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 |