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: VNb |
eRecord.SoftwareApplicationGroup | |
eRecord.02 - Software Creator | Value: U |
eRecord.03 - Software Name | Value: L |
eRecord.04 - Software Version | Value: 5 |
eResponse | |
eResponse.AgencyGroup | |
eResponse.01 - EMS Agency Number | Value: 6 |
eResponse.02 - EMS Agency Name | [ATT: NV="7701005 - Not Reporting"] |
eResponse.03 - Incident Number | [ATT: NV="7701003 - Not Recorded"] |
eResponse.04 - EMS Response Number | [ATT: NV="7701001 - Not Applicable"] |
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 | [ATT: NV="7701003 - Not Recorded"] |
eResponse.09 - Type of Response Delay | [ATT: NV="7701001 - Not Applicable"] |
eResponse.10 - Type of Scene Delay | [ATT: NV="7701003 - Not Recorded"] |
eResponse.11 - Type of Transport Delay | [ATT: NV="7701001 - Not Applicable"] |
eResponse.12 - Type of Turn-Around Delay | [ATT: NV="7701001 - Not Applicable"] |
eResponse.13 - EMS Vehicle (Unit) Number | Value: l |
eResponse.14 - EMS Unit Call Sign | Value: z |
eResponse.15 - Level of Care of This Unit | Value: 2215023 - BLS-Community Paramedicine |
eResponse.16 - Vehicle Dispatch Location | Value: Xi |
eResponse.17 - Vehicle Dispatch GPS Location | Value: 9.737917,+0.1 |
eResponse.18 - Vehicle Dispatch Location US National Grid Coordinates | Value: 15TKE72511117 |
eResponse.19 - Beginning Odometer Reading of Responding Vehicle | Value: 802.0 |
eResponse.20 - On-Scene Odometer Reading of Responding Vehicle | Value: 356.0 |
eResponse.21 - Patient Destination Odometer Reading of Responding Vehicle | Value: 382.0 |
eResponse.22 - Ending Odometer Reading of Responding Vehicle | Value: 786.0 |
eResponse.23 - Response Mode to Scene | Value: 2223007 - Non-Emergent Upgraded to Emergent |
eResponse.24 - Additional Response Mode Descriptors | [ATT: NV="7701001 - Not Applicable"] |
eDispatch | |
eDispatch.01 - Complaint Reported by Dispatch | Value: 2301083 - Airmedical Transport |
eDispatch.02 - EMD Performed | [ATT: NV="7701003 - Not Recorded"] |
eDispatch.03 - EMD Card Number | Value: k |
eDispatch.04 - Dispatch Center Name or ID | Value: HQ |
eDispatch.05 - Dispatch Priority (Patient Acuity) | Value: 2305007 - Non-Acute [e.g., Scheduled Transfer or Standby] |
eDispatch.06 - Unit Dispatched CAD Record ID | Value: lx3 |
eCrew | |
eCrew.CrewGroup | |
eCrew.01 - Crew Member ID | [ATT: NV="7701003 - Not Recorded"] |
eCrew.02 - Crew Member Level | [ATT: NV="7701005 - Not Reporting"] |
eCrew.03 - Crew Member Response Role | [ATT: NV="7701005 - Not Reporting"] |
eTimes | |
eTimes.01 - PSAP Call Date/Time | [ATT: NV="7701003 - Not Recorded"] |
eTimes.02 - Dispatch Notified Date/Time | Value: 2015-03-03T13:10:41+07:00 |
eTimes.03 - Unit Notified by Dispatch Date/Time | Value: 2015-03-03T13:10:41+07:00 |
eTimes.04 - Dispatch Acknowledged Date/Time | Value: 2015-03-03T13:10:41+07:00 |
eTimes.05 - Unit En Route Date/Time | [ATT: NV="7701001 - Not Applicable"] |
eTimes.06 - Unit Arrived on Scene Date/Time | [ATT: NV="7701001 - Not Applicable"] |
eTimes.07 - Arrived at Patient Date/Time | [ATT: NV="7701003 - Not Recorded"] |
eTimes.08 - Transfer of EMS Patient Care Date/Time | [ATT: NV="7701001 - Not Applicable"] |
eTimes.09 - Unit Left Scene Date/Time | [ATT: NV="7701003 - Not Recorded"] |
eTimes.10 - Arrival at Destination Landing Area Date/Time | Value: 2015-03-03T13:10:41+07:00 |
eTimes.11 - Patient Arrived at Destination Date/Time | [ATT: NV="7701003 - Not Recorded"] |
eTimes.12 - Destination Patient Transfer of Care Date/Time | [ATT: NV="7701001 - Not Applicable"] |
eTimes.13 - Unit Back in Service Date/Time | Value: 2015-03-03T13:10:41+07:00 |
eTimes.14 - Unit Canceled Date/Time | Value: 2015-03-03T13:10:41+07:00 |
eTimes.15 - Unit Back at Home Location Date/Time | Value: 2015-03-03T13:10:41+07:00 |
eTimes.16 - EMS Call Completed Date/Time | Value: 2015-03-03T13:10:41+07:00 |
ePatient | |
ePatient.01 - EMS Patient ID | Value: WB |
ePatient.PatientNameGroup | |
ePatient.02 - Last Name | [ATT: PN="8801019 - Refused"] |
ePatient.03 - First Name | [ATT: PN="8801019 - Refused"] |
ePatient.04 - Middle Initial/Name | Value: Albers |
ePatient.05 - Patient's Home Address | [ATT: StreetAddress2="c"] Value: 325-6908 Magna St. |
ePatient.06 - Patient's Home City | Value: 1444049 - Ogden |
ePatient.07 - Patient's Home County | [ATT: NV="7701003 - Not Recorded"] |
ePatient.08 - Patient's Home State | [ATT: NV="7701003 - Not Recorded"] |
ePatient.09 - Patient's Home ZIP Code | [ATT: NV="7701001 - Not Applicable"] |
ePatient.10 - Patient's Country of Residence | Value: US |
ePatient.11 - Patient Home Census Tract | Value: 80698161165 |
ePatient.12 - Social Security Number | Value: 661639771 |
ePatient.13 - Gender | [ATT: NV="7701003 - Not Recorded"] |
ePatient.14 - Race | [ATT: NV="7701001 - Not Applicable"] |
ePatient.AgeGroup | |
ePatient.15 - Age | [ATT: NV="7701001 - Not Applicable"] |
ePatient.16 - Age Units | [ATT: NV="7701003 - Not Recorded"] |
ePatient.17 - Date of Birth | [ATT: PN="8801023 - Unable to Complete"] |
ePatient.18 - Patient's Phone Number | [ATT: PhoneNumberType="9913009 - Work"] Value: 745-263-7414 |
ePatient.19 - Patient's Email Address | [ATT: EmailAddressType="9904003 - Work"] Value: b9sGPYK8@T3Gv.com |
ePatient.20 - State Issuing Driver's License | Value: 49 - Utah |
ePatient.21 - Driver's License Number | Value: 0 |
ePayment | |
ePayment.01 - Primary Method of Payment | [ATT: NV="7701003 - Not Recorded"] |
ePayment.CertificateGroup | |
ePayment.02 - Physician Certification Statement | Value: 9922005 - Yes |
ePayment.03 - Date Physician Certification Statement Signed | Value: 2015-03-03T13:10:41+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.05 - Healthcare Provider Type Signing Physician Certification Statement | Value: 2605011 - Registered Nurse Practitioner |
ePayment.06 - Last Name of Individual Signing Physician Certification Statement | Value: Watts |
ePayment.07 - First Name of Individual Signing Physician Certification Statement | Value: Roman |
ePayment.08 - Patient Resides in Service Area | Value: 2608003 - Not a Resident Within EMS Service Area |
ePayment.InsuranceGroup | |
ePayment.09 - Insurance Company ID | Value: ls |
ePayment.10 - Insurance Company Name | Value: xi |
ePayment.11 - Insurance Company Billing Priority | Value: 2611025 - Unknown |
ePayment.12 - Insurance Company Address | [ATT: StreetAddress2="Q"] Value: P.O. Box 712, 9758 Velit. St. |
ePayment.13 - Insurance Company City | Value: 1434042 - Wendover |
ePayment.14 - Insurance Company State | Value: 49 - Utah |
ePayment.15 - Insurance Company ZIP Code | Value: 84083 |
ePayment.16 - Insurance Company Country | Value: US |
ePayment.17 - Insurance Group ID | Value: 66 |
ePayment.18 - Insurance Policy ID Number | Value: SG |
ePayment.19 - Last Name of the Insured | Value: Weber |
ePayment.20 - First Name of the Insured | Value: Gloria |
ePayment.21 - Middle Initial/Name of the Insured | Value: Amaya |
ePayment.22 - Relationship to the Insured | Value: 2622019 - Other Relationship |
ePayment.58 - Insurance Group Name | Value: h7 |
ePayment.ClosestRelativeGroup | |
ePayment.23 - Closest Relative/Guardian Last Name | Value: Lyons |
ePayment.24 - Closest Relative/ Guardian First Name | Value: Raquel |
ePayment.25 - Closest Relative/ Guardian Middle Initial/Name | Value: Almond |
ePayment.26 - Closest Relative/ Guardian Street Address | [ATT: StreetAddress2="j"] Value: 3427 Sodales Road |
ePayment.27 - Closest Relative/ Guardian City | Value: 1443818 - Nibley |
ePayment.28 - Closest Relative/ Guardian State | Value: 49 - Utah |
ePayment.29 - Closest Relative/ Guardian ZIP Code | Value: 84321 |
ePayment.30 - Closest Relative/ Guardian Country | Value: US |
ePayment.31 - Closest Relative/ Guardian Phone Number | [ATT: PhoneNumberType="9913009 - Work"] Value: 943-551-5561 |
ePayment.32 - Closest Relative/ Guardian Relationship | Value: 2632021 - Unknown |
ePayment.EmployerGroup | |
ePayment.33 - Patient's Employer | Value: Z1 |
ePayment.34 - Patient's Employer's Address | [ATT: StreetAddress2="N"] Value: l |
ePayment.35 - Patient's Employer's City | Value: 1428807 - Hooper |
ePayment.36 - Patient's Employer's State | Value: 49 - Utah |
ePayment.37 - Patient's Employer's ZIP Code | Value: 84401 |
ePayment.38 - Patient's Employer's Country | Value: US |
ePayment.39 - Patient's Employer's Primary Phone Number | [ATT: PhoneNumberType="9913009 - Work"] Value: 605-287-5856 |
ePayment.40 - Response Urgency | Value: 2640003 - Non-Immediate |
ePayment.41 - Patient Transport Assessment | Value: 2641005 - Unable to walk without assistance |
ePayment.42 - Specialty Care Transport Care Provider | Value: 2642039 - Registered Nurse |
ePayment.44 - Ambulance Transport Reason Code | Value: E - Patient was transferred to a Rehabilitation Facility |
ePayment.45 - Round Trip Purpose Description | Value: rz |
ePayment.46 - Stretcher Purpose Description | Value: Cv |
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.48 - Mileage to Closest Hospital Facility | Value: 977.0 |
ePayment.49 - ALS Assessment Performed and Warranted | Value: 9923003 - Yes |
ePayment.50 - CMS Service Level | [ATT: NV="7701003 - Not Recorded"] |
ePayment.51 - EMS Condition Code | Value: C5J |
ePayment.52 - CMS Transportation Indicator | Value: D4 - Pick up Point not Accessible by Ground Transport |
ePayment.53 - Transport Authorization Code | Value: Wk |
ePayment.54 - Prior Authorization Code Payer | Value: H |
ePayment.SupplyItemGroup | |
ePayment.55 - Supply Item Used Name | Value: vz |
ePayment.56 - Number of Supply Item(s) Used | Value: 71893702 |
ePayment.57 - Payer Type | Value: ZZ - Mutually Defined |
eScene | |
eScene.01 - First EMS Unit on Scene | [ATT: NV="7701003 - Not Recorded"] |
eScene.ResponderGroup | |
eScene.02 - Other EMS or Public Safety Agencies at Scene | Value: 90 |
eScene.03 - Other EMS or Public Safety Agency ID Number | Value: 6 |
eScene.04 - Type of Other Service at Scene | Value: 2704019 - Utilities |
eScene.05 - Date/Time Initial Responder Arrived on Scene | Value: 2015-03-03T13:10:41+07:00 |
eScene.06 - Number of Patients at Scene | [ATT: NV="7701001 - Not Applicable"] |
eScene.07 - Mass Casualty Incident | [ATT: NV="7701001 - Not Applicable"] |
eScene.08 - Triage Classification for MCI Patient | [ATT: NV="7701003 - Not Recorded"] |
eScene.09 - Incident Location Type | [ATT: NV="7701003 - Not Recorded"] |
eScene.10 - Incident Facility Code | [ATT: NV="7701001 - Not Applicable"] |
eScene.11 - Scene GPS Location | Value: 40.604525,-112.456180 |
eScene.12 - Scene US National Grid Coordinates | Value: 15RDS76155851 |
eScene.13 - Incident Facility or Location Name | Value: Y0 |
eScene.14 - Mile Post or Major Roadway | [ATT: NV="7701005 - Not Reporting"] |
eScene.15 - Incident Street Address | [ATT: NV="7701003 - Not Recorded"] |
eScene.16 - Incident Apartment, Suite, or Room | [ATT: NV="7701001 - Not Applicable"] |
eScene.17 - Incident City | [ATT: NV="7701005 - Not Reporting"] |
eScene.18 - Incident State | [ATT: NV="7701003 - Not Recorded"] |
eScene.19 - Incident ZIP Code | [ATT: NV="7701001 - Not Applicable"] |
eScene.20 - Scene Cross Street or Directions | [ATT: NV="7701001 - Not Applicable"] |
eScene.21 - Incident County | [ATT: NV="7701001 - Not Applicable"] |
eScene.22 - Incident Country | Value: US |
eScene.23 - Incident Census Tract | Value: 28722395838 |
eSituation | |
eSituation.01 - Date/Time of Symptom Onset | [ATT: NV="7701001 - Not Applicable"] |
eSituation.02 - Possible Injury | [ATT: NV="7701001 - Not Applicable"] |
eSituation.PatientComplaintGroup | |
eSituation.03 - Complaint Type | [ATT: NV="7701001 - Not Applicable"] |
eSituation.04 - Complaint | [ATT: NV="7701003 - Not Recorded"] |
eSituation.05 - Duration of Complaint | [ATT: NV="7701003 - Not Recorded"] |
eSituation.06 - Time Units of Duration of Complaint | [ATT: NV="7701003 - Not Recorded"] |
eSituation.07 - Chief Complaint Anatomic Location | [ATT: NV="7701003 - Not Recorded"] |
eSituation.08 - Chief Complaint Organ System | [ATT: NV="7701003 - Not Recorded"] |
eSituation.09 - Primary Symptom | [ATT: NV="7701003 - Not Recorded"] |
eSituation.10 - Other Associated Symptoms | [ATT: NV="7701003 - Not Recorded"] |
eSituation.11 - Provider's Primary Impression | [ATT: NV="7701003 - Not Recorded"] |
eSituation.12 - Provider's Secondary Impressions | [ATT: NV="7701001 - Not Applicable"] |
eSituation.13 - Initial Patient Acuity | [ATT: NV="7701001 - Not Applicable"] |
eSituation.WorkRelatedGroup | |
eSituation.14 - Work-Related Illness/Injury | [ATT: NV="7701005 - Not Reporting"] |
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 | [ATT: NV="7701005 - Not Reporting"] |
eSituation.18 - Date/Time Last Known Well | Value: 2015-03-03T13:10:41+07:00 |
eInjury | |
eInjury.01 - Cause of Injury | [ATT: NV="7701001 - Not Applicable"] |
eInjury.02 - Mechanism of Injury | [ATT: NV="7701001 - Not Applicable"] |
eInjury.03 - Trauma Center Criteria | [ATT: NV="7701003 - Not Recorded"] |
eInjury.04 - Vehicular, Pedestrian, or Other Injury Risk Factor | [ATT: NV="7701001 - Not Applicable"] |
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 | [ATT: NV="7701001 - Not Applicable"] |
eInjury.08 - Airbag Deployment | Value: 2908009 - No Airbag Present |
eInjury.09 - Height of Fall (feet) | Value: 3978 |
eInjury.10 - OSHA Personal Protective Equipment Used | Value: 2910013 - Safety Nets |
eInjury.CollisionGroup | |
eInjury.11 - ACN System/Company Providing ACN Data | Value: 8 |
eInjury.12 - ACN Incident ID | Value: Te |
eInjury.13 - ACN Call Back Phone Number | [ATT: PhoneNumberType="9913009 - Work"] Value: 812-716-4278 |
eInjury.14 - Date/Time of ACN Incident | Value: 2015-03-03T13:10:41+07:00 |
eInjury.15 - ACN Incident Location | Value: 9.5,+65 |
eInjury.16 - ACN Incident Vehicle Body Type | Value: XO |
eInjury.17 - ACN Incident Vehicle Manufacturer | Value: fn |
eInjury.18 - ACN Incident Vehicle Make | Value: Df |
eInjury.19 - ACN Incident Vehicle Model | Value: N |
eInjury.20 - ACN Incident Vehicle Model Year | Value: 1931 |
eInjury.21 - ACN Incident Multiple Impacts | Value: 9923003 - Yes |
eInjury.22 - ACN Incident Delta Velocity | [ATT: DeltaVelocityOrdinal="765" VelocityUnit="9921003 - Miles per Hour"] Value: 559 |
eInjury.23 - ACN High Probability of Injury | Value: 9923003 - Yes |
eInjury.24 - ACN Incident PDOF | Value: 11 |
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 |
eArrest | |
eArrest.01 - Cardiac Arrest | [ATT: NV="7701003 - Not Recorded"] |
eArrest.02 - Cardiac Arrest Etiology | [ATT: NV="7701001 - Not Applicable"] |
eArrest.03 - Resuscitation Attempted By EMS | [ATT: NV="7701001 - Not Applicable"] |
eArrest.04 - Arrest Witnessed By | [ATT: NV="7701003 - Not Recorded"] |
eArrest.05 - CPR Care Provided Prior to EMS Arrival | [ATT: NV="7701003 - Not Recorded"] |
eArrest.06 - Who Provided CPR Prior to EMS Arrival | Value: 3006009 - Other EMS Professional (not part of dispatched response) |
eArrest.07 - AED Use Prior to EMS Arrival | [ATT: NV="7701003 - Not Recorded"] |
eArrest.08 - Who Used AED Prior to EMS Arrival | Value: 3008009 - Other EMS Professional (not part of dispatched response) |
eArrest.09 - Type of CPR Provided | [ATT: NV="7701001 - Not Applicable"] |
eArrest.11 - First Monitored Arrest Rhythm of the Patient | [ATT: NV="7701001 - Not Applicable"] |
eArrest.12 - Any Return of Spontaneous Circulation | [ATT: NV="7701003 - Not Recorded"] |
eArrest.13 - Neurological Outcome at Hospital Discharge | Value: 3013007 - CPC 4 Coma or Vegetative State |
eArrest.14 - Date/Time of Cardiac Arrest | [ATT: NV="7701001 - Not Applicable"] |
eArrest.15 - Date/Time Resuscitation Discontinued | [ATT: NV="7701005 - Not Reporting"] |
eArrest.16 - Reason CPR/Resuscitation Discontinued | [ATT: NV="7701003 - Not Recorded"] |
eArrest.17 - Cardiac Rhythm on Arrival at Destination | [ATT: NV="7701003 - Not Recorded"] |
eArrest.18 - End of EMS Cardiac Arrest Event | [ATT: NV="7701003 - Not Recorded"] |
eArrest.19 - Date/Time of Initial CPR | Value: 2015-03-03T13:10:41+07:00 |
eHistory | |
eHistory.01 - Barriers to Patient Care | [ATT: NV="7701001 - Not Applicable"] |
eHistory.PractitionerGroup | |
eHistory.02 - Last Name of Patient's Practitioner | Value: Greene |
eHistory.03 - First Name of Patient's Practitioner | Value: Tommie |
eHistory.04 - Middle Name/Initial of Patient's Practitioner | Value: Ames |
eHistory.05 - Advance Directives | [ATT: NV="7701003 - Not Recorded"] |
eHistory.06 - Medication Allergies | [ATT: PN="8801023 - Unable to Complete"] |
eHistory.07 - Environmental/Food Allergies | Value: 518376937 |
eHistory.08 - Medical/Surgical History | [ATT: PN="8801021 - Unresponsive"] |
eHistory.09 - Medical History Obtained From | Value: 3109007 - Patient |
eHistory.ImmunizationsGroup | |
eHistory.10 - The Patient's Type of Immunization | Value: 9910051 - Yellow Fever |
eHistory.11 - Immunization Year | Value: 1983 |
eHistory.CurrentMedsGroup | |
eHistory.12 - Current Medications | [ATT: PN="8801023 - Unable to Complete"] |
eHistory.13 - Current Medication Dose | Value: 733.0 |
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 | [ATT: PN="8801019 - Refused"] |
eHistory.18 - Pregnancy | [ATT: PN="8801023 - Unable to Complete"] |
eHistory.19 - Last Oral Intake | Value: 2015-03-03T13:10:41+07:00 |
eNarrative | |
eNarrative.01 - Patient Care Report Narrative | [ATT: NV="7701003 - Not Recorded"] |
eVitals | |
eVitals.VitalGroup | |
eVitals.01 - Date/Time Vital Signs Taken | [ATT: NV="7701003 - Not Recorded"] |
eVitals.02 - Obtained Prior to this Unit's EMS Care | [ATT: NV="7701003 - Not Recorded"] |
eVitals.CardiacRhythmGroup | |
eVitals.03 - Cardiac Rhythm / Electrocardiography (ECG) | [ATT: PN="8801019 - Refused"] |
eVitals.04 - ECG Type | [ATT: NV="7701001 - Not Applicable"] |
eVitals.05 - Method of ECG Interpretation | [ATT: NV="7701003 - Not Recorded"] |
eVitals.BloodPressureGroup | |
eVitals.06 - SBP (Systolic Blood Pressure) | [ATT: PN="8801019 - Refused"] |
eVitals.07 - DBP (Diastolic Blood Pressure) | [ATT: PN="8801023 - Unable to Complete"] |
eVitals.08 - Method of Blood Pressure Measurement | [ATT: NV="7701001 - Not Applicable"] |
eVitals.09 - Mean Arterial Pressure | Value: 42 |
eVitals.HeartRateGroup | |
eVitals.10 - Heart Rate | [ATT: PN="8801023 - Unable to Complete"] |
eVitals.11 - Method of Heart Rate Measurement | Value: 3311011 - Palpated |
eVitals.12 - Pulse Oximetry | [ATT: PN="8801023 - Unable to Complete"] |
eVitals.13 - Pulse Rhythm | Value: 3313005 - Regularly Irregular |
eVitals.14 - Respiratory Rate | [ATT: PN="8801005 - Exam Finding Not Present"] |
eVitals.15 - Respiratory Effort | Value: 3315013 - Weak/Agonal |
eVitals.16 - End Tidal Carbon Dioxide (ETCO2) | [ATT: PN="8801019 - Refused"] |
eVitals.17 - Carbon Monoxide (CO) | [ATT: PN="8801023 - Unable to Complete"] |
eVitals.18 - Blood Glucose Level | [ATT: PN="8801019 - Refused"] |
eVitals.GlasgowScoreGroup | |
eVitals.19 - Glasgow Coma Score-Eye | [ATT: PN="8801023 - Unable to Complete"] |
eVitals.20 - Glasgow Coma Score-Verbal | [ATT: PN="8801019 - Refused"] |
eVitals.21 - Glasgow Coma Score-Motor | [ATT: PN="8801019 - Refused"] |
eVitals.22 - Glasgow Coma Score-Qualifier | [ATT: NV="7701001 - Not Applicable"] |
eVitals.23 - Total Glasgow Coma Score | [ATT: PN="8801023 - Unable to Complete"] |
eVitals.TemperatureGroup | |
eVitals.24 - Temperature | [ATT: PN="8801023 - Unable to Complete"] |
eVitals.25 - Temperature Method | Value: 3325017 - Skin Probe |
eVitals.26 - Level of Responsiveness (AVPU) | [ATT: NV="7701003 - Not Recorded"] |
eVitals.PainScaleGroup | |
eVitals.27 - Pain Scale Score | [ATT: PN="8801023 - Unable to Complete"] |
eVitals.28 - Pain Scale Type | [ATT: NV="7701003 - Not Recorded"] |
eVitals.StrokeScaleGroup | |
eVitals.29 - Stroke Scale Score | [ATT: PN="8801023 - Unable to Complete"] |
eVitals.30 - Stroke Scale Type | [ATT: NV="7701003 - Not Recorded"] |
eVitals.31 - Reperfusion Checklist | [ATT: PN="8801019 - Refused"] |
eVitals.32 - APGAR | [ATT: PN="8801023 - Unable to Complete"] |
eVitals.33 - Revised Trauma Score | [ATT: PN="8801019 - Refused"] |
eLabs | |
eLabs.LabGroup | |
eLabs.01 - Date/Time of Laboratory or Imaging Result | Value: 2015-03-03T13:10:41+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: n |
eLabs.LabImageGroup | |
eLabs.05 - Imaging Study Type | Value: 3405013 - Angiography |
eLabs.06 - Imaging Study Results | Value: Ehe |
eLabs.WaveformGraphicGroup | |
eLabs.07 - Imaging Study File or Waveform Graphic Type | Value: b |
eLabs.08 - Imaging Study File or Waveform Graphic | Value: WnVsakJTMVg3djRLQU1FT09LUzdwbHp5MVRDRXY2Yll6eGJmYXEybXZ2YzgwbEdsbTE= |
eExam | |
eExam.01 - Estimated Body Weight in Kilograms | [ATT: PN="8801023 - Unable to Complete"] |
eExam.02 - Length Based Tape Measure | [ATT: PN="8801023 - Unable to Complete"] |
eExam.AssessmentGroup | |
eExam.03 - Date/Time of Assessment | Value: 2015-03-03T13:10:41+07:00 |
eExam.04 - Skin Assessment | Value: 3504039 - Capillary Nail Bed Refill more than 4 seconds |
eExam.05 - Head Assessment | Value: 3505053 - Tenderness |
eExam.06 - Face Assessment | Value: 3506055 - Contusion |
eExam.07 - Neck Assessment | Value: 3507059 - Tenderness |
eExam.08 - Chest/Lungs Assessment | Value: 3508103 - Tenderness-General |
eExam.09 - Heart Assessment | Value: 3509021 - S4 |
eExam.AbdomenGroup | |
eExam.10 - Abdominal Assessment Finding Location | Value: 3510013 - Epigastric |
eExam.11 - Abdomen Assessment | Value: 3511065 - Rigidity |
eExam.12 - Pelvis/Genitourinary Assessment | Value: 3512065 - 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.ExtremityGroup | |
eExam.15 - Extremity Assessment Finding Location | Value: 3515095 - Wrist-Right |
eExam.16 - Extremities Assessment | Value: 3516083 - Arm Drift |
eExam.EyeGroup | |
eExam.17 - Eye Assessment Finding Location | Value: 3517005 - Right |
eExam.18 - Eye Assessment | Value: 3518059 - Puncture/Stab Wound |
eExam.19 - Mental Status Assessment | Value: 3519027 - Stupor |
eExam.20 - Neurological Assessment | Value: 3520053 - Arm Drift-Right |
eExam.21 - Stroke/CVA Symptoms Resolved | [ATT: PN="8801023 - Unable to Complete"] |
eProtocols | |
eProtocols.ProtocolGroup | |
eProtocols.01 - Protocols Used | [ATT: NV="7701003 - Not Recorded"] |
eProtocols.02 - Protocol Age Category | [ATT: NV="7701001 - Not Applicable"] |
eMedications | |
eMedications.MedicationGroup | |
eMedications.01 - Date/Time Medication Administered | [ATT: NV="7701001 - Not Applicable"] |
eMedications.02 - Medication Administered Prior to this Unit's EMS Care | [ATT: NV="7701003 - Not Recorded"] |
eMedications.03 - Medication Given | [ATT: NV="7701003 - Not Recorded"] |
eMedications.04 - Medication Administered Route | Value: 9927061 - Portacath |
eMedications.DosageGroup | |
eMedications.05 - Medication Dosage | [ATT: NV="7701001 - Not Applicable"] |
eMedications.06 - Medication Dosage Units | [ATT: NV="7701003 - Not Recorded"] |
eMedications.07 - Response to Medication | [ATT: NV="7701003 - Not Recorded"] |
eMedications.08 - Medication Complication | [ATT: NV="7701003 - Not Recorded"] |
eMedications.09 - Medication Crew (Healthcare Professionals) ID | [ATT: NV="7701003 - Not Recorded"] |
eMedications.10 - Role/Type of Person Administering Medication | [ATT: NV="7701003 - Not Recorded"] |
eMedications.11 - Medication Authorization | Value: 9918007 - Written Orders (Patient Specific) |
eMedications.12 - Medication Authorizing Physician | Value: q |
eProcedures | |
eProcedures.ProcedureGroup | |
eProcedures.01 - Date/Time Procedure Performed | [ATT: NV="7701003 - Not Recorded"] |
eProcedures.02 - Procedure Performed Prior to this Unit's EMS Care | [ATT: NV="7701003 - Not Recorded"] |
eProcedures.03 - Procedure | [ATT: NV="7701003 - Not Recorded"] |
eProcedures.04 - Size of Procedure Equipment | Value: R |
eProcedures.05 - Number of Procedure Attempts | [ATT: NV="7701003 - Not Recorded"] |
eProcedures.06 - Procedure Successful | [ATT: NV="7701001 - Not Applicable"] |
eProcedures.07 - Procedure Complication | [ATT: NV="7701001 - Not Applicable"] |
eProcedures.08 - Response to Procedure | [ATT: NV="7701001 - Not Applicable"] |
eProcedures.09 - Procedure Crew Members ID | [ATT: NV="7701001 - Not Applicable"] |
eProcedures.10 - Role/Type of Person Performing the Procedure | [ATT: NV="7701001 - Not Applicable"] |
eProcedures.11 - Procedure Authorization | Value: 9918007 - Written Orders (Patient Specific) |
eProcedures.12 - Procedure Authorizing Physician | Value: 1 |
eProcedures.13 - Vascular Access Location | [ATT: NV="7701001 - Not Applicable"] |
eAirway | |
eAirway.AirwayGroup | |
eAirway.01 - Indications for Invasive Airway | [ATT: NV="7701001 - Not Applicable"] |
eAirway.ConfirmationGroup | [ATT: ProcedureGroupCorrelationID="k"] |
eAirway.02 - Date/Time Airway Device Placement Confirmation | [ATT: NV="7701005 - Not Reporting"] |
eAirway.03 - Airway Device Being Confirmed | [ATT: NV="7701001 - Not Applicable"] |
eAirway.04 - Airway Device Placement Confirmed Method | [ATT: NV="7701003 - Not Recorded"] |
eAirway.05 - Tube Depth | Value: 23 |
eAirway.06 - Type of Individual Confirming Airway Device Placement | [ATT: NV="7701001 - Not Applicable"] |
eAirway.07 - Crew Member ID | [ATT: NV="7701003 - Not Recorded"] |
eAirway.08 - Airway Complications Encountered | [ATT: NV="7701005 - Not Reporting"] |
eAirway.09 - Suspected Reasons for Failed Airway Management | Value: 4009019 - Unable to Position or Access Patient |
eAirway.10 - Date/Time Decision to Manage the Patient with an Invasive Airway | Value: 2015-03-03T13:10:41+07:00 |
eAirway.11 - Date/Time Invasive Airway Placement Attempts Abandoned | Value: 2015-03-03T13:10:41+07:00 |
eDevice | |
eDevice.DeviceGroup | |
eDevice.01 - Medical Device Serial Number | Value: Lt |
eDevice.02 - Date/Time of Event (per Medical Device) | Value: 2015-03-03T13:10:41+07:00 |
eDevice.03 - Medical Device Event Type | Value: 4103049 - Temperature 2 |
eDevice.WaveformGroup | |
eDevice.04 - Medical Device Waveform Graphic Type | Value: P |
eDevice.05 - Medical Device Waveform Graphic | Value: MzBrZEpOZ0ZDZWFFSnNQdVdTRjJNSWhZa1VwTjJHQjNBa1VaY1I0NnRGam1GaGFuMW4= |
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.08 - Medical Device ECG Interpretation | Value: m |
eDevice.ShockGroup | |
eDevice.09 - Type of Shock | Value: 4109003 - Monophasic |
eDevice.10 - Shock or Pacing Energy | Value: 1817.0 |
eDevice.11 - Total Number of Shocks Delivered | Value: 55 |
eDevice.12 - Pacing Rate | Value: 461 |
eDisposition | |
eDisposition.DestinationGroup | |
eDisposition.01 - Destination/Transferred To, Name | [ATT: NV="7701005 - Not Reporting"] |
eDisposition.02 - Destination/Transferred To, Code | [ATT: NV="7701003 - Not Recorded"] |
eDisposition.03 - Destination Street Address | [ATT: StreetAddress2="E"] Value: 704-4212 Mauris Rd. |
eDisposition.04 - Destination City | Value: 1437620 - Lawrence |
eDisposition.05 - Destination State | [ATT: NV="7701003 - Not Recorded"] |
eDisposition.06 - Destination County | [ATT: NV="7701003 - Not Recorded"] |
eDisposition.07 - Destination ZIP Code | [ATT: NV="7701003 - Not Recorded"] |
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: 15TLK26234836 |
eDisposition.11 - Number of Patients Transported in this EMS Unit | [ATT: NV="7701001 - Not Applicable"] |
eDisposition.12 - Incident/Patient Disposition | Value: 4212043 - Transport Non-Patient, Organs, etc. |
eDisposition.13 - How Patient Was Moved to Ambulance | Value: 9909015 - Wheelchair |
eDisposition.14 - Position of Patient During Transport | Value: 4214019 - Trendelenburg |
eDisposition.15 - How Patient Was Transported From Ambulance | Value: 9909015 - Wheelchair |
eDisposition.16 - EMS Transport Method | [ATT: NV="7701001 - Not Applicable"] |
eDisposition.17 - Transport Mode from Scene | [ATT: NV="7701001 - Not Applicable"] |
eDisposition.18 - Additional Transport Mode Descriptors | [ATT: NV="7701003 - Not Recorded"] |
eDisposition.19 - Final Patient Acuity | [ATT: NV="7701003 - Not Recorded"] |
eDisposition.20 - Reason for Choosing Destination | [ATT: NV="7701003 - Not Recorded"] |
eDisposition.21 - Type of Destination | [ATT: NV="7701001 - Not Applicable"] |
eDisposition.22 - Hospital In-Patient Destination | [ATT: NV="7701001 - Not Applicable"] |
eDisposition.23 - Hospital Capability | [ATT: NV="7701003 - Not Recorded"] |
eDisposition.HospitalTeamActivationGroup | |
eDisposition.24 - Destination Team Pre-Arrival Alert or Activation | [ATT: NV="7701003 - Not Recorded"] |
eDisposition.25 - Date/Time of Destination Prearrival Alert or Activation | [ATT: NV="7701001 - Not Applicable"] |
eDisposition.26 - Disposition Instructions Provided | Value: 4226015 - See Your Doctor within the next one week |
eOutcome | |
eOutcome.01 - Emergency Department Disposition | [ATT: NV="7701003 - Not Recorded"] |
eOutcome.02 - Hospital Disposition | [ATT: NV="7701001 - Not Applicable"] |
eOutcome.ExternalDataGroup | |
eOutcome.03 - External Report ID/Number Type | Value: 4303025 - Trauma Registry |
eOutcome.04 - External Report ID/Number | Value: MC |
eOutcome.05 - Other Report Registry Type | Value: J8 |
eOutcome.06 - Emergency Department Chief Complaint | Value: p1 |
eOutcome.07 - First ED Systolic Blood Pressure | Value: 318 |
eOutcome.08 - Emergency Department Recorded Cause of Injury | Value: W17.2 - Fall into hole |
eOutcome.09 - Emergency Department Procedures | Value: BF35ZZZ - Imaging @ Hepatobiliary System and Pancreas @ Magnetic Resonance Imaging (MRI) @ Liver @ None @ None @ None |
eOutcome.10 - Emergency Department Diagnosis | Value: H68.009 - Unspecified Eustachian salpingitis, unspecified ear |
eOutcome.11 - Date/Time of Hospital Admission | Value: 2015-03-03T13:10:41+07:00 |
eOutcome.12 - Hospital Procedures | Value: BF45ZZZ - Imaging @ Hepatobiliary System and Pancreas @ Ultrasonography @ Liver @ None @ None @ None |
eOutcome.13 - Hospital Diagnosis | Value: H68.00 - Unspecified Eustachian salpingitis |
eOutcome.14 - Total ICU Length of Stay | Value: 398 |
eOutcome.15 - Total Ventilator Days | Value: 194 |
eOutcome.16 - Date/Time of Hospital Discharge | Value: 2015-03-03T13:10:41+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.EMSCrewMemberGroup | |
eOther.03 - Personal Protective Equipment Used | Value: 4503023 - Reflective Vest |
eOther.04 - EMS Professional (Crew Member) ID | Value: aX |
eOther.05 - Suspected EMS Work Related Exposure, Injury, or Death | [ATT: NV="7701001 - Not Applicable"] |
eOther.06 - The Type of Work-Related Injury, Death or Suspected Exposure | [ATT: NV="7701001 - Not Applicable"] |
eOther.07 - Natural, Suspected, Intentional, or Unintentional Disaster | Value: 4507027 - Weather |
eOther.08 - Crew Member Completing this Report | [ATT: NV="7701003 - Not Recorded"] |
eOther.FileGroup | |
eOther.09 - External Electronic Document Type | Value: 4509025 - Other Video/Movie |
eOther.10 - File Attachment Type | Value: 9 |
eOther.11 - File Attachment Image | Value: RnJWbGNTWW5WUkExclYyWUNLcmxFRTVkMGtGSjVuWHdHT2tXekFXVFdjbkhqOEJFMUc= |
eOther.SignatureGroup | |
eOther.12 - Type of Person Signing | Value: 4512019 - Witness |
eOther.13 - Signature Reason | Value: 4513023 - Other |
eOther.14 - Type Of Patient Representative | Value: 4514051 - Wife |
eOther.15 - Signature Status | Value: 4515033 - Signed-Not Patient |
eOther.16 - Signature File Name | Value: J8rdGQ78TKB6EvkYJRgf9Qz76PEhjwN24TmLFWxeaeraGKOJ0yGRv1SbkUREC08pO48AEti7pxF5FD7iBv3XAHz7KCXCBcadLxtIihY7aeF9MszDuIOwGDqcSKlBC0ow2DcrQ68y7kog0lWPXmXBfWDlCuABuD6INrID171hJjAbyppjeX2b3sXm7jJkyEdRGxmCpIFPI9jZj6XjPDzhQEpOpob1cLJqLDhLO1JBhuQSkwzxA1I0HYxhyC7Wf9E |
eOther.17 - Signature File Type | Value: q |
eOther.18 - Signature Graphic | Value: S0Vrd29sd0pRTGhlNVFXN0NrR2ttelUwc05NNnY2dTVxaWdxR29kUlhuZ3lVd0t6SWY= |
eOther.19 - Date/Time of Signature | Value: 2015-03-03T13:10:41+07:00 |
eOther.20 - Signature Last Name | Value: o |
eOther.21 - Signature First Name | Value: B |