Digital Innovation is announcing a collaboration with ESO Solutions to preserve trauma system data, restore access, and guide the industry’s transition to the cloud.
Digital Innovation (DI), the nation’s only long-standing, founder-owned trauma registry provider, announced on October 15th a national collaboration with ESO Solutions, Inc., a leading data services and software provider for EMS, fire departments, hospitals, and state and federal agencies, to protect up to decades of trauma registry data for previous DI, CDM, and Lancet users and help trauma programs modernize safely under the new American College of Surgeons (ACS) standards for NTDB and TQIP compliance.
This collaboration does not involve any transfer of ownership, business sale, or control. Digital Innovation remains a fully independent company—retaining complete authority over its products, innovation, pricing, and customer support—while aligning with ESO on shared initiatives that strengthen the national trauma community.
At the heart of this collaboration lies the fusion of two complementary strengths. DI contributes its decades-long trauma registry engineering expertise and continued support of an interface that allows all DI registry users—past, present, and future—to participate in the ESO Data Collaborative, a voluntary no-cost, inclusive platform that connects data from trauma centers, EMS, and outcome data across the continuum of care.
Through this partnership with ESO, DI has access to its portfolio of customized data schemas developed across DI’s nearly 40-year history and provided adapter support from its on-staff CDM and Lancet system experts. This ensures that technical pathways and clinical fidelity exist for all historical DI, CDM, and Lancet systems that are available through this collaboration.
This establishes a foundation that preserves hospitals’ trauma history while enabling the next generation of analytics, research, and performance improvement across the trauma care continuum. This advantage is a unique benefit to trauma centers staying within the DI or ESO ecosystem as they plan their long-term cloud transition for meeting new ACS compliance requirements that become mandatory in 2027.
The Legacy Trauma Adapter (LTA) is a powerful continuity tool designed to bridge historical trauma systems with modern cloud-based registries.
All current or past users of DI, V5, Gen6, CDM, TraumaBase, Lancet, or TraumaOne can benefit from this continuity tool. The LTA safely captures each registry’s unique configuration that was created by their original DI, CDM, and Lancet developers. This allows trauma centers to future-proof their data, participate in advanced reporting, and unlock new analytics—regardless of their current or future registry platform.
The LTA enables DI or ESO to help each better serve their customers by enabling data portability and onboarding,.s.
Through the LTA, trauma programs can integrate seamlessly with the ESO Data Collaborative and Trauma Index, without the need to switch registries or disrupt operations. This dual capability allows both ESO and DI customers to connect with the same national performance improvement framework while maintaining control of their own systems.
Complete the National Trauma Registry Cloud Survey by December 1, 2025
We are building a national roadmap to ensure the Legacy Trauma Adapter (LTA) supports custom configurations for over 1,000 trauma centers nationwide. By participating in the National Trauma Registry Cloud Survey, your center’s existing and historical data will be included for consideration in the 2026 LTA roadmap, helping preserve records—even those dating back decades—and supporting the ACS transition with aggregate, anonymized findings.
If you are a current or past DI, CDM, Lancet, or ESO Registry customer, this collaboration offers unique options to safeguard your data, restore access to historical records, and enable new integration opportunities. The survey is free, carries no obligation, and will help assess cloud readiness and prioritize data-continuity needs across the industry.
Whether you are planning your cloud transition or already on your way to ACS compliance, the LTA can benefit your center—and completing the survey is the first step in being part of this important initiative.
Current or past DI or ESO Registry customers are encouraged to fill out this survey no later than December 1, 2025, to ensure their existing and historical data is included for consideration in the 2026 LTA roadmap.
“Trauma centers deserve modernization that respects the integrity of their data and the trust they’ve built over time. Through this partnership, ESO and DI offer a transparent, compliant and future-ready path to the cloud—one that safeguards longitudinal insights and empowers hospitals to move forward with confidence.”
- John Basmadjian, Chief Product and Technology Officer, ESO
“ESO’s leadership in advancing interoperability and research through the Data Collaborative provides a foundation that perfectly complements DI’s mission and accelerates our reentry into this market. Trauma registry needs come in many shapes and sizes, and this collaboration ensures every trauma program has a pathway that fits its unique requirements. Together, we are expanding the independent capabilities of both companies and creating more options for trauma centers and registry systems across the nation—putting mission and customer success first.”
- John Kutcher, Ph.D., President and CEO, Digital Innovation
Digital Innovation and ESO operate as independent companies, each maintaining full ownership and control of their respective trauma registry platforms. Their collaboration is focused exclusively on advancing interoperability and data continuity through tools such as the Legacy Trauma Adapter (LTA). This structure ensures that DI’s V7 platform continues to be developed and governed solely under DI’s stewardship—now and for generations to come.
Digital Innovation’s mission is to empower trauma programs with technology that improves patient outcomes through data-driven performance improvement, research, and interoperability. For nearly four decades, DI has helped shape the trauma registry industry—pioneering interoperability standards, helping to operationalize and develop national standards, and advancing efforts and architectures to link EMS and trauma data.
DI’s company and product suite reflects a deep commitment to customer service, value, and innovation, including DI Report Writer, which enables trauma professionals using any registry platform to create dashboards, analytics, and reports without programming or database skills; the DI PI Module, which streamlines review and performance improvement workflows and insights; and the DI V7 Trauma Registry, a cloud-ready system representing the best of all prior DI versions and the confluence of decades of relentless innovation.
DI is the only long-standing, founder-owned trauma registry provider in the industry and remains dedicated to delivering interoperable, next-generation solutions that preserve data integrity, enhance performance improvement, and support the trauma community’s mission to save lives. DI’s products, including V7, remain solely owned and operated by Digital Innovation. For more information, visit www.dicorp.com.
ESO’s mission is to improve community health and safety outcomes through the power of data. Founded by emergency responders and medical professionals in 2004, ESO advances the industry by combining deep domain expertise with innovative technology, impactful research, and the industry’s largest emergency data asset.
The company delivers the world’s most trusted and connected emergency ecosystem—an open, interoperable platform that unites emergency medical response, fire, hospital, and government stakeholders across the full emergency continuum. Powered by rich data, embedded intelligence, and purpose-built solutions, ESO helps emergency care teams deliver better outcomes while maintaining the highest standards of data security and patient privacy.
The company helps customers worldwide deliver measurable improvements in clinical, operational, and financial outcomes with dedicated teams in the United States, Canada, United Kingdom, Denmark, Czech Republic, and Costa Rica. For more information, visit www.eso.com.
