Field Name	(R)equired
(C)onditionally
Required	Non-Trauma Centers 	
Trauma
Centers	
FilingOrgId	R	X	X	
SiteOrgID	R	X	X	
Inter-Facility Transfer	R	X	X	
SiteOrgID of Transferring Hospital	C1	X	X	
Discharge Time from Transferring Hospital	C2	X	X	
ED/Hospital Admission Date	R	X	X	
ED/Hospital Admission Time	R	X	X	
Location of Direct Admission 	C3	X	X	
Medical Record #	R	X	X	
Social Security #	R	X	X	
Date of Birth	R	X	X	
Gender	R	X	X	
Patient Street Address	R	X	X	
Patient City	R	X	X	
Patient Zip Code	R	X	X	
Injury Incident Date	C4	X	X	
Injury Incident Time	C5		X	
Work-related	C6	X	X	
Incident City	R	X	X	
Incident State	R	X	X	
Transport Mode	R	X	X	
Alcohol Use Indicator	C7		X	
Drug Use Indicator	C8		X	
Primary ECode	R	X	X	
Location ECode	R	X	X	
Initial Glasgow Eye Component in ED	C9		X	
Initial Glasgow Verbal Component in ED	C10		X	
Initial Glasgow Motor Component in ED	C11		X	
Glasgow Coma Score Total in the ED	C12		X	
Glasgow Coma Score Assessment Qualifier in the ED	C13		X	
Respiration Rate	R	X	X	
Systolic Blood Pressure	R	X	X	
Pulse Rate	R	X	X	
Diagnosis Code	R	X	X	
AIS	R		X	
AIS Version	R		X	
Protective Devices	R		X	
Child Specific restraint	C14		X	
Airbag Deployment	C15		X	
Co-Morbid Conditions	R		X	
Complications	R		X	

NOTE:  EXPLANATION OF CONDITIONAL STATUS DATA ELEMENTS
1. SiteOrgID of Transferring Hospital: Used for only transfer patients, 2. Discharge Time from Transferring Hospital: Used for only transfer patients; 3.Location of Direct Admission: not always recorded on the chart, 4. Injury Incident Date: Not always known, 5 Injury Incident Time: Not always known, 6. Work-related: Not always known, 7. Alcohol Use Indicator: Not always known, 8. Drug Use Indicator: Not always known, 9. Initial Glasgow Eye Component in ED: Should be recorded within 15 minutes of arrival with first set of vitals, 10. Initial Glasgow Verbal Component in ED: Should be recorded within 15 minutes of arrival with first set of vitals, 11. Initial Glasgow Motor Component in ED: Should be recorded within 15 minutes of arrival with first set of vitals, 12. Glasgow Coma Score Total in the ED: Should be recorded within 15 minutes of arrival with first set of vitals, 13. Glasgow Coma Score Assessment Qualifier in the ED: Glasgow not always recorded. 14. Child Specific restraint: Only for pediatric patients; 15. Airbag Deployment: Only for patients involved in Motor Vehicle crashes.