VSTR Reporting Requirements
Posted by , Last modified by Barry Reeves on 16 October 2020 10:29 AM

Submission Timelines

Hospitals: each patient meeting the criteria found in the diagram below are to be reported within 30 days of hospital discharge.

Designated Trauma Centers: quarterly submissions for patients meeting the criteria are to be reported by the below due dates.

  • January 1st thru March 31st – due on May 31st
  • April 1st thru June 30th – due on August 31st
  • July 1st. thru September 30th – due on November 30th
  • October 1st thru December 31st – due on February 28/29th

Note: If the due date falls on a weekend or state holiday, you can submit on the next regular state business day.

Appendix A: Inclusion Criteria 

Trauma Patient Definition

In order to ensure consistent data collection across the Commonwealth of Virginia, a trauma patient is one who has sustained an injury within 14 days of the initial presentation for treatment and met one of the following criteria:


The patient must have at least one injury described by an ICD-10-CM code of:

  • S00-S99, with 7th character A, B, or C (Injuries to specific body parts, initial encounter)
  • T07 (Unspecified multiple injuries)
  • T14 (Injury of unspecified body region)
  • T20-T28, with 7th character A only (Burns by specific body parts, initial encounter)
  • T30-32 (Burns by TBSA percentage)

AND meets one of the following conditions:

  • Death resulting from injury at any point during treatment;


  • Transferred by ambulance (ground or air) from an acute care hospital or freestanding ED to an acute care hospital for treatment of injuries;


  • Patients directly admitted to a hospital;


  • Patients who received an order for admission, including for observation.


Exclusion Criteria

Patients with the following ICD-10-CM codes are excluded from entry in VSTR:

  • Isolated superficial injuries of the head (S00); neck (S10); thorax (S20); abdomen, pelvis, lower back, external genitalia (S30); shoulder and upper arm (S40); elbow and forearm (S50); wrist, hand, fingers (S60); hip, thigh (S70); knee, lower leg (S80); ankle, foot, toes (S90); and
  • ICD-10-CM codes from the inclusion criteria but with the 7th character of D through S (late effects).


The attached diagram illustrates which patients must be submitted by all Virginia hospitals providing emergency services.  Greater detail can be found in the following documents:  VSTRv3 list of elements, VSTRv3 list of elements and fields, and the full VSTRv3 Data Dictionary.

 VSTR Reporting Requirements_2.18.16.docx (736.08 KB)
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