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Massachusetts ambulance trip record information system (matris) Effective October 7, 2013 matris version 6


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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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