[HFDlist] Updated ESO Dispositions

[Ethan Naiman]

  Good morning,

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

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

Best,
Ethan

    

   NON-TRANSPORT DISPOSITION/UPDATE TO SCHEMATRON FILE:

    

   Ambulance services should use Disposition PATIENT TREATED, RELEASED  
(PER PROTOCOL) 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.  

    

    

    

   COVID -19 RELATED ICD-10 CODES FOR IMPRESSIONS:

    

    


   CODE

        

       ICD-10 DEFINITION

        

       USE CASE

        

       NEMSIS EMS LABEL

        

       MATRIS LABEL

        
   Z20.828

        

       Contact with and (suspected) exposure to other viral  
communicable diseases

        

       Use when the patient is KNOWN OR SUSPECTED to have been exposed  
to someone with COVID-19.

        

       Infectious disease exposure with a confirmed case

        

       Infectious disease exposure with a confirmed COVID-19 case

        
   Z20.9

        

       Contact with and (suspected) exposure to unspecified  
communicable disease

        

       Use when the patient is suspected to have been exposed to an  
infectious disease, but the EMS clinician DOES NOT KNOW if it was  
COVID-19. The patient has symptoms but exposure is unknown.

        

       Infectious disease suspected – unknown exposure

        

       Infectious disease suspected – unknown exposure

        
   B97.29

        

       Other coronavirus as the cause of diseases classified elsewhere

        

       Use for positive COVID-19 diagnosis. U07.1 (recommended by the  
CDC) will cause NEMSIS compliant XML to fail.

        

       COVID-19 – Confirmed by testing

        

       COVID-19 – Confirmed by testing

        

    

    

    

    

    

    

    
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