Review “Decline” Revision Requests Review Part 1 of 1 April 2018
Organization of Revision Requests • Survey questions will correspond with ID numbers on the slides • Decline: • Yes….Request should be declined! “Will no longer consider these requests” • No….Request should be moved to DIFER! • Contact Me…. – I need to give you additional information! – I need more time to consider this!
Decline Revision Requests (n =16)
Decline: eArrest.03 (ID 3) • eArrest.03 ‐ Resuscitation Attempted By EMS – Change: Add value • Other
Decline: eAirway.04 (ID 15) • eAirway.04 ‐ Airway Device Placement Confirmed Method – Change: Add Value • X ‐ Ray – Comment: This type of confirmation is used for pediatrics.
Decline: eScene (ID 22) • eScene.09 ‐ Incident Location Type • Change: Drop the use of ICD ‐ 10 ‐ CM – Create a standard list that is a subset of the NFIRS location type using the NFIRS • Comment: Make it easier for fire based services to cross report this information. Right now, these lists have very limited matching.
Decline: StateDataSet (ID 23) • Additions to StateDataSet • Change: Add Elements – eResponse.05 ‐ Type of Service Requested – eResponse.07 ‐ Primary Role of the Unit – eDisposition.16 ‐ EMS Transport Method
Decline: eArrest.16 (ID 25) • eArrest.16 ‐ Reason CPR/Resuscitation Discontinued – Change: Add value • Transferred patient care to other health care provider, CPR not discontinued
Decline: Pattern Change (ID 30) • Modify Patter for DataType: PhoneNumber • Change: Allow the digit "1" in the 4th position of a 10 ‐ digit phone number. This allows a phone number like 801 ‐ 123 ‐ 6789. • Comment: We adhere to NPA ‐ NXX standard formatting, which does not allow for a “1”.
Decline: eInjury.01 (ID 49) • eInjury.01 ‐ Cause of Injury – Change: Pattern • Change pattern to exclude Y93 codes, used in Patient Activity (eSituation.17) • Current Pattern: ([TV ‐ Y][0 ‐ 9]{2})((\.[0 ‐ 9A ‐ Z]{1,7})?) • Proposed Pattern: ?? – Comment: Defined lists will address the concern.
Decline: eExam.09 (ID 50) • eExam.09 ‐ Heart Assessment – Change: Add values • S3 Gallop • Friction Rub • Heart sounds decreased, muffle – Comment: These values exist as specific values.
Decline: eMedications (ID 69) • eMedications.05 ‐ Medication Dosage – Change: Add Attribute • TKO / KVO – Comment: There is a KVO option in eMedications.06.
Decline: eSituation (ID 87) • eSituation.16 ‐ Patient's Occupation – Change: Add values • Police • Fire • EMS • 9 ‐ 1 ‐ 1 dispatch • Corrections • healthcare, etc. – Comment: These high ‐ risk professions are susceptible to suicide
Decline: eResponse (ID 92) • eResponse.07 ‐ Primary Role of the Unit – Change: Add values • Ground Transport, Primary Care Provider • Ground Transport, Assist Lead EMS Agency – Comment: Would extend the meaning of this element.
Decline: eDispatch.xx (ID 93) • Add NEW Element: Discontinued • eDispatch.xx ‐ Dispatch Narrative/Notes – Change: NEW Element Name: • Definition: Narrative or notes taken by the dispatcher or call taker. • Constraints – Data Type: String – minLength: 1 – maxLength: 10,000
Decline: eResponse (ID 170) • eResponse.11 ‐ Type of Transport Delay – Change: Add values • Violent (patient) • Violent (non ‐ patient) – Comment: For responder safety and to further validate research that shows those with mental illness are more likely to be the victim of an assault rather than the perpetrator.
Decline: dPersonnel (ID 179) Add NEW Elements to document Personnel information • – New Elements: • PersonnelPayRate (decimal) • WorkersCompensationClassCode (string) – This element varies by state. • EMSPersonnelIsActive (yes/no or bool) • EMSPersonnelsTerminationDate (date) • SocialSecurityNumber (string) • StateIssuingDriversLicense (US State) • DriversLicenseNumber (string) • DriversLicenseExpirationDate (date) • EMSPersonnelsHairColor (string) • EMSPersonnelsEyeColor (string) • BodyWeightinKilograms (decimal) • HeightInCentimeters (decimal) • EmergencyContactNumber (phone number)
Decline: eResponse (ID 196) • eResponse.07 ‐ Primary Role of the Unit – Change: Add Value • Other
Decline: eMedications.03 (ID 200) • eMedications.03 ‐ Medication Given – Change: Create new PN Value • No Medication Administered – Comment: The addition of these this choice would help to lessen the need for and use of the NOT values and help to give a better assessment of when a medication was not administered.
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