DAR File No. 40178
This rule was published in the February 15, 2016, issue (Vol. 2016, No. 4) of the Utah State Bulletin.
Health, Family Health and Preparedness, Emergency Medical Services
Emergency Medical Services Prehospital Data System Rules
Notice of Proposed Rule
DAR File No.: 40178
Filed: 02/01/2016 09:39:16 AM
Purpose of the rule or reason for the change:
The data standards have changed. The amendment allows for needed updates.
Summary of the rule or change:
The amendment updates data collection requirements for data elements to comply with National Emergency Medical Service (EMS) Standards, and improves the ability for health providers to use data more rapidly to possibly improving patient care. The elements are deleted from the rule and are referenced as Department policy. This allows timely updates as new national standards are adopted.
State statutory or constitutional authorization for this rule:
- Title 26, Chapter 8a
Anticipated cost or savings to:
the state budget:
State budget will not be impacted as data collection is currently administered.
Local government budgets may be impacted as EMS providers are required to enter data within 14 days after the end or middle of the month instead of up to 2 months. Impacts would be slight, if incurred. Therefore, most likely no impacts.
Small business budgets may be impacted as EMS providers are required to enter data within 14 days after the end or middle of the month instead of up to 2 months. Impacts would be slight, if incurred. Therefore, most likely no impacts.
persons other than small businesses, businesses, or local governmental entities:
Other businesses, individuals, etc., may be impacted as EMS providers are required to enter data within 14 days after the end or middle of the month instead of up to 2 months. Impacts would be slight, if incurred. Therefore, most likely no impacts.
Compliance costs for affected persons:
Compliance costs for affected persons (patients) would not be likely due to improved data submission times and new data elements.
Comments by the department head on the fiscal impact the rule may have on businesses:
There is no fiscal impact to business because the changes are related to new submission deadlines but do not include substantive additions to submission requirements.
Joseph Miner, MD, Executive Director
The full text of this rule may be inspected, during regular business hours, at the Division of Administrative Rules, or at:Health
Family 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@example.com
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:
This rule may become effective on:
Joseph Miner, Executive Director
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 . 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)
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.]
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
(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
(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
[ upon ]request by the Emergency Medical Services
(a) The patient's emergency department
(b) the patient's hospital
KEY: emergency medical services
Date of Enactment or Last Substantive Amendment: [
October 18, 2013]
Notice of Continuation: November 10, 2015
Authorizing, Implemented, or Interpreted Law: 28-8a
More information about a Notice of Proposed Rule is available online.
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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 firstname.lastname@example.org. For questions about the rulemaking process, please contact the Division of Administrative Rules.