The primary responsibility of the Trauma Registrar is Trauma Registry data abstraction, ICD-9 Coding, AIS coding, E-Coding, Procedure coding, data entry into the Trauma Registry, and concurrent participation in the Trauma Performance Improvement process at Stanford Hospital and Clinics and Lucille Packard children's Hospital, and Santa Clara County EMS, , in accordnace with the American College of Surgeons, Santa Clara County, and California TItle XXII Trauma Center regulations. The main role is to provide timely and accurate abstraction, coding, injury scoring, and identififcation of performance improvement issues, through review of the medical record, from time of injury through hospital discharge of trauma patients. The Trauma Registrar actively participates in local, regional and statewide trauma meetings and educational offerings. The Trauma Registrar is a liaison to other members of the healthcare team who provide care to trauma patients. The trauma Registrar supports trauma performance improvement and research at Stanford Hosptial and Clinics and Lucile Packard Children's Hospital. The Trauma Registrar must adhere to HIPAA requirements, confidentiality and security.