| 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: 9 |
| dAgency.02 - EMS Agency Number | Value: 99 |
| dAgency.04 - EMS Agency State | Value: 49 - Utah |
| PatientCareReport | |
| eRecord | |
| eRecord.01 - Patient Care Report Number | Value: Bky |
| eRecord.SoftwareApplicationGroup | |
| eRecord.02 - Software Creator | Value: k |
| eRecord.03 - Software Name | Value: T |
| eRecord.04 - Software Version | Value: m |
| eResponse | |
| eResponse.AgencyGroup | |
| eResponse.01 - EMS Agency Number | Value: D |
| eResponse.02 - EMS Agency Name | Value: EN |
| eResponse.03 - Incident Number | Value: u2I |
| eResponse.04 - EMS Response Number | Value: ggB |
| eResponse.ServiceGroup | |
| eResponse.05 - Type of Service Requested | Value: 2205011 - Public Assistance/Other Not Listed |
| eResponse.06 - Standby Purpose | Value: 2206003 - Disaster Event-Live Staging |
| eResponse.07 - Primary Role of the Unit | Value: 2207013 - Air Transport-Fixed Wing |
| eResponse.08 - Type of Dispatch Delay | Value: 2208005 - High Call Volume |
| eResponse.09 - Type of Response Delay | Value: 2209021 - Staff Delay |
| eResponse.10 - Type of Scene Delay | Value: 2210007 - Directions/Unable to Locate |
| eResponse.11 - Type of Transport Delay | Value: 2211015 - Rendezvous Transport Unavailable |
| eResponse.12 - Type of Turn-Around Delay | Value: 2212013 - Equipment/Supply Replenishment |
| eResponse.13 - EMS Vehicle (Unit) Number | Value: n |
| eResponse.14 - EMS Unit Call Sign | Value: m |
| eResponse.15 - Level of Care of This Unit | Value: 2215017 - ALS-Nurse |
| eResponse.16 - Vehicle Dispatch Location | Value: mz |
| eResponse.17 - Vehicle Dispatch GPS Location | Value: +9.1448,0.1736 |
| eResponse.18 - Vehicle Dispatch US National Grid Location | Value: 15RMJ12716166 |
| eResponse.19 - Beginning Odometer Reading of Responding Vehicle | Value: 18.0 |
| eResponse.20 - On-Scene Odometer Reading of Responding Vehicle | Value: 227.0 |
| eResponse.21 - Patient Destination Odometer Reading of Responding Vehicle | Value: 842.0 |
| eResponse.22 - Ending Odometer Reading of Responding Vehicle | Value: 804.0 |
| eResponse.23 - Response Mode to Scene | Value: 2223007 - Non-Emergent Upgraded to Emergent |
| eResponse.24 - Additional Response Mode Descriptors | Value: 2224009 - Speed-Enhanced per Local Policy |
| eDispatch | |
| eDispatch.01 - Complaint Reported by Dispatch | Value: 2301023 - Choking |
| eDispatch.02 - EMD Performed | Value: 2302007 - Yes, Unknown if Pre-Arrival Instructions Given |
| eDispatch.03 - EMD Card Number | Value: r |
| eDispatch.04 - Dispatch Center Name or ID | Value: yl |
| eDispatch.05 - Dispatch Priority (Patient Acuity) | Value: 2305005 - Priority 3 (Lower Acuity) |
| eCrew | |
| eCrew.CrewGroup | |
| eCrew.01 - Crew Member ID | Value: gy |
| eCrew.02 - Crew Member Level | Value: 9925017 - EMT-Intermediate |
| eCrew.03 - Crew Member Response Role | Value: 2403009 - Other Patient Caregiver-Transport |
| eTimes | |
| eTimes.01 - PSAP Call Date/Time | Value: 2014-04-01T12:27:49+07:00 |
| eTimes.02 - Dispatch Notified Date/Time | Value: 2014-04-01T12:27:49+07:00 |
| eTimes.03 - Unit Notified by Dispatch Date/Time | Value: 2014-04-01T12:27:49+07:00 |
| eTimes.04 - Dispatch Acknowledged Date/Time | Value: 2014-04-01T12:27:49+07:00 |
| eTimes.05 - Unit En Route Date/Time | Value: 2014-04-01T12:27:49+07:00 |
| eTimes.06 - Unit Arrived on Scene Date/Time | Value: 2014-04-01T12:27:49+07:00 |
| eTimes.07 - Arrived at Patient Date/Time | Value: 2014-04-01T12:27:49+07:00 |
| eTimes.08 - Transfer of EMS Patient Care Date/Time | Value: 2014-04-01T12:27:49+07:00 |
| eTimes.09 - Unit Left Scene Date/Time | Value: 2014-04-01T12:27:49+07:00 |
| eTimes.10 - Arrival at Destination Landing Area Date/Time | Value: 2014-04-01T12:27:49+07:00 |
| eTimes.11 - Patient Arrived at Destination Date/Time | Value: 2014-04-01T12:27:49+07:00 |
| eTimes.12 - Destination Patient Transfer of Care Date/Time | Value: 2014-04-01T12:27:49+07:00 |
| eTimes.13 - Unit Back in Service Date/Time | Value: 2014-04-01T12:27:49+07:00 |
| eTimes.14 - Unit Canceled Date/Time | Value: 2014-04-01T12:27:49+07:00 |
| eTimes.15 - Unit Back at Home Location Date/Time | Value: 2014-04-01T12:27:49+07:00 |
| eTimes.16 - EMS Call Completed Date/Time | Value: 2014-04-01T12:27:49+07:00 |
| ePatient | |
| ePatient.01 - EMS Patient ID | Value: Ol |
| ePatient.PatientNameGroup | |
| ePatient.02 - Last Name | Value: Parsons |
| ePatient.03 - First Name | Value: Margarita |
| ePatient.04 - Middle Initial/Name | Value: Acuna |
| ePatient.05 - Patient's Home Address | [ATT: StreetAddress2="n"] Value: P.O. Box 728, 762 Vitae, Av. |
| ePatient.06 - Patient's Home City | Value: 1446051 - Spring Lake |
| ePatient.07 - Patient's Home County | Value: 49049 - Utah |
| ePatient.08 - Patient's Home State | Value: 49 - Utah |
| ePatient.09 - Patient's Home ZIP Code | Value: 84651 |
| ePatient.10 - Patient's Home Country | Value: US |
| ePatient.11 - Patient Home Census Tract | Value: 71464861812 |
| ePatient.12 - Social Security Number | Value: 53825248 |
| ePatient.13 - Gender | Value: 9906001 - Female |
| ePatient.14 - Race | Value: 2514007 - Hispanic or Latino |
| ePatient.AgeGroup | |
| ePatient.15 - Age | Value: 78 |
| ePatient.16 - Age Units | Value: 2516005 - Minutes |
| ePatient.17 - Date of Birth | Value: 1975-09-19 |
| ePatient.18 - Patient's Phone Number | [ATT: PhoneNumberType="9913003 - Home"] Value: 644-919-3311 |
| ePatient.19 - Patient's Email Address | [ATT: EmailAddressType="9904001 - Personal"] Value: yCkSzTsr@3SZw.com |
| ePatient.20 - State Issuing Driver's License | Value: 49 - Utah |
| ePatient.21 - Driver's License Number | Value: j |
| ePayment | |
| ePayment.01 - Primary Method of Payment | Value: 2601017 - Contracted Payment |
| ePayment.CertificateGroup | |
| ePayment.02 - Physician Certification Statement | Value: 9922003 - Unknown |
| ePayment.03 - Date Physician Certification Statement Signed | Value: 2014-04-01T12:27:49+07:00 |
| ePayment.04 - Reason for Physician Certification Statement | Value: 2604011 - Danger to self or others-seclusion (flight risk) |
| ePayment.05 - Healthcare Provider Type Signing Physician Certification Statement | Value: 2605003 - Discharge Planner |
| ePayment.06 - Last Name of Individual Signing Physician Certification Statement | Value: Watts |
| ePayment.07 - First Name of Individual Signing Physician Certification Statement | Value: Roman |
| ePayment.08 - Patient Resides in Service Area | Value: 2608003 - Not a Resident Within EMS Service Area |
| ePayment.InsuranceGroup | |
| ePayment.09 - Insurance Company ID | Value: qN |
| ePayment.10 - Insurance Company Name | Value: 28 |
| ePayment.11 - Insurance Company Billing Priority | Value: 2611023 - Payer Responsibility Eleven |
| ePayment.12 - Insurance Company Address | [ATT: StreetAddress2="C"] Value: P.O. Box 259, 7510 Aliquam Ave |
| ePayment.13 - Insurance Company City | Value: 1451716 - Granite |
| ePayment.14 - Insurance Company State | Value: 49 - Utah |
| ePayment.15 - Insurance Company ZIP Code | Value: 84092 |
| ePayment.16 - Insurance Company Country | Value: US |
| ePayment.17 - Insurance Group ID/Name | Value: 6L |
| ePayment.18 - Insurance Policy ID Number | Value: vM |
| ePayment.19 - Last Name of the Insured | Value: Thornton |
| ePayment.20 - First Name of the Insured | Value: Rene |
| ePayment.21 - Middle Initial/Name of the Insured | Value: Anglin |
| ePayment.22 - Relationship to the Insured | Value: 2622013 - Life/Domestic Partner |
| ePayment.ClosestRelativeGroup | |
| ePayment.23 - Closest Relative/Guardian Last Name | Value: Holland |
| ePayment.24 - Closest Relative/ Guardian First Name | Value: Howard |
| ePayment.25 - Closest Relative/ Guardian Middle Initial/Name | Value: Allred |
| ePayment.26 - Closest Relative/ Guardian Street Address | [ATT: StreetAddress2="B"] Value: Ap #464-1120 Amet St. |
| ePayment.27 - Closest Relative/ Guardian City | Value: 1437692 - Standardville |
| ePayment.28 - Closest Relative/ Guardian State | Value: 49 - Utah |
| ePayment.29 - Closest Relative/ Guardian ZIP Code | Value: 84526 |
| ePayment.30 - Closest Relative/ Guardian Country | Value: US |
| ePayment.31 - Closest Relative/ Guardian Phone Number | [ATT: PhoneNumberType="9913001 - Fax"] Value: 537-648-6554 |
| ePayment.32 - Closest Relative/ Guardian Relationship | Value: 2632009 - Other (Non-Relative) |
| ePayment.EmployerGroup | |
| ePayment.33 - Patient's Employer | Value: jd |
| ePayment.34 - Patient's Employer's Address | [ATT: StreetAddress2="Q"] Value: v |
| ePayment.35 - Patient's Employer's City | Value: 1452656 - Sherwood Park |
| ePayment.36 - Patient's Employer's State | Value: 49 - Utah |
| ePayment.37 - Patient's Employer's ZIP Code | Value: 84070 |
| ePayment.38 - Patient's Employer's Country | Value: US |
| ePayment.39 - Patient's Employer's Primary Phone Number | [ATT: PhoneNumberType="9913003 - Home"] Value: 359-417-1425 |
| ePayment.40 - Response Urgency | Value: 2640001 - Immediate |
| ePayment.41 - Patient Transport Assessment | Value: 2641001 - Unable to sit without assistance |
| ePayment.42 - Specialty Care Transport Care Provider | Value: 2642033 - Student |
| 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: MW |
| ePayment.46 - Stretcher Purpose Description | Value: qn |
| ePayment.47 - Ambulance Conditions Indicator | Value: 06 - Patient was transported in an emergency situation |
| ePayment.48 - Mileage to Closest Hospital Facility | Value: 999.0 |
| ePayment.49 - ALS Assessment Performed and Warranted | Value: 9923003 - Yes |
| ePayment.50 - CMS Service Level | Value: 2650007 - BLS |
| ePayment.51 - EMS Condition Code | Value: V20.12Q |
| ePayment.52 - CMS Transportation Indicator | Value: C1 - Interfacility Transport (Requires Higher level of care) |
| ePayment.53 - Transport Authorization Code | Value: Qx |
| ePayment.54 - Prior Authorization Code Payer | Value: 9 |
| ePayment.SupplyItemGroup | |
| ePayment.55 - Supply Item Used Name | Value: 2J |
| ePayment.56 - Number of Supply Item(s) Used | Value: 18292937 |
| eScene | |
| eScene.01 - First EMS Unit on Scene | Value: 9923001 - No |
| eScene.ResponderGroup | |
| eScene.02 - Other EMS or Public Safety Agencies at Scene | Value: 87 |
| eScene.03 - Other EMS or Public Safety Agency ID Number | Value: g |
| eScene.04 - Type of Other Service at Scene | Value: 2704009 - Law |
| eScene.05 - Date/Time Initial Responder Arrived on Scene | Value: 2014-04-01T12:27:49+07:00 |
| eScene.06 - Number of Patients at Scene | Value: 2707001 - Multiple |
| eScene.07 - Mass Casualty Incident | Value: 9923003 - Yes |
| eScene.08 - Triage Classification for MCI Patient | Value: 2708009 - Black - Deceased |
| eScene.09 - Incident Location Type | Value: Y92.128 - Other place in nursing home as the place of occurrence of the external cause |
| eScene.10 - Incident Facility Code | Value: v5 |
| eScene.11 - Scene GPS Location | Value: 39.118389,-111.773799 |
| eScene.12 - Scene US National Grid Coordinates | Value: 18,ZN79410504 |
| eScene.13 - Incident Facility or Location Name | Value: 7E |
| eScene.14 - Mile Post or Major Roadway | Value: 16 |
| eScene.15 - Incident Street Address | [ATT: StreetAddress2="D"] Value: 325-6908 Magna St. |
| eScene.16 - Incident Apartment, Suite, or Room | Value: 6 |
| eScene.17 - Incident City | Value: 1437493 - Axtell |
| eScene.18 - Incident State | Value: 49 - Utah |
| eScene.19 - Incident ZIP Code | Value: 84621 |
| eScene.20 - Scene Cross Street or Directions | Value: MH |
| eScene.21 - Incident County | Value: 49039 - Sanpete |
| eScene.22 - Incident Country | Value: US |
| eScene.23 - Incident Census Tract | Value: 87237721442 |
| eSituation | |
| eSituation.01 - Date/Time of Symptom Onset/Last Normal | Value: 2014-04-01T12:27:49+07:00 |
| eSituation.02 - Possible Injury | Value: 9922003 - Unknown |
| eSituation.PatientComplaintGroup | |
| eSituation.03 - Complaint Type | Value: 2803005 - Secondary |
| eSituation.04 - Complaint | Value: 6 |
| eSituation.05 - Duration of Complaint | Value: 257 |
| eSituation.06 - Time Units of Duration of Complaint | Value: 2806001 - Seconds |
| eSituation.07 - Chief Complaint Anatomic Location | Value: 2807005 - Chest |
| eSituation.08 - Chief Complaint Organ System | Value: 2808015 - Musculoskeletal/Skin |
| eSituation.09 - Primary Symptom | Value: R68.83 - Chills (without fever) |
| eSituation.10 - Other Associated Symptoms | Value: R16.0 - Hepatomegaly, not elsewhere classified |
| eSituation.11 - Provider's Primary Impression | Value: G40.911 - Epilepsy, unspecified, intractable, with status epilepticus |
| eSituation.12 - Provider's Secondary Impressions | Value: G04.90 - Encephalitis and encephalomyelitis, unspecified |
| eSituation.13 - Initial Patient Acuity | Value: 2813001 - Critical (Red) |
| 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.E9 - Activity, other interior property and clothing maintenance |
| eInjury | |
| eInjury.01 - Cause of Injury | Value: T49.3X5 - Adverse effect of emollients, demulcents and protectants |
| eInjury.02 - Mechanism of Injury | Value: 2902003 - Burn |
| eInjury.03 - Trauma Center Criteria | Value: 2903021 - Two or more proximal long-bone fractures |
| eInjury.04 - Vehicular, Pedestrian, or Other Injury Risk Factor | Value: 2904001 - Auto v. Pedestrian/Bicyclist Thrown, Run Over, or gt; 20 MPH Impact |
| eInjury.05 - Main Area of the Vehicle Impacted by the Collision | Value: 11 |
| eInjury.06 - Location of Patient in Vehicle | Value: 2906029 - Unknown |
| eInjury.07 - Use of Occupant Safety Equipment | Value: 2907027 - Shoulder and Lap Belt Used |
| eInjury.08 - Airbag Deployment | Value: 2908003 - Airbag Deployed Side |
| eInjury.09 - Height of Fall (feet) | Value: 497 |
| eInjury.10 - OSHA Personal Protective Equipment Used | Value: 2910011 - Safety Belts, lifelines, and lanyards |
| eInjury.CollisionGroup | |
| eInjury.11 - ACN System/Company Providing ACN Data | Value: z |
| eInjury.12 - ACN Incident ID | Value: 75 |
| eInjury.13 - ACN Call Back Phone Number | [ATT: PhoneNumberType="9913001 - Fax"] Value: 670-257-3521 |
| eInjury.14 - Date/Time of ACN Incident | Value: 2014-04-01T12:27:49+07:00 |
| eInjury.15 - ACN Incident Location | Value: 90.000,+0.6 |
| eInjury.16 - ACN Incident Vehicle Body Type | Value: gC |
| eInjury.17 - ACN Incident Vehicle Manufacturer | Value: Nj |
| eInjury.18 - ACN Incident Vehicle Make | Value: lN |
| eInjury.19 - ACN Incident Vehicle Model | Value: t |
| eInjury.20 - ACN Incident Vehicle Model Year | Value: 2027 |
| eInjury.21 - ACN Incident Multiple Impacts | Value: 9923001 - No |
| eInjury.22 - ACN Incident Delta Velocity | [ATT: DeltaVelocityOrdinal="627" VelocityUnit="9921003 - Miles per Hour"] Value: 984 |
| eInjury.23 - ACN High Probability of Injury | Value: 9923003 - Yes |
| eInjury.24 - ACN Incident PDOF | Value: 8 |
| eInjury.25 - ACN Incident Rollover | Value: N - No |
| eInjury.SeatGroup | |
| eInjury.26 - ACN Vehicle Seat Location | Value: 2926013 - Third Row Left Seat |
| eInjury.27 - Seat Occupied | Value: N - No |
| eInjury.28 - ACN Incident Seatbelt Use | Value: Y - Yes |
| eInjury.29 - ACN Incident Airbag Deployed | Value: Y - Yes |
| eArrest | |
| eArrest.01 - Cardiac Arrest | Value: 3001001 - No |
| eArrest.02 - Cardiac Arrest Etiology | Value: 3002003 - Drowning/Submersion |
| eArrest.03 - Resuscitation Attempted By EMS | Value: 3003009 - Not Attempted-DNR Orders |
| eArrest.04 - Arrest Witnessed By | Value: 3004003 - Witnessed by Family Member |
| eArrest.05 - CPR Care Provided Prior to EMS Arrival | Value: 9923001 - No |
| eArrest.06 - Who Provided CPR Prior to EMS Arrival | Value: 3006003 - First Responder (Fire, Law, EMS) |
| eArrest.07 - AED Use Prior to EMS Arrival | Value: 3007005 - Yes, With Defibrillation |
| eArrest.08 - Who Used AED Prior to EMS Arrival | Value: 3008005 - Healthcare Professional (Non-EMS) |
| eArrest.09 - Type of CPR Provided | Value: 3009001 - Compressions-Continuous |
| eArrest.10 - Therapeutic Hypothermia Initiated | Value: 9923001 - No |
| eArrest.11 - First Monitored Arrest Rhythm of the Patient | Value: 3011003 - Bradycardia lt;span style='font-size:8px;background:purple;color:white;padding:1px;'gt;DEPRECATEDlt;/spangt; |
| eArrest.12 - Any Return of Spontaneous Circulation | Value: 3012007 - Yes, Sustained for 20 consecutive minutes |
| eArrest.13 - Neurological Outcome at Hospital Discharge | Value: 3013005 - CPC 3 Severe Cerebral Disability |
| eArrest.14 - Date/Time of Cardiac Arrest | Value: 2014-04-01T12:27:49+07:00 |
| eArrest.15 - Date/Time Resuscitation Discontinued | Value: 2014-04-01T12:27:49+07:00 |
| eArrest.16 - Reason CPR/Resuscitation Discontinued | Value: 3016009 - Protocol/Policy Requirements Completed |
| eArrest.17 - Cardiac Rhythm on Arrival at Destination | Value: 9901015 - AV Block-2nd Degree-Type 2 |
| eArrest.18 - End of EMS Cardiac Arrest Event | Value: 3018009 - ROSC in the ED |
| eHistory | |
| eHistory.01 - Barriers to Patient Care | Value: 3101027 - Unconscious |
| eHistory.PractitionerGroup | |
| eHistory.02 - Last Name of Patient's Practitioner | Value: Lane |
| eHistory.03 - First Name of Patient's Practitioner | Value: Lora |
| eHistory.04 - Middle Name/Initial of Patient's Practitioner | Value: Almanza |
| eHistory.05 - Advance Directives | Value: 3105005 - None |
| eHistory.06 - Medication Allergies | [ATT: CodeType="9924001"] Value: Z88.4 - Allergy status to anesthetic agent status |
| eHistory.07 - Environmental/Food Allergies | Value: 925078969 |
| eHistory.08 - Medical/Surgical History | Value: C83.04 - Small cell B-cell lymphoma, lymph nodes of axilla and upper limb |
| eHistory.09 - Medical History Obtained From | Value: 3109001 - Bystander/Other |
| eHistory.ImmunizationsGroup | |
| eHistory.10 - The Patient's Type of Immunization | Value: 9910021 - Lyme Disease |
| eHistory.11 - Immunization Date | Value: 1908 |
| eHistory.CurrentMedsGroup | |
| eHistory.12 - Current Medications | Value: 4177 - Etomidate |
| eHistory.13 - Current Medication Dose | Value: 731.0 |
| eHistory.14 - Current Medication Dosage Unit | Value: 3114005 - gtts (drops) |
| eHistory.15 - Current Medication Administration Route | Value: 9927055 - Urethral |
| eHistory.16 - Presence of Emergency Information Form | Value: 9923003 - Yes |
| eHistory.17 - Alcohol/Drug Use Indicators | Value: 3117003 - Drug Paraphernalia at Scene |
| eHistory.18 - Pregnancy | Value: 3118001 - No |
| eHistory.19 - Last Oral Intake | Value: 2014-04-01T12:27:49+07:00 |
| eNarrative | |
| eNarrative.01 - Patient Care Report Narrative | Value: 4 |
| eVitals | |
| eVitals.VitalGroup | |
| eVitals.01 - Date/Time Vital Signs Taken | Value: 2014-04-01T12:27:49+07:00 |
| eVitals.02 - Obtained Prior to this Unit's EMS Care | Value: 9923003 - Yes |
| eVitals.CardiacRhythmGroup | |
| eVitals.03 - Cardiac Rhythm / Electrocardiography (ECG) | Value: 9901031 - Other (Not Listed) |
| eVitals.04 - ECG Type | Value: 3304013 - 18 Lead |
| eVitals.05 - Method of ECG Interpretation | Value: 3305005 - Transmission with No Interpretation |
| eVitals.BloodPressureGroup | |
| eVitals.06 - SBP (Systolic Blood Pressure) | Value: 410 |
| eVitals.07 - DBP (Diastolic Blood Pressure) | Value: 0 |
| eVitals.08 - Method of Blood Pressure Measurement | Value: 3308003 - Doppler |
| eVitals.09 - Mean Arterial Pressure | Value: 196 |
| eVitals.HeartRateGroup | |
| eVitals.10 - Heart Rate | Value: 5 |
| eVitals.11 - Method of Heart Rate Measurement | Value: 3311007 - Electronic Monitor - Pulse Oximeter |
| eVitals.12 - Pulse Oximetry | Value: 49 |
| eVitals.13 - Pulse Rhythm | Value: 3313001 - Irregularly Irregular |
| eVitals.14 - Respiratory Rate | Value: 149 |
| eVitals.15 - Respiratory Effort | Value: 3315005 - Mechanically Assisted (BVM, CPAP,etc) |
| eVitals.16 - Carbon Dioxide (CO2) | Value: 50 |
| eVitals.17 - Carbon Monoxide (CO) | Value: 71 |
| eVitals.18 - Blood Glucose Level | Value: 793 |
| eVitals.GlasgowScoreGroup | |
| eVitals.19 - Glasgow Coma Score-Eye | Value: 4 - Opens Eyes spontaneously (All Age Groups) |
| eVitals.20 - Glasgow Coma Score-Verbal | Value: 1 - No verbal/vocal response (All Age Groups) |
| eVitals.21 - Glasgow Coma Score-Motor | Value: 3 - Flexion to 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: 8 |
| eVitals.TemperatureGroup | |
| eVitals.24 - Temperature | Value: 28.0 |
| eVitals.25 - Temperature Method | Value: 3325001 - Axillary |
| eVitals.26 - Level of Responsiveness (AVPU) | Value: 3326007 - Unresponsive |
| eVitals.PainScaleGroup | |
| eVitals.27 - Pain Scale Score | Value: 3 |
| eVitals.28 - Pain Scale Type | Value: 3328003 - Numeric (0-10) |
| eVitals.StrokeScaleGroup | |
| eVitals.29 - Stroke Scale Score | Value: 3329003 - Non-Conclusive |
| eVitals.30 - Stroke Scale Type | Value: 3330013 - F.A.S.T. Exam |
| eVitals.31 - Reperfusion Checklist | Value: 3331003 - No Contraindications to Thrombolytic Use |
| eVitals.32 - APGAR | Value: 1 |
| eVitals.33 - Revised Trauma Score | Value: 2 |
| eLabs | |
| eLabs.LabGroup | |
| eLabs.01 - Date/Time of Laboratory or Imaging Result | Value: 2014-04-01T12:27:49+07:00 |
| eLabs.02 - Study/Result Prior to this Unit's EMS Care | Value: 9923001 - No |
| eLabs.LabResultGroup | |
| eLabs.03 - Laboratory Result Type | Value: 3403075 - Platelets |
| eLabs.04 - Laboratory Result | Value: f |
| eLabs.LabImageGroup | |
| eLabs.05 - Imaging Study Type | Value: 3405011 - X-ray |
| eLabs.06 - Imaging Study Results | Value: bFS |
| eLabs.WaveformGraphicGroup | |
| eLabs.07 - Imaging Study File or Waveform Graphic Type | Value: g |
| eLabs.08 - Imaging Study File or Waveform Graphic | Value: bWFjOTY2cVRKUHg2QzhIY04xZmNhalBqTTB1dnlpOFEyWFlFMTdkcHJrUHBnZnJkVVQ= |
| eExam | |
| eExam.01 - Estimated Body Weight in Kilograms | Value: 368.1 |
| eExam.02 - Length Based Tape Measure | Value: 3502001 - Blue |
| eExam.AssessmentGroup | |
| eExam.03 - Date/Time of Assessment | Value: 2014-04-01T12:27:49+07:00 |
| eExam.04 - Skin Assessment | [ATT: PN="8801005 - Exam Finding Not Present"] Value: 3504015 - Jaundiced |
| eExam.05 - Head Assessment | [ATT: PN="8801005 - Exam Finding Not Present"] Value: 3505045 - Gunshot Wound-Unknown if Entry or Exit |
| eExam.06 - Face Assessment | [ATT: PN="8801005 - Exam Finding Not Present"] Value: 3506025 - Foreign Body |
| eExam.07 - Neck Assessment | [ATT: PN="8801005 - Exam Finding Not Present"] Value: 3507053 - Swelling |
| eExam.08 - Chest/Lungs Assessment | [ATT: PN="8801005 - Exam Finding Not Present"] Value: 3508013 - Breath Sounds-Absent-Right |
| eExam.09 - Heart Assessment | [ATT: PN="8801005 - Exam Finding Not Present"] Value: 3509005 - Murmur-Diastolic |
| eExam.AbdomenGroup | |
| eExam.10 - Abdominal Assessment Finding Location | Value: 3510005 - Left Upper Quadrant |
| eExam.11 - Abdomen Assessment | [ATT: PN="8801005 - Exam Finding Not Present"] Value: 3511045 - Puncture/Stab Wound |
| eExam.12 - Pelvis/Genitourinary Assessment | [ATT: PN="8801005 - Exam Finding Not Present"] Value: 3512041 - Pain |
| eExam.SpineGroup | |
| eExam.13 - Back and Spine Assessment Finding Location | Value: 3513011 - Lumbar-Midline |
| eExam.14 - Back and Spine Assessment | [ATT: PN="8801005 - Exam Finding Not Present"] Value: 3514027 - Normal |
| eExam.ExtremityGroup | |
| eExam.15 - Extremity Assessment Finding Location | Value: 3515023 - Finger-4th (Ring)-Right |
| eExam.16 - Extremities Assessment | [ATT: PN="8801005 - Exam Finding Not Present"] Value: 3516037 - Gunshot Wound-Entry |
| eExam.EyeGroup | |
| eExam.17 - Eye Assessment Finding Location | Value: 3517001 - Bilateral |
| eExam.18 - Eye Assessment | [ATT: PN="8801005 - Exam Finding Not Present"] Value: 3518059 - Puncture/Stab Wound |
| eExam.19 - Mental Status Assessment | [ATT: PN="8801005 - Exam Finding Not Present"] Value: 3519011 - Oriented-Person |
| eExam.20 - Neurological Assessment | [ATT: PN="8801005 - Exam Finding Not Present"] Value: 3520043 - Weakness-Left Sided |
| eProtocols | |
| eProtocols.ProtocolGroup | |
| eProtocols.01 - Protocols Used | Value: 9914119 - Medical-Diarrhea |
| eProtocols.02 - Protocol Age Category | Value: 3602005 - Pediatric Only |
| eMedications | |
| eMedications.MedicationGroup | |
| eMedications.01 - Date/Time Medication Administered | Value: 2014-04-01T12:27:49+07:00 |
| eMedications.02 - Medication Administered Prior to this Unit's EMS Care | Value: 9923001 - No |
| eMedications.03 - Medication Given | [ATT: PN="8801023 - Unable to Complete"] Value: 4177 - Etomidate |
| eMedications.04 - Medication Administered Route | Value: 9927019 - Intraocular |
| eMedications.DosageGroup | |
| eMedications.05 - Medication Dosage | Value: 89.0 |
| eMedications.06 - Medication Dosage Units | Value: 3706009 - Liters |
| eMedications.07 - Response to Medication | Value: 9916003 - Unchanged |
| eMedications.08 - Medication Complication | Value: 3708011 - Diarrhea |
| eMedications.09 - Medication Crew (Healthcare Professionals) ID | Value: 5c |
| eMedications.10 - Role/Type of Person Administering Medication | Value: 9905021 - Other Non-Healthcare Professional |
| eMedications.11 - Medication Authorization | Value: 9918007 - Written Orders (Patient Specific) |
| eMedications.12 - Medication Authorizing Physician | Value: S |
| eProcedures | |
| eProcedures.ProcedureGroup | |
| eProcedures.01 - Date/Time Procedure Performed | Value: 2014-04-01T12:27:49+07:00 |
| eProcedures.02 - Procedure Performed Prior to this Unit's EMS Care | Value: 9923001 - No |
| eProcedures.03 - Procedure | [ATT: PN="8801001 - Contraindication Noted"] Value: 188526473 |
| eProcedures.04 - Size of Procedure Equipment | Value: J |
| eProcedures.05 - Number of Procedure Attempts | Value: 2 |
| eProcedures.06 - Procedure Successful | Value: 9923001 - No |
| eProcedures.07 - Procedure Complication | Value: 3907023 - Hypothermia |
| eProcedures.08 - Response to Procedure | Value: 9916001 - Improved |
| eProcedures.09 - Procedure Crew Members ID | Value: wM |
| eProcedures.10 - Role/Type of Person Performing the Procedure | Value: 9905001 - 2009 Advanced Emergency Medical Technician (AEMT) |
| eProcedures.11 - Procedure Authorization | Value: 9918005 - Protocol (Standing Order) |
| eProcedures.12 - Procedure Authorizing Physician | Value: d |
| eProcedures.13 - Vascular Access Location | Value: 3913049 - IO-Tibia-Right Proximal |
| eAirway | |
| eAirway.AirwayGroup | |
| eAirway.01 - Indications for Invasive Airway | Value: 4001005 - Apnea or Agonal Respirations |
| eAirway.ConfirmationGroup | [ATT: ProcedureGroupCorrelationID="A"] |
| eAirway.02 - Date/Time Airway Device Placement Confirmation | Value: 2014-04-01T12:27:49+07:00 |
| eAirway.03 - Airway Device Being Confirmed | Value: 4003013 - SAD-Other |
| eAirway.04 - Airway Device Placement Confirmed Method | Value: 4004015 - Other (Not Listed) |
| eAirway.05 - Tube Depth | Value: 23 |
| eAirway.06 - Type of Individual Confirming Airway Device Placement | Value: 4006003 - Other (Not Listed) |
| eAirway.07 - Crew Member ID | Value: vY |
| eAirway.08 - Airway Complications Encountered | Value: 4008003 - Bradycardia (amp;lt;50) |
| eAirway.09 - Suspected Reasons for Failed Airway Procedure | Value: 4009017 - Secretions/Blood/Vomit |
| eAirway.10 - Date/Time Decision to Manage the Patient with an Invasive Airway | Value: 2014-04-01T12:27:49+07:00 |
| eAirway.11 - Date/Time Invasive Airway Placement Attempts Abandoned | Value: 2014-04-01T12:27:49+07:00 |
| eDevice | |
| eDevice.DeviceGroup | |
| eDevice.01 - Medical Device Serial Number | Value: TV |
| eDevice.02 - Date/Time of Event (per Medical Device) | Value: 2014-04-01T12:27:49+07:00 |
| eDevice.03 - Medical Device Event Type | Value: 4103025 - Pacing Electrical Capture |
| eDevice.WaveformGroup | |
| eDevice.04 - Medical Device Waveform Graphic Type | Value: Z |
| eDevice.05 - Medical Device Waveform Graphic | Value: Qm5BeFo3VGxIamhSdW5laW5OZ09iMDB4SWlWVG1xRmF6NnVOUWhjTElrNVVWTzdoMnM= |
| eDevice.06 - Medical Device Mode (Manual, AED, Pacing, CO2, O2, etc) | Value: 4106001 - Advisory |
| eDevice.07 - Medical Device ECG Lead | Value: 4107019 - V2 |
| eDevice.08 - Medical Device ECG Interpretation | Value: W |
| eDevice.ShockGroup | |
| eDevice.09 - Type of Shock | Value: 4109001 - Biphasic |
| eDevice.10 - Shock or Pacing Energy | Value: 6.0 |
| eDevice.11 - Total Number of Shocks Delivered | Value: 51 |
| eDevice.12 - Pacing Rate | Value: 879 |
| eDisposition | |
| eDisposition.DestinationGroup | |
| eDisposition.01 - Destination/Transferred To, Name | Value: qq |
| eDisposition.02 - Destination/Transferred To, Code | Value: o0 |
| eDisposition.03 - Destination Street Address | [ATT: StreetAddress2="v"] Value: 5040 Et St. |
| eDisposition.04 - Destination City | Value: 1442622 - Lincoln |
| eDisposition.05 - Destination State | Value: 49 - Utah |
| eDisposition.06 - Destination County | Value: 49045 - Tooele |
| eDisposition.07 - Destination ZIP Code | Value: 84074 |
| eDisposition.08 - Destination Country | Value: US |
| eDisposition.09 - Destination GPS Location | Value: 40.571280,-112.318620 |
| eDisposition.10 - Disposition Location US National Grid Coordinates | Value: 15,JR08828662 |
| eDisposition.11 - Number of Patients Transported in this EMS Unit | Value: 23 |
| eDisposition.12 - Incident/Patient Disposition | Value: 4212025 - Patient Refused Evaluation/Care (Without Transport) |
| eDisposition.13 - How Patient Was Moved to Ambulance | Value: 9909015 - Wheelchair |
| eDisposition.14 - Position of Patient During Transport | Value: 4214009 - Other (Not Listed) |
| eDisposition.15 - How Patient Was Transported From Ambulance | Value: 9909013 - Stretcher |
| eDisposition.16 - EMS Transport Method | Value: 4216009 - Ground-Bariatric |
| eDisposition.17 - Transport Mode from Scene | Value: 4217003 - Emergent Downgraded to Non-Emergent |
| eDisposition.18 - Additional Transport Mode Descriptors | Value: 4218007 - Speed-Enhanced per Local Policy |
| eDisposition.19 - Condition of Patient at Destination | Value: 9916003 - Unchanged |
| eDisposition.20 - Reason for Choosing Destination | Value: 4220003 - Diversion |
| eDisposition.21 - Type of Destination | Value: 4221023 - Freestanding Emergency Department |
| eDisposition.22 - Hospital In-Patient Destination | Value: 4222047 - Hospital-Rehab |
| eDisposition.23 - Hospital Designation | Value: 9908023 - Trauma Center Level 2 |
| 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: 2014-04-01T12:27:49+07:00 |
| eDisposition.26 - Disposition Instructions Provided | Value: 4226001 - Contact 911 or see your Doctor if problem returns |
| eOutcome | |
| eOutcome.01 - Emergency Department Disposition | Value: 07 - Left against medical advice or discontinued care |
| eOutcome.02 - Hospital Disposition | Value: 64 - Discharged/transferred to a nursing facility certified under Medicaid but not certified under Medicare |
| eOutcome.ExternalDataGroup | |
| eOutcome.03 - External Report ID/Number Type | Value: 4303017 - Patient ID |
| eOutcome.04 - External Report ID/Number | Value: GR |
| eOutcome.05 - Other Report Registry Type | Value: fv |
| eOutcome.06 - Emergency Department Chief Complaint | Value: Qg |
| eOutcome.07 - First ED Systolic Blood Pressure | Value: 489 |
| eOutcome.08 - Emergency Department Recorded Cause of Injury | Value: V02.1 - Pedestrian injured in collision with two- or three-wheeled motor vehicle in traffic accident |
| eOutcome.09 - Emergency Department Procedures | Value: 05VH4DZ - Medical and Surgical @ Upper Veins @ Restriction @ Hand Vein, Left @ Percutaneous Endoscopic @ Intraluminal Device @ No Qualifier |
| eOutcome.10 - Emergency Department Diagnosis | Value: H80.1 - Otosclerosis involving oval window, obliterative |
| eOutcome.11 - Date/Time of Hospital Admission | Value: 2014-04-01T12:27:49+07:00 |
| eOutcome.12 - Hospital Procedures | Value: 05VH3ZZ - Medical and Surgical @ Upper Veins @ Restriction @ Hand Vein, Left @ Percutaneous @ No Device @ No Qualifier |
| eOutcome.13 - Hospital Diagnosis | Value: A88.1 - Epidemic vertigo |
| eOutcome.14 - Total ICU Length of Stay | Value: 5 |
| eOutcome.15 - Total Ventilator Days | Value: 310 |
| eOutcome.16 - Date/Time of Hospital Discharge | Value: 2014-04-01T12:27:49+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: 9923001 - No |
| eOther.02 - Potential System of Care/Specialty/Registry Patient | Value: 4502007 - CVA/Stroke |
| eOther.EMSCrewMemberGroup | |
| eOther.03 - Personal Protective Equipment Used | Value: 4503019 - Other (Not Listed) |
| eOther.04 - EMS Professional (Crew Member) ID | Value: Xp |
| 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: 4506019 - Exposure-Needle Stick without Body Fluid Injection |
| eOther.07 - Natural, Suspected, Intentional, or Unintentional Disaster | Value: 4507023 - Shooting/Sniper |
| eOther.08 - Crew Member Completing this Report | Value: Ju |
| eOther.FileGroup | |
| eOther.09 - External Electronic Documents | Value: 4509011 - Guardianship/Power of Attorney |
| eOther.10 - File Attachment Type | Value: P |
| eOther.11 - File Attachment Image | Value: bHFhYnNEenhKeHhkbnpvZkxPY01QbTJrTGlERU9Maks0ZWljQkNHd25PUGZCeWU4VmI= |
| eOther.SignatureGroup | |
| eOther.12 - Type of Person Signing | Value: 4512013 - Other |
| eOther.13 - Signature Reason | Value: 4513001 - HIPAA acknowledgement/Release |
| eOther.14 - Type Of Patient Representative | Value: 4514001 - Aunt |
| eOther.15 - Signature Status | Value: 4515013 - Not Signed - Mental Status/Impaired |
| eOther.16 - Signature File Name | Value: 6GzWnIVadtQQoXOsuHbwD3WMYxW3SvlJ8UzDT2fLPfqJJwL6Y9pHSJTQ01wVXHhEopiXosSqJau1WL1Qe4BzTNoZbA8ctu9Jf1y6rR4mudwOXqy3IIM6BkjbIg9feqrOx87BMYZmXOjOWRGMFQ6gjXWbIf9HDiXkKGG9tnHVVHzhE16uTVNNPsbV12HiicgOJ0bYZPmc7awBI3FfcjYYmQOxb5OoZUfkVwgMkTBNtABFwKcy6SVbZTMPI9zGDuV |
| eOther.17 - Signature File Type | Value: 0 |
| eOther.18 - Signature Graphic | Value: RjBWQWpnbVc5V3dva1JFT1lMSE1CVmNiU1RmR2puMjRNOUozWHZTdms0RnEwSDFYODM= |
| eOther.19 - Date/Time of Signature | Value: 2014-04-01T12:27:49+07:00 |
| eOther.20 - Signature Last Name | Value: s |
| eOther.21 - Signature First Name | Value: E |