CPR Metrics and Time Measurement Data Dictionary

CPR Metrics

Data Element Number: CPR.01

Data Element Name: Average CPR Rate/Min

National Element: No

State Element: No

Definition: The average rate of CPR compressions per minute for the selected time interval of the cardiac arrest.

Recurrence: 0:1

Usage: Optional

Not Values: No

Not Values Accepted: N/A

Pertinent Negatives: No

Is Nillable: No

Performance Measures: Cardiac Arrest

Attribute: Integer Min: 0 Max: 200

Comments:

March 3, 2014 Page 1 of 19 Data Element Number: CPR.02

Data Element Name: Percentage of CPR Compressions Within 100- 120 Compressions per Minute

National Element: No

State Element: No

Definition: The percentage of CPR compressions within 100-120 compressions per minute calculated based on each compression-to-compression interval.

Recurrence: 0:1

Usage: Optional

Not Values: No

Not Values Accepted: N/A

Pertinent Negatives: No

Is Nillable: No

Performance Measures: Cardiac Arrest

Attribute: Integer Min: 0 Max: 100

Comments:

March 3, 2014 Page 2 of 19 CPR Metrics and Time Measurement Data Dictionary

Data Element Number: CPR.03

Data Element Name: Average Chest Compression Depth

National Element: No

State Element: No

Definition: The average (mean) depth of the CPR chest compressions for the cardiac arrest period.

Recurrence: 0:1

Usage: Optional

Not Values: No

Not Values Accepted: N/A

Pertinent Negatives: No

Is Nillable: No

Performance Measures: Cardiac Arrest

Attribute: Decimal Total Digits: 2 Min: 0 Max: 5.0 Fraction Digit: 1

Comments:

March 3, 2014 Page 3 of 19 Data Element Number: CPR.04

Data Element Name: Percentage of Chest Compressions With a Minimum of 2 Inches of Depth

National Element: No

State Element: No

Definition: The number of chest compressions that are 2 inches in depth or greater divided by the total number of compressions during the cardiac arrest time.

Recurrence: 0:1

Usage: Optional

Not Values: No

Not Values Accepted: N/A

Pertinent Negatives: No

Is Nillable: No

Performance Measures: Cardiac Arrest

Attribute: Integer Min: 0 Max: 100

Comments:

March 3, 2014 Page 4 of 19 CPR Metrics and Time Measurement Data Dictionary

Data Element Number: CPR.05

Data Element Name: CPR Compression Fraction

National Element: No

State Element: No

Definition: The percentage of the cardiac arrest time that CPR compressions were provided.

Recurrence: 0:1

Usage: Optional

Not Values: No

Not Values Accepted: N/A

Pertinent Negatives: No

Is Nillable: No

Performance Measures: Cardiac Arrest

Attribute: Integer Min: 0 Max: 100

Comments:

March 3, 2014 Page 5 of 19 Data Element Number: CPR.06

Data Element Name: Average Pre-Shock Time

National Element: No

State Element: No

Definition: The average number of seconds from the stoppage of CPR and the delivery of the defibrillatory shock.

Recurrence: 0:1

Usage: Optional

Not Values: No

Not Values Accepted: N/A

Pertinent Negatives: No

Is Nillable: No

Performance Measures: Cardiac Arrest

Attribute: Integer Min: 0 Max: 200

Comments:

March 3, 2014 Page 6 of 19 CPR Metrics and Time Measurement Data Dictionary

Data Element Number: CPR.07

Data Element Name: Longest Pre-Shock Pause

National Element: No

State Element: No

Definition: Of all delivered defibrillatory shocks, the longest pre-shock pause that occurred during the cardiac arrest

Recurrence: 0:1

Usage: Optional

Not Values: No

Not Values Accepted: N/A

Pertinent Negatives: No

Is Nillable: No

Performance Measures: Cardiac Arrest

Attribute: Integer Min: 0 Max: 200

Comments:

March 3, 2014 Page 7 of 19 Data Element Number: CPR.08

Data Element Name: Percentage of CPR Compressions with Full Chest Recoil

National Element: No

State Element: No

Definition: The number of chest compressions where there was complete chest recoil or pressure on the chest was equal to, or less than 0, divided by the total number of compressions for the arrest time.

Recurrence: 0:1

Usage: Optional

Not Values: No

Not Values Accepted: N/A

Pertinent Negatives: No

Is Nillable: No

Performance Measures: Cardiac Arrest

Attribute: Integer Min: 0 Max: 100

Comments:

March 3, 2014 Page 8 of 19 CPR Metrics and Time Measurement Data Dictionary

Data Element Number: CPR.09

Data Element Name: Average Ventilation Rate

National Element: No

State Element: No

Definition: The average ventilation rate calculated based on the ventilation-to- ventilation time interval for the total arrest time.

Recurrence: 0:1

Usage: Optional

Not Values: No

Not Values Accepted: N/A

Pertinent Negatives: No

Is Nillable: No

Performance Measures: Cardiac Arrest, Airway

Attribute: Integer Min: 0 Max: 300

Comments:

March 3, 2014 Page 9 of 19 Data Element Number: CPR.10

Data Element Name: Percentage of Ventilations less than 12 per minute

National Element: No

State Element: No

Definition: The overall percentage of ventilations, based on the ventilation-to- ventilation time interval, that were less than 12 ventilations per minute for the total arrest time.

Recurrence: 0:1

Usage: Optional

Not Values: No

Not Values Accepted: N/A

Pertinent Negatives: No

Is Nillable: No

Performance Measures: Cardiac Arrest, Airway

Attribute: Integer Min: 0 Max: 100

Comments:

March 3, 2014 Page 10 of 19 CPR Metrics and Time Measurement Data Dictionary

Data Element Number: CPR.11

Data Element Name: Maximum Cardiac Arrest ETCO2

National Element: No

State Element: No

Definition: The highest ETCO2 level documented during the cardiac arrest time.

Recurrence: 0:1

Usage: Optional

Not Values: No

Not Values Accepted: N/A

Pertinent Negatives: No

Is Nillable: No

Performance Measures: Cardiac Arrest, Airway

Attribute: Integer Min: 0 Max: 100

Comments:

March 3, 2014 Page 11 of 19 Data Element Number: CPR.12

Data Element Name: ETCO2 Used

National Element: No

State Element: No

Definition: Indication if ETCO2 was captured or monitored during the cardiac arrest time.

Recurrence: 0:1

Usage: Optional

Not Values: No

Not Values Accepted: N/A

Pertinent Negatives: No

Is Nillable: No

Performance Measures: Cardiac Arrest, Airway

Code List:

Code Description 01 No 03 Yes

Comments:

March 3, 2014 Page 12 of 19 CPR Metrics and Time Measurement Data Dictionary

Data Element Number: CPR.13

Data Element Name: External Mechanical CPR Device Used

National Element: No

State Element: No

Definition: Indication than an external mechanical CPR device was used during the cardiac arrest time.

Recurrence: 0:1

Usage: Optional

Not Values: No

Not Values Accepted: N/A

Pertinent Negatives: No

Is Nillable: No

Performance Measures: Cardiac Arrest

Code Description 01 No External CPR Device Used 03 ZOLL Autopulse CPR Device Used 05 Physio-Control Lucas Device Used 07 Thumper Device Used 09 Other External CPR Device Used

Comments:

March 3, 2014 Page 13 of 19 Data Element Number: CPR.14

Data Element Name: Pre-External Mechanical CPR Device Pause

National Element: No

State Element: No

Definition: The seconds between the stoppage of manual CPR and the start of external mechanical CPR.

Recurrence: 0:1

Usage: Optional

Not Values: No

Not Values Accepted: N/A

Pertinent Negatives: No

Is Nillable: No

Performance Measures: Cardiac Arrest

Attribute: Integer Min: 0 Max: 200

Comments:

March 3, 2014 Page 14 of 19 CPR Metrics and Time Measurement Data Dictionary

CPR Time Measurements

Data Element Numbers: eProcedure.01 and eProcedure.03

Data Element Name: Start Time of Manual CPR by EMS

Documented through two existing NEMSIS Version 3 Data Elements:

eProcedure.01: Date Time Procedure Performed eProcecure.03: Procedure Code = 89666000 (Cardiopulmonary Resuscitation Manual)

March 3, 2014 Page 15 of 19 Data Element Numbers: eProcedure.01 and eProcedure.03

Data Element Name: Start Time of Mechanical CPR by EMS

Documented through two existing NEMSIS Version 3 Data Elements:

eProcedure.01: Date Time Procedure Performed eProcecure.03: Procedure Code = 429283006 (Cardiopulmonary Resuscitation Mechanical)

March 3, 2014 Page 16 of 19 CPR Metrics and Time Measurement Data Dictionary

Data Element Numbers: eProcedure.01 and eProcedure.03

Data Element Name: Time of First Defibrillation by EMS

Documented through two existing NEMSIS Version 3 Data Elements:

eProcedure.01: Date Time Procedure Performed eProcecure.03: Procedure Code = 426220008 (External Ventricular Defibrillation)

March 3, 2014 Page 17 of 19 Data Element Number: CPRTime.01

Data Element Name: Date/Time of Return of Spontaneous Circulation (ROSC)

National Element: No

State Element: No

Definition: The date/time the patient regained spontaneous circulation without assistance.

Recurrence: 0:M

Usage: Optional

Not Values: No

Not Values Accepted: N/A

Pertinent Negatives: No

Is Nillable: No

Performance Measures: Cardiac Arrest

Format and Constraints = eProcedure.01

Comments:

March 3, 2014 Page 18 of 19 CPR Metrics and Time Measurement Data Dictionary

Data Element Number: eArrest.15

Data Element Name: Date/Time at End of CPR Event

Documented through existing NEMSIS Version 3 Data Elements:

eArrest.15: Date/Time Resuscitation Discontinued

March 3, 2014 Page 19 of 19