1FPS HEALTH, SAFETY OF THE FOOD CHAIN AND ENVIRONMENT

General Direction Healthcare – Emergency

Service

Selected certificate Managers

AMBUREG

Brussels, 24/10/2019

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0. Program

1. Feedback from Ambulance services (1 hour)

B R E A K + P I C T U R E

2. Authority (1 hour)

2.1. Outage 20/10/19

2.2. Future

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2.1.1. Before outage 20/10/2019, 10h

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2.1.2. After outage 20/10/2019, 10h

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2.1.3. Measures

- Check of emaillist eHealth

- Improovement of emails eHealth

- Review of SMALS monitoring system authority

- Suppliers emergency centers : ACC environment must be ok.

- Suppliers emergency centers : ACC test must be executed.

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2.2.1. Emsr release R +1 : ACC 16/10/2019

1. X,Y intervention place stored in existing fields in getSds

COORD_X_TEAM_ALERT COORD_Y_TEAM_ALERT

2. Variable 44

=> Variabele 88.1.1 staffMember1BadgeNumber default value 999 999

1 mission cancelled

2 false (malicious) call

3 no patient

4 patient already left site

5 patient contact but no

transport needed

6 patient contact but

transport refused

7 patient deceased

8 patient contact but

transport by other means

9 multiple alert

10 transition to status not

available

In case of

patient.transportFlag=false,

this indicates the reason why

no patient was transported.

44 patient.reasonNoTransport

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2.2.2. Emsr release R +2 : PROD 7/1/2020

Introduction system names (0)

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2.2.2.Emsr release R +2 : PROD 7/1/2020

Introduction system names (1)

1st PROBLEM TO SOLVE:

- Emergency Center 112 Arlon will use FPS Home Office federal

permance names (=new names) from 7/1/2020 for service A

- Emergency Center 112 Namur will use existing perm.names

(=old names) also after 7/1/2020 for service A

- EMSR receives saveIntervention – messages with 2 ≠ names

- Service A must call getSds, … with a perm. name

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2.2.2. Emsr release R +2 : PROD 7/1/2020

Introduction system names (2)

2nd PROBLEM TO SOLVE:

- Service B uses federal permanence name ABC for several years.

- Service C takes over from Service B inclusively name ABC.

- Service B must be capable to consult during 7 years records

with name ABC

- Service C must in the mean time be authentified as the unique

service for the registration of interventions with name ABC.

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2.2.2. Emsr release R +2 : PROD 7/1/2020

Introduction system names (3)

SOLUTION FOR PROBLEM 1

- (..)

- getSd “Name preference” is per service stored in Ambulance

Service Reference Table (ASRT) maintained by the Authority:

e.g. AXMARC03A (new) and MXSIMA103 (old)

- requestPartA and RequestPartB may be used with old or new

names.

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2.2.2. Emsr release R +2 : PROD 7/1/2020

Introduction system names (4)

SOLUTION FOR PROBLEM 2

- (..)

- getSheet (MVLEUV101) will succeed with certificate of service

B and service C but ASRT will determine if any and which

record is visualized.

- requestPartA(MVLEUV101) and requestPart(MVLEUV101) will

only succeed with certificate of service C.

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2.2.2. Emsr release R +2 : PROD 7/1/2020

Introduction system names (5)

TO BE DECIDED:

❑ which name preference for which services when ?

❑ introduction scheme and modification scheme of name

preference

❑ release management of ASRT

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2.2.3. Further Emsr releases R +x : 2020

Enlargement of intervention number from 11 to 13 characters:

❑ 10 19 145 0033 -> 10 19 145 000033

❑ eHealth bus impact !

Enlargement of Ambureg towards 20 supplementary services (PIT)

❑ Preparing study is going on.

Implementation of eraseIdentification

❑ Preparing study is done.

❑ eHealth bus impact

Modification intervention address and hospital site via requestPartB

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2.2.4. Emergency center 112 releases

CityGIS CMS (LUX+ANT-LIM-LIE-HAI+BRW-LUX)

❑ Technically capable of associating Ambureg identifier to

permanence (=team) : 4/11/2019

❑ Technically capable of sending saveIntervention upon

transmission from status 1 to status 2, 3, 4, 5 or 6 :

4/11/2019

Migration LUX to CityGIS C&D : 7/1/2020

Migration NAM to CityGIS C&D : 2/2020

Transmission of hospital site (CityGIS C&D) : during 2020

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2.2.5. Reporting program

Quid ?

❑ each Monday 10h, 85 ambulance services receive a report with weekly and cumulativeregistration degree

❑ Authority is capable to import reference data base and pseudonimized Ambureg data base with 1 day delay.

When new release ?

❑ 10/2019

Content ?

❑ Method of weekly report changes : “year segment”

❑ Corrections for registration grade calculation

❑ Data source for infringement statement based upon 9 first months registrations

❑ Not yet: list of not registered interventions in case of RD > 90 %

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2.2.6. Additional observations

1. No uniformity for registration of double intervention

numbers

2. Some (very old) bugs found in emergency center 112

software and/or web service Smureg SDS: adresses!

3. Registration of strange values: e.g. > 1.000.000 km for

4. Registration of invalid Ambulance badge numbers

36 distance indicates the difference

between the endpoint and the

starpoint (in kilometers)