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TRAUMA REGISTRY ABSTRACTION (NTDB / TQIP)

The registrar is the bottleneck, and the backlog never clears.

Trauma registry abstraction services locate the NTDB and TQIP data-standard elements in each case chart and cite the page carrying them, including the injury descriptions that drive AIS coding. Your trauma registrar reviews a built case rather than reading every chart from the start.

Click any row → the source page it cites
Registry abstraction · Case #IME-4812 documented
Adams, Timothy · trauma case chart
342 pp / 2 packets received logged
11 duplicate pages removed free
p.140 — wrong patient quarantined
Pages 342 Documents 27 Cited 100%

The data standard is published. So is the verification visit.

We do not build for a case type until we can name the standard that defines a correct output and the person who grades the file against it. In trauma registry work, both are already published.

The standard and the referee
The rulebook
  • The National Trauma Data Standard data dictionary for the admission year, which defines inclusion criteria and every element
  • The TQIP participant requirements, including the additional elements and the risk-adjustment inputs
  • The Abbreviated Injury Scale dictionary, which governs injury coding and the derived Injury Severity Score
  • The state trauma registry's own required element set, where it goes beyond the national standard
The referee
  • The American College of Surgeons verification review team, which examines registry completeness and accuracy on site
  • The TQIP data quality report, which benchmarks the center against its cohort
  • The state trauma system authority, which designates and re-designates the center
Registrar hours per case against an inclusion-criteria volume that keeps rising Flat 10¢/page here, duplicates free
Registry abstraction · Case #IME-4812 cited 100%
Packet342 pp / 2 packets · 11 deduplicatedlogged
Data elementsLocated and page-cited per fieldcited
Injury descriptionsCarried verbatim for AIS codingcited
Ambiguous fieldsChart doesn't settle the valueflagged
Abstraction delivered · cited 100% · no injury coding assigned
How it works

3 steps between the chart and the registry.

01

Send the case charts

EMS run sheets, trauma resuscitation records, operative notes, imaging reports, and discharge summaries, in any format.

02

We return the abstraction, page-cited

Every NTDS element located with its citation, injury descriptions carried verbatim from the source, and unsettled fields flagged rather than guessed.

03

Your registrar codes and submits

AIS coding and the registry submission stay with your certified trauma registrar, in your own registry software.

The boundary, in writing

Evidence for the registrar, not the injury coding.

We locate and cite the data-standard elements and carry injury descriptions verbatim from the operative and imaging record. We do not assign AIS codes, derive an Injury Severity Score, enter data into your registry software, or submit to NTDB. Coding is the certified registrar's work.

Injury descriptions are carried word for word, with their citation, rather than paraphrased. AIS coding turns on the exact anatomical wording, and a summarized description is one the registrar cannot safely code from.

Audit trail · Case #IME-4812 exportable
08:12Packet received · 342 pp / 2 packetssystem
08:3111 pages deduplicatedsystem
08:44p.140 flagged — wrong patientsystem
08:54Registry abstraction complete · abstraction complete · elements cited · cited 100%system
09:20Registry abstraction reviewed · citations verifiedreviewer
09:26Registry abstraction exported · registry submission made off-platformreviewer
Every access logged · file deleted 30 days after delivery
Why Medrecords AI

The rules the platform never breaks.

Medrecords AI EVERY LINE CITED
CASE #IME-4812 · ADAMS, T.342 pp
2/14 — ER visit, right knee p.4
4/18 — arthroscopic surgery p.61
p.140 — wrong patient quarantined
Medrecords AI
Read every page · cite every line

HIPAA, under a signed BAA

Every file is handled under our Business Associate Agreement, from the first byte.

Never trains a model

Your records are never used to train any AI model — ours or anyone else's.

Every line cited

If we can't cite it, we don't say it. Every sentence links to its source page.

Deleted after delivery

Files are deleted 30 days after delivery, with a full audit log of every access.

Powered by the platform

4 capabilities behind every registry abstraction.

The registry abstraction is 1 deliverable of the same platform that reads, sorts, and cites the whole record.

FAQ

Trauma registry abstraction, answered.

No. We carry the injury descriptions verbatim from the operative and imaging record, each with its page citation. AIS coding and the derived Injury Severity Score are the certified trauma registrar's work, in your registry software.

AIS coding turns on exact anatomical wording — laterality, grade, structure. A paraphrase loses the detail the code depends on, and the registrar would have to go back to the chart anyway. Verbatim plus a citation is faster and safer.

The reviewers test registry completeness and accuracy against the chart. Every abstracted element carrying a page citation is the fastest way to answer that, because the reviewer can go straight to the source rather than taking the value on trust.

No. Medrecords AI does not retrieve records from providers or facilities. You bring the records you already have — review starts in minutes from upload. Retrieval vendors take days; you can keep yours and still cut the review to minutes.

Send 1 file. We'll tell you what we can read.

No obligation. If the case type is buildable we'll scope it; if it isn't, we'll say so.