Massachusetts ambulance trip record information system (matris) Effective October 7, 2013 matris version 6
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Multiple Entry Configuration No Accepts Null Values No Required in XSD Yes Field Values 4815 Cancelled 4820 Dead at Scene 4825 No Patient Found 4830 No Treatment Required 4835 Patient Refused Care 4840 Treated and Released 4845 Treated, Transferred Care 4850 Treated, Transported by EMS 4855 Treated, Transported by Law Enforcement 4860 Treated, Transported by Private Vehicle Uses ● A component of the EMS Medical Record: Patient Care Report ● Allows data to be sorted based on the EMS disposition ● Allows data to describe EMS patient’s disposition Data Collector ● EMS personnel Other Associated Elements E01_01 Patient Care Report Number References in NHTSA Version 1 Essential Element 47 Incident/Patient Disposition References to Other Databases ● NFIRS 5.0 EMS Module; Title: Disposition; Pick-List: FD Transport to Emergency Care Facility (ECF) = 1, Non-FD Transport = 2, Non-FD Transport with FD Attendant = 3, Non-Emergency Transfer = 4, Other = O, Not Transported under EMS = N Section E20 Disposition MATRIS Version 1.6 (based on 2006 NHTSA Uniform PreHospital Dataset V.2.2.1) TRANSPORT MODE FROM SCENE E20_14 Data Format [combo] single-choice National Element Definition Indication whether or not lights and/or sirens were used on the vehicle while leaving scene XSD Data Type xs:integer XSD Domain (Simple Type) TransportModeFromScene Multiple Entry Configuration No Accepts Null Yes Required in XSD Yes Field Values -25 Not Applicable -15 Not Reporting -20 Not Recorded 4955 Initial Lights and Sirens, Downgraded to No Lights or Sirens 4960 Initial No Lights or Sirens, Upgraded to Lights and Sirens 4965 Lights and Sirens 4970 No Lights or Sirens Uses ● A component of the EMS Medical Record: Patient Care Report ● Allows data to be sorted based on the transportation mode ● Allows data to describe transportation mode used by EMS Data Collector ● EMS personnel Other Associated Elements E00 Common Null Values E01_01 Patient Care Report Number References in NHTSA Version 1 Essential Element 46 Lights and Sirens used from the Scene Section E20 Disposition MATRIS Version 1.6 (based on 2006 NHTSA Uniform PreHospital Dataset V.2.2.1) REASON FOR CHOOSING DESTINATION E20_16 Data [combo] single-choice National Element Definition The reason the unit chose to deliver or transfer the patient to the destination XSD Data Type xs:integer XSD Domain (Simple Type) ReasonForChoosingDestination Multiple Entry Configuration No Accepts Null Values Yes Required in XSD Yes Field Values -25 Not Applicable -20 Not Recorded -15 Not Reporting -10 Not Known -5 Not Available 4990 Closest Facility (none below) 4995 Diversion 5000 Family Choice 5005 Insurance Status 5010 Law Enforcement Choice 5015 On-Line Medical Direction 5020 Other 5025 Patient Choice 5030 Patient's Physicians Choice 5035 Protocol 5040 Specialty Resource Center Uses ● A component of the EMS Medical Record: Patient Care Report ● Allows data to be sorted based on the destination choice ● Allows data to give a reason for choosing the patient’s destination which is important to document from a specialty care agency and diversion/overcrowding perspective Data Collector ● EMS personnel Other Associated Elements E00 Common Null Values E01_01 Patient Care Report Number References in NHTSA Version 1 Essential Element 45 Destination Determination Section E20 Disposition MATRIS Version 1.6 (based on 2006 NHTSA Uniform PreHospital Dataset V.2.2.1) TYPE OF DESTINATION E20_17 Data [combo] single-choice National Element Definition The type of destination the patient was delivered or transferred to XSD Data Type xs:integer XSD Domain (Simple Type) TypeOfDestination Multiple Entry Configuration No Accepts Null Values Yes Required in XSD Yes Field Values -25 Not Applicable -20 Not Recorded -15 Not Reporting -10 Not Known -5 Not Available 7270 Home 7280 Hospital 7290 Medical Office/Clinic 7300 Morgue 7320 Nursing Home 7330 Other 7340 Other EMS Responder (air) 7350 Other EMS Responder (ground) 7360 Police/Jail Uses ● A component of the EMS Medical Record: Patient Care Report ● Allows data to be sorted or grouped based on the EMS transports destination type ● Allows data to describe EMS patient’s destination type Data Collector ● EMS personnel Other Associated Elements E00 Common Null Values E01_01 Patient Care Report Number E20_01 Destination/Transferred To, Name References in NHTSA Version 1 Essential Element 44 Destination/Transferred To Section E20 Disposition MATRIS Version 1.6 (based on 2006 NHTSA Uniform PreHospital Dataset V.2.2.1) Section E21 Section E21 Medical Device Data MATRIS Version 1.6 (based on 2006 NHTSA Uniform PreHospital Dataset V.2.2.1) EVENT DATE/TIME E21_01 Data Format [date/time] Definition The time of the event recorded by the device’s internal clock 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: (1) Each element is section E21 is associated with a E21_01 Date/Time. Field Values Additional Information ● Depending on whether this is a Procedure or a Vital Sign, this can be merged into Date/Time Vital Taken (E14_01) or Date/Time Procedure Performed Successfully (E19_01) ● If the date/time is electronically stored within a database or transmitted via XML as a “tick”, the referenced variables may also be used ● Multiple entry configuration associated with the entire Medical Device Section (E21) to allow multiple sets of device data to be entered 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 ● Medical device and electronically transmitted to the EMS database for further use Other Associated Elements E01_01 Patient Care Report Number E21_01 Event Date/Time E21_02 Medical Device Event Name Section E21 Medical Device Data MATRIS Version 1.6 (based on 2006 NHTSA Uniform PreHospital Dataset V.2.2.1) ECG LEAD E21_06 Data Format [text] Definition The lead or source which the medical device used to obtain the rhythm (if appropriate for the event) XSD Data Type xs:integer XSD Domain (Simple Type) ECGLead Multiple Entry Configuration Yes, via structure Accepts Null No Required in XSD No XSD Structure: (1) Each element is section E21 is associated with a E21_01 Date/Time. Field Values 5245 I 5250 II 5255 III 5260 AVR 5265 AVL 5270 AVF 5275 V1 5280 V2 5285 V3 5290 V4 5295 V5 5300 V6 5305 Paddle Additional Information ● Associated with Event Date/Time (E21_01) and only if appropriate for the Medical Device Event (E21_02) 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 ● Medical device and electronically transmitted to the EMS database for further use Other Associated Elements E01_01 Patient Care Report Number E21_01 Event Date/Time E21_02 Medical Device Event Name Section E21 Medical Device Data MATRIS Version 1.6 (based on 2006 NHTSA Uniform PreHospital Dataset V.2.2.1) ECG INTERPRETATION E21_07 Data [text] Definition The interpretation of the rhythm by the device (if appropriate for the event) XSD Data Type xs:string XSD Domain (Simple Type) ECGInterpretation Multiple Entry Configuration Yes, via structure Accepts Null Values No Required in XSD No Minimum Constraint 1 Maximum Constraint 2,000 XSD Structure: (1) Each element is section E21 is associated with a E21_01 Date/Time. Field Values ● Relevant Value for Data Element & Patient Care Additional Information ● Associated with Event Date/Time (E21_01) and only if appropriate for the Medical Device Event (E21_02) 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 ● Medical device and electronically transmitted to the EMS database for further use Other Associated Elements E01_01 Patient Care Report Number E21_01 Event Date/Time E21_02 Medical Device Event Name Section E21 Medical Device Data MATRIS Version 1.6 (based on 2006 NHTSA Uniform PreHospital Dataset V.2.2.1) TOTAL NUMBER OF SHOCKS E21_10 Data [number] Definition The number of times the patient was defibrillated, if the patient was defibrillated during the patient encounter. XSD Data Type xs:integer XSD Domain (Simple Type) TotalNumberOfShocks Multiple Entry Configuration Yes, via structure Accepts Null Values No Required in XSD No Minimum Constraint 1 Maximum Constraint 100 XSD Structure: (1) Each element is section E21 is associated with a E21_01 Date/Time. Field Values 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 ● Medical device and electronically transmitted to the EMS database for further use Other Associated Elements E01_01 Patient Care Report Number E21_01 Event Date/Time E21_02 Medical Device Event Name Section E21 Medical Device Data MATRIS Version 1.6 (based on 2006 NHTSA Uniform PreHospital Dataset V.2.2.1) |