E19_13 Tube Confirmation Placement E19_14 Destination Confirmation of Tube
Section E19 Intervention/Procedure
MATRIS Version 1.6 (based on 2006 NHTSA Uniform PreHospital Dataset V.2.2.1)
PROCEDURE
E19_03
Data [combo] single-choice National Element
Definition
The procedure performed on the patient.
XSD Data Type xs:decimal XSD Domain (Simple Type) Procedure
Multiple Entry Configuration Yes, via structure Accepts Null Values Yes
Required in XSD Yes Minimum Constraint 0 Maximum Constraint 1,000
XSD Structure: Data Elements E19_01 through E19_11 are all members of E19_01_0 Procedure Structure
Field Values
-25 Not Applicable -20 Not Recorded
-15 Not Reporting -10 Not Known
-5 Not Available
Additional Information
● List created from Procedures (D04_04)
Uses
● Allows data to be sorted based on the medical treatment
● Allows data to describe the procedures which are performed 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
E19_01 Date/Time Procedure Performed E19_02 Procedure Performed Prior to this Units
Successfully EMS Care
E19_04 Size of Procedure Equipment E19_05 Number of Procedure Attempts
E19_06 Procedure Successful E19_07 Procedure Complication
E19_08 Response to Procedure E19_09 Procedure Crew Members ID
E19_10 Procedure Authorization E19_11 Procedure Authorizing Physician
References in NHTSA Version 1
Desirable Element 58 Time of First CPR
Desirable Element 63 Time of First Defibrillatory Shock
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
● UTSTEIN Arrest after arrival of EMS could be documented by CPR or Defibrillation performed along with the
Cardiac Arrest datapoint.; [text] Value or
Section E19 Intervention/Procedure
2006 NHTSA Uniform PreHospital Dataset V.2.2.1
NUMBER OF PROCEDURE ATTEMPTS
E19_05
Data Format [number] National Element
Definition
The number of attempts taken to complete a procedure or intervention regardless of success
XSD Data Type xs:integer XSD Domain (Simple Type) NumberOfProcedureAttempts
Multiple Entry Configuration Yes, via structure Accepts Null Yes
Required in XSD Yes Minimum Constraint -25 Maximum Constraint 100
XSD Structure: Data Elements E19_01 through E19_11 are all members of E19_01_0 Procedure Structure
Field Values
-25 Not Applicable -15 Not Reporting
-20 Not Recorded ● Relevant Value for Data Element & Patient Care
Uses
● Allows data to be sorted based on the medical treatment
● Allows data to describe the procedures which are performed 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
E19_01 Date/Time Procedure Performed Successfully E19_02 Procedure Performed Prior to this Units EMS
Care
E19_03 Procedure E19_04 Size of Procedure Equipment
E19_06 Procedure Successful E19_07 Procedure Complication
E19_08 Response to Procedure E19_09 Procedure Crew Members ID
E19_10 Procedure Authorization E19_11 Procedure Authorizing Physician
Section E19 Intervention/Procedure
MATRIS Version 1.6 (based on 2006 NHTSA Uniform PreHospital Dataset V.2.2.1)
PROCEDURE SUCCESSFUL
E19_06
Data Format [combo] single-choice National Element
Definition
Indication of whether or not the procedure performed on the patient was successful
XSD Data Type xs:integer XSD Domain (Simple Type) YesNoValues
Multiple Entry Configuration Yes, via structure Accepts Null Yes
Required in XSD Yes
XSD Structure: Data Elements E19_01 through E19_11 are all members of E19_01_0 Procedure Structure
Field Values
-25 Not Applicable -15 Not Reporting
-20 Not Recorded 0 No
1 Yes
Uses
● Allows data to be sorted based on the medical treatment
● Allows data to describe the procedures performed by EMS with respect to numbers and success rates
● 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
E19_01 Date/Time Procedure Performed Successfully E19_02 Procedure Performed Prior to this Units EMS
Care
E19_03 Procedure E19_04 Size of Procedure Equipment
E19_05 Number of Procedure Attempts E19_07 Procedure Complication
E19_08 Response to Procedure E19_09 Procedure Crew Members ID
E19_10 Procedure Authorization E19_11 Procedure Authorizing Physician
Section E19 Intervention/Procedure
MATRIS Version 1.6 (based on 2006 NHTSA Uniform PreHospital Dataset V.2.2.1)
PROCEDURE COMPLICATION
E19_07
Data Format [combo] multiple-choice National Element
Definition
Any complication associated with the performance of the procedure on the patient
XSD Data Type xs:integer XSD Domain (Simple Type) ProcedureComplication
Multiple Entry Configuration (1) Yes, via structure. (2) Yes Accepts Null Yes
for each E14_01 Date/Time
Required in XSD Yes
XSD Structure: Data Elements E19_01 through E19_11 are all members of E19_01_0 Procedure Structure
Field Values
-25 Not Applicable -15 Not Reporting
-20 Not Recorded 4500 None
4505 Altered Mental Status
4510 Apnea 4515 Bleeding
4520 Bradycardia 4525 Diarrhea
4530 Esophageal Intubation-immediately 4535 Esophageal Intubation-other
4540 Extravasion 4545 Hypertension
4550 Hyperthermia 4555 Hypotension
4560 Hypoxia 4565 Injury
4570 Itching/Urticaria 4575 Nausea
4580 Other 4585 Respiratory Distress
4590 Tachycardia 4595 Vomiting
Uses
● Allows data to be sorted based on procedure complication
● Allows data to describe procedure complications which occur as a result of EMS treatment as part of a federal initiative to
identify and reduce medical errors
● 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
E19_01 Date/Time Procedure Performed Successfully E19_02 Procedure Performed Prior to this Units EMS
Care
E19_03 Procedure E19_04 Size of Procedure Equipment
E19_05 Number of Procedure Attempts E19_06 Procedure Successful
E19_08 Response to Procedure E19_09 Procedure Crew Members ID
E19_10 Procedure Authorization E19_11 Procedure Authorizing Physician
Section E19 Intervention/Procedure
MATRIS Version 1.6 (based on 2006 NHTSA Uniform PreHospital Dataset V.2.2.1)
Section E20
Disposition
Section E20 Disposition
MATRIS Version 1.6 (based on 2006 NHTSA Uniform PreHospital Dataset V.2.2.1)
DESTINATION/TRANSFERRED TO, NAME
E20_01
Data Format [text]
Definition
The destination the patient was delivered or transferred to
XSD Data Type xs:string XSD Domain (Simple Type) DestinationTransferredToID
Multiple Entry Configuration No Accepts Null Yes
Required in XSD No Minimum Constraint 2 Maximum Constraint 50
Field Values
-25 Not Applicable -15 Not Reporting
-20 Not Recorded ● Relevant Value for Data Element & Patient Care
Additional Information
● Could be an editable single choice list box derived from Hospitals Served (D04_11) and Other Destinations (D04_13)
Uses
● A component of the EMS Medical Record: Patient Care Report
● Important for grouping or comparing data by Destination location and type which also allows data to be sorted by
geographic areas in many agencies
● Provides information on overall service area, patterns and times for agency configuration and evaluation
Data Collector
● EMS personnel
Other Associated Elements
E00 Common Null Values E01_01 Patient Care Report Number
E20_02 Destination/Transferred To, Code
Section E20 Disposition
MATRIS Version 1.6 (based on 2006 NHTSA Uniform PreHospital Dataset V.2.2.1)
DESTINATION/TRANSFERRED TO, CODE
E20_02
Data Format [text]
Definition
The code of the destination the patient was delivered or transferred to, if present and available
XSD Data Type xs:string XSD Domain (Simple Type) DestinationTransferredToCode
Multiple Entry Configuration No Accepts Null Yes
Required in XSD No Minimum Constraint 2 Maximum Constraint 50
Field Values
-25 Not Applicable -15 Not Reporting
-20 Not Recorded ● Relevant Value for Data Element & Patient Care
Additional Information
● Could be an editable single choice list box derived from Hospitals Served (D04_12) and Other Destinations (D04_14)
Uses
● A component of the EMS Medical Record: Patient Care Report
● Important for grouping or comparing data by Destination location and type which also allows data to be sorted by
geographic areas in many agencies
● Provides information on overall service area, patterns and times for agency configuration and evaluation
Data Collector
● EMS agency or may be electronically provided through the 911 or dispatch center
Other Associated Elements
E00 Common Null Values E01_01 Patient Care Report Number
E20_01 Destination/Transferred To, Name
Section E20 Disposition
MATRIS Version 1.6 (based on 2006 NHTSA Uniform PreHospital Dataset V.2.2.1)
DESTINATION STREET ADDRESS
E20_03
Data Format [text]
Definition
The street address of the destination the patient was delivered or transferred to
XSD Data Type xs:string XSD Domain (Simple Type) StreetAddress
Multiple Entry Configuration No Accepts Null Yes
Required in XSD No Minimum Constraint 2 Maximum Constraint 30
XSD Structure: E20_03, E20_04, E20_05, and E20_07 are all members of E2-_03_0 Destination Address Structure
Field Values
-25 Not Applicable -15 Not Reporting
-20 Not Recorded ● Relevant Value for Data Element & Patient Care
Uses
● A component of the EMS Medical Record: Patient Care Report
● Important for grouping or comparing data by Destination location and type which also allows data to be sorted by
geographic areas in many agencies
● Provides information on overall service area, patterns and times for agency configuration and evaluation
Data Collector
● EMS agency or may be electronically provided through the 911 or dispatch center
Other Associated Elements
E00 Common Null Values E01_01 Patient Care Report Number
E20_01 Destination/Transferred To, Name E20_04 Destination City
E20_05 Destination State E20_07 Destination Zip Code
Section E20 Disposition
MATRIS Version 1.6 (based on 2006 NHTSA Uniform PreHospital Dataset V.2.2.1)
DESTINATION CITY
E20_04
Data Format [combo] single-choice
Definition
The city name of the destination the patient was delivered or transferred to
XSD Data Type xs:string XSD Domain (Simple Type) City
Multiple Entry Configuration No Accepts Null Yes
Required in XSD No Minimum Constraint 2 Maximum Constraint 30
XSD Structure: E20_03, E20_04, E20_05, and E20_07 are all members of E2-_03_0 Destination Address Structure
Field Values
-25 Not Applicable -15 Not Reporting
-20 Not Recorded ● Relevant Value for Data Element & Patient Care
Additional Information
● 5 digit FIPS Code
● Could be filled in from Destination Zip Code (E20_07)
Uses
● A component of the EMS Medical Record: Patient Care Report
● Important for grouping or comparing data by Destination location and type which also allows data to be sorted by
geographic areas in many agencies
● Provides information on overall service area, patterns and times for agency configuration and evaluation
Data Collector
● EMS agency or may be electronically provided through the 911 or dispatch center
Other Associated Elements
E00 Common Null Values E01_01 Patient Care Report Number
E20_01 Destination/Transferred To, Name E20_03 Destination Street Address
E20_05 Destination State E20_07 Destination Zip Code
Section E20 Disposition
MATRIS Version 1.6 (based on 2006 NHTSA Uniform PreHospital Dataset V.2.2.1)
DESTINATION STATE
E20_05
Data Format [combo] single-choice
Definition
The destination State in which the patient was delivered or transferred to
XSD Data Type xs:string XSD Domain (Simple Type) State
Multiple Entry Configuration No Accepts Null Yes
Required in XSD No Minimum Constraint 2 Maximum Constraint 3
XSD Structure: E20_03, E20_04, E20_05, and E20_07 are all members of E2-_03_0 Destination Address Structure
Field Values
-25 Not Applicable -15 Not Reporting
-20 Not Recorded ● Relevant Value for Data Element & Patient Care
Additional Information
● 2 digit FIPS numeric code (Not State abbreviation)
● Could be filled in from Destination Zip Code (E20_07)
Uses
● A component of the EMS Medical Record: Patient Care Report
● Important for grouping or comparing data by Destination location and type which also allows data to be sorted by
geographic areas in many agencies
● Provides information on overall service area, patterns and times for agency configuration and evaluation
Data Collector
● EMS agency or may be electronically provided through the 911 or dispatch center
Other Associated Elements
E00 Common Null Values E01_01 Patient Care Report Number
E20_01 Destination/Transferred To, Name E20_03 Destination Street Address
E20_04 Destination City E20_07 Destination Zip Code
Section E20 Disposition
MATRIS Version 1.6 (based on 2006 NHTSA Uniform PreHospital Dataset V.2.2.1)
DESTINATION ZIP CODE
E20_07
Data Format [text] National Element
Definition
The destination zip code in which the patient was delivered or transferred to
XSD Data Type xs:string XSD Domain (Simple Type) Zip
Multiple Entry Configuration No Accepts Null Yes
Required in XSD Yes Minimum Constraint 2 Maximum Constraint 10
XSD Structure: E20_03, E20_04, E20_05, and E20_07 are all members of E2-_03_0 Destination Address Structure
Field Values
-25 Not Applicable -15 Not Reporting
-20 Not Recorded ● Relevant Value for Data Element & Patient Care
Additional Information
● Can be 5 or 9 digit Zip Code
Uses
● A component of the EMS Medical Record: Patient Care Report
● Allows data to be sorted based on the destination location
● Allows data to describe patient's geographic destination
● Important for grouping or comparing data by Destination location and type which also allows data to be sorted by
geographic areas in many agencies
● Provides information on overall service area, patterns and times for agency configuration and evaluation
Data Collector
● EMS agency or may be electronically provided through the 911 or dispatch center
Other Associated Elements
E00 Common Null Values E01_01 Patient Care Report Number
E20_01 Destination/Transferred To, Name E20_03 Destination Street Address
E20_04 Destination City E20_05 Destination State
Section E20 Disposition
MATRIS Version 1.6 (based on 2006 NHTSA Uniform PreHospital Dataset V.2.2.1)
DESTINATION GPS LOCATION
E20_08
Data Format [text]
Definition
The destination GPS coordinates to which the patient was delivered or transferred to
XSD Data Type xs:decimal XSD Domain (Simple Type) GPSLocation
Multiple Entry Configuration No Accepts Null No
Required in XSD No
XSD Attributes: Latitude and Longitude are each stored as a separate attribute
Field Values
● Relevant Value for Data Element & Patient Care
Uses
● Important for grouping or comparing data by Destination location and type which also allows data to be sorted by
geographic areas in many agencies
● Provides information on overall service area, patterns and times for agency configuration and evaluation
Data Collector
● EMS agency or may be electronically provided through the 911 or dispatch center
Other Associated Elements
E01_01 Patient Care Report Number E20_01 Destination/Transferred To, Name
Section E20 Disposition
MATRIS Version 1.6 (based on 2006 NHTSA Uniform PreHospital Dataset V.2.2.1)
INCIDENT/PATIENT DISPOSITION
E20_10
Data [combo] single-choice National Element
Definition
Type of disposition treatment and/or transport of the patient.
XSD Data Type xs:integer XSD Domain (Simple Type) IncidentPatientDisposition
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