| EMSDataSet | [ATT: xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.nemsis.org http://nemsis.org/media/nemsis_v3/release-3.3.4/XSDs/NEMSIS_XSDs/EMSDataSet_v3.xsd" xmlns="http://www.nemsis.org"] |
| Header | |
| DemographicGroup | |
| dAgency.01 - EMS Agency Unique State ID | Value: 2 |
| dAgency.02 - EMS Agency Number | Value: 22 |
| dAgency.04 - EMS Agency State | Value: 49 - Utah |
| PatientCareReport | |
| eRecord | |
| eRecord.01 - Patient Care Report Number | Value: X8s |
| eRecord.SoftwareApplicationGroup | |
| eRecord.02 - Software Creator | Value: F |
| eRecord.03 - Software Name | Value: S |
| eRecord.04 - Software Version | Value: b |
| eResponse | |
| eResponse.AgencyGroup | |
| eResponse.01 - EMS Agency Number | Value: 1 |
| eResponse.02 - EMS Agency Name | Value: Xt |
| eResponse.03 - Incident Number | Value: cq6 |
| eResponse.04 - EMS Response Number | Value: d9x |
| eResponse.ServiceGroup | |
| eResponse.05 - Type of Service Requested | Value: 2205001 - 911 Response (Scene) |
| eResponse.06 - Standby Purpose | Value: 2206005 - Education |
| eResponse.07 - Primary Role of the Unit | Value: 2207009 - Non-Transport Rescue |
| eResponse.08 - Type of Dispatch Delay | Value: 2208013 - None/No Delay |
| eResponse.09 - Type of Response Delay | Value: 2209011 - None/No Delay |
| eResponse.10 - Type of Scene Delay | Value: 2210035 - Vehicle Failure of this Unit |
| eResponse.11 - Type of Transport Delay | Value: 2211013 - Other (Not Listed) |
| eResponse.12 - Type of Turn-Around Delay | Value: 2212009 - ED Overcrowding / Transfer of Care |
| eResponse.13 - EMS Vehicle (Unit) Number | Value: V |
| eResponse.14 - EMS Unit Call Sign | Value: 2 |
| eResponse.15 - Level of Care of This Unit | Value: 2215011 - ALS-Intermediate |
| eResponse.16 - Vehicle Dispatch Location | Value: wb |
| eResponse.17 - Vehicle Dispatch GPS Location | Value: +90,+1.3 |
| eResponse.18 - Vehicle Dispatch US National Grid Location | Value: 18,JB53711355 |
| eResponse.19 - Beginning Odometer Reading of Responding Vehicle | Value: 744.0 |
| eResponse.20 - On-Scene Odometer Reading of Responding Vehicle | Value: 765.0 |
| eResponse.21 - Patient Destination Odometer Reading of Responding Vehicle | Value: 792.0 |
| eResponse.22 - Ending Odometer Reading of Responding Vehicle | Value: 73.0 |
| eResponse.23 - Response Mode to Scene | Value: 2223007 - Non-Emergent Upgraded to Emergent |
| eResponse.24 - Additional Response Mode Descriptors | Value: 2224005 - Intersection Navigation-With Normal Light Patterns |
| eDispatch | |
| eDispatch.01 - Complaint Reported by Dispatch | Value: 2301071 - Transfer/Interfacility/Palliative Care |
| eDispatch.02 - EMD Performed | Value: 2302003 - Yes, With Pre-Arrival Instructions |
| eDispatch.03 - EMD Card Number | Value: 8 |
| eDispatch.04 - Dispatch Center Name or ID | Value: dm |
| eDispatch.05 - Dispatch Priority (Patient Acuity) | Value: 2305001 - Priority 1 (Critical) |
| eCrew | |
| eCrew.CrewGroup | |
| eCrew.01 - Crew Member ID | Value: l3 |
| eCrew.02 - Crew Member Level | Value: 9925033 - Critical Care Paramedic |
| eCrew.03 - Crew Member Response Role | Value: 2403013 - Primary Patient Caregiver-Transport |
| eTimes | |
| eTimes.01 - PSAP Call Date/Time | Value: 2014-04-01T12:27:46+07:00 |
| eTimes.02 - Dispatch Notified Date/Time | Value: 2014-04-01T12:27:46+07:00 |
| eTimes.03 - Unit Notified by Dispatch Date/Time | Value: 2014-04-01T12:27:46+07:00 |
| eTimes.04 - Dispatch Acknowledged Date/Time | Value: 2014-04-01T12:27:46+07:00 |
| eTimes.05 - Unit En Route Date/Time | Value: 2014-04-01T12:27:46+07:00 |
| eTimes.06 - Unit Arrived on Scene Date/Time | Value: 2014-04-01T12:27:46+07:00 |
| eTimes.07 - Arrived at Patient Date/Time | Value: 2014-04-01T12:27:46+07:00 |
| eTimes.08 - Transfer of EMS Patient Care Date/Time | Value: 2014-04-01T12:27:46+07:00 |
| eTimes.09 - Unit Left Scene Date/Time | Value: 2014-04-01T12:27:46+07:00 |
| eTimes.10 - Arrival at Destination Landing Area Date/Time | Value: 2014-04-01T12:27:46+07:00 |
| eTimes.11 - Patient Arrived at Destination Date/Time | Value: 2014-04-01T12:27:46+07:00 |
| eTimes.12 - Destination Patient Transfer of Care Date/Time | Value: 2014-04-01T12:27:46+07:00 |
| eTimes.13 - Unit Back in Service Date/Time | Value: 2014-04-01T12:27:46+07:00 |
| eTimes.14 - Unit Canceled Date/Time | Value: 2014-04-01T12:27:46+07:00 |
| eTimes.15 - Unit Back at Home Location Date/Time | Value: 2014-04-01T12:27:46+07:00 |
| eTimes.16 - EMS Call Completed Date/Time | Value: 2014-04-01T12:27:46+07:00 |
| ePatient | |
| ePatient.01 - EMS Patient ID | Value: tM |
| ePatient.PatientNameGroup | |
| ePatient.02 - Last Name | Value: Ward |
| ePatient.03 - First Name | Value: Harriet |
| ePatient.04 - Middle Initial/Name | Value: Addison |
| ePatient.05 - Patient's Home Address | [ATT: StreetAddress2="1"] Value: 3073 Enim. Ave |
| ePatient.06 - Patient's Home City | Value: 1437485 - Amalga |
| ePatient.07 - Patient's Home County | Value: 49005 - Cache |
| ePatient.08 - Patient's Home State | Value: 49 - Utah |
| ePatient.09 - Patient's Home ZIP Code | Value: 84335 |
| ePatient.10 - Patient's Home Country | Value: US |
| ePatient.11 - Patient Home Census Tract | Value: 07763158427 |
| ePatient.12 - Social Security Number | Value: 109795640 |
| ePatient.13 - Gender | Value: 9906001 - Female |
| ePatient.14 - Race | Value: 2514003 - Asian |
| ePatient.AgeGroup | |
| ePatient.15 - Age | Value: 48 |
| ePatient.16 - Age Units | Value: 2516001 - Days |
| ePatient.17 - Date of Birth | Value: 1994-02-17 |
| ePatient.18 - Patient's Phone Number | [ATT: PhoneNumberType="9913005 - Mobile"] Value: 530-781-8848 |
| ePatient.19 - Patient's Email Address | [ATT: EmailAddressType="9904001 - Personal"] Value: rdsyGx2C@dUm8.com |
| ePatient.20 - State Issuing Driver's License | Value: 49 - Utah |
| ePatient.21 - Driver's License Number | Value: C |
| ePayment | |
| ePayment.01 - Primary Method of Payment | Value: 2601015 - Payment by Facility |
| ePayment.CertificateGroup | |
| ePayment.02 - Physician Certification Statement | Value: 9922001 - No |
| ePayment.03 - Date Physician Certification Statement Signed | Value: 2014-04-01T12:27:46+07:00 |
| ePayment.04 - Reason for Physician Certification Statement | Value: 2604031 - Special handling en route-Isolation |
| ePayment.05 - Healthcare Provider Type Signing Physician Certification Statement | Value: 2605011 - Registered Nurse Practitioner |
| ePayment.06 - Last Name of Individual Signing Physician Certification Statement | Value: Day |
| ePayment.07 - First Name of Individual Signing Physician Certification Statement | Value: Steve |
| ePayment.08 - Patient Resides in Service Area | Value: 2608003 - Not a Resident Within EMS Service Area |
| ePayment.InsuranceGroup | |
| ePayment.09 - Insurance Company ID | Value: eq |
| ePayment.10 - Insurance Company Name | Value: 8B |
| ePayment.11 - Insurance Company Billing Priority | Value: 2611019 - Payer Responsibility Nine |
| ePayment.12 - Insurance Company Address | [ATT: StreetAddress2="R"] Value: 486-2541 Ultrices Ave |
| ePayment.13 - Insurance Company City | Value: 1425891 - Bothwell |
| ePayment.14 - Insurance Company State | Value: 49 - Utah |
| ePayment.15 - Insurance Company ZIP Code | Value: 84337 |
| ePayment.16 - Insurance Company Country | Value: US |
| ePayment.17 - Insurance Group ID/Name | Value: bm |
| ePayment.18 - Insurance Policy ID Number | Value: Dq |
| ePayment.19 - Last Name of the Insured | Value: Kelly |
| ePayment.20 - First Name of the Insured | Value: Donald |
| ePayment.21 - Middle Initial/Name of the Insured | Value: Anders |
| ePayment.22 - Relationship to the Insured | Value: 2622005 - Child/Dependent |
| ePayment.ClosestRelativeGroup | |
| ePayment.23 - Closest Relative/Guardian Last Name | Value: Brown |
| ePayment.24 - Closest Relative/ Guardian First Name | Value: Crystal |
| ePayment.25 - Closest Relative/ Guardian Middle Initial/Name | Value: Allman |
| ePayment.26 - Closest Relative/ Guardian Street Address | [ATT: StreetAddress2="e"] Value: P.O. Box 728, 762 Vitae, Av. |
| ePayment.27 - Closest Relative/ Guardian City | Value: 1446051 - Spring Lake |
| ePayment.28 - Closest Relative/ Guardian State | Value: 49 - Utah |
| ePayment.29 - Closest Relative/ Guardian ZIP Code | Value: 84651 |
| ePayment.30 - Closest Relative/ Guardian Country | Value: US |
| ePayment.31 - Closest Relative/ Guardian Phone Number | [ATT: PhoneNumberType="9913007 - Pager"] Value: 522-503-0439 |
| ePayment.32 - Closest Relative/ Guardian Relationship | Value: 2632005 - Father |
| ePayment.EmployerGroup | |
| ePayment.33 - Patient's Employer | Value: ja |
| ePayment.34 - Patient's Employer's Address | [ATT: StreetAddress2="S"] Value: 8 |
| ePayment.35 - Patient's Employer's City | Value: 1451716 - Granite |
| ePayment.36 - Patient's Employer's State | Value: 49 - Utah |
| ePayment.37 - Patient's Employer's ZIP Code | Value: 84092 |
| ePayment.38 - Patient's Employer's Country | Value: US |
| ePayment.39 - Patient's Employer's Primary Phone Number | [ATT: PhoneNumberType="9913005 - Mobile"] Value: 384-954-1691 |
| ePayment.40 - Response Urgency | Value: 2640001 - Immediate |
| ePayment.41 - Patient Transport Assessment | Value: 2641003 - Unable to stand without assistance |
| ePayment.42 - Specialty Care Transport Care Provider | Value: 2642019 - First Responder |
| ePayment.43 - Ambulance Transport Code | Value: T - Transfer Trip |
| ePayment.44 - Ambulance Transport Reason Code | Value: D - Patient was transported for the care of a specialist or for availability of equipment |
| ePayment.45 - Round Trip Purpose Description | Value: Zm |
| ePayment.46 - Stretcher Purpose Description | Value: Vc |
| ePayment.47 - Ambulance Conditions Indicator | Value: 06 - Patient was transported in an emergency situation |
| ePayment.48 - Mileage to Closest Hospital Facility | Value: 101.0 |
| ePayment.49 - ALS Assessment Performed and Warranted | Value: 9923003 - Yes |
| ePayment.50 - CMS Service Level | Value: 2650007 - BLS |
| ePayment.51 - EMS Condition Code | Value: M92 |
| ePayment.52 - CMS Transportation Indicator | Value: D3 - Time to the closest appropriate hospital due to the patient's condition precludes ground transport; maximize clinical benefits |
| ePayment.53 - Transport Authorization Code | Value: fH |
| ePayment.54 - Prior Authorization Code Payer | Value: M |
| ePayment.SupplyItemGroup | |
| ePayment.55 - Supply Item Used Name | Value: 43 |
| ePayment.56 - Number of Supply Item(s) Used | Value: 89572160 |
| eScene | |
| eScene.01 - First EMS Unit on Scene | Value: 9923003 - Yes |
| eScene.ResponderGroup | |
| eScene.02 - Other EMS or Public Safety Agencies at Scene | Value: Sl |
| eScene.03 - Other EMS or Public Safety Agency ID Number | Value: 6 |
| eScene.04 - Type of Other Service at Scene | Value: 2704009 - Law |
| eScene.05 - Date/Time Initial Responder Arrived on Scene | Value: 2014-04-01T12:27:46+07:00 |
| eScene.06 - Number of Patients at Scene | Value: 2707001 - Multiple |
| eScene.07 - Mass Casualty Incident | Value: 9923001 - No |
| eScene.08 - Triage Classification for MCI Patient | Value: 2708007 - Gray - Expectant |
| eScene.09 - Incident Location Type | Value: Y92.023 - Bedroom in mobile home as the place of occurrence of the external cause |
| eScene.10 - Incident Facility Code | Value: M5 |
| eScene.11 - Scene GPS Location | Value: 39.679255,-110.852494 |
| eScene.12 - Scene US National Grid Coordinates | Value: 10SGG26645137 |
| eScene.13 - Incident Facility or Location Name | Value: OT |
| eScene.14 - Mile Post or Major Roadway | Value: hs |
| eScene.15 - Incident Street Address | [ATT: StreetAddress2="a"] Value: Ap #464-1120 Amet St. |
| eScene.16 - Incident Apartment, Suite, or Room | Value: p |
| eScene.17 - Incident City | Value: 1437692 - Standardville |
| eScene.18 - Incident State | Value: 49 - Utah |
| eScene.19 - Incident ZIP Code | Value: 84526 |
| eScene.20 - Scene Cross Street or Directions | Value: vJ |
| eScene.21 - Incident County | Value: 49007 - Carbon |
| eScene.22 - Incident Country | Value: US |
| eScene.23 - Incident Census Tract | Value: 17308947151 |
| eSituation | |
| eSituation.01 - Date/Time of Symptom Onset/Last Normal | Value: 2014-04-01T12:27:46+07:00 |
| eSituation.02 - Possible Injury | Value: 9922001 - No |
| eSituation.PatientComplaintGroup | |
| eSituation.03 - Complaint Type | Value: 2803005 - Secondary |
| eSituation.04 - Complaint | Value: 4 |
| eSituation.05 - Duration of Complaint | Value: 19 |
| eSituation.06 - Time Units of Duration of Complaint | Value: 2806011 - Months |
| eSituation.07 - Chief Complaint Anatomic Location | Value: 2807005 - Chest |
| eSituation.08 - Chief Complaint Organ System | Value: 2808021 - Renal |
| eSituation.09 - Primary Symptom | Value: R19.11 - Absent bowel sounds |
| eSituation.10 - Other Associated Symptoms | Value: R47.01 - Aphasia |
| eSituation.11 - Provider's Primary Impression | Value: D64.9 - Anemia, unspecified |
| eSituation.12 - Provider's Secondary Impressions | Value: D53.9 - Nutritional anemia, unspecified |
| eSituation.13 - Initial Patient Acuity | Value: 2813003 - Emergent (Yellow) |
| eSituation.WorkRelatedGroup | |
| eSituation.14 - Work-Related Illness/Injury | Value: 9922005 - Yes |
| eSituation.15 - Patient's Occupational Industry | Value: 2815027 - Professional, Scientific, and Technical Services |
| eSituation.16 - Patient's Occupation | Value: 2816011 - Computer and Mathematical Occupations |
| eSituation.17 - Patient Activity | Value: Y93.51 - Activity, roller skating (inline) and skateboarding |
| eInjury | |
| eInjury.01 - Cause of Injury | Value: T59.3X - Toxic effect of lacrimogenic gas |
| eInjury.02 - Mechanism of Injury | Value: 2902005 - Other |
| eInjury.03 - Trauma Center Criteria | Value: 2903019 - Systolic Blood Pressure amp;lt;90 mmHg |
| eInjury.04 - Vehicular, Pedestrian, or Other Injury Risk Factor | Value: 2904011 - Crash Intrusion, including roof: gt; 12 in. occupant site; gt; 18 in. any site |
| eInjury.05 - Main Area of the Vehicle Impacted by the Collision | Value: 5 |
| eInjury.06 - Location of Patient in Vehicle | Value: 2906019 - Sleeper Section of Cab (truck) |
| eInjury.07 - Use of Occupant Safety Equipment | Value: 2907003 - Eye Protection |
| eInjury.08 - Airbag Deployment | Value: 2908009 - No Airbag Present |
| eInjury.09 - Height of Fall (feet) | Value: 4575 |
| eInjury.10 - OSHA Personal Protective Equipment Used | Value: 2910013 - Safety Nets |
| eInjury.CollisionGroup | |
| eInjury.11 - ACN System/Company Providing ACN Data | Value: x |
| eInjury.12 - ACN Incident ID | Value: DC |
| eInjury.13 - ACN Call Back Phone Number | [ATT: PhoneNumberType="9913007 - Pager"] Value: 857-385-1529 |
| eInjury.14 - Date/Time of ACN Incident | Value: 2014-04-01T12:27:46+07:00 |
| eInjury.15 - ACN Incident Location | Value: 4,6.06 |
| eInjury.16 - ACN Incident Vehicle Body Type | Value: hM |
| eInjury.17 - ACN Incident Vehicle Manufacturer | Value: WU |
| eInjury.18 - ACN Incident Vehicle Make | Value: Nv |
| eInjury.19 - ACN Incident Vehicle Model | Value: x |
| eInjury.20 - ACN Incident Vehicle Model Year | Value: 1991 |
| eInjury.21 - ACN Incident Multiple Impacts | Value: 9923001 - No |
| eInjury.22 - ACN Incident Delta Velocity | [ATT: DeltaVelocityOrdinal="626" VelocityUnit="9921003 - Miles per Hour"] Value: 408 |
| eInjury.23 - ACN High Probability of Injury | Value: 9923003 - Yes |
| eInjury.24 - ACN Incident PDOF | Value: 3 |
| eInjury.25 - ACN Incident Rollover | Value: N - No |
| eInjury.SeatGroup | |
| eInjury.26 - ACN Vehicle Seat Location | Value: 2926015 - Third Row Middle Seat |
| eInjury.27 - Seat Occupied | Value: Y - Yes |
| eInjury.28 - ACN Incident Seatbelt Use | Value: Y - Yes |
| eInjury.29 - ACN Incident Airbag Deployed | Value: N - No |
| eArrest | |
| eArrest.01 - Cardiac Arrest | Value: 3001003 - Yes, Prior to EMS Arrival |
| eArrest.02 - Cardiac Arrest Etiology | Value: 3002009 - Exsanguination |
| eArrest.03 - Resuscitation Attempted By EMS | Value: 3003011 - Not Attempted-Signs of Circulation |
| eArrest.04 - Arrest Witnessed By | Value: 3004003 - Witnessed by Family Member |
| eArrest.05 - CPR Care Provided Prior to EMS Arrival | Value: 9923003 - Yes |
| eArrest.06 - Who Provided CPR Prior to EMS Arrival | Value: 3006005 - Healthcare Professional (Non-EMS) |
| eArrest.07 - AED Use Prior to EMS Arrival | Value: 3007005 - Yes, With Defibrillation |
| eArrest.08 - Who Used AED Prior to EMS Arrival | Value: 3008007 - Lay Person (Non-Family) |
| eArrest.09 - Type of CPR Provided | Value: 3009005 - Compressions-External Plunger Type Device |
| eArrest.10 - Therapeutic Hypothermia Initiated | Value: 9923003 - Yes |
| eArrest.11 - First Monitored Arrest Rhythm of the Patient | Value: 3011005 - PEA |
| eArrest.12 - Any Return of Spontaneous Circulation | Value: 3012003 - Yes, At Arrival at the ED |
| eArrest.13 - Neurological Outcome at Hospital Discharge | Value: 3013001 - CPC 1 Good Cerebral Performance |
| eArrest.14 - Date/Time of Cardiac Arrest | Value: 2014-04-01T12:27:46+07:00 |
| eArrest.15 - Date/Time Resuscitation Discontinued | Value: 2014-04-01T12:27:46+07:00 |
| eArrest.16 - Reason CPR/Resuscitation Discontinued | Value: 3016011 - Return of Spontaneous Circulation (pulse or BP noted) |
| eArrest.17 - Cardiac Rhythm on Arrival at Destination | Value: 9901017 - AV Block-3rd Degree |
| eArrest.18 - End of EMS Cardiac Arrest Event | Value: 3018009 - ROSC in the ED |
| eHistory | |
| eHistory.01 - Barriers to Patient Care | Value: 3101029 - Uncooperative |
| eHistory.PractitionerGroup | |
| eHistory.02 - Last Name of Patient's Practitioner | Value: Ballard |
| eHistory.03 - First Name of Patient's Practitioner | Value: Lauren |
| eHistory.04 - Middle Name/Initial of Patient's Practitioner | Value: Almeida |
| eHistory.05 - Advance Directives | Value: 3105001 - Family/Guardian request DNR (but no documentation) |
| eHistory.06 - Medication Allergies | [ATT: CodeType="9924001"] Value: Z88.9 - Allergy status to unspecified drugs, medicaments and biological substances status |
| eHistory.07 - Environmental/Food Allergies | Value: 125431748 |
| eHistory.08 - Medical/Surgical History | Value: C82.28 - Follicular lymphoma grade III, unspecified, lymph nodes of multiple sites |
| eHistory.09 - Medical History Obtained From | Value: 3109005 - Health Care Personnel |
| eHistory.ImmunizationsGroup | |
| eHistory.10 - The Patient's Type of Immunization | Value: 9910009 - Hepatitis A |
| eHistory.11 - Immunization Date | Value: 2044 |
| eHistory.CurrentMedsGroup | |
| eHistory.12 - Current Medications | Value: 1841 - Butorphanol |
| eHistory.13 - Current Medication Dose | Value: 106.0 |
| eHistory.14 - Current Medication Dosage Unit | Value: 3114007 - inches |
| eHistory.15 - Current Medication Administration Route | Value: 9927007 - Gastrostomy Tube |
| eHistory.16 - Presence of Emergency Information Form | Value: 9923003 - Yes |
| eHistory.17 - Alcohol/Drug Use Indicators | Value: 3117011 - Smell of Alcohol on Breath |
| eHistory.18 - Pregnancy | Value: 3118003 - Possible, Unconfirmed |
| eHistory.19 - Last Oral Intake | Value: 2014-04-01T12:27:46+07:00 |
| eNarrative | |
| eNarrative.01 - Patient Care Report Narrative | Value: S |
| eVitals | |
| eVitals.VitalGroup | |
| eVitals.01 - Date/Time Vital Signs Taken | Value: 2014-04-01T12:27:46+07:00 |
| eVitals.02 - Obtained Prior to this Unit's EMS Care | Value: 9923003 - Yes |
| eVitals.CardiacRhythmGroup | |
| eVitals.03 - Cardiac Rhythm / Electrocardiography (ECG) | Value: 9901045 - Sinus Bradycardia |
| eVitals.04 - ECG Type | Value: 3304011 - 15 Lead |
| eVitals.05 - Method of ECG Interpretation | Value: 3305005 - Transmission with No Interpretation |
| eVitals.BloodPressureGroup | |
| eVitals.06 - SBP (Systolic Blood Pressure) | Value: 101 |
| eVitals.07 - DBP (Diastolic Blood Pressure) | Value: P |
| eVitals.08 - Method of Blood Pressure Measurement | Value: 3308001 - Arterial Line |
| eVitals.09 - Mean Arterial Pressure | Value: 394 |
| eVitals.HeartRateGroup | |
| eVitals.10 - Heart Rate | Value: 80 |
| eVitals.11 - Method of Heart Rate Measurement | Value: 3311001 - Auscultated |
| eVitals.12 - Pulse Oximetry | Value: 89 |
| eVitals.13 - Pulse Rhythm | Value: 3313003 - Regular |
| eVitals.14 - Respiratory Rate | Value: 148 |
| eVitals.15 - Respiratory Effort | Value: 3315013 - Weak/Agonal |
| eVitals.16 - Carbon Dioxide (CO2) | Value: 58 |
| eVitals.17 - Carbon Monoxide (CO) | Value: 5 |
| eVitals.18 - Blood Glucose Level | Value: 863 |
| eVitals.GlasgowScoreGroup | |
| eVitals.19 - Glasgow Coma Score-Eye | Value: 3 - Opens Eyes to verbal stimulation (All Age Groups) |
| eVitals.20 - Glasgow Coma Score-Verbal | Value: 2 - Incomprehensible sounds (gt;2 Years); Inconsolable, agitated |
| eVitals.21 - Glasgow Coma Score-Motor | Value: 4 - Withdrawal from pain (All Age Groups) |
| eVitals.22 - Glasgow Coma Score-Qualifier | Value: 3322003 - Initial GCS has legitimate values without interventions such as intubation and sedation |
| eVitals.23 - Total Glasgow Coma Score | Value: 12 |
| eVitals.TemperatureGroup | |
| eVitals.24 - Temperature | Value: 42.0 |
| eVitals.25 - Temperature Method | Value: 3325017 - Skin Probe |
| eVitals.26 - Level of Responsiveness (AVPU) | Value: 3326001 - Alert |
| eVitals.PainScaleGroup | |
| eVitals.27 - Pain Scale Score | Value: 2 |
| eVitals.28 - Pain Scale Type | Value: 3328003 - Numeric (0-10) |
| eVitals.StrokeScaleGroup | |
| eVitals.29 - Stroke Scale Score | Value: 3329001 - Negative |
| eVitals.30 - Stroke Scale Type | Value: 3330013 - F.A.S.T. Exam |
| eVitals.31 - Reperfusion Checklist | Value: 3331001 - Definite Contraindications to Thrombolytic Use |
| eVitals.32 - APGAR | Value: 8 |
| eVitals.33 - Revised Trauma Score | Value: 1 |
| eLabs | |
| eLabs.LabGroup | |
| eLabs.01 - Date/Time of Laboratory or Imaging Result | Value: 2014-04-01T12:27:46+07:00 |
| eLabs.02 - Study/Result Prior to this Unit's EMS Care | Value: 9923001 - No |
| eLabs.LabResultGroup | |
| eLabs.03 - Laboratory Result Type | Value: 3403003 - Alcohol-Blood |
| eLabs.04 - Laboratory Result | Value: U |
| eLabs.LabImageGroup | |
| eLabs.05 - Imaging Study Type | Value: 3405009 - Ultrasound |
| eLabs.06 - Imaging Study Results | Value: 34a |
| eLabs.WaveformGraphicGroup | |
| eLabs.07 - Imaging Study File or Waveform Graphic Type | Value: 1 |
| eLabs.08 - Imaging Study File or Waveform Graphic | Value: MmVWSkd4bms4emhXYXRzcnBYbGpOWGVjeDB4ZWlRUjhKVHhQSlVrNFhJVHNVNEFTY1o= |
| eExam | |
| eExam.01 - Estimated Body Weight in Kilograms | Value: 652.1 |
| eExam.02 - Length Based Tape Measure | Value: 3502013 - Red |
| eExam.AssessmentGroup | |
| eExam.03 - Date/Time of Assessment | Value: 2014-04-01T12:27:46+07:00 |
| eExam.04 - Skin Assessment | Value: 3504027 - Poor Turgor |
| eExam.05 - Head Assessment | Value: 3505045 - Gunshot Wound-Unknown if Entry or Exit |
| eExam.06 - Face Assessment | Value: 3506047 - Gunshot Wound-Unknown if Entry or Exit |
| eExam.07 - Neck Assessment | Value: 3507033 - Pain |
| eExam.08 - Chest/Lungs Assessment | Value: 3508097 - Gunshot Wound-Unknown if Entry or Exit |
| eExam.09 - Heart Assessment | Value: 3509015 - S1 |
| eExam.AbdomenGroup | |
| eExam.10 - Abdominal Assessment Finding Location | Value: 3510009 - Right Lower Quadrant |
| eExam.11 - Abdomen Assessment | Value: 3511019 - Burn-White/Waxy |
| eExam.12 - Pelvis/Genitourinary Assessment | Value: 3512041 - Pain |
| eExam.SpineGroup | |
| eExam.13 - Back and Spine Assessment Finding Location | Value: 3513019 - Thoracic-Right |
| eExam.14 - Back and Spine Assessment | Value: 3514005 - Bleeding Controlled |
| eExam.ExtremityGroup | |
| eExam.15 - Extremity Assessment Finding Location | Value: 3515017 - Finger-3rd (Middle)-Left |
| eExam.16 - Extremities Assessment | Value: 3516045 - Motor Function-Absent |
| eExam.EyeGroup | |
| eExam.17 - Eye Assessment Finding Location | Value: 3517005 - Right |
| eExam.18 - Eye Assessment | Value: 3518033 - Jaundiced Sclera |
| eExam.19 - Mental Status Assessment | Value: 3519017 - Oriented-Time |
| eExam.20 - Neurological Assessment | Value: 3520029 - Speech Slurring |
| eProtocols | |
| eProtocols.ProtocolGroup | |
| eProtocols.01 - Protocols Used | Value: 9914189 - General-Refusal of Care |
| eProtocols.02 - Protocol Age Category | Value: 3602001 - Adult Only |
| eMedications | |
| eMedications.MedicationGroup | |
| eMedications.01 - Date/Time Medication Administered | Value: 2014-04-01T12:27:46+07:00 |
| eMedications.02 - Medication Administered Prior to this Unit's EMS Care | Value: 9923003 - Yes |
| eMedications.03 - Medication Given | Value: 1841 - Butorphanol |
| eMedications.04 - Medication Administered Route | Value: 9927035 - Oral |
| eMedications.DosageGroup | |
| eMedications.05 - Medication Dosage | Value: 501.0 |
| eMedications.06 - Medication Dosage Units | Value: 3706011 - Liters Per Minute |
| eMedications.07 - Response to Medication | Value: 9916003 - Unchanged |
| eMedications.08 - Medication Complication | Value: 3708027 - Itching/Urticaria lt;span style='font-size:8px;background:purple;color:white;padding:1px;'gt;DEPRECATEDlt;/spangt; |
| eMedications.09 - Medication Crew (Healthcare Professionals) ID | Value: JA |
| eMedications.10 - Role/Type of Person Administering Medication | Value: 9905005 - 2009 Emergency Medical Technician (EMT) |
| eMedications.11 - Medication Authorization | Value: 9918007 - Written Orders (Patient Specific) |
| eMedications.12 - Medication Authorizing Physician | Value: z |
| eProcedures | |
| eProcedures.ProcedureGroup | |
| eProcedures.01 - Date/Time Procedure Performed | Value: 2014-04-01T12:27:46+07:00 |
| eProcedures.02 - Procedure Performed Prior to this Unit's EMS Care | Value: 9923003 - Yes |
| eProcedures.03 - Procedure | Value: 440800546 |
| eProcedures.04 - Size of Procedure Equipment | Value: i |
| eProcedures.05 - Number of Procedure Attempts | Value: 8 |
| eProcedures.06 - Procedure Successful | Value: 9923001 - No |
| eProcedures.07 - Procedure Complication | Value: 3907045 - Vomiting |
| eProcedures.08 - Response to Procedure | Value: 9916005 - Worse |
| eProcedures.09 - Procedure Crew Members ID | Value: mq |
| eProcedures.10 - Role/Type of Person Performing the Procedure | Value: 9905017 - Nurse lt;font style='font-size:8px;background:purple;color:white;padding:1px;'gt;DEPRECATEDlt;/fontgt; |
| eProcedures.11 - Procedure Authorization | Value: 9918005 - Protocol (Standing Order) |
| eProcedures.12 - Procedure Authorizing Physician | Value: N |
| eProcedures.13 - Vascular Access Location | Value: 3913069 - Venous Cutdown-Right Lower Extremity |
| eAirway | |
| eAirway.AirwayGroup | |
| eAirway.01 - Indications for Invasive Airway | Value: 4001007 - Illness Involving Airway |
| eAirway.ConfirmationGroup | [ATT: ProcedureGroupCorrelationID="O"] |
| eAirway.02 - Date/Time Airway Device Placement Confirmation | Value: 2014-04-01T12:27:46+07:00 |
| eAirway.03 - Airway Device Being Confirmed | Value: 4003011 - SAD-LMA |
| eAirway.04 - Airway Device Placement Confirmed Method | Value: 4004017 - Visualization of Vocal Cords |
| eAirway.05 - Tube Depth | Value: 20 |
| eAirway.06 - Type of Individual Confirming Airway Device Placement | Value: 4006005 - Person Performing Intubation |
| eAirway.07 - Crew Member ID | Value: Cs |
| eAirway.08 - Airway Complications Encountered | Value: 4008019 - Patient Vomiting/Aspiration |
| eAirway.09 - Suspected Reasons for Failed Airway Procedure | Value: 4009005 - Facial or Oral Trauma |
| eAirway.10 - Date/Time Decision to Manage the Patient with an Invasive Airway | Value: 2014-04-01T12:27:46+07:00 |
| eAirway.11 - Date/Time Invasive Airway Placement Attempts Abandoned | Value: 2014-04-01T12:27:46+07:00 |
| eDevice | |
| eDevice.DeviceGroup | |
| eDevice.01 - Medical Device Serial Number | Value: Rq |
| eDevice.02 - Date/Time of Event (per Medical Device) | Value: 2014-04-01T12:27:46+07:00 |
| eDevice.03 - Medical Device Event Type | Value: 4103011 - ECG-Monitor |
| eDevice.WaveformGroup | |
| eDevice.04 - Medical Device Waveform Graphic Type | Value: e |
| eDevice.05 - Medical Device Waveform Graphic | Value: MmhrWWtwdmNHcXAzTk1xWmgxYXhGdHE1eTFEWmVsYlNpV2pQUkxwYmdhdjlzYnhKZHM= |
| eDevice.06 - Medical Device Mode (Manual, AED, Pacing, CO2, O2, etc) | Value: 4106003 - Automated |
| eDevice.07 - Medical Device ECG Lead | Value: 4107025 - V4 |
| eDevice.08 - Medical Device ECG Interpretation | Value: a |
| eDevice.ShockGroup | |
| eDevice.09 - Type of Shock | Value: 4109001 - Biphasic |
| eDevice.10 - Shock or Pacing Energy | Value: 4304.0 |
| eDevice.11 - Total Number of Shocks Delivered | Value: 33 |
| eDevice.12 - Pacing Rate | Value: 908 |
| eDisposition | |
| eDisposition.DestinationGroup | |
| eDisposition.01 - Destination/Transferred To, Name | Value: yx |
| eDisposition.02 - Destination/Transferred To, Code | Value: h8 |
| eDisposition.03 - Destination Street Address | [ATT: StreetAddress2="D"] Value: 325-6908 Magna St. |
| eDisposition.04 - Destination City | Value: 1452656 - Sherwood Park |
| eDisposition.05 - Destination State | Value: 49 - Utah |
| eDisposition.06 - Destination County | Value: 49035 - Salt Lake |
| eDisposition.07 - Destination ZIP Code | Value: 84070 |
| eDisposition.08 - Destination Country | Value: US |
| eDisposition.09 - Destination GPS Location | Value: 40.571551,-111.884711 |
| eDisposition.10 - Disposition Location US National Grid Coordinates | Value: 13,JD25254243 |
| eDisposition.11 - Number of Patients Transported in this EMS Unit | Value: 30 |
| eDisposition.12 - Incident/Patient Disposition | Value: 4212037 - Patient Treated, Transported by Private Vehicle |
| eDisposition.13 - How Patient Was Moved to Ambulance | Value: 9909011 - Stairchair |
| eDisposition.14 - Position of Patient During Transport | Value: 4214005 - Lateral Left |
| eDisposition.15 - How Patient Was Transported From Ambulance | Value: 9909001 - Assisted/Walk |
| eDisposition.16 - EMS Transport Method | Value: 4216007 - Ground-ATV or Rescue Vehicle |
| eDisposition.17 - Transport Mode from Scene | Value: 4217007 - Non-Emergent Upgraded to Emergent |
| eDisposition.18 - Additional Transport Mode Descriptors | Value: 4218009 - Speed-Normal Traffic |
| eDisposition.19 - Condition of Patient at Destination | Value: 9916003 - Unchanged |
| eDisposition.20 - Reason for Choosing Destination | Value: 4220001 - Closest Facility |
| eDisposition.21 - Type of Destination | Value: 4221011 - Nursing Home/Assisted Living Facility |
| eDisposition.22 - Hospital In-Patient Destination | Value: 4222023 - Hospital-NICU |
| eDisposition.23 - Hospital Designation | Value: 9908029 - Trauma Center Level 5 |
| eDisposition.HospitalTeamActivationGroup | |
| eDisposition.24 - Destination Team Pre-Arrival Alert or Activation | Value: 4224003 - Yes-Adult Trauma |
| eDisposition.25 - Date/Time of Destination Prearrival Alert or Activation | Value: 2014-04-01T12:27:46+07:00 |
| eDisposition.26 - Disposition Instructions Provided | Value: 4226011 - See Your Doctor or the Emergency Department in the next 24 hours |
| eOutcome | |
| eOutcome.01 - Emergency Department Disposition | Value: 64 - Discharged/transferred to a nursing facility certified under Medicaid but not certified under Medicare |
| eOutcome.02 - Hospital Disposition | Value: 20 - Deceased/Expired (or did not recover - Religious Non Medical Health Care Patient) |
| eOutcome.ExternalDataGroup | |
| eOutcome.03 - External Report ID/Number Type | Value: 4303011 - Other (Not Listed) |
| eOutcome.04 - External Report ID/Number | Value: Sz |
| eOutcome.05 - Other Report Registry Type | Value: HN |
| eOutcome.06 - Emergency Department Chief Complaint | Value: I1 |
| eOutcome.07 - First ED Systolic Blood Pressure | Value: 441 |
| eOutcome.08 - Emergency Department Recorded Cause of Injury | Value: T59.1 - Toxic effect of sulfur dioxide |
| eOutcome.09 - Emergency Department Procedures | Value: BW40ZZZ - Imaging @ Anatomical Regions @ Ultrasonography @ Abdomen @ None @ None @ None |
| eOutcome.10 - Emergency Department Diagnosis | Value: H60.2 - Malignant otitis externa |
| eOutcome.11 - Date/Time of Hospital Admission | Value: 2014-04-01T12:27:46+07:00 |
| eOutcome.12 - Hospital Procedures | Value: BW40ZZZ - Ultrasonography of Abdomen |
| eOutcome.13 - Hospital Diagnosis | Value: H61.0 - Perichondritis of pinna |
| eOutcome.14 - Total ICU Length of Stay | Value: 60 |
| eOutcome.15 - Total Ventilator Days | Value: 329 |
| eOutcome.16 - Date/Time of Hospital Discharge | Value: 2014-04-01T12:27:46+07:00 |
| eOutcome.17 - Outcome at Hospital Discharge | Value: 4317007 - Moderate disability; requiring some help, but able to walk without assistance |
| eOther | |
| eOther.01 - Review Requested | Value: 9923003 - Yes |
| eOther.02 - Potential System of Care/Specialty/Registry Patient | Value: 4502009 - Drowning |
| eOther.EMSCrewMemberGroup | |
| eOther.03 - Personal Protective Equipment Used | Value: 4503013 - Level D Suit (Turn out gear) |
| eOther.04 - EMS Professional (Crew Member) ID | Value: O9 |
| eOther.05 - Suspected EMS Work Related Exposure, Injury, or Death | Value: 9923003 - Yes |
| eOther.06 - The Type of Work-Related Injury, Death or Suspected Exposure | Value: 4506011 - Exposure-Body Fluid Contact with Eye |
| eOther.07 - Natural, Suspected, Intentional, or Unintentional Disaster | Value: 4507001 - Biologic Agent |
| eOther.08 - Crew Member Completing this Report | Value: dz |
| eOther.FileGroup | |
| eOther.09 - External Electronic Documents | Value: 4509005 - Diagnostic Image (CT, X-ray, US, etc) |
| eOther.10 - File Attachment Type | Value: P |
| eOther.11 - File Attachment Image | Value: SDVEQkp6bUVWa1R5U1pLOWdZMUM0Q0lNY0xVelFPV0VRY3pXR01xWnNmWUNLa0ZHSTk= |
| eOther.SignatureGroup | |
| eOther.12 - Type of Person Signing | Value: 4512001 - EMS Crew Member (Other) |
| eOther.13 - Signature Reason | Value: 4513007 - Transfer of Patient Care |
| eOther.14 - Type Of Patient Representative | Value: 4514021 - Husband |
| eOther.15 - Signature Status | Value: 4515003 - Not Signed - Deceased |
| eOther.16 - Signature File Name | Value: 2kemoBNfhAvcparXCCbrptwFjyOP9Lgfj7BTunPxJ7N1ZQsZgZLAqF3Q5kYf4s9nBLiD1F2yOZbLxrVlVXLaNcOafslrkqnRs7XPMWAeaK34MFJd0uAiI12PIY8KYxR7A3Bq88PAka5auZ7v2ZBXn3id45UWZ8U4F6f6DPNkUzKJjbKdSRmIguutNSnBimRtiYk4HAIZIRTVzBgGuVHnZwUIVGszVsI0v8OQGPY7s2FaVMCGCqPjeIoqZdVGrKH |
| eOther.17 - Signature File Type | Value: 8 |
| eOther.18 - Signature Graphic | Value: bFQySXF6ZDRZcks1YXIwYkhqSUZRQUdMUW1rbksyV1JST29rRkNMZlRvS3FXczFUN2Q= |
| eOther.19 - Date/Time of Signature | Value: 2014-04-01T12:27:46+07:00 |
| eOther.20 - Signature Last Name | Value: n |
| eOther.21 - Signature First Name | Value: G |