emsCharts COVID-19 Best Practices

Purpose


Here at ZOLL, we are aware that our customers are at the heart of the response to the COVID-19 pandemic. While guidelines and recommendations are ever evolving, we would like to update you on ZOLL Data’s plan to support you in your mission.  

  • ZOLL has been involved in conversations about reporting data at the State and National Levels. One result of these conversations is a set of custom data fields that may be captured and reported to many states. These fields are undergoing the design process at NEMSIS. When ZOLL has been provided the final design of these fields, we will update our customers on what to expect next. 

  • Different states require different data points to be collected. Please refer to your state (or local) office of EMS for the data that they require.  

  • You may find that your organization may need to alter your documentation to adjust. 

  • As you know, this situation is changing rapidly. We will update this page accordingly.  

Additional information for EMS providers and PSAPs can be found on the following CDC website: Interim Guidance for Emergency Medical Services (EMS) Systems and 911 Public Safety Answering Points (PSAPs) for COVID-19 in the United States. 

Recommendations for Impression and Symptom values are based on the ICD-10-CM Official Coding Guideline- Supplement for 2019 Novel Coronavirus (COVID-19) located at: International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM). 

 

Table of Contents


 

Impressions


  • New impressions have been added globally

NAME

ICD-10

NAME

ICD-10

Coronavirus / COVID-19 (other as cause; confirmed by testing)

B97.29

Coronavirus / COVID-19 (live Oct 1 2020)

U07.1 *NOTE: This is not available in EMS systems due to the restriction NEMSIS has on that ICD-10 value range. We will continue to monitor any developments.

https://www.cdc.gov/nchs/data/icd/Announcement-New-ICD-code-for-coronavirus-3-18-2020.pdf

Coronavirus / COVID-19 (concern ruled out)

Z03.818

Coronavirus / COVID-19 (suspected or exposure to confirmed case)

Z20.828

 

  • On page 2, under Impressions, these choices should now be selectable options.

Watch: The Impression values as taken in the screenshot below have been updated as we receive updated information. We will update the screenshots as time permits.

 

 

 

Fig. 1a – Impressions in Legacy

 

 

 

Fig 1b – Impressions in Gold

 

PPE / Exposures


 

  • In addition, on page 2 in the Scene Description area, there is a button (legacy) for adding crew exposures should the need arise. In Gold, Exposures exists as its own “card”.

 

 

Fig. 2a – Exposures in Legacy

 

 

Fig. 2b – Exposures in Gold

 

  • As with all other fields in emsCharts, users may construct data validation rules for specific selections if additional data is required.

  • We are adding to Personal Protective Equipment as needed. We have added the following recently

    • Gowns

    • N95 Reused options

    • Face Shield

    • Shoe Covers

  • Data collected may also be reported as normal via custom reports or analytics.

 

Patient Medical History


  • Based on your configuration of Patient Medical History, you can also note whether a patient has a known history of a Coronavirus, regardless of the current call/impression.

  • To access, go to Configuration → Service → Chart Tab → Medical/Surgical History Layout and ensure your options include one of the ICD-based options (not “Basic”). The crews will then be able to type one of the values above.

NAME

ICD-10

NAME

ICD-10

Coronavirus as the cause of diseases classified elsewhere

B97.2

Pneumonia due to SARS-associated coronavirus

J12.81

Other coronavirus as the cause of diseases classified elsewhere (COVID-19 Confirmed by testing)

B97.29

SARS-associated coronavirus as the cause of diseases classified elsewhere

B97.21

Coronavirus infection, unspecified

B34.2

 

Adding Custom Assessment Questions


 

emsCharts provides the ability to create custom page 8 actions referred to as “Assessments” where users may configure custom questions and answers to be included on the PCR.

 

  1. At the Command Level set up the assessments

    1. Configuration -> Code Tables -> Assessment Setup

      1. Here, users may create an overarching name for the assessment. For example “COVID-19 Assessment”

 

 

Fig. 3a – Assessment Setup in Legacy

 

 

 

 

Fig. 3b – Assessment Setup in Gold

 

b.  Configuration -> Code Tables -> Assessment Custom Field Options

i. Here, administrators may configure the available answers for the questions configured above.

 

 

 

Fig. 4a – Assessment Custom Field Options in Legacy

 

 

 

 

Fig. 4b – Assessment Custom Field Options in Gold

 

2. After the assessment is set up, Assessments should be available on page 8 as a new procedure type.

 

Hospital Units

On Page 1, Referring and Receiving sections as well as the post-Page 9 “Patient Followup Page” there is the ability to note hospital units. We recently added a value for “Biocontainment Units” for any time the crew or the patient enters such a specialized designated zone in a hospital.

Special Reports

Some services have also used our “Special Reports” (aka Incident Reports) feature to have the crew document special circumstances. For instructions how to create your own custom questions in the Special Reports section, please see https://emscharts.atlassian.net/wiki/x/9_lFBQ

Specific COVID-19 recommendations can be viewed here: https://emscharts.atlassian.net/wiki/spaces/PRESS/pages/1094451202/COVID-19+Special+Report+User+Guide

The Special Reports configuration is found via Configuration → Service → Code Tables.

Bio-Surveillance, Mapping, Analytics