R426.  Health, Family Health and Preparedness, Emergency Medical Services.
R426-7.  Emergency Medical Services Prehospital Data System Rules.
R426-7-3.  ED Data Set.
	(1)  All hospitals licensed in Utah shall provide patient data as identified by the Department.
	(2)  This data shall be submitted at least quarterly to the Department.  Corporate submittal is preferred.
	(3)  The data must be submitted in an electronic format determined and approved by the Department.
	(4)  If the Department determines that there are errors in the data, it may return the data to the data supplier for corrections.  The data supplier shall correct the data and resubmit it to the Department within 30 days of receipt from the Department.  If data is returned to the hospital for corrections, the hospital is not in compliance with this rule until corrected data is returned, accepted and approved by the Department.
	(5)  The minimum required data elements include:
	Unique Patient Control Number
	Record Type
	Provider Identifier (hospital)
	Patient Social Security Number
	Patient Control Number
	Type of Bill
	Patient Name
	Patient's Address (postal zip code)
	Patient Date of Birth
	Patient's Gender
	Admission Date
	Admission Hour
	Discharge Hour
	Discharge Status
	Disposition from Hospital
	Patient's Medical Record Number
	Revenue Code 1 ("001" sum of all charges)
	Total Charges by Revenue Code 1 ("001" last total Charge Field, is sum)
	Revenue Code 2 ("450" used for record selection)
	Total Charges by Revenue Code 2 (Charges associated with code 450)
	Primary Payer Identification
	Estimated Amount Due
	Secondary Payer Identification
	Estimated Amount Due
	Tertiary Payer Identification
	Estimated Amount Due
	Patient Estimated Amount Due
	Principal Diagnosis Code
	Secondary Diagnosis Code 1
	Secondary Diagnosis Code 2
	Secondary Diagnosis Code 3
	Secondary Diagnosis Code 4
	Secondary Diagnosis Code 5
	Secondary Diagnosis Code 6
	Secondary Diagnosis Code 7
	Secondary Diagnosis Code 8
	External Cause of Injury Code (E-Code)
	Procedure Coding Method Used
	Principal Procedure
	Secondary Procedure 1
	Secondary Procedure 2
	Secondary Procedure 3
	Secondary Procedure 4, and
	Secondary Procedure 5

R426-7-4.  Penalty for Violation of Rule.
	As required by Section 63G-3-201(5):  Any person or agency who violates any provision of this rule, per incident, may be assessed a penalty as provided in Section 26-23-6.

R426-7-100.  Authority and Purpose.
	(1)  This rule is established under Title 26 Chapter 8a.
	(2)  The purpose of this rule is to establish minimum mandatory EMS data reporting requirements.

R426-7-200.  Prehospital Data Set.
	(1)  Emergency medical service providers shall collect data as identified by the Department in this rule.
	(2)  Emergency Medical Services Providers shall submit the data to the Department electronically in the National Emergency Medical Services Information System (NEMSIS) format for every dispatch instance, regardless of patient disposition.  In cases of mass casualty, data is required for every individual with whom EMS had contact, whether care was given or refused.
	(3)  The Department adopts by reference the National Highway Traffic Safety Administration (NHTSA) Uniform Pre-Hospital Emergency Medical Services (EMS) Dataset version 3.4 published in 2015 and the Utah NEMSIS 3.4 Elements and Values List published in 2016.
	(4)  Emergency Medical Services Providers shall submit NEMSIS Demographic data elements within 30 days after the end of each calendar quarter in the format defined in the NEMSIS EMSDemographicDataSet.  Some data may change less frequently than quarterly, but Emergency Medical Services Providers shall submit all required data elements quarterly regardless of whether the data have changed.  For Emergency Medical Services Providers directly using a reporting system provided by the Department, the data is considered submitted to the Department as soon as it has been entered or updated in the Department-provided system.
	(5)  Emergency Medical Services Providers shall submit NEMSIS EMS incident data elements for each Patient Care Report in the format defined in the NEMSIS EMSDataSet, as follows: incidents occurring between the 1st and 15th of a calendar month shall be submitted no later than the last day of the same calendar month; incidents occurring between the 16th and last day of a calendar month shall be submitted no later than the 15th of the following calendar month.
	(a)  For Emergency Medical Services Providers directly using a reporting system provided by the Department, the data is considered submitted to the Department as soon as it has been entered or updated in the Department-provided system.
	(b)  Emergency Medical Services Providers shall provide the Department 90 days notice when changing reporting systems.
	(6)  If the Department determines that there are errors in the data, it may ask the data supplier for corrections.  The data supplier shall correct the data and resubmit it to the Department within 30 days of receipt from the Department.  If data is returned to the supplier for corrections, the Emergency Medical Services Provider is not in compliance with this rule until corrected data is returned, accepted and approved by the Department.
	(7)  Emergency Medical Services Providers are not required to submit other NEMSIS data elements but may optionally do so.
	(8)  For each patient transported to a licensed acute care facility or a specialty hospital with an emergency department, each responding emergency medical services provider unit that cared for the patient during the incident shall provide a report of patient status, containing information critical to the ongoing care of the patient, to the receiving facility within one hour after the patient arrives at the receiving facility in at least one of the following formats:
	(a)  NEMSIS XML; or
	(b)  Paper form.
	(9)  For each patient transported to a licensed acute care facility or a specialty hospital with an emergency department, the receiving facility shall provide at least the following information to each Emergency Medical Services Provider that cared for the patient, within 24 hours of request by the Emergency Medical Services Provider:
	(a)  The patient's emergency department disposition;
	(b)  the patient's hospital disposition; and
	(c)  the patient's demographic information, including payment source.

KEY:  emergency medical services
Date of Enactment or Last Substantive Amendment:  March 25, 2016
Notice of Continuation:  November 10, 2015
Authorizing, and Implemented or Interpreted Law:  28-8a