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EMS CDA Implementation Guide Errata

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Appendices

Appendices included in R1 ballot not published in R1 guide. They are available in the R2 guide.

Example for Current Medication (2.16.840.1.1133883.17.3.10.1.77)

         <entry>
           <substanceAdministration classCode="SBADM" moodCode="EVN">
             <templateId root="2.16.840.1.1133883.17.3.10.1.77"/>
             <consumable typeCode="CSM">
               <manufacturedProduct classCode="MANU">
                 <manufacturedMaterial classCode="MMAT" determinerCode="KIND">
                   
                 </manufacturedMaterial>
               </manufacturedProduct>
             </consumable>
           </substanceAdministration>
         </entry>

Constraint for EMS Medications Administered Section

  • MAY contain zero or one [0..1] component (CONF:10015)

should be

  • SHALL contain one or more [1..*] component (CONF:10015)

NEMSIS eHistory.07 (Environmental/Food Allergies)

  • Problem
    • PCR R1 value set provided as answer to LOINC question 69748-2 is no longer correct. NEMSIS 3.4 uses the SNOMED CT list available at here.
    • Further, LOINC has deprecated 69748-2
  • Current advice
    • For NEMSIS 3.4, use PCR R2
    • Use LOINC 79151-7 for question.
    • Bind to SNOMED CT, with SHOULD strength. Refer to NEMSIS list URL.