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.