216 R.I. Code R. 216-RICR-10-10-4.5

Current through December 26, 2024

Section 216-RICR-10-10-4.5 - Reportable Injuries

A. Hospitals shall report those injuries identified by the following selected codes listed in the publication entitled, "International Classifications of Diseases, 9th Revision, Clinical Modification" as incorporated above at § 4.2 of this Part:

1. Traumatic Brain Injury

a. 310.2 Post-concussion syndrome/post traumatic encephalopathy

b. 800 Skull fracture (vault)

c. 801 Skull fractures (base)

d. 803 other and unqualified skull fractures

e. 804 Multiple fracture of skull and face with other bones

f. 850 Concussion

g. 851 cerebral laceration/ confusions

h. 852 SAH, SDH && EDH with SD injury

i. 853 other and unspecified IC hemorrhage

j. 854 IC injury other and unspecified

k. 995.55 Shaken Infant Syndrome

l. 959.01 Head injury unspecified

2. Spinal cord injury

a. 806 fracture, vertebral column with spinal cord injury

b. 952 Spinal cord injury

3. Late Effects TBI/SCI

a. 905.0 Skull fracture

b. 907.0 intracerebral injury

c. 907.2 Spinal cord injury

B. Each hospital shall submit data in such a manner as to make uniform a system of periodic reporting and shall include no less than the following detailed statistical data and information:

1. Patient's full name;

2. Social Security number;

3. Street address, city or town, state and zip code at the time of diagnosis;

4. Date of birth;

5. Sex;

6. Ethnicity: Hispanic or Latino; Non-Hispanic or Latino;

7. Race: White; Black or African American; Asian; American Indian or Alaska Native; Native Hawaiian or Pacific Islander; Other;

8. Date of injury;

9. Date of admission;

10. Date of discharge;

11. Place of incident (ICD-9 Place of Occurrence codes E849);

12. Traumatic Brain/Spinal Cord Injury related diagnosis (ICD-9 CM codes and description as stated above);

13. Other diagnosis codes (ICD-9 CM codes and descriptions);

14. Cause of injury (ICD-9 CM external cause codes E800.0-E999.9);

15. Initials of person completing the form;

16. Type of discharge (code specified on form);

17. Hospital code;

18. Patient medical record number;

19. Date form completed.

C. Data and information on cases of traumatic brain injury/spinal cord injury shall be reported electronically or by US postal mail unless reporting by another means has been approved in writing by the Director.

D. Such data and information shall be abstracted from medical charts and other sources of patient information by personnel possessing, at a minimum, a basic working knowledge of medical terminology, human anatomy, and physiology.

E. Such data and information shall be coded in a manner specified by the Director.

F. Such data and information shall be submitted with sufficient narrative substantiation to allow a visual assessment of the accuracy of coded data and information.

4.5.1Rights of Survivors/Parents/Legal Guardians

A. The Department shall remove personal identifying information from the Registry upon request of the traumatic brain injury/spinal cord injury survivor or legal guardians. The survivor or legal guardian shall also have the right to prohibit being contacted by the Department.

B. The Department shall provide timely notification to survivors or legal guardians of their rights as stated above.

216 R.I. Code R. 216-RICR-10-10-4.5