EMAR Update
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EMAR Update An Acronym Soup Organic, No Preservatives….
description
EMAR Update. An Acronym Soup Organic, No Preservatives…. Test your Data Acronym Knowledge. NHII: National Health Information Infrastructure DHHS: Department of Health and Human Services ONCHIT: Office of the Coordinator for Health Information Technology - PowerPoint PPT Presentation
Transcript of EMAR Update
EMAR Update
An Acronym SoupOrganic, No
Preservatives….
Test your Data Acronym Knowledge
• NHII: National Health Information Infrastructure• DHHS: Department of Health and Human Services• ONCHIT: Office of the Coordinator for Health
Information Technology• ANSI: American National Standards Institute• HITSP: Healthcare Information Technology
Standards Panel• EMAR: Emergency Medical Awareness and
Response • OASIS: Organization for the Advancement of
Structured Information Standards• HL7: Health Level 7
Main EMAR EMS Focus• Data Standards Harmonization
– NEMSIS– DEEDS
• Messaging Collaboration– HL7– OASIS
The Hospital Enterprise
ClinicalSystem
Lab
RegisterSystem
EMS ServiceOperational System
(S)
911 CenterEmergency Com
SystemCAD
Firewall
ClinicalSystem
POE
Hospital EmployeePortal
I EngineCore
Services
BillingAR
EMR
HL7 MessagesHL7 Messages
HL7 Messages
HL7 Messages
RHIOor HIE
Current - NEMSIS XSD Future NEMSIS Transformed/Harmonizedw/OASIS EDXL or HL7 (CAP and RM)
Multiple HL7/EDXL MessagesInbound and Out
Firewall
Server
DMZ
TelematicsAlerts
Home and RemoteHealth
MonitoringDevices
PHR/ EHR/PPHIE/RHIO
Rules EngineRouting
AutomobileInterface
PCAD
User InterfaceAuth./Author.
HL7 Messages
Other SystemsNDMS/Public
Health, Payersetc...
Current - NEMSIS XSD Future NEMSIS/DEEDS Transformed/Harmonizedw/OASIS EDXL or HL7 (RM)
911 CenterEmergency Com
SystemCAD
Various Message Types
GAP
GAP
GAP
ECONRegistry
GAP
GAP
GAP
GAP
LAWEnforcement
GAP
GAP
GAP
CAD-Computer AidedDispatchAD-Active DirectoryAR-Accounts ReceivablePOE-PNDMS-National DisasterMedical System
EDISDEEDS
NEMSISTrauma
Firewall
GAP
Context Diagram-Conceptual Information Flow
Wrapper
Transport
Message
The FutureEMAR Projects(June 2008 through December 2008)• Messaging Collaboration
– HL7– OASIS
(September 2008 through December 2009)
• Data Standards Harmonization– NEMSIS– DEEDS
NEMSIS Version 3
Progress and Timeline
Components• Data Elements
– Existing 2.2.1– Suggestions for Additions– Recommendations to Discontinue
• XML Data Transmission– Not based on NEMSIS XML– Transition to HL7
• Version 2.5 (current)• Version 3.0 (the future…..)
Possible Additional Content• NASEMSO State Data Managers
– Data Element Variable Definitions
• Data Exchange– Dispatch Centers– Crash Notification– Billing– Medical Devices– Others (patient tracking, triage, GIS)
NEMSIS Data Dictionary v3 Wiki
General Comments Thus Far• XML cleanup• NHTSA Injury and
Assessment should be combined
• Prior Aid not Needed• Impression/Complaint still
needs work• Add Complete Dataset on
Airway Management• Add Universal ID of some
type• More International
Locations
• State Custom Data Elements
• Expand to include Training Information
• Tracking of Supplies• Include Performance
Measures• Injury Data Poor• 12 Lead ECG Interpretation
for STEMI• Decrease Null Values• Add more data elements to
National Level
Specific Data Needs• STEMI System of Care Data Elements• Stroke System of Care Data Elements• Cardiac Arrest Data Elements• Airway Data Elements• Mechanism of Injury and Cause of
Injury Documentation• Documentation of Medications• New Procedures and/or Devices
Anticipated Issues• Hospital vs. EMS Terminology
– Impression vs. Diagnosis– Assessment vs. Exam
• Limited (Pertinent) vs. Open Ended– ICD-9– E-Codes
• XML vs. HL7 Data Standards
NEMSIS Version 3 Timeline
