Illinois NEMSIS Specifications: Revision History Archive

Illinois NEMSIS Specifications: Revision History Archive

As updates become available they will be posted here - along with summaries of the changes. These summaries will be archived on this page to provide a complete record of revisions.

Table of Contents

 

 

Data Validation Revision History

 

Revision History:

  • 12/17/2015
    • Updated procedures associated with the move to NEMSIS Version 3
    • Updated Compliance Testing procedures
    • Using Web Services to submit and/or validate data
    • Important dates for transition away from NEMSIS Version 2
  • 04/19/2010
    • Original document posted

 

NEMSIS Elements Collected by State of Illinois Revision History 

 

Revision History:

  • 01/29/2016
    • Two elements have been added to the list of elements being collected by the State of Illinois
      • eOther.04 - EMS Professional (Crew Member) ID
      • eOther.06 - The Type of Work-Related Injury, Death or Suspected Exposure
  • 12/23/2014
    • Original document posted

 

 Destination Codes Revision History

Revision History:

  • 03/20/2019
    • Routine update including additions and name changes.
  • 12/04/2018
    • New codes have been added for:
      • Javon Bea Hospital, Rockford
      • Harsha Behavioral Center, Inc., Terra Haute, IN
  • 09/13/2018
    • Bloomington Meadown Hospital, Bloomington, IN has been added
  • 09/6/2018
    • Northwestern Medicine hospital names have been brought up to date.
  • 07/26/2018
    • Routine update including additions and name changes.
  • 11/09/2017
    • The new O’Fallon location for St Elizabeth’s Hospital in EMS Region 4 has been assigned destination code 0851
  • 08/30/2017
    • Codes have been added for:
      • Community Hospital – Munster, IN
      • Genesis Medical Center-Davenport, IA
      • Washington University School of Medicine – St. Louis, MO
      • Beloit Memorial Hospital – Beloit, WI
      • The Monroe Clinic – Monroe, WI
      • Mercy Medical Center – Clinton, WI
    • The names of some hospitals already in the system have been updated to reflect changes since the last posting
  • 04/04/2017
    • A code has been added for Good Samaritan Hospital, Vincennes, IN
    • The names of some hospitals already in the system have been updated to reflect changes since the last posting
  • 09/13/2016
    • Revised list posted - To update the location for Silver Cross Hospital
  • 02/10/2016
    • Revised list posted - Routine update
  • 04/22/2015
    • Codes have been added for the following sites:
      • Streamwood Behavioral Healthcare System, Streamwood IL
      • Birth Center at PCC, Berwyn IL
      • St. Louis Regional Psychiatric Stabilization Center, St. Louis MO
    • The names of some hospitals already in the system have been updated to reflect changes since the last posting
  • 05/20/2014
    • Codes have been added for the following hospitals:
      • Van Matre Healthsouth Rehab Hospital, Rockford
      • American Family Children's Hospital, Madison, Wisconsin
      • Saint Mary's Hospital, Rochester, Minnesota
      • Maryville Scott Nolan Center, Des Plaines
    • The names of some hospitals already in the system have been updated to reflect changes since the last posting.
  • 03/13/2014
    • Codes have been added for the following hospitals:
      • Andrew McFarland Mental Health Center, Springfield
      • Select Specialty Hospital - Quad Cities, Davenport, Iowa
    • The names of some hospitals already in the system have been updated to reflect changes since the last posting
  • 3/30/2013
    • Codes have been added for the following 10 Wisconsin hospitals:
      • Aurora Medical Center - Kenosha
      • Aurora Memorial Hospital - Burlington
      • Aurora Lakeland Medical Center - Elkhorn
      • Children's Hospital of Wisconsin - Milwaukee
      • Froedtert Hospital - Milwaukee
      • Mercy Walworth Hospital - Lake Geneva
      • United Hospital System/Kenosha Medical Center - Kenosha
      • United Hospital System/St Catherine's Medical Center - Pleasant Prairie
      • Wheaton Franciscan Healthcare/All Saints - Racine
      • Wheaton Franciscan Healthcare - Franklin
  • 8/24/2012
    • A code has been added for Kindred Hospital, Springfield (0879)
  • 5/18/2011
    • Added codes for:
      • St. Louis VA Medical Center-John Cochran Division (9615)
      • Kindred Hospital St Louis (9616)
  • 10/27/2010
    • Hospitals closed before the launch of the NEMSIS-compliant system have been eliminated
    • Destination zip codes have been added
  • 05/11/2010
    • A new destination has been added (Deaconess Gateway Hospital, Newburgh, IN)
  • 04/20/2010
    • Added codes for:
      • Riveredge Hospital, Forest Park (0169)
      • Lincoln Prairie Behavioral Health Ctr, Springfield (0878)

 

 EMS Agency Codes Revision History

Revision History:

  • 07/19/2019
    • Revised list posted- Routine Update
  • 03/20/2019
    • Routine update including additions and name changes.  A city and state field has been added to aid correct identification.
  • 03/21/2018
    • Additional out-of-service agencies have been removed.
  • 03/13/2018
    • A new agency, Lifeguard Ambulance Service of Illinois, Inc, has been added.
  • 02/26/2018
    • Revised list posted - Out-of-service agencies purged.
  • 02/10/2016
    • Revised list posted - Routine update
  • 08/28/2014
    • Revised list posted - Routine update
  • 03/12/2014
    • Revised list posted - Routine update

 

EMS System Numbers Revision History

Revision History:

  • 03/20/2019
    • Routine update for name changes.  Defunct EMS Systems have been removed.
  • 09/06/2018
    • A new EMS System has been added (Northwestern Medicine North Region EMS System, #1082).
  • 08/30/2017
    • The names of some Resource Hospitals already in the system have been updated to reflect changes since the last posting
  • 09/13/2016
    • Revised list posted - To update the location for Silver Cross Hospital
  • 02/10/2016
    • Revised list posted - Routine update
  • 03/12/2014
    • The names of Resource Hospitals already in the system have been updated to reflect changes since the last posting.
  • 04/07/2011
    • New EMS systems added:
      • Morris Hospital (0777)
      • Stroger Hospital (1178)
  • 02/10/2010
    • Revised list posted - Routine update

 

EMS System - EMS Agency Associations Revision History

Revision History:

  • 06/03/2019
    • ​Original Document Posted

 

Rules for Data Consistency Revision History

Revision History:

  • 10/26/2018
    • Rules 94 has been modified to add “not recorded” to the list of accepted values for Initial Patient Acuity (eSituation.13). 
    • Rules 104 and 106 have been modified to add “not recorded” to the list of accepted values for Cardiac Arrest (eArrest.01). 
    • Rule 225 has been eliminated.
    • Rule 229 has been modified to add “not recorded” to the list of accepted values for Final Patient Acuity (eSituation.19). 
  • 11/02/2017
    • The descriptions of rules referring to eSituation.01 (Symptom Onset DateTime) have been modified to reflect the fact that this datum is no longer combined with the 'Last Known Well' time since the move to NEMSIS 3.4.0; the conditions enforced by these rules have not changed
    • The descriptions of rules referring to eDisposition.19 (Final Patient Acuity) have been modified to reflect the new NEMSIS 3.4.0 terminology - this element used to be called Condition of Patient at Destination and had different values; the conditions enforced by these rules have not changed
  • 09/25/2017
    • The recent change to rule 243 was modified as follows, due to valuable feedback:
      'Not Recorded' will be allowed in addition to 'Yes' or 'No' because no 'Unknown' value is available, but whether there was exposure could well be unknown; the element will still be required for each crew member
    • Rules 424.2 - 245 will either not take effect or will enforce the old requirements for calls prior to October 1, 2017
  • 09/15/2017
    • Changes have been made to rules 242-245 regarding Personal Protective Equipment (PPE) and Exposure:
      • Rule 242 is now triggered for each Crew member without PPE (eOther.03), and for all 'Patient Encountered' calls - it is still a WARNING, because there is no 'None value
      • Rule 242.2 was added (an ERROR, not a WARNING) to require eOther.04 elements to link any eOther.03 values to specific crew members
      • Rule 243 was changed to always require a Yes/No response in eOther.05 for each crew member
      • Rule 244 was changed to require linkage to a specific Crew Member via eOther.04 when Type of Work-Related Injury, Death or Suspected Exposure (eOther.06) is present
      • Rule 245 was modified to always require a one-to-one correspondence between Crew Members (eCrew.01) and the attendant EMSCrewMember (identified by eOther.04)
  • 07/24/2017
    • Rule 238 (requiring Destination Team Pre-Arrival Arrival Alert or Activation to be specified for transports to the ER) has been eliminated
  • 05/16/2017
    • Rule 214 has been modified to allow for a new Non-Hospital Destination code (9995) to be used in eDisposition.02 when the type of destination is not a hospital or another EMS agency; when transporting to one of these destinations, Destination Transferred To Code (eDisposition.02) may now be omitted, or may export the new '9995' code, or may contain a Not value
  • 03/17/2017
    • Rule 214 has been relaxed so that, instead of requiring the 'Destination Transferred To ID' element (eDisposition.02) to be 'Not Applicable' when the 'Destination Type' element (eDisposition.21) indicates a destination other than a hospital or a transfer to another EMS agency, it now allows any Not value
  • 01/12/2017
    • The following rules have been relaxed so that, instead of requiring that elements be omitted or 'Not Applicable' when there is no patient contact, they require that elements be omitted or set to any NOT value when there's no patient contact
      Rule # Element(s)
      45 ePatient.*
      68 eScene.08
      77 eSituation.*
      96 eInjury.*
      130 eHistory.*
      135 eVitals.*
      163 eExam.*
      168 eMedications.*
      190 eProcedures.*
  • 01/02/2017
    • Rule 82 has been relaxed by replacing it with rules 82a and 82b. Some of the eInjury elements whose presence previously caused an error if Possible Injury is not 'Yes' will now only cause a warning; other eInjury elements will continue to cause an error if Possible Injury is not 'Yes'
  • 11/16/2016
    • Rule 58 has been eliminated (warning about missing CMS Service Level)
    • Rules 154-157 (requiring Glasgow components and modifier when a Glasgow Score is present) now only apply if Vitals Obtained Prior = 'No'
  • 11/07/2016
    • Rules 126 and 127 have been eliminated because they did not adequately take into consideration scenarios where CPR is initiated by EMS and continued until and after patient care is transferred at the ED; there is no value the eArrest.16 element can take on that specificly indicates that the patient was handed off at the ED while CPR continued, so it was decided to eliminate these rules for now and reconsider them when the time comes to transition to NEMSIS 3.4
  • 08/17/2016
    • New rule 246 added to require correct content in eResponse.13 (EMS Vehicle/Unit Number):
      EMS Vehicle Number (eResponse.13) must be a 2-digit number, 'NT', a 6-digit number (agency+unit ID) OR a 4-digit number followed by 'NT'. 'NT' indicates a non-transport unit (calls for non-transport units found in the dataset will be skipped without warning or error); n optional hyphen is permitted between the Agency Number (if included) and the 2 digit Vehicle IDa
  • 03/28/2016
    • Rule 213 has been changed to a warning (to allow for the case of tranfers to out-of-state agencies), and the error message updated to clarify that values will be validated against the provided list of Illinois EMS Agencies in the case of transfers of care
  • 03/01/2016:
    • Rule numbers 141 and 143 have been deleted, and the following rules modified to more fully account for the effects of pertinent negatives
      • 133
      • 134
      • 142
      • 154
      • 155
      • 156
      • 161
      • 169
      • 191
      • 195
      • 200
  • 02/04/2016:
    • Rules 213 and 214 have been changed to relax destination info requirements for Care Transferred calls
    • Rule 218 has been changed to a warning, so that Destination Zip is never absolutely required
  • 02/01/2016:
    • Rule 39, prohibiting the 'Not Recorded' not-value in Patient Contact DateTime, has been deleted
    • Rule 58, warning of missing CMS Service Level has been changed to be triggered for Transports only
  • 01/29/2016 - Rules have been updated significantly:
    The following rules have been deemed too restrictive or redundant and have been deleted:

    The following rules have been modified:

    Two new rules have been added:

    The error messages for the following rules have been corrected or clarified:

    • Rule 122 - Requiring First Monitored Rhythm
    • Rule 145 - Forbidding Systolic BP = Not Recorded
    • Rule 148 - Forbidding Diastolic BP = Not Recorded
    • Rule 152 - Forbidding Heart Rate = Not Recorded
    • Rule 153 - Forbidding Respiratory Rate = Not Recorded
    • Rule 188 - Forbidding Role/Type of Person Administering Medication = Not Recorded in certain circumstances
    • Rule 19 re: When a Type of Turnaround Delay must be specified
    • Rule 70 re: When Incident Street Address may equal 'Not Applicable'
    • Rule 147 re: When Systolic BP must be specified (eliminated Pertinent Negative exception)
    • Rule 243 re: Suspected EMS Work Related Exposure, Injury or Death - now always required
    • Rule 244 re: When a Type of Work-Related Injury, Death or Suspected Exposure must be specified
    • Rule 245 re: When EMS Professional ID (in eOther section) must be specified
    • Rule 45
    • Rule 77
    • Rule 93
    • Rule 194
  • 02/26/2015
    • Original document posted

 
 

Illinois Schematron Files Revision History

  • Revision History:
    • 10/26/2018
      • Rule 94 has been modified to add “not recorded” to the list of accepted values for Initial Patient Acuity (eSituation.13).  The new messaging is:
        • Initial Patient Acuity (eSituation.13) must equal a valid value other than “Not Applicable” when Incident/Patient Disposition (eDisposition.12) equals a value from the "Patient Treated" Disposition Group and Type of Service Requested (eResponse.05) equals any of the following values:
          • ​"911 Response (Scene)"
          • "Intercept"
          • "Mutual Aid"
      • The test associated with rule 104 for Cardiac Arrest (eArrest.01) has been changed from “nem:eArrest.01 != '3001001' or not(nem:eArrest.14 != ' ')” to “nem:eArrest.01 = ('3001003','3001005') or not(nem:eArrest.14 != ' ')” but the messaging remains unchanged.
      • Rule 106 has been modified to add “not recorded” to the list of accepted values for Cardiac Arrest (eArrest.01).  The new messaging is:
        • Cardiac Arrest (eArrest.01) must equal a valid value other than “Not Applicable” when Incident/Patient Disposition (eDisposition.12) contains a value from the 'Patient Encountered' Disposition Group.
      • Rule 225 has been eliminated.
      • Rule 229 has been modified to add “not recorded” to the list of accepted values for Final Patient Acuity (eSituation.19).  The new messaging is:
        • Final Patient Acuity (eSituation.19) must equal a valid value other than “Not Applicable” when Incident/Patient Disposition (eDisposition.12) equals a value from the "Patient Transported" Disposition Group.
    • 11/02/2017
      • The error messages of rules referring to eSituation.01 (Symptom Onset DateTime) have been modified to reflect the fact that this datum is no longer combined with the 'Last Known Well' time since the move to NEMSIS 3.4.0; the conditions enforced by these rules have not changed
      • The error messages of rules referring to eDisposition.19 (Final Patient Acuity) have been modified to reflect the new NEMSIS 3.4.0 terminology - this element used to be called Condition of Patient at Destination and had different values; the conditions enforced by these rules have not changed
    • 09/25/2017
      • Recent changes to rules 242-245 were modified as follows, due to valuable feedback:
        • Rule 242.2 will only be enforced for calls with a Dispatch Time (eTimes.03) from October 1, 2017 or later
        • Rule 243 was relaxed to allow 'Not Recorded' in addition to 'Yes' or 'No' since no 'Unknown' value is available, but whether or not there was exposure could well be unknown
        • The change to rule 244 (requiring eOther.04) will only be enforced for calls on or after October 1, 2017
        • Rule 245 will enforce the old requirement (Crew ID linkage (eOther.04) required when Exposure (eOther.05) = 'Yes') for calls prior to October 1, 2017
    • 09/15/2017
      • Changes have been made to rules 242-245 regarding Personal Protective Equipment (PPE) and Exposure:
        • Rule 242 is now triggered for each Crew member without PPE (eOther.03), and for all 'Patient Encountered' calls - it is still a WARNING, because there is no 'None value
        • Rule 242.2 was added (an ERROR, not a WARNING) to require eOther.04 elements to link any eOther.03 values to a specific crew members
        • Rule 243 was changed to always require a Yes/No response in eOther.05 for each crew member
        • Rule 244 was changed to require linkage to a specific Crew Member via eOther.04 when Type of Work-Related Injury, Death or Suspected Exposure (eOther.06) is present
        • Rule 245 was modified to always require a one-to-one correspondence between Crew Members (eCrew.01) and the attendant EMSCrewMember (identified by eOther.04)
    • 08/15/2017
      • A change to how rule 159 is implemented was made to prevent schematron transformation errors under certain circumstances
      • The rule being enforced has not changed
    • 07/24/2017
      • Rule 238 (requiring Destination Team Pre-Arrival Arrival Alert or Activation for transports to the ER) has been eliminated
    • 05/16/2017
      • Rule 214 has been modified to allow for a new Non-Hospital Destination code (9995) to be used in eDisposition.02 when the type of destination is not a hospital or another EMS agency; when transporting to one of these destinations, Destination Transferred To Code (eDisposition.02) may now be omitted, or may export the new '9995' code, or may contain a Not value
    • 04/28/2017
      • Rules 96 and 130 have had their XPATH test expressions modified to be tolerant of empty complex subelements (<eInjury.SeatGroup /> or <eHistory.ImmunizationsGroup />, respectively) that were previously being interpreted as leaf elements with no NV attribute and triggering these errors; the rules being enforced have not changed
    • 03/17/2017
      • Rule 214 has been relaxed so that, instead of requiring the 'Destination Transferred To ID' element (eDisposition.02) to be 'Not Applicable' when the 'Destination Type' element (eDisposition.21) indicates a destination other than a hospital or a transfer to another EMS agency, it now allows any Not value
    • 01/12/2017
      • The following rules have been relaxed so that, instead of requiring that elements be omitted or 'Not Applicable' when there is no patient contact, they require that elements be omitted or set to any NOT value when there's no patient contact
        Rule # Element(s)
        45 ePatient.*
        68 eScene.08
        77 eSituation.*
        96 eInjury.*
        130 eHistory.*
        135 eVitals.*
        163 eExam.*
        168 eMedications.*
        190 eProcedures.*
    • 01/02/2017
      • The implementation of Rule 78 has been corrected - it was causing a schematron transformation error under certain circumstances
      • Rule 82 has been relaxed by replacing it with rules 82a and 82b; some of the eInjury elements whose presence previously caused an error if Possible Injury is not 'Yes' will now only cause a warning. Other eInjury elements will continue to cause an error if Possible Injury is not 'Yes'
    • 11/16/2016
      • Rule 58 has been eliminated (warning about missing CMS Service Level)
      • Rules 154-157 (requiring Glasgow components and modifier when a Glasgow Score is present) now only apply if Vitals Obtained Prior = 'No'
    • 11/07/2016
      • Rules 126 and 127 have been eliminated because they did not adequately take into consideration scenarios where CPR is initiated by EMS and continued until and after patient care is transferred at the ED; there is no value the element can take on that specificly indicates patient handoff while CPR continues, so it was decided to eliminate these rules for now and reconsider them when the time comes to transition to NEMSIS 3.4
    • 10/13/2016
      • It was discovered that some Schematron compilers would not allow the embedded blanks previously found in the id attributes of our <assert.. > and <report.. > elements, which previously had ids like "Rule 15"; these have all been changed to eliminate embedded blanks and periods to avoid such compilation problems; there is no resulting functional change
    • 08/17/2016
      • New rule 246 added to require correct content in eResponse.13 (EMS Vehicle/Unit Number):
        EMS Vehicle Number (eResponse.13) must be a 2-digit number, 'NT', a 6-digit number (agency+unit ID) OR a 4-digit number followed by 'NT'. 'NT' indicates a non-transport unit (calls for non-transport units found in the dataset will be skipped without warning or error); an optional hyphen is permitted between the Agency Number (if included) and the 2 digit Vehicle ID
    • 05/27/2016
      • All rules have been changed to add additional diagnostic information, adding information about which elements should be changed or added to correct the issue; these changes will have no effect on whether  a rule is broken by a particular dataset submission; they will just provide more information back to the validating program whenever the rule is broken
    • 03/28/2016
      • Rule 213 has been changed to a warning (to allow for the case of tranfers to out-of-state agencies), and the error message updated to clarify that values will be validated against the provided list of Illinois EMS Agencies in the case of transfers of care
    • 03/02/2016
      • Rule numbers 141 and 143 have been deleted, and the following rules modified to more fully account for the effects of pertinent negatives
        • 133
        • 134
        • 142
        • 154
        • 155
        • 156
        • 161
        • 169
        • 191
        • 195
        • 200
    • 02/04/2016
      • Rules 213 and 214 have been changed to relax destination info requirements for Care Transferred calls
      • Rule 218 has been changed to a warning, so that Destination Zip is never absolutely required
    • 02/01/2016
      • Rule 39 deleted
      • Rule 58 modified (see above)
      • Rule 37's assertion corrected
    • 01/29/2016
      • New rules (see above) and some corrections implemented
    • 02/26/2015
      • Original document posted