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 |
340-20221008005 |
eResponse.04
-
EMS Response Number |
340-20221008M2005 |
eResponse.ServiceGroup
-
Group Tag to hold details about EMS category of service and the stand by reason |
|
eResponse.05
-
Type of Service Requested |
911 Response (Scene) |
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 |
Extrication |
HazMat |
Safety-Crew/Staging |
Triage/Multiple Patients |
eResponse.11
-
Type of Transport Delay |
[NV
=
Not Applicable] |
eResponse.12
-
Type of Turn-Around Delay |
Clean-up |
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 |
189276.4 |
eResponse.20
-
On-Scene Odometer Reading of Responding Vehicle |
189279.2 |
eResponse.22
-
Ending Odometer Reading of Responding Vehicle |
189287.5 |
eResponse.23
-
Response Mode to Scene |
Emergent (Immediate Response) |
eResponse.24
-
Additional Response Mode Descriptors |
Intersection Navigation-With Automated Light Changing Technology |
Speed-Enhanced per Local Policy |
Lights and Sirens |
eDispatch
-
Dispatch Information |
|
eDispatch.01
-
Complaint Reported by Dispatch |
Traffic/Transportation Incident |
eDispatch.02
-
EMD Performed |
Yes, Unknown if Pre-Arrival Instructions Given |
eDispatch.03
-
EMD Card Number |
29E |
eDispatch.04
-
Dispatch Center Name or ID |
Texarkana Arkansas Police Department |
eDispatch.05
-
Dispatch Priority (Patient Acuity) |
Critical |
eDispatch.06
-
Unit Dispatched CAD Record ID |
20221008-652 |
eCrew
-
Crew Member Information |
|
eCrew.CrewGroup
-
Group Tag to hold crew information |
|
eCrew.01
-
Crew Member ID |
76015 - Aiysha F Kendall |
eCrew.02
-
Crew Member Level |
2009 Emergency Medical Technician (EMT) |
eCrew.03
-
Crew Member Response Role |
Driver/Pilot-Response |
eCrew.CrewGroup
-
Group Tag to hold crew information |
|
eCrew.01
-
Crew Member ID |
35781 - Ellen Costa |
eCrew.02
-
Crew Member Level |
2009 Paramedic |
eCrew.03
-
Crew Member Response Role |
Primary Patient Caregiver-At Scene |
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 |
Other Patient Caregiver-At Scene |
eTimes
-
Call Event Times Information |
|
eTimes.01
-
PSAP Call Date/Time |
October 8, 2022, 15:48:02 GMT-05:00 |
eTimes.02
-
Dispatch Notified Date/Time |
October 8, 2022, 15:48:02 GMT-05:00 |
eTimes.03
-
Unit Notified by Dispatch Date/Time |
October 8, 2022, 15:48:42 GMT-05:00 |
eTimes.04
-
Dispatch Acknowledged Date/Time |
October 8, 2022, 15:48:50 GMT-05:00 |
eTimes.05
-
Unit En Route Date/Time |
October 8, 2022, 15:49:03 GMT-05:00 |
eTimes.06
-
Unit Arrived on Scene Date/Time |
October 8, 2022, 15:53:18 GMT-05:00 |
eTimes.07
-
Arrived at Patient Date/Time |
October 8, 2022, 15:58:25 GMT-05:00 |
eTimes.08
-
Transfer of EMS Patient Care Date/Time |
[NV
=
Not Applicable] |
eTimes.09
-
Unit Left Scene Date/Time |
October 8, 2022, 16:42:09 GMT-05:00 |
eTimes.11
-
Patient Arrived at Destination Date/Time |
[NV
=
Not Applicable] |
eTimes.12
-
Destination Patient Transfer of Care Date/Time |
[NV
=
Not Applicable] |
eTimes.13
-
Unit Back in Service Date/Time |
October 8, 2022, 17:02:13 GMT-05:00 |
eTimes.15
-
Unit Back at Home Location Date/Time |
October 8, 2022, 16:53:28 GMT-05:00 |
eTimes.16
-
EMS Call Completed Date/Time |
October 8, 2022, 17:04:59 GMT-05:00 |
ePatient
-
Patient Information |
|
ePatient.01
-
EMS Patient ID |
573NER |
ePatient.PatientNameGroup
-
Group Tag to hold patient's name |
|
ePatient.02
-
Last Name |
Handley |
ePatient.03
-
First Name |
Steve |
ePatient.04
-
Middle Initial/Name |
J |
ePatient.05
-
Patient's Home Address |
822 Red Oak Trail |
ePatient.06
-
Patient's Home City |
City of Atlanta |
ePatient.07
-
Patient's Home County |
Cass County |
ePatient.08
-
Patient's Home State |
Texas |
ePatient.09
-
Patient's Home ZIP Code |
75551 |
ePatient.10
-
Patient's Country of Residence |
US |
ePatient.11
-
Patient Home Census Tract |
48067950400 |
ePatient.12
-
Social Security Number |
449052970 |
ePatient.13
-
Gender |
Male |
ePatient.14
-
Race |
White |
ePatient.AgeGroup
-
Group Tag to hold patient's age information |
|
ePatient.15
-
Age |
62 |
ePatient.16
-
Age Units |
Years |
ePatient.17
-
Date of Birth |
October 6, 1960 |
ePatient.20
-
State Issuing Driver's License |
Texas |
ePatient.21
-
Driver's License Number |
4548643 |
ePayment
-
Insurance/Payment Information |
|
ePayment.01
-
Primary Method of Payment |
Not Billed (for any reason) |
ePayment.08
-
Patient Resides in Service Area |
Not a Resident Within EMS Service Area |
ePayment.ClosestRelativeGroup
-
Group Tag to hold information about patient's relative or guardian |
|
ePayment.23
-
Closest Relative/Guardian Last Name |
Handley |
ePayment.24
-
Closest Relative/ Guardian First Name |
Kate |
ePayment.25
-
Closest Relative/ Guardian Middle Initial/Name |
I |
ePayment.26
-
Closest Relative/ Guardian Street Address |
822 Red Oak Trail |
ePayment.27
-
Closest Relative/ Guardian City |
Atlanta |
ePayment.28
-
Closest Relative/ Guardian State |
Texas |
ePayment.29
-
Closest Relative/ Guardian ZIP Code |
75551 |
ePayment.30
-
Closest Relative/ Guardian Country |
US |
ePayment.31
-
Closest Relative/ Guardian Phone Number |
[PhoneNumberType
=
Home] 903-796-0624 |
[PhoneNumberType
=
Mobile] 430-342-5970 |
ePayment.32
-
Closest Relative/ Guardian Relationship |
Spouse |
ePayment.40
-
Response Urgency |
Immediate |
ePayment.50
-
CMS Service Level |
ALS, Level 1 Emergency |
eScene
-
Incident Scene Information |
|
eScene.01
-
First EMS Unit on Scene |
No |
eScene.ResponderGroup
-
Group Tag to hold info from all responders to the scene. |
|
eScene.02
-
Other EMS or Public Safety Agencies at Scene |
Texarkana City Fire Department |
eScene.03
-
Other EMS or Public Safety Agency ID Number |
NSL-072 |
eScene.04
-
Type of Other Service at Scene |
Fire |
eScene.ResponderGroup
-
Group Tag to hold info from all responders to the scene. |
|
eScene.02
-
Other EMS or Public Safety Agencies at Scene |
Texarkana City Police Department |
eScene.04
-
Type of Other Service at Scene |
Law |
eScene.ResponderGroup
-
Group Tag to hold info from all responders to the scene. |
|
eScene.02
-
Other EMS or Public Safety Agencies at Scene |
Arkansas Highway Police |
eScene.04
-
Type of Other Service at Scene |
Law |
eScene.05
-
Date/Time Initial Responder Arrived on Scene |
October 8, 2022, 15:49:00 GMT-05:00 |
eScene.06
-
Number of Patients at Scene |
Multiple |
eScene.07
-
Mass Casualty Incident |
Yes |
eScene.08
-
Triage Classification for MCI Patient |
Black - Deceased |
eScene.09
-
Incident Location Type |
Y92.4 - Street, highway and other paved roadways as the place of occurrence of the external cause |
eScene.10
-
Incident Facility Code |
[NV
=
Not Applicable] |
eScene.11
-
Scene GPS Location |
33.480,-93.985 |
eScene.12
-
Scene US National Grid Coordinates |
15SVT08480493 |
eScene.14
-
Mile Post or Major Roadway |
MP 3 |
eScene.15
-
Incident Street Address |
Eastbound Interstate 30 Exit 3B |
eScene.17
-
Incident City |
City of Texarkana |
eScene.18
-
Incident State |
Arkansas |
eScene.19
-
Incident ZIP Code |
71854 |
eScene.20
-
Scene Cross Street or Directions |
Interstate 49 |
eScene.21
-
Incident County |
Miller County |
eScene.22
-
Incident Country |
US |
eScene.23
-
Incident Census Tract |
05091020801 |
eSituation
-
Situation Information |
|
eSituation.01
-
Date/Time of Symptom Onset |
October 8, 2022, 15:45:00 GMT-05:00 |
eSituation.02
-
Possible Injury |
Yes |
eSituation.PatientComplaintGroup
-
Group Tag to hold information about patient's complaint |
|
eSituation.03
-
Complaint Type |
Chief (Primary) |
eSituation.04
-
Complaint |
Major injuries |
eSituation.05
-
Duration of Complaint |
5 |
eSituation.06
-
Time Units of Duration of Complaint |
Minutes |
eSituation.PatientComplaintGroup
-
Group Tag to hold information about patient's complaint |
|
eSituation.03
-
Complaint Type |
Secondary |
eSituation.04
-
Complaint |
Bleeding |
eSituation.05
-
Duration of Complaint |
5 |
eSituation.06
-
Time Units of Duration of Complaint |
Minutes |
eSituation.PatientComplaintGroup
-
Group Tag to hold information about patient's complaint |
|
eSituation.03
-
Complaint Type |
Secondary |
eSituation.04
-
Complaint |
Unconscious |
eSituation.05
-
Duration of Complaint |
5 |
eSituation.06
-
Time Units of Duration of Complaint |
Minutes |
eSituation.07
-
Chief Complaint Anatomic Location |
General/Global |
eSituation.08
-
Chief Complaint Organ System |
Global/General |
eSituation.09
-
Primary Symptom |
I46.9 - Cardiac arrest, cause unspecified |
eSituation.10
-
Other Associated Symptoms |
T07 - Unspecified multiple injuries |
eSituation.11
-
Provider's Primary Impression |
R99 - Ill-defined and unknown cause of mortality |
eSituation.12
-
Provider's Secondary Impressions |
[NV
=
Not Recorded] |
eSituation.13
-
Initial Patient Acuity |
Dead without Resuscitation Efforts (Black) |
eSituation.WorkRelatedGroup
-
Group Tag to hold patient details if the illness or injury is work related |
|
eSituation.14
-
Work-Related Illness/Injury |
No |
eInjury
-
Injury Information |
|
eInjury.01
-
Cause of Injury |
V43 - Car occupant injured in collision with car, pick-up truck or van |
eInjury.02
-
Mechanism of Injury |
Blunt |
Burn |
Other |
Penetrating |
eInjury.03
-
Trauma Center Criteria |
[NV
=
Not Recorded] |
eInjury.04
-
Vehicular, Pedestrian, or Other Injury Risk Factor |
[NV
=
Not Recorded] |
eInjury.05
-
Main Area of the Vehicle Impacted by the Collision |
12 |
eInjury.06
-
Location of Patient in Vehicle |
Front Seat-Left Side (or motorcycle driver) |
eInjury.07
-
Use of Occupant Safety Equipment |
Shoulder and Lap Belt Used |
eInjury.08
-
Airbag Deployment |
Airbag Deployed Front |
Airbag Deployed Side |
Airbag Deployed Other (knee, air belt, etc.) |
eInjury.CollisionGroup
-
Group Tag to hold the automated collision notification details |
|
eInjury.11
-
ACN System/Company Providing ACN Data |
OnStar |
eInjury.12
-
ACN Incident ID |
HF4783DC8 |
eInjury.13
-
ACN Call Back Phone Number |
[PhoneNumberType
=
Work] 888-466-7872 |
eInjury.14
-
Date/Time of ACN Incident |
October 8, 2022, 15:45:01 GMT-05:00 |
eInjury.15
-
ACN Incident Location |
33.480,-93.985 |
eInjury.16
-
ACN Incident Vehicle Body Type |
Passenger car |
eInjury.17
-
ACN Incident Vehicle Manufacturer |
General Motors |
eInjury.18
-
ACN Incident Vehicle Make |
Buick |
eInjury.19
-
ACN Incident Vehicle Model |
Encore |
eInjury.20
-
ACN Incident Vehicle Model Year |
2020 |
eInjury.21
-
ACN Incident Multiple Impacts |
Yes |
eInjury.22
-
ACN Incident Delta Velocity |
[DeltaVelocityOrdinal
=
"1"
] [VelocityUnit
=
Miles per Hour] 93 |
[DeltaVelocityOrdinal
=
"2"
] [VelocityUnit
=
Miles per Hour] 32 |
eInjury.23
-
ACN High Probability of Injury |
Yes |
eInjury.24
-
ACN Incident PDOF |
12 |
eInjury.25
-
ACN Incident Rollover |
Yes |
eInjury.SeatGroup
-
Group Tag to hold the seat details |
|
eInjury.26
-
ACN Vehicle Seat Location |
Driver Front Seat |
eInjury.27
-
Seat Occupied |
Yes |
eInjury.28
-
ACN Incident Seatbelt Use |
Yes |
eInjury.29
-
ACN Incident Airbag Deployed |
Yes |
eInjury.SeatGroup
-
Group Tag to hold the seat details |
|
eInjury.26
-
ACN Vehicle Seat Location |
Passenger Front Seat |
eInjury.27
-
Seat Occupied |
Yes |
eInjury.28
-
ACN Incident Seatbelt Use |
Yes |
eInjury.29
-
ACN Incident Airbag Deployed |
Yes |
eInjury.SeatGroup
-
Group Tag to hold the seat details |
|
eInjury.26
-
ACN Vehicle Seat Location |
Second Row Left Seat |
eInjury.27
-
Seat Occupied |
No |
eInjury.SeatGroup
-
Group Tag to hold the seat details |
|
eInjury.26
-
ACN Vehicle Seat Location |
Second Row Middle Seat |
eInjury.27
-
Seat Occupied |
No |
eInjury.SeatGroup
-
Group Tag to hold the seat details |
|
eInjury.26
-
ACN Vehicle Seat Location |
Second Row Right Seat |
eInjury.27
-
Seat Occupied |
No |
eArrest
-
Cardiac Arrest Information |
|
eArrest.01
-
Cardiac Arrest |
Yes, Prior to EMS Arrival |
eArrest.02
-
Cardiac Arrest Etiology |
Trauma |
eArrest.03
-
Resuscitation Attempted By EMS |
Not Attempted-Considered Futile |
eArrest.04
-
Arrest Witnessed By |
Witnessed by Family Member |
Witnessed by Lay Person |
eArrest.05
-
CPR Care Provided Prior to EMS Arrival |
[NV
=
Not Recorded] |
eArrest.07
-
AED Use Prior to EMS Arrival |
No |
eArrest.09
-
Type of CPR Provided |
[NV
=
Not Applicable] |
eArrest.11
-
First Monitored Arrest Rhythm of the Patient |
Asystole |
eArrest.12
-
Any Return of Spontaneous Circulation |
No |
eArrest.14
-
Date/Time of Cardiac Arrest |
October 8, 2022, 15:46:00 GMT-05:00 |
eArrest.16
-
Reason CPR/Resuscitation Discontinued |
Obvious Signs of Death |
eArrest.17
-
Cardiac Rhythm on Arrival at Destination |
[NV
=
Not Applicable] |
eArrest.18
-
End of EMS Cardiac Arrest Event |
Expired in the Field |
eArrest.19
-
Date/Time of Initial CPR |
October 8, 2022, 15:47:00 GMT-05:00 |
eHistory
-
Patient History Information |
|
eHistory.01
-
Barriers to Patient Care |
Physical Barrier (Unable to Access Patient) |
Unconscious |
eHistory.17
-
Alcohol/Drug Use Indicators |
[PN
=
None Reported] |
eNarrative
-
Call Event Narrative |
|
eNarrative.01
-
Patient Care Report Narrative |
Patient was exiting freeway when a car driving the wrong way collided head-on with patient's car. Patient was killed on impact. |
eVitals
-
Patient Vital Sign Information |
|
eVitals.VitalGroup
-
Group Tag to hold eVitals information |
|
eVitals.01
-
Date/Time Vital Signs Taken |
[NV
=
Not Recorded] |
eVitals.02
-
Obtained Prior to this Unit's EMS Care |
Yes |
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) |
0 |
eVitals.07
-
DBP (Diastolic Blood Pressure) |
0 |
eVitals.08
-
Method of Blood Pressure Measurement |
[NV
=
Not Recorded] |
eVitals.HeartRateGroup
-
Group Tag to hold the details of patient's heart rate. |
|
eVitals.10
-
Heart Rate |
0 |
eVitals.12
-
Pulse Oximetry |
[NV
=
Not Recorded] |
eVitals.14
-
Respiratory Rate |
0 |
eVitals.16
-
End Tidal Carbon Dioxide (ETCO2) |
[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 |
1 -
No eye movement when assessed (All Age Groups) |
eVitals.20
-
Glasgow Coma Score-Verbal |
1 -
No verbal/vocal response (All Age Groups) |
eVitals.21
-
Glasgow Coma Score-Motor |
1 -
No Motor Response (All Age Groups) |
eVitals.22
-
Glasgow Coma Score-Qualifier |
Initial GCS has legitimate values without interventions such as intubation and sedation |
eVitals.23
-
Total Glasgow Coma Score |
3 |
eVitals.26
-
Level of Responsiveness (AVPU) |
Unresponsive |
eVitals.PainScaleGroup
-
Group Tag to hold the scale of patient's pain and the type of pain scale used. |
|
eVitals.27
-
Pain Scale Score |
[NV
=
Not Recorded] |
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.33
-
Revised Trauma Score |
0 |
eProtocols
-
Medical Protocols Information |
|
eProtocols.ProtocolGroup
-
Group Tag to hold eProtocol information |
|
eProtocols.01
-
Protocols Used |
Cardiac Arrest-Determination of Death / Withholding Resuscitative Efforts |
eProtocols.02
-
Protocol Age Category |
General |
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 |
[NV
=
Not Applicable] |
eDisposition.02
-
Destination/Transferred To, Code |
[NV
=
Not Applicable] |
eDisposition.05
-
Destination State |
[NV
=
Not Applicable] |
eDisposition.06
-
Destination County |
[NV
=
Not Applicable] |
eDisposition.07
-
Destination ZIP Code |
[NV
=
Not Applicable] |
eDisposition.11
-
Number of Patients Transported in this EMS Unit |
[NV
=
Not Applicable] |
eDisposition.12
-
Incident/Patient Disposition |
Patient Dead at Scene-No Resuscitation Attempted (Without Transport) |
eDisposition.16
-
EMS Transport Method |
[NV
=
Not Applicable] |
eDisposition.17
-
Transport Mode from Scene |
[NV
=
Not Recorded] |
eDisposition.18
-
Additional Transport Mode Descriptors |
[NV
=
Not Recorded] |
eDisposition.19
-
Final Patient Acuity |
Dead without Resuscitation Efforts (Black) |
eDisposition.20
-
Reason for Choosing Destination |
[NV
=
Not Applicable] |
eDisposition.21
-
Type of Destination |
[NV
=
Not Applicable] |
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.01
-
Review Requested |
No |
eOther.EMSCrewMemberGroup
-
Group Tag to hold info about the EMS Crew Member |
|
eOther.03
-
Personal Protective Equipment Used |
Gloves |
Mask-Surgical (Non-Fitted) |
Reflective Vest |
eOther.04
-
EMS Professional (Crew Member) ID |
76015 - Aiysha F Kendall |
eOther.05
-
Suspected EMS Work Related Exposure, Injury, or Death |
Yes |
eOther.06
-
The Type of Work-Related Injury, Death or Suspected Exposure |
Exposure-Body Fluid Contact with Intact Skin |
Exposure-Toxin/Chemical/Hazmat |
Injury-Lifting/Back/Musculoskeletal |
eOther.EMSCrewMemberGroup
-
Group Tag to hold info about the EMS Crew Member |
|
eOther.03
-
Personal Protective Equipment Used |
Gloves |
Mask-Surgical (Non-Fitted) |
Reflective Vest |
eOther.04
-
EMS Professional (Crew Member) ID |
35781 - Ellen Costa |
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) |
Reflective Vest |
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.07
-
Natural, Suspected, Intentional, or Unintentional Disaster |
Vehicular |
Weather |
eOther.08
-
Crew Member Completing this Report |
76015 - Aiysha F Kendall |
eOther.FileGroup
-
Group Tag to hold document types, file information and other information. |
|
eOther.09
-
External Electronic Document Type |
Other Picture/Graphic |
eOther.10
-
File Attachment Type |
image/jpg |
eOther.11
-
File Attachment Image |
|
eOther.SignatureGroup
-
Group Tag to hold signature details |
|
eOther.12
-
Type of Person Signing |
EMS Crew Member (Other) |
eOther.13
-
Signature Reason |
Other |
eOther.15
-
Signature Status |
Signed |
eOther.19
-
Date/Time of Signature |
October 8, 2022, 17:04:59 GMT-05:00 |
eOther.20
-
Signature Last Name |
Kendall |
eOther.21
-
Signature First Name |
Aiysha |