element -> <dConfiguration.ConfigurationGroup>

Group Tag to hold agency Configuration information

Namespace:	http://www.nemsis.org
Type:	anonymous complexType
Content:	complex, 1 attribute, 15 elements
Defined:	locally within dConfiguration complexType in dConfiguration_v3.xsd; see XML source
Includes:	definitions of 1 attribute, 15 elements

Content Model Diagram

XML Representation Summary

<dConfiguration.ConfigurationGroup

CorrelationID

xs:string

Content:

dConfiguration.01, dConfiguration.02+, dConfiguration.03+, dConfiguration.04+, dConfiguration.05+, dConfiguration.ProcedureGroup+, dConfiguration.MedicationGroup+, dConfiguration.10+, dConfiguration.11+, dConfiguration.12?, dConfiguration.13, dConfiguration.14*, dConfiguration.15+, dConfiguration.16+, dConfiguration.17*

</dConfiguration.ConfigurationGroup>

Content model elements (15):

dConfiguration.01 (in dConfiguration.ConfigurationGroup),

dConfiguration.02 (in dConfiguration.ConfigurationGroup),

dConfiguration.03 (in dConfiguration.ConfigurationGroup),

dConfiguration.04 (in dConfiguration.ConfigurationGroup),

dConfiguration.05 (in dConfiguration.ConfigurationGroup),

dConfiguration.10 (in dConfiguration.ConfigurationGroup),

dConfiguration.11 (in dConfiguration.ConfigurationGroup),

dConfiguration.12 (in dConfiguration.ConfigurationGroup),

dConfiguration.13 (in dConfiguration.ConfigurationGroup),

dConfiguration.14 (in dConfiguration.ConfigurationGroup),

dConfiguration.15 (in dConfiguration.ConfigurationGroup),

dConfiguration.16 (in dConfiguration.ConfigurationGroup),

dConfiguration.17 (in dConfiguration.ConfigurationGroup),

dConfiguration.MedicationGroup (in dConfiguration.ConfigurationGroup),

dConfiguration.ProcedureGroup (in dConfiguration.ConfigurationGroup)

Included in content model of elements (1):

dConfiguration (in DemographicReport)

XML Source (w/o annotations (20); see within schema source)

<xs:element id="dConfiguration.ConfigurationGroup" maxOccurs="unbounded" name="dConfiguration.ConfigurationGroup">

<xs:complexType>

<xs:sequence>

<xs:element id="dConfiguration.StateAssociatedwiththeCertificationLicensureLevels" name="dConfiguration.01" type="ANSIStateCode"/>

<xs:element id="dConfiguration.StateCertificationLicensureLevels" maxOccurs="unbounded" name="dConfiguration.02">

<xs:complexType>

<xs:simpleContent>

<xs:extension base="LicensureLevels">

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

</xs:extension>

</xs:simpleContent>

</xs:complexType>

</xs:element>

<xs:element id="dConfiguration.ProceduresPermittedbytheState" maxOccurs="unbounded" name="dConfiguration.03" nillable="true">

<xs:complexType>

<xs:simpleContent>

<xs:extension base="snomed">

<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="dConfiguration.MedicationsPermittedbytheState" maxOccurs="unbounded" name="dConfiguration.04" nillable="true">

<xs:complexType>

<xs:simpleContent>

<xs:extension base="Medication">

<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="dConfiguration.ProtocolsPermittedbytheState" maxOccurs="unbounded" name="dConfiguration.05" nillable="true">

<xs:complexType>

<xs:simpleContent>

<xs:extension base="ProtocolsUsed">

<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="dConfiguration.AgencyProcedureGroup" maxOccurs="unbounded" name="dConfiguration.ProcedureGroup">

<xs:complexType>

<xs:sequence>

<xs:element id="dConfiguration.EMSPersonnelLevelPermittedtoPerformtheProcedure" name="dConfiguration.06">

<xs:complexType>

<xs:simpleContent>

<xs:extension base="StateCertificationLicensureLevels"/>

</xs:simpleContent>

</xs:complexType>

</xs:element>

<xs:element id="dConfiguration.EMSAgencyProcedures" maxOccurs="unbounded" name="dConfiguration.07">

<xs:complexType>

<xs:simpleContent>

<xs:extension base="snomed">

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

</xs:extension>

</xs:simpleContent>

</xs:complexType>

</xs:element>

</xs:sequence>

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

</xs:complexType>

</xs:element>

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

<xs:complexType>

<xs:sequence>

<xs:element id="dConfiguration.PersonnelLevelPermittedtoAdministertheMedication" name="dConfiguration.08" type="StateCertificationLicensureLevels"/>

<xs:element id="dConfiguration.EMSAgencyMedications" maxOccurs="unbounded" name="dConfiguration.09">

<xs:complexType>

<xs:simpleContent>

<xs:extension base="Medication">

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

</xs:extension>

</xs:simpleContent>

</xs:complexType>

</xs:element>

</xs:sequence>

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

</xs:complexType>

</xs:element>

<xs:element id="dConfiguration.EMSAgencyProtocols" maxOccurs="unbounded" name="dConfiguration.10">

<xs:complexType>

<xs:simpleContent>

<xs:extension base="ProtocolsUsed">

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

</xs:extension>

</xs:simpleContent>

</xs:complexType>

</xs:element>

<xs:element id="dConfiguration.EMSAgencySpecialtyServiceCapability" maxOccurs="unbounded" name="dConfiguration.11">

<xs:complexType>

<xs:simpleContent>

<xs:extension base="AgencySpecialtyServiceCapability">

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

</xs:extension>

</xs:simpleContent>

</xs:complexType>

</xs:element>

<xs:element id="dConfiguration.BillingStatus" minOccurs="0" name="dConfiguration.12" type="YesNoValues"/>

<xs:element id="dConfiguration.EmergencyMedicalDispatchEMDProvidedtoEMSAgencyServiceArea" name="dConfiguration.13">

<xs:complexType>

<xs:simpleContent>

<xs:extension base="EMDtoAgencyServiceArea"/>

</xs:simpleContent>

</xs:complexType>

</xs:element>

<xs:element id="dConfiguration.EMDVendor" maxOccurs="unbounded" minOccurs="0" name="dConfiguration.14" nillable="true">

<xs:complexType>

<xs:simpleContent>

<xs:extension base="EMDVendorType">

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

<xs:simpleType>

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

</xs:simpleType>

</xs:attribute>

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

</xs:extension>

</xs:simpleContent>

</xs:complexType>

</xs:element>

<xs:element id="dConfiguration.PatientMonitoringCapabilityies" maxOccurs="unbounded" name="dConfiguration.15">

<xs:complexType>

<xs:simpleContent>

<xs:extension base="PatientMonitoringCapability">

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

</xs:extension>

</xs:simpleContent>

</xs:complexType>

</xs:element>

<xs:element id="dConfiguration.AgencyCallSign" maxOccurs="unbounded" name="dConfiguration.16">

<xs:complexType>

<xs:simpleContent>

<xs:extension base="AgencyCallSign">

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

</xs:extension>

</xs:simpleContent>

</xs:complexType>

</xs:element>

<xs:element id="dConfiguration.DispatchCenterCADNameorID" maxOccurs="unbounded" minOccurs="0" name="dConfiguration.17">

<xs:complexType>

<xs:simpleContent>

<xs:extension base="DispatchCenterCADNameorID">

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

</xs:extension>

</xs:simpleContent>

</xs:complexType>

</xs:element>

</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)

CorrelationID

Type:	CorrelationID
Use:	optional

Attribute Value

xs:string

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; 15/15)

dConfiguration.01

Type:

ANSIStateCode, simple content

dConfiguration.01 State Associated with the Certification/Licensure Levels Yes Yes The state associated with the state certification/licensure levels. Mandatory Associated with the state (dAgency.01 - EMS Agency State). GNIS Codes Website: <a>http://geonames.usgs.gov/domestic/download_data.htm</a> The state EMS system does not need to import this information into their database. Reference the Demographic Dataset Submission Guide for further details.

Simple Content

xs:string

Pattern:

[0-9]{2}

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

<xs:element id="dConfiguration.StateAssociatedwiththeCertificationLicensureLevels" name="dConfiguration.01" type="ANSIStateCode"/>

dConfiguration.02

Type:

anonymous (extension of LicensureLevels), simple content

dConfiguration.02 State Certification/Licensure Levels Yes Yes All of the potential levels of certification/licensure for EMS personnel recognized by the state. D04_01 Mandatory The new 2009 Education Levels have been added. The category EMT-Intermediate includes EMS professionals with an "85" or "99" certification level. The state EMS system does not need to import this information into their database. Reference the Demographic Dataset Submission Guide for further details.

Simple Content

enumeration of xs:string

Enumeration:

"9911001"	-	2009 Advanced Emergency Medical Technician (AEMT)
"9911003"	-	2009 Emergency Medical Responder (EMR)
"9911005"	-	2009 Emergency Medical Technician (EMT)
"9911007"	-	2009 Paramedic
"9911009"	-	EMT-Basic
"9911011"	-	EMT-Intermediate
"9911013"	-	EMT-Paramedic
"9911015"	-	First Responder
"9911019"	-	Other
"9911021"	-	Physician
"9911023"	-	Critical Care Paramedic
"9911025"	-	Community Paramedicine
"9911027"	-	Nurse Practitioner
"9911029"	-	Physician Assistant
"9911031"	-	Licensed Practical Nurse (LPN)
"9911033"	-	Registered Nurse

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

<xs:element id="dConfiguration.StateCertificationLicensureLevels" maxOccurs="unbounded" name="dConfiguration.02">

<xs:complexType>

<xs:simpleContent>

<xs:extension base="LicensureLevels">

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

</xs:extension>

</xs:simpleContent>

</xs:complexType>

</xs:element>

dConfiguration.03

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

dConfiguration.03 Procedures Permitted by the State Yes Yes A list of all of the procedures permitted by the EMS Agency's licensing state. Required Airway Cardiac Arrest Pediatric Response STEMI Stroke Trauma This data element should capture all of the procedures permitted by the state for any/all levels of EMS personnel in the state. This is associated with the EMS Agency State (dAgency.01). This is related to the EMS Agency's procedures (dConfiguration.07) which have been implemented within the EMS System. State EMS systems which have regulatory authority to determine the procedures statewide may identify SNOMEDCT procedure codes based on medical direction and their own need. Code list is represented in SNOMEDCT: Reference the NEMSIS Suggested Lists at: http://nemsis.org/v3/resources.html SNOMEDCT Website: http://www.nlm.nih.gov/research/umls/Snomed/snomed_main.html Product: Product - UMLS Metathesaurus The EMS agency should submit "Not Applicable" and "Nil" to the state system for the demographic export. The state EMS system does not need to import this information into their database. It is the responsibility of the state to submit this element to the national EMS database (NEMSIS). Reference the Demographic Dataset Submission Guide for further details.

Simple Content

xs:integer

maxInclusive:	999999999999999
minInclusive:	100000

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

<xs:element id="dConfiguration.ProceduresPermittedbytheState" maxOccurs="unbounded" name="dConfiguration.03" nillable="true">

<xs:complexType>

<xs:simpleContent>

<xs:extension base="snomed">

<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>

dConfiguration.04

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

dConfiguration.04 Medications Permitted by the State Yes Yes A list of all of the medications permitted by the state to be used by each EMS state certification/licensure level. Required Airway Cardiac Arrest Pediatric Response STEMI Stroke Trauma This data element should capture all of the medications permitted by the state for any/all levels of EMS personnel in the state. This should be stored as an RxNorm (RXCUI) Code. This is associated with the EMS Agency State (dAgency.01). The EMS agency should submit "Not Applicable" and "Nil" to the state system for the demographic export. The state EMS system does not need to import this information into their database. It is the responsibility of the state to submit this element to the national EMS database (NEMSIS). Reference the Demographic Dataset Submission Guide for further details. State EMS systems which have regulatory authority to identify medications to be administered within the state may identify specific RxNorm codes based on medical direction and their own need. List of medications based on RxNorm (RXCUI) code. Reference the NEMSIS Suggested Lists at: http://nemsis.org/v3/resources.html RxNorm Website - http://uts.nlm.nih.gov Product - UMLS Metathesaurus Website - http://www.nlm.nih.gov/research/umls/rxnorm/docs/rxnormfiles.html Product - RxNorm Full Monthly Release

Simple Content

xs:string

maxLength:	7
minLength:	2

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

<xs:element id="dConfiguration.MedicationsPermittedbytheState" maxOccurs="unbounded" name="dConfiguration.04" nillable="true">

<xs:complexType>

<xs:simpleContent>

<xs:extension base="Medication">

<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>

dConfiguration.05

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

dConfiguration.05 Protocols Permitted by the State Yes Yes A list of all of the protocols permitted by the state. Required Airway Cardiac Arrest Pediatric Response STEMI Stroke Trauma This data element should capture all of the protocols permitted by the state for any/all levels of EMS personnel in the state. This is associated with the EMS Agency State (dAgency.01). States can add additional protocols to the list but the additional state protocols must map to these uniform codes. The list is defined by the NASEMSO State Medical Directors. The EMS agency should submit "Not Applicable" and "Nil" to the state system for the demographic export. The state EMS system does not need to import this information into their database. It is the responsibility of the state to submit this element to the national EMS database (NEMSIS). Reference the Demographic Dataset Submission Guide for further details. Added to better identify states with statewide protocols and define state EMS capability and care.

Simple Content

enumeration of xs:string

Enumeration:

"9914001"	-	Airway
"9914003"	-	Airway-Failed
"9914005"	-	Airway-Obstruction/Foreign Body
"9914007"	-	Airway-Rapid Sequence Induction (RSI-Paralytic)
"9914009"	-	Airway-Sedation Assisted (Non-Paralytic)
"9914011"	-	Cardiac Arrest-Asystole
"9914013"	-	Cardiac Arrest-Hypothermia-Therapeutic
"9914015"	-	Cardiac Arrest-Pulseless Electrical Activity
"9914017"	-	Cardiac Arrest-Ventricular Fibrillation/ Pulseless Ventricular Tachycardia
"9914019"	-	Cardiac Arrest-Post Resuscitation Care
"9914021"	-	Environmental-Altitude Sickness
"9914023"	-	Environmental-Cold Exposure
"9914025"	-	Environmental-Frostbite/Cold Injury
"9914027"	-	Environmental-Heat Exposure/Exhaustion
"9914029"	-	Environmental-Heat Stroke/Hyperthermia
"9914031"	-	Environmental-Hypothermia
"9914033"	-	Exposure-Airway/Inhalation Irritants
"9914035"	-	Exposure-Biological/Infectious
"9914037"	-	Exposure-Blistering Agents
"9914041"	-	Exposure-Chemicals to Eye
"9914043"	-	Exposure-Cyanide
"9914045"	-	Exposure-Explosive/ Blast Injury
"9914047"	-	Exposure-Nerve Agents
"9914049"	-	Exposure-Radiologic Agents
"9914051"	-	General-Back Pain
"9914053"	-	General-Behavioral/Patient Restraint
"9914055"	-	General-Cardiac Arrest
"9914057"	-	General-Dental Problems
"9914059"	-	General-Epistaxis
"9914061"	-	General-Fever
"9914063"	-	General-Individualized Patient Protocol
"9914065"	-	General-Indwelling Medical Devices/Equipment
"9914067"	-	General-IV Access
"9914069"	-	General-Medical Device Malfunction
"9914071"	-	General-Pain Control
"9914073"	-	General-Spinal Immobilization/Clearance
"9914075"	-	General-Universal Patient Care/ Initial Patient Contact
"9914077"	-	Injury-Amputation
"9914079"	-	Injury-Bites and Envenomations-Land
"9914081"	-	Injury-Bites and Envenomations-Marine
"9914083"	-	Injury-Bleeding/ Hemorrhage Control
"9914085"	-	Injury-Burns-Thermal
"9914087"	-	Injury-Cardiac Arrest
"9914089"	-	Injury-Crush Syndrome
"9914091"	-	Injury-Diving Emergencies
"9914093"	-	Injury-Drowning/Near Drowning
"9914095"	-	Injury-Electrical Injuries
"9914097"	-	Injury-Extremity
"9914099"	-	Injury-Eye
"9914101"	-	Injury-Head
"9914103"	-	Injury-Impaled Object
"9914105"	-	Injury-Multisystem
"9914107"	-	Injury-Spinal Cord
"9914109"	-	Medical-Abdominal Pain
"9914111"	-	Medical-Allergic Reaction/Anaphylaxis
"9914113"	-	Medical-Altered Mental Status
"9914115"	-	Medical-Bradycardia
"9914117"	-	Medical-Cardiac Chest Pain
"9914119"	-	Medical-Diarrhea
"9914121"	-	Medical-Hyperglycemia
"9914123"	-	Medical-Hypertension
"9914125"	-	Medical-Hypoglycemia/Diabetic Emergency
"9914127"	-	Medical-Hypotension/Shock (Non-Trauma)
"9914129"	-	Medical-Influenza-Like Illness/ Upper Respiratory Infection
"9914131"	-	Medical-Nausea/Vomiting
"9914133"	-	Medical-Newborn/ Neonatal Resuscitation
"9914135"	-	General-Overdose/Poisoning/Toxic Ingestion
"9914137"	-	Medical-Pulmonary Edema/CHF
"9914139"	-	Medical-Respiratory Distress/Asthma/COPD/Reactive Airway
"9914141"	-	Medical-Seizure
"9914143"	-	Medical-ST-Elevation Myocardial Infarction (STEMI)
"9914145"	-	Medical-Stroke/TIA
"9914147"	-	Medical-Supraventricular Tachycardia (Including Atrial Fibrillation)
"9914149"	-	Medical-Syncope
"9914151"	-	Medical-Ventricular Tachycardia (With Pulse)
"9914153"	-	Not Done
"9914155"	-	OB/GYN-Childbirth/Labor/Delivery
"9914157"	-	OB/GYN-Eclampsia
"9914159"	-	OB/GYN-Gynecologic Emergencies
"9914161"	-	OB/GYN-Pregnancy Related Emergencies
"9914163"	-	OB/GYN-Post-partum Hemorrhage
"9914165"	-	Other
"9914167"	-	Exposure-Carbon Monoxide
"9914169"	-	Cardiac Arrest-Do Not Resuscitate
"9914171"	-	Cardiac Arrest-Special Resuscitation Orders
"9914173"	-	Exposure-Smoke Inhalation
"9914175"	-	General-Community Paramedicine / Mobile Integrated Healthcare
"9914177"	-	General-Exception Protocol
"9914179"	-	General-Extended Care Guidelines
"9914181"	-	General-Interfacility Transfers
"9914183"	-	General-Law Enforcement - Blood for Legal Purposes
"9914185"	-	General-Law Enforcement - Assist with Law Enforcement Activity
"9914187"	-	General-Neglect or Abuse Suspected
"9914189"	-	General-Refusal of Care
"9914191"	-	Injury-Mass/Multiple Casualties
"9914193"	-	Injury-Thoracic
"9914195"	-	Medical-Adrenal Insufficiency
"9914197"	-	Medical-Apparent Life Threatening Event (ALTE)
"9914199"	-	Medical-Tachycardia
"9914201"	-	Cardiac Arrest-Determination of Death / Withholding Resuscitative Efforts
"9914203"	-	Injury-Conducted Electrical Weapon (e.g., Taser)
"9914205"	-	Injury-Facial Trauma
"9914207"	-	Injury-General Trauma Management
"9914209"	-	Injury-Lightning/Lightning Strike
"9914211"	-	Injury-SCUBA Injury/Accidents
"9914213"	-	Injury-Topical Chemical Burn
"9914215"	-	Medical-Beta Blocker Poisoning/Overdose
"9914217"	-	Medical-Calcium Channel Blocker Poisoning/Overdose
"9914219"	-	Medical-Opioid Poisoning/Overdose
"9914221"	-	Medical-Respiratory Distress-Bronchiolitis
"9914223"	-	Medical-Respiratory Distress-Croup
"9914225"	-	Medical-Stimulant Poisoning/Overdose

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

<xs:element id="dConfiguration.ProtocolsPermittedbytheState" maxOccurs="unbounded" name="dConfiguration.05" nillable="true">

<xs:complexType>

<xs:simpleContent>

<xs:extension base="ProtocolsUsed">

<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>

dConfiguration.10

Type:

anonymous (extension of ProtocolsUsed), simple content

dConfiguration.10 EMS Agency Protocols Yes Yes A list of all of the EMS field protocols that the agency has in place and available for use. D04_08 Mandatory Airway Cardiac Arrest Pediatric Response STEMI Stroke Trauma This is associated with the EMS Agency Number (dAgency.02) since each EMS Agency Number may have different capabilities. State and local entities can add additional protocols to the list but the additional protocols must map to these uniform codes. The list is defined by the NASEMSO State Medical Directors.

Simple Content

enumeration of xs:string

Enumeration:

"9914001"	-	Airway
"9914003"	-	Airway-Failed
"9914005"	-	Airway-Obstruction/Foreign Body
"9914007"	-	Airway-Rapid Sequence Induction (RSI-Paralytic)
"9914009"	-	Airway-Sedation Assisted (Non-Paralytic)
"9914011"	-	Cardiac Arrest-Asystole
"9914013"	-	Cardiac Arrest-Hypothermia-Therapeutic
"9914015"	-	Cardiac Arrest-Pulseless Electrical Activity
"9914017"	-	Cardiac Arrest-Ventricular Fibrillation/ Pulseless Ventricular Tachycardia
"9914019"	-	Cardiac Arrest-Post Resuscitation Care
"9914021"	-	Environmental-Altitude Sickness
"9914023"	-	Environmental-Cold Exposure
"9914025"	-	Environmental-Frostbite/Cold Injury
"9914027"	-	Environmental-Heat Exposure/Exhaustion
"9914029"	-	Environmental-Heat Stroke/Hyperthermia
"9914031"	-	Environmental-Hypothermia
"9914033"	-	Exposure-Airway/Inhalation Irritants
"9914035"	-	Exposure-Biological/Infectious
"9914037"	-	Exposure-Blistering Agents
"9914041"	-	Exposure-Chemicals to Eye
"9914043"	-	Exposure-Cyanide
"9914045"	-	Exposure-Explosive/ Blast Injury
"9914047"	-	Exposure-Nerve Agents
"9914049"	-	Exposure-Radiologic Agents
"9914051"	-	General-Back Pain
"9914053"	-	General-Behavioral/Patient Restraint
"9914055"	-	General-Cardiac Arrest
"9914057"	-	General-Dental Problems
"9914059"	-	General-Epistaxis
"9914061"	-	General-Fever
"9914063"	-	General-Individualized Patient Protocol
"9914065"	-	General-Indwelling Medical Devices/Equipment
"9914067"	-	General-IV Access
"9914069"	-	General-Medical Device Malfunction
"9914071"	-	General-Pain Control
"9914073"	-	General-Spinal Immobilization/Clearance
"9914075"	-	General-Universal Patient Care/ Initial Patient Contact
"9914077"	-	Injury-Amputation
"9914079"	-	Injury-Bites and Envenomations-Land
"9914081"	-	Injury-Bites and Envenomations-Marine
"9914083"	-	Injury-Bleeding/ Hemorrhage Control
"9914085"	-	Injury-Burns-Thermal
"9914087"	-	Injury-Cardiac Arrest
"9914089"	-	Injury-Crush Syndrome
"9914091"	-	Injury-Diving Emergencies
"9914093"	-	Injury-Drowning/Near Drowning
"9914095"	-	Injury-Electrical Injuries
"9914097"	-	Injury-Extremity
"9914099"	-	Injury-Eye
"9914101"	-	Injury-Head
"9914103"	-	Injury-Impaled Object
"9914105"	-	Injury-Multisystem
"9914107"	-	Injury-Spinal Cord
"9914109"	-	Medical-Abdominal Pain
"9914111"	-	Medical-Allergic Reaction/Anaphylaxis
"9914113"	-	Medical-Altered Mental Status
"9914115"	-	Medical-Bradycardia
"9914117"	-	Medical-Cardiac Chest Pain
"9914119"	-	Medical-Diarrhea
"9914121"	-	Medical-Hyperglycemia
"9914123"	-	Medical-Hypertension
"9914125"	-	Medical-Hypoglycemia/Diabetic Emergency
"9914127"	-	Medical-Hypotension/Shock (Non-Trauma)
"9914129"	-	Medical-Influenza-Like Illness/ Upper Respiratory Infection
"9914131"	-	Medical-Nausea/Vomiting
"9914133"	-	Medical-Newborn/ Neonatal Resuscitation
"9914135"	-	General-Overdose/Poisoning/Toxic Ingestion
"9914137"	-	Medical-Pulmonary Edema/CHF
"9914139"	-	Medical-Respiratory Distress/Asthma/COPD/Reactive Airway
"9914141"	-	Medical-Seizure
"9914143"	-	Medical-ST-Elevation Myocardial Infarction (STEMI)
"9914145"	-	Medical-Stroke/TIA
"9914147"	-	Medical-Supraventricular Tachycardia (Including Atrial Fibrillation)
"9914149"	-	Medical-Syncope
"9914151"	-	Medical-Ventricular Tachycardia (With Pulse)
"9914153"	-	Not Done
"9914155"	-	OB/GYN-Childbirth/Labor/Delivery
"9914157"	-	OB/GYN-Eclampsia
"9914159"	-	OB/GYN-Gynecologic Emergencies
"9914161"	-	OB/GYN-Pregnancy Related Emergencies
"9914163"	-	OB/GYN-Post-partum Hemorrhage
"9914165"	-	Other
"9914167"	-	Exposure-Carbon Monoxide
"9914169"	-	Cardiac Arrest-Do Not Resuscitate
"9914171"	-	Cardiac Arrest-Special Resuscitation Orders
"9914173"	-	Exposure-Smoke Inhalation
"9914175"	-	General-Community Paramedicine / Mobile Integrated Healthcare
"9914177"	-	General-Exception Protocol
"9914179"	-	General-Extended Care Guidelines
"9914181"	-	General-Interfacility Transfers
"9914183"	-	General-Law Enforcement - Blood for Legal Purposes
"9914185"	-	General-Law Enforcement - Assist with Law Enforcement Activity
"9914187"	-	General-Neglect or Abuse Suspected
"9914189"	-	General-Refusal of Care
"9914191"	-	Injury-Mass/Multiple Casualties
"9914193"	-	Injury-Thoracic
"9914195"	-	Medical-Adrenal Insufficiency
"9914197"	-	Medical-Apparent Life Threatening Event (ALTE)
"9914199"	-	Medical-Tachycardia
"9914201"	-	Cardiac Arrest-Determination of Death / Withholding Resuscitative Efforts
"9914203"	-	Injury-Conducted Electrical Weapon (e.g., Taser)
"9914205"	-	Injury-Facial Trauma
"9914207"	-	Injury-General Trauma Management
"9914209"	-	Injury-Lightning/Lightning Strike
"9914211"	-	Injury-SCUBA Injury/Accidents
"9914213"	-	Injury-Topical Chemical Burn
"9914215"	-	Medical-Beta Blocker Poisoning/Overdose
"9914217"	-	Medical-Calcium Channel Blocker Poisoning/Overdose
"9914219"	-	Medical-Opioid Poisoning/Overdose
"9914221"	-	Medical-Respiratory Distress-Bronchiolitis
"9914223"	-	Medical-Respiratory Distress-Croup
"9914225"	-	Medical-Stimulant Poisoning/Overdose

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

<xs:element id="dConfiguration.EMSAgencyProtocols" maxOccurs="unbounded" name="dConfiguration.10">

<xs:complexType>

<xs:simpleContent>

<xs:extension base="ProtocolsUsed">

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

</xs:extension>

</xs:simpleContent>

</xs:complexType>

</xs:element>

dConfiguration.11

Type:

anonymous (extension of AgencySpecialtyServiceCapability), simple content

dConfiguration.11 EMS Agency Specialty Service Capability Yes Yes Special training or services provided by the EMS Agency and available to the EMS service area/community. Mandatory

Simple Content

enumeration of xs:string

Enumeration:

"1211001"	-	Air Rescue
"1211003"	-	CBRNE
"1211005"	-	Community Health Medicine
"1211007"	-	Disaster Medical Assistance Team (DMAT)
"1211009"	-	Disaster Mortuary (DMORT)
"1211011"	-	Dive Rescue
"1211013"	-	Farm Rescue
"1211015"	-	High Angle Rescue
"1211017"	-	Machinery Disentanglement
"1211019"	-	None
"1211021"	-	Ski / Snow Rescue
"1211023"	-	Tactical EMS
"1211025"	-	Trench / Confined Space Rescue
"1211027"	-	Urban Search and Rescue (USAR)
"1211029"	-	Vehicle Extrication
"1211031"	-	Veterinary Medical Assistance Team (VMAT)
"1211033"	-	Water or Ice Related Rescue (Incl Swift Water)
"1211035"	-	Wilderness Search and Rescue

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

<xs:element id="dConfiguration.EMSAgencySpecialtyServiceCapability" maxOccurs="unbounded" name="dConfiguration.11">

<xs:complexType>

<xs:simpleContent>

<xs:extension base="AgencySpecialtyServiceCapability">

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

</xs:extension>

</xs:simpleContent>

</xs:complexType>

</xs:element>

dConfiguration.12

Type:

YesNoValues, simple content

dConfiguration.12 Billing Status No No Indication of whether the EMS agency routinely bills for any segment of the patient population. D04_10 Optional Billing status is associated with each EMS Agency for the specific EMS Agency Number (dAgency.02).

Simple Content

enumeration of xs:string

Enumeration:

"9923001"	-	No
"9923003"	-	Yes

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

<xs:element id="dConfiguration.BillingStatus" minOccurs="0" name="dConfiguration.12" type="YesNoValues"/>

dConfiguration.13

Type:

anonymous (extension of EMDtoAgencyServiceArea), simple content

dConfiguration.13 Emergency Medical Dispatch (EMD) Provided to EMS Agency Service Area Yes Yes Indication as to whether Emergency Medical Dispatch is provided to the EMS Agency's service area. Mandatory Airway Cardiac Arrest Pediatric Response STEMI Stroke Trauma Added to better document the implementation of Emergency Medical Dispatch. Associated with each EMS Agency and the specific EMS Agency Number (dAgency.02).

Simple Content

enumeration of xs:string

Enumeration:

"1213001"	-	No
"1213003"	-	Yes, 100% of the EMS Agency's Service Area
"1213005"	-	Yes, Less than 100% of the EMS Agency's Service Area

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

<xs:element id="dConfiguration.EmergencyMedicalDispatchEMDProvidedtoEMSAgencyServiceArea" name="dConfiguration.13">

<xs:complexType>

<xs:simpleContent>

<xs:extension base="EMDtoAgencyServiceArea"/>

</xs:simpleContent>

</xs:complexType>

</xs:element>

dConfiguration.14

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

dConfiguration.14 EMD Vendor No Yes The vendor or company associated with the EMD Card set and algorithms. D04_17 Recommended

Simple Content

xs:string

maxLength:	100
minLength:	2

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

<xs:element id="dConfiguration.EMDVendor" maxOccurs="unbounded" minOccurs="0" name="dConfiguration.14" nillable="true">

<xs:complexType>

<xs:simpleContent>

<xs:extension base="EMDVendorType">

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

<xs:simpleType>

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

</xs:simpleType>

</xs:attribute>

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

</xs:extension>

</xs:simpleContent>

</xs:complexType>

</xs:element>

dConfiguration.15

Type:

anonymous (extension of PatientMonitoringCapability), simple content

dConfiguration.15 Patient Monitoring Capability(ies) Yes Yes The EMS Agency's patient monitoring capability which can be provided to any/all patients presenting to EMS. Mandatory Airway Cardiac Arrest Pediatric Response STEMI Stroke Trauma Added to identify the patient monitoring capability of the EMS Agency. Associated with each EMS Agency Number (dAgency.02) since each EMS Agency Number may have a different capability within each EMS Agency. Other patient monitoring capability may exist but NEMSIS Version 3 only includes these specific capabilities.

Simple Content

enumeration of xs:string

Enumeration:

"1215001"	-	Capnography-Numeric
"1215003"	-	Capnography-Waveform
"1215005"	-	ECG-12 Lead or Greater
"1215007"	-	ECG-Less than 12 Lead (Cardiac Monitor)
"1215009"	-	Oximetry-Carbon Monoxide
"1215011"	-	Oximetry-Oxygen
"1215013"	-	Pressure Measurement-Invasive (Arterial, CVP, Swan, etc.)
"1215015"	-	Pressure Measurement-Non-Invasive (Blood Pressure, etc.)
"1215017"	-	Ventilator-Transport
"1215019"	-	Vital Sign Monitoring

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

<xs:element id="dConfiguration.PatientMonitoringCapabilityies" maxOccurs="unbounded" name="dConfiguration.15">

<xs:complexType>

<xs:simpleContent>

<xs:extension base="PatientMonitoringCapability">

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

</xs:extension>

</xs:simpleContent>

</xs:complexType>

</xs:element>

dConfiguration.16

Type:

anonymous (extension of AgencyCallSign), simple content

dConfiguration.16 Crew Call Sign Yes Yes The EMS crew call sign used to dispatch and communicate with the unit. This may be the same as the EMS Unit/Vehicle Number in many agencies. D04_02 Mandatory <performanceMeasures/>

Simple Content

xs:string

maxLength:	50
minLength:	1

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

<xs:element id="dConfiguration.AgencyCallSign" maxOccurs="unbounded" name="dConfiguration.16">

<xs:complexType>

<xs:simpleContent>

<xs:extension base="AgencyCallSign">

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

</xs:extension>

</xs:simpleContent>

</xs:complexType>

</xs:element>

dConfiguration.17

Type:

anonymous (extension of DispatchCenterCADNameorID), simple content

dConfiguration.17 Dispatch Center (CAD) Name or ID No No The name or ID of the dispatch center (Primary or Secondary Service Answering Point - PSAP) that dispatches the EMS agency. Optional <performanceMeasures/> This element can be used to identify the dispatch center (Primary or Secondary Service Answering Point - PSAP) that dispatches the EMS agency. If the EMS agency is able to populate the Patient Care Report (PCR) with CAD specific details (times, incident address information, crew information, EMD, etc.) the name or ID of the dispatch center should be documented. Information in dConfiguration.17 may be used to populate eDispatch.04 - Computer Aided Dispatch (CAD) Name or ID if a CAD integration exists. Added to the dataset to assist in identifying the CAD / dispatch center providing information to the EMS agency and ePCR when there are multiple dispatch centers sending resources to the same EMS incident.

Simple Content

xs:string

maxLength:	100
minLength:	2

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

<xs:element id="dConfiguration.DispatchCenterCADNameorID" maxOccurs="unbounded" minOccurs="0" name="dConfiguration.17">

<xs:complexType>

<xs:simpleContent>

<xs:extension base="DispatchCenterCADNameorID">

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

</xs:extension>

</xs:simpleContent>

</xs:complexType>

</xs:element>

dConfiguration.MedicationGroup

Type:

anonymous, complex content

Group Tag to hold info about Medication information

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

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

<xs:complexType>

<xs:sequence>

<xs:element id="dConfiguration.PersonnelLevelPermittedtoAdministertheMedication" name="dConfiguration.08" type="StateCertificationLicensureLevels"/>

<xs:element id="dConfiguration.EMSAgencyMedications" maxOccurs="unbounded" name="dConfiguration.09">

<xs:complexType>

<xs:simpleContent>

<xs:extension base="Medication">

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

</xs:extension>

</xs:simpleContent>

</xs:complexType>

</xs:element>

</xs:sequence>

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

</xs:complexType>

</xs:element>

dConfiguration.ProcedureGroup

Type:

anonymous, complex content

Group Tag to hold info about Procedure information

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

<xs:element id="dConfiguration.AgencyProcedureGroup" maxOccurs="unbounded" name="dConfiguration.ProcedureGroup">

<xs:complexType>

<xs:sequence>

<xs:element id="dConfiguration.EMSPersonnelLevelPermittedtoPerformtheProcedure" name="dConfiguration.06">

<xs:complexType>

<xs:simpleContent>

<xs:extension base="StateCertificationLicensureLevels"/>

</xs:simpleContent>

</xs:complexType>

</xs:element>

<xs:element id="dConfiguration.EMSAgencyProcedures" maxOccurs="unbounded" name="dConfiguration.07">

<xs:complexType>

<xs:simpleContent>

<xs:extension base="snomed">

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

</xs:extension>

</xs:simpleContent>

</xs:complexType>

</xs:element>

</xs:sequence>

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

</xs:complexType>

</xs:element>