Massachusetts ambulance trip record information system (matris) Effective October 7, 2013 matris version 6
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| MASSACHUSETTS AMBULANCE
TRIP RECORD INFORMATION SYSTEM (MATRIS) Effective October 7, 2013 MATRIS Version 1.6 (Supersedes Version 1.5 Effective December 15, 2010, Version 1.4, Effective March 19,2009 and Version 1.3, Effective May 1, 2008) The Massachusetts Ambulance Trip Record Information System (MATRIS) is based on the National Highway Traffic Safety Administration’s (NHTSA) EMS Dataset Version 2.2.1. The NHTSA Dataset was created through a consensus based national data conference of professional organizations and federal partners which included the National Association of State EMS Directors and the Trauma/EMS Systems program of the Health Resources and Services Administration's (HRSA) Maternal Child Health Bureau and is known as NEMSIS, the National EMS Information System. The goal of NEMSIS is to provide a standard for the collection of local, state, and federal data with consistent definitions and formatting suitable to evaluate the responsiveness and effectiveness of emergency medical services. High quality data will assist EMS agencies to identify service areas that need further improvement and promote decision making, protocol refinement, and resource allocation based on solid evidence. In attached the Massachusetts Ambulance Trip Record Information System (MATRIS), those data elements to be collected as part of a National EMS Database are labeled National Element in the upper right hand corner. The additional data elements proposed for MATRIS are not labeled National Element. The dataset includes three separate components. A Demographic Dataset provides a standardized set of definitions describing an EMS System. An EMS Dataset provides a standardized set of definitions describing an EMS event, and an XML format and definition created to promote the movement of the NEMSIS Version 2.2.1 uniform data elements between data systems. Please see www.nemsis.org for more information. (Note: MATRIS Version 1.6 with the addition of two data elements: Crew Member ID (E04_01) and Crew Member Level (E04_03) supersedes Version 1.3 which superseded Version 1.2 with the addition of two data elements: Tube Confirmation (E19_13) and Destination Confirmation of Tube Placement (E19_14).) Information provided in this document includes the following:
MATRIS Version 1.6 Table of Contents
Section D01 Agency General Information Section D01 Agency General Information MATRIS Version 1.6 (based on 2006 NHTSA Uniform PreHospital Dataset V.2.2.1) EMS AGENCY NUMBER D01_01 Data Format [text] National Element Definition The state-assigned provider number of the responding agency XSD Data Type xs:string XSD Domain (Simple Type) EMSAgencyNumber Multiple Entry Configuration No Accepts Null No Required in XSD Yes Minimum Constraint 3 Maximum Constraint 15 Field Values A unique value; no variable list is possible. Additional Information ● All EMS Agency demographic information is associated with the EMS agency number ● Not Nullable. A unique value must be provided to create a unique record ID within a database ● The same as EMS Agency Number (E02_01). This could be used to auto fill E02_01 on the Patient Care Report ● This data element is unique and is typically sequential Uses ● Agency number (E02_01), agency state (D01_03),unit call sign (E02_12), patient number (E01_01) and date (E05_04) combine to create a unique identifier Data Collector ● Typically generated by the State EMS Regulatory Office. Collected by the EMS agency or auto-generated by the EMS agency specific software. Other Associated Elements D01_01 EMS Agency Number References in NHTSA Version 1 Desirable Element 23 Patient Care Record Number References to Other Databases ● NFIRS 5.0 EMS Module; Title: Patient Number Section D01 Agency General Information MATRIS Version 1.6 (based on 2006 NHTSA Uniform PreHospital Dataset V.2.2.1) EMS AGENCY STATE D01_03 Data Format [combo] multiple-choice National Element Definition The state in which the Agency provides services XSD Data Type xs:string XSD Domain (Simple Type) AgencyState Multiple Entry Configuration Yes Accepts Null No Required in XSD Yes Minimum Constraint 2 Maximum Constraint 2 Field Values ● Appropriate 2 digit FIPS code Additional Information ● 2 digit FIPS numeric code (Not State abbreviation) ● Not Nullable. A unique value must be provided to create a unique record ID within a database Uses ● Agency number (E02_01), agency state (D01_03),unit call sign (E02_12), patient number (E01_01) and date (E05_04) combine to create a unique identifier Data Collector ● EMS Agency and typically only documented once then verified and updated yearly or when changed Other Associated Elements D01_01 EMS Agency Number References to Other Databases ● NFIRS 5.0 EMS Module, Title: State Section D01 Agency General Information MATRIS Version 1.6 (based on 2006 NHTSA Uniform PreHospital Dataset V.2.2.1) EMS AGENCY COUNTY D01_04 Data Format [combo] multiple-choice National Element Definition The county(s) for which the agency formally provides service XSD Data Type xs:string XSD Domain (Simple Type) AgencyCounty Multiple Entry Configuration Yes Accepts Null No Required in XSD Yes Minimum Constraint 5 Maximum Constraint 5 Field Values ● Appropriate 5 digit FIPS code Additional Information ● Stored as a 5 digit FIPS code (combining the state and county code) to take into account agencies may serve more than one state and counties are often named the same from state to state Uses ● Used to group data with a state Data Collector ● EMS Agency and typically only documented once then verified and updated yearly or when changed Other Associated Elements D01_01 EMS Agency Number Section D01 Agency General Information MATRIS Version 1.6 (based on 2006 NHTSA Uniform PreHospital Dataset V.2.2.1) LEVEL OF SERVICE D01_07 Data Format [combo] single-choice National Element Definition The highest credentialed personnel's level of service which the agency provides for every EMS encounter if requested. In a tiered response system, this is the highest level of service which could be sent to any specific call.
Certification/Licensure Levels (D04_01). State Certification/Licensure levels (D04_01) should create the list for this item ● This value is stored either as the appropriate code or in text if an additional certification/licensure level has been entered by a state
Uses ● Allows data to be sorted based on an agency's level of service ● Provides description of EMS Personnel ● Provides descriptive information when combined with an EMS Agency’s Billing Status Data Collector ● EMS Agency and typically only documented once then verified and updated yearly or when changed Other Associated Elements D01_01 EMS Agency Number References in NHTSA Version 1 Essential Element 29 Crew Member One Type Essential Element 30 Crew Member Two Type Desirable Element 31 Crew Member Three Type References to Other Databases ● NFIRS 5.0 EMS Module, Title: Highest Level of Provider on Scene by Fire Department, Pick-List: First Responder = 1, EMT-B (Basic) = 2, EMT-I (Intermediate) = 3, EMT-P (Paramedic) = 4, Other Health Care Provider, Include Doctors, Nurses = O, No Care Provided = N ● NFIRS 5.0 EMS Module, Title: Initial Level of FD Provider, Pick-List: First Responder = 1, EMT-B (Basic) = 2, EMT-I (Intermediate) = 3, EMT-P (Paramedic) = 4, Other Health Care Provider, Includes Doctors, Nurses, etc. = O, No Training = N
The organizational structure from which EMS services are delivered (fire, hospital, county, etc.) XSD Data Type xs:string XSD Domain (Simple Type) OrganizationalType Multiple Entry Configuration No Accepts Null No Required in XSD Yes Field Values 5810 Community, Non-Profit 5820 Fire Department 5830 Governmental, Non-Fire 5840 Hospital 5850 Private, Non_Hospital 5860 Tribal Uses ● Allows data to be sorted based on an agency's organizational structure ● Provides description of EMS agencies across the nation Data Collector ● EMS Agency and typically only documented once then verified and updated yearly or when changed Other Associated Elements D01_01 EMS Agency Number Section D01 Agency General Information MATRIS Version 1.6 (based on 2006 NHTSA Uniform PreHospital Dataset V.2.2.1) ORGANIZATION STATUS D01_09 Data Format [combo] single-choice National Element Definition The primary organizational status of the agency. The definition of Volunteer or Non-Volunteer is based on state or local terms. XSD Data Type xs:integer XSD Domain (Simple Type) OrganizationStatus Multiple Entry Configuration No Accepts Null No Required in XSD Yes Field Values 5870 Mixed 5880 Non-Volunteer 5890 Volunteer Uses ● Allows data to be sorted based on an agency's organizational status ● Provides description of EMS agencies across the nation Data Collector ● EMS Agency and typically only documented once then verified and updated yearly or when changed Other Associated Elements D01_01 EMS Agency Number Section D01 Agency General Information MATRIS Version 1.6 (based on 2006 NHTSA Uniform PreHospital Dataset V.2.2.1) STATISTICAL YEAR D01_10 Data Format [date/time] National Element Definition The year to which the information pertains XSD Data Type xs:gYear XSD Domain (Simple Type) StatisticalYear Multiple Entry Configuration Yes, via structure Accepts Null No Required in XSD Yes Minimum Constraint 1,990 Maximum Constraint 2,030 XSD Structure: D01_10, D01_12, D01_13, D01_14, D01_15, D01_16, D01_17, and D01_18 are all members of D1_10_0 Statistical Year Structure
A unique value; no variable list is possible. Additional Information ● Format [YYYY] ● Multiple entry configuration to allow statistical data to be entered yearly ● Used to identify the year to which the data pertains Uses ● Associates a year with statistical data to improve reporting capabilities Data Collector ● EMS Agency and typically only documented once then verified and updated yearly or when changed Other Associated Elements D01_01 EMS Agency Number D01_12 Total Service Size Area D01_13 Total Service Area Population D01_14 911 Call Volume per Year D01_15 EMS Dispatch Volume per Year D01_16 EMS Transport Volume per Year D01_17 EMS Patient Contact Volume per Year D01_18 EMS Billable Calls per Year E02_01 EMS Agency Number Section D01 Agency General Information MATRIS Version 1.6 (based on 2006 NHTSA Uniform PreHospital Dataset V.2.2.1) TOTAL SERVICE SIZE AREA D01_12 Data Format [number] National Element Definition The total square miles in the agency's service area XSD Data Type xs:positiveInteger XSD Domain (Simple Type) TotalServiceSizeArea Multiple Entry Configuration Yes, via structure Accepts Null Yes, but null value is blank or empty Required in XSD Yes Minimum Constraint 1 Maximum Constraint 100,000,000 XSD Structure: D01_10, D01_12, D01_13, D01_14, D01_15, D01_16, D01_17, and D01_18 are all members of D1_10_0 Statistical Year Structure
A unique value; no variable list is possible. Additional Information ● Multiple entry configuration to allow statistical data to be entered yearly Uses ● Allows data to be sorted based on an agency's service area size ● Provides description of EMS agencies across the nation Data Collector ● EMS Agency and typically only documented once then verified and updated yearly or when changed Other Associated Elements D01_01 EMS Agency Number D01_10 Statistical Year D01_13 Total Service Area Population D01_14 911 Call Volume per Year D01_15 EMS Dispatch Volume per Year D01_16 EMS Transport Volume per Year D01_17 EMS Patient Contact Volume per Year D01_18 EMS Billable Calls per Year Section D01 Agency General Information MATRIS Version 1.6 (based on 2006 NHTSA Uniform PreHospital Dataset V.2.2.1) TOTAL SERVICE AREA POPULATION D01_13 Data Format [number] National Element Definition The total population in the agency's service area based on year 2000 census data (if possible). This number does not include population changes associated with daily work flow or seasonal movements
XSD Structure: D01_10, D01_12, D01_13, D01_14, D01_15, D01_16, D01_17, and D01_18 are all members of D1_10_0 Statistical Year Structure
A unique value; no variable list is possible. Additional Information ● Baseline data should be taken from the 2000 Census data if possible ● Multiple entry configuration to allow statistical data to be entered yearly Uses ● Allows data to be sorted based on an agency's service area population ● Provides description of EMS agencies across the nation Data Collector ● EMS Agency and typically only documented once then verified and updated yearly or when changed Other Associated Elements D01_01 EMS Agency Number D01_10 Statistical Year D01_12 Total Service Size Area D01_14 911 Call Volume per Year D01_15 EMS Dispatch Volume per Year D01_16 EMS Transport Volume per Year D01_17 EMS Patient Contact Volume per Year D01_18 EMS Billable Calls per Year Section D01 Agency General Information MATRIS Version 1.6 (based on 2006 NHTSA Uniform PreHospital Dataset V.2.2.1) 911 CALL VOLUME PER YEAR D01_14 Data Format [number] National Element Definition The number of 911 EMS calls for the calendar year XSD Data Type xs:positiveInteger XSD Domain (Simple Type) CallVolumeYear911 Multiple Entry Configuration Yes, via structure Accepts Null Yes, but null value is blank or empty Required in XSD Yes Minimum Constraint 1 Maximum Constraint 100,000,000 XSD Structure: D01_10, D01_12, D01_13, D01_14, D01_15, D01_16, D01_17, and D01_18 are all members of D1_10_0 Statistical Year Structure
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