1. EMS RUN REPORT CDA Ockham Information Services LLC 3 March 2011

2. History  National EMS Information System (NEMSIS.org)  Version 3 data set, de facto standard  NEMSIS Sponsors  National Highway Transportation Safety Administration  University of Utah  Centers for Disease Control  Standardization  Limited involvement from other nations Therefore, US Realm  EMS DAM, balloted May 2010  EMS DIM, balloted January 2011  Both slated for minor revisions & reballoting

3. Scope  NEMSIS  535 elements Agency demographics and certification information (132) Event reporting (403)  Run Report  Subset: 183 Event elements

4. Run Report Elements

5. Hierarchy Run ReportEventSceneProviderDispatchResponseDispositionPatientAssessmentVitalsExamProblemsCardiacHistoryTreatmentMedicationProcedures

6. Approach  Map elements to sections  Identify existing sections, where unencumbered (using cdatools.org)  Acquire OID for new sections  Document path, class, attribute  Build in MDHT (with classes)  Publish and annotate  Introduction, Traceability, Vocabularies  CDA Questions: Rob first

7. Extensions  Identify  E.g., dispatch delay type, cause, and duration  Invent namespace  E.g., urn:hl7-org:ems  Register  IANA?  HL7? (SD or TSC?)  Use  How are extensions assigned to the namespace?

8. Vocabularies  Questions: Clinical LOINC  Clinical  ICD-10  SNOMED CT  Medications: RxNorm  Demographic: HL7  EMS service-related  New system, NEMSIS Steward: NEMSIS Technical Assistance Center Distribution: possibly PHIN VADS

9. Questions and Suggestions  Meetings are Thursdays at Noon ET  On the HL7 call calendar  Documentation on the HL7 wiki under EMS DAM Ockham Information Services LLC jay@lyle.net