab rings, mods, pod-mods, or any other electronic delivery system used to inhale nicotine.fADDED: EXCLUDE: Therapeutic anticoagulants initiated to treat DVT or PE that developed after admissionADDED: For patients who were fully anticoagulated prior to this injury event, report the Venous Thromboembolism Prophylaxis Type that was administered after arrival, regardless of if the dosage was therapeutic or prophylaxis.CHANGED: *Exclude patient injuries sustained at your facility after initial ED/Hospital arrival and before hospital discharge, and all data associated with that injury event. qCHANGED: The patient is intubated with a definitive airway due to this injury prior to arrival at your hospital. ADDED: Transfer Facility Records8ADVANCE DIRECTIVE LIMITING CARE (Pre-Existing Condition)6CHANGED: Rule ID 2771 Value is not a valid menu option|CHANGED: Rule ID 2774 Element must be "Not Known/Not Recorded" when Intubation Prior to Arrival is "Not Known/Not Recorded" CHANGED: Rule ID 2773 Element must be and can only be "Not Applicable" when Intubation Prior to Arrival is "Not Applicable" or Element Value "2. No" HBRONCHOPULMONARY DYSPLASIA/CHRONIC LUNG DISEASE (PRE-EXISTING CONDITION)7CHANGED: Rule ID 6331 Value is not a valid menu option -CHANGED: Rule ID 6332 Element cannot be blank0CHANGED: Rule ID 63340 Single Entry Max exceeded6CHANGED: Rule ID 1331 Value is not a valid menu option-CHANGED: Rule ID 1332 Element cannot be blank9CHANGED: Rule ID 1333 Element cannot be "Not Applicable" 6CHANGED: Rule ID 2551 Value is not a valid menu option-CHANGED: Rule ID 2552 Element cannot be blank6CHANGED: Rule ID 2661 Value is not a valid menu option7CHANGED: Rule ID 11701 Value is not a valid menu option&CHANGED: Rule ID 20802 to Level 1 flag&CHANGED: Rule ID 20902 to Level 1 flag!CHANGED: Reported as YYYY-MM-DD. CHANGED: Reported as HHMM. 2APPENDIX 2: EDIT CHECKS FOR THE NTDS DATA ELEMENTSAggregate InformationTREMOVED: RULE ID 9904 More than one AIS Version has been used in the submission filelREMOVED: RULE ID 9909 Average Initial ED/Hospital Temperature d" 36p C across all known records in submissionREMOVED: RULE ID 9910 More than 10% of patients with an unknown Initial ED/Hospital Temperature across all records in submissionREMOVED: RULE ID 9911 More than 10% of patients with an unknown Initial ED/Hospital Systolic Blood Pressure across all records in submissionzREMOVED: RULE ID 9912 More than 10% of patients with an unknown Initial ED/Hospital Pulse across all records in submission~REMOVED: RULE ID 9913 More than 10% of patients with an unknown Initial ED/Hospital GCS Motor across all records in submission|REMOVED: RULE ID 9914 More than 10% of patients with an unknown Pre-Hospital Cardiac Arrest across all records in submissionwREMOVED: RULE ID 9915 More than 10% of patients with an unknown Pre-Existing Condition across all records in submissionnREMOVED: RULE ID 9916 More than 1% of patients with an unknown Hospital Event across all records in submissionoCHANGED: RULE ID 8804 Element cannot be  Not Applicable or  Not Known/Not Recorded along with any other valueCHANGED: RULE ID 10204 Element cannot be  Not Applicable as the AIS codes provided meet the reporting criterion, unless the patients ED Discharge Date or Hospital Discharge Date is prior to the next calendar daypCHANGED: RULE ID 13604 Element cannot be  Not Applicable as the AIS codes provided meet the reporting criterionpCHANGED: RULE ID 13704 Element cannot be  Not Applicable as the AIS codes provided meet the reporting criterionpCHANGED: RULE ID 10305 Element cannot be  Not Applicable as the AIS codes provided meet the reporting criterion{CHANGED: RULE ID 10405 Element cannot be  Not Known/Not Recorded when Cerebral Monitor is Element Values 1, 2, 3, and/or 4CHANGED: RULE ID 10407 Cerebral Monitor Date cannot be earlier than ED/Hospital Arrival Date unless placed at referring facility and used for monitoring{CHANGED: RULE ID 10505 Element cannot be  Not Known/Not Recorded when Cerebral Monitor is Element Values 1, 2, 3, and/or 4CHANGED: RULE ID 10506 Cerebral Monitor Time cannot be earlier than ED/Hospital Arrival Time unless placed at referring facility and used for monitoringpCHANGED: RULE ID 20706 Element cannot be  Not Applicable as the AIS codes provided meet the reporting criterion]CHANGED: RULE ID 8904 Cannot be Y92.X/Y92.XX/Y92.XXX (where X is A-Z or 0-9) (ICD-10-CM only)OCHANGED: RULE ID 1204 Injury Incident Date cannot be earlier than Date of BirthWCHANGED: RULE ID 6307 ED Discharge Date cannot be earlier than ED/Hospital Arrival DateWCHANGED: RULE ID 6407 ED Discharge Time cannot be earlier than ED/Hospital Arrival TimecCHANGED: RULE ID 7715 Hospital Discharge Date cannot be earlier than Hospital Procedures Start DateZCHANGED: RULE ID 7716 Hospital Discharge Date cannot be earlier than Cerebral Monitor DatelCHANGED: <RULE ID 7717 Hospital Discharge Date cannot be earlier than Venous Thromboembolism Prophylaxis DateUCHANGED: RULE ID 7718 Hospital Discharge Date cannot be earlier than Angiography DatehCHANGED: RULE ID 7719 Hospital Discharge Date cannot be earlier than Surgery for Hemorrhage Control DatecCHANGED: RULE ID 7813 Hospital Discharge Time cannot be earlier than Hospital Procedures Start TimeZCHANGED: RULE ID 7814 Hospital Discharge Time cannot be earlier than Cerebral Monitor TimeUCHANGED: RULE ID 7816 Hospital Discharge Time cannot be earlier than Angiography TimehCHANGED: RULE ID 7817 Hospital Discharge Time cannot be earlier than Surgery for Hemorrhage Control Time"CHANGED: Transfer Facility Records;CHANGED: Consistent with the CDC January 2024 defined SSI. REMOVED: RULE ID 9906 The version of AIS codes entered in the submission file have been identified as 05. However, the AIS Version(s) submitted throughout the file do NOT contain 05 Full Code'CHANGED: Rule ID 0601 Date is not Valid(CHANGED: Rule ID 20802 Date out of Range(CHANGED: Rule ID 20902 Time out of Range0CHANGED: Rule ID 13340 Single Entry Max exceeded0CHANGED: Rule ID 26640 Single Entry Max exceeded{ADDED: RULE ID 14405 Element must be and can only be "Not Applicable" when Trauma Surgeon Arrival Date is "Not Applicable" zADDED: RULE ID 14406 Element must be "Not Known/Not Recorded" when Trauma Surgeon Arrival Date is "Not Known/Not Recorded"%CHANGED: RULE ID 8905 to Level 2 flagkCHANGED: Is the patient currently (i.e., within the past 30 days) taking gender-affirming hormone therapy? lCHANGED: RULE ID 7815 Hospital Discharge Time cannot be earlier than Venous Thromboembolism Prophylaxis TimeCHANGED: A diagnosis of Peripheral Arterial Disease or Peripheral Vascular Disease must be documented in the patient's medical record. TCHANGED: 6. Child Restraint (child car seat, infant car seat, or child booster seat):ADDED: RULE ID 8908 Cannot be Y62.X-Y69.X (ICD-10-CM only)UCHANGED: RULE ID 8905 Cannot be Y93.X/Y93.XX (where X is A-Z or 0-9) (ICD-10 CM only)uCHANGED: RULE ID 9102 ICD-10 Additional External Cause Code cannot be equal to the ICD-10 Primary External Cause CodeADDED: If Ventilator Dependence is Element Value "1. Yes," Functionally Dependent Health Status must be Element Value "1. Yes." OADDED: Report Element Value "1. Child Car Seat" for forward-facing child seats.NADDED: Report Element Value "2. Infant Car Seat" for rear-facing child seats. ~ REMOVED: Element Value  10. Other is reported if  Coumadin and/or  aspirin are given as venous thromboembolism prophylaxis. CHANGED: RULE ID 10005 Element cannot be  Not Applicable as the AIS codes provided meet the reporting criterion, unless the patient's ED Discharge Date or Hospital Discharge Date is prior to the next calendar dayCHANGED: RULE ID 10105 Element cannot be  Not Applicable as the AIS codes provided meet the reporting criterion, unless the patient's ED Discharge Date or Hospital Discharge Date is prior to the next calendar dayCHANGED: RULE ID 20605 Element cannot be  Not Applicable as the AIS codes provided meet the reporting criterion, unless the patient's ED Discharge Date or Hospital Discharge Date is prior to the next calendar dayCHANGED: The patient experienced a documented primary medical event (stroke, myocardial infarction, cardiac arrest, intracranial bleeding, sepsis) that immediately preceded the traumatic injury. Element IntentADDED: For therapeutic anticoagulants administered for other reasons, report the Element Value aligned with the anticoagulant administered. QKCHANGED: Procedure start time is the time of needle insertion in the groin. @ KBlC FI M PRU:W[[^af7l4 [pXrwG~DY2 [4~imʪ k ?ڳq&EuQI0 5 th@';\/t Wtl?;l \ @ ]h". 398;IL (P*R}UEXG_ixlV sbv@x@{j>5_  ` [Ò}n(•|4ץmrE b w38_ Dha8 Zf     !&+0 2;ChGL ccB ZO alwVޗj2Jj2#.9RDOYdro:zƏVv>&&1><GQ\^g&r|~F  dMbP?_*+%&?'?(?)?MAdobe PDFS odXXLetterPRIV ''''0\KhCFFSMTJ0EBDAStandard"dXX333333?333333?&<3U} `} [} ?Y} "Y} QY} q-E}  EColumn Ax2026@@@@@@@@ @ @ @ @ AAAAAAAAAAAAAAAAAAA b h h h hF@:@Gx@ H H HF@:@Gx@ H H HF@:@Gx@ H H HF@:@Gx@ H H HF@:@Gx@ H H HF@:@Gx@ H H HF@:@Gx@ H H HF@:@Gx@ H H H F@:@Gx@ H H H F@:@Gx@ H H H F@:@Gx@ H H H F@:@Gx@ H H H  F@:@Gx@ H H HF@:@Gx@ H H H F@:@Gx@ H H H F@:@Gx@ H H HI@:@Gx@ J KJI@:@Lx@ J KJI@:@Lx@ J KJI@:@Lx@ H HJI@:@Lx@ H HJI@:@Gx@ H K JI@:@Mx@ H K JI@:@Mx@ H K JI@:@Mx@ H K JI@:@Mx@ H K JI@:@Mx@ H K JI@:@Mx@ H K JI@:@Mx@ H K JI@:@Mx@ J K! J I@:@Mx@ J K! J"Dr lF@@@@@@@@@@@@@@@@<<<<<@@@@@@@@@ A!A"A#A$A%A&A'A(A)A*A+A,A-|A.A/A0|A1A2A3A4A5A6A7|A8A9|A:A;A<A=A>|A?A I@:@Mx@ J K! 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