No. 36979 (Repeal and Reenact): Rule R426-7. Emergency Medical Services Prehospital Data System Rules  

  • (Repeal and Reenact)

    DAR File No.: 36979
    Filed: 10/23/2012 11:42:52 AM

    RULE ANALYSIS

    Purpose of the rule or reason for the change:

    The purpose of this filing is to fulfill the Governor's mandate for rule review and simplification.

    Summary of the rule or change:

    The rule change eliminates redundancy, provides sequential numbering, and reflects best practice updates for all aspects of the Emergency Medical Services Act (Title 26, Chapter 8a).

    State statutory or constitutional authorization for this rule:

    • Title 26, Chapter 8a

    Anticipated cost or savings to:

    the state budget:

    No anticipated fiscal impact for the state budget because there are no changes in the rule requirements that are imposed by these amendments.

    local governments:

    No anticipated fiscal impact for local governments because there are no changes in the rule requirements that are imposed by these amendments.

    small businesses:

    No anticipated fiscal impact for small businesses because there are no changes in the rule requirements that are imposed by these amendments.

    persons other than small businesses, businesses, or local governmental entities:

    No anticipated fiscal impact for businesses because there are no changes in the rule requirements that are imposed by these amendments.

    Compliance costs for affected persons:

    No anticipated fiscal impact because there are no changes in the rule requirements that are imposed by these amendments.

    Comments by the department head on the fiscal impact the rule may have on businesses:

    In response to the Governor's Executive Order to examine all administrative rules and reduce regulatory impact that may be inhibiting economic growth, the rules governing Emergency Medical Services providers are being repealed, simplified and reenacted. Fiscal impact is expected to be positive for business as the requirements are streamlined and updated.

    David Patton, PhD, Executive Director

    The full text of this rule may be inspected, during regular business hours, at the Division of Administrative Rules, or at:

    Health
    Family Health and Preparedness, Emergency Medical Services
    3760 S HIGHLAND DR
    SALT LAKE CITY, UT 84106

    Direct questions regarding this rule to:

    Interested persons may present their views on this rule by submitting written comments to the address above no later than 5:00 p.m. on:

    12/17/2012

    This rule may become effective on:

    12/24/2012

    Authorized by:

    David Patton, Executive Director

    RULE TEXT

    R426. Health, Family Health and Preparedness, Emergency Medical Services.

    [R426-7. Emergency Medical Services Prehospital Data System Rules.

    R426-7-1. Authority and Purpose.

    (1) This rule is established under Title 26 chapter 8a.

    (2) The purpose of this rule is to establish minimum mandatory EMS data reporting requirements.

     

    R426-7-2. Definitions.

    As used in this rule:

    (1) "Emergency Medical Services Provider" means:

    (a) a licensed ground or air ambulance provider; or

    (b) a designated first responder.

    (2) "EMS Incident" means an instance in which an Emergency Medical Services Provider is requested to provide emergency medical services, including a mutual aid request, and which results in:

    (a) a 911 response;

    (b) an inter-facility transport;

    (c) patient refusal of care;

    (d) no care needed;

    (e) a cancelled response; or

    (f) an instance where no patient is found.

    (3) "Patient Care Report" means a record of the response by each responding Emergency Medical Services Provider unit to each patient during an EMS Incident.

     

    R426-7-3. Prehospital Data Set.

    (1) Emergency medical service providers shall collect data as identified by the Department in this rule.

    (2) Emergency Medical Services Providers shall submit the data to the Department electronically in the National Emergency Medical Services Information System (NEMSIS) format. For Emergency Medical Services Providers directly using a reporting system provided by the Department, the data is considered submitted to the Department as soon as it has been entered or updated in the Department-provided system.

    (3) Emergency Medical Services Providers shall submit NEMSIS Demographic data elements within 30 days after the end of each calendar quarter in the format defined in the NEMSIS EMSDemographicDataSet. Some data may change less frequently than quarterly, but Emergency Medical Services Providers shall submit all required data elements quarterly regardless of whether the data have changed.

    (4) Emergency Medical Services Providers shall submit NEMSIS EMS incident data elements for each Patient Care Report within 30 days of the end of the month in which the EMS incident occurred, in the format defined in the NEMSIS EMSDataSet.

    (5) If the Department determines that there are errors in the data, it may ask the data supplier for corrections. The data supplier shall correct the data and resubmit it to the Department within 30 days of receipt from the Department. If data is returned to the supplier for corrections, the Emergency Medical Services Provider is not in compliance with this rule until corrected data is returned, accepted and approved by the Department.

    (6) The minimum required demographic data elements that must be reported under this rule include the following NEMSIS EMSDemographicDataSet elements:

    D01_01 EMS Agency Number

    D01_02 EMS Agency Name

    D01_03 EMS Agency State

    D01_04 EMS Agency County

    D01_05 Primary Type of Service

    D01_06 Other Types of Service

    D01_07 Level of Service

    D01_08 Organizational Type

    D01_09 Organization Status

    D01_10 Statistical Year

    D01_11 Other Agencies In Area

    D01_12 Total Service Size Area

    D01_13 Total Service Area Population

    D01_14 911 Call Volume per Year

    D01_15 EMS Dispatch Volume per Year

    D01_16 EMS Transport Volume per Year

    D01_17 EMS Patient Contact Volume per Year

    D01_18 EMS Billable Calls per Year

    D01_19 EMS Agency Time Zone

    D01_20 EMS Agency Daylight Savings Time Use

    D01_21 National Provider Identifier

    D02_01 Agency Contact Last Name

    D02_02 Agency Contact Middle Name/Initial

    D02_03 Agency Contact First Name

    D02_04 Agency Contact Address

    D02_05 Agency Contact City

    D02_06 Agency Contact State

    D02_07 Agency Contact Zip Code

    D02_08 Agency Contact Telephone Number

    D02_09 Agency Contact Fax Number

    D02_10 Agency Contact Email Address

    D02_11 Agency Contact Web Address

    D03_01 Agency Medical Director Last Name

    D03_02 Agency Medical Director Middle Name/Initial

    D03_03 Agency Medical Director First Name

    D03_04 Agency Medical Director Address

    D03_05 Agency Medical Director City

    D03_06 Agency Medical Director State

    D03_07 Agency Medical Director Zip Code

    D03_08 Agency Medical Director Telephone Number

    D03_09 Agency Medical Director Fax Number

    D03_10 Agency Medical Director's Medical Specialty

    D03_11 Agency Medical Director Email Address

    D04_01 State Certification Licensure Levels

    D04_02 EMS Unit Call Sign

    D04_04 Procedures

    D04_05 Personnel Level Permitted to Use the Procedure

    D04_06 Medications Given

    D04_07 Personnel Level Permitted to Use the Medication

    D04_08 Protocol

    D04_09 Personnel Level Permitted to Use the Protocol

    D04_10 Billing Status

    D04_11 Hospitals Served

    D04_13 Other Destinations

    D04_15 Destination Type

    D04_17 EMD Vendor

    D05_01 Station Name

    D05_02 Station Number

    D05_03 Station Zone

    D05_04 Station GPS

    D05_05 Station Address

    D05_06 Station City

    D05_07 Station State

    D05_08 Station Zip

    D05_09 Station Telephone Number

    D06_01 Unit/Vehicle Number

    D06_03 Vehicle Type

    D06_07 Vehicle Model Year

    D07_02 State/Licensure ID Number

    D07_03 Personnel's Employment Status

    D08_01 EMS Personnel's Last Name

    D08_03 EMS Personnel's First Name

    (7) The minimum required Patient Care Report data elements that must be reported under this rule include the following NEMSIS EMSDataSet elements:

    E01_01 Patient Care Report Number

    E01_02 Software Creator

    E01_03 Software Name

    E01_04 Software Version

    E02_01 EMS Agency Number

    E02_02 Incident Number

    E02_04 Type of Service Requested

    E02_05 Primary Role of the Unit

    E02_06 Type of Dispatch Delay

    E02_07 Type of Response Delay

    E02_08 Type of Scene Delay

    E02_09 Type of Transport Delay

    E02_10 Type of Turn-Around Delay

    E02_12 EMS Unit Call Sign (Radio Number)

    E02_20 Response Mode to Scene

    E03_01 Complaint Reported by Dispatch

    E03_02 EMD Performed

    E04_01 Crew Member ID

    E05_01 Incident or Onset Date/Time

    E05_02 PSAP Call Date/Time

    E05_03 Dispatch Notified Date/Time

    E05_04 Unit Notified by Dispatch Date/Time

    E05_05 Unit En Route Date/Time

    E05_06 Unit Arrived on Scene Date/Time

    E05_07 Arrived at Patient Date/Time

    E05_08 Transfer of Patient Care Date/Time

    E05_09 Unit Left Scene Date/Time

    E05_10 Patient Arrived at Destination Date/Time

    E05_11 Unit Back in Service Date/Time

    E05_12 Unit Cancelled Date/Time

    E05_13 Unit Back at Home Location Date/Time

    E06_01 Last Name

    E06_02 First Name

    E06_03 Middle Initial/Name

    E06_04 Patient's Home Address

    E06_05 Patient's Home City

    E06_06 Patient's Home County

    E06_07 Patient's Home State

    E06_08 Patient's Home Zip Code

    E06_09 Patient's Home Country

    E06_10 Social Security Number

    E06_11 Gender

    E06_12 Race

    E06_13 Ethnicity

    E06_14 Age

    E06_15 Age Units

    E06_16 Date of Birth

    E06_17 Primary or Home Telephone Number

    E07_01 Primary Method of Payment

    E07_15 Work-Related

    E07_16 Patient's Occupational Industry

    E07_17 Patient's Occupation

    E07_34 CMS Service Level

    E07_35 Condition Code Number

    E08_05 Number of Patients at Scene

    E08_06 Mass Casualty Incident

    E08_07 Incident Location Type

    E08_11 Incident Address

    E08_12 Incident City

    E08_13 Incident County

    E08_14 Incident State

    E08_15 Incident ZIP Code

    E09_01 Prior Aid

    E09_02 Prior Aid Performed by

    E09_03 Outcome of the Prior Aid

    E09_04 Possible Injury

    E09_05 Chief Complaint

    E09_06 Duration of Chief Complaint

    E09_07 Time Units of Duration of Chief Complaint

    E09_11 Chief Complaint Anatomic Location

    E09_12 Chief Complaint Organ System

    E09_13 Primary Symptom

    E09_14 Other Associated Symptoms

    E09_15 Providers Primary Impression

    E09_16 Provider's Secondary Impression

    E10_01 Cause of Injury

    E10_02 Intent of the Injury

    E10_03 Mechanism of Injury

    E10_04 Vehicular Injury Indicators

    E10_05 Area of the Vehicle impacted by the collision

    E10_06 Seat Row Location of Patient in Vehicle

    E10_07 Position of Patient in the Seat of the Vehicle

    E10_08 Use of Occupant Safety Equipment

    E10_09 Airbag Deployment

    E10_10 Height of Fall

    E11_01 Cardiac Arrest

    E11_02 Cardiac Arrest Etiology

    E11_03 Resuscitation Attempted

    E11_04 Arrest Witnessed by

    E11_05 First Monitored Rhythm of the Patient

    E11_06 Any Return of Spontaneous Circulation

    E11_08 Estimated Time of Arrest Prior to EMS Arrival

    E11_10 Reason CPR Discontinued

    E12_01 Barriers to Patient Care

    E12_08 Medication Allergies

    E12_14 Current Medications

    E12_18 Presence of Emergency Information Form

    E12_19 Alcohol/Drug Use Indicators

    E12_20 Pregnancy

    E13_01 Run Report Narrative

    E14_01 Date/Time Vital Signs Taken

    E14_02 Obtained Prior to this Units EMS Care

    E14_03 Cardiac Rhythm

    E14_04 SBP (Systolic Blood Pressure)

    E14_05 DBP (Diastolic Blood Pressure)

    E14_07 Pulse Rate

    E14_09 Pulse Oximetry

    E14_10 Pulse Rhythm

    E14_11 Respiratory Rate

    E14_14 Blood Glucose Level

    E14_15 Glasgow Coma Score-Eye

    E14_16 Glasgow Coma Score-Verbal

    E14_17 Glasgow Coma Score-Motor

    E14_18 Glasgow Coma Score-Qualifier

    E14_19 Total Glasgow Coma Score

    E14_20 Temperature

    E14_22 Level of Responsiveness

    E14_24 Stroke Scale

    E14_26 APGAR

    E14_27 Revised Trauma Score

    E14_28 Pediatric Trauma Score

    E15_01 NHTSA Injury Matrix External/Skin

    E15_02 NHTSA Injury Matrix Head

    E15_03 NHTSA Injury Matrix Face

    E15_04 NHTSA Injury Matrix Neck

    E15_05 NHTSA Injury Matrix Thorax

    E15_06 NHTSA Injury Matrix Abdomen

    E15_07 NHTSA Injury Matrix Spine

    E15_08 NHTSA Injury Matrix Upper Extremities

    E15_09 NHTSA Injury Matrix Pelvis

    E15_10 NHTSA Injury Matrix Lower Extremities

    E15_11 NHTSA Injury Matrix Unspecified

    E16_01 Estimated Body Weight

    E16_02 Broselow/Luten Color

    E16_03 Date/Time of Assessment

    E16_04 Skin Assessment

    E16_05 Head/Face Assessment

    E16_06 Neck Assessment

    E16_07 Chest/Lungs Assessment

    E16_08 Heart Assessment

    E16_09 Abdomen Left Upper Assessment

    E16_10 Abdomen Left Lower Assessment

    E16_11 Abdomen Right Upper Assessment

    E16_12 Abdomen Right Lower Assessment

    E16_13 GU Assessment

    E16_14 Back Cervical Assessment

    E16_15 Back Thoracic Assessment

    E16_16 Back Lumbar/Sacral Assessment

    E16_17 Extremities-Right Upper Assessment

    E16_18 Extremities-Right Lower Assessment

    E16_19 Extremities-Left Upper Assessment

    E16_20 Extremities-Left Lower Assessment

    E16_21 Eyes-Left Assessment

    E16_22 Eyes-Right Assessment

    E16_23 Mental Status Assessment

    E16_24 Neurological Assessment

    E18_01 Date/Time Medication Administered

    E18_02 Medication Administered Prior to this Units EMS Care

    E18_03 Medication Given

    E18_04 Medication Administered Route

    E18_05 Medication Dosage

    E18_06 Medication Dosage Units

    E18_07 Response to Medication

    E18_08 Medication Complication

    E18_09 Medication Crew Member ID

    E18_10 Medication Authorization

    E19_01 Date/Time Procedure Performed Successfully

    E19_03 Procedure

    E19_04 Size of Procedure Equipment

    E19_05 Number of Procedure Attempts

    E19_06 Procedure Successful

    E19_07 Procedure Complication

    E19_08 Response to Procedure

    E19_09 Procedure Crew Members ID

    E19_10 Procedure Authorization

    E19_12 Successful IV Site

    E19_13 Tube Confirmation

    E19_14 Destination Confirmation of Tube Placement

    E20_01 Destination/Transferred To, Name

    E20_03 Destination Street Address

    E20_04 Destination City

    E20_05 Destination State

    E20_06 Destination County

    E20_07 Destination Zip Code

    E20_10 Incident/Patient Disposition

    E20_14 Transport Mode from Scene

    E20_15 Condition of Patient at Destination

    E20_16 Reason for Choosing Destination

    E20_17 Type of Destination

    E22_01 Emergency Department Disposition

    E22_02 Hospital Disposition

    E23_03 Personal Protective Equipment Used

    E23_09 Research Survey Field

    E23_10 Who Generated this Report?

    E23_11 Research Survey Field Title

    (8) Emergency Medical Services Providers shall use elements E23_09 and E23_11 to report biosurveillance indicators. When any of the following indicators are present in an incident, the Emergency Medical Services Provider shall provide an instance of E23_09 and E23_11, with E23_09 set to "true" and E23_11 set to one of the following:

    B01_01 Abdominal Pain

    B01_02 Altered Level of Consciousness

    B01_03 Apparent Death

    B01_04 Bloody Diarrhea

    B01_05 Fever

    B01_06 Headache

    B01_07 Inhalation

    B01_08 Rash/Blistering

    B01_09 Nausea/Vomiting

    B01_10 Paralysis

    B01_11 Respiratory Arrest

    B01_12 Respiratory Distress

    B01_13 Seizures

    (9) Emergency Medical Services Providers are not required to submit other NEMSIS data elements but may optionally do so. Emergency Medical Services Providers may also use additional instances of E23_09 and E23_11 for their own purposes.

    (10) For each patient transported to a licensed acute care facility or a specialty hospital with an emergency department, each responding emergency medical services provider unit that cared for the patient during the incident shall provide a report of patient status, containing information critical to the ongoing care of the patient, to the receiving facility within one hour after the patient arrives at the receiving facility in at least one of the following formats:

    (a) NEMSIS XML; or

    (b) Paper form.

    (11) For each patient transported to a licensed acute care facility or a specialty hospital with an emergency department, the receiving facility shall provide at least the following information to each Emergency Medical Services Provider that cared for the patient, upon request by the Emergency Medical Services Provider:

    (a) the patient's emergency department disposition; and

    (b) the patient's hospital disposition.

     

    R426-7-4. ED Data Set.

    (1) All hospitals licensed in Utah shall provide patient data as identified by the Department.

    (2) This data shall be submitted at least quarterly to the Department. Corporate submittal is preferred.

    (3) The data must be submitted in an electronic format determined and approved by the Department.

    (4) If the Department determines that there are errors in the data, it may return the data to the data supplier for corrections. The data supplier shall correct the data and resubmit it to the Department within 30 days of receipt from the Department. If data is returned to the hospital for corrections, the hospital is not in compliance with this rule until corrected data is returned, accepted and approved by the Department.

    (5) The minimum required data elements include:

    Unique Patient Control Number

    Record Type

    Provider Identifier (hospital)

    Patient Social Security Number

    Patient Control Number

    Type of Bill

    Patient Name

    Patient's Address (postal zip code)

    Patient Date of Birth

    Patient's Gender

    Admission Date

    Admission Hour

    Discharge Hour

    Discharge Status

    Disposition from Hospital

    Patient's Medical Record Number

    Revenue Code 1 ("001" sum of all charges)

    Total Charges by Revenue Code 1 ("001" last total Charge Field, is sum)

    Revenue Code 2 ("450" used for record selection)

    Total Charges by Revenue Code 2 (Charges associated with code 450)

    Primary Payer Identification

    Estimated Amount Due

    Secondary Payer Identification

    Estimated Amount Due

    Tertiary Payer Identification

    Estimated Amount Due

    Patient Estimated Amount Due

    Principal Diagnosis Code

    Secondary Diagnosis Code 1

    Secondary Diagnosis Code 2

    Secondary Diagnosis Code 3

    Secondary Diagnosis Code 4

    Secondary Diagnosis Code 5

    Secondary Diagnosis Code 6

    Secondary Diagnosis Code 7

    Secondary Diagnosis Code 8

    External Cause of Injury Code (E-Code)

    Procedure Coding Method Used

    Principal Procedure

    Secondary Procedure 1

    Secondary Procedure 2

    Secondary Procedure 3

    Secondary Procedure 4, and

    Secondary Procedure 5

     

    R426-7-5. Penalty for Violation of Rule.

    As required by Section 63G-3-201(5): Any person or agency who violates any provision of this rule, per incident, may be assessed a penalty as provided in Section 26-23-6.]

    R426-7. Emergency Medical Services Prehospital Data System Rules.

    R426-7-1. Authority and Purpose.

    (1) This rule is established under Title 26 Chapter 8a.

    (2) The purpose of this rule is to establish minimum mandatory EMS data reporting requirements.

     

    R426-7-2. Prehospital Data Set.

    (1) Emergency medical service providers shall collect data as identified by the Department in this rule.

    (2) Emergency Medical Services Providers shall submit the data to the Department electronically in the National Emergency Medical Services Information System (NEMSIS) format. For Emergency Medical Services Providers directly using a reporting system provided by the Department, the data is considered submitted to the Department as soon as it has been entered or updated in the Department-provided system.

    (3) Emergency Medical Services Providers shall submit NEMSIS Demographic data elements within 30 days after the end of each calendar quarter in the format defined in the NEMSIS EMSDemographicDataSet. Some data may change less frequently than quarterly, but Emergency Medical Services Providers shall submit all required data elements quarterly regardless of whether the data have changed.

    (4) Emergency Medical Services Providers shall submit NEMSIS EMS incident data elements for each Patient Care Report within 30 days of the end of the month in which the EMS incident occurred, in the format defined in the NEMSIS EMSDataSet.

    (5) If the Department determines that there are errors in the data, it may ask the data supplier for corrections. The data supplier shall correct the data and resubmit it to the Department within 30 days of receipt from the Department. If data is returned to the supplier for corrections, the Emergency Medical Services Provider is not in compliance with this rule until corrected data is returned, accepted and approved by the Department.

    (6) The minimum required demographic data elements that must be reported under this rule include the following NEMSIS EMSDemographicDataSet elements:

    D01_01 EMS Agency Number

    D01_02 EMS Agency Name

    D01_03 EMS Agency State

    D01_04 EMS Agency County

    D01_05 Primary Type of Service

    D01_06 Other Types of Service

    D01_07 Level of Service

    D01_08 Organizational Type

    D01_09 Organization Status

    D01_10 Statistical Year

    D01_11 Other Agencies In Area

    D01_12 Total Service Size Area

    D01_13 Total Service Area Population

    D01_14 911 Call Volume per Year

    D01_15 EMS Dispatch Volume per Year

    D01_16 EMS Transport Volume per Year

    D01_17 EMS Patient Contact Volume per Year

    D01_18 EMS Billable Calls per Year

    D01_19 EMS Agency Time Zone

    D01_20 EMS Agency Daylight Savings Time Use

    D01_21 National Provider Identifier

    D02_01 Agency Contact Last Name

    D02_02 Agency Contact Middle Name/Initial

    D02_03 Agency Contact First Name

    D02_04 Agency Contact Address

    D02_05 Agency Contact City

    D02_06 Agency Contact State

    D02_07 Agency Contact Zip Code

    D02_08 Agency Contact Telephone Number

    D02_09 Agency Contact Fax Number

    D02_10 Agency Contact Email Address

    D02_11 Agency Contact Web Address

    D03_01 Agency Medical Director Last Name

    D03_02 Agency Medical Director Middle Name/Initial

    D03_03 Agency Medical Director First Name

    D03_04 Agency Medical Director Address

    D03_05 Agency Medical Director City

    D03_06 Agency Medical Director State

    D03_07 Agency Medical Director Zip Code

    D03_08 Agency Medical Director Telephone Number

    D03_09 Agency Medical Director Fax Number

    D03_10 Agency Medical Director's Medical Specialty

    D03_11 Agency Medical Director Email Address

    D04_01 State Certification Licensure Levels

    D04_02 EMS Unit Call Sign

    D04_04 Procedures

    D04_05 Personnel Level Permitted to Use the Procedure

    D04_06 Medications Given

    D04_07 Personnel Level Permitted to Use the Medication

    D04_08 Protocol

    D04_09 Personnel Level Permitted to Use the Protocol

    D04_10 Billing Status

    D04_11 Hospitals Served

    D04_13 Other Destinations

    D04_15 Destination Type

    D04_17 EMD Vendor

    D05_01 Station Name

    D05_02 Station Number

    D05_03 Station Zone

    D05_04 Station GPS

    D05_05 Station Address

    D05_06 Station City

    D05_07 Station State

    D05_08 Station Zip

    D05_09 Station Telephone Number

    D06_01 Unit/Vehicle Number

    D06_03 Vehicle Type

    D06_07 Vehicle Model Year

    D07_02 State/Licensure ID Number

    D07_03 Personnel's Employment Status

    D08_01 EMS Personnel's Last Name

    D08_03 EMS Personnel's First Name

    (7) The minimum required Patient Care Report data elements that must be reported under this rule include the following NEMSIS EMSDataSet elements:

    E01_01 Patient Care Report Number

    E01_02 Software Creator

    E01_03 Software Name

    E01_04 Software Version

    E02_01 EMS Agency Number

    E02_02 Incident Number

    E02_04 Type of Service Requested

    E02_05 Primary Role of the Unit

    E02_06 Type of Dispatch Delay

    E02_07 Type of Response Delay

    E02_08 Type of Scene Delay

    E02_09 Type of Transport Delay

    E02_10 Type of Turn-Around Delay

    E02_12 EMS Unit Call Sign (Radio Number)

    E02_20 Response Mode to Scene

    E03_01 Complaint Reported by Dispatch

    E03_02 EMD Performed

    E04_01 Crew Member ID

    E05_01 Incident or Onset Date/Time

    E05_02 PSAP Call Date/Time

    E05_03 Dispatch Notified Date/Time

    E05_04 Unit Notified by Dispatch Date/Time

    E05_05 Unit En Route Date/Time

    E05_06 Unit Arrived on Scene Date/Time

    E05_07 Arrived at Patient Date/Time

    E05_08 Transfer of Patient Care Date/Time

    E05_09 Unit Left Scene Date/Time

    E05_10 Patient Arrived at Destination Date/Time

    E05_11 Unit Back in Service Date/Time

    E05_12 Unit Cancelled Date/Time

    E05_13 Unit Back at Home Location Date/Time

    E06_01 Last Name

    E06_02 First Name

    E06_03 Middle Initial/Name

    E06_04 Patient's Home Address

    E06_05 Patient's Home City

    E06_06 Patient's Home County

    E06_07 Patient's Home State

    E06_08 Patient's Home Zip Code

    E06_09 Patient's Home Country

    E06_10 Social Security Number

    E06_11 Gender

    E06_12 Race

    E06_13 Ethnicity

    E06_14 Age

    E06_15 Age Units

    E06_16 Date of Birth

    E06_17 Primary or Home Telephone Number

    E07_01 Primary Method of Payment

    E07_15 Work-Related

    E07_16 Patient's Occupational Industry

    E07_17 Patient's Occupation

    E07_34 CMS Service Level

    E07_35 Condition Code Number

    E08_05 Number of Patients at Scene

    E08_06 Mass Casualty Incident

    E08_07 Incident Location Type

    E08_11 Incident Address

    E08_12 Incident City

    E08_13 Incident County

    E08_14 Incident State

    E08_15 Incident ZIP Code

    E09_01 Prior Aid

    E09_02 Prior Aid Performed by

    E09_03 Outcome of the Prior Aid

    E09_04 Possible Injury

    E09_05 Chief Complaint

    E09_06 Duration of Chief Complaint

    E09_07 Time Units of Duration of Chief Complaint

    E09_11 Chief Complaint Anatomic Location

    E09_12 Chief Complaint Organ System

    E09_13 Primary Symptom

    E09_14 Other Associated Symptoms

    E09_15 Providers Primary Impression

    E09_16 Provider's Secondary Impression

    E10_01 Cause of Injury

    E10_02 Intent of the Injury

    E10_03 Mechanism of Injury

    E10_04 Vehicular Injury Indicators

    E10_05 Area of the Vehicle impacted by the collision

    E10_06 Seat Row Location of Patient in Vehicle

    E10_07 Position of Patient in the Seat of the Vehicle

    E10_08 Use of Occupant Safety Equipment

    E10_09 Airbag Deployment

    E10_10 Height of Fall

    E11_01 Cardiac Arrest

    E11_02 Cardiac Arrest Etiology

    E11_03 Resuscitation Attempted

    E11_04 Arrest Witnessed by

    E11_05 First Monitored Rhythm of the Patient

    E11_06 Any Return of Spontaneous Circulation

    E11_08 Estimated Time of Arrest Prior to EMS Arrival

    E11_10 Reason CPR Discontinued

    E12_01 Barriers to Patient Care

    E12_08 Medication Allergies

    E12_14 Current Medications

    E12_18 Presence of Emergency Information Form

    E12_19 Alcohol/Drug Use Indicators

    E12_20 Pregnancy

    E13_01 Run Report Narrative

    E14_01 Date/Time Vital Signs Taken

    E14_02 Obtained Prior to this Units EMS Care

    E14_03 Cardiac Rhythm

    E14_04 SBP (Systolic Blood Pressure)

    E14_05 DBP (Diastolic Blood Pressure)

    E14_07 Pulse Rate

    E14_09 Pulse Oximetry

    E14_10 Pulse Rhythm

    E14_11 Respiratory Rate

    E14_14 Blood Glucose Level

    E14_15 Glasgow Coma Score-Eye

    E14_16 Glasgow Coma Score-Verbal

    E14_17 Glasgow Coma Score-Motor

    E14_18 Glasgow Coma Score-Qualifier

    E14_19 Total Glasgow Coma Score

    E14_20 Temperature

    E14_22 Level of Responsiveness

    E14_24 Stroke Scale

    E14_26 APGAR

    E14_27 Revised Trauma Score

    E14_28 Pediatric Trauma Score

    E15_01 NHTSA Injury Matrix External/Skin

    E15_02 NHTSA Injury Matrix Head

    E15_03 NHTSA Injury Matrix Face

    E15_04 NHTSA Injury Matrix Neck

    E15_05 NHTSA Injury Matrix Thorax

    E15_06 NHTSA Injury Matrix Abdomen

    E15_07 NHTSA Injury Matrix Spine

    E15_08 NHTSA Injury Matrix Upper Extremities

    E15_09 NHTSA Injury Matrix Pelvis

    E15_10 NHTSA Injury Matrix Lower Extremities

    E15_11 NHTSA Injury Matrix Unspecified

    E16_01 Estimated Body Weight

    E16_02 Broselow/Luten Color

    E16_03 Date/Time of Assessment

    E16_04 Skin Assessment

    E16_05 Head/Face Assessment

    E16_06 Neck Assessment

    E16_07 Chest/Lungs Assessment

    E16_08 Heart Assessment

    E16_09 Abdomen Left Upper Assessment

    E16_10 Abdomen Left Lower Assessment

    E16_11 Abdomen Right Upper Assessment

    E16_12 Abdomen Right Lower Assessment

    E16_13 GU Assessment

    E16_14 Back Cervical Assessment

    E16_15 Back Thoracic Assessment

    E16_16 Back Lumbar/Sacral Assessment

    E16_17 Extremities-Right Upper Assessment

    E16_18 Extremities-Right Lower Assessment

    E16_19 Extremities-Left Upper Assessment

    E16_20 Extremities-Left Lower Assessment

    E16_21 Eyes-Left Assessment

    E16_22 Eyes-Right Assessment

    E16_23 Mental Status Assessment

    E16_24 Neurological Assessment

    E18_01 Date/Time Medication Administered

    E18_02 Medication Administered Prior to this Units EMS Care

    E18_03 Medication Given

    E18_04 Medication Administered Route

    E18_05 Medication Dosage

    E18_06 Medication Dosage Units

    E18_07 Response to Medication

    E18_08 Medication Complication

    E18_09 Medication Crew Member ID

    E18_10 Medication Authorization

    E19_01 Date/Time Procedure Performed Successfully

    E19_03 Procedure

    E19_04 Size of Procedure Equipment

    E19_05 Number of Procedure Attempts

    E19_06 Procedure Successful

    E19_07 Procedure Complication

    E19_08 Response to Procedure

    E19_09 Procedure Crew Members ID

    E19_10 Procedure Authorization

    E19_12 Successful IV Site

    E19_13 Tube Confirmation

    E19_14 Destination Confirmation of Tube Placement

    E20_01 Destination/Transferred To, Name

    E20_03 Destination Street Address

    E20_04 Destination City

    E20_05 Destination State

    E20_06 Destination County

    E20_07 Destination Zip Code

    E20_10 Incident/Patient Disposition

    E20_14 Transport Mode from Scene

    E20_15 Condition of Patient at Destination

    E20_16 Reason for Choosing Destination

    E20_17 Type of Destination

    E22_01 Emergency Department Disposition

    E22_02 Hospital Disposition

    E23_03 Personal Protective Equipment Used

    E23_09 Research Survey Field

    E23_10 Who Generated this Report?

    E23_11 Research Survey Field Title

    (8) Emergency Medical Services Providers shall use elements E23_09 and E23_11 to report biosurveillance indicators. When any of the following indicators are present in an incident, the Emergency Medical Services Provider shall provide an instance of E23_09 and E23_11, with E23_09 set to "true" and E23_11 set to one of the following:

    B01_01 Abdominal Pain

    B01_02 Altered Level of Consciousness

    B01_03 Apparent Death

    B01_04 Bloody Diarrhea

    B01_05 Fever

    B01_06 Headache

    B01_07 Inhalation

    B01_08 Rash/Blistering

    B01_09 Nausea/Vomiting

    B01_10 Paralysis

    B01_11 Respiratory Arrest

    B01_12 Respiratory Distress

    B01_13 Seizures

    (9) Emergency Medical Services Providers are not required to submit other NEMSIS data elements but may optionally do so. Emergency Medical Services Providers may also use additional instances of E23_09 and E23_11 for their own purposes.

    (10) For each patient transported to a licensed acute care facility or a specialty hospital with an emergency department, each responding emergency medical services provider unit that cared for the patient during the incident shall provide a report of patient status, containing information critical to the ongoing care of the patient, to the receiving facility within one hour after the patient arrives at the receiving facility in at least one of the following formats:

    (a) NEMSIS XML; or

    (b) Paper form.

    (11) For each patient transported to a licensed acute care facility or a specialty hospital with an emergency department, the receiving facility shall provide at least the following information to each Emergency Medical Services Provider that cared for the patient, upon request by the Emergency Medical Services Provider:

    (a) the patient's emergency department disposition; and

    (b) the patient's hospital disposition.

     

    R426-7-3. ED Data Set.

    (1) All hospitals licensed in Utah shall provide patient data as identified by the Department.

    (2) This data shall be submitted at least quarterly to the Department. Corporate submittal is preferred.

    (3) The data must be submitted in an electronic format determined and approved by the Department.

    (4) If the Department determines that there are errors in the data, it may return the data to the data supplier for corrections. The data supplier shall correct the data and resubmit it to the Department within 30 days of receipt from the Department. If data is returned to the hospital for corrections, the hospital is not in compliance with this rule until corrected data is returned, accepted and approved by the Department.

    (5) The minimum required data elements include:

    Unique Patient Control Number

    Record Type

    Provider Identifier (hospital)

    Patient Social Security Number

    Patient Control Number

    Type of Bill

    Patient Name

    Patient's Address (postal zip code)

    Patient Date of Birth

    Patient's Gender

    Admission Date

    Admission Hour

    Discharge Hour

    Discharge Status

    Disposition from Hospital

    Patient's Medical Record Number

    Revenue Code 1 ("001" sum of all charges)

    Total Charges by Revenue Code 1 ("001" last total Charge Field, is sum)

    Revenue Code 2 ("450" used for record selection)

    Total Charges by Revenue Code 2 (Charges associated with code 450)

    Primary Payer Identification

    Estimated Amount Due

    Secondary Payer Identification

    Estimated Amount Due

    Tertiary Payer Identification

    Estimated Amount Due

    Patient Estimated Amount Due

    Principal Diagnosis Code

    Secondary Diagnosis Code 1

    Secondary Diagnosis Code 2

    Secondary Diagnosis Code 3

    Secondary Diagnosis Code 4

    Secondary Diagnosis Code 5

    Secondary Diagnosis Code 6

    Secondary Diagnosis Code 7

    Secondary Diagnosis Code 8

    External Cause of Injury Code (E-Code)

    Procedure Coding Method Used

    Principal Procedure

    Secondary Procedure 1

    Secondary Procedure 2

    Secondary Procedure 3

    Secondary Procedure 4, and

    Secondary Procedure 5

     

    R426-7-4. Penalty for Violation of Rule.

    As required by Section 63G-3-201(5): Any person or agency who violates any provision of this rule, per incident, may be assessed a penalty as provided in Section 26-23-6.

     

    KEY: emergency medical services

    Date of Enactment or Last Substantive Amendment: [March 15, 2010]2012

    Notice of Continuation: January 12, 2011

    Authorizing, and Implemented or Interpreted Law: 28-8a

     


Document Information

Effective Date:
12/24/2012
Publication Date:
11/15/2012
Filed Date:
10/23/2012
Agencies:
Health,Family Health and Preparedness, Emergency Medical Services
Rulemaking Authority:

Title 26, Chapter 8a

Authorized By:
David Patton, Executive Director
DAR File No.:
36979
Related Chapter/Rule NO.: (1)
R426-7. Emergency Medical Services Prehospital Data System Rules.