The changes: 1) replace references from ICD-9 to ICD-10; 2) update inclusion criteria to include a hospital stay of longer than 12 hours (as measured from the time of Emergency Department arrival to patient discharge); 3) remove the list of required data elements which is replaced by Subsection R426-9-7(1)(c); 4) no longer require referring hospital information except hospital transfer and hospital name; and 5) replace full Utah Trauma Data Dictionary with addendum that includes only additional elements not included in the National Traffic Data Standard.