EMS RUN REPORT CDA

Ockham Information Services LLC3 March 2011

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 AssessmentScene ProblemsPatient Demograph-ics

Procedures

Medications HeaderProvider OrderPatient History Billing

Hierarchy

Run Report

Event

Scene Provider

Dispatch Response

Disposition

Patient Assessment

Vitals Exam Problems

Cardiac

History

Treatment

Medication

Procedures

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

Ockham Information Services LLC jay@lyle.net