Massachusetts ambulance trip record information system (matris) Effective October 7, 2013 matris version 6
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GLASGOW COMA SCORE-MOTOR E14_17 Data Format [number] Definition The patient's Glasgow Coma Score Motor XSD Data Type xs:integer XSD Domain (Simple Type) GCSMotor Multiple Entry Configuration Yes, via structure Accepts Null Yes, but null value is blank or empty Required in XSD No Minimum Constraint 1 Maximum Constraint 6 XSD Structure: (1) Each element is section E14 is associated with a E14_01 Date/Time. (2) E14_15, E14_16, E14_17, and E14_18 are all members of E14_15_0 GCS Score Structure
to painful stimulation painful stimulation ● Patients up to 5 years: 3 = Flexor posturing in response to ● Patients >5 years: 3 = Flexor posturing in response to painful stimulation painful stimulation ● Patients up to 5 years: 4 = General withdrawal in ● Patients >5 years: 4 = General withdrawal in response to response to painful stimulation painful stimulation ● Patients up to 5 years: 5 = Localization of painful stimulation ● Patients >5 years: 5 = Localization of painful stimulation ● Patients up to 5 years: 6 = Spontaneous ● Patients >5 years: 6 = Obeys commands with appropriate motor responses Additional Information ● Can be configured as a single choice list box Uses ● Part of an EMS Medical Record ● Provides documentation of Assessment and Care ● Used in Quality Management for the evaluation of Care and EMS Agency Performance Data Collector ● EMS personnel Other Associated Elements E01_01 Patient Care Report Number E14_01 Date/Time Vital Signs Taken E14_15 Glasgow Coma Score-Eye E14_16 Glasgow Coma Score-Verbal E14_18 Glasgow Coma Score-Qualifier E14_19 Total Glasgow Coma Score References in NHTSA Version 1 Essential Element 75a Glasgow Motor Component For patients >5 years Essential Element 75b Glasgow Motor Component For patients up to 5 years
Documentation of factors which make the GCS score more meaningful. XSD Data Type xs:integer XSD Domain (Simple Type) GCSQualifier Multiple Entry Configuration Yes, via structure Accepts Null Yes Required in XSD No XSD Structure: (1) Each element is section E14 is associated with a E14_01 Date/Time. (2) E14_15, E14_16, E14_17, and E14_18 are all members of E14_15_0 GCS Score Structure
as intubation and sedation 3215 Patient Chemically Sedated 3220 Patient Intubated 3225 Patient Intubated and Chemically Paralyzed Additional Information ● Can be configured as a single choice list box Uses ● Part of an EMS Medical Record ● Provides documentation of Assessment and Care ● Used in Quality Management for the evaluation of Care and EMS Agency Performance Data Collector ● EMS personnel Other Associated Elements E00 Common Null Values E01_01 Patient Care Report Number E14_01 Date/Time Vital Signs Taken E14_15 Glasgow Coma Score-Eye E14_16 Glasgow Coma Score-Verbal E14_17 Glasgow Coma Score-Motor E14_19 Total Glasgow Coma Score Section E14 Assessment/Vital Signs MATRIS Version 1.6 (based on 2006 NHTSA Uniform PreHospital Dataset V.2.2.1) TOTAL GLASGOW COMA SCORE E14_19 Data Format [number] Definition The patient's total Glasgow Coma Score XSD Data Type xs:integer XSD Domain (Simple Type) TotalGCS Multiple Entry Configuration Yes, via structure Accepts Null Yes, but null value is blank or empty Required in XSD No Minimum Constraint 1 Maximum Constraint 15 XSD Structure: Each element is section E14 is associated with a E14_01 Date/Time Field Values ● Relevant Value for Data Element & Patient Care Additional Information ● Calculated from Glasgow Coma Score-Eye (E14_15), Glasgow Coma Score-Verbal (E14_16), and Glasgow Coma Score- Motor (E14_17) Uses ● Part of an EMS Medical Record ● Provides documentation of Assessment and Care ● Used in Quality Management for the evaluation of Care and EMS Agency Performance Data Collector ● EMS personnel but could be auto-generated based on the information entered into an electronic patient care report Other Associated Elements E01_01 Patient Care Report Number E14_01 Date/Time Vital Signs Taken E14_15 Glasgow Coma Score-Eye E14_16 Glasgow Coma Score-Verbal E14_17 Glasgow Coma Score-Motor E14_18 Glasgow Coma Score-Qualifier References in NHTSA Version 1 Desirable Element 76 Glasgow Coma Score (Total) Section E14 Assessment/Vital Signs MATRIS Version 1.6 (based on 2006 NHTSA Uniform PreHospital Dataset V.2.2.1) LEVEL OF RESPONSIVENESS E14_22 Data Format [combo] single-choice Definition The patients level of responsiveness XSD Data Type xs:integer XSD Domain (Simple Type) LevelOfResponsiveness Multiple Entry Configuration Yes, via structure Accepts Null Yes Required in XSD No XSD Structure: Each element is section E14 is associated with a E14_01 Date/Time Field Values -25 Not Applicable -15 Not Reporting -20 Not Recorded 3255 Alert 3260 Verbal 3265 Painful 3270 Unresponsive Uses ● Part of an EMS Medical Record ● Provides documentation of Assessment and Care ● Used in Quality Management for the evaluation of Care and EMS Agency Performance Data Collector ● EMS personnel Other Associated Elements E00 Common Null Values E01_01 Patient Care Report Number E14_01 Date/Time Vital Signs Taken Section E14 Assessment/Vital Signs MATRIS Version 1.6 (based on 2006 NHTSA Uniform PreHospital Dataset V.2.2.1) PAIN SCALE E14_23 Data Format [number] Definition The patient’s indication of pain from a scale of 0 –10. XSD Data Type xs:integer XSD Domain (Simple PainScale Multiple Entry Configuration Yes, via structure Accepts Null Values Yes, but null value is blank or empty Required in No Minimum Constraint 0 Maximum Constraint 10 XSD Structure: Each element is section E14 is associated with a E14_01 Date/Time Field Values ● Relevant Value for Data Element & Patient Care Additional Information ● Number from 0 to 10 Uses ● Part of an EMS Medical Record ● Provides documentation of Assessment and Care ● Used in Quality Management for the evaluation of Care and EMS Agency Performance Data Collector ● EMS agency Other Associated Elements E01_01 Patient Care Report Number E14_01 Date/Time Vital Signs Taken Section E14 Assessment/ Vital Signs Section E14 Assessment/Vital Signs MATRIS Version 1.6 (based on 2006 NHTSA Uniform PreHospital Dataset V.2.2.1) STROKE SCALE E14_24 Data [combo] single-choice Definition The patient’s Los Angeles or Cincinnati Stroke Scale Results XSD Data Type xs:integer XSD Domain (Simple Type) StrokeScale Multiple Entry Configuration Yes, via structure Accepts Null Values Yes Required in XSD No XSD Structure: Each element is section E14 is associated with a E14_01 Date/Time Field Values -25 Not Applicable -20 Not Recorded -15 Not Reporting -10 Not Known -5 Not Available 3275 Cincinnati Stroke Scale Negative 3280 Cincinnati Stroke Scale Non-conclusive 3285 Cincinnati Stroke Scale Positive 3290 LA Stroke Scale Negative 3295 LA Stroke Scale Non-conclusive 3300 LA Stroke Scale Positive Uses ● Part of an EMS Medical Record ● Provides documentation of Assessment and Care ● Used in Quality Management for the evaluation of Care and EMS Agency Performance Data Collector ● EMS personnel Other Associated Elements E00 Common Null Values E01_01 Patient Care Report Number E14_01 Date/Time Vital Signs Taken Section E14 Assessment/Vital Signs MATRIS Version 1.6 (based on 2006 NHTSA Uniform PreHospital Dataset V.2.2.1) REVISED TRAUMA SCORE E14_27 Data Format [number] Definition The patient's Revised Trauma Score XSD Data Type xs:integer XSD Domain (Simple Type) RTS Multiple Entry Configuration Yes, via structure Accepts Null Yes, but null value is blank or empty Required in XSD No Minimum Constraint 0 Maximum Constraint 12 XSD Structure: Each element is section E14 is associated with a E14_01 Date/Time Field Values ● Relevant Value for Data Element & Patient Care Additional Information ● Calculated based on 3 components ● Can be auto-calculated from Respiratory Rate (E14_11), Systolic Blood Pressure (E14_04), and Total GCS (E14_19), if all three components are documented at the same Time (E14_01) ● Neurological Component: 4 = Glasgow coma score 13 - 15, 3 = Glasgow coma score 9 - 12, 2 = Glasgow coma score 6 - 8, 1 = Glasgow coma score 4 - 5, 0 = Glasgow coma score 3 ● Respiratory Rate Component: 4 = 10 - 29 per minute, 3 = >29 per minute, 2 = 6 - 9 per minute, 1 = 1 - 5 per minute, 0 = None spontaneous ● Systolic Blood Pressure Component: 4 = >89 mm Hg, 3 = 76 - 89 mm Hg , 2 = 50 - 75 mm Hg, 1 = 1 - 49 mm Hg, 0 = No pulse Uses ● Part of an EMS Medical Record ● Provides documentation of Assessment and Care ● Used in Quality Management for the evaluation of Care and EMS Agency Performance Data Collector ● EMS personnel but could be auto-generated based on the information entered into an electronic patient care report Other Associated Elements E01_01 Patient Care Report Number E14_01 Date/Time Vital Signs Taken References in NHTSA Version 1 Desirable Element 77 Revised Trauma Score Section E14 Assessment/Vital Signs MATRIS Version 1.6 (based on 2006 NHTSA Uniform PreHospital Dataset V.2.2.1) Section E18 Intervention/ Medication Section E18 Intervention/Medication MATRIS Version 1.6 (based on 2006 NHTSA Uniform PreHospital Dataset V.2.2.1) DATE/TIME MEDICATION ADMINISTERED E18_01 Data Format [date/time] Definition The date/time medication administered to the patient XSD Data Type xs:dateTime XSD Domain (Simple Type) DateTime Multiple Entry Configuration Yes, via structure Accepts Null Yes, but null value is blank or empty Required in XSD No Minimum Constraint 1,990 Maximum Constraint 2,030 XSD Structure: All data elements section E18 are members of the E18 Medication Structure Field Values Additional Information ● If the date/time is electronically stored within a database or transmitted via XML as a “tick”, the referenced variables may also be used ● This is a multiple entry configuration which will allow multiple medication administrations to be documented Uses ● Part of an EMS Medical Record ● Reports on Medications and Skills performed along with Protocols used provide key performance evaluation tools ● Used in Quality Management for the evaluation of Care and EMS Agency Performance Data Collector ● EMS personnel Other Associated Elements E01_01 Patient Care Report Number E18_02 Medication Administered Prior to this Units E18_03 Medication Given E18_04 Medication Administered Route E18_05 Medication Dosage E18_06 Medication Dosage Units E18_07 Response to Medication E18_08 Medication Complication E18_09 Medication Crew Member ID E18_10 Medication Authorization E18_11 Medication Authorizing Physician Section E18 Intervention/Medication MATRIS Version 1.6 (based on 2006 NHTSA Uniform PreHospital Dataset V.2.2.1) MEDICATION GIVEN E18_03 Data [combo] single-choice National Element Definition The medication given to the patient XSD Data Type xs:string XSD Domain (Simple Type) MedicationsGiven Multiple Entry Configuration Yes, via structure Accepts Null Values Yes Required in XSD Yes Minimum Constraint 2 Maximum Constraint 30 XSD Structure: All data elements section E18 are members of the E18 Medication Structure Field Values -25 Not Applicable -15 Not Reporting -20 Not Recorded ● Relevant Value for Data Element & Patient Care Additional Information ● List created from Medications (D04_06) Uses ● Allows data to be sorted based on the medical treatment ● Allows data to describe the medications administered by EMS ● Part of an EMS Medical Record ● Reports on Medications and Skills performed along with Protocols used provide key performance evaluation tools ● Used in Quality Management for the evaluation of Care and EMS Agency Performance Data Collector ● EMS personnel Other Associated Elements E00 Common Null Values E01_01 Patient Care Report Number E18_01 Date/Time Medication Administered E18_02 Medication Administered Prior to this Units EMS Care
E18_04 Medication Administered Route E18_05 Medication Dosage E18_06 Medication Dosage Units E18_07 Response to Medication E18_08 Medication Complication E18_09 Medication Crew Member ID E18_10 Medication Authorization E18_11 Medication Authorizing Physician References in NHTSA Version 1 Essential Element 80 Medication Name References to Other Databases ● NFIRS 5.0 EMS Module, Title: Procedures Used, Multi Select List: Airway Insertion = 01, Anti-Shock Trousers = 02, Assisted Ventilation = 03, Bleeding Control = 04, Burn Care = 05, Cardiac Pacing = 06, Cardioversion (defib), Manual = 07, Chest/Abdominal Thrust = 08, CPR = 09, Cricothyroidotomy = 10, Defibrillation by AED = 11, EKG Monitoring = 12, Extrication = 13, Intubation (EGTA) = 14, Intubation (ET) = 15, IO/IV Therapy = 16, Medications Therapy = 17, Oxygen Therapy = 18, Obstetrical Care/Delivery = 19, Pre-Arrival Instruction = 20, Restrained Patient = 21, Spinal Immobilization = 22, Splinted Extremities = 23, Suction/Aspirate = 24, Other Procedure = 00, No Treatment = NN Section E18 Intervention/Medication MATRIS Version 1.6 (based on 2006 NHTSA Uniform PreHospital Dataset V.2.2.1) MEDICATION COMPLICATION E18_08 Data Format [combo] multiple-choice National Element Definition Any complication (abnormal effect on the patient) associated with the administration of the medication to the patient by EMS XSD Data Type xs:integer XSD Domain (Simple Type) MedicationComplication Multiple Entry Configuration (1) Yes, via structure. (2) Yes Accepts Null Yes for each E14_01 Date/Time Required in XSD Yes XSD Structure: All data elements section E18 are members of the E18 Medication Structure Field Values -25 Not Applicable -15 Not Reporting -20 Not Recorded 4390 None 4395 Altered Mental Status 4400 Apnea 4405 Bleeding 4410 Bradycardia 4415 Diarrhea 4420 Extravasion 4425 Hypertension 4430 Hyperthermia 4435 Hypotension 4440 Hypoxia 4445 Injury 4450 Itching/Urticaria 4455 Nausea 4460 Other 4465 Respiratory Distress 4470 Tachycardia 4475 Vomiting Uses ● Allows data to be sorted based on medication complication ● Allows data to describe medication complications which occur as a result of EMS treatment ● Part of an EMS Medical Record ● Reports on Medications and Skills performed along with Protocols used provide key performance evaluation tools ● Used in Quality Management for the evaluation of Care and EMS Agency Performance Data Collector ● EMS personnel Other Associated Elements E00 Common Null Values E01_01 Patient Care Report Number E18_01 Date/Time Medication Administered E18_02 Medication Administered Prior to this Units EMS Care
E18_03 Medication Given E18_04 Medication Administered Route E18_05 Medication Dosage E18_06 Medication Dosage Units E18_07 Response to Medication E18_09 Medication Crew Member ID E18_10 Medication Authorization E18_11 Medication Authorizing Physician Section E18 Intervention/Medication MATRIS Version 1.6 (based on 2006 NHTSA Uniform PreHospital Dataset V.2.2.1) Section E19 Intervention/ Procedure Section E19 Intervention/Procedure MATRIS Version 1.6 (based on 2006 NHTSA Uniform PreHospital Dataset V.2.2.1) DATE/TIME PROCEDURE PERFORMED SUCCESSFULLY E19_01 Data Format [date/time] Definition The date and time the procedure was performed on the patient XSD Data Type xs:dateTime XSD Domain (Simple Type) DateTime Multiple Entry Configuration Yes, via structure Accepts Null Yes, but null value is blank or empty Required in XSD No Minimum Constraint 1,990 Maximum Constraint 2,030 XSD Structure: Data Elements E19_01 through E19_11 are all members of E19_01_0 Procedure Structure Field Values Additional Information ● If the date/time is electronically stored within a database or transmitted via XML as a “tick”, the referenced variables may also be used
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