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TITLE 25HEALTH SERVICES
PART 1DEPARTMENT OF STATE HEALTH SERVICES
CHAPTER 103INJURY PREVENTION AND CONTROL
RULE §103.2Definitions

The following words and terms, when used in these sections, shall have the following meanings, unless the context clearly indicates otherwise.

  (1) Business associate--A covered entity performing a function on behalf of an entity reporting under this chapter as defined in, 45 Code of Federal Regulation (CFR) §160.103.

  (2) Call for assistance--An event where an EMS provider is activated via an internal communication system or by a 9-1-1 operator.

  (3) Case--A person in whom an injury is identified by a physician or medical examiner based upon clinical evaluation, interpretation of laboratory and/or roentgenographic findings, and an appropriate exposure history.

  (4) Commissioner--Commissioner of the Department of State Health Services.

  (5) Department--The Department of State Health Services, 1100 West 49th Street, Austin, Texas 78756-3180.

  (6) Electronic reporting--Submitting data by computer in a format prescribed by the department.

  (7) Emergency Medical Services (EMS) provider--A person who uses, operates or maintains EMS vehicles and EMS personnel to provide EMS; as defined by Health and Safety Code, §773.003(11) and Chapter 157, Subchapter A, §157.2 of this title (relating to Definitions).

  (8) Health authority--A physician appointed as such under Texas Health and Safety Code, Chapter 121.

  (9) Injury--Damage to the body resulting from intentional or unintentional acute exposure to thermal, mechanical, electrical, or chemical energy, or from the absence of essentials such as heat or oxygen.

  (10) Investigation--Fieldwork designed to obtain more information about an incident.

  (11) Local health department--A department created under the Texas Health and Safety Code, Chapter 121.

  (12) Paper reporting--Submitting data on paper in a format prescribed by the Department; if sent by mail or courier, reports shall be placed in a sealed envelope, marked "Confidential Medical Records" to the following address: Attention: EMS/Trauma Registry, Texas Department of State Health Services, 1100 West 49th Street, Austin, Texas 78756-3180.

  (13) Regional Registry--A system that collects, maintains, and reports EMS provider runs and trauma data to the department for a designated area of the state.

  (14) Registry--The Texas EMS/Trauma Registry is the staff and the statewide databases housed within the department; responsible for the collection, maintenance, and evaluation of medical and system information related to required reportable events as defined in this section.

  (15) Reporting entity--An EMS provider, a Justice of the Peace, a medical examiner, a physician, a hospital, or an acute or post-acute rehabilitation facility.

  (16) Reportable event--Any injury or incident required to be reported under this chapter.

  (17) Run--A resulting action from a call for assistance where an EMS provider:

    (A) is dispatched to;

    (B) responds to;

    (C) provides care to; or

    (D) transports a person.

  (18) Spinal cord injury (SCI)--An acute, traumatic lesion of the neural elements in the spinal canal, resulting in any degree of sensory deficit, motor deficits, or bladder/bowel dysfunction. The following International Classification of Diseases 9th Revision Clinical Modification (ICD-9-CM) diagnostic codes are to be used to identify cases of traumatic spinal cord injury: 806.0-806.9 and 952.0-952.9.

  (19) Submersion injury--The process of experiencing respiratory impairment from submersion/immersion in liquid.

  (20) Suspected case--A case in which an injury is assumed, but a diagnosis is not yet made, as in the example of justices of the peace.

  (21) Third-party services--Includes, but is not limited to a regional registry located in a trauma service area (TSA), a billing agency, or a data reporting agency.

  (22) Trauma--An injury or wound to a living body caused by the application of an external force, including but not limited to violence, burns, poisonings, submersion incidents, traumatic brain injuries, traumatic spinal cord injuries, and suffocations.

  (23) Trauma service area (TSA)--A multi-county area in which an emergency medical services and trauma care system has been developed by a Regional Advisory Council and has been recognized by the department.

  (24) Traumatic brain injury (TBI)--An acquired injury to the brain, including brain injuries caused by anoxia due to submersion incidents. The following International Classification of Diseases 9th Revision Clinical Modification (ICD-9-CM) diagnostic codes are to be used to identify cases of traumatic brain injury: 800.0-801.9, 803.0-804.9, and 850.0-854.1. The ICD-9-CM diagnostic code to be used to identify traumatic brain injury caused by anoxia due to submersion incidents is 348.1 or 994.1.

  (25) Traumatic injury--An injury listed in the International Classification of Diseases 9th Revision Clinical Modification (ICD-9-CM) diagnostic codes between 800.0 and 959.9, excluding 905-909, 910-924, and 930-939, and admitted to a hospital inpatient setting (for more than 48 hours), or died after receiving any evaluation or treatment or was dead on arrival, or transferred into or out of the hospital.


Source Note: The provisions of this §103.2 adopted to be effective December 16, 2007, 32 TexReg 9130

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