DEPARTMENT OF COMMUNITY HEALTH  
BUREAU OF EPIDEMIOLOGY  
DIVISION OF ENVIRONMENTAL HEALTH  
REPORTING OF TRAUMATIC INJURIES  
(By authority conferred on the community public health agency by sections 5111 and  
2226[d] of 1978 PA 368, MCL 333.5111 and MCL 333.2226[d],section 8 of 1978 PA 312,  
MCL 325.78, MCL 333.2233, MCL 333.2221 and Executive Reorganization Order No.  
1996-1, MCL 330.3101.)  
R 325.301 Definitions.  
Rule 1. (1) As used in these rules:  
(a) "Department" means the Michigan department of community health.  
(b) "External cause-of-injury codes" means the standard codes adopted by reference in R  
325.302(1).  
(c) "Health facility" means any facility or agency licensed in Michigan under Article 17  
of the public health code, MCL 333.20101 to 333.22260 that provides health care services.  
It includes an ambulance, aircraft transport, non-transport prehospital life support, or  
medical first response operation; clinical laboratory; county medical care facility;  
freestanding surgical outpatient facility; health maintenance organization; nursing home;  
home for the aged; hospital; nursing home; hospice; and hospice residence.  
(d) "Health professional" means a person licensed under article 15 of the public health  
code, MCL 333.16101 to 333.18838, in medicine, osteopathic medicine, as a physician's  
assistant, or nurse practitioner.  
(e) "Local health department" means a public health department established under article  
24 of the public health code, MCL 333.2401 to 333.2498, to protect the public health and  
prevent disease within a specific geographic area.  
(f) "Nature-of-injury codes" means the standard codes adopted by reference in R  
325.302(1).  
(g) "Patient" means any injured person who receives medical attention, care, or treatment  
for that injury.  
(h) "Protected health information" means any individually identified health information,  
whether oral or recorded in any form or medium that is created or received by a health care  
provider, health plan, public health authority, employer, life insurer, school or university,  
or health care clearinghouse;  
and, relates to the past, present, or future physical or mental health or condition of an  
individual; the provision of health care to an individual; or the past, present, or future  
payment for the provision of health care to an individual.  
(i) "Public health investigation" means the collection of medical, epidemiologic,  
exposure, and other information to determine the magnitude and causes of specific illnesses  
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or injuries, which is used to determine appropriate actions to prevent or mitigate additional  
illness or injury.  
(j) "Traumatic injury" means bodily damage resulting from exposure to physical agents  
such as mechanical energy, thermal energy, ionizing radiation, or resulting from the  
deprivation of basic environmental requirements such as oxygen or heat. Mechanical  
energy injuries include acceleration and deceleration injuries, blunt trauma, and penetrating  
wound injuries.  
History: 2010 AACS.  
R 325.302 Adoption by reference.  
Rule 2. (1) The department adopts by reference the following standards which are  
available for inspection at the department of community health; division of environmental  
health, 201 Townsend, Lansing, Michigan 48909. The standard codes as published by the  
World Health Organization at http://www.who.int, classify injuries based on the type  
injury, as specified in either of the following:  
(a) International Classification of Diseases Ninth Revision Clinical Modification; 1975  
for $45.50.  
(b) International Classification of Diseases and Related Health Problems, Tenth Revision;  
1992 for $390.00.  
(2) Copies of the standards adopted in subrule (1) of this rule can be obtained from the  
department of community health at the cost noted in subrule (1) of these rules, plus $20.00  
for shipping and handling.  
History: 2010 AACS.  
R 325.303 Reportable information.  
Rule 3. (1) Reportable information is specifically related to patients with traumatic  
injuries.  
(2) The health professional or health facility shall submit its report in a format that  
ensures the inclusion of the information listed under subdivisions (a) to (c) of this subrule.  
(a) All of the following information, with respect to the patient, shall be provided:  
(i) Last and first name and middle initial.  
(ii) Sex.  
(iii) Race, if available.  
(iv) Ethnic group, if available.  
(v) Birth date or age.  
(vi) Street address, city, and state of residence.  
(vii) Telephone number.  
(viii) If the individual is a minor, the name of a parent or guardian.  
(ix) Work-relatedness of the injury.  
(x) Name and address of his or her employer, if injury is work-related.  
(xi) The date of injury.  
(xii) The date of diagnosis of the injury.  
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(xiii) Nature (type) of injury or injuries, and corresponding nature-of-injury codes, if  
available.  
(xiv) Cause and intentionality of injury, and corresponding external cause-of-injury  
codes, if available.  
(xv) Brief narrative of the injury event and any other information considered by the health  
professional or health facility to be relevant to public health response to the event.  
(b) Name, address, and telephone number of the health professional that diagnosed or  
treated the patient for their injury.  
(c) Name, address, and telephone number of the reporting health professional or health  
facility.  
History: 2010 AACS.  
R 325.304 Reporting responsibilities.  
Rule 4. (1) Traumatic injuries are not required to be reported unless requested by the  
department or local health department.  
(2) The department or local health department will notify health professionals and health  
facilities in writing when reporting of 1 or more types of traumatic injuries is requested.  
The following apply to injury reports requested by the department or local health  
department:  
(i) Reports shall be submitted within the time frame requested by the department or local  
health department, but no later than 10 days following the request.  
(ii) Except as provided in subrule (3) of this rule, reports shall be provided only to the  
department or local health department that makes the request.  
(2) Reports may be provided by health professionals or health facilities in the absence of  
a department or local health department request, when the reporting entity believes that  
public health investigation is needed to protect the public.  
(3) Nothing in this rule shall be construed to relieve a health professional or health facility  
from reporting to any other entity as required by state, federal, or local statutes or  
regulations or in accordance with accepted standard of practice.  
History: 2010 AACS.  
R 325.305 Investigation and quality assurance.  
Rule 5. (1) The department or local health department, upon receiving a report under R  
325.304, may investigate to determine the accuracy of the report and collect additional  
information from health professionals and health facilities pertaining to, but not limited to,  
risk factors, medical condition, and circumstances of injury.  
(2) The department and local public health departments shall collaborate in the  
development of procedures for processing injury reports and conducting follow-up  
investigations to ensure efficient, non-duplicative, and effective public health response.  
(3) Requests for individual medical and epidemiologic information to validate the  
completeness and accuracy of reporting are specifically authorized by the department in  
accordance with this rule.  
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(4) A health facility shall keep copies of protected health information from reported injury  
cases in secure storage when not in use. Information stored electronically shall be  
maintained on a secure server accessible only by appropriate department or local health  
department program staff through password protected user accounts.  
(5) Reports may be released to other state, local, or federal agencies for those agencies to  
administer and enforce provisions of laws or rules to protect individuals from conditions  
associated with the injury. Protected health information may be released to other  
governmental agencies and bona fide agents of the state that comply with the  
confidentiality requirements of R 325.306.  
(6) Confidential information obtained during the public health investigation may be  
exchanged between the department and the local health department with jurisdiction where  
an injury or injuries occurred.  
(7) Nothing in this rule shall be construed to relieve or preempt any other entities from  
investigating injury hazards under state, federal, or local statutes or regulations.  
History: 2010 AACS.  
R 325.306 Confidentiality of reports.  
Rule 6. (1) Reports submitted to the department or local health department under R  
325.304 are not public records and are exempt from disclosure pursuant to the freedom of  
information act, section 13 of 1976 PA 442, MCL 15.231.  
(2) The department and local health departments shall maintain the confidentiality of all  
reports and shall not release reports, including protected health information or any  
information that may be used to directly link the information to a particular individual,  
except as allowed in R 325.305(5), unless the department or local health department has  
received written consent from the individual, or from the individual's parent or legal  
guardian, authorizing the release of information.  
(3) Medical and epidemiological information that is released to a legislative body shall  
not contain information that identifies a specific individual. Aggregate epidemiological  
information concerning the public health, which is released to the public for informational  
purposes only, shall not contain information that allows individuals to be identified.  
History: 2010 AACS.  
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