{ "_id": "6a102f30acfb0bcc41c94c5c", "Package": "nemsqar", "Title": "National Emergency Medical Service Quality Alliance Measure\nCalculations", "Version": "1.2.0.9000", "Authors@R": "c(\nperson(\"Nicolas\", \"Foss\", , \"nicolas.foss@hhs.iowa.gov\", role = c(\"aut\", \"cre\")),\nperson(\"Samuel\", \"Kordik\", , \"samuel.kordik@utsouthwestern.edu\", role = \"aut\",\ncomment = c(ORCID = \"0000-0003-4230-1154\")),\nperson(\"Alyssa\", \"Green\", , \"agreen@nemsqa.org\", role = \"ctb\"),\nperson(\"Iowa Department of Health and Human Services\", role = \"cph\")\n)", "Description": "Designed to automate the calculation of Emergency Medical\nService (EMS) quality metrics, 'nemsqar' implements measures\ndefined by the National EMS Quality Alliance (NEMSQA). By\nproviding reliable, evidence-based quality assessments, the\npackage supports EMS agencies, healthcare providers, and\nresearchers in evaluating and improving patient outcomes. Users\ncan find details on all approved NEMSQA measures at\n. Full technical\nspecifications, including documentation and pseudocode used to\ndevelop 'nemsqar', are available on the NEMSQA website after\ncreating a user profile at .", "License": "MIT + file LICENSE", "URL": "https://github.com/bemts-hhs/nemsqar,\nhttps://bemts-hhs.github.io/nemsqar/", "BugReports": "https://github.com/bemts-hhs/nemsqar/issues", "VignetteBuilder": "knitr", "Config/testthat/edition": "3", "Encoding": "UTF-8", "LazyData": "true", "LazyDataCompression": "bzip2", "Roxygen": "list(markdown = TRUE)", "Config/roxygen2/version": "8.0.0", "Repository": "https://bemts-hhs.r-universe.dev", "Date/Publication": "2026-05-12 16:45:13 UTC", "RemoteUrl": "https://github.com/bemts-hhs/nemsqar", "RemoteRef": "HEAD", "RemoteSha": "90c77a4afb39009000248fdcb2d879341f1975c9", "NeedsCompilation": "no", "Packaged": { "Date": "2026-05-12 17:10:16 UTC", "User": "root" }, "Author": "Nicolas Foss [aut, cre],\nSamuel Kordik [aut] (ORCID: ),\nAlyssa Green [ctb],\nIowa Department of Health and Human Services [cph]", "Maintainer": "Nicolas Foss ", "MD5sum": "f7b7b624d5cbdb09296dd19a31d0769e", "_user": "bemts-hhs", "_type": "src", "_file": "nemsqar_1.2.0.9000.tar.gz", "_fileid": "a2388c454cbbdbf7d02f8f7ca4efd4b737acd075b4effe61e5bc0ee417a0cf47", "_filesize": 4822258, "_sha256": "a2388c454cbbdbf7d02f8f7ca4efd4b737acd075b4effe61e5bc0ee417a0cf47", "_created": "2026-05-12T17:10:16.000Z", "_published": "2026-05-22T10:25:52.770Z", "_distro": "noble", "_jobs": [ { "job": 77361338814, "time": 217, "config": "linux-devel-x86_64", "r": "4.7.0", "check": "OK", "artifact": "6950911656" }, { "job": 77361338810, "time": 252, "config": "linux-release-x86_64", "r": "4.6.0", "check": "OK", "artifact": "6950923224" }, { "job": 77361338762, "time": 248, "config": "macos-oldrel-arm64", "r": "4.5.3", "check": "OK", "artifact": "6950922385" }, { "job": 77361338837, "time": 239, "config": "macos-release-arm64", "r": "4.6.0", "check": "OK", "artifact": "6950919466" }, { "job": 77361338582, "time": 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"hypoglycemia_01_population", "nemsqa_binomial_confint", "pediatrics_03b", "pediatrics_03b_population", "pretty_percent", "respiratory_01", "respiratory_01_population", "respiratory_02", "respiratory_02_population", "safety_01", "safety_01_population", "safety_02", "safety_02_population", "safety_04", "safety_04_population", "seizure_02", "seizure_02_population", "stroke_01", "stroke_01_population", "syncope_01", "syncope_01_population", "tbi_01", "tbi_01_population", "trauma_01", "trauma_01_population", "trauma_03", "trauma_03_population", "trauma_04", "trauma_04_population", "trauma_08", "trauma_08_population", "trauma_14", "trauma_14_population", "ttr_01", "ttr_01_population" ], "_datasets": [ { "name": "nemsqar_airway_table", "title": "Synthetic Test Data for eAirway Fields in National EMS Information System", "object": "nemsqar_airway_table", "class": [ "tbl_df", "tbl", "data.frame" ], "fields": [ "Incident Patient Care Report Number - PCR (eRecord.01)", "Incident Date", "Airway Indications For Invasive Management List (eAirway.01)", "Airway Device Placement Confirmation Date Time (eAirway.02)", "Airway Device Being Confirmed (eAirway.03)", "Patient Airway Device Being Confirmed List (eAirway.03)", "Airway Device Placement Confirmed Method (eAirway.04)", "Airway Device Placement Confirmed Method List (eAirway.04)" ], "rows": 10000, "table": true, "tojson": true }, { "name": "nemsqar_arrest_table", "title": "Synthetic Test Data for eArrest Fields in National EMS Information System", "object": "nemsqar_arrest_table", "class": [ "tbl_df", "tbl", "data.frame" ], "fields": [ "Incident Patient Care Report Number - PCR (eRecord.01)", "Incident Date", "Cardiac Arrest During EMS Event With Code (eArrest.01)", "Cardiac Arrest Etiology With Code (eArrest.02)", "Cardiac Arrest Indications Resuscitation Attempted By EMS (eArrest.03)", "Cardiac Arrest Indications Resuscitation Attempted By EMS With Code List (eArrest.03)", "Cardiac Arrest Witnessed By (eArrest.04)", "Cardiac Arrest Witnessed By List (eArrest.04)", "Cardiac Arrest CPR Provided Prior To EMS Arrival (3.4=eArrest.05/3.5=itArrest.105)", "Cardiac Arrest Who Provided CPR Prior To EMS (3.4=eArrest.06/3.5=itArrest.106)", "Cardiac Arrest Who Provided CPR Prior To EMS Arrival With Code List (3.4=eArrest.06/3.5=itArrest.106)", "Cardiac Arrest AED Use Prior To EMS Arrival (eArrest.07)", "Cardiac Arrest Who Used AED Prior To EMS (3.4=eArrest.08/3.5=itArrest.108)", "Cardiac Arrest Who Used AED Prior To EMS Arrival With Code List (3.4=eArrest.08/3.5=itArrest.108)", "Cardiac Arrest Type Of CPR Provided List (eArrest.09)", "Cardiac Arrest First Monitored Arrest Rhythm Of Patient (eArrest.11)", "Cardiac Arrest First Monitored Arrest Rhythm Of Patient With Code (eArrest.11)", "Cardiac Arrest Any Return Of Spontaneous Circulation (eArrest.12)", "Cardiac Arrest Any Return Of Spontaneous Circulation With Code List (eArrest.12)", "Cardiac Arrest Date Time (eArrest.14)", "Cardiac Arrest Resuscitation Discontinued Date Time (eArrest.15)", "Cardiac Arrest Reason CPR Resuscitation Discontinued (eArrest.16)", "Cardiac Arrest Rhythm On Arrival At Destination List (eArrest.17)", "Cardiac Arrest Patient Outcome At End Of EMS Event (eArrest.18)", "Cardiac Arrest Initial CPR Date Time (eArrest.19)", "Cardiac Arrest Who Initiated CPR With Code (3.4=itArrest.008/3.5=eArrest.20)", "Cardiac Who First Applied The AED (3.4=itArrest.015/3.5=eArrest.21)", "Cardiac Who First Defibrillated The Patient (3.4=itArrest.013/3.5=eArrest.22)" ], "rows": 10000, "table": true, "tojson": true }, { "name": "nemsqar_disposition_table", "title": "Synthetic Test Data for eDisposition Fields in National EMS Information System", "object": "nemsqar_disposition_table", "class": [ "tbl_df", "tbl", "data.frame" ], "fields": [ "Incident Patient Care Report Number - PCR (eRecord.01)", "Incident Date", "Disposition Position Of Patient During Transport List (eDisposition.14)", "Disposition Additional Transport Mode Descriptor (eDisposition.18)", "Disposition Additional Transport Mode Descriptor List (eDisposition.18)", "Hospital Capability (3.4=itDisposition.105/3.5=eDisposition.23)", "Hospital Capability List (3.4=itDisposition.105/3.5=eDisposition.23)", "Disposition Team Pre Arrival Alert (eDisposition.24)", "Disposition Destination Team Pre-arrival Alert Activation (eDisposition.24)", "Destination Trauma General Team Pre-arrival Activation (eDisposition.24)", "Patient Evaluation/Care (3.4=itDisposition.100/3.5=eDisposition.28)", "Transport Disposition (3.4=itDisposition.102/3.5=eDisposition.30)", "Disposition Incident Patient Disposition With Code (3.4=eDisposition.12/3.5=itDisposition.112)" ], "rows": 10000, "table": true, "tojson": true }, { "name": "nemsqar_exam_table", "title": "Synthetic Test Data for eExam Fields in National EMS Information System", "object": "nemsqar_exam_table", "class": [ "tbl_df", "tbl", "data.frame" ], "fields": [ "Incident Patient Care Report Number - PCR (eRecord.01)", "Incident Date", "Patient Weight In Kilograms (eExam.01)", "Patient Length Based Color (eExam.02)", "Patient Assessment Date Time (eExam.03)", "Patient Extremity Assessment Findings List (eExam.16)", "Patient Neurological Assessment Findings List (eExam.20)", "Patient Lung Assessment Finding Location (3.4=itExam.099/3.5=eExam.22)", "Patient Lung Assessment Findings List (3.4=itExam.100/3.5=eExam.23)", "Patient ChestExclusive Assessment Finding Location (3.4=itExam.101/3.5=eExam.24)", "Patient ChestExclusive Assessment Findings List (3.4=itExam.102/3.5=eExam.25)" ], "rows": 10000, "table": true, "tojson": true }, { "name": "nemsqar_injury_table", "title": "Synthetic Test Data for eInjury Fields in National EMS Information System", "object": "nemsqar_injury_table", "class": [ "tbl_df", "tbl", "data.frame" ], "fields": [ "Incident Patient Care Report Number - PCR (eRecord.01)", "Incident Date", "Injury Cause of Injury (eInjury.01)", "Injury Cause Of Injury Description And Code List (eInjury.01)", "Injury Trauma Center/Triage Criteria (Steps 1 and 2) List (eInjury.03)", "Injury Vehicular Pedestrian Or Other Injury Risk Factor/Triage Criteria (Steps 3 and 4) (eInjury.04)", "Injury Vehicular Pedestrian Or Other Injury Risk Factor/Triage Criteria (Steps 3 and 4) List (eInjury.04)", "Injury Height Of Fall In Feet (eInjury.09)" ], "rows": 10000, "table": true, "tojson": true }, { "name": "nemsqar_medications_table", "title": "Synthetic Test Data for eMedications Fields in National EMS Information System", "object": "nemsqar_medications_table", "class": [ "tbl_df", "tbl", "data.frame" ], "fields": [ "Incident Patient Care Report Number - PCR (eRecord.01)", "Incident Date", "Medication Administered Date Time (eMedications.01)", "Medication Administered Prior To EMS Unit Care (eMedications.02)", "Medication Given or Administered Description And RXCUI Code (eMedications.03)", "Patient Medication Given or Administered Description And RXCUI Codes List (eMedications.03)", "Medication Administered Route (eMedications.04)", "Medication Administered Route Code (eMedications.04)" ], "rows": 10000, "table": true, "tojson": true }, { "name": "nemsqar_patient_scene_table", "title": "Synthetic ePatient Data from the National Emergency Medical Services Information System (NEMSIS)", "object": "nemsqar_patient_scene_table", "class": [ "tbl_df", "tbl", "data.frame" ], "fields": [ "Incident Patient Care Report Number - PCR (eRecord.01)", "Incident Date", "Patient Age (ePatient.15)", "Patient Age Units (ePatient.16)", "Patient Date Of Birth (ePatient.17)", "Patient Gender (ePatient.13)" ], "rows": 10000, "table": true, "tojson": true }, { "name": "nemsqar_procedures_table", "title": "Synthetic eProcedures Data from the National Emergency Medical Services Information System (NEMSIS)", "object": "nemsqar_procedures_table", "class": [ "tbl_df", "tbl", "data.frame" ], "fields": [ "Incident Patient Care Report Number - PCR (eRecord.01)", "Incident Date", "Procedure Performed Date Time (eProcedures.01)", "Procedure Performed Prior To EMS Care (eProcedures.02)", "Procedure Performed Description And Code (eProcedures.03)", "Patient Attempted Procedure Descriptions And Codes List (eProcedures.03)", "Procedure Number Of Attempts (eProcedures.05)", "Procedure Successful (eProcedures.06)" ], "rows": 10000, "table": true, "tojson": true }, { "name": "nemsqar_response_table", "title": "Synthetic eResponse Data from the National Emergency Medical Services Information System (NEMSIS)", "object": "nemsqar_response_table", "class": [ "tbl_df", "tbl", "data.frame" ], "fields": [ "Incident Patient Care Report Number - PCR (eRecord.01)", "Incident Date", "Response Type Of Service Requested With Code (eResponse.05)", "Response Type Of Scene Delay List (eResponse.10)", "Response Additional Response Mode Descriptors List (eResponse.24)" ], "rows": 10000, "table": true, "tojson": true }, { "name": "nemsqar_situation_table", "title": "Synthetic Test Data for eSituation Fields in National EMS Information System", "object": "nemsqar_situation_table", "class": [ "tbl_df", "tbl", "data.frame" ], "fields": [ "Incident Patient Care Report Number - PCR (eRecord.01)", "Incident Date", "Situation Symptom Onset Date Time (eSituation.01)", "Situation Possible Injury With Code (eSituation.02)", "Situation Complaint Type (eSituation.03)", "Situation Complaint Statement (eSituation.04)", "Situation Primary Complaint Statement List (eSituation.04)", "Situation Complaint Duration (eSituation.05)", "Situation Complaint Duration Time Units (eSituation.06)", "Situation Chief Complaint Anatomic Location (eSituation.07)", "Situation Chief Complaint Organ System (eSituation.08)", "Situation Primary Symptom (eSituation.09)", "Situation Other Associated Symptom Description (eSituation.10)", "Situation Other Associated Symptom ICD Code (eSituation.10)", "Situation Other Associated Symptoms List (eSituation.10)", "Situation Provider Primary Impression Code And Description (eSituation.11)", "Situation Provider Secondary Impression Description And Code (eSituation.12)", "Situation Provider Secondary Impression Description And Code List (eSituation.12)" ], "rows": 10000, "table": true, "tojson": true }, { "name": "nemsqar_vitals_table", "title": "Synthetic eVitals Data for NEMSIS from the National Emergency Medical Services Information System (NEMSIS)", "object": "nemsqar_vitals_table", "class": [ "tbl_df", "tbl", "data.frame" ], "fields": [ "Incident Patient Care Report Number - PCR (eRecord.01)", "Incident Date", "Vitals Signs Taken Date Time (eVitals.01)", "Vitals ECG Type (eVitals.04)", "Vitals Systolic Blood Pressure SBP (eVitals.06)", "Vitals Diastolic Blood Pressure DBP (eVitals.07)", "Vitals Heart Rate (eVitals.10)", "Vitals Pulse Oximetry (eVitals.12)", "Vitals Respiratory Rate (eVitals.14)", "Vitals Respiratory Effort (eVitals.15)", "Vitals Carbon Dioxide CO2 (eVitals.16)", "Vitals Blood Glucose Level (eVitals.18)", "Vitals Glasgow Coma Score GCS Motor (eVitals.21)", "Vitals Total Glasgow Coma Score GCS (eVitals.23)", "Vitals Level Of Responsiveness AVPU (eVitals.26)", "Vitals Pain Scale Score (eVitals.27)", "Vitals Pain Scale Score Range Sort Order (eVitals.27)", "Vitals Stroke Scale Score (eVitals.29)", "Vitals Stroke Scale Type (eVitals.30)" ], "rows": 10000, "table": true, "tojson": true } ], "_help": [ { "page": "airway_01", "title": "Airway-01 Calculation", "topics": [ "airway_01" ] }, { "page": "airway_01_population", "title": "Airway-01 Population", "topics": [ "airway_01_population" ] }, { "page": "airway_05", "title": "Airway-05 Calculation", "topics": [ "airway_05" ] }, { "page": "airway_05_population", "title": "Airway-05 Population", "topics": [ "airway_05_population" ] }, { "page": "airway_18", "title": "Airway-18 Calculation", "topics": [ "airway_18" ] }, { "page": "airway_18_population", "title": "Airway-18 Populations", "topics": [ "airway_18_population" ] }, { "page": "asthma_01", "title": "Asthma-01 Calculation", "topics": [ "asthma_01" ] }, { "page": "asthma_01_population", "title": "Asthma-01 Populations", "topics": [ "asthma_01_population" ] }, { "page": "hypoglycemia_01", "title": "Hypoglycemia-01", "topics": [ "hypoglycemia_01" ] }, { "page": "hypoglycemia_01_population", "title": "Hypoglycemia-01 Populations", "topics": [ "hypoglycemia_01_population" ] }, { "page": "nemsqa_binomial_confint", "title": "Wilson and Clopper-Pearson Confidence Intervals for Binomial Proportions", "topics": [ "nemsqa_binomial_confint" ] }, { "page": "nemsqar_airway_table", "title": "Synthetic Test Data for eAirway Fields in National EMS Information System", "topics": [ "nemsqar_airway_table" ] }, { "page": "nemsqar_arrest_table", "title": "Synthetic Test Data for eArrest Fields in National EMS Information System", "topics": [ "nemsqar_arrest_table" ] }, { "page": "nemsqar_disposition_table", "title": "Synthetic Test Data for eDisposition Fields in National EMS Information System", "topics": [ "nemsqar_disposition_table" ] }, { "page": "nemsqar_exam_table", "title": "Synthetic Test Data for eExam Fields in National EMS Information System", "topics": [ "nemsqar_exam_table" ] }, { "page": "nemsqar_injury_table", "title": "Synthetic Test Data for eInjury Fields in National EMS Information System", "topics": [ "nemsqar_injury_table" ] }, { "page": "nemsqar_medications_table", "title": "Synthetic Test Data for eMedications Fields in National EMS Information System", "topics": [ "nemsqar_medications_table" ] }, { "page": "nemsqar_patient_scene_table", "title": "Synthetic ePatient Data from the National Emergency Medical Services Information System (NEMSIS)", "topics": [ "nemsqar_patient_scene_table" ] }, { "page": "nemsqar_procedures_table", "title": "Synthetic eProcedures Data from the National Emergency Medical Services Information System (NEMSIS)", "topics": [ "nemsqar_procedures_table" ] }, { "page": "nemsqar_response_table", "title": "Synthetic eResponse Data from the National Emergency Medical Services Information System (NEMSIS)", "topics": [ "nemsqar_response_table" ] }, { "page": "nemsqar_situation_table", "title": "Synthetic Test Data for eSituation Fields in National EMS Information System", "topics": [ "nemsqar_situation_table" ] }, { "page": "nemsqar_vitals_table", "title": "Synthetic eVitals Data for NEMSIS from the National Emergency Medical Services Information System (NEMSIS)", "topics": [ "nemsqar_vitals_table" ] }, { "page": "pediatrics_03b", "title": "Pediatrics-03B Calculation", "topics": [ "pediatrics_03b" ] }, { "page": "pediatrics_03b_population", "title": "Pediatrics-03B Populations", "topics": [ "pediatrics_03b_population" ] }, { "page": "pretty_percent", "title": "Format Numeric Variables as Percentages", "topics": [ "pretty_percent" ] }, { "page": "respiratory_01", "title": "Respiratory-01 Calculation", "topics": [ "respiratory_01" ] }, { "page": "respiratory_01_population", "title": "Respiratory-01 Populations", "topics": [ "respiratory_01_population" ] }, { "page": "respiratory_02", "title": "Respiratory-02 Calculation", "topics": [ "respiratory_02" ] }, { "page": "respiratory_02_population", "title": "Respiratory-02 Populations", "topics": [ "respiratory_02_population" ] }, { "page": "safety_01", "title": "Safety-01 Calculation", "topics": [ "safety_01" ] }, { "page": "safety_01_population", "title": "Safety-01 Populations", "topics": [ "safety_01_population" ] }, { "page": "safety_02", "title": "Safety-02 Calculation", "topics": [ "safety_02" ] }, { "page": "safety_02_population", "title": "Safety-02 Populations", "topics": [ "safety_02_population" ] }, { "page": "safety_04", "title": "Safety-04 Calculation", "topics": [ "safety_04" ] }, { "page": "safety_04_population", "title": "Safety-04 Populations", "topics": [ "safety_04_population" ] }, { "page": "seizure_02", "title": "Seizure-02 Calculation", "topics": [ "seizure_02" ] }, { "page": "seizure_02_population", "title": "Seizure-02 Populations", "topics": [ "seizure_02_population" ] }, { "page": "stroke_01", "title": "Stroke-01 Calculation", "topics": [ "stroke_01" ] }, { "page": "stroke_01_population", "title": "Stroke-01 Populations", "topics": [ "stroke_01_population" ] }, { "page": "syncope_01", "title": "Syncope-01 Calculation", "topics": [ "syncope_01" ] }, { "page": "syncope_01_population", "title": "Syncope-01 Populations", "topics": [ "syncope_01_population" ] }, { "page": "tbi_01", "title": "TBI-01 Calculation", "topics": [ "tbi_01" ] }, { "page": "tbi_01_population", "title": "TBI-01 Populations", "topics": [ "tbi_01_population" ] }, { "page": "trauma_01", "title": "Trauma-01 Calculation", "topics": [ "trauma_01" ] }, { "page": "trauma_01_population", "title": "Trauma-01 Population", "topics": [ "trauma_01_population" ] }, { "page": "trauma_03", "title": "Trauma-03 Calculation", "topics": [ "trauma_03" ] }, { "page": "trauma_03_population", "title": "Trauma-03 Populations", "topics": [ 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functions", "Using asthma_01_population() to examine the target population", "Examine a summary of counts for the NEMSQA population", "Asthma-01 summary of attributes of the target population", "Using filter_process from the population functions", "Common Pitfalls for New R Users", "Incorrect variable types", "Unintended name changes", "Missing required tables", "Duplicated records", "Next Steps" ], "created": "2026-05-09 14:43:43", "modified": "2026-05-12 14:52:00", "commits": 2 } ], "_score": 6.062581984228164, "_indexed": true, "_nocasepkg": "nemsqar", "_universes": [ "bemts-hhs" ], "_binaries": [ { "r": "4.7.0", "os": "linux", "version": "1.2.0.9000", "date": "2026-05-12T17:12:26.000Z", "distro": "noble", "commit": "90c77a4afb39009000248fdcb2d879341f1975c9", "fileid": "72b6795cd3266af1bcf33139b1c5b01a9c1aa1e0c7ed08eec14f29e501c29ae2", "status": "success", "check": "OK", "buildurl": "https://github.com/r-universe/bemts-hhs/actions/runs/25749888549" }, { "r": "4.6.0", "os": "linux", 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