Initial ED Vitals Pulse Rate – Initial ED Vitals Respiration Rate – Initial ED Vitals SBP/DBP – Initial ED Vitals GCS Eye – Initial ED Vitals GCS Verbal – Initial ED Vitals GCS Motor – Initial ED Vitals GCS Total – Initial ED Vitals RTS – Procedure Name Start Date/Time AIS Code/Description Injury Severity Score (ISS) Pregnancy Status Discharge Status Discharge or Death Date/Time Total ICU Days Total Ventilator Days Total Hospital Days Discharged To If Transferred, Facility and If Other, Facility Name Transfer Rationale Location of Death QA Filter Code TRISS Record Complete Date and Time Transport Provider arrived at patient Was Patient Extricated Time required( for Patient Extrication) Referring Facility 1 Arrival Date and Time – Referring Facility 2 Arrival Date and Time – Inter-facility Transport Agency (1) Arrived at – Patient: Date and Time Inter-facility Transport Agency (2) Arrived at – Patient: Date and Time AIS Body Region Other/Comments
Initial ED Vitals – Pulse Rate Initial ED Vitals – Respiration Rate Initial ED Vitals – SBP/DBP Initial ED Vitals – GCS Eye Initial ED Vitals – GCS Verbal Initial ED Vitals – GCS Motor Initial ED Vitals – GCS Total Initial ED Vitals – RTS Procedure Name Start Date/Time AIS Code/Description Injury Severity Score (ISS) Pregnancy Status Discharge Status Discharge or Death Date/Time Total ICU Days Total Ventilator Days Total Hospital Days Discharged To If Transferred, Facility and If Other, Facility Name Transfer Rationale Location of Death QA Filter Code TRISS Record Complete Date and Time Transport Provider arrived at patient Was Patient Extricated Time required( for Patient Extrication) Referring Facility 1 – Arrival Date and Time Referring Facility 2 – Arrival Date and Time Inter-facility Transport Agency (1) – Arrived at Patient: Date and Time Inter-facility Transport Agency (2) – Arrived at Patient: Date and Time AIS Body Region Other/Comments
NSW_Trauma_Data_Elements_List.docx