DAR File No. 37687
This rule was published in the July 1, 2013, issue (Vol. 2013, No. 13) of the Utah State Bulletin.
Health, Family Health and Preparedness, Emergency Medical Services
Rule R426-7
Emergency Medical Services Prehospital Data System Rules
Notice of Proposed Rule
(Repeal and Reenact)
DAR File No.: 37687
Filed: 06/04/2013 10:08:35 AM
RULE ANALYSIS
Purpose of the rule or reason for the change:
This repealed and reenacted rule is in response to the Governor's mandate for rule review and simplification. This proposed repeal and reenactment is part of a change to the sequence of numbering for Title R426 that allows for a new set of rules that begins with Rules R426-1 through R426-9. This is part of a set of rules to update, and re-number all of the administrative rules in a more concise and logical order for implementation.
Summary of the rule or change:
The rule change includes a revision of data elements required for emergency medical service providers. It is a comprehensive update for required data based on national standards and elements determined to be necessary through an EMS Rules Task Force, and the State EMS Committee.
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 existing rule requirements that are imposed by these amendments.
local governments:
No anticipated fiscal impact for local governments because there are no changes in the existing rule requirements that are imposed by these amendments.
small businesses:
No anticipated fiscal impact for small businesses because there are no changes in the existing 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 existing rule requirements that are imposed by these amendments.
Compliance costs for affected persons:
No anticipated fiscal impact because there are no changes in the existing rule requirements that are imposed by these amendments.
Comments by the department head on the fiscal impact the rule may have on businesses:
Minimal impact on business because providers are currently equipped to provide these data.
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:
HealthFamily Health and Preparedness, Emergency Medical Services
3760 S HIGHLAND DR
SALT LAKE CITY, UT 84106
Direct questions regarding this rule to:
- Guy Dansie at the above address, by phone at 801-273-6671, by FAX at 801-273-4165, or by Internet E-mail at [email protected]
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:
07/31/2013
This rule may become effective on:
08/07/2013
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
16_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]2013
Notice of Continuation: January 12, 2011
Authorizing, and Implemented or Interpreted Law: 28-8a
Additional Information
The Portable Document Format (PDF) version of the Bulletin is the official version. The PDF version of this issue is available at https://rules.utah.gov/publicat/bull-pdf/2013/b20130701.pdf. The HTML edition of the Bulletin is a convenience copy. Any discrepancy between the PDF version and HTML version is resolved in favor of the PDF version.
Text to be deleted is struck through and surrounded by brackets (e.g., [example]). Text to be added is underlined (e.g., example). Older browsers may not depict some or any of these attributes on the screen or when the document is printed.
For questions regarding the content or application of this rule, please contact Guy Dansie at the above address, by phone at 801-273-6671, by FAX at 801-273-4165, or by Internet E-mail at [email protected].