element -> <eMedications.MedicationGroup>

Group Tag to hold eMedication information

Namespace:	http://www.nemsis.org
Type:	anonymous complexType
Content:	complex, 1 attribute, 11 elements
Defined:	locally within eMedications complexType in eMedications_v3.xsd; see XML source
Includes:	definitions of 1 attribute, 11 elements

Content Model Diagram

XML Representation Summary

<eMedications.MedicationGroup

CorrelationID

xs:string

Content:

eMedications.01, eMedications.02, eMedications.03, eMedications.04?, eMedications.DosageGroup, eMedications.07, eMedications.08+, eMedications.09?, eMedications.10, eMedications.11?, eMedications.12?

</eMedications.MedicationGroup>

Content model elements (11):

Included in content model of elements (1):

XML Source (w/o annotations (14); see within schema source)

<xs:element id="eMedications.MedicationGroup" maxOccurs="unbounded" name="eMedications.MedicationGroup">

<xs:complexType>

<xs:sequence>

<xs:element id="eMedications.DateTimeMedicationAdministered" name="eMedications.01" nillable="true">

<xs:complexType>

<xs:simpleContent>

<xs:extension base="DateTimeType">

<xs:attribute name="NV" use="optional">

<xs:simpleType>

<xs:union memberTypes="NV.NotApplicable NV.NotRecorded"/>

</xs:simpleType>

</xs:attribute>

</xs:extension>

</xs:simpleContent>

</xs:complexType>

</xs:element>

<xs:element id="eMedications.MedicationAdministeredPriortothisUnitsEMSCare" name="eMedications.02" nillable="true">

<xs:complexType>

<xs:simpleContent>

<xs:extension base="YesNoValues">

<xs:attribute name="NV" use="optional">

<xs:simpleType>

<xs:union memberTypes="NV.NotApplicable NV.NotRecorded"/>

</xs:simpleType>

</xs:attribute>

</xs:extension>

</xs:simpleContent>

</xs:complexType>

</xs:element>

<xs:element id="eMedications.MedicationGiven" name="eMedications.03" nillable="true">

<xs:complexType>

<xs:simpleContent>

<xs:extension base="Medication">

<xs:attribute name="PN" use="optional">

<xs:simpleType>

<xs:union memberTypes="PN.ContraindicationNoted PN.DeniedByOrder PN.MedicationAllergy PN.MedicationAlreadyTaken PN.Refused PN.UnableToComplete"/>

</xs:simpleType>

</xs:attribute>

<xs:attribute name="NV" use="optional">

<xs:simpleType>

<xs:union memberTypes="NV.NotApplicable NV.NotRecorded"/>

</xs:simpleType>

</xs:attribute>

</xs:extension>

</xs:simpleContent>

</xs:complexType>

</xs:element>

<xs:element id="eMedications.MedicationAdministeredRoute" minOccurs="0" name="eMedications.04" type="CurrentMedicationAdministrationRoute"/>

<xs:element id="eMedications.DosageGroup" name="eMedications.DosageGroup">

<xs:complexType>

<xs:sequence>

<xs:element id="eMedications.MedicationDosage" name="eMedications.05" nillable="true">

<xs:complexType>

<xs:simpleContent>

<xs:extension base="MedicationDosage">

<xs:attribute name="NV" use="optional">

<xs:simpleType>

<xs:union memberTypes="NV.NotApplicable NV.NotRecorded"/>

</xs:simpleType>

</xs:attribute>

</xs:extension>

</xs:simpleContent>

</xs:complexType>

</xs:element>

<xs:element id="eMedications.MedicationDosageUnits" name="eMedications.06" nillable="true">

<xs:complexType>

<xs:simpleContent>

<xs:extension base="MedicationDosageUnits">

<xs:attribute name="NV" use="optional">

<xs:simpleType>

<xs:union memberTypes="NV.NotApplicable NV.NotRecorded"/>

</xs:simpleType>

</xs:attribute>

</xs:extension>

</xs:simpleContent>

</xs:complexType>

</xs:element>

</xs:sequence>

</xs:complexType>

</xs:element>

<xs:element id="eMedications.ResponsetoMedication" name="eMedications.07" nillable="true">

<xs:complexType>

<xs:simpleContent>

<xs:extension base="Response">

<xs:attribute name="NV" use="optional">

<xs:simpleType>

<xs:union memberTypes="NV.NotApplicable NV.NotRecorded"/>

</xs:simpleType>

</xs:attribute>

</xs:extension>

</xs:simpleContent>

</xs:complexType>

</xs:element>

<xs:element id="eMedications.MedicationComplication" maxOccurs="unbounded" name="eMedications.08" nillable="true">

<xs:complexType>

<xs:simpleContent>

<xs:extension base="MedicationComplication">

<xs:attribute name="NV" use="optional">

<xs:simpleType>

<xs:union memberTypes="NV.NotApplicable NV.NotRecorded"/>

</xs:simpleType>

</xs:attribute>

<xs:attribute name="CorrelationID" type="CorrelationID" use="optional"/>

</xs:extension>

</xs:simpleContent>

</xs:complexType>

</xs:element>

<xs:element id="eMedications.MedicationCrewHealthcareProfessionalsID" minOccurs="0" name="eMedications.09" nillable="true">

<xs:complexType>

<xs:simpleContent>

<xs:extension base="CrewMemberID">

<xs:attribute name="NV" use="optional">

<xs:simpleType>

<xs:union memberTypes="NV.NotApplicable NV.NotRecorded NV.NotReporting"/>

</xs:simpleType>

</xs:attribute>

</xs:extension>

</xs:simpleContent>

</xs:complexType>

</xs:element>

<xs:element id="eMedications.EMSorHealthcareProfessionalTypeAdministeringMedication" name="eMedications.10" nillable="true">

<xs:complexType>

<xs:simpleContent>

<xs:extension base="EMSCaregiverLevel">

<xs:attribute name="NV" use="optional">

<xs:simpleType>

<xs:union memberTypes="NV.NotApplicable NV.NotRecorded"/>

</xs:simpleType>

</xs:attribute>

</xs:extension>

</xs:simpleContent>

</xs:complexType>

</xs:element>

<xs:element id="eMedications.MedicationAuthorization" minOccurs="0" name="eMedications.11" type="TxAuthorization"/>

<xs:element id="eMedications.MedicationAuthorizingPhysician" minOccurs="0" name="eMedications.12" type="PersonName"/>

</xs:sequence>

<xs:attribute name="CorrelationID" type="CorrelationID" use="optional"/>

</xs:complexType>

</xs:element>

Attribute Detail (all declarations; defined in this component only; 1/1)

Type:	CorrelationID
Use:	optional

MaxLength:	255
MinLength:	0

XML Source (see within schema source)

<xs:attribute name="CorrelationID" type="CorrelationID" use="optional"/>

Content Element Detail (all declarations; defined in this component only; 11/11)

Type:	anonymous (extension of DateTimeType), simple content
Nillable:	(can be declared as nil using xsi:nil attribute in instance XML documents)

eMedications.01 Date/Time Medication Administered Yes Yes The date/time medication administered to the patient E18_01 Required Airway Cardiac Arrest Pediatric STEMI Stroke Trauma DateTime consists of finite-length characters of the form: yyyy '-' mm '-' dd 'T' hh ':' mm ':' ss ('.' s+)? (zzzzzz) <table cellspacing="2"><tr><td> <table border="1px" cellpadding="3px" cellspacing="0"> <tr><td align="center">yyyy</td><td>a four-digit numeral that represents the year</td></tr> <tr><td align="center">'-'</td><td>separators between parts of the date portion</td></tr> <tr><td align="center">mm</td><td>a two-digit numeral that represents the month</td></tr> <tr><td align="center">dd</td><td>a two-digit numeral that represents the day</td></tr> <tr><td align="center">T</td><td>separator that indicates time-of-day follows</td></tr> <tr><td align="center">hh</td><td>a two-digit numeral that represents the hour</td></tr> <tr><td align="center">':'</td><td>a separator between parts of the time-of-day portion</td></tr> <tr><td align="center">mm</td><td>a two-digit numeral that represents the minute</td></tr> <tr><td align="center">ss</td><td>a two-integer-digit numeral that represents the whole seconds</td></tr> <tr><td align="center">'.' s+</td><td>(not required) represents the fractional seconds</td></tr> <tr><td align="center">zzzzzz</td><td>(required) represents the timezone (as described below)</td></tr> </table> </td></tr></table> <br/>Timezones, required, are durations with (integer-valued) hour and minute properties in the form: ('+' | '-') hh ':' mm <table cellspacing="2"><tr><td> <table border="1px" cellpadding="3px" cellspacing="0"> <tr><td align="center">hh</td><td>a two-digit numeral (with leading zeros as required) that represents the hours</td></tr> <tr><td align="center">mm</td><td>a two-digit numeral that represents the minutes</td></tr> <tr><td align="center">'+'</td><td>a nonnegative duration</td></tr> <tr><td align="center">'-'</td><td>a nonpositive duration</td></tr> </table> </td></tr></table>

maxInclusive:	2050-01-01T00:00:00-00:00
minInclusive:	1950-01-01T00:00:00-00:00
Pattern:	[0-9]{4}-[0-9]{2}-[0-9]{2}T[0-9]{2}:[0-9]{2}:[0-9]{2}(\.\d+)?(\+\|-)[0-9]{2}:[0-9]{2}

XML Source (w/o annotations (1); see within schema source)

<xs:element id="eMedications.DateTimeMedicationAdministered" name="eMedications.01" nillable="true">

<xs:complexType>

<xs:simpleContent>

<xs:extension base="DateTimeType">

<xs:attribute name="NV" use="optional">

<xs:simpleType>

<xs:union memberTypes="NV.NotApplicable NV.NotRecorded"/>

</xs:simpleType>

</xs:attribute>

</xs:extension>

</xs:simpleContent>

</xs:complexType>

</xs:element>

Type:	anonymous (extension of YesNoValues), simple content
Nillable:	(can be declared as nil using xsi:nil attribute in instance XML documents)

eMedications.02 Medication Administered Prior to this Unit's EMS Care Yes Yes Indicates that the medication administration which is documented was administered prior to this EMS units care E18_02 Required Airway Cardiac Arrest Pediatric STEMI Stroke Trauma This is the NEMSIS Version 3 method to document prior aid.

enumeration of xs:string

Enumeration:

"9923001"	-	No
"9923003"	-	Yes

XML Source (w/o annotations (1); see within schema source)

<xs:element id="eMedications.MedicationAdministeredPriortothisUnitsEMSCare" name="eMedications.02" nillable="true">

<xs:complexType>

<xs:simpleContent>

<xs:extension base="YesNoValues">

<xs:attribute name="NV" use="optional">

<xs:simpleType>

<xs:union memberTypes="NV.NotApplicable NV.NotRecorded"/>

</xs:simpleType>

</xs:attribute>

</xs:extension>

</xs:simpleContent>

</xs:complexType>

</xs:element>

Type:	anonymous (extension of Medication), simple content
Nillable:	(can be declared as nil using xsi:nil attribute in instance XML documents)

eMedications.03 Medication Given Yes Yes The medication given to the patient E18_03 Required Airway Cardiac Arrest Pediatric STEMI Stroke Trauma List of medications based on RxNorm (RXCUI) code. <br/><br/>Reference the NEMSIS Suggested Lists at: http://nemsis.org/v3/resources.html <br/><br/>RxNorm <br/>Website - http://uts.nlm.nih.gov <br/><br/>Product - UMLS Metathesaurus <br/>Website - http://www.nlm.nih.gov/research/umls/rxnorm/docs/rxnormfiles.html <br/>Product - RxNorm Full Monthly Release

maxLength:	7
minLength:	2

XML Source (w/o annotations (1); see within schema source)

<xs:element id="eMedications.MedicationGiven" name="eMedications.03" nillable="true">

<xs:complexType>

<xs:simpleContent>

<xs:extension base="Medication">

<xs:attribute name="PN" use="optional">

<xs:simpleType>

<xs:union memberTypes="PN.ContraindicationNoted PN.DeniedByOrder PN.MedicationAllergy PN.MedicationAlreadyTaken PN.Refused PN.UnableToComplete"/>

</xs:simpleType>

</xs:attribute>

<xs:attribute name="NV" use="optional">

<xs:simpleType>

<xs:union memberTypes="NV.NotApplicable NV.NotRecorded"/>

</xs:simpleType>

</xs:attribute>

</xs:extension>

</xs:simpleContent>

</xs:complexType>

</xs:element>

eMedications.04 Medication Administered Route No Yes The route medication was administered to the patient E18_04 Optional This medication route list represents a sub-group of values from the Data Elements for Emergency Department Systems (DEEDS), pertaining to prehospital care. <br/> <br/> DEEDS Version 1.0 was utilized for this list: http://www.sciencedirect.com/science/article/pii/S0196064498703178. The list can be found on page 152 of 274 of the PDF document in Section 5, 5.13 Current Therapeutic Medication Route.

enumeration of xs:string

Enumeration:

"9927001"	-	Blow-By
"9927003"	-	Buccal
"9927005"	-	Endotracheal Tube (ET)
"9927007"	-	Gastrostomy Tube
"9927009"	-	Inhalation
"9927011"	-	Intraarterial
"9927013"	-	Intradermal
"9927015"	-	Intramuscular (IM)
"9927017"	-	Intranasal
"9927019"	-	Intraocular
"9927021"	-	Intraosseous (IO)
"9927023"	-	Intravenous (IV)
"9927025"	-	Nasal Cannula
"9927027"	-	Nasogastric
"9927029"	-	Nasotracheal Tube
"9927031"	-	Non-Rebreather Mask
"9927033"	-	Ophthalmic
"9927035"	-	Oral
"9927037"	-	Other/miscellaneous
"9927039"	-	Otic
"9927041"	-	Re-breather mask
"9927043"	-	Rectal
"9927045"	-	Subcutaneous
"9927047"	-	Sublingual
"9927049"	-	Topical
"9927051"	-	Tracheostomy
"9927053"	-	Transdermal
"9927055"	-	Urethral
"9927057"	-	Ventimask
"9927059"	-	Wound

XML Source (w/o annotations (1); see within schema source)

<xs:element id="eMedications.MedicationAdministeredRoute" minOccurs="0" name="eMedications.04" type="CurrentMedicationAdministrationRoute"/>

Type:	anonymous (extension of Response), simple content
Nillable:	(can be declared as nil using xsi:nil attribute in instance XML documents)

eMedications.07 Response to Medication Yes Yes The patient's response to the medication E18_07 Required

enumeration of xs:string

Enumeration:

"9916001"	-	Improved
"9916003"	-	Unchanged
"9916005"	-	Worse

XML Source (w/o annotations (1); see within schema source)

<xs:element id="eMedications.ResponsetoMedication" name="eMedications.07" nillable="true">

<xs:complexType>

<xs:simpleContent>

<xs:extension base="Response">

<xs:attribute name="NV" use="optional">

<xs:simpleType>

<xs:union memberTypes="NV.NotApplicable NV.NotRecorded"/>

</xs:simpleType>

</xs:attribute>

</xs:extension>

</xs:simpleContent>

</xs:complexType>

</xs:element>

Type:	anonymous (extension of MedicationComplication), simple content
Nillable:	(can be declared as nil using xsi:nil attribute in instance XML documents)

eMedications.08 Medication Complication Yes Yes Any complication (abnormal effect on the patient) associated with the administration of the medication to the patient by EMS E18_08 Required

enumeration of xs:string

Enumeration:

"3708001"	-	Altered Mental Status
"3708003"	-	Apnea
"3708005"	-	Bleeding
"3708007"	-	Bradycardia
"3708009"	-	Bradypnea
"3708011"	-	Diarrhea
"3708013"	-	Extravasation
"3708015"	-	Hypertension
"3708017"	-	Hyperthermia
"3708019"	-	Hypotension
"3708021"	-	Hypothermia
"3708023"	-	Hypoxia
"3708025"	-	Injury
"3708027"	-	Itching/Urticaria <span style='font-size:8px;background:purple;color:white;padding:1px;'>DEPRECATED</span>
"3708029"	-	Nausea
"3708031"	-	None
"3708033"	-	Other (Not Listed)
"3708035"	-	Respiratory Distress
"3708037"	-	Tachycardia
"3708039"	-	Tachypnea
"3708041"	-	Vomiting
"3708043"	-	Itching
"3708045"	-	Urticaria

XML Source (w/o annotations (1); see within schema source)

<xs:element id="eMedications.MedicationComplication" maxOccurs="unbounded" name="eMedications.08" nillable="true">

<xs:complexType>

<xs:simpleContent>

<xs:extension base="MedicationComplication">

<xs:attribute name="NV" use="optional">

<xs:simpleType>

<xs:union memberTypes="NV.NotApplicable NV.NotRecorded"/>

</xs:simpleType>

</xs:attribute>

<xs:attribute name="CorrelationID" type="CorrelationID" use="optional"/>

</xs:extension>

</xs:simpleContent>

</xs:complexType>

</xs:element>

Type:	anonymous (extension of CrewMemberID), simple content
Nillable:	(can be declared as nil using xsi:nil attribute in instance XML documents)

eMedications.09 Medication Crew (Healthcare Professionals) ID No Yes The statewide assigned ID number of the EMS crew member giving the treatment to the patient E18_09 Recommended Airway Cardiac Arrest Pediatric STEMI Stroke Trauma How should the state ID for an EMS professional be record when working on an event in 2 states. The ID used would typically be based on the EMS agency's state license specific to each EMS professional. Used for eProcedures.09 (Procedure Crew Members ID) as well.

maxLength:	15
minLength:	2

XML Source (w/o annotations (1); see within schema source)

<xs:element id="eMedications.MedicationCrewHealthcareProfessionalsID" minOccurs="0" name="eMedications.09" nillable="true">

<xs:complexType>

<xs:simpleContent>

<xs:extension base="CrewMemberID">

<xs:attribute name="NV" use="optional">

<xs:simpleType>

<xs:union memberTypes="NV.NotApplicable NV.NotRecorded NV.NotReporting"/>

</xs:simpleType>

</xs:attribute>

</xs:extension>

</xs:simpleContent>

</xs:complexType>

</xs:element>

Type:	anonymous (extension of EMSCaregiverLevel), simple content
Nillable:	(can be declared as nil using xsi:nil attribute in instance XML documents)

eMedications.10 Role/Type of Person Administering Medication Yes Yes The type (level) of EMS or Healthcare Professional Administering the Medication. For medications administered prior to EMS arrival, this may be a non-EMS healthcare professional. Required Added to document the type of healthcare professional administering the medication. This could be auto-completed from the crew ID but is necessary to document medication administration prior to EMS arrival. State may maintain an enumerated list but must collapse to the National Standard. <br/><br/>The category EMT-Intermediate includes EMS professionals with an "85" or "99" certification level. Added to better document the type of healthcare professional who administered the medication.

enumeration of xs:string

Enumeration:

"9905001"	-	2009 Advanced Emergency Medical Technician (AEMT)
"9905003"	-	2009 Emergency Medical Responder (EMR)
"9905005"	-	2009 Emergency Medical Technician (EMT)
"9905007"	-	2009 Paramedic
"9905009"	-	EMT-Basic
"9905011"	-	EMT-Intermediate
"9905013"	-	EMT-Paramedic
"9905015"	-	First Responder
"9905017"	-	Nurse <font style='font-size:8px;background:purple;color:white;padding:1px;'>DEPRECATED</font>
"9905019"	-	Other Healthcare Professional
"9905021"	-	Other Non-Healthcare Professional
"9905023"	-	Patient/Lay Person
"9905025"	-	Physician
"9905027"	-	Respiratory Therapist
"9905029"	-	Student
"9905031"	-	Critical Care Paramedic
"9905033"	-	Community Paramedicine
"9905035"	-	Nurse Practitioner
"9905037"	-	Physician Assistant
"9905039"	-	Licensed Practical Nurse (LPN)
"9905041"	-	Registered Nurse

XML Source (w/o annotations (1); see within schema source)

<xs:element id="eMedications.EMSorHealthcareProfessionalTypeAdministeringMedication" name="eMedications.10" nillable="true">

<xs:complexType>

<xs:simpleContent>

<xs:extension base="EMSCaregiverLevel">

<xs:attribute name="NV" use="optional">

<xs:simpleType>

<xs:union memberTypes="NV.NotApplicable NV.NotRecorded"/>

</xs:simpleType>

</xs:attribute>

</xs:extension>

</xs:simpleContent>

</xs:complexType>

</xs:element>

Type:

TxAuthorization, simple content

eMedications.11 Medication Authorization No No The type of treatment authorization obtained E18_10 Optional

enumeration of xs:string

Enumeration:

"9918001"	-	On-Line (Remote Verbal Order)
"9918003"	-	On-Scene
"9918005"	-	Protocol (Standing Order)
"9918007"	-	Written Orders (Patient Specific)

XML Source (w/o annotations (1); see within schema source)

<xs:element id="eMedications.MedicationAuthorization" minOccurs="0" name="eMedications.11" type="TxAuthorization"/>

Type:

PersonName, simple content

eMedications.12 Medication Authorizing Physician No No The name of the authorizing physician ordering the medication administration if the order was provided by any manner other than protocol (standing order) in EMedications.11 E18_11 Optional

maxLength:	50
minLength:	1

XML Source (w/o annotations (1); see within schema source)

<xs:element id="eMedications.MedicationAuthorizingPhysician" minOccurs="0" name="eMedications.12" type="PersonName"/>

Type:

anonymous, complex content

Group Tag to hold info about the medication dosage given to the patient

XML Source (w/o annotations (3); see within schema source)

<xs:element id="eMedications.DosageGroup" name="eMedications.DosageGroup">

<xs:complexType>

<xs:sequence>

<xs:element id="eMedications.MedicationDosage" name="eMedications.05" nillable="true">

<xs:complexType>

<xs:simpleContent>

<xs:extension base="MedicationDosage">

<xs:attribute name="NV" use="optional">

<xs:simpleType>

<xs:union memberTypes="NV.NotApplicable NV.NotRecorded"/>

</xs:simpleType>

</xs:attribute>

</xs:extension>

</xs:simpleContent>

</xs:complexType>

</xs:element>

<xs:element id="eMedications.MedicationDosageUnits" name="eMedications.06" nillable="true">

<xs:complexType>

<xs:simpleContent>

<xs:extension base="MedicationDosageUnits">

<xs:attribute name="NV" use="optional">

<xs:simpleType>

<xs:union memberTypes="NV.NotApplicable NV.NotRecorded"/>

</xs:simpleType>

</xs:attribute>

</xs:extension>

</xs:simpleContent>

</xs:complexType>

</xs:element>

</xs:sequence>

</xs:complexType>

</xs:element>