EMAR Update

1
EMAR Update

• An Acronym Soup
• Organic, No Preservatives.

2
Test your Data Acronym Knowledge

• NHII National Health Information
  Infrastructure
• DHHS Department of Health and Human Services
• ONCHIT Office of the Coordinator for Health
  Information Technology
• ANSI American National Standards Institute
• HITSP Healthcare Information Technology
  Standards Panel
• EMAR Emergency Medical Awareness and Response
• OASIS Organization for the Advancement of
  Structured Information Standards
• HL7 Health Level 7

3
Main EMAR EMS Focus

• Data Standards Harmonization
• NEMSIS
• DEEDS
• Messaging Collaboration
• HL7
• OASIS

4
Context Diagram-Conceptual Information Flow
5
(No Transcript)
6
(No Transcript)
7
Wrapper
Message
Transport
8
The Future

• EMAR Projects
• (June 2008 through December 2008)
• Messaging Collaboration
• HL7
• OASIS
• (September 2008 through December 2009)
• Data Standards Harmonization
• NEMSIS
• DEEDS

9
NEMSIS Version 3

• Progress and Timeline

10
Components

• Data Elements
• Existing 2.2.1
• Suggestions for Additions
• Recommendations to Discontinue
• XML Data Transmission
• Not based on NEMSIS XML
• Transition to HL7
• Version 2.5 (current)
• Version 3.0 (the future..)

11
Possible Additional Content

• NASEMSO State Data Managers
• Data Element Variable Definitions
• Data Exchange
• Dispatch Centers
• Crash Notification
• Billing
• Medical Devices
• Others (patient tracking, triage, GIS)

12
NEMSIS Data Dictionary v3 Wiki
13
General Comments Thus Far

• XML cleanup
• NHTSA Injury and Assessment should be combined
• Prior Aid not Needed
• Impression/Complaint still needs work
• Add Complete Dataset on Airway Management
• Add Universal ID of some type
• More International Locations

• State Custom Data Elements
• Expand to include Training Information
• Tracking of Supplies
• Include Performance Measures
• Injury Data Poor
• 12 Lead ECG Interpretation for STEMI
• Decrease Null Values
• Add more data elements to National Level

14
Specific Data Needs

• STEMI System of Care Data Elements
• Stroke System of Care Data Elements
• Cardiac Arrest Data Elements
• Airway Data Elements
• Mechanism of Injury and Cause of Injury
  Documentation
• Documentation of Medications
• New Procedures and/or Devices

15
Anticipated Issues

• Hospital vs. EMS Terminology
• Impression vs. Diagnosis
• Assessment vs. Exam
• Limited (Pertinent) vs. Open Ended
• ICD-9
• E-Codes
• XML vs. HL7 Data Standards

16
NEMSIS Version 3 Timeline