Massachusetts ambulance trip record information system (matris) Effective October 7, 2013 matris version 6
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Field Values -25 Not Applicable -15 Not Reporting -20 Not Recorded 2170 Child Restraint 2175 Eye Protection 2180 Helmet Worn 2185 Lap Belt 2187 None 2190 Other 2195 Personal Floatation Device 2200 Protective Clothing 2205 Protective Non-Clothing Gear 2210 Shoulder Belt Additional Information ● Complete only if Possible Injury (E09_04) is “Yes” Uses ● A component of the EMS Medical Record: Patient Care Report ● Important component of an EMS Medical Record to identify issues of clinical care and agency performance and delivery ● Used to better define injury cause and describe injury patterns within and EMS community Data Collector ● EMS personnel if Possible Injury (E09_04) is answered Yes and there is a vehicle involved Other Associated Elements E00 Common Null Values E01_01 Patient Care Report Number References in NHTSA Version 1 Essential Element 55 Safety Equipment References to Other Databases ● NFIRS 5.0 EMS Module; Title: Safety Equipment; Multiple Select Pick-List: Safety, Seat Belts =1, Child Safety Seat = 2, Airbag = 3, Helmet = 4, Protective Clothing = 5, Flotation Device = 6, None or No Safety Equipment = N, Other Safety Equipment Used = O, Undetermined Safety Equipment = U Section E10 Situation/ Trauma MATRIS Version 1.6 (based on 2006 NHTSA Uniform PreHospital Dataset V.2.2.1) AIRBAG DEPLOYMENT E10_09 Data Format [combo] multiple-choice Definition Indication of Airbag deployment during the motor vehicle crash. XSD Data Type xs:integer XSD Domain (Simple Type) AirbagDeployment Multiple Entry Configuration Yes Accepts Null Yes Required in XSD No Field Values -25 Not Applicable -15 Not Reporting -20 Not Recorded 2215 No Airbag Present 2220 No Airbag Deployed 2225 Airbag Deployed Front 2230 Airbag Deployed Side 2235 Airbag Deployed Other (knee, airbelt, etc.) Additional Information ● Complete only if Possible Injury (E09_04) is “Yes” Uses ● A component of the EMS Medical Record: Patient Care Report ● Important component of an EMS Medical Record to identify issues of clinical care and agency performance and delivery ● Used to better define injury cause and describe injury patterns within and EMS community Data Collector ● EMS personnel if Possible Injury (E09_04) is answered Yes and there is a vehicle involved Other Associated Elements E00 Common Null Values E01_01 Patient Care Report Number References in NHTSA Version 1 Essential Element 55 Safety Equipment References to Other Databases ● NFIRS 5.0 EMS Module; Title: Safety Equipment; Multiple Select Pick-List: Safety, Seat Belts =1, Child Safety Seat = 2, Airbag = 3, Helmet = 4, Protective Clothing = 5, Flotation Device = 6, None or No Safety Equipment = N, Other Safety Equipment Used = O, Undetermined Safety Equipment = U Section E10 Situation/ Trauma MATRIS Version 1.6 (based on 2006 NHTSA Uniform PreHospital Dataset V.2.2.1) Section E11 Situation/ CPR Section E11 Situation/ CPR MATRIS Version 1.6 (based on 2006 NHTSA Uniform PreHospital Dataset V.2.2.1) CARDIAC ARREST E11_01 Data Format [combo] single-choice National Element Definition Indication of the presence of a cardiac arrest at any time associated with the EMS evert. XSD Data Type xs:integer XSD Domain (Simple Type) CardiacArrest Multiple Entry Configuration No Accepts Null Yes Required in XSD Yes Field Values -25 Not Applicable -15 Not Reporting -20 Not Recorded 0 No 2240 Yes, Prior to EMS Arrival 2245 Yes, After EMS Arrival Additional Information ● If answered YES, all other data points in the Situation/CPR should be addressed Uses ● A component of the EMS Medical Record: Patient Care Report ● Allows data to be sorted based on the occurrence of a cardiac arrest ● Allows data to describe the number of cardiac arrests within the EMS patient population Data Collector ● EMS personnel Other Associated Elements E00 Common Null Values E01_01 Patient Care Report Number References to Other Databases ● NFIRS 5.0 EMS Module; Title: Cardiac Arrest; Pick-List: Pre-Arrival Arrest = 1, Post-Arrival Arrest = 2 ● UTSTEIN Title: Confirmed Cardiac Arrests Considered for Resuscitation
Indication of the etiology or cause of the cardiac arrest (classified as cardiac, non-cardiac, etc.) XSD Data Type xs:integer XSD Domain (Simple Type) CardiacArrestEtiology Multiple Entry Configuration No Accepts Null Yes Required in XSD Yes Field Values -25 Not Applicable -15 Not Reporting -20 Not Recorded 2250 Presumed Cardiac 2255 Trauma 2260 Drowning 2265 Respiratory 2270 Electrocution 2275 Other Additional Information ● Complete only if Cardiac Arrest (E11_01) is “Yes” Uses ● A component of the EMS Medical Record: Patient Care Report ● Allows data to be sorted based on the occurrence of a cardiac arrest ● Allows data to describe the number of cardiac arrests within the EMS patient population Data Collector ● EMS personnel if Cardiac Arrest (E11_01) is answered Yes Other Associated Elements E00 Common Null Values E01_01 Patient Care Report Number References to Other Databases ● UTSTEIN Title: Cardiac Etiology; Presumed Cardiac = C, Trauma = T, Drowning = D, Respiratory = R, Other = O, Unknown = U
Indication of an attempt to resuscitate the patient who is in cardiac arrest (attempted, not attempted due to DNR, etc.) XSD Data Type xs:integer XSD Domain (Simple Type) ResucitationAttempted Multiple Entry Configuration Yes Accepts Null Yes Required in XSD Yes Field Values -25 Not Applicable -15 Not Reporting -20 Not Recorded 2280 Attempted Defibrillation 2285 Attempted Ventilation 2290 Initiated Chest Compressions 2295 Not Attempted - Obvious Signs of Death 2300 Not Attempted-Comfort Care or MOLST 2305 Not Attempted-Signs of Circulation Additional Information ● Complete only if Cardiac Arrest (E11_01) is “Yes” Uses ● A component of the EMS Medical Record: Patient Care Report ● Allows data to be sorted based on the type of resuscitation initiated during a cardiac arrest ● Allows data to describe the number of cardiac arrests within the EMS patient population which resulted in resuscitative efforts
Data Collector ● EMS personnel if Cardiac Arrest (E11_01) is answered Yes Other Associated Elements E00 Common Null Values E01_01 Patient Care Report Number References to Other Databases ● UTSTEIN Title: Resuscitations Attempted; Attempted Defibrillation = D, Attempted Chest Compressions = C, Attempted Ventilation = V, Not Attempted-DNR Orders = R, Not Attempted-Considered Futile = F, Not Attempted-Signs of Circulation = A, Unknown = U, Not Record Section E11 Situation/ CPR MATRIS Version 1.6 (based on 2006 NHTSA Uniform PreHospital Dataset V.2.2.1) ARREST WITNESSED BY E11_04 Data [combo] single-choice Definition Indication of who the cardiac arrest was witnessed by XSD Data Type xs:integer XSD Domain (Simple Type) ArrestWitnessedBy Multiple Entry Configuration No Accepts Null Values Yes Required in XSD No Field Values -25 Not Applicable -15 Not Reporting -20 Not Recorded 2310 Witnessed by Healthcare Provider 2315 Witnessed by Lay Person 2320 Not Witnessed Additional Information ● Complete only if Cardiac Arrest (E11_01) is “Yes” Uses ● A component of the EMS Medical Record: Patient Care Report ● Allows data to be sorted based on the Witnessed or Un-Witnessed Arrest which is a known key element associated with Cardiac Arrest Outcome ● Allows data to describe aid which was provided prior to EMS arrival ● Used as a Quality Management tool to evaluate Bystander and First Responder involvement Data Collector ● EMS personnel if Cardiac Arrest (E11_01) is answered Yes Other Associated Elements E00 Common Null Values E01_01 Patient Care Report Number References in NHTSA Version 1 Desirable Element 62 Witness of Cardiac Arrest References to Other Databases ● NFIRS 5.0 EMS Module; Title: Pre-Arrival Details; Pick-List: Witnessed = 1, Bystander CPR = 2 ● UTSTEIN Title: Arrest Witnessed/Monitored; [combo] Lay Person = L, Healthcare Provider = H
Documentation of what the first monitored rhythm which was noted XSD Data Type xs:integer XSD Domain (Simple Type) FirstMonitoredRhythm Multiple Entry Configuration No Accepts Null Values Yes Required in XSD No Field Values -25 Not Applicable -15 Not Reporting -20 Not Recorded 2325 Asystole 2330 Bradycardia 2335 Normal Sinus Rhythm 2340 Other 2345 PEA 2350 Unknown AED Non-Shockable Rhythm 2355 Unknown AED Shockable Rhythm 2360 Ventricular Fibrillation 2365 Ventricular Tachycardia Additional Information ● Complete only if Cardiac Arrest (E11_01) is “Yes” Uses ● A component of the EMS Medical Record: Patient Care Report ● Allows data to be sorted based on the First Monitored Rhythm of a cardiac arrest ● Allows for evaluation of Cardiac Arrest data for Quality Improvement of patient care and agency response Data Collector ● EMS personnel if Cardiac Arrest (E11_01) is answered Yes Other Associated Elements E00 Common Null Values E01_01 Patient Care Report Number References to Other Databases ● NFIRS 5.0 EMS Module; Title: Initial Arrest Rhythm; Pick-List: V-Fib//V-Tach = 1, Other = O, Undetermined = U ● UTSTEIN Title: First Monitored Rhythm Shockable (in Cardiac Arrest) and First Monitored Rhythm Non- Shockable; [combo] Ventricular Fibrillation, Ventricular Tachycardia, Unknown AED Shockable Rhythm, Asystole, PEA, Bradycardia, Other, Unknown AED Non-Shockable Rh
Indication whether or not there was any return of spontaneous circulation at any time during the EMS evert. XSD Data Type xs:integer XSD Domain (Simple Type) ReturnOfSpontaneousCirculation Multiple Entry Configuration No Accepts Null Values Yes Required in XSD No Field Values -25 Not Applicable -15 Not Reporting -20 Not Recorded 2380 No 2370 Yes, Prior to ED Arrival Only 2375 Yes, Prior to ED Arrival and at the ED Additional Information ● Complete only if Cardiac Arrest (E11_01) is “Yes” Uses ● A component of the EMS Medical Record: Patient Care Report ● Allows data to be sorted based on the Return of Spontaneous Circulation associated with a cardiac arrest ● Allows for evaluation of Cardiac Arrest data for Quality Improvement of patient care and agency response Data Collector ● EMS personnel if Cardiac Arrest (E11_01) is answered Yes Other Associated Elements E00 Common Null Values E01_01 Patient Care Report Number References in NHTSA Version 1 Desirable Element 64 Return of Spontaneous Circulation References to Other Databases ● UTSTEIN Title: Any Return of Spontaneous Circulation (ROSC); [combo] Yes = Y, No = No, U = Unknown Section E11 Situation/ CPR MATRIS Version 1.6 (based on 2006 NHTSA Uniform PreHospital Dataset V.2.2.1) REASON CPR DISCONTINUED E11_10 Data [combo] single-choice Definition The reason that CPR or the resuscitation efforts were discontinued. XSD Data Type xs:integer XSD Domain (Simple Type) ReasonCPRDiscontinued Multiple Entry Configuration No Accepts Null Values Yes Required in XSD No Field Values -25 Not Applicable -15 Not Reporting -20 Not Recorded 2430 Comfort Care or MOLST 2435 Medical Control Order 2440 Obvious Signs of Death 2445 Protocol/Policy Requirements Completed 2450 Return of Spontaneous Circulation (pulse or BP noted) Additional Information ● Complete only if Cardiac Arrest (E11_01) is “Yes” Uses ● A component of the EMS Medical Record: Patient Care Report ● Allows for evaluation of Cardiac Arrest data for Quality Improvement of patient care and agency response Data Collector ● EMS personnel if Cardiac Arrest (E11_01) is answered Yes Other Associated Elements E00 Common Null Values E01_01 Patient Care Report Number Section E11 Situation/ CPR MATRIS Version 1.6 (based on 2006 NHTSA Uniform PreHospital Dataset V.2.2.1) CARDIAC RHYTHM ON ARRIVAL AT DESTINATION E11_11 Data [combo] multiple-choice Definition The patient's cardiac rhythm upon delivery or transfer to the destination XSD Data Type xs:integer XSD Domain (Simple Type) CardiacRythmAtDestination Multiple Entry Configuration Yes Accepts Null Values Yes Required in XSD No Field Values -25 Not Applicable -15 Not Reporting -20 Not Recorded 2455 12 Lead ECG-Anterior Ischemia 2460 12 Lead ECG-Inferior Ischemia 2465 12 Lead ECG-Lateral Ischemia 2470 Agonal/Idioventricular 2475 Artifact 2480 Asystole 2485 Atrial Fibrillation/Flutter 2490 AV Block-1st Degree 2495 AV Block-2nd Degree-Type 1 2500 AV Block-2nd Degree-Type 2 2505 AV Block-3rd Degree 2510 Junctional 2515 Left Bundle Branch Block 2520 Normal Sinus Rhythm 2525 Other 2530 Paced Rhythm 2535 PEA 2540 Premature Atrial Contractions 2545 Premature Ventricular Contractions 2550 Right Bundle Branch Block 2555 Sinus Arrhythmia 2560 Sinus Bradycardia 2565 Sinus Tachycardia 2570 Supraventricular Tachycardia 2575 Torsades De Points 2580 Unknown AED Non-Shockable Rhythm 2585 Unknown AED Shockable Rhythm 2590 Ventricular Fibrillation 2595 Ventricular Tachycardia Additional Information ● Complete only if Cardiac Arrest (E11_01) is “Yes” ● This data point could be completed by documentation of the final rhythm in the Vital Signs Section (E14) with the appropriate time Uses ● A component of the EMS Medical Record: Patient Care Report ● Allows for evaluation of Cardiac Arrest data for Quality Improvement of patient care and agency response Data Collector ● EMS personnel if Cardiac Arrest (E11_01) is answered Yes Other Associated Elements E00 Common Null Values E01_01 Patient Care Report Number References in NHTSA Version 1 Desirable Element 67 Rhythm at Destination Section E11 Situation/ CPR MATRIS Version 1.6 (based on 2006 NHTSA Uniform PreHospital Dataset V.2.2.1) Section E12 Medical History Section E12 Medical History MATRIS Version 1.6 (based on 2006 NHTSA Uniform PreHospital Dataset V.2.2.1) BARRIERS TO PATIENT CARE E12_01 Data Format [combo] multiple-choice National Element Definition Indication of whether or not there were any patient specific barriers to serving the patient at the scene XSD Data Type xs:integer XSD Domain (Simple Type) BarriersToPatientCare Multiple Entry Configuration Yes Accepts Null Yes Required in XSD Yes Field Values -25 Not Applicable -15 Not Reporting -20 Not Recorded 2600 Developmentally Impaired 2605 Hearing Impaired 2610 Language 2615 None 2620 Physically Impaired 2625 Physically Restrained 2630 Speech Impaired 2635 Unattended or Unsupervised (including minors) 2640 Unconscious Uses ● A component of the EMS Medical Record: Patient Care Report ● Allows data to be sorted based on any barriers to patient care ● Allows data to describe any barriers to care within the EMS agency which is important to many federal initiatives 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 References to Other Databases ● NFIRS 5.0 EMS Module; Title: Human Factors; Describes the human factors that contributed to the patient’s injury; Pick- List: Asleep = 1, Unconscious = 2, Possibly Impaired by Alcohol = 3, Possibly Impaired by Other Drug or Chemical = 4, Possibly Mentally Disabled = 5, Physically Disabled = 6, Physically Restrained = 7, Unattended or Unsupervised Person, Included are too young to act = 8, None or No Human Factors = N
The patient’s medication allergies XSD Data Type xs:string XSD Domain (Simple Type) MedicationAllergies Multiple Entry Configuration Yes Accepts Null Values Yes Required in XSD No Minimum Constraint 2 Maximum Constraint 30 Field Values -25 Not Applicable -20 Not Recorded -15 Not Reporting -10 Not Known -5 Not Available Additional Information ● A Drug List should be created to serve as a list box which can contain any generic or trade name of a drug approved by the FDA ● Alternatively, the drugs may be entered as a multiple entry text configuration Uses ● Part of an EMS Medical Record Data Collector ● EMS personnel or electronically through linkage with a pre-existing Patient Care Report or hospital database |