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EMAR Update

EMAR Update. An Acronym Soup Organic, No Preservatives…. 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

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EMAR Update

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  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. Wrapper Message Transport

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

  7. NEMSIS Version 3 Progress and Timeline

  8. 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…..)

  9. 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)

  10. NEMSIS Data Dictionary v3 Wiki

  11. 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

  12. 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

  13. 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

  14. NEMSIS Version 3 Timeline

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