Massachusetts ambulance trip record information system (matris) Effective October 7, 2013 matris version 6
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Additional Information ● A multiple-entry configuration with Personnel Level Permitted to use the Procedure (D04_05) ● If local systems have procedures which are not listed in the current values, additional procedures may be added using CPT codes from the ICD-9 standard. The CPT code should be stored and passed via the XML. This will allow expansion of the list to formally add new procedures over time
Desirable Element 58 Time of First CPR Desirable Element 63 Time of First Defibrillatory Shock Essential Element 78 Procedure or Treatment 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 D04 Agency Configuration Information 2006 NHTSA Uniform PreHospital Dataset V.2.2.1 MEDICATIONS GIVEN D04_06 Data Format [text] multiple-entry Definition A list of all medications the agency has implemented and available for use XSD Data Type xs:string XSD Domain (Simple Type) DemographicMedicationsGiven Multiple Entry Configuration Yes, via structure Accepts Null No Required in XSD No Minimum Constraint 2 Maximum Constraint 30 XSD Structure: D04_06 and D04_07 are members of D04_06_0 Demographic Medication Structure Field Values A unique value; no variable list is possible. Additional Information ● At this time a national drug index or coding scheme, which would allow for a single code to be assigned to a single drug, does not exist ● The Drug List may contain any generic or trade name of a drug approved by the FDA and administered by EMS. The medication is stored and passed via XML in a text format ● Used to create a list box for Medication Given (E18_03) and Prior Aid (E09_01) Uses ● Allows data to be sorted based on an agency's Medication capabilities ● Could be used to create a list box for Medication Given (E18_03) and Prior Aid (E09_01) ● 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 D04_07 Personnel Level Permitted to Use the Medication 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 D04 Agency Configuration Information MATRIS Version 1.6 (based on 2006 NHTSA Uniform PreHospital Dataset V.2.2.1) DESTINATION FACILITY NUMBER D04_14 Data Format [text] Definition The state assigned licensure number (code) for each Other Destination (D04_13) XSD Data Type xs:string XSD Domain (Simple Type) FacilityNumber Multiple Entry Configuration Yes, via structure Accepts Null Yes Required in XSD No Minimum Constraint 2 Maximum Constraint 30 XSD Structure: D04_13, D04_14 and D04_15 are members of D04_13_0 Other Destinations Structure Field Values A unique value; no variable list is possible. -25 Not Applicable -15 Not Reporting -20 Not Recorded Additional Information ● Multiple entry configuration to create a list box for Incident Facility Code (E8_08) and Destination Transferred to Code (E20_02)
● This field could also provide linkage to Other Destinations (D04_13) which would allow a list box of Other Destination Names to be used instead of entering the Code directly Uses ● Allows data to be sorted or grouped based on the EMS transports destination type ● Could be used to create a list box (along with D04_12) for Incident Facility Code (E08_08) and Destination Transferred to Code (E20_02) 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 D04_13 Other Destinations D04_15 Destination Type E00 Common Null Values Section D04 Agency Configuration Information MATRIS Version 1.6 (based on 2006 NHTSA Uniform PreHospital Dataset V.2.2.1) DESTINATION TYPE D04_15 Data Format [combo] single-choice Definition The type of facility associated with the Other Destination (D04_13) XSD Data Type xs:integer XSD Domain (Simple Type) FacilityType Multiple Entry Configuration Yes, via structure Accepts Null No Required in XSD No XSD Structure: D04_13, D04_14 and D04_15 are members of D04_13_0 Other Destinations Structure Field Values 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 Additional Information ● Can be used to auto-fill Type of Destination (E20_17) based on Other Destination (D04_13) or Destination Facility Number (D04_14)
Uses ● Allows data to be sorted based on an agency's Destination Type ● Allows data to be sorted or grouped based on the EMS transports destination type ● Provides a component of a list box associated with Other Destinations (D04_13) ● Provides description of EMS Agency’s Destination Types 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 D04_13 Other Destinations D04_14 Destination Facility Number References in NHTSA Version 1 Essential Element 44 Destination/Transferred To Section D04 Agency Configuration Information MATRIS Version 1.6 (based on 2006 NHTSA Uniform PreHospital Dataset V.2.2.1) Section E01 Section E01 Record Information MATRIS Version 1.6 (based on 2006 NHTSA Uniform PreHospital Dataset V.2.2.1) PATIENT CARE REPORT NUMBER E01_01 Data Format [text] National Element Definition The unique number automatically assigned by the EMS agency for each patient care report (PCR). This is a unique number to the EMS agency for all of time.
A unique value; no variable list is possible. Additional Information ● Not Nullable. A unique value must be provided to create a unique record ID within a database Uses ● A component of the EMS Medical Record: Patient Care Report ● 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 or may be electronically provided through the 911 or dispatch center Other Associated Elements E01_01 Patient Care Report 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; Unique Number Section E01 Record Information MATRIS Version 1.6 (based on 2006 NHTSA Uniform PreHospital Dataset V.2.2.1) SOFTWARE CREATOR E01_02 Data Format [text] National Element Definition The name of the software vendor by whom the data collection software was developed XSD Data Type xs:string XSD Domain (Simple Type) SoftwareCreatedBy Multiple Entry Configuration No Accepts Null No Required in XSD Yes Minimum Constraint 3 Maximum Constraint 30 Field Values A unique value; no variable list is possible. Uses ● Important for grouping or comparing the accuracy of software used by EMS agencies in data collection Data Collector ● EMS Agency and typically only documented once then verified and updated yearly or when changed Other Associated Elements E01_01 Patient Care Report Number Section E01 Record Information MATRIS Version 1.6 (based on 2006 NHTSA Uniform PreHospital Dataset V.2.2.1) SOFTWARE NAME E01_03 Data Format [text] National Element Definition The name of the software package with which the data was collected by the agency XSD Data Type xs:string XSD Domain (Simple Type) SoftwareName Multiple Entry Configuration No Accepts Null No Required in XSD Yes Minimum Constraint 3 Maximum Constraint 30 Field Values A unique value; no variable list is possible. Uses ● Important for grouping or comparing the accuracy of software used by EMS agencies in data collection Data Collector ● EMS Agency and typically only documented once then verified and updated yearly or when changed Other Associated Elements E01_01 Patient Care Report Number Section E01 Record Information MATRIS Version 1.6 (based on 2006 NHTSA Uniform PreHospital Dataset V.2.2.1) SOFTWARE VERSION E01_04 Data Format [text] National Element Definition The version of the software used by the agency to collect the data XSD Data Type xs:string XSD Domain (Simple Type) SoftwareVersion Multiple Entry Configuration No Accepts Null No Required in XSD Yes Minimum Constraint 3 Maximum Constraint 30 Field Values A unique value; no variable list is possible. Uses ● Important for grouping or comparing the accuracy of software used by EMS agencies in data collection Data Collector ● EMS Agency and typically only documented once then verified and updated yearly or when changed Other Associated Elements E01_01 Patient Care Report Number Section E01 Record Information MATRIS Version 1.6 (based on 2006 NHTSA Uniform PreHospital Dataset V.2.2.1) Section E02 Unit/ Agency Information Section E02 Unit/ Agency Information MATRIS Version 1.6 (based on 2006 NHTSA Uniform PreHospital Dataset V.2.2.1) EMS AGENCY NUMBER E02_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 ● Not Nullable. A unique value must be provided to create a unique record ID within a database ● Same as EMS Agency Number (D01_01) Uses ● A component of the EMS Medical Record: Patient Care Report ● 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 ● Allows data to be sorted by the EMS Agency ● Important for grouping and comparing EMS Agencies in Benchmarking and Quality Management ● When linked to D01_02 provides the Agency name on the EMS Medical Record: Patient Care Report 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 E01_01 Patient Care Report Number References to Other Databases ● NFIRS 5.0 EMS Module;Title: FDID; State assigned Fire Department ID number Section E02 Unit/ Agency Information MATRIS Version 1.6 (based on 2006 NHTSA Uniform PreHospital Dataset V.2.2.1) INCIDENT NUMBER E02_02 Data [text] Definition The incident number assigned by the 911 Dispatch System. XSD Data Type xs:string XSD Domain (Simple Type) IncidentNumber Multiple Entry Configuration No Accepts Null Yes Required in XSD No Minimum Constraint 2 Maximum Constraint 15 Field Values -25 Not Applicable -15 Not Reporting -20 Not Recorded Uses ● Component of the EMS Agency 911 or Dispatch information which serves as a link to identify and report other Dispatch Information
Essential Element 21 Incident Number References to Other Databases ● NFIRS 5.0 EMS Module; Title: Incident Number; Unique number for each Incident Section E02 Unit/ Agency Information MATRIS Version 1.6 (based on 2006 NHTSA Uniform PreHospital Dataset V.2.2.1) TYPE OF SERVICE REQUESTED E02_04 Data Format [combo] single-choice National Element Definition The type of service or category of service requested of the EMS service responding for this specific EMS incident. XSD Data Type xs:integer XSD Domain (Simple Type) TypeOfServiceRequested Multiple Entry Configuration No Accepts Null No Required in XSD Yes Field Values 30 911 Response (Scene) 35 Intercept 40 Interfacility Transfer 45 Medical Transport 50 Mutual Aid 55 Standby Uses ● A component of the EMS Medical Record: Patient Care Report ● Allows data to be sorted by the Type of Service Requested ● Provides descriptive data on EMS call volume and service provided Data Collector ● EMS agency or may be electronically provided through the 911 or dispatch center Other Associated Elements E01_01 Patient Care Report Number References in NHTSA Version 1 Essential Element 20 Service Type Section E02 Unit/ Agency Information MATRIS Version 1.6 (based on 2006 NHTSA Uniform PreHospital Dataset V.2.2.1) PRIMARY ROLE OF THE UNIT E02_05 Data [combo] single-choice National Element Definition The primary role of the EMS service which was requested for this specific EMS incident. XSD Data Type xs:integer XSD Domain (Simple Type) PrimaryRollOfTheUnit Multiple Entry Configuration No Accepts Null Values No Required in XSD Yes Field Values 60 Non-Transport 65 Rescue 70 Supervisor 75 Transport Uses ● A component of the EMS Medical Record: Patient Care Report ● Allows data to be sorted by the role of the responder ● Provides descriptive data on EMS call volume and service provided Data Collector ● EMS agency or may be electronically provided through the 911 or dispatch center Other Associated Elements E01_01 Patient Care Report Number Section E02 Unit/ Agency Information MATRIS Version 1.6 (based on 2006 NHTSA Uniform PreHospital Dataset V.2.2.1) TYPE OF DISPATCH DELAY E02_06 Data Format [combo] multiple-choice National Element Definition The dispatch delays, if any, associated with the dispatch of the EMS unit to the patient encounter XSD Data Type xs:integer XSD Domain (Simple Type) TypeOfDispatchDelay Multiple Entry Configuration Yes Accepts Null Yes Required in XSD Yes Field Values -25 Not Applicable -15 Not Reporting -20 Not Recorded 80 Caller (Uncooperative) 85 High Call Volume 90 Language Barrier 95 Location (Inability to Obtain) 100 No Units Available 105 None 110 Other 115 Scene Safety (Not Secure for EMS) 120 Technical Failure (Computer, Phone, etc.) Uses ● Allows data to describe the status of Dispatch issues Data Collector ● 911 or Dispatch Center and electronically or verbally transmitted to the EMS agency Other Associated Elements E00 Common Null Values E01_01 Patient Care Report Number References in NHTSA Version 1 Desirable Element 56 Factors Affecting EMS Delivery of Care Section E02 Unit/ Agency Information MATRIS Version 1.6 (based on 2006 NHTSA Uniform PreHospital Dataset V.2.2.1) TYPE OF RESPONSE DELAY E02_07 Data [combo] multiple-choice National Element Definition The response delays, if any, of the unit associated with the patient encounter XSD Data Type xs:integer XSD Domain (Simple Type) TypeOfResponseDelay Multiple Entry Configuration Yes 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 125 Crowd 130 Directions 135 Distance 140 Diversion 145 HazMat 150 None 155 Other 160 Safety 165 Staff Delay 170 Traffic 175 Vehicle Crash 180 Vehicle Failure 185 Weather |