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Welcome to Alexandria

Welcome to Alexandria. Buffet lunch is available P lease to serve yourself when you arrive. What we will cover. Composition of the NEMSIS Database Status of states Recommended State Dataset Data Submission Schedule NDX (National Data Exchange) Data profile report

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Welcome to Alexandria

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  1. Welcome to Alexandria Buffet lunch is available Please to serve yourself when you arrive

  2. What we will cover • Composition of the NEMSIS Database • Status of states • Recommended State Dataset • Data Submission Schedule • NDX (National Data Exchange) • Data profile report • vendor and agency stratification • New Frequency Reports • Pediatric report • Urbanicity report

  3. What we will cover (con’t) • OLAP Cubes • National cube • State cube • Movie and paper tutorials • Research Dataset • Form and process for data release • Release format • Data users manual • Discussion Items • Many to many datasets • Classification of medications

  4. What we will cover (con’t) • HL7 Update • EMS Domain Analysis Model • NEMSIS HL7 Charter • Revision Process Update • Closure of the compliance process

  5. Current Composition of the National EMS Database

  6. Current Composition (2007-2009) 1. Alabama 635,409 2. Florida 563,655 3. Hawaii 23,912 4. Iowa 200,145 5. Idaho 6,991 6. Maine 139,194 7. Minnesota 476,400 8. Missouri 133,217 9. North Carolina 2,094,004 10. North Dakota 67,346

  7. Current Composition 2007-2009(con’t) 11. Nebraska 86,329 12. New Hampshire 113,807 13. New Jersey 86,199 14. New Mexico 17,454 15. Nevada 38,139 16. Oklahoma 1,922 17. Utah 110,560 Total 4,794,684

  8. The next Quarter(23 Total) • South Carolina* • West Virginia* • Colorado* • Washington • Illinois • Alaska (* have submitted data that has not yet been processed)

  9. States Potentially Submitting in 2009 (36 Total) • Pennsylvania • California • Massachusetts • South Dakota • Wisconsin • Guam • Arkansas • Connecticut • Indiana • Virginia • Vermont • Oregon • Georgia

  10. State Recommended Dataset • Data Managers Council (DMC) deliverable to NTHSA • Purpose – • Develop a suggested dataset for states who have not yet identified what variables will be included. • Includes all the National Elements • Other elements selected by consensus State Dataset

  11. Data Submission Schedule • Processes to improve compliance • Reminder e-mails from the message board • 1 month, 2 weeks, due now, late notice • Sent to state vendor and state data manager • Hard date for “end of year” data Data Submission Schedule

  12. As of June 5, 2009

  13. Enhancement to Data Profile Report • Current report • Submission Summary • Date range for submissions • Frequency tables • Violations of business logic

  14. Enhancement to Data Profile Report • Available profile stratification by: • Vendor • Agency Data Profile Report

  15. New Frequency Reports • Focus Groups with EMSC Representatives • Quickly answer simple questions • Tabular data • Access to more complex tabular data Frequency Reports

  16. Use of OLAP Cubes "Dimensional modeling gives us the ability to visualize data. The ability to visualize something as abstract as a set of data in a concrete and tangible way is the secret of understandability." Ralph Kimball, The Data Warehouse Toolkit (1996, John Wiley & Sons, Inc.)

  17. National Data Cube • Public dataset • Generate and save tables • Build charts • Manipulate the format • Export Reports National Data Cube

  18. State Data Cube • Only see your state’s data • Limit of three passwords per state • State EMS Official • State EMS Data Manager • State EMS Physician • State’s responsibility to keep us informed of staff changes • After login….same as the National Data Cube, except…. State Data Cube

  19. Tutorials for Cube Services • Tutorials are available as: • Written pdf documents • Adobe Flash presentations Cube Tutorials

  20. Break

  21. Research Dataset • Set for release July, 2009 • Release on a single DVD • Includes 2008 data • Dynamic tables • Flat files • SAS files • SAS programming • DVD encryption at the data level Research Dataset

  22. NEMSIS Data Use Manual • Set for release July, 2009 • Includes • Terms of use policy • Description of 3 datasets • Computed and ancillary variables • Edit flags • Extended definition document Data Users Manual

  23. NEMSIS Terms of Use Policy

  24. HL7 Update • HL7 Project Acceptance • Clinical Interoperability Council • Emergency Care, Patient Care • First phase complete • Second phase complete August, 2009 NEMSIS HL7 Charter

  25. Formal SDO Submission EMS Domain Analysis Model Synthesis Project Specifications Identify Project Specification/Standards Project Analysis Model (PAM) Scope Initiate and Frame • Messages • Documents • Templates • Services 6. Complete EMAR Specific -PAM All Classes, Attributes, Code and Value Sets. Actors, Activity and Work Flows 5. 4. Narrative and UML for Each Specification. Inventory of Value and Code Sets Identification of Known Specifications and SMEs Workgroup. SDO Pre-coordination 3. Initial UML Model (Based on ER-EHR UML) Static and Dynamic Components 2. 1. Project Scope and Initiation Document

  26. HL7 Update (cont.) EMS Domain Analysis Model

  27. A Sundry Discussion Items • Many-to-many datasets • Classification of medications

  28. Revision Process Update Draft NEMSIS Version 3

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