Welcome to Alexandria

Buffet lunch is available

Please to serve yourself when you arrive

What we will cover• Composition of the NEMSIS Database

– Status of states• Recommended State Dataset• Data Submission Schedule• NDX (National Data Exchange)

– Data profile report • vendor and agency stratification

• New Frequency Reports– Pediatric report– Urbanicity report

What we will cover (con’t)• OLAP Cubes

– National cube – State cube– Movie and paper tutorials

• Research Dataset– Form and process for data release– Release format– Data users manual

• Discussion Items– Many to many datasets– Classification of medications

What we will cover (con’t)

• HL7 Update– EMS Domain Analysis Model– NEMSIS HL7 Charter

• Revision Process Update– Closure of the compliance process

Current Composition of the National EMS

Database

Current Composition (2007-2009)

1. Alabama 635,409 2. Florida 563,655 3. Hawaii 23,912 4. Iowa 200,145 5. Idaho 6,991 6. Maine 139,194 7. Minnesota 476,400 8. Missouri 133,217 9. North Carolina 2,094,004 10. North Dakota 67,346

Current Composition 2007-2009(con’t)

11. Nebraska 86,329 12. New Hampshire 113,807 13. New Jersey 86,199 14. New Mexico 17,454 15. Nevada 38,139 16. Oklahoma 1,922 17. Utah 110,560 Total 4,794,684

The next Quarter(23 Total)

• South Carolina*• West Virginia*• Colorado*• Washington• Illinois• Alaska

(* have submitted data that has not yet been processed)

States Potentially Submitting in 2009 (36 Total)

• Pennsylvania• California• Massachusetts• South Dakota• Wisconsin• Guam

• Arkansas• Connecticut• Indiana• Virginia• Vermont• Oregon• Georgia

State Recommended Dataset

• Data Managers Council (DMC) deliverable to NTHSA

• Purpose – – Develop a suggested dataset for states who

have not yet identified what variables will be included.

• Includes all the National Elements• Other elements selected by consensus

State Dataset

Data Submission Schedule• Processes to improve compliance

– Reminder e-mails from the message board• 1 month, 2 weeks, due now, late notice• Sent to state vendor and state data manager

– Hard date for “end of year” data

Data Submission Schedule

As of June 5, 2009

Enhancement to Data Profile Report

• Current report– Submission Summary– Date range for submissions– Frequency tables– Violations of business logic

Enhancement to Data Profile Report

• Available profile stratification by:– Vendor– Agency

Data Profile Report

New Frequency Reports

• Focus Groups with EMSC Representatives– Quickly answer simple questions– Tabular data– Access to more complex tabular data

Frequency Reports

Use of OLAP Cubes"Dimensional modeling gives us the ability

to visualize data. The ability to visualize something as abstract as a set of data in a concrete and tangible way is the secret of understandability." Ralph Kimball, The Data Warehouse Toolkit (1996, John Wiley & Sons, Inc.)

National Data Cube

National Data Cube

• Public dataset• Generate and save tables• Build charts• Manipulate the format• Export Reports

State Data Cube• Only see your state’s data• Limit of three passwords per state

– State EMS Official– State EMS Data Manager– State EMS Physician

• State’s responsibility to keep us informed of staff changes

• After login….same as the National Data Cube, except….

State Data Cube

Tutorials for Cube Services• Tutorials are available as:

– Written pdf documents– Adobe Flash presentations

Cube Tutorials

Break

Research Dataset• Set for release July, 2009

– Release on a single DVD• Includes 2008 data

– Dynamic tables– Flat files– SAS files– SAS programming– DVD encryption at the data level

Research Dataset

NEMSIS Data Use Manual• Set for release July, 2009

– Includes• Terms of use policy• Description of 3 datasets• Computed and ancillary variables• Edit flags• Extended definition document

Data Users Manual

NEMSIS Terms of Use Policy

HL7 Update• HL7 Project Acceptance

– Clinical Interoperability Council• Emergency Care, Patient Care

– First phase complete– Second phase complete August, 2009

NEMSIS HL7 Charter

• Messages• Documents• Templates• Services

Synthesis Project Specifications

ScopeInitiate and Frame

Identify Project Specification/Standards

EMS Domain Analysis Model

Formal SDO Submission

Project Analysis Model (PAM)

Project Scope and Initiation Document

Initial UML Model (Based on ER-EHR UML)Static and Dynamic Components

Identification of Known Specifications and SMEsWorkgroup. SDO Pre-coordination

Narrative and UML for Each Specification. Inventory of Value and Code Sets

Complete EMAR Specific -PAMAll Classes, Attributes, Code and Value Sets. Actors, Activity and Work Flows

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HL7 Update (cont.)

EMS Domain Analysis Model

A Sundry Discussion Items• Many-to-many datasets• Classification of medications

Revision Process Update

Draft NEMSIS Version 3