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NEMSIS Part 2 Powered By Docstoc
					FireRMS NEMSIS (Part 2)
 Presented by Laura Small
FireRMS Quality Assurance
 Part 1 of the NEMSIS Class provided the basic information an Agency
 would need to setup & use NEMSIS Reporting in FireRMS.
 This section of the Class will show you how to customize the NEMSIS
 forms to make filling out the reports Easier & Faster for your users.
 This Class will cover the following “How To” topics:

              • Define and Set Default Values for coded fields
              • Create an Auto-Narrative Template
              • Updating Codes
              • Add, move or remove fields
              • Hide or show tabs
Default Values Overview
For each EMS run being reported, you will find that some fields almost
always have the same value, time after time.
An easy way to streamline data entry is to setup Default Values for these
    • Default Values may be setup for almost every Coded field.
    • Fields that support multiple codes may only have one default value
    • Not all fields support setting default values: Text fields and fields
    associated with rules (fields that turn red depending on values entered
    in another field, or fields that are red until you enter a value) may not
    support design mode.
Default Values Setup 1
Set your User Preferences to Show the NEMSIS Code Prefixes

Click On Tools\User Preferences\NEMSIS EMS\Show code Prefix in lists.
Default Values Setup 1

                         Create an EMS Incident, add
                         a Patient Name, then add the
                         desired ‘Default Code’ to
                         each field you want to have a
Default Values Setup 3

Go to Tools\Administration\System\Settings, then click on the checkbox
labeled ‘Initiate Design Mode’ to set the System to use the Design Mode

When your system is in Design Mode you can update the Properties of almost
every Field in FireRMS. Because the fields on the NEMSIS forms have
additional properties not available in the rest of the FireRMS interface, Design
Mode reacts differently on NEMSIS fields than fields in any other part of the
user interface.
   Default Values Setup 4
   Re-open the incident where you setup the desired values. Right Click on Each
   Field to view the Property Sheet for that field.

The code you entered for each field will display in the Current Value column of the
‘Default Value’ row on the Property Sheet grid.
Type that code into the Target Value column (as shown above), then click Save &
Close. When done, restart FireRMS or Disable Design Mode
Default Values Usage
Create a new Incident to use NEMSIS. Add the patient name, then use the
“Set Defaults” button to set the Defaults:

                                Every field you have set to a default
                                value will be automatically filled in
                                with that value when you click on
                                the Set Defaults Button.
                                The user filling out the report may
                                update any default value if it is not
                                appropriate for their specific report.
                                If any field does not set the defaults
                                as expected, check to see if there is
                                a rule associated with the field or if it
                                is a text field.
 Create a Narrative Template

 The NEMSIS Narrative Template allows the administrator to define what fields
 will be included in the ‘Auto’ narrative.

 When adding a NEMSIS Narrative to an incident, the user may manually enter
 his own text as desired, or they may use the Auto narrative to generate the text
 and then add to or modify it as desired.

Note: The full text of the NEMSIS narrative is included in the NEMSIS export
  Create a Narrative Template
To create an Auto Narrative Template, start by Enabling Design Mode, then
open a NEMSIS Incident and go to the Narrative Tab.
Click on the green Button ‘Create Auto Narrative’

The Auto Narrative
template form will
display. You can add
Data elements
(Fields) to the
template and then
add your own text to
complete the
desired format.
Create a Narrative Template

Use the Browser to view the list of available data elements. Select each desired
Data Element, then click on the button labeled Insert Element to add that field to
the narrative template.
  Create a Narrative Template
Finish the template by adding your own text to create the complete template for
your agency:

                                                                    Click the ‘Save
                                                                    & Close’ button
                                                                    to save your
                                                                    data, then
                                                                    FireRMS or
                                                                    disable Design
                                                                    Mode to test
                                                                    the completed
Using The Auto Narrative

When a user fills out an incident, they can click on the ‘Auto Narrative’ button to
create a narrative using the default values and text you setup in the template:
Updating or Changing Codes

EMS Code sets are currently available for all states listed at the start of Part
1 of this class. Each code provided in these spreadsheets has been tested
and confirmed to work with the NEMSIS EMS Export routines provided with
Many states do not provide codes for every field that uses a code list. If the
field shows a dropdown list that is empty, you can create your own codes to
provide a list for your agency.

This section of the class will show you how to update the Code spreadsheet
and what to look for when considering the export.
  Updating Codes
When possible, all Code Updates should be completed before creating any ‘Live’
Incident records, especially if you intend to remove or replace any codes.
       All previously imported codes will be removed from the user interface
                  when you import new codes for any specific field
If you have already created incidents using codes you intend to remove, you will be
unable to view the previously made selections in FireRMS, but the original codes
will still exist in the Patient Record. Contact Customer Support for a script to update
the old/previously saved codes if this is desired. Be prepared to identify the ‘old’
code and what the ‘new’ code should be for those records.
Test to be sure new codes can be saved and are included in the NEMSIS export
before deploying them in the Live environment.
 Make sure you have a current backup or are working on a test copy of your
       database before making any changes to your NEMSIS Codes.
  Finding Valid EMS Codes
Use your local NEMSIS Data Dictionary to find the requirements of Codes you
intend to import. Important Points include the Min & Max Code lengths, the Data
Type, whether or not it’s a “multiple entry” field, and the Additional Information

 Always use YOUR local Data Dictionary to check Code Requirements for your
 State or County!
EMS Code Excel Format
The Spreadsheet used to import NEMSIS Codes has a particular format. You must
always include the header row with the expected titles, and each data element must
include the expected Number, Data Element, Code and Description. Multi-Select
Fields MUST also include codes for the NEMSIS Null Values (-25, -15 & -5 only).
Failing to include NEMSIS Null codes will prevent multi-select codes from working
properly in the User Interface.

            Save your spreadsheet with a “.XLS” extension
Import & Test New EMS Codes

Use SQL Utils to import the new Codes: Use the ‘Update EMS Codes’ button on
the NEMSIS Tab and then browse to the location of your new Code Spreadsheet.
The new codes will overwrite any codes you had previously imported for the
categories included in the spreadsheet.
After importing the new codes, test them by creating a new EMS incident and
confirming you can select, save, and change the selection of the new codes. After
testing, mark the incident complete, then save and export the incident record.
Open the export in Notepad or any other XML editing tool and confirm your new
codes were included in the incident record.
If you run into any problems, correct the issue and re run the code import.
  Reviewing the New EMS Codes
Codes EMS:

                      Check under Codes EMS to confirm your
                      new codes were imported correctly.

                      You may also use the sort options to
                      relocate commonly used codes to the top
                      of each list, or to create a list of ‘common’
                      codes. Codes may also be added to Sub
                      Category Groupings if desired.
Customizing Fields
The National NEMSIS Data Dictionary provides over 400 field definitions that may
be used to collect data for a Patient Care Record.
FireRMS provides 12 Tabs that cover the major sections of NEMSIS EMS
reporting with default fields included on each tab. The selection of these default
fields were defined during our early Beta tests of the NEMSIS option.
You can add additional fields or remove any of the default fields. You can move
fields from one tab to another and hide some tabs completely if they don’t fit the
reporting requirements for your Department.
Check the FireRMS NEMSIS Administrator Guide or your Local Data Dictionary to
determine if you need to add additional fields to the User Interface for your Local
Reporting requirements.
Keep in mind that NFIRS requires 3 fields for minimal EMS reporting, so
regardless of the required fields for your NEMSIS reporting system, you must
always keep those three fields.
Customizing Fields: 1
Use the Tab Control function in FireRMS to add, move or remove fields on the
NEMSIS forms. In FireRMS, click on ‘Tools, Customize, Incidents, NEMSIS,
Open Saved. A list of the available NEMSIS Forms will display.

                                                           Select the tab you
                                                           want to update,
                                                           then click on the
                                                           button labeled
Customizing Fields: 2

                        The form
                        opens in
                        Mode –
                        click the
                        Button to
                        Add New
Customizing Fields: 3

                        After clicking on the Add
                        Object Button, the Tab
                        Creator Wizard displays.

                        Click on the Radio button
                        labeled “NEMSIS Data
                        Element”, then click on
Customizing Fields: 4

                        A list of available NEMSIS
                        Objects will display.
                        The list is sorted by Data
                        element number, but is
                        also logically grouped by
                        the Data Type, in many
                        cases matching an existing
                        Tab Name.
                        Click on the Data Element
                        you wish to add, then click
                        on the button labeled
Customizing Fields: 5

                        field will
                        be added
                        near the
                        top of the
Customizing Fields: 6

                        Click on
                        the Upper
                        Left Corner
                        of the field
                        Frame and
                        Drag it to
                        the desired
Customizing Fields: 7

                        adding all
                        new fields,
                        click on
                        Save, then
                        Your new
                        field is
                        for Data
Customizing Fields: 8

                        Use the
                        Mouse to
                        drag fields
                        you don’t
                        want to the
                        Press Save &
                        Publish to
                        Save your
Customizing Fields: 9
                        To move fields from
                        one NEMSIS form to
                        a different one,
                        delete it from the
                        current form by
                        dragging it to the
                        Flaming Trash and
                        then pressing Save &
                        Update. The deleted
                        item will be returned
                        to the list of available
                        objects. Then, you
                        can follow the same
                        steps to add the field
                        to the desired form.
Customizing Fields: 10
When adding or moving fields, you may find it hard to get them to ‘line up’ exactly
right on the form. One easy way to handle this is to right click on each field as
you add it. The Property Sheet, shown below, will display. Review the Current
‘Top’ and ‘Left’ value – the pixel count from the top and left of the forms – and
adjust each field as desired by entering new Default Values for the locations to
ensure they all line up top to bottom and left to right across the screen.
Customizing Fields: Results
Adding Extra Fields
Three ‘non NEMSIS’ fields are offered in the default list of NEMSIS Objects, or
you may create and add your own.

The field ‘Total Miles’ may be added to the Unit tab to collect the total miles for
each call when that data is needed for local Billing or reporting purposes. Data
entered in this field is saved to the E02 table in column ‘E02_TotMil’

The field 'Free text patient info' may be added to the Patient Info tab to allow
proper entry of non-USA address, phone number and/or other contact
information. The data entered in this field is saved to the E06 table in column

The field 'Free text billing info' may be added to the Billing tab to allow proper
entry of non-USA address, phone number and/or other Insurance Company
info. Note: you must add an insurance company name before this field will
become accessible for data entry. The data entered in this field is saved to the
E07_03_0 table in column 'E07_FTPI‘
 Not required fields?
All NEMSIS forms may be hidden to prevent users from having to (or being able
to) fill in data on the fields contained on that form.
Some forms have one or more required fields that need to be moved to any other
form before the main form should be hidden.
Tabs that are typically hidden include the History and Assessment tabs.
Tabs that should never be hidden include the Patient Info and Scene tabs.

         Be sure you understand your rules before hiding any tabs.

Each State or NEMSIS Reporting agency has different sets of rules regarding
what fields must exist in the export. Some fields are required based on entries
made in other fields. Check the FireRMS Admin Guide for NEMSIS, your local
Data Dictionary, or contact Customer Support for more information on rules for
your location.
Adding & Hiding Tabs
In FireRMS, click on Tools, Customize, Incidents, Tab Control. In the Tab Level
dropdown list, choose ‘NEMSIS’:

                                                                   After checking
                                                                   rules and
                                                                   moving any
                                                                   desired fields,
                                                                   clear the
                                                                   under the
                                                                   word ‘Show’.
                                                                   That will hide
                                                                   the tab!

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