NEMSIS v3.4.0 EMSDataSet Test Case


NEMSIS V3 Test Case for Pre-testing
ID:               2023-EMS-4-MedicalTransport_v340
Description:      Test case for elderly medical transport (to non-hospital).
Expected Result:  PASS

Element Value
EMSDataSet - Root Tag For Dataset
Header - Header for file
DemographicGroup - Demographic information related to this agency
dAgency.01 - EMS Agency Unique State ID EMS Agency Unique State ID 501
dAgency.02 - EMS Agency Number EMS Agency Number 340-501
dAgency.04 - EMS Agency State EMS Agency State Arkansas
PatientCareReport - Container Tag to hold each instance of a patient care report (PCR)
eRecord - Patient Record Information
eRecord.01 - Patient Care Report Number [Your Patient Care Report Number]
eRecord.SoftwareApplicationGroup - Group Tag to hold information about the software used to generate patient care report
eRecord.02 - Software Creator [Your Software Creator]
eRecord.03 - Software Name [Your Software Name]
eRecord.04 - Software Version [Your Software Version]
eResponse - Unit Agency Information
eResponse.AgencyGroup - Group Tag to hold EMS agency number and name
eResponse.01 - EMS Agency Number 340-501
eResponse.02 - EMS Agency Name [Value from DEMDataSet]
eResponse.03 - Incident Number 340-20221019043
eResponse.04 - EMS Response Number 340-20221019M2043
eResponse.ServiceGroup - Group Tag to hold details about EMS category of service and the stand by reason
eResponse.05 - Type of Service Requested Medical Transport
eResponse.07 - Primary Role of the Unit Ground Transport
eResponse.08 - Type of Dispatch Delay None/No Delay
eResponse.09 - Type of Response Delay None/No Delay
eResponse.10 - Type of Scene Delay None/No Delay
eResponse.11 - Type of Transport Delay None/No Delay
eResponse.12 - Type of Turn-Around Delay None/No Delay
eResponse.13 - EMS Vehicle (Unit) Number 501.183
eResponse.14 - EMS Unit Call Sign GA 11
eResponse.15 - Level of Care of This Unit ALS-Paramedic
eResponse.16 - Vehicle Dispatch Location Texarkana Arkansas Station
eResponse.17 - Vehicle Dispatch GPS Location 33.460,-94.002
eResponse.18 - Vehicle Dispatch Location US National Grid Coordinates 15SVT06880273
eResponse.19 - Beginning Odometer Reading of Responding Vehicle 190057.3
eResponse.20 - On-Scene Odometer Reading of Responding Vehicle 190063.1
eResponse.21 - Patient Destination Odometer Reading of Responding Vehicle 190066.7
eResponse.22 - Ending Odometer Reading of Responding Vehicle 190066.7
eResponse.23 - Response Mode to Scene Non-Emergent
eResponse.24 - Additional Response Mode Descriptors Scheduled
eDispatch - Dispatch Information
eDispatch.01 - Complaint Reported by Dispatch Transfer/Interfacility/Palliative Care
eDispatch.02 - EMD Performed [NV = Not Applicable]
eDispatch.03 - EMD Card Number 37A
eDispatch.04 - Dispatch Center Name or ID Texarkana Texas Police Department
eDispatch.05 - Dispatch Priority (Patient Acuity) Non-Acute [e.g., Scheduled Transfer or Standby]
eDispatch.06 - Unit Dispatched CAD Record ID 20221019-231
eCrew - Crew Member Information
eCrew.CrewGroup - Group Tag to hold crew information
eCrew.01 - Crew Member ID 7492 - Chase Grey
eCrew.02 - Crew Member Level 2009 Advanced Emergency Medical Technician (AEMT)
eCrew.03 - Crew Member Response Role Driver/Pilot-Response
Driver/Pilot-Transport
eCrew.CrewGroup - Group Tag to hold crew information
eCrew.01 - Crew Member ID 86240 - Kaden Li Jie Huang
eCrew.02 - Crew Member Level 2009 Paramedic
eCrew.03 - Crew Member Response Role Primary Patient Caregiver-Transport
eTimes - Call Event Times Information
eTimes.01 - PSAP Call Date/Time [NV = Not Applicable]
eTimes.02 - Dispatch Notified Date/Time October 19, 2022, 11:56:27 GMT-05:00
eTimes.03 - Unit Notified by Dispatch Date/Time October 19, 2022, 11:58:19 GMT-05:00
eTimes.04 - Dispatch Acknowledged Date/Time October 19, 2022, 11:58:57 GMT-05:00
eTimes.05 - Unit En Route Date/Time October 19, 2022, 13:10:01 GMT-05:00
eTimes.06 - Unit Arrived on Scene Date/Time October 19, 2022, 13:20:04 GMT-05:00
eTimes.07 - Arrived at Patient Date/Time October 19, 2022, 13:23:21 GMT-05:00
eTimes.08 - Transfer of EMS Patient Care Date/Time [NV = Not Applicable]
eTimes.09 - Unit Left Scene Date/Time October 19, 2022, 13:30:46 GMT-05:00
eTimes.11 - Patient Arrived at Destination Date/Time October 19, 2022, 13:41:32 GMT-05:00
eTimes.12 - Destination Patient Transfer of Care Date/Time October 19, 2022, 13:45:17 GMT-05:00
eTimes.13 - Unit Back in Service Date/Time October 19, 2022, 13:46:42 GMT-05:00
eTimes.16 - EMS Call Completed Date/Time October 19, 2022, 13:52:15 GMT-05:00
ePatient - Patient Information
ePatient.01 - EMS Patient ID 659JEX
ePatient.PatientNameGroup - Group Tag to hold patient's name
ePatient.02 - Last Name Macias
ePatient.03 - First Name Elina
ePatient.04 - Middle Initial/Name R
ePatient.05 - Patient's Home Address 520 South Pine Street
ePatient.06 - Patient's Home City City of Hope
ePatient.07 - Patient's Home County Hempstead County
ePatient.08 - Patient's Home State Arkansas
ePatient.09 - Patient's Home ZIP Code 71801
ePatient.10 - Patient's Country of Residence US
ePatient.11 - Patient Home Census Tract 05057480500
ePatient.12 - Social Security Number 430153583
ePatient.13 - Gender Female
ePatient.14 - Race Black or African American
Hispanic or Latino
ePatient.AgeGroup - Group Tag to hold patient's age information
ePatient.15 - Age 81
ePatient.16 - Age Units Years
ePatient.17 - Date of Birth August 4, 1941
ePayment - Insurance/Payment Information
ePayment.01 - Primary Method of Payment Medicare
ePayment.CertificateGroup - Group Tag to hold Certification information
ePayment.02 - Physician Certification Statement Yes
ePayment.03 - Date Physician Certification Statement Signed October 19, 2022, 11:48:09 GMT-05:00
ePayment.04 - Reason for Physician Certification Statement Bed Confined
Moderate to severe pain on movement
Non-healing fractures
ePayment.05 - Healthcare Provider Type Signing Physician Certification Statement Registered Nurse
ePayment.06 - Last Name of Individual Signing Physician Certification Statement Felix
ePayment.07 - First Name of Individual Signing Physician Certification Statement Tami
ePayment.08 - Patient Resides in Service Area Resident Within EMS Service Area
ePayment.InsuranceGroup - Group Tag to hold information about the insurance company
ePayment.09 - Insurance Company ID MEDICARE
ePayment.10 - Insurance Company Name Medicare
ePayment.11 - Insurance Company Billing Priority Primary
ePayment.12 - Insurance Company Address PO Box 1437, Slot S401
ePayment.13 - Insurance Company City Little Rock
ePayment.14 - Insurance Company State Arkansas
ePayment.15 - Insurance Company ZIP Code 72203-1437
ePayment.16 - Insurance Company Country US
ePayment.18 - Insurance Policy ID Number 37468674
ePayment.19 - Last Name of the Insured Macias
ePayment.20 - First Name of the Insured Elina
ePayment.21 - Middle Initial/Name of the Insured R
ePayment.22 - Relationship to the Insured Self
ePayment.40 - Response Urgency Non-Immediate
ePayment.41 - Patient Transport Assessment Unable to sit without assistance
Unable to stand without assistance
Unable to walk without assistance
ePayment.42 - Specialty Care Transport Care Provider 2009 Paramedic
ePayment.45 - Round Trip Purpose Description Specialized diagnostics procedure for hospitalized patient
ePayment.50 - CMS Service Level BLS
ePayment.53 - Transport Authorization Code MC05-20836
ePayment.54 - Prior Authorization Code Payer Medicare
ePayment.SupplyItemGroup - Group Tag to hold information about the supply used on the patient by the EMS Crew during the EMS event.
ePayment.55 - Supply Item Used Name Surgical Mask
ePayment.56 - Number of Supply Item(s) Used 3
ePayment.57 - Payer Type Medicare Part A
eScene - Incident Scene Information
eScene.01 - First EMS Unit on Scene [NV = Not Recorded]
eScene.06 - Number of Patients at Scene Single
eScene.07 - Mass Casualty Incident [NV = Not Applicable]
eScene.08 - Triage Classification for MCI Patient [NV = Not Applicable]
eScene.09 - Incident Location Type Y92.23 - Hospital as the place of occurrence of the external cause
eScene.10 - Incident Facility Code 1295736734
eScene.11 - Scene GPS Location [Value from DEMDataSet]
eScene.12 - Scene US National Grid Coordinates [Value from DEMDataSet]
eScene.15 - Incident Street Address [Value from DEMDataSet]
eScene.17 - Incident City [Value from DEMDataSet]
eScene.18 - Incident State [Value from DEMDataSet]
eScene.19 - Incident ZIP Code [Value from DEMDataSet]
eScene.21 - Incident County [Value from DEMDataSet]
eScene.22 - Incident Country [Value from DEMDataSet]
eScene.23 - Incident Census Tract 48037010901
eSituation - Situation Information
eSituation.01 - Date/Time of Symptom Onset [NV = Not Applicable]
eSituation.02 - Possible Injury [NV = Not Applicable]
eSituation.07 - Chief Complaint Anatomic Location [NV = Not Applicable]
eSituation.08 - Chief Complaint Organ System [NV = Not Applicable]
eSituation.09 - Primary Symptom [NV = Not Applicable]
eSituation.10 - Other Associated Symptoms [NV = Not Applicable]
eSituation.11 - Provider's Primary Impression [NV = Not Applicable]
eSituation.12 - Provider's Secondary Impressions [NV = Not Applicable]
eSituation.13 - Initial Patient Acuity Lower Acuity (Green)
eInjury - Injury Information
eInjury.01 - Cause of Injury [NV = Not Applicable]
eInjury.02 - Mechanism of Injury [NV = Not Applicable]
eInjury.03 - Trauma Center Criteria [NV = Not Applicable]
eInjury.04 - Vehicular, Pedestrian, or Other Injury Risk Factor [NV = Not Applicable]
eArrest - Cardiac Arrest Information
eArrest.01 - Cardiac Arrest No
eArrest.02 - Cardiac Arrest Etiology [NV = Not Applicable]
eArrest.03 - Resuscitation Attempted By EMS [NV = Not Applicable]
eArrest.04 - Arrest Witnessed By [NV = Not Applicable]
eArrest.05 - CPR Care Provided Prior to EMS Arrival [NV = Not Recorded]
eArrest.07 - AED Use Prior to EMS Arrival [NV = Not Applicable]
eArrest.09 - Type of CPR Provided [NV = Not Applicable]
eArrest.11 - First Monitored Arrest Rhythm of the Patient [NV = Not Applicable]
eArrest.12 - Any Return of Spontaneous Circulation [NV = Not Applicable]
eArrest.14 - Date/Time of Cardiac Arrest [NV = Not Applicable]
eArrest.16 - Reason CPR/Resuscitation Discontinued [NV = Not Applicable]
eArrest.17 - Cardiac Rhythm on Arrival at Destination [NV = Not Applicable]
eArrest.18 - End of EMS Cardiac Arrest Event [NV = Not Applicable]
eHistory - Patient History Information
eHistory.01 - Barriers to Patient Care Hearing Impaired
Language
eHistory.PractitionerGroup - Group Tag to hold info about practitioner
eHistory.02 - Last Name of Patient's Practitioner Sadler
eHistory.03 - First Name of Patient's Practitioner Randall
eHistory.04 - Middle Name/Initial of Patient's Practitioner M
eHistory.PractitionerGroup - Group Tag to hold info about practitioner
eHistory.02 - Last Name of Patient's Practitioner Beck
eHistory.03 - First Name of Patient's Practitioner Darlene
eHistory.04 - Middle Name/Initial of Patient's Practitioner T
eHistory.05 - Advance Directives Other Healthcare Advanced Directive Form
State EMS DNR or Medical Order Form
eHistory.06 - Medication Allergies [CodeType = ICD10] Z88.0 - Allergy status to penicillin
[CodeType = RxNorm] 1191 - aspirin
[CodeType = RxNorm] 161 - acetaminophen
[CodeType = RxNorm] 2284718 - remdesivir
eHistory.07 - Environmental/Food Allergies 232346004 - Cat allergy
860604008 - Allergy to apple
eHistory.08 - Medical/Surgical History I51.9 - Heart disease, unspecified
I22.9 - Subsequent ST elevation (STEMI) myocardial infarction of unspecified site
K08.119 - Complete loss of teeth due to trauma, unspecified class
H91.90 - Unspecified hearing loss, unspecified ear
M19.09 - Primary osteoarthritis, other specified site
I83.819 - Varicose veins of unspecified lower extremity with pain
02U03JZ - Supplement Coronary Artery, One Artery with Synthetic Substitute, Percutaneous Approach
0HRCX72 - Replacement of Left Upper Arm Skin with Autologous Tissue Substitute, Cell Suspension Technique, External Approach
M84.359 - Stress fracture, hip, unspecified
M84.372 - Stress fracture, left ankle
0SQ94ZZ - Repair Right Hip Joint, Percutaneous Endoscopic Approach
0SQNXZZ - Repair Left Metatarsal-Phalangeal Joint, External Approach
eHistory.09 - Medical History Obtained From Family
Health Care Personnel
Patient
eHistory.ImmunizationsGroup - Group Tag to hold Immunization type and date
eHistory.10 - The Patient's Type of Immunization DPT / TDaP (Diphtheria, Pertussis, Tetanus)
eHistory.11 - Immunization Year 1950
eHistory.ImmunizationsGroup - Group Tag to hold Immunization type and date
eHistory.10 - The Patient's Type of Immunization Influenza-Seasonal (In past 12 months)
eHistory.11 - Immunization Year 2022
eHistory.ImmunizationsGroup - Group Tag to hold Immunization type and date
eHistory.10 - The Patient's Type of Immunization MMR (Measles, Mumps, Rubella)
eHistory.11 - Immunization Year 1950
eHistory.ImmunizationsGroup - Group Tag to hold Immunization type and date
eHistory.10 - The Patient's Type of Immunization Other-Not Listed
eHistory.11 - Immunization Year 2022
eHistory.CurrentMedsGroup - Group Tag to hold info about patient's medication
eHistory.12 - Current Medications 11289 - warfarin
eHistory.13 - Current Medication Dose 3
eHistory.14 - Current Medication Dosage Unit Milligrams (mg)
eHistory.15 - Current Medication Administration Route Oral
eHistory.16 - Presence of Emergency Information Form Yes
eHistory.17 - Alcohol/Drug Use Indicators [PN = None Reported]
eNarrative - Call Event Narrative
eNarrative.01 - Patient Care Report Narrative Non-emergency transport of patient who recently had surgery for specialized diagnostic testing. Went back in service @ destination.
eVitals - Patient Vital Sign Information
eVitals.VitalGroup - Group Tag to hold eVitals information
eVitals.01 - Date/Time Vital Signs Taken October 19, 2022, 13:32:00 GMT-05:00
eVitals.02 - Obtained Prior to this Unit's EMS Care No
eVitals.CardiacRhythmGroup - Group Tag to hold information of the type and method used for ECG interpretation associated with the cardiac rhythm.
eVitals.03 - Cardiac Rhythm / Electrocardiography (ECG) [NV = Not Recorded]
eVitals.04 - ECG Type [NV = Not Recorded]
eVitals.05 - Method of ECG Interpretation [NV = Not Recorded]
eVitals.BloodPressureGroup - Group Tag to hold the details of patient's blood pressure.
eVitals.06 - SBP (Systolic Blood Pressure) 118
eVitals.07 - DBP (Diastolic Blood Pressure) 72
eVitals.08 - Method of Blood Pressure Measurement Cuff-Automated
eVitals.HeartRateGroup - Group Tag to hold the details of patient's heart rate.
eVitals.10 - Heart Rate 68
eVitals.11 - Method of Heart Rate Measurement Palpated
eVitals.12 - Pulse Oximetry 98
eVitals.13 - Pulse Rhythm Regular
eVitals.14 - Respiratory Rate 12
eVitals.15 - Respiratory Effort Normal
eVitals.16 - End Tidal Carbon Dioxide (ETCO2) [NV = Not Recorded]
eVitals.17 - Carbon Monoxide (CO) [NV = Not Recorded]
eVitals.18 - Blood Glucose Level 124
eVitals.GlasgowScoreGroup - Group Tag to hold the details of patient's glasgow scale
eVitals.19 - Glasgow Coma Score-Eye 4 - Opens Eyes spontaneously (All Age Groups)
eVitals.20 - Glasgow Coma Score-Verbal 5 - Oriented (>2 Years); Smiles, oriented to sounds, follows objects, interacts
eVitals.21 - Glasgow Coma Score-Motor 6 - Obeys commands (>2Years); Appropriate response to stimulation
eVitals.22 - Glasgow Coma Score-Qualifier Initial GCS has legitimate values without interventions such as intubation and sedation
eVitals.23 - Total Glasgow Coma Score 15
eVitals.TemperatureGroup - Group Tag to hold information about patient's body temperature.
eVitals.24 - Temperature 35.7
eVitals.25 - Temperature Method Tympanic
eVitals.26 - Level of Responsiveness (AVPU) Alert
eVitals.PainScaleGroup - Group Tag to hold the scale of patient's pain and the type of pain scale used.
eVitals.27 - Pain Scale Score 4
eVitals.28 - Pain Scale Type Numeric (0-10)
eVitals.StrokeScaleGroup - Group Tag to hold the results of patient's stroke scale and the type of stroke pain scale used.
eVitals.29 - Stroke Scale Score [NV = Not Recorded]
eVitals.30 - Stroke Scale Type [NV = Not Recorded]
eVitals.31 - Reperfusion Checklist [NV = Not Recorded]
eVitals.VitalGroup - Group Tag to hold eVitals information
eVitals.01 - Date/Time Vital Signs Taken October 19, 2022, 13:40:00 GMT-05:00
eVitals.02 - Obtained Prior to this Unit's EMS Care No
eVitals.CardiacRhythmGroup - Group Tag to hold information of the type and method used for ECG interpretation associated with the cardiac rhythm.
eVitals.03 - Cardiac Rhythm / Electrocardiography (ECG) [NV = Not Recorded]
eVitals.04 - ECG Type [NV = Not Recorded]
eVitals.05 - Method of ECG Interpretation [NV = Not Recorded]
eVitals.BloodPressureGroup - Group Tag to hold the details of patient's blood pressure.
eVitals.06 - SBP (Systolic Blood Pressure) 124
eVitals.07 - DBP (Diastolic Blood Pressure) 78
eVitals.08 - Method of Blood Pressure Measurement Cuff-Automated
eVitals.HeartRateGroup - Group Tag to hold the details of patient's heart rate.
eVitals.10 - Heart Rate 64
eVitals.11 - Method of Heart Rate Measurement Palpated
eVitals.12 - Pulse Oximetry 97
eVitals.13 - Pulse Rhythm Regular
eVitals.14 - Respiratory Rate 12
eVitals.15 - Respiratory Effort Normal
eVitals.16 - End Tidal Carbon Dioxide (ETCO2) [NV = Not Recorded]
eVitals.17 - Carbon Monoxide (CO) [NV = Not Recorded]
eVitals.18 - Blood Glucose Level [NV = Not Recorded]
eVitals.GlasgowScoreGroup - Group Tag to hold the details of patient's glasgow scale
eVitals.19 - Glasgow Coma Score-Eye 4 - Opens Eyes spontaneously (All Age Groups)
eVitals.20 - Glasgow Coma Score-Verbal 5 - Oriented (>2 Years); Smiles, oriented to sounds, follows objects, interacts
eVitals.21 - Glasgow Coma Score-Motor 6 - Obeys commands (>2Years); Appropriate response to stimulation
eVitals.22 - Glasgow Coma Score-Qualifier Initial GCS has legitimate values without interventions such as intubation and sedation
eVitals.23 - Total Glasgow Coma Score 15
eVitals.TemperatureGroup - Group Tag to hold information about patient's body temperature.
eVitals.24 - Temperature [NV = Not Recorded]
eVitals.26 - Level of Responsiveness (AVPU) Alert
eVitals.PainScaleGroup - Group Tag to hold the scale of patient's pain and the type of pain scale used.
eVitals.27 - Pain Scale Score 4
eVitals.28 - Pain Scale Type Numeric (0-10)
eVitals.StrokeScaleGroup - Group Tag to hold the results of patient's stroke scale and the type of stroke pain scale used.
eVitals.29 - Stroke Scale Score [NV = Not Recorded]
eVitals.30 - Stroke Scale Type [NV = Not Recorded]
eVitals.31 - Reperfusion Checklist [NV = Not Recorded]
eProtocols - Medical Protocols Information
eProtocols.ProtocolGroup - Group Tag to hold eProtocol information
eProtocols.01 - Protocols Used [NV = Not Recorded]
eProtocols.02 - Protocol Age Category [NV = Not Recorded]
eMedications - Intervention Medications Information
eMedications.MedicationGroup - Group Tag to hold eMedication information
eMedications.01 - Date/Time Medication Administered [NV = Not Applicable]
eMedications.02 - Medication Administered Prior to this Unit's EMS Care [NV = Not Applicable]
eMedications.03 - Medication Given [NV = Not Applicable]
eMedications.DosageGroup - Group Tag to hold info about the medication dosage given to the patient
eMedications.05 - Medication Dosage [NV = Not Applicable]
eMedications.06 - Medication Dosage Units [NV = Not Applicable]
eMedications.07 - Response to Medication [NV = Not Applicable]
eMedications.08 - Medication Complication [NV = Not Applicable]
eMedications.10 - Role/Type of Person Administering Medication [NV = Not Applicable]
eProcedures - Intervention Procedures Information
eProcedures.ProcedureGroup - Group Tag to hold eProcedures information
eProcedures.01 - Date/Time Procedure Performed [NV = Not Applicable]
eProcedures.02 - Procedure Performed Prior to this Unit's EMS Care [NV = Not Applicable]
eProcedures.03 - Procedure [NV = Not Applicable]
eProcedures.05 - Number of Procedure Attempts [NV = Not Applicable]
eProcedures.06 - Procedure Successful [NV = Not Applicable]
eProcedures.07 - Procedure Complication [NV = Not Applicable]
eProcedures.08 - Response to Procedure [NV = Not Applicable]
eProcedures.10 - Role/Type of Person Performing the Procedure [NV = Not Applicable]
eDisposition - Patient Disposition Information
eDisposition.DestinationGroup - Group Tag to hold info about the Destination and the Disposition details
eDisposition.01 - Destination/Transferred To, Name Quest Diagnostics Texarkana
eDisposition.02 - Destination/Transferred To, Code 1316004351
eDisposition.03 - Destination Street Address [StreetAddress2 = [Value from DEMDataSet]] [Value from DEMDataSet]
eDisposition.04 - Destination City [Value from DEMDataSet]
eDisposition.05 - Destination State [Value from DEMDataSet]
eDisposition.06 - Destination County [Value from DEMDataSet]
eDisposition.07 - Destination ZIP Code [Value from DEMDataSet]
eDisposition.08 - Destination Country [Value from DEMDataSet]
eDisposition.09 - Destination GPS Location [Value from DEMDataSet]
eDisposition.10 - Destination Location US National Grid Coordinates [Value from DEMDataSet]
eDisposition.11 - Number of Patients Transported in this EMS Unit 1
eDisposition.12 - Incident/Patient Disposition Patient Treated, Transported by this EMS Unit
eDisposition.13 - How Patient Was Moved to Ambulance Stretcher
eDisposition.14 - Position of Patient During Transport Supine
eDisposition.15 - How Patient Was Transported From Ambulance Stretcher
eDisposition.16 - EMS Transport Method Ground-Ambulance
eDisposition.17 - Transport Mode from Scene Non-Emergent
eDisposition.18 - Additional Transport Mode Descriptors Speed-Normal Traffic
No Lights or Sirens
eDisposition.19 - Final Patient Acuity Lower Acuity (Green)
eDisposition.20 - Reason for Choosing Destination On-Line/On-Scene Medical Direction
Patient's Physician's Choice
eDisposition.21 - Type of Destination Other
eDisposition.22 - Hospital In-Patient Destination [NV = Not Applicable]
eDisposition.23 - Hospital Capability [NV = Not Applicable]
eDisposition.HospitalTeamActivationGroup - Group Tag to hold info about the destination team pre-arrival activation
eDisposition.24 - Destination Team Pre-Arrival Alert or Activation [NV = Not Applicable]
eDisposition.25 - Date/Time of Destination Prearrival Alert or Activation [NV = Not Applicable]
eOutcome - Patient Outcome Information
eOutcome.01 - Emergency Department Disposition [NV = Not Applicable]
eOutcome.02 - Hospital Disposition [NV = Not Applicable]
eOther - Other Miscellaneous Information
eOther.EMSCrewMemberGroup - Group Tag to hold info about the EMS Crew Member
eOther.03 - Personal Protective Equipment Used Gloves
Mask-Surgical (Non-Fitted)
eOther.04 - EMS Professional (Crew Member) ID 7492 - Chase Grey
eOther.05 - Suspected EMS Work Related Exposure, Injury, or Death No
eOther.06 - The Type of Work-Related Injury, Death or Suspected Exposure None
eOther.EMSCrewMemberGroup - Group Tag to hold info about the EMS Crew Member
eOther.03 - Personal Protective Equipment Used Gloves
Mask-Surgical (Non-Fitted)
eOther.04 - EMS Professional (Crew Member) ID 86240 - Kaden Li Jie Huang
eOther.05 - Suspected EMS Work Related Exposure, Injury, or Death No
eOther.06 - The Type of Work-Related Injury, Death or Suspected Exposure None
eOther.08 - Crew Member Completing this Report 86240 - Kaden Li Jie Huang
eOther.SignatureGroup - Group Tag to hold signature details
eOther.12 - Type of Person Signing EMS Primary Care Provider (for this event)
eOther.13 - Signature Reason Other
eOther.15 - Signature Status Signed
eOther.19 - Date/Time of Signature October 19, 2022, 13:52:15 GMT-05:00
eOther.20 - Signature Last Name Huang
eOther.21 - Signature First Name Kaden