Section 560.120  Reporting Requirements

a)         The Department shall establish and maintain an information registry and reporting system for the purpose of data collection on violent injuries to persons of this State.  All information and data reported shall be confidential and privileged in accordance with Part 21 of Article VIII of the Code of Civil Procedure [735 ILCS 5/Art. VIII, Part 21].  (Section 55.81 of the Civil Administrative Code of Illinois)

b)         Each reporting facility must report the information specified in subsection (d) of this Section using either:

1)         computerized software supplied by the Department.  The reporting facility must supply a 486 microprocessor, 32 megabytes of Random Access Memory (RAM), adequate hard drive disk space to accommodate the reporting facility's data files and needs, at least a 14.4 kilobytes per second (kbs) modem, color monitor, printer and back-up capabilities; or

2)         a paper form for each reportable case.  The master format will be provided by the Department and will be reproduced by the reporting facility.  (See Appendix B.)

c)         All reporting facilities shall provide the following information quarterly on each patient diagnosed with an injury that is allegedly caused by an External Cause of Injury (see  Appendix A) under the following circumstances:  patients admitted and discharged who have been sexually assaulted or with an injury suspected or alleged to result from domestic violence or child abuse; all hospital admissions, including patients admitted for 23-hour observation; patients who are dead on arrival (DOA); patients who discharge themselves against medical advice (AMA).

d)         The following information shall be provided on each patient reported:

1)         Patient name;

2)         Hospital name;

3)         Hospital code number;

4)         Pre-Hospital number;

5)         Crash number;

6)         Medical record number;

7)         Arrival date;

8)         Birthdate;

9)         Age in years;

10)         Sex;

11)         Race;

12)         Injury date;

13)         Federal Information Processing Standard (FIPS) Scene;

14)         Scene city;

15)         FIPS home;

16)         Home city;

17)         E-Code (external cause of injury);

18)         E-Code 849 (place of injury);

19)         Work related;

20)         Safety equipment;

21)         Alcohol;

22)         Drugs;

23)         Glasgow Score (total);

24)         Respiratory rate;

25)         Respiratory status;

26)         Systolic blood pressure;

27)         Disposition;

28)         Nature of injury codes;

29)         Discharge disposition;

30)         Facility out (facility to which the patient was transferred);

31)         Billed charges; and

32)         Primary payment source.

e)         The following information shall be reported only if the patient has an in-patient stay at the reporting facility:

1)         Facility out (facility to which the patient was transferred);

2)         Hospital days;

3)         Expression;

4)         Feeding;

5)         Locomotion;

6)         Rehabilitation potential.

f)          The reporting schedule is as follows: