EMS RUN REPORT CDA

3 March 2011 Ockham Information Services LLC

History
 National EMS Information System (NEMSIS.org)
 Version 3 data set, de facto standard
 NEMSIS Sponsors
 National Highway Transportation Safety Administration

 University of Utah

 Centers for Disease Control

 Standardization
 Limited involvement from other nations

 Therefore, US Realm
 EMS DAM, balloted May 2010
 EMS DIM, balloted January 2011
 Both slated for minor revisions & reballoting
Scope
 NEMSIS
 535 elements
 Agency demographics and certification information (132)
 Event reporting (403)

 Run Report
 Subset: 183 Event elements
Run Report Elements

Dispatch
Patient Assessment
Scene
Problems
Patient Demographics
Procedures
Medications
Header
Provider
Order
Patient History
Billing
Hierarchy

Run
Report

Assessmen
Event Patient Treatment
t

Medicatio
Scene Provider Vitals Exam Problems History Procedures
n

Dispositio
Dispatch Response Cardiac
n
Approach
 Map elements to sections
 Identify existing sections, where unencumbered (using
cdatools.org)
 Acquire OID for new sections
 Document path, class, attribute
 Build in MDHT (with classes)
 Publish and annotate
 Introduction, Traceability, Vocabularies
 CDA Questions: Rob first
Extensions
 Identify
 E.g., dispatch delay type, cause, and duration
 Invent namespace
 E.g., urn:hl7-org:ems
 Register
 IANA?
 HL7? (SD or TSC?)
 Use
 How are extensions assigned to the namespace?
Vocabularies
 Questions: Clinical LOINC
 Clinical
 ICD-10
 SNOMED CT
 Medications: RxNorm
 Demographic: HL7
 EMS service-related
 New system, NEMSIS
 Steward: NEMSIS Technical Assistance Center
 Distribution: possibly PHIN VADS
Questions and Suggestions
 Meetings are Thursdays at Noon ET
 On the HL7 call calendar
 Documentation on the HL7 wiki under EMS DAM

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