EMSDataSet | [ATT: xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.nemsis.org http://nemsis.org/media/nemsis_v3/release-3.4.0/XSDs/NEMSIS_XSDs/EMSDataSet_v3.xsd" xmlns="http://www.nemsis.org"] |
Header | |
DemographicGroup | |
dAgency.01 - EMS Agency Unique State ID | Value: 4 |
dAgency.02 - EMS Agency Number | Value: 44 |
dAgency.04 - EMS Agency State | Value: 49 - Utah |
PatientCareReport | |
eRecord | |
eRecord.01 - Patient Care Report Number | Value: YgT |
eRecord.SoftwareApplicationGroup | |
eRecord.02 - Software Creator | Value: m |
eRecord.03 - Software Name | Value: R |
eRecord.04 - Software Version | Value: b |
eResponse | |
eResponse.AgencyGroup | |
eResponse.01 - EMS Agency Number | Value: Q |
eResponse.02 - EMS Agency Name | Value: LF |
eResponse.03 - Incident Number | Value: tjB |
eResponse.04 - EMS Response Number | Value: TSw |
eResponse.ServiceGroup | |
eResponse.05 - Type of Service Requested | Value: 2205013 - Standby |
eResponse.06 - Standby Purpose | Value: 2206021 - Public Safety Support |
eResponse.07 - Primary Role of the Unit | Value: 2207013 - Air Transport-Fixed Wing |
eResponse.08 - Type of Dispatch Delay | Value: 2208017 - Technical Failure (Computer, Phone etc.) |
eResponse.08 - Type of Dispatch Delay | Value: 2208015 - Other |
eResponse.09 - Type of Response Delay | Value: 2209033 - Flight Planning |
eResponse.09 - Type of Response Delay | Value: 2209031 - Mechanical Issue-Unit, Equipment, etc. |
eResponse.10 - Type of Scene Delay | Value: 2210039 - Mechanical Issue-Unit, Equipment, etc. |
eResponse.10 - Type of Scene Delay | Value: 2210037 - Weather |
eResponse.10 - Type of Scene Delay | Value: 2210035 - Vehicle Failure of this Unit |
eResponse.11 - Type of Transport Delay | Value: 2211031 - Patient Condition Change (e.g., Unit Stopped) |
eResponse.11 - Type of Transport Delay | Value: 2211029 - Weather |
eResponse.12 - Type of Turn-Around Delay | Value: 2212033 - EMS Crew Accompanies Patient for Facility Procedure |
eResponse.12 - Type of Turn-Around Delay | Value: 2212031 - Weather |
eResponse.13 - EMS Vehicle (Unit) Number | Value: M |
eResponse.14 - EMS Unit Call Sign | Value: N |
eResponse.15 - Level of Care of This Unit | Value: 2215023 - BLS-Community Paramedicine |
eResponse.16 - Vehicle Dispatch Location | Value: Un |
eResponse.17 - Vehicle Dispatch GPS Location | Value: -6,-5 |
eResponse.18 - Vehicle Dispatch Location US National Grid Coordinates | Value: 15SNA28546158 |
eResponse.19 - Beginning Odometer Reading of Responding Vehicle | Value: 619.0 |
eResponse.20 - On-Scene Odometer Reading of Responding Vehicle | Value: 197.0 |
eResponse.21 - Patient Destination Odometer Reading of Responding Vehicle | Value: 375.0 |
eResponse.22 - Ending Odometer Reading of Responding Vehicle | Value: 261.0 |
eResponse.23 - Response Mode to Scene | Value: 2223007 - Non-Emergent Upgraded to Emergent |
eResponse.24 - Additional Response Mode Descriptors | Value: 2224023 - Initial Lights and Sirens, Downgraded to No Lights or Sirens |
eResponse.24 - Additional Response Mode Descriptors | Value: 2224021 - Initial No Lights or Sirens, Upgraded to Lights and Sirens |
eResponse.24 - Additional Response Mode Descriptors | Value: 2224019 - No Lights or Sirens |
eDispatch | |
eDispatch.01 - Complaint Reported by Dispatch | Value: 2301083 - Airmedical Transport |
eDispatch.02 - EMD Performed | Value: 2302007 - Yes, Unknown if Pre-Arrival Instructions Given |
eDispatch.03 - EMD Card Number | Value: K |
eDispatch.04 - Dispatch Center Name or ID | Value: jZ |
eDispatch.05 - Dispatch Priority (Patient Acuity) | Value: 2305007 - Non-Acute [e.g., Scheduled Transfer or Standby] |
eDispatch.06 - Unit Dispatched CAD Record ID | Value: gSH |
eCrew | |
eCrew.CrewGroup | |
eCrew.01 - Crew Member ID | Value: dc |
eCrew.02 - Crew Member Level | Value: 9925043 - Registered Nurse |
eCrew.03 - Crew Member Response Role | Value: 2403013 - Primary Patient Caregiver-Transport |
eCrew.03 - Crew Member Response Role | Value: 2403011 - Primary Patient Caregiver-At Scene |
eCrew.03 - Crew Member Response Role | Value: 2403009 - Other Patient Caregiver-Transport |
eCrew.CrewGroup | |
eCrew.01 - Crew Member ID | Value: sV |
eCrew.02 - Crew Member Level | Value: 9925043 - Registered Nurse |
eCrew.03 - Crew Member Response Role | Value: 2403013 - Primary Patient Caregiver-Transport |
eCrew.03 - Crew Member Response Role | Value: 2403011 - Primary Patient Caregiver-At Scene |
eCrew.03 - Crew Member Response Role | Value: 2403009 - Other Patient Caregiver-Transport |
eTimes | |
eTimes.01 - PSAP Call Date/Time | Value: 2015-03-03T13:10:42+07:00 |
eTimes.02 - Dispatch Notified Date/Time | Value: 2015-03-03T13:10:42+07:00 |
eTimes.03 - Unit Notified by Dispatch Date/Time | Value: 2015-03-03T13:10:42+07:00 |
eTimes.04 - Dispatch Acknowledged Date/Time | Value: 2015-03-03T13:10:42+07:00 |
eTimes.05 - Unit En Route Date/Time | Value: 2015-03-03T13:10:42+07:00 |
eTimes.06 - Unit Arrived on Scene Date/Time | Value: 2015-03-03T13:10:42+07:00 |
eTimes.07 - Arrived at Patient Date/Time | Value: 2015-03-03T13:10:42+07:00 |
eTimes.08 - Transfer of EMS Patient Care Date/Time | Value: 2015-03-03T13:10:42+07:00 |
eTimes.09 - Unit Left Scene Date/Time | Value: 2015-03-03T13:10:42+07:00 |
eTimes.10 - Arrival at Destination Landing Area Date/Time | Value: 2015-03-03T13:10:42+07:00 |
eTimes.11 - Patient Arrived at Destination Date/Time | Value: 2015-03-03T13:10:42+07:00 |
eTimes.12 - Destination Patient Transfer of Care Date/Time | Value: 2015-03-03T13:10:42+07:00 |
eTimes.13 - Unit Back in Service Date/Time | Value: 2015-03-03T13:10:42+07:00 |
eTimes.14 - Unit Canceled Date/Time | Value: 2015-03-03T13:10:42+07:00 |
eTimes.15 - Unit Back at Home Location Date/Time | Value: 2015-03-03T13:10:42+07:00 |
eTimes.16 - EMS Call Completed Date/Time | Value: 2015-03-03T13:10:42+07:00 |
ePatient | |
ePatient.01 - EMS Patient ID | Value: Rs |
ePatient.PatientNameGroup | |
ePatient.02 - Last Name | Value: Edwards |
ePatient.03 - First Name | Value: Juan |
ePatient.04 - Middle Initial/Name | Value: Alaniz |
ePatient.05 - Patient's Home Address | [ATT: StreetAddress2="h"] Value: 9130 Malesuada St. |
ePatient.06 - Patient's Home City | Value: 1425097 - Altonah |
ePatient.07 - Patient's Home County | Value: 49013 - Duchesne |
ePatient.08 - Patient's Home State | Value: 49 - Utah |
ePatient.09 - Patient's Home ZIP Code | Value: 84002 |
ePatient.10 - Patient's Country of Residence | Value: US |
ePatient.11 - Patient Home Census Tract | Value: 88398876191 |
ePatient.12 - Social Security Number | Value: 513441445 |
ePatient.13 - Gender | Value: 9906005 - Unknown (Unable to Determine) |
ePatient.14 - Race | Value: 2514011 - White |
ePatient.14 - Race | Value: 2514009 - Native Hawaiian or Other Pacific Islander |
ePatient.AgeGroup | |
ePatient.15 - Age | Value: 24 |
ePatient.16 - Age Units | Value: 2516009 - Years |
ePatient.17 - Date of Birth | Value: 1962-04-20 |
ePatient.18 - Patient's Phone Number | [ATT: PhoneNumberType="9913009 - Work"] Value: 742-547-0481 |
ePatient.18 - Patient's Phone Number | [ATT: PhoneNumberType="9913009 - Work"] Value: 883-394-8063 |
ePatient.19 - Patient's Email Address | [ATT: EmailAddressType="9904003 - Work"] Value: PSSxvGlZ@cznw.com |
ePatient.19 - Patient's Email Address | [ATT: EmailAddressType="9904003 - Work"] Value: rifdziQ0@0zLr.com |
ePatient.19 - Patient's Email Address | [ATT: EmailAddressType="9904003 - Work"] Value: oxyPTZZG@ujgy.com |
ePatient.20 - State Issuing Driver's License | Value: 49 - Utah |
ePatient.21 - Driver's License Number | Value: d |
ePayment | |
ePayment.01 - Primary Method of Payment | Value: 2601023 - Other Payment Option |
ePayment.CertificateGroup | |
ePayment.02 - Physician Certification Statement | Value: 9922005 - Yes |
ePayment.03 - Date Physician Certification Statement Signed | Value: 2015-03-03T13:10:42+07:00 |
ePayment.04 - Reason for Physician Certification Statement | Value: 2604037 - Unable to sit in chair or wheelchair due to Grade II or greater decubitus ulcers on buttocks. |
ePayment.04 - Reason for Physician Certification Statement | Value: 2604035 - Unable to maintain erect sitting position in a chair for time needed to transport, due to moderate muscular weakness and de-conditioning. |
ePayment.05 - Healthcare Provider Type Signing Physician Certification Statement | Value: 2605011 - Registered Nurse Practitioner |
ePayment.06 - Last Name of Individual Signing Physician Certification Statement | Value: Mcgee |
ePayment.07 - First Name of Individual Signing Physician Certification Statement | Value: Danny |
ePayment.08 - Patient Resides in Service Area | Value: 2608003 - Not a Resident Within EMS Service Area |
ePayment.InsuranceGroup | |
ePayment.09 - Insurance Company ID | Value: RI |
ePayment.10 - Insurance Company Name | Value: l5 |
ePayment.11 - Insurance Company Billing Priority | Value: 2611025 - Unknown |
ePayment.12 - Insurance Company Address | [ATT: StreetAddress2="p"] Value: 980-9912 Nulla Road |
ePayment.13 - Insurance Company City | Value: 1451752 - Madsen |
ePayment.14 - Insurance Company State | Value: 49 - Utah |
ePayment.15 - Insurance Company ZIP Code | Value: 84314 |
ePayment.16 - Insurance Company Country | Value: US |
ePayment.17 - Insurance Group ID | Value: 4k |
ePayment.18 - Insurance Policy ID Number | Value: o7 |
ePayment.19 - Last Name of the Insured | Value: Hansen |
ePayment.20 - First Name of the Insured | Value: Wm |
ePayment.21 - Middle Initial/Name of the Insured | Value: Abreu |
ePayment.22 - Relationship to the Insured | Value: 2622019 - Other Relationship |
ePayment.58 - Insurance Group Name | Value: 4C |
ePayment.InsuranceGroup | |
ePayment.09 - Insurance Company ID | Value: VQ |
ePayment.10 - Insurance Company Name | Value: VS |
ePayment.11 - Insurance Company Billing Priority | Value: 2611025 - Unknown |
ePayment.12 - Insurance Company Address | [ATT: StreetAddress2="M"] Value: 294-8432 Nisi St. |
ePayment.13 - Insurance Company City | Value: 1439893 - College Ward |
ePayment.14 - Insurance Company State | Value: 49 - Utah |
ePayment.15 - Insurance Company ZIP Code | Value: 84339 |
ePayment.16 - Insurance Company Country | Value: US |
ePayment.17 - Insurance Group ID | Value: nU |
ePayment.18 - Insurance Policy ID Number | Value: hx |
ePayment.19 - Last Name of the Insured | Value: Parsons |
ePayment.20 - First Name of the Insured | Value: Margarita |
ePayment.21 - Middle Initial/Name of the Insured | Value: Acuna |
ePayment.22 - Relationship to the Insured | Value: 2622019 - Other Relationship |
ePayment.58 - Insurance Group Name | Value: N8 |
ePayment.InsuranceGroup | |
ePayment.09 - Insurance Company ID | Value: 6q |
ePayment.10 - Insurance Company Name | Value: AN |
ePayment.11 - Insurance Company Billing Priority | Value: 2611025 - Unknown |
ePayment.12 - Insurance Company Address | [ATT: StreetAddress2="b"] Value: 8107 Magnis St. |
ePayment.13 - Insurance Company City | Value: 1437657 - Petersboro |
ePayment.14 - Insurance Company State | Value: 49 - Utah |
ePayment.15 - Insurance Company ZIP Code | Value: 84325 |
ePayment.16 - Insurance Company Country | Value: US |
ePayment.17 - Insurance Group ID | Value: 54 |
ePayment.18 - Insurance Policy ID Number | Value: Vh |
ePayment.19 - Last Name of the Insured | Value: Joseph |
ePayment.20 - First Name of the Insured | Value: Horace |
ePayment.21 - Middle Initial/Name of the Insured | Value: Acevedo |
ePayment.22 - Relationship to the Insured | Value: 2622019 - Other Relationship |
ePayment.58 - Insurance Group Name | Value: wr |
ePayment.ClosestRelativeGroup | |
ePayment.23 - Closest Relative/Guardian Last Name | Value: Gutierrez |
ePayment.24 - Closest Relative/ Guardian First Name | Value: Heather |
ePayment.25 - Closest Relative/ Guardian Middle Initial/Name | Value: Alba |
ePayment.26 - Closest Relative/ Guardian Street Address | [ATT: StreetAddress2="d"] Value: P.O. Box 588, 8348 Dolor Road |
ePayment.27 - Closest Relative/ Guardian City | Value: 1437516 - Callao |
ePayment.28 - Closest Relative/ Guardian State | Value: 49 - Utah |
ePayment.29 - Closest Relative/ Guardian ZIP Code | Value: 84034 |
ePayment.30 - Closest Relative/ Guardian Country | Value: US |
ePayment.31 - Closest Relative/ Guardian Phone Number | [ATT: PhoneNumberType="9913009 - Work"] Value: 364-581-8744 |
ePayment.31 - Closest Relative/ Guardian Phone Number | [ATT: PhoneNumberType="9913009 - Work"] Value: 346-428-0566 |
ePayment.32 - Closest Relative/ Guardian Relationship | Value: 2632021 - Unknown |
ePayment.EmployerGroup | |
ePayment.33 - Patient's Employer | Value: ch |
ePayment.34 - Patient's Employer's Address | [ATT: StreetAddress2="s"] Value: V |
ePayment.35 - Patient's Employer's City | Value: 1431465 - Price |
ePayment.36 - Patient's Employer's State | Value: 49 - Utah |
ePayment.37 - Patient's Employer's ZIP Code | Value: 84501 |
ePayment.38 - Patient's Employer's Country | Value: US |
ePayment.39 - Patient's Employer's Primary Phone Number | [ATT: PhoneNumberType="9913009 - Work"] Value: 749-273-0968 |
ePayment.40 - Response Urgency | Value: 2640003 - Non-Immediate |
ePayment.41 - Patient Transport Assessment | Value: 2641005 - Unable to walk without assistance |
ePayment.41 - Patient Transport Assessment | Value: 2641003 - Unable to stand without assistance |
ePayment.41 - Patient Transport Assessment | Value: 2641001 - Unable to sit without assistance |
ePayment.42 - Specialty Care Transport Care Provider | Value: 2642039 - Registered Nurse |
ePayment.42 - Specialty Care Transport Care Provider | Value: 2642037 - Community Paramedicine |
ePayment.44 - Ambulance Transport Reason Code | Value: E - Patient was transferred to a Rehabilitation Facility |
ePayment.44 - Ambulance Transport Reason Code | Value: D - Patient was transported for the care of a specialist or for availability of equipment |
ePayment.44 - Ambulance Transport Reason Code | Value: C - Patient was transported for the nearness of family members |
ePayment.45 - Round Trip Purpose Description | Value: Y6 |
ePayment.46 - Stretcher Purpose Description | Value: su |
ePayment.47 - Ambulance Conditions Indicator | Value: 12 - Patient is confined to a bed or chair (Use code 12 to indicate patient was bedridden during transport.) |
ePayment.47 - Ambulance Conditions Indicator | Value: 09 - Ambulance service was medically necessary |
ePayment.47 - Ambulance Conditions Indicator | Value: 08 - Patient had visible hemorrhaging |
ePayment.48 - Mileage to Closest Hospital Facility | Value: 628.0 |
ePayment.49 - ALS Assessment Performed and Warranted | Value: 9923003 - Yes |
ePayment.50 - CMS Service Level | Value: 2650017 - Rotary Wing (Helicopter) |
ePayment.51 - EMS Condition Code | Value: X81.Q |
ePayment.51 - EMS Condition Code | Value: E0M.J |
ePayment.51 - EMS Condition Code | Value: T7R |
ePayment.52 - CMS Transportation Indicator | Value: D4 - Pick up Point not Accessible by Ground Transport |
ePayment.52 - CMS Transportation Indicator | Value: D3 - Time to the closest appropriate hospital due to the patient's condition precludes ground transport; maximize clinical benefits |
ePayment.52 - CMS Transportation Indicator | Value: D2 - Rare Circumstances, Traffic Patterns Precludes Ground Transport |
ePayment.53 - Transport Authorization Code | Value: TU |
ePayment.54 - Prior Authorization Code Payer | Value: d |
ePayment.SupplyItemGroup | |
ePayment.55 - Supply Item Used Name | Value: aW |
ePayment.56 - Number of Supply Item(s) Used | Value: 41293433 |
ePayment.SupplyItemGroup | |
ePayment.55 - Supply Item Used Name | Value: SI |
ePayment.56 - Number of Supply Item(s) Used | Value: 7022937 |
ePayment.57 - Payer Type | Value: ZZ - Mutually Defined |
eScene | |
eScene.01 - First EMS Unit on Scene | Value: 9923003 - Yes |
eScene.ResponderGroup | |
eScene.02 - Other EMS or Public Safety Agencies at Scene | Value: lR |
eScene.03 - Other EMS or Public Safety Agency ID Number | Value: 0 |
eScene.04 - Type of Other Service at Scene | Value: 2704019 - Utilities |
eScene.ResponderGroup | |
eScene.02 - Other EMS or Public Safety Agencies at Scene | Value: x5 |
eScene.03 - Other EMS or Public Safety Agency ID Number | Value: a |
eScene.04 - Type of Other Service at Scene | Value: 2704019 - Utilities |
eScene.ResponderGroup | |
eScene.02 - Other EMS or Public Safety Agencies at Scene | Value: w1 |
eScene.03 - Other EMS or Public Safety Agency ID Number | Value: f |
eScene.04 - Type of Other Service at Scene | Value: 2704019 - Utilities |
eScene.05 - Date/Time Initial Responder Arrived on Scene | Value: 2015-03-03T13:10:42+07:00 |
eScene.06 - Number of Patients at Scene | Value: 2707005 - Single |
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: Y92.040 - Kitchen in boarding-house as the place of occurrence of the external cause |
eScene.10 - Incident Facility Code | Value: Uy |
eScene.11 - Scene GPS Location | Value: 40.298824,-109.998125 |
eScene.12 - Scene US National Grid Coordinates | Value: 15UWL45523613 |
eScene.13 - Incident Facility or Location Name | Value: 7u |
eScene.14 - Mile Post or Major Roadway | Value: 1 |
eScene.15 - Incident Street Address | [ATT: StreetAddress2="C"] Value: 9557 Morbi Rd. |
eScene.16 - Incident Apartment, Suite, or Room | Value: h |
eScene.17 - Incident City | Value: 1437621 - Leeton |
eScene.18 - Incident State | Value: 49 - Utah |
eScene.19 - Incident ZIP Code | Value: 84066 |
eScene.20 - Scene Cross Street or Directions | Value: oH |
eScene.21 - Incident County | Value: 49013 - Duchesne |
eScene.22 - Incident Country | Value: US |
eScene.23 - Incident Census Tract | Value: 66811337774 |
eSituation | |
eSituation.01 - Date/Time of Symptom Onset | Value: 2015-03-03T13:10:42+07:00 |
eSituation.02 - Possible Injury | Value: 9922005 - Yes |
eSituation.PatientComplaintGroup | |
eSituation.03 - Complaint Type | Value: 2803005 - Secondary |
eSituation.04 - Complaint | Value: 6 |
eSituation.05 - Duration of Complaint | Value: 296 |
eSituation.06 - Time Units of Duration of Complaint | Value: 2806013 - Years |
eSituation.PatientComplaintGroup | |
eSituation.03 - Complaint Type | Value: 2803005 - Secondary |
eSituation.04 - Complaint | Value: M |
eSituation.05 - Duration of Complaint | Value: 287 |
eSituation.06 - Time Units of Duration of Complaint | Value: 2806013 - Years |
eSituation.07 - Chief Complaint Anatomic Location | Value: 2807017 - Neck |
eSituation.08 - Chief Complaint Organ System | Value: 2808021 - Renal |
eSituation.09 - Primary Symptom | Value: R06.81 - Apnea, not elsewhere classified |
eSituation.10 - Other Associated Symptoms | Value: R26.2 - Difficulty in walking, not elsewhere classified |
eSituation.10 - Other Associated Symptoms | Value: R68.13 - Apparent life threatening event in infant (ALTE) |
eSituation.10 - Other Associated Symptoms | Value: R54 - Age-related physical debility |
eSituation.11 - Provider's Primary Impression | Value: E87.3 - Alkalosis |
eSituation.12 - Provider's Secondary Impressions | Value: E86.9 - Volume depletion, unspecified |
eSituation.12 - Provider's Secondary Impressions | Value: E11.64 - Type 2 diabetes mellitus with hypoglycemia |
eSituation.12 - Provider's Secondary Impressions | Value: I20.0 - Unstable angina |
eSituation.13 - Initial Patient Acuity | Value: 2813007 - Dead without Resuscitation Efforts (Black) |
eSituation.WorkRelatedGroup | |
eSituation.14 - Work-Related Illness/Injury | Value: 9922005 - Yes |
eSituation.15 - Patient's Occupational Industry | Value: 2815039 - Wholesale Trade |
eSituation.16 - Patient's Occupation | Value: 2816045 - Transportation and Material Moving Occupations |
eSituation.17 - Patient Activity | Value: Y93.D - Activities involving arts and handcrafts |
eSituation.17 - Patient Activity | Value: Y93.I - Activities involving roller coasters and other types of external motion |
eSituation.18 - Date/Time Last Known Well | Value: 2015-03-03T13:10:42+07:00 |
eInjury | |
eInjury.01 - Cause of Injury | Value: T64.0 - Toxic effect of aflatoxin |
eInjury.01 - Cause of Injury | Value: T60.9 - Toxic effect of unspecified pesticide |
eInjury.02 - Mechanism of Injury | Value: 2902007 - Penetrating |
eInjury.02 - Mechanism of Injury | Value: 2902005 - Other |
eInjury.02 - Mechanism of Injury | Value: 2902003 - Burn |
eInjury.03 - Trauma Center Criteria | Value: 2903021 - Two or more proximal long-bone fractures |
eInjury.03 - Trauma Center Criteria | Value: 2903019 - Systolic Blood Pressure lt;90 mmHg |
eInjury.04 - Vehicular, Pedestrian, or Other Injury Risk Factor | Value: 2904027 - Burn, with trauma mechanism |
eInjury.04 - Vehicular, Pedestrian, or Other Injury Risk Factor | Value: 2904025 - Burn, without other trauma |
eInjury.05 - Main Area of the Vehicle Impacted by the Collision | Value: 3 |
eInjury.06 - Location of Patient in Vehicle | Value: 2906029 - Unknown |
eInjury.07 - Use of Occupant Safety Equipment | Value: 2907031 - Shoulder Belt Only Used |
eInjury.07 - Use of Occupant Safety Equipment | Value: 2907029 - Lap Belt Only Used |
eInjury.07 - Use of Occupant Safety Equipment | Value: 2907027 - Shoulder and Lap Belt Used |
eInjury.08 - Airbag Deployment | Value: 2908009 - No Airbag Present |
eInjury.08 - Airbag Deployment | Value: 2908007 - No Airbag Deployed |
eInjury.08 - Airbag Deployment | Value: 2908005 - Airbag Deployed Other (knee, air belt, etc.) |
eInjury.09 - Height of Fall (feet) | Value: 9192 |
eInjury.10 - OSHA Personal Protective Equipment Used | Value: 2910013 - Safety Nets |
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: l |
eInjury.12 - ACN Incident ID | Value: nY |
eInjury.13 - ACN Call Back Phone Number | [ATT: PhoneNumberType="9913009 - Work"] Value: 596-882-4876 |
eInjury.13 - ACN Call Back Phone Number | [ATT: PhoneNumberType="9913009 - Work"] Value: 731-416-2897 |
eInjury.13 - ACN Call Back Phone Number | [ATT: PhoneNumberType="9913009 - Work"] Value: 724-704-3234 |
eInjury.14 - Date/Time of ACN Incident | Value: 2015-03-03T13:10:42+07:00 |
eInjury.15 - ACN Incident Location | Value: 5,7 |
eInjury.16 - ACN Incident Vehicle Body Type | Value: 57 |
eInjury.17 - ACN Incident Vehicle Manufacturer | Value: uR |
eInjury.18 - ACN Incident Vehicle Make | Value: cA |
eInjury.19 - ACN Incident Vehicle Model | Value: F |
eInjury.20 - ACN Incident Vehicle Model Year | Value: 1963 |
eInjury.21 - ACN Incident Multiple Impacts | Value: 9923003 - Yes |
eInjury.22 - ACN Incident Delta Velocity | [ATT: DeltaVelocityOrdinal="673" VelocityUnit="9921003 - Miles per Hour"] Value: 599 |
eInjury.22 - ACN Incident Delta Velocity | [ATT: DeltaVelocityOrdinal="136" VelocityUnit="9921003 - Miles per Hour"] Value: 387 |
eInjury.23 - ACN High Probability of Injury | Value: 9923003 - Yes |
eInjury.24 - ACN Incident PDOF | Value: 4 |
eInjury.25 - ACN Incident Rollover | Value: Y - Yes |
eInjury.SeatGroup | |
eInjury.26 - ACN Vehicle Seat Location | Value: 2926017 - Third Row Right Seat |
eInjury.27 - Seat Occupied | Value: Y - Yes |
eInjury.28 - ACN Incident Seatbelt Use | Value: Y - Yes |
eInjury.29 - ACN Incident Airbag Deployed | Value: Y - Yes |
eInjury.SeatGroup | |
eInjury.26 - ACN Vehicle Seat Location | Value: 2926017 - Third Row Right Seat |
eInjury.27 - Seat Occupied | Value: Y - Yes |
eInjury.28 - ACN Incident Seatbelt Use | Value: Y - Yes |
eInjury.29 - ACN Incident Airbag Deployed | Value: Y - Yes |
eInjury.SeatGroup | |
eInjury.26 - ACN Vehicle Seat Location | Value: 2926017 - Third Row Right Seat |
eInjury.27 - Seat Occupied | Value: Y - Yes |
eInjury.28 - ACN Incident Seatbelt Use | Value: Y - Yes |
eInjury.29 - ACN Incident Airbag Deployed | Value: Y - Yes |
eArrest | |
eArrest.01 - Cardiac Arrest | Value: 3001005 - Yes, After EMS Arrival |
eArrest.02 - Cardiac Arrest Etiology | Value: 3002015 - Trauma |
eArrest.03 - Resuscitation Attempted By EMS | Value: 3003011 - Not Attempted-Signs of Circulation |
eArrest.03 - Resuscitation Attempted By EMS | Value: 3003009 - Not Attempted-DNR Orders |
eArrest.04 - Arrest Witnessed By | Value: 3004007 - Witnessed by Lay Person |
eArrest.04 - Arrest Witnessed By | Value: 3004005 - Witnessed by Healthcare Provider |
eArrest.04 - Arrest Witnessed By | Value: 3004003 - Witnessed by Family Member |
eArrest.05 - CPR Care Provided Prior to EMS Arrival | Value: 9923003 - Yes |
eArrest.06 - Who Provided CPR Prior to EMS Arrival | Value: 3006009 - Other EMS Professional (not part of dispatched response) |
eArrest.06 - Who Provided CPR Prior to EMS Arrival | Value: 3006007 - Lay Person (Non-Family) |
eArrest.07 - AED Use Prior to EMS Arrival | Value: 3007005 - Yes, With Defibrillation |
eArrest.08 - Who Used AED Prior to EMS Arrival | Value: 3008009 - Other EMS Professional (not part of dispatched response) |
eArrest.08 - Who Used AED Prior to EMS Arrival | Value: 3008007 - Lay Person (Non-Family) |
eArrest.08 - Who Used AED Prior to EMS Arrival | Value: 3008005 - Healthcare Professional (Non-EMS) |
eArrest.09 - Type of CPR Provided | Value: 3009019 - Ventilation-Pocket Mask |
eArrest.09 - Type of CPR Provided | Value: 3009017 - Ventilation-Mouth to Mouth |
eArrest.11 - First Monitored Arrest Rhythm of the Patient | Value: 3011013 - Ventricular Tachycardia-Pulseless |
eArrest.12 - Any Return of Spontaneous Circulation | Value: 3012007 - Yes, Sustained for 20 consecutive minutes |
eArrest.12 - Any Return of Spontaneous Circulation | Value: 3012005 - Yes, Prior to Arrival at the ED |
eArrest.12 - Any Return of Spontaneous Circulation | Value: 3012003 - Yes, At Arrival at the ED |
eArrest.13 - Neurological Outcome at Hospital Discharge | Value: 3013007 - CPC 4 Coma or Vegetative State |
eArrest.14 - Date/Time of Cardiac Arrest | Value: 2015-03-03T13:10:42+07:00 |
eArrest.15 - Date/Time Resuscitation Discontinued | Value: 2015-03-03T13:10:42+07:00 |
eArrest.16 - Reason CPR/Resuscitation Discontinued | Value: 3016011 - Return of Spontaneous Circulation (pulse or BP noted) |
eArrest.17 - Cardiac Rhythm on Arrival at Destination | Value: 9901071 - Ventricular Tachycardia (Pulseless) |
eArrest.17 - Cardiac Rhythm on Arrival at Destination | Value: 9901069 - Ventricular Tachycardia (With Pulse) |
eArrest.18 - End of EMS Cardiac Arrest Event | Value: 3018011 - Ongoing Resuscitation by Other EMS |
eArrest.19 - Date/Time of Initial CPR | Value: 2015-03-03T13:10:42+07:00 |
eHistory | |
eHistory.01 - Barriers to Patient Care | Value: 3101031 - State of Emotional Distress |
eHistory.01 - Barriers to Patient Care | Value: 3101029 - Uncooperative |
eHistory.01 - Barriers to Patient Care | Value: 3101027 - Unconscious |
eHistory.PractitionerGroup | |
eHistory.02 - Last Name of Patient's Practitioner | Value: Baldwin |
eHistory.03 - First Name of Patient's Practitioner | Value: Alejandro |
eHistory.04 - Middle Name/Initial of Patient's Practitioner | Value: Amaral |
eHistory.PractitionerGroup | |
eHistory.02 - Last Name of Patient's Practitioner | Value: Pratt |
eHistory.03 - First Name of Patient's Practitioner | Value: Elsie |
eHistory.04 - Middle Name/Initial of Patient's Practitioner | Value: Aiken |
eHistory.PractitionerGroup | |
eHistory.02 - Last Name of Patient's Practitioner | Value: West |
eHistory.03 - First Name of Patient's Practitioner | Value: Thomas |
eHistory.04 - Middle Name/Initial of Patient's Practitioner | Value: Andrus |
eHistory.05 - Advance Directives | Value: 3105011 - State EMS DNR or Medical Order Form |
eHistory.05 - Advance Directives | Value: 3105009 - Other Healthcare Advanced Directive Form |
eHistory.06 - Medication Allergies | [ATT: CodeType="9924001"] Value: Z88.2 - Allergy status to sulfonamides status |
eHistory.06 - Medication Allergies | [ATT: CodeType="9924001"] Value: Z88.3 - Allergy status to other anti-infective agents status |
eHistory.06 - Medication Allergies | [ATT: CodeType="9924001"] Value: Z88.5 - Allergy status to narcotic agent status |
eHistory.07 - Environmental/Food Allergies | Value: 657488399 |
eHistory.07 - Environmental/Food Allergies | Value: 704170546 |
eHistory.08 - Medical/Surgical History | Value: C82.45 - Follicular lymphoma grade IIIb, lymph nodes of inguinal region and lower limb |
eHistory.08 - Medical/Surgical History | Value: C82.46 - Follicular lymphoma grade IIIb, intrapelvic lymph nodes |
eHistory.09 - Medical History Obtained From | Value: 3109007 - Patient |
eHistory.09 - Medical History Obtained From | Value: 3109005 - Health Care Personnel |
eHistory.09 - Medical History Obtained From | Value: 3109003 - Family |
eHistory.ImmunizationsGroup | |
eHistory.10 - The Patient's Type of Immunization | Value: 9910051 - Yellow Fever |
eHistory.11 - Immunization Year | Value: 1933 |
eHistory.ImmunizationsGroup | |
eHistory.10 - The Patient's Type of Immunization | Value: 9910051 - Yellow Fever |
eHistory.11 - Immunization Year | Value: 1936 |
eHistory.ImmunizationsGroup | |
eHistory.10 - The Patient's Type of Immunization | Value: 9910051 - Yellow Fever |
eHistory.11 - Immunization Year | Value: 2023 |
eHistory.CurrentMedsGroup | |
eHistory.12 - Current Medications | Value: 2599 - Clonidine |
eHistory.13 - Current Medication Dose | Value: 739.0 |
eHistory.14 - Current Medication Dosage Unit | Value: 3114053 - Units per Kilogram (units/kg) |
eHistory.15 - Current Medication Administration Route | Value: 9927061 - Portacath |
eHistory.CurrentMedsGroup | |
eHistory.12 - Current Medications | Value: 260258 - dextrose 250 MG/ML Injectable Solution |
eHistory.13 - Current Medication Dose | Value: 816.0 |
eHistory.14 - Current Medication Dosage Unit | Value: 3114053 - Units per Kilogram (units/kg) |
eHistory.15 - Current Medication Administration Route | Value: 9927061 - Portacath |
eHistory.CurrentMedsGroup | |
eHistory.12 - Current Medications | Value: 26225 - Ondansetron |
eHistory.13 - Current Medication Dose | Value: 725.0 |
eHistory.14 - Current Medication Dosage Unit | Value: 3114053 - Units per Kilogram (units/kg) |
eHistory.15 - Current Medication Administration Route | Value: 9927061 - Portacath |
eHistory.16 - Presence of Emergency Information Form | Value: 9923003 - Yes |
eHistory.17 - Alcohol/Drug Use Indicators | Value: 3117011 - Smell of Alcohol on Breath |
eHistory.17 - Alcohol/Drug Use Indicators | Value: 3117009 - Positive Level known from Law Enforcement or Hospital Record |
eHistory.17 - Alcohol/Drug Use Indicators | Value: 3117007 - Patient Admits to Drug Use |
eHistory.18 - Pregnancy | Value: 3118011 - Yes, Weeks Unknown |
eHistory.19 - Last Oral Intake | Value: 2015-03-03T13:10:42+07:00 |
eNarrative | |
eNarrative.01 - Patient Care Report Narrative | Value: O |
eVitals | |
eVitals.VitalGroup | |
eVitals.01 - Date/Time Vital Signs Taken | Value: 2015-03-03T13:10:42+07:00 |
eVitals.02 - Obtained Prior to this Unit's EMS Care | Value: 9923003 - Yes |
eVitals.CardiacRhythmGroup | |
eVitals.03 - Cardiac Rhythm / Electrocardiography (ECG) | Value: 9901071 - Ventricular Tachycardia (Pulseless) |
eVitals.03 - Cardiac Rhythm / Electrocardiography (ECG) | Value: 9901069 - Ventricular Tachycardia (With Pulse) |
eVitals.03 - Cardiac Rhythm / Electrocardiography (ECG) | Value: 9901067 - Ventricular Fibrillation |
eVitals.04 - ECG Type | Value: 3304015 - Other (AED, Not Listed) |
eVitals.05 - Method of ECG Interpretation | Value: 3305007 - Transmission with Remote Interpretation |
eVitals.05 - Method of ECG Interpretation | Value: 3305005 - Transmission with No Interpretation |
eVitals.05 - Method of ECG Interpretation | Value: 3305003 - Manual 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: 3308011 - Venous Line |
eVitals.09 - Mean Arterial Pressure | Value: 352 |
eVitals.HeartRateGroup | |
eVitals.10 - Heart Rate | Value: 313 |
eVitals.11 - Method of Heart Rate Measurement | Value: 3311011 - Palpated |
eVitals.12 - Pulse Oximetry | Value: 52 |
eVitals.13 - Pulse Rhythm | Value: 3313005 - Regularly Irregular |
eVitals.14 - Respiratory Rate | Value: 64 |
eVitals.15 - Respiratory Effort | Value: 3315013 - Weak/Agonal |
eVitals.16 - End Tidal Carbon Dioxide (ETCO2) | Value: 86 |
eVitals.17 - Carbon Monoxide (CO) | Value: 99.0 |
eVitals.18 - Blood Glucose Level | Value: 1088 |
eVitals.GlasgowScoreGroup | |
eVitals.19 - Glasgow Coma Score-Eye | Value: 4 - Opens Eyes spontaneously (All Age Groups) |
eVitals.20 - Glasgow Coma Score-Verbal | Value: 5 - Oriented (gt;2 Years); Smiles, oriented to sounds, follows objects, interacts |
eVitals.21 - Glasgow Coma Score-Motor | Value: 6 - Obeys commands (gt;2Years); Appropriate response to stimulation |
eVitals.22 - Glasgow Coma Score-Qualifier | Value: 3322009 - Patient Intubated |
eVitals.22 - Glasgow Coma Score-Qualifier | Value: 3322007 - Patient Chemically Sedated |
eVitals.23 - Total Glasgow Coma Score | Value: 9 |
eVitals.TemperatureGroup | |
eVitals.24 - Temperature | Value: 11.0 |
eVitals.25 - Temperature Method | Value: 3325017 - Skin Probe |
eVitals.26 - Level of Responsiveness (AVPU) | Value: 3326007 - Unresponsive |
eVitals.PainScaleGroup | |
eVitals.27 - Pain Scale Score | Value: 5 |
eVitals.28 - Pain Scale Type | Value: 3328007 - Wong-Baker (FACES) |
eVitals.StrokeScaleGroup | |
eVitals.29 - Stroke Scale Score | Value: 3329005 - Positive |
eVitals.30 - Stroke Scale Type | Value: 3330013 - F.A.S.T. Exam |
eVitals.31 - Reperfusion Checklist | Value: 3331005 - Possible Contraindications to Thrombolytic Use |
eVitals.32 - APGAR | Value: 8 |
eVitals.33 - Revised Trauma Score | Value: 2 |
eVitals.VitalGroup | |
eVitals.01 - Date/Time Vital Signs Taken | Value: 2015-03-03T13:10:42+07:00 |
eVitals.02 - Obtained Prior to this Unit's EMS Care | Value: 9923003 - Yes |
eVitals.CardiacRhythmGroup | |
eVitals.03 - Cardiac Rhythm / Electrocardiography (ECG) | Value: 9901071 - Ventricular Tachycardia (Pulseless) |
eVitals.03 - Cardiac Rhythm / Electrocardiography (ECG) | Value: 9901069 - Ventricular Tachycardia (With Pulse) |
eVitals.04 - ECG Type | Value: 3304015 - Other (AED, Not Listed) |
eVitals.05 - Method of ECG Interpretation | Value: 3305007 - Transmission with Remote Interpretation |
eVitals.05 - Method of ECG Interpretation | Value: 3305005 - Transmission with No Interpretation |
eVitals.05 - Method of ECG Interpretation | Value: 3305003 - Manual Interpretation |
eVitals.BloodPressureGroup | |
eVitals.06 - SBP (Systolic Blood Pressure) | Value: 102 |
eVitals.07 - DBP (Diastolic Blood Pressure) | Value: P |
eVitals.08 - Method of Blood Pressure Measurement | Value: 3308011 - Venous Line |
eVitals.09 - Mean Arterial Pressure | Value: 492 |
eVitals.HeartRateGroup | |
eVitals.10 - Heart Rate | Value: 291 |
eVitals.11 - Method of Heart Rate Measurement | Value: 3311011 - Palpated |
eVitals.12 - Pulse Oximetry | Value: 91 |
eVitals.13 - Pulse Rhythm | Value: 3313005 - Regularly Irregular |
eVitals.14 - Respiratory Rate | Value: 27 |
eVitals.15 - Respiratory Effort | Value: 3315013 - Weak/Agonal |
eVitals.16 - End Tidal Carbon Dioxide (ETCO2) | Value: 87 |
eVitals.17 - Carbon Monoxide (CO) | Value: 29.0 |
eVitals.18 - Blood Glucose Level | Value: 894 |
eVitals.GlasgowScoreGroup | |
eVitals.19 - Glasgow Coma Score-Eye | Value: 4 - Opens Eyes spontaneously (All Age Groups) |
eVitals.20 - Glasgow Coma Score-Verbal | Value: 5 - Oriented (gt;2 Years); Smiles, oriented to sounds, follows objects, interacts |
eVitals.21 - Glasgow Coma Score-Motor | Value: 6 - Obeys commands (gt;2Years); Appropriate response to stimulation |
eVitals.22 - Glasgow Coma Score-Qualifier | Value: 3322009 - Patient Intubated |
eVitals.22 - Glasgow Coma Score-Qualifier | Value: 3322007 - Patient Chemically Sedated |
eVitals.22 - Glasgow Coma Score-Qualifier | Value: 3322005 - Patient Chemically Paralyzed |
eVitals.23 - Total Glasgow Coma Score | Value: 13 |
eVitals.TemperatureGroup | |
eVitals.24 - Temperature | Value: 13.0 |
eVitals.25 - Temperature Method | Value: 3325017 - Skin Probe |
eVitals.26 - Level of Responsiveness (AVPU) | Value: 3326007 - Unresponsive |
eVitals.PainScaleGroup | |
eVitals.27 - Pain Scale Score | Value: 3 |
eVitals.28 - Pain Scale Type | Value: 3328007 - Wong-Baker (FACES) |
eVitals.StrokeScaleGroup | |
eVitals.29 - Stroke Scale Score | Value: 3329005 - Positive |
eVitals.30 - Stroke Scale Type | Value: 3330013 - F.A.S.T. Exam |
eVitals.31 - Reperfusion Checklist | Value: 3331005 - Possible Contraindications to Thrombolytic Use |
eVitals.32 - APGAR | Value: 3 |
eVitals.33 - Revised Trauma Score | Value: 9 |
eVitals.VitalGroup | |
eVitals.01 - Date/Time Vital Signs Taken | Value: 2015-03-03T13:10:42+07:00 |
eVitals.02 - Obtained Prior to this Unit's EMS Care | Value: 9923003 - Yes |
eVitals.CardiacRhythmGroup | |
eVitals.03 - Cardiac Rhythm / Electrocardiography (ECG) | Value: 9901071 - Ventricular Tachycardia (Pulseless) |
eVitals.03 - Cardiac Rhythm / Electrocardiography (ECG) | Value: 9901069 - Ventricular Tachycardia (With Pulse) |
eVitals.04 - ECG Type | Value: 3304015 - Other (AED, Not Listed) |
eVitals.05 - Method of ECG Interpretation | Value: 3305007 - Transmission with Remote Interpretation |
eVitals.05 - Method of ECG Interpretation | Value: 3305005 - Transmission with No Interpretation |
eVitals.BloodPressureGroup | |
eVitals.06 - SBP (Systolic Blood Pressure) | Value: 264 |
eVitals.07 - DBP (Diastolic Blood Pressure) | Value: P |
eVitals.08 - Method of Blood Pressure Measurement | Value: 3308011 - Venous Line |
eVitals.09 - Mean Arterial Pressure | Value: 309 |
eVitals.HeartRateGroup | |
eVitals.10 - Heart Rate | Value: 76 |
eVitals.11 - Method of Heart Rate Measurement | Value: 3311011 - Palpated |
eVitals.12 - Pulse Oximetry | Value: 41 |
eVitals.13 - Pulse Rhythm | Value: 3313005 - Regularly Irregular |
eVitals.14 - Respiratory Rate | Value: 83 |
eVitals.15 - Respiratory Effort | Value: 3315013 - Weak/Agonal |
eVitals.16 - End Tidal Carbon Dioxide (ETCO2) | Value: 111 |
eVitals.17 - Carbon Monoxide (CO) | Value: 51.0 |
eVitals.18 - Blood Glucose Level | Value: 483 |
eVitals.GlasgowScoreGroup | |
eVitals.19 - Glasgow Coma Score-Eye | Value: 4 - Opens Eyes spontaneously (All Age Groups) |
eVitals.20 - Glasgow Coma Score-Verbal | Value: 5 - Oriented (gt;2 Years); Smiles, oriented to sounds, follows objects, interacts |
eVitals.21 - Glasgow Coma Score-Motor | Value: 6 - Obeys commands (gt;2Years); Appropriate response to stimulation |
eVitals.22 - Glasgow Coma Score-Qualifier | Value: 3322009 - Patient Intubated |
eVitals.22 - Glasgow Coma Score-Qualifier | Value: 3322007 - Patient Chemically Sedated |
eVitals.22 - Glasgow Coma Score-Qualifier | Value: 3322005 - Patient Chemically Paralyzed |
eVitals.23 - Total Glasgow Coma Score | Value: 8 |
eVitals.TemperatureGroup | |
eVitals.24 - Temperature | Value: 20.0 |
eVitals.25 - Temperature Method | Value: 3325017 - Skin Probe |
eVitals.26 - Level of Responsiveness (AVPU) | Value: 3326007 - Unresponsive |
eVitals.PainScaleGroup | |
eVitals.27 - Pain Scale Score | Value: 9 |
eVitals.28 - Pain Scale Type | Value: 3328007 - Wong-Baker (FACES) |
eVitals.StrokeScaleGroup | |
eVitals.29 - Stroke Scale Score | Value: 3329005 - Positive |
eVitals.30 - Stroke Scale Type | Value: 3330013 - F.A.S.T. Exam |
eVitals.31 - Reperfusion Checklist | Value: 3331005 - Possible Contraindications to Thrombolytic Use |
eVitals.32 - APGAR | Value: 5 |
eVitals.33 - Revised Trauma Score | Value: 6 |
eLabs | |
eLabs.LabGroup | |
eLabs.01 - Date/Time of Laboratory or Imaging Result | Value: 2015-03-03T13:10:42+07:00 |
eLabs.02 - Study/Result Prior to this Unit's EMS Care | Value: 9923003 - Yes |
eLabs.LabResultGroup | |
eLabs.03 - Laboratory Result Type | Value: 3403113 - Tylenol |
eLabs.04 - Laboratory Result | Value: d |
eLabs.LabResultGroup | |
eLabs.03 - Laboratory Result Type | Value: 3403113 - Tylenol |
eLabs.04 - Laboratory Result | Value: T |
eLabs.LabImageGroup | |
eLabs.05 - Imaging Study Type | Value: 3405013 - Angiography |
eLabs.06 - Imaging Study Results | Value: A8F |
eLabs.WaveformGraphicGroup | |
eLabs.07 - Imaging Study File or Waveform Graphic Type | Value: p |
eLabs.08 - Imaging Study File or Waveform Graphic | Value: UjB2aVlpMTlQQm1qQWtzNkZUWWg3ZTB0aHJMSm03cjM4S1BMaE1YcUlGdk5PSmVBMWc= |
eLabs.WaveformGraphicGroup | |
eLabs.07 - Imaging Study File or Waveform Graphic Type | Value: S |
eLabs.08 - Imaging Study File or Waveform Graphic | Value: VWc1ZFl1WDduRjJWYVpRU2YzenlGZENMOUVESHNFbkxkRDhTRFpScE9SNHhtQ0JnR2Y= |
eLabs.WaveformGraphicGroup | |
eLabs.07 - Imaging Study File or Waveform Graphic Type | Value: H |
eLabs.08 - Imaging Study File or Waveform Graphic | Value: bG5rVGVqZnIzUjJkSlRZUXZmSXhrQ0VISFZPUDFJd3lKQlRlTWliY0k5ZUNuWEU4MGk= |
eLabs.LabImageGroup | |
eLabs.05 - Imaging Study Type | Value: 3405013 - Angiography |
eLabs.06 - Imaging Study Results | Value: JSX |
eLabs.WaveformGraphicGroup | |
eLabs.07 - Imaging Study File or Waveform Graphic Type | Value: J |
eLabs.08 - Imaging Study File or Waveform Graphic | Value: cndscTE5OTJXbGk3YUVMYjQwbE14VGNHYlpzZWMxdnl3YmpqUEtEbnFENm8wUjBPM3I= |
eLabs.WaveformGraphicGroup | |
eLabs.07 - Imaging Study File or Waveform Graphic Type | Value: v |
eLabs.08 - Imaging Study File or Waveform Graphic | Value: MmJuNUV1a1FraFJBWjIyYURNMmJqQk1mV00xZGN5aHhBdXBicGNueFE4VU9UOWdZckY= |
eLabs.LabImageGroup | |
eLabs.05 - Imaging Study Type | Value: 3405013 - Angiography |
eLabs.06 - Imaging Study Results | Value: 5tF |
eLabs.WaveformGraphicGroup | |
eLabs.07 - Imaging Study File or Waveform Graphic Type | Value: C |
eLabs.08 - Imaging Study File or Waveform Graphic | Value: ejh0NUNHV3pZZzFLRWlpRDJHZVdEcHF5Rlc2NjNLWHBGbTk5Z2Y0VktJOUF3RkVPNlE= |
eLabs.WaveformGraphicGroup | |
eLabs.07 - Imaging Study File or Waveform Graphic Type | Value: V |
eLabs.08 - Imaging Study File or Waveform Graphic | Value: OFpzWTZTR1d0NnlRenhxRjBUcllFRU9FRktqRXpxak1lMVRNaG5LSjF2YTB3Sm5ndXg= |
eLabs.LabGroup | |
eLabs.01 - Date/Time of Laboratory or Imaging Result | Value: 2015-03-03T13:10:42+07:00 |
eLabs.02 - Study/Result Prior to this Unit's EMS Care | Value: 9923003 - Yes |
eLabs.LabResultGroup | |
eLabs.03 - Laboratory Result Type | Value: 3403113 - Tylenol |
eLabs.04 - Laboratory Result | Value: i |
eLabs.LabResultGroup | |
eLabs.03 - Laboratory Result Type | Value: 3403113 - Tylenol |
eLabs.04 - Laboratory Result | Value: b |
eLabs.LabImageGroup | |
eLabs.05 - Imaging Study Type | Value: 3405013 - Angiography |
eLabs.06 - Imaging Study Results | Value: uk3 |
eLabs.WaveformGraphicGroup | |
eLabs.07 - Imaging Study File or Waveform Graphic Type | Value: 7 |
eLabs.08 - Imaging Study File or Waveform Graphic | Value: d2lsVHpkcG9DOEFuSHhJTXIyZktKWWNWbmR2akVaR3Z4Q0ZqV1pSdmVDcEp1ZHdzdlk= |
eLabs.WaveformGraphicGroup | |
eLabs.07 - Imaging Study File or Waveform Graphic Type | Value: j |
eLabs.08 - Imaging Study File or Waveform Graphic | Value: cWNTRHp3dEFPZ1R5RTRvakNYdmVBZWNNNkRlVkNsUXRUcTJacDJFN0xCRE52bmEwZjE= |
eLabs.LabImageGroup | |
eLabs.05 - Imaging Study Type | Value: 3405013 - Angiography |
eLabs.06 - Imaging Study Results | Value: GiK |
eLabs.WaveformGraphicGroup | |
eLabs.07 - Imaging Study File or Waveform Graphic Type | Value: Y |
eLabs.08 - Imaging Study File or Waveform Graphic | Value: SGtFaVRLcVpWdVFuemlLeEtsV1Y2anRHbDU1NTRmWFhCRUQyWkNqZTZqbU95aUNMeFY= |
eLabs.WaveformGraphicGroup | |
eLabs.07 - Imaging Study File or Waveform Graphic Type | Value: q |
eLabs.08 - Imaging Study File or Waveform Graphic | Value: cGNOSnFHWTVmSmZydmhCRmFmaFRPbm1sR05CVlBWeWxtNnRFZXh0TWJ5QnhER2Z4ek0= |
eLabs.WaveformGraphicGroup | |
eLabs.07 - Imaging Study File or Waveform Graphic Type | Value: p |
eLabs.08 - Imaging Study File or Waveform Graphic | Value: cllYYjRGeGZLakk4Z2RxM3FxbXJqbk1XVnNueUxVWTdWSW0yU3ZDRlM2OHRSY2ptY00= |
eLabs.LabImageGroup | |
eLabs.05 - Imaging Study Type | Value: 3405013 - Angiography |
eLabs.06 - Imaging Study Results | Value: ejs |
eLabs.WaveformGraphicGroup | |
eLabs.07 - Imaging Study File or Waveform Graphic Type | Value: H |
eLabs.08 - Imaging Study File or Waveform Graphic | Value: SUxQWUpkUnFrVHRsSk5zTzhiVTAyUnlJOVNSWlNnWUhKZ2ZiOEt1MzVkYkdwejQ5RXU= |
eLabs.WaveformGraphicGroup | |
eLabs.07 - Imaging Study File or Waveform Graphic Type | Value: w |
eLabs.08 - Imaging Study File or Waveform Graphic | Value: REdGU2tMcFRFcWhZY2FwWUhSWEJrU3YyZEVOTVVQYmQ2NmpwUWxzT1hyNmsxREFFS3Y= |
eLabs.LabGroup | |
eLabs.01 - Date/Time of Laboratory or Imaging Result | Value: 2015-03-03T13:10:42+07:00 |
eLabs.02 - Study/Result Prior to this Unit's EMS Care | Value: 9923003 - Yes |
eLabs.LabResultGroup | |
eLabs.03 - Laboratory Result Type | Value: 3403113 - Tylenol |
eLabs.04 - Laboratory Result | Value: z |
eLabs.LabResultGroup | |
eLabs.03 - Laboratory Result Type | Value: 3403113 - Tylenol |
eLabs.04 - Laboratory Result | Value: a |
eLabs.LabImageGroup | |
eLabs.05 - Imaging Study Type | Value: 3405013 - Angiography |
eLabs.06 - Imaging Study Results | Value: n66 |
eLabs.WaveformGraphicGroup | |
eLabs.07 - Imaging Study File or Waveform Graphic Type | Value: 1 |
eLabs.08 - Imaging Study File or Waveform Graphic | Value: dmZxUDVWVlJVS0l5YjJ2ZEVPQlpSbGlya0oxcnhKUEJBNDVYUUVCeUIzd0kwQ1VtS0M= |
eLabs.WaveformGraphicGroup | |
eLabs.07 - Imaging Study File or Waveform Graphic Type | Value: T |
eLabs.08 - Imaging Study File or Waveform Graphic | Value: VXZ0ZExiTUt0QUlsR3ZjSHVCZVpuVVV5Wk1CMjJDZW5wZXJGZWhlZUtKY3ptbmk1N1Q= |
eLabs.LabImageGroup | |
eLabs.05 - Imaging Study Type | Value: 3405013 - Angiography |
eLabs.06 - Imaging Study Results | Value: jQA |
eLabs.WaveformGraphicGroup | |
eLabs.07 - Imaging Study File or Waveform Graphic Type | Value: S |
eLabs.08 - Imaging Study File or Waveform Graphic | Value: QVh5c1lhNm5mUlVtUk5Fa2V2T0ZMcjhnb3ZaM244TUdmcHM0QnVOdUhtYklubVNiYzE= |
eLabs.WaveformGraphicGroup | |
eLabs.07 - Imaging Study File or Waveform Graphic Type | Value: Y |
eLabs.08 - Imaging Study File or Waveform Graphic | Value: TlNYVWZXNjdET1kzVU9wcDJnazZaWE1hTG1QcFRPbEg3dXVLMW9LOXl1QkN4eENQOUU= |
eLabs.WaveformGraphicGroup | |
eLabs.07 - Imaging Study File or Waveform Graphic Type | Value: U |
eLabs.08 - Imaging Study File or Waveform Graphic | Value: Q2xSVkRzVU52cTBEUnc2S3p6S3RIeHZkR2tBSldEZ3ZKYVczS1M0V3BRWkoyMUs0MHg= |
eLabs.LabImageGroup | |
eLabs.05 - Imaging Study Type | Value: 3405013 - Angiography |
eLabs.06 - Imaging Study Results | Value: QqB |
eLabs.WaveformGraphicGroup | |
eLabs.07 - Imaging Study File or Waveform Graphic Type | Value: f |
eLabs.08 - Imaging Study File or Waveform Graphic | Value: dERTU1h3enlSVG9rTDhNdFN0TklTWGRnUEFRZ3REa2N3NTBtRXE2T2ljQ01jSkhudms= |
eLabs.WaveformGraphicGroup | |
eLabs.07 - Imaging Study File or Waveform Graphic Type | Value: D |
eLabs.08 - Imaging Study File or Waveform Graphic | Value: cVVJckRmMnBkd0Y1OWJrQVM3WER6Ym01ZnNVM3JNckw4QVFQY092aHY3RElONUhFeE4= |
eExam | |
eExam.01 - Estimated Body Weight in Kilograms | Value: 968.1 |
eExam.02 - Length Based Tape Measure | Value: 3502017 - Yellow |
eExam.AssessmentGroup | |
eExam.03 - Date/Time of Assessment | Value: 2015-03-03T13:10:42+07:00 |
eExam.04 - Skin Assessment | Value: 3504039 - Capillary Nail Bed Refill more than 4 seconds |
eExam.04 - Skin Assessment | Value: 3504037 - Capillary Nail Bed Refill 2-4 seconds |
eExam.04 - Skin Assessment | Value: 3504035 - Capillary Nail Bed Refill less than 2 seconds |
eExam.05 - Head Assessment | Value: 3505053 - Tenderness |
eExam.05 - Head Assessment | Value: 3505051 - Contusion |
eExam.05 - Head Assessment | Value: 3505049 - Swelling |
eExam.06 - Face Assessment | Value: 3506055 - Contusion |
eExam.06 - Face Assessment | Value: 3506053 - Swelling |
eExam.06 - Face Assessment | Value: 3506051 - Tenderness |
eExam.07 - Neck Assessment | Value: 3507059 - Tenderness |
eExam.07 - Neck Assessment | Value: 3507057 - Deformity |
eExam.07 - Neck Assessment | Value: 3507055 - Contusion |
eExam.08 - Chest/Lungs Assessment | Value: 3508103 - Tenderness-General |
eExam.08 - Chest/Lungs Assessment | Value: 3508101 - Contusion |
eExam.08 - Chest/Lungs Assessment | Value: 3508099 - Swelling |
eExam.09 - Heart Assessment | Value: 3509021 - S4 |
eExam.09 - Heart Assessment | Value: 3509019 - S3 |
eExam.09 - Heart Assessment | Value: 3509017 - S2 |
eExam.AbdomenGroup | |
eExam.10 - Abdominal Assessment Finding Location | Value: 3510013 - Epigastric |
eExam.11 - Abdomen Assessment | Value: 3511065 - Rigidity |
eExam.11 - Abdomen Assessment | Value: 3511063 - Rebound Tenderness |
eExam.11 - Abdomen Assessment | Value: 3511061 - Deformity |
eExam.AbdomenGroup | |
eExam.10 - Abdominal Assessment Finding Location | Value: 3510013 - Epigastric |
eExam.11 - Abdomen Assessment | Value: 3511065 - Rigidity |
eExam.11 - Abdomen Assessment | Value: 3511063 - Rebound Tenderness |
eExam.12 - Pelvis/Genitourinary Assessment | Value: 3512065 - Contusion |
eExam.12 - Pelvis/Genitourinary Assessment | Value: 3512063 - Swelling |
eExam.SpineGroup | |
eExam.13 - Back and Spine Assessment Finding Location | Value: 3513025 - Sacral-Right |
eExam.14 - Back and Spine Assessment | Value: 3514055 - Tenderness |
eExam.14 - Back and Spine Assessment | Value: 3514053 - Contusion |
eExam.14 - Back and Spine Assessment | Value: 3514051 - Swelling |
eExam.SpineGroup | |
eExam.13 - Back and Spine Assessment Finding Location | Value: 3513025 - Sacral-Right |
eExam.14 - Back and Spine Assessment | Value: 3514055 - Tenderness |
eExam.14 - Back and Spine Assessment | Value: 3514053 - Contusion |
eExam.14 - Back and Spine Assessment | Value: 3514051 - Swelling |
eExam.ExtremityGroup | |
eExam.15 - Extremity Assessment Finding Location | Value: 3515095 - Wrist-Right |
eExam.16 - Extremities Assessment | Value: 3516083 - Arm Drift |
eExam.16 - Extremities Assessment | Value: 3516081 - Contusion |
eExam.16 - Extremities Assessment | Value: 3516079 - Swelling |
eExam.ExtremityGroup | |
eExam.15 - Extremity Assessment Finding Location | Value: 3515095 - Wrist-Right |
eExam.16 - Extremities Assessment | Value: 3516083 - Arm Drift |
eExam.16 - Extremities Assessment | Value: 3516081 - Contusion |
eExam.16 - Extremities Assessment | Value: 3516079 - Swelling |
eExam.EyeGroup | |
eExam.17 - Eye Assessment Finding Location | Value: 3517005 - Right |
eExam.18 - Eye Assessment | Value: 3518059 - Puncture/Stab Wound |
eExam.18 - Eye Assessment | Value: 3518057 - Contusion |
eExam.18 - Eye Assessment | Value: 3518055 - Swelling |
eExam.EyeGroup | |
eExam.17 - Eye Assessment Finding Location | Value: 3517005 - Right |
eExam.18 - Eye Assessment | Value: 3518059 - Puncture/Stab Wound |
eExam.18 - Eye Assessment | Value: 3518057 - Contusion |
eExam.18 - Eye Assessment | Value: 3518055 - Swelling |
eExam.EyeGroup | |
eExam.17 - Eye Assessment Finding Location | Value: 3517005 - Right |
eExam.18 - Eye Assessment | Value: 3518059 - Puncture/Stab Wound |
eExam.18 - Eye Assessment | Value: 3518057 - Contusion |
eExam.19 - Mental Status Assessment | Value: 3519027 - Stupor |
eExam.19 - Mental Status Assessment | Value: 3519025 - Somnolent |
eExam.19 - Mental Status Assessment | Value: 3519023 - Agitation |
eExam.20 - Neurological Assessment | Value: 3520053 - Arm Drift-Right |
eExam.20 - Neurological Assessment | Value: 3520051 - Arm Drift-Left |
eExam.AssessmentGroup | |
eExam.03 - Date/Time of Assessment | Value: 2015-03-03T13:10:42+07:00 |
eExam.04 - Skin Assessment | Value: 3504039 - Capillary Nail Bed Refill more than 4 seconds |
eExam.04 - Skin Assessment | Value: 3504037 - Capillary Nail Bed Refill 2-4 seconds |
eExam.04 - Skin Assessment | Value: 3504035 - Capillary Nail Bed Refill less than 2 seconds |
eExam.05 - Head Assessment | Value: 3505053 - Tenderness |
eExam.05 - Head Assessment | Value: 3505051 - Contusion |
eExam.05 - Head Assessment | Value: 3505049 - Swelling |
eExam.06 - Face Assessment | Value: 3506055 - Contusion |
eExam.06 - Face Assessment | Value: 3506053 - Swelling |
eExam.07 - Neck Assessment | Value: 3507059 - Tenderness |
eExam.07 - Neck Assessment | Value: 3507057 - Deformity |
eExam.08 - Chest/Lungs Assessment | Value: 3508103 - Tenderness-General |
eExam.08 - Chest/Lungs Assessment | Value: 3508101 - Contusion |
eExam.09 - Heart Assessment | Value: 3509021 - S4 |
eExam.09 - Heart Assessment | Value: 3509019 - S3 |
eExam.AbdomenGroup | |
eExam.10 - Abdominal Assessment Finding Location | Value: 3510013 - Epigastric |
eExam.11 - Abdomen Assessment | Value: 3511065 - Rigidity |
eExam.11 - Abdomen Assessment | Value: 3511063 - Rebound Tenderness |
eExam.AbdomenGroup | |
eExam.10 - Abdominal Assessment Finding Location | Value: 3510013 - Epigastric |
eExam.11 - Abdomen Assessment | Value: 3511065 - Rigidity |
eExam.11 - Abdomen Assessment | Value: 3511063 - Rebound Tenderness |
eExam.11 - Abdomen Assessment | Value: 3511061 - Deformity |
eExam.12 - Pelvis/Genitourinary Assessment | Value: 3512065 - Contusion |
eExam.12 - Pelvis/Genitourinary Assessment | Value: 3512063 - Swelling |
eExam.12 - Pelvis/Genitourinary Assessment | Value: 3512061 - Crush Injury |
eExam.SpineGroup | |
eExam.13 - Back and Spine Assessment Finding Location | Value: 3513025 - Sacral-Right |
eExam.14 - Back and Spine Assessment | Value: 3514055 - Tenderness |
eExam.14 - Back and Spine Assessment | Value: 3514053 - Contusion |
eExam.SpineGroup | |
eExam.13 - Back and Spine Assessment Finding Location | Value: 3513025 - Sacral-Right |
eExam.14 - Back and Spine Assessment | Value: 3514055 - Tenderness |
eExam.14 - Back and Spine Assessment | Value: 3514053 - Contusion |
eExam.14 - Back and Spine Assessment | Value: 3514051 - Swelling |
eExam.ExtremityGroup | |
eExam.15 - Extremity Assessment Finding Location | Value: 3515095 - Wrist-Right |
eExam.16 - Extremities Assessment | Value: 3516083 - Arm Drift |
eExam.16 - Extremities Assessment | Value: 3516081 - Contusion |
eExam.16 - Extremities Assessment | Value: 3516079 - Swelling |
eExam.ExtremityGroup | |
eExam.15 - Extremity Assessment Finding Location | Value: 3515095 - Wrist-Right |
eExam.16 - Extremities Assessment | Value: 3516083 - Arm Drift |
eExam.16 - Extremities Assessment | Value: 3516081 - Contusion |
eExam.ExtremityGroup | |
eExam.15 - Extremity Assessment Finding Location | Value: 3515095 - Wrist-Right |
eExam.16 - Extremities Assessment | Value: 3516083 - Arm Drift |
eExam.16 - Extremities Assessment | Value: 3516081 - Contusion |
eExam.16 - Extremities Assessment | Value: 3516079 - Swelling |
eExam.EyeGroup | |
eExam.17 - Eye Assessment Finding Location | Value: 3517005 - Right |
eExam.18 - Eye Assessment | Value: 3518059 - Puncture/Stab Wound |
eExam.18 - Eye Assessment | Value: 3518057 - Contusion |
eExam.EyeGroup | |
eExam.17 - Eye Assessment Finding Location | Value: 3517005 - Right |
eExam.18 - Eye Assessment | Value: 3518059 - Puncture/Stab Wound |
eExam.18 - Eye Assessment | Value: 3518057 - Contusion |
eExam.18 - Eye Assessment | Value: 3518055 - Swelling |
eExam.EyeGroup | |
eExam.17 - Eye Assessment Finding Location | Value: 3517005 - Right |
eExam.18 - Eye Assessment | Value: 3518059 - Puncture/Stab Wound |
eExam.18 - Eye Assessment | Value: 3518057 - Contusion |
eExam.18 - Eye Assessment | Value: 3518055 - Swelling |
eExam.19 - Mental Status Assessment | Value: 3519027 - Stupor |
eExam.19 - Mental Status Assessment | Value: 3519025 - Somnolent |
eExam.20 - Neurological Assessment | Value: 3520053 - Arm Drift-Right |
eExam.20 - Neurological Assessment | Value: 3520051 - Arm Drift-Left |
eExam.AssessmentGroup | |
eExam.03 - Date/Time of Assessment | Value: 2015-03-03T13:10:42+07:00 |
eExam.04 - Skin Assessment | Value: 3504039 - Capillary Nail Bed Refill more than 4 seconds |
eExam.04 - Skin Assessment | Value: 3504037 - Capillary Nail Bed Refill 2-4 seconds |
eExam.04 - Skin Assessment | Value: 3504035 - Capillary Nail Bed Refill less than 2 seconds |
eExam.05 - Head Assessment | Value: 3505053 - Tenderness |
eExam.05 - Head Assessment | Value: 3505051 - Contusion |
eExam.06 - Face Assessment | Value: 3506055 - Contusion |
eExam.06 - Face Assessment | Value: 3506053 - Swelling |
eExam.06 - Face Assessment | Value: 3506051 - Tenderness |
eExam.07 - Neck Assessment | Value: 3507059 - Tenderness |
eExam.07 - Neck Assessment | Value: 3507057 - Deformity |
eExam.07 - Neck Assessment | Value: 3507055 - Contusion |
eExam.08 - Chest/Lungs Assessment | Value: 3508103 - Tenderness-General |
eExam.08 - Chest/Lungs Assessment | Value: 3508101 - Contusion |
eExam.09 - Heart Assessment | Value: 3509021 - S4 |
eExam.09 - Heart Assessment | Value: 3509019 - S3 |
eExam.AbdomenGroup | |
eExam.10 - Abdominal Assessment Finding Location | Value: 3510013 - Epigastric |
eExam.11 - Abdomen Assessment | Value: 3511065 - Rigidity |
eExam.11 - Abdomen Assessment | Value: 3511063 - Rebound Tenderness |
eExam.AbdomenGroup | |
eExam.10 - Abdominal Assessment Finding Location | Value: 3510013 - Epigastric |
eExam.11 - Abdomen Assessment | Value: 3511065 - Rigidity |
eExam.11 - Abdomen Assessment | Value: 3511063 - Rebound Tenderness |
eExam.11 - Abdomen Assessment | Value: 3511061 - Deformity |
eExam.12 - Pelvis/Genitourinary Assessment | Value: 3512065 - Contusion |
eExam.12 - Pelvis/Genitourinary Assessment | Value: 3512063 - Swelling |
eExam.12 - Pelvis/Genitourinary Assessment | Value: 3512061 - Crush Injury |
eExam.SpineGroup | |
eExam.13 - Back and Spine Assessment Finding Location | Value: 3513025 - Sacral-Right |
eExam.14 - Back and Spine Assessment | Value: 3514055 - Tenderness |
eExam.14 - Back and Spine Assessment | Value: 3514053 - Contusion |
eExam.SpineGroup | |
eExam.13 - Back and Spine Assessment Finding Location | Value: 3513025 - Sacral-Right |
eExam.14 - Back and Spine Assessment | Value: 3514055 - Tenderness |
eExam.14 - Back and Spine Assessment | Value: 3514053 - Contusion |
eExam.14 - Back and Spine Assessment | Value: 3514051 - Swelling |
eExam.ExtremityGroup | |
eExam.15 - Extremity Assessment Finding Location | Value: 3515095 - Wrist-Right |
eExam.16 - Extremities Assessment | Value: 3516083 - Arm Drift |
eExam.16 - Extremities Assessment | Value: 3516081 - Contusion |
eExam.ExtremityGroup | |
eExam.15 - Extremity Assessment Finding Location | Value: 3515095 - Wrist-Right |
eExam.16 - Extremities Assessment | Value: 3516083 - Arm Drift |
eExam.16 - Extremities Assessment | Value: 3516081 - Contusion |
eExam.16 - Extremities Assessment | Value: 3516079 - Swelling |
eExam.EyeGroup | |
eExam.17 - Eye Assessment Finding Location | Value: 3517005 - Right |
eExam.18 - Eye Assessment | Value: 3518059 - Puncture/Stab Wound |
eExam.18 - Eye Assessment | Value: 3518057 - Contusion |
eExam.18 - Eye Assessment | Value: 3518055 - Swelling |
eExam.EyeGroup | |
eExam.17 - Eye Assessment Finding Location | Value: 3517005 - Right |
eExam.18 - Eye Assessment | Value: 3518059 - Puncture/Stab Wound |
eExam.18 - Eye Assessment | Value: 3518057 - Contusion |
eExam.19 - Mental Status Assessment | Value: 3519027 - Stupor |
eExam.19 - Mental Status Assessment | Value: 3519025 - Somnolent |
eExam.19 - Mental Status Assessment | Value: 3519023 - Agitation |
eExam.20 - Neurological Assessment | Value: 3520053 - Arm Drift-Right |
eExam.20 - Neurological Assessment | Value: 3520051 - Arm Drift-Left |
eExam.21 - Stroke/CVA Symptoms Resolved | Value: 3521005 - Yes-Resolved in EMS Presence |
eProtocols | |
eProtocols.ProtocolGroup | |
eProtocols.01 - Protocols Used | Value: 9914225 - Medical-Stimulant Poisoning/Overdose |
eProtocols.02 - Protocol Age Category | Value: 3602005 - Pediatric Only |
eProtocols.ProtocolGroup | |
eProtocols.01 - Protocols Used | Value: 9914225 - Medical-Stimulant Poisoning/Overdose |
eProtocols.02 - Protocol Age Category | Value: 3602005 - Pediatric Only |
eProtocols.ProtocolGroup | |
eProtocols.01 - Protocols Used | Value: 9914225 - Medical-Stimulant Poisoning/Overdose |
eProtocols.02 - Protocol Age Category | Value: 3602005 - Pediatric Only |
eMedications | |
eMedications.MedicationGroup | |
eMedications.01 - Date/Time Medication Administered | Value: 2015-03-03T13:10:42+07:00 |
eMedications.02 - Medication Administered Prior to this Unit's EMS Care | Value: 9923003 - Yes |
eMedications.03 - Medication Given | Value: 2599 - Clonidine |
eMedications.04 - Medication Administered Route | Value: 9927061 - Portacath |
eMedications.DosageGroup | |
eMedications.05 - Medication Dosage | Value: 155.0 |
eMedications.06 - Medication Dosage Units | Value: 3706053 - Units per Kilogram (units/kg) |
eMedications.07 - Response to Medication | Value: 9916005 - Worse |
eMedications.08 - Medication Complication | Value: 3708045 - Urticaria |
eMedications.08 - Medication Complication | Value: 3708043 - Itching |
eMedications.09 - Medication Crew (Healthcare Professionals) ID | Value: Bd |
eMedications.10 - Role/Type of Person Administering Medication | Value: 9905041 - Registered Nurse |
eMedications.11 - Medication Authorization | Value: 9918007 - Written Orders (Patient Specific) |
eMedications.12 - Medication Authorizing Physician | Value: N |
eMedications.MedicationGroup | |
eMedications.01 - Date/Time Medication Administered | Value: 2015-03-03T13:10:42+07:00 |
eMedications.02 - Medication Administered Prior to this Unit's EMS Care | Value: 9923003 - Yes |
eMedications.03 - Medication Given | Value: 260258 - dextrose 250 MG/ML Injectable Solution |
eMedications.04 - Medication Administered Route | Value: 9927061 - Portacath |
eMedications.DosageGroup | |
eMedications.05 - Medication Dosage | Value: 469.0 |
eMedications.06 - Medication Dosage Units | Value: 3706053 - Units per Kilogram (units/kg) |
eMedications.07 - Response to Medication | Value: 9916005 - Worse |
eMedications.08 - Medication Complication | Value: 3708045 - Urticaria |
eMedications.08 - Medication Complication | Value: 3708043 - Itching |
eMedications.08 - Medication Complication | Value: 3708041 - Vomiting |
eMedications.09 - Medication Crew (Healthcare Professionals) ID | Value: xX |
eMedications.10 - Role/Type of Person Administering Medication | Value: 9905041 - Registered Nurse |
eMedications.11 - Medication Authorization | Value: 9918007 - Written Orders (Patient Specific) |
eMedications.12 - Medication Authorizing Physician | Value: H |
eProcedures | |
eProcedures.ProcedureGroup | |
eProcedures.01 - Date/Time Procedure Performed | Value: 2015-03-03T13:10:42+07:00 |
eProcedures.02 - Procedure Performed Prior to this Unit's EMS Care | Value: 9923003 - Yes |
eProcedures.03 - Procedure | Value: 271280005 - Removal of endotracheal tube |
eProcedures.04 - Size of Procedure Equipment | Value: N |
eProcedures.05 - Number of Procedure Attempts | Value: 4 |
eProcedures.06 - Procedure Successful | Value: 9923003 - Yes |
eProcedures.07 - Procedure Complication | Value: 3907051 - Urticaria |
eProcedures.07 - Procedure Complication | Value: 3907049 - Itching |
eProcedures.08 - Response to Procedure | Value: 9916005 - Worse |
eProcedures.09 - Procedure Crew Members ID | Value: bj |
eProcedures.10 - Role/Type of Person Performing the Procedure | Value: 9905041 - Registered Nurse |
eProcedures.11 - Procedure Authorization | Value: 9918007 - Written Orders (Patient Specific) |
eProcedures.12 - Procedure Authorizing Physician | Value: E |
eProcedures.13 - Vascular Access Location | Value: 3913077 - Radial-Right |
eProcedures.ProcedureGroup | |
eProcedures.01 - Date/Time Procedure Performed | Value: 2015-03-03T13:10:42+07:00 |
eProcedures.02 - Procedure Performed Prior to this Unit's EMS Care | Value: 9923003 - Yes |
eProcedures.03 - Procedure | Value: 398024006 - Unintended endobronchial intubation |
eProcedures.04 - Size of Procedure Equipment | Value: 2 |
eProcedures.05 - Number of Procedure Attempts | Value: 8 |
eProcedures.06 - Procedure Successful | Value: 9923003 - Yes |
eProcedures.07 - Procedure Complication | Value: 3907051 - Urticaria |
eProcedures.07 - Procedure Complication | Value: 3907049 - Itching |
eProcedures.07 - Procedure Complication | Value: 3907047 - Bradycardia |
eProcedures.08 - Response to Procedure | Value: 9916005 - Worse |
eProcedures.09 - Procedure Crew Members ID | Value: 4f |
eProcedures.10 - Role/Type of Person Performing the Procedure | Value: 9905041 - Registered Nurse |
eProcedures.11 - Procedure Authorization | Value: 9918007 - Written Orders (Patient Specific) |
eProcedures.12 - Procedure Authorizing Physician | Value: z |
eProcedures.13 - Vascular Access Location | Value: 3913077 - Radial-Right |
eProcedures.ProcedureGroup | |
eProcedures.01 - Date/Time Procedure Performed | Value: 2015-03-03T13:10:42+07:00 |
eProcedures.02 - Procedure Performed Prior to this Unit's EMS Care | Value: 9923003 - Yes |
eProcedures.03 - Procedure | Value: 398279005 - Inadvertent esophageal intubation |
eProcedures.04 - Size of Procedure Equipment | Value: x |
eProcedures.05 - Number of Procedure Attempts | Value: 7 |
eProcedures.06 - Procedure Successful | Value: 9923003 - Yes |
eProcedures.07 - Procedure Complication | Value: 3907051 - Urticaria |
eProcedures.07 - Procedure Complication | Value: 3907049 - Itching |
eProcedures.08 - Response to Procedure | Value: 9916005 - Worse |
eProcedures.09 - Procedure Crew Members ID | Value: Ew |
eProcedures.10 - Role/Type of Person Performing the Procedure | Value: 9905041 - Registered Nurse |
eProcedures.11 - Procedure Authorization | Value: 9918007 - Written Orders (Patient Specific) |
eProcedures.12 - Procedure Authorizing Physician | Value: w |
eProcedures.13 - Vascular Access Location | Value: 3913077 - Radial-Right |
eAirway | |
eAirway.AirwayGroup | |
eAirway.01 - Indications for Invasive Airway | Value: 4001013 - Ventilatory Effort Compromised |
eAirway.01 - Indications for Invasive Airway | Value: 4001011 - Other |
eAirway.01 - Indications for Invasive Airway | Value: 4001009 - Injury Involving Airway |
eAirway.ConfirmationGroup | [ATT: ProcedureGroupCorrelationID="n"] |
eAirway.02 - Date/Time Airway Device Placement Confirmation | Value: 2015-03-03T13:10:42+07:00 |
eAirway.03 - Airway Device Being Confirmed | Value: 4003015 - Tracheostomy Tube |
eAirway.04 - Airway Device Placement Confirmed Method | Value: 4004019 - Waveform ETCO2 |
eAirway.04 - Airway Device Placement Confirmed Method | Value: 4004017 - Visualization of Vocal Cords |
eAirway.05 - Tube Depth | Value: 12 |
eAirway.06 - Type of Individual Confirming Airway Device Placement | Value: 4006009 - Receiving Hospital Team |
eAirway.07 - Crew Member ID | Value: h5 |
eAirway.ConfirmationGroup | [ATT: ProcedureGroupCorrelationID="1"] |
eAirway.02 - Date/Time Airway Device Placement Confirmation | Value: 2015-03-03T13:10:42+07:00 |
eAirway.03 - Airway Device Being Confirmed | Value: 4003015 - Tracheostomy Tube |
eAirway.04 - Airway Device Placement Confirmed Method | Value: 4004019 - Waveform ETCO2 |
eAirway.04 - Airway Device Placement Confirmed Method | Value: 4004017 - Visualization of Vocal Cords |
eAirway.05 - Tube Depth | Value: 11 |
eAirway.06 - Type of Individual Confirming Airway Device Placement | Value: 4006009 - Receiving Hospital Team |
eAirway.07 - Crew Member ID | Value: 8S |
eAirway.08 - Airway Complications Encountered | Value: 4008023 - Tube Was Not in Correct Position when EMS Crew/Team Assumed Care of the Patient |
eAirway.08 - Airway Complications Encountered | Value: 4008021 - Tube Dislodged During Transport/Patient Care |
eAirway.08 - Airway Complications Encountered | Value: 4008019 - Patient Vomiting/Aspiration |
eAirway.09 - Suspected Reasons for Failed Airway Management | Value: 4009019 - Unable to Position or Access Patient |
eAirway.09 - Suspected Reasons for Failed Airway Management | Value: 4009017 - Secretions/Blood/Vomit |
eAirway.10 - Date/Time Decision to Manage the Patient with an Invasive Airway | Value: 2015-03-03T13:10:42+07:00 |
eAirway.11 - Date/Time Invasive Airway Placement Attempts Abandoned | Value: 2015-03-03T13:10:42+07:00 |
eDevice | |
eDevice.DeviceGroup | |
eDevice.01 - Medical Device Serial Number | Value: qd |
eDevice.02 - Date/Time of Event (per Medical Device) | Value: 2015-03-03T13:10:42+07:00 |
eDevice.03 - Medical Device Event Type | Value: 4103049 - Temperature 2 |
eDevice.03 - Medical Device Event Type | Value: 4103047 - Temperature 1 |
eDevice.03 - Medical Device Event Type | Value: 4103045 - Sync On |
eDevice.WaveformGroup | |
eDevice.04 - Medical Device Waveform Graphic Type | Value: H |
eDevice.05 - Medical Device Waveform Graphic | Value: M1U2VURacnNBMng0WjFBSXJvSEFKTnBPNFo0eFQ1aVAyZ0NuYzFXMTVnZTdOdEg0SEE= |
eDevice.06 - Medical Device Mode (Manual, AED, Pacing, CO2, O2, etc) | Value: 4106013 - Side-Stream |
eDevice.07 - Medical Device ECG Lead | Value: 4107041 - V9 |
eDevice.07 - Medical Device ECG Lead | Value: 4107039 - V8 |
eDevice.08 - Medical Device ECG Interpretation | Value: p |
eDevice.ShockGroup | |
eDevice.09 - Type of Shock | Value: 4109003 - Monophasic |
eDevice.10 - Shock or Pacing Energy | Value: 8378.0 |
eDevice.11 - Total Number of Shocks Delivered | Value: 6 |
eDevice.12 - Pacing Rate | Value: 213 |
eDevice.DeviceGroup | |
eDevice.01 - Medical Device Serial Number | Value: zi |
eDevice.02 - Date/Time of Event (per Medical Device) | Value: 2015-03-03T13:10:42+07:00 |
eDevice.03 - Medical Device Event Type | Value: 4103049 - Temperature 2 |
eDevice.03 - Medical Device Event Type | Value: 4103047 - Temperature 1 |
eDevice.WaveformGroup | |
eDevice.04 - Medical Device Waveform Graphic Type | Value: t |
eDevice.05 - Medical Device Waveform Graphic | Value: WHJBOTVDOHdPc1MxbE04TlRraHo2RzJNNlprZVgwU1BNM1pWMmJnNVhoZHQzeHRKek4= |
eDevice.06 - Medical Device Mode (Manual, AED, Pacing, CO2, O2, etc) | Value: 4106013 - Side-Stream |
eDevice.07 - Medical Device ECG Lead | Value: 4107041 - V9 |
eDevice.07 - Medical Device ECG Lead | Value: 4107039 - V8 |
eDevice.07 - Medical Device ECG Lead | Value: 4107037 - V7 |
eDevice.08 - Medical Device ECG Interpretation | Value: V |
eDevice.ShockGroup | |
eDevice.09 - Type of Shock | Value: 4109003 - Monophasic |
eDevice.10 - Shock or Pacing Energy | Value: 5678.0 |
eDevice.11 - Total Number of Shocks Delivered | Value: 64 |
eDevice.12 - Pacing Rate | Value: 855 |
eDevice.DeviceGroup | |
eDevice.01 - Medical Device Serial Number | Value: 4m |
eDevice.02 - Date/Time of Event (per Medical Device) | Value: 2015-03-03T13:10:42+07:00 |
eDevice.03 - Medical Device Event Type | Value: 4103049 - Temperature 2 |
eDevice.03 - Medical Device Event Type | Value: 4103047 - Temperature 1 |
eDevice.03 - Medical Device Event Type | Value: 4103045 - Sync On |
eDevice.WaveformGroup | |
eDevice.04 - Medical Device Waveform Graphic Type | Value: T |
eDevice.05 - Medical Device Waveform Graphic | Value: dUM3RjFHeWtyczkxelpVaDhxWnc5OUlJNEZqdmlXZzVGdWFNeHczTkpTRW9Nbzh5akI= |
eDevice.06 - Medical Device Mode (Manual, AED, Pacing, CO2, O2, etc) | Value: 4106013 - Side-Stream |
eDevice.07 - Medical Device ECG Lead | Value: 4107041 - V9 |
eDevice.07 - Medical Device ECG Lead | Value: 4107039 - V8 |
eDevice.08 - Medical Device ECG Interpretation | Value: V |
eDevice.ShockGroup | |
eDevice.09 - Type of Shock | Value: 4109003 - Monophasic |
eDevice.10 - Shock or Pacing Energy | Value: 6420.0 |
eDevice.11 - Total Number of Shocks Delivered | Value: 37 |
eDevice.12 - Pacing Rate | Value: 544 |
eDisposition | |
eDisposition.DestinationGroup | |
eDisposition.01 - Destination/Transferred To, Name | Value: zF |
eDisposition.02 - Destination/Transferred To, Code | Value: JN |
eDisposition.03 - Destination Street Address | [ATT: StreetAddress2="t"] Value: Ap #630-1926 Etiam Street |
eDisposition.04 - Destination City | Value: 1437620 - Lawrence |
eDisposition.05 - Destination State | Value: 49 - Utah |
eDisposition.06 - Destination County | Value: 49015 - Emery |
eDisposition.07 - Destination ZIP Code | Value: 84528 |
eDisposition.08 - Destination Country | Value: US |
eDisposition.09 - Destination GPS Location | Value: 39.315600,-110.980680 |
eDisposition.10 - Destination Location US National Grid Coordinates | Value: 14SMQ01602885 |
eDisposition.11 - Number of Patients Transported in this EMS Unit | Value: 39 |
eDisposition.12 - Incident/Patient Disposition | Value: 4212043 - Transport Non-Patient, Organs, etc. |
eDisposition.13 - How Patient Was Moved to Ambulance | Value: 9909015 - Wheelchair |
eDisposition.13 - How Patient Was Moved to Ambulance | Value: 9909013 - Stretcher |
eDisposition.14 - Position of Patient During Transport | Value: 4214019 - Trendelenburg |
eDisposition.14 - Position of Patient During Transport | Value: 4214017 - Supine |
eDisposition.14 - Position of Patient During Transport | Value: 4214015 - Sitting |
eDisposition.15 - How Patient Was Transported From Ambulance | Value: 9909015 - Wheelchair |
eDisposition.16 - EMS Transport Method | Value: 4216017 - Water-Boat |
eDisposition.17 - Transport Mode from Scene | Value: 4217007 - Non-Emergent Upgraded to Emergent |
eDisposition.18 - Additional Transport Mode Descriptors | Value: 4218019 - Initial Lights and Sirens, Downgraded to No Lights or Sirens |
eDisposition.18 - Additional Transport Mode Descriptors | Value: 4218017 - Initial No Lights or Sirens, Upgraded to Lights and Sirens |
eDisposition.18 - Additional Transport Mode Descriptors | Value: 4218015 - No Lights or Sirens |
eDisposition.19 - Final Patient Acuity | Value: 4219007 - Dead without Resuscitation Efforts (Black) |
eDisposition.20 - Reason for Choosing Destination | Value: 4220021 - Regional Specialty Center |
eDisposition.20 - Reason for Choosing Destination | Value: 4220019 - Protocol |
eDisposition.21 - Type of Destination | Value: 4221023 - Freestanding Emergency Department |
eDisposition.22 - Hospital In-Patient Destination | Value: 4222053 - Hospital-Outpatient Surgery |
eDisposition.23 - Hospital Capability | Value: 9908035 - Cardiac-STEMI/Non-PCI Capable |
eDisposition.HospitalTeamActivationGroup | |
eDisposition.24 - Destination Team Pre-Arrival Alert or Activation | Value: 4224017 - Yes-Trauma (General) |
eDisposition.25 - Date/Time of Destination Prearrival Alert or Activation | Value: 2015-03-03T13:10:42+07:00 |
eDisposition.HospitalTeamActivationGroup | |
eDisposition.24 - Destination Team Pre-Arrival Alert or Activation | Value: 4224017 - Yes-Trauma (General) |
eDisposition.25 - Date/Time of Destination Prearrival Alert or Activation | Value: 2015-03-03T13:10:42+07:00 |
eDisposition.26 - Disposition Instructions Provided | Value: 4226015 - See Your Doctor within the next one week |
eDisposition.26 - Disposition Instructions Provided | Value: 4226013 - See Your Doctor or the Emergency Department in the next 4 hours |
eDisposition.26 - Disposition Instructions Provided | Value: 4226011 - See Your Doctor or the Emergency Department in the next 24 hours |
eOutcome | |
eOutcome.01 - Emergency Department Disposition | Value: 70 - Discharged/transferred to another type of health care institution not defined elsewhere in the code list. |
eOutcome.02 - Hospital Disposition | Value: 70 - Discharged/transferred to another type of health care institution not defined elsewhere in the code list. |
eOutcome.ExternalDataGroup | |
eOutcome.03 - External Report ID/Number Type | Value: 4303025 - Trauma Registry |
eOutcome.04 - External Report ID/Number | Value: si |
eOutcome.05 - Other Report Registry Type | Value: df |
eOutcome.ExternalDataGroup | |
eOutcome.03 - External Report ID/Number Type | Value: 4303025 - Trauma Registry |
eOutcome.04 - External Report ID/Number | Value: er |
eOutcome.05 - Other Report Registry Type | Value: V5 |
eOutcome.06 - Emergency Department Chief Complaint | Value: 8e |
eOutcome.07 - First ED Systolic Blood Pressure | Value: 377 |
eOutcome.08 - Emergency Department Recorded Cause of Injury | Value: T61.1 - Scombroid fish poisoning |
eOutcome.08 - Emergency Department Recorded Cause of Injury | Value: W59.11 - Bitten by nonvenomous snake |
eOutcome.09 - Emergency Department Procedures | Value: 8E0ZXY5 - Other Procedures @ Physiological Systems and Anatomical Regions @ Other Procedures @ None @ External @ Other Method @ Meditation |
eOutcome.09 - Emergency Department Procedures | Value: F00ZFZZ - Physical Rehabilitation and Diagnostic Audiology @ Rehabilitation @ Speech Assessment @ None @ Voice @ None @ None |
eOutcome.10 - Emergency Department Diagnosis | Value: H70.09 - Acute mastoiditis with other complications |
eOutcome.10 - Emergency Department Diagnosis | Value: H70.1 - Chronic mastoiditis |
eOutcome.10 - Emergency Department Diagnosis | Value: H70.2 - Petrositis |
eOutcome.11 - Date/Time of Hospital Admission | Value: 2015-03-03T13:10:42+07:00 |
eOutcome.12 - Hospital Procedures | Value: BD11ZZZ - Imaging @ Gastrointestinal System @ Fluoroscopy @ Esophagus @ None @ None @ None |
eOutcome.12 - Hospital Procedures | Value: 8E0ZXY5 - Meditation |
eOutcome.13 - Hospital Diagnosis | Value: H69.00 - Patulous Eustachian tube, unspecified ear |
eOutcome.13 - Hospital Diagnosis | Value: H70.09 - Acute mastoiditis with other complications |
eOutcome.14 - Total ICU Length of Stay | Value: 175 |
eOutcome.15 - Total Ventilator Days | Value: 140 |
eOutcome.16 - Date/Time of Hospital Discharge | Value: 2015-03-03T13:10:42+07:00 |
eOutcome.17 - Outcome at Hospital Discharge | Value: 4317013 - Dead |
eOther | |
eOther.01 - Review Requested | Value: 9923003 - Yes |
eOther.02 - Potential System of Care/Specialty/Registry Patient | Value: 4502019 - Traumatic Brain Injury |
eOther.02 - Potential System of Care/Specialty/Registry Patient | Value: 4502017 - Trauma |
eOther.02 - Potential System of Care/Specialty/Registry Patient | Value: 4502015 - STEMI/Acute Cardiac |
eOther.EMSCrewMemberGroup | |
eOther.03 - Personal Protective Equipment Used | Value: 4503023 - Reflective Vest |
eOther.03 - Personal Protective Equipment Used | Value: 4503021 - PAPR |
eOther.03 - Personal Protective Equipment Used | Value: 4503019 - Other |
eOther.04 - EMS Professional (Crew Member) ID | Value: Yr |
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: 4506029 - Other |
eOther.06 - The Type of Work-Related Injury, Death or Suspected Exposure | Value: 4506027 - None |
eOther.EMSCrewMemberGroup | |
eOther.03 - Personal Protective Equipment Used | Value: 4503023 - Reflective Vest |
eOther.03 - Personal Protective Equipment Used | Value: 4503021 - PAPR |
eOther.04 - EMS Professional (Crew Member) ID | Value: rP |
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: 4506029 - Other |
eOther.06 - The Type of Work-Related Injury, Death or Suspected Exposure | Value: 4506027 - None |
eOther.EMSCrewMemberGroup | |
eOther.03 - Personal Protective Equipment Used | Value: 4503023 - Reflective Vest |
eOther.03 - Personal Protective Equipment Used | Value: 4503021 - PAPR |
eOther.03 - Personal Protective Equipment Used | Value: 4503019 - Other |
eOther.04 - EMS Professional (Crew Member) ID | Value: uD |
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: 4506029 - Other |
eOther.06 - The Type of Work-Related Injury, Death or Suspected Exposure | Value: 4506027 - None |
eOther.07 - Natural, Suspected, Intentional, or Unintentional Disaster | Value: 4507027 - Weather |
eOther.07 - Natural, Suspected, Intentional, or Unintentional Disaster | Value: 4507025 - Vehicular |
eOther.07 - Natural, Suspected, Intentional, or Unintentional Disaster | Value: 4507023 - Shooting/Sniper |
eOther.08 - Crew Member Completing this Report | Value: Oj |
eOther.FileGroup | |
eOther.09 - External Electronic Document Type | Value: 4509025 - Other Video/Movie |
eOther.10 - File Attachment Type | Value: E |
eOther.11 - File Attachment Image | Value: dFRqbnNYZ1NGc1FEekN3ZmZUaDJNMnExQXVKMVFFYmRuVDFVa2NGTHZjZFdnS3JrRTY= |
eOther.FileGroup | |
eOther.09 - External Electronic Document Type | Value: 4509025 - Other Video/Movie |
eOther.10 - File Attachment Type | Value: q |
eOther.11 - File Attachment Image | Value: V0ZIZFd5cnNDWXUwdVd6ZE00N2N3RnI3dlhWVFJUdnJPZGQ3N1JYTW1CbTNRVHNlaU0= |
eOther.SignatureGroup | |
eOther.12 - Type of Person Signing | Value: 4512019 - Witness |
eOther.13 - Signature Reason | Value: 4513023 - Other |
eOther.13 - Signature Reason | Value: 4513021 - Refusal of Transport |
eOther.14 - Type Of Patient Representative | Value: 4514051 - Wife |
eOther.15 - Signature Status | Value: 4515033 - Signed-Not Patient |
eOther.16 - Signature File Name | Value: 9kYL5Y77MmYzn2r6Ft6YZU2vdi8NSmGpE1EejXrRez97VCgRrPDym4nGEuDcwzs2lxDT8OzmxlzsVL8O6KVylbK1WjfUXQmWwVyQ1EdipCkfvEhAarEysN7xXztmiuGRzq0GoSfX5mBxQfBEid1HEGpZJWK4E01B5Q5vmvj46nO2ZKq9qfJ7uAfwDYxahTtSKX5KuevUCzSXi3NO4HOEOKs5jtBoecEx5zqiQUhf9RcYJ7iao7H8ehj4lU0EaIK |
eOther.17 - Signature File Type | Value: 2 |
eOther.18 - Signature Graphic | Value: Znk5RVBsTXNFQkxmNE53cXFjY1czb1FBZWl4U1A4U1hSWHJxQVdZbE5LQ0Jqb1RDVU4= |
eOther.19 - Date/Time of Signature | Value: 2015-03-03T13:10:42+07:00 |
eOther.20 - Signature Last Name | Value: 4 |
eOther.21 - Signature First Name | Value: c |
eOther.SignatureGroup | |
eOther.12 - Type of Person Signing | Value: 4512019 - Witness |
eOther.13 - Signature Reason | Value: 4513023 - Other |
eOther.13 - Signature Reason | Value: 4513021 - Refusal of Transport |
eOther.14 - Type Of Patient Representative | Value: 4514051 - Wife |
eOther.15 - Signature Status | Value: 4515033 - Signed-Not Patient |
eOther.16 - Signature File Name | Value: OBEEbhEk9hijtMLWFtuqZgkjFsxa73cJan2Q4zCU3bCySJqmKzES3E2YhYAbG6S619ncifg6CA6FJzwCgQqBMLxehc2a9oIrCGObZHY7bJ0cRal8K4OGvZ6bHVpxtFmT3xReTlTmzWhyhDbaavDgqZTcgLGAGXNB2Jzs8A4IyWy3Swvn3kuvYCGAm90FPSesZAw0tAyQD0e3y7G5Jg58O6A84TDWAoQKChG5rV6a0dIeexUpiPcEKDH2HIKG6rF |
eOther.17 - Signature File Type | Value: M |
eOther.18 - Signature Graphic | Value: UDZlZm1hR0M3bDZhZVpvUlRJNDJSMFI0dXhmN0FYb1RKUkxFWGNNT21EWWRoRVNVSHM= |
eOther.19 - Date/Time of Signature | Value: 2015-03-03T13:10:42+07:00 |
eOther.20 - Signature Last Name | Value: U |
eOther.21 - Signature First Name | Value: Y |