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<p>Good morning,</p>

<p>Consistent with state required reporting, you will find some new dispositions and primary/secondary impressions in ESO EHR. <br>

<br>

Please see the updates below and let me know if you have any questions.<br>

<br>

Best,<br>

Ethan</p>

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<p class="MsoNormal"><b><span style="color:#212121">Non-Transport Disposition/Update to Schematron file:</span></b></p>

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<p class="MsoNormal"><span style="color:#212121">Ambulance services should use Disposition <b>Patient Treated, Released (per protocol)</b> to document incidents consistent with the emergency waiver issued by the Commissioner of Public Health to the EMS System regulations, allowing for non-transport of certain patients with mild COVID-19 symptoms and no other complaints.  </span></p>

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<p class="MsoNormal"><b>COVID -19 related ICD-10 Codes for Impressions:</b></p>

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<p class="MsoNormal" style="line-height:12.05pt;text-autospace:none"><b><span style='font-size:10.0pt;font-family:"Verdana",sans-serif;color:#211D1E'>CODE</span></b></p>

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<p class="MsoNormal" style="line-height:12.05pt;text-autospace:none"><b><span style='font-size:10.0pt;font-family:"Verdana",sans-serif;color:#211D1E'>ICD-10 DEFINITION</span></b></p>

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<p class="MsoNormal" style="line-height:12.05pt;text-autospace:none"><b><span style='font-size:10.0pt;font-family:"Verdana",sans-serif;color:#211D1E'>USE CASE</span></b></p>

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<p class="MsoNormal" style="line-height:12.05pt;text-autospace:none"><b><span style='font-size:10.0pt;font-family:"Verdana",sans-serif;color:#211D1E'>NEMSIS EMS LABEL</span></b></p>

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<p class="MsoNormal" style="line-height:12.05pt;text-autospace:none"><b><span style='font-size:10.0pt;font-family:"Verdana",sans-serif;color:#211D1E'>MATRIS Label</span></b></p>

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<p class="MsoNormal" style="line-height:12.05pt;text-autospace:none"><span style='font-size:10.0pt;font-family:"Verdana",sans-serif;color:#211D1E'>Z20.828</span></p>

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<p class="MsoNormal" style="line-height:12.05pt;text-autospace:none"><span style='font-size:10.0pt;font-family:"Verdana",sans-serif;color:#211D1E'>Contact with and (suspected) exposure to other viral communicable diseases</span></p>

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<p class="MsoNormal" style="line-height:12.05pt;text-autospace:none"><span style='font-size:10.0pt;font-family:"Verdana",sans-serif;color:#211D1E'>Use when the patient is <b>known or suspected</b> to have been exposed to someone with COVID-19.</span></p>

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<p class="MsoNormal" style="line-height:12.05pt;text-autospace:none"><span style='font-size:10.0pt;font-family:"Verdana",sans-serif;color:#211D1E'>Infectious disease exposure with a confirmed case</span></p>

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<p class="MsoNormal" style="line-height:12.05pt;text-autospace:none"><span style='font-size:10.0pt;font-family:"Verdana",sans-serif;color:#211D1E'>Infectious disease exposure with a confirmed COVID-19 case</span></p>

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<p class="MsoNormal" style="line-height:12.05pt;text-autospace:none"><span style='font-size:10.0pt;font-family:"Verdana",sans-serif;color:#211D1E'>Z20.9</span></p>

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<p class="MsoNormal" style="line-height:12.05pt;text-autospace:none"><span style='font-size:10.0pt;font-family:"Verdana",sans-serif;color:#211D1E'>Contact with and (suspected) exposure to unspecified communicable disease</span></p>

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<p class="MsoNormal" style="line-height:12.05pt;text-autospace:none"><span style='font-size:10.0pt;font-family:"Verdana",sans-serif;color:#211D1E'>Use when the patient is suspected to have been exposed to an infectious disease, but the EMS clinician <b>does not know</b> if it was COVID-19. The patient has symptoms but exposure is unknown.</span></p>

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<p class="MsoNormal" style="line-height:12.05pt;text-autospace:none"><span style='font-size:10.0pt;font-family:"Verdana",sans-serif;color:#211D1E'>Infectious disease suspected – unknown exposure</span></p>

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<p class="MsoNormal" style="line-height:12.05pt;text-autospace:none"><span style='font-size:10.0pt;font-family:"Verdana",sans-serif;color:#211D1E'>Infectious disease suspected – unknown exposure</span></p>

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<p class="MsoNormal" style="line-height:12.05pt;text-autospace:none"><span style='font-size:10.0pt;font-family:"Verdana",sans-serif;color:#211D1E'>B97.29</span></p>

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<p class="MsoNormal" style="line-height:12.05pt;text-autospace:none"><span style='font-size:10.0pt;font-family:"Verdana",sans-serif;color:#211D1E'>Other coronavirus as the cause of diseases classified elsewhere</span></p>

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<p class="MsoNormal" style="line-height:12.05pt;text-autospace:none"><span style='font-size:10.0pt;font-family:"Verdana",sans-serif;color:#211D1E'>Use for positive COVID-19 diagnosis. U07.1 (recommended by the CDC) will cause NEMSIS compliant XML to fail.</span></p>

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<p class="MsoNormal" style="line-height:12.05pt;text-autospace:none"><span style='font-size:10.0pt;font-family:"Verdana",sans-serif;color:#211D1E'>COVID-19 – Confirmed by testing</span></p>

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<p class="MsoNormal" style="line-height:12.05pt;text-autospace:none"><span style='font-size:10.0pt;font-family:"Verdana",sans-serif;color:#211D1E'>COVID-19 – Confirmed by testing</span></p>

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<span style="font-size:9px;"><span style="background-color: rgb(255, 255, 255); color: rgb(34, 34, 34); font-family: Arial, Helvetica, sans-serif;">CONFIDENTIALITY NOTICE:</span></span>

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