Massachusetts ambulance trip record information system (matris) Effective October 7, 2013 matris version 6
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Uses ● Allows data describe Vehicle Failures and Vehicle Crashes ● Allows data to describe the status of Response issues Data Collector ● EMS personnel 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 SCENE DELAY E02_08 Data [combo] multiple-choice National Element Definition The scene delays, if any, of the unit associated with the patient encounter XSD Data Type xs:integer XSD Domain (Simple Type) TypeOfSceneDelay 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 190 Crowd 195 Directions 200 Distance 205 Diversion 210 Extrication >20 min. 215 HazMat 220 Language Barrier 225 None 230 Other 235 Safety 240 Staff Delay 245 Traffic 250 Vehicle Crash 255 Vehicle Failure 260 Weather Uses ● Allows data describe Vehicle Failures and Vehicle Crashes ● Allows data to describe the status of Scene issues Data Collector ● EMS personnel 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 TRANSPORT DELAY E02_09 Data [combo] multiple-choice National Element Definition The transport delays, if any, of the unit associated with the patient encounter XSD Data Type xs:integer XSD Domain (Simple Type) TypeOfTransportDelay 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 265 Crowd 270 Directions 275 Distance 280 Diversion 285 HazMat 290 None 295 Other 300 Safety 305 Staff Delay 310 Traffic 315 Vehicle Crash 320 Vehicle Failure 325 Weather Uses ● Allows data describe Vehicle Failures and Vehicle Crashes ● Allows data to describe the status of Transport issues Data Collector ● EMS personnel 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 TURN-AROUND DELAY E02_10 Data Format [combo] multiple-choice National Element Definition The turn-around delays, if any, associated with the EMS unit associated with the patient encounter XSD Data Type xs:integer XSD Domain (Simple Type) TypeOfTurnAroundDelay Multiple Entry Configuration Yes Accepts Null Yes Required in XSD Yes Field Values -25 Not Applicable -15 Not Reporting -20 Not Recorded 330 Clean-up 335 Decontamination 340 Documentation 345 ED Overcrowding 350 Equipment Failure 355 Equipment Replenishment 360 None 365 Other 370 Staff Delay 375 Vehicle Failure Uses ● Allows data describe ED overcrowding and Vehicle Failure ● Allows data to describe the status of call time issues Data Collector ● EMS personnel Other Associated Elements E00 Common Null Values 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) EMS UNIT CALL SIGN (RADIO NUMBER) E02_12 Data Format [combo] single-choice National Element Definition The EMS unit number used to dispatch and communicate with the unit. This may be the same as the EMS Unit/Vehicle Number in many agencies.
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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) RESPONSE MODE TO SCENE E02_20 Data Format [combo] single-choice National Element Definition Indication whether or not lights and/or sirens were used on the vehicle on the way to the scene XSD Data Type xs:integer XSD Domain (Simple Type) ResponseModeToScene Multiple Entry Configuration No Accepts Null No Required in XSD Yes Field Values 380 Initial Lights and Sirens, Downgraded to No Lights or Sirens 385 Initial No Lights or Sirens, Upgraded to Lights and Sirens 390 Lights and Sirens 395 No Lights or Sirens Uses ● A component of the EMS Medical Record: Patient Care Report ● Allows data to be sorted by the Response Mode ● Allows data to describe the use of emergent response 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 19 Lights and Sirens to Scene Section E02 Unit/ Agency Information MATRIS Version 1.6 (based on 2006 NHTSA Uniform PreHospital Dataset V.2.2.1) Section E03 Unit/ Call Information Section E03 Unit/ Call Information MATRIS Version 1.6 (based on 2006 NHTSA Uniform PreHospital Dataset V.2.2.1) COMPLAINT REPORTED BY DISPATCH E03_01 Data Format [combo] single-choice National Element Definition The complaint dispatch reported to the responding unit. XSD Data Type xs:integer XSD Domain (Simple Type) ComplaintReportedByDispatch Multiple Entry Configuration No Accepts Null Yes Required in XSD Yes Field Values -25 Not Applicable -15 Not Reporting -20 Not Recorded 400 Abdominal Pain 405 Allergies 410 Animal Bite 415 Assault 420 Back Pain (Non-Traumatic) 425 Breathing Problem 430 Burns 435 CO Poisoning/Hazmat 440 Cardiac Arrest 445 Chest Pain 450 Choking 455 Convulsions/Seizure 460 Diabetic Problem 465 Drowning 470 Electrocution 475 Eye Problem 480 Fall Victim 485 Headache 490 Heart Problems 495 Heat/Cold Exposure 500 Hemorrhage/Laceration 505 Industrial Accident/Inaccessible Incident/Other Entrapments (non-vehicle) 510 Ingestion/Poisoning 515 Pregnancy/Childbirth 520 Psychiatric Problem 525 Sick Person 530 Stab/Gunshot Wound 535 Stroke/CVA 540 Traffic/Transportation Accident 545 Traumatic Injury 550 Unconscious/Fainting 555 Unknown Problem/Man Down 560 Transfer/Interfacility/Palliative Care 565 MCI (Mass Casualty Incident) Uses ● A component of the EMS Medical Record: Patient Care Report ● Allows data to be sorted by the Dispatch Complaint ● Allows data to describe Patient Complaint as reported by Dispatch 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 to Other Databases NHTSA EMD Data Elements Chief Complaint Type Section E03 Unit/ Call Information MATRIS Version 1.6 (based on 2006 NHTSA Uniform PreHospital Dataset V.2.2.1) EMD PERFORMED E03_02 Data Format [combo] single-choice National Element Definition Indication of whether EMD was performed for this EMS event. XSD Data Type xs:integer XSD Domain (Simple Type) EMDPerformed Multiple Entry Configuration No Accepts Null Yes Required in XSD Yes Field Values -25 Not Applicable -15 Not Reporting -20 Not Recorded 0 No 570 Yes, With Pre-Arrival Instructions 575 Yes, Without Pre-Arrival Instructions Uses ● Allows data to be sorted by the Dispatch Complaint ● Allows data to describe Patient Complaint as reported by Dispatch 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 Section E03 Unit/ Call Information MATRIS Version 1.6 (based on 2006 NHTSA Uniform PreHospital Dataset V.2.2.1) Section E04 Unit/Personnel Information Section E04 Unit/Personnel Information MATRIS Version 1.6 (based on 2006 NHTSA Uniform PreHospital Dataset V.2.2.1) CREW MEMBER ID E04_01 Data [text] Definition The State Certification/Licensure ID number assigned to the crew member XSD Data Type xs:string XSD Domain (Simple Type) CrewMemberID Multiple Entry Configuration Yes, via structure Accepts Null Values Yes Required in XSD No Minimum Constraint 2 Maximum Constraint 15 XSD Structure: E04_01, E04_02, E04_03 are all members of the E04 Unit Personnel Information structure Field Values -25 Not Applicable -20 Not Recorded -15 Not Reporting Additional Information ● A multiple entry configuration to allow all crew members to be entered ● Linked to State/Licensure ID Number (D07_02) ● List box created from the State/ Licensure ID Number (D07_02) which could display the Personnel’s Names as associated with D08_01, D08_02, and D08_03 for easy data entry Uses ● A component of the EMS Medical Record: Patient Care Report ● Associates an EMS event with specific EMS personnel ● Useful for reporting EMS personnel statistics related to EMS events and evaluation of EMS personnel performance Data Collector ● EMS personnel Other Associated Elements E00 Common Null Values E01_01 Patient Care Report Number E04_02 Crew Member Role E04_03 Crew Member Level References in NHTSA Version 1 Essential Element 26 Crew Member One Number Essential Element 27 Crew Member Two Number Desirable Element 28 Crew Member Three Number Section E04 Unit/ Personnel Information MATRIS Version 1.6 (based on 2006 NHTSA Uniform PreHospital Dataset V.2.2.1) CREW MEMBER ROLE E04_02 Data [combo] single-choice Definition ● Driver is defined as the driver during the time of patient transport or during the response if there was not transport required. ● Primary Patient Care Giver is defined as the individual responsible for the patient care during the transport of the patient, or if no transport, the individual responsible for the assessment and treatment of the patient on scene. ● Secondary Patient Care Giver is defined as the individual assisting the Primary Patient Care Giver. ● Third Patient Care Giver is defined as the individual assisting in the Primary and Secondary Patient Care Givers.
XSD Structure: E04_01, E04_02, E04_03 are all members of the E04 Unit Personnel Information structure Field Values -25 Not Applicable -20 Not Recorded -15 Not Reporting 580 Driver/Pilot 585 Primary Patient Caregiver 590 Secondary Patient Caregiver 595 Third Patient Caregiver 600 Other Uses ● A component of the EMS Medical Record: Patient Care Report ● Associates an EMS event with specific EMS personnel ● Useful for reporting EMS personnel statistics related to EMS events and evaluation of EMS personnel performance Data Collector ● EMS personnel Other Associated Elements E00 Common Null Values E01_01 Patient Care Report Number E04_01 Crew Member ID E04_03 Crew Member Level Section E04 Unit/ Personnel Information MATRIS Version 1.6 (based on 2006 NHTSA Uniform PreHospital Dataset V.2.2.1) CREW MEMBER LEVEL E04_03 Data [combo] single-choice Definition The functioning level of the crew member during this EMS patient encounter. XSD Data Type xs:string/integer XSD Domain (Simple Type) CrewMemberLevel Multiple Entry Configuration Yes, via structure Accepts Null Values Yes Required in XSD No XSD Structure: E04_01, E04_02, E04_03 are all members of the E04 Unit Personnel Information structure Field Values -25 Not Applicable -20 Not Recorded -15 Not Reporting -10 Not Known -5 Not Available 635 Student 640 Other Healthcare Professional 645 Other Non-Healthcare Professional 6090 EMT-Basic 6100 EMT-Intermediate 6110 EMT-Paramedic 6111 Nurse 6112 Physician 6120 First Responder Additional Information ● Could be auto-filled using Crew Member ID (E04_01) and connecting to State/ Licensure ID Number (D07_02) to obtain Personnel’s Highest Level of Certification/ Licensure for Agency (D07_05) ● This list can be edited by each state to account for additional certification/ licensure levels as defined in (D04_01) and Personnel’s Highest Level of Certification/ Licensure for the Agency (D07_05) Uses ● A component of the EMS Medical Record: Patient Care Report ● Associates an EMS event with specific EMS personnel ● Useful for reporting EMS personnel statistics related to EMS events and evaluation of EMS personnel performance Data Collector ● EMS personnel Other Associated Elements E00 Common Null Values E01_01 Patient Care Report Number E04_01 Crew Member ID E04_02 Crew Member Role References in NHTSA Version 1 Essential Element 29 Crew Member One Type Essential Element 30 Crew Member Two Type Desirable Element 31 Crew Member Three Type References to Other Databases ● NFIRS 5.0 EMS Module, Title: Highest Level of Provider on Scene by Fire Department, Pick-List: First Responder = 1, EMT-B (Basic) = 2, EMT-I (Intermediate) = 3, EMT-P (Paramedic) = 4, Other Health Care Provider, Include Doctors, Nurses = O, No Care Provided = N ● NFIRS 5.0 EMS Module; Title: Initial Level of FD Provider; Pick-List: First Responder = 1, EMT-B (Basic) = 2, EMT-I (Intermediate) = 3, EMT-P (Paramedic) = 4, Other Health Care Provider, Includes Doctors, Nurses, etc. = O, No Training = N
Times Section E05 Times MATRIS Version 1.6 (based on 2006 NHTSA Uniform PreHospital Dataset V.2.2.1) INCIDENT OR ONSET DATE/TIME E05_01 Data Format [date/time] National Element Definition The date/time the injury occurred, or the date/time the symptoms or problem started XSD Data Type xs:dateTime XSD Domain (Simple Type) DateTime Multiple Entry Configuration No Accepts Null Yes, but null value is blank or empty Required in XSD No Minimum Constraint 1,990 Maximum Constraint 2,030 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
● Important to identify when the clinical event started to better analyze EMS resource utilization and outcomes ● Provides descriptive information on the use of the EMS agency
Desirable Element 06 Onset Date Desirable Element 07 Onset Time
● NFIRS 5.0 Basic Module 1; Title: Incident Date; Date Field defined as YYYYMMDD or blank Section E05 Times MATRIS Version 1.6 (based on 2006 NHTSA Uniform PreHospital Dataset V.2.2.1) PSAP CALL DATE/TIME E05_02 Data Format [date/time] National Element Definition The date/time the phone rings (911 call to public safety answering point or other designated entity) requesting EMS services. XSD Data Type xs:dateTime XSD Domain (Simple Type) DateTime Multiple Entry Configuration No Accepts Null Yes, but null value is blank or empty Required in XSD Yes Minimum Constraint 1,990 Maximum Constraint 2,030 Field Values ● Relevant Value for Data Element & Patient Care 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 Uses ● A component of the EMS Medical Record: Patient Care Report ● Allows data to be sorted based on Date and Time ● Allows data to describe EMS use by Date and Time, Day of the Week, etc Data Collector ● 911 or Dispatch Center and electronically or verbally transmitted to the EMS agency Other Associated Elements E01_01 Patient Care Report Number References in NHTSA Version 1 Essential Element 08 Date Incident Reported Essential Element 09 Time Incident Reported
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