2016.07.07 - NEMSIS v3.4 Updates

The following is a list of updates made during June and July for NEMSIS v3.4.

NEMSIS_ChangeLog_v3.4.0.150527.pdf

June 7th

  • Added Portocath as a Page 8 medication route, maps to "Other" for NEMSIS v3.3.4.
  • Changed a number of Protocols in the system to V3.4 values, mapped to "Other" for NEMSIS v3.3.4. No visual change to users, values remain available for import.
    • Cardiac Arrest-Determination of Death / Withholding Resuscitative Efforts,
    • Injury-Conducted Electrical Weapon (e.g., Taser),
    • Injury-Facial Trauma,Injury-General Trauma Management
    • Injury-Lightning/Lightning Strike,
    • Injury-SCUBA Injury/Accidents,
    • Injury-Topical Chemical Burn,
    • Medical-Beta Blocker Poisoning/Overdose,
    • Medical-Calcium Channel Blocker Poisoning/Overdose,
    • Medical-Opioid Poisoning/Overdose,
    • Medical-Respiratory Distress-Bronchiolitis,
    • Medical-Respiratory Distress-Croup,
    • Medical-Stimulant Poisoning/Overdose
  • Added 3 Demographic Facility Types: Rehab, Mental Health, Dialysis Center
  • Added storage for CAD System to transmit "Unit Dispatch Record ID"
  • Service switch via Configuration >> Service >> Chart tab to use Patient Condition At Destination (v2/v3.3.4) which includes Improved, Worse, Unchanged or Final Patient Acuity which includes Critical, Emergent, Lower
  • New Hospital Unit - Outpatient Surgery to distinguish between Outpatient Center which is the same as Outpatient Bed
  • Added State of Emotional Distress to Barriers to Care. Maps to "Uncooperative" in NEMSIS v3.3.4 and Not Reporting in V2.
  • Added Unresponsive to allowed Pertinent Negatives for Allergies. Maps to Unable to Complete for NEMSIS v3.3.4
  • Added 4 Medication Routes for Patient, Prior, and Page 8 medications
    • Micrograms per Kilogram (mcg/kg)
    • International Units ( we already had the v3.4 "Units" and had made U and IU equivalent Therefore, instead we added the v3.3.4 "IU" to keep everything in sync)
    • Units per Kilo per Hours (units/kg/hr)
    • Units per Kilo (units/kg)
  • Added X12 Payer Type to Payors code table at service level
  • Added Insurance Group Name to Patient Page Billing section, clarified Group (Number) (*needs to be added to printing*)
  • Split Procedure Complications of Itching & Urticaria
  • Added Page Stroke/CVA Symptoms Resolved
  • Last Baseline Seen time on Page 3 available for all charts (previously only those utilizing pertinent negatives)
  • Additional Risk Factors were added for importing / mapping via Command Facility.
  • Drug/Alcohol field was removed except for charts which recorded that value. Indicators was renamed to Drug/Alcohol Indicators (non-NEMSIS enhancement)
  • Frequency of Patient Medications was added (non-NEMSIS enhancement)
  • Exam Updates
    • Hid Gunshot Entry/Exit, used simple Gunshot Wound for a number of values

 

June 8th

  • Drug/Alcohol was rolled back, but Indicators is now always available. Drug/Alcohol will go away soon.

July 12th

  • Hospitals can now have multiple NPI numbers and Phone Numbers.

 

July 18th

  • Pt. Followup - multiple Injury Causes
  • Patient Page - Payment section - X12 Payor Type here which will be used for export since NEMSIS defines as per run, not per insurance payer.