New Rules (effective 2025-07-01)1. [al_ePatient.25_ePatient.13_rule] (Warning) If both ePatient.25 and ePatient.13 are supplied, they should match.
Removed Rules (effective immediately)
1. [al_uto_consistency_eMedications.MedicationGroup] (Warning) Removed the pattern, rule, and assert.
Relaxed Rules (effective immediately)
1. [al_prohibited_medications_for_license_level_rule] Cleared the list of prohibited medications for pa...
Updated v3.5.0 EMS Schematron and Change LogAlabama is releasing a new EMS v3.5 Schematron ruleset (version 3.5.0.230317CP4_v16). This update modifies 79 rules. In total, 153 associated asserts that were once an ERROR are now a WARNING. These modifications are effective immediately.
Updated v3.5.0 EMS Schematron with Change Log..5.0.230317CP4_v15
Modified Rules (effective immediately)
1. [al_consistency_eDisposition.IncidentDisposition_eVitals_eVitals.20_eSituation_rule_1]
Relaxed rule to report as a WARNING when eDisposition.31 (Reason for Refusal/Release) is provided.
Updated v3.5.0 EMS Schematron with ChangelogModified Rules (effective immediately)
1. [al_prohibited_procedures_for_license_level_rule]
Advanced EMTs are now able to perform 182777000 Monitoring of patient.
Updated v3.5.0 EMS Schematron Checker Report3.5.0.230317CP4_v13
New Rules (effective 9/1/2024)
1.[al_dAgency.01_eResponse.01_rule] -- The dAgency.01 (EMS Agency Unique State ID) and the eResponse.01 (EMS Agency Number) must be the same for each PCR.
Updated v3.5.0 EMS Schematron3.5.0.230317CP4_v12
New Rules (effective immediately)
1. [al_custom_elements_emsaSuspectedOccurrence_single_rule] Only 1 instance of emsa.SuspectedOccurrence custom element can be recorded for a PCR.
Modified Rules (effective immediately)
1. [al_consistency_eDisposition.IncidentDisposition_none_rule_1]
Relaxed rule to allow eScene.06 (Number of Patients at Scene) to be Not Applicable when eD...
Updated v3.5.0 EMS Schematron and Change Log 3.5.0.230317CP4_v11Modified Rules (effective immediately)
1. [al_prohibited_medications_for_license_level_rule]
a. Intermediate EMTs, Advanced EMTs, and Paramedics can now administer 6902 – methylprednisolone and 1159826 - Nitroglycerin Injectable Product.
b. EMTs (eMedications.10 – 9905005) are prohibited from administering 847630 - Lactated Ringers Injectable Solution.
2. [al_consistency_eDisposition.IncidentDi...
Updated v3.5.0 EMS SchematronUpdated v3.5.0 Rules Change Log
3.5.0.230317CP4_v10
Modified Rules (effective immediately)
Rules that reference $no_patient or $no_treatment variables have been modified to also reference eDisposition.32 (Level of Care Provided per Protocol). If eDisposition.32 (Level of Care Provided per Protocol) is “4232013 – No Care Provided”, a new variable, $no_care_provided_to_patient, is set to true. If...
Updated v3.5.0 EMS SchematronUpdated v3.5.0 EMS Schamtron Changelog
3.5.0.230317CP4_v9
Modified Rules (effective immediately)
1. [al_uto_consistency_eMedications.09_10]
- Medication Crew (Healthcare Professionals) ID (eMedications.09) and Role/Type of Person Administering Medication (eMedications.10) are no longer required when Medication Administered (eMedications.03) has a pertinent negative value.
2. [al_uto_consistency...
Updated v3.5.0 EMS SchematronUpdated v3.5.0 Change Log
3.5.0.230317CP4_v8
Removed Rules (effective immediately)
1. [al_consistency_eDisposition.IncidentDisposition_na_assert_6]
- No longer forcing ePayment.01 (Primary Method of Payment) to be Not Applicable or Not Recorded when there is no patient.
Updated v3.5.0 EMS SchematronUpdated v3.5.0 Change Log
3.5.0.230317CP4_v7
Modified Variables (effective immediately)
1. [no_patient]
- Modified all instances of no_patient variable to include eDisposition.27 Unit Disposition “4227003 - Cancelled on Scene”.
- Logic for no_patient is now no_scene (eDisposition.27[. = 4227005]) or eDisposition.27[. = (4227003, 4227007, 4227009, 4227011)].
Updated v3.5.0 EMS SchematronUpdated v3.5.0 Change Log
3.5.0.230317CP4_v6
Modified Rules (effective immediately)
1. [al_required_with_eDisposition.IncidentDisposition_canceled_eTimes.14_rule_1]
- Modified assert_2 error message to read “Based on Unit Disposition, the following should not have a value: Unit Canceled Date/Time.”
2. [al_consistency_eProtocols.01_eProtocols.02_rule_1]
- Modified assert_2 and assert_3 to allow ...
Updated v3.5.0 EMS SchematronUpdated v3.5.0 v3.5.0 Change Log
3.5.0.230317CP4_v6
Modified Rules (effective immediately)
1. [al_required_with_eDisposition.IncidentDisposition_canceled_eTimes.14_rule_1]
- Modified assert_2 error message to read “Based on Unit Disposition, the following should not have a value: Unit Canceled Date/Time.”
2. [al_consistency_eProtocols.01_eProtocols.02_rule_1]
- Modified assert_2 and assert_3 to...
The following was changed in order to utilize the NEMSIS defined value for Glucose measurement, blood (procedure):- Removed Procedure "72191006"
- Added Procedure "33747003"
Updated v3.5.0 EMS Schematron3.5.0.230317CP4_v5
Modified Rules (effective immediately)
1. [al_eDisposition02_should_exist_rule] - Modified logic to check for no transport to eDisposition.30[. = ('4230005', '4230007', '4230009', '4230013')]. - Modified logic to check for no EMS transport to eDisposition.30[. = ‘4230011’].
2. [al_abstract_rule_eDisposition.IncidentDispositionGroup] - Modified logic to check for no treatment ...
Initial v3.5.0 DEM Schematron Updated v3.5.0 EMS Schematron v3.5.0 Changelog pdf DEM Schematron - introduces a rule that enforces dAgency.04 MUST be 01 (Alabama).3.5.0.230317CP4_v5
Modified Rules (effective immediately)
1. [al_eDisposition02_should_exist_rule]
- Modified logic to check for no transport to eDisposition.30[. = ('4230005', '4230007', '4230009', '4230013')].
- Modified logic to check for no EMS transport to eDisposition.30[. = ‘4230011’].
2. [al_abstract_rule_eDisposition.IncidentDispositionGroup]
- Modified logic to check for no treatment ...
Updated v3.4.0 EMS Schematron3.4.0.160713CP2_v19
Modified Rules (effective immediately)
1. [al_procedures_crew_member_exists_rule]
This rule has been modified to allow Students and Other Healthcare Providers to perform procedures even when they are not included in the crew list.
2. [al_medications_crew_member_exists_rule]
This rule has been modified to allow Students and Other Healthcare Providers to administer medications...
Updated v3.5.0 EMS Schematron3.5.0.230317CP4_v4
Modified Rules (effective immediately)
1. [al_procedures_crew_member_exists_rule]
This rule has been modified to allow Students and Other Healthcare Providers to perform procedures even when they are not included in the crew list.
2. [al_medications_crew_member_exists_rule]
This rule has been modified to allow Students and Other Healthcare Providers to administer medications ...
Updated v3.5.0 EMS Schematron and Change Log3.5.0.230317CP4_v3
Modified Rules (effective immediately)
1. Updated all references of eMedications.10 and eProcedures.10 expired code 9905011 to 9905002.
2. [al_consistency_eDisposition.IncidentDisposition_any_value_rule_1] Modified logic to check for a living patient to eDisposition.19[. = ('4219001', '4219003', '4219005', '4219011')].
3. [al_consistency_eDisposition.IncidentDisposition_eVita...
Updated v3.5.0 EMS Schematron with Changelog 3.5.0.230317CP4_v2Modified Rules (effective immediately)
1. [al_consistency_eDisposition.IncidentDisposition_any_value_rule_1]
This rule has been modified to reference eDisposition.19 in place of eDiposition.12.
2. [al_consistency_eDisposition.IncidentDisposition_eVitals.26_eSituation_rule_1]
This rule has been modified to reference eDisposition.19 in place of eDiposition.12.
3. [al_consistency_eDisposition.Inci...
John Britt
NEMSIS TAC
Jennifer Correa
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NEMSIS TAC
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NEMSIS TAC
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