(a) General Information. All data must be transmitted electronically to the Texas EMS & Trauma Registries within ninety calendar days of the date of examination; monthly submissions are recommended.(b) Data Elements and Methods.(1) Data elements defined by the appropriate data dictionaries for all required reportable events, must be submitted to the department's online Registries.(2) If a specialized reporting system exists for a required reportable event, then the case or suspected case must be submitted to all relevant reporting systems.(3) Hospitals can report the data elements as defined by the appropriate data dictionaries to the Registries on behalf of physicians.(c) Third-party Services.(1) A physician, medical examiner or justice of the peace may use third-party services to submit data to the Registries. A legally binding agreement must exist between the physician, medical examiner or justice of the peace and the third-party services. Documentation of the legally binding agreement must be provided to the department for third-party services to submit the data on behalf of the physician, medical examiner or justice of the peace.(2) A physician, medical examiner or justice of the peace uses the third-party services, the physician, medical examiner or justice of the peace is ultimately responsible for the complete, accurate and timely reporting of data to the Registries.